Department of Obstetrics and Gynecology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, People's Republic of China.
Department of Rehabilitation Medicine, Guangdong Women and Children Hospital, Guangzhou, People's Republic of China.
Reprod Sci. 2019 Nov;26(11):1485-1492. doi: 10.1177/1933719119828042. Epub 2019 Feb 21.
The adverse clinical result and poor treatment outcome in recurrent spontaneous abortion (RSA) make it necessary to understand the pathogenic mechanism. The mating combination CBA/J × DBA/2 has been widely used as an abortion-prone model compared to DBA/2-mated CBA/J mice. Here, we used RNA-seq to get a comprehensive catalogue of genes differentially expressed between survival placenta in abortion-prone model and control. Five hundred twenty-four differentially expressed genes were obtained followed by clustering analysis, Gene Ontology analysis, and pathway analysis. We paid more attention to immune-related genes namely "immune response" and "immune system process" including 33 downregulated genes and 28 upregulated genes. Twenty-one genes contribute to suppressing immune system and 7 are against it. Six genes were validated by reverse transcription-polymerase chain reaction, namely Ccr1l1, Tlr4, Tgf-β1, Tyro3, Gzmb, and Il-1β. Furthermore, Tlr4, Tgf-β1, and Il-1β were analyzed by Western blot. Such immune profile gives us a better understanding of the complicated immune processing in RSA and immunosuppression can rescue pregnancy loss.
复发性自然流产(RSA)的不良临床结果和较差的治疗效果使得有必要了解其发病机制。CBA/J×DBA/2 的交配组合已被广泛用作易流产模型,与 DBA/2 交配的 CBA/J 小鼠相比。在这里,我们使用 RNA-seq 获得了易流产模型和对照之间存活胎盘之间差异表达基因的综合目录。进行聚类分析、基因本体分析和通路分析后,得到了 524 个差异表达基因。我们更加关注免疫相关基因,即“免疫反应”和“免疫系统过程”,包括 33 个下调基因和 28 个上调基因。有 21 个基因有助于抑制免疫系统,而 7 个基因则相反。通过逆转录-聚合酶链反应验证了六个基因,即 Ccr1l1、Tlr4、Tgf-β1、Tyro3、Gzmb 和 Il-1β。此外,还通过 Western blot 分析了 Tlr4、Tgf-β1 和 Il-1β。这种免疫特征使我们更好地了解 RSA 中复杂的免疫处理过程,免疫抑制可以挽救妊娠丢失。