Xia L, Yang J, Feng S
Reproductive Medical Center, People's Hospital of Wuhan University, Wuhan 430060, China.
Zhonghua Fu Chan Ke Za Zhi. 2001 Nov;36(11):657-9.
To investigate the expression of leukemia inhibitory factor (LIF) in the decidua of normal early pregnancy, threatened abortion and inevitable abortion.
We examined LIF gene expression in the above-mentioned decidua by a quantitative reverse transcription-polymerase chain reaction (RT-PCR) method, and also examined the serum pregesterone, human chorionic gonadotrapin (hCG) by radioimmunoassay in all cases.
(1) Serum levels of pregesterone and hCG are: (91.5 +/- 27.2) nmol/L, (69.9 +/- 14.9) kU/L in normal early pregnancy; (88.4 +/- 24.7) nmol/L, (57.6 +/- 11.2) kU/L in threatened abortion respectively. There was no difference in the levels of pregesterone and hCG between the two groups (P > 0.05). While serum pregesterone, hCG levels in inevitable group were (33.1 +/- 19.6) nmol/L, (10.3 +/- 3.2) kU/L respectively. Compared with normal early pregnancy and threatened abortion group, the levels of serum pregesterone and hCG reduced significantly (P < 0.05). (2) The expression of LIF in three groups: There was no statistically significant difference in the levels of LIF expression between the normal early pregnancy group (2.10 +/- 0.32) and threatened abortion (1.92 +/- 0.20) groups, while the levels of LIF expression in inevitable abortion group (0.7 +/- 0.06) was lower than those in normal early pregnancy group and threatened abortion group (P < 0.05, respectively).
The reduction of LIFmRNA expression in the decidua of early pregnancy may decrease the serum pregesterone and hCG levels and cause inevitable abortion.
探讨白血病抑制因子(LIF)在正常早孕、先兆流产及难免流产蜕膜中的表达情况。
采用定量逆转录聚合酶链反应(RT-PCR)法检测上述蜕膜中LIF基因的表达,并采用放射免疫法检测所有病例的血清孕酮、人绒毛膜促性腺激素(hCG)水平。
(1)血清孕酮和hCG水平:正常早孕组分别为(91.5±27.2)nmol/L、(69.9±14.9)kU/L;先兆流产组分别为(88.4±24.7)nmol/L、(57.6±11.2)kU/L。两组孕酮和hCG水平差异无统计学意义(P>0.05)。难免流产组血清孕酮、hCG水平分别为(33.1±19.6)nmol/L、(10.3±3.2)kU/L。与正常早孕组和先兆流产组比较,血清孕酮和hCG水平明显降低(P<0.05)。(2)三组LIF表达情况:正常早孕组(2.10±0.32)与先兆流产组(1.92±0.20)LIF表达水平差异无统计学意义,而难免流产组(0.7±0.06)LIF表达水平低于正常早孕组和先兆流产组(P均<0.05)。
早孕蜕膜中LIFmRNA表达降低可能导致血清孕酮和hCG水平下降,进而引起难免流产。