• 제목/요약/키워드: $\beta$-hCG

검색결과 82건 처리시간 0.029초

임신 초기 임신양상에 따른 혈청 β-hCG의 결과 예측에 의한 희석배수 참고치 설정 (Dilution Reference Ranges by Predictive Value of Serum Level β-hCG in Early Pregnancy Viability)

  • 김윤식;신장용;서영미;유신수
    • 대한임상검사과학회지
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    • 제36권2호
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    • pp.210-214
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    • 2004
  • This study was carried out to predict the value of serum ${\beta}$ subunit of humans chorionic gonadotropin(${\beta}$- hCG) in early pregnancy viability. This was performed among 85 women in vitro fertilization and embryo transfer(IVF-ET). The serum ${\beta}$-hCG levels were established for 30 normal singleton pregnancies, 10 twin and triplet pregnancies, 10 preclinical abortions, 10 clinical abortions, 20 biochemical abortions and 5 ectopic pregnancies. In comparison to normal singleton pregnancies, multiple pregnancies showed higher ${\beta}$-hCG. But clinical abortions, preclinical abortions and ectopic pregnancies showed lower ${\beta}$-hCG levels than singleton pregnancies. In conclusion, if we predict the value of serum ${\beta}$-hCG of variable early pregnancies and analyze it, we could predict the dilution protocol. Also, it can be useful in other ways.

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체외수정 후 태반단백들을 이용한 초기임신의 예후 추정 (Prediction of The Course of Early Pregnancy after In Vitro Fertilization by Placental Proteins)

  • 김학순;문신용;장윤석
    • Clinical and Experimental Reproductive Medicine
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    • 제17권1호
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    • pp.45-56
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    • 1990
  • Maternal serum ${\beta}$-specific human chorionic gonadotropin(${\beta}$-hCG) and pregnancy-specific ${\beta}_1$-glycoprotein($SP_1$) levels were determined more than one per week during 11-41 days post embryo transfer(ET) in 21 consecutive pregnancies after in vitro fertilization(IVF), which included 8 normal singleton pregnancies, 3 twin pregnancies, 4 clinical abortions, 1 ectopic pregnancy, and 5 preclinical abortions. The sensitivity of serum ${\beta}$-hCG and $SP_1$ radioimmunoassays was 3mIU/ml and 0.7ng/ml relatively. At the 7th to 8th week of gestation, ultrasonographic confirmation of fetal pole and fetal heartbeat was performed. Both serm ${\beta}$-hCG and $SP_1$ levels showed logarithmic increase, but log[$SP_1$] had more steep rising curve and had wider variation than log[${\beta}$-hCG] in normal singleton pregnancies. In 3 twin pregnancies and one ectopic pregnancy, both serum ${\beta}$-hCG and $SP_1$ levels located within the 95% confidence interval of the mean levels of 8 normal singleton pregnancies(normal range). In 2 clinical abortions which had a fetal pole without heartbeat, serum ${\beta}$-hCG level showed lower limit of the normal range or just below, but all $SP_1$ levels showed within the normal range. In other 2 clinical abortions which were diagnosed as blighted ovum, both serum ${\beta}$-hCG levels from 11 days post-ET and serum $SP_1$ levels from later days compared with ${\beta}$-hCG were below the normal range. In 5 preclinical abortions, serum $SP_1$ levels were within the normal range but serum ${\beta}$-hCG levels were far below the normal range. In conclusion, both serum ${\beta}$-hCG and $SP_1$ levels increased exponentially with similar pattern in normally conceived pregancy after IVF-ET. Both serum ${\beta}$-hCG and $SP_1$ levels could predict outcome of early pregnancy to a certain degree, but log[${\beta}$-hCG] levels had more significant correlation with outcome of pregnancy compared with log[$SP_1$] levels. In addition, ultrasonographic examination of fetal poles and fetal heartbeats gives very important clinical information and prognosis.

