■无法解释的不孕症是指一种诊断,其中所有标准检查通常都是正常的,并且在大约30-40%的不育夫妇和25-50%的原因不明的不孕症患者中遇到子宫内膜异位症。原因不明的不孕症被认为与子宫内膜异位症密切相关,子宫内膜异位症患者的血清和腹膜液中Fetuin-A水平升高。Fetuin-A被认为是子宫内膜异位症的诊断标志物,对几种疾病具有抗炎作用。氧化应激也是女性不孕症病因的核心。这项研究的目的是评估血清Fetuin-A和氧化应激参数浓度对无法解释的不孕症的影响。
■在研究中,血清胎球蛋白A,IL-1β,CAI,TAS,TOS水平,使用酶联免疫吸附测定法在诊断出无法解释的不育症女性(n=44)和对照(n=41)的血清中测量PON和ARE酶活性。
■不明原因不育患者与对照组在血清IL-1β方面无统计学差异,CAI,OSI,和PON水平(p>0.05)。不明原因不孕症患者血清胎球蛋白A和ARE水平明显高于对照组,而血清TAS和TOS水平较低(分别为p<0.05,p<0.01,p<0.05,p<0.05)。
■据认为,Fetuin-A水平的升高可能是对炎症过程的反应,而ARE活性的增加可能是无法解释的不孕症中氧化剂-抗氧化剂平衡受损的迹象。这可能有助于不孕症的发病机制,并且所获得的数据将在这个意义上为要完成的新工作做出重大贡献。
UNASSIGNED: Unexplained infertility refers to a diagnosis in which all standard examinations
are usually normal and is statistically seen in approximately 30-40% of infertile couples and endometriosis encountered in 25-50% of patients with unexplained infertility. Unexplained infertility is thought to be closely associated with endometriosis and serum and peritoneal fluid levels of Fetuin-A is increased in patients with endometriosis. Fetuin-A is proposed as a diagnostic marker for endometriosis and has anti-inflammatory effects on several diseases. Oxidative stress also is central to the etiopathogenesis of infertility in women. The aim of this study was to evaluate serum Fetuin-A and oxidative stress parameter concentrations impact on unexplained infertility.
UNASSIGNED: In the study, serum Fetuin-A, IL-1β, CA I, TAS, TOS levels, and PON and
ARE enzyme activities were measured using the Enzyme-Linked ImmunoSorbent Assay in the sera of diagnosed unexplained infertility females (n=44) and controls (n=41).
UNASSIGNED: There was no statistically significant difference between unexplained infertile patients and control groups in terms of serum IL-1β, CA I, OSI, and PON levels (p>0.05). Serum Fetuin-A and
ARE levels were significantly higher in unexplained infertility compared with the control, whereas serum TAS and TOS levels were lower (p<0.05, p<0.01, p<0.05, p<0.05, respectively).
UNASSIGNED: It is thought that increased Fetuin-A levels may be a response to the inflammatory process and increased
ARE activity may be a sign of the impaired oxidant-antioxidant balance in unexplained infertility. This may contribute to the pathogenesis of infertility, and the data obtained will make a significant contribution to new works to be done in this sense.