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Cell Phones and their Impact on Male Fertility: Fact or Fiction 手机及其对男性生育能力的影响:事实还是虚构
Pub Date : 2011-09-23 DOI: 10.2174/1874255601103010125
A. Hamada, Aspinder Singh, A. Agarwal
Today, cell phone technology is an integral part of everyday life and its use is not only restricted to voice conversations but also conveying news, high resolution pictures and internet. However, these advances in technology are accompanied by progressive boost in the intensity and frequency of the emitted electromagnetic waves without consideration of their health consequences. Our bodies act as parasitic antennas that receive these waves and convert them into electric and magnetic fields. While thermal effects at the present level of cell phone radiation are negligible, most of the biological interactions are attributed to non-thermal effects. Male reproductive system is highly compartmentalized and sensitive biological system that requires the integration of intrinsic and extrinsic factors to properly function. The generated electrical currents may alter the hormonal milieu and testicular microenvironment, necessary for sperm production. Additionally, sperm are electrically active cells and their exposure to cell phone electromagnetic waves and currents may affect their motility, morphology and even their count. Leaky plasma membranes, calcium depletion and oxidative stress are the postulated cellular mechanisms mediating the harmful effects of cell phones radiation on sperm and male fertility potentials. Evidences for such impacts come from designed animal and in vitro studies which may be different from in vivo human exposure. Nevertheless, the important advice is to apply strict regulations on further increase in the power density of the emitted cell phone radiation and to conduct in vivo human research to study its negative effects on fertility.
今天,手机技术是日常生活中不可或缺的一部分,它的使用不仅限于语音通话,还可以传递新闻、高分辨率图片和上网。然而,伴随这些技术进步而来的是发射电磁波的强度和频率的逐步提高,而不考虑其对健康的影响。我们的身体就像寄生天线一样接收这些电波并将其转换成电场和磁场。虽然目前手机辐射水平下的热效应可以忽略不计,但大多数生物相互作用都归因于非热效应。男性生殖系统是高度区域化的敏感生物系统,需要内外因素的综合作用才能正常工作。产生的电流可能会改变精子产生所必需的荷尔蒙环境和睾丸微环境。此外,精子是电活性细胞,它们暴露在手机电磁波和电流中可能会影响它们的运动性、形态甚至数量。细胞膜渗漏、钙耗竭和氧化应激是手机辐射对精子和男性生育能力造成有害影响的假设细胞机制。这种影响的证据来自精心设计的动物和体外研究,可能不同于人体内接触。然而,重要的建议是对进一步增加手机辐射的功率密度实行严格的规定,并进行人体体内研究,以研究其对生育的负面影响。
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引用次数: 78
Impact of the New WHO Guidelines on Diagnosis and Practice of Male Infertility 新世卫组织男性不育症诊断和实践指南的影响
Pub Date : 2011-09-23 DOI: 10.2174/1874255601103010007
S. Esteves, A. Agarwal
The World Health Organization (WHO) has established new reference values for semen characteristics in its 5th edition manual which are lower than those previously reported. Several questions arise after a careful examination of the proposed new values, especially regarding the implications of these references for diagnosis and treatment of male infertility. Despite the notable advance of using controlled studies involving couples whose time to pregnancy was less than 12 months to generate the new limits, reference studies are limited with regard to the population analyzed and the methods used for semen evaluation. As such, it seems unreasonable to assume that reference values represent global semen characteristics of fertile men as proposed in the 5 th edition WHO manual. Caution should be exercised to not over- interpret the new reference values as they may fail to accurately discriminate populations of fertile and infertile men. Properly performed semen analyses coupled with an adequate examination of the man can give valuable information related to the organs producing "semen", a highly complex fluid, and thus help in better understanding of the physiology of the reproductive organs and the causes of their dysfunctions. The present commentary discusses concerns related to the publication of the new reference values for semen parameters such as the impact on patient referral, diagnosis, treatment of recognized conditions such as varicocele and indications of assisted reproductive modalities. We conclude that more debate is needed before the adoption of the proposed WHO current reference values by andrology laboratories around the world. For those considering to adopt them, a better approach would be the presentation of reference values by percentiles rather than solely the lower cutoff limits. The time has come for technological developments that bring robust and cost- effective clinically useful sperm function tests to replace, at least partially, the shortcomings of routine semen analysis.
