Regulation of Follicle-Stimulating and Luteinizing Hormone Receptor Signaling by
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- 35 -①华润武钢总医院 湖北 武汉 430080妇科止血灵片联合地屈孕酮片治疗围绝经期异常子宫出血的效果陈莉莉① 明小琼①【摘要】 目的:探讨采用妇科止血灵片联合地屈孕酮片治疗围绝经期异常子宫出血的效果。
方法:选取2020年8月—2022年8月华润武钢总医院收治的94例围绝经期异常子宫出血患者,以随机数表法分成研究组和对照组,各47例。
对照组给予地屈孕酮片治疗,研究组给予妇科止血灵片联合地屈孕酮片治疗。
比较两组临床疗效、性激素水平、前列腺素E 2(PGE 2)水平、月经量、止血时间、月经规律时间及不良反应发生率。
结果:研究组治疗总有效率为93.62%,高于对照组的78.72%,差异有统计学意义(P <0.05)。
治疗前,两组促卵泡生成激素(FSH)、黄体酮(P)、雌二醇(E 2)、促黄体生成素(LH)比较,差异无统计学意义(P >0.05);治疗后,两组FSH、P、E 2、LH 水平均低于治疗前,且研究组低于对照组,差异有统计学意义(P <0.05)。
治疗前,两组PGE 2水平比较,差异无统计学意义(P >0.05);治疗后,两组PGE 2水平低于治疗前,研究组低于对照组,差异有统计学意义(P <0.05)。
治疗前,两组月经失血图(PBAC)评分比较,差异无统计学意义(P >0.05);治疗后,两组PBAC 评分均低于治疗前,且研究组低于对照组,差异有统计学意义(P <0.05)。
研究组止血时间及月经规律时间短于对照组,差异有统计学意义(P <0.05)。
研究组不良反应发生率为4.26%,低于对照组的8.51%,差异无统计学意义(P >0.05)。
结论:围绝经期异常子宫出血患者采用妇科止血灵片联合地屈孕酮片治疗,能够提高临床疗效,改善性激素水平及PGE 2水平,减少月经量,缩短止血时间及月经规律时间,且不会增加不良反应。
【关键词】 妇科止血灵片 地屈孕酮片 围绝经期异常子宫出血 临床疗效 性激素水平 前列腺素E 2 doi:10.14033/ki.cfmr.2023.36.009 文献标识码 B 文章编号 1674-6805(2023)36-0035-05 Effect of Fuke Zhixueling Tablets Combined with Dydrogesterone Tablets in the Treatment of Abnormal Uterine Bleeding in Perimenopause/CHEN Lili, MING Xiaoqiong. //Chinese and Foreign Medical Research, 2023, 21(36): 35-39 [Abstract] Objective: To investigate the effect of Fuke Zhixueling Tablets combined with Dydrogesterone Tablets in the treatment of abnormal uterine bleeding in perimenopausal. Method: A total of 94 patients with perimenopausal abnormal uterine bleeding admitted to CR & WISCO General Hospital from August 2020 to August 2022 were selected and divided into study group and control group by random number table method, with 47 cases in each group. The control group was treated with Dedrogestone Tablets, and the study group was treated with Fuke Zhixueling Tablets combined with Dedrogestone Tablets. The clinical efficacy, sex hormone level, prostaglandin E 2 (PGE 2) level, menstrual volume, hemostatic time, regular menstrual time and incidence of adverse reactions were compared between the two groups. Result: The total effective rate of the study group was 93.62%, which was higher than 78.72% of the control group, and the difference was statistically significant (P <0.05). Before treatment, there were no significant differences in follicle-stimulating hormone (FSH), progesterone (P), estradiol (E 2) and luteinizing hormone (LH) between the two groups (P >0.05). After treatment, the levels of FSH, P, E 2 and LH in two groups were lower than those before treatment, and those in the study group were lower than those in the control group, the differences were statistically significant (P <0.05). Before treatment, there was no significant difference in PGE 2 level between the two groups (P >0.05). After treatment, the level of PGE 2 in the two groups were lower than those before treatment, and the study group was lower than that in the control group, the differences were statistically significant (P <0.05). Before treatment, there was no significant difference in the score of pictorial blood loss assessment chart (PBAC) between the two groups (P >0.05). After treatment, PBAC scores in both groups 志,2023,51(9):1054-1057.[17] HOSTALEK-GOTTWALD U,GACIONG Z. A growing evidencebase for the fixed-dose combination of Bisoprolol and Amlodipine to manage hypertension[J]. Current Medical Research and Opinion,2022,38(7):1047-1053.[18] PARK S J, RHEE S J. Real-world effectiveness and safetyof a single-pill combination of Olmesartan/Amlodipine/Hydrochlorothiazide in Korean patients with essential hypertension (RESOLVE): a large, observational, retrospective, cohort study[J]. Advances in Therapy,2020,37(8):3500-3514.(收稿日期:2023-11-23) (本文编辑:程旭然) 异常子宫出血是妇科常见的症状和体征,指正常月经的周期频率、规律性、经期长度、经期出血量中的任何1项不符。
- 5 -效及对患者心电图、血清超敏C 反应蛋白和五聚素3的影响[J].陕西医学杂志,2019,48(6):794-796.[3]吴睿.曲美他嗪与尼可地尔联合治疗2型糖尿病合并冠心病的疗效观察及对患者脂联素、炎性因子的影响[J].心脑血管病防治,2022,22(2):81-84.[4]张伟,高伟.曲美他嗪对冠心病心绞痛患者血脂水平及心功能的影响[J].山西医药杂志,2022,51(1):42-44.[5]中华医学会,中华医学会杂志社,中华医学会全科医学分会,等.冠心病心脏康复基层指南(2020年)[J].中华全科医师杂志,2021,20(2):150-165.[6]柴韩飞,杨海燕.曲美他嗪对冠心病心绞痛患者心功能的影响及适宜剂量研究[J].心脑血管病防治,2021,21(5):495-496,515.[7]于凝,惠永明,马超.尼可地尔对高龄冠心病不稳定型心绞痛患者临床疗效分析[J].解放军预防医学杂志,2019,37(5):29-30.[8]邓荣花.尼可地尔治疗微血管性心绞痛的临床疗效及对血管内皮功能的影响[J].中西医结合心脑血管病杂志,2022,20(10):1834-1837.[9]潘玲,李萍,欧阳书堃,等.冠心舒通胶囊联合尼可地尔对冠心病稳定型心绞痛心血瘀阻型患者心功能、血液流变学和炎症因子的影响[J].现代生物医学进展,2022,22(21):4125-4129,4152.[10]贺慧娟,薛书峰.尼可地尔联合曲美他嗪治疗老年冠心病心绞痛患者的疗效及其对炎性因子、血管内皮损伤和血脂的影响[J].临床研究,2022,30(4):119-122.[11]钱承嗣,蒋峻.注射用丹参多酚酸联合曲美他嗪治疗老年冠心病心绞痛患者疗效及对炎性因子、血管内皮损伤和血脂的影响[J].中国老年学杂志,2021,41(21):4614-4617.[12]赵雅静,刘明辉,王彦丽,等.辛伐他汀联合曲美他嗪对冠心病心绞痛血液流变学、血管内皮功能和炎症因子的影响[J].湖南师范大学学报(医学版),2020,17(5):166-169.[13]林克强,王世奇,黄才博,等.非洛地平联合曲美他嗪用于冠心病心绞痛患者疗效评价及对冠脉内皮功能和血小板活性的影响[J].中国循证心血管医学杂志,2019,11(10):1251-1254.[14]钟耀彬,李汝秉,何晓霞.尼可地尔治疗冠心病心绞痛的疗效及对患者左心室功能和斑块稳定性的影响[J].海南医学,2022,33(3):302-304.[15]马乔炎,张平,曹倩.心脑康胶囊联合曲美他嗪对老年冠心病心绞痛患者血液流变学及颈动脉斑块的影响[J].医学临床研究,2019,36(4):761-763.(收稿日期:2023-05-23) (本文编辑:马娇)①莆田市妇幼保健院 福建 莆田 351100注射用人生长激素对特发性中枢性性早熟女童生长发育指标和性激素指标的影响周少君① 吴开艳①【摘要】 目的:评价注射用人生长激素对特发性中枢性性早熟女童生长发育指标和性激素指标的影响。
曲普瑞林激发试验与女童曲普瑞林疗效评估硕士专业学位论文论文题目曲普瑞林激发试验与女童曲普瑞林疗效评估赵金玲研究生姓名徐庄剑指导教师姓名儿科学专业名称内分泌研究方向2013 年 3 月论文提交日期曲普瑞林激发试验与女童曲普瑞林疗效评估中文摘要曲普瑞林激发试验与女童曲普瑞林疗效评估中文摘要目的探讨曲普瑞林促性腺激素释放激素类似物激发试验在女童曲普瑞林疗效评估中的价值。
方法女童31例 , 其中中枢性性早熟26/31 例, 采用曲普瑞林商品名达菲林治疗;青春期预测终身高矮小4/31 例和青春期特发性矮小1/31 例,均予以达菲林联合生长激素治疗。
达菲林治疗前及治疗3月后注射下一次达菲林前均行曲普瑞林激发试验商-1品名达必佳,08:30 a.m. ,0.1 mg ?次 ,皮下注射 ,注射达必佳0 min 血样作为日间自发性促性腺激素Gn 标本,另采集注射前夜00:00血样作为夜间自发Gn 标本。
应用免疫化学发光分析法ICMA 检测促黄体生成素LH 和卵泡刺激素FSH 。
结果 30/31 例女童曲普瑞林治疗有效 , 治疗后 LH 峰值PLH 最大值为1.68-1 -1IU ?L ;1/31 例疗效不佳,治疗后PLH 为3.81 IU ?L 。
在30/31 例治疗有效患儿中,-1 -1曲普瑞林治疗后PLH[0.98 ±0.39 IU ?L ] 明显低于其治疗前[26.11 ±16.59 IU ?L ]-1P0.000 , 治疗后 FSH 峰值 PFSH[1.65 ±0.85 IU ?L ] 也明显低于其治疗前-1[17.78 ±7.09 IU ?L ] P0.000 ;治疗前后PLH 和PFSH 均无重叠性。
