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A comparison of obstetric and neonatal outcomes in polycystic ovary syndrome and congenital adrenal hyperplasia: a retrospective analysis of a population database 多囊卵巢综合征与 CAH 的产科和新生儿预后比较:对人口数据库的回顾性分析
Pub Date : 2024-08-01 DOI: 10.1016/j.xfss.2024.05.001

Objective

To investigate potential differences in pregnancy, delivery, and neonatal outcomes between 2 hyperandrogenic conditions in reproductive-aged women: polycystic ovary syndrome (PCOS) and congenital adrenal hyperplasia (CAH).

Design

Retrospective population-based study with data from the Health Care Cost and Utilization Project-Nationwide Inpatient Sample Database from 2004–2014.

Setting

Not applicable.

Patient(s)

A total of 14,881 women with PCOS and 298 women with CAH.

Intervention(s)

Not applicable.

Main Outcome Measure(s)

Gestational diabetes mellitus, placenta previa, pregnancy-induced hypertension (HTN), gestational HTN, preeclampsia, eclampsia, preeclampsia and eclampsia superimposed on HTN, preterm birth, preterm premature rupture of membrane, abruptio placenta, chorioamnionitis, mode of delivery, maternal infection, hysterectomy, blood transfusion, venous thromboembolism (deep vein thrombosis and pulmonary embolism during pregnancy, intrapartum, or postpartum), maternal death, chorioamnionitis, septicemia during labor, postpartum endometritis, septic pelvic, peritonitis, small for gestational age, congenital anomalies, and intrauterine fetal demise.

Result(s)

After adjusting for potential confounders, we found that women with PCOS were at increased risk of developing pregnancy-induced HTN (adjusted odds ratio [OR] = 1.76; 95% confidence interval [CI]: 1.12–2.77) and gestational diabetes (adjusted OR = 1.68; 95% CI: 1.12–2.52) when compared with women with CAH. Contrary women with CAH were at increased risk for delivery via cesarean section (adjusted OR = 0.59; 95% CI: 0.44–0.80) and small for gestational age neonates (adjusted OR = 0.32; 95% CI: 0.20–0.52).

Conclusion(s)

To our knowledge, this study is the first to directly compare obstetric and neonatal outcomes between patients with PCOS and CAH. Despite the similar phenotypes and some common hormonal and biochemical profiles, such as insulin resistance, hyperinsulinemia, and hyperandrogenism, our results suggest the existence of additional metabolic pathways implicated in the pathogenesis of pregnancy complications.

