Document Detail


Prolonged gonadotropin-releasing hormone agonist therapy reduced expression of nitric oxide synthase in the endometrium of women with endometriosis and infertility.
MedLine Citation:
PMID:  16580392     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine whether endometrial expression of endothelial nitric oxide synthase (eNOS) or inducible NOS (iNOS) protein in women with endometriosis-associated infertility is different from that in the fertile controls, whether GnRH agonist (GnRH-a) regulates the endometrial expression of NOS in women with endometriosis-associated infertility, and whether there is a correlation between serum E2 or P levels, and the endometrial expression of eNOS or iNOS. DESIGN: Prospective controlled study. SETTING: University hospital for reproductive medicine and gynecologic endocrinology. PATIENT(S): Thirty patients with endometriosis-associated infertility and 19 patients with carcinoma in situ of the cervix. INTERVENTION(S): Endometrial biopsy specimens and blood samples. MAIN OUTCOME MEASURE(S): Endometrial eNOS and iNOS protein relative levels and serum concentrations of E2 or P. RESULT(S): By Western blot analysis, iNOS was not detected, and a unique menstrual cycle-dependent expression of eNOS was observed. Eutopic endometrium in women with endometriosis-associated infertility before GnRH-a treatment showed higher levels of eNOS than that of the control group. After 3 months of GnRH-a therapy, eNOS levels in the endometrium were reduced. In addition, a significant positive correlation was found between serum E2 or P concentrations, and the endometrial expression of eNOS. CONCLUSION(S): The GnRH-a treatment attenuated the endometrial expression of eNOS in women with endometriosis-associated infertility. Endogenous ovarian steroids influence endometrial eNOS expression.
Authors:
JianHua Wang; FuZhen Zhou; MinYue Dong; RuiJin Wu; YuLi Qian
Publication Detail:
Type:  Comparative Study; Controlled Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Fertility and sterility     Volume:  85     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2006 Apr 
Date Detail:
Created Date:  2006-04-03     Completed Date:  2006-05-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1037-44     Citation Subset:  IM    
Affiliation:
Department of Reproductive Endocrinology, Women's Hospital, The School of Medicine, Zhejiang University, Hangzhou, Zhejiang, People's Republic of China.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Endometriosis / drug therapy,  enzymology*
Endometrium / drug effects,  enzymology*
Female
Gene Expression Regulation, Enzymologic / drug effects,  physiology
Gonadotropin-Releasing Hormone / administration & dosage*,  agonists*
Humans
Infertility, Female / drug therapy,  enzymology*
Menstrual Cycle / drug effects,  metabolism
Nitric Oxide Synthase Type II / antagonists & inhibitors*,  biosynthesis,  genetics
Nitric Oxide Synthase Type III / antagonists & inhibitors*,  biosynthesis,  genetics
Prospective Studies
Chemical
Reg. No./Substance:
33515-09-2/Gonadotropin-Releasing Hormone; EC 1.14.13.39/Nitric Oxide Synthase Type II; EC 1.14.13.39/Nitric Oxide Synthase Type III

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Influence of parity on first trimester endovascular trophoblast invasion.
Next Document:  Letrozole vs. clomiphene citrate in patients with ovulatory infertility.