治疗后日间自-1 -1发性LH[0.47 ±0.25 IU ?L ] 低于其治疗前[1.88 ±3.24 IU ?L ] P0.000 ,日间自-1 -1发性FSH[1.12 ±0.56 IU ?L ] 也低于其治疗前[5.28 ±4.49 IU ?L ] P0.000 。
从募集优势卵泡开始提高胚胎质量叶虹【期刊名称】《生殖医学杂志》【年(卷),期】2013(22)4【摘要】Ovarian stimulation is an integral procedure in assisted reproduction treatment. It is achieved by the administration of exogenous gonadotropins to increase follicular recruitment and oocyte yield. At present, two follicle-stimulating hormone ( FSH ) products are commercially available for controlled ovarian stimulation(COS): highly purified human-derived FSH(HP-FSH)and recombinant FSH (rFSH). HP-FSH contains a higher proportion of acidic isoforms whereas rFSH contains a higher proportion of less-acidic isoforms. Less-acidic isoforms exhibit high bioactivity in vitro, but they have a faster clearance,and thus a shorter circulatory half-life than the acidic FSH isoforms. The slow clearance of the acidic isoforms results in more estrogenic follicles, follicular maturation and estradiol secretion. Fostimon,a new generation of HP-FSH product, contains more extensively glycosylated(acidic) FSH. Its improvements in specific activity,purity,degradation,and impurities have resulted in a high pregnancy rate similar to rFSH. The sequential treatment protocol with acidic and less-acidic FSH(Fostimon and rFSH) may mimic the physiologic cycle, whereas normal follicle development and ultimately normal oocyte function depend on an appropriate balance of sequential differentiation,and this balance is strongly influenced by FSH isoform distribution. Recently,it is reported that a sequential combined protocol using both acidic FSH and less-acidic FSH for controlled ovarian stimulation(COS)may improve oocytes maturity and embryo cleavage,and increase pregnancy and implantation rate compared with acidic FSH or less-acidic FSH alone. More attention should be paid to FSH isoform distribution of exogenous gonadotropins applied for COS.【总页数】3页(P245-247)【作者】叶虹【作者单位】重庆市妇产科医院遗传与生殖研究所,重庆 400013【正文语种】中文【相关文献】1.免疫抑制素/卵泡抑素对家畜胚胎体外生产效率的提高 [J], 于建宁;吴正三;刘庆友;李辉;王公金;施振旦2.辅酶Q10联合生长激素用于体外受精-胚胎移植备孕期营养补充及对卵泡质量的影响 [J], 金晔; 刘东婷; 张惠娟; 韩宝生; 樊桂玲3.不同促排卵方案HCG日优势卵泡比例对体外受精—胚胎移植结局的影响 [J], 苏芸超4.体外受精患者卵泡液高密度脂蛋白颗粒组分与胚胎质量的相关性分析 [J], 雷承泳;周志伟;段彪;罗朝霞;冯清5.卵泡液中各种激素浓度比与卵泡直径及胚胎质量的关系 [J], 张维嘉因版权原因,仅展示原文概要,查看原文内容请购买。
2019年托福高频词汇:医学专业词汇受体Receptor 托福医学学科分类词汇:受体Receptor受体,Receptor英语短句,例句大全受体,Receptor1)Receptor[英][R?'Sept?(R)][美][R?'S?Pt?]受体1.Synthesis And Cation Recognition Of Bis(2-Benzimidazolyl)Methylene Derivatives As Fluorescence Receptors;1,1-二(2-苯并咪唑基)-2-苯基乙烯衍生物荧光受体的合成与阳离子识别2.Synthesis Of An Receptor Containing Chiral Bicyclic Guanidine For Amino Acids;含手性双环胍的氨基酸受体的合成3.Variation Of Single Nucleotide Polymorphism Of The Insulin Receptor Gene And Resistin Gene With Polycystic Ovary Syndrome;多囊卵巢综合征患者胰岛素受体基因及抵抗素基因内含子变异的研究英文短句/例句1.Orphan Receptor孤独受体,孤儿受体[当前尚未找到配体的受体]2.Multichain Receptor Mode多链受体模型[由受体及受体相关分子共同组成高亲和力受体]3.Donor-Acceptor Complex给予体-接受体复合物4.The Recipient Of A Transplanted Tissue Or Organ.移植接受体移植组织或器官的接受体5.Advances In Study Of The Expression Of Extragonadal Follicle-Stimulating Hormone Receptor And Luteinizing Hormone Receptor性腺外FSH受体和LH受体表达研究进展6.Study Of The Coexistence Of TrkB Receptor, NMDA Receptor And Opiate Μ Receptor In Spinal Cord Following Peripheral Inflammatory Hyperalgesia In Rats;炎性痛大鼠脊髓TrkB受体、NMDA受体、阿片Μ受体共存的研究7.Air Sensitive Receiver易受空气污染影响的受体8.Up-Regulation Of Adenosine Receptors Contribute To The Induction Of The Brain Ischemic Tolerance;腺苷受体上调参与脑缺血耐受的形成9.Relationship Between Toll-Like Receptors And Maternal-Fetal ImmunotoleranceToll样受体与母胎免疫耐受的关系10.A Gas Is Squeezed Into A Smaller Volume.气体受挤压而体积减11.To Undergo Or Cause To Undergo Cross-Fertilization.异体受精经历或使经历异体受精12.Proprioceptive Feedback本体感受反馈本体感受回馈13.The Subject Is The Entity To Which A Certificate Is Issued.接受方是指接受发行的证书的实体。
阴道给药系统的研究概述阴道具有丰富的毛细血管和淋巴管,且没有明确的神经末梢,给药时患者的疼痛刺激小,对于特定的疾病和药物是有效的药物释放部位,这样使其成为一条很有潜力的非侵害性的给药途径,从而发挥药物的局部和全身作用。
阴道给药系统可以局部或全身用药;克服了传统给药的首过效应,从而减少给药量,增加低分子量药物的吸收率;同时能适用一些有严重胃肠道反应的药物;可以避免多次给药产生的峰谷现象。
在设计阴道制剂时,我们需要考虑文化差异、个人卫生、性别差异、局部刺激以及性行为的影响等;同时也应该注意阴道上皮组织厚度的变化对药物吸收的影响。
根据国外的研究结果,本文概述了影响阴道给药的各个因素,为阴道给药系统剂型的研究开发提供参考。
1 影响药物阴道吸收的因素1.1 生理因素阴道上皮组织厚度的周期性变化、分泌液的量和组成、pH值、性冲动等都能影响阴道给药系统中药物的释放行为。
例如,类固醇的阴道吸收会受到阴道上皮组织的厚度的影响[1]。
雌激素的阴道吸收绝经后的妇女比绝经前的要高[2]。
阴道分泌液的量、黏度和pH值对药物的吸收有着双重的影响。
当分泌液的量增加时,水溶性差的药物吸收会增加,然而,过度粘稠的宫颈黏液可能形成药物吸收的屏障,而且过多的分泌液可能会将药物从阴道腔冲走,继而减少药物的吸收。
此外,阴道宫颈黏液是一种糖蛋白凝胶,有可能被开发成一种药物生物粘附给药系统[3]。
对于pH值敏感的药物,pH值任何细微的变化都会影响经阴道给药的药物的释放曲线,从而影响药物的吸收。
体外研究表明:前列腺素E2阴道制剂的释放行为主要取决于介质的pH值[4]。
1.2 药物理化性质理化性质如分子量、亲脂性、电离性、表面电荷、化学性质都会影响阴道药物的吸收。
例如:直链脂肪酸酯的阴道通透性随着链的长度的增加而增加。
同样,亲脂性的甾类化合物如黄体酮比亲水性的甾类化合物如氢化可的松的通透性要大[5]。
一般亲脂性的小分子药物比亲脂性或者亲水性的大分子药物的吸收要好。
来曲唑降低卵巢过激综合征发生的可能机制【关键词】卵巢过度刺激综合征;芳香酶抑制剂;三唑类;综述[文献类型]卵巢过度刺激综合征(OHSS)是一种常见的医源性疾病,常发生于操纵性超排卵患者。
随着辅助生殖技术的开展,促排卵药物的利用愈来愈普遍,如克罗米酚(clomiphene,CC)、尿促性腺激素(human menopausal gonadotrophin,HMG)、人绒毛膜促性腺激素(human chorionic gonadotropin,hCG)、纯卵泡刺激素(pure follicle-stimulating homrmone,pure FSH)、促性腺激素释放激素(gonadotropin releasing hormone,GnRH)等,OHSS的发生率呈上升趋势。
芳香化酶是雌激素合成的限速酶,来曲唑(letrozole,LE)是一种口服的非甾体类第三代芳香化酶抑制药,半衰期短(48 h),不占据雌激素受体,多诱导单个卵泡发育,且没有外周抗雌激素的作用。
LE致使OHSS的发生罕有报导,要紧与其对雌激素、孕激素、血管内皮生长因子(vascular endothelial growth factor,VEGF)等方面的阻碍有关,现就LE与OHSS发生之间的关系做一综述。
1 OHSS与雌激素、孕激素、VEGFOHSS是随着辅助生殖技术的开展,普遍利用超促排卵药物而显现的一类严峻的医源性并发症。
OHSS以多卵泡的发育、血雌二醇(estradiol,E2)水平升高和卵巢增大为特点,严峻者可显现肾功能衰竭和血管栓塞,乃至危及生命。
OHSS的发生率约为0.5%~5%,发病机制不明,可能是由于过量的外源促性腺激素使卵巢合成过量的雌激素、前列腺素,并激活了卵巢肾素血管紧张素系统,也与VEGF、白细胞介素家族(IL2, IL6, IL8, IL10, IL18)、细胞黏附分子、一氧化氮、血管性血友病因子、组胺、催乳素等有关[1]。
