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Neonatal feeding of an estrogen receptor β agonist induces external adenomyosis-like lesions in ICR mouse 新生儿喂养雌激素受体β激动剂可诱导ICR小鼠外源性腺肌病样病变
IF 0.8 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2022-07-12 DOI: 10.1097/RD9.0000000000000012
Yun-lei Cao, Xi Wang, Xi-shi Liu, T. Harada, Sun-Wei Guo
Objective: Despite the fact that adenomyosis is a fairly common gynecological disorder, its pathogenesis remains elusive. Several theories on the pathogenesis of adenomyosis have been proposed, but none of them has been proven experimentally. So far, the most used one is the neonatal feeding of tamoxifen (TAM) in Institute of Cancer Research/cryopreserved (ICR/CD-1) mouse. However, its underlying mechanism of action is unknown. To further delineate the mechanism of TAM-induced adenomyosis in ICR/CD-1 mouse with regard to specific estrogen receptor (ER), we conducted an experiment that neonatal mice were fed with either TAM, or 4,4′,4″-(4-propyl-[1H]-pyrazole-1,3,5-triyl) trisphenol (PPT; an ERα agonist), or 2,3-bis(4-hydroxyphenyl)-propionitrile (DPN; an ERβ agonist), or G-1 (a G-protein coupled receptor 30 agonist), or just vehicle, in an attempt to tease out which specific receptor plays a dominant role in the genesis of adenomyosis induced by neonatal feeding of TAM. Methods: Forty female neonatal mice were randomly divided into 5 equal-sized groups: CTL (control), TAM, PPT, DPN, and G-1. Three months later, all mice were sacrificed and their uterine horns were harvested, weighed, and processed for histological evaluation. Results: All mice in the TAM group developed adenomyosis, so did 4 mice (50%) in the DPN group, a result that should be considered significant given that mice in the CTL group would not develop adenomyosis. No mouse in the PPT or G-1 group developed adenomyosis. Remarkably, all lesions in the DPN group were seen exclusively near the uterine serosa, which are dramatically different from that of TAM mice and reminiscent of extrinsic or external adenomyosis in humans. Conclusions: Neonatal feeding of DPN induces adenomyosis, but the adenomyotic lesions appear to be different from those induced by TAM. Thus, the cause of TAM-induced adenomyosis in ICR/CD-1 mouse cannot be attributable to one specific ER alone. This suggests that the extrinsic/external adenomyosis may have a pathogenesis that is different from other sub-types of adenomyosis.
目的:尽管子宫腺肌症是一种相当常见的妇科疾病,但其发病机制尚不清楚。关于子宫腺肌症的发病机制已经提出了几种理论,但没有一种理论得到实验证明。目前使用最多的是癌症研究所/冷冻保存(ICR/CD-1)小鼠新生期喂养他莫昔芬(TAM)。然而,其潜在的作用机制尚不清楚。为了进一步阐明TAM诱导ICR/CD-1小鼠子宫腺肌症的机制,我们对新生小鼠进行了TAM或4,4 ',4″-(4-丙基-[1H]-吡唑-1,3,5-三基)三酚(PPT;ERα激动剂)或2,3-二(4-羟基苯基)丙腈(DPN;或G-1 (g蛋白偶联受体30激动剂),或仅仅是载体,试图梳理出哪个特定受体在新生儿喂养TAM诱导的子宫腺肌症发生中起主导作用。方法:将40只新生雌性小鼠随机分为CTL(对照组)、TAM(对照组)、PPT(对照组)、DPN(对照组)和G-1(对照组)5个等量组。3个月后,处死所有小鼠,取子宫角,称重,进行组织学评价。结果:TAM组小鼠全部发生子宫腺肌症,DPN组小鼠4只(50%)发生子宫腺肌症,考虑到CTL组小鼠不会发生子宫腺肌症,这一结果应该被认为是有意义的。PPT组和G-1组小鼠均未出现子宫腺肌症。值得注意的是,DPN组的所有病变均位于子宫浆膜附近,这与TAM小鼠的情况明显不同,使人联想到人类的外源性或外源性子宫腺肌症。结论:新生儿喂养DPN可诱发子宫腺肌症,但其腺肌病变与TAM不同。因此,在ICR/CD-1小鼠中,tam诱导的子宫腺肌症的原因不能仅仅归因于一种特定的ER。这表明外源性/外源性子宫腺肌症可能具有不同于其他子宫腺肌症亚型的发病机制。
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引用次数: 3
Preimplantation Genetic Testing Guidelines of International Society of Reproductive Genetics 国际生殖遗传学学会植入前基因检测指南
IF 0.8 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2022-07-12 DOI: 10.1097/rd9.0000000000000033
