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一项系统性审查,确定精子血生物标志物及其对IVF和ICSI结果的预测能力
Jonna S van den Berg1, Nerea M Molina2, Signe Altmäe3
1Department of Reproductive Medicine and Gynaecology, Division Female and Baby, University Medical Centre Utrecht, Utrecht, the Netherlands.
Reproductive biomedicine online
|December 21, 2023
概括
精液等离子体 (SP) 含有可以预测辅助生殖技术 (ART) 成功的分子,与目前的精液质量测试不同. 本次审查确定了32种潜在的SP生物标志物用于预测ART结果,提供了一个新的诊断工具.
科学领域:
- 生殖生物学 生殖生物学
- 生物标志物发现发现
- 辅助生殖技术 辅助生殖技术
背景情况:
- 精液等离子体 (SP) 是一种复杂的液体,具有发现生物标志物的潜力.
- 目前的精液质量参数不足以预测辅助生殖技术 (ART) 的结果.
- 确定可靠的生物标志物对于改善不孕症调查和ART成功率至关重要.
研究的目的:
- 系统地审查和识别可以预测ART结果的人类SP生物标志物,包括体外受精 (IVF) 和细胞内精子注射 (ICSI).
- 为在不孕症和辅助生殖中临床应用提供潜在的SP生物标志物的全面概述.
主要方法:
- 进行了系统的文献搜索,以确定相关的观察队列和病例控制研究.
- 包括报告SP生物标志物与不孕男性ART结果之间的关联的研究.
- 潜在的生物标志物被分类为氧化应激标志物,蛋白质,代谢物和核酸等组.
主要成果:
- 选择了43项研究,分析了89个潜在的SP生物标志物.
- 在SP中,32个分子被确定为预测ART结果的潜在相关分子.
- 在多项研究中,介质素-18 (IL-18) 和TGF-β1-IL-18比率被证实是有前途的生物标志物.
结论:
- 精液血具有重要的,但尚未充分利用的,用于预测ART结果的潜力.
- 本次审查巩固了32个SP分子作为预测生物标志物的证据,其中IL-18及其比率特别有前途.
- 需要进一步的研究,以开发使用SP生物标志物的ART非侵入性诊断工具.
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