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The anterior pituitary-derived hormone prolactin (PRL) signals through the PRL receptor (PRLR) and is important for female reproductive function in mammals. In contrast to the extensive studies of PRLR expression and regulation in human and mouse ovary and uterus, the mechanisms controlling the regulation of PRLR isoform expression in the fallopian tube are poorly understood. Because dynamic interaction of hormonal signaling in gonadal tissue and the pituitary or in gonadal tissues themselves in mammals suggests endocrine or paracrine regulation of PRLR expression, we questioned whether differential regulation of PRLR isoforms by PRL ovarian-derived estrogen (E(2)) and progesterone (P(4)) exists in the fallopian tube and pituitary of prepubertal female mice. Western blot analysis showed distinct molecular separation of PRLR isoforms in mouse and human fallopian tubes, and cellular localization was found in mouse and human tubal epithelia but not in mouse tubal smooth muscle cells. These data support the concept of an isoform- and cell type-specific expression of PRLR in human and mouse fallopian tubes. Moreover, expression of the long form of PRLR decreased after PRL treatment and increased after blockage of endogenous PRL secretion by bromocriptine (an inhibitor of PRL secretion) in a time-dependent manner in mouse fallopian tube. The opposite regulation was observed in the pituitary. Treatment with exogenous E(2) or P(4) led to changes in PRLR expression in the fallopian tube similar to those of PRL treatment. However, E(2) and P(4) did not affect PRLR expression in the pituitary. Estrogen had no effect on the long form of PRLR expression, whereas P(4) regulated the long form of PRLR in the fallopian tube, as did PRL. Taken together, the data from our comparative study provide evidence that PRLR can be regulated by an interplay of two different mechanisms, PRL or ovarian steroid hormones independently or in combination in a tissue-specific manner. Furthermore, we found that ovarian steroid hormones selectively suppress the expression of PRLR isoforms in mouse fallopian tubes. These findings may contribute to our understanding of the mechanisms controlling PRLR isoform expression in the fallopian tube (in addition to ovary and uterus), with implications for female reproduction.  相似文献   

3.
Previous studies demonstrate significant roles for passive water channels (aquaporins, AQPs) in maintaining water homeostasis in cell membranes of endometrial cells during decidualisation and embryo implantation. However, there is little information regarding the role of AQPs in the human fallopian tube, specifically their role in human tubal ectopic pregnancy. In this study we took tissue samples from the site of implantation of tubal ectopic pregnancy (group 1, N = 30, mean age 32 years, range 23–42) and the corresponding non-implantation site in women undergoing salpingectomy for tubal pregnancy (group 2). Ampullary fallopian tubes during mid-secretory phase were collected as control group (group 3, N = 17, mean age 37 years, range 30–50). Thin sections were prepared and stained with anti-AQP9, and, for estrogen and progesterone receptors in each group. Immunohistochemical studies showed that AQP9 proteins localize in the cytoplasm of epithelial cells of Fallopian tube. Expression of AQP9 was significantly reduced during tubal pregnancy compared to controls (group 1 vs. group 3, P = 0.036; group 2 vs. group 3, P = 0.029), and, this reduced expression was not related to estrogen receptor or progesterone receptor status (group 2, ER vs. AQP9, Pearson r = 0.173, P = 0.361; PR vs. AQP9, Pearson r = 0.124, P = 0.514, respectively). Similarly, there is no correlation between AQP9 and estrogen receptor or progesterone receptor status in the normal group (group 3, ER vs. AQP9, Pearson r = ?0.026, P = 0.923; PR vs. AQP9, Pearson r = ?0.292, P = 0.255, respectively). Reduced expression of AQP9 in human fallopian tube may contribute to aspects of pathophysiology of tubal ectopic pregnancy.  相似文献   

4.

