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Onset of normal cycles in postpartum anovulatory dairy cattle treated with kisspeptin. kisspeptin治疗产后无排卵奶牛的正常周期。
Pub Date : 2021-12-20 eCollection Date: 2022-01-01 DOI: 10.1530/RAF-21-0046
Chris R Burke, John R Roche, Robert P Millar, Iain J Clarke

The efficacy of a long-acting synthetic derivative of kisspeptin (Kp) to initiate normal oestrous cycles was tested in 24 mixed-aged, Holstein-Friesian cows that were 18-25 days postpartum on the day of treatment (D0). Groups of eight cows received saline (Sal) vehicle by intramuscular injection at 8:00 and 16:00 h (Sal-Sal), Kp at 8:00 h and vehicle at 16:00 h (Kp-Sal) or Kp on both occasions (Kp-Kp). The Kp dose was 15 nmol per 60 kg body weight. The ovaries of the cows were examined daily by ultrasonography between D4 and D14. Blood samples were collected from a tail vessel at 0, 2, 4, 8, 10 and 12 h relative to the time of the first injection for luteinizing hormone (LH) and follicle-stimulating hormone assay. Additional samples were collected daily from D4 until D14 and D19, 22, 26 and 29 for progesterone assay. LH surge-like responses were observed in cows treated with Kp at 8:00 h. Ovulation was consistently induced by Kp within 48 h when a dominant ovarian follicle of at least 10 mm in diameter was observed (8/14) but in no cases (6/14) during a new wave of ovarian follicular development comprising follicles <10 mm in diameter. The subsequent ovulatory cycle was of normal length in most cases as compared with short 8- to 12-day cycles observed in spontaneously ovulating cows. We conclude that Kp treatment can induce ovulation in postpartum dairy cows, with ensuing oestrous cycles of normal length, if administered when a mature dominant follicle is present in the ovaries.

Lay summary: Cow fertility is important for efficient, profitable dairy farming. Cows that take too long after calving to become fertile are problematic. We tested a synthetically made, long-acting hormone called kisspeptin (Kp) to advance the time that cows become fertile after calving. Twenty-four dairy cows that had been calved for 3-4 weeks were used. One group of eight cows received an injection of Kp at the morning milking, another eight cows received Kp at both the morning and afternoon milking, while the last group of eight cows served as untreated controls. Kp treatment caused a desirable hormone response from the cows' brain. Normal oestrous cycles resulted, but only when a mature follicle was present in the ovary. Further study is required to analyse whether the use of a long-acting Kp drug could be used as an effective treatment for stimulating dairy cows to become more fertile after calving.

在24头产后18-25天的荷斯坦-弗里西亚混合龄奶牛(D0)身上,研究了一种长效kisspeptin合成衍生物(Kp)启动正常发情周期的效果。每组8头奶牛分别于8:00和16:00肌肉注射生理盐水(Sal)对照体(Sal-Sal), 8:00肌肉注射Kp, 16:00肌肉注射Kp (Kp-Sal)对照体或两者同时注射Kp (Kp-Kp)。Kp剂量为每60公斤体重15纳摩尔。在D4 ~ D14期间,每天对奶牛卵巢进行超声检查。相对于第一次注射时间,分别于0、2、4、8、10和12 h从尾血管采血,进行促黄体生成素(LH)和促卵泡激素测定。从D4到D14和D19、d22、d26和d29每天收集额外的样本进行黄体酮测定。当观察到优势卵泡直径至少为10毫米时(8/14),在48小时内Kp持续诱导排卵,但在包含卵泡的新一波卵泡发育期间(6/14),没有情况(6/14)。产犊后过长时间不能生育的奶牛是有问题的。我们测试了一种名为kisspeptin (Kp)的合成长效激素,它可以提前奶牛产犊后的受孕期。选用24头产犊3 ~ 4周的奶牛。其中一组8头奶牛在上午挤奶时注射Kp,另外8头奶牛在上午和下午挤奶时注射Kp,最后一组8头奶牛作为未治疗的对照组。Kp治疗使奶牛的大脑产生了令人满意的激素反应。正常的排卵周期,但只有在卵巢中有成熟的卵泡时才会出现。需要进一步的研究来分析使用长效Kp药物是否可以作为一种有效的治疗方法来刺激奶牛在产犊后变得更有生育能力。
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引用次数: 3
Fixation in Form-Acetic allows hyaluronic acid detection in mouse ovaries. 醋酸固定可以在小鼠卵巢中检测透明质酸。
Pub Date : 2021-12-10 eCollection Date: 2021-12-01 DOI: 10.1530/RAF-21-0085
R Appeltant, B V Adeniran, S A Williams

