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1.
J Biol Chem ; 298(5): 101818, 2022 05.
Artículo en Inglés | MEDLINE | ID: mdl-35278432

RESUMEN

Gonadal white adipose tissue (gWAT) can regulate gametogenesis via modulation of neuroendocrine signaling. However, the effect of gWAT on the local microenvironment of the gonad was largely unknown. Herein, we ruled out that gWAT had a neuroendocrine effect on gonad function through a unilateral lipectomy strategy, in which cutting off epididymal white adipose tissue could reduce seminiferous tubule thickness and decrease sperm counts only in the adjacent testis and epididymis of the affected gonad. Consistent with the results in males, in females, ovary mass was similarly decreased by lipectomy. We determined that the defects in spermatogenesis were mainly caused by augmented apoptosis and decreased proliferation of germ cells. Transcriptome analysis suggested that lipectomy could disrupt immune privilege and activate immune responses in both the testis and ovary on the side of the lipectomy. In addition, lipidomics analysis in the testis showed that the levels of lipid metabolites such as free carnitine were elevated, whereas the levels of glycerophospholipids such as phosphatidylcholines and phosphatidylethanolamines were decreased, which indicated that the metabolic niche was also altered. Finally, we show that supplementation of phosphatidylcholine and phosphatidylethanolamine could partially rescue the observed phenotype. Collectively, our findings suggest that gWAT is important for gonad function by not only affecting whole-body homeostasis but also via maintaining local metabolic and immune niches.


Asunto(s)
Tejido Adiposo Blanco , Gónadas , Tejido Adiposo/metabolismo , Tejido Adiposo Blanco/metabolismo , Animales , Epidídimo , Femenino , Masculino , Ratones , Espermatogénesis , Testículo/metabolismo
2.
Reprod Biomed Online ; 44(1): 63-71, 2022 01.
Artículo en Inglés | MEDLINE | ID: mdl-34862136

RESUMEN

RESEARCH QUESTION: Is there a simple and effective method for male patients with genetic disorders in families with no identified haplotype and with Robertsonian translocations to avoid the transfer of embryos carrying translocated chromosomes? DESIGN: Single spermatozoa were separated to identify by next-generation sequencing (NGS) those that were genetically abnormal, to establish a sperm-based single-nucleotide polymorphism (SNP) haplotype. Blastocysts that developed to day 5 or 6 were then biopsied for whole genome amplification and screening for chromosomal aneuploidy. Normal embryos were selected by comparison with a single-sperm-based SNP haplotype and were transferred. The results were verified by second trimester amniocentesis. RESULTS: Two blastocysts obtained from patients with neurofibroma type 1 (NF1) were found to be normal after NGS according to single-sperm-based SNP haplotype analysis (13 SNP sites). Three and one blastocysts, respectively, were obtained from the patients with Robertsonian translocation. Blastocysts B9 and B7 were found to be normal after NGS according to the single-sperm-based SNP haplotype analysis (12 and 13 SNP sites selected on chromosomes 14 and 22 for the first patient; 12 and 9 SNP sites selected on chromosomes 13 and 14 for the second patient). Successful pregnancies after blastocyst transfer occurred in all three patients. The identification of embryos was verified by mid-trimester amniocentesis. All three patient couples successfully delivered healthy babies. CONCLUSION: This study preliminarily summarized the process of single-sperm-based SNP haplotyping, which could be applied as preimplantation genetic testing for male patients without identified disease-causing haplotypes and with Robertsonian translocations.


Asunto(s)
Diagnóstico Preimplantación , Femenino , Humanos , Masculino , Embarazo , Aneuploidia , Blastocisto , Pruebas Genéticas/métodos , Haplotipos , Secuenciación de Nucleótidos de Alto Rendimiento , Diagnóstico Preimplantación/métodos , Espermatozoides , Translocación Genética , Polimorfismo de Nucleótido Simple
3.
BMC Pregnancy Childbirth ; 22(1): 980, 2022 Dec 29.
Artículo en Inglés | MEDLINE | ID: mdl-36581843

RESUMEN

BACKGROUND: To evaluate the influence of day 3 embryo cell number on the clinical pregnancy and live birth rates of day 5 single blastocyst transfer in frozen embryo transfer (FET) cycles. METHODS: Our retrospective study included 3761 day 5 single blastocyst FET cycles between January 2015 and December 2019. These FET cycles were divided into three groups according to the day 3 embryo cell number: 939 cycles in the < 8-cell group, 1224 cycles in the 8-cell group and 1598 cycles in the > 8-cell group. The clinical pregnancy and live birth rates were compared among the three groups. RESULTS: The clinical pregnancy rate of day 5 single blastocyst transfer in FET cycles increased significantly as the day 3 embryo cell number increased (52.2%, 61.4% and 66.8%, P < 0.001). Similarly, the live birth rate increased significantly as the day 3 embryo cell number increased (42.7%, 49.8% and 54.9%, P < 0.001). The results of the subgroup analysis showed that the clinical pregnancy and live birth rates were not significantly different among the three groups when good-quality blastocysts were transferred. The clinical pregnancy and live birth rates increased significantly as the day 3 embryo cell number increased when fair- and poor-quality blastocysts were transferred. CONCLUSION: The day 3 embryo cell number needs to be considered when day 5 single blastocyst transfer is performed in FET cycles, especially when fair- and poor-quality blastocysts are used for transfer. The transfer of a day 5 single blastocyst derived from an embryo with faster development on day 3 may shorten the time to achieving a live birth.


