Induction of endometrial HOXA 10 gene expression by vitamin D and its possible influence on reproductive outcome of PCOS patients undergoing ovulation induction procedure

Autor: A S Shilpasree, Vinuta B Kulkarni, Praveenkumar Shetty, Anil Bargale, Mallikarjun Goni, Ajaykumar Oli, E Sarathkumar, Vidya S Patil, Rathnamala M Desai
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Indian Journal of Endocrinology and Metabolism, Vol 26, Iss 3, Pp 252-258 (2022)
Druh dokumentu: article
ISSN: 2230-8210
DOI: 10.4103/ijem.ijem_90_22
Popis: Background and Objectives: Polycystic ovarian syndrome (PCOS) is one of the most common endocrinopathies in women frequently presenting with anovulatory infertility. Low successful pregnancy and live birth rates even after successful ovulation induction (OI) and in vitro fertilization (IVF) in these patients indicate that endometrial dysfunction may be another important factor contributing to infertility. Vitamin D acting through nuclear receptors induces the expression of various genes required for cell growth and differentiation and plays a crucial role in reproduction. Homeobox 10 (HOXA10) may be one of the potential targets for vitamin D action. HOXA10 gene product promotes the differentiation of endometrial cells, making the endometrium receptive for implantation. The present study was undertaken to determine the effect of circulating vitamin D levels on HOXA10 gene expression in endometrial tissues and its possible influence on the reproductive outcome of PCOS patients undergoing OI procedure. Materials and Methods: A prospective cohort study was conducted on 110 infertile PCOS patients. The patients were divided into two groups: Group 1: Vitamin D ≥20 ng/ml, Group 2: Vitamin D
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