Endocrine gland-derived vascular endothelial growth factor concentrations in follicular fluid and serum may predict ovarian hyperstimulation syndrome in women undergoing controlled ovarian hyperstimulation

被引:20
|
作者
Gao, Min-Zhi [1 ,2 ]
Zhao, Xiao-Ming [1 ]
Sun, Zhao-Gui [3 ]
Hong, Yan [1 ]
Zhao, Lei-Wen [1 ]
Zhang, Hui-Qin [2 ]
机构
[1] Shanghai Jiao Tong Univ, Dept Reprod Med, Renji Hosp, Sch Med, Shanghai 200030, Peoples R China
[2] Fudan Univ, Shanghai Med Coll, Shanghai 200433, Peoples R China
[3] Shanghai Inst Planned Parenthood Res, Key Lab Contracept Drugs & Devices NPFPC, Shanghai, Peoples R China
关键词
Endocrine gland-derived vascular endothelial growth factor; vascular endothelial growth factor; ovarian hyperstimulation syndrome; controlled ovarian hyperstimulation; ovarian response; CORPUS-LUTEUM; SYNDROME OHSS; FACTOR VEGF; IN-VIVO; EG-VEGF; EXPRESSION; PROKINETICINS; ANGIOGENESIS; RECEPTORS; BV8;
D O I
10.1016/j.fertnstert.2010.09.044
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: To assess the predictive value of endocrine gland-derived vascular endothelial growth factor (EG-VEGF) concentrations in follicular fluid (FF) and serum for ovarian hyperstimulation syndrome (OHSS) in patients undergoing controlled ovarian hyperstimulation. Design: Retrospective, case-control study. Setting: University hospital, IVF center. Patient(s): Seventeen women with OHSS and 61 controls. Intervention(s): None. Main Outcome Measure(s): FF and serum EG-VEGF and VEGF concentrations, IVF outcome. Result(s): FF and serum EG-VEGF concentrations showed a significant negative correlation with serum E-2 concentration on the day of hCG administration. FF, but not serum, VEGF concentrations also showed a significant negative correlation with serum E2 concentrations on hCG day. The FF EG-VEGF, FF VEGF, and serum EG-VEFG concentrations were significantly lower in the OHSS group than in the non-OHSS group. There was no significant difference in serum VEGF concentrations. Among FF and serum EG-VEGF and VEGF concentrations, only FF EG-VEGF concentrations were significantly lower in patients with moderate OHSS than in those with mild OHSS. Conclusion(s): FF and serum EG-VEGF concentrations may predict OHSS occurrence. Furthermore, FF EG-VEGF concentrations were significantly correlated with OHSS severity; thus, EG-VEGF appears to be more valuable than VEGF for predicting OHSS. (Fertil Steril(R) 2011;95:673-8. (C) 2011 by American Society for Reproductive Medicine.)
引用
收藏
页码:673 / 678
页数:6
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