目的 探讨多囊卵巢综合征(PCOS)和先天性肾上腺皮质增生症(CAH)这两种育龄妇女高雄激素症在妊娠、分娩和新生儿结局方面的潜在差异。设计以人群为基础的回顾性研究,数据来自2004-2014年的医疗成本和利用项目--全国住院患者样本数据库。主要结果指标:妊娠糖尿病、前置胎盘、妊娠诱发高血压(HTN)、妊娠高血压、子痫前期、子痫、子痫前期和子痫叠加高血压、早产、早产胎膜早破、胎盘早剥、绒毛膜羊膜炎、分娩方式、产妇感染、输血、静脉血栓栓塞(孕期、产中或产后的深静脉血栓和肺栓塞)、产妇死亡、绒毛膜羊膜炎、分娩期败血症、产后子宫内膜炎、化脓性盆腔炎、腹膜炎、胎龄小、先天性畸形和胎儿宫内死亡。研究结果:在对潜在的混杂因素进行调整后,我们发现与患有CAH的妇女相比,患有多囊卵巢综合征的妇女罹患妊娠诱发高血压(调整后比值比[OR]=1.76;95%置信区间[CI]:1.12-2.77)和妊娠糖尿病(调整后比值比[OR]=1.68;95%置信区间[CI]:1.12-2.52)的风险更高。与此相反,CAH 女性通过剖宫产分娩(调整后 OR = 0.59;95% CI:0.44-0.80)和小胎龄新生儿(调整后 OR = 0.32;95% CI:0.20-0.52)的风险增加。尽管表型相似且存在一些共同的激素和生化特征,如胰岛素抵抗、高胰岛素血症和高雄激素,但我们的研究结果表明,在妊娠并发症的发病机制中还存在其他代谢途径。
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引用次数: 0
The impact of severe oligozoospermia on morphokinetic embryo development in low-prognosis patients according to the Patient-Oriented Strategies Encompassing IndividualizeD Oocyte Number criteria: an analysis of 10,366 injected oocytes 根据 POSEIDON 标准,严重少精症对低预后患者形态胚胎发育的影响:对 10366 个注射卵母细胞的分析。
Pub Date : 2024-08-01 DOI: 10.1016/j.xfss.2024.06.001
<div><h3>Objective</h3><p>To study whether severe male factor infertility (SMF), reflected by oligozoospermia, impacts embryo morphokinetic behavior in low-prognosis women as stratified by the Patient-Oriented Strategies Encompassing IndividualizeD Oocyte Number (POSEIDON) criteria.</p></div><div><h3>Design</h3><p>Cohort study.</p></div><div><h3>Setting</h3><p>Private university–affiliated in vitro fertilization center.</p></div><div><h3>Patient(s)</h3><p>A total of 10,366 injected oocytes from 2,272 women who underwent intracytoplasmic sperm injection cycles between March 2019 and April 2022.</p></div><div><h3>Intervention(s)</h3><p>Patients were divided into 8 groups according to the POSEIDON criteria (<span><span>1</span></span>, <span><span>2</span></span>, <span><span>3</span></span>, <span><span>4</span></span>) and the presence or absence of SMF. A control group of normoresponder patients was included. Kinetic markers from the point of insemination were recorded in the EmbryoScope incubator.</p></div><div><h3>Main Outcome Measure(s)</h3><p>Morphokinetic milestones and intracytoplasmic sperm injection clinical outcomes.</p></div><div><h3>Result(s)</h3><p>Embryos from patients in the POSEIDON 1 group showed significantly slower timing to pronuclear appearance, timing to pronuclear fading (tPNf), timing to 2 (t2), 3 (t3), 4 (t4), 6 (t6), and 7 (t7) cells than those from the control group. Known Implantation Diagnosis Score ranking was significantly different between the SMF and non-SMF (nSMF) subgroups in both POSEIDON 1 as well as control groups. Embryos from patients in the POSEIDON 2 group showed significantly slower timing to pronuclear appearance, t4, t6, t7, timing to 8 cells (t8), and timing to morulae than those from the control group. Embryos in the POSEIDON 2 SMF subgroup took longer than those in the POSEIDON 2 nSMF subgroup and those in both control subgroups to achieve tPNf, t2, t3, timing to 5 cells (t5), timing to start blastulation, and timing to blastulation. Known Implantation Diagnosis Score ranking was significantly different between the SMF and nSMF subgroups in both POSEIDON 2 as well as control groups. Embryos from patients in the POSEIDON 3 group showed significantly slower t8 and duration of the second cell cycle (t3-t2) than those from the control group. Known Implantation Diagnosis Score ranking was significantly different across the subgroups. Embryos derived from patients in the POSEIDON 4 group showed significantly slower tPNf, t2, t3, t4, t5, t6, t7, t8, timing to complete t4-t3 synchronous divisions, and timing to complete t8-t5 synchronous divisions than those from the control group. Known Implantation Diagnosis Score ranking was significantly different between the SMF and nSMF subgroups in both POSEIDON 4 as well as control groups. Irrespective of sperm quality, clinical outcomes significantly improved in the control subgroups compared with those in the POSEIDON 2 and 4 subgroups.</p></div><div><h3>Conclusion
目的研究以少精子症反映的严重男性因素不育(SMF)是否会影响低预后女性的胚胎形态动力学行为,并根据患者导向战略(Patient-Oriented Strategies Encompassing IndividualizeD Oocyte Number,POSEIDON)标准进行分层:设计:队列研究私立大学附属试管婴儿中心:10366个注射卵母细胞,来自2019年3月至2022年4月期间接受ICSI周期的2272名女性:根据POSEIDON标准(1至4)和是否存在SMF将患者分为八组。对照组包括正常反应患者。在EmbryoScope培养箱中记录授精点的动力学指标:主要结果测量指标:形态动力学里程碑和卵胞浆内单精子显微注射临床结果:结果:与对照组相比,POSEIDON 1组患者的胚胎在tPNa、tPNf、t2、t3、t4、t6和t7方面的表现明显较慢。在POSEIDON 1组和对照组中,SMF亚组和非SMF(nSFM)亚组的KIDScore排名有明显差异。与对照组的胚胎相比,POSEIDON 2 组患者的胚胎在 tPNa、t4、t6、t7、t8 和 tM 方面的速度明显较慢。POSEIDON 2 SMF亚组胚胎达到tPNf、t2、t3、t5和tS的时间比POSEIDON 2 nSMF亚组胚胎和对照组胚胎都要长。在 POSEIDON 2 和对照组中,SMF 亚组和 nSMF 亚组的 KIDScore 排名有明显差异。与对照组相比,POSEIDON 3 组患者胚胎的 t8 和 cc2 明显较慢。各亚组的 KIDScore 排名有明显差异。与对照组相比,POSEIDON 4 组患者的胚胎在 tPNf、t2、t3、t4、t5、t6、t7、t8、s2 和 s3 方面的速度明显较慢。在 POSEIDON 4 和对照组中,SMF 和 nSMF 亚组的 KIDScore 排名有明显差异。无论精子质量如何,与POSEIDON 2和4亚组相比,对照亚组的临床结果均有明显改善:结论:在POSEIDON 1-4组和对照组中,SFM组胚胎的KIDScore排名均低于nSMF组胚胎,这表明在使用该算法时,累积差异会导致形态动力发育更差。
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引用次数: 0
Society of Endometriosis and Uterine Disorders forum: adenomyosis today, Paris, France, December 12, 2023 子宫内膜异位症和子宫疾病学会论坛:2023 年 12 月 12 日,法国巴黎,今日子宫腺肌症。
Pub Date : 2024-08-01 DOI: 10.1016/j.xfss.2024.06.006
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引用次数: 0
Kinesin binding as a shared pathway underlying the genetic basis of male factor infertility and insomnia 驱动蛋白结合是男性不育症和失眠症遗传基础的共同途径
Pub Date : 2024-08-01 DOI: 10.1016/j.xfss.2024.06.003

Objective

To study whether male factor infertility and insomnia share genetic risk variants and identify any molecular, cellular, and biologic interactions between these traits.

Design

The in silico study was performed. Two lists of genetic variants were manually curated through a literature review, one of those associated with male factor infertility and the other with insomnia. Genes were assigned to these variants to compose male factor infertility–associated (454 genes) and insomnia-associated (921 genes) gene lists.

Setting

Not applicable.

Patient(s)

Not applicable.

Intervention(s)

Not applicable.

Main Outcome Measure(s)

Enrichment of biologic pathways and protein-protein interaction analysis.

Result(s)

Twenty-eight genes were common to both lists, representing a greater overlap than would be expected by chance. In the 28 genes contained in the intersection list, there was a significant enrichment of pathways related to kinesin binding. A protein-protein interaction analysis using the intersection list as input retrieved 25 nodes and indicated that two of them were kinesin-related proteins (PLEKHM2 and KCL1).

Conclusion(s)

The shared male factor infertility and insomnia genes, and the biologic pathways highlighted in this study, suggest that further functional investigations into the interplay between fertility and sleep are warranted.

