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Effect of the tonifying kidney and invigorating spleen on serum pAkt and mTOR in patients with threatened abortion of polycystic ovary syndrome in insulin resistance
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DOI   10.11656/j.issn.1673-9043.2018.01.08
Key Words   the method of tonifying the kidney and strengthening the spleen;polycystic ovary syndrome with insulin resistance;hyperinsulinemia;pAkt;mTOR
Author NameAffiliationE-mail
JIANG Sha Heilongjiang University of Traditional Chinese medicine, Harbin 150040, China  
JIANG Junzhu Heilongjiang University of Traditional Chinese medicine, Harbin 150040, China  
CHEN Lu First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine, Harbin 150040, China  
FENG Xiaoling First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine, Harbin 150040, China doctorfxl@163.com 
Abstract
    [Objective] To observe the clinical efficacy of the use of tonifying kidney and invigorating spleen on Polycystic ovary syndrome in insulin resistance(PCOS-IR) patients with threatened abortion,and to further explore its mechanism.[Methods] Elisa method was used to detect the changes of serum hormone (progesterone (P) and human chorionic gonadotropin (β-HCG)), pAkt and mTOR in Polycystic ovary syndrome patients with threatened abortion and healthy pregnant women before and after traditional Chinese medicine treatment.[Results] Before treatment:group A(PCOS in insulin resistance patients with threatened abortion), group B(PCOS without insulin resistance(PCOS-NIR) patients with threatened abortion)compare with C(healthy pregnant women),the levels of pAkt and mTOR were statistically significant (P<0.05). After treatment:compared with group C, the levels of P,β-HCG, pAkt and mTOR in group A and group B had no significant difference in serum (P>0.05),HOMA-IR was significantly lower in group A.[Conclusion] 1) The decrease of pAkt and mTOR levels in serum may be related to the occurrence of threatened abortion in PCOS-IR patients. 2) The method of tonifying kidney and strengthening spleen can improvement of insulin resistance status in PCOS-IR pregnant women,can up regulate the levels of pAkt and mTOR.To provide theoretical basis for further use of pAkt and mTOR related targets in the treatment of threatened abortion patients with PCOS-IR.

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