世界卫生组织(世卫组织)在其第5版手册中确定了精液特征的新参考值,该参考值低于以前报道的参考值。在仔细研究了提出的新价值之后,出现了几个问题,特别是关于这些参考文献对男性不育症的诊断和治疗的影响。尽管在使用涉及怀孕时间少于12个月的夫妇的对照研究来产生新的限制方面取得了显著进展,但关于所分析的人口和用于精液评估的方法的参考研究有限。因此,假设参考值代表世界卫生组织第五版手册中提出的可生育男性的全球精液特征似乎是不合理的。应谨慎行事,不要过度解释新的参考值,因为它们可能无法准确区分有生育能力和不育的男性群体。进行适当的精液分析,加上对男子进行充分的检查,可以提供有关产生"精液"(一种高度复杂的液体)的器官的宝贵信息,从而有助于更好地了解生殖器官的生理学及其功能障碍的原因。本评论讨论与精液参数新参考值的出版有关的问题,例如对病人转诊、诊断、精索静脉曲张等公认病症的治疗和辅助生殖方式的指示的影响。我们的结论是,在世界各地的男科实验室采用世卫组织建议的现行参考值之前,需要进行更多的辩论。对于那些考虑采用这些标准的国家来说,较好的办法是按百分位数提出参考值,而不仅仅是较低的临界值。技术发展的时代已经到来,这些技术带来了强大的、成本效益高的、临床上有用的精子功能测试,至少部分地取代了常规精液分析的缺点。
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引用次数: 15
Editorial: Advances in Andrology and Male Reproductive Health 社论:男科与男性生殖健康进展
Pub Date : 2011-09-23 DOI: 10.2174/1874255601103010001
A. Agarwal, S. Esteves
Andrology, the branch of medicine concerned with male reproductive health, emerged as a specialty at the end of the nineteenth century. However, it was not until the latter half of the past century that andrology had been recognized as one of the most intriguing sub-specialties of human reproduction. This is due to rapidly rising volume of scientific evidence that document the critical role of spermatozoa in the fertilization process. Due to the true nature of research involving the classical disciplines of physiology, biochemistry and molecular biology, scientific knowledge and application of andrology evolve continuously. Invariably, it is leading to a growth in andrological information and better understanding of the field of male reproductive biology. The scope of modern andrology now covers a wide spectrum from genetic studies to pubertal changes in the male and from infertility and assisted reproduction techniques to disorders of the prostate, sexual function and contraception. In this Special Issue of The Open Reproductive Science Journal, we examine some of these technical developments by highlighting the most up-to-date advances and contentious issues in male reproduction in a collection of high quality reviews written by distinguished experts in their fields. These topics were chosen to demonstrate the exciting breadth of andrology and the opportunity it holds for both understanding and improvement of male reproductive health. This Special Issue commences with a provocative commentary that presents a critical appraisal of the new 5 th edition World Health Organization (WHO) reference values for laboratory semen evaluation. Reference values were obtained from data involving approximately two thousand men who were able to impregnate their wives in a period of twelve months or less. Apart from total sperm number per ejaculate, the cutoff limits of these distributions are lower than the 'normal' or 'reference' values of previous WHO manual editions. Despite the notable advance of using evidence-based data to obtain the new limits, a systematic review of the literature was not performed to identify all data on semen quality in various populations. Conversely, the generation of the new WHO reference limits was biased by pooling very few studies coming mainly from Northern European cities. From these data, it seems unsound to assume, as proposed by the 5 th edition WHO manual, that the reference values represent global semen characteristics of fertile men. The authors go on by discussing other flaws of the newly proposed reference limits for the semen analysis parameters and …
