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Identification of lncRNA-miRNA-mRNA networks in late-onset pre-eclampsia 迟发型子痫前期lncRNA-miRNA-mRNA网络的鉴定
IF 0.8 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2022-11-14 DOI: 10.1097/RD9.0000000000000056
Yao Tang, Zhen-Zhen Liu, Hai-yan Liu, Cheng-jie Wang, J. Pei, Nan Chu, T. Peng, Xiao-tian Li, W. Gu
Objective: Long non-coding RNAs (lncRNAs) are implicated in multiple pathophysiological processes in placenta-related disorders; however, their expression and function in late-onset pre-eclampsia (LOPE) remain unclear. This study aimed to investigate the expression of lncRNAs in LOPE, construct a competing endogenous RNA (ceRNA) network, and identify the pathways associated with LOPE pathogenesis. Methods: We performed lncRNA and mRNAs microarray profiling to identify the differential expression profiles of lncRNAs and mRNAs in LOPE compared to those in normal pregnancy. Quantitative reverse transcription polymerase chain reaction (qRT-PCR) was performed to validate differentially expressed genes. Subsequently, we generated an interaction network between lncRNAs, (micro-RNAs) miRNAs, and mRNAs based on the Pearson’s correlation coefficient between lncRNAs and mRNAs. Gene ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analyses were performed to understand the functional significance of differentially expressed lncRNAs (DElncRNAs) in LOPE. Results: We identified 29 DElncRNAs (25 upregulated and four downregulated) and 212 differentially expressed mRNAs (DEmRNAs; 203 upregulated and nine downregulated) in LOPE placentas. Within them, six lncRNAs and four mRNAs were verified by qRT-PCR. GO and KEGG analyses revealed the potential pathways affected by these mRNAs, such as positive regulation of leukocyte chemotaxis, chemokine signaling pathway, and response to hypoxia. Finally, we constructed a ceRNA network including three DElncRNAs and 124 DEmRNAs, whose competing interactions may be mediated by 17 miRNAs. Two DElncRNAs, ENST00000515376 and ENST00000520544, were found to be hub genes, as they interacted with most miRNAs and mRNAs. ENST00000515376 is most likely related to the metabolic process of arachidonic acid, whereas ENST00000520544 is more likely related to the coagulation system, such as the regulation of blood coagulation and platelet degranulation. Conclusion: Differential expression profile of lncRNAs and the lncRNA-miRNA-mRNA network in LOPE provide potential therapeutic targets for this disease.
目的:长链非编码rna (lncRNAs)参与胎盘相关疾病的多种病理生理过程;然而,它们在迟发性先兆子痫(LOPE)中的表达和功能尚不清楚。本研究旨在探讨lncRNAs在LOPE中的表达,构建竞争内源性RNA (ceRNA)网络,并确定LOPE发病的相关途径。方法:我们通过lncRNA和mrna微阵列分析,鉴定LOPE与正常妊娠相比lncRNA和mrna的差异表达谱。采用定量反转录聚合酶链反应(qRT-PCR)验证差异表达基因。随后,我们基于lncRNAs和mrna之间的Pearson相关系数,构建了lncRNAs、(micro-RNAs) miRNAs和mrna之间的相互作用网络。通过基因本体(GO)和京都基因与基因组百科全书(KEGG)富集分析,了解LOPE中差异表达lncRNAs (DElncRNAs)的功能意义。结果:我们鉴定了29个delncrna(25个上调,4个下调)和212个差异表达mrna (demrna;LOPE胎盘中的203个上调,9个下调)。其中,6个lncrna和4个mrna通过qRT-PCR验证。GO和KEGG分析揭示了受这些mrna影响的潜在途径,如白细胞趋化性的正调节、趋化因子信号通路和对缺氧的反应。最后,我们构建了一个包含3个delncrna和124个demrna的ceRNA网络,这些相互竞争的相互作用可能由17个mirna介导。两个DElncRNAs, ENST00000515376和ENST00000520544,被发现是枢纽基因,因为它们与大多数mirna和mrna相互作用。ENST00000515376最有可能与花生四烯酸的代谢过程有关,而ENST00000520544更有可能与凝血系统有关,如调节血液凝固、血小板脱粒等。结论:lncrna的差异表达谱和lncRNA-miRNA-mRNA网络在LOPE中提供了潜在的治疗靶点。