Chenming Xu, Si‐Jia Lu, Song-chang Chen, Jing-lan Zhang, Cong-jian Xu, Yuan Gao, Yifei Shen, Yun-xia Cao, Ling-Qian Wu, F. Jin, G. Lin, Ping Liu, Yi Zhu, Yan-ting Wu, Dan Zhang, Bill Yee, V. Kushnir, Zhihong Yang, Jia-Yin Liu, Zi-Jiang Chen, A. Thornhill, A. Beltsos, J. Smitz, J. Frattarelli, A. Handyside, J. Qiao, He-feng Huang
The International Society of Reproductive Genetics (ISRG) assembled a workgroup made up of clinicians, clinical laboratory directors, and scientists for the purpose of creating the guidelines for preimplantation genetic testing (PGT). The most up-to-date information and clinical insights for the optimal PGT practice were incorporated in these guidelines. Recommendations are provided for embryologists, medical geneticists, clinical laboratorians, and other healthcare providers to improve the wellbeing of patients seeking assisted reproductive treatment and their offspring.
国际生殖遗传学学会(ISRG)组建了一个由临床医生、临床实验室主任和科学家组成的工作组,旨在制定植入前基因检测(PGT)指南。最佳PGT实践的最新信息和临床见解包含在这些指南中。为胚胎学家、医学遗传学家、临床实验室和其他医疗保健提供者提供建议,以改善寻求辅助生殖治疗的患者及其后代的健康状况。
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引用次数: 1
Effect of pre-IVF incubation in maturation medium on oocyte maturity, fertilization, embryonic development, and clinical outcomes following embryo transfer 体外受精前在成熟培养基中孵育对卵母细胞成熟、受精、胚胎发育和胚胎移植后临床结果的影响
IF 0.8 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2022-07-12 DOI: 10.1097/RD9.0000000000000029
Jian-Hua Li, Jian-Ye Wang, Tingting Jiao, Min Li, Yanjiao Wei, Ye Wang, Yan-Bin Cheng, Shui-wen Zhang, Shuang Tian, R. Chian
Objective: Collected human cumulus-oocyte complexes (COCs) are usually inseminated after 4 to 6 hours in in vitro fertilization (IVF) laboratories. The purpose of this study was to determine the effect of short-term pre-IVF incubation in culture medium on subsequent oocyte maturation, fertilization, and embryonic development, as well as clinical outcomes. Methods: Sixty patients were divided randomly into 2 groups, pre-IVF incubation for 5 hours: 1) with (+) the designed oocyte maturation medium; 2) without (−) the designed oocyte maturation medium (transferred directly to fertilization medium for 5 hours before insemination). Oocyte maturation and fertilization were assessed, and the rate of cleavage and good quality embryos were evaluated between the 2 groups on days 2 and 3, respectively. Blastocyst development was based on the remaining number of embryos on day 3, continuously cultured to day 5 after embryo transfer or frozen on day 3, and was compared between the 2 groups. Clinical pregnancy, implantation, and miscarriage rates were also compared. Results: Oocyte maturation rates did not differ between groups (85.8 ± 14.1% vs. 90.7 ± 9.1%). However, the range of oocyte maturation rates (58.3%–100.0%) for each patient was significantly higher in the (−) group than in the (+) pre-incubation group (71.4%–100.0%). There were no differences in fertilization rates (89.9 ± 10.0% vs. 86.5 ± 12.2%) and good quality embryos (70.8 ± 19.1% vs. 62.1 ± 23.7%) between groups; however, the blastocyst development rates were significantly different between groups (73.1 ± 20.1% vs. 58.8 ± 18.2%, P <0.05). Nevertheless, clinical pregnancy (62.5% vs. 61.1%) and implantation (46.9% vs. 47.2%) rates did not differ between groups. Conclusions: These results indicate that a short pre-IVF incubation time in the designed culture medium promotes oocyte maturation and embryonic development, suggesting that short pre-IVF incubation of COCs in the designed culture medium may be important for subsequent final oocyte maturation and early embryonic development.
