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月经周期及口服避孕药的使用对脂溶性抗氧化剂血清水平的影响。

Effects of menstrual cycle and oral contraceptive use on serum levels of lipid-soluble antioxidants.

作者信息

Palan Prabhudas R, Magneson Amy T, Castillo Monique, Dunne James, Mikhail Magdy S

机构信息

Department of Obstetrics and Gynecology, Bronx-Lebanon Hospital Center, Albert Einstein College of Medicine, Bronx, NY, USA.

出版信息

Am J Obstet Gynecol. 2006 May;194(5):e35-8. doi: 10.1016/j.ajog.2005.11.032. Epub 2006 Apr 21.

Abstract

OBJECTIVE

The purpose of this study was to examine the influence of menstrual cycle and oral contraceptive use on serum levels of lipid-soluble antioxidants.

STUDY DESIGN

In this cross-section study, nonfasting blood samples were collected twice from 10 healthy premenopausal women during the follicular phase (between days 8 and 11) and the luteal phase (between days 18 and 22) of their same menstrual cycle. In addition, blood samples from 15 premenopausal women who used oral contraceptive for at least 6 months and 40 women who did not use oral contraceptive were collected randomly at any day of the menstrual cycle. Serum levels of coenzyme Q10, alpha-tocopherol, gamma-tocopherol, beta-carotene, alpha-carotene, and lycopene were determined using high pressure liquid chromatography.

RESULTS

Serum coenzyme Q10 and alpha-tocopherol levels were significantly lower during the follicular phase compared with the luteal phase of the same menstrual cycle (P < .05). Oral contraceptive use also significantly decreased coenzyme Q10 and alpha-tocopherol (P < .001). Other antioxidant levels were comparable.

CONCLUSION

Alterations in coenzyme Q10 and alpha-tocopherol levels during the menstrual cycle and in oral contraceptive users should be taken into consideration, concerning the future antioxidant research in premenopausal women. Further studies are needed to investigate the potential role of endogenous and exogenous ovarian hormones on oxidative stress in women.

摘要

目的

本研究旨在探讨月经周期和口服避孕药的使用对脂溶性抗氧化剂血清水平的影响。

研究设计

在这项横断面研究中,从10名健康的绝经前女性同一月经周期的卵泡期(第8至11天)和黄体期(第18至22天)非空腹采集血样两次。此外,随机采集15名使用口服避孕药至少6个月的绝经前女性以及40名未使用口服避孕药的女性在月经周期任意一天的血样。使用高压液相色谱法测定血清辅酶Q10、α-生育酚、γ-生育酚、β-胡萝卜素、α-胡萝卜素和番茄红素的水平。

结果

同一月经周期中,卵泡期的血清辅酶Q10和α-生育酚水平显著低于黄体期(P < 0.05)。使用口服避孕药也显著降低了辅酶Q10和α-生育酚水平(P < 0.001)。其他抗氧化剂水平相当。

结论

在绝经前女性未来的抗氧化研究中,应考虑月经周期中和口服避孕药使用者体内辅酶Q10和α-生育酚水平的变化。需要进一步研究以探讨内源性和外源性卵巢激素对女性氧化应激的潜在作用。

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