首页|JAK2/STAT3信号转导通路与男性不育IVF-ET/ICSI-ET妊娠结局的关系及预测价值

JAK2/STAT3信号转导通路与男性不育IVF-ET/ICSI-ET妊娠结局的关系及预测价值

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目的 分析Janus激酶2(JAK2)/信号转导和转录激活因子3(STAT3)信号转导通路与男性不育体外受精-胚胎移植/卵胞质内单精子注射-胚胎移植(IVF-ET/ICSI-ET)妊娠结局的关系及预测价值.方法 选取2022年10月至2023年10月成都市锦江区妇幼保健院收治的105例男性不育患者作为研究对象,根据IVF-ET/ICSI-ET临床妊娠结局分为成功组(n=79)和未成功组(n=26).比较两组基线资料、JAK2/STAT3信号转导通路指标,采用Logistic回归模型分析患者IVF-ET/ICSI-ET结局,绘制受试者工作特征(ROC)曲线分析其预测价值.结果 未成功组前向运动精子总数、正常形态精子百分率均低于成功组(P<0.05).未成功组JAK2、STAT3蛋白表达量均低于成功组(P<0.05).前向运动精子总数、正常形态精子百分率、JAK2、STAT3均为男性不育患者IVF-ET/ICSI-ET结局成功的保护因素(P<0.05).ROC曲线显示,联合预测因子预测男性不育患者IVF-ET/ICSI-ET结局成功的曲线下面积大于各协变量(P<0.05).结论 前向运动精子总数、正常形态精子百分率、JAK2和STAT3与男性不育IVF-ET/ICSI-ET临床妊娠结局密切相关,且联合预测效能较高.
The relationship between the Janus kinase 2/signal transducer and activator of transcription 3 signaling pathway and male infertility pregnancy outcomes of in vitro fertilization-embryo transfer/intracytoplasmic sperm injection-embryo transfer and its pred
Objective To analyze the relationship between the Janus kinase 2(JAK2)/signal transducer and activator of transcription 3(STAT3)signaling pathway and male infertility pregnancy outcomes of in vitro fertilization-embryo transfer/intracytoplasmic sperm injection-embryo transfer(IVF-ET/ICSI-ET),and its predictive value.Methods A total of one hundred and five male infertility patients admitted to Jinjiang District Maternal and Child Health Hospital of Chengdu from October 2022 to October 2023 were selected as the study subjects,and were divided into the successful group(n=79)and unsuccessful group(n=26)according to the IVF-ET/ICSI-ET clinical pregnancy outcomes.Baseline data,JAK2/STAT3 signaling pathway indexes were compared between the two groups,and Logistic regression model was used to analyze the IVF-ET/ICSI-ET outcomes of the patients,and the predictive value was analyzed by plotting the receiver operating characteristic(ROC)curve.Results The total number of forward-moving sperm and the percentage of normal-morphology sperm in the unsuccessful group were both lower than those in the successful group(P<0.05).The expression levels of JAK2 and STAT3 proteins in the unsuccessful group were also lower than those in the successful group(P<0.05).The total number of forward-moving sperm,the percentage of normal-morphology sperm,JAK2 and STAT3 were all protective factors for successful IVF-ET/ICSI-ET outcomes in male infertility patients(P<0.05).The ROC curve showed that the area under the curve for predicting successful IVF-ET/ICSI-ET outcomes in male infertility patients using combined predictors was larger than that of each covariate(P<0.05).Conclusions The total number of forward-moving sperm,the percentage of normal-morphology sperm,JAK2 and STAT3 are closely related to the clinical pregnancy outcomes of male infertility IVF-ET/ICSI-ET,and their combined predictive efficiency is high.

Janus kinase 2/signal transducer and activator of transcription 3 signal pathwayInfertilityIn vitro fertilization-embryo transferPregnancy outcome

高靖闲、段礼、温子娜、唐洪波、袁野、陈勇

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成都市锦江区妇幼保健院生殖男科,成都 610000

四川锦欣西囡妇女儿童医院生殖男科,成都 610000

四川锦欣西囡妇女儿童医院男科实验室,成都 610000

JAK2/STAT3信号转导通路 不育 体外受精-胚胎移植 妊娠结局

2024

中国性科学
中国性学会

中国性科学

CSTPCD
影响因子:1.394
ISSN:1672-1993
年,卷(期):2024.33(10)