目的:收集的人类卵丘-卵母细胞复合体(COCs)通常在体外受精(IVF)实验室中4至6小时后进行受精。本研究的目的是确定在培养基中短期预IVF孵育对随后卵母细胞成熟、受精和胚胎发育以及临床结果的影响。方法:60例患者随机分为2组,IVF前孵育5小时:1)用(+)设计的卵母细胞成熟培养基;2) 没有(−)设计的卵母细胞成熟培养基(在受精前直接转移到受精培养基中5小时)。评估卵母细胞成熟和受精,并分别在第2天和第3天评估两组之间的卵裂率和优质胚胎。芽囊发育基于第3天胚胎的剩余数量,在胚胎移植后连续培养至第5天或在第3天冷冻,并在两组之间进行比较。临床妊娠率、植入率和流产率也进行了比较。结果:各组卵母细胞成熟率无差异(85.8 ± 14.1%对90.7 ± 9.1%)。然而,(−)组每位患者的卵母细胞成熟率范围(58.3%–100.0%)显著高于(+)预孵育组(71.4%–100.0%。受精率没有差异(89.9 ± 10.0%对86.5 ± 12.2%)和优质胚胎(70.8 ± 19.1%对62.1 ± 23.7%);然而,各组的胚泡发育率有显著差异(73.1 ± 20.1%对58.8 ± 18.2%,P<0.05)。然而,临床妊娠率(62.5%对61.1%)和植入率(46.9%对47.2%)在各组之间没有差异。结论:这些结果表明,在设计的培养基中短的IVF前孵育时间促进了卵母细胞的成熟和胚胎发育,这表明COCs在设计培养基中的短的IVV前孵育可能对随后的卵母细胞最终成熟和早期胚胎发育很重要。
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引用次数: 1
Evidence in Reproductive Medicine 生殖医学中的证据
IF 0.8 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2022-07-12 DOI: 10.1097/rd9.0000000000000028
A. Revelli, G. Gennarelli, Alessandro Ruffa
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引用次数: 0
Drug discovery and potential gene and pathway associated with polycystic ovary syndrome through text mining and biomedical databases 基于文本挖掘和生物医学数据库的多囊卵巢综合征药物发现和潜在基因通路研究
IF 0.8 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2022-07-12 DOI: 10.1097/RD9.0000000000000035
Y. Wang, Bin Zhao, Xiaoyin Yuan
Objectives: Polycystic ovary syndrome (PCOS) is a common endocrine disease in women of childbearing age. Although it is a leading cause of menstrual disorders, infertility, obesity, and other diseases, its molecular mechanism remains unclear. This study aimed to analyze the target genes, pathways, and potential drugs for PCOS through text mining. Methods: First, three different keywords (“polycystic ovary syndrome”, “obesity/adiposis”, and “anovulation”) were uploaded to GenCLiP3 to obtain three different gene sets. We then chose the common genes among these gene sets. Second, we performed gene ontology and signal pathway enrichment analyses of these common genes, followed by protein–protein interaction (PPI) network analysis. Third, the most significant gene module clustered in the protein–protein network was selected to identify potential drugs for PCOS via gene–drug analysis. Results: A total of 4291 genes related to three different keywords were obtained through text mining, 72 common genes were filtered among the three gene sets, and 69 genes participated in PPI network construction, of which 23 genes were clustered in the gene modules. Finally, six of the 23 genes were targeted by 30 existing drugs. Conclusions: The discovery of the six genes (CYP19A1, ESR1, IGF1R, PGR, PTGS2, and VEGFA) and 30 targeted drugs, which are associated with ovarian steroidogenesis (P <0.001), may be used in potential therapeutic strategies for PCOS.
