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脱氢表雄酮(DHEA)对体内卵巢储备减少模型中卵泡动力学的影响。

Effects of dehydroepiandrosterone (DHEA) on follicular dynamics in a diminished ovarian reserve in vivo model.

机构信息

Department of Obstetrics and Gynecology, Reproductive Medicine Unit .

出版信息

Syst Biol Reprod Med. 2015 Jun;61(3):117-21. doi: 10.3109/19396368.2015.1011353. Epub 2015 Feb 11.

Abstract

The objective of this study was to determine whether there are changes in primary, primordial, and growing follicles after dehydroepiandrosterone (DHEA) administration in rats that have diminished ovarian reserve (DOR) due to 4-vinylcyclohexene diepoxide (VCD) application, and to examine the mechanism of the probable effect of DHEA on folliculogenesis. Two groups of Wistar rats were used. In Group A unilateral oophorectomy (eight rats) was carried out on day-0. The remaining study ovary was removed by relaparotomy after VCD (160 mg/kg, intraperitoneally) was administered for 15 days. In Group B unilateral oophorectomy (eight rats) was carried out on day-0. The remaining study ovary was removed by relaparotomy after VCD (160 mg/kg, intraperitoneally) administration for 15 days followed by DHEA (60 mg/kg body weight) daily for 45 days. Primordial, primary, and growing (secondary+antral) follicles were counted in 1,664 sections from 32 ovaries. In all three types of follicles (primordial, primary, and growing), the number of follicles significantly decreased in the study ovaries compared to the control ovaries in both Group A and Group B. In Group B, atresia rates were significantly lower in the study ovary compared to the control ovary in all of the follicular groups: primordial (p=0.02), primary (p=0.01), and growing (p=.027). To demonstrate the probable effects of DHEA on follicular dynamics, we also compared the study ovaries in both groups; the primordial (p=0.027), primary (p=0.031), and growing (p=0.04) number of follicles were significantly higher in Group B compared to Group A. In conclusion, our findings suggest that DHEA administration in DOR rats due to VCD results in a larger follicular pool. Decreased atresia may be one of the possible effects of DHEA in DOR cases. Whatever the mechanism, DHEA treatment potentially may be useful clinically as a means to increase the number of gonadotropin-responsive follicles for ovarian stimulation.

摘要

本研究旨在确定脱氢表雄酮(DHEA)是否会改变因 4-乙烯环己烯二恶烷(VCD)应用而导致卵巢储备减少(DOR)的大鼠的初级、原始和生长卵泡,并研究 DHEA 对卵泡发生的可能作用机制。使用了两组 Wistar 大鼠。在 A 组中,在第 0 天进行单侧卵巢切除术(8 只大鼠)。在 VCD(160mg/kg,腹腔内)给药 15 天后,通过再次剖腹术去除剩余的研究卵巢。在 B 组中,在第 0 天进行单侧卵巢切除术(8 只大鼠)。在 VCD(160mg/kg,腹腔内)给药 15 天后,通过再次剖腹术去除剩余的研究卵巢,然后每天给予 DHEA(60mg/kg 体重)45 天。在 32 个卵巢的 1664 个切片中计数原始卵泡、初级卵泡和生长卵泡(次级+窦卵泡)。在 A 组和 B 组中,所有三种类型的卵泡(原始卵泡、初级卵泡和生长卵泡)的卵泡数量均显著低于对照组卵巢。在 B 组中,在所有卵泡组中,研究卵巢的闭锁率均显著低于对照组卵巢:原始卵泡(p=0.02)、初级卵泡(p=0.01)和生长卵泡(p=0.027)。为了证明 DHEA 对卵泡动力学的可能作用,我们还比较了两组的研究卵巢;原始卵泡(p=0.027)、初级卵泡(p=0.031)和生长卵泡(p=0.04)的数量在 B 组中均显著高于 A 组。总之,我们的研究结果表明,由于 VCD,DHEA 在 DOR 大鼠中的给药导致卵泡池更大。减少闭锁可能是 DHEA 在 DOR 病例中的一种可能作用。无论机制如何,DHEA 治疗可能在临床上作为一种增加促性腺激素反应性卵泡数量以进行卵巢刺激的方法是有用的。

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