试管婴儿后的高雌激素环境导致子女葡萄糖代谢功能障碍的风险增加
Ping-Ping Lv1,2, Chun Feng2,3, Guo-Lian Ding2,4
1The Reproductive Center, Women's Hospital of Zhejiang University School of Medicine, Hangzhou 310006, China.
The Journal of clinical endocrinology and metabolism
|October 9, 2024
概括
在怀孕初期,母亲的高雌激素 (E2) 水平可能会增加通过体外受精 (IVF) 怀孕的孩子的代谢风险. 这项研究发现IVF后代暴露于高E2. 2的葡萄糖代谢和胰岛素耐药性的改变.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 儿科代谢 儿科代谢
- 在体外受精研究研究.
背景情况:
- 辅助生殖技术 (ART) 与后代的代谢风险增加有关.
- 在怀孕早期高水平的母性雌激素 (E2) 对后代葡萄糖代谢的具体影响尚不清楚.
研究的目的:
- 为了研究通过体外受精 (IVF) 怀孕的儿童的葡萄糖代谢.
- 为了确定在怀孕早期增加的母体E2暴露与后代的代谢变化是否相关.
主要方法:
- 一个回顾性分析500个单子 (3-10岁) 出生后新鲜胚胎移植 (ET),冷ET,或自然受孕 (NC).
- 评估包括人体测量测量,禁食葡萄糖,胰岛素和脂质水平.
- 在怀孕期间高E2暴露后,使用小鼠模型检查葡萄糖/胰岛素耐受性和胰岛素分泌.
主要成果:
- 与NC相比,在新鲜ET后出生的儿童的禁食葡萄糖/胰岛素水平较高,胰岛素抵抗性增加,禁食葡萄糖受损的发病率更高.
- 新生ET后代的这些代谢变化可能与更高的母体E2水平有关.
- 在怀孕期间暴露于高E2的小鼠模型中的后代表现出葡萄糖/胰岛素耐受性受损和缺陷胰岛素分泌.
结论:
- 怀孕早期母亲E2水平升高与通过试管婴儿受孕的儿童的葡萄糖代谢受损和代谢风险增加有关.
- 需要进一步的研究才能充分理解驱动这些代谢变化的机制.
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