Asunto(s)
Tasa de Natalidad , Criopreservación , Embarazo , Femenino , Humanos , Estudios Retrospectivos , Criopreservación/métodos , Transferencia de Embrión/métodos , Índice de Embarazo , Nacimiento Vivo , Recuento de Células
4.
Zygote ; 30(1): 132-137, 2022 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-34184632

RESUMEN

This study analyzed the effects of the day of trophectoderm (TE) biopsy and blastocyst grade on clinical and neonatal outcomes. The results showed that the implantation and live birth rates of day 5 (D5) TE biopsy were significantly higher compared with those of D6 TE biopsy. The miscarriage rate of the former was lower than that of the latter, but there was no statistically significant difference. Higher quality blastocysts can achieve better implantation and live birth rates. Among good quality blastocysts, the implantation and live birth rates of D5 and D6 TE biopsy were not significantly different. Among fair quality and poor quality blastocysts, the implantation and live birth rates of D5 TE biopsy were significantly higher compared with those of D6 TE biopsy. Neither blastocyst grade nor the day of TE biopsy significantly affected the miscarriage rate. Neonatal outcomes, including newborn sex, gestational age, preterm birth, birth weight and low birth weight in the D5 and D6 TE biopsies were not significantly different. Both blastocyst grade and the day of TE biopsy must be considered at the same time when performing preimplantation genetic testing-frozen embryo transfer.


Asunto(s)
Diagnóstico Preimplantación , Nacimiento Prematuro , Biopsia , Blastocisto , Implantación del Embrión , Transferencia de Embrión , Femenino , Pruebas Genéticas , Humanos , Recién Nacido , Embarazo , Estudios Retrospectivos
5.
J Obstet Gynaecol Res ; 48(7): 1621-1631, 2022 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-35585784

RESUMEN

AIM: The objective of this study was to assess whether PGT conducted with previously untested vitrified embryos affect the clinical outcomes. METHODS: A total of 49 patients who underwent biopsy on vitrification-warming embryos for PGT were enrolled from January 2016 to January 2019. The cleavage-stage embryos were thawed and cultured into the blastocyst stage for biopsy. During this period, 195 patients underwent routine PGT and FET, whose embryos were biopsied before frozen were used as the control group. The clinical outcomes were further compared between the two groups after a 1:2 PSM. RESULTS: There were 47 transferable blastocysts in 30 patients, while 19 patients without transferable embryos, who performed biopsy on vitrification-warming embryos for PGT. During this study period, 27 patients have already underwent FET with the clinical pregnancy rate was 66.7% (18/27). After 1:2 PSM, 24 patients in the biopsy on vitrification-warming embryo group and 48 patients in the control group were compared, the clinical pregnancy rate (68.8% vs. 70.8%, p = 0.86), miscarriage rate (18.2% vs. 11.8%, p = 0.86), or live birth rate (52.1% vs. 62.5%, p = 0.40) had no significant difference. And the transferable blastocyst rate or the clinical pregnancy rate in the vitrification-warming cleavage-stage embryo group was not significantly different from those in the vitrification-warming blastocyst group. In addition, the PGT clinical outcomes of biopsy on vitrification-warming embryos had no significant difference between IVF-fertilized embryos and ICSI-fertilized embryos. CONCLUSION: Biopsy on the vitrification-warming embryos with a dual vitrified cryopreservation does not affect the embryo quality or the PGT clinical outcomes.


Asunto(s)
Transferencia de Embrión , Vitrificación , Biopsia , Blastocisto , Criopreservación , Técnicas de Cultivo de Embriones , Femenino , Pruebas Genéticas , Humanos , Embarazo , Índice de Embarazo , Estudios Retrospectivos
6.
Arch Gynecol Obstet ; 305(1): 241-249, 2022 01.
Artículo en Inglés | MEDLINE | ID: mdl-34218301

