卵母细胞体外成熟的研究进展

IF 0.7 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Reproductive and Developmental Medicine Pub Date : 2021-07-01 DOI:10.4103/2096-2924.325827
Yuan-Xue Jing, Yi-Qing Wang, Hong-Xing Li, F. Yue, Shi-Long Xue, Xuehong Zhang
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引用次数: 1

摘要

体外成熟(IVM)已经在临床环境中使用了30年。IVM的优点包括它需要相对少量的激素和较短的治疗期。然而,由于IVM的有效性低于控制性卵巢过度刺激,常规使用IVM的中心很少,而且只适用于少数特殊人群。本文讨论了与IVM相关的几种卵母细胞来源,并描述了促性腺激素引发和触发对IVM的影响。此外,我们还回顾了近年来IVM培养条件的优化,以及IVM对卵母细胞和卵丘细胞基因的影响,以及产科和新生儿的预后。我们的目标是为IVM技术的未来改进提供指示,以便提高IVM技术在特殊人群中的成功率。我们希望这种温和自然的方案可以应用于更多的人群,包括排卵正常的个体。
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Research Progress of In vitro Oocyte Maturation
In vitro maturation (IVM) has been used in clinical settings for 30 years. The merits of IVM include that it needs a relatively small amount of hormones and short treatment period. However, because the effectiveness of IVM is lower than that of controlled ovarian hyperstimulation, there are few centers routinely use IVM, and it is only applicable to a few special populations. In this article, several oocyte sources related to IVM have been discussed and the effects of gonadotropin priming and triggering on IVM are described. Furthermore, we have reviewed the optimization of IVM culture conditions in recent years along with the effects of IVM on genes of oocytes and cumulus cells and the obstetric and neonatal outcomes. We aim to provide indications for future improvement of IVM technology so that the success rates of IVM technology in special populations can be improved. We hope that this mild and natural protocol can be applied to more populations, including individuals with normal ovulation.
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来源期刊
Reproductive and Developmental Medicine
Reproductive and Developmental Medicine OBSTETRICS & GYNECOLOGY-
CiteScore
1.60
自引率
12.50%
发文量
384
审稿时长
23 weeks
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