[17] 曹正清,王浩,许文杰,等.基于c-Jun 氨基端激酶/应激活化蛋白激酶信号通路探讨丹皮酚抑制结肠癌HCT116细胞生长的机制研究[J].中国临床药理学杂志,2021,37(17):4.[18] 闫珺,石婷婷,刘松江.刘松江教授治疗结肠癌经验浅谈[J].现代肿瘤医学,2019,27(3):3.[19] 闫克敏,肖海娟,杨林,等.人参皂苷Rh_2对结肠癌耐药细胞HCT116/L-OHP 侵袭迁移能力的影响[J].中国实验方剂学杂志,2019,25(13):73-78.[20] 付远虹,吴敏.黄芪多糖通过ANXA3诱导人结肠癌HT-29细胞凋亡[J].遵义医科大学学报,2020,43(2):6.[21] Mao F, Xiao B, Jiang Z, et al. Anticancer effect of Lyciumbarbarum polysaccharides on colon cancer cells involves G0/G1 phase arrest[J].Med Oncol,2011,28(1):121-6.[22] 蒋正财,陈统.枸杞多糖对小鼠结直肠癌肿瘤生长的抑制作用及对血管形成机制的影响[J].新中医,2018,50(8):9-12.[23] 李湘洲,张胜,刘子雷,等.杜仲叶提取物对结肠癌细胞侵袭与迁移的影响[J].辽宁中医杂志,2018,45(5):5.[24] 刘婉,晋颖,冯晓洁,等.茯苓酸对结肠癌细胞增殖凋亡,迁移侵袭及PERK/ATF4信号通路蛋白表达的影响[J].山东医药,2023,63(6):5.[25] 刘丝雨,刘洁,程博,等.茯苓多糖及三萜类成分抗肿瘤的研究进展[J].中国实验方剂学杂志,2023,29(5):7.[26] 张亚楠,王帅,包永睿,等.知母不同药用部位体外抗肿瘤、抗炎及抗氧化的作用研究[J].世界科学技术-中医药现代化,2019,21(3):424-430.[27] 雷雪霏.黄柏炮制前后药代动力学及质变成分药效作用研究[D].沈阳:辽宁中医药大学,2019.[28] 明继阳.知母性味拆分组分的组合研究[D].哈尔滨:黑龙江中医药大学,2017.[2023-03-14收稿]Effect of dydrogesterone combined with letrozole and metformin in the treatment of polycystic ovary syndrome with insulin resistance and its influence on endocrine hormones and ovulation Li Qiong. People's Hospital ofMinqin County, Wuwei 733399, China【Abstract 】Objective To investigate the efficacy of dexamethasone combined with letrozole and metformin in the treatment of polycystic ovary syndrome (PCOS) with insulin resistance, as well as its impact on endocrine hormones and ovulation status. Methods 85 patients with PCOS and insulin resistance admitted to our hospital from October 2021 地屈孕酮联合来曲唑和二甲双胍治疗多囊卵巢综合征伴胰岛素抵抗患者的临床效果李琼作者单位:733399 甘肃省武威市民勤县人民医院【摘要】 目的 探究地屈孕酮联合来曲唑和二甲双胍治疗多囊卵巢综合征(PCOS)伴胰岛素抵抗患者的疗效及对内分泌激素和排卵情况的影响。
临床医学研究与实践2021年1月第6卷第2期DOI :10.19347/ki.2096-1413.202102033作者简介:彭先何(1974-),女,汉族,河南南阳人,主治医师,学士。
研究方向:妇科内分泌。
临床医学多囊卵巢综合征(polycystic ovarian syndrome,PCOS )属于妇科中常见的内分泌性疾病,多引起女性患者月经紊乱,也是引发女性不孕的主要原因之一,患者患病后可表现为多毛、肥胖、闭经、没有排卵、偶发排卵或者不孕等临床症状。
相关研究指出,患有PCOS 者,发生心血管疾病以及糖尿病的概率要高于正常人,其主要的生理或者病理表现为胰岛素抵抗、高胰岛素血症、高雄激素血症以及伴有不同程度的高血压、血脂障碍性疾病等[1]。
当前临床上治疗PCOS 的方法为促排卵药物、促性腺激素、降糖类药物的使用。
有研究指出,给予PCOS 患者地屈孕酮片联合阿司匹林治疗可以明显提高治疗效果[2],一方面,地屈孕酮片可以调节机体内分泌,抑制雄激素合成;另一方面,阿司匹林具有活血、抗血小板聚集的作用,用药后可以改善机体的血液循环,进而缓解临床症状,辅助调节激素水平、胰岛功能。
既往临床关于PCOS 患者子宫内膜、胰岛素抵抗、炎症因子、内分泌代谢的研究较多,但是大多采用地屈孕酮与不同剂量结合雌激素或二甲双胍进行治疗,关于阿司匹林联合地屈孕酮治疗PCOS 的效果及对雌激素分泌水平的影响研究较少,因此,需对此作进一步探讨。
本研究分析阿司匹林联合地屈孕酮片治疗PCOS 患者的临床效果及阿司匹林+地屈孕酮治疗多囊卵巢综合征的效果及对性激素水平的影响彭先何(邓州市妇幼保健院妇科,河南南阳,474150)摘要:目的分析阿司匹林+地屈孕酮治疗多囊卵巢综合征(PCOS )的效果及对性激素水平的影响。
方法选取2017年10月至2019年10月在我院接受治疗的74例PCOS 患者为研究对象,随机将其分为常规组与治疗组,各37例。
———————————————————————————收稿日期:2008-11-27;修回日期:2009-01-16基金项目:国家自然科学基金资助(30871843);浙江省科技厅项目(2008C22040)作者简介:慈光新(1979-),男,博士留学生*通讯作者摘要:实验研究了鸡等级前卵泡颗粒细胞和膜细胞的发育及促卵泡素(FSH )对其增殖的调控作用。
形态学观察显示小白卵泡只有1层颗粒细胞,大白卵泡出现2层颗粒细胞,而小黄卵泡和大黄卵泡中则有多层颗粒细胞。
结果表明:卵泡颗粒细胞和膜细胞的密度和细胞层厚度随着卵泡发育的等级而增加。
卵泡体外悬浮培养表明,FSH 显著刺激小黄卵泡和大黄卵泡中颗粒细胞的增殖,但对膜细胞无显著促增殖作用。
由此推测,FSH 通过刺激颗粒细胞的增殖促使等级前卵泡进入等级发育。
关键词:卵泡刺激素;卵泡发育;鸡中图分类号:831.3文献标识码:A文章编号:0258-7033(2009)09-0013-04促卵泡素对鸡等级前卵泡细胞发育的影响慈光新1,2,葛楚天1,金艳梅1,张才乔1*(1.浙江大学动物科学学院,浙江杭州310029; 2.越南太原省太原师范大学)家禽的产蛋性能主要取决于卵巢中卵泡的发育状况,并受品种、环境和饲养管理等因素的影响。
卵泡发育是一个以形态变化为特征的生长过程,同时伴随着卵泡功能的分化。
家禽的大量卵泡中大约只有5%能发育到小黄卵泡。
卵泡经过发育、选择和闭锁等机制建立起严格的等级体系,即原始卵泡经等级前发育进入小黄卵泡库,在产蛋期每天有一个小黄卵泡被选择并发育成为排卵前卵泡,之后进入等级发育的优势卵泡按顺序发育,直至排卵。
在进入等级发育前,大量的小卵泡要发生闭锁,因此,卵泡发育过程及其调控机制的研究对于提高家禽的产蛋性能具有重要的意义。
在卵泡细胞中,颗粒细胞分泌多种局部激素和生长因子,调控卵泡膜细胞和卵母细胞的生长、分化和成熟,进而调控卵泡发育[1]。
禽类膜细胞可合成并分泌雌激素。
南京农业大学学报2021,44(1) :160-168Journal of Nanjing Agricultural University http :// DOI :10.7685/jnau.201912021于昊,李曼曼,薛洋,等.毛喉素诱导猪卵泡颗粒细胞体外分化机制的研究[J].南京农业大学学报,2021,44(1):160-168.Y U Hao , LI Manman ,XUE Yang , et al. Mechanisms of in vitro differentiation induced by forskolin in porcine follicular granulosa cells [J]. Journal of Nanjing Agricultural University ,2021,44(1) : 160-168.毛喉素诱导猪卵泡颗粒细胞体外分化机制的研究于昊,李曼曼,薛洋,姜志洋,茆达干*(南京农业大学动物科技学院家畜繁殖研究室/动物科学类国家级实验教学示范中心,江苏南京210095)摘要:[目的]本试验旨在研究毛喉素(FSK)对体外培养的猪卵泡颗粒细胞分化的作用及机制。
[方法]体外分离培养猪原 代卵泡颗粒细胞,预培养24 ho 用10 nmol-L -1 FSK 处理细胞48 h,检测细胞形态、脂滴积聚、标记基因和周期相关基因表达 状况;处理96 h 后检测孕酮(P *)水平及类固醇合成相关蛋白的表达水平。
[结果]与对照组相比,FSK 改变了细胞形态,使 细胞直径增大,细胞内脂滴含量增加(P <0.01) ; FSK 降低细胞的增殖活性和增殖细胞核抗原(PCNA )基因表达水平(P < 0.01);FSK 降低颗粒细胞标记基因促卵泡素受体(FSHR)基因表达水平,提高黄体细胞标记基因前列腺素受体(PTGFR)和 促黄体素受体(LHCGR)基因表达水平(P <0.01) ;FSK 促进P 4分泌,提高了类固醇合成相关蛋白StAR,P450sc.c.和30-HSD 的表达水平(P <0.01);从细胞周期看,FSK 降低了细胞周期素B1( CCNB1 )、细胞周期素D1( CCND1)和细胞周期蛋白依赖 性激酶1( CDK1)、细胞周期蛋白依赖性激酶2( CDK2)基因表达水平(P <0.01),而使细胞周期蛋白依赖性激酶抑制剂1A/B (P21cip1/P27kip1)基因表达水平上调(P <0.01),并将细胞周期阻滞在G0/G1期。
①福建省龙岩市第二医院 福建 龙岩 364000通信作者:赖燕英地诺孕素治疗子宫腺肌病患者的效果及对性激素、血清CA125水平的影响赖燕英①【摘要】 目的:分析地诺孕素治疗子宫腺肌病的效果,并探讨该药物治疗对患者性激素、血清CA125水平的影响。
方法:将龙岩市第二医院2020年1月-2021年12月收治的86例子宫腺肌病患者作为研究对象,采用随机数字表法分组,分为参照组与研究组,每组43例。
参照组给予孕三烯酮胶囊治疗,研究组给予地诺孕素治疗,两组均治疗3个月。
比较两组总有效率、不良反应发生率和治疗前后性激素水平、血清肿瘤标志物CA125水平。
结果:研究组总有效率高于参照组,差异有统计学意义(P <0.05)。
研究组与参照组不良反应发生率比较,差异无统计学意义(P >0.05)。
治疗后,研究组黄体生成素、卵泡刺激素、雌二醇水平均低于参照组,差异均有统计学意义(P <0.05)。
治疗后,研究组血清CA125水平低于参照组,差异有统计学意义(P <0.05)。
结论:地诺孕素治疗子宫腺肌病可提高临床疗效,改善性激素分泌,降低血清肿瘤标志物CA125水平,且不增加不良反应,应用价值较高。
【关键词】 地诺孕素 子宫腺肌病 性激素 CA125 Effect of Dienogest in the Treatment of Adenomyosis and Its Influence on Sex Hormone and Serum CA125 Levels/LAI Yanying. //Medical Innovation of China, 2022, 19(34): 143-146 [Abstract] Objective: To analyze the effect of Dienogest in the treatment of adenomyosis, and explore the effect of the drug treatment on the levels of sex hormones and serum tumor marker CA125 in patients. Method: A total of 86 patients with adenomyosis who were admitted to the Second Hospital of Longyan from January 2020 to December 2021 were as the research objects, and they were divided into the reference group and the study group by the random number table method, with 43 cases in each group. The reference group was given Gestrinone Capsules, and the study group was given Dienogest. Both groups were treated for 3 months. The total effective rate, incidence of adverse reactions, before and after treatment sex hormone levels and serum tumor marker CA125 levels between the two groups were compared. Result: The total effective rate of the study group was higher than that that of the reference group, the difference was statistically significant (P <0.05). There