Abstract:
:Access to effective affordable contraception is critical for individual and public health. A wide range of hormonal contraceptives (HCs), which differ in composition, concentration of the progestin component, frequency of dosage, and method of administration, is currently available globally. However, the options are rather limited in settings with restricted economic resources that frequently overlap with areas of high HIV-1 prevalence. The predominant contraceptive used in sub-Saharan Africa is the progestin-only three-monthly injectable depot medroxyprogesterone acetate. Determination of whether HCs affect HIV-1 acquisition has been hampered by behavioral differences potentially confounding clinical observational data. Meta-analysis of these studies shows a significant association between depot medroxyprogesterone acetate use and increased risk of HIV-1 acquisition, raising important concerns. No association was found for combined oral contraceptives containing levonorgestrel, nor for the two-monthly injectable contraceptive norethisterone enanthate, although data for norethisterone enanthate are limited. Susceptibility to HIV-1 and other sexually transmitted infections may, however, be dependent on the type of progestin present in the formulation. Several underlying biological mechanisms that may mediate the effect of HCs on HIV-1 and other sexually transmitted infection acquisition have been identified in clinical, animal, and ex vivo studies. A substantial gap exists in the translation of basic research into clinical practice and public health policy. To bridge this gap, we review the current knowledge of underlying mechanisms and biological effects of commonly used progestins. The review sheds light on issues critical for an informed choice of progestins for the identification of safe, effective, acceptable, and affordable contraceptive methods.
journal_name
Endocr Revjournal_title
Endocrine reviewsauthors
Hapgood JP,Kaushic C,Hel Zdoi
10.1210/er.2017-00103subject
Has Abstractpub_date
2018-02-01 00:00:00pages
36-78issue
1eissn
0163-769Xissn
1945-7189pii
4788769journal_volume
39pub_type
杂志文章,评审abstract::In humans and other mammalian species, the pool of resting primordial follicles serves as the source of developing follicles and fertilizable ova for the entire length of female reproductive life. One question that has intrigued biologists is: what are the mechanisms controlling the activation of dormant primordial fo...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2008-0048
更新日期:2009-08-01 00:00:00
abstract::Recent, rapid changes in the treatment of type 1 diabetes have allowed for commercialization of an "artificial pancreas" that is better described as a closed-loop controller of insulin delivery. This review presents the current state of closed-loop control systems and expected future developments with a discussion of ...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2018-00174
更新日期:2019-12-01 00:00:00
abstract::It is well established that the organ damage that complicates human diabetes is caused by prolonged hyperglycemia, but the cellular and molecular mechanisms by which high levels of glucose cause tissue damage in humans are still not fully understood. The prevalent hypothesis explaining the mechanisms that may underlie...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2014-1099
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abstract::In recent years, ovarian tissue cryopreservation has rapidly developed as a successful method for preserving the fertility of girls and young women with cancer or benign conditions requiring gonadotoxic therapy, and is now becoming widely recognized as an effective alternative to oocyte and embryo freezing when not fe...
journal_title:Endocrine reviews
pub_type: 杂志文章
doi:10.1210/endrev/bnaa020
更新日期:2020-12-01 00:00:00
abstract::It is well known that GH is important in the regulation of longitudinal bone growth. Its role in the regulation of bone metabolism in man has not been understood until recently. Several in vivo and in vitro studies have demonstrated that GH is important in the regulation of both bone formation and bone resorption. In ...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/edrv.19.1.0324
更新日期:1998-02-01 00:00:00
abstract::Ovarian steroids normally exert homeostatic negative feedback on GnRH release. During sustained exposure to elevated estradiol in the late follicular phase of the reproductive cycle, however, the feedback action of estradiol switches to positive, inducing a surge of GnRH release from the brain, which signals the pitui...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
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更新日期:2010-08-01 00:00:00
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journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2002-0023
更新日期:2003-04-01 00:00:00
abstract::Spermatogenesis is the process by which a single spermatogonium develops into 256 spermatozoa, one of which will fertilize the ovum. Since the 1950s when the stages of the epithelial cycle were first described, reproductive biologists have been in pursuit of one question: How can a spermatogonium traverse the epitheli...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
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更新日期:2004-10-01 00:00:00
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journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2017-00188
更新日期:2018-06-01 00:00:00
abstract::Polycystic ovary syndrome (PCOS) was hypothesized to result from functional ovarian hyperandrogenism (FOH) due to dysregulation of androgen secretion in 1989-1995. Subsequent studies have supported and amplified this hypothesis. When defined as otherwise unexplained hyperandrogenic oligoanovulation, two-thirds of PCOS...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2015-1104
更新日期:2016-10-01 00:00:00
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journal_title:Endocrine reviews
pub_type: 杂志文章,meta分析,评审
doi:10.1210/er.2001-7002
更新日期:2002-08-01 00:00:00
abstract::Loss of estrogens or androgens increases the rate of bone remodeling by removing restraining effects on osteoblastogenesis and osteoclastogenesis, and also causes a focal imbalance between resorption and formation by prolonging the lifespan of osteoclasts and shortening the lifespan of osteoblasts. Conversely, androge...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2003-0003
