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Correction to: Role of poFUT1 and O-fucosylation in placental angiogenesis. 更正:poFUT1和O-聚焦在胎盘血管生成中的作用。
IF 3 2区 生物学 Q2 REPRODUCTIVE BIOLOGY Pub Date : 2026-01-11 DOI: 10.1093/biolre/ioaf265
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引用次数: 0
Activation of cAMP/PKA and ERK signaling pathways and potential role of Phoenixin in the reproductive axis of spotted scat (Scatophagus argus)†. cAMP/PKA和ERK信号通路的激活及凤凰素在斑点粪便生殖轴中的潜在作用
IF 3 2区 生物学 Q2 REPRODUCTIVE BIOLOGY Pub Date : 2026-01-11 DOI: 10.1093/biolre/ioaf213
Xinghua Lin, Qiaoyi Pan, Jianye Liu, Tianli Wu, Dongneng Jiang, Hongjuan Shi, Changxu Tian, Huapu Chen, Guangli Li, Siping Deng

Phoenixin (Pnx) exerts its physiological function primarily through its putative receptor GPR173 in mammals. However, the signaling pathways and the function of Pnx in the regulation of reproduction in teleosts remain poorly understood. Accordingly, this study presents an investigation of the signaling pathways and their functions in the regulation of reproduction in the spotted scat (Scatophagus argus). After transfection of Gpr173a into HEK-293 T cells, the results of the dual luciferase reporter assay indicated that Pnx-14 did not alter CRE-luc or SRE-luc activity. In addition, Pnx-20 could significantly increase SRE-luc activity. After transfection with Gpr173b, Pnx-14 could significantly increase CRE-luc activity while simultaneously inhibiting SRE-luc activity. Pnx-20 could significantly enhance SRE-luc activity. In vitro hypothalamic experiments, the expression of genes regulated by Pnx-14 and Pnx-20 can be suppressed in the presence of the cAMP/PKA inhibitor H89. Pnx-20 can also significantly increase the phosphorylation level of ERK1/2. Intracerebroventricular (ICV) injection of Pnx-20 significantly elevated estradiol levels in females. Conversely, ICV administration of Pnx-14 and Pnx-20 significantly reduced 11-ketotestosterone levels in males. Furthermore, ICV injection of Pnx-14 and Pnx-20 was shown to regulate the expression of reproduction-related genes in the hypothalamus, pituitary, and gonads of both females and males. These findings suggest that Pnx-14 may activate the cAMP/PKA or ERK pathway by Gpr173b. Similarly, Pnx-20 may activate the ERK pathway by Gpr173a and Gpr173b, thereby influencing the reproductive axis in the spotted scat.

在哺乳动物中,凤凰素主要通过其可能的受体GPR173发挥其生理功能。然而,Pnx在硬骨鱼生殖调节中的信号通路和功能仍然知之甚少。因此,本研究对斑点粪便(Scatophagus argus)生殖调控中的信号通路及其功能进行了研究。将Gpr173a转染到HEK-293T细胞后,双荧光素酶报告基因检测结果显示Pnx-14不改变CRE-luc或SRE-luc活性。此外,Pnx-20能显著提高SRE-luc活性。转染Gpr173b后,Pnx-14可显著提高CRE-luc活性,同时抑制SRE-luc活性。Pnx-20可显著提高SRE-luc活性。在体外下丘脑实验中,cAMP/PKA抑制剂H89的存在可抑制Pnx-14和Pnx-20调控基因的表达。Pnx-20也能显著提高ERK1/2的磷酸化水平。ICV注射Pnx-20显著提高雌二醇水平。相反,ICV给药Pnx-14和Pnx-20显著降低雄性11-酮睾酮水平。此外,ICV注射Pnx-14和Pnx-20可调节雌性和雄性下丘脑、垂体和性腺中生殖相关基因的表达。这些发现表明Pnx-14可能通过Gpr173b激活cAMP/PKA或ERK通路。同样,Pnx-20也可能通过Gpr173a和Gpr173b激活ERK通路,从而影响斑粪的生殖轴。
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引用次数: 0
Detection of factors related to ROS and ERS in the reproductive organs of hibernating Daurian ground squirrels (Spermophilus dauricus)†. 达斡尔地松鼠(spermoophilus dauricus)生殖器官中ROS和ERS相关因子的检测
IF 3 2区 生物学 Q2 REPRODUCTIVE BIOLOGY Pub Date : 2026-01-11 DOI: 10.1093/biolre/ioaf239
Ming-Di Wang, Jie-Yao Dong, Le Chen, Lu-Fan Li, Yan-Fei Xi, Jia-Can Wang, Lin-Jie Hu, Jin-Hui Xu, Zhe Wang