目的研究男性不育症和失眠症是否存在共同的遗传风险变异,并确定这些性状之间的分子、细胞和生物相互作用。通过文献综述手动编制了两份遗传变异列表,一份是与男性因素不育相关的变异,另一份是与失眠相关的变异。将基因分配到这些变异中,组成男性因素不育相关基因列表(454 个基因)和失眠相关基因列表(921 个基因).设置不适用.患者不适用.干预不适用.主要结果测量生物通路的富集和蛋白质-蛋白质相互作用分析.结果两个列表中共有 28 个基因,重合度高于偶然的预期。在包含在交叉列表中的 28 个基因中,与驱动蛋白结合相关的通路显著富集。结论 男性因素不育和失眠基因的共享以及本研究中突出的生物通路表明,有必要对生育和睡眠之间的相互作用进行进一步的功能研究。
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引用次数: 0
Identification of rare genetic variants in the PCDH genetic family in a cohort of transgender women 在变性女性群体中发现 PCDH 遗传家族中的罕见遗传变异。
Pub Date : 2024-08-01 DOI: 10.1016/j.xfss.2024.06.005

Objective

To study the identification of rare genetic variants in the PCDH genetic family in a cohort of transgender women (TGW) and their potential role in gender identity.

Design

Exome sequencing and functional ontology analysis.

Setting

Outpatient gender health and reproductive endocrinology clinics.

Patient(s)

A total of 24 TGW and 22 cisgender men (CM).

Intervention(s)

Exome sequencing followed by variant confirmation through Sanger sequencing and functional classification analysis using the Database for Annotation, Visualization, and Integrated Discovery tool.

Main Outcome Measure(s)

Identification of rare, functionally significant genetic variants in the PCDH gene family and their prevalence in TGW compared with CM.

Result(s)

Exome sequencing revealed 38,524 genetic variants, of which 2,441 were rare and predicted to be functionally significant. The Database for Annotation, Visualization, and Integrated Discovery analysis demonstrated a statistically enriched functional group, “homophilic cell adhesion via plasma membrane adhesion molecules,” containing 55 genes, including 18 PCDH gene family members. A total of 37 rare variants in 21 PCDH genes were identified, with 36 confirmed using Sanger sequencing. A statistically significant increase in these variants was observed in TGW compared with CM (Z = 2.08905).

Conclusion(s)

Transgender women exhibited a greater than threefold increase in functionally significant PCDH gene variants compared with CM. These findings suggest that the PCDH family may play a role in the genetic pathways associated with gender identity in TGW.