was no significant difference in the incidence of adverse reactions between the study group and the reference group (P >0.05). After treatment, the levels of luteinizing hormone, follicle-stimulating hormone and estradiol in the study group were lower than those in the reference group, the differences were statistically significant (P <0.05). After treatment, the serum CA125 level in the study group was lower than that of the reference group, the difference was statistically significant (P <0.05). Conclusion: The treatment of adenomyosis with Dienogest can improve the clinical efficacy, improve the secretion of sex hormones, and reduce the level of serum tumor marker CA125, without increasing adverse reactions and has high application value. [Key words] Dienogest Adenomyosis Sex hormone CA125 First-author ’s address: The Second Hospital of Longyan, Fujian Province, Longyan 364000, China doi:10.3969/j.issn.1674-4985.2022.34.034 子宫腺肌病是指子宫内膜腺体及间质侵入子宫肌层,与人工流产、妊娠、分娩等宫腔操作有关,多见于30~50岁经产妇,患者表现为月经量增加、痛经、经期延长等症状,严重可引发不孕,对生活造成不良影响[1]。
免疫荧光法检测FSHR与GnRHR在胃癌组织中的分布及其共定位研究目的研究卵泡刺激素受体与促性腺激素释放激素受体在胃癌组织中的定位、分布及共存性。
方法选取我院胃肠外科经手术和病理证实的48例胃癌患者的病理组织石蜡包块标本,采用免疫荧光双标记定位方法检测胃癌标本中FSHR 及GnRHR的定位及分布。
结果FSHR和GnRHR在胃癌组织细胞胞浆中均有分布,免疫荧光反应阳性物质分布于细胞质,细胞核呈阴性反应,二者分布模式相同。
结论FSHR与GnRHR在胃癌组织中分布具有共存性,提示其可能对胃癌的病理发生机制具有重要的影响。
Abstract:Objective To investigate the distribution of follicle-stimulating hormone receptor(FSHR)and gonadotropin releasing horm- one receptor (GnRHR)colocalization with at the gastric cancer. Methods Using the immunity fluorescence double mark localization method to examine in 48 example stomach cancer specimen FSHR and the GnRHR localization and the distribution.Results FSHR and GnRHR organize in the cell cytoblastema at the stomach cancer to have the distribution,the immunity fluorescence responded the masculine material distributes in the cytoplasm,the cell nucleus assumes the negative reaction,the two distributed pattern is same. Conclusion FSHR and GnRHR organize the distribution at the stomach cancer to have the coexistence,it is suggested that it may have an important effect on the pathogenesis of gastric cancer.Key words:Follicle-stimulating hormone receptor;Gonadotropin releasing hormone receptor;Immune fluorescence;Gastric cancer卵泡刺激素(follicle-stimulating hormone,FSH)是由腺垂体分泌的性激素,属于G蛋白偶联受体超家族的跨膜糖蛋白,通过与其受体卵泡刺激素受体(follicle-stimulating hormone receptor,FSHR)结合后具有促进排卵和精子的生成作用。
follicle-stimulating hormone 参考值范围-回复什么是卵泡刺激素(FSH)以及它的参考值范围?卵泡刺激素(FSH)是一种由人体脑下垂体分泌的重要激素。
它在女性身体中的功能是促进卵巢发育和卵泡的形成,以及在男性身体中促进精子的生成。
正确的FSH水平对于正常的生殖功能非常重要。
FSH的参考值范围因年龄和性别而异。
以下是FSH在不同群体中的参考值范围:女性:- 在月经周期的不同阶段,女性FSH的水平会有所变化。
在月经周期的第一天到第十四天,FSH水平通常较低,范围在1.9-12.5国际单位/升(IU/L)之间。
然后,在排卵前的两天内,FSH水平会急剧上升,达到峰值。
峰值FSH水平的参考值范围为3.4-33.4 IU/L。
在卵泡发育和排卵过程完成后,FSH水平会回落到较低的范围内。
男性:- 在成年男性中,FSH的水平通常比女性低,并且变化较小。
正常参考值范围为1.5-12.4 IU/L。
儿童和青少年:- 儿童和青少年的FSH水平在不同年龄阶段有所不同。
在0-1岁的婴儿中,参考值范围通常为0.5-3.2 IU/L。
在1-5岁的儿童中,范围为0.2-1.6 IU/L。
在青春期开始之前,FSH水平通常很低。
在女孩青春期开始时,FSH水平会上升,并在之后保持较高水平。
与FSH水平异常有关的疾病:高FSH水平:- 高于正常参考值范围的FSH水平可能是卵巢功能减退或绝经的迹象。
卵巢功能减退是指卵巢产生的卵泡数量和质量下降,从而导致月经不规律和不育。
这种情况通常发生在更年期前后的女性身上。
其他原因导致的高FSH水平还包括睾丸功能障碍或肿瘤。
低FSH水平:- 低于正常参考值范围的FSH水平可能表明卵巢或睾丸功能受损,导致生殖问题。
在女性中,低FSH水平可能与多囊卵巢综合征、垂体功能减退或某些药物的使用有关。
在男性中,低FSH水平可能与睾丸功能减退或问题有关。
需要注意的是,FSH水平受到各种因素的影响,包括月经周期、妊娠、激素替代治疗和某些药物的使用等。
多囊卵巢综合征患者与正常排卵妇女GV期卵母细胞转录组的比较杜琛;陈秀娟;侯石磊;赵杰【摘要】目的:探讨控制性卵巢刺激(COS)对多囊卵巢综合征(PCOS)患者和正常排卵妇女GV期卵母细胞中差异表达基因和主要信号转导通路的影响,从而筛选出影响PCOS患者卵母细胞发育的关键基因.方法:选择接受GnRH-a长方案将调的控制性超排卵的PCOS患者3例(PCOS组)和同期因男性不孕因素接受长方案将调的正常排卵妇女3人(对照组),通过酶消化法分离颗粒细胞,收集经过卵胞浆内单精子显微注射(ICSI)之后废弃的未成熟卵母细胞.构建cDNA文库,在Illumina MiSeq测序平台进行测序,并通过RT-PCR技术对测序数据进行体外验证(每组3个重复).结果:获得了510 024 82个序列读取片段(reads),包含8G碱基序列信息.通过生物信息学软件共找到63个差异表达基因,极显著上调的基因19个,极显著下调基因有44个(Fold Change>4,FDR<0.01).PCOS组患者血管内皮生长因子(VEGF)和脂肪酸脱氢酶1(FADS1)mRNA表达水平明显高于对照组(P<0.05),Runt相关转录因子2(RUNX2)、趋化因子1(CXCL1)和热体克蛋白27 (Hsp27) mRNA表达水平明显低于对照组(P<0.05),与功能验证结果一致.差异基因基于GO功能注释可分为磷酰化、细胞自噬和转录调控等多个分支,利用KEGG数据库作为参考,这些基因主要富集于磷脂酰肌醇-3-激酶/蛋白激酶B(PI3K-Akt)、转化生长因子β(TGF-β)、Hippo、p53和过氧化物酶体增殖剂激活受体(PPAR)信号通路中.结论:PCOS患者GV期卵母细胞中差异表达的基因可能影响卵泡发育和卵母细胞成熟,从而导致胚胎质量低下.【期刊名称】《吉林大学学报(医学版)》【年(卷),期】2018(044)003【总页数】6页(P568-573)【关键词】多囊卵巢综合征;控制性卵巢刺激;卵母细胞;高通量测序【作者】杜琛;陈秀娟;侯石磊;赵杰【作者单位】内蒙古医科大学附属医院生殖医学中心,内蒙古呼和浩特010050;内蒙古医科大学附属医院生殖医学中心,内蒙古呼和浩特010050;内蒙古医科大学附属医院生殖医学中心,内蒙古呼和浩特010050;内蒙古医科大学附属医院生殖医学中心,内蒙古呼和浩特010050【正文语种】中文【中图分类】Q344.13;R711.75多囊卵巢综合征(polycystic ovary syndrome,PCOS)是一种常见的因月经调节机制失常导致的生殖功能障碍性疾病,是不孕的一种常见病因 [1]。
中医文化论文参考文献一、中医文化论文期刊参考文献[1].中医文化与医学院校人文素质教育.《医学与社会》.被中信所《中国科技期刊引证报告》收录ISTIC.2010年10期.张亚斌.蔡子鹤.[2].社会主义核心价值观与当代中医文化核心价值观关系辨析.《广西社会科学》.被北京大学《中文核心期刊要目总览》收录PKU.被南京大学《核心期刊目录》收录CSSCI.2013年11期.李玫姬.[3].评析近十年《中国日报》有关中医文化的国际传播.《学术交流》.被北京大学《中文核心期刊要目总览》收录PKU.被南京大学《核心期刊目录》收录CSSCI.2014年10期.刘彦臣.[4].中医文化价值的基本概念及研究目标.《医学与哲学》.被中信所《中国科技期刊引证报告》收录ISTIC.被北京大学《中文核心期刊要目总览》收录PKU.2013年7期.王旭东.[5].中医文化在中医药对外教育中的作用.《西部中医药》.被中信所《中国科技期刊引证报告》收录ISTIC.2011年8期.薄彤.张杰.[6].中医科学与中医文化有关问题的思考.《医学与哲学》.被中信所《中国科技期刊引证报告》收录ISTIC.被北京大学《中文核心期刊要目总览》收录PKU.2013年7期.陈少宗.[7]中医文化的核心价值体系与核心价值观.《中医杂志》.被中信所《中国科技期刊引证报告》收录ISTIC.被北京大学《中文核心期刊要目总览》收录PKU.2012年4期.郑晓红.王旭东.[8].植根于中医文化护生专业价值观教育模式的效果研究.《中国实用护理杂志》.被中信所《中国科技期刊引证报告》收录ISTIC.被北京大学《中文核心期刊要目总览》收录PKU.2013年29期.张锦玉.周洁.[9].传统中医文化的现代价值.《医学与社会》.被中信所《中国科技期刊引证报告》收录ISTIC.2009年11期.朱红英.[10].高等中医教育应大力弘扬中医文化.《南京中医药大学学报(社会科学版)》.2006年4期.孙丽霞.沈歆.二、中医文化论文参考文献学位论文类[1].中医文化核心价值观与社会主义核心价值观关系研究.作者:李军洋.中医医史文献广西中医药大学2014(学位年度)[2].从贝罗传播模式看当前英国孔子课堂中医文化推广方案存在的问题及建议.作者:陈世存.中医基础理论广西中医学院广西中医药大学2011(学位年度)[3].身体与审美——中医文化中的身体美学思想研究.被引次数:1作者:刘坛.比较文学与世界文学山东大学2011(学位年度)[4].释意理论视角下中医文化国际传播翻译原则探析.作者:石少楠.中医外语南京中医药大学2015(学位年度)[5].中医文化传承与中医药校园规划设计.作者:刘寰.建筑设计及其理论天津大学2013(学位年度)[6].传统中医文化与现代中医医院文化建设.被引次数:1作者:滕荣欣.中医医史文献山东中医药大学2008(学位年度)[7]. 中医文化思想研究.被引次数:2作者:王洪洁.马克思主义理论与思想政治教育上海交通大学2002(学位年度)[8].《内经》养生学说之研究.被引次数:4作者:曹志安.中医基础理论南京中医药大学2005(学位年度)[9].接受理论视角下《黄帝内经·素问》英译本中文化缺省和补偿策略研究.作者:李洁.中医外语南京中医药大学2015(学位年度)[10].