雄激素和血管和胎盘功能在孕前期间的关系
Lara M Fernandes1,2, Margarida Lorigo1,2, Elisa Cairrao1,2
1CICS-UBI, Health Sciences Research Centre, University of Beira Interior, 6200-506 Covilhã, Portugal.
Current issues in molecular biology
|March 27, 2024
概括
高丸激素水平与妊娠高血压障碍 (HDP) 有关,包括先兆子 (PE). 对跨性别男性的研究表明,外源性丸激素是PE的危险因素,而不会影响胎儿的发育.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 孕产妇和胎儿的医学
- 安德罗学与人类学
背景情况:
- 妊娠高血压障碍 (HDP) 对母亲和胎儿的健康构成重大风险.
- 新兴研究表明,丸激素和妊娠前 (PE) 之间存在潜在的联系,可能涉及雄激素受体 (AR).
- 这种关联的确切机制尚不清楚.
研究的目的:
- 从1998年到2022年,审查水平与HDP发展之间的关联.
- 探索在HDP中的作用,包括跨性别男性怀孕的新见解.
- 阐明连接雄激素与妊娠中高血压疾病的机制.
主要方法:
- 进行了全面的文献审查,涵盖了1998年至2022年的研究.
- 分析包括体外,外生和流行病学数据.
- 纳入了跨性别男性在怀孕期间接受丸激素治疗的案例研究.
主要成果:
- 在体外研究表明,胎盘样本中的AR mRNA表达增加.
- 活体研究表明,丸激素会损害血管松,导致高血压.
- 流行病学数据显示,PE患者的丸激素水平较高.
- 涉及跨性别男性的研究表明外源作为PE的风险因素,没有观察到对胎儿的不良影响.
结论:
- 丸激素水平升高始终与子宫前有关.
- 雄激素受体信号传递和激素诱导的内皮功能障碍是潜在的机制.
- 在跨性别男性中,外源性的使用是PE的危险因素,但似乎不会损害胎儿的发育.
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