To visualise tissues to determine the presence of disease or simply to understand anatomy, it is important to preserve fresh tissue. Fixatives are chemical solutions that preserve tissues to enable microscopic evaluation. However, some fixatives introduce artefact such as shrinkage of cells. Recently, a new fixative, Form-Acetic, was developed that is superior for preserving the structure of ovary tissue and allows investigation of ovary composition. One component of the ovary is hyaluronic acid (HA), which plays a crucial role in normal ovary function and fertility. Importantly, HA is sensitive to different fixative solutions. Therefore, it is meaningful to verify whether Form-Acetic is suitable for detecting HA. In this study, adult mouse ovaries were fixed in Form-Acetic and HA was detected. All HA-containing structures in the ovary were clearly distinguished which proves that the novel fixative allows the detection of HA.

为了可视化组织以确定疾病的存在或仅仅是为了了解解剖学,保存新鲜组织是很重要的。固定剂是一种化学溶液,可以保存组织,以便显微镜下进行评估。然而,有些固定液会产生诸如细胞收缩之类的伪影。最近,一种新的固定剂,form -乙酸,被开发出来,它有利于保存卵巢组织的结构,并允许研究卵巢的组成。卵巢的一个组成部分是透明质酸(HA),它在正常的卵巢功能和生育能力中起着至关重要的作用。重要的是,HA对不同的固定溶液很敏感。因此,验证form -乙酸是否适合检测HA具有重要意义。在本研究中,成年小鼠卵巢用醋酸固定,并检测HA。卵巢中所有含HA的结构都被清晰地区分出来,证明这种新型固定物可以检测HA。
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引用次数: 0
Nonhormonal therapy for endometriosis based on energy metabolism regulation. 基于能量代谢调节的子宫内膜异位症非激素治疗。
Pub Date : 2021-11-25 eCollection Date: 2021-12-01 DOI: 10.1530/RAF-21-0053
Hiroshi Kobayashi, Hiroshi Shigetomi, Shogo Imanaka

Ovarian function suppression is the current pharmacotherapy of endometriosis with limited benefit and adverse effects. New therapeutic strategies other than hormonal therapy are developed based on the molecular mechanisms involved in the hypoxic and oxidative stress environments and metabolism unique to endometriosis. A literature search was performed between January 2000 and March 2021 in the PubMed database using a combination of specific terms. Endometriosis-associated metabolic changes have been organized into four hallmarks: (1) glucose uptake, (2) aerobic glycolysis, (3) lactate production and accumulation, and (4) metabolic conversion from mitochondrial oxidative phosphorylation (OXPHOS) to aerobic glycolysis. Endometriotic cells favor glycolytic metabolism over mitochondrial OXPHOS to produce essential energy for cell survival. Hypoxia, a common feature of the endometriosis environment, is a key player in this metabolic conversion, which may lead to glucose transporter overexpression, pyruvate dehydrogenase kinase 1 (PDK1) and lactate dehydrogenase kinase A (LDHA) activation, and pyruvate dehydrogenase complex inactivation. Evading mitochondrial OXPHOS mitigates excessive generation of reactive oxygen species (ROS) that may trigger cell death. Therefore, the coinactivation of LDHA and PDK1 can induce the accumulation of mitochondrial ROS by converting energy metabolism to mitochondrial OXPHOS, causing endometriotic cell death. Metabolic pattern reconstruction in endometriotic lesions is a critical factor in cell survival and disease progression. One therapeutic strategy that may avoid hormone manipulation is focused on mitigating metabolic changes that have been detected in cells/tissues from women with endometriosis.

