无法解释的重复植入失败导致子宫内膜痕导致两种相互竞争的力量,血管生成和抗血管生成:一个RCT研究
Samaneh Aghajanpour1, Fereshteh Mehraein1,2, Fatemehsadat Amjadi3
1Department of Anatomy, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
International journal of reproductive biomedicine
|July 22, 2024
概括
子宫内膜划伤 (ES) 改变了与血管生成相关的基因表达,在女性中,无法解释的重复植入失败 (RIF). 虽然ES影响基因配置文件,但在本研究中,它并没有显著改善植入或怀孕率.
科学领域:
- 生殖医学 生殖医学
- 分子生物学分子生物学
- 遗传学 遗传学 是一个
背景情况:
- 子宫内膜血管性对于怀孕成功至关重要.
- 较差的血管化与重复植入失败 (RIF) 有关.
- 子宫内膜 (ES) 是一种增强血管生成的潜在方法.
研究的目的:
- 为了研究对ES的反应,子宫内膜基因表达的变化.
- 为了在女性中分析血管新生相关基因,女性患有不明原因的RIF.
- 评估ES对植入和怀孕率的影响.
主要方法:
- 随机对照试验,对20名不育妇女进行了随机对照试验,这些妇女患有不明原因的RIF.
- 干预组在卵泡阶段接受ES;对照组没有.
- 用PCR阵列对血管生长因子进行基因表达概况分析.
- 植入和临床怀孕率的评估.
主要成果:
- 在ES后显著上调亲血管性基因 (例如VEGFA) 和抗血管性细胞因子 (IL12A).
- 在ES之后,15个血管生成相关基因的下调.
- 两组之间植入或临床怀孕率没有显著差异.
结论:
- 在血管新生相关的基因表达中,ES会诱导显著的变化.
- 这项研究提供了对ES分子机制的见解.
- 需要进一步的研究来优化ES协议以改善生殖结果.
更多相关视频
相关概念视频
Regulation of Angiogenesis and Blood Supply
2.5K
Rapidly dividing tumors, embryos, and wounded tissues require more oxygen than usual, lowering the oxygen concentration in the blood. At low oxygen or hypoxic conditions, an oxygen-sensitive transcription factor called the hypoxia-inducible factor 1 or HIF1 is activated. HIF1 is a dimeric protein of alpha (ɑ) and beta (β) subunits. Under optimal oxygen conditions, HIF1β is present in the nucleus while HIF1ɑ remains in the cytosol. HIF1ɑ is hydroxylated by prolyl...
2.5K
Mechanism of Angiogenesis
5.4K
Blood vessel formation starts early during embryonic development, around day 7. In the extraembryonic yolk sac, mesodermal precursor cells called hemangioblast proliferate and differentiate into angioblast. Angioblasts express vascular endothelial growth factor receptor 2 or VEGFR2, which binds VEGF-A, a proangiogenic factor, guiding blood vessel formation. VEGF signaling promotes angioblasts to form a blood island in the developing embryo. Angioblasts further differentiate, giving rise to...
5.4K
Oogenesis
63.6K
In human women, oogenesis produces one mature egg cell or ovum for every precursor cell that enters meiosis. This process differs in two unique ways from the equivalent procedure of spermatogenesis in males. First, meiotic divisions during oogenesis are asymmetric, meaning that a large oocyte (containing most of the cytoplasm) and minor polar body are produced as a result of meiosis I, and again following meiosis II. Since only oocytes will go on to form embryos if fertilized, this unequal...
63.6K


