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氧化应激:雌激素与孕激素的作用

Oxidative Stress: The Role of Estrogen and Progesterone.

作者信息

Cagnacci Angelo, Gazzo Irene, Stigliani Sara, Paoletti Anna Maria, Anserini Paola, Londero Ambrogio Pietro, Xholli Anjeza

机构信息

Obstetrics and Gynecology Teaching Unit, IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy.

Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Infant Health, University of Genoa, 16132 Genova, Italy.

出版信息

J Clin Med. 2023 Nov 25;12(23):7304. doi: 10.3390/jcm12237304.

Abstract

The effect of estrogen and progesterone on oxidative status is not yet very clear, improvements and detrimental effects having been reported with the use of menopausal hormone therapy or hormonal contraceptives, respectively. In this study, we evaluated the role played by estrogen and progesterone separately, on the oxidative status of 32 women, 18 to 43 years old, by inducing high levels of estrogen and then adding high levels of progesterone. During a cycle of in vitro fertilization, blood samples were collected prior to gonadotrophin stimulation (low estradiol levels), on the day of oocyte retrieval (high levels of estrogen), and on the day of embryo transfer (high levels of estrogen and progesterone). Total blood levels of oxidants (FORT), antioxidants (FORD), and their ratio FORT/FORD were measured using a colorimetric method based on the Fenton reaction. Seven women measured their early morning body temperature at the same time points. FORT significantly decreased from the low- to the high-estrogen phase ( = 0.023) and increased from the high-estrogen to the high-estrogen-progesterone phase ( = 0.006). FORD showed an opposite but non-significant trend. The FORT/FORD ratio decreased from the low- to the high-estrogen phase ( = 0.0104) and increased from the high-estrogen to the high-estrogen -progesterone phase ( = 0.004). Body temperature ( = 7) decreased in the high-estrogen phase ( = 0.001) and increased from the high-estrogen to the high-estrogen-progesterone phase ( = 0.001). In the seven women, FORT ( = 0.009) and FORT/FORD ( = 0.0056) were linearly related to body temperature values. Our data show opposite effects of estrogen and progesterone on oxidative status. These effects seem to be related to the effect exerted on body temperature regulation.

摘要

雌激素和孕激素对氧化状态的影响尚不完全清楚,分别有报道称绝经激素治疗或激素避孕会产生改善作用和有害影响。在本研究中,我们通过诱导高水平雌激素然后添加高水平孕激素,分别评估了雌激素和孕激素对32名年龄在18至43岁女性氧化状态的作用。在体外受精周期中,在促性腺激素刺激前(雌二醇水平低)、取卵日(雌激素水平高)和胚胎移植日(雌激素和孕激素水平高)采集血样。使用基于芬顿反应的比色法测量血液中氧化剂(FORT)、抗氧化剂(FORD)的总水平及其比值FORT/FORD。7名女性在相同时间点测量了清晨体温。FORT从低雌激素阶段到高雌激素阶段显著降低(P = 0.023),从高雌激素阶段到高雌激素 - 孕激素阶段升高(P = 0.006)。FORD呈现相反但不显著的趋势。FORT/FORD比值从低雌激素阶段到高雌激素阶段降低(P = 0.0104),从高雌激素阶段到高雌激素 - 孕激素阶段升高(P = 0.004)。体温(n = 7)在高雌激素阶段降低(P = 0.001),从高雌激素阶段到高雌激素 - 孕激素阶段升高(P = 0.001)。在这7名女性中,FORT(P = 0.009)和FORT/FORD(P = 0.0056)与体温值呈线性相关。我们的数据显示雌激素和孕激素对氧化状态有相反的影响。这些影响似乎与对体温调节的作用有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6141/10707316/1df35fd2447f/jcm-12-07304-g001.jpg

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