维生素D与女性生育力及生殖系统疾病的研究进展

张爱萍, 杨霞, 张学红

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PDF(592 KB)
重庆医科大学学报 ›› 2024, Vol. 49 ›› Issue (01) : 12-17. DOI: 10.13406/j.cnki.cyxb.003405
文献综述 DOI:10.13406/j.cnki.cyxb.003405

维生素D与女性生育力及生殖系统疾病的研究进展

作者信息 +

Research advances in the role of vitamin D in female fertility and reproductive system diseases

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History +

摘要

维生素D受体在女性生殖器官中广泛表达,维生素D与维生素D受体结合调节体内骨和钙稳态,参与炎症、细胞介导免疫、细胞周期和凋亡等多种信号通路。维生素D对卵泡发育和卵巢储备、子宫内膜容受性有调节作用;维生素D缺乏与多囊卵巢综合征病理进程有关;补充维生素D对预防卵巢早衰、子宫肌瘤、子宫内膜异位症和卵巢癌有重要意义;体内维生素D水平与体外受精结局也有一定相关性。维生素D缺乏是一个主要公共卫生问题,合理补充维生素D,有益于维护女性生殖健康。

Abstract

Vitamin D receptor(VDR) is widely expressed in female reproductive organs,and vitamin D binds with VDR to regulate bone and calcium homeostasis and participate in various signaling pathways such as inflammation,cell-mediated immunity,cell cycle,and apoptosis inside the body. Vitamin D regulates follicular development,ovarian reserve,and endometrial receptivity,and vitamin D deficiency is associated with the pathological process of polycystic ovary syndrome. Vitamin D supplementation is of great significance in preventing premature ovarian failure,uterine myoma,endometriosis,and ovarian cancer. The level of vitamin D inside the body is also associated with the outcome of in vitro fertilization. Vitamin D deficiency is a major public health problem,and reasonable supplementation of vitamin D may help to maintain female reproductive health.

关键词

维生素D / 卵巢储备 / 内膜容受性:多囊卵巢综合征 / 卵巢早衰 / 子宫肌瘤 / 子宫内膜异位症 / 卵巢癌 / 体外受精

Key words

vitamin D / ovarian reserve / endometrial receptivity / polycystic ovarian syndrome / premature ovarian failure / uterine myoma / endometriosis / ovarian cancer / in vitro fertilization

中图分类号

R711

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导出引用
张爱萍 , 杨霞 , 张学红. 维生素D与女性生育力及生殖系统疾病的研究进展. 重庆医科大学学报. 2024, 49(01): 12-17 https://doi.org/10.13406/j.cnki.cyxb.003405
Zhang Aiping, Yang Xia, Zhang Xuehong. Research advances in the role of vitamin D in female fertility and reproductive system diseases[J]. Journal of Chongqing Medical University. 2024, 49(01): 12-17 https://doi.org/10.13406/j.cnki.cyxb.003405

