Does advanced-stage endometriosis affect the gene expression of estrogen and progesterone receptors in granulosa cells?

被引:28
作者
Karita, Masako [1 ]
Yamashita, Yoshiki [1 ]
Hayashi, Atsushi [1 ]
Yoshida, Yoko [1 ]
Hayashi, Mika [1 ]
Yamamoto, Hikaru [1 ]
Tanabe, Akiko [1 ]
Terai, Yoshito [1 ]
Ohmichi, Masahide [1 ]
机构
[1] Osaka Med Coll, Dept Obstet & Gynecol, Osaka 5698686, Japan
关键词
Endometriosis; IVF-ET; granulosa cell; PR; ER; real-time PCR; IN-VITRO FERTILIZATION; MESSENGER-RIBONUCLEIC-ACID; EMBRYO-TRANSFER; B-ISOFORM; A-ISOFORM; MECHANISMS; PROMOTER; ALPHA; TRANSCRIPTION; SUPERFAMILY;
D O I
10.1016/j.fertnstert.2010.12.026
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: To evaluate how endometriosis affects the expression of estrogen and progesterone receptors mRNA in granulosa cells. Design: Prospective study. Setting: IVF-ET program at Osaka Medical College. Patient(s): Eighteen patients with revised American Fertility Society stage IV endometriosis and 23 patients with tubal infertility without endometriosis. Intervention(s): Granulosa cells obtained from patients with endometriosis were examined for estrogen (ER-beta, ER-alpha) and progesterone (PR-A, PR-B) receptor mRNA expression ratio against GAPDH. Main Outcome Measure(s): Hormonal environment and clinical outcome were investigated. Expression of ER and PR mRNA were evaluated by StepOne real-time polymerase chain reaction (PCR) analysis. Result(s): Total hMG/FSH levels were statistically higher in patients with endometriosis; however, high-quality embryo rates and pregnancy rates were lower in patients with endometriosis than in patients with tubal infertility. Expression of PR-A and ER-alpha in patients with endometriosis was statistically higher than in patients with tubal infertility. The expression of PRs and ERs in patients with tubal infertility showed a positive correlation; however, it was not identified in the endometriosis group. Conclusion(s): The higher PR-A and ER-alpha gene expression in granulosa cells in patients with endometriosis, compared with patients with tubal infertility, might be a leading cause of ovarian dysfunction due to endometriosis. (Fertil Steril (R) 2011; 95: 889-94. (C) 2011 by American Society for Reproductive Medicine.)
引用
收藏
页码:889 / 894
页数:6
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