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引用次数: 0
Identifying miRNA biomarkers of polycystic ovary syndrome through text mining 通过文本挖掘识别多囊卵巢综合征的miRNA生物标志物
IF 0.8 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2022-11-14 DOI: 10.1097/RD9.0000000000000055
Y. Wang, Xiaoyin Yuan, Bin Zhao
Objective: Polycystic ovary syndrome (PCOS) is an endocrine disorder with diverse clinical manifestations that often occurs in women of childbearing age. However, its molecular pathogenesis remains unclear, and this study aimed to identify miRNA targets in PCOS through text mining and database analysis. Methods: First, three different sets of text mining genes (TMGs) associated with “polycystic ovary syndrome”, “obesity/adiposis”, and “anovulation” keywords were retrieved from the GenCLiP3 database, and overlapping genes were selected. Second, Gene ontology annotation and biological pathway enrichment analyses of these overlapping TMGs were performed, followed by protein–protein interaction (PPI) network analysis. Third, genes in the gene module clustered in the PPI were selected to predict potential miRNAs for PCOS via miRNA-mRNA analysis. Results: A total of 4291 TMGs related to three different keywords were obtained through text mining; 72 intersect TMGs were retained among the three gene sets, and 62 TMGs participated in the establishment of the PPI network, of which 18 were aggregated in the gene module. Finally, 11 miRNAs that simultaneously bound to two TMGs (IGF1, ESR1, MAPK1, NAMPT, PIK3CA, and SERPINE1) could be prioritized as targets to study PCOS. Conclusion(s): The discovery of 11 miRNAs (miR-301a-3p, miR-301b-3p, miR-3666, miR-454-3p, miR-130a-3p, miR-130b-3p, miR-4295, miR-190a-3p, miR-5011-5p, miR-548c-3p, and miR-4799-5p) and 6 TMGs, which are associated with the HIF-1 signaling pathway (P = 4.799E-08), could be used as potential targets for PCOS.
目的:多囊卵巢综合征(PCOS)是育龄妇女常见的一种临床表现多样的内分泌疾病。然而,其分子发病机制尚不清楚,本研究旨在通过文本挖掘和数据库分析来确定多囊卵巢综合征中的miRNA靶点。方法:首先,从GenCLiP3数据库中检索与“多囊卵巢综合征”、“肥胖/肥胖”和“无排卵”关键词相关的三组不同的文本挖掘基因,并选择重叠的基因。其次,对这些重叠TMG进行基因本体论注释和生物途径富集分析,然后进行蛋白质-蛋白质相互作用(PPI)网络分析。第三,通过miRNA mRNA分析,选择PPI中聚集的基因模块中的基因来预测PCOS的潜在miRNA。结果:通过文本挖掘,共获得4291个与三个不同关键词相关的TMG;在三个基因集中保留了72个交叉TMG,62个TMG参与了PPI网络的建立,其中18个TMG聚集在基因模块中。最后,同时与两种TMG(IGF1、ESR1、MAPK1、NAMPT、PIK3CA和SERPINE1)结合的11种miRNA可以优先作为研究PCOS的靶标。结论:11种miRNA(miR-301a-3p、miR-301b-3p、iR-3666、miR-454-3p、miR-130a-3p,miR-4295、miR-190a-3p、miR-5011-5p、miR-548c-3p和miR-4799-5p)和6种TMG的发现可作为PCOS的潜在靶点,它们与HIF-1信号通路相关(P=4.799E-08)。
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引用次数: 0
Association of symptomatic late-onset hypogonadism and lower urinary tract symptoms in aging males: a community-based study 老年男性迟发性性腺功能减退与下尿路症状的关系:一项社区研究
IF 0.8 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2022-11-14 DOI: 10.1097/RD9.0000000000000054
Guoqing Liang, Jian-Hui Li, H. Shi, Junbiao Zheng, Xiaohua Yu, Shucheng Zhang, Zheng Li, Qian-xi Zhu, Yuxuan Song, Feng Jiang, Yong Zhu