基于中医取象比类思维的企业模糊诊断研究.被引次数:3作者:程先东.企业管理合肥工业大学2010(学位年度)三、相关中医文化论文外文参考文献[1]FabricationandEvaluationofaNewCompositeComposedofTricalciumPho sphate,Gelatin,andChineseMedicineasaBoneSubstitute. ChunHsuYaoHungMingTsaiYuehShengChen 《Journalofbiomedicalmaterialsresearch,PartA》,被EI收录EI.被SCI收录SCI.20052[2]Inductionofreversiblemeiosisarrestofbovineoocytesusingatwostep procedureunderdefinedandnondefinedconditions.OliveiraeSilva,I.Vasconcelos,R.B.Caetano,J.V.O.Gulart,L.V.M.Camargo,L .S.A.Bao,S.N.RosaeSilva,A.A.M..《Theriogenology》,被SCI收录SCI.20116[3]Development,molecularcompositionandfreezetoleranceofbovineembr yosculturedinTCM199supplementedwithhyaluronan. PalaszATBrenaRBMartinezMFPerezGarneloSSRamirezMAGutierrezAdanADelaFue nteJ《Zygote》,被SCI收录SCI.20081[4]LocalizationandExpressionofFollicleStimulatingHormoneReceptorG eneinBuffaloPreAntralFollicles.Sharma,G.TaruDubey,P.K.Kumar,G.Sai.《ReproductioninDomesticAnimals》,被SCI收录SCI.20111[5]TheeffectofmacromolecularsupplementationonthesurfacetensionofT CM199andtheutilizationofgrowthfactorsbybovineoocytesandembryosincultu re..PalaszATThundathilJVerrallREMapletoftRJ《AnimalReproductionScience》,被SCI收录SCI.20003/4[6]InvitrocultureofequinepreantralfolliclesobtainedviatheBiopsyPi ckUpmethod.Haag,K.T.MagalhaesPadilha,D.M.Fonseca,G.R.Wischral,A.Gastal,M.O.King, S.S.Jones,K.L.Figueiredo,J.R.Gastal,E.L.《Theriogenology》,被SCI收录SCI.20136[7]DevelopmentofMongoliangerbil1cellembryostoblastocystsincocultu rewithoviductalcellsinTCM199supplementedwithpyruvate,lactateandfetalc alfserum.TsujiiHSaruwatariTHamanoK《TheJournalofReproductionandDevelopment》,被SCI收录SCI.20023[8]Effectofsomaticcelltypesandculturemediumon<i>invitro< /i>maturation,fertilizationandearlydevelopmentcapabilityofbuffaloo ocytes..Jamil,H.Samad,H.A.Rehman,N.Qureshi,Z.I.Lodhi,L.A.《PakistanVeterinaryJournal》,被SCI收录SCI.20112[9]Morphologicalandultrastructuralanalysisofsheepprimordialfollic lespreservedin0.9%salinesolutionandTCM199.MatosMHTAndradeERLucciCMBaoSNSilvaJSantosRR《Theriogenology》,被SCI 收录SCI.20041/2[10]Fabricationandevaluationofanewcompositecomposedoftricalciumph osphate,gelatin,andChinesemedicineasabonesubstitute.. YaoCHTsaiHMChenYSLiuBS《Journalofbiomedicalmaterialsresearch,PartB.Appliedbiomaterials》,被EI收录EI.被SCI收录SCI.20052四、中医文化论文专著参考文献[1]中医文化通识教育与大众传播的探索与思考.张树剑,2013第三届世界中医药教育大会[2]大学生对中医文化认识的问卷调查与分析.马勇.郭杨.范竞.邵阳,2013第三届世界中医药教育大会[3]刍议中医文化的社会历史作用.李爽姿.王勤明,2011中俄第二届传统医学学术会议[4]谈真气运行学术与中医文化的渊源.,2013第二届全国民间中医药开发工程大会[5]中医文化的核心价值及其渊源.贾成祥,2012第十五届全国中医药文化学术研讨会[6]中医文化与家庭治疗.王新本.刘霖,2012第六届全国中西医结合心身医学学术交流会[7]中医文化的困境与突围.何迎春.彭宗朝.田道法,2011第四届第三次全国中西医结合临床教育会议[8]基于群众路线的中医文化惠民政策研究.辛哲,2015第十八次中医药文化学术研讨会暨庆阳市岐黄文化学术年会[9]中医文化类课程的实践教学方法探讨.曹瑛.臧守虎,2011中华中医药学会第十四届全国中医药文化学术研讨会[10]论文化全球化背景下中医文化的现展.李玫姬,2006泛中医论坛.思考中医2006经典中医的特色和优势。
发生血尿常规异常、严重肝肾异常等不良反应。
随访后,观察组患者复发率为6.25%,显著低于对照组的22.50%。
可见,联用雷贝拉唑和替普瑞酮治疗慢性胃炎,临床疗效更好,可促进患者临床症状的早期缓解,促进胃黏膜修复,且不易复发,安全性较高,值得临床推广。
参考文献[1]中华医学会消化病学分会.中国慢性胃炎共识意见(2017年,上海)[J].中华消化杂志,2017,37(11):721-738.[2]易海林,刘志星.雷贝拉唑联合替普瑞酮治疗慢性胃炎患者的临床效果[J].医疗装备,2019,32(19):72-73.[3]李建伟.雷贝拉唑联合替普瑞酮对慢性胃炎患者的疗效及安全性系统评价[J].糖尿病天地,2018,15(10):74-75.[4]张洪川.雷贝拉唑联合替普瑞酮治疗慢性胃炎的疗效观察[J].临床研究,2018,26(3):73-75.[5]李慧卿,宋娟.替普瑞酮联合雷贝拉唑治疗慢性胃炎的疗效分析[J].中外医疗,2017,36(23):160-162.[6]陈豪英,杨玉珍.雷贝拉唑合用替普瑞酮治疗慢性胃炎对患者康复影响分析[J].双足与保健,2017,26(11):53-54.[7]高岩.雷贝拉唑和替普瑞酮治疗慢性胃炎的疗效及对复发率的影响[J].中国处方药,2020,18(8):62-63.[8]宋晨.雷贝拉唑联合替普瑞酮治疗慢性胃炎患者的临床效果[J].医疗装备,2018,31(22):141-142.[9]臧叶红.慢性胃炎患者应用雷贝拉唑与替普瑞酮联合治疗的效果分析[J].中国处方药,2018,16(12):85-86.[10]刘枫.雷贝拉唑结合替普瑞酮用于治疗慢性胃炎患者的疗效探讨[J].黑龙江医药,2018,31(1):55-57.[11]宁来轩.雷贝拉唑联合替普瑞酮对慢性胃炎的治疗效果研究[J].河南医学研究,2017,26(23):4348-4349.(收稿日期:2020-11-20) (本文编辑:张亮亮)①广州市白云区妇幼保健院 广东 广州 510400血清25羟维生素D水平对女童中枢性性早熟和单纯乳房早发育的影响周霞①【摘要】 目的:探讨血清25羟维生素D 鉴别诊断中枢性性早熟与单纯乳房早发育的临床价值。
Received July 19, 2004; Revised August 25, 2004; Accepted September 17,2004.Author to whom all correspondence and reprint requests should be addressed:Juan Pablo Méndez, Unidad de Investigación Médica en Biología del Desarrollo, Coordinación de Investigación en Salud, Coahuila 5, Colonia Roma, Apartado Postal A-047, C.P. 06703 México, D.F., México. E-mail:jpmb@servidor.unam.mxRegulation of Follicle-Stimulatingand Luteinizing Hormone Receptor Signaling by “Regulator of G Protein Signaling” ProteinsC. Castro-Fernández, G. Maya-Núñez, and J. P. MéndezResearch Unit in Developmental Biology, Hospital de Pediatría, Centro Médico Nacional Siglo XXI,Instituto Mexicano del Seguro Social, México, D.F. 06703, MéxicoEndocrine, vol. 25, no. 1, 49–54, October 2004 0969–711X/04/25:49–54/$25.00 © 2004 by Humana Press Inc. All rights of any nature whatsoever reserved.49Follicle-stimulating hormone receptor (FS HR) and luteinizing hormone receptor (LHR) belong to the super-family of G protein–coupled receptors (GPCR); GPCRs are negatively regulated by RGS (“regulators of G pro-tein signaling”) proteins. In this study we evaluated the effects of RGS3 and RGS10 on FSHR and LHR ligand binding and effector coupling. FSHR and LHR ligand binding were unchanged in the presence of RGS3 or RGS 10. However, signaling by FS HR and LHR was diminished by RGS3 but not by RGS10. This constitutes the first demonstration of an interaction between RGS proteins and LH and FSH signaling pathways and iden-tifies a mechanism for negative regulation of RGS3 on FSHR and LHR signaling.Key Words: RGS proteins; FSH receptor; LH receptor.IntroductionThe follicle-stimulating hormone receptor (FSHR) and luteinizing hormone receptor (LHR) belong to the G protein–coupled receptor (GPCR) family (1,2). These receptors are coupled to G s a , which activates adenylyl cyclase in order to increase the synthesis of the second messenger cyclic AMP (cAMP) (3,4), and to G q/11a , which activates phospho-lipase-C and results in production of the second messengers inositol 1,4,5-triphosphate (IP 3) and diacylglycerol; it has also