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异位妊娠和不明位置妊娠的生物标志物。

Biomarkers for ectopic pregnancy and pregnancy of unknown location.

机构信息

Department of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

出版信息

Fertil Steril. 2013 Mar 15;99(4):1107-16. doi: 10.1016/j.fertnstert.2012.11.038. Epub 2013 Jan 3.

DOI:10.1016/j.fertnstert.2012.11.038
PMID:23290746
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3602335/
Abstract

Early pregnancy failure is the most common complication of pregnancy, and 1% to 2% of all pregnancies will be ectopic. As one of the leading causes of maternal morbidity and mortality, diagnosing ectopic pregnancy and determining the fate of a pregnancy of unknown location are of great clinical concern. Several serum and plasma biomarkers for ectopic pregnancy have been investigated independently and in combination. The following is a review of the state of biomarker discovery and development for ectopic pregnancy and pregnancy of unknown location.

摘要

早期妊娠失败是妊娠最常见的并发症,所有妊娠的 1%至 2%将是异位妊娠。作为导致产妇发病率和死亡率的主要原因之一,异位妊娠的诊断和确定不明位置妊娠的结局具有重要的临床意义。已经独立和联合研究了几种血清和血浆生物标志物用于异位妊娠。以下是异位妊娠和不明位置妊娠的生物标志物发现和开发的研究现状综述。

相似文献

1
Biomarkers for ectopic pregnancy and pregnancy of unknown location.异位妊娠和不明位置妊娠的生物标志物。
Fertil Steril. 2013 Mar 15;99(4):1107-16. doi: 10.1016/j.fertnstert.2012.11.038. Epub 2013 Jan 3.
2
Role of activins in embryo implantation and diagnosis of ectopic pregnancy: a review.激活素在胚胎植入和异位妊娠诊断中的作用:综述
Reprod Biol Endocrinol. 2014 Nov 25;12:116. doi: 10.1186/1477-7827-12-116.
3
Suppression of concentration of endometrial prostaglandin in early intra-uterine and ectopic pregnancy in women.女性早期宫内妊娠和异位妊娠时子宫内膜前列腺素浓度的抑制
J Endocrinol. 1980 Jun;85(3):379-86. doi: 10.1677/joe.0.0850379.
4
Shotgun proteomics identifies serum fibronectin as a candidate diagnostic biomarker for inclusion in future multiplex tests for ectopic pregnancy. shotgun 蛋白质组学鉴定血清纤维连接蛋白为候选诊断生物标志物,将纳入未来异位妊娠的多重检测。
PLoS One. 2013 Jun 24;8(6):e66974. doi: 10.1371/journal.pone.0066974. Print 2013.
5
Is there a difference in the behaviour and subsequent management of ectopic pregnancies seen at first scan compared to those ectopic pregnancies which commence as pregnancies of unknown location?与最初表现为妊娠部位不明的异位妊娠相比,初次超声检查时发现的异位妊娠在行为和后续处理上是否存在差异?
Aust N Z J Obstet Gynaecol. 2016 Feb;56(1):107-12. doi: 10.1111/ajo.12434.
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Prompt diagnosis of ectopic pregnancy with the human chorionic gonadotropin test using exuded extract from endometrial curettings.使用子宫内膜刮出物渗出提取物进行人绒毛膜促性腺激素检测以快速诊断异位妊娠。
Fertil Steril. 2006 Apr;85(4):1068-70. doi: 10.1016/j.fertnstert.2005.09.044.
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A serum proteomics approach to the diagnosis of ectopic pregnancy.一种用于诊断异位妊娠的血清蛋白质组学方法。
Ann N Y Acad Sci. 2004 Jun;1022:306-16. doi: 10.1196/annals.1318.046.
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Disintegrin and metalloprotease and ectopic pregnancy.解整合素金属蛋白酶与异位妊娠
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Application of a Multiplex Platform to Identify Novel Biomarkers for Pregnancy Location and Viability.应用多重平台鉴定妊娠位置和存活的新型生物标志物。
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Pregnancies of unknown location: diagnostic dilemmas and management.妊娠部位不明:诊断难题与处理
Curr Opin Obstet Gynecol. 2005 Dec;17(6):568-73. doi: 10.1097/01.gco.0000191515.07019.cb.

引用本文的文献

1
Maternal plasma microRNAs as potential biomarkers for triaging pregnancies of unknown location and ectopic pregnancy diagnosis.母体血浆微小RNA作为对未知部位妊娠进行分类和诊断异位妊娠的潜在生物标志物。
Noncoding RNA Res. 2025 May 8;13:162-173. doi: 10.1016/j.ncrna.2025.05.005. eCollection 2025 Aug.
2
Ectopic pregnancy.异位妊娠
Nat Rev Dis Primers. 2024 Dec 12;10(1):94. doi: 10.1038/s41572-024-00579-x.
3
Evaluating Medical and Surgical Treatments for Ectopic Pregnancy at a Tertiary Hospital in Dubai.在迪拜一家三级医院评估异位妊娠的药物和手术治疗方法。

