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1、臨京醫(yī)學(xué)工程2014年6月第21卷第6期·699··論著·(實驗研究)Notch家族蛋白、LCHAD在早發(fā)型重度子癇前期患者胎盤組織中的表達及意義趙莉娜,馬瑞霞,劉國成(廣東省婦幼保健院,廣東廣州510010)【摘要】目的探討Notch家族蛋白、長鏈三羥基?;o酶A脫氫酶(LCHAD)的表達與早發(fā)型重度子癇前期發(fā)病的關(guān)系,揭示早發(fā)型重度子癇前期發(fā)病機理方法選擇早發(fā)型重度子癇前期患者45例、晚發(fā)型重度子癇前期患者42例為研究組,40例正常分娩者為對照組.免疫組化法檢測Notch家族蛋白、LCHAD在胎盤絨毛組織中的分布和表達水平。結(jié)果各組胎盤組織的合體滋養(yǎng)細
2、胞、血管內(nèi)皮細胞、蛻膜細胞中均可以檢測到Notch家族蛋白、LCHAD的表達。早發(fā)型重度子癰前期組Notch家族蛋白、LCHAD表達均顯著低于晚發(fā)型重度子癇前期組及對照組。各組胎盤組織中Notch家族蛋白表達與LCHAD表達水平呈正相關(guān)。結(jié)論早發(fā)型重度子癇前期組胎盤中Notch家族蛋白、LCHAD低表達與疾病的發(fā)病發(fā)展密切相關(guān)。二者通過影響滋養(yǎng)細胞浸潤.胎盤淺著床在早發(fā)型重度子癇前期發(fā)生發(fā)展中起重要作用?!娟P(guān)鍵詞】早發(fā)型重度子癇前期;Notch家族蛋白;長鏈三羥基?;o酶A脫氫酶中圖分類號:R714.245文獻標識碼:Adoi:10.39690.issn.
3、1674—4659.2014.06.0699ExpressionLevelsandC。linicalValuesofNotchProteinsandLCHADinthePlacentaofEarly—onsetSeverePreeclampsiaZHA0Lina,MARuixia,LIUGuochengrGuangdongWomenandChildrenHospital,Guangzhou510010,China)【Abstract】ObjectiveTostudytherelationshipbetweenNotchproteinsandLCHADand
4、early—onsetseverepreeclampsia,andtorevealthepathogenesisofthedisease.Methods45early—onsetseverepreeclampsiaand42late—onsetpatientswereselectedasastudygroup,and40patientswithnormaldeliverieswereselectedasacontrolgroup.WedetectedthedistributionandexpressionlevelsoftheNotchproteinsan
5、dLCHADinplacentalvilluswithanimmunohistochemicalmethod.ResultsTheNotchproteinsandLCHADcouldbedetectedinsyncytiotrophoblasts,vascularendothelialcellsanddecidualcellsoftheplacenta.TheexpressionlevelsoftheNotchproteinsandLCHADintheearly-onsetpatientsweresignificantlylowerthanthoseint
6、helate—onsetpatientsandthoseinthecontrolgroup.TheexpressionlevelsofNotchproteinshadapositivecorrelationwiththoseofLCHAD.ConclusionsTheearly—onsetseverepreeclampsiaiscloselyrelatedtothelowexpressionlevelsofNotchproteinsandLCHAD,whichplayanimportantroleduringtheshallowimplantationof
7、theplacentabyinfluencingtheinfiltrationoftrophocytesandtheonsetandprogressionofearly—onsetseverepreeclampsia.【Keywords】Earlyonsetseverepreeclampsia;Notchfamilyproteins;Long—chain3hyroxyacylacyl—COAdehydrogenase(LCHAD)早發(fā)型重度子癇前期患者發(fā)病早、病情重,比晚發(fā)型者有1.2試驗方法著嚴重的圍產(chǎn)和產(chǎn)科結(jié)局,其發(fā)病機制至今不清,目前滋養(yǎng)細1.2.1
8、標本制備無菌剪取胎盤臍帶根部附著區(qū)母體面中央1.5胞淺著床學(xué)說成為