首页|miR-483-3p在妊娠期糖尿病患者血清中的表达及临床意义

miR-483-3p在妊娠期糖尿病患者血清中的表达及临床意义

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目的 研究miR-483-3p在妊娠期糖尿病(GDM)患者血清中的表达及临床意义。方法 选取在安丘市人民医院妇产科常规产检的24~32孕周的GDM患者100例,作为GDM组,并选取同年龄段24~32孕周的98例健康孕妇作为糖耐量正常(NGT)组。通过 RT-qPCR 检测 miR-483-3p 的表达水平;采用受试者工作特征(ROC)曲线分析miR-483-3p对GDM的诊断价值;卡方检验分析GDM组miR-483-3p的表达量与临床指标的相关性;采用Logistic回归分析GDM的风险因素。双荧光素酶报告基因实验验证miR-483-3p和人自噬相关蛋白 7(ATG7)的靶向关系。利用CCK-8法,流式细胞测量术和Transwell小室法分别检测高糖培养的HTR-8/SVneo细胞的增殖、凋亡、迁移和侵袭能力。结果 GDM组患者血清中miR-483-3p的表达水平比NGT组增高,miR-483-3p的表达对GDM具有诊断价值。孕前身体质量指数(BMI)、空腹血糖(FBG)、空腹胰岛素(FINS)、胰岛素抵抗指数(HOMA-IR)和三酰甘油(TG)与血清miR-483-3p的表达有显著相关性(P<0。05),并且孕前 BMI 和 TG 是导致妊娠期糖尿病的风险因素。miR-483-3p通过靶向调控ATG7 调节细胞的增殖、凋亡、迁移和侵袭(P<0。05)。结论 miR-483-3p参与GDM的疾病进展,可能作为GDM的诊断生物标志物。
Expression and clinical significance of miR-483-3p in serum of gestational diabetes mellitus patients
Objective To investigate the expression and clinical significance of miR-483-3p in patients with gesta-tional diabetes mellitus(GDM).Methods A total of 100 GDM patients with 24-32 weeks of gestation who under-went routine obstetric examination in Anqiu People's Hospital were selected as the normal glucose tolerance(NGT)group,and a total of 98 healthy pregnant women of the same age of 24-32 gestational weeks were selected as the NGT group.The expression level of miR-483-3p was detected by RT-qPCR,the diagnostic value of miR-483-3p in GDM was analyzed by receiver operating characteristic(ROC)curve,the correlation between the expression levels of miR-483-3p and clinical indicators in the GDM group was analyzed by chi-square test,and the risk factors of GDM were analyzed by Logistic regression.Dual luciferase reporter gene assay was used to verify the targeting relationship between miR-483-3p and autophagy-related protein 7(ATG7).CCK8,flow cytometry and Transwell assays were used to detect the proliferation,apoptosis,and migration and invasion ability of cells,respectively.Results The expression level of miR-483-3p in the serum of patients in the GDM group was significantly higher than that in the NGT group.The expression of miR-483-3p had diagnostic value for GDM.Pre-pregnancy BMI,FBG,FINS,HOMA-IR and TG were significantly correlated with serum miR-483-3p expression.In addition,BMI and TG before pregnancy were risk factors leading to GDM.miR-483-3p regulated HG-treated HTR-8/SVneo cell proliferation,apoptosis,migration and invasion by targeting at ATG7.Conclusions miR-483-3p is involved in the disease pro-gression of GDM and is a potential biomarker of GDM diagnosis.

gestational diabetes mellitusmicroRNAmiR-483-3pdiagnosis

张丽娜、贾梦涛、孙泽云、张建军

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山东第二医科大学 临床医学院,山东 潍坊 261035

安丘市中医院,山东 潍坊 262199

山东第二医科大学附属医院(安丘市人民医院)妇产科 潍坊市产后盆底肌电康复重点实验室,山东 潍坊 261035

妊娠期糖尿病 微RNA miR-483-3p 诊断

2025

基础医学与临床
北京生理科学会

基础医学与临床

影响因子:0.669
ISSN:1001-6325
年,卷(期):2025.45(1)