Background:The aim of this study is to assess the effect of baicalein on chronic stress-mediated ovarian dysfunction in a mouse model.Methods:Forty female C57BL/6 mice were randomly divided into four groups as follows...Background:The aim of this study is to assess the effect of baicalein on chronic stress-mediated ovarian dysfunction in a mouse model.Methods:Forty female C57BL/6 mice were randomly divided into four groups as follows:the normal saline group(control,n=10),the daily stress group(daily stress,n=10),the baicalein group(baicalein,n=10),and the daily stress+baicalein group(daily stress+baicalein,n=10).For the daily stress model,we used a restricted stress model.Baicalein(10 mg/kg)was administered by gavage every day,and control mice received normal saline equivalently.Biopsy specimens were harvested after 4 weeks.Measurement of norepinephrine(NE)in serum was performed to assess the psychological stress level of the mice.In addition,histological changes of the uterus and ovaries and the levels of anti-Müllerian hormone(AMH)in serum were assessed to evaluate changes in ovarian function.To detect the underlying mechanisms of the amelioration of baicalein in chronic stress-mediated ovarian dysfunction,immunohistochemical methods,and quantitative real-time polymerase chain reaction were applied to determine the expression of gamma-aminobutyric acid(GABA)receptors.Results:Compared with values in the control group,serum NE concentrations were significantly increased(P<0.001),AMH concentrations were markedly decreased(P<0.01),the thickness of the endometrium was clearly reduced,and the percentage of atretic follicles was significantly increased in the daily stress group(P<0.001),indicating that the chronic stress model was successfully established.In contrast,compared with values in the daily stress group,serum NE concentrations were significantly reduced(P<0.001),AMH concentrations were significantly enhanced(P<0.05),the thickness of the endometrium was clearly increased,and the percentage of atretic follicles was significantly reduced(P<0.001)in the daily stress+baicalein group,indicating that baicalein clearly attenuated the ovarian dysfunction mediated by chronic stress.Moreover,the expression of the GABAB2 receptor in the daily stress group was significantly reduced(P<0.01).In contrast,treatment with baicalein resulted in increased expression of the GABAB2 receptor(P<0.01).Conclusions:Treatment with baicalein ameliorates the enhancing effect of chronic stress on ovarian dysfunction,and the mechanism can be attributed,in part,to the increased expression of the GABAB2 receptor.展开更多
To summarize the clinical experience of professor Luo Zhijuan in the treatment of premature ovarian insufficiency(POI).It is believed that the main pathogenesis of POI is kidney deficiency.On the basis of"tonifyi...To summarize the clinical experience of professor Luo Zhijuan in the treatment of premature ovarian insufficiency(POI).It is believed that the main pathogenesis of POI is kidney deficiency.On the basis of"tonifying the kidney".We advocate the"Rule of Thirds Theory"which is to treat POI according to different stages,menstrual cycles and syndromes,the prescription can be flexibly added or decreased.And make good use of cream prescription,to ping for a period of time,the curative effect is obvious.展开更多
Objective:To analyze the diagnostic value of transvaginal three-dimensional ultrasound(3D-TVS)in evaluating endometrial receptivity(ER)for ovulation disorder infertility(ODI),and to investigate the impact of subendome...Objective:To analyze the diagnostic value of transvaginal three-dimensional ultrasound(3D-TVS)in evaluating endometrial receptivity(ER)for ovulation disorder infertility(ODI),and to investigate the impact of subendometrial endometrial vascular index(VI)and endometrial vascular flow index(VFI)levels on ODI.Methods:A total of 110 patients diagnosed with ODI admitted between January 2023 and June 2024 were selected.All patients underwent ovulation induction therapy,3D-TVS examination,and sex hormone testing.Based on pregnancy outcomes,patients were divided into a successful pregnancy group(73 cases)and an unsuccessful pregnancy group(37 cases).ER parameters,sex hormone levels,and endometrial blood flow patterns were compared between the two groups.Receiver operating characteristic(ROC)curves were plotted to evaluate the predictive value of ER for ODI.Results:The spiral artery peak systolic velocity(PSV),endometrial volume(EMV),endometrial flow index(FI),and VFI in the successful pregnancy group were significantly higher than those in the unsuccessful pregnancy group(p<0.05).No significant differences were observed in other ER parameters between the two groups(p>0.05).There was no significant difference in sex hormone levels between the two groups on the day of human chorionic gonadotropin(hCG)treatment(p>0.05).Among the endometrial blood flow classifications in the pregnant group,the proportion of Type II was lower than that in the nonpregnant group(p<0.05).The Receiver Operating Characteristic(ROC)curve demonstrated that the area under the curve(AUC)for Endometrial Volume(EMV)in predicting pregnancy after Ovarian Dysfunction Infertility(ODI)treatment was 0.854,with a sensitivity of 92.61%and a specificity of 71.75%.The AUC for Vascularization Index(VI)was 0.771,with a sensitivity of 52.18%and a specificity of 88.70%.The AUC for Vascularization Flow Index(VFI)of the endometrium was 0.887,with a sensitivity of 80.01%and a specificity of 69.20%.Conclusion:Three-dimensional transvaginal sonography(3D-TVS)assessment of endometrial receptivity(ER)can effectively detect ODI,and the levels of subendometrial VI and VFI demonstrate superior predictive performance for pregnancy outcomes in this condition,serving as commonly used predictive indicators for the disease.展开更多