Lay summary: The most commonly used medical therapies for endometriosis have contraceptives and other side effects associated with hormone suppression and are therefore unsuitable for women desiring pregnancy. One therapeutic strategy that may avoid hormone manipulation is focused on changing metabolic profiles that have been detected in cells/tissues from women with endometriosis. Endometriotic cells favor glycolytic metabolism over mitochondrial oxidative phosphorylation (OXPHOS) to produce essential energy for cell growth. Furthermore, the metabolic conversion from mitochondrial OXPHOS to aerobic glycolysis suppresses cell death through the reduced generation of reactive oxygen species (ROS). This unique metabolic feature of endometriosis is important for cell survival and disease progression. Thus, changing the specific metabolic switch may increase mitochondrial ROS production, causing severe oxidative stress and cell death. This review describes new treatments by changing the metabolic profiles of endometriosis.

卵巢功能抑制是目前治疗子宫内膜异位症的药物治疗方法,但疗效有限,副作用大。新的治疗策略,而不是激素治疗基于分子机制参与缺氧和氧化应激环境和代谢独特的子宫内膜异位症。在2000年1月至2021年3月期间,使用特定术语组合在PubMed数据库中进行了文献检索。子宫内膜异位症相关的代谢变化有四个标志:(1)葡萄糖摄取,(2)有氧糖酵解,(3)乳酸的产生和积累,以及(4)线粒体氧化磷酸化(OXPHOS)向有氧糖酵解的代谢转化。子宫内膜异位症细胞倾向于糖酵解代谢,而不是线粒体OXPHOS,以产生细胞生存所必需的能量。缺氧是子宫内膜异位症环境的一个共同特征,是这种代谢转化的关键参与者,它可能导致葡萄糖转运蛋白过度表达,丙酮酸脱氢酶激酶1 (PDK1)和乳酸脱氢酶激酶a (LDHA)激活,丙酮酸脱氢酶复合物失活。避免线粒体OXPHOS可减轻可能引发细胞死亡的活性氧(ROS)的过度产生。因此,LDHA和PDK1的共激活可以通过将能量代谢转化为线粒体OXPHOS,诱导线粒体ROS的积累,导致子宫内膜异位症细胞死亡。子宫内膜异位症病变的代谢模式重建是细胞存活和疾病进展的关键因素。一种可能避免激素操纵的治疗策略是专注于减轻在子宫内膜异位症女性细胞/组织中检测到的代谢变化。总结:最常用的治疗子宫内膜异位症的药物有避孕药和其他与激素抑制相关的副作用,因此不适合想怀孕的女性。一种可能避免激素操纵的治疗策略是专注于改变已在子宫内膜异位症妇女的细胞/组织中检测到的代谢谱。子宫内膜异位症细胞倾向于糖酵解代谢而不是线粒体氧化磷酸化(OXPHOS)来产生细胞生长所需的能量。此外,从线粒体OXPHOS到有氧糖酵解的代谢转化通过减少活性氧(ROS)的产生来抑制细胞死亡。子宫内膜异位症这种独特的代谢特征对细胞存活和疾病进展非常重要。因此,改变特定的代谢开关可能会增加线粒体ROS的产生,导致严重的氧化应激和细胞死亡。本文综述了改变子宫内膜异位症代谢谱的新治疗方法。
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引用次数: 10
Is there a valid ethical objection to the clinical use of in vitro-derived gametes? 从伦理角度看,反对将体外配子用于临床是否合理?
Pub Date : 2021-11-23 eCollection Date: 2021-12-01 DOI: 10.1530/RAF-21-0066
Kristian Galea
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引用次数: 0
Retrospective cohort study on preparation regimens for frozen embryo transfer. 冷冻胚胎移植准备方案的回顾性队列研究。
Pub Date : 2021-11-23 eCollection Date: 2021-12-01 DOI: 10.1530/RAF-21-0044
Monique Atkinson, Jenny Crittenden, Howard Smith, Cecilia Sjoblom