男科是研究男性生殖健康的医学分支,在19世纪末成为一门专业。然而,直到上个世纪下半叶,男科学才被公认为是人类生殖学中最有趣的分支专业之一。这是因为越来越多的科学证据证明了精子在受精过程中的关键作用。由于研究涉及生理学、生物化学和分子生物学等经典学科的真实性质,男科的科学知识和应用不断发展。不可避免的是,它导致了男科学信息的增长和对男性生殖生物学领域的更好理解。现代男科的范围现在涵盖了广泛的范围,从遗传研究到男性的青春期变化,从不育症和辅助生殖技术到前列腺疾病、性功能和避孕。在这期《开放生殖科学杂志》的特刊中,我们通过强调男性生殖领域的最新进展和有争议的问题来研究这些技术发展,这些研究集中在由各自领域的杰出专家撰写的高质量评论中。选择这些主题是为了展示男科学令人兴奋的广度,以及它为理解和改善男性生殖健康所带来的机会。本期特刊以一篇挑衅性评论开篇,对世界卫生组织(世卫组织)实验室精液评价的新第5版参考值进行了批判性评价。参考值是从涉及大约2000名能够在12个月或更短时间内使其妻子怀孕的男子的数据中获得的。除了每次射精的精子总数外,这些分布的临界值低于以往世卫组织手册版本的“正常”或“参考”值。尽管在使用循证数据获得新的限制方面取得了显著进展,但尚未对文献进行系统回顾,以确定不同人群中精液质量的所有数据。相反,由于汇集了主要来自北欧城市的极少数研究,世卫组织新参考限值的产生存在偏差。从这些数据来看,按照世卫组织第五版手册的建议,假设参考值代表全球有生育能力男性的精液特征似乎是不合理的。作者接着讨论了新提出的精液分析参数参考限度的其他缺陷。
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引用次数: 1
Male Infertility and Assisted Reproductive Technology: Lessons from the IVF 男性不育与辅助生殖技术:来自体外受精的经验教训
Pub Date : 2011-09-23 DOI: 10.2174/1874255601103010138
S. Esteves, D. T. Schneider
Development in ART has been remarkable in the last decades. Several medical conditions affecting the male fertility status are now treated by ART, especially by the combination of in vitro fertilization and intracytoplasmic sperm injection. ICSI is now the treatment of choice of most untreatable causes of male infertility, including immunologic infertility, severe oligozoospermia and azoospermia. Sperm retrieval techniques have been optimized and microsurgery offers the possibility of collecting testicular spermatozoa even in the most difficult cases of non-obstructive azoospermia. Nonetheless, the reproductive potential of sperm from men with defective spermatogenesis is decreased in ART and such treatment modalities may carry an increased risk of transmitting genetic and epigenetic defect to the embryo. Efforts should be made to improve the male health status prior to embarking on ART because current evidence suggests that fertility optimization may improve treatment outcomes. Moreover, laboratory management of male infertility cases requires special attention. Spermatozoa collected from men with severely impaired spermatogenesis are often compromised and fragile. Adherence to state of the art laboratory techniques and quality control are recommended to avoid jeopardizing sperm fertilizing potential and the chances of achieving a live birth. In this study, we present and critically review our 10-year experience in the management of severe male factor infertility using ART.
在过去的几十年里,抗逆转录病毒治疗取得了显著的发展。影响男性生育状况的几种疾病现在通过抗逆转录病毒治疗,特别是通过体外受精和胞浆内单精子注射相结合的方式治疗。ICSI现在是大多数男性不育症的治疗选择,包括免疫性不育症,严重少精症和无精症。精子回收技术已经得到优化,显微外科手术提供了收集睾丸精子的可能性,即使在最困难的非阻塞性无精子症病例中也是如此。然而,在抗逆转录病毒治疗中,精子发生缺陷的男性精子的生殖潜力降低,这种治疗方式可能会增加将遗传和表观遗传缺陷传递给胚胎的风险。应努力在开始抗逆转录病毒治疗之前改善男性健康状况,因为目前的证据表明,优化生育能力可能改善治疗结果。此外,男性不育病例的实验室管理需要特别注意。从精子发生功能严重受损的男性身上收集的精子通常是受损的和脆弱的。建议坚持最先进的实验室技术和质量控制,以避免危及精子受精潜力和实现活产的机会。在这项研究中,我们提出并批判性地回顾了我们使用ART治疗严重男性因素不育症的10年经验。
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引用次数: 13
Genetic Testing in Male Infertility 男性不育的基因检测
Pub Date : 2011-09-23 DOI: 10.2174/1874255601103010042
R. Dada, J. Thilagavathi, S. Venkatesh, S. Esteves, A. Agarwal
Infertility is a major health problem which affects approximately 22% of married couples in reproductive age. The apparent increased incidence of male infertility, in parallel with the widespread use of in vitro fertilization (IVF), raises concern as to the impact of advanced assisted conception techniques in transmitting genetic anomalies to the offspring. Recent research has widely focused on genetic factors underlying male infertility and several genetic tests are now clinically available. Genetic testing plays an important role not only to identify the etiology of male infertility but also aids in counseling as well as in the prevention of the transmission of genetic defects to the offspring via assisted reproduction. This review is focused on the syndromic and non-syndromic causes of male infertility and the diagnostic tests use in their evaluation.