This study investigated the modulation of cellular stress in the male reproductive system of Daurian ground squirrels (Spermophilus dauricus) across distinct phases of hibernation under extreme environmental conditions. Morphological and volumetric changes in the testes and epididymides were assessed through paraffin-embedded sections and hematoxylin-eosin (H&E) staining, while oxidative stress (OS) and endoplasmic reticulum stress (ERS) markers were quantified using western blotting, colorimetric assays, and immunofluorescence histochemistry. Relative protein expression within key signaling pathways was also evaluated. Compared to the summer active stage, (1) reproductive hormone concentrations and testicular and epididymal visceral mass increased during hibernation and post-hibernation, indicating sustained reproductive activity. (2) Malondialdehyde (MDA) and hydrogen peroxide (H2O2) levels remained stable in the testes and epididymides during hibernation, suggesting effective suppression of oxidative stress during this stage. (3) Superoxide dismutase (SOD) activity and total antioxidant capacity (T-AOC) increased in the testes during pre-hibernation, potentially supporting germ cell differentiation. (4) Protein expression of unfolded protein response (UPR) markers, including CHOP, p-PKR, GRP78, p-IRE1, and p-PERK, was elevated during hibernation in both the testes and epididymides, implicating UPR activation in the preservation of reproductive tissue integrity and subsequent recovery. Despite stage-specific variations, the testes and epididymides of Daurian ground squirrels maintained a well-regulated cellular stress response throughout hibernation, preventing structural degeneration of the reproductive system. Furthermore, hibernation markedly reduced the abundance of common internal reference proteins such as β-actin and Glyceraldehyde-3-phosphate dehydrogenase (GAPDH), underscoring the need to use total protein normalization for accurate quantification in hibernation-related western blot analyses.

本研究研究了极端环境条件下达斡尔地松鼠(spermoophilus dauricus)雄性生殖系统在冬眠不同阶段的细胞应激调节。通过石蜡包埋切片和苏木精-伊红(H&E)染色评估睾丸和附睾的形态和体积变化,同时采用免疫印迹法、比色法和免疫荧光组织化学定量检测氧化应激(OS)和内质网应激(ERS)标志物。关键信号通路内的相对蛋白表达也被评估。与夏季活动期相比,(1)冬眠和冬眠后,生殖激素浓度和睾丸、附睾脏器质量增加,表明生殖活动持续。(2)冬眠期间睾丸和附睾中丙二醛(MDA)和过氧化氢(H2O2)水平保持稳定,提示冬眠期间氧化应激得到有效抑制。(3)冬眠前睾丸超氧化物歧化酶(SOD)活性和总抗氧化能力(T-AOC)增加,可能支持生殖细胞分化。(4)未折叠蛋白反应(UPR)标记的蛋白表达,包括CHOP、p-PKR、GRP78、p-IRE1和p-PERK,在睾丸和附睾的冬眠期间均升高,暗示UPR的激活与生殖组织完整性的保存和随后的恢复有关。尽管存在阶段特异性变化,但达斡尔地松鼠的睾丸和附睾在整个冬眠期间保持着良好的细胞应激反应,防止了生殖系统的结构退化。此外,冬眠显著降低了常见内参蛋白(如β-actin和GAPDH)的丰度,强调了在冬眠相关的western blot分析中使用总蛋白归一化进行准确定量的必要性。
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引用次数: 0
Developments on Mammalian Oocyte Maturation Using ZHB112-113, a Novel Long-Acting Human FSH and LH Recombinant Fusion Protein†. 新型长效人卵泡刺激素与LH重组融合蛋白ZHB112-113在哺乳动物卵母细胞成熟中的研究进展
IF 3 2区 生物学 Q2 REPRODUCTIVE BIOLOGY Pub Date : 2026-01-10 DOI: 10.1093/biolre/ioag004
Puyao Zhang, Chennan Ge, Chenyang Jiang, Yu Zhuang, Mengqian Zhu, Min Chen, Xuning Ding, Bruce Yong Ma