本文引用的文献

1
Early pregnancy failure: beware of the pitfalls of modern management.早期妊娠失败:警惕现代管理的陷阱。
Fertil Steril. 2012 Nov;98(5):1061-5. doi: 10.1016/j.fertnstert.2012.09.018.
2
Evaluation of ADAM-12 as a diagnostic biomarker of ectopic pregnancy in women with a pregnancy of unknown location.评估 ADAM-12 作为不明位置妊娠女性异位妊娠的诊断生物标志物。
PLoS One. 2012;7(8):e41442. doi: 10.1371/journal.pone.0041442. Epub 2012 Aug 21.
3
Candidate biochemical markers for screening of pre-eclampsia in early pregnancy.早期妊娠子痫前期的候选生化标志物筛查。
Cureus. 2024 Sep 11;16(9):e69216. doi: 10.7759/cureus.69216. eCollection 2024 Sep.
4
Diagnostic utility of clinicodemographic, biochemical and metabolite variables to identify viable pregnancies in a symptomatic cohort during early gestation.在孕早期有症状的队列中,采用临床指标、生化指标和代谢物变量来识别有活力的妊娠的诊断效能。
Sci Rep. 2024 May 15;14(1):11172. doi: 10.1038/s41598-024-61690-3.
5
Nanomedicines for Improved Management of Ectopic Pregnancy: A Narrative Review.用于改善异位妊娠管理的纳米药物:叙述性综述。
Small. 2024 Oct;20(41):e2301873. doi: 10.1002/smll.202301873. Epub 2023 Jul 20.
6
Validation of a multiple marker test for early pregnancy outcome prediction.多标志物检测在预测早期妊娠结局中的验证。
J Assist Reprod Genet. 2023 Apr;40(4):837-844. doi: 10.1007/s10815-023-02719-w. Epub 2023 Jan 28.
7
The potential value of activin B and fibronectin for the triage of pregnancies of unknown location and prediction of first trimester viability.激活素B和纤连蛋白在不明部位妊娠分诊及早期妊娠存活预测中的潜在价值
Australas J Ultrasound Med. 2018 Apr 25;21(3):138-146. doi: 10.1002/ajum.12090. eCollection 2018 Aug.
8
Evaluating the agreement of ultrasound imaging and beta-human chorionic gonadotropin (β-hCG) measurement in confirming completed medical abortion: cross-sectional study.评估超声成像与β-人绒毛膜促性腺激素(β-hCG)测量在确认药物流产完全成功方面的一致性:横断面研究。
Qatar Med J. 2021 Jul 12;2021(2):22. doi: 10.5339/qmj.2021.22. eCollection 2021.
9
Exosomal MicroRNAs in Serum as Potential Biomarkers for Ectopic Pregnancy.血清中的外泌体微小RNA作为异位妊娠的潜在生物标志物
Biomed Res Int. 2020 Jun 11;2020:3521859. doi: 10.1155/2020/3521859. eCollection 2020.
10
Pregnancy of unknown location.不明部位妊娠。
Clinics (Sao Paulo). 2019 Oct 14;74:e1111. doi: 10.6061/clinics/2019/e1111. eCollection 2019.
Clin Chem Lab Med. 2012 Jun;50(6):973-84. doi: 10.1515/cclm.2011.820.
4
Ectopic pregnancy is associated with high anandamide levels and aberrant expression of FAAH and CB1 in fallopian tubes.宫外孕与输卵管中高浓度的花生四烯酸乙醇胺以及异常表达的 FAAH 和 CB1 有关。
J Clin Endocrinol Metab. 2012 Aug;97(8):2827-35. doi: 10.1210/jc.2012-1780. Epub 2012 Jun 14.
5
Possible role of adrenomedullin in the pathogenesis of tubal ectopic pregnancy.肾上腺髓质素在输卵管异位妊娠发病机制中的可能作用。
J Clin Endocrinol Metab. 2012 Jun;97(6):2105-12. doi: 10.1210/jc.2011-3290. Epub 2012 Mar 28.
6
Why does the fallopian tube fail in ectopic pregnancy? The role of activins, inducible nitric oxide synthase, and MUC1 in ectopic implantation.为什么输卵管在异位妊娠中失败?激活素、诱导型一氧化氮合酶和 MUC1 在异位植入中的作用。
Fertil Steril. 2012 May;97(5):1115-23. doi: 10.1016/j.fertnstert.2012.02.035. Epub 2012 Mar 15.
7
Circulating microRNA miR-323-3p as a biomarker of ectopic pregnancy.循环 microRNA miR-323-3p 作为异位妊娠的生物标志物。
Clin Chem. 2012 May;58(5):896-905. doi: 10.1373/clinchem.2011.179283. Epub 2012 Mar 6.
8
Placental mRNA in maternal plasma as a predictor of ectopic pregnancy.母体血浆中的胎盘 mRNA 作为异位妊娠的预测指标。
Int J Gynaecol Obstet. 2012 May;117(2):131-3. doi: 10.1016/j.ijgo.2011.12.011. Epub 2012 Feb 17.
9
Serum activin A does not predict ectopic pregnancy as a single measurement test, alone or as part of a multi-marker panel including progesterone and hCG.血清激活素 A 作为单一测量试验,无论是单独使用还是作为包括孕激素和 hCG 的多标志物检测的一部分,均不能预测异位妊娠。
Clin Chim Acta. 2012 Apr 11;413(7-8):707-11. doi: 10.1016/j.cca.2011.12.018. Epub 2012 Jan 5.
10
Performance of human chorionic gonadotropin curves in women at risk for ectopic pregnancy: exceptions to the rules.人绒毛膜促性腺激素曲线在异位妊娠风险女性中的表现:规则的例外。
Fertil Steril. 2012 Jan;97(1):101-6.e2. doi: 10.1016/j.fertnstert.2011.10.037.