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A sound approach for ova denudation 一种治疗卵子剥落的良好方法。
Pub Date : 2025-05-01 Epub Date: 2024-12-28 DOI: 10.1016/j.xfss.2024.12.005
Amir Mokhtare Ph.D. , Amirhossein Favakeh M.S. , Philip Xie B.Sc. , Zev Rosenwaks M.D. , Alireza Abbaspourrad Ph.D. , Gianpiero Palermo M.D., Ph.D.
<div><h3>Objective</h3><div>To introduce an innovative noncontact method for denudation process of cumulus-oocyte complexes (COCs) for intracytoplasmic sperm injection (ICSI).</div></div><div><h3>Design</h3><div>We designed and fabricated novel acoustohydrodynamic tweezers (AHTs) to perform contactless denudation and tested them in a mouse model. Cumulus removal efficiency, preimplantation development, and live birth were assessed and compared with those in conventional manual pipetting (MP) denudation.</div></div><div><h3>Subjects</h3><div>Fourteen female B6D2F1/J mice (approximately 4 weeks of age), nine male B6D2F1/J mice (6–12 weeks of age), and 28 CD-1 female mice (approximately 6 weeks of age) were used for experiment.</div></div><div><h3>Exposure</h3><div>We designed a contactless platform for oocyte denudation on the basis of the principle of focalized acoustic waves. We first investigated the acoustic intensity and thermal variability by measuring the surface displacement and temperature with a thermal camera to ensure a safe operation. Cumulus-oocyte complexes were denuded by conventional MP with 40 IU/mL of hyaluronidase serving as control or by AHTs with a reduced amount of hyaluronidase (15 IU/mL). Piezo-ICSI was performed on both experimental and control groups. A triplicate of denudation and insemination experiments was performed. All embryos were monitored in a time-lapse incubator. Embryo developmental rates were compared by the chi-square test. Embryo morphokinetic timing as a continuous variable was compared by 1-way analysis of variance. Embryo transfers were performed on some blastocysts.</div></div><div><h3>Main Outcome Measures</h3><div>The procedural time for each denudation method was measured and compared. Fertilization, embryo development and morphokinetics, pregnancy, and live birth rate were compared between the control and experimental cohorts.</div></div><div><h3>Results</h3><div>Facile noncontact denudation was achieved without any damage to oocyte. Acoustic induced fluidic shear was the main contributor to COC denudation. The average denudation time per oocyte decreased by 46% (15 seconds per oocyte for control vs. 8 seconds per oocyte for AHT) while using a lower concentration of hyaluronidase. Piezo-ICSI on oocytes processed by MP and AHTs resulted in comparable rates of survival (86.1% vs. 85.3%), fertilization (96.7% vs. 94.1%), and blastocyst (88.0% vs. 81.3%). Embryo morphokinetics for both experimental and control cohorts were comparable, showing no impact of sound waves on the embryo development. Eventual delivery rates were also comparable between the MP and AHT cohorts (51.3% vs. 55.4%).</div></div><div><h3>Conclusion</h3><div>Acoustohydrodynamic tweezers are used for contactless removal of the cumulus cells from the COCs before ICSI in an expedited, safe, and reliable manner. Embryo development outcomes confirm their safety and validate their potential for a comprehensive ICSI-on-chip device.</div></div
目的:介绍一种用于卵母细胞胞浆内单精子注射(ICSI)的卵泡卵母细胞复合物(COCs)剥脱过程的创新非接触方法。设计:我们设计并制作了一种新型的声水动力镊子(AHT)来进行非接触剥蚀,并在小鼠模型上进行了测试。评估积云去除效率,植入前发育和活产,并与传统的手动移液剥落进行比较。实验对象:雌性B6D2F1/J小鼠14只(~ 4周龄),雄性B6D2F1/J小鼠9只(6 ~ 12周龄),CD-1雌性小鼠28只(~ 6周龄)进行实验干预和方法:基于聚焦声波原理设计了一种非接触式卵母细胞剥离平台。我们首先通过热像仪测量表面位移和温度来研究声强和热变异性,以确保安全操作。用40 IU/ml透明质酸酶作为对照的常规手动移液(MP)或用减少透明质酸酶量(15 IU/ml)的AHTs剥离COCs。实验组和对照组均行压痕icsi。进行了三次脱毛和人工授精实验。所有胚胎均在延时培养箱中监测。采用卡方检验比较胚胎发育率。胚胎形态动力学时间作为一个连续变量,采用单因素方差分析进行比较。对一些囊胚进行了胚胎移植。主要观察指标:测量并比较各种剥除方法的手术时间。比较对照组和试验组的受精、胚胎发育和形态动力学、妊娠率和活产率。结果:非接触性脱皮容易,无卵母细胞损伤。声波诱导的流体剪切是COC剥蚀的主要原因。当使用较低浓度的透明质酸酶时,每个卵母细胞的平均剥落时间减少了46%(对照组每个卵母细胞15秒,而AHT组每个卵母细胞8秒)。经MP和AHTs处理的卵母细胞的Piezo-ICSI存活率(86.1% vs 85.3%, P=0.80)、受精率(96.7% vs 94.1%, P=0.09)和囊胚率(88.0% vs 81.3%, P=0.06)相当。实验组和对照组的胚胎形态动力学具有可比性,表明声波对胚胎发育没有影响。MP组和AHT组的最终分娩率也具有可比性(51.3% vs 55.4%)。结论:声水动力镊子(AHTs)用于ICSI前COCs积云细胞的非接触清除,快速、安全、可靠。胚胎发育结果证实了它们的安全性,并验证了它们作为综合icsi芯片设备的潜力。
{"title":"A sound approach for ova denudation","authors":"Amir Mokhtare Ph.D. ,&nbsp;Amirhossein Favakeh M.S. ,&nbsp;Philip Xie B.Sc. ,&nbsp;Zev Rosenwaks M.D. ,&nbsp;Alireza Abbaspourrad Ph.D. ,&nbsp;Gianpiero Palermo M.D., Ph.D.","doi":"10.1016/j.xfss.2024.12.005","DOIUrl":"10.1016/j.xfss.2024.12.005","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To introduce an innovative noncontact method for denudation process of cumulus-oocyte complexes (COCs) for intracytoplasmic sperm injection (ICSI).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;We designed and fabricated novel acoustohydrodynamic tweezers (AHTs) to perform contactless denudation and tested them in a mouse model. Cumulus removal efficiency, preimplantation development, and live birth were assessed and compared with those in conventional manual pipetting (MP) denudation.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Subjects&lt;/h3&gt;&lt;div&gt;Fourteen female B6D2F1/J mice (approximately 4 weeks of age), nine male B6D2F1/J mice (6–12 weeks of age), and 28 CD-1 female mice (approximately 6 weeks of age) were used for experiment.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Exposure&lt;/h3&gt;&lt;div&gt;We designed a contactless platform for oocyte denudation on the basis of the principle of focalized acoustic waves. We first investigated the acoustic intensity and thermal variability by measuring the surface displacement and temperature with a thermal camera to ensure a safe operation. Cumulus-oocyte complexes were denuded by conventional MP with 40 IU/mL of hyaluronidase serving as control or by AHTs with a reduced amount of hyaluronidase (15 IU/mL). Piezo-ICSI was performed on both experimental and control groups. A triplicate of denudation and insemination experiments was performed. All embryos were monitored in a time-lapse incubator. Embryo developmental rates were compared by the chi-square test. Embryo morphokinetic timing as a continuous variable was compared by 1-way analysis of variance. Embryo transfers were performed on some blastocysts.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Main Outcome Measures&lt;/h3&gt;&lt;div&gt;The procedural time for each denudation method was measured and compared. Fertilization, embryo development and morphokinetics, pregnancy, and live birth rate were compared between the control and experimental cohorts.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Facile noncontact denudation was achieved without any damage to oocyte. Acoustic induced fluidic shear was the main contributor to COC denudation. The average denudation time per oocyte decreased by 46% (15 seconds per oocyte for control vs. 8 seconds per oocyte for AHT) while using a lower concentration of hyaluronidase. Piezo-ICSI on oocytes processed by MP and AHTs resulted in comparable rates of survival (86.1% vs. 85.3%), fertilization (96.7% vs. 94.1%), and blastocyst (88.0% vs. 81.3%). Embryo morphokinetics for both experimental and control cohorts were comparable, showing no impact of sound waves on the embryo development. Eventual delivery rates were also comparable between the MP and AHT cohorts (51.3% vs. 55.4%).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Acoustohydrodynamic tweezers are used for contactless removal of the cumulus cells from the COCs before ICSI in an expedited, safe, and reliable manner. Embryo development outcomes confirm their safety and validate their potential for a comprehensive ICSI-on-chip device.&lt;/div&gt;&lt;/div","PeriodicalId":73012,"journal":{"name":"F&S science","volume":"6 2","pages":"Pages 118-125"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142904281","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
Polycystic ovary syndrome and morphokinetic embryonic development: a case-control study evaluating 791 embryos 多囊卵巢综合征与形态动力学胚胎发育:791个胚胎的病例对照研究。
Pub Date : 2025-05-01 Epub Date: 2025-01-19 DOI: 10.1016/j.xfss.2025.01.003
Gilad Karavani M.D. , Shira Shapira-Nass M.D. , Natali Schachter-Safrai M.D. , Tal Imbar M.D. , Assaf Ben-Meir M.D.

