山东大学学报 (医学版) ›› 2022, Vol. 60 ›› Issue (2): 22-26.doi: 10.6040/j.issn.1671-7554.0.2021.1148
宋甜,付琳琳,王秋敏,杨晓,王莹,边月红,石玉华
SONG Tian, FU Linlin, WANG Qiumin, YANG Xiao, WANG Ying, BIAN Yuehong, SHI Yuhua
摘要: 目的 探讨脂肪酸转运蛋白1(FATP1)在多囊卵巢综合征(PCOS)患者颗粒细胞中的表达水平及临床意义。 方法 选取进行体外受精-胚胎移植(IVF-ET)的75例PCOS患者(PCOS组),根据体质量指数(BMI)≥25判定为肥胖的标准,分为PCOS正常体质量组(n=36)和PCOS肥胖组(n=39);同期62例因输卵管梗阻或男方因素助孕患者(对照组),分为对照正常体质量组(n=31)和对照肥胖组(n=31)。采用逆转录实时定量PCR(qRT-PCR)检测患者颗粒细胞中FATP1的表达,分析其在PCOS患者中的差异性表达。 结果 FATP1在PCOS组卵巢颗粒细胞中的表达高于对照组(P <0.001);FATP1在PCOS正常体质量组卵巢颗粒细胞中的表达高于对照正常体质量组(P<0.001); FATP1在PCOS肥胖组卵巢颗粒细胞中的表达高于对照肥胖组(P<0.001)。二分类Logistic回归分析结果显示,高FATP1表达水平(OR=4.242, 95%CI:2.025~8.883, P<0.001)、高抗苗勒氏管激素(AMH,OR=1.512, 95%CI:1.184~1.928, P<0.001)水平、 高黄体生成素/卵泡刺激素(LH/FSH,OR=4.301, 95%CI:1.265~15.304, P=0.02)比值和高睾酮(T,OR=1.059, 95%CI:1.003~1.117, P=0.038)水平是影响PCOS的危险因素。 结论 FATP1在PCOS患者颗粒细胞中表达增高,可能在PCOS发生发展中发挥重要作用。
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