Objective: Testosterone deficiency may be a risk factor for lower urinary tract symptoms (LUTS), and there may be a causal link between the emergence of LUTS and the incidence of late-onset hypogonadism (LOH). We performed an epidemiologic study to investigate the association between symptomatic late-onset hypogonadism (SLOH) and LUTS in middle-aged and elderly rural Chinese males. Methods: A total of 965 men completed a questionnaire and underwent a detailed physical examination. The Aging Males’ Symptoms (AMS) scale was used to assess SLOH, and the International Prostate Symptom Score (IPSS) questionnaire was used to assess LUTS. Serum reproductive hormone levels of testosterone, sex hormone-binding globulin (SHBG) and luteinizing hormone (LH) were measured. Results: A total of 965 males (mean age: 56.34 ± 8.85, range: 40–80 years) were recruited for the present study. A total of 20.93% (202/965) were diagnosed with SLOH. A total of 93.16% (899/965) had mild LUTS, 5.18% (50/965) had moderate LUTS, and 1.66% (16/965) had severe LUTS. Among SLOH patients, 13.40% (27/202) and 3.90% (8/202) had moderate and severe LUTS, respectively. Patients with severe LUTS had increased SHBG and LH compared with those with mild and moderate LUTS (P <0.01). Correlation analysis revealed that the AMS total score was positively correlated with the IPSS score (P <0.05). The prevalence of SLOH was significantly increased with LUTS severity. In addition to the known effect of age, the results of multiple regression analysis also showed that serum LH or SHBG appeared to have a weak link with SLOH and LUTS that requires etiological and biological clarification in our future study. Conclusion: In this cross-sectional analysis of SLOH and LUTS, LUTS severity was significantly associated with hypogonadism symptoms. Additionally, the prevalence of SLOH advanced with increasing LUTS severity. Serum SHBG or LH showed a positive correlation with SLOH and LUTS.
目的:睾酮缺乏可能是下尿路症状(LUTS)的危险因素,且LUTS的出现与迟发性性腺功能减退(LOH)的发生率之间可能存在因果关系。我们进行了一项流行病学研究,以调查中国中老年农村男性症状性迟发性性腺功能减退(SLOH)与LUTS之间的关系。方法:965名男性完成了问卷调查,并进行了详细的身体检查。采用老年男性症状(AMS)量表评估SLOH,采用国际前列腺症状评分(IPSS)问卷评估LUTS。测定血清生殖激素水平睾酮、性激素结合球蛋白(SHBG)和促黄体生成素(LH)。结果:共纳入965名男性,平均年龄56.34±8.85岁,年龄范围40 ~ 80岁。共20.93%(202/965)被诊断为SLOH。93.16%(899/965)为轻度LUTS, 5.18%(50/965)为中度LUTS, 1.66%(16/965)为重度LUTS。在SLOH患者中,中度LUTS占13.40%(27/202),重度LUTS占3.90%(8/202)。重度LUTS患者SHBG和LH较轻、中度LUTS患者增高(P <0.01)。相关分析显示,AMS总分与IPSS评分呈正相关(P <0.05)。随着LUTS的严重程度,SLOH的患病率显著增加。除了已知年龄的影响外,多元回归分析的结果还显示,血清LH或SHBG与SLOH和LUTS似乎有微弱的联系,这需要在我们未来的研究中进行病因学和生物学的澄清。结论:在对SLOH和LUTS的横断面分析中,LUTS的严重程度与性腺功能减退症状显著相关。此外,随着LUTS严重程度的增加,SLOH的患病率也在上升。血清SHBG或LH与SLOH、LUTS呈正相关。
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引用次数: 0
Focal adhesion kinase signaling is necessary for the hydrogen sulfide-enhanced proliferation, migration, and invasion of HTR8/SVneo human trophoblasts 粘着斑激酶信号传导是硫化氢增强HTR8/SVneo人类滋养层细胞增殖、迁移和侵袭所必需的
IF 0.8 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2022-10-27 DOI: 10.1097/RD9.0000000000000047
Xian-Li Wang, Jing Tang
