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系统性红斑狼疮患者的卵巢功能:发病机制、药物应用及前瞻性治疗

Ovarian function in patients with systemic lupus erythematosus: Pathogenesis, drug application and prospective therapies.

作者信息

Xu Min, Tian Li-Li, Li Xiao-Liu, Bao Cheng, Zhang Hai-Wei, Chen Hong-Wei

机构信息

Department of Rheumatology and Immunology, Nanjing Drum Tower Hospital, Clinical College of Nanjing University of Chinese Medicine, Nanjing 210008, Jiangsu Province, China.

School of Life Science, Nanjing Normal University, Nanjing 210023, Jiangsu Province, China.

出版信息

World J Exp Med. 2024 Jun 20;14(2):88867. doi: 10.5493/wjem.v14.i2.88867.

DOI:10.5493/wjem.v14.i2.88867
PMID:38948422
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11212741/
Abstract

Systemic lupus erythematosus (SLE) is a chronic autoimmune disease in which multiple organs are damaged that prevails in fertile women. Currently, glucocorticoids and immunosuppressants are widely used to treat SLE patients. However, ovarian dysfunction occurs following the use of these drugs in women with SLE. Here, we summarize recent progress in terms of understanding ovarian injury, the effects of drug application and strategies to improve ovarian function in women with SLE. This review could be helpful to precisely cure SLE in women desiring to have offspring.

摘要

系统性红斑狼疮(SLE)是一种慢性自身免疫性疾病,多发于育龄女性,可导致多器官受损。目前,糖皮质激素和免疫抑制剂被广泛用于治疗SLE患者。然而,SLE女性患者使用这些药物后会出现卵巢功能障碍。在此,我们总结了在理解SLE女性卵巢损伤、药物应用效果以及改善卵巢功能策略方面的最新进展。这篇综述可能有助于精准治疗有生育意愿的SLE女性患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a00a/11212741/b1dcdc70640f/88867-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a00a/11212741/b1dcdc70640f/88867-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a00a/11212741/b1dcdc70640f/88867-g001.jpg

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本文引用的文献

1
Chemotherapeutic drugs induced female reproductive toxicity and treatment strategies.化疗药物诱导的女性生殖毒性及治疗策略。
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Preliminary study on anti-Müllerian hormone, antral follicle count, menstruation and lymphocyte subsets in systemic lupus erythematosus patients.抗苗勒管激素、窦卵泡计数、月经与系统性红斑狼疮患者淋巴细胞亚群的初步研究。
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Mesenchymal stem cell therapy ameliorates metabolic dysfunction and restores fertility in a PCOS mouse model through interleukin-10.
间充质干细胞疗法通过白细胞介素-10改善多囊卵巢综合征小鼠模型的代谢功能障碍并恢复生育能力。
Stem Cell Res Ther. 2021 Jul 7;12(1):388. doi: 10.1186/s13287-021-02472-w.
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Adrenal steroidogenesis and ovarian reserve in adult childhood-onset systemic lupus erytematosus patients.成年起病的儿童系统性红斑狼疮患者的肾上腺类固醇生成和卵巢储备。
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7
Ovarian protection with gonadotropin-releasing hormone agonists during cyclophosphamide therapy in systemic lupus erythematosus.环磷酰胺治疗系统性红斑狼疮时使用促性腺激素释放激素激动剂进行卵巢保护。
Best Pract Res Clin Obstet Gynaecol. 2020 Apr;64:97-106. doi: 10.1016/j.bpobgyn.2019.10.008. Epub 2019 Nov 13.
8
Ultrasound Evaluation in Female Infertility: Part 1, the Ovary and the Follicle.女性不孕症的超声评估:第 1 部分,卵巢和卵泡。
Obstet Gynecol Clin North Am. 2019 Dec;46(4):683-696. doi: 10.1016/j.ogc.2019.08.001.
9
Human amnion-derived mesenchymal stem cell (hAD-MSC) transplantation improves ovarian function in rats with premature ovarian insufficiency (POI) at least partly through a paracrine mechanism.人羊膜间充质干细胞(hAD-MSC)移植通过旁分泌机制至少部分改善了卵巢早衰(POI)大鼠的卵巢功能。
Stem Cell Res Ther. 2019 Jan 25;10(1):46. doi: 10.1186/s13287-019-1136-x.
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