Antimüllerian hormone and F2-isoprostanes in the Coronary Artery Risk Development in Young Adults (CARDIA) Study.

Antimüllerian hormone and F2-isoprostanes in the Coronary Artery Risk Development in Young Adults (CARDIA) Study.
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DOI:
10.1016/j.fertnstert.2020.04.028
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发表时间:
2020-09
影响因子:
6.7
通讯作者:
Wellons, Melissa F.
Wellons, Melissa F.
中科院分区:
医学2区
文献类型:
--
作者:
Kim, Catherine;Slaughter, James C.;Terry, James G.;Jacobs, David R., Jr.;Parikh, Nisha;Appiah, Duke;Leader, Benjamin;Moravek, Molly B.;Wellons, Melissa F.

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在以人群为基础的黑人和白人女性队列中,研究系统性氧化应激标志物f2 -异前列腺素是否与卵巢储备指标抗<s:1>勒氏激素(AMH)相关。CARDIA妇女研究是一项基于人群的队列研究,黑人(n=398)和白人(n=432)晚期育龄妇女(平均年龄40±3.6岁),无妇科手术史。在调整年龄、种族、吸烟、体重指数和口服避孕药使用等因素后,线性回归模型评估血浆f2 -异前列腺素是否与对数转化的AMH相关。f2 -异前列腺素水平升高与AMH水平降低相关(β - 0.048 / SD, 95%可信区间为- 0.087,- 0.01)。观察到的相关性在年轻时更强(年龄水平与f2 -异前列腺素之间的相互作用p=0.04)。氧化应激途径中其他步骤的指标(超氧化物歧化酶、对氧磷酶活性、氧化低密度脂蛋白胆固醇和类胡萝卜素)与AMH无关,除了较低的磷脂酶A2活性(β 0.036 / SD, 95% CI 0.001, 0.071)与所有年龄段的较低AMH相关。在一项基于人群的队列研究中,f2 -异前列腺素水平升高与卵巢储备能力降低相关,尤其是在年轻人群中。在基于人群的样本中,较高的f2 -异前列腺素(系统性氧化应激的指标)与较低的AMH相关,特别是在年轻女性中。
To examine whether F2-isoprostanes, a marker of systematic oxidative stress, are associated with anti-Müllerian hormone (AMH), an indicator of ovarian reserve, in a population-based cohort of black and white women. Cross-sectional analysis The CARDIA Women’s Study, a population-based cohort Black (n=398) and white (n=432) late reproductive-age women (mean age 40 ± 3.6 years) without histories of gynecologic surgery. Log-transformed serum AMH concentrations Linear regression models evaluated whether plasma F2-isoprostanes were associated with log-transformed AMH after adjustment for age, race, smoking, body mass index, and oral contraceptive use. Higher levels of F2-isoprostanes were associated with lower AMH levels (β−0.048 per SD, 95% confidence interval −0.087, −0.01). The observed associations were stronger at younger ages (p=0.04 for interaction between levels of age and F2-isoprostanes). Indicators of other steps in the oxidative stress pathway (super-oxide dismutase, paraoxonase activity, oxidized low-density lipoprotein cholesterol, and carotenoids) were not associated with AMH, except lower phospholipase A2 activity (β 0.036 per SD, 95% CI 0.001, 0.071) was associated with lower AMH across all ages. In a population-based cohort, higher levels of F2-isoprostanes were associated with lower ovarian reserve, particularly at younger ages. In a population-based sample, higher F2-isoprostanes, an indicator of systemic oxidative stress, is associated with lower AMH, particularly in younger women.
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