Objective: Hydrogen sulfide (H2S) has been elucidated that it promotes migration and invasion in human placenta trophoblasts. However, the signaling pathway underlying H2S-based regulation of trophoblasts remains unknown. Hence, we investigated the potential effect of sodium hydrosulfide (NaHS), an exogenous H2S donor, on extravillous trophoblasts. Methods: The Cell Counting Kit-8 was used to detect the proliferative activity of trophoblasts and to screen the optimal concentration of NaHS. The migration and invasion of HTR8/SVneo cells were measured by Transwell assays. Gene expression was determined by quantitative real-time PCR analysis. Protein expression was determined by western blot. Results: We found that NaHS could promote the proliferation, migration, and invasion of HTR8/SVneo cells. The phosphorylation of focal adhesion kinase (FAK), Src, and extracellular signal-regulated kinase (ERK) were activated by NaHS. Moreover, NaHS also upregulated the expression of matrix metalloproteinase-2 (MMP-2) and MMP-9, downregulated the expression of E-cadherin in HTR8/SVneo cells. The application of NaHS could increase the expression of cystathionine-β-synthase. Conclusion: Both FAK–Src signaling and the upstream signaling cascade of ERK activation play a significant important role in NaHS-induced proliferation, migration, and invasion via upregulating activity of MMP-2, MMP-9, and downregulating E-cadherin in HTR8/SVneo cells. These novel findings may provide a strong foundation for the clinical application of H2S donor drugs.
目的:硫化氢(H2S)促进人胎盘滋养层细胞的迁移和侵袭。然而,基于H2S的滋养层调控的信号通路仍然未知。因此,我们研究了外源性H2S供体亚硫酸氢钠(NaHS)对绒毛外滋养层的潜在影响。方法:采用细胞计数试剂盒-8检测滋养层细胞的增殖活性,筛选最佳浓度的NaHS。通过Transwell测定法测定HTR8/SVneo细胞的迁移和侵袭。通过实时定量PCR分析测定基因表达。蛋白质表达通过蛋白质印迹测定。结果:NaHS能促进HTR8/SVneo细胞的增殖、迁移和侵袭。NaHS激活了粘着斑激酶(FAK)、Src和细胞外信号调节激酶(ERK)的磷酸化。此外,NaHS还上调了基质金属蛋白酶-2(MMP-2)和MMP-9的表达,下调了HTR8/SVneo细胞中E-钙粘蛋白的表达。NaHS的应用可增加胱硫醚-β-合酶的表达。结论:FAK-Src信号传导和ERK激活的上游信号级联在NaHS诱导的HTR8/SVneo细胞增殖、迁移和侵袭中发挥着重要作用,其途径是上调MMP-2、MMP-9的活性,下调E-钙粘蛋白。这些新发现可能为H2S供体药物的临床应用提供坚实的基础。
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引用次数: 1
Impact of COVID-19 infection during pregnancy on maternal and fetal outcomes 妊娠期新冠肺炎感染对孕产妇和胎儿结局的影响
IF 0.8 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2022-10-27 DOI: 10.1097/RD9.0000000000000044
M. Anter, Nasser Abd El-Aal, M. Rezk, Hussein Fahmy Moawad, A. Abudakika
Objectives: The objective of this study is to assess the impact of coronavirus disease 2019 (COVID-19) infection during pregnancy on maternal and fetal outcome in relation to gestational age. Methods: This retrospective study was conducted between May 2020 and July 2021. Sixty-five women infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and hospitalized at a quarantine hospital were included. Thirty-four women received prenatal care at the hospital until delivery, while 31 dropped out from the study due to COVID-19 recovery and discharge before delivery. Results: COVID-19 was found in 83% of the pregnant women after 20 weeks of pregnancy. The most common symptoms were cough and fever. Medical complications included severe pneumonia and thrombosis. The maternal mortality rate was 9.2%. Premature rupture of membranes and severe hypertension during labor affected nearly 9% of the pregnant women who completed prenatal care until delivery at the hospital. Preterm labor occurred at a rate of 38.2%. There were seven (20.8%) stillbirths and two cases of infant mortality. Conclusion: Hospitalized pregnant women who have coronavirus infection, lymphopenia, and a high C-reactive protein level were at a higher risk of developing severe illness, which can lead to maternal and neonatal complications.
