雌性染色体多态性对辅助生殖结果的多种影响:一个回顾性队列研究
Yongjie Lu1,2,3,4,5, Tian Tian1,2,3,4,5, Lixue Chen1,2,3,4,5
1State Key Laboratory of Female Fertility Promotion, Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, 100191, China.
BMC pregnancy and childbirth
|April 27, 2024
概括
女性染色体多态 (FCP) 在试管婴儿/ICSI治疗中对卵细胞成熟率产生负面影响. 特定的FCPs,如女性 qh+,根据程序对受精和出生率产生不同的影响,并注意到早产风险增加.
科学领域:
- 生殖医学 生殖医学
- 人类遗传学 人类遗传学
- 辅助生殖技术 辅助生殖技术
背景情况:
- 关于女性染色体多态 (FCP) 对生殖健康的影响存在不一致的发现.
- 澄清FCP对体外受精 (IVF) 和细胞内精子注射 (ICSI) 结果的具体影响至关重要.
研究的目的:
- 调查FCP与IVF/ICSI治疗结果之间的关联.
- 区分各种FCP对胚胎和临床终点的影响.
主要方法:
- 追溯性队列研究951对夫妇与FCP和10788对照接受试管婴儿/ICSI.
- 在有和没有FCP的夫妇之间比较胚胎和临床结果.
主要成果:
- 作为一个群体,FCPs降低了卵细胞成熟率 (76.0%与78.8%,P=0.008).
- 女性 qh+与改善的试管婴儿结果 (受精,临床怀孕,活产) 相关,但ICSI受精率较差.
- 在IVF和pstk+在ICSI中观察到多重多态的早产风险增加.
结论:
- FCP对IVF/ICSI结果有不同的影响,特别是影响卵细胞成熟.
- 特定的FCP,如女性 qh+,根据使用的ART程序产生不同的影响.
- FCP与早产风险增加有关,需要进一步调查.
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