Dierschke D J, Hutz R J, Wolf R C
Endocrinology. 1985 Oct;117(4):1397-1403. doi: 10.1210/endo-117-4-1397.
We have demonstrated that 17 beta-estradiol (E2) administered to monkeys for 24 or 48 h from day 6 of the menstrual cycle results consistently in degeneration of the preovulatory follicle. The present experiments were conducted to determine the strength-duration characteristics of this effect and to evaluate the occurrence of partial atresia together with subsequent effects on luteal function. Square wave increments in circulating amounts of estrogen were achieved by varying the number and size of Silastic capsules containing E2. Treatments included 0.5, 1, 2, 4, or 10 capsules placed sc for 6, 12, or 24 h. Forty-six menstrual cycles were studied in 33 animals. Increments in serum concentrations of estrogen approximating 300-400 pg/ml and sustained for 24 h or those greater than 600 pg/ml for only 6 h were maximally effective, while 300-400 pg/ml for 12 h or 100 pg/ml for 24 h were almost as effective. Increments less than about 60 pg/ml were essentially ineffective in inducing atresia. After induced atresia, follicular phases were extended by about 8 days, permitting a substitute follicle to develop. Partial atresia, represented by delayed ovulation of the original follicle, was noted in only three cycles. However, another apparent effect of estrogen on follicular development was evident in the form of luteal phase defects which occurred with high incidence in all groups, whether the corpus luteum resulted from the original or substitute follicle. Thus, full atresia induced by estrogen is largely an all or none phenomenon, but lesser effects may be manifested as deficient luteal function. This atretogenic effect of estrogen may be exerted at the ovarian level or may be mediated by the transient suppression of FSH. On the other hand, increases in FSH after treatment may stimulate development of a substitute follicle or maintain follicles not undergoing full atresia.
我们已经证明,在月经周期的第6天给猴子注射17β-雌二醇(E2)24或48小时,会持续导致排卵前卵泡退化。进行本实验是为了确定这种作用的强度-持续时间特征,并评估部分闭锁的发生情况以及对黄体功能的后续影响。通过改变含E2的硅橡胶胶囊的数量和大小来实现循环雌激素量的方波增量。治疗方法包括皮下植入0.5、1、2、4或10个胶囊,持续6、12或24小时。对33只动物的46个月经周期进行了研究。雌激素血清浓度增量接近300 - 400 pg/ml并持续24小时,或大于600 pg/ml仅持续6小时时效果最佳,而300 - 400 pg/ml持续12小时或100 pg/ml持续24小时几乎同样有效。小于约60 pg/ml的增量在诱导闭锁方面基本无效。诱导闭锁后,卵泡期延长约8天,使替代卵泡得以发育。仅在三个周期中观察到以原始卵泡排卵延迟为代表的部分闭锁。然而,雌激素对卵泡发育的另一个明显影响表现为黄体期缺陷,在所有组中发生率都很高,无论黄体是由原始卵泡还是替代卵泡形成。因此,雌激素诱导的完全闭锁在很大程度上是一种全或无的现象,但较小的影响可能表现为黄体功能不足。雌激素的这种闭锁诱导作用可能在卵巢水平发挥,也可能由促卵泡生成素(FSH)的短暂抑制介导。另一方面,治疗后FSH的增加可能刺激替代卵泡的发育或维持未完全闭锁的卵泡。