RESUMEN

PURPOSE: To investigate the clinical factors that could be used predict the number of transferable blastocysts in preimplantation genetic testing (PGT) cycles based on next-generation sequencing (NGS) and formed form a mathematical model to predict the chance likelihood of obtaining one transferable blastocyst, which is helpful for genetic counseling. METHODS: This retrospective study enrolled couples undergoing PGT cycles for chromosomal structural rearrangement (PGT-SR, n = 363, 202 with reciprocal translocation carriers, 131 with Robertsonian translocation carriers, 30 with inversion carriers), monogenic diseases (PGT-M, n = 47), and for Aneuploidies (PGT-A, n = 132) from January 2015 to October 2018. Stepwise multiple linear regression analysis was used to identify the factors relevant for obtaining at least one transferable blastocyst. The factors that predict the number of biopsied blastocysts were further analyzed. RESULTS: The transferable blastocyst rates were 29.94, 41.99, 49.09, 41.42, and 44.37% in the reciprocal translocation carrier, Robertsonian translocation carrier, inversion carrier, PGT-M, and PGT-A cycles, respectively. The number of transferable blastocysts in these cycles were 0.3004 × the number of biopsied blastocysts (NBB) - 0.0031, 0.4063 × NBB + 0.0460, 0.5762 × NBB - 0.3128, 0.3611 × NBB + 0.1910, and 0.4831 × NBB - 0.0970, respectively. Furthermore, the number of MII oocytes and female age were clinical predictors of NBB in reciprocal translocation and PGT-A couples, while the number of MII oocytes was the only clinical predictor in Robertsonian translocation carriers, inversion carriers, and PGT-M couples. CONCLUSIONS: The number of biopsied blastocysts was the only clinical predictor of the ability to obtain a transferable blastocyst in PGT cycles; therefore, for clinical practice, theoretically the minimum numbers of biopsied blastocysts is 4 in reciprocal translocation carrier and 3 in couples undergoing PGT for other reasons. The number of MII oocytes and female age were clinical predictors of the number of biopsied blastocysts. With the mathematical models in our study as a reference, in clinical practice, clinicians will be able to conduct a more targeted genetic consultation for different kinds of PGT patients.


Asunto(s)
Diagnóstico Preimplantación , Aneuploidia , Blastocisto , Femenino , Fertilización In Vitro , Pruebas Genéticas , Secuenciación de Nucleótidos de Alto Rendimiento , Humanos , Modelos Teóricos , Embarazo , Estudios Retrospectivos
7.
Stem Cells ; 38(2): 261-275, 2020 02.
Artículo en Inglés | MEDLINE | ID: mdl-31721342

RESUMEN

The tunica adventitia ensheathes arteries and veins and contains presumptive mesenchymal stem cells (MSCs) involved in vascular remodeling. We show here that a subset of human adventitial cells express the CD10/CALLA cell surface metalloprotease. Both CD10+ and CD10- adventitial cells displayed phenotypic features of MSCs when expanded in culture. However, CD10+ adventitial cells exhibited higher proliferation, clonogenic and osteogenic potentials in comparison to their CD10- counterparts. CD10+ adventitial cells increased expression of the cell cycle protein CCND2 via ERK1/2 signaling and osteoblastogenic gene expression via NF-κB signaling. CD10 expression was upregulated in adventitial cells through sonic hedgehog-mediated GLI1 signaling. These results suggest that CD10, which marks rapidly dividing cells in other normal and malignant cell lineages, plays a role in perivascular MSC function and cell fate specification. These findings also point to a role for CD10+ perivascular cells in vascular remodeling and calcification.


Asunto(s)
Calcificación Fisiológica/genética , Neprilisina/metabolismo , Células Madre/metabolismo , Adulto , Anciano , Anciano de 80 o más Años , Proliferación Celular , Humanos , Persona de Mediana Edad
8.
Proc Natl Acad Sci U S A ; 114(8): 1940-1945, 2017 02 21.
Artículo en Inglés | MEDLINE | ID: mdl-28167787

RESUMEN

Preeclampsia (PE) is initiated by abnormal placentation in the early stages of pregnancy, followed by systemic activation of endothelial cells of the maternal small arterioles in the late second or third trimester (TM) of pregnancy. During normal pregnancy, placental cytotrophoblasts (CTBs) invade the maternal uterine wall and spiral arteries, whereas this process is interrupted in PE. However, it is not known how the malformed placenta triggers maternal endothelial crisis and the associated manifestations. Here, we have focused on the association of CD81 with PE. CD81, a member of the tetraspanin superfamily, plays significant roles in cell growth, adhesion, and motility. The function of CD81 in human placentation and its association with pregnancy complications are currently unknown. In the present study, we have demonstrated that CD81 was preferentially expressed in normal first TM placentas and progressively down-regulated with gestation advance. In patients with early-onset severe PE (sPE), CD81 expression was significantly up-regulated in syncytiotrophoblasts (STBs), CTBs and the cells in the villous core. In addition, high levels of CD81 were observed in the maternal sera of patients with sPE. Overexpressing CD81 in CTBs significantly decreased CTB invasion, and culturing primary human umbilical vein endothelial cells (HUVECs) in the presence of a high dose of exogenous CD81 resulted in interrupted angiogenesis and endothelial cell activation in vitro. Importantly, the phenotype of human PE was mimicked in the CD81-induced rat model.