目的研究变性女性队列中 PCDH 遗传家族中罕见遗传变异的鉴定及其在性别认同中的潜在作用:设计:外显子组测序和功能本体分析:奥古斯塔大学,包括奥古斯塔平等诊所和生殖医学与不孕症联合诊所:24名变性女性和22名顺性男性:干预措施:进行外显子组测序,然后通过桑格测序进行变异确认,并使用注释、可视化和综合发现数据库(DAVID)工具进行功能分类分析:主要结果测量:确定 PCDH 基因家族中罕见的、功能显著的遗传变异,以及变性女性与顺性男性相比的变异发生率:结果:外显子组测序发现了38524个基因变异,其中2441个为罕见变异,预计具有重要功能。DAVID 分析表明,"通过质膜粘附分子的嗜同性细胞粘附"(本杰明尼校正 p 值为 1.5 x 10-11)是一个具有统计意义的功能组,其中包含 55 个基因,包括 18 个 PCDH 基因家族成员。在 21 个 PCDH 基因中总共发现了 37 个罕见变异,其中 36 个经 Sanger 测序确认。变性女性与同性男性相比,这些变异在统计学上有明显增加(Z = 2.08905,p= 0.037):结论:变性女性的 PCDH 基因功能显著变异比同性男性增加了 3 倍以上。这些发现表明,PCDH 家族可能在变性女性与性别认同相关的遗传途径中发挥作用。
{"title":"Identification of rare genetic variants in the PCDH genetic family in a cohort of transgender women","authors":"","doi":"10.1016/j.xfss.2024.06.005","DOIUrl":"10.1016/j.xfss.2024.06.005","url":null,"abstract":"<div><h3>Objective</h3><p>To study the identification of rare genetic variants in the <em>PCDH</em> genetic family in a cohort of transgender women (TGW) and their potential role in gender identity.</p></div><div><h3>Design</h3><p>Exome sequencing and functional ontology analysis.</p></div><div><h3>Setting</h3><p>Outpatient gender health and reproductive endocrinology clinics.</p></div><div><h3>Patient(s)</h3><p>A total of 24 TGW and 22 cisgender men (CM).</p></div><div><h3>Intervention(s)</h3><p>Exome sequencing followed by variant confirmation through Sanger sequencing and functional classification analysis using the Database for Annotation, Visualization, and Integrated Discovery tool.</p></div><div><h3>Main Outcome Measure(s)</h3><p>Identification of rare, functionally significant genetic variants in the PCDH gene family and their prevalence in TGW compared with CM.</p></div><div><h3>Result(s)</h3><p>Exome sequencing revealed 38,524 genetic variants, of which 2,441 were rare and predicted to be functionally significant. The Database for Annotation, Visualization, and Integrated Discovery analysis demonstrated a statistically enriched functional group, “homophilic cell adhesion via plasma membrane adhesion molecules,” containing 55 genes, including 18 <em>PCDH</em> gene family members. A total of 37 rare variants in 21 <em>PCDH</em> genes were identified, with 36 confirmed using Sanger sequencing. A statistically significant increase in these variants was observed in TGW compared with CM (Z = 2.08905).</p></div><div><h3>Conclusion(s)</h3><p>Transgender women exhibited a greater than threefold increase in functionally significant <em>PCDH</em> gene variants compared with CM. These findings suggest that the <em>PCDH</em> family may play a role in the genetic pathways associated with gender identity in TGW.</p></div>","PeriodicalId":73012,"journal":{"name":"F&S science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Vitamin D deficiency, insulin resistance, and antimüllerian hormone level: a tale of trio in the expression of polycystic ovary syndrome 维生素 D 缺乏、胰岛素抵抗和抗苗勒氏管激素:多囊卵巢综合征的三重奏。
Pub Date : 2024-08-01 DOI: 10.1016/j.xfss.2024.06.002
<div><h3>Objective</h3><p>To study the association between altered vitamin D profiles and different indices as well as clinical features of polycystic ovary syndrome (PCOS), including antimüllerian hormone (AMH) levels, phenotypes (A [hyperandrogenism {HA} + ovulatory dysfunction {OD} + polycystic ovarian morphology {PCOM}], B [HA + OD], C [HA + PCOM], and D [OD + PCOM]), insulin resistance, oligomenorrhea, hyperandrogenism, obesity indices, and stress biomarkers in the ethnic population of West Bengal.</p></div><div><h3>Design</h3><p>Case-control observational study.</p></div><div><h3>Setting</h3><p>Outpatient department of gynecology and obstetrics and environing.</p></div><div><h3>Participants (Patients and Control)</h3><p>Sample size: case group (PCOS, n = 160), age: 16–38 years, and their gender, age, as well as ethnicity-matched healthy control (n = 160).</p></div><div><h3>Intervention(s)</h3><p>In this observational study, a structured questionnaire for menstrual status and to determine the scores of cutaneous manifestations, a bioelectrical impedance analyzer for measurement of anthropometric indices, relevant biochemical assessments (vitamin D, AMH, insulin, glucose, and other associated hormonal profiles), statistical software for the social sciences, and Microsoft Office Excel were used to evaluate as well as analyze different indices.</p></div><div><h3>Main Outcome Measure(s)</h3><p>Study of the association of vitamin D deficiency with differential manifestations of PCOS such as phenotypes of the syndrome, altered AMH levels, and risk of insulin resistance. An attempt has been made to determine the cutoff value of AMH of the patients with PCOS belonging to the ethnic population of West Bengal using receiver operating characteristic (ROC).</p></div><div><h3>Result(s)</h3><p>Vitamin D deficiency was found to be directly correlated with AMH level in PCOS phenotype A (67%), oligomenorrhea, and PCOM, along with a substantial agonistic relationship with insulin resistance in the PCOS population under study. In the PCOS phenotype B, the AMH level was highest, with a cutoff value of 5.27 ng/mL (asymptotic sig. = 0.000, 95% confidence interval: 8.37–9.95, derived by ROC analysis, with area under the ROC curve- area under the curve value = 0.949, sensitivity=0.882, and specificity = 0.880). Oligomenorrhic women with PCOS possess significantly higher values of AMH levels (8.70 ± 3.66 > 3.09 ± 1.86 ng/mL) level than the regular menstrual rhythm within the same group. Patients with PCOS had significantly less skeletal muscle mass and greater subcutaneous fat content than the control group.</p></div><div><h3>Conclusion(s)</h3><p>25-hydroxy-vitamin D might be intermeshed with the underlying pathophysiology and severity of PCOS, as well as associated metabolic disorders like insulin resistance. The AMH level is finely tuned by most of the plausible effectors of PCOS and contends to be a promising biomarker for the diagnosis as well as prognosis of
目的研究维生素 D 改变与多囊卵巢综合征(PCOS)不同指标和临床特征(包括抗苗勒氏管激素(AMH)水平)之间的关系、表型[A{高雄激素(HA)+排卵功能障碍(OD)+多囊卵巢形态(PCOM)}]、B(HA+OD)、C(HA+PCOM)和 D(OD+PCOM)]、胰岛素抵抗(IR)、少经、高雄激素、肥胖指数和压力生物标志物之间的关系。设计:病例对照观察研究:病例对照观察研究:地点:印度西孟加拉邦加尔各答医学院妇产科门诊部(加尔各答-700073)及加尔各答周边地区:样本量:病例组(多囊卵巢综合症,n=160),年龄:16-38 岁,及其性别、年龄和种族匹配的健康对照组(n=160):在这项观察性研究中,使用结构化问卷调查月经状况并确定皮肤表现的分数,使用生物电阻抗分析仪测量人体测量指数,使用相关的生化评估(维生素 D、AMH、胰岛素、葡萄糖和其他相关激素谱),使用社会科学统计软件和 Microsoft Office Excel 评估和分析不同的指数(在 PM 时显著):研究维生素 D 缺乏与多囊卵巢综合征的不同表现(如综合征的表型、AMH 水平的改变以及胰岛素抵抗的风险)之间的关联。尝试使用接收器操作特征(ROC)确定西孟加拉邦少数民族多囊卵巢综合征患者 AMH 的临界值:结果:发现维生素 D 缺乏与多囊卵巢综合症表型 A(67%)、少经和 PCOM 的 AMH 直接相关(P=0.000),同时与同组中规律月经节律的患者相比,维生素 D 缺乏与 AMH 的相关性更高(P3.09±1.86)。多囊卵巢综合症患者的月经周期明显(PConclusions:25- 羟维生素 D 可能与多囊卵巢综合征的潜在病理生理学和严重程度以及相关的代谢紊乱(如 IR)相互关联。AMH水平受多囊卵巢综合征大多数可能的效应因子的影响,因此有望成为诊断和预后多囊卵巢综合征的生物标志物。
{"title":"Vitamin D deficiency, insulin resistance, and antimüllerian hormone level: a tale of trio in the expression of polycystic ovary syndrome","authors":"","doi":"10.1016/j.xfss.2024.06.002","DOIUrl":"10.1016/j.xfss.2024.06.002","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;p&gt;To study the association between altered vitamin D profiles and different indices as well as clinical features of polycystic ovary syndrome (PCOS), including antimüllerian hormone (AMH) levels, phenotypes (A [hyperandrogenism {HA} + ovulatory dysfunction {OD} + polycystic ovarian morphology {PCOM}], B [HA + OD], C [HA + PCOM], and D [OD + PCOM]), insulin resistance, oligomenorrhea, hyperandrogenism, obesity indices, and stress biomarkers in the ethnic population of West Bengal.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;p&gt;Case-control observational study.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting&lt;/h3&gt;&lt;p&gt;Outpatient department of gynecology and obstetrics and environing.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants (Patients and Control)&lt;/h3&gt;&lt;p&gt;Sample size: case group (PCOS, n = 160), age: 16–38 years, and their gender, age, as well as ethnicity-matched healthy control (n = 160).&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Intervention(s)&lt;/h3&gt;&lt;p&gt;In this observational study, a structured questionnaire for menstrual status and to determine the scores of cutaneous manifestations, a bioelectrical impedance analyzer for measurement of anthropometric indices, relevant biochemical assessments (vitamin D, AMH, insulin, glucose, and other associated hormonal profiles), statistical software for the social sciences, and Microsoft Office Excel were used to evaluate as well as analyze different indices.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Main Outcome Measure(s)&lt;/h3&gt;&lt;p&gt;Study of the association of vitamin D deficiency with differential manifestations of PCOS such as phenotypes of the syndrome, altered AMH levels, and risk of insulin resistance. An attempt has been made to determine the cutoff value of AMH of the patients with PCOS belonging to the ethnic population of West Bengal using receiver operating characteristic (ROC).&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Result(s)&lt;/h3&gt;&lt;p&gt;Vitamin D deficiency was found to be directly correlated with AMH level in PCOS phenotype A (67%), oligomenorrhea, and PCOM, along with a substantial agonistic relationship with insulin resistance in the PCOS population under study. In the PCOS phenotype B, the AMH level was highest, with a cutoff value of 5.27 ng/mL (asymptotic sig. = 0.000, 95% confidence interval: 8.37–9.95, derived by ROC analysis, with area under the ROC curve- area under the curve value = 0.949, sensitivity=0.882, and specificity = 0.880). Oligomenorrhic women with PCOS possess significantly higher values of AMH levels (8.70 ± 3.66 &gt; 3.09 ± 1.86 ng/mL) level than the regular menstrual rhythm within the same group. Patients with PCOS had significantly less skeletal muscle mass and greater subcutaneous fat content than the control group.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion(s)&lt;/h3&gt;&lt;p&gt;25-hydroxy-vitamin D might be intermeshed with the underlying pathophysiology and severity of PCOS, as well as associated metabolic disorders like insulin resistance. The AMH level is finely tuned by most of the plausible effectors of PCOS and contends to be a promising biomarker for the diagnosis as well as prognosis of","PeriodicalId":73012,"journal":{"name":"F&S science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141322050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Engineered uterine primary myometrial cells with high-mobility group AT-hook 2 overexpression display a leiomyoma-like transcriptional and epigenomic phenotype. HMGA2过表达的工程子宫原代子宫肌细胞显示出类似子宫肌瘤的转录和表观基因组表型。
Pub Date : 2024-07-27 DOI: 10.1016/j.xfss.2024.07.008
Priyanka Saini, Austin G Holmes, Jian-Jun Wei, J Brandon Parker, Debabrata Chakravarti