been suggested that FSHR and LHR couple to G i/0a that inhibits the activation of the adenylyl cyclase (1,3).The selectivity and intensity of the GPCR signals are regu-lated by several mechanisms. A family of more than 20 known proteins, the “regulators of G protein signaling” (RGS) pro-teins, have been identified as components of signal transduc-tion cascades generated by GPCR-G proteins. The main func-tion of these proteins is to negatively regulate G proteins,by acting as GTPase-activating proteins (GAPs), thereby accelerating G protein–GTP hydrolysis (5–8) and decreas-ing the length of time the G protein is in the activated state (9). RGS proteins share a highly conserved domain of about 120 amino acids, which mediates the interaction of RGS proteins with the G a subunit, considered to be the main con-tributor to their intrinsic GAP activity (7,10). It has also been shown that RGS proteins can have regulatory functions other than as GAPs, they can increase the signaling of sev-eral receptors and regulate gene transcription (10–12). RGS proteins have been shown to mainly interact with G q a and G i a subunits (13,14); nevertheless, there is evidence of an effect of RGS proteins on the G s a subunit (15–18).In this study, we analyzed the effect of the RGS3 and RGS10 proteins on FSHR and LHR expression, ligand bind-ing, and signaling. Our observations show a previously unap-preciated regulation of FSHR and LHR by RGS proteins.ResultsThe expression of RGS3 and RGS10 in HEK-293 cells after transfection of DNA for these proteins was verified by Western blot. Expression of RGS3 or RGS10 proteins resulted in bands of similar density for both proteins, and when cells were transfected with the control vector, there were no observable bands (Fig. 1).Scatchard binding analysis of the FSHR and LHR in the presence of RGS3 or RGS10 are shown in Figs. 2 and 3.Cells that transiently express the FSHR or LHR and RGS3or RGS10 had a similar receptor affinity and similar aver-age number of receptors/cell compared to those cells ex-pressing the receptors and the control vector, pcDNA3.1(FSHR/pcDNA3.1 K d = 1.3 ± 0.1 n M , receptors/cell =29,781 ± 1,523; FSHR/RGS3 K d = 1.3 ± 0.2 n M , receptors/cell = 34,626 ± 2,114; FSHR/RGS10 K d = 1.2 ± 0.2 n M ,receptors/cell = 32,692 ± 2,012; LHR/pcDNA3.1 K d = 1.1± 0.3 n M , receptors/cell = 30,315 ± 2,617; LHR/RGS3 K d = 0.8 ± 0.2 n M , receptors/cell = 26,400 ± 1,985; LH R/RGS10 K d = 1.0 ± 0.2 n M, receptors/cell= 26,809 ± 1,879).We analyzed the effect of RGS3 and RGS10 on cAMP release from HEK-293 cells, transiently expressing the FSHR or LH R, in response to increasing concentrations of the agonists (0, 12.5, 25, 50 ng/500 µL of FSH or hCG, as noted) (Figs. 4 and 5). RGS10 had no effect on the release of cAMP from FSHR or LHR expressing cells. In contrast, RGS3 had a significant inhibition on cAMP released from FSHR expressing cells. At the highest concentration of agonist stud-ied, there was an approx 50% inhibition, compared to the control values (Fig. 4A). RGS3 also had a significant inhi-bition (approx 43% at the highest agonist concentration) on cAMP released mediated through the LHR (Fig. 4B).Finally, we examined the effect of RGS3 and RGS10 on IP production from cells transiently expressing the FSHR or LH R in response to increasing concentrations of the agonists (0, 12.5, 25, 50 ng/500 µL of FSH or hCG, as noted) (Fig. 5). When RGS10 was expressed with either FSHR or LHR there was no difference in IP response from the con-trol values; in contrast, RGS3 exhibited a significant inhi-bition of IP production with all concentrations of agonistsFig. 1. Expression of RGS3 and RGS10. Expression of (A) RGS3 and (B) RGS10 expressed in HEK-293 cells was confirmed by Western blot, assayed as described in Materials and Methods. Three different experiments were performed with similar results to the represen-tative one shown.Fig. 2. Scatchard binding plots of FSHR and RGS10 or RGS3coexpressing cells. Seventy-two hours after transfection, HEK-293 cells co-expressing the FSHR and pcDNA3.1, RGS3, or RGS10were exposed to increasing concentrations of [125I]FSH for 3 hand binding was determined. Three different experiments wereperformed with similar results.Fig. 3. Scatchard binding plots of LH R and RGS10 or RGS3coexpressing cells. Seventy-two hours after transfection, HEK-293 cells co-expressing the LHR and pcDNA3.1, RGS3, or RGS10were exposed to increasing concentrations of [125I]LH for 3 h andbinding was determined. Three different experiments were per-formed with similar results.studied, including those values obtained when the receptor was not stimulated.DiscussionIn this study, we observed that RGS3 negatively regulates FSHR and LHR-mediated G protein signaling. The expres-sion of RGS3 and RGS10 in HEK-293 cells was verified by Western blot. The results observed suggest that both RGS proteins express in HEK-293 cells after transfection; how-ever, these proteins are not expressed in these cells when transfection of RGS proteins is lacking. These results are similar from some previously reported where they expressed RGS3, RGS4, or RGS10 in HEK-293 cells (19).When cells co-expressed either the FSHR or LHR and RGS3 or RGS10, receptor–ligand affinity is unchanged, sug-gesting that the RGS proteins are not involved in ligand binding or expression of these receptors.RGS3 inhibits cAMP response by negatively regulatingthe FSHR and LHR signaling, while RGS10 does not have Fig. 4. Effect of RGS3 or RGS10 on cAMP release in HEK-293cells expressing FSHR or LHR. Concentration–response curvesfor (A) FSH- or (B) hCG-stimulated cAMP release from HEK-293 cells transiently expressing FSHR or LHR and pcDNA3.1,RGS3, or RGS10 were assayed. Forty-eight