国际生殖健康/计划生育 ›› 2020, Vol. 39 ›› Issue (3): 219-225.

• 综述 • 上一篇    下一篇

环境内分泌干扰物对早发性卵巢功能不全的作用机制研究进展

闻鑫,张跃辉,姚美玉   

  1. 150040 哈尔滨,黑龙江中医药大学研究生院(闻鑫);黑龙江中医药大学附属第一医院妇科(张跃辉,姚美玉)
  • 收稿日期:2020-01-13 修回日期:2020-03-17 出版日期:2020-05-15 发布日期:2020-05-15
  • 通讯作者: 姚美玉,E-mail:yaomeiyupxx@163.com E-mail:yaomeiyupxx@163.com
  • 基金资助:
    国家自然科学基金面上项目(81774136);国家区域诊疗中心黑龙江省名中医传承工作室建设项目(黑中科教便函〔2019〕2号);黑龙江中医药大学研究生创新科研项目(2019yjscx040)

Environmental Endocrine Disruptors and Premature Ovarian Insufficiency

WEN Xin,ZHANG Yue-hui,YAO Mei-yu   

  1. Graduate School,Heilongjiang University of Chinese Medicine,Harbin 150040,China(WEN Xin);Department of Gynecology,The First Affiliated Hospital,Heilongjiang University of Chinese Medicine,Harbin 150040,China
  • Received:2020-01-13 Revised:2020-03-17 Published:2020-05-15 Online:2020-05-15
  • Contact: YAO Mei-yu,E-mail:yaomeiyupxx@163.com E-mail:yaomeiyupxx@163.com
  • Supported by:
     

摘要: 越来越多的证据表明,生命早期接触环境内分泌干扰物(EEDs)可引发卵巢结构和功能改变,表现为成年后生殖功能障碍。早发性卵巢功能不全(POI)是一种病因复杂的异质性疾病,75%~90%病因不明确为特发性POI。已明确表观遗传修饰和环境因素会导致生殖损害。EEDs从胚胎期便广泛暴露于人类生存环境中,可对女性生殖产生终生影响。以卵巢对EEDs尤其敏感的4个窗口(原始生殖细胞发育期、减数分裂期、原始卵泡形成期、卵泡的募集发育期)为切入点,综述EEDs对POI影响机制的最新研究进展。

关键词: 原发性卵巢功能不全;, 环境;, 内分泌干扰物;, 卵泡;, 卵巢储备功能;, 减数分裂;, 氧化性应激

Abstract: More and more evidences suggest that early life exposure to environmental endocrine disruptors (EEDs) can cause the change of ovarian structure and function, following adult reproductive dysfunction. Premature ovarian insufficiency (POI) is a heterogeneous disease with complex and diverse etiologies, 75%-90% of which are unknown idiopathic POI. The epigenetic modification and environmental factors have been identified to cause reproductive damage. Human even from embryo is widely exposed to environmental EEDs, and EEDs can have a lifelong impact on female reproduction. In this paper, the four windows of ovarian sensitivity to EEDs(included PGCs sdevelopment, Meiosis, PFs formation,follicles recruitment), and the mechanism of EEDs related to POI were reviewed.

Key words: Primary ovarian insufficiency, Environment;, Endocrine disruptors;, Ovarian follicle;, Ovarian reserve;Meiosis, Oxidative stress

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