不孕不育是影响约22%育龄已婚夫妇的主要健康问题。随着体外受精的广泛使用,男性不育症的发病率明显增加,这引起了人们对先进的辅助受孕技术在将遗传异常传给后代方面的影响的关注。最近的研究广泛集中在男性不育症的遗传因素上,现在有几种基因测试在临床上可用。基因检测不仅在确定男性不育的病因方面起着重要作用,而且在咨询和预防遗传缺陷通过辅助生殖传播给后代方面也起着重要作用。本文综述了男性不育症的综合征性和非综合征性原因以及在其评估中使用的诊断测试。
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引用次数: 29
Environmental Toxicants and Testicular Apoptosis 环境毒物与睾丸凋亡
Pub Date : 2011-09-23 DOI: 10.2174/1874255601103010114
P. Mathur, Laura Huang, A. Kashou, S. Vaithinathan, A. Agarwal
When apoptosis is improperly activated or regulated in the testis, infertility or even cancer can result. Studies have implicated elevated rates of apoptosis in infertile male patients. Pinpointing how environmental toxicity affects apoptosis is important for the advancement of preventative medicine and behavior, especially as potentially harmful compounds continue to proliferate in households and workplaces. Moreover, familiarity with testicular processes, particularly the induction of apoptosis, is essential for promoting male fertility. This review examines environmental toxicants that have been implicated in testicular apoptosis. We elucidate the mechanistic pathways through which specific xenobiotic compounds trigger cell death in the testis. This review highlights the role of oxidative stress in mediating these apoptotic actions.
当睾丸细胞凋亡被不恰当地激活或调节时,可能导致不育甚至癌症。研究表明,男性不育患者的细胞凋亡率升高。明确环境毒性如何影响细胞凋亡对于预防医学和行为的进步非常重要,特别是当潜在有害化合物在家庭和工作场所继续扩散时。此外,熟悉睾丸过程,特别是诱导细胞凋亡,对促进男性生育能力至关重要。本文综述了与睾丸细胞凋亡有关的环境毒物。我们阐明了通过特定的外源化合物触发睾丸细胞死亡的机制途径。这篇综述强调了氧化应激在介导这些凋亡行为中的作用。
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引用次数: 30
The Advent of Sperm Proteomics has Arrived 精子蛋白质组学的时代已经到来
Pub Date : 2011-09-23 DOI: 10.2174/1874255601103010092
A. Kashou, D. J. Benjamin, A. Agarwal, S. Plessis
Sperm proteomics is the identification and functional study of sperm proteins. It is based on the separation of proteins to generate a sample suitable for mass spectrometry and subsequent protein identification. Various proteomic approaches can be employed to study sperm proteins. Currently it has led to the identification and cataloging of thousands of sperm proteins. Ultimately, the goal is to apply sperm proteomics not only as a research method, but also as a clinical and diagnostic tool in the field of male infertility. This manuscript aims to review proteomics and the approaches used to analyze sperm proteins as well as put its application in context with some of the current findings. I. INTRODUCTION Male gametes are highly specialized cells that get pro- duced during the process of spermatogenesis in the testis. They represent a unique subtype of cells and differ drama- tically from somatic cells in general. Their crucial function remains the successful delivery of the paternal complement of genome to the oocyte. Despite spermatozoa being highly accessible cells, more in-depth studies still remain to be done on these gametes in order to elucidate their sub-cellular composition and activities in relation to their activities and function. Innovative methods and original technologies act as catalysts and driving forces for the expansion of knowledge with regards to systems and biological studies. One