首页|心钠素及其受体-A在早发型子痫前期中的表达及相关性研究

心钠素及其受体-A在早发型子痫前期中的表达及相关性研究

Expression and Correlation of Atrial Natriuretic Factor and its Receptor-a in Early Onset Preeclampsia

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目的 观察心钠素(ANP)及其受体-A(NPR-A)在早发型子痫前期孕妇胎盘中的表达及相关性研究.方法 随机选取正常妊娠的足月孕妇15例,患有早发型子痫前期因病情原因选择剖宫产手术终止妊娠的孕妇15例,分别收集胎盘组织.通过免疫组化和免疫印迹技术检测ANP及NPR-A在正常妊娠孕妇和患有早发型子痫前期孕妇胎盘中的表达及分布.结果 ANP及NPR-A在正常妊娠孕妇和患有早发型子痫前期孕妇胎盘组织中均有表达.在早发型子痫前期孕妇的胎盘组织中ANP的表达量与正常妊娠孕妇胎盘组织中ANP的表达量差异无统计学意义(P>0.05);早发型子痫前期孕妇的胎盘组织中NPR-A的表达量与正常妊娠孕妇胎盘组织中NPR-A的表达量相比差异有统计学意义(P<0.05).结论 合体滋养细胞通过ANP及NPR-A来调节母胎循环;ANP及NPR-A的功能障碍可能参与了子痫前期的发病,影响绒毛滋养细胞的侵入和子宫螺旋小动脉的重铸,从而导致子痫前期的发生.
Objective To investigate the expression and correlation of atrial natriuretic peptide(ANP)and its receptor-a(NPR-A)in placenta of pregnant women with early-onset preeclampsia.Methods A total of 15 full-term pregnant women with normal pregnancy and 15 patients with early-onset preeclampsia were ran-domly selected to terminate pregnancy by cesarean section.Placenta tissue was collected.The expression and distribution of ANP and NPR-A in the placenta of normal pregnant women and women with early-onset preeclampsia were detected by immunohistochemistry and western blot.Results ANP and NPR-A are ex-pressed in placental tissues of normal pregnant women and women with early-onset preeclampsia.There was no significant difference in the expression of ANP between the placental tissues of pregnant women with early-on-set preeclampsia and that of normal pregnant women(P>0.05).The expression level of NPR-A in placental tissues of pregnant women with early-onset preeclampsia was significantly different from that of normal preg-nant women(P<0.05).Conclusion Syncytiotrophoblast regulates maternal-fetal circulation through ANP and NPR-A.The dysfunction of ANP and NPR-A may be involved in the onset of preeclampsia.ANP and NPR-A affect the invasion of villous trophoblast cells and the recast of uterine spiral arteriolae,thus leading to the occurrence of preeclampsia.

early-onset preeclampsiaatrial natriuretic peptideatrial natriuretic peptide receptor-A

王刚、宋立猛

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内蒙古科技大学包头医学院研究生学院,内蒙古包头 014040

内蒙古自治区人民医院产科,呼和浩特 010017

早发型子痫前期 心钠素 心钠素受体-A

2024

内蒙古医学杂志
内蒙古自治区医学会

内蒙古医学杂志

影响因子:0.537
ISSN:1004-0951
年,卷(期):2024.56(6)