目的:多囊卵巢综合征(PCOS)是育龄妇女常见的内分泌疾病。虽然它是月经紊乱、不孕症、肥胖和其他疾病的主要原因,但其分子机制尚不清楚。本研究旨在通过文本挖掘分析多囊卵巢综合征的靶基因、途径和潜在药物。方法:首先,将三个不同的关键词(“多囊卵巢综合征”、“肥胖/脂肪”、“无排卵”)上传到GenCLiP3,获得三个不同的基因集。然后我们在这些基因集中选择共同的基因。其次,我们对这些常见基因进行了基因本体和信号通路富集分析,然后进行了蛋白质-蛋白质相互作用(PPI)网络分析。第三,选择聚集在蛋白-蛋白网络中最显著的基因模块,通过基因-药物分析鉴定PCOS的潜在药物。结果:通过文本挖掘共获得与3个不同关键词相关的4291个基因,从3个基因集中筛选出72个共同基因,69个基因参与了PPI网络构建,其中23个基因聚类在基因模块中。最后,23个基因中的6个被30种现有药物靶向。结论:CYP19A1、ESR1、IGF1R、PGR、PTGS2、VEGFA等6个与卵巢甾体生成相关的基因和30种靶向药物的发现(P <0.001),可能用于PCOS的潜在治疗策略。
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引用次数: 0
A review of guidelines, recommendations, and framework of men’s preconception care 男性先入为主护理的指导方针、建议和框架综述
IF 0.8 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2022-07-12 DOI: 10.1097/RD9.0000000000000030
Z. Rabiei, M. Shariati, Naser Mogharabian, R. Tahmasebi, Ashraf Ghiasi, Z. Motaghi
The focus of men’s health is within the context of preconception health and primary care, which involves a new method of engaging men’s attention to their preconception and general health. The aim of this review research is to offer health care practitioners a complete framework for men’s preconception care. From 2000 to October 2021, researchers examined electronic databases such as Web of Science, PubMed, Scopus, ScienceDirect, ProQuest, Cochrane, SAGE, Springer, UpToDate, and Google Scholar for published papers on men’s preconception care. Two independent authors assessed the quality of the included studies using techniques suitable for this type of investigation. Only 14 of the 835 studies that were found in the original search matched the inclusion criteria. Individual responsibility across the life span (evaluation of reproductive life plan, acquiring information about contraception) and risk assessment (age, medical and surgical history, medications, family history and genetic risks, social history, sexual health assessment, physical examination, laboratory testing, mental health, and intimate partner violence) are the two main topics of preconception care in men according to a review of studies. Our findings clearly demonstrated the critical components of a comprehensive preconception care approach for men. Therefore, preconception care for men remains a developing concept. Further research is required to develop standards for evaluating males during the preconception period.