Asunto(s)
Placentación/fisiología , Preeclampsia/patología , Tetraspanina 28/metabolismo , Trofoblastos/fisiología , Animales , Biomarcadores/sangre , Adhesión Celular , Movimiento Celular/fisiología , Vellosidades Coriónicas/metabolismo , Modelos Animales de Enfermedad , Regulación hacia Abajo , Femenino , Células Endoteliales de la Vena Umbilical Humana , Humanos , Inmunohistoquímica , Neovascularización Fisiológica/fisiología , Preeclampsia/sangre , Embarazo , Primer Trimestre del Embarazo , Tercer Trimestre del Embarazo , Cultivo Primario de Células , Ratas , Ratas Sprague-Dawley , Tetraspanina 28/sangre , Regulación hacia Arriba , Útero/irrigación sanguínea
9.
Mol Reprod Dev ; 86(5): 516-529, 2019 05.
Artículo en Inglés | MEDLINE | ID: mdl-30779242

RESUMEN

Female fertility declines dramatically over the age of 35 due to age-related decreases in oocyte quality and quantity. Although mitochondrial transfer promises to be a technology that can improve the quality of such age-impaired oocytes, the ideal mitochondrial donor remains elusive. In the present study, we aimed to identify whether aged adipose-derived stem cells constitute an excellent mitochondrial donor that would improve the quality of aged mouse oocytes. We showed that aging significantly impaired the mitochondrial function in mouse oocytes, but did not significantly affect the mitochondrial function of adipose-derived stem cells. However, the mitochondrial transfer from aged adipose-derived stem cells did not mitigate the poor fertilization and embryonic development rates of aged oocytes.


Asunto(s)
Adipocitos/citología , Senescencia Celular/fisiología , Mitocondrias/fisiología , Oocitos , Células Madre/citología , Animales , Células del Cúmulo/citología , Femenino , Ratones , Ratones Endogámicos C57BL , Oocitos/citología , Oocitos/fisiología
10.
Reprod Biomed Online ; 38(5): 669-675, 2019 May.
Artículo en Inglés | MEDLINE | ID: mdl-30885668

RESUMEN

RESEARCH QUESTION: Can next-generation sequencing (NGS) based on copy number variation sequencing (CNV-Seq) identify normal/balanced embryos in balanced reciprocal translocation carriers and what are their reproductive outcomes? DESIGN: One hundred couples with balanced reciprocal translocation who underwent a total of 134 preimplantation genetic testing (PGT) cycles between January 2015 and October 2017 were evaluated. Trophectoderm cells of blastocysts were biopsied for CNV-Seq-based NGS. All the balanced/normal blastocysts were vitrified and cryopreserved. Single balanced/normal blastocysts were warmed and transferred in the subsequent frozen embryo transfer (FET) cycle. RESULTS: During the study period, 400 blastocysts were analysed by NGS-PGT, of which 109 (27.25%) were balanced and euploid. A total of 52 blastocysts were transferred in the FET cycle. Clinical pregnancy was confirmed in 34 women (65.38%), with a miscarriage rate of 2.94%; 26 healthy term babies were born, including 24 singletons and one set of twins, while eight couples had ongoing pregnancies. Amniocentesis revealed a fetal chromosome status that was consistent with the NGS-PGT results. Female carriers had a significantly higher blastocyst rate than did the male carriers (37.01% versus 31.27%, P = 0.04). The transferable blastocyst rate was higher in couples treated with gonadotrophin-releasing hormone (GnRH) antagonist than in those treated with GnRH agonist (38.20% versus 24.37%, P = 0.01). However, neither carrier sex nor ovarian stimulation protocol influenced the clinical pregnancy rate. CONCLUSIONS: CNV-Seq-based NGS is an efficient and reliable PGT method for balanced reciprocal translocation.


Asunto(s)
Variaciones en el Número de Copia de ADN , Transferencia de Embrión/estadística & datos numéricos , Secuenciación de Nucleótidos de Alto Rendimiento , Diagnóstico Preimplantación , Translocación Genética , Adulto , Femenino , Humanos , Masculino
11.
Gynecol Endocrinol ; 34(8): 709-714, 2018 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-29447491

