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转甲状腺素蛋白是否是子痫前期的一个致病因素?

Does transthyretin function as one of contributors for preeclampsia?

机构信息

Beijing Chaoyang Hospital affiliated Capital Medical University, Department of Obstetrics and Gynecology, Beijing, China.

出版信息

Med Hypotheses. 2011 Jan;76(1):8-10. doi: 10.1016/j.mehy.2010.08.017. Epub 2010 Sep 9.

Abstract

Preeclampsia (PE) is a multi-system disorder of pregnancy, which is characterized by new onset hypertension and proteinuria, resulting in multi-organ damages within a potential procedure. However as a worldwide leading cause of maternal and fetal mortality and morbidity, the precise origin of PE has not been clarified yet, which also makes obstacles to the management of the disease. Transthyretin (TTR) is a special protein involved in amyloid diseases, has important effects on amyloid fibrils formation. We assumed that TTR might cause a disorder of maternal vascular function and contributed to the pathology of the disease by deposition of TTR amyloid fibrils in the vascular system, which are produced by variant TTR proteins, resulting in organ ischemia. If this hypothesis proves to be correct, this variant may be of diagnostic importance as novel biomarkers for the disease, in addition, it might also benefit to the management of PE.

摘要

子痫前期 (PE) 是一种妊娠多系统紊乱疾病,其特征为新出现的高血压和蛋白尿,导致潜在过程中的多器官损伤。然而,作为全球范围内导致孕产妇和胎儿死亡率和发病率的主要原因,PE 的确切病因尚未阐明,这也为疾病的管理带来了障碍。转甲状腺素蛋白 (TTR) 是一种与淀粉样变性疾病相关的特殊蛋白,对淀粉样纤维的形成有重要影响。我们假设 TTR 可能通过在血管系统中沉积 TTR 淀粉样纤维而导致母体血管功能紊乱,并导致疾病的病理学改变,这些纤维是由变异 TTR 蛋白产生的,导致器官缺血。如果这一假设被证明是正确的,那么这种变异可能具有诊断意义,因为它是疾病的新型生物标志物,此外,它也可能有助于 PE 的管理。

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