Endocrine Characteristics and Regulatory Mechanism of Follicular Development and Ovulation Failure in Mammalian Ovary

Zhenghong Zhang, Yan Zhang, Fengping Lin, Zhengchao Wang
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引用次数: 4

Abstract

In mammals, the follicular development and following ovulation are regulated by reproductive hormones, while polycystic ovary syndrome (PCOS) is an endocrine disorder syndrome with reproductive dysfunction and abnormal glucose metabolism in most PCOS women. Its characteristics are hyperandrogenism, ovarian dysfunction, and the exclusion of other androgen excess or related dis-eases. Its clinical characteristics are large antral follicle pool from which to recruit and persistent anovulation. The incidence of PCOS in women of childbearing age ranged from 4 to 12%. About one-third of infertility cases had no ovulation, and 90% of them had PCOS. Therefore, further studying the regulatory mechanism of follicular hyperrecruitment and anovulation can provide theoretical basis for exploring the pathogenesis of PCOS and guiding clinical treatment, especially for protecting female fertility and preventing the occurrence of metabolic disorder syndrome. The present article will review the progress in endocrine characteristics and regulatory mechanism of follicular development and ovulation failure in the mammalian ovary.
哺乳动物卵巢卵泡发育和排卵失败的内分泌特征及调控机制
哺乳动物卵泡发育及随后的排卵受生殖激素调节,而多囊卵巢综合征(PCOS)是一种内分泌紊乱综合征,多数PCOS女性伴有生殖功能障碍和糖代谢异常。其特点是雄激素过多,卵巢功能障碍,并排除其他雄激素过多或相关疾病。其临床特点是窦腔卵泡池大,可从中招募卵泡,且持续无排卵。多囊卵巢综合征在育龄妇女中的发病率从4%到12%不等。约三分之一的不孕症患者没有排卵,其中90%患有多囊卵巢综合征。因此,进一步研究卵泡增生和无排卵的调控机制,可为探索PCOS的发病机制和指导临床治疗,特别是为保护女性生育能力和预防代谢紊乱综合征的发生提供理论依据。本文就哺乳动物卵巢的内分泌特征、卵泡发育和排卵失败的调控机制等方面的研究进展作一综述。
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