目的:本研究的目的是评估妊娠期冠状病毒病2019 (COVID-19)感染对孕周母体和胎儿结局的影响。方法:本回顾性研究于2020年5月至2021年7月进行。纳入65名感染了严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)并在隔离医院住院的妇女。34名妇女在医院接受产前护理直到分娩,而31名妇女因COVID-19康复和分娩前出院而退出研究。结果:妊娠20周后,83%的孕妇检出COVID-19。最常见的症状是咳嗽和发烧。医疗并发症包括严重的肺炎和血栓。产妇死亡率为9.2%。分娩期间胎膜早破和严重高血压影响了近9%在医院完成产前护理直至分娩的孕妇。早产发生率为38.2%。死产7例(20.8%),婴儿死亡2例。结论:冠状病毒感染、淋巴细胞减少、c反应蛋白水平高的住院孕妇发生严重疾病的风险更高,可能导致孕产妇和新生儿并发症。
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引用次数: 0
A review of pre-implantation genetic testing technologies and applications 胚胎植入前基因检测技术及其应用综述
IF 0.8 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2022-10-27 DOI: 10.1097/RD9.0000000000000049
Ren-Qian Du, D. Zhao, Kai Kang, Fan Wang, R. Xu, Chun-Li Chi, L. Kong, B. Liang
The first practice of pre-implantation genetic testing (PGT) was reported more than 30 years ago. PGT, originally named pre-implantation genetic screening (PGS) and pre-implantation genetic diagnosis (PGD), is now categorized as PGT for aneuploidies (PGT-A), PGT for monogenic/single-gene defects (PGT-M), and PGT for chromosomal structural rearrangements (PGT-SR). Patients with fertility issues caused by advanced maternal age, carrier status of chromosomal abnormalities, or harboring pathogenic variant(s) are recommended to undergo PGT to increase the possibility of successful live birth and avoid potentially affected newborns. High-throughput techniques, such as DNA microarrays and next-generation sequencing (NGS), have enabled comprehensive screening of all 24 chromosomes, instead of few loci at a time. Furthermore, as a comprehensive PGT, PGT-Plus was enabled by the rapid development of a genome-wide single-cell haplotyping technique to detect embryo aneuploidy, single-gene disorders, and chromosomal aberrations simultaneously using a single universal protocol. In addition, non-invasive approaches enable a more intact embryo during the biopsy procedure, which may avoid potential mosaicism issues at a certain scale by testing spent culture media (SCM). As a novel PGT application, PGT-P detects genome-wide variations in polygenic diseases, which account for a large proportion of premature human deaths and affect a markedly larger population than monogenic diseases, using polygenic risk score calculation to decrease the potential of affecting complex conditions. Owing to the emergence of new technologies recruited to PGTs, more couples with infertility issues have a promising chance of conceiving a healthy baby, ultimately facilitating the human species to live more prosper.
