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  • 1
    In: Human Reproduction, Oxford University Press (OUP), Vol. 37, No. 8 ( 2022-07-30), p. 1871-1879
    Abstract: Is there any difference in developmental outcomes in children born after capacitation IVM (CAPA IVM) compared with conventional IVF? SUMMARY ANSWER Overall development up to 24 months of age was comparable in children born after CAPA IVM compared with IVF. WHAT IS KNOWN ALREADY IVM has been shown to be a feasible alternative to conventional IVF in women with a high antral follicle count (AFC). In addition to live birth rate, childhood development is also a relevant metric to compare between the two approaches to ART and there are currently no data on this. STUDY DESIGN, SIZE, DURATION This study was a follow-up of babies born to women who participated in a randomized controlled trial comparing IVM with a pre-maturation step (CAPA IVM) and IVF. Developmental assessments were performed on 231 children over 24 months of follow-up. PARTICIPANTS/MATERIALS, SETTING, METHODS Participants in the randomized controlled trial had an indication for ART and a high AFC (≥24 follicles in both ovaries). They were randomized to undergo one cycle of either IVM (n = 273) or IVF (n = 273). Of these, 96 women and 118 women, respectively, had live births. Seventy-six women (94 children, 79.2%) and 104 women (137 children, 88.1%), respectively, completed Ages & Stages Third Edition Questionnaire assessment (ASQ-3), and underwent evaluation of Developmental Red Flags at 6, 12 and 24 months of age. MAIN RESULTS AND THE ROLE OF CHANCE Baseline characteristics of participants in the follow-up study between the IVM and IVF groups were comparable. Overall, there were no significant differences in ASQ-3 scores at 6, 12 and 24 months between children born after IVM or IVF. The proportion of children with developmental red flags was low and did not differ between the two groups. Slightly, but significantly, lower ASQ-3 problem solving and personal–social scores in twins from the IVM versus IVF group at 6 months were still within the normal range and had caught up to the IVF group in the 12- and 24-month assessments. The number of children confirmed to have abnormal mental and/or motor development after specialist assessment was four in the IVM group and two in the IVF group (relative risk 2.91, 95% CI 0.54–15.6; P = 0.23). LIMITATIONS, REASONS FOR CAUTION This study is an open-label follow-up of participants in a randomized controlled trial, and not all original trial subjects took part in the follow-up. The self-selected nature of the follow-up population could have introduced bias, and the sample size may have been insufficient to detect significant between-group differences in developmental outcomes. WIDER IMPLICATIONS OF THE FINDINGS Based on the current findings at 2 years of follow-up, there does not appear to be any significant concern about the effects of IVM on childhood development. These data add to the evidence available to physicians when considering different approaches to fertility treatment, but require validation in larger studies. STUDY FUNDING/COMPETING INTEREST(S) This work was funded by the Vietnam National Foundation for Science and Technology Development (NAFOSTED) under grant number FWO.106-YS.2017.02. L.N.V. has received speaker and conference fees from Merck, grant, speaker and conference fees from Merck Sharpe and Dohme, and speaker, conference and scientific board fees from Ferring; T.M.H. has received speaker fees from Merck, Merck Sharp and Dohme, and Ferring; R.J.N. has receives grant funding from the National Health and Medical Research Council (NHMRC) of Australia; B.W.M. has acted as a paid consultant to Merck, ObsEva and Guerbet and is the recipient of grant money from an NHMRC Investigator Grant; J.E.J.S. reports lecture fees from Ferring Pharmaceuticals, Biomérieux and Besins Female Healthcare, grants from Fund for Research Flanders (FWO) and is co-inventor on granted patents on CAPA-IVM methodology in the USA (US10392601B2) and Europe (EP3234112B1); T.D.P., M.H.N.N., N.A.N., T.T.L., V.T.T.T., N.T.N., H.L.T.H. and X.T.H.L. have no financial relationships with any organizations that might have an interest in the submitted work in the previous 3 years, and no other relationships or activities that could appear to have influenced the submitted work. TRIAL REGISTRATION NUMBER NCT04296357 (www.clinicaltrials.gov). TRIAL REGISTRATION DATE 5 March 2020 DATE OF FIRST PATIENT’S ENROLMENT 7 March 2020.
