• Clinical and Experimental Reproductive Medicine
• /
• 제36권3호
• /
• pp.219-224
• /
• 2009

목 적: 저성선자극호르몬 성선저하증은 남성불임의 흔치 않은 원인이다. 저자들은 성선자극호르몬 특히 인간융 모성선자극호르몬 (Human chorioinc gonadotropin: hCG)/인간폐경성선자극호르몬 (Human menopausal gonadotropin: hMG) 치료가 정자형성 및 임신에 미치는 영향에 대해 알아보았다. 연구방법: 2001년 11월부터 2007년 3월까지 불임을 주소로 내원하여 저성선자극호르몬 성선저하증으로 진단되어 성선자극호르몬 (hCG/hMG) 치료를 받은 10명의 진료 기록을 후향적으로 분석하였다. 치료 후 임신 여부를 알아보았으며, 치료 전 고환의 용적에 따라 10 cc 미만인 군 (n=4)과 10 cc 이상인 군 (n=6)으로 나누어 치료 전후의 정액지표와 혈중 FSH, LH 및 testosterone 등의 호르몬 검사를 시행하여 비교하였다. 결 과: 10명의 환자 중 7명 (70%)에서 임신에 성공하였으며 치료 후 혈중 FSH, testosterone 수치가 의미있게 증가하였다. 고환 용적이 큰 군에서 치료 후 정액량, 정자수, 운동성 및 testosterone이 유의하게 증가하였다. 결 론: 불임을 주소로 온 환자에게 흔치는 않지만 면밀한 검사를 통해 저성선자극호르몬 성선저하증을 진단할 수 있어야 하며, hCG/hMG 병합요법은 자연임신 뿐만 아니라 최근의 보조생식술과 연계하여 충분히 성공적인 치료에 도달할 수 있다.

• 대한한방부인과학회지
• /
• 제34권3호
• /
• pp.175-191
• /
• 2021

Objectives: This study aims to analyze the medical record of eight cases of polycystic ovary syndrome (PCOS) in a local Korean medicine clinic, in order to provide evidence on Korean medicine treatment of PCOS and to suggest the direction of future studies. Methods: The medical records of eight cases diagnosed with PCOS based on 2003 Rotterdam Criteria and whose total testosterone level was 0.53 ng/ml and over were retrospectively analyzed. The primary outcome was total testosterone level, and the secondary outcomes included luteinizing hormone (LH) and follicle stimulating hormone (FSH) levels, LH/FSH ratio, weight, last mentrual period (LMP), numerical rating scale (NRS) score of dysmenorrhea, and other associated symptoms pre- and post-treatment. Korean medicine treatment consists of the complex herbal prescription consisting of Yukmijihwang-tang, Baekho-tang, Daesiho-tang, and Gyejibokryeong-hwan, modified according to symptoms; acupuncture and electroacupuncture on 中脘 (CV12), 下脘 (CV10), 關元 (CV4), 石門 (CV5), 合谷 (LI4), 太衝 (LR3), 三陰交 (SP6), and 懸鍾 (GB39); and indirect moxibustion on 神闕 (CV8). Results: The average total testosterone level lowered statistically significantly after the treatment. The average FSH and LH levels lowered with insignificance, while the average LH/FSH ratio and weight lowered statistically significantly. During the treatment period of three to six months, every patient had the menstrual cycle shortened except for one case; and two cases with infertility problem succeeded in being pregnant. There was no adverse event. Conclusions: The Korean medicine treatment was found effective in treating PCOS, especially regarding hyperandrogenism, amenorrhea or oligomenorrhea, and infertility.