Based on extensive historical data,clinical experience,and modern scientific research,we discuss the relationship between meridians and viscera of decreased ovarian reserve(OR)from the perspective of"preventive t...Based on extensive historical data,clinical experience,and modern scientific research,we discuss the relationship between meridians and viscera of decreased ovarian reserve(OR)from the perspective of"preventive treatment of disease"by acupuncture.It is believed that the endogenous protection mechanism of acupuncture in"preventive treatment of disease"lies in harmonizing Yin and Yang and dredging meridians;stimulating righteousness and rejecting the evil outside;preventing disease;co-cultivating body and spirit,and regulating emotions.The incidence ofOR dysfunction is closely related to the uterus-related meridians and viscera.The mechanism of acupuncture treatment of OR dysfunction may be related to reproductive endocrine hormone levels,ovarian tissue morphology,immune system,granulosa cell apoptosis,and related signal transduction pathways.The clinical effect of acupuncture treatment of diminished OR is reflected in improving menstruation and ovulation;improving OR function,promoting pregnancy;improving local ovarian microenvironment;improving negative emotions,improving quality of life,and thus affecting pregnancy outcomes.This article summarizes the mechanism of action and clinical effect of acupuncture in the treatment of decreased OR function based on recent findings,analyzes the advantages and disadvantages of acupuncture in the treatment of disease,and provides the rationale for the clinical application of acupuncture in the treatment of decreased OR function.展开更多
基金supported by the Shanghai Science&Technology Commission(18140902502)the National Key Research and Development Program of China(2016YFC1303100)+2 种基金the National Natural Science Foundation of China(81472423)the Shanghai Clinical and Medical Center of Key Program(2017ZZ01016)the Shanghai Science and Technology Innovation Project of Traditional Chinese Medicine(ZYKC201701020).
文摘Background:The aim of this study is to assess the effect of baicalein on chronic stress-mediated ovarian dysfunction in a mouse model.Methods:Forty female C57BL/6 mice were randomly divided into four groups as follows:the normal saline group(control,n=10),the daily stress group(daily stress,n=10),the baicalein group(baicalein,n=10),and the daily stress+baicalein group(daily stress+baicalein,n=10).For the daily stress model,we used a restricted stress model.Baicalein(10 mg/kg)was administered by gavage every day,and control mice received normal saline equivalently.Biopsy specimens were harvested after 4 weeks.Measurement of norepinephrine(NE)in serum was performed to assess the psychological stress level of the mice.In addition,histological changes of the uterus and ovaries and the levels of anti-Müllerian hormone(AMH)in serum were assessed to evaluate changes in ovarian function.To detect the underlying mechanisms of the amelioration of baicalein in chronic stress-mediated ovarian dysfunction,immunohistochemical methods,and quantitative real-time polymerase chain reaction were applied to determine the expression of gamma-aminobutyric acid(GABA)receptors.Results:Compared with values in the control group,serum NE concentrations were significantly increased(P<0.001),AMH concentrations were markedly decreased(P<0.01),the thickness of the endometrium was clearly reduced,and the percentage of atretic follicles was significantly increased in the daily stress group(P<0.001),indicating that the chronic stress model was successfully established.In contrast,compared with values in the daily stress group,serum NE concentrations were significantly reduced(P<0.001),AMH concentrations were significantly enhanced(P<0.05),the thickness of the endometrium was clearly increased,and the percentage of atretic follicles was significantly reduced(P<0.001)in the daily stress+baicalein group,indicating that baicalein clearly attenuated the ovarian dysfunction mediated by chronic stress.Moreover,the expression of the GABAB2 receptor in the daily stress group was significantly reduced(P<0.01).In contrast,treatment with baicalein resulted in increased expression of the GABAB2 receptor(P<0.01).Conclusions:Treatment with baicalein ameliorates the enhancing effect of chronic stress on ovarian dysfunction,and the mechanism can be attributed,in part,to the increased expression of the GABAB2 receptor.