Background  

The physiological regulation of ciliary beat frequency (CBF) within the fallopian tube is important for controlling the transport of gametes and the fertilized ovum. Progesterone influences gamete transport in the fallopian tube of several mammalian species. In fallopian tubes isolated from cows, treatment with 20 micromolar progesterone caused a rapid reduction of the tubal CBF. The aims of this study were to establish methodology for studying fallopian tube CBF in the mouse, as it is an important model species, and to investigate if progesterone rapidly affects the CBF of mice at nM concentrations.  相似文献   

5.
解脲支原体对兔输卵管黏膜上皮细胞致病性研究   总被引:3,自引:0,他引:3  
目的:探讨解脲支原体(UU)对兔输卵管黏膜上皮细胞的粘附及其致病性。方法:采用雌性大白兔作为实验对象,用UU感染兔输卵管黏膜上皮细胞,经光学和电子显微镜观察UU对其粘附性和致病性。结果:UU感染后,兔输卵管管腔有较多渗出物,呈淡红染匀质状,黏膜层的上皮细胞轻度肿胀,黏膜下层有炎症细胞(以淋巴细胞为主)呈灶性浸润;在电镜下,UU粘附于输卵管黏膜上皮细胞上,同时上皮细胞游离面的纤毛互相粘连、倒状,纤毛细胞核膜欠完整.胞核染色质呈凝块状.胞浆内可见大量大小不等的空泡,无纤毛细胞顶面参差不齐,可见伪足样突出.微绒毛减少.胞浆内近细胞顶部有少量分泌颗粒和空泡变性,细胞间可见相嵌连接。结论:UU到达兔输卵管后可粘附于输卵管黏膜上皮细胞上并导致损伤。  相似文献   

6.
Estrogen receptors (ERs) are members of the nuclear receptor superfamily and are involved in regulation of fallopian tube functions (i.e., enhancement of protein secretion, formation of tubal fluid, and regulation of gamete transport). However, the ER subtype-mediated mechanisms underlying these processes have not been completely clarified. Recently, we identified ERbeta expression and localization in rat fallopian tubes, suggesting a potential biological function of ERbeta related to calcium-dependent ciliated beating. Here we provide for the first time insight into the less studied ERalpha isoforms, which mediate estrogen-dependent production and secretion of IGFs in vivo. First, Western blot studies revealed that three ERalpha isoforms were expressed in mouse fallopian tubes. Subsequent immunohistochemical analysis showed that ERalpha was detected in all cell types, whereas ERbeta was mainly localized in ciliated epithelial cells. Second, ERalpha isoform levels were dramatically downregulated in mouse fallopian tubes by treatment with E(2) or PPT, an ERalpha agonist, in a time-dependent manner. Third, the presence of ICI 182,780, an ER antagonist, blocked the E(2)- or PPT-induced downregulation of tubal ERalpha isoform expression in mice. However, alteration of ERalpha immunoreactivity following ICI 182,780 treatment was only detected in epithelial cells of the ampullary region. Fourth, changes in ERalpha isoform expression were found to be coupled to multiple E(2) effects on tubal growth, protein synthesis, and secretion in mouse fallopian tube tissues and fluid. In particular, E(2) exhibited positive regulation of IGF-I and IGF-II protein levels. Finally, using growth hormone receptor (GHR) gene-disrupted mice, we showed that regulation by E(2) of IGF production was independent of GH-induced GHR signaling in mouse fallopian tubes in vivo. These data, together with previous studies from our laboratory, suggest that the long-term effects of estrogen agonist promote IGF synthesis and secretion in mouse tubal epithelial cells and fallopian tube fluid via stimulation of ERalpha.  相似文献   

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8.
Steroidogenesis in the placenta has been studied widely, but little is known about steroid metabolism in ectopic pregnancy. Previous studies have indicated that trophoblast invasion and placentation in the uterus and the fallopian tube may be controlled by similar mechanisms. As far as 17β-estradiol (E2) production is concerned, it has been well demonstrated that its biosynthesis in the placenta involves the action of P450 aromatase (P450arom) and 17β-hydroxysteroid dehydrogenase type 1 (17HSD1). The purpose of this study was to characterize the expression pattern of P450arom and 17HSD1 at the fetal–maternal interface, particularly in various trophoblast cells, in tubal pregnancy. Using in situ hybridization, P450arom mRNA was localized in syncytiotrophoblast (ST) cells, which are mainly responsible for hormone production during pregnancy, whereas no signal was detected in villous cytotrophoblast (VCT), column CT and extravillous CT (EVCT) cells. Immunohistochemical assays revealed that 17HSD1 is present in ST cells, a large portion of EVCT cells and 20% of column CT cells. On the other hand, no expression of 17HSD1 was detected in VCT cells. In addition, 17HSD1 was found in epithelial cells of the fallopian tube. Interestingly, the expression level of 17HSD1 in fallopian tube epithelium during tubal pregnancy was significantly higher than that during normal cycle. Our data provide the first evidence that normal and tubal pregnancies possess identical expression of P450arom and 17HSD1 in ST cells and therefore, similar E2 production in the placenta. Further, the association of 17HSD1 with EVCT cells indicates that 17HSD1 perhaps play a role in trophoblast invasion. Finally, increased expression of 17HSD1 in epithelial cells of fallopian tube may lead to a local E2 supply sufficient for the maintenance of tubal pregnancy.  相似文献   

