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The physiology and pathophysiology of inhibin, activin and follistatin in female reproduction.

机译:女性生殖中抑制素,激活素和卵泡抑素的生理和病理生理。

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摘要

In the last 2 years, major advances have been made in the understanding of inhibin physiology. Discovery of an inhibin receptor and binding protein has expanded our knowledge of the mechanism whereby inhibin antagonizes activin action. Controlled experimental studies have clarified the regulation and physiology of inhibin A and inhibin B, providing evidence for their use as markers of ovarian function. Clinical studies continue to uphold the use of inhibin as a marker for ovarian cancer, but have not generally supported its use over standard prognostic markers in assisted reproductive technologies. Finally, ongoing work suggests alterations in inhibin and follistatin that may be linked to the pathophysiology of polycystic ovary syndrome. Thus, the mechanism of inhibin action and its role in normal and abnormal ovarian function continues to emerge.
机译:在过去的两年中,在抑制素生理学的理解方面取得了重大进展。抑制素受体和结合蛋白的发现扩展了我们对抑制素拮抗激活素作用的机制的认识。对照实验研究阐明了抑制素A和抑制素B的调控和生理机制,为它们用作卵巢功能标记物提供了证据。临床研究继续坚持将抑制素用作卵巢癌的标志物,但通常不支持其在辅助生殖技术中超过标准预后标志物的用途。最后,正在进行的工作表明抑制素和卵泡抑素的改变可能与多囊卵巢综合征的病理生理有关。因此,抑制作用的机理及其在正常和异常卵巢功能中的作用不断出现。

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