Yang Y, Han Z, Cao Z, Li S, Wang H, Liu W
Department of Obstetrics and Gynecology, Second Affiliated Hospital, Chengdu.
Hua Xi Yi Ke Da Xue Xue Bao. 1998 Jun;29(2):216-9.
This study addressed the question whether mifepristone has any effect on apoptosis in early pregnant chorionic villi. Interleukin 1 beta converting enzyme(ICE) expression and Fas expression in early pregnant villi and their changes following mifepristone administration were detected by immunohistochmical method and computer image analysis. During early pregnancy, ICE and Fas were expressed in all component chorionic cells, predominantly syncytiotrophoblasts. ICE stained cytoplasma. Fas stained mainly cytoplasma, and in partial trophoblastic cells, Fas was expressed on membrane and nucleus. In the villi from the pregnant women who received mifepristone for 2 days, expression of Fas increased markely; the ratio of positive nuclear staining cells were significantly raised, but the immunostaining intensity of ICE was slightly increased. These results suggest that mifepristone may terminate early pregnancy via increasing the expression of Fas and promoting apoptosis in the chorionic villi.
本研究探讨了米非司酮对早孕绒毛细胞凋亡是否有影响。采用免疫组织化学方法及计算机图像分析技术,检测早孕绒毛中白细胞介素1β转换酶(ICE)和Fas的表达及米非司酮给药后其表达的变化。早孕期间,ICE和Fas在所有绒毛细胞成分中均有表达,主要表达于合体滋养层细胞。ICE呈胞质染色。Fas主要呈胞质染色,部分滋养层细胞中,Fas表达于细胞膜和细胞核。在接受米非司酮治疗2天的孕妇绒毛中,Fas表达明显增加;细胞核染色阳性细胞比例显著升高,但ICE免疫染色强度略有增加。这些结果提示,米非司酮可能通过增加Fas表达,促进绒毛细胞凋亡而终止早孕。