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A novel sorting method for the enrichment of early human spermatocytes from clinical biopsies 从临床活检样本中富集人类早期精母细胞的新型分选方法。
Pub Date : 2024-05-01 DOI: 10.1016/j.xfss.2024.02.002
Meghan Robinson B.Sc. , Kevin Zhou B.Sc. , Sonia H.Y. Kung M.Sc. , Fatih Karaoğlanoğlu M.Sc. , Andrew Golin M.D. , Armita Safa M.Sc. , Charley Cai B.Sc. , Luke Witherspoon M.D. , Faraz Hach Ph.D. , Ryan Flannigan M.D.

Objective

To determine if early spermatocytes can be enriched from a human testis biopsy using fluorescence-activated cell sorting (FACS).

Design

Potential surface markers for early spermatocytes were identified using bioinformatics analysis of single-cell RNA–sequenced human testis tissue. Testicular sperm extraction samples from three participants with normal spermatogenesis were digested into single-cell suspensions and cryopreserved. Two to four million cells were obtained from each and sorted by FACS as separate biologic replicates using antibodies for the identified surface markers. A portion from each biopsy remained unsorted to serve as controls. The sorted cells were then characterized for enrichment of early spermatocytes.

Setting

A laboratory study.

Patients

Three men with a diagnosis of obstructive azoospermia (age range, 30–40 years).

Intervention

None.

Main Outcome Measures

Sorted cells were characterized for RNA expression of markers encompassing the stages of spermatogenesis. Sorting markers were validated by their reactivity on human testis formalin-fixed paraffin-embedded tissue.

Results

Serine protease 50 (TSP50) and SWI5-dependent homologous recombination repair protein 1 were identified as potential surface proteins specific for early spermatocytes. After FACS sorting, the TSP50-sorted populations accounted for 1.6%–8.9% of total populations and exhibited the greatest average-fold increases in RNA expression for the premeiotic marker stimulated by retinoic acid (STRA8), by 23-fold. Immunohistochemistry showed the staining pattern for TSP50 to be strong in premeiotic undifferentiated embryonic cell transcription factor 1/doublesex and Mab-3 related transcription factor 1/STRA8+ spermatogonia as well as SYCP3+/protamine 2 spermatocytes.

Conclusion

This work shows that TSP50 can be used to enrich early STRA8-expressing spermatocytes from human testicular biopsies, providing a means for targeted single-cell RNA sequencing analysis and in vitro functional interrogation of germ cells during the onset of meiosis. This could enable investigation into details of the regulatory pathways underlying this critical stage of spermatogenesis, previously difficult to enrich from whole tissue samples.

目的确定能否利用荧光激活细胞分拣技术(FACS)从人类睾丸活检组织中筛选出早期精母细胞:设计:通过对单细胞 RNA 测序(scRNAseq)人类睾丸组织进行生物信息学分析,确定早期精母细胞的潜在表面标志物。将 3 名精子发生正常的参与者的睾丸精子提取(TESE)样本消化成单细胞悬浮液并冷冻保存。从每个样本中提取 200-400 万个细胞,并使用针对已确定表面标记物的抗体进行 FACS 分选,作为单独的生物重复。每份活检样本中仍有一部分细胞未分选,作为对照。然后对分选的细胞进行表征,以富集早期精母细胞:实验室研究:干预措施:无:干预措施:无:主要结果测量:对分选的细胞进行特征描述,以确定精子发生各阶段标记物的 RNA 表达。通过对人类睾丸福尔马林固定石蜡包埋(FFPE)组织的反应验证分选标记物:结果:丝氨酸蛋白酶50(TSP50)和SWI5依赖性同源重组修复蛋白1(SFR1)被鉴定为早期精母细胞的潜在特异性表面蛋白。经 FACS 分选后,TSP50 分选群体占总群体的 1.6-8.9%,其减数分裂前标记物维甲酸刺激(STRA8)的 RNA 表达平均增加了 23 倍。免疫组化显示,TSP50在减数分裂前期未分化胚胎细胞转录因子1(UTF1)-/双性和Mab-3相关转录因子1(DMRT1)-/STRA8+精原细胞以及SYCP3+/Protamine 2(PRM2)-精母细胞中的染色模式很强:这项研究表明,TSP50可用于从人类睾丸活检组织中富集早期表达STRA8的精母细胞,为减数分裂开始阶段的定向scRNAseq分析和生殖细胞体外功能检测提供了一种方法。这将有助于研究精子发生这一关键阶段的调控通路细节,以前很难从整个组织样本中进行富集。
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引用次数: 0
Proteomic analysis of human sperm reveals changes in protamine 1 phosphorylation in men with infertility 人类精子的蛋白质组分析揭示了不育症男性体内原胺 1 磷酸化的变化
Pub Date : 2024-05-01 DOI: 10.1016/j.xfss.2023.12.002
Samantha B. Schon M.D. , Lindsay Moritz Ph.D. , Mashiat Rabbani B.S. , Julia Meguid , Brock R. Juliano Ph.D. , Brandon T. Ruotolo Ph.D. , Kenneth Aston Ph.D. , Saher Sue Hammoud Ph.D.

Objective

To perform a comprehensive assessment of protamine (P) isoforms and modifications in human sperm with the aim of identifying how P modifications and isoforms are altered in men with reduced sperm motility and low sperm count.

Design

Cross-sectional.

Setting

Academic medical center.

Patients

A total of 18 men with prior reported pregnancy and normozoospermia (normal sperm), 14 men from couples with infertility and asthenozoospermia (reduced sperm motility), and 24 men from couples with infertility and oligoasthenoteratozoospermia (low sperm count and motility and abnormal sperm morphology).

Intervention(s)

Not applicable.

Main Outcome Measure(s)

Proteomic assessment using both top-down and bottom-up liquid chromatography mass spectrometry (MS) analysis.

Results

A total of 13 posttranslational modifications were identified on P1 and P2 using bottom-up MS, including both phosphorylation and methylation. Top-down MS revealed an unmodified and phosphorylated isoform of P1 and the 3 major isoforms of P2, HP2, HP3, and HP4. Protamine 1 phosphorylation was overall higher in men with male factor infertility compared with those with normal semen analysis (40.5% vs. 32.6). There was no difference in P posttranslational modifications or isoforms of P2 in men with normal vs. abnormal fertility.

Conclusion

Human protamines bear a number of posttranslational modifications, with alterations in P1 phosphorylation noted in the setting of male factor infertility.