hours after transfec-tion, cells were stimulated for 24 h with the indicated concentra-tions of FSH or hCG and cAMP release was measured by RIA.Data are presented as the mean ± SE of triplicate transfections.Three different experiments showed similar results.Fig. 5. Effect of RGS3 or RGS10 on IP production of HEK-293cells expressing FSHR or LHR. Concentration–response curvesfor (A) FSH- or (B) hCG-stimulated IP production from HEK-293 cells transiently expressing FSHR or LHR and pcDNA3.1,RGS3, or RGS10 were assayed. Seventy-two hours after trans-fection, cells were stimulated for 2 h with the indicated concen-trations of FSH or hCG, and IP production was measured. Dataare presented as the mean ± SE of triplicate transfections. Threedifferent experiments showed similar results.an effect on cAMP release. There is little previous evidence of the interaction of these proteins with the G s a subunits. It has been demonstrated that RGS2 inhibits G s a-mediated cAMP release (15–17) and it interacts directly with G s a in vitro (15). It has also been observed that a truncated form of RGS3 (RGS3T) inhibits the G s a subunit (18). In previ-ous studies, we observed that expression of RGS10 resulted in a diminished cAMP release compared to the control cells in cells expressing the gonadotropin-releasing hormone re-ceptor (GnRHR); however, this decrease seemed to be inde-pendent of GnRHR stimulation since there was a decrease of cAMP release even when the agonist was absent (20). In the present study, we suggest that RGS3 might be acting as a GTPase enhancer of G s a, thereby inhibiting cAMP release. However, this effect could not be due to a direct interaction of RGS proteins with G s a subunits but rather regulate the receptors signaling by secondary mechanisms.We also analyzed the effect of RGS3 and RGS10 on IP release. We observed that RGS10 has no effect on FSHR or LHR signaling because there is no differential IP release compared to the control values. In contrast, we saw that in the presence of RGS3, there is a significant inhibition of IP release with all concentrations of agonist studied for both receptors, and even without agonist stimulation. In the case of LHR, RGS3 greatly inhibited the IP response, but did not alter the concentration–response characteristics; however, for FSHR we see that the response is significantly inhibited in agonist absence and with all the agonist concentrations used. These results suggest that, although there is a probable action of RGS3 on G q a-mediated signaling via these recep-tors, RGS3 inhibits the FSH signaling pathway with only a modest effect on receptor activation, because there is atten-uation of cAMP released even in basal levels. This suggests that RGS3 might be interacting with this subunit by mecha-nisms independent of receptor activation.One possible explanation for the difference in the signal-ing regulation of both RGS proteins could be that RGS10 has been shown to be primarily localized to the nucleus, while RGS3 is found in the cytoplasm (21), accessible to the G protein subunits, effectors, and GPCRs. The differ-ential cellular localization of RGS proteins can provide functional heterogeneity to the RGS proteins (22). It could also be that these differential effects were a consequence of modified interactions via diverse domains between the receptors and RGS10 compared to RGS3, serving dissimi-lar regulatory functions (10,11,23,24) or differential recog-nition of conformational states of G s a and G q a exposed by RGS10 or RGS3. Differential recognition has been observed on serotonin 5-HT1A, 5-HT2A, and dopamine D2 recep-tors, where it was demonstrated that RGSZ1, RGS2, RGS4, RGS7, and RGS10 modulate diverse signaling pathways in a different manner depending on the receptor on which its action is taking place. They observed that domains which are distinct from the conserved domain of RGS proteins confer selectivity to the RGS protein toward some GPCRs, such as the RGS4 N-terminal domain that discriminates between GPCR signaling complexes (25).The present study provides the first evidence of the inter-action between any RGS protein and FSHR or LHR signal-ing. FSHR or LHR signaling has been demonstrated to be negatively regulated by RGS3 but not RGS10, suggesting a different effect between RGS proteins on the diverse sys-tems and on the different G a proteins involved. The reg-ulatory mechanisms of the RGS proteins have been observed to be diverse; they have a positive or negative regulation on the GPCRs-mediated signaling, they directly regulate the effectors, or they act as scaffolds by assembling protein com-plexes and modulating their signaling (10,11,23). It is well known that many RGS proteins can turn off signaling of some GPCRs (7), and this is likely the case with the FSHR and LHR. This negative regulation may play an important role in the action of these receptors by modulating their re-sponses when a modified environment is present. These reg-ulatory mechanisms are important to further understand the physiological role of the RGS proteins on GPCRs actions. Materials and MethodsMaterialsThe RGS3 and RGS10 cDNAs and the RGS3 polyclonal antibody were generously provided by P. Michael Conn (Ore-gon National Primate Research Center, Oregon Health and Science University, Beaverton, OR). The RGS10 polyclo-nal antibody RGS10 (C-20) was purchased from Santa Cruz Biotechnology, Inc. (Santa Cruz, CA). The agonists and iodination grade LH and FSH were obtained from Calbio-chem (San Diego, CA). TRIZol, pcDNA3.1/V5-His-TOPO-TA, JM109 competent cells, PCR reagents, Dulbecco’s mod-ified Eagle’s medium (DMEM), fetal calf serum (FCS), lipo-fectamine reagent, OPTI-MEM, and bovine serum albumin (BSA) were obtained