تقييم مستويات ثنائي ببتيدايل ببتايديز-4 ، عامل التنخر الورمي ونمط الدهون كمؤشرات مبكرة للعقم بين النساء العراقيات
DOI:
https://doi.org/10.21123/bsj.2024.11669الكلمات المفتاحية:
ثنائي الببتيديل ببتيديز-4، هرمون محفز الجريب، العقم ، الهرمون اللوتيني، السمنة. تستوستيرون، عامل التنخر الورمي الفاالملخص
العقم هو أحد المشاكل التي تواجه النساء والرجال. تعد السمنة واضطرابات مستوى الدهون، وكذلك مقاومة الأنسولين، من عوامل الخطر التي تسبب العقم، بالإضافة إلى العوامل الأخرى ذات الصلة. تهدف هذه الدراسة إلى معرفة تأثير السمنة واختلال توازن الدهون مع دراسة علاقة كل من ثنائي الببتيديل ببتيديز-4 وعامل نخر الورم-الفا لدى النساء المصابات بالعقم مقارنة بالنساء غير المصابات به، لتحديد مدى إمكانية اعتمادها كعوامل تشخيصية ودالة على المرض. شملت الدراسة 50 مشاركاً، الفئة العمرية (15-34) سنة، الذين راجعوا مستشفى كمال السامرائي في بغداد، العراق. تم تقسيم المشاركين إلى مجموعتين؛ مجموعة المرضى (30 امرأة تعاني من العقم) ومجموعة السيطرة (20 امرأة سليمة). تم تقييم مستويات FBS، وانماط الدهون، وDPP4، وTNF-α، وFSH، وLH، والأنسولين والتستوستيرون. وتم تحديد مستويات FBS والدهون على أساس الطرق الطيفية. و تقدير مستويات DPP4 وTNF-α وFSH وLH والأنسولين والتستوستيرون بواسطة كتات ELISA الخاصة بهم. تم حساب مؤشر كتلة الجسم، HOMO-IR، ومؤشر تصلب الشرايين. أظهرت النتائج ارتفاع مستويات FBS، الدهون (باستثناء HDL)، DPP-4، TNF-α، LH، التستوستيرون وانخفاض مستوى هرمون FSH لدى المرضى مقارنة بالنساء الأصحاء. تؤكد زيادة قيم مستويات الدهون ومؤشر تصلب الشرايين ومقاومة الأنسولين ارتباط العقم بالسمنة واضطرابات الدهون والسكري وتصلب الشرايين. علاوة على ذلك، فإن DPP-4 وTNF-α مفيدان كعوامل تشخيصية جيدة للعقم عند النساء.
Received 29/05/2024
Revised 12/10/2024
Accepted 14/10/2024
Published Online First 20/12/2024
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