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孕中期不同铁状态孕妇胎盘微绒毛膜中铁蛋白受体的表达

Expression of ferritin receptor in placental microvilli membrane in pregnant women with different iron status at mid-term gestation.

作者信息

Liao Q K, Kong P A, Gao J, Li F Y, Qian Z M

机构信息

Department of Pediatrics, The Second University Hospital, The West China University of Medical Sciences, Chengdu, People's Republic of China.

出版信息

Eur J Clin Nutr. 2001 Aug;55(8):651-6. doi: 10.1038/sj.ejcn.1601195.

Abstract

OBJECTIVE

The effect of iron status in pregnant women on expression of ferritin receptor in placental microvilli membrane at mid-term gestation was investigated.

DESIGN

Ferritin receptor binding sites and dissociation constants (K(d)) were determined in specimens of placental microvilli from 30 pregnant women at mid-term gestation and six women at term-delivery.

RESULTS

The ferritin receptor binding sites in the placental microvilli membrane in pregnant women with mild iron deficiency and moderate iron deficiency anemia were significantly higher then those in pregnant women with normal iron status. However, no significant difference was found between pregnant women with severe iron deficiency anemia and with normal measurements. No significant differences of K(d) values were detected between pregnant women with normal iron status and those with iron-deficiency. Data also revealed that the ferritin receptor binding sites in placental microvilli membrane and K(d) values at mid-term gestation did not differ significantly from those at term gestation.

CONCLUSION

Lower iron status in pregnant women could lead to an increase in expression of ferritin receptor in placental microvilli membrane at mid-term gestation while the dissociation constant of ferritin receptor remains unchanged. This implies that the regulation of maternal-fetal iron homeostasis via the ferritin receptor-mediated pathway is achieved by changes in the numbers of ferritin receptors rather then binding properties.

摘要

目的

研究孕期铁状态对妊娠中期胎盘微绒毛膜中铁蛋白受体表达的影响。

设计

测定了30例妊娠中期孕妇及6例足月分娩孕妇胎盘微绒毛标本中铁蛋白受体结合位点及解离常数(K(d))。

结果

轻度缺铁和中度缺铁性贫血孕妇胎盘微绒毛膜中铁蛋白受体结合位点显著高于铁状态正常的孕妇。然而,重度缺铁性贫血孕妇与铁状态正常孕妇之间未发现显著差异。铁状态正常孕妇与缺铁孕妇之间的K(d)值无显著差异。数据还显示,妊娠中期胎盘微绒毛膜中铁蛋白受体结合位点及K(d)值与足月妊娠时无显著差异。

结论

孕妇铁状态降低可导致妊娠中期胎盘微绒毛膜中铁蛋白受体表达增加,而铁蛋白受体的解离常数保持不变。这意味着通过铁蛋白受体介导途径调节母胎铁稳态是通过铁蛋白受体数量的变化而非结合特性实现的。

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