男性健康的重点是在先入为主的健康和初级保健的背景下,这涉及到一种让男性关注其先入为主和总体健康的新方法。这项综述研究的目的是为卫生保健从业者提供一个完整的男性先入为主护理框架。从2000年到2021年10月,研究人员检查了Web of Science、PubMed、Scopus、ScienceDirect、ProQuest、Cochrane、SAGE、Springer、UpToDate和Google Scholar等电子数据库,以获取已发表的关于男性先入为主护理的论文。两位独立作者使用适用于此类调查的技术评估了纳入研究的质量。在最初的搜索中发现的835项研究中,只有14项符合纳入标准。整个生命周期的个人责任(评估生殖生活计划、获取避孕信息)和风险评估(年龄、医疗和手术史、药物、家族史和遗传风险、社会史、性健康评估、体检、实验室检测、心理健康和亲密伴侣暴力)是根据一项研究综述,男性的先入为主。我们的研究结果清楚地表明了男性全面的先入为主护理方法的关键组成部分。因此,对男性的先入为主的照顾仍然是一个发展中的概念。需要进一步的研究来制定在受孕期评估男性的标准。
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引用次数: 1
Polymorphism of mitochondrial DNA genes involved in asthenozoospermia in infertile patients of Côte d’Ivoire Côte科特迪瓦不孕症患者弱精子症的线粒体DNA基因多态性
IF 0.8 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2022-07-12 DOI: 10.1097/RD9.0000000000000026
Jules Erick Hermann Ayekoue, Konan Guy Sylvère N’zi, Ako Aristide Berenger Ako, M. N’guessan, Yapi Guillaume Yayé, Founzégué Amadou Coulibaly, Allico Joseph Djaman
Objective: The relationship between mitochondrial DNA (mtDNA) polymorphisms and abnormalities in sperm quality has been the subject of several studies, with the objective of improving the treatment of male infertility. This study, which contributes to the identification of genetic markers of sperm abnormalities, was conducted to study mtDNA mutations in the asthenozoospermia profile. Methods: This case-control study included 30 patients with asthenozoospermia and 28 with normospermia after spermogram and spermocytogram analyses. After the extraction of total DNA from the spermatozoa of 58 ejaculates from these individuals using the phenol-chloroform method, the amplification of genes of interest in mtDNA using specific primers was performed by conventional polymerase chain reaction, and sequencing was used to detect mutations. Results: Male patients with asthenozoospermia in the tertiary sector had significantly more mutant- than wild-type (P = 0.0005) MT-CO II genes. Similarly, for the same gene, males with asthenozoospermia and primary infertility had significantly more mutants than the wild-type (P = 0.001). Sequencing revealed 29 mutations that were observed only with asthenozoospermia, which could be the basis for low sperm mobility. Conclusion: This study identified several mutations in mtDNA genes that could be considered genetic markers of asthenozoospermia if confirmed in a deeper study.
目的:线粒体DNA(mtDNA)多态性与精子质量异常之间的关系一直是几项研究的主题,目的是改善男性不育的治疗。这项研究有助于鉴定精子异常的遗传标记,旨在研究弱精子症谱中的mtDNA突变。方法:本病例对照研究包括30例弱精子症患者和28例正常精子症患者。使用苯酚-氯仿法从这些个体的58个精液的精子中提取总DNA后,使用特异性引物通过常规聚合酶链式反应扩增mtDNA中感兴趣的基因,并使用测序来检测突变。结果:第三部门男性弱精子症患者的突变型MT-CO-II基因明显多于野生型(P=0.0005)。同样,对于同一基因,患有弱精子症和原发性不孕的男性比野生型有更多的突变(P=0.001)。测序显示,只有弱精子症才观察到29个突变,这可能是精子流动性低的原因。结论:本研究确定了mtDNA基因的几个突变,如果在更深入的研究中得到证实,这些突变可以被认为是弱精子症的遗传标志。
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引用次数: 0
Liquiritin ameliorates metabolic and endocrine alterations in a mouse model of polycystic ovary syndrome 利尿素改善多囊卵巢综合征小鼠模型的代谢和内分泌改变
IF 0.8 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2022-06-01 DOI: 10.1097/RD9.0000000000000025
Zhi Li, Yang Liu, Haixia Liu, Zhihua Wu, Cong-jian Xu, Feifei Zhang
Abstract Objective: Altered bile acid transformation induces low-grade chronic inflammation and may play an important role in the pathophysiology of polycystic ovary syndrome (PCOS). Liquiritincan regulate bile acid metabolism and anti-inflammatory properties; however, limited information is available regarding its therapeutic potential in PCOS. Methods: Female C57BL/6 mice were randomly assigned into four groups (n = 6 mice/group): the control, letrozole or dehydroepiandrosterone-induced PCOS groups, PCOS + 20 mg/kg liquiritin group, and control + liquiritin groups. After 21 days of treatment, the mice were euthanized, and the associated metabolism indications were investigated. Ovarian histological examinations were performed, and serum hormone concentration was measured. The expression of key genes involved in steroid hormone synthesis, ovarian follicle development, and ovulation was assessed. Results: Liquiritin reduced fasting blood glucose levels and increased insulin sensitivity compared to the PCOS group. Liquiritin also significantly decreased serum levels of total testosterone (P < 0.001) and dehydroepiandrosterone sulfate (P < 0.05) in the PCOS group. Histomorphological inspection of ovaries from the liquiritin group revealed fewer cystic dilated follicles than in the PCOS group. Moreover, liquiritinsignificantly (P < 0.01) decreased Cyp17a1, Cyp19a1, Fshr, Hsd3b2, Runx2, and Ccn2 mRNA expression compared to letrozole-induced PCOS. Conclusion: Liquiritin may be safe and helpful in ameliorating PCOS-associated hyperandrogenemia and hyperglycemia. However, clinical trials investigating different liquiritin dosages are needed to confirm these findings.