Objective: To determine if engineered high-mobility group AT-hook 2 (HMGA2) overexpressing uterine primary myometrial cells recapitulate the transcriptional and epigenomic features of HMGA2-subtype leiomyomas.

Design: Isolated primary, "normal" myometrial cells from three patients were engineered to overexpress HMGA2 to determine how HMGA2 establishes transcriptomic and epigenomic features of HMGA2-overexpressing leiomyoma.

Setting: Academic research laboratory.

Patient(s): Primary myometrial cells were isolated from normal myometrium obtained from three patients undergoing hysterectomy.

Intervention(s): Not applicable.

Main outcome measure(s): Determined genome-wide transcriptomic and epigenomic features of engineered HMGA2-overexpressing uterine primary myometrial cells.

Result(s): Engineered HMGA2-V5-overexpressing primary myometrial cells approximated the HMGA2 expression level observed in HMGA2-overexpression subtype leiomyoma. High-mobility group AT-hook 2-V5 expression resulted in differential expression of 1,612 genes (false discovery rate [FDR] < 0.05) that were found to be enriched in pathways associated with leiomyoma formation, including extracellular matrix organization. Comparative gene expression analysis between HMGA2-V5 engineered primary cells and HMGA2-overexpression subtype leiomyoma revealed significant overlap of differentially expressed genes. Mechanistically, HMGA2-V5 overexpression resulted in 41,323 regions with differential H3K27ac deposition (FDR < 0.05) and 205,605 regions of altered chromatin accessibility (FDR < 0.05). Transcription factor binding site analysis implicated the AP-1 family of transcription factors.

Conclusion(s): High-mobility group AT-hook 2 overexpression induces leiomyoma-like transcriptomic and epigenomic modulations in myometrial cells.

