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白细胞介素-1和肝素结合表皮生长因子与子宫内膜容受性的相关性。

Correlation of IL-1 and HB-EGF with endometrial receptivity.

作者信息

Wang Hui, Shi Guangwen, Li Ming, Fan Hong, Ma Hong, Sheng Li

机构信息

Department of Reproductive Medicine, Yantaishan Hospital, Yantai, Shandong 264001, P.R. China.

Department of Obstetrics, People's Hospital of Zhangqiu, Jinan, Shandong 250200, P.R. China.

出版信息

Exp Ther Med. 2018 Dec;16(6):5130-5136. doi: 10.3892/etm.2018.6840. Epub 2018 Oct 9.

Abstract

Fluctuations of interleukin-1β (IL-1β) and heparin-binding epidermal growth factor (HB-EGF) in endometrial receptivity were detected. Seventy-two patients receiving fertilization-embryo transfer (IVF-ET) for the first time in Yantaishan Hospital from July 2015 to September 2015 due to infertility were selected. The serum and follicular fluid of patients in ovulation-promoting cycle were collected; the levels of IL-1β and HB-EGF in serum and follicular fluid were detected via enzyme-linked immunosorbent assay (ELISA), and the levels of serum estradiol (E2), progesterone (P), follicle stimulating hormone (FSH) and luteinizing hormone (LH) were detected. The endometria in early follicular phase and middle luteal phase were collected, and the mRNA expression levels of IL-1β and HB-EGF were evaluated by reverse transcription quantitative polymerase chain reaction (RT-qPCR). Patients were divided into two groups, and the implantation group (n=33) and the non-implantation group (n=39), according to whether embryos were implanted and the general data. In IVF-ET, the levels of IL-1β and HB-EGF in follicular fluid and middle luteal phase, the level of serum IL-1β on human chorionic gonadotropin (HCG) day and embryo transfer (ET) day, the levels of E2, FSH and LH on HCG day in implantation group were obviously higher than those in non-implantation group (p<0.05); the level of P on ET day in implantation group was significantly higher than that in non-implantation group (p<0.05); the expression levels of IL-1β and HB-EGF in endometrium in middle luteal phase in implantation group were higher than those in non-implantation group (p<0.05); the expression levels of IL-1β and HB-EGF in endometrium were positively correlated with the levels of E2 and P, and endometrial thickness (p<0.05). IL-1β and HB-EGF may improve the endometrial receptivity to embryo, thus affecting the embryo implantation rate, through the synergistic action with E2 and P, so they may be the indexes of predicting the IVF-ET pregnancy outcome.

摘要

检测了白细胞介素-1β(IL-1β)和肝素结合表皮生长因子(HB-EGF)在子宫内膜容受性中的波动情况。选取2015年7月至2015年9月在烟台山医院因不孕症首次接受体外受精-胚胎移植(IVF-ET)的72例患者。收集促排卵周期患者的血清和卵泡液;采用酶联免疫吸附测定(ELISA)法检测血清和卵泡液中IL-1β和HB-EGF的水平,并检测血清雌二醇(E2)、孕酮(P)、卵泡刺激素(FSH)和黄体生成素(LH)的水平。收集卵泡早期和黄体中期的子宫内膜,采用逆转录定量聚合酶链反应(RT-qPCR)评估IL-1β和HB-EGF的mRNA表达水平。根据胚胎是否着床及一般资料将患者分为两组,即着床组(n=33)和未着床组(n=39)。在IVF-ET中,着床组卵泡液和黄体中期IL-1β和HB-EGF的水平、人绒毛膜促性腺激素(HCG)日和胚胎移植(ET)日血清IL-1β的水平、HCG日E2、FSH和LH的水平均明显高于未着床组(p<0.05);着床组ET日P水平明显高于未着床组(p<0.05);着床组黄体中期子宫内膜中IL-1β和HB-EGF的表达水平高于未着床组(p<0.05);子宫内膜中IL-1β和HB-EGF的表达水平与E2、P水平及子宫内膜厚度呈正相关(p<0.05)。IL-1β和HB-EGF可能通过与E2和P协同作用提高子宫内膜对胚胎的容受性,从而影响胚胎着床率,故它们可能是预测IVF-ET妊娠结局的指标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebf2/6257333/e2a3ed568348/etm-16-06-5130-g00.jpg

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