9.
目的为探索治疗慢性盆腔痛及不孕的理想方法,本文尝试通过输卵管注药介入治疗盆腔炎性后遗症等疼痛疾病及输卵管阻塞性不孕,观察其疗效并对输卵管这条自身路径进一步拓宽利用进行实践论证。方法应用NCI—I型数字化输卵管通液诊断治疗仪对56例盆腔炎性等疼痛、伴有不孕或计划妊娠的患者结合超声监测通液诊断,根据输卵管通畅程度分别给予盆腔注药或输卵管疏通后介入治疗。结果56例盆腔疼痛患者仅有19例输卵管通畅,37例输卵管阻塞(不全阻塞25例,11例不通),占66.1%。治疗后通畅组盆腔疼痛消失16例,治愈率为84.2%;不全阻塞组疼痛减轻20例,好转率为76.9%,其中14例患者输卵管得以疏通;不通组45.5%(5/11)病情好转,输卵管疏通率为63。6%(7/11);通畅组疼痛治愈率明显高于不全阻塞和不通组(P〈0.05)。盆腔炎性疼痛治愈率和输卵管疏通率分别为45.5%和82.4%,内异症等疼痛组为13.0%和65.0%,后者虽不及前者理想(P〈0.05),但确有60.9%患者疼痛好转。本文输卵管阻塞疏通率为72.9%,慢性盆腔疼痛治疗有效率达87.5%。结论输卵管是一条与生俱来的自身生理通道,可拓宽利用诊治盆腔疾病。NCI—I型数字化输卵管通液诊断治疗仪盆腔注药介入治疗是一种准确易行、安全无创、科学有效的诊治盆腔炎性等疾病的方法。实践证明,疏通这条路径不仅在阻塞性输卵管不孕方面起到了至关重要的临床作用,对治疗盆腔炎性后遗症等慢性盆腔疼痛疾病也有较高的研究价值,值得进一步探索和应用,并有广阔的前景和发展空间。  相似文献   

10.
目的:调查与分析四维子宫输卵管超声造影假阳性与假阴性的原因。方法:选择2015年6月到2019年8月在本院妇产科临床初步诊断为输卵管不孕症患者125例,所有患者都给予X线子宫输卵管碘油造影(Hysterosalp ingography,HSG)与四维子宫输卵管超声造影,记录诊断效果、不良反应,判断假阳性与假阴性的发生原因。结果:在125例患者中,HSG诊断输卵管通畅33例,通而不畅72例,阻塞20例;四维超声造影诊断为输卵管通畅33例,通而不畅74例,阻塞18例。将HSG检查作为金标准,四维超声造影检查输卵管阻塞准确率93.6%,Kappa值=0.929(P<0.05),出现假阳性与假阴性共8例。四维超声造影检查期间发生的阴道少量出血、造影剂过敏、恶心呕吐、腹痛等不良反应发生率为2.4%,显著低于HSG检查的13.6%(P<0.05)。单因素分析结果显示合并糖尿病、产次、初潮年龄、孕次与四维子宫输卵管超声造影的假阳性与假阴性显著相关(P<0.05);多因素Logistic回归分析结果显示合并糖尿病、产次、初潮年龄为导致四维子宫输卵管超声造影假阳性与假阴性的主要原因(P<0.05)。结论:四维子宫输卵管超声造影可实时动态观察输卵管通畅情况,应用安全性也比较好,但是也存在假阳性与假阴性情况,合并糖尿病、产次、初潮年龄为导致四维子宫输卵管超声造影假阳性与假阴性的主要原因。  相似文献   