摘要目的:胆汁酸转化改变可引起低度慢性炎症,并可能在多囊卵巢综合征(PCOS)的病理生理中发挥重要作用。甘草素能调节胆汁酸代谢和抗炎作用;然而,关于其治疗多囊卵巢综合征的潜力的信息有限。方法:将雌性C57BL/6小鼠随机分为4组(n = 6只/组):对照组、来曲唑或脱氢表雄酮诱导PCOS组、PCOS + 20 mg/kg利尿素组、对照组+利尿素组。治疗21天后,对小鼠实施安乐死,并观察相关代谢指标。进行卵巢组织学检查,测定血清激素浓度。评估参与类固醇激素合成、卵泡发育和排卵的关键基因的表达。结果:与PCOS组相比,Liquiritin降低了空腹血糖水平,增加了胰岛素敏感性。Liquiritin还显著降低PCOS组血清总睾酮(P < 0.001)和硫酸脱氢表雄酮(P < 0.05)水平。甘草素组卵巢组织形态学检查显示囊性扩张卵泡少于PCOS组。此外,与来曲唑诱导的PCOS相比,液化素显著(P < 0.01)降低了Cyp17a1、Cyp19a1、Fshr、Hsd3b2、Runx2和Ccn2 mRNA的表达。结论:利尿素可安全有效地改善多囊卵巢综合征相关的高雄激素血症和高血糖。然而,需要临床试验研究不同的利尿素剂量来证实这些发现。
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引用次数: 1
Gastroschisis at the León University Hospital, Nicaragua 尼加拉瓜León大学医院的胃裂
IF 0.8 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2022-06-01 DOI: 10.1097/RD9.0000000000000019
Dania María Pastora Bucardo, Paula Andrea Pimienta Ramírez
Abstract Objective: The prevalence of midline birth defects, such as gastroschisis, has increased worldwide, over the last few decades. This study aims to explore the prevalence, maternal epidemiological characteristics, and natural history of neonates affected by gastroschisis at the University Hospital of León city, Nicaragua. Methods: Data were collected from the birth defect surveillance system of the Hospital Oscar Danilo Rosales (HEODRA). The analysis included all pregnancies that had gastroschisis complications between January 1 and December 31, 2020. The prevalence of gastroschisis was calculated according to maternal age. The mothers were interviewed, and the clinical records of the newborns were reviewed. Results: Among the 4,460 deliveries included in this study, four cases of gastroschisis were identified, including three live births and one stillbirth. The gastroschisis rate was 8.9 per 10,000 live births (95% confidence interval [CI]: 0.18–17.8). The prevalence among mothers younger than 20 years and those older than 20 years was 26.4 (95% CI: –3.43 to 56.25) and 3.01 (95% CI: 2.89–8.90)/10,000 births, respectively. Mothers of gastroschisis-affected fetuses were of rural origin (n = 3), had normal body mass indexes (n = 3), were exposed to tobacco and wood smoke (n = 2), and one was exposed to pesticides during the periconceptional period. Primary closure of the gastroschisis was performed on one patient, and complex gastroschisis for intestinal perforation was observed in another patient. The mean hospitalization duration was 33 days, and two patients were discharged alive. Conclusions: Gastroschisis was a significant birth defect among children delivered at HEODRA in 2020. Its prevalence in Nicaragua was higher than that in other countries in the region. All complicated pregnancies were young women with unplanned pregnancies, from rural areas, with exposure to secondhand smoke, and without vitamin supplements before or during the first trimester of pregnancy. Only 67% of infants survived after hospital discharge.