The objective of this study was to examine the pregnancy outcomes from frozen embryo transfer (FET) cycles using different endometrial preparation regimens, compared to ovulation induction with letrozole (letrozole OI). A retrospective cohort study was conducted at a fertility centre in Sydney, Australia, on 6060 FET cycles. The cycles were stratified into one of four ways to achieve endometrial preparation. These were either a natural, letrozole OI, OI with follicle-stimulating hormone (FSH OI) or a programmed cycle. The primary outcome was live birth rate (LBR) per embryo transfer. Secondary outcomes included clinical pregnancy and biochemical pregnancy rates, adverse events including miscarriage, ectopic pregnancy, stillbirth, neonatal death and multiple births. Ovarian stimulation parameters were also analysed including the time taken to reach the luteal phase and the number of blood or urine tests required for monitoring the cycle. The results of the study showed that the LBR following letrozole OI cycles was higher when compared to natural cycles (odds ratio (OR): 1.27 (1.07-1.49)) and programmed cycles (OR: 2.36 (1.67-3.34)). There was no significant difference between letrozole OI and FSH OI LBR (OR: 0.99 (0.76-1.28)). An improved LBR with letrozole OI compared to natural cycles was maintained when only women with a normal length cycle were considered (OR: 1.44 (1.10-1.89)). There was a significant reduction in miscarriage rates when letrozole OI was compared to programmed cycles (OR: 0.46 (0.26-0.83)). It was therefore concluded that the use of letrozole OI for endometrial preparation in an FET cycle may be associated with higher LBR and lower miscarriage rate, compared to using a programmed cycle.

Lay summary: Couples suffering from infertility frequently try to conceive following the transfer of an embryo which has been frozen during an in vitro fertilisation cycle. Embryos will only lead to a pregnancy if the woman's womb lining has particular characteristics that allow it to accept the embryo. Despite the thousands of frozen embryo transfer cycles carried out across the world, it is not known how best to prepare a woman's lining so it has these particular characteristics. This study looked at the pregnancy outcomes of 6060 cycles to compare four different ways to prepare a woman's womb lining. These included relying on a woman's natural menstrual cycle, or using an oral medication called letrozole, or injectable medicine called follicle-stimulating hormone, or oestrogen and progesterone hormonal medications. The comparison found that using letrozole before transfer of a frozen embryo may be associated with higher rates of a live birth for some women.

本研究的目的是检查使用不同子宫内膜准备方案的冷冻胚胎移植(FET)周期的妊娠结局,并与来曲唑(来曲唑OI)促排卵进行比较。在澳大利亚悉尼的一家生育中心进行了一项回顾性队列研究,共进行了6060个FET周期。周期被分层成四种方式之一,以实现子宫内膜准备。这些是天然的来曲唑成骨不全症、促卵泡激素成骨不全症或程序周期成骨不全症。主要终点是每个胚胎移植的活产率(LBR)。次要结局包括临床妊娠率和生化妊娠率,不良事件包括流产、异位妊娠、死胎、新生儿死亡和多胎。还分析了卵巢刺激参数,包括达到黄体期所需的时间和监测周期所需的血液或尿液检查次数。研究结果表明,与自然周期(比值比(OR): 1.27(1.07-1.49))和程序周期(OR: 2.36(1.67-3.34))相比,来曲唑成骨不全周期后的LBR更高。来曲唑OI与FSH OI的LBR差异无统计学意义(OR: 0.99(0.76-1.28))。当仅考虑正常周期长度的女性时,与自然周期相比,来曲唑成骨不全的LBR得到改善(OR: 1.44(1.10-1.89))。与计划周期相比,来曲唑成骨不全的流产率显著降低(OR: 0.46(0.26-0.83))。因此得出结论,在FET周期中使用来曲唑OI进行子宫内膜准备可能与使用程序化周期相比具有更高的LBR和更低的流产率。概要:患有不孕症的夫妇经常试图在体外受精周期中将冷冻的胚胎移植后怀孕。只有当女性的子宫内膜有特殊的特征可以接受胚胎时,胚胎才会导致怀孕。尽管世界各地进行了成千上万的冷冻胚胎移植周期,但人们并不知道如何最好地准备女性的子宫内膜,使其具有这些特殊的特征。这项研究观察了6060个周期的怀孕结果,比较了四种不同的方法来准备女性的子宫内膜。这些方法包括依靠女性的自然月经周期,或使用一种叫做来曲唑的口服药物,或注射一种叫做促卵泡激素的药物,或雌激素和黄体酮激素药物。比较发现,在冷冻胚胎移植前使用来曲唑可能与一些妇女更高的活产率有关。
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引用次数: 2
Can antioxidants protect against chemotherapy in a rat spermatogonial stem cell line? 抗氧化剂能否保护大鼠精原干细胞系免受化疗?
Pub Date : 2021-11-16 eCollection Date: 2021-12-01 DOI: 10.1530/RAF-21-0042
Caroline M Allen, Federica Lopes, Rod T Mitchell, Norah Spears

