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电针可减缓大鼠模型中卵巢过度刺激综合征的进展。

Electroacupuncture decreases the progression of ovarian hyperstimulation syndrome in a rat model.

作者信息

Chen Li, Sun Hai-Xiang, Xia You-Bing, Sui Liu-Cai, Zhou Ji, Huang Xuan, Zhou Jing-Wei, Shao Yi-Dan, Shen Tao, Sun Qin, Liang Yuan-Jiao, Yao Bing

机构信息

Reproductive Medical Center, Nanjing Jinling Hospital, Nanjing University School of Medicine, Nanjing 210002, China.

Reproductive Medicine Center, Nanjing Drum Tower Hospital, Nanjing University School of Medicine, Nanjing, 210008, China.

出版信息

Reprod Biomed Online. 2016 May;32(5):538-44. doi: 10.1016/j.rbmo.2016.02.006. Epub 2016 Mar 2.

Abstract

This study aimed to elucidate the effect of electroacupuncture treatment on preventing early ovarian hyperstimulation syndrome (OHSS) and the potential mechanisms involved using an induced rat model. The ovarian response was examined by measuring ovary weight, vascular permeability, levels of inflammation (interleukin-6), tumour necrosis factor alpha, chemokine ligand 2 (also known as monocyte chemoactic protein 1), vascular endothelial growth factor and hormone concentrations (oestradiol, progesterone, testosterone and prolactin). Sprague-Dawley female rats underwent ovarian stimulation to induce OHSS. Hyperstimulated rats received consecutive electroacupuncture treatment from 3 days before the beginning of pregnant mare serum gonadotrophin treatment or the time point of pregnant mare serum gonadotrophin treatment respectively, and last until 3 days after HCG administration. Electroacupuncture treatment reduced ovary weight and vascular permeability in hyperstimulated rats. Electroacupuncture treatment also reduced the levels of serum steroid hormones (progesterone and testosterone), inflammatory cytokines (interleukin-6, tumour necrosis factor alpha and monocyte chemotactic protein 1 and vascular endothelial growth factor in hyperstimulated rats. The results indicate that electroacupuncture can modulate endocrine hormone secretion and affect the secretion of inflammatory cytokines and vascular endothelial growth factor, and thus prevent the progress of OHSS. Electroacupuncture may provide a simple and effective method for the prevention and treatment of OHSS.

摘要

本研究旨在通过诱导大鼠模型阐明电针治疗对预防早期卵巢过度刺激综合征(OHSS)的作用及潜在机制。通过测量卵巢重量、血管通透性、炎症水平(白细胞介素-6)、肿瘤坏死因子α、趋化因子配体2(也称为单核细胞趋化蛋白1)、血管内皮生长因子以及激素浓度(雌二醇、孕酮、睾酮和催乳素)来检测卵巢反应。将斯普拉-道来雌性大鼠进行卵巢刺激以诱导OHSS。超刺激大鼠分别在孕马血清促性腺激素治疗开始前3天或孕马血清促性腺激素治疗时间点开始接受连续电针治疗,持续至人绒毛膜促性腺激素(HCG)给药后3天。电针治疗减轻了超刺激大鼠的卵巢重量和血管通透性。电针治疗还降低了超刺激大鼠血清类固醇激素(孕酮和睾酮)、炎性细胞因子(白细胞介素-6、肿瘤坏死因子α和单核细胞趋化蛋白1)以及血管内皮生长因子的水平。结果表明,电针可调节内分泌激素分泌,影响炎性细胞因子和血管内皮生长因子的分泌,从而预防OHSS的进展。电针可能为OHSS的防治提供一种简单有效的方法。

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