Objective

To investigate the association between polycystic ovary syndrome (PCOS) and the rate of embryo development, using time-lapse monitoring systems, compared with a control group of women with mechanical (tubal) factor infertility.

Design

A retrospective case-control study conducted in a university-affiliated in vitro fertilization (IVF) unit.

Subjects

Women with PCOS undergoing IVF treatments and those with non-PCOS controls with tubal factor infertility only. Development morphokinetic milestones were compared and analysis of covariance for time to distinct cell number as well as logistic mixed models to determine predictors for embryos over the 75th percentile was performed.

Exposure

Not applicable.

Main Outcome Measures

Embryo development morphokinetic parameters in women with and without PCOS undergoing IVF treatments.

Results

The study included 791 embryos from 115 women, 364 embryos from 52 women with PCOS and 427 embryos from 63 women with non-PCOS controls with tubal factor infertility. The PCOS group was 4 years younger (30.07 ± 6.03 vs. 34.08 ± 4.84 years) and had higher number of oocytes retrieved (16.00 vs. 11.00), mature oocytes (11.00 vs. 7.00) and fertilized oocytes (8.00 vs. 5.00). The PCOS and control groups demonstrated comparable clinical pregnancy rates (55.8% vs. 32.1%), miscarriage rate (12.5% vs. 11.8%), and live birth rate (48.8% vs. 31.2%). Morphokinetic parameters were comparable between the groups. Although age was associated with later time to 5 and 8 discrete cells and start of blastulation (tSB), PCOS was only associated with later tSB, including tSB >75th percentile.

Conclusion

This study demonstrated comparable IVF outcomes in women with PCOS and non-PCOS controls. An analysis of time-lapse monitoring data from these patients showed no evidence that PCOS negatively affects embryonic development rate in women undergoing IVF cycles.
目的:应用延时监测系统(TLM)探讨多囊卵巢综合征(PCOS)与机械性(输卵管)因素不孕妇女胚胎发育速率的关系。设计:在一所大学附属试管婴儿单位进行的回顾性病例对照研究。患者:接受体外受精(IVF)治疗的多囊卵巢综合征(PCOS)妇女和仅伴有输卵管因素不孕的非PCOS对照者。对发育形态动力学里程碑进行了比较,并对不同细胞数量的时间协方差进行了分析,并对逻辑混合模型进行了分析,以确定超过75百分位的胚胎预测因子。暴露:不适用。主要观察指标:接受体外受精治疗的多囊卵巢综合征和非多囊卵巢综合征妇女的胚胎发育形态动力学参数。结果:该研究包括115名妇女的791个胚胎,52名多囊卵巢综合征妇女的364个胚胎和63名非多囊卵巢综合征妇女输卵管性不孕的427个胚胎。PCOS组比PCOS组年轻4岁(30.07±6.03岁比34.08±4.84岁,p=0.002),取卵数较高(16.00比11.00,p= 75百分位)。结论:本研究证明了多囊卵巢综合征和非多囊卵巢综合征对照妇女的IVF结果相当。对这些患者TLM数据的分析显示,没有证据表明多囊卵巢综合征对接受试管婴儿周期的妇女的胚胎发育率有负面影响。
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引用次数: 0
Relugolix reduces leiomyoma extracellular matrix production via the transforming growth factor-beta pathway 乐可利通过 TGF β 途径减少子宫肌瘤细胞外基质的生成。
Pub Date : 2025-05-01 Epub Date: 2024-12-28 DOI: 10.1016/j.xfss.2024.12.004
Adina Schwartz M.D. , Minnie Malik Ph.D. , Paul Driggers Ph.D. , William H. Catherino M.D., Ph.D.

Objective

To determine if the oral gonadotropin-releasing hormone antagonist relugolix affects leiomyoma extracellular matrix production through the transforming growth factor-beta (TGF-β) pathway.

Design

Laboratory study.

Subjects

None.

Exposure

Exposure of human leiomyoma cells to TGF-β and/or relugolix.

Main Outcome Measures

Production of TGF-β, pSMAD2/3, SMAD2/3, collagen 1A1 (COL1A1), fibronectin (FN1), and versican (VCAN) in treated and untreated leiomyoma cells.

Results

Transforming growth factor-beta 3 production decreased at 24 hours with relugolix 10 nM (0.80 ± 0.09-fold) and 100 nM (0.86 ± 0.06-fold) and at 48 hours with relugolix 1 nM (0.86 ± 0.05-fold) and 100 nM (0.86 ± 0.06-fold). pSMAD2/3 production decreased at 24 hours with relugolix 1 nM (0.71 ± 0.01-fold), 10 nM (0.68 ± 0.01-fold), and 100 nM (0.41 ± 0.10-fold). Compared with relugolix treatment alone at the same concentration, combination treatment at 24 hours resulted in significantly increased COL1A1, FN1, and VCAN production with relugolix 1 nM, 10 nM, and 100 nM. At 48 hours, combination treatment resulted in significantly increased COL1A1, FN1, and VCAN production with relugolix 10 nM and 100 nM.