Boys administered chemotherapy to treat cancer are at risk of damage to their healthy testicular tissue, which can lead to infertility in adulthood. Researchers are therefore investigating treatments to protect the testis during cancer treatment. Here, cells originating from rat testicles were cultured for 4 days and exposed to chemotherapy drugs with or without antioxidants for the final 2 days. Antioxidants can reduce cellular damage by inactivating toxic compounds. Here, antioxidants such as melatonin or n-acetylcysteine were tested against chemotherapy agents cisplatin, doxorubicin, or vincristine. Cultures were repeated four times, with cell survival measured at the end of culture. The antioxidants were not damaging and partially protected against cisplatin, although not doxorubicin. Surprisingly, n-acetylcysteine enhanced vincristine-induced damage. The results suggest that using antioxidants to protect the testis could have either beneficial or harmful effects when given alongside different chemotherapy drugs: this is important, considering that patients are often treated with multiple drugs.

接受化疗治疗癌症的男孩有健康睾丸组织受损的风险,这可能导致成年后不孕。因此,研究人员正在研究在癌症治疗期间保护睾丸的治疗方法。在这里,来自大鼠睾丸的细胞被培养4天,并在最后2天暴露于含有或不含抗氧化剂的化疗药物中。抗氧化剂可以通过灭活有毒化合物来减少细胞损伤。在这里,褪黑素或n-乙酰半胱氨酸等抗氧化剂与顺铂、阿霉素或长春新碱等化疗药物进行了对比试验。重复培养四次,在培养结束时测量细胞存活率。抗氧化剂对顺铂没有破坏作用,但对阿霉素没有保护作用。令人惊讶的是,n-乙酰半胱氨酸增强长春新碱引起的损伤。研究结果表明,使用抗氧化剂来保护睾丸,当与不同的化疗药物一起使用时,可能会产生有益或有害的效果:考虑到患者经常使用多种药物治疗,这一点很重要。
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引用次数: 1
Highly sensitive in vitro bioassay for luteinizing hormone and chorionic gonadotropin allowing their measurement in plasma. 高灵敏度的体外生物测定黄体生成素和绒毛膜促性腺激素,使其在血浆中测量。
Pub Date : 2021-11-11 eCollection Date: 2021-12-01 DOI: 10.1530/RAF-21-0045
Danièle Klett, Yves Combarnous

In previous studies, we had shown the synergistic effect of 10-5 M forskolin (FSK) on the detection threshold of the cyclic AMP response to luteinizing hormones (LH) and chorionic gonadotropins (CG) from various species in the mouse Leydig tumor cell (mLTC) cell line. Independently, we started to study the effect of 10-12-10-6 M oxytocin (OXT) also on the cyclic AMP response to LH and CG preparations on these same cells and found an amplifying effect on the luminescence response caused by gonadotropins. The aim was then to explore the effects of 10-12-10-6 M OXT on the gonadotropin-induced cAMP response, in the presence or absence of 10 µM FSK to optimize the assay down to a sensitivity compatible with the detection of the circulating concentrations of these hormones in various species. Finally, the optimization relies on three independent phenomena: (1) the inhibition of nucleotide phosphodiesterase by IBMX (3-isobutyl-1-methylxanthine) to avoid cAMP degradation; (2) the strong synergy of 10 µM forskolin with low concentrations of LH or CG during the 1-h luminescence measurement; (3) the stimulatory effect of 10-8M OXT on the amplitude of transfected cAMP-sensitive luciferase response. By doing this, the detectable concentrations are at the 1-10 pg/well (pM range) for the LHs and CGs from various species. The bioactivities of circulating LHs and CGs in blood or urine are therefore expected to be measurable in 10 µL-plasma samples from mammalian species and maybe others. Indeed, a preliminary study with equine and donkey plasma samples shows that the measured bioactivity was fully inhibited by a specific MAB against the receptor-binding region of equine LH (eLH) and equine CG (eCG), thus eliminating a possible response due to interfering substances other than eLH or eCG. From these data, it is expected that the bioactivity profiles of these hormones will be measurable in the blood of human, equine, and ovine species and very likely in rodents, ruminants, and hopefully in most other mammalian species.