Ovarian stimulation medications are critical in assisted reproductive technology (ART), with growing demand for long-acting follicle-stimulating hormone (FSH). Although luteinizing hormone (LH) plays a pivotal role in oocyte maturation, recombinant long-acting LH remains underexplored. Here we develop a novel recombinant protein with an extended in vivo half-life and dual FSH and LH bioactivity to improve ovarian stimulation efficacy. This protein successfully induced ovarian stimulation in both mice and cynomolgus monkeys, confirming robust reproductive hormonal activity. The findings indicate its potential as an ovarian stimulation agent in ART, although further optimization of stimulation protocols is required.

随着对长效促卵泡激素(FSH)的需求不断增长,卵巢刺激药物在辅助生殖技术(ART)中至关重要。虽然促黄体生成素(LH)在卵母细胞成熟中起着关键作用,但重组长效LH仍未得到充分研究。在这里,我们开发了一种新的重组蛋白,它具有延长体内半衰期和FSH和LH双重生物活性,以提高卵巢刺激效果。这种蛋白成功地诱导了小鼠和食蟹猴的卵巢刺激,证实了强大的生殖激素活性。研究结果表明,尽管需要进一步优化刺激方案,但其作为抗逆转录病毒治疗中卵巢刺激剂的潜力。
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引用次数: 0
AQP3-mediated H₂O₂ Transport Drives Macrophage M1 Polarization and Cervical Matrix Remodeling in Cervical Insufficiency†. aqp3介导的H₂O₂转运驱动巨噬细胞M1极化和宫颈基质重构
IF 3 2区 生物学 Q2 REPRODUCTIVE BIOLOGY Pub Date : 2026-01-10 DOI: 10.1093/biolre/ioag009
Hanbo Liu, Lingyan Chen, Yuhong Long, Xiuju Liu, Danling Cheng, Jinying Yang

Cervical insufficiency (CI) affects 0.1-2% of pregnancies and represents a significant cause of second-trimester pregnancy loss and preterm birth, yet its pathophysiology remains incompletely understood. This study investigated whether aquaporin-3 (AQP3) facilitates hydrogen peroxide (H₂O₂) transport into cervical macrophages, driving their polarization toward a pro-inflammatory phenotype and subsequent cervical matrix degradation. Cervical tissues from women with CI demonstrated 1.45-fold higher AQP3 expression compared to gestational age-matched controls, with increased colocalization with macrophages. Tissue H₂O₂ levels were elevated 2.43-fold in CI, accompanied by increased oxidative damage markers and reduced collagen content. In vitro studies using THP-1 macrophages revealed that AQP3 knockdown prevented intracellular H₂O₂ accumulation despite pro-inflammatory stimulation, blocking M1 polarization and NF-κB activation. Co-culture experiments demonstrated that AQP3-dependent M1 macrophages increased matrix metalloproteinase (MMP)-9 activity 3.8-fold and reduced fibroblast collagen content by 59%. Both H₂O₂ scavenging with PEG-catalase and NF-κB inhibition with Bay 11-7082 prevented macrophage-mediated matrix degradation. These findings suggest that AQP3 may serve as an important mediator linking oxidative stress to inflammatory cervical remodeling through facilitation of H₂O₂ influx, NF-κB activation, and M1 macrophage polarization. Targeting AQP3 or its downstream signaling may represent a potential therapeutic approach that requires preclinical validation to prevent CI-associated pregnancy complications.