目的确定工程化过表达 HMGA2 的子宫原代子宫肌瘤细胞是否再现了 HMGA2 亚型子宫肌瘤的转录组和表观组特征:设计:将3名患者的原代 "正常 "子宫肌细胞设计为过表达HMGA2,以确定HMGA2如何建立HMGA2过表达子宫肌瘤的转录组和表观组特征:学术研究实验室 患者:从接受子宫切除术的三名患者的正常子宫肌层中分离出原发性子宫肌层细胞:主要结果测量:确定工程HMGA2-表达子宫原代子宫肌细胞的全基因组转录组和表观基因组特征:结果:表达HMGA2-V5的工程原代子宫肌细胞接近在HMGA2-表达亚型子宫肌瘤中观察到的HMGA2表达水平。HMGA2-V5 的表达导致 1612 个基因的差异表达(FDR < 0.05),这些基因被发现富集在与子宫肌瘤形成相关的通路中,包括细胞外基质组织。HMGA2-V5工程原代细胞与HMGA2-表达亚型子宫肌瘤之间的基因表达比较分析表明,差异表达的基因有明显的重叠。从机理上讲,HMGA2-V5过表达导致41,323个区域的H3K27ac沉积出现差异(FDR < 0.05),205,605个区域的染色质可及性发生改变(FDR < 0.05)。转录因子结合位点分析显示与转录因子 AP-1 家族有关:- 这些研究解决了什么临床问题?约有 10-15% 的子宫肌瘤病例表现出 HMGA2 表达增高;我们的研究探讨了 HMGA2 过表达在子宫肌瘤发病机制中的主要作用。- 主要发现有哪些?原发性子宫肌瘤细胞中 HMGA2 的异位表达改变了这些细胞的转录和表观基因组机制,这在一定程度上与子宫肌瘤的特征相似。- 这些发现如何应用于人类生育或生殖过程?我们的研究全面分析了过表达 HMGA2 时子宫肌细胞表观基因组发生的变化。由于表观基因组可以作为药物的靶点,因此了解表观基因组的变化为治疗影响育龄妇女的子宫肌瘤提供了新的途径。
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引用次数: 0
Prostaglandin E2 regulates the plasminogen activator pathway in human endometrial endothelial cells: a new in vitro model to investigate heavy menstrual bleeding. PGE2调节人子宫内膜内皮细胞中的血浆酶原激活剂通路:研究月经过多的新体外模型。
Pub Date : 2024-07-20 DOI: 10.1016/j.xfss.2024.07.007
Seifeldin Sadek, Terry A Jacot, Diane M Duffy, David F Archer

Objective: To study the role of PGE2 in regulating plasminogen activator inhibitor-1 (PAI-1) and tissue plasminogen activator (tPA) in human primary endometrial endothelial cells (HEECs) from women with normal menstrual bleeding (NMB) and heavy menstrual bleeding (HMB).

Design: In vitro study using endometrial endothelial cells.

Setting: Research laboratory setting.

Patients: Women with NMB and HMB provided endometrial biopsy samples.

Interventions: Prostaglandin E2 and PGE2 receptor-selective agonists were administered to cultured HEECs.

Main outcome measures: Levels of PAI-1 and tPA in NMB-HEECs and HMB-HEECs after treatment with PGE2 and receptor-selective agonists.

Results: Prostaglandin E2 increased total PAI-1 levels in NMB-HEECs, but not in HMB-HEECs, which had higher baseline PAI-1 levels. PGE2 receptors (PTGER)1 and PTGER2 agonists increased PAI-1 in NMB-HEECs, whereas PTGER3 and PTGER4 did not. Prostaglandin E2 had no effect on tPA levels in either NMB-HEECs or HMB-HEECs.

Conclusions: Prostaglandin E2, through PTGER1 and PTGER2, regulates the plasminogen activator system in NMB-HEECs, suggesting a role in reducing fibrinolytic activity during normal menstrual cycles. The lack of PGE2 effect and elevated baseline PAI-1 in HMB-HEECs support using this in vitro model to further understand prostaglandin pathways in NMB and HMB.

目的研究 PGE2 在调节正常月经出血(NMB)和大量月经出血(HMB)妇女的人原代子宫内膜内皮细胞(HEECs)中的纤溶酶原激活物抑制剂-1(PAI-1)和组织纤溶酶原激活物(tPA)中的作用:设计:使用子宫内膜内皮细胞进行体外研究:研究实验室环境:正常月经出血(NMB)和大量月经出血(HMB)妇女提供子宫内膜活检样本:干预措施:向培养的 HEECs 施用 PGE2 和 PGE2 受体选择性激动剂:PGE2和受体选择性激动剂治疗后,NMB-HEECs和HMB-HEECs中PAI-1和tPA的水平:结果:PGE2 增加了 NMB-HEECs 的总 PAI-1 水平,但没有增加 HMB-HEECs 的总 PAI-1 水平,后者的基线 PAI-1 水平更高。PTGER1 和 PTGER2 激动剂会增加 NMB-HEECs 中的 PAI-1,而 PTGER3 和 PTGER4 不会。PGE2 对 NMB-HEECs 或 HMB-HEECs 中的 tPA 水平均无影响:结论:PGE2 通过 PTGER1 和 PTGER2 调节 NMB-HEECs 中的纤溶酶原激活剂系统,这表明它在正常月经周期中降低了纤溶活性。HMB-HEECs 中缺乏 PGE2 作用且基线 PAI-1 升高,这支持使用这种体外模型来进一步了解正常和大量月经出血中的前列腺素通路。
{"title":"Prostaglandin E<sub>2</sub> regulates the plasminogen activator pathway in human endometrial endothelial cells: a new in vitro model to investigate heavy menstrual bleeding.","authors":"Seifeldin Sadek, Terry A Jacot, Diane M Duffy, David F Archer","doi":"10.1016/j.xfss.2024.07.007","DOIUrl":"10.1016/j.xfss.2024.07.007","url":null,"abstract":"<p><strong>Objective: </strong>To study the role of PGE<sub>2</sub> in regulating plasminogen activator inhibitor-1 (PAI-1) and tissue plasminogen activator (tPA) in human primary endometrial endothelial cells (HEECs) from women with normal menstrual bleeding (NMB) and heavy menstrual bleeding (HMB).</p><p><strong>Design: </strong>In vitro study using endometrial endothelial cells.</p><p><strong>Setting: </strong>Research laboratory setting.</p><p><strong>Patients: </strong>Women with NMB and HMB provided endometrial biopsy samples.</p><p><strong>Interventions: </strong>Prostaglandin E<sub>2</sub> and PGE<sub>2</sub> receptor-selective agonists were administered to cultured HEECs.</p><p><strong>Main outcome measures: </strong>Levels of PAI-1 and tPA in NMB-HEECs and HMB-HEECs after treatment with PGE<sub>2</sub> and receptor-selective agonists.</p><p><strong>Results: </strong>Prostaglandin E<sub>2</sub> increased total PAI-1 levels in NMB-HEECs, but not in HMB-HEECs, which had higher baseline PAI-1 levels. PGE<sub>2</sub> receptors (PTGER)1 and PTGER2 agonists increased PAI-1 in NMB-HEECs, whereas PTGER3 and PTGER4 did not. Prostaglandin E<sub>2</sub> had no effect on tPA levels in either NMB-HEECs or HMB-HEECs.</p><p><strong>Conclusions: </strong>Prostaglandin E<sub>2</sub>, through PTGER1 and PTGER2, regulates the plasminogen activator system in NMB-HEECs, suggesting a role in reducing fibrinolytic activity during normal menstrual cycles. The lack of PGE<sub>2</sub> effect and elevated baseline PAI-1 in HMB-HEECs support using this in vitro model to further understand prostaglandin pathways in NMB and HMB.</p>","PeriodicalId":73012,"journal":{"name":"F&S science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Skoochies and its component substances induced testicular damage and impaired sperm function via increased generation of reactive oxygen species and impairment of the glutathione system in rats. Skoochies 及其成分物质通过增加活性氧的生成和损害谷胱甘肽系统,导致大鼠睾丸损伤和精子功能受损。
Pub Date : 2024-07-14 DOI: 10.1016/j.xfss.2024.07.005
Ayodeji Folorunsho Ajayi, Olufemi Ogundeji Ogundipe, Moses Agbomhere Hamed, David Tolulope Oluwole