摘要目的:在过去的几十年里,腹裂等中线出生缺陷的患病率在全球范围内有所上升。本研究旨在探讨尼加拉瓜莱昂市大学医院腹裂新生儿的患病率、产妇流行病学特征和自然史。方法:收集Oscar Danilo Rosales医院(HEODRA)出生缺陷监测系统的数据。该分析包括2020年1月1日至12月31日期间发生腹裂并发症的所有妊娠。腹裂的患病率是根据产妇年龄计算的。对这些母亲进行了访谈,并对新生儿的临床记录进行了审查。结果:在纳入本研究的4460例分娩中,发现了4例腹裂,包括3例活产和1例死产。腹裂发生率为8.9/10000活产(95%置信区间[CI]:0.18-17.8) 年龄和20岁以上 年龄分别为26.4岁(95%置信区间:-3.43至56.25)和3.01岁(95%可信区间:2.89至8.90)/10000名新生儿。腹裂胎儿的母亲来自农村(n=3),体重指数正常(n=3 = 2) ,其中一人在怀孕期间接触过杀虫剂。一名患者进行了原发性腹裂闭合术,另一名患者观察到复杂的肠穿孔腹裂。平均住院时间为33 天,两名患者活着出院。结论:腹裂是2020年在HEODRA分娩的儿童中的一个重大出生缺陷。尼加拉瓜的流行率高于该区域其他国家。所有复杂的妊娠都是来自农村地区的年轻女性,她们有计划外怀孕,接触二手烟,在怀孕前或怀孕前三个月没有补充维生素。出院后只有67%的婴儿存活下来。
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引用次数: 0
Cilia and their role in neural tube development and defects 纤毛及其在神经管发育和缺陷中的作用
IF 0.8 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2022-06-01 DOI: 10.1097/RD9.0000000000000014
Lu Yan, Yu-Fang Zheng
Abstract Cilia are microtubule-based filamentous organelles that play a vital role in embryogenesis. Multiple signal transduction pathways are orchestrated by cilia, such as Hedgehog and planar cell polarity signals. Various studies, spanning over last 2 decades, have emphasized the role of cilia-mediated signaling cascades in regulating neural tube patterning and development. Moreover, the deficiency of certain ciliary genes have been reported to cause neural tube defects (NTDs), which are a set of disorders that occur due to perturbation of normal neural tube closure. However, the mechanisms underlying cilia dysfunction resulting NTDs remain unclear. Recent studies have highlighted the association of phosphoinositide signaling with cilia, thereby conferring novel insights into the function of cilia during neural tube development. Here, we have reviewed recent studies on cilia, focusing on the molecular mechanism underlying the involvement of cilia in neural tube development and the role of ciliary disruption in the development of NTDs.
纤毛是基于微管的丝状细胞器,在胚胎发生中起着至关重要的作用。纤毛介导多种信号转导通路,如刺猬信号和平面细胞极性信号。在过去的20年里,各种各样的研究都强调了纤毛介导的信号级联在调节神经管模式和发育中的作用。此外,某些纤毛基因的缺乏已被报道导致神经管缺陷(NTDs),这是一组由于神经管正常闭合受到干扰而发生的疾病。然而,导致ntd的纤毛功能障碍的机制尚不清楚。最近的研究强调了磷酸肌肽信号与纤毛的关联,从而对神经管发育过程中纤毛的功能提供了新的见解。本文就纤毛参与神经管发育的分子机制以及纤毛破坏在神经管疾病发展中的作用等方面的研究进展进行综述。
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引用次数: 2
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Reproductive and Developmental Medicine
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