目的对人类精子中的质胺(P)同工酶和修饰进行全面评估,以确定精子活力降低和精子数量少的男性精子中的质胺修饰和同工酶是如何改变的。患者共有 18 名曾报告怀孕且患有正常精子症(正常精子)的男性、14 名不育夫妇中患有无精子症(精子活力降低)的男性以及 24 名不育夫妇中患有少精子症(精子数量少、活力低且精子形态异常)的男性。干预措施:不适用。主要结果测量指标:采用自上而下和自下而上的液相色谱质谱分析进行蛋白质组学评估。结果:采用自下而上的质谱分析在 P1 和 P2 上共发现 13 种翻译后修饰,包括磷酸化和甲基化。自上而下质谱分析发现了 P1 的未修饰和磷酸化同工型以及 P2 的 3 种主要同工型:HP2、HP3 和 HP4。与精液分析正常的男性相比,患有男性因素不育症的男性的原胺1磷酸化率总体较高(40.5% 对 32.6%)。结论人类原胺具有多种翻译后修饰,在男性因素不育的情况下,P1 磷酸化会发生改变。
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引用次数: 0
Comparison of salpingectomy and tubal detorsion procedures after experimental ischemia-reperfusion injury in a rat fallopian tube model: biochemical and histopathological evaluation 大鼠输卵管模型实验性缺血再灌注损伤后输卵管切除术和输卵管剥离术的比较;生化和组织病理学评估。
Pub Date : 2024-05-01 DOI: 10.1016/j.xfss.2024.03.003
Gizem Nur Koyan Karadeniz M.D. , Ozan Karadeniz M.D. , Eralp Bulutlar M.D. , Bugra Yilmaz M.D. , Asuman Gedikbasi M.D. , Hilal Serap Arslan M.D. , Berna Aslan Cetin M.D. , İbrahim Polat M.D.

Objective

To compare salpingectomy and detorsion procedures and investigate the biochemical and histopathological changes in the fallopian tubes in the experimentally isolated fallopian tube torsion model in rats.

Design

Experimental study.

Setting

Experimental surgery laboratory in a training and research hospital.

Animal(s)

Twenty-seven Sprague-Dawley rats in the reproductive period.

Intervention(s)

Group 1, control group (n = 6); group 2, bilateral total salpingectomy group after 4 hours of tubal ischemia (n = 7); group 3: 4 hours of bilateral tubal ischemia plus 1 week of reperfusion (n = 7); and group 4, 4-hour period of bilateral tubal ischemia plus 30 days of reperfusion (n = 7). A 22-gauge catheter was administered before and after surgery using methylene blue through the uterine horn of the rat to evaluate tubal patency.

Main Outcome Measure(s)

Preoperative and postoperative serum antimüllerian hormone (AMH) levels, histopathological examination of the rat tuba uterine and histopathological damage scores, antioxidant compounds (superoxide dismutase [SOD], catalase, and glutathione peroxidase [GSH-Px]), and oxidative stress end product levels (malondialdehyde [MDA] and 8-hydroxy-2′-deoxyguanosine [8-OHdG]).

Result(s)

Although a significant difference was observed in the tissue SOD, GSH-Px, MDA, and 8-OHdG values, no significant difference was observed between the groups in serum samples. The tissue SOD and tissue GSH-Px levels in group 2 significantly decreased, and a significant increase was observed in the tissue MDA and 8-OHdG values in group 2. Among the histopathological parameters, epithelial changes, vascular congestion, and the total fallopian tube mean damage score of 4 showed a significant decrease in group 4. When the methylene blue transitions before and after ischemia-reperfusion injury were compared, the values of the methylene blue transition after ischemia-reperfusion injury in groups 2–4 significantly decreased. When the serum AMH levels were analyzed, the postoperative AMH value in group 2 significantly increased.

Conclusion(s)

This study reveals that biochemical and histopathological improvement is observed in the fallopian tube tissues gradually when the detorsion procedure is performed for the necrotized tubal tissue instead of salpingectomy. Although there is restoration of epithelial integrity after reperfusion, tubal passage remains absent.

Clinical Trial Registration Number

This study was approved by the Local Ethics Committee for Animal Experiments of the Health Sciences University, Istanbul Hamidiye Medicine Faculty (approval number 27.05.2022-9269). The study followed the ethics standards recommended by the Declaration of Helsinki.

目的比较输卵管切除术和输卵管剥离术,研究实验性分离输卵管扭转模型大鼠输卵管的生化和组织病理学变化。干预措施第1组,对照组(n = 6);第2组,输卵管缺血4小时后双侧输卵管全切除组(n = 7);第3组:双侧输卵管缺血4小时加再灌注1周(n = 7);第4组:双侧输卵管缺血4小时加再灌注30天(n = 7)。手术前后使用亚甲蓝通过大鼠子宫角插入 22 号导管,以评估输卵管的通畅性。主要结果指标:术前和术后血清抗苗勒氏管激素(AMH)水平、大鼠输卵管子宫组织病理学检查和组织病理学损伤评分、抗氧化化合物(超氧化物歧化酶[SOD]、过氧化氢酶和谷胱甘肽过氧化物酶[GSH-Px])和氧化应激终产物水平(丙二醛[MDA]和 8-羟基-2′-脱氧鸟苷[8-OHdG])。结果 虽然在组织 SOD、GSH-Px、MDA 和 8-OHdG 值上观察到了显著差异,但在血清样本中未观察到组间的显著差异。第 2 组的组织 SOD 和组织 GSH-Px 水平明显降低,而组织 MDA 和 8-OHdG 值则明显升高。比较缺血再灌注损伤前后的亚甲蓝转阴值,2-4 组缺血再灌注损伤后的亚甲蓝转阴值明显下降。结论:本研究表明,对坏死的输卵管组织进行疏通术而非输卵管切除术,可逐渐改善输卵管组织的生化和组织病理学状况。虽然再灌注后上皮的完整性得到了恢复,但输卵管通道仍然缺失。临床试验注册号本研究获得了伊斯坦布尔哈米迪耶医学院健康科学大学当地动物实验伦理委员会的批准(批准号 27.05.2022-9269)。该研究遵循了《赫尔辛基宣言》推荐的伦理标准。
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引用次数: 0
Effects of maternal taxane chemotherapy exposure on daughters’ ovarian reserve and fertility potential 母亲接受紫杉类药物化疗对女儿卵巢储备和生育能力的影响
Pub Date : 2024-05-01 DOI: 10.1016/j.xfss.2023.10.003
Julienne Chaqour B.S. , Meghan C.H. Ozcan M.D. , Payton De La Cruz M.S. , Morgan F. Woodman-Sousa B.S. , Julia N. McAdams B.S. , Kathryn J. Grive Ph.D.

Objective

To investigate the long-term effects of in utero taxane exposure on exposed daughters’ ovarian reserve and reproductive potential.

Design

Pregnant dams were treated with a single, human-relevant animal-equivalent dose of saline, docetaxel, or paclitaxel at embryonic day 16.5. In utero-exposed daughters were aged to multiple postnatal time points for ovarian and endocrine analysis or were bred to assess fertility and fecundity. Granddaughters of treated dams were assessed also for ovarian follicle composition and atresia.

Setting

Laboratory study.

Animals

C57BL/6 mice.

Intervention(s)

In utero exposure to saline, docetaxel, or paclitaxel.

Main Outcome Measure(s)

Ovarian follicle composition, rates of follicle atresia, and rates of multioocyte follicles were analyzed in all exposure groups. Serum hormone levels and oocyte retrieval outcomes following ovarian hyperstimulation were also assessed. Finally, animals from all exposure groups were bred with the number of litters, pups per litter, live births, interlitter time interval, and age at the last litter analyzed.

