为一大批正常无精子症成年男性确定血清抗苗勒管激素的参考范围,凸显 AMH 对 FSH 分泌和精子活力的新的潜在生理功能。

IF 1.7 Q2 POLITICAL SCIENCE
Hamza Benderradji, Anne-Laure Barbotin, Maryse Leroy-Billiard, Julie Prasivoravong, François Marcelli, Christine Decanter, Geoffroy Robin, Valérie Mitchell, Jean-Marc Rigot, Antonino Bongiovanni, Florent Sauve, Luc Buée, Claude-Alain Maurage, Maryse Cartigny, Arnauld Villers, Vincent Prevot, Sophie Catteau-Jonard, Nicolas Sergeant, Paolo Giacobini, Pascal Pigny, Clara Leroy
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引用次数: 0

摘要

背景:迄今为止,很少有研究尝试测量成年男性的血清抗苗勒氏管激素(AMH)水平:迄今为止,很少有研究尝试测量成年男性的血清抗缪勒氏管激素(AMH)水平,而且尚未在大型队列中确定可靠的参考范围:在这项研究中,我们的目的首先是确定成年男性血清 AMH 和 AMH 与总睾酮比值(AMH/tT)的参考范围。其次,我们研究了血清 AMH 与生殖激素和精液参数之间的关系:这项单中心回顾性研究包括 578 名正常无精子的成年男性。采用自动夹心化学发光免疫测定法测定血清 AMH 浓度:结果:血清 AMH 中位数为 43.5 pmol/L。血清AMH和AMH/tT的2.5和97.5百分位值分别为16.4和90.3 pmol/L以及0.45和3.43。AMH与抑制素B和精子浓度呈正相关,与年龄、卵泡刺激素(FSH)和精子活力呈负相关。有趣的是,我们利用免疫荧光技术首次发现,AMH II 型受体(AMH-R2)在射精的人类精子和死后垂体的促性腺激素细胞中均有表达:我们为血清 AMH 和 AMH/tT 建立了一个新的特定年龄参考范围。此外,AMH-R2在人类精子和性腺细胞中的表达,以及血清AMH水平与精子活力或平均FSH水平之间的关系,凸显了AMH在调节成年男性精子活力或FSH分泌方面的新的潜在功能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Defining Reference Ranges for Serum Anti-Müllerian Hormone on a Large Cohort of Normozoospermic Adult Men Highlights New Potential Physiological Functions of AMH on FSH Secretion and Sperm Motility.

Background: Few studies to date have attempted to measure serum anti-Müllerian hormone (AMH) levels in adult men, and solid references ranges have not yet been defined in a large cohort.

Objective: In this study, we aimed, first, to establish the reference ranges for serum AMH and AMH-to-total testosterone ratio (AMH/tT) in adult males. Second, we investigated the relationship between serum AMH and both reproductive hormones and semen parameters.

Methods: This single-center retrospective study included 578 normozoospermic adult men. Serum AMH concentrations were determined with an automated sandwich chemiluminescent immunoassay.

Results: The median serum AMH was 43.5 pmol/L. The 2.5th and 97.5th percentile values for serum AMH and AMH/tT were 16.4 and 90.3 pmol/L and 0.45 and 3.43, respectively. AMH was positively correlated with inhibin B and sperm concentration and negatively correlated with age, follicle-stimulating hormone (FSH), and progressive sperm motility. Interestingly, using immunofluorescence, we documented for the first time that AMH type II receptor (AMH-R2) is expressed in ejaculated human spermatozoa and gonadotrophic cells in the postmortem pituitary gland.

Conclusions: We establish a new age-specific reference range for serum AMH and AMH/tT. Moreover, AMH-R2 expression in human spermatozoa and gonadotrophic cells, together with the relationship between serum AMH levels and sperm motility or mean FSH levels, highlight new potential functions of AMH in regulating sperm motility or FSH secretion in adult men.

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来源期刊
Regional and Federal Studies
Regional and Federal Studies POLITICAL SCIENCE-
CiteScore
3.80
自引率
21.40%
发文量
33
期刊介绍: The upsurge of academic and political interest in regional and federal questions since the 1980s has been stimulated by the salience of regions in EU policy-making and the Structural Funds but also by regionalization and federalization processes in many Western states. The most striking example is the devolution occurring in the UK, but the process is at work all over Europe and in other parts of the world. These developments have led to many important research programmes and projects. Regional and Federal Studies is a refereed social science journal which provides an academic forum for the publication of international research on these issues. It is essential reading for both academics and practitioners in politics, administration and the business world.
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