RESUMEN

OBJECTIVES: This study aimed to investigate the Th1/Th2 cells in peripheral blood of PCOS patients, and assess the potential correlation between Th1/Th2 imbalance and obesity. METHODS: Thirty-nine PCOS patients and 23 age-matched controls were enrolled. The PBMCs were obtained before pharmacological intervention in women with or without PCOS. The profiles of Th1 (IFN-γ) and Th2 (IL-4) cytokines of CD3+CD- T lymphocyte subsets were analyzed by flow cytometry. Plasma sex hormones including E2, T, FSH, LH, and FINS, FPG were measured, together with BMI, WC, LH/FSH, E2/T and HOMA-IR index being calculated. Association between Th1/Th2 imbalance and BMI, WC were evaluated. RESULTS: The proportion of Th1 cells and Th1/Th2 ratio were significantly higher in PCOS patients than those in controls, accompanied by elevated T, LH, LH/FSH, FINS, HOMA-IR index and reduced E2/T. The Th1/Th2 ratio was increased when BMI and WC were enhanced in PCOS. Moreover, the significant difference of Th1/Th2 ratio was observed between WC subgroups of PCOS. CONCLUSIONS: It is concluded that Th1 type immunity is predominant in systemic immunization of PCOS patients. Th1/Th2 immune imbalance is connected with obesity, especially abdominal obesity, and may be one of the underlying mechanism for the pathogenesis of PCOS.


Asunto(s)
Obesidad/inmunología , Síndrome del Ovario Poliquístico/inmunología , Balance Th1 - Th2 , Adulto , Índice de Masa Corporal , Estudios de Casos y Controles , Citocinas/metabolismo , Femenino , Humanos , Obesidad/complicaciones , Síndrome del Ovario Poliquístico/complicaciones , Células TH1/metabolismo , Células Th2/metabolismo , Circunferencia de la Cintura
12.
Mol Hum Reprod ; 22(9): 655-68, 2016 09.
Artículo en Inglés | MEDLINE | ID: mdl-27515096

RESUMEN

STUDY QUESTION: How do NR4A receptors drive decidualization of human endometrial stromal cells (hESCs)? SUMMARY ANSWER: NR4A receptors modulate endometrial decidualization by transcriptional activation of FOXO1A, and in adenomyosis patients, the reduced expression of NR4A receptors in the eutopic endometrium may represent a novel mechanism to explain impaired decidualization and subfertility. WHAT IS KNOWN ALREADY: A close relationship between impaired decidualization and subfertility has been established. In human endometrial stromal cells, orphan nuclear receptor NR4A is a novel regulator of decidualization. STUDY DESIGN, SAMPLES/MATERIALS, METHODS: Eutopic endometrial tissues and hESCs from fertile controls (n = 56) and adenomyosis patients (n = 27) were collected for in vitro analysis. Primary hESCs isolated from eutopic endometrial tissues were used to evaluate the biological function of NR4A receptors. Adenovirus-mediated overexpression of NR4A and small interfering RNAs targeting NR4A, and FOXO1A were used to investigate the molecular mechanisms. Gene expression regulation was examined by real-time-quantitative PCR, immunostaining, and luciferase reporter assay. Artificial decidualization assay was performed to investigate the role of NR4A1 during decidualization in vivo. MAIN RESULTS AND THE ROLE OF CHANCE: NR4A modulates the decidualization of hESCs by upregulating prolactin (PRL) and insulin-like growth factor binding protein-1 (IGFBP-1) expression and transformation in vitro. Loss of uterine Nr4a1 results in female subfertility due to impaired decidualization. Mechanistically, NR4A binds to the nerve growth factor 1B (NGFI-B) -responsive element (NBRE) (-843 to -813) within the FOXO1A promoter region and regulates FOXO1A expression. Loss of FOXO1A significantly inhibits PRL and IGFBP-1 expression, as induced by NR4A. Moreover, the expression of NR4A and FOXO1A was lower in adenomyosis endometrial tissues compared to fertile controls, especially in stroma compartments. Ectopic NR4A expression rescued PRL and IGFBP-1 expression in adenomyotic hESCs to near-normal levels. Furthermore, PI3K/AKT signaling pathway involved in inducing NR4A expression under decidualization stimuli in hESCs and the level of p(Ser473)-AKT was significantly higher in stroma in endometrium from patients with adenomyosis. LIMITATIONS, REASONS FOR CAUTION: This is an in vitro study with a small sample size, utilizing stromal cell cultures from endometrial tissues of adenomyosis patients. Furthermore, results obtained should also be confirmed in a larger data set and with adenomyosis mouse models in vivo. WIDER IMPLICATIONS OF THE FINDINGS: Identification of a positive agonist of NR4A receptors will be critical for the improved treatment of patients with conditions of insufficient decidualization-associated infertility, such as adenomyosis and endometriosis. LARGE SCALE DATA: N/A. STUDY FUNDING AND COMPETING INTERESTS: This study was supported by the National Natural Science Foundation of China (81170570, G.J.Y. 81370683, G.J.Y. 81501251, Y.J. 31571189, H.X.S. and 81571402, G.J.Y.), and a special grant for clinical medicine science of Jiangsu Province (BL2014003, H.X.S.). The authors have no conflicts of interest to declare.