Result(s)

We found that docetaxel and paclitaxel exposure in utero results in ovarian toxicity later in life, significantly affecting folliculogenesis as well as increasing the rate of follicular abnormalities, including follicle atresia and multioocyte follicles. Furthermore, viability staining indicates that the ovaries of daughters exposed to taxanes in utero demonstrate a significantly higher number of terminal deoxynucleotidyl transferase dUTP nick end labeling-positive follicles. Hormone measurements also revealed that serum follicle-stimulating hormone concentration was significantly altered in taxane-exposed daughters, with the ratio of luteinizing hormone to follicle-stimulating hormone significantly elevated, specifically after paclitaxel exposure, coincident with the inability of these animals to properly respond to ovarian stimulation. Breeding studies over the course of a year also suggest that these taxane-exposed mice are fertile, although the duration of their fertility is shortened and they produce significantly fewer litters. Finally, ovarian effects are apparent in granddaughters of mice treated with docetaxel, suggesting persistent and multigenerational effects of taxane exposure.

Conclusion(s)

Our studies demonstrate that in utero exposure to taxane-based therapy during late gestation has a significant effect on the long-term reproductive health of exposed daughters (as well as their daughters) and will be instrumental in helping clinicians better understand which chemotherapies for maternal malignancy are least detrimental to a developing fetus.

目的研究子宫内暴露于紫杉类药物对暴露女儿的卵巢储备和生殖潜能的长期影响。设计在胚胎第16.5天对怀孕母鼠进行单次人类相关动物等效剂量的生理盐水、多西他赛或紫杉醇治疗。子宫内暴露的女儿在出生后的多个时间点进行卵巢和内分泌分析,或进行繁殖以评估生育能力。干预措施子宫内暴露于生理盐水、多西他赛或紫杉醇。主要结果测量指标分析所有暴露组的卵泡组成、卵泡闭锁率和多卵泡率。此外,还评估了血清激素水平和卵巢过度刺激后的卵母细胞检索结果。最后,对所有暴露组的动物进行了繁殖,并分析了产仔数、每窝产仔数、活产仔数、产仔间隔时间和最后一窝产仔年龄。此外,存活率染色显示,在子宫内接触过紫杉类药物的女儿的卵巢中,末端脱氧核苷酸转移酶 dUTP 缺口标记阳性卵泡的数量明显增多。激素测定结果还显示,暴露于紫杉类药物的女儿的血清卵泡刺激素浓度发生了显著变化,尤其是在暴露于紫杉醇后,黄体生成素与卵泡刺激素的比率明显升高,这与这些动物无法对卵巢刺激做出适当反应的情况相吻合。为期一年的繁殖研究也表明,这些暴露于紫杉醇的小鼠具有生育能力,但生育期缩短,产仔数明显减少。最后,卵巢效应在接受多西他赛治疗的小鼠的孙女身上也很明显,这表明暴露于紫杉类药物会产生持续的多代效应。 结论:我们的研究表明,在妊娠晚期子宫内暴露于紫杉类药物治疗会对暴露女儿(以及它们的女儿)的长期生殖健康产生重大影响,这将有助于临床医生更好地了解哪种母体恶性肿瘤化疗对发育中的胎儿危害最小。
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引用次数: 0
Effects of melatonin and metformin on the ovaries of rats with polycystic ovary syndrome 褪黑素和二甲双胍对多囊卵巢综合征大鼠卵巢的影响
Pub Date : 2024-05-01 DOI: 10.1016/j.xfss.2024.03.001
Leonardo Augusto Lombardi Ph.D. , Leandro Sabará Mattos M.Sc. , Ana Paula Espindula Ph.D. , Ricardo Santos Simões Ph.D. , Gisela Rodrigues da Silva Sasso Ph.D. , Manuel de Jesus Simões Ph.D. , José Maria Soares-Jr Ph.D. , Rinaldo Florencio-Silva Ph.D.

Objective

To study the combined and isolated effects of melatonin and metformin in the ovarian tissue of rats with PCOS.

Design

Experimental study using a rat model of PCOS induced by continuous light exposure.

Intervention(s)

Forty adult female rats were divided into 5 groups: physiological estrus phase (Sham); permanente estrus with PCOS induced by continuous lighting exposure for 60 consecutive days (control); with PCOS treated with melatonin; with PCOS treated with metformin; with PCOS treated with melatonin + metformin. After 60 days of treatments, all rats were killed, and ovaries were collected and processed for paraffin-embedding. Formalin-fixed paraffin-embedded sections were stained with hematoxylin and eosin or subjected to immunohistochemistry for proliferation (Ki-67) and apoptosis (cleaved caspase 3) detection markers.

Setting

Federal University of São Paulo, Brazil.

Animals

Forty adult female Wistar rats (Rattus norvegicus albinus).

Main Outcome Measure(s)

Number of corpus luteum and ovarian cysts, number of ovarian follicles (primary and antral follicles), number of interstitial cells, percentage of ovarian follicles (primary and antral follicles), and of interstitial cells immunostained to cleaved caspase-3 and Ki-67.

Results

Absence of corpus luteum, a higher number of cysts, and increased nuclear volume and area of interstitial cells, along with a decrease in primary and antral follicle numbers, were noticed in the control group compared with the Sham group. Melatonin and metformin treatments attenuated these effects, although the combined treatment did not mitigate the increased number of cysts and ovaries induced by PCOS. An increase in theca interna cell apoptosis was observed in the control group, whereas melatonina and metformin treatments reduced it significantly. A higher percentage of caspase-3-immunostained granulosa cells was noted in the Sham and all treated groups compared with the control group; no aditive effects on ovarian cell apoptosis were observed in the combined treatment. The percentage of Ki-67- immunostained granulosa cells was significantly higher in the control group compared with the Sham group. However, the combined treatment, not melatonin and metformin alone, mitigated this effect. A higher percentage of Ki-67-immunostained interstitial cells was observed in all treated groups compared with the Sham and control groups, whereas no additive effects in that immunoreactivity were observed in the combined treatment.

