吉林大学学报（医学版）2025，Vol.51Issue(1)：164-171,8.DOI:10.13481/j.1671-587X.20250120
多囊卵巢综合征不孕患者颗粒细胞中PTEN mRNA表达水平对卵泡液激素分泌的影响
Effect of PTEN mRNA expression level in granulosa cells on follicular fluid hormone secretion in infertile patients with polycystic ovary syndrome
摘要
Abstract
Objective:To detect the levels of sex hormones and insulin in follicular fluid(FF)and the expression level of phosphatase and tensin homolog deleted on chromosome ten(PTEN)in granulosa cells in the infertile patients with polycystic ovary syndrome(PCOS),and to preliminarily explain the correlations between the insulin level and the expression level of PTEN mRNA.Methods:Seventy infertile patients were selected as the subjects and divided into PCOS group and control group(tubal obstruction or infertility due to male factors)according to infertility factors.All patients received in vitro fertilization-embryo transfer(IVF-ET)treatment.FF and ovarian granulosa cells were collected on the day of ovulation.The expression levels of PTEN mRNA in ovarian granulosa cells of the patients in two groups were detected by real-time fluorescence quantitative PCR(RT-qPCR)method.The levels of sex hormone and insulin in FF were measured by electrochemiluminescence.The correlations of the PTEN mRNA expression level in ovarian granulosa cells and testosterone(T)in FF with the level of insulin in FF were analyzed by Spearman correlation analysis method.Results:There were no significant differences in age,infertility years,body mass index(BMI),basic sex hormone,total dose of gonadotropin(Gn)and days of ovulation induction in two groups(P＞0.05).Compared with control group,the anti-Mullerian hormone(AMH)and antral follicle counting(AFC)of the patients in PCOS group were significantly increased(P＜0.05).The RT-qPCR results showed that the PTEN mRNA expression level in ovarian granulosa cells of the patients in the PCOS group was higher than that in control group(P＜0.001).The electrochemiluminescence results showed that the levels of T and insulin in FF of the patients in PCOS group were higher than those in control group(P＜0.05),whereas the estrogen and progesterone levels were lower than those in control group(P＜0.05).The Spearman correlation analysis showed that that T level in FF was positively correlated with the insulin level of the patients in PCOS group(r=0.577,P＜0.001),and the PTEN mRNA expression level in ovarian granulosa cells was positively correlated with the insulin levels in FF(r=0.616,P＜0.001);in control group,there was no correlation between T level and insulin level in FF(r=0.266,P=0.123),and there was no correlation between the expression level of PTEN mRNA in granulosa cells and the insulin level in FF in control group(r=-0.214,P=0.216).Conclusion:The high expression of PTEN in granulosa cells of the infertile patients with PCOS may be related to the local hyperinsulin level in the ovary,and PTEN participates in the occurrence and development of PCOS.关键词
多囊卵巢综合征/卵泡液/胰岛素/颗粒细胞/人第10号染色体缺失的磷酸酶和张力蛋白同源物基因Key words
Polycystic ovary syndrome/Follicular fluid/Insulin/Granulosa cell/Phosphatase and tensin homolog deleted on chromosome 10分类
医药卫生引用本文复制引用
姚建凤,李友筑,吴培雅,陈丽影,王燕婷,凌幼霞,陈晓燕,陈婉真,陶萍,黄荣富..多囊卵巢综合征不孕患者颗粒细胞中PTEN mRNA表达水平对卵泡液激素分泌的影响[J].吉林大学学报（医学版）,2025,51(1):164-171,8.基金项目
福建省科技厅自然科学基金项目(2022J01771,2022J011378) （2022J01771,2022J011378）
福建省卫健委中青年骨干人才培养项目(2019-ZQN-91) （2019-ZQN-91）
福建省厦门市科技局医疗卫生指导项目(3502Z20209010) （3502Z20209010）
华侨大学院校联合创新项目(2021YX004) （2021YX004）
福建省泉州市科技局科技计划项目([2004]0010和2023N042S) （[2004]0010和2023N042S）