Asunto(s)
Adenomiosis/metabolismo , Endometrio/metabolismo , Endometrio/fisiología , Miembro 1 del Grupo A de la Subfamilia 4 de Receptores Nucleares/metabolismo , Decidua/citología , Decidua/metabolismo , Endometriosis/metabolismo , Femenino , Proteína Forkhead Box O1/genética , Proteína Forkhead Box O1/metabolismo , Regulación de la Expresión Génica , Humanos , Infertilidad Femenina/genética , Infertilidad Femenina/metabolismo , Miembro 1 del Grupo A de la Subfamilia 4 de Receptores Nucleares/genética , Células del Estroma/metabolismo
13.
J Assist Reprod Genet ; 33(11): 1459-1466, 2016 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-27393415

RESUMEN

PURPOSE: To investigate the usefulness of preimplantation genetic diagnosis (PGD) for the patient affected by congenital contractural arachnodactyly (CCA) and spinal and bulbar muscular atrophy (SBMA). METHODS: Multiple displacement amplification (MDA) was performed for whole genome amplification (WGA) of biopsied trophectoderm (TE) cells. Direct mutation detection by sequencing and next-generation sequencing (NGS)-based single nucleotide polymorphism (SNP) haplotyping were used for CCA diagnosis. Direct sequencing of the PCR products and sex determination by amplification of sex-determining region Y (SRY) gene were used for SBMA diagnosis. After PGD, the unaffected blastocyst (B4) was transferred in the following frozen embryo transfer (FET). RESULTS: In this PGD cycle, sixteen MII oocytes were inseminated by ICSI with testicular spermatozoa. Four blastocysts (B4, B5, B10, B13) were utilized for TE cell biopsy on day 5 after ICSI. After PGD, B4 was unaffected by CCA and SBMA. B5 was affected by CCA and carried SBMA. B10 was unaffected by CCA and carried SBMA. B13 was affected by CCA and unaffected by SBMA. B4 was the only unaffected blastocyst and transferred into the uterus for the subsequent FET cycle. The accuracy of PGD was confirmed by amniocentesis at 21 weeks of gestation. A healthy boy weighing 2850 g was born by cesarean section at the 38th week of gestation. CONCLUSIONS: PGD is a valid screening tool for patienst affected of CCA and SBMA to prevent transmission of these genetic diseases from parents to children.


Asunto(s)
Aracnodactilia/genética , Contractura/genética , Transferencia de Embrión , Trastornos Musculares Atróficos/genética , Diagnóstico Preimplantación , Aracnodactilia/diagnóstico , Aracnodactilia/patología , Contractura/diagnóstico , Contractura/patología , Femenino , Humanos , Masculino , Trastornos Musculares Atróficos/diagnóstico , Trastornos Musculares Atróficos/patología , Mutación , Polimorfismo de Nucleótido Simple , Proteína de la Región Y Determinante del Sexo/genética , Espermatozoides/crecimiento & desarrollo , Espermatozoides/patología
14.
Zhonghua Nan Ke Xue ; 22(12): 1122-1130, 2016 Dec.
Artículo en Zh | MEDLINE | ID: mdl-29282919

RESUMEN

OBJECTIVE: To assess the effects of testicular sperm and epididymal sperm on the outcomes of ICSI for patients with obstructive azoospermia. METHODS: We searched PubMed, MEDLINE, EMBASE, Cochrane, CNKI, VIP, CBM, and Wanfang Database up to December 2015 for published literature relevant to ICSI with testicular or epididymal sperm for obstructive azoospermia patients. According to the inclusion and exclusion criteria, two reviewers independently conducted literature screening, data extraction and quality assessment of the included trials, followed by meta-analysis with the RevMan 5.3 software. RESULTS: A total of 14 studies were identified, involving 1 278 patients and 1 553 ICSI cycles. ICSI with epididymal sperm exhibited a significantly higher fertilization rate than that with testicular sperm (RR = 1.08, 95% CI 1.05-1.11, P<0.01). No statistically significant differences were observed between the epididymal and testicular sperm groups in the rates of cleavage (RR = 1.04, 95% CI 0.99-1.10, P = 0.13), good-quality embryo (RR = 1.01, 95% CI 0.93-1.09,P = 0.85), implantation (RR = 1.14, 95% CI 0.75-1.73, P = 0.55), clinical pregnancy (RR = 1.14, 95% CI 0.98-1.31, P = 0.08), and miscarriage (RR = 0.86, 95% CI 0.53-1.39,P = 0.54). CONCLUSIONS: ICSI with epididymal sperm yields a markedly higher fertilization rate than that with testicular sperm, but has no statistically significant differences from the latter in the rates of cleavage, good-quality embryo, implantation, clinical pregnancy, and miscarriage in the treatment of obstructive azoospermia.


