网络首发:2011-11-20,
纸质出版:2011
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子宫动脉栓塞术对子宫内膜整合素β3含量影响的实验研究[J]. 中山大学学报(医学科学版), 2011,32(6).
Evaluation of Effect on Expression Levels of Endometrial Integrin β3: a Experimental Sudy to Guinea Pigs with UAE[J]. Journal of Sun Yat-sen University (Medical Sciences), 2011, 32(6).
【目的】通过动物实验探讨子宫动脉栓塞术(UAE)对子宫内膜整合素β3表达含量的影响。【方法】48只健康雌性豚鼠随机分为对照组(n=12)及UAE组(n=36);UAE组内再随机分为A1、A2及A3三个亚组(每组n=12)。UAE组动物应用三丙烯微球(Embosphere,40~120µm及100~300µm)行双侧子宫动脉栓塞术。A1、A2、A3组动物分别于UAE后16~30d、31~45d及46~60d内获取子宫标本。各组动物均于排卵日后3d获取子宫标本。应用免疫组化法检测各组标本内膜整合素β3的表达含量;以平均光密度值(MOD)代表阳性染色区域的平均染色强度,作为反映内膜β3含量的指标。同时在取标本时检测各组动物的血清雌孕激素水平。【结果】 各组动物标本内膜整合素ανβ3的MOD值分别为0.399±0.038(对照组);0.268±0.035(A1组);0.321±0.038(A2组);0.366±0.043(A3组)。对照组整合素β3的MOD值均明显高于A1、A2及A3组(P1<0.01;P2<0.01;P2<0.05);而A1组与A2组、A2组与A3组之间的MOD值比较也有显著性差异,A2组高于A1组(P<0.01),A3组则高于A2组(P<0.01)。各组动物的血清雌孕激素水平则无显著性统计学差异(P>0.05)。【结论】 UAE后子宫内膜整合素β3含量在一定时期内有所下降,从而可能对内膜容受性造成一定程度的负面影响。随着栓塞后时间推延,β3含量有逐渐恢复趋势。
【Objective】To explore the impact of uterine artery embolization (UAE) upon the quantity of endometrial integrin β3 by experiment. 【Methods】Forty-eight female guinea pigs were randomly divided into control group (n=12) and UAE group (n=36
further divided into A1
A2 and A3 subgroup
12/subgroup). The UAE group was performed bilateral uterine artery embolization with trisacryl gelatin microspheres (Embosphere
40-120 µm and 100-300 µm). All the animals were sacrificed and obtained uterine specimens 3 days after ovulation day. The A1
A2
and A3 group were obtained specimens within 16-30
31-45
and 46-60 days
respectively after UAE. The levels of endometrial integrin β3 were evaluated by immunohistochemistry assay. The MOD (mean optical density) value of positive cells in endometrial epithelium was used as β3 level index. The serum estrogen and progestogen levels were measured for all groups specimens collection. 【Results】The MOD value of endometrial integrin β3 for the control group and UAE group were 0.399±0.038 (control group)
0.268±0.035 (A1 subgroup)
0.321±0.038 (A2 subgroup) and 0.366±0.043 (A3 subgroup)
respectively. The statistical analysis indicated MOD values of β3 levels in control group were significantly higher than those in A1
A2
and A3 subgroup
respectively (P1<0.01
P2<0.01
P3<0.05); and they were significantly higher in A2 subgroup than in A1 subgroup (P<0.01)
also in A3 subgroup than in A2 subgroup (P<0.01). The serum level of estrogen and progestogen between all groups were not statistically significant different (P>0.05). 【Conclusion】The level of integrin β3 in endometrium would decrease after UAE and it might lead to negative influence on endometrial receptivity in some extent. With time prolonged after embolization
the level of β3 might have the trend to recover gradually.
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