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| Name | Class |
|---|---|
| Papanikolaou Evaggelos | UNKNOWN |
| Naidecki Robert | UNKNOWN |
| Pakaki Fay | UNKNOWN |
| Raikos Nikolaos |
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Opioids is known that produce not only analgesia but also hyperalgesia through activation of central glutaminergic system-GABA. At the same time, recently it was found that the main opioid receptor (OPRM1) is present on human granulosa cells and exogenous opiates and their antagonists can influence granulosa cell vascular endothelial growth factor (VEGF) production via OPRM1, causing ovarian hyperstimulation syndrome.
This study aims to investigate if a single exposure to opioids is enough to produce activation of stress mechanism during oocyte retrieval.
The main opioid receptor (OPRM1) is present on human granulosa cells and exogenous opiates and their antagonists can influence granulosa cell vascular endothelial growth factor (VEGF) production via OPRM1, causing ovarian hyperstimulation syndrome.
This study aims to investigate if a single exposure to opioids is enough to produce activation of stress mechanism during ultrasound-guided oocyte retrieval. It will be measured the level of cortisone before and 15min after iv administration of fentanyl on blood and on oocyte fluid.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Fentanyl citrate | Baseline blood sample and oocyte fluid will be collected under propofol anesthesia. Fifteen minutes after administration of 1γ/kgfentanyl, it will be collected again blood sample and oocyte fluid. Cortisone and fentanyl level will be measured in all samples. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Fentanyl Citrate | Drug | 1γ/Kg fentanyl |
|
| Measure | Description | Time Frame |
|---|---|---|
| fentanyl | fentanyl on blood sample and oocyte fluid | 15 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| cortisone | cortisone on blood sample and oocyte fluid | 15 min |
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Inclusion Criteria:
Exclusion Criteria:
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Healthy volunteers oocyte donor
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Irene Asouhidou, MD, PhD | Contact | 00302310999321 | iasouh@aol.com | |
| Evaggelos Papanikolaou, MD, PhD | Contact | 00302310424294 | drvagpapanikolaou@yahoo.gr |
| Name | Affiliation | Role |
|---|---|---|
| Irene Asouhidou, MD, PhD | Assisting Nature | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Section of Anatomy, Aristotle University of Thessaloniki | Recruiting | Thessaloniki | 54124 | Greece |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28669481 | Background | Bottcher B, Seeber B, Leyendecker G, Wildt L. Impact of the opioid system on the reproductive axis. Fertil Steril. 2017 Aug;108(2):207-213. doi: 10.1016/j.fertnstert.2017.06.009. Epub 2017 Jun 29. | |
| 26803207 | Background | Lunger F, Vehmas AP, Furnrohr BG, Sopper S, Wildt L, Seeber B. Opiate receptor blockade on human granulosa cells inhibits VEGF release. Reprod Biomed Online. 2016 Mar;32(3):316-22. doi: 10.1016/j.rbmo.2015.12.006. Epub 2016 Jan 6. |
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| ID | Term |
|---|---|
| D015775 | Fractures, Stress |
| ID | Term |
|---|---|
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
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| ID | Term |
|---|---|
| D005283 | Fentanyl |
| ID | Term |
|---|---|
| D010880 | Piperidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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| UNKNOWN |
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| 18706433 | Background | Kouvaras E, Asprodini EK, Asouchidou I, Vasilaki A, Kilindris T, Michaloudis D, Koukoutianou I, Papatheodoropoulos C, Kostopoulos G. Fentanyl treatment reduces GABAergic inhibition in the CA1 area of the hippocampus 24 h after acute exposure to the drug. Neuropharmacology. 2008 Dec;55(7):1172-82. doi: 10.1016/j.neuropharm.2008.07.025. Epub 2008 Jul 26. |