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卵母细胞形态和早期受精卵分裂似乎与卵泡内抑制素A或B的浓度无关。

Oocyte morphology and early zygote cleavage does not appear to be related to intrafollicular concentrations of inhibin-A or -B.

作者信息

Li J, Cooke S, Tyler J P, Bentley M J, Kime L, Driscoll G L

机构信息

ART Centre, First Affiliated Hospital, Sun Yat-Sen University of Medical Sciences, Guang Zhou, China.

出版信息

J Assist Reprod Genet. 2000 Sep;17(8):425-30. doi: 10.1023/a:1009461117779.

Abstract

PURPOSE

The aim was to investigate the relationship of intrafollicular inhibin dimers A and B with human oocyte morphology and subsequent embryo potential.

METHODS

Sixty-eight oocytes were isolated from 31 women undertaking intracytoplasmic sperm injection (ICSI). Estradiol, progesterone, testosterone, luteinizing hormone (LH), follicle-stimulating hormone (FSH), prolactin, sex hormone-binding globulin, inhibin-A and inhibin-B was assayed in corresponding follicular fluid.

RESULTS

The mean (+/- SD) concentration for inhibin-A was 9.7 +/- 9.8 ng/ml (range, 1.1-60.0 ng/ml) and for inhibin-B was 269.4 +/- 185.2 ng/ml (range, 33.1-811.0 ng/ml). In a correlation matrix there were no marked relationships (r < 0.556) between inhibin and steroid or gonadotropin concentrations. Similarly, when inhibin concentrations were divided according to whether the oocytes had mature or immature cumulous complexes, were viable or necrotic, were meiotically immature or mature, became fertilized or not, or had different embryo gradings after cleavage, no statistically significant difference could be seen between groupings.

CONCLUSIONS

Because the range of values was large and the data often skewed, neither inhibin dimer has discriminatory power to reflect the potential of the oocyte.

摘要

目的

本研究旨在探讨卵泡内抑制素A和B二聚体与人卵母细胞形态及后续胚胎发育潜能之间的关系。

方法

从31例行卵胞浆内单精子注射(ICSI)的女性中分离出68枚卵母细胞。检测相应卵泡液中的雌二醇、孕酮、睾酮、黄体生成素(LH)、卵泡刺激素(FSH)、催乳素、性激素结合球蛋白、抑制素A和抑制素B。

结果

抑制素A的平均(±标准差)浓度为9.7±9.8 ng/ml(范围为1.1 - 60.0 ng/ml),抑制素B的平均浓度为269.4±185.2 ng/ml(范围为33.1 - 811.0 ng/ml)。在相关矩阵中,抑制素与甾体激素或促性腺激素浓度之间无明显关系(r < 0.556)。同样,根据卵母细胞的卵丘复合体是成熟还是不成熟、存活还是坏死、减数分裂不成熟还是成熟、是否受精,或卵裂后胚胎分级不同来划分抑制素浓度时,各分组之间未见统计学显著差异。

结论

由于数值范围较大且数据常呈偏态分布,两种抑制素二聚体均无鉴别能力来反映卵母细胞的发育潜能。

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本文引用的文献

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The utility of serum progesterone and inhibin A for monitoring natural-cycle IVF-ET.
J Assist Reprod Genet. 1998 Oct;15(9):538-41. doi: 10.1023/a:1022530103330.
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Inhibin A, inhibin B and activin A in the follicular fluid of regularly cycling women.
Hum Reprod. 1997 Aug;12(8):1714-9. doi: 10.1093/humrep/12.8.1714.
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Oocyte morphology predicts outcome of intracytoplasmic sperm injection.
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Day 3 serum inhibin-B is predictive of assisted reproductive technologies outcome.
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