Importance of neurotransmitters in the regulation of the reproductive system
- Authors: Ivanova A.O.1, Yarmolinskaya M.I.1,2, Tkachenko N.N.1, Kondratyeva E.A.3
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Affiliations:
- The Research Institute of Obstetrics, Gynecology, and Reproductology named after D.O. Ott
- North-Western State Medical University named after I.I. Mechnikov
- V.A. Almazov National Medical Research Center
- Issue: Vol 69, No 1 (2020)
- Pages: 95-108
- Section: Reviews
- URL: https://journals.rcsi.science/jowd/article/view/18507
- DOI: https://doi.org/10.17816/JOWD69195-108
- ID: 18507
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Abstract
Hypothesis/aims of study. Recently, due to empowering the improvement of care for patients with traumatic brain injury and creating effective methods of intensive therapy for severe brain lesions of various genesis, there has been a tendency towards an increased number of patients who have gone out of a coma into an unconscious state — a vegetative state or an unresponsive wakefulness syndrome (BS / UWS). The functions of the brain stem and hypothalamus in patients in a BS / UWS are preserved. The aim of this study was to evaluate the significance of the relationship between the regulation of sex steroid hormones and the secretion of neurotransmitters.
Study design, materials and methods. The study was performed using systematic analysis and compilation of literature data obtained by foreign and domestic authors over the period from 1931 to 2018.
Results. This article reviews publications covering the relationship between the regulation of sex steroid hormones and the secretion of neurotransmitters, as well as their effect on the reproductive system. The theory of neurosecretion depicting the mechanisms of positive and negative feedback of the synthesis of neurotransmitters and sex steroid hormones, and the characteristics of the secretion machineries for sex hormones with normogonadotropic and hypogonadotropic pituitary insufficiency, and nonendocrine manifestations of the pathology of the hypothalamus is highlighted in this review.
Conclusion. The hormonal profile of patients with chronic disorders of consciousness remains almost unstudied. A further study of the hormonal profile in this patient category will create the prerequisites for the development of pathogenetically substantiated hormone-modifying replacement therapy, which may have a positive effect on the dynamics of recovery of consciousness and improve treatment outcomes.
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##article.viewOnOriginalSite##About the authors
Alina O. Ivanova
The Research Institute of Obstetrics, Gynecology, and Reproductology named after D.O. Ott
Author for correspondence.
Email: ivanova_ao93@mail.ru
ORCID iD: 0000-0003-0792-3337
MD, Junior Researcher. The Department of Gynecological Endocrinology
Russian Federation, Saint PetersburgMaria I. Yarmolinskaya
The Research Institute of Obstetrics, Gynecology, and Reproductology named after D.O. Ott; North-Western State Medical University named after I.I. Mechnikov
Email: m.yarmolinskaya@gmail.com
ORCID iD: 0000-0002-6551-4147
SPIN-code: 3686-3605
Scopus Author ID: 7801562649
MD, PhD, DSci (Medicine), Professor of the Russian Academy of Sciences, Head of the Department of Endocrinology of Reproduction, Head of the Diagnostics and Treatment of Endometriosis Center; Professor. The Department of Obstetrics and Gynecology
Russian Federation, Saint PetersburgNatalia N. Tkachenko
The Research Institute of Obstetrics, Gynecology, and Reproductology named after D.O. Ott
Email: liberin@mail.ru
ORCID iD: 0000-0001-6189-3488
SPIN-code: 9633-6701
Scopus Author ID: 678294
ResearcherId: K-1734-2018
PhD, Head of the Laboratory of Endocrinology. The Department of Endocrinology of Reproduction
Russian Federation, Saint PetersburgEkaterina A. Kondratyeva
V.A. Almazov National Medical Research Center
Email: eak2003@mail.ru
ORCID iD: 0000-0001-6362-6543
SPIN-code: 6966-3270
MD, PhD, Leading Researcher, Head of the Minimal Consciousness Study Group, Member of the European Academy of Neurology. Russian Research Neurosurgical Institute named after Prof. A.L. Polenov
Russian Federation, Saint PetersburgReferences
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