Conclusions

Melatonin and metformin may improve ovarian function in rats with PCOS. The combined melatonin and metformin treatment is more effective in attenuating excessive granulosa cell proliferation, but it is not more effective in improving ovarian function than these drugs applied alone in

目的研究褪黑素和二甲双胍对多囊卵巢综合征大鼠卵巢组织的联合和单独作用:将40只成年雌性大鼠分为5组:生理性发情期(Sham);连续60天持续光照诱导的PCOS永久性发情期(Control);褪黑素治疗PCOS;二甲双胍治疗PCOS;褪黑素+二甲双胍治疗PCOS。治疗 60 天后,对所有大鼠实施安乐死,收集卵巢并进行石蜡包埋处理。经福尔马林固定的石蜡包埋切片用苏木精/伊红染色,或用免疫组化法检测增殖(Ki-67)和凋亡(裂解-天冬酶 3)标记物:结果:与Sham组相比,对照组发现黄体缺失,囊肿数量增加,间质细胞核体积和面积增大,原发卵泡和前卵泡数量减少。褪黑素和二甲双胍治疗可减轻这些影响,但联合治疗并不能减轻多囊卵巢综合征引起的囊肿/卵巢数量的增加。对照组中观察到卵巢间质细胞凋亡增加,而褪黑素和二甲双胍治疗则显著减少了这一现象。与对照组相比,SHAM组和所有治疗组中Caspase-3免疫染色的颗粒细胞比例更高;在联合治疗中未观察到对卵巢细胞凋亡的叠加效应。与 Sham 组相比,对照组 Ki-67 免疫染色颗粒细胞的百分比明显升高。然而,联合治疗(而非单独使用褪黑素和二甲双胍)减轻了这种影响。与Sham组和对照组相比,所有治疗组均观察到较高比例的Ki-67免疫染色间质细胞,而在联合治疗中未观察到该免疫反应的叠加效应:结论:褪黑素和二甲双胍可改善多囊卵巢综合征大鼠的卵巢功能。结论:褪黑素和二甲双胍可改善多囊卵巢综合征大鼠的卵巢功能,褪黑素/二甲双胍联合治疗在抑制颗粒细胞过度增殖方面更有效,但在改善卵巢功能方面并不比单独使用这两种药物更有效。
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引用次数: 0
The impact of follicular fluid phthalate metabolites on the ovarian reserve and ovarian function in Indian women undergoing intracytoplasmic sperm injection 卵泡液中邻苯二甲酸盐代谢物对接受卵胞浆内单精子注射的印度妇女卵巢储备和卵巢功能的影响。
Pub Date : 2024-05-01 DOI: 10.1016/j.xfss.2023.11.001
Firuza Rajesh Parikh M.D., Ph.D. , Shonali Uttamchandani B.Sc. , Sujatha Sawkar M.D. , Madhavi Panpalia M.S. , Nandkishor Naik B.Sc. , Prachi Sinkar M.D. , Dhananjaya Kulkarni Ph.D. , Rajesh Parikh M.D.

Objective

To investigate the adverse effects of phthalate-induced ovarian toxicity on the ovarian reserve and ovarian function. To assess whether the accumulation of higher levels of selected phthalate metabolites in the follicular fluid (FF) of Indian women undergoing intracytoplasmic sperm injection (ICSI) was associated with a decline in their antral follicle count (AFC) and/or serum antimüllerian hormone (AMH) levels, suggesting a negative impact on the ovarian reserve. To evaluate the effects of follicular phthalate metabolites on peak serum estradiol (E2) levels and the total number of oocytes and mature metaphase II (MII) stage oocytes retrieved to assess the impact of phthalate toxicity on ovarian function.

Design

A subanalysis of an ongoing prospective cohort study was conducted to examine the association between the levels of six phthalate metabolites, namely, mono-n-butyl phthalate (MBP), mono-ethyl phthalate (MEP), mono-isononyl phthalate (MiNP), mono-isodecyl phthalate (MiDP), mono(2-ethyl-5-oxohexyl) phthalate, and mono(2-ethyl-5-hydroxyhexyl) phthalate, in the FF of Indian women undergoing ICSI and their ovarian reserve markers (AFC and serum AMH levels). To investigate the association of these follicular phthalate metabolite levels with the peak E2 levels and the total number of oocytes and number of MII stage oocytes retrieved.

Setting

In vitro fertilization center in a referral hospital in India.

Patient(s)

A total of 245 consenting Indian women who had undergone oocyte retrieval between April 2017 and mid-March 2020 were included. Each woman contributed one FF sample to the study. This was screened for six phthalate metabolites. The samples were collected before the coronavirus disease 2019 pandemic.

Intervention(s)

Using liquid chromatography-tandem mass spectrometry, the total levels of six phthalate metabolites were quantified in the FF of 245 women. Using linear regression models that were unadjusted and adjusted for maternal age and body mass index (BMI), we evaluated the association between the follicular metabolites in these women and their AFC, serum AMH levels, peak E2 levels, total number of oocytes, and MII stage oocytes.

Main Outcome Measure(s)

To evaluate the impact of phthalate-induced ovarian toxicity on the ovarian reserve and ovarian function in Indian women undergoing ICSI by studying their accumulated levels in their FF.

Result(s)

For MiNP (a metabolite of di-isononyl phthalate), in linear regression models adjusted for age and BMI, we found that with increasing quartiles of follicular MiNP, there was a significant trend in the decrease in mean AFC (P-trend = 0.023) and a sugge

