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[白血病抑制因子在正常早孕、先兆流产及难免流产蜕膜中的表达]

[Expression of leukemia inhibitory factor in the decidua of normal early pregnancy, threatened abortion and inevitable abortion].

作者信息

Xia L, Yang J, Feng S

机构信息

Reproductive Medical Center, People's Hospital of Wuhan University, Wuhan 430060, China.

出版信息

Zhonghua Fu Chan Ke Za Zhi. 2001 Nov;36(11):657-9.

Abstract

OBJECTIVE

To investigate the expression of leukemia inhibitory factor (LIF) in the decidua of normal early pregnancy, threatened abortion and inevitable abortion.

METHOD

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.

RESULTS

(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).

CONCLUSION

The reduction of LIFmRNA expression in the decidua of early pregnancy may decrease the serum pregesterone and hCG levels and cause inevitable abortion.

摘要

目的

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。

方法

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。

结果

(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)。

结论

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。

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