宫颈功能不全(CI)影响0.1% -2%的妊娠,是妊娠中期流产和早产的重要原因,但其病理生理机制尚不完全清楚。这项研究调查了水通道蛋白-3 (AQP3)是否促进过氧化氢(H₂O₂)转运到宫颈巨噬细胞,推动它们向促炎表型极化和随后的宫颈基质降解。与妊娠年龄匹配的对照组相比,CI妇女宫颈组织AQP3表达高1.45倍,与巨噬细胞共定位增加。CI组组织H₂O₂水平升高2.43倍,并伴有氧化损伤标志物增加和胶原蛋白含量降低。利用THP-1巨噬细胞进行的体外研究表明,尽管有促炎刺激,AQP3敲低可阻止细胞内H₂O₂积累,阻断M1极化和NF-κB活化。共培养实验表明,依赖aqp3的M1巨噬细胞使基质金属蛋白酶(MMP)-9活性增加3.8倍,成纤维细胞胶原含量减少59%。peg -过氧化氢酶清除H₂O₂和Bay 11-7082抑制NF-κB均可阻止巨噬细胞介导的基质降解。这些发现表明,AQP3可能是通过促进H₂O₂内流、NF-κB活化和M1巨噬细胞极化,将氧化应激与炎症性宫颈重塑联系起来的重要介质。靶向AQP3或其下游信号可能是一种潜在的治疗方法,需要临床前验证来预防ci相关的妊娠并发症。
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引用次数: 0
A novel inducible Cre mouse model for genetic manipulation in nonciliated cells of efferent ductules†. 一种新的可诱导的Cre小鼠模型,用于对传出小管非纤毛细胞进行遗传操作。
IF 3 2区 生物学 Q2 REPRODUCTIVE BIOLOGY Pub Date : 2026-01-06 DOI: 10.1093/biolre/ioag002
Qianqian Gong, Zhilin Dou, Zhuowen Lv, Xiaoyi Lin, Keyi Zhang, Ming Shao, Sen Wang, Xiaoyang Sun

The efferent ductules function as essential conduits for spermatozoa transport from the rete testis to the epididymis. The nonciliated and ciliated cells within the efferent ductal epithelium are responsible for fluid reabsorption and stirring the luminal fluid to prevent sperm agglutination, respectively. Dysfunction in either cell type can result in obstructive azoospermia. To systematically investigate the molecular mechanisms underlying efferent ductal development and function, we successively developed two novel knock-in mouse models via CRISPR/Cas9-mediated insertion of Cre-P2A or CreERT2-P2A cassettes into the Adgrg2 locus, enabling Adgrg2 promoter-driven co-expression of endogenous Adgrg2 and Cre recombinase. Cre-active tissues were examined in Cre-positive males crossed to Rosa26LacZ or Rosa26tdTomato reporter mice. Adgrg2-Cre mice exhibited embryonic Cre activity, as evidenced by tdTomato fluorescence in embryonic efferent ductules, proximal epididymis, and precursor cells, while postnatal males showed widespread genetic recombination across multiple tissues. In contrast, in postnatal Adgrg2-CreERT2 males under tamoxifen administration, Cre activity was prominently present in nonciliated cells within the efferent ductule epithelium and proximal epididymis, with minimal activity in other tissues. These models provide precise tools for cell type- and stage-specific genetic manipulation, facilitating studies on efferent ductal development, fluid homeostasis, and obstructive male infertility. The Adgrg2-CreERT2 line, in particular, offers a unique platform for nonciliated cell-specific genetic studies. This study opens new avenues for understanding the genetic and molecular basis of male reproductive tract function and associated pathologies.

