年轻排卵期妇女月经周期和绝经后妇女尿前列腺素的测定

K Farker, H Schweer , R Vollandt , N Nassr, U Nagel, H.W Seyberth , A Hoffmann, M Oettel
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引用次数: 6

摘要

本研究的目的是研究年轻未孕排卵期妇女和绝经后妇女在月经周期中前列腺素的分泌情况,并探讨女性性激素(雌二醇、黄体酮)对尿前列腺素分泌的影响。采用气相色谱-三阶段四极柱质谱法(GC/MS/MS)测定了41例卵泡期、黄体期和23例绝经后未怀孕妇女尿液中前列腺素E2 (PGE2)、6-酮- pgf1 α、血栓素B2 (TxB2)及其代谢产物PGE-M (11α-羟基9,15-二氧基2,3,4,5,20-戊-19-羧基前列腺酸)、2,3-二酮-6-酮- pgf1 α、2,3-二酮-TxB2和11-脱氢-TxB2的排泄率。与黄体期相比,所有尿前列腺素在卵泡期的排泄率无显著差异。与年轻的排卵期妇女相比,绝经后妇女的PGE2和TxB2明显较高。至于其他前列腺素,这两组妇女之间不存在显著差异。尽管年轻妇女和绝经后妇女的血清雌二醇和黄体酮水平不同,但性激素与前列腺素并无关联。我们的数据并不表明性激素是育龄妇女和绝经妇女前列腺素分泌差异的原因。有必要进一步系统地研究女性前列腺素排泄的年龄依赖性。
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Measurements of Urinary Prostaglandins in Young Ovulatory Women During the Menstrual Cycle and in Postmenopausal Women

The purpose of the present work was to study the prostaglandin excretion in young nonpregnant ovulatory women during the menstrual cycle on the one hand and in postmenopausal women on the other hand and to investigate the influence of female sex hormones (estradiol, progesterone) on urinary prostanoid excretion. Urinary excretion rates of prostaglandin E2 (PGE2), 6-keto-PGF, thromboxane B2 (TxB2) and their metabolites PGE-M (11α-hydroxy-9,15-dioxo-2,3,4,5,20-pentanor-19-carboxyprostanoic acid), 2,3-dinor-6-keto-PGF, 2,3-dinor-TxB2 and 11-dehydro-TxB2 were determined by gas chromatography-triple stage quadrupole mass spectrometry (GC/MS/MS) in 41 young nonpregnant women during the follicular phase and during the luteal phase and in 23 postmenopausal women. Excretion rates of all urinary prostanoids were not significantly different in the follicular phase when compared with the luteal phase. In contrast to the young ovulatory women, PGE2 and TxB2 were significantly higher in postmenopausal women. Concerning the other prostaglandins significant differences between these groups of women did not exist. Although serum levels of estradiol and progesterone were different in young and postmenopausal women, sex hormones have not been shown to correlate with prostaglandins. Our data do not suggest sex hormones to be responsible for the difference in the prostaglandin excretion in women of reproductive age and in women in the menopause. Further systematic investigations into age dependency of prostaglandin excretion in women are necessary.

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