such emergent group of novel technologies that can be applied to study large sets of biological molecules in order to micro- measure the performance of cells at a given time is collectively referred to as omics. The term omics encompass the study of genes (genomics), transcript (transcriptomics), proteins (proteomics) and metabolites (metabolomics) (1). These technologies allow for the identification and quan- tification of cellular components in a spatiotemporal fashion. What researchers once envisioned is now a reality; omics now allows for a transformation from once only genomic analysis to proteomic analysis. This approach offers an opportunity to investigate the relationship between an organism's genotype and resulting phenotype. The specific field of proteomics allows for the measure- ment of the production of protein levels and describes the changes in all proteins expressed and translated from a single genome in a tissue or cell (2). It aims to provide the expression levels of all proteins of one functional state in a biological system (3-5). This enables researchers to gain
精子蛋白质组学是对精子蛋白质的鉴定和功能研究。它是基于蛋白质的分离,以产生适合质谱和随后的蛋白质鉴定的样品。各种蛋白质组学方法可用于研究精子蛋白质。目前,该技术已对数千种精子蛋白进行了鉴定和分类。最终的目标是将精子蛋白质组学不仅作为一种研究方法,而且作为男性不育领域的临床和诊断工具。本文旨在回顾蛋白质组学和用于分析精子蛋白质的方法,并将其应用与当前的一些发现联系起来。雄性配子是高度特化的细胞,在精子发生过程中在睾丸中产生。它们代表了一种独特的细胞亚型,与一般的体细胞有很大的不同。它们的关键功能仍然是成功地将父本基因组补体传递到卵母细胞。尽管精子是高度可接近的细胞,但为了阐明其亚细胞组成及其与活性和功能相关的活性,还需要对这些配子进行更深入的研究。创新方法和原创技术是系统和生物研究知识扩展的催化剂和驱动力。这样一组新兴的新技术可以应用于研究大量生物分子,以便在给定时间内微观测量细胞的性能,这些技术被统称为组学。术语组学包括基因(基因组学)、转录(转录组学)、蛋白质(蛋白质组学)和代谢物(代谢组学)的研究(1)。这些技术允许以时空方式识别和全化细胞成分。研究人员曾经设想的现在已经成为现实;组学现在允许从曾经的基因组分析到蛋白质组学分析的转变。这种方法提供了一个机会来研究生物体的基因型和由此产生的表型之间的关系。蛋白质组学的特定领域允许测量蛋白质水平的产生,并描述组织或细胞中单个基因组表达和翻译的所有蛋白质的变化(2)。它旨在提供生物系统中一种功能状态下所有蛋白质的表达水平(3-5)。这使研究人员能够获得
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引用次数: 9
Fucosidases of Sperm and Milt in Darters (Percidae: Etheostomatini) 精子和精子在精子中的集中酶(刺蚊科:卵卵聚集酶)
Pub Date : 2009-09-16 DOI: 10.2174/1874255600902010001
J. Venditti, T. Mendelson, B. Bean
Darters (Percidae: Etheostomatini) offer attractive opportunities for analysis of the evolution of reproductive barriers and the molecular basis of fertilization. Here we report some basic characteristics of the sperm of darters, and, to our knowledge, the first report of sperm associated � -L-fucosidase in fishes. Fluorometric enzyme assays using 4- methylumbelliferyl-alpha-L-fucopyranoside (4-MU-fuc) as a substrate provided direct quantification of enzyme activity in both the soluble and cellular fractions of milt from all six species tested. Further analysis using SDS-PAGE and Western blotting revealed that fish sperm and milt contain � -L-fucosidase isoforms with molecular weights similar to those reported for human semen. Fertilization of darter ova by conspecific sperm, as assessed by development of the embryo to the 4 cell stage, was inhibited by pretreatment of sperm with the fucosidase-specific competitive inhibitor DFJ, implicating the sperm fucosidase in fertilization and/or early embryogenesis. Identification of sperm associated � -L- fucosidase in darters is consistent with the importance of carbohydrates during fertilization.