Asunto(s)
Azoospermia/terapia , Epidídimo/citología , Inyecciones de Esperma Intracitoplasmáticas , Espermatozoides/citología , Testículo/citología , Aborto Espontáneo , Implantación del Embrión , Femenino , Humanos , Masculino , Oligospermia , Embarazo , Índice de Embarazo
15.
Reprod Biol Endocrinol ; 13: 80, 2015 Jul 30.
Artículo en Inglés | MEDLINE | ID: mdl-26223982

RESUMEN

BACKGROUND: Decidualization is a prerequisite for successful implantation and the establishment of pregnancy. Krüppel-like factor 12 (KLF12) is a negative regulator of endometrial decidualization in vitro. We investigated whether KLF12 was associated with impaired decidualization under conditions of repeated implantation failure (RIF). METHODS: Uterine tissues were collected from a mouse model of early pregnancy and artificial decidualization for immunohistochemistry, Western blot and real-time PCR analysis. Reporter gene assays, chromatin immunoprecipitation-PCR and avidin-biotin conjugate DNA precipitation assays were performed to analyze the transcriptional regulation of forkhead box O1 (FOXO1) by KLF12. Furthermore, the protein levels of KLF12 and FOXO1 in patients with RIF were analyzed by Western blot and immunohistochemistry. RESULTS: KLF12 led to defective implantation and decidualization in the mouse uterine model of early pregnancy and artificial decidualization by directly binding to the FOXO1 promoter region and inhibiting its expression in human endometrial stromal cells. Elevated KLF12 expression was accompanied by decreased FOXO1 expression in the endometria of patients with RIF. CONCLUSIONS: As a novel regulator, KLF12 predominantly controls uterine endometrial differentiation during early pregnancy and leads to implantation failure.


Asunto(s)
Decidua/metabolismo , Implantación del Embrión/fisiología , Endometrio/metabolismo , Factores de Transcripción Forkhead/metabolismo , Factores de Transcripción de Tipo Kruppel/metabolismo , Adulto , Animales , Células Cultivadas , Femenino , Proteína Forkhead Box O1 , Factores de Transcripción Forkhead/genética , Regulación de la Expresión Génica , Humanos , Factores de Transcripción de Tipo Kruppel/genética , Ratones , Ratones Endogámicos ICR , Embarazo , Transducción de Señal/fisiología , Células del Estroma/metabolismo
16.
Reprod Biol Endocrinol ; 13: 23, 2015 Mar 26.
Artículo en Inglés | MEDLINE | ID: mdl-25889210

RESUMEN

BACKGROUND: The transformation of endometrium into decidua is essential for normal implantation of the blastocyst. However, the post-transcriptional regulation and the miRNAs involved in decidualization remain poorly understood. Here, we examined microRNA-181a (miR-181a) expression in decidualized human endometrial stromal cell (hESC). In addition, we investigated the functional effect of miR-181a on hESC decidualization in vitro. METHODS: Quantitative real-time PCR (qRT-PCR) was used to detect the profile of miR-181a in decidualized hESC. qRT-PCR, enzyme-linked fluorescent assay, and immunofluorescence assay were performed to investigate decidualization marker genes' expression after enhancing or inhibition of miR-181a expression in hESC. Luciferase reporter assay, western blotting, qRT-PCR, and immunofluorescence assay were carried out to identify the relationship between miR-181a and Krüppel-like factor 12 (KLF12). RESULTS: miR-181a expression levels increased dramatically in hESC treated with 8-Br-cAMP and MPA. Increased miR-181a expression promoted hESC decidualization-related gene expression and morphological transformation; conversely, inhibition of miR-181a expression compromised hESC decidualization in vitro. Further analysis confirmed that miR-181a interacted with the 3' untranslated region of the transcription factor KLF12 and down-regulated KLF12 at the transcriptional and translational levels. KLF12 overexpression abolished miR-181a-induced decidualization. CONCLUSIONS: Our findings suggest that miR-181a plays a functionally important role in human endometrial stromal cell decidualization in vitro by inhibiting KLF12.


Asunto(s)
Endometrio/fisiología , Factores de Transcripción de Tipo Kruppel/fisiología , MicroARNs/fisiología , Células del Estroma/metabolismo , Regulación hacia Abajo , Endometrio/metabolismo , Femenino , Regulación de la Expresión Génica , Humanos , Factores de Transcripción de Tipo Kruppel/genética , Factores de Transcripción de Tipo Kruppel/metabolismo , MicroARNs/metabolismo , Células del Estroma/citología
17.
Biochem Biophys Res Commun ; 445(3): 622-8, 2014 Mar 14.
Artículo en Inglés | MEDLINE | ID: mdl-24565841