Conclusion

Relugolix regulated leiomyoma size by decreasing COL1A1, FN1, and VCAN production. This effect is at least partly through the TGF-β pathway.
目的:确定口服GnRH拮抗剂relugolix是否通过TGF β途径影响平滑肌瘤细胞外基质的生成。主要观察指标:治疗和未治疗的平滑肌瘤细胞中TGF β、pSMAD2/3、SMAD2/3、COL1A1、FN1和VCAN的产生结果:在10nM(0.80 + 0.09倍,p0.04)和100nM(0.86 + 0.06倍,p0.03)和1nM(0.86 + 0.05倍,p0.01)和100nM(0.86 + 0.06倍,p0.04)时,relugolix治疗24小时TGF β3的产生减少。relugolix 1nM(0.71 + 0.01倍,p0.002)、10nM(0.68 + 0.01倍,p0.001)和100nM(0.41 + 0.10倍,p0.004)治疗24h后pSMAD2/3降低。与相同浓度的relugolix单独处理相比,在24小时联合处理时,relugolix 1nM、10nM和100nM的COL1A1、FN1和VCAN产量显著增加。在48小时时,10nM和100nM的relugolix联合处理显著增加COL1A1、FN1和VCAN的产生。结论:Relugolix通过降低COL1A1、FN1和VCAN的生成来调节平滑肌瘤的大小。这种作用至少部分是通过TGF β途径实现的。
{"title":"Relugolix reduces leiomyoma extracellular matrix production via the transforming growth factor-beta pathway","authors":"Adina Schwartz M.D. ,&nbsp;Minnie Malik Ph.D. ,&nbsp;Paul Driggers Ph.D. ,&nbsp;William H. Catherino M.D., Ph.D.","doi":"10.1016/j.xfss.2024.12.004","DOIUrl":"10.1016/j.xfss.2024.12.004","url":null,"abstract":"<div><h3>Objective</h3><div>To determine if the oral gonadotropin-releasing hormone antagonist relugolix affects leiomyoma extracellular matrix production through the transforming growth factor-beta (TGF-β) pathway.</div></div><div><h3>Design</h3><div>Laboratory study.</div></div><div><h3>Subjects</h3><div>None.</div></div><div><h3>Exposure</h3><div>Exposure of human leiomyoma cells to TGF-β and/or relugolix.</div></div><div><h3>Main Outcome Measures</h3><div>Production of TGF-β, pSMAD2/3, SMAD2/3, collagen 1A1 (COL1A1), fibronectin (FN1), and versican (VCAN) in treated and untreated leiomyoma cells.</div></div><div><h3>Results</h3><div>Transforming growth factor-beta 3 production decreased at 24 hours with relugolix 10 nM (0.80 ± 0.09-fold) and 100 nM (0.86 ± 0.06-fold) and at 48 hours with relugolix 1 nM (0.86 ± 0.05-fold) and 100 nM (0.86 ± 0.06-fold). pSMAD2/3 production decreased at 24 hours with relugolix 1 nM (0.71 ± 0.01-fold), 10 nM (0.68 ± 0.01-fold), and 100 nM (0.41 ± 0.10-fold). Compared with relugolix treatment alone at the same concentration, combination treatment at 24 hours resulted in significantly increased COL1A1, FN1, and VCAN production with relugolix 1 nM, 10 nM, and 100 nM. At 48 hours, combination treatment resulted in significantly increased COL1A1, FN1, and VCAN production with relugolix 10 nM and 100 nM.</div></div><div><h3>Conclusion</h3><div>Relugolix regulated leiomyoma size by decreasing COL1A1, FN1, and VCAN production. This effect is at least partly through the TGF-β pathway.</div></div>","PeriodicalId":73012,"journal":{"name":"F&S science","volume":"6 2","pages":"Pages 213-220"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142904284","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
Receptive window might be shorter in patients with endometriosis and lesions cyclically prepare for implantation 子宫内膜异位症患者的接受窗口可能较短,病变周期准备着床。
Pub Date : 2025-05-01 Epub Date: 2024-12-04 DOI: 10.1016/j.xfss.2024.11.002
Nirukshi Samarajeewa Ph.D. , Sophea Heng Ph.D. , Ying Li B.Eng. , Maxine Scelwyn M.D. , Luk J. Rombauts M.D. Ph.D. , Guiying Nie Ph.D.

Objective

To investigate whether endometrial receptivity is affected in patients with endometriosis using podocalyxin (PCX) as a functional biomarker and to study how endometriotic lesions display PCX and the potential pathological implications.

Design

We have previously reported that PCX, an anti-adhesion glycoprotein and barrier protector, is dynamically regulated in the endometrium and acts as a key negative regulator of epithelial receptivity. Early in the cycle both luminal epithelium (LE, lining the endometrial surface) and glandular epithelium (GE, residing within the tissue) strongly express PCX, but in the receptive window, PCX is selectively downregulated in LE, switching the endometrial surface to an adhesive state for embryo attachment/implantation; meanwhile, PCX expression is maintained in GE until postreceptivity. Here, we immuno-stained PCX in endometrial tissues and ectopic lesions biopsied across the menstrual cycle from patients with endometriosis (EOS, n = 41), and compared with endometrium of non-endometriosis controls (non-EOS, n = 55). We further investigated how PCX changes observed in ectopic lesions may influence their adhesive capacity.

Subjects

Women without and with endometriosis.

Exposure

Not applicable.

Main Outcome Measures

The window of endometrial receptivity might be shorter in patients with endometriosis; ectopic sites in addition downregulate PCX cyclically, mirroring the eutopic endometrial cells in preparing for receptivity to increase their adhesion potential.

Results

Endometrial PCX levels were comparable between non-EOS and EOS early in the cycle, and in both groups, PCX is downregulated in LE during the expected window of receptivity; however, in EOS endometrium, PCX is reduced earlier in GE as if the receptive window were shorter. In endometriotic lesions, PCX was detected in endometrial LE- and GE-like cells plus mesothelial cells enveloping peritoneal organs, but PCX was cyclically lost specifically in LE-like cells and reduced in GE-like cells as seen in the eutopic endometrium, which however may increase their adhesion potential to nearby organs (overlaid by mesothelial cells). This speculation was further corroborated in an in vitro model showing endometrial epithelial cells with lower PCX were indeed more adhesive to mesothelial cells.