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체외수정시술 후 임신된 환자에서 혈중 ${\beta}-hCG$ 측정에 의한 임신 결과 예측에 관한 연구 (Predictive Value of Serum ${\beta}-hCG$ Level in Pregnancies following In vitro Fertilization and Embryo Transfer)

  • 김석현;서창석;최두석;최영민;신창재;김정구;문신용;이진용;장윤석
    • Clinical and Experimental Reproductive Medicine
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    • 제19권1호
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    • pp.41-48
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    • 1992
  • Serum level of ${\beta}$ subunit of human chorionic gonadotropin (${\beta}-hCG$) was studied to evaluate its predictability of pregnancy outcome in 98 in vitro fertilization and embryo transfer(IVF-ET) patients using gonadotropin-releasing hormone(GnRH) agonist. Serial serum ${\beta}-hCG$ levels were established for 42 singleton pregnancies, 20 normal multiple pregnancies, 18 preclinical abortions, 14 clinical abortions and 4 ectopic pregnancies. In comparison to normal singleton pregnancies, multiple pregnancies showed significantly higher ${\beta}-hCG$ levels on the post-ET day 10 to 13 and day 24 to 25. Clinical abortions did not show significantly lower ${\beta}-hCG$ levels in early pregnancy except the post-ET day 16-17, but showed significantly lower ${\beta}-hCG$ levels from the post-ET day 22, compared with singleton pregnancies. Preclinical abortions showed significantly lower ${\beta}-hCG$ levels than those of singleton pregnancies. Ectopic pregnancies showed lower ${\beta}-hCG$ levels than those of singleton pregnancies without statistical significance. In conclusion, determination of serum ${\beta}-hCG$ level in early pregnancy is a useful tool for the prediction of preclinical abortions and multiple pregnancies and serial measurement of serum ${\beta}-hCG$ levels will be helpful in predicting clinical abortion.

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Does blastomere biopsy in preimplantation genetic diagnosis affect early serum ${\beta}$-hCG levels?

  • Cho, Yeon-Jean;Kim, Jin-Yeong;Song, In-Ok;Lee, Hyung-Song;Lim, Chun-Kyu;Koong, Mi-Kyoung;Kang, Inn-Soo
    • Clinical and Experimental Reproductive Medicine
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    • 제38권1호
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    • pp.31-36
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    • 2011
  • Objective: To determine whether the serum ${\beta}$-human chorionic gonadotropin (hCG) profile following preimplantation genetic diagnosis (PGD) is lower than that of intracytoplasmic sperm injection (ICSI) cycles. Methods: A total of 129 PGD cycles and 1,161 age-matched ICSI cycles, which resulted in pregnancy (serum ${\beta}-hCG{\geq}5$ mIU/mL) on post-ovulation day (POD) 12 were included. We compared the mean serum ${\beta}$-hCG levels on POD 12, 14, 21, and 28, doubling time of serum hCG, and created a cut-off value for predicting a singleton pregnancy in each group. Results: The mean serum ${\beta}$-hCG concentration of the PGD group was significantly lower than that of the control group on POD 12, 14, and 21. The doubling time of serum ${\beta}$-hCG at each time interval showed no significant difference. The cut-off-value of serum ${\beta}$-hCG for predicting a single viable pregnancy was 32.5 mIU/mL on POD 12 and 113.5 mIU/mL on POD 14 for the PGD group, which was lower than that for the control group. Conclusion: Blastomere biopsy may decrease the ${\beta}$-hCG-producing activity of the trophoblasts, especially in early pregnancy. Setting a lower cut-off value of serum ${\beta}$-hCG for predicting pregnancy outcomes in PGD may be needed.

