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基于雌激素受体β +1730多态性研究体外受精周期中不同卵巢反应率:一项横断面研究。

Investigating the rate of different ovarian response in in vitro fertilization cycles based on estrogen receptor beta +1730 polymorphism: A cross-sectional study.

作者信息

Parsa Elham, Mehdi Hoseini Seyed, Mahdieh Namayandeh Seyedeh, Akhavansales Zhima, Hasan Sheikhha Mohammad

机构信息

Medical Biotechnology Research Center, Ashkezar Branch, Islamic Azad University, Ashkezar, Yazd, Iran.

Biotechnology Research Center, International Campus, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

出版信息

Int J Reprod Biomed. 2020 Jul 22;18(7):509-516. doi: 10.18502/ijrm.v13i7.7368. eCollection 2020 Jul.

DOI:10.18502/ijrm.v13i7.7368
PMID:32803202
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7385910/
Abstract

BACKGROUND

The response to ovarian stimulation is different among women referring for assisted reproductive techniques. This difference could be due to different genotypes in genes related to reproduction such as estrogen receptor beta () gene.

OBJECTIVE

In the present study, we explored the rate of gene polymorphism in infertile women undergoing IVF treatment with different ovarian response to ovulation induction.

MATERIALS AND METHODS

A cross-sectional study was performed among 91 infertile women. The relationship between genotype distribution of the +1730 G/A polymorphism in the gene (rs4986938) and the mean number of follicles and oocytes, their mean ratio, mean number of embryos, mean size of the follicles and pregnancy rates were measured. The gene +1730 G/A polymorphism were identified by the amplification-refractory mutation system-polymerase chain reaction.

RESULTS

Genotypes GG, GA, and AA of the gene presented frequencies of 27.5%, 67%, and 5.5%, respectively, in the infertile women. The results of the study showed that the mean number of follicles and oocytes, their mean ratio, mean number of embryos, mean size of the follicles, and pregnancy rates are not related to different genotypes.

CONCLUSION

According to the endocrine and paracrine factors which are involved in the ovulation induction and maturation of oocytes, more studies with higher number of participants are required to confirm the results of the present study; in addition, further studies are required to find out other gene polymorphisms affecting estrogen receptor efficacy in the infertile women.

摘要

背景

接受辅助生殖技术的女性对卵巢刺激的反应存在差异。这种差异可能归因于与生殖相关基因(如雌激素受体β()基因)的不同基因型。

目的

在本研究中,我们探讨了接受体外受精(IVF)治疗且对排卵诱导有不同卵巢反应的不孕女性中基因多态性的发生率。

材料与方法

对91名不孕女性进行了一项横断面研究。测量了基因(rs4986938)中+1730 G/A多态性的基因型分布与卵泡和卵母细胞的平均数量、它们的平均比率、胚胎的平均数量、卵泡的平均大小以及妊娠率之间的关系。通过扩增阻滞突变系统 - 聚合酶链反应鉴定基因+1730 G/A多态性。

结果

在不孕女性中,基因的基因型GG、GA和AA的频率分别为27.5%、67%和5.5%。研究结果表明,卵泡和卵母细胞的平均数量、它们的平均比率、胚胎的平均数量、卵泡的平均大小以及妊娠率与不同基因型无关。

结论

鉴于参与排卵诱导和卵母细胞成熟的内分泌和旁分泌因素,需要更多参与者进行更多研究以证实本研究结果;此外,还需要进一步研究以找出影响不孕女性雌激素受体功效的其他基因多态性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da1e/7385910/1cfbc65eb113/ijrb-18-509-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da1e/7385910/18837cadfe55/ijrb-18-509-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da1e/7385910/1cfbc65eb113/ijrb-18-509-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da1e/7385910/18837cadfe55/ijrb-18-509-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da1e/7385910/1cfbc65eb113/ijrb-18-509-g002.jpg

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Associations between estrogen receptor-beta polymorphisms and endometriosis risk: a meta-analysis.雌激素受体-β基因多态性与子宫内膜异位症风险的关联:一项荟萃分析。
Diagn Pathol. 2014 Sep 26;9:184. doi: 10.1186/s13000-014-0184-x.
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National, regional, and global trends in infertility prevalence since 1990: a systematic analysis of 277 health surveys.
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PLoS Med. 2012;9(12):e1001356. doi: 10.1371/journal.pmed.1001356. Epub 2012 Dec 18.
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Functions and physiological roles of two types of estrogen receptors, ERα and ERβ, identified by estrogen receptor knockout mouse.通过雌激素受体敲除小鼠鉴定出的两种雌激素受体ERα和ERβ的功能及生理作用。
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Genetic polymorphisms influence the ovarian response to rFSH stimulation in patients undergoing in vitro fertilization programs with ICSI.遗传多态性影响接受 ICSI 的体外受精方案的患者对 rFSH 刺激的卵巢反应。
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