Conclusion

Endometrial receptivity is subtly affected in patients with endometriosis with a shorter window. Cyclic downregulation of PCX in ectopic sites may have pathological consequences.
目的:探讨子宫内膜异位症患者子宫内膜容受性是否受足alyxin (PCX)功能标志物的影响;研究子宫内膜异位病变如何显示PCX及其潜在的病理意义。设计:我们之前报道过PCX,一种抗黏附糖蛋白和屏障保护器,在子宫内膜中受到动态调节,并作为上皮接受性的关键负调节因子。在周期早期,子宫内膜上皮(LE,衬在子宫内膜表面)和腺体上皮(GE,位于组织内)都强烈表达PCX,但在接受期窗口,PCX在LE中被选择性下调,将子宫内膜表面转换为胚胎附着/着床的粘附状态;同时,PCX在GE中的表达一直维持到接受后。在这里,我们对子宫内膜异位症患者(n=41)的子宫内膜组织和异位病变进行了免疫染色的PCX,并与非子宫内膜异位症对照组(n=55)的子宫内膜进行了比较。我们进一步研究了在异位病变中观察到的PCX变化如何影响其粘附能力。研究对象:无子宫内膜异位症和有子宫内膜异位症的女性。曝光:N / A。主要观察指标:子宫内膜异位症患者子宫内膜容受性窗口期可能较短;异位部位也周期性下调PCX,反映异位子宫内膜细胞为接受性做准备,以增加其粘附潜力。结果:子宫内膜PCX水平在周期早期在非EOS和EOS之间是相当的,在预期的接受窗口期间,两组的PCX在LE中下调,然而,EOS子宫内膜PCX在GE中较早降低,好像接受窗口较短。在子宫内膜异位症病变中,PCX在子宫内膜LE样细胞和ge样细胞以及包围腹膜器官的间皮细胞中检测到,但PCX在LE样细胞中周期性丢失,在异位子宫内膜ge样细胞中减少,但这可能增加了它们对附近器官的粘附潜力(被间皮细胞覆盖)。这一推测在体外模型中得到进一步证实,显示PCX较低的子宫内膜上皮细胞确实更能粘附间皮细胞。结论:短窗期子宫内膜异位症患者子宫内膜容受性受到微妙影响。异位部位PCX的循环下调可能有病理后果。
{"title":"Receptive window might be shorter in patients with endometriosis and lesions cyclically prepare for implantation","authors":"Nirukshi Samarajeewa Ph.D. ,&nbsp;Sophea Heng Ph.D. ,&nbsp;Ying Li B.Eng. ,&nbsp;Maxine Scelwyn M.D. ,&nbsp;Luk J. Rombauts M.D. Ph.D. ,&nbsp;Guiying Nie Ph.D.","doi":"10.1016/j.xfss.2024.11.002","DOIUrl":"10.1016/j.xfss.2024.11.002","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate whether endometrial receptivity is affected in patients with endometriosis using podocalyxin (PCX) as a functional biomarker and to study how endometriotic lesions display PCX and the potential pathological implications.</div></div><div><h3>Design</h3><div>We have previously reported that PCX, an anti-adhesion glycoprotein and barrier protector, is dynamically regulated in the endometrium and acts as a key negative regulator of epithelial receptivity. Early in the cycle both luminal epithelium (LE, lining the endometrial surface) and glandular epithelium (GE, residing within the tissue) strongly express PCX, but in the receptive window, PCX is selectively downregulated in LE, switching the endometrial surface to an adhesive state for embryo attachment/implantation; meanwhile, PCX expression is maintained in GE until postreceptivity. Here, we immuno-stained PCX in endometrial tissues and ectopic lesions biopsied across the menstrual cycle from patients with endometriosis (EOS, n = 41), and compared with endometrium of non-endometriosis controls (non-EOS, n = 55). We further investigated how PCX changes observed in ectopic lesions may influence their adhesive capacity.</div></div><div><h3>Subjects</h3><div>Women without and with endometriosis.</div></div><div><h3>Exposure</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>The window of endometrial receptivity might be shorter in patients with endometriosis; ectopic sites in addition downregulate PCX cyclically, mirroring the eutopic endometrial cells in preparing for receptivity to increase their adhesion potential.</div></div><div><h3>Results</h3><div>Endometrial PCX levels were comparable between non-EOS and EOS early in the cycle, and in both groups, PCX is downregulated in LE during the expected window of receptivity; however, in EOS endometrium, PCX is reduced earlier in GE as if the receptive window were shorter. In endometriotic lesions, PCX was detected in endometrial LE- and GE-like cells plus mesothelial cells enveloping peritoneal organs, but PCX was cyclically lost specifically in LE-like cells and reduced in GE-like cells as seen in the eutopic endometrium, which however may increase their adhesion potential to nearby organs (overlaid by mesothelial cells). This speculation was further corroborated in an in vitro model showing endometrial epithelial cells with lower PCX were indeed more adhesive to mesothelial cells.</div></div><div><h3>Conclusion</h3><div>Endometrial receptivity is subtly affected in patients with endometriosis with a shorter window. Cyclic downregulation of PCX in ectopic sites may have pathological consequences.</div></div>","PeriodicalId":73012,"journal":{"name":"F&S science","volume":"6 2","pages":"Pages 232-241"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792887","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
Chemotherapy-induced diminished murine ovarian reserve model and impact of low-dose chemotherapy on fertility 化疗引起的小鼠卵巢储备功能减退模型及低剂量化疗对生育能力的影响。
Pub Date : 2025-05-01 Epub Date: 2025-01-11 DOI: 10.1016/j.xfss.2025.01.002
Lara Houeis M.D. , Graziella van der Plancke B.Sc. , Jen-Yu Wen M.D. , Laurence Dupuy Ph.D. , Elodie Kara Ph.D. , Luciana Cacciottola M.D., Ph.D. , Marie-Christine Maurel Ph.D. , Jacques Donnez M.D., Ph.D. , Marie-Madeleine Dolmans M.D., Ph.D.

Objective

To establish a murine model of chemotherapy-induced diminished ovarian reserve (DOR) and investigate residual fertility after chemotherapy exposure.

Design

Two different chemotherapy protocols were tested to establish a valid DOR model by comparing follicle densities in mice given either protocol or physiological solution. An ovarian stimulation protocol was then selected from among different gonadotropins by counting the number of day 2 embryos obtained from normal mice. Finally, DOR mice were stimulated 5 and 8 weeks after chemotherapy with the chosen gonadotropin protocols, and day 2 embryos were recovered after mating, as was ovarian tissue for further immunohistologic analyses.

Subjects

Seventy-two Naval Medical Research Institute mice.

Exposure

Two different chemotherapy protocols.

Main Outcome Measures

This study compared day 2 embryo counts in both normal and chemotherapy-induced DOR mice. Ovarian histology and morphology were also investigated by follicle counting and classification, as was immunostaining for apoptosis (cleaved caspase-3), activation (phospho-Akt), and proliferation (Ki67).

Results

A dose of 12 mg/kg of busulfan (Bu) + 120 mg/kg of cyclophosphamide (Cy) was chosen to establish the DOR model as it significantly reduced the ovarian reserve compared to both control mice (physiological solution) and the 1.2 mg/kg of Bu + 12 mg/kg of Cy protocol, without depleting it completely. When stimulated with 3.75 IU of Menopur, normal mice produced significantly more embryos than DOR mice given 12 mg/kg of Bu + 120 mg/kg of Cy (41.40 ± 14.74 vs. 23.67 ± 15.55 day 2 embryos). Although the follicle count was statistically diminished after single-dose chemotherapy administration, the remaining follicles did not display any difference in terms of apoptosis, activation, or proliferation rates.