COOH-Terminal Animo Acids of Tethered-Buman Glycoprotein Bormone $\alpha$-Subunit Play an Important Role for Secretion

  • Min, K.S;Yoon, J.K.
    • 한국가축번식학회지
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    • 제26권4호
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    • pp.395-399
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    • 2002
  • Human chorionic gonadotropin (hCG) is a member of the glycoprotein hormone family which includes FSH. hCG TSH. These hormone family is characterized by a heterodimeric structure composed a common $\alpha$-subunit noncovalently linked to a hormone specific $\beta$-subunit. To determine u and $\beta$ -subunits can be synthesized as a single polypeptide chain (tethered-hCG) and also display biological activity, the tethered-hCC and -FSH molecule by fusing the carboxyl terminus of the hCG $\beta$-subunit to the amino terminus of the $\alpha$-subunit was constructed. To determine the importance of $\alpha$ COOH -terminal amino acid, we also deleted the $\alpha$ COOH-terminal amino acids. The expressing vectors were transfected into CHO-K 1 cells. The tethered-wthCG and -wtFSH was efficiently secreted. The $\alpha$ Δ83hCG and $\alpha$ Δ 83FSH mutants had no secretion. These results are the first conclusive evidence that COOH-terminal amino acids are very important for secretion in human glycoprotein hormone $\alpha$-subunit. These results demonstrated that the $\alpha$ Δ83hCG and $\alpha$ Δ 83FSH mutants could be play a pivotal role in the secretion of tethered-molecule.

EIA로 측정한 혈청 ${\beta}$-hCG치의 자궁외 임신에 대한 진단적 가치 (Diagnostic Value of Serum Beta-hCG Measured by EIA in Suspected Ectopic Pregnancy)

  • 박윤기;김종욱;이태형;박완석;이승호;정원영
    • Journal of Yeungnam Medical Science
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    • 제2권1호
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    • pp.221-227
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    • 1985
  • 1984년 1월 l일부터 1985년 10월 30일까지 22개월간 영남대학교 의과대학 부속병원 산부인과에 자궁외 임신 진단하에 입원하여 수술을 시행 받은 환자중, 수술전에 ${\beta}$-hCG 효소면역 측정법에 의해 혈청 hCG 치가 측정된 34예의 최종진단 및 수술소견과 뇨 임신반응 검사의 판정결과를 중심으로 혈청 hCG 농도를 비교 분석 한 결과 다음과 같은 결과를 얻었다 1. 28예의 난관임신 전예와 계류유산을 동반한 황체파열 1예의 혈청 hCG 농도는 59 mIU/ml 이상이었으며, 나머지 황체파열 4예와 자궁부속기 농양 l예의 혈청 hCG 농도는 6.6 mIU/ml 이하이었다. 2. 난관임신 28예의 혈청 hCG 농도의 분포범위는 59~21, 980 mIU/ml로 22예(78.6%)에서 3,000 mIU/ml 이하의 혈청 hCG 치를 보였으며, 100 mIU/ml 이하의 저농도는 4예(14.3%), 6,500 mIU/ml 이상의 고농도는 6예 (21.4%)에서 관찰되었다. 3. 난관임신 28예중 복강내 유리혈액이 500ml 이하인 12예와 500ml 이상인 16예의 평균 혈청 hCG 농도는 통계적으로 유의성이 있는 차이가 없었다 (P>0.05). 4. 파열형 난관임신 15예의 평균 혈청 hCG농도는 비파열형 난관임신 13예의 평균 혈청 hCG 농도보다 통계적으로 유의성 있게 높았으나 (P<0.01), 각각의 분포범위에 있어서는 차이가 없었다. 5. 뇨 임신반응 검사의 자궁외 임신에 대한 양성율은 64%(16/25)이었으며, 가음성을 보인 9예의 평균 혈청 hCG 농도와 분포범위는 353mIU/ml와 59~933 mIU/ml 이었다. 이상의 연구결과로 미루어 보아 뇨 임신반응 검사는 근래 감도가 크게 향상되었음에도 불구하고 자궁외 임신에 대한 진단적 가치의 증대는 없었으며, ${\beta}$-hCG 효소면역 측정법에 의한 단일 혈청 hCG치는 자궁외 임신과 유사한 증상을 나타내는 복강 및 골반질환군에서 자궁외 임신의 진단을 완전히 배제함으로서 자궁외 임신을 조기에 진단할 수는 있으나, 정상 초기임신 및 유산과의 감별진단이나 혈청 hCG 치에 따른 자궁외 임신의 평가에는 한계가 있는 것으로 판단되므로, 보다 정확한 진단 및 평가를 위해서는 근래 널리 이용되고 있는 초음파 진단을 병행하고 혈청 hCG 치를 연속 측정하여 평가하는 방법이 시도되어야 할 것으로 생각된다.