传出小管是精子从睾丸输尿管转运到附睾的重要通道。出管上皮内的非纤毛细胞和纤毛细胞分别负责液体重吸收和搅拌管腔液以防止精子凝集。任何一种细胞类型的功能障碍都可导致阻塞性无精子症。为了系统地研究输出导管发育和功能的分子机制,我们通过CRISPR/ cas9介导的Cre- p2a或CreERT2-P2A片段插入Adgrg2基因座,建立了两种新型敲入小鼠模型,使Adgrg2启动子驱动的内源性Adgrg2和Cre重组酶共表达成为可能。在与Rosa26LacZ或Rosa26tdTomato报告小鼠杂交的crea阳性雄性小鼠中检测crea活性组织。Adgrg2-Cre小鼠在胚胎传出小管、附睾近端和前体细胞中显示tdTomato荧光,显示出胚胎Cre活性,而出生后的雄性小鼠在多个组织中表现出广泛的基因重组。相反,在给予他莫昔芬的出生后Adgrg2-CreERT2雄性小鼠中,Cre活性显著存在于传出小管上皮和附睾近端的非纤毛细胞中,而在其他组织中活性极低。这些模型为细胞类型和阶段特异性的基因操作提供了精确的工具,促进了对输出导管发育、流体稳态和阻塞性男性不育症的研究。特别是Adgrg2-CreERT2系,为非纤毛细胞特异性遗传研究提供了一个独特的平台。本研究为了解男性生殖道功能及其相关病理的遗传和分子基础开辟了新的途径。
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引用次数: 0
Single-cell metabolic profiling of stallion spermatozoa by flow cytometry using NADH and FAD autofluorescence. 利用NADH和FAD自身荧光的流式细胞术分析种马精子的单细胞代谢谱。
IF 3 2区 生物学 Q2 REPRODUCTIVE BIOLOGY Pub Date : 2026-01-05 DOI: 10.1093/biolre/ioaf294
Laura Becerro-Rey, Francisco E Martín-Cano, Cristina Ortega-Ferrusola, Eva da Silva-Álvarez, Jose A Tapia, María Cruz Gil, Fernando J Peña

The metabolic activity of stallion spermatozoa was assessed using flow cytometry to detect NAD(P)H and FAD fluorescence without labels. Sperm were incubated with different energy sources-glucose, lactate, and pyruvate-individually or combined, and measurements of NAD(P)H, FAD, NAD(P)H/FAD ratio, and Optical Redox Ratio (ORR) were taken. Additionally, a metabolic assay based on resazurin reduction and flow cytometry detection was developed. Changes in NAD(P)H and FAD fluorescence, the NAD(P)H/FAD ratio, and ORR were observed. The NAD(P)H/FAD ratio increased significantly, especially when glucose and pyruvate (P<0.0001), glucose and lactate (P<0.0001), or all three substrates (P<0.0001) were present together. The mitochondrial activity index (MAI) and kinematic efficiency (KE) were also analyzed. Both indices showed positive correlations with the NADH/FAD ratio (0.6 and 0.7; P<0.00001) and negative correlations with the ORR (-0.6 and -0.7; P<0.000001). Furthermore, flow cytometry was used to evaluate the spermatozoa's ability to metabolize different substrates via resazurin reduction. Results indicated that stallion sperm preferentially oxidized glucose, lactate, and oxoglutarate. In summary, we developed a straightforward flow cytometry-based redox and metabolic assay. This, combined with the resazurin reduction test, revealed a preference for glucose and lactate oxidation. This suggests specialized metabolic compartmentalization, with glycolysis occurring in the flagella and oxidative phosphorylation in mitochondria. Additionally, this assay could be useful for clinical sperm assessment, as metabolic changes often reflect physiological alterations in sperm function.

采用流式细胞术检测无标记的NAD(P)H和FAD荧光,评价种马精子的代谢活性。将精子分别与葡萄糖、乳酸和丙酮酸等不同能量源或组合孵育,测量NAD(P)H、FAD、NAD(P)H/FAD比值和光学氧化还原比(ORR)。此外,开发了一种基于reazurin还原和流式细胞术检测的代谢测定方法。观察NAD(P)H、FAD荧光、NAD(P)H/FAD比值、ORR的变化。NAD(P)H/FAD比值显著升高,尤其是葡萄糖和丙酮酸(P
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引用次数: 0
Bovine Reproductive Fluid Viscosity: Measurement and Biomimicry with Alginate. 牛生殖液粘度:测量和海藻酸盐仿生学。
IF 3 2区 生物学 Q2 REPRODUCTIVE BIOLOGY Pub Date : 2026-01-05 DOI: 10.1093/biolre/ioag001
Roksan Franko, Marcia A M M Ferraz
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引用次数: 0
Obesity Disrupts Ovarian Hemodynamics During the Preovulatory and Luteal Phases in Mice†. 肥胖对小鼠排卵期和黄体期卵巢血流动力学的影响
IF 3 2区 生物学 Q2 REPRODUCTIVE BIOLOGY Pub Date : 2026-01-05 DOI: 10.1093/biolre/ioaf293
Justine M Galliou, Samantha R Greenspun, Hanxue Zhang, Rebecca M Williams, Yi A Ren

