Early pregnancy loss is the most common complication of human reproduction. Given the complexities of early development, it is likely that many mechanisms are involved. Knowledge of differences in protein expression in parallel profiling is essential to understand the comprehensive pathophysiological mechanism underlying early pregnancy loss. To identify proteins with different expression profiles related to early pregnancy loss, we applied a proteomic approach and performed two-dimensional gel electrophoresis (2-DE) on six placental villous tissues from patients with early pregnancy loss and six from normal pregnant women, followed by comparison of the silver-stained 2-DE profiles. It was found that 13 proteins were downregulated and 5 proteins were upregulated significantly (P < 0.05) in early pregnancy loss as determined by spot volume. Among them, 10 downregulated and 2 upregulated spots were identified by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry. Anomalies of these proteins, including three principal antioxidant enzymes (copper/zinc-superoxide dismutase, peroxiredoxin 3, and thioredoxin-like 1 protein), S100 calcium binding protein, galectin-1, chorionic somatomammotropin hormone 1, transthyretin, fas inhibitory molecule, eukaryotic translation elongation factor, RNA-binding protein, ubiquitin-conjugating enzyme E2N, and proteasome beta-subunit, indicate widespread failure in cell regulations and processes such as antioxidative defense, differentiation, cell proliferation, metabolism, apoptosis, transcription, and proteolysis in early pregnancy loss. This study has identified several proteins that are associated with placentation and early development, shedding a new insight into the proteins that may be potentially involved in the pathophysiological mechanisms underlying early pregnancy loss.
Polycystic ovary syndrome (PCOS) is one of the most common female endocrine disorders and a leading cause of female subfertility. The mechanism underlying the pathophysiology of PCOS remains to be illustrated. Here, we identify two alternative splice variants (ASVs) of the androgen receptor (AR), insertion and deletion isoforms, in granulosa cells (GCs) in ∼62% of patients with PCOS. AR ASVs are strongly associated with remarkable hyperandrogenism and abnormalities in folliculogenesis, and are absent from all control subjects without PCOS. Alternative splicing dramatically alters genome-wide AR recruitment and androgeninduced expression of genes related to androgen metabolism and folliculogenesis in human GCs. These findings establish alternative splicing of AR in GCs as the major pathogenic mechanism for hyperandrogenism and abnormal folliculogenesis in PCOS.n ovarian follicles, oocytes are surrounded by granulosa cells (GCs), which have crucial endocrine functions. Polycystic ovary syndrome (PCOS) is a heterogeneous hormonal disorder affecting one in 15 women, and is one of the most common causes of female infertility (1). Hyperandrogenism and abnormal follicle development, associated with excessively small follicles and ovulatory dysfunction largely due to GCs dysfunction, characterize the pathogenesis of PCOS. Although the underlying etiology remains unclear, androgens and the androgen receptor (AR) are considered important on account of their critical roles in the prevalence of hyperandrogenism and ovarian folliculogenesis in this disorder (1-3).Androgens elicit their effects upon binding to AR, and AR functions primarily via genomic activities as a nuclear receptor. In the ovary, AR is predominantly expressed by GCs throughout most stages of follicular development. Nearly all reproductive phenotypes observed in global AR knockout mice have been attributed to a lack of AR expression in GCs (3). Haploinsufficiency for exon 3-deleted mutant AR is associated with a premature reduction in female fecundity (4), verifying the crucial role of classical genomic AR activity in normal ovarian function. Clinical studies have suggested that PCOS might be associated with AR (CAG)n repeats (5) and rs6152A (6) gene polymorphisms. These studies promoted interest in investigating the effects of AR in GC dysfunction in PCOS women. We therefore hypothesized that abnormally expressed and/or dysfunctional AR plays an important role in the pathogenesis of PCOS.
ResultsAlternative Splice Variants of AR in GCs of PCOS Women. Nested RT-PCR (Fig. S1A) was used to amplify AR cDNAs from GCs of Southeastern Han Chinese women undergoing in vitro fertilization and embryo transfer. We identified two alternative splice variants (ASVs) expressed exclusively in PCOS women. One ASV inserted 69 bp into intron 2 (ivs2) between exons 2 and 3 (insertion isoform, ins) whereas the other skipped exon 3 (deletion isoform, del), as demonstrated by agarose gel electrophoresis (Fig. 1A) and PCR product sequencing (Fig. 1B). AR ASVs were not detected in ...
An effective iodized salt program has brought iodine sufficiency to most of China, but pregnant women in some areas may still risk deficiency and need further supplements. We suggest other countries and international agencies pay more attention to pregnancy, where iodine deficiency has its worst consequences.
Children born to ovarian-hyperstimulated women displayed cardiovascular dysfunctions. The underlying mechanisms may involve the effects of supraphysiological estradiol and progesterone levels.
High levels of serum CA-125 were found not only in the EOC, but also in some NMGDs, especially in the reproductive patients with complaints of acute abdomen symptoms or abnormal vaginal bleeding.
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