Increased ApoE Expression in Follicular Fluid and the ApoE Genotype Are Associated With Endometriosis in Chinese Women

More than 10% of women suffer from endometriosis (EMT) during their reproductive years. EMT can cause pain and infertility and requires further study from multiple perspectives. Previous reports have indicated that an increase inapolipoprotein E (ApoE) may be associated with a lower number of retrie...

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Autores principales: Ya-Jing Liu, Fen Xing, Kai Zong, Meng-Yao Wang, Dong-Mei Ji, Yu-Hang Zhao, Yun-He Xia, An Wang, Ling-Ge Shi, Si-Min Ding, Zhao-Lian Wei, Jin-Ping Qiao, Xin Du, Yun-Xia Cao
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:afdf94f6d5ee496ba6a4b7d8197006ac2021-11-17T11:08:09ZIncreased ApoE Expression in Follicular Fluid and the ApoE Genotype Are Associated With Endometriosis in Chinese Women1664-239210.3389/fendo.2021.779183https://doaj.org/article/afdf94f6d5ee496ba6a4b7d8197006ac2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fendo.2021.779183/fullhttps://doaj.org/toc/1664-2392More than 10% of women suffer from endometriosis (EMT) during their reproductive years. EMT can cause pain and infertility and requires further study from multiple perspectives. Previous reports have indicated that an increase inapolipoprotein E (ApoE) may be associated with a lower number of retrieved mature oocytes in older women, and an association between ApoE and spontaneous pregnancy loss may exist in patients with EMT. The purpose of this study was to investigate the existence of an increase in ApoE in follicular fluid (FF) and the possible relationship between ApoE and EMT in Chinese women. In the current study, 217 Chinese women (111 control subjects and 106 EMT patients) were included. The ApoE genotypes were identified by Sanger sequencing. We found that ApoE expression in FF was higher in patients with EMT than in the control group. In addition, a significant difference in ApoE4 carriers (ϵ3/ϵ4, ϵ4/ϵ4) was found between the control subjects and the patients with EMT. Furthermore, a nonparametric test revealed significant differences in the numbers of blastocysts and high-quality blastocysts, but not the hormone levels of FSH, LH, and E2, between the two groups. We also established a multifactor (BMI, high-quality blastocysts, and ϵ4) prediction model with good sensitivity for identifying patients who may suffer from EMT. Our results demonstrate that ApoE expression in FF is increased in EMT, the ApoE-ϵ4 allele is significantly linked to EMT, and a combined analysis of three factors (BMI, high-quality blastocysts, and ϵ4) could be used as a predictor of EMT.Ya-Jing LiuYa-Jing LiuYa-Jing LiuYa-Jing LiuYa-Jing LiuFen XingFen XingFen XingFen XingFen XingKai ZongMeng-Yao WangMeng-Yao WangMeng-Yao WangMeng-Yao WangMeng-Yao WangDong-Mei JiDong-Mei JiDong-Mei JiDong-Mei JiDong-Mei JiYu-Hang ZhaoYun-He XiaAn WangLing-Ge ShiLing-Ge ShiLing-Ge ShiLing-Ge ShiLing-Ge ShiSi-Min DingSi-Min DingSi-Min DingSi-Min DingSi-Min DingZhao-Lian WeiZhao-Lian WeiZhao-Lian WeiZhao-Lian WeiZhao-Lian WeiJin-Ping QiaoXin DuYun-Xia CaoYun-Xia CaoYun-Xia CaoYun-Xia CaoYun-Xia CaoFrontiers Media S.A.articleapolipoprotein Eendometriosisfollicular fluidgenotypemultifactor prediction modelDiseases of the endocrine glands. Clinical endocrinologyRC648-665ENFrontiers in Endocrinology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic apolipoprotein E
endometriosis
follicular fluid
genotype
multifactor prediction model
Diseases of the endocrine glands. Clinical endocrinology
RC648-665
spellingShingle apolipoprotein E
endometriosis
follicular fluid
genotype
multifactor prediction model
Diseases of the endocrine glands. Clinical endocrinology
RC648-665
Ya-Jing Liu
Ya-Jing Liu
Ya-Jing Liu
Ya-Jing Liu
Ya-Jing Liu
Fen Xing
Fen Xing
Fen Xing
Fen Xing
Fen Xing
Kai Zong
Meng-Yao Wang
Meng-Yao Wang
Meng-Yao Wang
Meng-Yao Wang
Meng-Yao Wang
Dong-Mei Ji
Dong-Mei Ji
Dong-Mei Ji
Dong-Mei Ji
Dong-Mei Ji
Yu-Hang Zhao
Yun-He Xia
An Wang
Ling-Ge Shi
Ling-Ge Shi
