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孕激素抵抗机制的研究进展

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孕激素抵抗是指孕激素受体表达水平下降、亚型比例失调、功能异常和(或)孕激素相关基因突变、信号通路功能异常时靶组织对孕激素反应降低或丧失.子宫内膜异位症、子宫腺肌病、多囊卵巢综合征、子宫内膜增生/癌变、复发性流产等妇科疾病均被证实存在孕激素抵抗现象.孕激素抵抗促进了疾病的发生发展,影响孕激素制剂临床治疗效果.本文对常见妇科疾病中孕激素抵抗现状及发生发展的相关机制进行综述,以期为孕激素抵抗患者改善预后提供参考.
Research progress on the mechanism of progesterone resistance
Progesterone resistance refers to the decrease or loss of the target tissue's response to progesterone when the expression level of progesterone receptors decreases,the proportion of subtypes is imbalanced,the function is abnormal,and/or there are mutations in progesterone related genes or signaling pathways.Endometriosis,adenomyosis,polycystic ovary syndrome,endometrial hyperplasia/cancer,recurrent miscarriage and other gynecological diseases have all been confirmed to have progesterone resistance.Progesterone resistance promotes the occurrence and development of diseases,and affects the clinical treatment effect of progesterone preparations.This article reviews the current status and related mechanisms of progesterone resistance in common gynecological diseases,in order to provide reference for improving the prognosis of patients with progesterone resistance.

ProgesteroneProgesterone resistanceEndometriosisAdenomyosis of the uterusPolycystic ovary syndromeEndometrium

杨雨璇、孙艳丽、陶虹江、陈捷

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南京医科大学附属妇产医院/南京市妇幼保健院妇科,江苏南京 210004

孕激素 孕激素抵抗 子宫内膜异位症 子宫腺肌病 多囊卵巢综合征 子宫内膜

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(8)
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