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梗阻性无精子症患者ICSI助孕失败后精道显微重建术可行性与安全性分析——附20例报道 被引量:2
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作者 董建军 赵晶鹏 +6 位作者 杨超 姚晨成 田汝辉 智二磊 张建雄 李铮 李朋 《中华生殖与避孕杂志》 CAS CSCD 北大核心 2022年第10期1003-1007,共5页
目的旨在探讨梗阻性无精子症(obstructive azoospermia,OA)患者卵胞质内单精子注射(intracytoplasmic sperm injection,ICSI)助孕失败后精道显微重建可行性和安全性。方法回顾性分析2015年9月至2020年5月期间于上海交通大学医学院附属... 目的旨在探讨梗阻性无精子症(obstructive azoospermia,OA)患者卵胞质内单精子注射(intracytoplasmic sperm injection,ICSI)助孕失败后精道显微重建可行性和安全性。方法回顾性分析2015年9月至2020年5月期间于上海交通大学医学院附属第一人民医院泌尿外科临床医学中心男科收治的20例既往ICSI助孕失败的OA患者资料,总结精道显微重建术特点,并计算其术后复通率与临床妊娠率。结果显微镜下精道重建术中,8例患者存在输精管梗阻,12例患者存在附睾梗阻。输精管梗阻患者中,1例为外伤性OA,行腹腔镜辅助的右侧输精管吻合术(vasovasostomy,VV);7例为幼年斜疝术后OA,其中6例进一步行腹腔镜辅助的VV,1例行输精管附睾交叉吻合术;8例患者中6例术后复通,2例术后女方自然妊娠。附睾梗阻患者均行显微镜下输精管附睾吻合术(vasoepididymostomy,VE),12例患者中6例术后复通,3例术后女方自然妊娠。所有患者术中、术后均未出现明显并发症。结论输精管道显微重建手术是OA患者ICSI助孕失败后的一种有效的补救措施,可帮助患者实现自然妊娠。 展开更多
关键词 不育 男性 精子注射 细胞质内 梗阻性无精子症 显微精道重建术
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NODAL secreted by male germ cells regulates the proliferation and function of human Sertoli cells from obstructive azoospermia and nonobstructive azoospermia patients 被引量:2
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作者 Ru-Hui Tian Shi Yang +10 位作者 Zi-Jue Zhu Jun-Long Wang Yun Liu chencheng yao Meng Ma Ying Guo Qingqing Yuan Yanan Hai Yi-Ran Huang Zuping He Zheng Li 《Asian Journal of Andrology》 SCIE CAS CSCD 2015年第6期996-1005,I0010-I0011,共12页
This study was designed to explore the regulatory effects of male germ cell secreting factor NODAL on Sertoli cell fate decisions from obstructive azoospermia (OA) and nonobstructive azoospermia (NOA) patients. Hu... This study was designed to explore the regulatory effects of male germ cell secreting factor NODAL on Sertoli cell fate decisions from obstructive azoospermia (OA) and nonobstructive azoospermia (NOA) patients. Human Sertoli cells and male germ cells were isolated using two-step enzymatic digestion and SATPUT from testes of azoospermia patients. Expression of NODAL and its multiple receptors in human Sertoli cells and male germ cells were characterized by reverse transcription-polymerase chain reaction (RT-PCRI and immunochemistry. Human recombinant NODAL and its receptor inhibitor SB431542 were employed to probe their effect on the proliferation of Sertoli cells using the CCK-8 assay. Quantitative PCR and Western blots were utilized to assess the expression of Sertoli cell functional genes and proteins. NODAL was found to be expressed in male germ cells but not in Sertoli cells, whereas its receptors ALK4, ALK7, and ACTR-IIB were detected in Sertoli cells and germ cells, suggesting that NODAL plays a regulatory role in Sertoli cells and germ cells via a paracrine and autocrine pathway, respectively. Human recombinant NODAL could promote the proliferation of human Sertoli cells. The expression of cell cycle regulators, including CYCLIN A, CYCLIN D1 and CYCLIN E, was not remarkably affected by NODAL signaling. NODAL enhanced the expression of essential growth factors, including GDNF, SCF, and BMP4, whereas SB431542 decreased their levels. There was not homogeneity of genes changes by NODAL treatment in Sertoli cells from OA and Sertoli cell-only syndrome (SCO) patients. Collectively, this study demonstrates that NODAL produced by human male germ cells regulates proliferation and numerous gene expression of Sertoli cells. 展开更多
关键词 AZOOSPERMIA FUNCTION human Sertoli cells NODAL PROLIFERATION
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Mutations of MSH5 in nonobstructive azoospermia(NOA)and rescued via in vivo gene editing 被引量:1
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作者 Min Chen chencheng yao +9 位作者 Yingying Qin Xiuhong Cui Peng Li Zhiyong Ji Limei Lin Haowei Wu Zhi Zhou yaoting Gui Zheng Li Fei Gao 《Signal Transduction and Targeted Therapy》 SCIE CSCD 2022年第2期349-351,共3页
Dear Editor,Male infertility is a multifactorial heterogeneous pathological condition affecting∼7%of men.Nonobstructive azoospermia(NOA)is one of the most severe male reproductive diseases and occurs in∼1%of men of ... Dear Editor,Male infertility is a multifactorial heterogeneous pathological condition affecting∼7%of men.Nonobstructive azoospermia(NOA)is one of the most severe male reproductive diseases and occurs in∼1%of men of reproductive age.1 However,its etiology remains elusive. 展开更多
关键词 OBSTRUCTIVE DISEASES VIVO
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