在健康怀孕中对雌激素代谢的参考数据
Gellért Karvaly1, Krisztián Kovács1, Marcell Gyarmatig2
1Department of Laboratory Medicine, 1089, Budapest, Nagyvárad Tér 4, Hungary.
Molecular and cellular probes
|March 3, 2024
概括
雌激素水平在怀孕期间上升,但广泛的变化挑战临床参考范围. 大多数雌激素是结合的,除了17-β-雌激醇,特定的代谢途径是可以忽略不计的.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 生物化学 生化学
- 分析化学是一种分析化学.
背景情况:
- 雌激素激素和代谢产物对于健康的怀孕和胎儿发育至关重要.
- 异常的雌激素水平与妊娠并发症,如子宫前有关.
研究的目的:
- 开发一种全面的方法来评估怀孕期间的雌激素代谢.
- 在三个月内建立雌激素代谢物的参考数据.
- 调查未结合的雌激素分数和主要的代谢途径.
主要方法:
- 开发了液体染色学-双重质谱法 (LC-MS/MS) 的方法.
- 分析了三季度183名健康孕妇的样本.
- 量化了雌激素,17-β-雌激醇,雌醇及其代谢物.
主要成果:
- 雌激素水平 (雌激素,17-β-雌激醇,雌醇) 随着妊娠年龄显著增加.
- 水平显示范围很宽,使健康的参考范围的定义变得复杂.
- 雌激素和雌醇主要是结合的 (<15%未结合),而17-β-雌醇主要是未结合的.
- 没有检测到4-甲基-雌激醇和17-epiestriol.
结论:
- 在整个怀孕期间,雌激素水平和代谢物概况发生显著变化.
- 测量水平的广泛变化给临床诊断带来了挑战.
- 17β-雌二醇主要是未结合的,而雌激素和雌二醇是显著结合的.
- 特定的雌激素代谢途径,如4-甲基化和17-表皮化,似乎可以忽略不计.
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