• 대한수의학회지
• /
• 제37권1호
• /
• pp.71-78
• /
• 1997

This study was designed to investigate the number of the growing and mature follicles following gonadotrophin treatments for superovulation in mature rats. Eighteen mature rats (Sprague-Duwely, initially 190~230gm) were randomly alloted into 3 groups. One group was control group, another FSH-treated group was injected intramuscularly with 0.5 units of follicular stimulating hormone (FSH) / rat, and third PMS and HCG-treated group was intramuscularly injected with 20~25IU of pregnant mare serum (PMS) / rat and then at the 48 hrs later, with 20~25IU of human chorionic gonadotrophin (HCG) / rat. The uteri and ovaries of rats were collected and then were observed grossly and serial sections of paraffin embedding ovaries were stained with H-E. Number of ovarian follicles by following 3 grades of large, middle and small follicles from secondary and tertiary follicles were investigated by LM photography of preparations. Small follicles were classified as secondary follicles of preantral follicles with more than 2 layers of granulosa cells surrounding the oocyte and middle follicles were classified as secondary follicles with early signs of antral cavity or with more than one small cavity on either side of the oocytes and large follicles were classified as tertiary follicles with a single medium sized antral cavity or large well-formed antral cavity. In gross findings, the uteri were slightly swelling in FSH-treated group and markedly swelling or filled with fluid in the uterine lumen in PMS and HCG-treated group. In histological findings, the shape and size of the follicles were diverse in middle and large follicles of FSH-treated group and PMS and HCG-treated group, and proportion of atretic follicles was increased in FSH-treated group and PMS and HCG-treated group than those in control group. The uteri of FSH-treated group and PMS and HCG-treated group were hypertropied or filled with fluid in the lumens and walls of uteri. The wall tissue layers were flattened and their blood and lymph vessels were dilated. The mean number of follicle per ovary in control group were appeared to be $17.1{\pm}5.6$($14.0%{\pm}4.6%$), $37.8{\pm}9.1$($30.9{\pm}7.4%$) and $67.6{\pm}30.1$($55.2{\pm}24.6%$) respectively at large, middle and small follicles and total number of these 3 grade follicles were appeared to be $122.5{\pm}40.0$. The mean number of follicle per ovary in FSH-treated group were appeared to be $22.8{\pm}7.0$($17.4%{\pm}5.3%$), $43.4{\pm}6.6$($33.2{\pm}5.1%$) and $64.5{\pm}13.0$($49.3{\pm}9.9%$) respectively at large, middle and small follicles and total number of these 3 grade follicles were appeared to be $130.7{\pm}16.6$. The mean number of follicle per ovary in PMS and HCG-treated group were appeared to be $29.7{\pm}11.0$($16.3%{\pm}6.0%$), $61.9{\pm}17.2$($33.9{\pm}9.4%$) and $91.1{\pm}28.2$($49.9{\pm}15.4%$) respectively at large, middle and small follicles and total number of these 3 grade follicles were appeared to be $182.6{\pm}32.7$. The above findings reveal that large follicles were increased 29.8% in FSH-treated group and 73.7% in PMS and HCG-treated group than those in control group and in histologic findings, proportion of atretic follicles were more increased in ovaries with more number of more developing follicles.

• Clinical and Experimental Pediatrics
• /
• 제52권12호
• /
• pp.1377-1382
• /
• 2009

목 적:저자들은 성조숙증으로 내원한 여아들에서 GnRH 검사의 결과를 분석하여 이 검사의 결과를 더 단순하고 명확하게 이용하기 위한 자료를 얻고, 중심성 성조숙증과 다른 원인을 감별하는 데 유용한 인자들에 대해 알아보고자 하였다. 방 법:성조숙증의 진단과 감별을 위하여 GnRH 검사를 시행 받은 여아 54명(역연령 $7.8{\pm}1.0$세, 골 연령 $10.0{\pm}1.1$세)의 임상 자료와 GnRH 검사 결과를 분석하였다. GnRH 검사는 100 mg 정맥주사 후 0, 30, 60, 90분에 채혈하였으며, LH 최고치 ${\geq}5.0IU/L$일 때 중심성 성조숙증으로 판정하였다. 결 과:중심성 성조숙증 여아 40명에서 GnRH 자극 후 30분, 60분, 90분에 LH가 최고치에 도달한 여아는 각각 36명(90.0%), 3명(7.5%), 1명(2.5%)이었다. 그리고 30분, 60분, 90분까지 LH ${\geq}5.0IU/L$에 도달한 여아의 비율은 각각 92.5%, 100%, 100%이었다. 중심성 성조숙증 여아들의 최고치 LH/FSH 비는 $0.89{\pm}0.49$이었으며, 이 비가 1.0보다 큰 환아는 16명(40.0%)이었다. 최고치 LH/FSH 비가 1보다 큰 여아들은 최고치 LH/FSH 비가 1 이하인 여아들보다 역연령($8.3{\pm}0.6$세 vs. $7.7{\pm}1.0$세, P=0.033), 골 연령($10.9{\pm}0.8$세 vs. $9.7{\pm}1.1$세, P=0.001), 골 연령과 역연령의 차이($2.6{\pm}0.7$년 vs. $2.0{\pm}0.7$년, P=0.009)가 더 높았다. 유방 발달이 Tanner 단계 III 이상이었던 여아의 비율은 최고치 LH/FSH 비가 1보다 큰 군에서 더 높았다(93.7% vs. 41.7%, P=0.001). 결 론:여아의 중심성 성조숙증을 감별할 때에는 GnRH 정맥주사 후 30분과 60분의 LH 측정치가 가장 유용한 판정 자료로 이용될 수 있을 것으로 사료된다.