目的:研究邻苯二甲酸盐诱发的卵巢毒性对卵巢储备和卵巢功能的不良影响:研究邻苯二甲酸盐诱导的卵巢毒性对卵巢储备和卵巢功能的不利影响。评估接受卵胞浆内单精子显微注射(ICSI)的印度妇女的卵泡液(FF)中某些邻苯二甲酸酯代谢物水平的升高是否与前卵泡计数(AFC)和/或血清抗苗勒氏管激素(AMH)水平的下降有关,从而对卵巢储备功能产生负面影响。目的:评估卵泡中邻苯二甲酸酯代谢物对血清雌二醇(E2)峰值水平、取回的卵母细胞总数和成熟分裂期II(MII)期卵母细胞数的影响,以评估邻苯二甲酸酯毒性对卵巢功能的影响:研究发现,接受卵巢综合征卵巢囊肿综合征(ICSI)治疗的印度妇女的卵巢囊肿及其卵巢储备标志物(AFC 和血清 AMH 水平)与这些卵泡酸单正丁酯(MBP)、邻苯二甲酸单乙酯(MEP)、邻苯二甲酸单异壬酯(MiNP)、邻苯二甲酸单异癸酯(MiDP)、邻苯二甲酸单(2-乙基-5-氧代己基)酯和邻苯二甲酸单(2-乙基-5-羟基己基)酯有关联。研究这些卵泡邻苯二甲酸酯代谢物水平与E2峰值水平、取回的卵母细胞总数和MII期卵母细胞数的关系:印度一家转诊医院的体外受精中心:共纳入了 245 名在 2017 年 4 月至 2020 年 3 月中旬期间同意接受卵母细胞取样的印度女性。每名妇女为研究提供一份 FF 样本。该样本接受了六种邻苯二甲酸酯代谢物的筛查。这些样本是在2019年冠状病毒疾病大流行之前采集的:采用液相色谱-串联质谱法,对 245 名妇女的 FF 中六种邻苯二甲酸酯代谢物的总含量进行了量化。通过线性回归模型,我们评估了这些女性的卵泡代谢物与其AFC、血清AMH水平、E2峰值水平、卵母细胞总数和MII期卵母细胞之间的关系:主要结果测量指标:通过研究FF中的累积水平,评估邻苯二甲酸盐诱导的卵巢毒性对接受ICSI的印度妇女的卵巢储备和卵巢功能的影响:就 MiNP(邻苯二甲酸二异壬酯的代谢产物)而言,在根据年龄和体重指数调整后的线性回归模型中,我们发现随着卵泡 MiNP 四分位数的增加,平均 AFC 呈显著下降趋势(P-trend = 0.023),平均血清 AMH 水平呈提示性下降趋势(P-trend = 0.077)。对于 MiDP(邻苯二甲酸二异癸酯的代谢产物),在未调整的回归模型中,我们发现随着卵泡 MiDP 四分位数的增加,平均血清 AMH 水平呈显著下降趋势(P-trend = 0.045)。对于 MBP(邻苯二甲酸二丁酯的代谢产物),在根据年龄和体重指数调整后的线性回归模型中,我们发现随着卵泡 MBP 四分位数的增加,取卵总卵母细胞的平均数量呈显著下降趋势(P-trend = 0.003),取卵 MII 阶段卵母细胞的平均数量呈显著下降趋势(P-trend = 0.003),E2 峰值的平均水平呈显著下降趋势(P-trend = 0.016)。尽管我们发现,随着卵泡单(2-乙基-5-氧代己基)邻苯二甲酸酯四分位数的增加,总卵母细胞和 MII 期卵母细胞的平均取卵数减少,卵泡 MEP 水平越高与平均 AFC 和血清 AMH 水平呈负相关,但这两种趋势均无统计学意义。我们还发现,虽然卵泡 MEP 水平未显示出对卵巢功能的不利影响,但卵泡单(2-乙基-5-羟基己基)邻苯二甲酸酯水平也未显示出对卵巢储备和功能的不利影响:在这项对 245 名印度妇女进行的研究中,MiNP 和 MiDP 的累积 FF 水平较高与 AFC 和血清 AMH 水平呈负相关,表明对卵巢储备功能有不利影响。MBP的累积FF水平较高与卵母细胞总数、MII期卵母细胞和E2峰值呈负相关,表明对卵巢功能有负面影响。尽管我们发现邻苯二甲酸盐诱导的卵巢毒性对选定的邻苯二甲酸盐代谢物具有统计学意义,但不能排除多种邻苯二甲酸盐在卵巢微环境中的累积效应的作用,这需要进一步研究。
{"title":"The impact of follicular fluid phthalate metabolites on the ovarian reserve and ovarian function in Indian women undergoing intracytoplasmic sperm injection","authors":"Firuza Rajesh Parikh M.D., Ph.D. ,&nbsp;Shonali Uttamchandani B.Sc. ,&nbsp;Sujatha Sawkar M.D. ,&nbsp;Madhavi Panpalia M.S. ,&nbsp;Nandkishor Naik B.Sc. ,&nbsp;Prachi Sinkar M.D. ,&nbsp;Dhananjaya Kulkarni Ph.D. ,&nbsp;Rajesh Parikh M.D.","doi":"10.1016/j.xfss.2023.11.001","DOIUrl":"10.1016/j.xfss.2023.11.001","url":null,"abstract":"<div><h3>Objective</h3><p><span><span>To investigate the adverse effects of phthalate-induced ovarian toxicity on the ovarian reserve<span> and ovarian function<span><span>. To assess whether the accumulation of higher levels of selected phthalate metabolites in the follicular fluid (FF) of Indian women undergoing </span>intracytoplasmic sperm injection (ICSI) was associated with a decline in their </span></span></span>antral follicle<span> count (AFC) and/or serum antimüllerian hormone (AMH) levels, suggesting a negative impact on the ovarian reserve. To evaluate the effects of follicular phthalate metabolites on peak serum estradiol (E</span></span><sub>2</sub>) levels and the total number of oocytes and mature metaphase II (MII) stage oocytes retrieved to assess the impact of phthalate toxicity on ovarian function.</p></div><div><h3>Design</h3><p><span>A subanalysis of an ongoing prospective cohort study was conducted to examine the association between the levels of six phthalate metabolites, namely, mono-n-butyl phthalate (MBP), mono-ethyl phthalate (MEP), mono-isononyl phthalate (MiNP), mono-isodecyl phthalate (MiDP), mono(2-ethyl-5-oxohexyl) phthalate, and mono(2-ethyl-5-hydroxyhexyl) phthalate, in the FF of Indian women undergoing ICSI and their ovarian reserve markers (AFC and serum AMH levels). To investigate the association of these follicular phthalate metabolite levels with the peak E</span><sub>2</sub> levels and the total number of oocytes and number of MII stage oocytes retrieved.</p></div><div><h3>Setting</h3><p>In vitro fertilization center in a referral hospital in India.</p></div><div><h3>Patient(s)</h3><p>A total of 245 consenting Indian women who had undergone oocyte retrieval<span> between April 2017 and mid-March 2020 were included. Each woman contributed one FF sample to the study. This was screened for six phthalate metabolites. The samples were collected before the coronavirus disease 2019 pandemic.</span></p></div><div><h3>Intervention(s)</h3><p><span>Using liquid chromatography-tandem mass spectrometry, the total levels of six phthalate metabolites were quantified in the FF of 245 women. Using linear regression<span> models that were unadjusted and adjusted for maternal age and body mass index (BMI), we evaluated the association between the follicular metabolites in these women and their AFC, serum AMH levels, peak E</span></span><sub>2</sub> levels, total number of oocytes, and MII stage oocytes.</p></div><div><h3>Main Outcome Measure(s)</h3><p>To evaluate the impact of phthalate-induced ovarian toxicity on the ovarian reserve and ovarian function in Indian women undergoing ICSI by studying their accumulated levels in their FF.</p></div><div><h3>Result(s)</h3><p>For MiNP (a metabolite of di-isononyl phthalate), in linear regression models adjusted for age and BMI, we found that with increasing quartiles of follicular MiNP, there was a significant trend in the decrease in mean AFC (<em>P-</em>trend = 0.023) and a sugge","PeriodicalId":73012,"journal":{"name":"F&S science","volume":"5 2","pages":"Pages 107-120"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139466967","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
Transcriptomic signature of luteinized cumulus cells of oocytes developing to live birth after women received intracytoplasmic sperm injection 妇女接受ICSI后卵细胞黄体化积云细胞发育到活产的转录组学特征。
Pub Date : 2024-02-01 DOI: 10.1016/j.xfss.2023.11.004
Maike K. Sachs M.D. , Sofia Makieva Ph.D. , Ana Velasco Gil , Min Xie Ph.D. , Fabian Ille Ph.D. , Vincent Salvadori , Meret Schmidhauser Ph.D. , Mara D. Saenz-de-Juano Ph.D. , Susanne E. Ulbrich Ph.D. , Brigitte Leeners M.D.

Objective

To compare the transcriptome of human cumulus cells (CCs) from oocytes with different outcomes (pregnancy yes/no, live birth [LB] yes/no), to identify noninvasive biomarkers for oocyte selection as well as new therapeutic targets to increase LB rates from assisted reproductive technologies (ART).

Design

Retrospective observational study.

Settings

This study was conducted at a University Hospital in Switzerland.