参考文献

1
Morgante G Darino I Spanò A,et al. PCOS physiopathology and vitamin D deficiency:biological insights and perspectives for treatment[J]. J Clin Med202211(15):4509.
2
Fichera M Török P Tesarik J,et al. Vitamin D,reproductive disorders and assisted reproduction:evidences and perspectives[J]. Int J Food Sci Nutr202071(3):276-285.
3
Chu J Gallos I Tobias A,et al. Vitamin D and assisted reproductive treatment outcome:a systematic review and Meta-analysis[J]. Hum Reprod Oxf Engl201833(1):65-80.
4
陈春艳,郑丽彬,王雁玲,等. 维生素D对母胎界面肾素的调节作用研究[J]. 四川大学学报(医学版)202253(6):1021-1027.
Chen CY Zheng LB Wang YL,et al. Regulatory effect of vitamin D on renin expression at maternal-fetal interface[J]. J Sichuan Univ Med Sci202253(6):1021-1027.
5
Rogenhofer N Jeschke U von Schönfeldt V,et al. Seasonal dynamic of cholecalciferol(D3) and anti-Muellerian hormone(AMH) with impact on ovarian response and IVF/ICSI[J]. Arch Gynecol Obstet2022306(1):219-228.
6
Wojtusik J Johnson PA. Vitamin D regulates anti-Mullerian hormone expression in granulosa cells of the hen[J]. Biol Reprod201286(3):91.
7
Behmanesh N Abedelahi A Charoudeh HN,et al. Effects of vitamin D supplementation on follicular development,gonadotropins and sex hormone concentrations,and insulin resistance in induced polycystic ovary syndrome[J]. Turk J Obstet Gynecol201916(3):143-150.
8
Kuyucu Y Sencar L Tap Ö,et al. Investigation of the effects of vitamin D treatment on the ovarian AMH receptors in a polycystic ovary syndrome experimental model:an ultrastructural and immunohistochemical study[J]. Reprod Biol202020(1):25-32.
9
Merhi ZO Seifer DB Weedon J,et al. Circulating vitamin D correlates with serum antimüllerian hormone levels in late-reproductive-aged women:women’s interagency HIV study[J]. Fertil Steril201298(1):228-234.
10
Jukic AMZ Steiner AZ Baird DD. Association between serum 25-hydroxyvitamin D and ovarian reserve in premenopausal women[J]. Menopause N Y N Y201522(3):312-316.
11
Arefi S Khalili G Iranmanesh H,et al. Is the ovarian reserve influenced by vitamin D deficiency and the dress code in an infertile Iranian population?[J]. J Ovarian Res201811(1):62.
12
Bacanakgil BH İlhan G Ohanoğlu K. Effects of vitamin D supplementation on ovarian reserve markers in infertile women with diminished ovarian reserve[J]. Medicine2022101(6):e28796.
13
Karimi E Arab A Rafiee M,et al. A systematic review and meta-analysis of the association between vitamin D and ovarian reserve[J]. Sci Rep202111(1):16005.
14
Moridi I Chen A Tal O,et al. The association between vitamin D and anti-müllerian hormone:a systematic review and Meta-analysis[J]. Nutrients202012(6):1567.
15
Xu J Lawson MS Xu FH,et al. Vitamin D3 regulates follicular development and intrafollicular vitamin D biosynthesis and signaling in the primate ovary[J]. Front Physiol20189:1600.
16
Xu J Hennebold JD Seifer DB. Direct vitamin D3 actions on rhesus macaque follicles in three-dimensional culture:assessment of follicle survival,growth,steroid,and antimüllerian hormone production[J]. Fertil Steril2016106(7):1815-1820.
17
Yao X Zhang G Guo Y,et al. Vitamin D receptor expression and potential role of vitamin D on cell proliferation and steroidogenesis in goat ovarian granulosa cells[J]. Theriogenology2017102:162-173.
18
Xu FH Wolf S Green O,et al. Vitamin D in follicular development and oocyte maturation[J]. Reproduction2021161(6):R129-R137.
19
Lee CT Wang JY Chou KY,et al. 1,25-Dihydroxyvitamin D3 modulates the effects of sublethal BPA on mitochondrial function via activating PI3K-Akt pathway and 17β-estradiol secretion in rat granulosa cells[J]. J Steroid Biochem Mol Biol2019185:200-211.
20
Safaei Z Bakhshalizadeh SH Nasr Esfahani MH,et al. Effect of vitamin D3 on mitochondrial biogenesis in granulosa cells derived from polycystic ovary syndrome[J]. Int J Fertil Steril202014(2):143-149.
21
Safaei Z Bakhshalizadeh S Nasr-Esfahani MH,et al. Vitamin D3 affects mitochondrial biogenesis through mitogen-activated protein kinase in polycystic ovary syndrome mouse model[J]. J Cell Physiol,2020,235(9):6113-6126.
22
Kalyanaraman R Pal L. A narrative review of current understanding of the pathophysiology of polycystic ovary syndrome:focus on plausible relevance of vitamin D[J]. Int J Mol Sci202122(9):4905.
23
Kaminska K Grzesiak M. The relationship between vitamin D3 and insulin in polycystic ovary syndrome:a critical review[J]. J Physiol Pharmacol202172(1):13-22.
24
Grzesiak M. Vitamin D3 action within the ovary:an updated review[J]. Physiol Res202069(3):371-378.
25
Li YK Wang J Yang JM,et al. The correlation between vitamin D,glucose homeostasis and androgen level among polycystic ovary syndrome patients:a cross-sectional study[J]. Gynecol Endocrinol202137(3):235-239.