Conclusion

We successfully established a chemotherapy-induced DOR model using 12 mg/kg of Bu + 120 mg/kg of Cy, as evidenced by lower, but not completely depleted, follicle numbers and fewer retrieved embryos. Histologic study of ovarian tissue exposed to DOR-inducing chemotherapy revealed that surviving follicles were of the similar quality as tissue not exposed to chemotherapy.
目的建立化疗引起的卵巢储备功能减退(DOR)的小鼠模型,并研究化疗暴露后的剩余生育能力:设计:测试两种不同的化疗方案,通过比较两种方案中任一方案与生理溶液中小鼠的卵泡密度,建立有效的DOR模型。然后,通过计算正常小鼠第 2 天胚胎的数量,从不同的促性腺激素中选择一种卵巢刺激方案。最后,在化疗后5周和8周用选定的促性腺激素方案刺激DOR小鼠,交配后回收第2天胚胎和卵巢组织,以进一步进行免疫组织学分析:72只海军医学研究所(NMRI)小鼠:比较正常小鼠和化疗诱导的 DOR 小鼠的第 2 天胚胎数。还通过卵泡计数和分类对卵巢组织学和形态学进行了研究,并对凋亡(裂解的caspase-3)、活化(phospho-Akt)和增殖(Ki67)进行了免疫染色:与对照组小鼠(生理溶液)和1.2 mg/kg Bu + 12 mg/kg Cy方案相比,12 mg/kg Busulfan (Bu) + 120 mg/kg cyclophosphamide (Cy)剂量显著降低了卵巢储备功能,但并未完全耗尽,因此被选为建立DOR模型的剂量。在使用 3.75 IU Menopur 的刺激下,正常小鼠产生的胚胎数明显多于使用 12 mg/kg Bu + 120 mg/kg Cy 的 DOR 小鼠(第 2 天胚胎数为 41.40 ± 14.74 对 23.67 ± 15.55)。虽然单剂量化疗后卵泡数量在统计学上有所减少,但剩余卵泡在凋亡、活化或增殖率方面没有任何差异:结论:我们使用12 mg/kg Bu + 120 mg/kg Cy成功建立了化疗诱导的DOR模型,其表现为卵泡数量减少,但并未完全耗竭,取回的胚胎数量也较少。对暴露于DOR诱导化疗的卵巢组织进行的组织学研究显示,存活卵泡的质量与未暴露于化疗的组织相同。
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引用次数: 0
Feasibility study of the application of magnetic resonance elastography to diagnose uterine adenomyosis 磁共振弹性成像(MRE)诊断子宫腺肌症的可行性研究。
Pub Date : 2025-05-01 Epub Date: 2025-03-25 DOI: 10.1016/j.xfss.2025.03.003
Varsha Jain Ph.D. , Emi Hojo M.Sc. , Graham McKillop M.B.Ch.B. , Anca Oniscu M.D. , Yuan Le Ph.D. , Jun Chen Ph.D. , Richard Ehman Ph.D. , Neil Roberts Ph.D. , Hilary O.D. Critchley M.D., D.Sc.

Objective

Magnetic resonance elastography (MRE), a novel imaging technique that allows in vivo measurement of tissue mechanical properties, was used to test the prediction that the stiffness of the uterus may be increased due to fibrotic changes in patients with adenomyosis.

Design

A feasibility study in which a 3-dimensional (3D) MRE imaging protocol was developed to measure the stiffness of the tissues of the uterus.

Subjects

Four patients with suspected adenomyosis and heavy menstrual bleeding diagnosed via transvaginal ultrasound and clinical history and 1 healthy control were recruited. Two patients underwent hysterectomy, and histologic analysis of the tissue samples was performed.

Main Outcome Measures

The stiffness of the whole uterus was obtained by region of interest analysis of the 3D MRE images for the 4 patients and 1 healthy control. In addition, for the 2 patients who underwent hysterectomy, the uterine tissue samples were assessed to determine histologic presence of adenomyosis via hematoxylin and eosin staining, cellular/molecular measures of tissue stiffness (collagen [picrosirius red], α-smooth muscle actin, and e-cadherin), and whether a relationship existed between in vivo assessment of the uterus via 3D MRE and in vitro uterine tissue histology.

Results

3D MRE was successfully used to acquire elastograms for 4 patients with adenomyosis (diffuse, n = 3; focal, n = 1) and 1 healthy control. Calculated global uterine stiffness was higher in women with adenomyosis (2.93 kPa; range, 2.34–3.39 kPa) than in the healthy control (2.04 kPa). Regions of high stiffness on the 3D elastograms reflected adenomyotic changes visualized via conventional magnetic resonance imaging and were correlated with histologic and immunohistochemical markers of tissue stiffness.

Conclusion

3D MRE has the potential to provide non-invasive characterization of changes in the mechanical properties of uterine tissue that is not possible using conventional magnetic resonance imaging or transvaginal ultrasound. Further studies are needed to confirm the efficacy of the 3D MRE protocol for diagnosing adenomyosis.
目的:磁共振弹性成像(MRE)是一种新颖的成像技术,可以在体内测量组织力学特性,用于验证预测子宫僵硬度可能因子宫腺肌症患者的纤维化改变而增加。设计:一项可行性研究,其中开发了一种3D磁共振成像方案来测量子宫组织的刚度。对象:经阴道超声及临床病史诊断为血脑肿大伴重度月经出血(HMB)的患者4例,健康对照1例。2例患者行子宫切除术,并对组织样本进行组织学分析。主要观察指标:对4例患者和1例健康对照者的3D MRE图像进行感兴趣区(ROI)分析,获得全子宫僵硬度。此外,对两名接受子宫切除术的患者进行子宫组织样本评估,以确定(i)通过H&E染色确定子宫腺肌症的组织学存在,(ii)组织硬度的细胞/分子测量(胶原蛋白[微sirius红],α-平滑肌肌动蛋白,e-cadherin),以及(iii)通过3D磁共振在体子宫评估与体外子宫组织组织学之间是否存在关系。结果:4例子宫腺肌症患者(弥漫性n=3例,局灶性n=1例)和1例健康志愿者均成功应用三维磁共振成像获得弹性图。计算出的子宫总僵硬度在子宫腺肌症的女性中较高(2.93 kPa;范围2.34 - 3.39 kPa),而健康志愿者(2.04 kPa)。3D弹性图上的高硬度区域反映了常规MRI显示的腺肌病改变,并与组织硬度的组织学和免疫组织化学标志物相关。结论:3D MRE具有提供子宫组织力学特性变化的无创特征的潜力,这是传统MRI或经阴道超声无法实现的。需要进一步的研究来证实3D MRE方案诊断子宫腺肌症的有效性。
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引用次数: 0
Effect of endometriosis-linked microRNAs on hepatic gene expression 子宫内膜异位症相关microrna对肝脏基因表达的影响。
Pub Date : 2025-05-01 Epub Date: 2025-02-17 DOI: 10.1016/j.xfss.2025.02.001
Ramanaiah Mamillapalli Ph.D., Rebecca Slutzky B.A., Anjali Mangla B.A., Nimisha Gawde M.D., Hugh S. Taylor M.D.

Objective

To determine if microRNAs that are altered in the circulation of women with endometriosis affect metabolic gene expression in hepatic cells.

Design

In vitro study.

Subjects

Deidentified tissue from women with endometriosis.

Exposure

MicroRNAs were used to induce or suppress target genes in hepatic cells.

Main Outcome Measures

Effect of the microRNAs that are aberrantly expressed in endometriosis on hepatic cell gene expression using quantitative polymerase chain reaction.

Results

Prior microarray studies on the serum of women with endometriosis showed differential expression of microRNAs miR-Let-7b, miR-125b-5p, miR-150-5p, and miR-3613-5p. Bioinformatic analyses revealed that these microRNAs have predicted binding sites in multiple genes involved in liver metabolism. Transfection of these miRs in HepG2 cells followed by real-time quantitative polymerase chain reaction showed that miR-Let-7b mimic increased the expression of Igfbp1 by 8-fold and reduced the expression of Mrc1 by 3.2-fold, whereas its inhibitor reduced Igfbp1 by 2.8-fold and increased Mrc1 by 5.2-fold. MiR-3613-5p mimic reduced the expression of Cyp2r1 by 2.2-fold and Mrc1 by 4-fold. MiR-125b-5p mimic increased the expression of Fabp4 by 4.1-fold, whereas miR-150-5p mimic increased the expression of Mrc1 by 1.8-fold and Cyp2r1 by 2.5-fold. Inhibitors of both miR-125b-5p and miR-150-5p did not show any effect on any of the genes.