Lay summary: Luteinizing hormone (LH) plays a central role in controlling ovary and testicle functions in many animals, including humans. The highly sensitive method, known as an assay, described in this paper, measures the biological activity of LH in the blood of mammals. The assay is performed in culture of cells derived from mouse testicles in the presence of factors that diminish the detection threshold for LH. The knowledge of the bioactive LH concentration dynamics in the blood is very informative about the reproductive status of male and female mammals. This new in vitro bioassay provides a powerful tool to get this information.

在之前的研究中,我们在小鼠Leydig肿瘤细胞(mLTC)细胞系中发现了10-5 M forskolin (FSK)对不同种类黄体生成素(LH)和绒毛膜促性腺激素(CG)的环AMP反应检测阈值的协同作用。我们独立开始研究10-12-10-6 M催产素(OXT)对这些细胞对LH和CG制剂的循环AMP反应的影响,发现对促性腺激素引起的发光反应有放大作用。然后,目的是探索在10µM FSK存在或不存在的情况下,10-12-10-6 M OXT对促性腺激素诱导的cAMP反应的影响,以优化分析,使其灵敏度与检测不同物种中这些激素的循环浓度相兼容。最后,优化依赖于三个独立的现象:(1)IBMX(3-异丁基-1-甲基黄嘌呤)抑制核苷酸磷酸二酯酶以避免cAMP降解;(2) 10µM福斯克林与低浓度LH或CG在1 h的发光测量中具有较强的协同作用;(3) 10-8M OXT对转染camp敏感荧光素酶反应幅度的刺激作用。通过这样做,来自不同物种的LHs和cg的可检测浓度在1-10 pg/well (pM范围)。因此,血液或尿液中循环LHs和cg的生物活性有望在哺乳动物和其他物种的10 μ l血浆样本中测量。事实上,对马和驴血浆样本的初步研究表明,针对马LH (eLH)和马CG (eCG)受体结合区域的特异性MAB完全抑制了测量到的生物活性,从而消除了eLH或eCG以外的干扰物质可能引起的反应。根据这些数据,预计这些激素的生物活性将在人类、马和羊的血液中被测量,并且很可能在啮齿动物、反刍动物以及大多数其他哺乳动物物种中被测量。摘要:黄体生成素(LH)在包括人类在内的许多动物的卵巢和睾丸功能控制中起着重要作用。高灵敏度的方法,被称为化验,在本文中描述,测量生物活性的LH在哺乳动物的血液。该试验是在小鼠睾丸细胞的培养中进行的,存在降低LH检测阈值的因素。血液中生物活性LH浓度的动态变化对雄性和雌性哺乳动物的生殖状况有重要的信息。这种新的体外生物测定提供了一个强大的工具来获得这些信息。
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引用次数: 2
Endometriosis - novel approaches and controversies debated. 子宫内膜异位症-新方法和争议辩论。
Pub Date : 2021-11-05 eCollection Date: 2021-12-01 DOI: 10.1530/RAF-21-0097
W G Foster, M Leonardi
Defined by the extrauterine growth of estrogendependent endometrial-like epithelial and stromal cells, endometriosis is a common gynecological and systemic inflammatory disease affecting approximately 179 million people assigned female at birth (predominately cisgender women) worldwide. Although most frequently detected in the pelvic cavity, endometriotic lesions can be found throughout the body. Three main phenotypes include endometriomas, superficial, and deep endometriosis. Lesion appearance is variable and dependent on the tissue on which it grows. Hallmark features of endometriosis include pelvic pain and infertility; however, some people with endometriosis remain asymptomatic. Endometriosis is a disease whose impact on the health care system exceeds that of caring for women with Crohn’s disease, asthma, migraines, and rheumatoid arthritis (Simoens et al. 2007, 2011, 2012, Klein et al. 2014). Although a relatively common disease with a high economic burden, endometriosis remains underfunded and under-researched (As-Sanie et al. 2019). While important advances have been made over the years in defining the pathophysiology of endometriosis, the cause of endometriosis remains ill-defined, diagnosis continues to present challenges and therapeutic options are suboptimal. Patients frequently report dissatisfaction with current therapeutic options prompting the search for alternative treatments including non-hormonal alternatives. In a special series that will be running in Reproduction and Fertility over the coming months, international experts have been recruited to provide insights and perspectives into the latest advances in endometriosis research