首页|妊娠期高血糖与胎盘滋养细胞衰老的研究进展

妊娠期高血糖与胎盘滋养细胞衰老的研究进展

Research progress on hyperglycemia in pregnancy and senescence in placental trophoblast cell

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妊娠期高血糖包括孕前糖尿病、糖尿病前期和妊娠糖尿病,易导致多种不良妊娠结局的发生,然而高血糖状态及影响母子健康的分子机制尚不清晰.研究表明细胞衰老是在多种驱动因素作用下出现不可逆的细胞生长停滞现象,这种现象与机体疾病密切相关,不仅在损伤修复和肿瘤抑制等方面发挥作用,而且与糖尿病的发生发展相关.近年多项研究发现,高血糖可能通过多种途径诱导滋养细胞异常衰老,不同糖代谢状态和胎盘滋养细胞衰老互相影响,可能决定着妊娠糖尿病的发生发展和母胎结局,据此,本文主要对正常妊娠与胎盘滋养细胞衰老、妊娠期高血糖与胎盘滋养细胞异常衰老、胎盘滋养细胞衰老与不良妊娠结局等方面的研究进展进行综述,以期从新的视角认识妊娠期高血糖导致不良妊娠结局的分子机制.
Hyperglycemia in pregnancy,including pregestational diabetes mellitus,prediabetes mellitus,and gesta-tional diabetes mellitus,is associated with a variety of adverse pregnancy outcomes.However,the status of hyperglycemia and the molecular mechanisms that influence maternal and fetal health are unclear.Cellular senescence has been shown to be an irreversible arrest of cell growth driven by a variety of drivers.This is closely related to the disease and plays a role not only in the repair of damage and tumor suppression,but also in the development of diabetes mellitus.A number of recent studies have revealed that hyperglycemia can induce abnormal trophoblast cell senescence in a variety of ways.Different glycemic meta-bolic states and placental trophoblast cell senescence may influence the development of gestational diabetes mellitus and ma-ternal-fetal outcomes.Therefore,this paper reviews advances in normal pregnancy and placental trophoblast cells senescence,hyperglycemia in pregnancy and abnormal senescence of placental trophoblast cells,senescence of placental trophoblast cells and adverse pregnancy outcomes to understand the molecular mechanism of hyperglycemia in pregnancy from a new perspec-tive.

hyperglycemia in pregnancycellular senescencetrophoblast cellpregnancy outcomes

郑琳、李华萍

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上海交通大学医学院附属第六人民医院妇产科,上海 200233

上海市第六人民医院金山分院妇产科,上海 201599

妊娠期高血糖 细胞衰老 滋养细胞 妊娠结局

上海市科学技术委员会科研计划项目上海市金山区专家团队工作站项目

19411961200jszjz2021018Y

2024

中国优生与遗传杂志
中国优生科学协会

中国优生与遗传杂志

CSTPCD
影响因子:0.527
ISSN:1006-9534
年,卷(期):2024.32(1)
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