›› 2014, Vol. 35 ›› Issue (6): 621-621.

• 论文 •    下一篇

人卵巢黄素化颗粒细胞端粒酶活性与卵巢反应性及胚胎质量的关系

赵志明;崔娜;郝桂敏;徐素欣   

  1. 河北医科大学第二医院生殖医学中心,河北 石家庄,050000
  • 发布日期:2014-06-25

ZHAO Zhiming;CUI Na;HAO Guimin;XU Suxin

ZHAO Zhiming;CUI Na;HAO Guimin;XU Suxin   

  • Published:2014-06-25

摘要: 目的:探讨体外受精-胚胎移植中人卵巢黄素化颗粒细胞端粒酶的活性与相应卵巢反应性和胚胎质量的关系。方法收集56例行体外受精-胚胎移植患者卵泡液中的黄素化颗粒细胞,并进行体外培养;根据卵泡数不同分为低反应组、中反应组和高反应组;又根据优质胚胎率不同分为低质量组和高质量组。端粒重复序列扩增酶联免疫吸附分析法测定颗粒细胞端粒酶活性,并比较低反应组、中反应组与高反应组以及低质量组与高质量组颗粒细胞端粒酶的活性。结果分离提纯的人黄素化颗粒细胞于24h内贴壁生长良好。随着患者的年龄、使用促性腺激素量的增加,端粒酶活性ΔA值逐渐降低,随着获卵数的增加端粒酶活性ΔA值逐渐上升,即端粒酶活性与年龄、促性腺激素量呈负相关,端粒酶活性与获卵数呈正相关( P<0.05);低反应组与中反应组和高反应组之间差异均有统计学意义( P<0.01)。随着优质胚胎率的升高,颗粒细胞端粒酶活性也逐渐升高,二者呈正相关( P<0.01);胚胎高质量组与低质量组颗粒细胞端粒酶活性差异有统计学意义( P<0.01)。结论体外培养的人卵巢黄素化颗粒细胞存在端粒酶活性的表达。黄素化颗粒细胞端粒酶活性降低与卵巢功能的下降可能有关,颗粒细胞的凋亡可能影响卵母细胞的发育潜能。

关键词: 体外受精, 胚胎移植, 卵巢

Abstract: Objective To explore the relationship of telomerase activity of human luteined granulosa cells( GCs)with ovarian response and embryo quality. Methods Fity-six cases receiving IVF-ET were used to collect the data of GCs. The experiment was carried out through the following procedures:luteined GCs were isolated from follicle fluid and were cultured 24 hours soon;tests of the telomerase activity of GCs with TRAP-ELISA. Comparisons of age,number of ampules of gonadotropin ( Gn ) administered,number of retrieved oocytes,rate of high quality embryo with telomerase activity were made in different ovarian response and embryo quality groups. Results Isolated and purified GCs were cultured and adherenced well in 24 hours. There were negative correlation between telomerase activity of GCs with age,number of ampules of Gn administered and positive correlation with number of retrieved oocytes( P<0 . 05 ). Low response group had lower telomerase activity in GCs compared to medium and high response groups( P<0 . 01 ). There were positive correlation between telomerase activity of GCs with ratio of high embryo quality( P<0 . 01 ). There was significant difference of telomerase activity of GCs in different embryo quality groups( P<0 . 01 ). Conclusion Telomerase activity could be tested in human luteinized GCs after in vitro culture. It may suggest that telomerase activity decreased with the decline in ovarian function and the apoptosis of GCs may directly affect oocyte developmental potential.

Key words: fertilization in vitro, embryo transfer, ovary

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