• 생명과학회지
• /
• 제27권8호
• /
• pp.864-872
• /
• 2017

eCG는 다른 포유동물에서 FSH와 LH의 활성을 나타내기 때문에 성선자극 호르몬 family에서 아주 특이적이고 많은 당쇄가 수식되어진 알파와 베타의 비공유결합으로 구성되어 있다. 유전자 재조합 $eCG{\beta}/{\alpha}$의 생물학적 기능을 규명하기 위하여 말의 LH/CGR의 포유동물발현용 벡터를 구축하였다. 재조합 $eCG{\beta}/{\alpha}$의 활성분석은 말의 LH/CGR가 일시적으로 발현되는 CHO-K1 세포와 지속적으로 발현되는 PathHunter Parental 세포를 이용하여 분석하였다. 유전자 재조합 $eCG{\beta}/{\alpha}$는 CHO-K1 부유세포의 상층으로 효율적으로 분비되었으며, 분비량은 transfection 후 1일에서 7일까지 약 200 mIU/ml이었다. Western blot 분석결과는 재조합 $eCG{\beta}/{\alpha}$의 분자량은 약 40-45 kDa으로 검출되었다. eLH/CGR가 발현되는 CHO-K1 세포에서의 cAMP분비량으로 재조합 $eCG{\beta}/{\alpha}$의 활성을 분석하였다. 그 결과 cAMP농도는 재조합 $eCG{\beta}/{\alpha}$의 농도의존적으로 증가하였다. eLH/CGR가 일시적으로 발현하는 CHO-K1 세포에서 $EC_{50}$ 값은 $8.1{\pm}6.5ng$이었다. 또한 일시적 및 지속적으로 eLH/CGR가 발현하는 PathHunter Parental 세포에서도 재조합 $eCG{\beta}/{\alpha}$의 LH 활성 분석결과 높은 활성을 나타내는 것으로 확인되었으며, 이들의 $EC_{50}$ 값은 각각 $5.0{\pm}4.7ng/ml$, $4.5{\pm}5.2ng/ml$으로 나타났다. 따라서 이러한 결과에 의하면 재조합 $eCG{\beta}/{\alpha}$는 말의 LH/CGR가 발현하는 세포에서 생물학적 활성을 나타난다는 것을 확인하였으며, PathHunter Parental 세포에서 지속적으로 발현되는 세포의 확보는 당쇄제거에 의한 재조합 eCG의 돌연변이등에 관한 기능적인 메커니즘을 밝히는데 유용할 것으로 사료된다.

• Asian-Australasian Journal of Animal Sciences
• /
• 제30권8호
• /
• pp.1086-1092
• /
• 2017