RESUMEN

Successful embryonic implantation requires an effective maternal-embryonic molecular dialogue. However, the detailed mechanisms of epithelial-embryo adhesion remain poorly understood. Here, we report that matrix metalloproteinase-26 (MMP-26) is a novel downstream target gene of homeobox a 10 (HOXA10) in human endometrial cells. HOXA10 binds directly to a conserved TTAT unit (-442 to -439) located within the 5' regulatory region of the MMP-26 gene and regulates the expression and secretion of MMP-26 in a concentration-dependent manner. Moreover, the adenovirus-mediated overexpression of MMP-26 in Ishikawa cells markedly increased BeWo spheroid adhesion. An antibody blocking assay further demonstrated that the promotion of BeWo spheroid adhesion by HOXA10 and MMP-26 was significantly inhibited by pre-treatment with a specific antibody against MMP-26. These results demonstrate that the HOXA10-mediated expression of MMP-26 promotes embryo adhesion during the process of embryonic implantation.


Asunto(s)
Implantación del Embrión , Endometrio/citología , Proteínas de Homeodominio/metabolismo , Metaloproteinasas de la Matriz Secretadas/genética , Secuencia de Bases , Línea Celular Tumoral , Activación Enzimática , Femenino , Regulación de la Expresión Génica , Células HEK293 , Proteínas Homeobox A10 , Humanos , Metaloproteinasas de la Matriz Secretadas/metabolismo , Datos de Secuencia Molecular , Regiones Promotoras Genéticas , Unión Proteica
18.
Birth Defects Res B Dev Reprod Toxicol ; 101(3): 283-91, 2014 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-24831781

RESUMEN

This study was carried out to investigate the impact of tripterygium glycosides (TGs) on ovarian function of female rats in vitro and in vivo. In vitro studies showed that TG induced cells decrease at G1 phase and inhibited cell proliferation in rat granulosa cells. In vivo, female rats were intragastrically administered with TG at the dose of 60 mg/kg/day for consecutive 50 days. TG caused a prolonged estrous cycle, and a significant reduction in ovarian index, serum E2 level, and numbers of secondary and antral follicles (p < 0.05) in these rats. A significant reduction of viable embryos was demonstrated in TG-treated female rats after mating (p < 0.01). Further, we observed observed the reduced expression level of TGF-ß1 after TG treatment in vitro and in vivo. Moreover, the expression of Smad2 and AKT was also decreased after TG treatment. These results suggest that TG can impair ovarian function through Smads-mediated TGF-ß1 signal pathway.


Asunto(s)
Proliferación Celular/efectos de los fármacos , Glicósidos/toxicidad , Células de la Granulosa/efectos de los fármacos , Reproducción/efectos de los fármacos , Tripterygium/química , Animales , Apoptosis/efectos de los fármacos , Ciclo Celular/efectos de los fármacos , Células Cultivadas , Ciclina D2/genética , Ciclina D2/metabolismo , Diterpenos/toxicidad , Relación Dosis-Respuesta a Droga , Compuestos Epoxi/toxicidad , Femenino , Células de la Granulosa/metabolismo , Fenantrenos/toxicidad , Ratas , Ratas Sprague-Dawley , Proteína Smad2/genética , Proteína Smad2/metabolismo , Factor de Crecimiento Transformador beta1/genética , Factor de Crecimiento Transformador beta1/metabolismo
19.
Hypertension ; 80(2): 370-384, 2023 02.
Artículo en Inglés | MEDLINE | ID: mdl-36519433

RESUMEN

BACKGROUND: Preeclampsia is a complicated syndrome with marked heterogeneity. The biomarker-based classification for this syndrome is more constructive to the targeted prevention and treatment of preeclampsia. It has been reported that preeclamptic patients had elevated microRNA-155 (miR-155) in placentas or circulation. Here, we investigated the characteristics of patients with high placental miR-155 (pl-miR-155). METHODS: Based on the 95th percentile (P95) of pl-miR-155 in controls, preeclamptic patients were divided into high miR-155 group (≥P95) and normal miR-155 group (

Asunto(s)
MicroARNs , Preeclampsia , Animales , Femenino , Ratones , Embarazo , Antagomirs/metabolismo , Biomarcadores/metabolismo , MicroARNs/genética , MicroARNs/metabolismo , Placenta/metabolismo , Placentación , Preeclampsia/diagnóstico
20.
Environ Eng Sci ; 29(9): 860-865, 2012 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-22969268

RESUMEN

A network of fibers comprising orthorhombic molybdenum trioxide (α-MoO(3)) crystals were synthesized using paper as template via a biomorphic approach. The template was completely removed by annealing the sample at 600°C for 5 min. Monoclinic MoO(3) was formed and consequently converted into orthorhombic α-MoO(3) after prolonged annealing. Three milligrams of the biomorphic α-MoO(3) could degrade up to 90% of a methyl violet aqueous solution with a concentration of 20 mg/L under normal visible light. The size of the α-MoO(3) grains and the porosity of the biomorphic sample affected catalytic performance.

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