11.
目的:探讨实时三维超声造影对输卵管伞端通畅性及功能的评价效果。方法:选取我院2019年6月到2021年6月收治的120例因不孕症自愿接受RT 3D-HyCoSy检查的患者作为研究对象,对所有患者分别应用静态三维与实时三维超声造影,并以腹腔镜下美兰通染液检查作为金标准,记录与分析相关指标。结果:120例患者共240条输卵管,美兰通染液检查诊断发现输卵管通畅58条,阻塞/粘连182条,实时三维超声造影检查发现通畅51条,阻塞/粘连189条,静态三维通畅44条,阻塞/粘连196条,实时三维超声造影与静态三维联合通畅56条,阻塞/粘连184条。实时三维超声造影与静态三维联合诊断组、实时三维超声造影组这两组的准确度、特异度、灵敏度、阳性预测值、阴性预测值均高于静态三维组(P<0.001);120名患者通过临床综合诊断发现,35例一侧输卵管阻塞患者,64例双侧输卵管阻塞患者,21例双侧输卵管通畅患者,不同输卵管通畅性三组患者推注压力、VAS评分、造影剂注入量、造影剂返流量对比差异显著(P<0.05)、通畅与阻塞患者造影剂通过输卵管间质部时间及造影剂通过输卵管伞端时间对比差异显著(P<0.05)。结论:对于不孕症患者应用RT 3D-HyCoSy,经检查输卵管伞端粘连和通畅性,进而诊断输卵管通畅性,为不孕症的诊断与治疗提供一定的参考意见。此外,应用实时三维超声造影与静态三维超声能提升输卵管伞端通畅性诊断率,值得临床应用推广。  相似文献   

12.
OBJECTIVE: To determine the diagnostic accuracy of cytology smears in distinguishing between tube and non-tube structures. METHODS: One hundred cytology smears of fallopian tube and non-tube structures (vessels, round and ovarian ligaments) were prepared from surgically removed uterus and fallopian tube specimens and stained by the Papanicolaou method. The slides were reviewed blindly by pathologists and interpreted as tube or non-tube structures. The results were compared to the histological examination of the same specimens. FINDINGS: Results indicated an overall accuracy of 97% with a specificity of 98% and sensitivity of 96% for cytology smears, taking histology as the gold standard. Positive and negative predictive values were 96.1% and 97.9%, respectively. CONCLUSION: Cytology smears are a convenient and cost effective tool for laboratory confirmation of tubal sterilization. This method can reduce the costs of laboratory examination, especially in developing countries, where tubal sterilizations are done in large cohorts. However, histological slides remain the gold standard in cases of medicolegal problems.  相似文献   

13.
Tyrosine kinase receptor erythropoietin-producing hepatocellular receptor A2 (EphA2) and its predominant ligand EphrinA1 have been studied extensively for their roles of mediating cell adhesion in epithelial cells. However, EphA2 signaling in human fallopian tube epithelial cells is poorly understood. In this study, primary cultured fallopian tube epithelial cells were used as a model treated with EphrinA1-Fc or IgG-Fc (control), to explore the role of EphA2 signal and its network involved in the regulation of cell adhesion of tubal epithelia cells. The activation of EphA2 and focal adhesion kinase (FAK) was evaluated by western blotting assay in the cultured fallopian tube epithelia cells, of which the cell adhesion activity was determined by MTT assay. A significantly negative correlation was found between phosphorylated-EphA2 (Pho-EphA2) and phosphorylated-FAK (Pho-FAK) after exposure to EphrinA1-Fc (P = 0.000; r = -0.848). EphrinA1-Fc increased Pho-EphA2 and reduced Pho-FAK in seconds, with the apex level of Pho-EphA2 and the nadir level of Pho-FAK detected at the same time (10 min). Cell adhesion of the cultured cells supplemented with EphrinA1-Fc appeared to be weaker than that of the controls at the later time points of the treatment (from 30 to 120 min) (P < 0.05). Taken together, the EphrinA1 addition directly induces an elevated Pho-EphA2 accompanied by a decreased Pho-FAK in human fallopian tube epithelia cells. Furthermore, activation of EphA2 participates in the regulation of fallopian tube cell adhesion via FAK dephosphorylation.  相似文献   