Ling-Ge Shi
Ling-Ge Shi
Ling-Ge Shi
Si-Min Ding
Si-Min Ding
Si-Min Ding
Si-Min Ding
Si-Min Ding
Zhao-Lian Wei
Zhao-Lian Wei
Zhao-Lian Wei
Zhao-Lian Wei
Zhao-Lian Wei
Jin-Ping Qiao
Xin Du
Yun-Xia Cao
Yun-Xia Cao
Yun-Xia Cao
Yun-Xia Cao
Yun-Xia Cao
Increased ApoE Expression in Follicular Fluid and the ApoE Genotype Are Associated With Endometriosis in Chinese Women
description More than 10% of women suffer from endometriosis (EMT) during their reproductive years. EMT can cause pain and infertility and requires further study from multiple perspectives. Previous reports have indicated that an increase inapolipoprotein E (ApoE) may be associated with a lower number of retrieved mature oocytes in older women, and an association between ApoE and spontaneous pregnancy loss may exist in patients with EMT. The purpose of this study was to investigate the existence of an increase in ApoE in follicular fluid (FF) and the possible relationship between ApoE and EMT in Chinese women. In the current study, 217 Chinese women (111 control subjects and 106 EMT patients) were included. The ApoE genotypes were identified by Sanger sequencing. We found that ApoE expression in FF was higher in patients with EMT than in the control group. In addition, a significant difference in ApoE4 carriers (ϵ3/ϵ4, ϵ4/ϵ4) was found between the control subjects and the patients with EMT. Furthermore, a nonparametric test revealed significant differences in the numbers of blastocysts and high-quality blastocysts, but not the hormone levels of FSH, LH, and E2, between the two groups. We also established a multifactor (BMI, high-quality blastocysts, and ϵ4) prediction model with good sensitivity for identifying patients who may suffer from EMT. Our results demonstrate that ApoE expression in FF is increased in EMT, the ApoE-ϵ4 allele is significantly linked to EMT, and a combined analysis of three factors (BMI, high-quality blastocysts, and ϵ4) could be used as a predictor of EMT.
format article
author Ya-Jing Liu
Ya-Jing Liu
Ya-Jing Liu
Ya-Jing Liu
Ya-Jing Liu
Fen Xing
Fen Xing
Fen Xing
Fen Xing
Fen Xing
Kai Zong
Meng-Yao Wang
Meng-Yao Wang
Meng-Yao Wang
Meng-Yao Wang
Meng-Yao Wang
Dong-Mei Ji
Dong-Mei Ji
Dong-Mei Ji
Dong-Mei Ji
Dong-Mei Ji
Yu-Hang Zhao
Yun-He Xia
An Wang
Ling-Ge Shi
Ling-Ge Shi
Ling-Ge Shi
Ling-Ge Shi
Ling-Ge Shi
Si-Min Ding
Si-Min Ding
Si-Min Ding
Si-Min Ding
Si-Min Ding
Zhao-Lian Wei
Zhao-Lian Wei
Zhao-Lian Wei
Zhao-Lian Wei
Zhao-Lian Wei
Jin-Ping Qiao
Xin Du
Yun-Xia Cao
Yun-Xia Cao
Yun-Xia Cao
Yun-Xia Cao
Yun-Xia Cao
author_facet Ya-Jing Liu
Ya-Jing Liu
Ya-Jing Liu
Ya-Jing Liu
Ya-Jing Liu
Fen Xing
Fen Xing
Fen Xing
Fen Xing
Fen Xing
Kai Zong
Meng-Yao Wang
Meng-Yao Wang
Meng-Yao Wang
Meng-Yao Wang
Meng-Yao Wang
Dong-Mei Ji
Dong-Mei Ji
Dong-Mei Ji
Dong-Mei Ji
Dong-Mei Ji
Yu-Hang Zhao
Yun-He Xia
An Wang
Ling-Ge Shi
Ling-Ge Shi
Ling-Ge Shi
Ling-Ge Shi
Ling-Ge Shi
Si-Min Ding
Si-Min Ding
Si-Min Ding
Si-Min Ding
Si-Min Ding
Zhao-Lian Wei
Zhao-Lian Wei
Zhao-Lian Wei
Zhao-Lian Wei
Zhao-Lian Wei
Jin-Ping Qiao
Xin Du
Yun-Xia Cao
Yun-Xia Cao
Yun-Xia Cao
Yun-Xia Cao
Yun-Xia Cao
author_sort Ya-Jing Liu
title Increased ApoE Expression in Follicular Fluid and the ApoE Genotype Are Associated With Endometriosis in Chinese Women
title_short Increased ApoE Expression in Follicular Fluid and the ApoE Genotype Are Associated With Endometriosis in Chinese Women
title_full Increased ApoE Expression in Follicular Fluid and the ApoE Genotype Are Associated With Endometriosis in Chinese Women
title_fullStr Increased ApoE Expression in Follicular Fluid and the ApoE Genotype Are Associated With Endometriosis in Chinese Women
title_full_unstemmed Increased ApoE Expression in Follicular Fluid and the ApoE Genotype Are Associated With Endometriosis in Chinese Women
title_sort increased apoe expression in follicular fluid and the apoe genotype are associated with endometriosis in chinese women
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/afdf94f6d5ee496ba6a4b7d8197006ac
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