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Modulation of female rats steroidogenesis in the application of balneotherapy in an experimental model of chronic endometritis

https://doi.org/10.23946/2500-0764-2024-9-4-20-28

Abstract

Aim. Assess steroidogenesis modulation efficacy of balneotherapy in experimental chronic endometritis model.

Materials and Мethods. The experimental endometritis was induced in laboratory Wistar line rats (n = 30) inoculated with intra-uterine self-fecal suspension. Starting with the 3nd day of the experiment, all animals have recieved wide-spectrum antibiotic within 7 days; from day 41– experimental group animals (n=10) applying 10 procedures of radon therapy one a day lasting 15 minutes. Comparison group animals (n = 10) received radon therapy and 10 procedures of peloid therapy mud according to a radon therapy regimen. Control group (n = 10) received no treatment. The venous estradiol and progesterone levels were analyzed by enzyme-linked immunosorbent assay. Histological verification was conducted by endometrium histology study.

Results. In control group it was found maximal endometrial diffuse infiltrate 180.7 ± 9.0 immunocompetent cells. During balneotherapy treatment density of inflammatory infiltrate was lower in experimental group 125.4 ± 8.1 (by 30.7% vs. control group; p = 0.002), whereas in comparison group density of inflammatory infiltration was minimal (reduced by 88.7 % compared to control group; p < 0.001) and reached 20.5 ± 1.8 cells. Most pronounced rise in serum progesterone level had resulted in experimental group during radon therapy compared to control group (p = 0.008), meanwhile in comparison group featured with no significant change in estradiol level compared to control group (р = 0.95).

Conclusion. During radon therapy is accompanied by significantly increased serum progesterone and decreased estradiol level along with chronic endometritis markers regression which can be used in future prospective studies for confirming its effectiveness in patients with reproductive system patology including diseases accompanied by hyperestrogenism.

About the Authors

A. E. Chernova
Altai State Medical Universit
Russian Federation

Dr. Anastasija E. Chernova, MD, PhD Student, Department of Obstetrics and Gynecology with a Сourse of Additional Professional Education

40, Lenin Avenue, Barnaul, 656056



O. V. Remneva
Altai State Medical Universit
Russian Federation

Prof. Ol'ga V. Remneva, MD, DSc, Full Professor, Head of the Department of Obstetrics and Gynecology with a Сourse of Additional Professional Education

40, Lenin Avenue, Barnaul, 656056



I. P. Bobrov
Altai State Medical Universit
Russian Federation

Prof. Igor' P. Bobrov, MD, DSc, Full Professor, Kryukov Department of Forensic Medicine and Pathological Anatomy with a Сourse of Additional Professional Education

40, Lenin Avenue, Barnaul, 656056



O. N. Mazko
Altai State Medical Universit
Russian Federation

Mrs. Olesja N. Mazko, MD, PhD (Biology), Associate Professor, Bryukhanov Department of Pharmacology

40, Lenin Avenue, Barnaul, 656056



A. V. Lepilov
Altai State Medical Universit
Russian Federation

Prof. Aleksandr V. Lepilov, MD, DSc, Full Professor, Head of Kryukov Department of Forensic Medicine and Pathological Anatomy with a Сourse of Additional Professional Education

40, Lenin Avenue, Barnaul, 656056



Yu. A. Shadeeva
Altai State Medical Universit
Russian Federation

Dr. Yuliya A. Shadeeva, MD, PhD, Associate Professor, Department of Obstetrics and Gynecology with a Сourse of Additional Professional Education

40, Lenin Avenue, Barnaul, 656056



References

1. Radzinsky VE, editor. Essays on endocrine gynecology from syndrome to diagnosis and choice of therapy / Ocherki jendokrinnoj ginekologii ot sindroma k diagnozu i vyboru terapii. 2nd ed. Moscow: StatusPraesens; 2023. (In Russian).

