Publications by authors named "Kai-Lun Hu"

Endometriosis (EMT) is a common gynecological disease with a strong genetic component, while its precise etiology remains elusive. This study aims to integrate transcriptome-wide association study (TWAS), Mendelian randomization (MR), and bioinformatics analyses to reveal novel putatively causal genes and potential mechanisms. We obtained summary-level data of the Genotype-Tissue Expression Project (GTEx), v8 expression quantitative loci (eQTL) data, and the genome-wide association study (GWAS) data of EMT and its subtypes from the R11 release results of the FinnGen consortium for analysis.

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  • * This study analyzed the expression and localization of Entpd3 in the mouse uterus during the estrous cycle using various techniques, finding high levels of Entpd3 during estrus and metestrus, but lower levels during diestrus and proestrus.
  • * Hormonal treatments in ovariectomized mice showed that sex steroid hormones like estrogen and progesterone can downregulate Entpd3 expression, suggesting that it may be involved
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  • Impaired endometrial function is a major cause of female infertility, and a new sprayable hydrogel with human endometrial organoid extracellular vesicles (HEO-EVs) aims to address this issue by enhancing uterine function.
  • The hydrogel, made of a peptide amphiphile (CPA), combines biocompatible properties with therapeutic EVs sourced from long-term cultured endometrial organoids, promoting rapid gelation and effective application when sprayed onto the uterine lining.
  • Research shows that this innovative treatment improves cell growth, reduces free radicals, and boosts fertility in a mouse model with endometrial injury, indicating its potential for targeted therapy in humans.
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The relationship between the intake of artificial sweetener (AS) and adverse pregnancy outcomes is under-researched, and existing studies yield inconsistent conclusions. A Mendelian randomization (MR) approach was employed to investigate the causal relationship between the intake of AS and adverse pregnancy outcomes. Instrumental variables related to the exposure phenotype were selected for analysis.

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Objective: To investigate whether operative hysteroscopy in addition to vacuum aspiration for the management of early pregnancy loss effectively increases the success rate of subsequent frozen embryo transfer.

Design: Propensity score-matched cohort study.

Setting: Academic hospital.

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Objective: To investigate the association of long-term embryo vitrification with the success rates and neonatal outcomes in frozen cycles.

Study Design: A single-center, retrospective cohort study was performed in Peking University Third Hospital. We included women who had undergone their first vitrified-warmed cycles following an unsuccessful fresh embryo transfer cycle between January 2013 and December 2019.

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Purpose: This study aimed to investigate the association between mild elevation of thyroid-stimulating hormone (TSH) levels and pregnancy outcomes of in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI) treatments in women with the first fresh embryo transfer.

Methods: Large single-center retrospective cohort study of 15,728 patients from January 2018 to December 2022 were enrolled in the analyses. Clinical pregnancy rates, live birth rates, miscarriage rates, and ectopic pregnancy rates were compared between the TSH levels < 2.

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Background: Esophageal atresia (EA) is a life-threatening congenital malformation in newborns, and the traditional repair approaches pose technical challenges and are extremely invasive. Therefore, surgeons have been actively investigating new minimally invasive techniques to address this issue. Magnetic compression anastomosis has been reported in several studies for its potential in repairing EA.

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Background: Bisphenol A (BPA) levels are high in women with polycystic ovary syndrome (PCOS). The mechanism by which BPA induces abnormal glucose metabolism in PCOS patients is largely unknown.

Methods: Serum and urine samples were collected from women with and without PCOS (control) at the reproductive medicine center with informed consent.

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Problem: Immunomodulation profoundly affects the process of human implantation. Trophoblast cell-derived microparticles (Tr-MPs) may activate specific T cells to attack trophoblast cells, thus potentially acting as an immunocontraceptive vaccine. The safety and persistence of Tr-MP vaccine are needed to address.

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Background: Ectopic pregnancy is more common amongst assisted reproduction cycles and is a cause of significant maternal morbidity. Few predictive markers exist to help identify and modify risk of ectopic pregnancy in preparing for embryo transfer. The relationship between serum and AMH and ectopic pregnancy rate is unknown.

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Context: Gestational diabetes mellitus (GDM) is a common obstetric complication. Although early intervention could prevent the development of GDM, there was no consensus on early identification for women at high risk of GDM.

Objective: To develop a reliable prediction model of GDM in early pregnancy.

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Objective: To investigate the relationship between the embryo frozen time and live birth rate (LBR) in women having a freeze-all cycle.

Design: Retrospective cohort study.

Setting: Academic hospital.