Ovulation failure accounts for over 25% of infertility cases in reproductive-age women in the U.S., with obese women three times more likely to experience anovulatory infertility. The mechanisms by which obesity impairs ovulation remain unclear. The preovulatory luteinizing hormone (LH) surge induces changes in ovarian vasculature crucial for ovulation. We hypothesized that obesity disrupts ovarian vascular function, contributing to impaired ovulation. Using Doppler ultrasonography, we assessed ovarian hemodynamics in adult normal-weight mice and two obese groups: high-fat diet (HFD) and Agouti viable Yellow (AvY) mice. Both obese groups had reduced ovulation rates following superovulation. In normal-weight mice, flow velocity in the ovarian vessels increases within the first hour following ovulation induction by human chorionic gonadotropin, whereas this increase was absent in obese mice. This change in velocity correlated with ovulation rates, suggesting its importance for ovulation success. Ovarian hemodynamics were disturbed in naturally cycling obese mice compared to normal-weight controls during diestrus. Immediately before ovulation induction, ovarian vasculature analysis through lectin labeling revealed an increased abundance of capillaries in HFD ovaries compared to AvY; transcriptomic analysis of granulosa cells and ovarian stroma identified differentially expressed genes involved in vascular development, extracellular matrix organization, and inflammation, all crucial for vascular function and ovulation. This study characterizes for the first time in vivo ovarian hemodynamics in normal-weight adult mice, and demonstrates disrupted ovarian hemodynamics in obese mice during the preovulatory and luteal phases. These findings pinpoint that improving ovarian vascular function could be a therapeutic target for enhancing ovulation in obese women.

在美国,超过25%的育龄妇女不孕是由排卵失败引起的,肥胖妇女患无排卵性不孕的可能性是肥胖妇女的三倍。肥胖影响排卵的机制尚不清楚。排卵前黄体生成素(LH)激增引起卵巢脉管系统的变化,对排卵至关重要。我们假设肥胖会破坏卵巢血管功能,导致排卵受损。采用多普勒超声技术,对正常体重成年小鼠和高脂饮食组(HFD)和阿古提活鼠(AvY)两组小鼠的卵巢血流动力学进行了评价。两组肥胖者在超排卵后排卵率均降低。在正常体重的小鼠中,在人绒毛膜促性腺激素诱导排卵后的第一个小时内,卵巢血管流速增加,而肥胖小鼠则没有这种增加。这种速度的变化与排卵率相关,表明它对排卵成功的重要性。与正常体重的对照组相比,自然循环肥胖小鼠的卵巢血流动力学在绝经期间受到干扰。在促排卵前,通过凝集素标记的卵巢血管分析显示,与AvY相比,HFD卵巢的毛细血管丰度增加;颗粒细胞和卵巢基质的转录组学分析发现了参与血管发育、细胞外基质组织和炎症的差异表达基因,这些基因对血管功能和排卵都至关重要。本研究首次描述了正常体重成年小鼠的体内卵巢血流动力学,并证明了肥胖小鼠在排卵前和黄体期卵巢血流动力学的破坏。这些发现指出,改善卵巢血管功能可能是促进肥胖妇女排卵的治疗靶点。
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引用次数: 0
Injectable contraceptives differentially affect the hypothalamic-pituitary-gonadal axis and amenorrhea incidence†. 注射避孕药对下丘脑-垂体-性腺轴和闭经发生率的影响存在差异。
IF 3 2区 生物学 Q2 REPRODUCTIVE BIOLOGY Pub Date : 2026-01-05 DOI: 10.1093/biolre/ioaf292
Alexis J Bick, Chanel Avenant, Carole-Keza Capitaine, Sharoné Eck, Mu-Tien Lee, Johnson M Moliki, Sigcinile Dlamini, David W Erikson, Jenni Smit, Mags Beksinska, G Justus Hofmeyr, Donita J Africander, Pai-Lien Chen, Janet P Hapgood