Conclusion

Circulating microRNAs, known to be aberrant in endometriosis-regulated hepatic gene expression, likely contribute to the metabolic defects seen in this disease. Treatment with miR-Let-7b and miR-3613-5p, which are downregulated in endometriosis, reversed the effect of endometriosis on the expression of IGFBP1, MRC1, and CYP2r1 genes. Therefore, miR-Let-7b and miR-3613-5p may be novel candidate therapies for endometriosis, potentially correcting the metabolic changes seen in patients with endometriosis.
目的:确定子宫内膜异位症女性循环中改变的microrna是否影响肝细胞代谢基因表达。设计:体外研究。环境:学术医疗中心。人HEPG2细胞:在人HEPG2细胞中转染MiR-let-7b、miR-125b-5p、miR-150-5p和miR-3613-5p及其抑制剂或各自的对照。干预(s):使用microrna诱导或抑制肝细胞中的靶基因。主要结局指标:使用qpcr检测子宫内膜异位症中异常表达的microrna对肝细胞基因表达的影响。结果:先前对子宫内膜异位症女性血清的微阵列研究显示miR-Let-7b、miR-125b-5p、miR-150-5p和miR-3613-5p的microrna表达差异。生物信息学分析显示,这些microrna预测了参与肝脏代谢的多个基因的结合位点。在HepG2细胞中转染这些miRs后进行qRT-PCR显示,miR-Let-7b mimic使Igfbp1的表达增加了8倍(p = 0.004), Mrc1的表达减少了3.2倍(p = 0.003),而其抑制剂使Igfbp1的表达减少了2.8倍(p = 0.0004), Mrc1的表达增加了5.2倍(p = 0.04)。MiR-3613-5p mimic使Cyp2r1的表达降低了2.2倍(p= 0.04), Mrc1的表达降低了4倍(p= 0.0001)。MiR-125b-5p mimic使Fabp4的表达增加4.1倍(p = 0.020), miR-150-5p mimic使Mrc1的表达增加1.8倍(p = 0.01), Cyp2r1的表达增加2.5倍(p = 0.008)。miR-125b-5p和miR-150-5p的抑制剂对任何基因都没有任何影响。结论(s):已知在子宫内膜异位症中异常的循环microrna调节肝脏基因表达,可能导致该疾病中所见的代谢缺陷。在子宫内膜异位症中下调的miR-Let-7b和miR-3613-5p治疗可逆转子宫内膜异位症对IGFBP1、MRC1和CYP2r1基因表达的影响。因此,miR-Let-7b和miR-3613-5p可能是子宫内膜异位症的新候选疗法,可能纠正子宫内膜异位症患者的代谢变化。
{"title":"Effect of endometriosis-linked microRNAs on hepatic gene expression","authors":"Ramanaiah Mamillapalli Ph.D.,&nbsp;Rebecca Slutzky B.A.,&nbsp;Anjali Mangla B.A.,&nbsp;Nimisha Gawde M.D.,&nbsp;Hugh S. Taylor M.D.","doi":"10.1016/j.xfss.2025.02.001","DOIUrl":"10.1016/j.xfss.2025.02.001","url":null,"abstract":"<div><h3>Objective</h3><div>To determine if microRNAs that are altered in the circulation of women with endometriosis affect metabolic gene expression in hepatic cells.</div></div><div><h3>Design</h3><div>In vitro study.</div></div><div><h3>Subjects</h3><div>Deidentified tissue from women with endometriosis.</div></div><div><h3>Exposure</h3><div>MicroRNAs were used to induce or suppress target genes in hepatic cells.</div></div><div><h3>Main Outcome Measures</h3><div>Effect of the microRNAs that are aberrantly expressed in endometriosis on hepatic cell gene expression using quantitative polymerase chain reaction.</div></div><div><h3>Results</h3><div>Prior microarray studies on the serum of women with endometriosis showed differential expression of microRNAs miR-Let-7b, miR-125b-5p, miR-150-5p, and miR-3613-5p. Bioinformatic analyses revealed that these microRNAs have predicted binding sites in multiple genes involved in liver metabolism. Transfection of these miRs in HepG2 cells followed by real-time quantitative polymerase chain reaction showed that miR-Let-7b mimic increased the expression of <em>Igfbp1</em> by 8-fold and reduced the expression of <em>Mrc1</em> by 3.2-fold, whereas its inhibitor reduced <em>Igfbp1</em> by 2.8-fold and increased <em>Mrc1</em> by 5.2-fold. MiR-3613-5p mimic reduced the expression of <em>Cyp2r1</em> by 2.2-fold and <em>Mrc1</em> by 4-fold. MiR-125b-5p mimic increased the expression of <em>Fabp4</em> by 4.1-fold, whereas miR-150-5p mimic increased the expression of <em>Mrc1</em> by 1.8-fold and <em>Cyp2r1</em> by 2.5-fold. Inhibitors of both miR-125b-5p and miR-150-5p did not show any effect on any of the genes.</div></div><div><h3>Conclusion</h3><div>Circulating microRNAs, known to be aberrant in endometriosis-regulated hepatic gene expression, likely contribute to the metabolic defects seen in this disease. Treatment with miR-Let-7b and miR-3613-5p, which are downregulated in endometriosis, reversed the effect of endometriosis on the expression of <em>IGFBP1</em>, <em>MRC1,</em> and <em>CYP2r1</em> genes. Therefore, miR-Let-7b and miR-3613-5p may be novel candidate therapies for endometriosis, potentially correcting the metabolic changes seen in patients with endometriosis.</div></div>","PeriodicalId":73012,"journal":{"name":"F&S science","volume":"6 2","pages":"Pages 221-231"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143461057","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
Kinetics of cell shrinkage and developmental competence of mouse zygotes vitrified following conventional or automated (DaVitri) protocols 采用常规或自动(DaVitri)方法玻璃化的小鼠受精卵的细胞收缩和发育能力动力学。
Pub Date : 2025-05-01 Epub Date: 2025-03-28 DOI: 10.1016/j.xfss.2025.03.006
Javier Guerrero-Sánchez Ms.C. , Andrea Fernández-Toribio Ms.C. , Beatriz Galiano-Cogolludo Ms.C. , Tania García-Martínez Ph.D. , Lucía Mendoza Ph.D. , Gonzalo Fernández-Blanco Ms.C. , Jesús Ramos-Membrive Ms.C. , Joana Fidalgo Ph.D. , Lionel Matthys Ms.C. , José Antonio Horcajadas Ph.D. , Santiago Munné Ph.D. , Pablo Bermejo-Álvarez D.V.M., Ph.D.

Objective

To test the developmental ability of murine zygotes vitrified using a novel vitrification device and microfluidic chip (DaVitri, Overture Life).

Design

Murine zygotes were randomly allocated to 2 groups; one was vitrified using the vitrification device, and the other was following a conventional manual protocol.

Subjects

Murine zygotes obtained in vivo.