刺虫(刺虫科:刺虫科)为分析生殖障碍的进化和受精的分子基础提供了有吸引力的机会。在这里,我们报告了鱼类精子的一些基本特征,并且,据我们所知,在鱼类中首次报道了精子相关的- l -聚焦酶。利用4-甲基伞形花苷- α - l-岩藻油苷(4- mu -fuc)作为底物进行的荧光酶测定,可以直接定量测定所有6个被测物种的milt的可溶性和细胞部分的酶活性。利用SDS-PAGE和Western blotting进一步分析发现,鱼类精子和精液中含有的- l -聚焦酶同种异构体的分子量与人类精液相似。通过胚胎发育到4个细胞阶段来评估,同种精子对不同卵的受精作用被聚焦酶特异性竞争抑制剂DFJ预处理后的精子所抑制,这表明精子聚焦酶参与了受精和/或早期胚胎发育。精子相关- l -聚焦酶的鉴定与碳水化合物在受精过程中的重要性是一致的。
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引用次数: 5
Polymorphisms of the DAX1 and EGR4 Genes are Not Common Causes of Abnormal Spermatogenesis DAX1和EGR4基因的多态性不是精子发生异常的常见原因
Pub Date : 2008-11-17 DOI: 10.2174/1874255600801010041
Lihua Liu, B. Emery, D. Carrell
The study of gene mutations causing sequence variation in spermatogenesis-related genes has revealed a highly stable spermatogenic code with little variability and even fewer disease-causing mutations. The current study supports the same trend, indicating that EGR4 and DAX1, two spermatogenesis-related genes, have a high genetic fidelity and do not contain polymorphic sites that would lead to a disease state. This was determined from a population of 192 men, 96 con- trol samples from men with known paternity, acquired from the Utah Genetic Reference Project (UGRP), and 96 infertile men. The diagnosis of the infertile men was stratified amongst three diagnostic groups, non-obstructive azoospermic, se- vere oligozoospermic, and men with abnormal protamine expression.
对导致生精相关基因序列变异的基因突变的研究揭示了一个高度稳定的生精密码,变异很小,致病突变更少。目前的研究支持同样的趋势,表明EGR4和DAX1这两个与精子发生相关的基因具有很高的遗传保真度,不包含导致疾病状态的多态性位点。这是由192名男性、96名从犹他州遗传参考项目(UGRP)获得的已知父权男性的对照样本和96名不育男性确定的。不孕症男性的诊断分为三个诊断组,非阻塞性无精子症,严重少精子症和鱼精蛋白表达异常的男性。
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引用次数: 0
Influence of Early In Utero Infection with Human Cytomegalovirus on the Course of Pregnancy 宫内早期巨细胞病毒感染对妊娠进程的影响
Pub Date : 2008-04-25 DOI: 10.2174/1874255600801010028
C. Wenig, B. Schlehofer, G. Beisler, P. Schnitzler, J. Schlehofer
Previous studies of in utero-infection with the human cytomegalovirus (HCMV) were focused on HCMV- seropositive women. Here, we assessed the clinical relevance of HCMV infection in normal pregnancies. In a prospective cohort study, amniotic fluids from 403 pregnant women undergoing amniocentesis for non-virological reasons were tested for HCMV DNA (nested PCR analysis of amniotic fluids), and sera of mothers and their neonates for IgG and IgM anti- bodies against HCMV (ELISA). Clinical data were obtained through questionnaires at the time of amniocentesis and at delivery. HCMV DNA was found in 3% of amniotic fluids, and was associated with an increased occurrence of preterm delivery, reduced birth weight, premature labor and preeclampsia. The seroprevalence of HCMV-specific IgG in maternal and newborn sera was about 40%, IgM was very rarely found in mothers, and in none of the neonates. Serological results were not associated with pregnancy complications. Hence, in utero HCMV infection is rare in normal pregnancies but might have consequences for the course of pregnancy.
先前关于子宫内感染人类巨细胞病毒(HCMV)的研究主要集中在HCMV-血清阳性的妇女身上。在这里,我们评估了正常妊娠中HCMV感染的临床相关性。在一项前瞻性队列研究中,对403名因非病毒学原因接受羊膜穿刺术的孕妇的羊水进行了HCMV DNA检测(羊水的巢式PCR分析),并对母亲及其新生儿的血清进行了抗HCMV的IgG和IgM抗体检测(ELISA)。在羊膜穿刺术和分娩时通过问卷调查获得临床资料。在3%的羊水中发现了HCMV DNA,并与早产、出生体重降低、早产和先兆子痫的发生率增加有关。母体和新生儿血清中hcmv特异性IgG的阳性率约为40%,母体中很少发现IgM,新生儿中没有发现IgM。血清学结果与妊娠并发症无关。因此,子宫内HCMV感染在正常妊娠中很少见,但可能对妊娠过程产生影响。
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引用次数: 2
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The open reproductive science journal
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