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辅助生殖中卵泡液晚期糖基化终产物:一项系统评价。

Follicular fluid advanced glycation end products in assisted reproduction: A systematic review.

作者信息

Roushenas Fatemeh, Hamdi Kobra, Jafarpour Farnoosh, Fattahi Amir, Pashaiasl Maryam, Nasr-Esfahani Mohammad Hossein

机构信息

Department of Reproductive Biology, Faculty of Advanced Medical Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.

Women's Reproductive Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

Clin Chim Acta. 2023 Sep 1;549:117560. doi: 10.1016/j.cca.2023.117560. Epub 2023 Sep 14.

Abstract

Follicular fluid (FF) advanced glycation end products (AGEs) have been associated with low oocyte quality and number, low fertilization rate, impaired embryonic development and low pregnancy rate. These findings are especially relevant in women undergoing in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI), ie, assisted reproductive technology (ART). A systematic literature search was conducted to examine various AGEs including pentosidine, carboxymethyl-lysine (CML), methylglyoxal 5-hydro-5-methylimidazolones (MG-H1), toxic AGE (TAGE), and soluble receptor for AGE (sRAGE) with ART outcomes. Studies showed that total AGEs and sRAGE in FF were associated with the ovarian response, follicle number, retrieved oocyte number, mature (MII) oocyte number, fertilization rate, embryo number, embryo quality, and successful pregnancy. Although FF AGEs could be considered predictive biomarkers, population heterogeneity and differences in ovulation induction protocols make the findings less clear. This review highlights important role of AGEs in ART and necessity of evaluating AGEs in serum vs with FF to better predict ART outcomes.

摘要

卵泡液(FF)中的晚期糖基化终产物(AGEs)与卵母细胞质量和数量低、受精率低、胚胎发育受损及妊娠率低有关。这些发现对于接受体外受精(IVF)和卵胞浆内单精子注射(ICSI)即辅助生殖技术(ART)的女性尤为重要。我们进行了一项系统的文献检索,以研究包括戊糖苷、羧甲基赖氨酸(CML)、甲基乙二醛5-羟基-5-甲基咪唑啉酮(MG-H1)、毒性AGE(TAGE)和AGE可溶性受体(sRAGE)在内的各种AGEs与ART结局的关系。研究表明,FF中的总AGEs和sRAGE与卵巢反应、卵泡数量、回收的卵母细胞数量、成熟(MII)卵母细胞数量、受精率、胚胎数量、胚胎质量和成功妊娠有关。尽管FF AGEs可被视为预测性生物标志物,但人群异质性和促排卵方案的差异使得研究结果不那么明确。本综述强调了AGEs在ART中的重要作用,以及评估血清与FF中AGEs以更好地预测ART结局的必要性。

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