第一次胚胎植入前基因检测(PGT)是在30多年前报道的。PGT最初被称为植入前遗传学筛查(PGS)和植入前遗传学诊断(PGD),现在分为非整倍体PGT (PGT- a)、单基因/单基因缺陷PGT (PGT- m)和染色体结构重排PGT (PGT- sr)。由于高龄产妇、染色体异常携带者或携带致病变异而导致生育问题的患者建议接受PGT,以增加成功活产的可能性,并避免潜在的影响新生儿。高通量技术,如DNA微阵列和下一代测序(NGS),已经能够全面筛选所有24条染色体,而不是一次筛选几个位点。此外,由于全基因组单细胞单倍型技术的快速发展,PGT- plus作为一种综合性PGT得以实现,可以使用单一通用方案同时检测胚胎非整倍体、单基因疾病和染色体畸变。此外,在活检过程中,非侵入性方法可以使胚胎更完整,通过检测废培养基(SCM),可以避免在一定规模上潜在的嵌合问题。作为一种新的PGT应用,PGT- p检测多基因疾病的全基因组变异,多基因疾病占人类过早死亡的很大比例,影响的人群明显多于单基因疾病,使用多基因风险评分计算来降低影响复杂疾病的可能性。由于新技术的出现,更多有不孕问题的夫妇有希望怀上一个健康的婴儿,最终促进人类物种更加繁荣地生活。
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引用次数: 1
Functional analysis of missense mutations in GLI2 and GLI3 involved in congenital heart disease 先天性心脏病中GLI2和GLI3错义突变的功能分析
IF 0.8 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2022-10-27 DOI: 10.1097/RD9.0000000000000048
Rui Peng, Lei Lu, Bing-Kun Lei, Hong-Yan Wang, Xiao-ying Yao
Objective: In this study, we aimed to explore the biological functions of 10 rare case-specific missense mutations in GLI2 and 4 in GLI3, which were previously screened in a cohort of 412 patients with congenital heart disease (CHD) and 213 normal controls from Shandong Province, China. Methods: A dual-luciferase reporter assay was used to assess the effects of these mutations in GLI2 and GLI3 on the activity of the sonic Hedgehog signaling pathway in HEK293T cells. Differences in protein levels between mutant and wild-type GLI2 and GLI3 were detected in HEK293T cells using Western blotting. Results: The dual-luciferase reporter assay showed that compared to the wild-type GLI2 protein, p.A1113V significantly increased activation of the sonic Hedgehog signaling pathway, whereas p.H78P and p.I1451S did not have a significant effect. The other mutations largely reduced the activation effect. Compared with the wild-type GLI3 protein, only p.A286V, among the four mutations, significantly reduced the activation effect on the SHH signaling pathway. Western blotting data showed reduced expression of GLI2 p.G716V, GLI2 p.K736N, GLI2 p.I1451S, and GLI3 p.A286V, whereas the remaining mutations had no significant effects. Conclusion: The mutations GLI2 c.2147G>T (p.G716V), GLI2 c.2208G>C (p.K736N), and GLI3 c.857C>T (p.A286V) involved in CHD affect the regulation of the sonic Hedgehog signaling pathway; thus, these rare missense mutations in GLI2 and GLI3 might increase the risk of CHD.
目的:在本研究中,我们旨在探索GLI2中10个罕见病例特异性错义突变和GLI3中4个错义突变的生物学功能,这些突变先前在来自中国山东省的412名先天性心脏病(CHD)患者和213名正常对照的队列中进行了筛选。方法:使用双荧光素酶报告基因分析来评估GLI2和GLI3中这些突变对HEK293T细胞中sonic Hedgehog信号通路活性的影响。使用蛋白质印迹在HEK293T细胞中检测突变型和野生型GLI2和GLI3之间的蛋白质水平差异。结果:双荧光素酶报告基因分析显示,与野生型GLI2蛋白相比,p.A1113V显著增加了sonic Hedgehog信号通路的激活,而p.H78P和p.I1451S没有显著影响。其他突变在很大程度上降低了激活效果。与野生型GLI3蛋白相比,在四个突变中,只有p.A286V显著降低了对SHH信号通路的激活作用。蛋白质印迹数据显示GLI2 p.G716V、GLI2 p.K736N、GLI2P.I1451S和GLI3 p.A286V的表达减少,而其余突变没有显著影响。结论:参与CHD的突变GLI2 c.2147G>T(p.G716V)、GLI2 c.2208G>c(p.K736N)和GLI3 c.857C>T(p.A286V)影响sonic Hedgehog信号通路的调节;因此,GLI2和GLI3中这些罕见的错义突变可能会增加CHD的风险。
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引用次数: 0
Pregnancy outcomes of four different cycle protocols for frozen embryo transfer: a large retrospective cohort study 冷冻胚胎移植四种不同周期方案的妊娠结局:一项大型回顾性队列研究
IF 0.8 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2022-10-25 DOI: 10.1097/RD9.0000000000000052
Yue Qian, Qi Wan, Xiao-Qing Bu, Tian Li, Xiaojun Tang, Yan Jia, Qian Feng, Xing-yu Lv, Xiang-Qian Meng, Yin Yang, Yuchun Ding, L. Geng, Min Xia, Zhao-hui Zhong