Patients

Subfertile couples undergoing controlled ovarian superstimulation and intracytoplasmic sperm injection with subsequent unbiopsied embryo transfer below the female age of 43 years.

Intervention(s)

RNA sequencing of CCs from oocytes results in a pregnancy, no pregnancy, LB, or no LB.

Main outcome Measures

Differential gene expression (DEG) between CCs of oocytes results in “no pregnancy” vs. “pregnancy” and “pregnancy only” vs. “live birth.”

Results

Although RNA sequencing did not reveal DEGs when comparing the transcriptomic profiles of the groups “no pregnancy” with “pregnancy,” we identified 139 DEGs by comparing “pregnancy only” with “live birth,” of which 28 belonged to clusters relevant to successful ART outcomes (i.e., CTGF, SERPINE2, PCK1, HHIP, HS3ST, and BIRC5). A functional enrichment analysis revealed that the transcriptome of CCs associated with LB depicts pathways of extracellular matrix, inflammatory cascades leading to ovulation, cell patterning, proliferation, and differentiation, and silencing pathways leading to apoptosis.

Conclusion

We identified a CCs transcriptomic profile associated with LB after embryo transfer that, after further validation, could serve to predict successful ART outcomes. The definition of relevant pathways of CCs related to oocyte competency contributes to a broader understanding of the cumulus oocyte complex and helps identify further therapeutic targets for improving ART success.

目的:比较不同结局(妊娠是/否,活产是/否)的卵母细胞中人类cumulus cells (CCs)的转录组,为辅助生殖技术(ART)提高活产率寻找无创的卵母细胞选择生物标志物和新的治疗靶点。设计:回顾性观察性研究。研究对象:43岁以下女性,接受控制卵巢超刺激和卵浆内单精子注射(ICSI)并随后进行未活检胚胎移植(ET)的低生育能力夫妇。干预措施:对来自卵母细胞的CCs进行RNA测序(RNA-seq),导致怀孕、未怀孕、活产和未活产。主要观察指标:导致A的卵母细胞cc之间的差异基因表达(DEG)“没有怀孕”与“怀孕”和B)“只怀孕”和“活产”。结果:虽然RNAseq在比较“未怀孕”组和“怀孕”组的转录组谱时没有显示deg,但我们通过比较“仅怀孕”组和“活产”组确定了139个deg,其中28个属于与ART成功结果相关的集群(即CTGF, SERPINE2, PCK1, hip, HS3ST, BIRC5)。功能富集分析显示,与活产相关的CCs转录组描述了细胞外基质、导致排卵的炎症级联反应、细胞模式、增殖和分化以及导致凋亡的沉默途径。结论:我们确定了与ET后活产相关的CCs转录组谱,经过进一步验证,可以用于预测ART成功的结果。定义与卵母细胞能力相关的CCs相关途径有助于更广泛地了解卵丘细胞复合体,从而确定进一步提高ART成功率的治疗靶点。
{"title":"Transcriptomic signature of luteinized cumulus cells of oocytes developing to live birth after women received intracytoplasmic sperm injection","authors":"Maike K. Sachs M.D. ,&nbsp;Sofia Makieva Ph.D. ,&nbsp;Ana Velasco Gil ,&nbsp;Min Xie Ph.D. ,&nbsp;Fabian Ille Ph.D. ,&nbsp;Vincent Salvadori ,&nbsp;Meret Schmidhauser Ph.D. ,&nbsp;Mara D. Saenz-de-Juano Ph.D. ,&nbsp;Susanne E. Ulbrich Ph.D. ,&nbsp;Brigitte Leeners M.D.","doi":"10.1016/j.xfss.2023.11.004","DOIUrl":"10.1016/j.xfss.2023.11.004","url":null,"abstract":"<div><h3>Objective</h3><p><span>To compare the transcriptome of human </span>cumulus cells<span> (CCs) from oocytes with different outcomes (pregnancy yes/no, live birth<span> [LB] yes/no), to identify noninvasive biomarkers for oocyte selection as well as new therapeutic targets to increase LB rates from assisted reproductive technologies (ART).</span></span></p></div><div><h3>Design</h3><p>Retrospective observational study.</p></div><div><h3>Settings</h3><p>This study was conducted at a University Hospital in Switzerland.</p></div><div><h3>Patients</h3><p>Subfertile couples undergoing controlled ovarian superstimulation and intracytoplasmic sperm injection<span> with subsequent unbiopsied embryo transfer below the female age of 43 years.</span></p></div><div><h3>Intervention(s)</h3><p>RNA sequencing of CCs from oocytes results in a pregnancy, no pregnancy, LB, or no LB.</p></div><div><h3>Main outcome Measures</h3><p>Differential gene expression (DEG) between CCs of oocytes results in “no pregnancy” vs. “pregnancy” and “pregnancy only” vs. “live birth.”</p></div><div><h3>Results</h3><p><span>Although RNA sequencing did not reveal DEGs when comparing the transcriptomic profiles of the groups “no pregnancy” with “pregnancy,” we identified 139 DEGs by comparing “pregnancy only” with “live birth,” of which 28 belonged to clusters relevant to successful ART outcomes (i.e., </span><span><em>CTGF</em></span>, <span><em>SERPINE2</em></span>, <span><em>PCK1</em></span>, <em>HHIP</em>, <em>HS3ST</em>, and <em>BIRC5</em><span><span>). A functional enrichment analysis revealed that the transcriptome of CCs associated with LB depicts pathways of extracellular matrix, inflammatory cascades leading to </span>ovulation<span>, cell patterning, proliferation, and differentiation, and silencing pathways leading to apoptosis.</span></span></p></div><div><h3>Conclusion</h3><p>We identified a CCs transcriptomic profile associated with LB after embryo transfer that, after further validation, could serve to predict successful ART outcomes. The definition of relevant pathways of CCs related to oocyte competency contributes to a broader understanding of the cumulus oocyte complex and helps identify further therapeutic targets for improving ART success.</p></div>","PeriodicalId":73012,"journal":{"name":"F&S science","volume":"5 1","pages":"Pages 24-38"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464723","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
Redox reactions in vitrified-warmed ovary 玻璃化加热卵巢中的氧化还原反应。
Pub Date : 2024-02-01 DOI: 10.1016/j.xfss.2023.11.002
Atefe Rahimi D.V.M , Ali Shahriari Ph.D. , Farid Barati Ph.D.

Backgrounds

Ovary vitrification is a way for the preservation of fertility in women undergoing chemotherapy and for protecting the valuable or the endangered species. However, cryopreservation of complex tissues, which are composed of different cells and materials, encountered various challenges including oxidative stress damage.

Objectives

This study aimed to evaluate some oxidative stress indices in the vitrified bovine ovaries.

Methods

The pieces of the bovine ovarian cortex (1 × 1 × 1 mm3) were vitrified with final concentrations of ethylene glycol (25%) and glycerol (25%) and 0.5 M sucrose and then, after 48 h, were warmed with descending concentrations (0.5, 0.25, and 0.125 M) of sucrose. The ovaries were processed and some biochemical indicators of oxidative stresses were assayed.