2. Ivanov IА. Luteal phase deficiency: pathophysiology and role in reproductive disorders. Medical Council. 2021;(3):89-97 (In Russian). https://doi.org/10.21518/2079-701X-2021-3-89-97

3. Orazov MR, Mikhaleva LM, Semenov PA. Chronic endometritis: pathogenesis, diagnosis, management and associated infertility. Clinical and experimental morphology. 2020;9(2):16-25. (In Russian). https://doi.org/10.31088/CEM2020.9.2.16-25

4. Puente E, Alonso L, Laganà AS, Ghezzi F, Casarin J, Carugno J. Chronic Endo-metritis: Old Problem, Novel Insights and Future Challenges. Int J Fertil Steril. 2020;13(4):250-256. https://doi.org/10.22074/ijfs.2020.5779

5. Yasuo T, Kitaya K. Challenges in Clinical Diagnosis and Management of Chronic Endometritis. Diagnostics. 2022;12(11):2711. https://doi.org/10.3390/diagnostics12112711

6. Vitagliano A, Saccardi C, Litta PS, Noventa M. Chronic endometritis: Really so relevant in repeated IVF failure? Am J Reprod Immunol. 2017;78(6). https://doi.org/10.1111/aji.12758

7. Park HJ, Kim YS, Yoon TK, Lee WS. Chronic endometritis and infertility. Clin Exp Reprod Med. 2016;43(4):185-192. https://doi.org/10.5653/cerm.2016.43.4.185

8. Saveleva GM, Suchich GT, Serov VN., Radzinsky VE, Manuchin IB, editors. Gynecology: national guidelines. Moscow: GEOTAR-Media. 2022. (In Russian).

9. Likhacheva VV, Zorina VN, Tretyakova YaN, Bazhenova LG, Tret'iakova TV, Renge LV. Current ideas on the pathogenesis of chronic endometritis. Russian Bulletin of Obstetrician-Gynecologist. 2017;17(4):25-32. (In Russian). https://doi.org/10.17116/rosakush201717425-32

10. Maltseva LI, Sharipova RI, Zhelezova ME. Chronic endometritis – changing conventional thinking. Prakticheskaja medicina. 2018;16(6):99-105. (In Russian). https://doi.org/10.32000/2072-1757-2018-16-6-99-105

11. Singh N, Sethi A. Endometritis – Diagnosis, Treatment and its impact on fertility – A Scoping Review. JBRA Assist Reprod. 2022;26(3):538- 546. https://doi.org/10.5935/1518-0557.20220015

12. Tolibova GKh, Tral TG. Chronic endometritis: a protracted discussion. Ural'skij medicinskij zhurnal. 2023;22(2):142-152. (In Russian). https://doi.org/10.52420/2071-5943-2023-22-2-142-152

13. Vitagliano A, Saccardi C, Noventa M, Di Spiezio Sardo A, Saccone G, Cicinelli E, Pizzi S, Andrisani A, Litta PS. Effects of chronic endometritis therapy on in vitro fertilization outcome in women with repeated implantation failure: a systematic review and meta-analysis. Fertil Steril. 2018;110(1):103-112. https://doi.org/10.1016/j.fertnstert.2018.03.017

14. Ahkubekova NK, Tereshin AT, Bestaeva AE. Correction of psychoemotional and vascular-autonomic dysfunction with patients suffering from endometrial disease under the influence of complex radon, laser, and drug treatment. Russian Journal of the Physial Therapy, Balneotherapy and Rehabilitation. 2019;18(3):161-165. (In Russian). https://doi.org/10.17816/1681-3456-2019-18-3-161-165

15. Razumov AN, Puriga AO, Iurova OV. The modern applications of radon therapy for the medical rehabilitation of the patients. Problems of balneology, physiotherapy, and exercise therapy. 2015;92(4):54-60. (In Russian). https://doi.org/10.17116/kurort2015454-60

16. Fattahi A, Zarezadeh R, Rastgar Rezaei Y, Mettler L, Nouri M, Schmutzler AG, Salmassi A. Expression of interleukin-1β and its receptor in human granulosa cells and their association with steroidogenesis. Tissue Cell. 2023;85:102230. https://doi.org/10.1016/j.tice.2023.102230

17. Snider AP, Wood JR. Obesity induces ovarian inflammation and reduces oocyte quality. Reproduction. 2019;158(3):79-90. https://doi.org/10.1530/REP-18-0583

18. Boldyreva OA. The influence of balneoand peloid therapy on the characteristics of the hormonal regulation in the women presenting with bacterial vaginosis. Problems of Balneology, Physiotherapy and Exercise Therapy. 2015;92(3):22-26. (In Russian). https://doi.org/10.17116/kurort2015322-26.


Review

For citations:


Chernova A.E., Remneva O.V., Bobrov I.P., Mazko O.N., Lepilov A.V., Shadeeva Yu.A. Modulation of female rats steroidogenesis in the application of balneotherapy in an experimental model of chronic endometritis. Fundamental and Clinical Medicine. 2024;9(4):20-28. (In Russ.) https://doi.org/10.23946/2500-0764-2024-9-4-20-28

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ISSN 2500-0764 (Print)
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