Ahr A, Holtrich U, Karn T, Reitter A, Rody A, Kaufmann M, Gätje R
Gynäkologische Praxis am Ziegelturm, Am Ziegelturm 4, 63571 Gelnhausen.
Zentralbl Gynakol. 2006 Jun;128(3):138-42. doi: 10.1055/s-2006-933377.
Preeclampsia is associated with significant maternal and fetal morbidity and mortality. The etiology remains unclear. For the accurate diagnosis and the prevention of preeclampsia it seems to be important to find a diagnostic tool that identifies risk patients before symptoms occur. With a new approach, the cDNA-Array analysis, human placentas and blood from preeclamptic and healthy pregnant women were examined for differentially expressed genes to find typical genes expression profiles.
In this pilot study, cDNA array analysis with a 19 200 gene array of placenta and blood samples from three preeclamptic patients have been performed to classify this samples based on expression patterns.
Comparing normal placenta and blood from healthy delivered women (n = 4), a subset of 200 genes repeatedly found to be differentially expressed in preeclampsia. The placenta and blood samples from preeclampsia were accurately grouped by their individual gene expression patterns.
These results suggest that the use of cDNA array is a tool to identify gene expression patterns in preeclampsia. With this set of differentially expressed genes in conjunction with sample clustering algorithms the identification of preeclampsia in placenta or blood samples is possible.
子痫前期与孕产妇和胎儿的高发病率及死亡率相关。其病因尚不清楚。对于子痫前期的准确诊断和预防而言,找到一种能在症状出现前识别高危患者的诊断工具似乎很重要。采用一种新方法,即cDNA阵列分析,对来自子痫前期孕妇和健康孕妇的胎盘及血液进行检测,以寻找差异表达基因,从而找出典型的基因表达谱。
在这项初步研究中,对来自三名子痫前期患者的胎盘和血液样本进行了含19200个基因阵列的cDNA阵列分析,以便根据表达模式对这些样本进行分类。
将正常胎盘及健康分娩女性的血液(n = 4)进行比较,发现有200个基因的子集在子痫前期反复出现差异表达。子痫前期患者的胎盘和血液样本根据其各自的基因表达模式被准确分组。
这些结果表明,使用cDNA阵列是一种识别子痫前期基因表达模式的工具。借助这组差异表达基因以及样本聚类算法,有可能在胎盘或血液样本中识别子痫前期。