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使用促性腺激素释放激素激动剂D-Ser(TBU)6-EA10-LRH对女性和男性进行长期避孕治疗。

Chronic treatment with the gonadotropin-releasing hormone agonist D-Ser(TBU)6-EA10-LRH for contraception in women and men.

作者信息

Nillius S J, Bergquist C, Wide L

出版信息

Int J Fertil. 1980;25(3):239-46.

PMID:6108935
Abstract

The stimulatory analogue of luteinizing hormone-releasing hormone (LRH) D-Ser(TBU)6-EA10-LRH was administered subcutaneously (sc) or intranasally to 10 women with amenorrhea and to 44 healthy female and male volunteers. The LRH agonist evoked a pronounced initial release of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) but the gonadotropin response decreased during the course of the chronic treatment. Ovulation could not be induced in seven amenorrheic women who were given prolonged treatment with the analogue. In normally ovulating women, ovulation was inhibited during chronic treatment with a daily sc dose of 5 microgram or a daily intranasal dose of 400 microgram. In four healthy men treated with 5 microgram of the LRH agonist daily over 17 weeks basal FSH, LH, and testosterone levels decreased but spermatogenesis and potency were unaffected. The negative effects on testosterone secretion may limit the use of the LRH agonist for male contraception. Chronic intranasal administration of the stimulatory LRH analogue paradoxically inhibited ovulation and proved to be a safe and effective new approach to contraception in women.

摘要

将促黄体生成素释放激素(LRH)的刺激类似物D - Ser(TBU)6 - EA10 - LRH皮下或经鼻给予10名闭经女性以及44名健康的女性和男性志愿者。LRH激动剂引发了促卵泡生成素(FSH)和促黄体生成素(LH)明显的初始释放,但在长期治疗过程中促性腺激素反应降低。在接受该类似物长期治疗的7名闭经女性中未能诱导排卵。在正常排卵的女性中,每日皮下注射5微克或每日经鼻给予400微克进行长期治疗期间排卵受到抑制。在4名健康男性中,每天给予5微克LRH激动剂治疗17周,基础FSH、LH和睾酮水平降低,但精子发生和性功能未受影响。对睾酮分泌的负面影响可能会限制LRH激动剂在男性避孕中的应用。长期经鼻给予刺激型LRH类似物反而抑制了排卵,并且被证明是一种安全有效的女性避孕新方法。

相似文献

1
Chronic treatment with the gonadotropin-releasing hormone agonist D-Ser(TBU)6-EA10-LRH for contraception in women and men.使用促性腺激素释放激素激动剂D-Ser(TBU)6-EA10-LRH对女性和男性进行长期避孕治疗。
Int J Fertil. 1980;25(3):239-46.
2
Inhibition of ovulation in women by chronic treatment with a stimulatory LRH analogue--a new approach to birth control?用促性腺激素释放激素(LRH)类似物长期治疗抑制女性排卵——一种新的避孕方法?
Contraception. 1978 Jun;17(6):537-45.
3
Acute effects of a new stimulatory luteinizing hormone-releasing hormone analogue D-Ser(TBU)(6)-EA(10)-LRH on the gonadotrophin and gonadal steroid secretion in women with amenorrhoea.促性腺激素释放激素类似物 D-Ser(TBU)(6)-EA(10)-LRH 对闭经妇女促性腺激素和性腺类固醇分泌的急性作用。
Ups J Med Sci. 1977;82(1):21-6. doi: 10.3109/03009737709179054.
4
Luteinizing hormone releasing hormone analogues for contraception.用于避孕的促黄体生成素释放激素类似物
Clin Obstet Gynaecol. 1984 Dec;11(3):551-72.
5
Chronic effects of the stimulatory luteinizing hormone-releasing hormone analogue D-Ser (TBU) 6-EA 10-LRH on the gonadotrophin and gonadal steroid secretion in women with amenorrhoea.促性腺激素释放激素类似物D-丝氨酸(叔丁基脲)6-乙酰胺10-促黄体生成素释放激素对闭经女性促性腺激素和性腺类固醇分泌的慢性影响。
Ups J Med Sci. 1980;85(2):103-12. doi: 10.3109/03009738009179178.
6
Luteolytic activity of LHRH and [D-Ser(TBU)6, des-Gly-NH2(10)]LHRH ethylamide: a new and physiological approach to contraception in women.促黄体生成素释放激素(LHRH)和[D-丝氨酸(叔丁基)6,去甘氨酰胺(10)]LHRH乙酰胺的溶黄体活性:一种新型女性避孕生理方法
Int J Fertil. 1980;25(3):203-12.
7
Contraception with an LHRH agonist: effect on gonadotrophin and steroid secretion patterns.使用促黄体生成素释放激素(LHRH)激动剂避孕:对促性腺激素和类固醇分泌模式的影响。
Clin Endocrinol (Oxf). 1984 Aug;21(2):179-88. doi: 10.1111/j.1365-2265.1984.tb03458.x.
8
Endometrial patterns in women on chronic luteinizing hormone-releasing hormone agonist treatment for contraception.接受慢性促黄体生成素释放激素激动剂治疗以避孕的女性的子宫内膜模式。
Fertil Steril. 1981 Sep;36(3):339-42. doi: 10.1016/s0015-0282(16)45735-3.
9
[Peptid contraception--new principles for family planning].[肽类避孕——计划生育的新原则]
Lakartidningen. 1981 Aug 19;78(34):2845-8.
10
Reduced gonadotropin secretion in postmenopausal women during treatment with a stimulatory LRH analogue.绝经后女性在使用促性腺激素释放激素(LRH)类似物进行刺激治疗期间促性腺激素分泌减少。
J Clin Endocrinol Metab. 1979 Sep;49(3):472-4. doi: 10.1210/jcem-49-3-472.

引用本文的文献

1
Regulation of pituitary gonadotropin-releasing hormone receptors by pulsatile gonadotropin-releasing hormone injections in male rats. Modulation by testosterone.脉冲式注射促性腺激素释放激素对雄性大鼠垂体促性腺激素释放激素受体的调节。睾酮的调节作用。
J Clin Invest. 1984 Sep;74(3):920-8. doi: 10.1172/JCI111510.
2
Preliminary report on use of depot formulation of LHRH analogue ICI 118630 (Zoladex) in patients with prostatic cancer.促黄体生成素释放激素类似物ICI 118630(诺雷德)长效制剂用于前列腺癌患者的初步报告。
Br Med J (Clin Res Ed). 1985 Jan 19;290(6463):185-7. doi: 10.1136/bmj.290.6463.185.
3
The sequential use of a luteinizing hormone-releasing hormone (LH-RH) agonist and human menopausal gonadotropins to stimulate folliculogenesis in patients with resistant ovaries.
序贯使用促黄体生成激素释放激素(LH-RH)激动剂和人绝经后促性腺激素以刺激耐药卵巢患者的卵泡生成。
J In Vitro Fert Embryo Transf. 1988 Feb;5(1):38-42. doi: 10.1007/BF01138869.
4
Effects of a potent LHRH-agonist on the pituitary gonadal axis with and without testosterone substitution.一种强效促黄体生成素释放激素(LHRH)激动剂在有和没有睾酮替代的情况下对垂体性腺轴的影响。
Urol Res. 1986;14(5):261-4. doi: 10.1007/BF00256570.