    Type of Medium: Online Resource
    ISSN: 0268-1161 , 1460-2350
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2022
    detail.hit.zdb_id: 1484864-8
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  • 2
    In: Human Reproduction, Oxford University Press (OUP), Vol. 36, No. 7 ( 2021-06-18), p. 1821-1831
    Abstract: Does the addition of oral dydrogesterone to vaginal progesterone as luteal phase support improve pregnancy outcomes during frozen embryo transfer (FET) cycles compared with vaginal progesterone alone? SUMMARY ANSWER Luteal phase support with oral dydrogesterone added to vaginal progesterone had a higher live birth rate and lower miscarriage rate compared with vaginal progesterone alone. WHAT IS KNOWN ALREADY Progesterone is an important hormone that triggers secretory transformation of the endometrium to allow implantation of the embryo. During IVF, exogenous progesterone is administered for luteal phase support. However, there is wide inter-individual variation in absorption of progesterone via the vaginal wall. Oral dydrogesterone is effective and well tolerated when used to provide luteal phase support after fresh embryo transfer. However, there are currently no data on the effectiveness of luteal phase support with the combination of dydrogesterone with vaginal micronized progesterone compared with vaginal micronized progesterone after FET. STUDY DESIGN, SIZE, DURATION Prospective cohort study conducted at an academic infertility center in Vietnam from 26 June 2019 to 30 March 2020. PARTICIPANTS/MATERIALS, SETTING, METHODS We studied 1364 women undergoing IVF with FET. Luteal support was started when endometrial thickness reached ≥8 mm. The luteal support regimen was either vaginal micronized progesterone 400 mg twice daily plus oral dydrogesterone 10 mg twice daily (second part of the study) or vaginal micronized progesterone 400 mg twice daily (first 4 months of the study). In women with a positive pregnancy test, the appropriate luteal phase support regimen was continued until 7 weeks’ gestation. The primary endpoint was live birth after the first FET of the started cycle, with miscarriage & lt;12 weeks as one of the secondary endpoints. MAIN RESULTS AND THE ROLE OF CHANCE The vaginal progesterone + dydrogesterone group and vaginal progesterone groups included 732 and 632 participants, respectively. Live birth rates were 46.3% versus 41.3%, respectively (rate ratio [RR] 1.12, 95% CI 0.99–1.27, P = 0.06; multivariate analysis RR 1.30 (95% CI 1.01–1.68), P = 0.042), with a statistically significant lower rate of miscarriage at & lt;12 weeks in the progesterone + dydrogesterone versus progesterone group (3.4% versus 6.6%; RR 0.51, 95% CI 0.32–0.83; P = 0.009). Birth weight of both singletons (2971.0 ± 628.4 versus 3118.8 ± 559.2 g; P = 0.004) and twins (2175.5 ± 494.8 versus 2494.2 ± 584.7; P = 0.002) was significantly lower in the progesterone plus dydrogesterone versus progesterone group. LIMITATIONS, REASONS FOR CAUTION The main limitations of the study were the open-label design and the non-randomized nature of the sequential administration of study treatments. However, our systematic comparison of the two strategies was able to be performed much more rapidly than a conventional randomized controlled trial. In addition, the single ethnicity population limits external generalizability. WIDER IMPLICATIONS OF THE FINDINGS Our findings study suggest a role for oral dydrogesterone in addition to vaginal progesterone as luteal phase support in FET cycles to reduce the miscarriage rate and improve the live birth rate. Carefully planned prospective cohort studies with limited bias could be used as an alternative to randomized controlled clinical trials to inform clinical practice. STUDY FUNDING/COMPETING INTERESTS This study received no external funding. LNV has received speaker and conference fees from Merck, grant, speaker and conference fees from Merck Sharpe and Dohme, and speaker, conference and scientific board fees from Ferring; TMH has received speaker fees from Merck, Merck Sharp and Dohme, and Ferring; R.J.N. has received scientific board fees from Ferring and receives grant funding from the National Health and Medical Research Council (NHMRC) of Australia; BWM has acted as a paid consultant to Merck, ObsEva and Guerbet, and is the recipient of grant money from an NHMRC Investigator Grant. TRIAL REGISTRATION NUMBER NCT0399876.