Objective: O-linked N-acetylglucosamine (O-GlcNAc) transferase (OGT) catalyzes the addition of O-GlcNAc and GlcNAcylation has extensive crosstalk with phosphorylation to regulate signaling and transcription. Pig OGT is located near the region of chromosome X that affects follicle stimulating hormone level and testes size. The objective of this study was to find the variations of OGT between European and Chinese pigs. Methods: Pigs were tested initially for polymorphism in OGT among European and Chinese pigs by polymerase chain reaction and sequencing at the U.S. Meat Animal Research Center (USMARC). The polymorphism was also determined in an independent population of pigs including European and Chinese Meishan (ME) breeds at the National Institute of Animal Science (NIAS, RDA, Korea). Results: The intron 20 of OGT from European and Chinese pigs was 514 and 233 bp, respectively, in the pigs tested initially. They included 1 White composite (WC) boar and 7 sows ($2Minzu{\times}WC$, $2Duroc\;[DU]{\times}WC$, $2ME{\times}WC$, $1Fengzing{\times}WC$) at USMARC. The 281-bp difference was due to an inserted 276-bp element and GACTT in European pigs. When additional WC and ME boars, the grandparents that were used to generate the $1/2ME{\times}1/2WC$ parents, and the 84 boars of 16 litters from mating of $1/2ME{\times}1/2WC$ parents were analyzed, the breeds of origin of X chromosome quantitative trait locus (QTL) were confirmed. The polymorphism was determined in an independent population of pigs including DU, Landrace, Yorkshire, and ME breeds at NIAS. OGT was placed at position 67 cM on the chromosome X of the USMARC swine linkage map. Conclusion: There was complete concordance with the insertion in European pigs at USMARC and NIAS. This polymorphism could be a useful marker to identify the breed of origin of X chromosome QTL in pigs produced by crossbreeding Chinese and European pigs.

• Clinical and Experimental Reproductive Medicine
• /
• 제23권1호
• /
• pp.103-108
• /
• 1996

Through the previous studies(I,II), it was observed that human follicular fluid(HFF) was more effective than human fetal cord serum(HFCS) on promoting meiotic resumption of oocytes and improving embryonic development of mouse in vitro. On the basis of these results, we have gradually exchanged HFCS with HFF as protein supplement in human ART. This study was performed to investigate the efficiency of HFF on improving the pregnancy rate in ART. Oocytes were retrieved transvaginally from patients treated with pituitary suppression with GnRH-agonist and ovarian stimulation with human menopausal gonadotro-pin(HMG) and pure follicle stimulating hormone(FSH). Aspirated oocytes were rinsed and cultured in TCM-199 containing HFF, and the concentrations of HFF were adjusted to 10, 20, and 30% according to the use for insemination, embryo growth and embryo transfer, respectively. As possible as, we tried to do embryo transfer into fallopian tube to mimic the coincidence of the cell stage with the place of sojourn in vivo, so we performed various ART programs(IVF & ET; in vitro fertilization, ZIFT; zygote intra fallopian-tube transfer, ZIFT & ET) according to the tubal conditions of patients. On the while, intra cytoplasmic sperm injection(ICSI) was used to assist IVF of the patients who had shown poor standard IVF results by immunological or severe male factor. Of the 255 cycles of ART programs using HFF as protein supplement, 118 cycles were turn out to be succeeded in pregnancy(46.2%, per cycle, p<0.05), while 21 pregnancies were achieved in the 69 cycles using HFCS(30.4%). The 255 cycles using HFF were subdivided into cycles with the type of ART programs, and each pregnancy rate of the ART programs were 44.7% (IVF & ET, 76/170 cycles), 53.4%(ZIFT, 31/58 cycles) and 40.7% (ZIFT & ET, 11/27 cycles), respectively. In the 61 ICSI cycles using HFF, 28 cycles succeed in pregnancy(45.9%), while 7 pregnancies were obtained in the 17 ICSI cycles using HFCS. Also the ongoing pregnancy rate in the group using HFF(78.8%, 93/118 cycles) was higher than that in the group using HFCS(61.9%). Therefore, we found that the use of HFF as protein supplement was more suitable and effective than the use of HFCS to improve the pregnancy rate in ART.

• Asian-Australasian Journal of Animal Sciences
• /
• 제20권7호
• /
• pp.1023-1029
• /
• 2007

