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JCEM:外泌体miRNA或是子痫前期的生物标志物

2017-05-27 MedSci MedSci原创

子痫前期(preeclampsia,PE,又称为先兆子痫)的发生率大约为3~5%,并不少见,是妊娠特发性疾病,高危因素有很多,但如果发现得早是完全可以治疗的。因此,制定早期预测子痫前期的策略是必要的,以制定PE预防策略,进而减少疾病的发生率和相关并发症,及减轻疾病的严重程度。来自澳大利亚昆士兰大学的研究人员探讨了母体循环中外泌体及其microRNA是否可以作为PE的早期生物标志物。本研究是一个回顾

子痫前期(preeclampsia,PE,又称为先兆子痫)的发生率大约为3~5%,并不少见,是妊娠特发性疾病,高危因素有很多,但如果发现得早是完全可以治疗的。因此,制定早期预测子痫前期的策略是必要的,以制定PE预防策略,进而减少疾病的发生率和相关并发症,及减轻疾病的严重程度。

来自澳大利亚昆士兰大学的研究人员探讨了母体循环中外泌体及其microRNA是否可以作为PE的早期生物标志物。

本研究是一个回顾性的分层研究,被用来量化在正常孕妇血浆(n= 32/时间点)和PE孕妇血浆(n= 15/时间点)中的总的外泌体(EXO)和胎盘来源外泌体(placenta-derived exosome,PdE)。母体循环中的外泌体是由纳米粒子跟踪分析技术(NTA)确定的。Illumina TrueSeq小RNA提取试剂盒被用来从血浆样品获得的外泌体RNA构建小RNA文库。


研究人员发现,在出现症状后发展为PE的孕妇中,其血浆中的EXO和PdE浓度显着高于对照组孕妇。EXO和PdE浓度的ROC曲线下的面积分别为0.745±0.094和0.829±0.077。总的来说,在孕期中提取的外泌体里有超过300个miRNA被鉴定出,其中hsa-miR-486-1-5p和hsa-miR-486-2-5p被认为是有潜在致病相关的miRNA。

虽然外泌体在PE期间的作用机制尚未明确,但研究人员建议外泌体的浓度和含量可能对孕妇发展为PE的风险具有诊断效用。

原始出处:

Salomon C,Guanzon D,et al.Placental exosomes as early biomarker of preeclampsia - Potential role of exosomal microRNAs across gestation.J Clin Endocrinol Metab. 2017 May 22. doi: 10.1210/jc.2017-00672. [Epub ahead of print]

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    2018-01-25 smallant2002
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    2017-12-16 smallant2015
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time=2017-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=203290, encodeId=5c3520329068, content=学习了,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzTetibytbqFDmFITWHyBWbxU7S9MYibgPSqvu0sYteH0N6zXqbU0Kf3Mbdb7yWM1Kud3zPgYBibE2SZ/0, createdBy=da7696924, createdName=qingfengqishi5, createdTime=Sat May 27 18:56:22 CST 2017, time=2017-05-27, status=1, ipAttribution=)]
    2017-11-21 achengzhao
  5. [GetPortalCommentsPageByObjectIdResponse(id=1930459, encodeId=3c2c19304598f, content=<a href='/topic/show?id=22f61180211' target=_blank style='color:#2F92EE;'>#miR#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11802, encryptionId=22f61180211, topicName=miR)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0a27288, createdName=smallant2002, createdTime=Thu Jan 25 10:21:00 CST 2018, time=2018-01-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1777589, encodeId=454c1e77589ff, content=<a href='/topic/show?id=eb9610265ed' target=_blank style='color:#2F92EE;'>#JCEM#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10265, encryptionId=eb9610265ed, topicName=JCEM)], attachment=null, authenticateStatus=null, createdAvatar=null, 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time=2017-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=203290, encodeId=5c3520329068, content=学习了,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzTetibytbqFDmFITWHyBWbxU7S9MYibgPSqvu0sYteH0N6zXqbU0Kf3Mbdb7yWM1Kud3zPgYBibE2SZ/0, createdBy=da7696924, createdName=qingfengqishi5, createdTime=Sat May 27 18:56:22 CST 2017, time=2017-05-27, status=1, ipAttribution=)]
    2017-05-29 Homburg
  6. 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time=2017-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=203290, encodeId=5c3520329068, content=学习了,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzTetibytbqFDmFITWHyBWbxU7S9MYibgPSqvu0sYteH0N6zXqbU0Kf3Mbdb7yWM1Kud3zPgYBibE2SZ/0, createdBy=da7696924, createdName=qingfengqishi5, createdTime=Sat May 27 18:56:22 CST 2017, time=2017-05-27, status=1, ipAttribution=)]
    2017-05-29 yahu
  7. 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  9. 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    2017-05-28 尹玉伟

    厉害厉害

    0

  10. 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    2017-05-27 qingfengqishi5

    学习了,学习了

    0

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美国预防服务工作组(USPSTF)对之前发布的声明草案进行了重申:呼吁孕期常规进行子痫前期的筛查。 关于血压测量对孕妇子痫前期筛查的益处,得到了机构的“适度”的肯定,推荐等级为B。 在对子痫前期检测方式进行评估时,USPSTF认为有足够的证据支持血压测量的准确度;此外,还有足够的证据表明,蛋白尿检测时,使用试纸测试尿蛋白的诊断准确率低。 在评估早期检测和治疗子痫前期的利弊时,有足

Int J Epidemiol:子痫前期孕妇怀女儿更容易早产?

子痫前期指怀孕前血压正常、妊娠20周以后出现高血压、蛋白尿;是妊娠期高血压疾病的五种状况之一,为妊娠期特发疾病,可影响机体各器官系统。目前其发病率约占全部妊娠的8%。 越来越多的证据表明,母亲、胎盘和胎儿之间存在性别特异性的相互作用,可能会导致孕期不同的适应机制。 我们进行了一项荟萃分析,探究胎儿性别和子痫前期之间的联系,此外重点关注了子痫前期患者分娩时的孕周。 本研究纳入了21

Obstet Gynecol:子痫前期孕妇更容易发生视网膜疾病

子痫前期,特别严重的或是早发型子痫前期、妊娠后几十年母亲视网膜疾病发生高风险相关。

Hypertension:sFlt-1:PLGF比值可用来预测孕妇子痫前期风险

sFlt-1:PLGF比值为未经选择的单胎妊娠初产妇出现子痫前期最重要的临床表现的预测提供了有用的临床风险预测指标。

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