000 03306cam a2200349 a 4500
003 EG-GiCUC
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008 170124s2016 ua o f m 000 0 eng d
040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aM.Sc
099 _aCai01.08.01.M.Sc.2016.Na.A
100 0 _aNadine Wagdi Maurice
245 1 0 _aAssessing the relation between hormone receptors gene polymorphism and ovarian stimulation response in vitro fertilization (IVF) program /
_cNadine Wagdi Maurice ; Supervised Tarek Mohamed Kamal Motawi , Sherine Maher Rizk , Wael Tharwat Elgarf
246 1 5 _aتحديد العلاقة بين تعدد الشكل الجينى لمستقبلات هرمون المبيض و استجابة المبيض للتحفيز اثناء برنامج عملية التخصيب المخبرى
260 _aCairo :
_bNadine Wagdi Maurice ,
_c2016
300 _a110 Leaves :
_bphotographs ;
_c25cm
502 _aThesis (M.Sc.) - Cairo University - Faculty of Pharmacy - Department of Biochemistry
520 _aIn vitro fertilization (IVF) is highly challenged by the erratic individual variability to controlled ovarian hyperstimulation (COH). This study aimed at implementing the role of pharmacogenetics in predicting the stimulation success and thus tailoring the treatment reaching advancement in patient care. The follicle stimulating hormone receptor (FSHR) and the estrogen receptors (ERs) are important genes in explaining the variability in COH results. We performed a prospective study on 216 young women with unexplained infertility. Ovarian stimulation was performed according to the gonadotropin-releasing hormone antagonist (GnRHant) protocol with a fixed daily morning dose of human menopausal gonadotropin (HMG) intra muscular injection starting on cycle day 2. Based on the patient{u2019}s body mass index (BMI) and hormonal profile, the daily dose of HMG was adjusted. The ESR2 (+1730G > A) (rs4986938), FSHR p.Thr307Ala (c.919A > G, rs6165) and FSHR p. Asn680Ser (c.2039A > G, rs6166) single nucleotide polymorphisms (SNPs) were detected by real-time polymerase chain reaction. Serum FSH, estradiol (E2) and anti mullerian hormone (AMH) levels were measured by enzyme linked immunosorbent assay (ELISA). This study revealed that the low AMH level was highly significantly related to the poor ovarian response (p < 0.001). Furthermore, the frequency of the ESR2 (AA) genotype and the FSHR (Ala307Ala), (Ser680Ser) genotypes were highly significantly associated with the poor ovarian response (p < 0.001). In the combined analysis of FSHR and ESR2 genes, the more specific haplotypes were (AAG) for good responders and (GGA) for poor responders. In conclusion, the AMH level in combination with the ESR2 and the FSHR gene polymorphisms predict the poor ovarian response to COH in Egyptian women
530 _aIssued also as CD
653 4 _aHormone receptors gene
653 4 _aIVF
653 4 _aOvarian stimulation response
700 0 _aSherine Maher Rizk ,
_eSupervisor
700 0 _aTarek Mohamed Kamal Motawi ,
_eSupervisor
700 0 _aWael Tharwat Elgarf ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aSamia
_eCataloger
942 _2ddc
_cTH
999 _c59587
_d59587