and treatment. We strive to succeed with this special series in summarizing the current state of ‘leading edge’ research and opinion in endometriosis. Though not exhaustive, the topics and authors capture this moment in time in endometriosis research. Although widely recognized to be an estrogendependent disease, numerous physiological pathways are known to be dysregulated in people with endometriosis including cell adherence, attachment, proliferation, apoptosis, angiogenesis, and tissue remodeling enzyme expression (Hey-Cunningham et al. 2013). That endometriosis may have a heritable component is not a new concept (Saha et al. 2015); however, specific gene mutations and gene regulation continue to be explored. Indeed, the mechanisms regulating different pathways dysregulated in endometriotic tissues are beginning to be teased apart with increasing attention focused on mechanisms regulating gene expression including chromatin architecture, long ncRNA, micro-RNA, and piwi-RNA. The role of gonadal steroids in modulating the expression of epigenetic regulators of gene expression in endometriosis is poorly understood. Early in this special series, the relationship between gonadal steroids and genomic regulation is reviewed by Dr Philippa Saunders. Given the prominent role of estrogen and the use of androg
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引用次数: 1
Spectral binning of cervicovaginal fluid metabolites improves prediction of spontaneous preterm birth and Lactobacillus species dominance. 宫颈阴道液代谢物的光谱分束改善了自发性早产和乳杆菌物种优势的预测。
Pub Date : 2021-11-04 eCollection Date: 2021-12-01 DOI: 10.1530/RAF-21-0065
Emmanuel Amabebe, Steven Reynolds, Dilly O C Anumba
Lay summary Health-promoting bacteria (lactobacilli) exist in harmony with the vaginal environment. They are the predominant vaginal bacterial species during pregnancy. However, the possibility of infection and inappropriate immune response are linked with unprompted preterm delivery (PTD). Other invasive lactobacilli can alter the chemical environment of the vagina as they seek to promote their growth. This study measured the change in concentration of biochemical compounds and predominant bacterial species in vaginal fluid that are linked to PTD. The study recruited 300 healthy pregnant women who provided vaginal fluid samples during the second trimester. The women who harboured more of Lactobacillus jensenii over Lactobacillus crispatus (both reported as health-promoting bacteria) in their vaginal fluid had less lactate and glutamate and experienced more PTD. This suggests that lactate and glutamate levels in vaginal fluid may have clinical application in identifying which Lactobacillus species is most active. These chemical biomarkers could provide quick and accurate prediction of PTD risk in clinical settings.
促进健康的细菌(乳酸菌)与阴道环境和谐共存。它们是怀孕期间阴道细菌的主要种类。然而,感染的可能性和不适当的免疫反应与非提示性早产(PTD)有关。其他侵袭性乳酸菌可以改变阴道的化学环境,因为它们寻求促进它们的生长。这项研究测量了与PTD有关的阴道液中生化化合物和主要细菌种类的浓度变化。该研究招募了300名健康孕妇,她们在妊娠中期提供了阴道液样本。阴道液中含有较多jensen乳杆菌而不是crispr乳杆菌(两者都被报道为促进健康的细菌)的女性,其乳酸和谷氨酸含量更低,PTD发生率更高。这表明阴道液中的乳酸和谷氨酸水平可能在确定哪种乳杆菌最活跃方面具有临床应用价值。这些化学生物标志物可以在临床环境中提供快速准确的PTD风险预测。
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引用次数: 0
Incidence of pregnancy loss and characterization of fetal development in red pandas. 小熊猫流产发生率及胎儿发育特征。
Pub Date : 2021-10-21 eCollection Date: 2021-12-01 DOI: 10.1530/RAF-21-0079
Jenna Lowe, Erin Curry