14.
BACKGROUND: Primary adenocarcinoma of the fallopian tube is rare and not diagnosed until at an advanced stage. We present a case of carcinoma in situ of the fallopian tube in which cytologic examination obtained by hydrotubation facilitated the diagnosis. CASE: A 55-year-old woman presented to Yamaguchi Red Cross Hospital for uterine cancer screening. Endometrial brush cytology revealed adenocarcinoma cells, but endometrial curettage showed no abnormal findings. We performed hydrotubation, collecting abdominal fluid by culdocentesis for cytology. The smear test showed adenocarcinoma with cells similar to those obtained by endometrial brush cytology. Laparotomy showed no abnormalities in the abdominal cavity, and pelvic washing cytology was negative. Based on the positive cytology found by hydrotubation, we performed a hysterectomy and bilateral salpingo-oophorectomy. Postsurgical histology revealed adenocarcinoma in situ of the fallopian tube. CONCLUSION: The present case suggests that cytologic examination obtained by hydrotubation may be useful in diagnosing early tubal cancer.  相似文献   

15.
不孕症是妇科常见疾病,其发病率呈逐年上升的趋势,在我国其发病率约为7%~10%。在女性不孕症中,输卵管梗阻是最常见的原因之一,其中又以近端阻塞多见。目前,宫腹腔镜诊断输卵管通畅度已经成为诊断输卵管梗阻胜不孕症的金标准。但是,目前治疗输卵管梗阻性不孕症的方法及效果尚未统一,常用的治疗方法不能够对患者做出全面客观的评估及准确的治疗。宫腹腔镜手术联合导丝治疗输卵管梗阻性不孕症的方法是将内镜和介入技术联合使用,较好地解决了各种治疗方法的不足,该方法凭借其可视、微创、并发症少、输卵管再通率高等优点应用于,临床。本文将对女性输卵管梗阻性不孕症的常用治疗方法及研究进展做一综述。  相似文献   

16.
Microsurgical transposition of fallopian tube and ovary has the potential of being an efficient therapeutic treatment in patients with tubal sterility. The Authors present their experience of microsurgical adnexal transplantation in rabbit by two different techniques: the first procedure by microvascular anastomosis of the ovarian vessels, the second one without vascular pedicle. Function is evaluated at various time after grafting by: exploratory laparotomy on day 30 to establish whether circulation to the grafts was still maintained; macroscopic and microscopic examination of ovaries and fallopian tubes. The microvascular techniques prove highly reliable in terms of immediate vascular patency rate but it is disappointing that 50% of the autografts has failed with blocked vessels by day 30. Perhaps this is due to the difficult techniques in anastomosing the ovarian vessels of small caliber. In spite of these outcomes the vascularized autografts were viable and functional after transplantation in contrast with the non-vascularized tubo-ovarian grafts which all failed. This experience encourages to believe that the microsurgical technique could be employed for homograft transplantation in woman with extensive ovarian and tubal damages.  相似文献   

17.
In patients with distal tubal occlusion a microsurgical oviductal reconstruction is, apart from the in vitro fertilization, the only treatment option. Unfortunately, the results of reconstructive surgery are often unsatisfactory. The effects of sex steroids on the regeneration process after reconstructive surgery have not been well investigated. This study was aimed to evaluate the effect of decreased concentrations of ovarian sex steroids (castration) on regeneration of the oviduct mucosa after the reconstructive surgery of distally occluded oviducts. The study was performed on 32 female rabbits that underwent unilateral oviduct ligature and resection of fimbriae. The occlusion lasted six (group I) or twelve weeks (group II). After this time the animals were re-operated, and allocated into 4 groups: castration with reconstructive surgery (IA, IIA), reconstructive surgery only (IB, IIB). After next six or twelve weeks the fallopian tubes were examined under light, scanning and transmission electron microscopes. An immunohistochemical reaction for Ki-67 proliferative antigen was also performed. Ovarian steroid levels were evaluated by radioimmunoassays. The castrated animals had significantly lower levels of estradiol, progesterone and 17-hydroxyprogesterone than the control groups. Long lasting tubal occlusion caused pronounced histological changes of tubal mucous membrane (group II). In the rabbits with preserved ovaries and twelve-week long oviductal occlusion (group IIB), the regeneration of the distal end and restoration of fimbria were not complete twelve weeks after microsurgical reconstruction. In castrated animals with long-lasting occlusion (group IIA) the destructive changes, found in the mucosa of tubal ampullas of occluded oviducts before reconstruction, were still present and even intensified twelve weeks following reconstructive surgery. The castration hampered proliferation of the mucosa cells, thus no fimbriae were restored. Low levels of ovarian steroids were found to have adverse effect on fallopian tube regeneration following reconstructive surgery. The effect was noted even in cases with minor preoperative fallopian tube damage. Therefore, the treatment of concomitant endometriosis or uterine fibroids with GnRH analogues should not be recommended simultaneously with microsurgical tubal reconstruction.  相似文献   

