Navegando por Palavras-chave "Free radical"

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    Níveis de antioxidantes enzimáticos e produtos da peroxidação lipídica em líquido folicular de mulheres submetidas à estimulação ovariana controlada
    (Universidade Federal de São Paulo (UNIFESP), 2009-03-25) Victorino, Amanda Begatti [UNIFESP]; Bertolla, Ricardo Pimenta [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objective: to verify the relation between thiobarbituric acid reactive substances concentrations, glutathione peroxidase and catalase activities, and occurrence of pregnancy, hormonal stimulation protocol utilized, and presence or not of a female infertility factor. Method: a prospective case-control study was carried with follicular fluid from 146 patients submitted to the Assisted Reproduction program at the Sao Paulo Federal University. Only patients submitted to in vitro fertilization (FIV) through intracytoplasmic sperm injection (ICSI) were included. The experimental groups were subdivided according to presence or absence of pregnancy, hormonal stimulation protocol used (FSH or FSH and hMG) and presence or absence of at least one female infertility factor. An aliquot of follicular fluid was collected after retrieval of the oocyte for analysis of thiobarbituric acid reactive substances concentrations, and glutathione peroxidase and catalase activities. All these analyses were carried out using a spectrophotometer. Groups were compared using Student’s T-test. A logistic regression model were calculated using embryo quality on day 3, presence or not of a female infertility factor, thiobarbituric acid reactive substances levels, and glutathione peroxidase (GPX) and catalase activities as independent variables, occurrence of pregnancy as a binary dependent variable. Results: Patients who did not achieve pregnancy presented higher glutathione peroxidase activity levels, when compared with patients who achieved pregnancy (p=0,04). In the other groups, no differences were observed. Logistic regression produced a model which best predicted pregnancy including presence of female infertility factor, embryo quality on day 3 and GPX activity (73.7% total predictive value, p=0.00001). Odds-ratio for GPX activity was 0.98, indicating that increasing values of GPX activity decreased the odds of occurrence of pregnancy. Conclusion: Based on our results, we may conclude that (i) higher GPX activity is associated to negative outcomes in ICSI cycles, (ii) different ovarian stimulation protocols does not alter concentrations of TBARS and activity of antioxidant enzymes, and (iii) the presence of at least one female infertility factor does not alter TBARS levels or antioxidant activity.