Previous reports indicate that red pandas (Ailurus fulgens styani) may experience fetal loss during gestation; however, neither the rate nor timing of pregnancy failure has been described in this species. The objective of this study was to utilize ultrasound video and images collected between 2010 and 2020 at the Cincinnati Zoo and Botanical Garden to better characterize pregnancy loss and fetal development. Trans-abdominal ultrasound examinations were performed on six female red pandas over a 10-year period, resulting in 12 profiles. Pregnancy was diagnosed via ultrasound in 10 of 12 profiles, and 40.0% of pregnancies showed evidence of fetal loss prior to parturition. Pregnancy loss was classified into lost (2 of 10; 20.0%), in which no cubs were produced, or partial loss (2 of 10; 20.0%), in which two concepti were visualized via ultrasound, but only one cub was born. Fetal loss occurred between days 51 and 23 pre-partum. Fetal growth characteristics were documented, including skeletal ossification (occurring between days 32 and 27 pre-partum), crown-rump length, head length, cranial length, and fetal heart rate (173-206 b.p.m.). These findings provide novel insights into pregnancy loss, may serve as a reference for milestones of fetal development, and may be useful in diagnosing pregnancy and assessing pregnancy loss in red pandas.

Lay summary: For many wildlife species, there is no non-invasive method of determining pregnancy; therefore, the rate of pregnancy loss oftentimes is unknown. Many red pandas in human care that are paired for breeding are observed exhibiting normal mating behaviors; however, only a relatively low proportion of females produce cubs. We utilized animals conditioned for ultrasound examination to diagnose pregnancy and characterize the incidence and timing of pregnancy loss. In total, 12 potential pregnancies were monitored, beginning after breeding season and ending ~2 weeks prior to anticipated cubbing. Of these, ten were (83.3%) were diagnosed as pregnant, with 40% undergoing either full or partial pregnancy loss. Fetal growth characteristics, such as body length and head size, are described which may be useful for monitoring pregnancies and estimating fetal age. Results of this study provide novel data on pregnancy loss in red pandas. Insights into the rate and timing of reproductive failure may illuminate causes and contributing factors, ultimately allowing for improvements in husbandry which may result in greater reproductive success of individuals recommended for breeding.

以前的报告表明,小熊猫(Ailurus fulgens styani)可能在怀孕期间经历胎儿丢失;然而,在这个物种中,既没有描述怀孕失败的比率也没有描述怀孕失败的时间。本研究的目的是利用2010年至2020年在辛辛那提动物园和植物园收集的超声视频和图像来更好地描述妊娠丢失和胎儿发育。在10年的时间里,对6只雌性小熊猫进行了腹部超声检查,得出了12种特征。在12例病例中,有10例是通过超声诊断出妊娠的,40.0%的妊娠在出生前显示出胎儿丢失的证据。妊娠丢失分为失孕(2 / 10;20.0%),没有幼崽生产,或部分损失(10个中的2个;20.0%),其中两个概念通过超声波可视化,但只有一个幼崽出生。胎儿丢失发生在产前51 ~ 23天。记录胎儿生长特征,包括骨骼骨化(发生在产前32 - 27天)、冠臀长、头长、颅长和胎儿心率(173-206 b.p.m)。这些发现提供了关于妊娠丢失的新见解,可以作为胎儿发育里程碑的参考,并且可能有助于诊断和评估小熊猫的妊娠丢失。摘要:对于许多野生动物物种来说,没有非侵入性的方法来确定是否怀孕;因此,流产率往往是未知的。人们观察到,许多在人类照料下成对繁殖的小熊猫表现出正常的交配行为;然而,只有相对较低比例的母熊能生育幼崽。我们利用条件为超声检查的动物来诊断妊娠,并描述妊娠丢失的发生率和时间。总共监测了12只潜在的怀孕,从繁殖季节开始到预计产崽前2周结束。其中,10人(83.3%)被诊断为怀孕,40%的人全部或部分流产。胎儿的生长特征,如体长和头的大小,描述可能是有用的监测怀孕和估计胎龄。本研究结果为小熊猫的妊娠损失提供了新的数据。对繁殖失败的比率和时间的了解可以阐明原因和促成因素,最终允许改进畜牧业,这可能导致推荐繁殖的个体更大的繁殖成功率。
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引用次数: 1
期刊
Reproduction & Fertility
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