Results

Total antioxidant capacity had a 45% decrease after vitrification (P<.0001). This reduction was associated with a 4 times increase in malondialdehyde (P=.0002) and a 53% decrease in superoxide dismutase (P=.0081). The levels of protein carbonyl in vitrified-warmed ovaries were less than in fresh ovaries (P=.0325). Regression analysis showed that the components of oxidative stress indices in vitrified tissues are different from those of fresh tissues.

Conclusion

An extensive alteration was seen in oxidant/antioxidant balance during vitrification.

背景:卵巢玻璃化是保存化疗妇女生育能力和保护珍贵或濒危物种的一种方法。然而,由不同细胞和材料组成的复杂组织的低温保存遇到了各种挑战,包括氧化应激损伤。目的:评价玻璃化牛卵巢的氧化应激指标。方法:用终浓度的乙二醇(25%)、甘油(25%)和0.5 M蔗糖玻璃化牛卵巢皮质片(1×1×1 mm3), 48 h后,用浓度下降的蔗糖(0.5、0.25和0.125 M)加热。对卵巢进行处理,测定氧化应激的生化指标。结果:玻璃化后总抗氧化能力降低45%(结论:玻璃化过程中氧化/抗氧化平衡发生了广泛的改变。
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引用次数: 0
A biomechanical assessment of tissue-engineered polymer neo-uteri after orthotopic implantation 组织工程聚合物新特异酵母在异位植入后的生物力学评估。
Pub Date : 2024-02-01 DOI: 10.1016/j.xfss.2023.12.005
Rachel C. Nordberg Ph.D. , Renata S. Magalhaes M.D., Ph.D. , Irene Cervelló Ph.D. , J.Koudy Williams D.V.M. , Anthony Atala M.D. , Elizabeth G. Loboa Ph.D.

Objective

To assess the in vivo biomechanical maturation of tissue-engineered neo-uteri that have previously supported live births in a rabbit model.

Design

Nonclinical animal study.

Setting

University-based research laboratory.

Animals

Eighteen adult female rabbits.

Intervention

Biodegradable poly-DL-lactide-co-glycolide-coated polyglycolic acid scaffolds seeded with autologous uterine-derived endometrial and myometrial cells. Nonseeded scaffolds and seeded, tissue-engineered neo-uteri were implanted into one uterine horn of rabbits for 1, 3, or 6 months, excised, and biomechanically assessed in comparison to native uterine tissue.

Main Outcome Measures

Tensile stress-relaxation testing, strain-to-failure testing, and viscoelastic modeling.

Results

By evaluating the biomechanical data with several viscoelastic models, it was revealed that tissue-engineered uteri were more mechanically robust than nonseeded scaffolds. For example, the 10% instantaneous stress of the tissue-engineered neo-uteri was 2.1 times higher than the nonseeded scaffolds at the 1-month time point, 1.6 times higher at the 3-month time point, and 1.5 times higher at the 6-month time point. Additionally, as the duration of implantation increased, the engineered constructs became more mechanically robust (e.g., 10% instantaneous stress of the tissue-engineered neo-uteri increased from 22 kPa at 1 month to 42 kPa at 6 months). Compared with native tissue values, tissue-engineered neo-uteri achieved or surpassed native tissue values by the 6-month time point.

Conclusion

The present study evaluated the mechanical characteristics of novel tissue-engineered neo-uteri that have previously been reported to support live births in the rabbit model. We demonstrate that the biomechanics of these implants closely resemble those of native tissue, giving further credence to their development as a clinical solution to uterine factor infertility.

目的评估曾在兔子模型中支持活产的组织工程新uteri的体内生物力学成熟度:设计:非临床动物研究:研究对象:18 只成年雌性兔子:18只成年雌性兔子:干预措施:可生物降解的聚-DL-乳酸-聚乙二醇涂层聚乙醇酸支架,播种自体子宫内膜和子宫肌细胞。将未播种的支架和播种的组织工程新子宫植入家兔的一个子宫角 1、3 或 6 个月,然后切除,并与原生子宫组织进行生物力学评估:拉伸应力-松弛测试、应变-破坏测试、粘弹性建模:结果:通过使用几种粘弹性模型评估生物力学数据,发现组织工程子宫比非播种支架更具机械稳健性。例如,组织工程新子宫的 10% 瞬时应力在 1 个月时是非播种支架的 2.1 倍,在 3 个月时是 1.6 倍,在 6 个月时是 1.5 倍。此外,随着植入时间的延长,工程构建物的机械稳健性也有所提高(例如,组织工程新特异性的 10%瞬时应力从 1 个月时的 22 千帕增加到 6 个月时的 42 千帕)。与原生组织值相比,组织工程新uteri在6个月时达到或超过了原生组织值:本研究评估了新型组织工程新uteri的机械特性。我们证明了这些植入物的生物力学特性与原生组织非常相似,从而进一步证实了它们可作为子宫因素不孕症的临床解决方案。
{"title":"A biomechanical assessment of tissue-engineered polymer neo-uteri after orthotopic implantation","authors":"Rachel C. Nordberg Ph.D. ,&nbsp;Renata S. Magalhaes M.D., Ph.D. ,&nbsp;Irene Cervelló Ph.D. ,&nbsp;J.Koudy Williams D.V.M. ,&nbsp;Anthony Atala M.D. ,&nbsp;Elizabeth G. Loboa Ph.D.","doi":"10.1016/j.xfss.2023.12.005","DOIUrl":"10.1016/j.xfss.2023.12.005","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the <em>in vivo</em><span> biomechanical maturation of tissue-engineered neo-uteri that have previously supported live births in a rabbit model.</span></p></div><div><h3>Design</h3><p>Nonclinical animal study.</p></div><div><h3>Setting</h3><p>University-based research laboratory.</p></div><div><h3>Animals</h3><p>Eighteen adult female rabbits.</p></div><div><h3>Intervention</h3><p><span>Biodegradable poly-DL-lactide-co-glycolide-coated polyglycolic acid scaffolds seeded with autologous uterine-derived endometrial and myometrial cells. Nonseeded scaffolds and seeded, tissue-engineered neo-uteri were implanted into one </span>uterine horn of rabbits for 1, 3, or 6 months, excised, and biomechanically assessed in comparison to native uterine tissue.</p></div><div><h3>Main Outcome Measures</h3><p>Tensile stress-relaxation testing, strain-to-failure testing, and viscoelastic modeling.</p></div><div><h3>Results</h3><p>By evaluating the biomechanical data with several viscoelastic models, it was revealed that tissue-engineered uteri were more mechanically robust than nonseeded scaffolds. For example, the 10% instantaneous stress of the tissue-engineered neo-uteri was 2.1 times higher than the nonseeded scaffolds at the 1-month time point, 1.6 times higher at the 3-month time point, and 1.5 times higher at the 6-month time point. Additionally, as the duration of implantation increased, the engineered constructs became more mechanically robust (e.g., 10% instantaneous stress of the tissue-engineered neo-uteri increased from 22 kPa at 1 month to 42 kPa at 6 months). Compared with native tissue values, tissue-engineered neo-uteri achieved or surpassed native tissue values by the 6-month time point.</p></div><div><h3>Conclusion</h3><p>The present study evaluated the mechanical characteristics of novel tissue-engineered neo-uteri that have previously been reported to support live births in the rabbit model. We demonstrate that the biomechanics of these implants closely resemble those of native tissue, giving further credence to their development as a clinical solution to uterine factor infertility.</p></div>","PeriodicalId":73012,"journal":{"name":"F&S science","volume":"5 1","pages":"Pages 58-68"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139038270","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
Dysregulated expression of GATA2 and GATA6 transcription factors in adenomyosis: implications for impaired endometrial receptivity 子宫腺肌病中 GATA2 和 GATA6 转录因子的表达失调:对子宫内膜接受能力受损的影响
Pub Date : 2024-02-01 DOI: 10.1016/j.xfss.2023.11.003
Zoran Jason Pavlovic M.D. , Angel Hsin-Yu Pai M.D. , Tzu-Ti Hsiao M.S. , Chih-Feng Yen M.D., Ph.D. , Hasan Alhasan M.D. , Asli Ozmen Ph.D. , Erika P. New M.D. M.P.H. , Xiaofang Guo M.D. , Anthony N. Imudia M.D. , Ozlem Guzeloglu-Kayisli Ph.D. , Charles J. Lockwood M.D. , Umit A. Kayisli Ph.D.

