Bomsel-Helmreich O, Vu N Huyen L, Durand-Gasselin I
Unité 187 INSERM, Hôpital A. Béclère, Clamart, France.
Hum Reprod. 1989 Aug;4(6):636-42. doi: 10.1093/oxfordjournals.humrep.a136957.
To determine the effects of insufficient or excessive doses of human chorionic gonadotrophin (HCG) on ovulation, varying single doses from 5 to 100 IU were administered to 40 does in oestrus. A total of 371 preovulatory follicles and oocytes were observed. Low doses of HCG (5-10) started resumption of meiosis, but no ovulation occurred. Higher doses progressively induced nuclear maturation (prometaphase, metaphase I, metaphase II). Simultaneously increasing doses initiated ovulation of some of the follicles, then of most of the follicles. Unruptured follicles, mostly with oocytes in metaphase II were frequent and depending on the dose, these were preovulatory, haemorrhagic or luteinized. The administration of different doses demonstrated the possible dissociation of several mechanisms leading to ovulation. The induction of nuclear maturation requires lower doses of HCG than luteinization. Follicular rupture requires even higher doses. Premature luteinization induces intrafollicular ovum retention without (LUF syndrome) or with follicular rupture. These mechanisms of ovulation explain the effects of blunted luteinizing hormone surges or inadequate HCG administration.
为确定人绒毛膜促性腺激素(HCG)剂量不足或过量对排卵的影响,对40只发情期母羊给予5至100国际单位不等的单剂量药物。共观察到371个排卵前卵泡和卵母细胞。低剂量的HCG(5 - 10国际单位)开始减数分裂恢复,但未发生排卵。较高剂量逐渐诱导核成熟(前中期、中期I、中期II)。同时,剂量增加引发部分卵泡排卵,随后是大多数卵泡排卵。未破裂卵泡很常见,大多含有处于中期II的卵母细胞,根据剂量不同,这些卵泡可为排卵前卵泡、出血性卵泡或黄体化卵泡。不同剂量的给药证明了导致排卵的几种机制可能存在分离。诱导核成熟所需的HCG剂量低于黄体化所需剂量。卵泡破裂需要更高的剂量。过早黄体化导致卵泡内卵子滞留,可伴有(黄体化未破裂卵泡综合征)或不伴有卵泡破裂。这些排卵机制解释了促黄体生成素激增减弱或HCG给药不足的影响。