18.
OBJECTIVE: Infertility problem affects more than 70 million couples worldwide, 5-15% of which are couples in their reproductive age. Less and less invasive endoscopic methods like transvaginal hydrolaparoscopy have been developed by technological progress. This method enables not only precise identification, but is now increasingly used for treatment of tubal and peritoneal factor pathology, which cause approximately 35 per cent of female infertility. AIM: Evaluation of transvaginal hydrolaparoscopy (HLTV) usefulness for diagnosis of tubal infertility comparing to standard laparoscopy and hysterosalpingography (HSG). Results: In evaluation of patent fallopian tubes results of HLTV and HSG examinations are coincide in 87%, while obstruction diagnosed in HSG is confirmed only in 37% during HLTV examination. Transvaginal hydrolaparoscopy and HSG have similar sensitivity and specificity in diagnosis of hydrosalpinx, which is up to 100% . In comparison with HLTV histerosalpingography is less effective in evaluation of peritubal dilatations and adhesions. Both laparoscopic surgery and transvaginal laparoscopy have the same high sensitivity in diagnostics of the fallopian tubes patency and hydrosalpinx, which is up to 100%. In evaluation of peritubal adhesions and dilatations the results are very similar. Conclusions: 1. HLTV is a highly useful method in evaluation of the fallopian tubes pathologies which is significantly more sensitive than HSG in evaluation of such lesions as peritubal adhesions and obstructed fallopian tubes. 2. HLTV is as effective as laparoscopy in evaluation of patency and lesions of the fallopian tubes. 3. HLTV is a less invasive method, much better tolerated than laparoscopy and more suitable for the group of overweight patients. 4. Final assessment of HTLV technique will be possible following performance of a greater number of studies, where the foregoing conclusions present only initial observations.  相似文献   

19.
目的通过金黄色葡萄球菌直接感染小鼠输卵管,建立炎症致不孕的动物模型。方法用1×109/mL的金黄色葡萄球菌接种小鼠,制作慢性输卵管炎症模型,观察输卵管病理炎性改变以及小鼠的受孕情况。结果造模术75 d后,模型组小鼠受孕率、输卵管通畅率显著低于对照组(P〈0.001)。模型组肉眼观察输卵管有不同程度积水积脓、僵硬,输卵管与周围组织均有不同程度的粘连;病理学观察输卵管管腔被异物肉芽组织完全阻塞,全层均见大量慢性炎细胞浸润。结论输卵管内接种浓度1×109/mL的金黄色葡萄球菌可以成功建立小鼠输卵管炎性不孕模型。  相似文献   

20.

Background  

The controlled beating of cilia of the fallopian tube plays an important role in facilitating the meeting of gametes and subsequently transporting the fertilized egg to its implantation site. Rapid effects of progesterone on ciliary beat frequency have been reported in the fallopian tubes of cows, but the identity of the receptors mediating this non-genomic action of progesterone is not known. We recently identified a member of the non-genomic membrane progesterone receptor family, mPR gamma, as a candidate for mediating these actions of progesterone. Here, we investigated the possible presence of a related receptor, mPR beta, in the fallopian tubes of mice and women as well as the possible hormonal regulation of mPR beta and gamma.  相似文献   

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