Objective

To study the effect of adenomyosis on the localized expression of the GATA binding proteins 2 and 6 (GATA2 and GATA6) zinc-finger transcription factors that are involved in proliferation of hematopoietic and endocrine cell lineages, cell differentiation, and organogenesis, potentially leading to impaired endometrial implantation.

Design

Laboratory based experimental study.

Setting

Academic hospital and laboratory.

Patients

Human endometrial stromal cells (HESCs) of reproductive age patients, 18–45 years of age, with adenomyosis were compared with patients with no pathology and leiomyomatous uteri as controls (n = 4 in each group, respectively). Additionally, midsecretory phase endometrial sections were obtained from patients with adenomyosis and control patients with leiomyoma (n = 8 in each group, respectively).

Interventions

GATA2 and GATA6 immunohistochemistry and H-SCORE were performed on the midsecretory phase endometrial sections from adenomyosis and leiomyoma control patients (n = 8 each, respectively). Control and adenomyosis patient HESC cultures were treated with placebo or 10-8 M estradiol (E2), or decidualization media (EMC) containing 10-8 M E2, 10-7 M medroxyprogesterone acetate, and 5 × 10-5 M cAMP for 6 and 10 days. Additionally, control HESC cultures (n = 4) were transfected with scrambled small interfering RNA (siRNA) (control) or GATA2-specific siRNAs for 6 days while adenomyosis HESC cultures (n = 4) were transfected with human GATA2 expression vectors to silence or induce GATA2 overexpression.

Main Outcome Measures

Immunohistochemistry was performed to obtain GATA2 and GATA6 H-SCORES in adenomyosis vs. control patient endometrial tissue. Expression of GATA2, GATA6, insulin-like growth factor-binding protein 1 (IGFBP1), prolactin (PRL), progesterone receptor (PGR), estrogen receptor 1 (ESR1), leukemia inhibitory factor (LIF), and Interleukin receptor 11 (IL11R) messenger RNA (mRNA) levels were analyzed using by qPCR with normalization to ACTB. Silencing and overexpression experiments also had the corresponding mRNA levels of the above factors analyzed. Western blot analysis was performed on isolated proteins from transfection experiments.

Results

Immunohistochemistry revealed an overall fourfold lower GATA2 and fourfold higher GATA6 H-SCORE level in the endometrial stromal cells of patients with adenomyosis vs. controls. Decidual induction with EMC resulted in significantly lower GATA2, PGR, PRL and IGFBP1 mRNA levels in HESC cultures from patients with adenomyosis patient vs. controls

目的 研究子宫腺肌症对 GATA 结合蛋白 2 和 6(GATA2 和 GATA6)锌指转录因子局部表达的影响,这些转录因子参与造血细胞系和内分泌细胞系的增殖、细胞分化和器官形成,可能导致子宫内膜种植受损。患者18-45岁育龄期子宫腺肌症患者的人子宫内膜基质细胞(HESCs)与无病变患者和子宫肌瘤患者作为对照组进行比较(每组分别为4人)。此外,还从子宫腺肌症患者和对照组子宫白肌瘤患者(每组分别为 8 人)处获得分泌期子宫内膜中期切片。用安慰剂或 10-8 M 雌二醇(E2)或含有 10-8 M E2、10-7 M 醋酸甲羟孕酮和 5 × 10-5 M cAMP 的蜕膜化培养基(EMC)处理对照组和腺肌病患者的 HESC 培养物 6 天和 10 天。此外,用乱码小干扰 RNA(siRNA)(对照组)或 GATA2 特异性 siRNA 转染对照组 HESC 培养物(n = 4)6 天,而用人类 GATA2 表达载体转染腺肌症 HESC 培养物(n = 4),以抑制或诱导 GATA2 过表达。通过 qPCR 分析 GATA2、GATA6、胰岛素样生长因子结合蛋白 1 (IGFBP1)、催乳素 (PRL)、孕酮受体 (PGR)、雌激素受体 1 (ESR1)、白血病抑制因子 (LIF) 和白介素受体 11 (IL11R) 信使 RNA (mRNA) 的表达水平,并与 ACTB 进行归一化。沉默和过表达实验也分析了上述因子的相应 mRNA 水平。结果免疫组织化学显示,与对照组相比,子宫腺肌症患者子宫内膜基质细胞中的 GATA2 和 GATA6 H-SCORE 水平分别低四倍和高四倍。用 EMC 进行蜕膜诱导后,子宫腺肌症患者与对照组相比,其 HESC 培养物中的 GATA2、PGR、PRL 和 IGFBP1 mRNA 水平明显降低。与对照组相比,腺肌症 HESCs 中的白血病抑制因子和 IL11R mRNA 水平也明显失调。.在对照组 HESCs 中抑制 GATA2 的表达会诱发类似腺肌症的状态,GATA2 会显著减少,GATA6 会增加,PGR、PRL、ESR1 和 LIF 水平也会随之畸变。结论 体内和体外实验结果表明,子宫腺肌症患者的子宫内膜 GATA2 和 GATA6 水平之间总体呈反比关系,这些患者的 GATA2 水平降低,同时 GATA6 水平升高。此外,子宫腺肌症患者的 HESCs 或 GATA2 沉默的对照组 HESCs 中 GATA2 水平较低而 GATA6 水平较高,再加上 ESR1、PGR、IGFBP1、PRL、LIF 和 IL11R mRNA 等重要受体和植入因子水平异常,这些都支持蜕膜化受损。在腺肌症 HESCs 中过表达 GATA2 后,这些影响得到了部分恢复,这表明这是一个潜在的治疗靶点。
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引用次数: 0
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