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단일크론성 항체를 이용한 융모막 성선자극 호르몬의 효소 면역측정법 (Enzyme Immunoassay for Human Chorionic Gonadotropin Using Monoclonal Antibodies)

  • 차상훈;김희주;김원배;양중익
    • 약학회지
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    • 제31권2호
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    • pp.64-69
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    • 1987
  • Monoclonal antibodies against human chorionic gonadotropin (hCG) were prepared and characterized by examining isotype, epitope binding, cross reactivity and affinity constants. And a sandwich type enzyme immunoassay for native hCG was developed with solid phase monoclonal antibody against the conformational determinant expressed only on native hCG and horseradish peroxidase conjugated monoclonal antibody against the $\beta$-subunit of hCG. The assay was sensitive to 1 mIU hCG/ml and shown a linear response up to 200 mIU hCG/ml. The cross reactivity for luteinizing hormone and $\beta$-subunit of hCG were 1% and 0.18%, respectively.

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생쥐 자궁벽에 있어서 $\beta$-hCG에 대한 단일클론항체를 이용한 면역세포화학적 연구 (Immunocytochemical Study on the Mouse Uterine Wall using Monoclonal anti $\beta$-hCG)

  • 오선희;최임순
    • 한국동물학회지
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    • 제35권4호
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    • pp.448-455
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    • 1992
  • 생쥐에 hCG를 투여한 후 자궁벽에서 hCG와 결합하는 세포의 종류를 판별하고, 그 세포가 hCG에 의해 어떠한 영향을 받는지를 알아보기 위하of 면역세포화학적 염색을 수행하였다. p-hCG에 대한 단일크론항체에 양성반응을 나타내는 세포는 주로 자궁벽의 자궁근막 삼각과 자궁내막 기저층에 분포하였으며, 세포질에서 양성반응을 일으킨 것으미 관찰되었다. hOG를 투여하고 3, 6, 24시간 후에 각각 자궁벽라 자궁근막에서 양성반응세포를 관찰한 결과, 양성반응세포의 이동현상을 관찰할 수 있었다. 즉, 자궁근막에서 보면, 3시간 후에는 자궁근막의 혈관내부와 주변에서 다수가 관찰되었으며, 6시간 후에는 소수가 관찰되었고, 24시간 후에는 관찰되지 않았다. 또한 동일 시간에 적출된 자궁벽에서는 6시간에서 가장 많은 수의 양성세포가 관찰되었다. 따라서 자궁벽과 자궁근막에서 관찰되는 양성반응세포의 수 사이에는 반비례적 상관관계를 나타냈다. 한편, 난소를 적출한 생쥐의 자궁에서는 양성반응세포의 수가 현저히 감소된 것으로 나타났으며, hematoxvlin-eosln 염색 결과 양성반응세포로 추정되는 세포의 세포질에서 호산성과림이 관찰되었다. 이와 같은 결과로 볼 때, 양성세포는 GMG(granulated metrial gland) 세포로 판단되었으며, 이 세포의 이동은 스테로이드호르몬에 의해 영향을 받는 것으로 사료되었다.

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Biological Function of Single Chain Glycoprotein Hormone Mutants