Objective: To examine the effect of skoochies, an illicit cocktail drink, on testicular and sperm function in male rats.

Design: Twenty-five adult male Wistar rats were assigned randomly into five groups (n = 5) as follows: normal saline; skoochies; Cannabis sativa; codeine; and tramadol. The cocktail (skoochies) used in this study was formulated with the following composition: codeine (5 mg/kg); tramadol (20 mg/kg); and cannabis extract (2 mg/kg). These doses are as previously reported. Administration was performed once daily for 28 days.

Setting: University.

Animal(s): Twenty-five (25) male Wistar rats.

Intervention(s): Skoochies, tramadol, Codeiene, Cannabis.

Main outcome measure(s): Skoochies and its components induced testicular and sperm damage via increased generation of reactive oxygen species and impairment of glutathione system in rats.

Result(s): Skoochies increased reactive oxygen species generation and impaired the antioxidant system resulting in inflammation that eventually damaged the testicular tissue. Skoochies caused oxidoinflammatory injury to this tissue, leading to impaired testicular function. This was evident by the distorted cytoarchitecture, reduced sperm count and motility, and impaired testicular deoxyribonucleic acid integrity.

Conclusion(s): Thus, our results infer that skoochies impaired the testicular and sperm function through the increased generation of reactive oxygen species and impairment of the glutathione system.

研究目的研究非法鸡尾酒饮料 Skoochies 对雄性大鼠睾丸和精子功能的影响:将 25 只成年雄性 Wistar 大鼠随机分为以下 5 组(n = 5):正常生理盐水(NS 组)、skoochies(SK 组)、大麻(CS 组)、可待因(CO 组)和曲马多(TM 组)。本研究使用的鸡尾酒(skoochies)由以下成分配制而成:可待因(5 毫克/千克)、曲马多(20 毫克/千克)和大麻提取物(2 毫克/千克)。这些剂量与之前报告的剂量相同。每天给药一次,持续二十八(28)天:结果:Skoochies 增加了活性氧的生成,损害了抗氧化系统,导致炎症,最终损害了睾丸组织。Skoochies 对睾丸组织造成氧化-炎症损伤,导致睾丸功能受损。这表现在细胞结构扭曲、精子数量减少、活力降低以及睾丸 DNA 完整性受损等方面:因此,我们的研究结果推断,Skoochies 通过增加活性氧的生成和损害谷胱甘肽系统,导致睾丸和精子功能受损。
{"title":"Skoochies and its component substances induced testicular damage and impaired sperm function via increased generation of reactive oxygen species and impairment of the glutathione system in rats.","authors":"Ayodeji Folorunsho Ajayi, Olufemi Ogundeji Ogundipe, Moses Agbomhere Hamed, David Tolulope Oluwole","doi":"10.1016/j.xfss.2024.07.005","DOIUrl":"10.1016/j.xfss.2024.07.005","url":null,"abstract":"<p><strong>Objective: </strong>To examine the effect of skoochies, an illicit cocktail drink, on testicular and sperm function in male rats.</p><p><strong>Design: </strong>Twenty-five adult male Wistar rats were assigned randomly into five groups (n = 5) as follows: normal saline; skoochies; Cannabis sativa; codeine; and tramadol. The cocktail (skoochies) used in this study was formulated with the following composition: codeine (5 mg/kg); tramadol (20 mg/kg); and cannabis extract (2 mg/kg). These doses are as previously reported. Administration was performed once daily for 28 days.</p><p><strong>Setting: </strong>University.</p><p><strong>Animal(s): </strong>Twenty-five (25) male Wistar rats.</p><p><strong>Intervention(s): </strong>Skoochies, tramadol, Codeiene, Cannabis.</p><p><strong>Main outcome measure(s): </strong>Skoochies and its components induced testicular and sperm damage via increased generation of reactive oxygen species and impairment of glutathione system in rats.</p><p><strong>Result(s): </strong>Skoochies increased reactive oxygen species generation and impaired the antioxidant system resulting in inflammation that eventually damaged the testicular tissue. Skoochies caused oxidoinflammatory injury to this tissue, leading to impaired testicular function. This was evident by the distorted cytoarchitecture, reduced sperm count and motility, and impaired testicular deoxyribonucleic acid integrity.</p><p><strong>Conclusion(s): </strong>Thus, our results infer that skoochies impaired the testicular and sperm function through the increased generation of reactive oxygen species and impairment of the glutathione system.</p>","PeriodicalId":73012,"journal":{"name":"F&S science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141617716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Coenzyme Q-10 reduced the aberrant production of extracellular matrix proteins in uterine leiomyomas through transforming growth factor beta 3. 辅酶Q-10可通过转化生长因子β3减少子宫肌瘤细胞外基质蛋白的异常生成。
Pub Date : 2024-07-14 DOI: 10.1016/j.xfss.2024.07.004
Charlene Echague, Minnie Malik, Paul Driggers, William H Catherino

