Follicular Fluid Components in Reduced Ovarian Reserve, Endometriosis, and Idiopathic Infertility

被引:20
作者
Collodel, Giulia [1 ]
Gambera, Laura [2 ]
Stendardi, Anita [2 ]
Nerucci, Fabiola [3 ]
Signorini, Cinzia [1 ]
Pisani, Caterina [4 ,5 ]
Marcheselli, Marzia [4 ,5 ]
Vellucci, Francesca Letizia [2 ]
Pizzasegale, Silvana Enrica [2 ]
Micheli, Lucia [6 ]
Moretti, Elena [1 ]
机构
[1] Univ Siena, Dept Mol & Dev Med, I-53100 Siena, Italy
[2] AGI Med, Fertil Ctr, I-53100 Siena, Italy
[3] Hosp Siena, Univ Teaching, Div Clin Pathol, I-53100 Siena, Italy
[4] Univ Siena, Dept Econ & Stat, I-53100 Siena, Italy
[5] Natl Biodivers Future Ctr, NBFC, I-90133 Palermo, Italy
[6] Univ Siena, Dept Med Surg & Neurosci, I-53100 Siena, Italy
关键词
endometriosis; female idiopathic infertility; follicular fluid molecules; inflammation; oxidative stress; lipid mediators; reduced ovarian reserve; OXIDATIVE STRESS; ESHRE GUIDELINE; WOMEN; AGE; ALBUMIN; PLASMA; FERTILIZATION;
D O I
10.3390/ijms24032589
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Follicular fluid (FF) molecules, and their increase or decrease, can contribute to appropriate follicular growth and oocyte maturation, thus being related to female infertility conditions. In this paper, we studied the changes and the relationships of some biochemical components, hormones, antioxidant enzymes, F-2-Isoprostanes (F-2-IsoPs), and resolvin (Rv) D1 in the FF of infertile women with different reproductive conditions such as endometriosis, reduced ovarian reserve, and idiopathic infertility during assisted reproductive techniques (ART). In the whole population, positive correlations between albumin (ALB)/iron (Fe), ALB/beta-2-microglobulin (B2MG), and F-2-IsoPs/RvD1 were detected in the FF. In FF from aged women, increased levels of follicle stimulating hormone (FSH) and reduced anti-Mullerian hormone (AMH) levels were associated with a worse oocyte quality. The negative ART outcome was influenced by patient age and AMH, B2MG, and FSH levels. Moreover, the reduced ovarian reserve condition was characterised by a significant decrease in oocyte number and quality, AMH amount, and lactate dehydrogenase (LDH) activity, as well as by an increase in age and FSH levels. In the presence of endometriosis, high levels of MDA and RvD1 were detected in FF, with a decrease in luteinising hormone (LH). Finally, among the molecules examined, none characterised the condition of idiopathic infertility. These data could support the identification of new FF markers in different reproductive disorders, suggesting the need for personalised therapeutic approaches and optimised ART outcomes. In particular, the evaluation of resolvins and lipid mediators in FF could be a promising field of investigation with which to understand the entity of oxidative stress and inflammation in some female infertility conditions.
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页数:15
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