    Type of Medium: Online Resource
    ISSN: 0268-1161 , 1460-2350
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2021
    detail.hit.zdb_id: 1484864-8
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  • 3
    In: Natural Product Research, Informa UK Limited, Vol. 37, No. 2 ( 2023-01-17), p. 188-196
    Type of Medium: Online Resource
    ISSN: 1478-6419 , 1478-6427
    Language: English
    Publisher: Informa UK Limited
    Publication Date: 2023
    detail.hit.zdb_id: 2185747-7
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  • 4
    Online Resource
    Online Resource
    American Society of Hematology ; 2013
    In:  Blood Vol. 122, No. 21 ( 2013-11-15), p. 3854-3854
    In: Blood, American Society of Hematology, Vol. 122, No. 21 ( 2013-11-15), p. 3854-3854
    Abstract: Resveratrol, a naturally-occurring polyphenol that has been extensively studied for its anti-inflammatory, cardioprotective and anti-cancer activities, has shown potential anti-tumor activities against malignant NK cells via JAK2/STAT3 pathway inhibition (Trung, et al. PLoS One, 2012). The inhibitory effect of resveratrol on the JAK2/STAT3 pathway suggests that it may be effective for the treatment of myeloid malignancies that are characterized by excessive activation of this signaling pathway, including myeloproliferative neoplasms with the JAK2V617F mutation. To test this hypothesis, we examined the anti-proliferative effects of resveratrol on JAK2V617F mutant myeloid leukemia cell lines, HEL and SET-2. Resveratrol inhibited the proliferation of these JAK2V617F mutant cell lines in a dose-dependent manner in the MTT (3-(4,5-dimethylthiazol-2-yl)-2,5-dipheny​l tetrazoliumbromide) assay, and its inhibitory effects were 3.3-8.4 times greater than those on other myeloid leukemia cell lines without the JAK2V617F mutation, including K562, THP-1 and TF-1. The inhibitory effects on JAK2V617F(+) cell lines by 50 µM of resveratrol were comparable to those induced by 1000 ng/ml of ruxolitinib, a selective JAK1/2 inhibitor. Incubation of different myeloid leukemia cell lines at a resveratrol concentration of 50 µM or at a concentration of 500 ng/ml of ruxolitinib for 24 hours induced apoptosis in 25.1 ± 2.2%/14.4 ± 1.1% of HEL, 23.7 ± 1.5%/19.1 ± 2.6% of SET-2, 6.9 ± 0.7% /0.34 ± 0.41% of K562, 4.9 ± 1.6%/1.9 ± 0.7% of THP-1 and 7.1 ± 1.0%/0.99 ± 0.58% of TF-1 cells (Fig. 1A). Resveratrol inhibited the proliferation of K562 cells transfected with JAK2V617F (K562JAK2V617F) 1.68-times more than it did wild-type K562 cells (K562JAK2WT cells), and induced apoptosis in 12.9 ± 1.6% of K562JAK2V617F and 6.5 ± 0.5% of K562JAK2WT cells. The level of apoptosis induced in K562JAK2V617F cells by resveratrol (6.3±1.5%) was comparable to that (8.2 ± 2.1%) induced by 500 ng/ml of ruxolitinib. Resveratrol inhibited the phosphorylation of JAK1, JAK2 and Tyk2, but did not affect the phosphorylation of JAK3, PTEN or Akt, or their downstream target proteins, including STAT3 and STAT5 (Fig. 1B). In contrast to the inhibition of ERK phosphorylation by ruxolitinib in JAK2V617F cells, resveratrol dramatically enhanced the phosphorylation of ERK (Fig. 1B), which is known to activate caspase-3. The inhibition of the phosphorylation of JAK2/STAT3 and the upregulation of ERK phosphorylation by resveratrol were also observed in K562JAK2V617F cells (Fig. 1B). Resveratrol also induced robust G1 cell cycle arrest of HEL and SET-2 cells, and led to the downregulation of the anti-apoptotic protein, Mcl-1, as well as the upregulation of the pro-apoptotic protein, Bim, both of which play important roles in prolonging the survival of JAK2V617F cells. Moreover, 25 µM of resveratrol augmented the apoptosis in HEL cells induced by 400 ng/ml of ruxolitinib, leading to 2.7 times more apoptosis than ruxolitinib alone in the annexin V assay. These data suggest that resveratrol exerts a potent anti-tumor effect on malignant myeloid cells with the JAK2V617F mutation via both the inactivation of the JAK/STAT pathway and the upregulation of the ERK pathway. Increased ERK phosphorylation has recently been shown to induce apoptosis in several types of cancer cells (Nguyen, et al. Int J Oncol, 2008; Mustafi, et al. PLoS One, 2010). Thus, resveratrol may have therapeutic potential against myeloproliferative neoplasms with the JAK2V617F mutation, and also against other myeloid malignancies where the JAK/STAT pathway plays an essential role in their development. Disclosures: No relevant conflicts of interest to declare.