Exposure

Automatic vitrification was achieved by a linear exposure to cryoprotectants (CPAs) using the DaVitri device. Manual vitrification was conducted using Kitazato kit.

Main Outcome Measures

Morphokinetic behavior of the zygotes during the exposure to CPAs analyzed by microscopy, developmental rates after thawing, lineage development at the blastocyst stage assessed by immunohistochemistry and light-structured fluorescent microscopy, and survival rates and pup weight after embryo transfer.

Results

Automated vitrification led to a gradual reduction in zygote volume during the equilibration steps preceding ultrafast cooling in liquid nitrogen, as opposed to the conventional manual protocol where sharp changes in zygote volume were observed as a result of exposure to static concentrations of CPAs. Survival rates of the automated procedure were comparable to those of the manual protocol, resulting in ∼95% blastocyst formation rates. Developmental analysis of the resulting blastocysts revealed comparable numbers of total, trophectoderm, and inner cell mass numbers in blastocysts developed from zygotes vitrified under the manual and automated protocols. No differences were found in survival to term or pup weight a D1 or D21.

Conclusion

Automated vitrification using DaVitri device diminished the osmotic stress caused by exposure to CPAs during the equilibration steps and resulted in comparable developmental competence in terms of development to blastocysts, lineage segregation, and survival to term.
目的:研究一种新型玻璃化装置和微流控芯片(DaVitri®,Overture Life)对小鼠受精卵玻璃化后的发育能力。设计:将小鼠受精卵随机分为两组,一组使用玻璃化装置进行玻璃化,另一组采用常规手工方法进行玻璃化。实验对象:体内获得的小鼠受精卵。暴露:自动玻璃化是通过使用DaVitri装置线性暴露于冷冻保护剂来实现的。使用Kitazato®试剂盒进行人工玻璃化。主要观察指标:显微镜分析受精卵暴露于冷冻保护剂期间的形态动力学行为,解冻后的发育率,免疫组织化学和光结构荧光显微镜评估囊胚期的谱系发育,胚胎移植后的存活率和幼犬体重。结果:在液氮中超高速冷却之前的平衡步骤中,自动玻璃化导致受精卵体积逐渐减少,这与传统的人工方案相反,在人工方案中,由于暴露于静态浓度的冷冻保护剂,受精卵体积会发生急剧变化。自动程序的存活率与手动程序相当,导致囊胚形成率为95%。对所得到囊胚的发育分析显示,在人工和自动方法下玻璃化的受精卵中,囊胚的总数量、滋养外胚层和内细胞质量数量相当。D1和D21的存活率和幼崽体重均无差异。结论:采用DaVitri装置的自动玻璃化处理减少了在平衡过程中暴露于CPAs引起的渗透应激,在囊胚发育、谱系分离和存活方面具有相当的发育能力。
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引用次数: 0
Impact of a short-term Western-style diet and hyperandrogenism on adult rhesus macaque ovarian function 短期西式饮食和高雄激素血症对成年恒河猴卵巢功能的影响。
Pub Date : 2025-05-01 Epub Date: 2025-02-25 DOI: 10.1016/j.xfss.2025.02.007
Pamela B. Parker M.D., M.P.H. , Melinda J. Murphy B.S. , Sweta Ravisankar Ph.D. , Shawn L. Chavez Ph.D. , Jon D. Hennebold Ph.D.

Objective

To determine the effect of an obesogenic Western-style diet and hyperandrogenemia on ovarian outcomes.

Design

Experimental, controlled animal study.

Subjects

Post-pubertal rhesus macaque females.

Exposure

A Western-style diet (WSD) (WSD: 36% fat, 45% carbohydrate, 18% protein) combined with exogenously administered testosterone (T) vs. a standard chow diet (control; 15% fat, 59% carbohydrate, 27% protein). Animals underwent controlled ovarian stimulations to assess ovarian follicle development.

Main Outcome Measures

Cycle length, the proportion of ovulatory cycles, and daily levels of estradiol (E2), progesterone, antimüllerian hormone, luteinizing hormone, and follicle-stimulating hormone were compared between control and T+WSD groups through one menstrual cycle. Follicular fluid was assessed for cytokine and steroid content, and retrieved oocytes were evaluated for meiotic maturation and underwent in vitro fertilization. Granulosa cells were analyzed for differential gene expression. Ovaries were removed in early luteal phase (4 days post midcycle estradiol surge) and analyzed for morphological differences.

Results

The T+WSD group demonstrated significantly decreased luteal progesterone levels. We found no differences in cycle length, proportion of ovulatory cycles, day of E2 surge, total E2 synthesis, follicle-stimulating hormone, luteinizing hormone or antimüllerian hormone. Analysis of follicular fluid retrieved from animals undergoing an ovarian stimulation protocol revealed increased vascular endothelial growth factor-A, elevated cortisol:cortisone ratio, and increased testosterone and progesterone levels in the treatment group. Granulosa cells from T+WSD demonstrated significantly up-regulated or down-regulated genes relative to controls, including those related to cell differentiation and migration. The ovarian morphology of treatment animals demonstrated enlarged cystic follicles reminiscent of polycystic ovaries.