from Invitrogen Life Technologies (Grand Island, NY). Myo-[2-3H(N)]-inositol was obtained from Perkin Elmer (Boston, MA). Iodine-125 was purchased from Amersham Biosciences (Piscataway, NJ).FSH and LH Receptor CloningFemale Sprague-Dawley rats of 28 d of age were used in agreement with the ethical committee guides from the H ospital de Pediatría del Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social. The brain and ovaries were extracted and homogenized using 5 mL of TRIZol Reagent for every 250 mg of tissue. Total RNA was obtained and purified, cDNA was synthesized, and FSHR and LHR cDNAs were amplified using specific primers in a touchdown PCR. The, FSHR sense primer was (5') AAG AGC CTG GGG AAT CTG TGG AAG and the antisense primer was (3') CAG TAG GAT TGC CAT TTA GTC CATG, the LHR sense primer was (5') T CCT TTG TTA ACTCTA GAA AGA ATG CAA AG and the antisense primer was (3') CGT CCT CTG AAG CAG GTA CAA TTC. The cDNAs were cloned into pcDNA3.1/V5-His-TOPO-TA vec-tor and were transformed into JM109 competent cells and amplified. The cDNA clones were sequenced in an automa-tic sequencer PE Applied Biosystems 373A (Perkin Elmer,Foster City, CA).Transient Co-transfections of FSHR or LHR and RGS3 or RGS10The human embryonic kidney-derived cell line HEK-293 was maintained in DMEM/10% FCS/20 µg/mL gen-tamicin (DFG), in a 5% CO 2 atmosphere at 37°C; 105 cells/0.5 mL DFG were plated in a 24-well plate. Twenty-four hours later, the cells were transfected with 50 ng of FSHR or LH R cDNA and 50 ng of RGS3, RGS10, or control pcDNA3.1 vector cDNA, per well, using 2 µL of lipofec-tamine in 0.25 mL of OPTI-MEM, after 5 h 0.25 mL of DMEM/20% FCS was added. Proteins were allowed to express for 72 h after transfection (26).Scatchard Binding AssayScatchard binding was assessed in a range of concentra-tions of [125I]FSH or LH, from 62,500 to 1,000,000 cpm.Fifty-one hours after transfection the cells were washed with DMEM/0.1% BSA containing 20 µg/mL gentamicin (DBG), and plain DMEM was added. Seventy-two hours after transfection, the cells were washed twice with 0.5 mL cold DMEM/BSA/10 m M HEPES. The radioactivity was added to each well in the same medium and the cells were allowed to incubate for 3 h at 4°C. The cells were washed twice with 1 mL of cold PBS, and 0.5 mL of 0.2 M NaOH/0.1% SDS was added to each well. The cell lysate was aspirated and radioactivity was determined using a Packard gamma counter (Downers Grove, IL). Scatchard transfor-mation of the binding data was employed to determine the number of membrane-expressed receptors and to calculate receptor–ligand affinity. The x -intercept was taken as max-imal binding; this number was used to convert the number of molecules bound to average number of receptors ex-pressed on each in the cell population. To determine the effect of RGS proteins on the affinity of the FSHR and the LHR for ligand, the slope of the curve was calculated using the x and y intercepts (27).Quantification of cAMP ReleaseForty-eight hours after transfection, cells were washedtwice with DBG and then stimulated with 0, 12.5, 25, or 50ng of FSH or LH per 0.5 mL DBG containing 0.2 m M methylisobutylxanthine (to prevent cAMP degradation) for 24 h at 37°C. After stimulation, the medium from each well was collected into tubes containing 50 µL of 10 m M theo-phylline (also to prevent cAMP degradation). The samples were heated at 95°C for 5 min to disrupt enzyme activityand the amount of medium-released cAMP was determined by radioimmunoassay (RIA) as previously described (26).Quantification of IP AccumulationFifty-four hours after transfection, cells were washed twice with DBG, and incubated in 0.5 mL/well DMEM (inositol-free) containing 4 µCi/mL of [3H]inositol for 18h at 37°C. The cells were washed twice with 0.5 mL DMEM (inositol-free) containing 5 m M LiCl and stimulated with 0, 12.5, 25, or 50 ng of FSH or LH per 0.5 mL of the same DMEM/LiCl (inositol-free) for 2 h at 37°C. The treatment solutions were removed, and 1 mL of 0.1 M formic acid was added to each well. The cells were frozen and thawed to dis-rupt cell membranes, and the intracellular IP accumulation was determined by Dowex anion exchange chromatogra-phy and liquid scintillation spectroscopy (28).Data AnalysisData are presented as the means ± SEM of triplicate assay wells in each experiment. The data were analyzed using one-, two-, or three-way ANOVA followed by the Tukey’s HSD test, and by the Student’s t test; p < 0.05 was consid-ered significant.AcknowledgmentsThis study was supported by grant IMSS-2003/018 from the Coordinación de Investigación en Salud, Instituto Mexicano del Seguro Social, México (to J.P.M.). The au-thors thank Dr. P. Michael Conn, from the Oregon National Primate Research Center, Oregon Health and Science Uni-versity, Beaverton, OR, who generously provided the RGS3and RGS10 cDNAs and the RGS3 polyclonal antibody,and for critical reading of the manuscript and advice. We thank Dr. Ana Pasapera, from the Research Unit in Repro-ductive Medicine, Instituto Mexicano del Seguro Social,México, D.F., México, who kindly provided the HEK-293cell line.References1.Dufau, M. L. (1998). Annu. Rev. Physiol. 60, 461–496.2.Hai, M. V., De Roux, N., Ghinea, N., et al. (1999). Ann. Endo-crinol. 60, 89–92.3.Gilman, A. G. (1987). Annu. Rev. Biochem. 56, 615–649.4.Ulloa-Aguirre, A. and Conn, P. M. (1998). In: Handbook ofphysiology. Conn, P. M. (ed.). Oxford University Press: New York.5.Druey, K. M., Blumer, K. J., Kang, V. H., and Kehrl, J. H.(1996). Nature 379, 742–746.6.Dohlman, H. G. and Thorner, J. (1997). J. Biol. Chem. 272,3871–3874.7.De Vries, L., Zheng, B., Fischer, T., Elenko, E., and Farquhar,M. (2000). Annu. 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