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[血清铁调素和铁转运蛋白1在胎盘介导铁从母体向胎儿转运中的作用]

[The role of serum hepcidin and ferroportin1 in placenta on iron transfer from mother to fetus].

作者信息

Li Sibao, Liu Yufeng, Wang Yumei, Qi Peihong, Wang Diao

机构信息

Department of Pediartics, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.

出版信息

Zhonghua Xue Ye Xue Za Zhi. 2015 Apr;36(4):307-11. doi: 10.3760/cma.j.issn.0253-2727.2015.04.010.

DOI:10.3760/cma.j.issn.0253-2727.2015.04.010
PMID:25916292
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7342627/
Abstract

OBJECTIVE

To detect the concentration of serum hepcidin and the mRNA expression level of ferroportin1 (FPN1) in the placenta membrane from full term pregnant women with different degree of iron deficiency, and explore their roles for iron transport in placental.

METHODS

The concentration of HGB, serum iron (SI) and serum ferritin (SF) of mothers and infants were detected in 55 full term pregnant women and neonates. The expression level of FPN1 mRNA in placental was detected by the RT-PCR technique. The concentration of serum hepcidin was detected by double antibody sandwich biotin avidin enzyme-linked immunosorbent assay. The serum hepcidin level and the FPN1 mRNA expression in the full term placenta from different maternal iron status were compared in three groups.

RESULTS

There were no significant differences in the cord blood HGB, SI and SF of newborns from pregnant women with different iron status (P>0.05). The concentration of serum hepcidin of pregnant women among normal, iron deficiency and mild iron deficiency anemia were (193.637±52.219), (176.523±43.875), and (147.623±37.768) μg/L respectively, with statistical significance (F=3.872, P=0.027). The expression levels of FPN1 mRNA among three groups were 0.462±0.077, 0.507±0.074 and 0.551±0.104 respectively, with statistical significance (F=4.767, P=0.013). A negative correlation between maternal serum hepcidin and placental FPN1 mRNA (r=-0.383, P=0.004) was identified.

CONCLUSION

There were no significant differences in the iron status of corresponding newborns from pregnant women with different iron status. With the severity of maternal iron deficiency, the concentration of serum hepcidin was down-regulated, while the expression of FPN1 mRNA in placenta was up-regulated.

摘要

目的

检测不同程度缺铁足月孕妇胎盘膜中血清铁调素浓度及铁转运蛋白1(FPN1)mRNA表达水平,探讨其在胎盘铁转运中的作用。

方法

检测55例足月孕妇及其新生儿的血红蛋白(HGB)、血清铁(SI)和血清铁蛋白(SF)浓度。采用逆转录-聚合酶链反应(RT-PCR)技术检测胎盘组织中FPN1 mRNA表达水平。采用双抗体夹心生物素-抗生物素蛋白酶联免疫吸附试验检测血清铁调素浓度。比较三组不同母体铁状态的足月胎盘血清铁调素水平及FPN1 mRNA表达。

结果

不同铁状态孕妇所产新生儿脐血HGB、SI和SF差异无统计学意义(P>0.05)。正常孕妇、缺铁孕妇和轻度缺铁性贫血孕妇血清铁调素浓度分别为(193.637±52.219)、(176.523±43.875)和(147.623±37.768)μg/L,差异有统计学意义(F=3.872,P=0.027)。三组FPN1 mRNA表达水平分别为0.462±0.077、0.507±0.074和0.551±0.104,差异有统计学意义(F=4.767,P=0.013)。母体血清铁调素与胎盘FPN1 mRNA呈负相关(r=-0.383,P=0.004)。

结论

不同铁状态孕妇所产相应新生儿的铁状态差异无统计学意义。随着母体缺铁程度加重,血清铁调素浓度下调,而胎盘FPN1 mRNA表达上调。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cda5/7342627/3c6877433442/cjh-36-04-307-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cda5/7342627/3c6877433442/cjh-36-04-307-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cda5/7342627/3c6877433442/cjh-36-04-307-g001.jpg

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本文引用的文献

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Mild anemia and pregnancy outcome in a Swiss collective.瑞士人群中的轻度贫血与妊娠结局
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The iron regulatory hormone hepcidin is decreased in pregnancy: a prospective longitudinal study.妊娠时铁调节激素hepcidin 降低:一项前瞻性纵向研究。
Clin Chem Lab Med. 2013 Jul;51(7):1395-401. doi: 10.1515/cclm-2012-0576.
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[Iron metabolism and maternal-fetal iron circulation].[铁代谢与母婴铁循环]
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