Objective: To evaluate the pregnancy outcomes of the four endometrial preparation protocols for people undergoing frozen-thawed embryo transfer (FET), including natural cycle (NC), hormone replacement therapy cycle (HRT), gonadotropin-releasing hormone agonist artificial cycle (GAC), and ovarian stimulation cycle (OC). Methods: This retrospective cohort study enrolled 10,333 cycles of frozen embryo transfer performed at Xinan Gynecological Hospital in Sichuan, China, from January 2018 to December 2018. The patient’s baseline characteristics and pregnancy outcomes were extracted from the medical record system. Pregnancy outcomes were compared among the four groups and multiple logistic regression models were used to adjust for the confounding factors. Results: After adjusting for covariates, multiple logistic regression analysis showed no statistical significance in pregnancy outcomes in the HRT group, GAC group, and OC group compared to the NC group in the entire population. The adjusted odds ratio of live birth was 0.976 (95% confidence interval [CI] 0.837–1.138) for the HRT group, 0.959 (95% confidence interval 0.797–1.152) for the GAC group, and 0.909 (95% confidence interval 0.763–1.083) for the OC group. Conclusions: The natural protocol had comparable pregnancy outcomes compared to the other three endometrial preparation protocols in the overall FET population. More high-quality prospective randomized controlled trials are required to assess the efficacy of the four protocols and explore the optimal one.
目的:评估接受冻融胚胎移植(FET)的人的四种子宫内膜准备方案的妊娠结局,包括自然周期(NC)、激素替代治疗周期(HRT)、促性腺激素释放激素激动剂人工周期(GAC)和卵巢刺激周期(OC)。方法:本回顾性队列研究纳入了2018年1月至2018年12月在中国四川省西安妇科医院进行的10333个冷冻胚胎移植周期。从病历系统中提取患者的基线特征和妊娠结局。比较四组的妊娠结局,并使用多元逻辑回归模型对混杂因素进行调整。结果:在校正协变量后,多元逻辑回归分析显示,在整个人群中,HRT组、GAC组和OC组的妊娠结局与NC组相比没有统计学意义。HRT组的活产调整比值比为0.976(95%置信区间[CI]0.837–1.138),GAC组为0.959(95%可信区间0.797–1.152),OC组为0.909(95%置信间隔0.763–1.083)。结论:在整个FET人群中,与其他三种子宫内膜制备方案相比,自然方案具有可比的妊娠结局。需要更多高质量的前瞻性随机对照试验来评估四种方案的疗效并探索最佳方案。
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引用次数: 0
Association of sleep characteristics and night shift work with self-reported diagnosis of polycystic ovary syndrome: a questionnaire-based cross-sectional study 睡眠特征和夜班工作与多囊卵巢综合征自我报告诊断的关联:一项基于问卷的横断面研究
IF 0.8 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2022-10-21 DOI: 10.1097/RD9.0000000000000051
Shuyi Shao, Huanhuan Zhao, Zhi-ying Lu, Xiaorong Lei, Ying Zhang
Objective: To examine the association between sleep characteristics and night shift work and the risk of polycystic ovary syndrome (PCOS) in Chinese women and to investigate their relationship with infertility in PCOS. Methods: From March 21, 2021 to April 31, 2021, 3927 Chinese women with or without PCOS were recruited online. All participants completed WeChat-based electronic questionnaires. Sleep characteristics were measured using the Pittsburgh sleep quality index. Results: A total of 2871 women were included in the final analysis. Sleep duration (odds ratio [OR], 0.857; 95% confidence interval [CI], 0.763–0.963), sleep midpoint (OR, 1.142; 95% CI, 1.049–1.244), sleep disturbance (OR, 1.320; 95% CI, 0.957–1.146), daytime dysfunction (OR, 1.136; 95% CI, 1.030–1.253), and night shift work (OR, 1.628; 95% CI, 1.264–2.097) were associated with a higher risk of PCOS. After adjusting for confounders, including age, body mass index, smoking status, and coffee and tea drinking status, sleep disturbance (OR, 1.314; 95% CI, 1.111–1.555), daytime dysfunction (OR, 1.143; 95% CI, 1.034–1.264), and night shift work (OR, 1.800; 95% CI, 1.388–2.333) remained associated. In addition, sleep disturbance (OR, 1.887; 95% CI, 1.400–2.542) and subjective sleep quality (OR, 1.299; 95% CI, 1.037–1.627) were associated with infertility in women with PCOS, and sleep disturbance (OR, 1.750; 95% CI, 1.281–2.390) remained significant after adjusting for confounders. Conclusions: Sleep disturbance, daytime dysfunction, and night shift work are significantly associated with PCOS. Screening for sleep disturbances and providing appropriate treatment could be potential strategies for managing PCOS and its long-term complications.
