Demiral İrem, Doğan Murat, Baştu Ercan, Buyru Faruk
İstanbul University Faculty of Medicine, Department of Obstetrics and Gynecology, İstanbul, Turkey.
Acıbadem Fulya Hospital, Division of Reproductive Endocrinology and Infertility, İstanbul, Turkey.
Turk J Obstet Gynecol. 2015 Dec;12(4):237-243. doi: 10.4274/tjod.98475. Epub 2015 Dec 15.
Endometrial receptivity is a complex phenomenon that plays a vital role in infertility. Although quality of embryo can be evaluated for a successful implantation, endometrial receptivity is still an unknown factor. With advances in technology, the microarray approach has provided an 'omic' tool to evaluate endometrial receptivity. In Latin, 'omic' means the whole family. The genomic, proteomic, and lipidomic evaluations of endometrium mean a wholesome evaluation of the genes, lipids and proteins of the endometrium. Evaluation of receptivity with this three-way approach may provide insight to the potential markers of implantation. Genomic analysis has been limited to date because not every gene alteration affects protein expression. Lipidomic analysis has recently gained popularity because lipids are strictly controlled during the implantation period. In summary, with the recent advances in microarray technology, genomic, lipidomic, and proteomic analyses of the endometrium may provide 'optimal' evaluation tools and criteria to assess receptivity in the near future.
子宫内膜容受性是一种复杂的现象,在不孕症中起着至关重要的作用。尽管可以评估胚胎质量以实现成功着床,但子宫内膜容受性仍是一个未知因素。随着技术的进步,微阵列方法提供了一种“组学”工具来评估子宫内膜容受性。在拉丁语中,“组学”意味着整个家族。子宫内膜的基因组、蛋白质组和脂质组评估意味着对子宫内膜的基因、脂质和蛋白质进行全面评估。用这种三方面的方法评估容受性可能会为着床的潜在标志物提供见解。迄今为止,基因组分析受到限制,因为并非每个基因改变都会影响蛋白质表达。脂质组分析最近受到欢迎,因为脂质在着床期受到严格调控。总之,随着微阵列技术的最新进展,子宫内膜的基因组、脂质组和蛋白质组分析可能会在不久的将来提供“最佳”评估工具和标准来评估容受性。