26
Menichini D Facchinetti F. Effects of vitamin D supplementation in women with polycystic ovary syndrome:a review[J]. Gynecol Endocrinol202036(1):1-5.
27
Karadağ C Yoldemir T Yavuz DG. Effects of vitamin D supplementation on insulin sensitivity and androgen levels in vitamin-D-deficient polycystic ovary syndrome patients[J]. J Obstet Gynaecol Res201844(2):270-277.
28
Mesinovic J Teede HJ Shorakae S,et al. The relationship between vitamin D metabolites and androgens in women with polycystic ovary syndrome[J]. Nutrients202012(5):1219.
29
Lazúrová I Lazúrová Z Figurová J,et al. Relationship between steroid hormones and metabolic profile in women with polycystic ovary syndrome[J]. Physiol Res201968(3):457-465.
30
Bakhshalizadeh S Amidi F Shirazi R,et al. Vitamin D3 regulates steroidogenesis in granulosa cells through AMP-activated protein kinase(AMPK)activation in a mouse model of polycystic ovary syndrome[J]. Cell Biochem Funct201836(4):183-193.
31
Kotsa K Yavropoulou MP Anastasiou O,et al. Role of vitamin D treatment in glucose metabolism in polycystic ovary syndrome[J]. Fertil Steril200992(3):1053-1058.
32
Seyyed Abootorabi M Ayremlou P Behroozi-Lak T,et al. The effect of vitamin D supplementation on insulin resistance,visceral fat and adiponectin in vitamin D deficient women with polycystic ovary syndrome:a randomized placebo-controlled trial[J]. Gynecol Endocrinol201834(6):489-494.
33
Ardabili HR Gargari BP Farzadi L. Vitamin D supplementation has no effect on insulin resistance assessment in women with polycystic ovary syndrome and vitamin D deficiency[J]. Nutr Res201232(3):195-201.
34
Merhi Z Kandaraki EA Diamanti-Kandarakis E. Implications and future perspectives of AGEs in PCOS pathophysiology[J]. Trends Endocrinol Metab201930(3):150-162.
35
Irani M Minkoff H Seifer DB,et al. Vitamin D increases serum levels of the soluble receptor for advanced glycation end products in women with PCOS[J]. J Clin Endocrinol Metab201499(5):E886-890.
36
Ersoy E Ersoy AO Yildirim G,et al. Vitamin D Levels in Patients with Premature Ovarian Failure[J]. Ginekol Pol201687(1):32-36.
37
Sharan C Halder SK Thota C,et al. Vitamin D inhibits proliferation of human uterine leiomyoma cells via catechol-O-methyltransferase[J]. Fertil Steril201195(1):247-253.
38
Ciebiera M Esfandyari S Siblini H,et al. Nutrition in gynecological diseases:current perspectives[J]. Nutrients202113(4):1178.
39
Fichera M Török P Tesarik J,et al. Vitamin D,reproductive disorders and assisted reproduction:evidences and perspectives[J]. Int J Food Sci Nutr202071(3):276-285.
40
Miyashita M Koga K Izumi G,et al. Effects of 1,25-dihydroxy vitamin D3 on endometriosis[J]. J Clin Endocrinol Metab2016101(6):2371-2379.
41
Qiu YC Yuan S Wang HJ. Vitamin D status in endometriosis:a systematic review and Meta-analysis[J]. Arch Gynecol Obstet2020302(1):141-152.
42
Baek JC Jo JY Lee SM,et al. Differences in 25-hydroxy vitamin D and vitamin D-binding protein concentrations according to the severity of endometriosis[J]. Clin Exp Reprod Med201946(3):125-131.
43
Delbandi AA Mahmoudi M Shervin A,et al. 1,25-dihydroxy vitamin D3 modulates endometriosis-related features of human endometriotic stromal cells[J]. Am J Reprod Immunol201675(4):461-473.
44
Farzadi L Khayatzadeh Bidgoli H Ghojazadeh M,et al. Correlation between follicular fluid 25-OH vitamin D and assisted reproductive outcomes[J]. Iran J Reprod Med201513(6):361-366.
45
Guo H Guo J Xie W,et al. The role of vitamin D in ovarian cancer: epidemiology,molecular mechanism and prevention[J]. J Ovarian Res201811(1):71.
46
Ersahin SS Ersahin A. Serum 25-hydroxyvitamin D correlates with endometrial HOXA10 mRNA expression[J]. Eur Rev Med Pharmacol Sci202226(10):3483-3486.
47
Rajaei S Mirahmadian M Jeddi-Tehrani M,et al. Effect of 1,25(OH)2 vitamin D3 on cytokine production by endometrial cells of women with repeated implantation failure[J]. Gynecol Endocrinol201228(11):906-911.
48
Antunes RA Mancebo ACA Reginatto MW,et al. Lower follicular fluid vitamin D concentration is related to a higher number of large ovarian follicles[J]. Reprod BioMedicine Online201836(3):277-284.
49
Tian M Zeng SM Cai SF,et al. 25(OH)VitD and human endocrine and functional fertility parameters in women undergoing IVF/ICSI[J]. Front Endocrinol202213:986848.
50
Hasan HA Barber TM Cheaib S,et al. Preconception vitamin D level and in vitro fertilization:pregnancy outcome[J]. Endocr Pract202329(4):235-239.

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国家自然科学基金资助项目(81960273)

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