    Type of Medium: Online Resource
    ISSN: 0006-4971 , 1528-0020
    RVK:
    RVK:
    Language: English
    Publisher: American Society of Hematology
    Publication Date: 2013
    detail.hit.zdb_id: 1468538-3
    detail.hit.zdb_id: 80069-7
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  • 5
    In: Scientific Reports, Springer Science and Business Media LLC, Vol. 6, No. 1 ( 2016-12-20)
    Abstract: Human papillomavirus (HPV) is the most common sexually transmitted agent worldwide and is etiologically linked to several cancers, including cervical and genital cancers. NKG2D, an activating receptor expressed by NK cells, plays an important role in cancer immune-surveillance. We analyzed the impact of a NKG2D gene variant, rs1049174, on the incidence of HPV-related cancers in Vietnamese patients and utilized various molecular approaches to elucidate the mechanisms of NKG2D receptor regulation by rs1049174. In a group of 123 patients with HPV+ anogenital cancers, the low cytotoxicity allele LNK was significantly associated with increased cancer susceptibility (p = 0.016). Similar results were also observed in a group of 153 women with cervical cancer (p = 0.05). In functional studies, NK cells from individuals with LNK genotype showed a lower NKG2D expression and displayed less efficient NKG2D-mediated functions than NK cells with HNK genotype. Notably, the rs1049174 variant occurs within a targeting site for miR-1245, a negative regulator of NKG2D expression. Compared with the higher cytotoxicity allele HNK, the LNK allele was more efficiently targeted by miR-1245 and thus determined lower NKG2D expression in NK cells with the LNK genotype. The NKG2D variants may influence cancer immunosurveillance and thus determine susceptibility to various malignancies, including HPV-induced cancers.
    Type of Medium: Online Resource
    ISSN: 2045-2322
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2016
    detail.hit.zdb_id: 2615211-3
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  • 6
    In: Oxidative Medicine and Cellular Longevity, Wiley, Vol. 2017, No. 1 ( 2017-01)
    Abstract: Preclinical studies have shown that resveratrol exerts immunomodulatory effects with potential clinical value in the amelioration of autoimmune disorders and cancer prevention; however, little is known about the in vivo effects of this naturally occurring polyphenol on human immune cells. We assessed the effects of repeated doses of resveratrol (1000 mg/day for 28 days) on circulating immune cells in healthy Japanese individuals. Resveratrol was safe and well tolerated and was associated with significant increases in the numbers of circulating γδ T cells and regulatory T cells and resulted in small, yet significant, decreases in the plasma levels of the proinflammatory cytokines TNF‐ α and MCP‐1 and a significant increase in the plasma antioxidant activity compared with the corresponding antioxidant baseline activity and with that in four control individuals. In in vitro studies, resveratrol significantly improved the growth of γδ T cells and regulatory T cells. These findings demonstrate that resveratrol has some clear biological effects on human circulating immune cells. Further studies are necessary to interpret the long‐term immunological changes associated with resveratrol treatment.
    Type of Medium: Online Resource
    ISSN: 1942-0900 , 1942-0994
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2017
    detail.hit.zdb_id: 2455981-7
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  • 7
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2021
    In:  Journal of Radioanalytical and Nuclear Chemistry Vol. 327, No. 2 ( 2021-02), p. 949-956
    In: Journal of Radioanalytical and Nuclear Chemistry, Springer Science and Business Media LLC, Vol. 327, No. 2 ( 2021-02), p. 949-956
    Type of Medium: Online Resource
    ISSN: 0236-5731 , 1588-2780
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 2017242-4
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  • 8
    In: Annals of Hematology, Springer Science and Business Media LLC, Vol. 95, No. 5 ( 2016-4), p. 771-781
    Type of Medium: Online Resource
    ISSN: 0939-5555 , 1432-0584
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2016
    detail.hit.zdb_id: 1458429-3
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  • 9
    Online Resource
    Online Resource
    Frontiers Media SA ; 2018
    In:  Frontiers in Pharmacology Vol. 9 ( 2018-11-6)
    In: Frontiers in Pharmacology, Frontiers Media SA, Vol. 9 ( 2018-11-6)
    Type of Medium: Online Resource
    ISSN: 1663-9812
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2018
    detail.hit.zdb_id: 2587355-6
    SSG: 15,3
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  • 10
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2022
    In:  International Journal of Mechanics and Materials in Design Vol. 18, No. 3 ( 2022-09), p. 633-663
    In: International Journal of Mechanics and Materials in Design, Springer Science and Business Media LLC, Vol. 18, No. 3 ( 2022-09), p. 633-663
    Type of Medium: Online Resource
    ISSN: 1569-1713 , 1573-8841
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 2160928-7
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