Pillar Nir, Yoffe Liron, Hod Moshe, Shomron Noam
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 69978, Israel.
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 69978, Israel; Helen Schneider Hospital for Women, Rabin Medical Center, Petah Tikva, Israel.
Best Pract Res Clin Obstet Gynaecol. 2015 Feb;29(2):176-82. doi: 10.1016/j.bpobgyn.2014.04.021. Epub 2014 Aug 21.
Great obstetrical syndromes is a collective name for several complications of pregnancy that affect >15% of pregnancies. They may confer adverse pregnancy outcomes and maternal and fetal morbidity, and require close medical monitoring and treatment. The etiology, pathogenesis, and outcome of these syndromes are obscure in the majority of cases. All appear during mid-to-late pregnancy with no reliable biomarkers for early detection and possibly prevention at present. This article focuses on the quest for early reliable markers for preeclampsia and gestational diabetes mellitus (GDM) development, mainly on the involvement of microRNA in the pathogenesis and its possible role as an early biomarker for disease development.
重大产科综合征是指几种影响超过15%妊娠的妊娠并发症的统称。它们可能导致不良妊娠结局以及母婴发病,需要密切的医学监测和治疗。在大多数情况下,这些综合征的病因、发病机制和结局尚不清楚。所有这些综合征均出现在妊娠中晚期,目前尚无可靠的生物标志物用于早期检测甚至预防。本文重点探讨子痫前期和妊娠期糖尿病(GDM)发生的早期可靠标志物,主要关注微小RNA在发病机制中的作用及其作为疾病发生早期生物标志物的潜在作用。