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Purpose: To explore an interaction effect between serum anti-Müllerian hormone (AMH) levels and the relative treatment effect of a freeze-all versus a fresh embryo transfer strategy on live birth.

Methods: This was a retrospective cohort study investigating couples with infertility and eligible for both freeze-all and fresh embryo transfer between 2017 and 2019. Women with an absolute indication for a freeze-all strategy were excluded.

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Infertility affects about 10-15% couples over the world, among which a large number of cases the underlying causes are still unclear. Recent studies suggest that environmental factors may play an important role in these idiopathic infertilities. Arsenic is a heavy metal found in drinking water over the world.

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  • Overweight and obesity during pregnancy are linked to disorders like gestational diabetes (GDM) and high gestational weight gain (GWG), yet the effectiveness of various preventive interventions is not well-understood.
  • A review of 23 studies with nearly 8,877 participants found that while no intervention significantly prevented GDM, physical activity (PA) and diet combined with PA showed potential as preventive measures, with PA ranking highest in effectiveness.
  • Interventions focusing on diet and PA were effective in limiting GWG, with combined diet + PA being the best strategy for both preventing GDM and controlling GWG.
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  • Kisspeptin is a crucial regulator of hormone release in the hypothalamus, which controls reproductive functions in the hypothalamic-pituitary-ovary axis.
  • It has potential applications in treating various reproductive issues by stimulating GnRH release and aiding in ovulation and oocyte maturation, especially in high-risk women.
  • More clinical research is needed to explore kisspeptin's therapeutic effects on reproductive disorders like hypothalamic amenorrhea and polycystic ovary syndrome.
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Background: Two or more embryo transfers have been used to increase the success rate of live birth in traditional in vitro fertilization (IVF) strategy at the expense of increased risks of multiple pregnancy and adverse perinatal outcomes. The decision regarding the elective single embryo transfer or double embryo transfer remains inconclusive. The aim of this study was to investigate the risk factors for twin pregnancy in IVF.

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Vitamin D (VitD) shows a beneficial role in placentation, the immune system, and angiogenesis, and thus, VitD status may link to the risk of preeclampsia. A meta-analysis was conducted to investigate the association between VitD status in early and middle pregnancy and the risk of preeclampsia. A total of 22 studies with 25,530 participants were included for analysis.

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  • The study explores whether measuring kisspeptin levels in early pregnancy is more effective than measuring human chorionic gonadotropin (hCG) in predicting pregnancy outcomes, specifically miscarriage versus viable pregnancies.
  • Five studies were reviewed, and three were analyzed, showing kisspeptin levels had a high diagnostic value (AUC 0.902) when assessed after 6 weeks of gestation.
  • The results indicate that kisspeptin testing may be more accurate than hCG testing in diagnosing early pregnancy outcomes, suggesting it could be a better tool for clinicians.
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Study Question: Is the morphological grading system for blastocysts associated with perinatal outcomes in women undergoing frozen-thawed single blastocyst transfer (SBT)?

Summary Answer: Preferential transfer of a blastocyst based on their inner cell mass (ICM) and trophectoderm (TE) grading appears to be supported by observed differences in perinatal outcomes.

What Is Known Already: The transfer of a morphologically good quality blastocyst is associated with a higher chance of implantation and pregnancy as compared to transfer of a poor quality blastocyst. However, to date, the association of the morphological parameters of the blastocyst with perinatal outcomes after blastocyst transfer remains unknown.

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Background: Parental body mass index (BMI) is associated with pregnancy outcomes. But the effect of parental prepregnancy BMI on offspring conceived via in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI), especially the birth defect, remains to be determined. This study aimed to investigate the associations of parental prepregnancy BMI with neonatal outcomes and birth defect in fresh embryo transfer cycles.

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  • The study investigates whether the thickness of the endometrium (EMT) can predict negative neonatal outcomes in women undergoing frozen embryo transfer (FET) after IVF or ICSI.
  • It analyzed data from 13,383 women and found that an EMT of less than 8 mm was associated with a higher risk of preterm delivery (PTD) and low birthweight (LBW).
  • The findings suggest using an EMT cut-off of 8 mm to assess risks, as thinner endometrial layers lead to increased chances of adverse outcomes during pregnancy.
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Capsule: Oligo/amenorrhea is an independent risk factor of low ovarian response but not high ovarian response, particularly in women with low AMH levels.

Objective: To investigate the association of menstrual cycle length (MCL) with anti-Müllerian hormone (AMH) and ovarian response.

Methods: This was a retrospective cohort study.

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