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代谢组学驱动的卵巢反应不良生物标志物研究见解:一项叙述性综述

Metabolomics-Driven Insights into Biomarkers for Poor Ovarian Response: A Narrative Review.

作者信息

Potiris Anastasios, Stavros Sofoklis, Alyfanti Eleni, Machairiotis Nikolaos, Drakaki Eirini, Zikopoulos Athanasios, Moustakli Efthalia, Skentou Charikleia, Drakakis Peter, Domali Ekaterini

机构信息

Third Department of Obstetrics and Gynecology, University General Hospital "ATTIKON", Medical School, National and Kapodistrian University of Athens, 124 62 Athens, Greece.

Medical School, National and Kapodistrian University of Athens, 115 27 Athens, Greece.

出版信息

Biomedicines. 2025 Jan 16;13(1):214. doi: 10.3390/biomedicines13010214.

Abstract

Poor ovarian response (POR) remains a significant challenge in the field of assisted reproductive technology (ART), as the quantity and quality of oocytes retrieved directly influence embryo implantation, clinical pregnancy, and live birth rates. Metabolomics has become a valuable tool for elucidating the molecular mechanisms underlying diminished ovarian reserve (DOR) and POR. This review aims to synthesize findings from metabolomic studies examining metabolite expression patterns in serum and follicular fluid samples from women with POR. A literature search was performed using the Medline/PubMed and Scopus databases, employing keywords related to metabolomics and POR. In total, nine studies met the inclusion criteria for this review. These studies identified several metabolites with differential expression in serum and follicular fluid samples between women with normal ovarian response and those with POR. Although the metabolomic profiles varied significantly among studies, consistent alterations in prostaglandin related metabolites were observed in two of the nine studies reviewed. These findings suggest that, pending further validation, these metabolites may serve as potential biomarkers for ovarian response. Metabolomics has significantly advanced our understanding of the mechanisms underlying ovarian function and holds promise for identifying effective biomarkers that could improve the prediction and management of POR.

摘要

在辅助生殖技术(ART)领域,卵巢低反应(POR)仍然是一个重大挑战,因为获取的卵母细胞的数量和质量直接影响胚胎着床、临床妊娠率和活产率。代谢组学已成为阐明卵巢储备功能减退(DOR)和POR潜在分子机制的重要工具。本综述旨在综合代谢组学研究的结果,这些研究检测了POR女性血清和卵泡液样本中的代谢物表达模式。使用Medline/PubMed和Scopus数据库进行文献检索,使用与代谢组学和POR相关的关键词。共有9项研究符合本综述的纳入标准。这些研究在卵巢反应正常的女性和POR女性的血清和卵泡液样本中鉴定出几种表达有差异的代谢物。尽管各研究间的代谢组学谱差异显著,但在所综述的9项研究中有2项观察到前列腺素相关代谢物存在一致的变化。这些发现表明,在进一步验证之前,这些代谢物可能作为卵巢反应的潜在生物标志物。代谢组学极大地推进了我们对卵巢功能潜在机制的理解,并有望识别出有效的生物标志物,从而改善POR的预测和管理。

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