更新日期:2004-06-01 00:00:00
abstract::There is a large body of literature showing that prolactin (PRL) exerts growth-promoting activities in breast cancer, and possibly in prostate cancer and prostate hyperplasia. In addition, increasing evidence argues for the involvement of locally produced (autocrine) PRL, perhaps even more than pituitary-secreted (end...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2004-0016
更新日期:2005-05-01 00:00:00
abstract::This review presents a comprehensive discussion of the clinical condition of delayed puberty, a common presentation to the pediatric endocrinologist, which may present both diagnostic and prognostic challenges. Our understanding of the genetic control of pubertal timing has advanced thanks to active investigation in t...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2018-00248
更新日期:2019-10-01 00:00:00
abstract::Osteoclasts and osteoblasts dictate skeletal mass, structure, and strength via their respective roles in resorbing and forming bone. Bone remodeling is a spatially coordinated lifelong process whereby old bone is removed by osteoclasts and replaced by bone-forming osteoblasts. The refilling of resorption cavities is i...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2007-0014
更新日期:2008-04-01 00:00:00
abstract::The etiology of the AITDs remains unclear but it is now generally believed that both genetic and environmental factors contribute to their development. Some recent findings have begun to directly and indirectly implicate the possibility of infectious agents in the pathogenesis of AITD, and these data serve as the basi...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/edrv-14-1-107
更新日期:1993-02-01 00:00:00
abstract::Phosphate plays essential roles in many biological processes, and the serum phosphate level is tightly controlled. Chronic hypophosphatemia causes impaired mineralization of the bone matrix and results in rickets and osteomalacia. Fibroblast growth factor 23 (FGF23) is a bone-derived hormone that regulates phosphate m...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2017-00220
更新日期:2018-06-01 00:00:00
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journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2002-0034
更新日期:2004-02-01 00:00:00
abstract::Normal development and function of the testis are controlled by endocrine and paracrine signaling pathways. Platelet-derived growth factors (PDGFs) are growth factors that mediate epithelial-mesenchymal interactions in various tissues during normal and abnormal processes such as embryo development, wound healing, tiss...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2010-0004
更新日期:2010-12-01 00:00:00
abstract::During the past decade, possible advancement in timing of puberty has been reported in the United States. In addition, early pubertal development and an increased incidence of sexual precocity have been noticed in children, primarily girls, migrating for foreign adoption in several Western European countries. These ob...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2002-0019
更新日期:2003-10-01 00:00:00
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journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2002-0012
更新日期:2003-02-01 00:00:00
abstract::Long noncoding RNAs (lncRNAs) are a relatively poorly understood class of RNAs with little or no coding capacity transcribed from a set of incompletely annotated genes. They have received considerable attention in the past few years and are emerging as potentially important players in biological regulation. Here we di...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
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更新日期:2015-02-01 00:00:00
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journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2011-1042
更新日期:2012-08-01 00:00:00
abstract::Pelvic endometriosis is a complex syndrome characterized by an estrogen-dependent chronic inflammatory process that affects primarily pelvic tissues, including the ovaries. It is caused when shed endometrial tissue travels retrograde into the lower abdominal cavity. Endometriosis is the most common cause of chronic pe...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2018-00242
更新日期:2019-08-01 00:00:00
abstract::Bile acids derived from cholesterol and oxysterols derived from cholesterol and bile acid synthesis pathways are signaling molecules that regulate cholesterol homeostasis in mammals. Many nuclear receptors play pivotal roles in the regulation of bile acid and cholesterol metabolism. Bile acids activate the farnesoid X...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2000-0035
更新日期:2002-08-01 00:00:00
abstract::Hippo signaling is an evolutionarily conserved pathway that critically regulates development and homeostasis of various tissues in response to a wide range of extracellular and intracellular signals. As an emerging important player in many diseases, the Hippo pathway is also involved in the pathophysiology of diabetes...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2017-00167
更新日期:2018-02-01 00:00:00
abstract::Insulin resistance is increasingly recognized as a chronic, low-level, inflammatory state. Hyperinsulinemia and insulin action were initially proposed as the common preceding factors of hypertension, low high-density lipoprotein cholesterol, hypertriglyceridemia, abdominal obesity, and altered glucose tolerance, linki...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2002-0010
更新日期:2003-06-01 00:00:00
abstract::Teeth are mineralized organs composed of three unique hard tissues, enamel, dentin, and cementum, and supported by the surrounding alveolar bone. Although odontogenesis differs from osteogenesis in several respects, tooth mineralization is susceptible to similar developmental failures as bone. Here we discuss conditio...
journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2013-1009
更新日期:2014-02-01 00:00:00
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journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2018-00166
更新日期:2019-04-01 00:00:00
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journal_title:Endocrine reviews
pub_type: 杂志文章,评审
doi:10.1210/er.2003-0008
更新日期:2003-12-01 00:00:00