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哈西莫托甲状腺炎对女性不孕症的影响和机制:一项临床试验,生物信息学分析和基于实验的研究
Meijun Pan1,2,3,4, Qing Qi5, Chuyu Li1,2,3
1Laboratory for Reproductive Immunology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China.
Bioscience trends
|June 26, 2024
概括
甲状腺过氧化酶抗体 (TPOAb) 标位与女性不育有关,但甲状腺球蛋白抗体 (TgAb) 标位与女性不育有关. 在小鼠模型中,TgAb水平升高并没有影响胚胎植入或卵巢储备.
科学领域:
- 内分泌学 在内分泌学.
- 免疫学 免疫学 免疫学
- 生殖医学 生殖医学
背景情况:
- 哈西莫托甲状腺炎 (HT) 诊断包括甲状腺蛋白抗体 (TgAb) 和甲状腺过氧化酶抗体 (TPOAb) 标位.
- 这些抗体在女性不孕症中的作用是有争议的,需要进一步研究它们的作用和机制.
研究的目的:
- 调查TgAb和TPOAb标位与女性不孕症之间的关联.
- 探索涉及HT和女性不孕症的潜在分子标和信号通路.
- 在小鼠模型中评估TgAb升高对胚胎植入和卵巢储量的体内影响.
主要方法:
- 一个单一中心的横截面研究,对405名不育妇女和155名对照进行了研究.
- 生物信息分析以确定共同的点分子和途径.
- 在体内实验中,使用自免疫甲状腺炎 (AIT) 的小鼠模型,TgAb水平升高.
主要成果:
- TPOAb标位与女性不孕症有关;TgAb标位没有显著的关联.
- 增加的TgAb和TPOAb水平与抗穆勒尔激素没有显著的相关性.
- 生物信息分析确定IL-6,IL-10,MMP-9和TNF是常见的目标,通过HIF-1,VEGF,MAPK和Th17途径进行潜在调节.
- 在AIT小鼠模型中,TgAb升高并没有影响胚胎植入或卵巢储备.
结论:
- 血清TPOAb标位与女性不孕症有关,而TgAb标位则不同.
- 在自身免疫性甲状腺炎模型中,单独增加的血清TgAb水平似乎不会影响胚胎植入或卵巢储备.
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