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妊娠期糖尿病女性胎盘的炎症标志物浸润情况。

Placental infiltration of inflammatory markers in gestational diabetic women.

作者信息

Mrizak Ines, Grissa Oussama, Henault Benoit, Fekih Mariem, Bouslema Ali, Boumaiza Imen, Zaouali Monia, Tabka Zouhair, Khan Naim A

机构信息

University of Burgundy, INSERM U866, Faculty of Life Sciences, Dijon, France.

出版信息

Gen Physiol Biophys. 2014;33(2):169-76. doi: 10.4149/gpb_2013075. Epub 2014 Mar 5.

Abstract

Gestational diabetes mellitus (GDM) is pathology of glucose intolerance during pregnancy. It is influenced by maternal hyperglycemia and insulinemia through placental circulation. The study was undertaken to investigate the implication of pro-inflammatory factors in the placenta of GDM women. Thirty GDM women have delivered macrosomic babies, and 30 healthy age-matched pregnant women have delivered non macrosomic babies, were recruited in the study. The mRNAs encoding for IL-6, TLR4, TGF-β, CD68, CD14, EMR-1, CCL2, TCR-α, T-bet, GATA-3, leptin and adiponectin were quantified in placental samples by using RT-qPCR. The mRNA expression of the pro-inflammatory factors, i.e., IL-6, TLR4 and TGF-β, was increased in GDM placenta. The mRNA expression of markers of infiltration of macrophage, i.e., CD68, CD14 and EMR-1, was higher in the GDM placenta than the control placenta. The expression of mRNA of TCR-α, an indicator of T-cell infiltration, was significantly higher in the GDM placenta. Interestingly, the expression of mRNA of GATA-3, an indicator of Th2 phenotype differentiation, was unregulated in the GDM placenta. Leptin and adiponectin mRNAs were also significantly increased in the placenta of the GDM group. Our results revealed that there is an increase of inflammation in the GDM placenta which might be involved, in part, in the pathogenesis of macrosomia.

摘要

妊娠期糖尿病(GDM)是孕期葡萄糖耐量异常的病理状态。它受母体高血糖和胰岛素血症通过胎盘循环的影响。本研究旨在探讨促炎因子在GDM女性胎盘中的作用。30例GDM女性分娩出巨大儿,30例年龄匹配的健康孕妇分娩出非巨大儿,被纳入本研究。通过逆转录定量聚合酶链反应(RT-qPCR)对胎盘样本中编码白细胞介素-6(IL-6)、Toll样受体4(TLR4)、转化生长因子-β(TGF-β)、CD68、CD14、表皮型黏膜相关淋巴组织受体1(EMR-1)、趋化因子配体2(CCL2)、T细胞受体α(TCR-α)、T盒转录因子(T-bet)、GATA结合蛋白3(GATA-3)、瘦素和脂联素的信使核糖核酸(mRNA)进行定量分析。促炎因子即IL-6、TLR4和TGF-β的mRNA表达在GDM胎盘中增加。巨噬细胞浸润标志物即CD68、CD14和EMR-1的mRNA表达在GDM胎盘中高于对照胎盘。T细胞浸润指标TCR-α的mRNA表达在GDM胎盘中显著更高。有趣的是,Th2表型分化指标GATA-3的mRNA表达在GDM胎盘中失调。GDM组胎盘内瘦素和脂联素的mRNA也显著增加。我们的结果显示GDM胎盘存在炎症增加,这可能部分参与巨大儿的发病机制。

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