黄体发育和维持的调控:血管生成和前列腺素F2alpha的作用。

A Miyamoto, K Shirasuna, T Shimizu, H Bollwein, D Schams
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引用次数: 43

摘要

反刍动物黄体(corpus luteum, CL)在排卵后1周内发育迅速且具有时间依赖性,排卵泡内膜细胞和颗粒细胞的形态和生化发生变化。这些变化包括类固醇细胞的黄体生成和血管生成,以建立正常的黄体功能(黄体酮分泌)。CL由大量的血管内皮细胞、大小甾体黄体细胞、平滑肌细胞、周细胞、纤维细胞和免疫细胞组成,表明CL是一种异质组织。此外,CL产生并分泌生长因子(成纤维细胞生长因子、血管内皮生长因子和胰岛素样生长因子)、血管活性因子(一氧化氮、血管紧张素II和内皮素-1)、类固醇(黄体酮对其自身的产生很重要)、催产素和前列腺素(pgf2 α和PGE2)来调节黄体的形成和发育。显然,CL的主要功能是产生黄体酮,黄体酮是胚胎存活、着床和维持妊娠的先决条件。黄体早期黄体生成素和血管生成不足导致黄体酮分泌不足,导致胚胎发育受损和生育能力下降。黄体发育过程中分泌足量的黄体酮需要卵泡细胞和颗粒细胞的“精确黄体化”以形成黄体细胞、新生血管和血液供应的建立(血管生成)。PGF2alpha在发展中的CL中作为局部调节剂,通过刺激血管生成因子、VEGF和FGF2直接或间接地增强孕酮分泌。PGF2alpha的上述作用可以解释为什么发育中的CL直到排卵后几天才获得溶血能力。黄体形成、发育和维持过程中黄体营养因子和黄体溶解因子之间的平衡,以及血管生成因子的刺激和抑制,对黄体细胞的命运有着深远的影响。
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Regulation of corpus luteum development and maintenance: specific roles of angiogenesis and action of prostaglandin F2alpha.

Development of the corpus luteum (CL) in ruminants occurs in a rapid and time-dependent manner within 1 week after ovulation, with morphologic and biochemical changes in the cells of the theca interna and granulosa cells of the preovulatory follicle. These changes involve luteinisation of steroidogenic cells and angiogenesis to establish normal luteal function (progesterone secretion). The CL is composed of a large number of vascular endothelial cells, large and small steroidogenic luteal cells, smooth muscle cells, pericytes, fibrocytes and immune cells, indicating that the CL is a heterogeneous tissue. Moreover, the CL produces and secretes growth factors (fibroblast growth factor, vascular endothelial growth factor and insulin-like growth factor), vasoactive factors (nitric oxide, angiotensin II and endothelin-1), steroids (progesterone is important for its own production), oxytocin and prostaglandins (PGF2alpha and PGE2) to regulate luteal formation and development. Clearly, the main function of the CL is to produce progesterone, which is a prerequisite for survival of the embryo, implantation and maintenance of pregnancy. Inadequate luteinisation and angiogenesis during the early luteal phase results in poor progesterone secretion and causes compromised embryo development and reduced fertility. Secretion of adequate amounts of progesterone during luteal development requires "precise luteinisation" of theca and granulosa cells to form luteal cells, neovascularization, and the establishment of a blood supply (angiogenesis). PGF2alpha in the developing CL acts as a local regulator to enhance progesterone secretion directly and indirectly by stimulating angiogenic factors, VEGF and FGF2. The preceding role of PGF2alpha may explain why the developing CL does not acquire luteolytic capacity until several days following ovulation. The balance between luteotrophic and luteolytic factors as well as stimulation and inhibition of angiogenic factors during luteal formation, development and maintenance can have a profound effect on the fate of the CL.

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