Inhibins participate in the regulation of pituitary follicle-stimulating hormone synthesis and secretion, follicular maturation and steroidogenesis in the female. Inhibin ${\beta}_A$ gene (INHBA) was studied as a candidate gene for the prolificacy of sheep. Single nucleotide polymorphisms of the entire coding region and partial 3' untranslated region of INHBA were detected by PCR-SSCP in two high fecundity breeds (Small Tail Han and Hu sheep) and six low fecundity breeds (Dorset, Texel, German Mutton Merino, South African Mutton Merino, Chinese Merino and Corriedale sheep). Only the PCR products amplified by primers 3, 4 and 5 displayed polymorphisms. For primer 3, genotype CC was only detected in Chinese Merino sheep, genotype AA was detected in the other seven sheep breeds. Genotype BB was only detected in Hu sheep. Only Hu sheep displayed polymorphism. Eight or four nucleotide mutations were revealed between BB or CC and AA, respectively, and these mutations did not result in any amino acid change. For primer 4, genotypes EE, EG and GG were detected in Dorset and German Mutton Merino sheep, genotypes EE, EF and FF were detected in Chinese Merino sheep, only genotype EE was detected in the other five sheep breeds. Only Dorset, German Mutton Merino and Chinese Merino sheep displayed polymorphism. Sequencing revealed one nucleotide mutation ($114G{\rightarrow}A$) of exon 2 of INHBA gene between genotype FF and genotype EE, and this mutation did not cause any amino acid change. Another nucleotide change ($143C{\rightarrow}T$) was identified between genotype GG and genotype EE, and this mutation resulted in an amino acid change of $serine{\rightarrow}leucine$. For primer 5, genotypes KK and KL were detected in German Mutton Merino and Corriedale sheep, genotypes KK, LL and KL were detected in the other six sheep breeds. Genotype MM was only detected in Hu sheep. All of these eight sheep breeds displayed polymorphism. Sequencing revealed one nucleotide mutation ($218A{\rightarrow}G$) of exon 2 of the INHBA gene between genotype LL and genotype KK, and nine nucleotide mutations between genotype MM and genotype KK. These mutations did not alter amino acid sequence. The partial sequence (395 bp for exon 1 and 933 bp for exon 2) of the INHBA gene in Small Tail Han sheep (with genotype KK for primer 5) was submitted into GenBank (accession number EF192431). Small Tail Han sheep displayed polymorphisms only in the fragment amplified by primer 5. The Small Tail Han ewes with genotype LL had 0.53 (p<0.05) or 0.63 (p<0.05) more lambs than those with genotype KL or KK, respectively. The Small Tail Han ewes with genotype KL had 0.10 (p>0.05) more lambs than those with genotype KK.

• Clinical and Experimental Reproductive Medicine
• /
• 제39권1호
• /
• pp.22-27
• /
• 2012

Objective: To evaluate the effectiveness of GnRH antagonist multiple dose protocol applied during early and late follicular phase (MDP-EL) in comparison with standard GnRH agonist luteal long protocol (LP) in each non-obese and obese polycystic ovary syndrome (PCOS) women undergoing IVF. Methods: Two hundred eleven infertile women with PCOS were recruited and randomized to undergo either GnRH antagonist MDP-EL (antagonist group) or standard GnRH agonist luteal LP (agonist group). IVF cycle outcomes were compared between the two groups. Results: Total dose and days of recombinant human follicle stimulating hormone (rhFSH) administered were significantly fewer in the antagonist group than in the agonist group. Incidence of severe ovarian hyperstimulation syndrome was significantly lower in the antagonist group. However, IVF and pregnancy outcomes were similar in the two groups. When all subjects were divided into non-obese and obese subgroups, in non-obese PCOS subgroup, IVF and pregnancy outcomes were comparable in the antagonist and agonist groups but total dose and days of rhFSH were also significantly fewer in the antagonist group. Similar findings were also observed in obese PCOS subgroup. Conclusion: GnRH antagonist MDP-EL is at least as effective as GnRH agonist LP and may be a more patient-friendly alternative in controlled ovarian stimulation for PCOS patients undergoing IVF, independent of body mass index.

• 한국임상수의학회지
• /
• 제7권2호
• /
• pp.511-515
• /
• 1990

소에 있어서 효율적인 쌍자생산 방법을 검토하기 위하여 이분수정란의 이식, 저단위 FSH에 의한 다배란 유도후의 인공수정, 인공수정후의 수정란이식, 수정란 2개의 양측 및 단측 자각에의 이식 등의 방범을 적용하여 본 실험을 수행하였다. 각 실험군의 60일 수태율은 각각 34.8%, 65.0%(평균), 66.7%, 62.5%, 57.1%였으며 쌍태임신율은 8.7%, 15.0%(평균), 16.7%, 18.7%, 21.4%였다. 위의 결과에서 볼 때 저단위 FSH 투여법(Group B1)과 수정란 2개의 단측 자궁각 이식방법에 있어 쌍태율이 높게 나타나는 경향이 있었으나 실용적 측면에서는 낮은 수준이었다.