目的:探讨中国女性睡眠特征与夜班工作与多囊卵巢综合征(PCOS)发病风险的关系,并探讨其与PCOS患者不孕的关系。方法:于2021年3月21日至2021年4月31日,在线招募3927名患有或未患有PCOS的中国女性。所有参与者都完成了基于微信的电子问卷。使用匹兹堡睡眠质量指数来测量睡眠特征。结果:共有2871名女性纳入最终分析。睡眠时间(优势比[OR], 0.857;95%可信区间[CI], 0.763-0.963),睡眠中点(OR, 1.142;95% CI, 1.049-1.244),睡眠障碍(OR, 1.320;95% CI, 0.957-1.146),日间功能障碍(OR, 1.136;95% CI, 1.030-1.253)和夜班工作(OR, 1.628;95% CI, 1.264-2.097)与PCOS的高风险相关。在调整混杂因素(包括年龄、体重指数、吸烟状况、咖啡和茶饮用状况)后,睡眠障碍(OR, 1.314;95% CI, 1.111-1.555),日间功能障碍(OR, 1.143;95% CI, 1.034-1.264),夜班工作(OR, 1.800;95% CI, 1.388-2.333)仍然相关。此外,睡眠障碍(OR, 1.887;95% CI, 1.400-2.542)和主观睡眠质量(OR, 1.299;95% CI, 1.037-1.627)与PCOS患者不孕和睡眠障碍相关(OR, 1.750;95% CI, 1.281-2.390)在校正混杂因素后仍然显著。结论:睡眠障碍、日间功能障碍和夜班工作与PCOS显著相关。筛查睡眠障碍并提供适当的治疗可能是治疗多囊卵巢综合征及其长期并发症的潜在策略。
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引用次数: 0
The perivascular niche of endometrial mesenchymal stromal/stem-like cells 子宫内膜间充质基质/干细胞样细胞的血管周围生态位
IF 0.8 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2022-09-21 DOI: 10.1097/RD9.0000000000000038
R. Chan, Tian-Qi Li, Sisi Zhang, Yuan Fang, Jingxuan Xu
Human endometrium is a unique adult tissue that undergoes cyclical shedding, repair, and regeneration during a woman’s reproductive life. Over the past 2 decades, tremendous progress has been made towards the identification and characterization of endometrial stromal stem/progenitor cells . The substantial regeneration of vascularized stroma in the endometrium during the proliferative stages of each menstrual cycle is likely to be mediated by endometrial mesenchymal stromal/stem cells. This review focuses on the perivascular niche for CD140b+CD146+ pericytes and SUSD2+ perivascular cells. The identity, characteristics, and underlying mechanisms of uterine regeneration are also discussed.
人类子宫内膜是一种独特的成年组织,在女性的生殖生活中经历周期性脱落、修复和再生。在过去的20年里,在子宫内膜基质干/祖细胞的鉴定和表征方面取得了巨大进展。在每个月经周期的增殖阶段,子宫内膜血管化基质的实质性再生可能是由子宫内膜间充质基质/干细胞介导的。这篇综述的重点是CD140b+CD146+周细胞和SUSD2+血管周围细胞的血管周围小生境。还讨论了子宫再生的特性、特征和潜在机制。
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引用次数: 0
期刊
Reproductive and Developmental Medicine
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