Objective: To evaluate the impact of coenzyme Q-10 (CoQ-10) on the dysregulated synthesis of extracellular matrix proteins mediated by transforming growth factor beta 3 (TGF-β3) in uterine leiomyomas.

Design: Laboratory study.

Setting: University.

Patients: None.

Interventions: Treatment of immortalized uterine myometrial and leiomyoma cells to TGF-β3 and CoQ-10.

Main outcome measures: The protein concentrations of collagen 1A1 (COL1A1), collagen 3A1 (COL3A1), collagen 11A1 (COL11A1), and fibronectin (FN1) were assessed through western blot analysis after treatment of immortalized uterine myometrial and leiomyoma cells with both transforming growth factor beta (TGF-β) 3 and concentrations of CoQ-10 at 10, 50, and 100 μM concurrently for 24 hours.

Results: Immortalized uterine leiomyoma and myometrial cells exposed to TGF-β3 for 24 hours demonstrated a significant up-regulation of COL1A1, COL3A1, COL11A1, and FN1 compared with untreated cells. In leiomyoma cells, concurrent treatment with CoQ-10 over the same timeframe revealed a dose-dependent decrease in these protein concentrations compared with those in cells treated with TGF-β3 alone. At the highest concentration of 100 μM of CoQ-10, significant decreases in the amounts of COL1A1 (0.59 ± 0.10-fold), COL3A1 (0.46 ± 0.09-fold), COL11A1 (0.53 ± 0.09-fold), and FN1 (0.56 ± 0.09-fold) were observed. Similarly, myometrial cells exposed to both TGF-β3 and CoQ-10 demonstrated a dose-responsive decline in the amount of extracellular matrix protein compared with cells exposed to TGF-β3 alone. Significant reductions in the amounts of COL1A1 (0.75 ± 0.03-fold), COL3A1 (0.48 ± 0.06-fold), COL11A1 (0.38 ± 0.06), and FN1 (0.69 ± 0.04-fold) were appreciated at 100-μM CoQ-10.

Conclusion: Coenzyme Q-10 mitigated the aberrant production of key biomarkers of the extracellular matrix mediated by TGF-β3 in uterine leiomyomas. Our findings highlight a promising nonhormonal compound that can counteract the fibroproliferative process inherent to leiomyomas.

目的评估辅酶Q-10(CoQ-10)对子宫肌瘤中由转化生长因子β3(TGF-ß3)介导的细胞外基质蛋白合成失调的影响 设计: 实验室研究 对象: 无无用TGF-ß3和CoQ-10处理永生化子宫肌瘤和子宫肌瘤细胞:用TGF-ß3和浓度为10、50和100 μM的CoQ-10同时处理永生子宫肌瘤和子宫肌瘤细胞24小时后,通过Western印迹分析评估胶原1A1 (COL1A1)、胶原3A1 (COL3A1)、胶原11A1 (COL11A1)和纤连蛋白(FN1)的蛋白质浓度:结果:与未处理的细胞相比,暴露于 TGF-ß3 24 小时的永生化子宫肌瘤和子宫肌细胞显示出 COL1A1、COL3A1、COL11A1 和 FN1 的显著上调。与单独使用 TGF-ß3 处理的细胞相比,在相同时间内同时使用 CoQ-10 处理子宫肌瘤细胞时,这些蛋白质浓度会出现剂量依赖性下降。在 100 μM CoQ-10 的最高浓度下,观察到 COL1A1(0.59 + 0.10 倍,P = 0.03)、COL3A1(0.46 + 0.09 倍,P = 0.002)、COL11A1(0.53 + 0.09 倍,P = 0.01)和 FN1(0.56 + 0.09 倍,P = 0.002)的含量显著下降。同样,与单独暴露于 TGF-ß3 的细胞相比,同时暴露于 TGF-ß3 和 CoQ-10 的子宫肌细胞表现出细胞外基质蛋白量的剂量反应性下降。当 CoQ-10 浓度为 100 μM 时,COL1A1(0.75 + 0.03 倍,P = 0.03)、COL3A1(0.48 + 0.06 倍,P = 0.04)、COL11A1(0.38 + 0.06,P = 0.003)和 FN1(0.69 + 0.04 倍,P = 0.006)的含量显著减少:结论:CoQ-10能缓解TGF-ß3介导的子宫肌瘤细胞外基质关键生物标志物的异常生成。我们的研究结果表明,CoQ-10是一种很有前景的非激素化合物,它能对抗子宫肌瘤固有的纤维增生过程。
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引用次数: 0
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