Conclusion

Similar to prior studies assessing long-term exposure (5–6 years) to T+WSD in female rhesus macaques beginning before menarche, a 1-year T+WSD treatment in adult, regularly cycling females led to reduced luteal phase progesterone levels and polycystic ovarian morphology. Additionally, short-term T+WSD exposure resulted in altered granulosa cell gene expression. Although 1 year of T+WSD exposure leads to altered luteal progesterone, follicular fluid steroid and cytokine content, and granulosa cell gene expression changes, insults of longer duration are required to exert additional negative effects on ovarian function.
目的:探讨致肥性西式饮食和高雄激素血症对卵巢结局的影响。设计:实验对照动物研究对象:青春期后恒河猴雌性暴露:西式饮食(T+WSD: 36%脂肪,45%碳水化合物,18%蛋白质)结合外源性睾酮与标准鼠粮(对照组,CTRL;15%脂肪,59%碳水化合物,27%蛋白质)。实验动物接受受控卵巢刺激以评估卵泡发育。主要观察指标:比较按CTRL组和按T+WSD组在一个月经周期内的周期长度、排卵周期比例、每日雌二醇(E2)、黄体酮(P4)、AMH、黄体生成素(LH)、促卵泡激素(FSH)水平。对卵泡液进行细胞因子和类固醇含量评估,对提取的卵母细胞进行减数分裂成熟评估,并进行体外受精。对颗粒细胞进行差异基因表达分析。在黄体早期(中期雌二醇激增后4天)切除卵巢,分析形态学差异。结果:T+WSD组黄体P4水平明显降低。我们发现在周期长度、排卵周期比例、E2激增天数、总E2合成、FSH、LH或AMH方面没有差异。从接受卵巢刺激方案的动物中提取的卵泡液分析显示,治疗组血管内皮生长因子- a (VEGFA)升高,皮质醇:可的松比值升高,睾酮和孕酮水平升高。与先前评估雌性恒河猴月经初潮前长期(5-6年)暴露于T+WSD的研究类似,在成年、定期循环的雌性恒河猴中,1年的T+WSD治疗导致黄体期黄体酮水平降低和多囊卵巢形态。此外,短期T+WSD暴露导致颗粒细胞基因表达改变。虽然1年的T+WSD暴露会导致黄体黄体酮、卵泡液类固醇和细胞因子含量的改变,以及颗粒细胞基因表达的变化,但需要更长的时间才能对卵巢功能产生额外的负面影响。
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引用次数: 0
Enhanced ovarian FKBP51 expression is associated with ovarian aging: a molecular insight for age-related fertility in women 卵巢FKBP51表达增强与卵巢衰老相关:女性年龄相关生育的分子洞察
Pub Date : 2025-05-01 Epub Date: 2025-01-19 DOI: 10.1016/j.xfss.2025.01.004
Papri Sarkar M.D. , Monica Moore M.Sc , Asli Ozmen PhD , Busra Cetinkaya-Un Ph.D , Vitko Julie M.D. , Anthony N. Imudia M.D , Charles J. Lockwood M.D. , Umit A. Kayisli Ph.D. , Ozlem Guzeloglu-Kayisli Ph.D.
<div><h3>Objective</h3><div>To study the relationship between FK506-binding protein 51 (FKBP51) and ovarian aging and/or diminished ovarian reserve (DOR) in human ovaries by comparing FKBP51 levels in granulosa cells (GCs) and cumulus cells (CCs), collected during controlled ovarian stimulation (COS) from women of advanced reproductive age and/or with a diagnosis of DOR with that of young women with normal ovarian reserve. To explore the association between increased FKBP51 expression and human ovarian aging further, expression of FKBP51 was compared in ovarian stroma of postmenopausal vs. premenopausal women. Lastly, this relation was further queried by comparing ovarian expression of several collagen genes as markers of ovarian fibrosis in 14-month-old wild-type (<em>Fkbp5</em><sup><em>+/+</em></sup>) and <em>Fkbp5</em> knockout (<em>Fkbp5</em><sup><em>−/−</em></sup>) mice.</div></div><div><h3>Design</h3><div>Laboratory-based experimental study.</div></div><div><h3>Subjects</h3><div>Samples collected included follicular fluid, CCs, GCs, and serum from group 1: young women with normal ovarian reserve (<35 years; n = 12); group 2: DOR (antimüllerian hormone <1 ng/mL; n = 10); and group 3: women of advanced age with normal ovarian reserve (>37 years; n = 8). Ovarian stromal tissues obtained from surgical specimen of post-menopausal (50–65 years; n = 6) and pre-menopausal (18–30 years; n = 6). Ovarian tissues from 14-month-old <em>Fkbp5</em><sup><em>+/+</em></sup> <em>and Fkbp5</em><sup><em>−/−</em></sup> mice. All the experiments were performed at an academic-affiliated assisted reproductive technology unit/laboratory.</div></div><div><h3>Exposure</h3><div>Comparison of FKBP51 expression in GCs and CCs from women undergoing COS, ovarian stromal tissue from pre- and post-menopausal women, and ovarian tissue from aged <em>Fkbp5</em><sup><em>+/+</em></sup> <em>and Fkbp5</em><sup><em>−/−</em></sup> mice.</div></div><div><h3>Main Outcome Measures</h3><div>(1) Level of FKBP51 in human GCs and CCs, collected during COS by performing real-time quantitative polymerase chain reaction (qPCR). (2) Immunohistochemistry to detect FKBP51 levels and Picrosirius Red staining to detect collagen deposition in human ovarian stromal tissue. (3) Real-time qPCR to compare expression levels of several collagen genes in <em>Fkbp5</em><sup><em>+/+</em></sup> and <em>Fkbp5</em><sup><em>−/−</em></sup> old mice ovaries. Serum and follicular fluid levels of transforming growth factor β1, and soluble endoglin measured by enzyme-linked immunosorbent assay.</div></div><div><h3>Results</h3><div>Immunohistochemistry revealed that FKBP51 histologic score levels in ovarian stromal tissue were significantly higher in postmenopausal vs. premenopausal women (mean ± SEM, 160.52 ± 17.75 vs. 120.67 ± 14.33; <em>P</em>=.002). Stronger Picrosirius Red staining, suggestive of fibrosis, was seen in ovarian stromal tissue of postmenopausal vs. premenopausal women (54.06 ± 6.94 vs. 37.5
目的:通过比较高龄和/或诊断为DOR的卵巢控制性刺激(COS)时收集的颗粒细胞(GC)和积云细胞(CC)中fk506结合蛋白51 (FKBP51)与卵巢储备功能正常的年轻女性的fk506结合蛋白51 (FKBP51)水平,研究fk506结合蛋白51与卵巢老化和/或卵巢储备功能减退(DOR)之间的关系。为了进一步探讨FKBP51表达升高与人类卵巢衰老的关系,我们比较了绝经后和绝经前女性卵巢间质中FKBP51的表达。最后,通过比较14月龄野生型(Fkbp5+/+)和Fkbp5敲除型(Fkbp5-/-)小鼠卵巢中几种胶原基因作为卵巢纤维化标志物的表达,进一步探究这种关系。设计:基于实验室的实验研究。背景:学术附属辅助生殖技术单位/实验室受试者:(1)收集的样本包括第1组的卵泡液(FF)、CC、GC和血清:卵巢储备正常的年轻女性(37岁;n = 8)。(2)绝经后(50 ~ 65岁)手术标本获得的卵巢间质组织;N =6)和绝经前(18-30岁;n = 6)。(3) Fkbp5+/+和Fkbp5-/-小鼠14月龄卵巢组织。暴露:比较FKBP51在COS妇女GC和CC、绝经前和绝经后妇女卵巢间质组织、老年Fkbp5+/+和Fkbp5-/-小鼠卵巢组织中的表达。主要观察指标:(1)人GC和CC中FKBP51的水平,通过RT-qPCR (RT-qPCR)在COS期间收集。(2)免疫组化(IHC)检测FKBP51水平,Picrosirius Red染色(PSR)检测人卵巢间质组织胶原沉积。(3) RT-qPCR比较Fkbp5+/+和Fkbp5-/-老年小鼠卵巢中几种胶原蛋白基因的表达水平。(4) ELISA法测定血清和FF中TGF-β1、可溶性内啡肽水平。结果:IHC显示绝经后妇女卵巢间质组织中FKBP51 HSCORE水平明显高于绝经前妇女(Mean±SEM;160.52±17.75 vs. 120.67±14.33,P= 0.002)。绝经后和绝经前妇女的小天狼星红染色较强,提示纤维化(54.06±6.94比37.50±14.29,P=0.02)。qPCR分析显示:1)14月龄Fkbp5-/-vs卵巢Col1a1、Col1a2、Col3a1水平显著降低。Fkbp5 + / +老鼠;2)老年女性积云细胞中FKBP5水平明显高于年轻女性(1.71±0.22比1.11±0.15,P= 0.03);3)与年龄匹配的对照组相比,DOR女性颗粒细胞中FKBP5水平高出约3倍(3.22±1.11比1.30±0.54 P= 0.03)。结论:本研究首次揭示了FKBP51在人卵巢中的表达谱及其在卵巢衰老中的潜在作用。我们的研究结果表明FKBP51的上调与卵巢衰老有关。此外,在接受IVF治疗的女性中,DOR患者或产妇生育年龄较晚且预后较差的女性中FKBP51表达增强。因此,靶向抑制FKBP51表达和/或活性的药物可能延缓卵巢衰老或治疗卵巢早衰。
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