  • Min, Kwan-Sik;Chang, Yoo-Min;Chang, Sun-Hwa;Lee, Hyen-Gi;Lee, Yun-Gun;Chang, Won-Kyong;Cheong, Il-Cheong
    • 한국동물번식학회:학술대회논문집
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    • 한국동물번식학회 2001년도 춘계학술발표대회
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    • pp.54-54
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    • 2001
  • Human chorionic gonadotropin (hCG) is a member of the glycoprotein hormone family which includes FSH, hCG, TSH. These hormone family is characterized by a heterodimeric structure composed a common $\alpha$-subunit noncovalently linked to a hormone specific $\beta$-subunit. The correct conformation of the heterodimer is also important for efficient secretion, hormone-specific post-translational modifications, receptor binding and signal transduciton. To determine $\alpha$ and $\beta$-subunits can be synthesized as a single polypeptide chain (tethered-hCG) and also display biological activity, the tethered-hCG molecule by fusing the carboxyl terminus of the hCG $\beta$-subunit to the amino terminus of the $\alpha$-subunit was constructed and transfected into chinese hamster ovary (CHO-K1) cells. We also constructed C-terminal deletion mutants (D9l, D89, D88, D87, D86, D84, D83) of single chain hCG to determine the biological function (secretion, LH-activity, receptor binding, cAMP production) of these mutants. Between six and eight stably transfected pools of cells expressing wild type and mutant hCGs were selected for neomycin resistant. The hCGs secreted by the stably transfected cells into serum-free media were collected and quantified by radioimmunoassay, as described in protocol (DPC(hCG IRMA). LH activity was in terms of testosterone production and aromatase activity in primary cultured rat Leydig cells. The tethered-wthCG was efficiently secreted and showed similar LH-like activity to the dimeric hCG. The D83hCG mutant was not detected in this assay. It is suggest that hCG C-terminal part is very important for hCG secretion. Now, we checking the LH-like activity of these mutant hCGs. These data indicate that the constructs of tethered molecule will be useful in the study of mutants that affect subunit association and/or secretion.

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돼지 수정란의 체외수정 및 발생에 미치는 호르몬 및 Glucose 첨가의 영향에 관한 연구 (Effects of Hormones and Glucose Levels during the In Vitro Culture in Medium on In Vitro Fertilization and Developmental Rates of Porcine Oocytes)

  • 김상근;이명헌
    • 한국수정란이식학회지
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    • 제9권3호
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    • pp.235-241
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    • 1994
  • The study was conducted to determine the optimal hormone and glucose levels during the in vitro culture of bovine oocytes matured and fertilized in vitro for blastocyst development. Oocytes matured in TCM 199 + 10% FCS + hormones and glucose were fertilized in vitro in a TALP medium with swim up separated and heparin-treated epididymal cauda spermatozoa. Oocytes were cultured for 2~5 days in synthetic oviduct fluid medium (SOFM) supplemented with 10% FGS and with different hormone and glucose levels, and further cultured 5 days same medium in SOFM. The results are summarized as follows : The in vitro maturation and penetration rates of porcine oocytes cultured in TCM 199 media containing PMSG, hCG, PMSG + hCG, hCG + $\beta$ estradiol, PMSG + $\beta$ estradiol 0 to20 hours after insemination were 88.0% and 81.8%, 82.6% and 68.4%, 80.0% and 75.0%, 80.0% and 65.0%, 77.3% and 64.7%, respectively. The in vitro maturation and penetration rates of porcine oocytes cultured in TCM 199 media containing PMSG, hCG, PMSG + hCG, hCG + $\beta$ estradiol, PMSG + $\beta$ estradiol 20 to 40 hours after insemination were 92.0% and 87.0%, 92.0% and 82.6%, 91.3% and 81.0%, 85.2% and 73.9%, 87.5% and 81.0%, respectively. The cleavage and in vitro developmental rates to blastocyst of porcine oocytes cultured in TCM 199 media containing 0.05 mM, 0.10 mM, 0.30 mM, 0.50 mM, 1.00 mM, and 3.00 mM glucose lelvels 0~3 days after insemination were 31.5~48.1% and 10.0~16.7%, respectively. The cleavage and in vitro developmental rates to blastocyst of porcine oocytes cultured in TCM 199 media containing 0.05 mM, 0.10 mM, 0.30 mM, 0.50 mM, 1.00 mM, and 3.00 mM glucose levels 4~8 days after insemination were 30.0~53.8% and 8.7~19.2%, respectively. The cleavage and in vitro developmental rates to blastocyst were higher in TCM 199 media containing various glucose levels 0~3 days after insemination than 4~8 days.

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