Hormonal contraceptives modulate the hypothalamic-pituitary-ovarian (HPO) axis; however, underlying mechanisms and differences between contraceptives are underexplored. The Women's Health Injectable Contraception and HIV trial randomised 521 women to intramuscular depot medroxyprogesterone acetate (DMPA-IM) or norethisterone enanthate (NET-EN) and showed similar decreased estradiol levels, but more amenorrhea for DMPA-IM users. This secondary study excluded for misreporting contraceptive use for 128 participants (DMPA-IM n = 65; NET-EN n = 63). Peripheral blood serum collected at initiation and one week after the 24-week injection (25W), at peak progestin levels, was analysed for gonadal steroids, progestins and peptide hormones. While no changes were detected in peripheral gonadotropin-releasing hormone levels, DMPA-IM decreased luteinising hormone (LH) less than NET-EN. DMPA-IM increased, while NET-EN decreased follicle-stimulating hormone (FSH). Both contraceptives substantially decreased gonadal steroid levels, more so in NET-EN users for testosterone and estradiol. Post-menopausal-like hypoestrogenic effects were greater than previously reported, consistent with the substantial reduction in LH levels. Whether reduced LH levels are due to direct pituitary, hypothalamic, or supra-hypothalamic effects by progestins, is unclear. MPA, unlike NET, increased fsh expression in LβT2 cells, likely via the glucocorticoid receptor, consistent with direct effects on the pituitary by MPA in women. Amenorrhea associated in a time-varying manner with MPA and HPO hormone levels and LH/FSH, for DMPA-IM but not NET-EN users. HPO hormone profiles differ between DMPA-IM and NET-EN users and compared to pre- and post-menopausal women. Mechanisms affecting amenorrhea likely differ between contraceptives, with lower 25W LH/FSH being consistent with more amenorrhea for DMPA-IM.

激素避孕药调节下丘脑-垂体-卵巢(HPO)轴;然而,避孕药具之间的潜在机制和差异尚未得到充分探讨。妇女健康注射避孕和艾滋病毒试验随机分配521名妇女肌内注射醋酸甲羟孕酮(DMPA-IM)或烯酸去甲睾酮(NET-EN),结果显示雌二醇水平下降相似,但DMPA-IM使用者闭经更多。该次要研究排除了128名参与者(DMPA-IM n = 65; NET-EN n = 63)的避孕药具使用误报。在起始和注射24周(25W)后1周收集孕激素水平最高的外周血血清,分析性腺激素、孕激素和肽激素。虽然外周促性腺激素释放激素水平未发生变化,但DMPA-IM降低黄体生成素(LH)的程度低于NET-EN。DMPA-IM升高,NET-EN降低卵泡刺激素(FSH)。两种避孕药都能显著降低性腺类固醇水平,在睾酮和雌二醇的NET-EN使用者中效果更明显。绝经后样雌激素水平下降的影响比先前报道的更大,这与LH水平的大幅下降相一致。黄体生成素水平降低是由于孕激素直接作用于垂体、下丘脑还是下丘脑上,目前尚不清楚。与NET不同,MPA可能通过糖皮质激素受体增加了LβT2细胞中的fsh表达,这与MPA对女性垂体的直接作用一致。对于DMPA-IM而非NET-EN使用者,闭经与MPA和HPO激素水平以及LH/FSH呈时变相关。与绝经前和绝经后妇女相比,DMPA-IM和NET-EN使用者之间的HPO激素谱存在差异。影响闭经的机制可能因避孕药而异,较低的25W LH/FSH与DMPA-IM的闭经发生率一致。
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引用次数: 0
期刊
Biology of Reproduction
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