基金Guangxi first-class subject construction open subject youth fund project(No.2019XK175)
文摘To summarize the clinical experience of professor Luo Zhijuan in the treatment of premature ovarian insufficiency(POI).It is believed that the main pathogenesis of POI is kidney deficiency.On the basis of"tonifying the kidney".We advocate the"Rule of Thirds Theory"which is to treat POI according to different stages,menstrual cycles and syndromes,the prescription can be flexibly added or decreased.And make good use of cream prescription,to ping for a period of time,the curative effect is obvious.
文摘Objective:To analyze the diagnostic value of transvaginal three-dimensional ultrasound(3D-TVS)in evaluating endometrial receptivity(ER)for ovulation disorder infertility(ODI),and to investigate the impact of subendometrial endometrial vascular index(VI)and endometrial vascular flow index(VFI)levels on ODI.Methods:A total of 110 patients diagnosed with ODI admitted between January 2023 and June 2024 were selected.All patients underwent ovulation induction therapy,3D-TVS examination,and sex hormone testing.Based on pregnancy outcomes,patients were divided into a successful pregnancy group(73 cases)and an unsuccessful pregnancy group(37 cases).ER parameters,sex hormone levels,and endometrial blood flow patterns were compared between the two groups.Receiver operating characteristic(ROC)curves were plotted to evaluate the predictive value of ER for ODI.Results:The spiral artery peak systolic velocity(PSV),endometrial volume(EMV),endometrial flow index(FI),and VFI in the successful pregnancy group were significantly higher than those in the unsuccessful pregnancy group(p<0.05).No significant differences were observed in other ER parameters between the two groups(p>0.05).There was no significant difference in sex hormone levels between the two groups on the day of human chorionic gonadotropin(hCG)treatment(p>0.05).Among the endometrial blood flow classifications in the pregnant group,the proportion of Type II was lower than that in the nonpregnant group(p<0.05).The Receiver Operating Characteristic(ROC)curve demonstrated that the area under the curve(AUC)for Endometrial Volume(EMV)in predicting pregnancy after Ovarian Dysfunction Infertility(ODI)treatment was 0.854,with a sensitivity of 92.61%and a specificity of 71.75%.The AUC for Vascularization Index(VI)was 0.771,with a sensitivity of 52.18%and a specificity of 88.70%.The AUC for Vascularization Flow Index(VFI)of the endometrium was 0.887,with a sensitivity of 80.01%and a specificity of 69.20%.Conclusion:Three-dimensional transvaginal sonography(3D-TVS)assessment of endometrial receptivity(ER)can effectively detect ODI,and the levels of subendometrial VI and VFI demonstrate superior predictive performance for pregnancy outcomes in this condition,serving as commonly used predictive indicators for the disease.
基金supported by the National Natural Science Foundation of China(No.82004490)the Innovation Platform Open Fund Project of the Hunan Education Department(No.20K091).
文摘Based on extensive historical data,clinical experience,and modern scientific research,we discuss the relationship between meridians and viscera of decreased ovarian reserve(OR)from the perspective of"preventive treatment of disease"by acupuncture.It is believed that the endogenous protection mechanism of acupuncture in"preventive treatment of disease"lies in harmonizing Yin and Yang and dredging meridians;stimulating righteousness and rejecting the evil outside;preventing disease;co-cultivating body and spirit,and regulating emotions.The incidence ofOR dysfunction is closely related to the uterus-related meridians and viscera.The mechanism of acupuncture treatment of OR dysfunction may be related to reproductive endocrine hormone levels,ovarian tissue morphology,immune system,granulosa cell apoptosis,and related signal transduction pathways.The clinical effect of acupuncture treatment of diminished OR is reflected in improving menstruation and ovulation;improving OR function,promoting pregnancy;improving local ovarian microenvironment;improving negative emotions,improving quality of life,and thus affecting pregnancy outcomes.This article summarizes the mechanism of action and clinical effect of acupuncture in the treatment of decreased OR function based on recent findings,analyzes the advantages and disadvantages of acupuncture in the treatment of disease,and provides the rationale for the clinical application of acupuncture in the treatment of decreased OR function.
