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子痫前期的治疗前景——综述

Therapeutic Prospects in Preeclampsia - A Mini-Review.

机构信息

Department of Anatomy, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.

出版信息

Curr Med Chem. 2019;26(25):4786-4798. doi: 10.2174/0929867326666190228115423.

DOI:10.2174/0929867326666190228115423
PMID:30836908
Abstract

BACKGROUND

Preeclapmsia (PE) is characterized by early onset symptoms such as elevated blood pressure, proteinuria and edema in the pregnant woman, and may result in seizures in the affected female. Currently, there are no therapeutic drugs available to treat this condition, but there are interventions to regulate the symptoms based on the gestational period of the fetus, although the largely favored option is delivery of the fetus and placenta.

OBJECTIVE

A search for biomolecules associated with PE was conducted so as to identify diagnostic markers and therapeutic leads.

RESULTS

The literature search resulted in the identification of biomolecules such as Corin and Placental Protein 13 (PP13), among others that are associated with PE. Thereby, giving an insight into the various mechanistic pathways involved in the causation of PE. However, it is also evident that PE cannot be solely attributed to any single mechanism but is due to an interplay of different factors that have led to the development of this disease condition.

CONCLUSION

The identified biomarkers would ultimately help in understanding this complex disease and perhaps lead to the discovery of potential effective molecular targets for clinical trials, thereby providing a valuable therapeutic option for affected pregnant women.

摘要

背景

子痫前期(PE)的特征是孕妇出现高血压、蛋白尿和水肿等早期症状,并且可能导致受影响的女性发生抽搐。目前,尚无治疗该病的特效药物,但有一些干预措施可根据胎儿的妊娠周期来调节症状,尽管大多数人倾向的选择是分娩胎儿和胎盘。

目的

寻找与子痫前期相关的生物分子,以确定诊断标志物和治疗靶点。

结果

文献检索确定了与子痫前期相关的生物分子,如 Corin 和胎盘蛋白 13(PP13)等。这使我们深入了解了导致子痫前期发生的各种机制途径。然而,也很明显,子痫前期不能仅仅归因于任何单一机制,而是由于不同因素的相互作用导致了这种疾病的发生。

结论

所确定的生物标志物最终将有助于理解这种复杂的疾病,并可能为临床试验发现潜在有效的分子靶点提供依据,从而为受影响的孕妇提供有价值的治疗选择。

相似文献

1
Therapeutic Prospects in Preeclampsia - A Mini-Review.子痫前期的治疗前景——综述
Curr Med Chem. 2019;26(25):4786-4798. doi: 10.2174/0929867326666190228115423.
2
Defective trophoblast invasion underlies fetal growth restriction and preeclampsia-like symptoms in the stroke-prone spontaneously hypertensive rat.胚胎滋养层细胞入侵缺陷是易卒中型自发性高血压大鼠胎儿生长受限和子痫前期样症状的基础。
Mol Hum Reprod. 2017 Jul 1;23(7):509-519. doi: 10.1093/molehr/gax024.
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[CORIN - NEW HOPE FOR PREDICTION OF PREECLAMPSIA.].[科林——子痫前期预测的新希望。]
Akush Ginekol (Sofiia). 2016;55(4):42-45.
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The Endothelin Type A Receptor as a Potential Therapeutic Target in Preeclampsia.内皮素A型受体作为子痫前期的潜在治疗靶点
Int J Mol Sci. 2017 Feb 28;18(3):522. doi: 10.3390/ijms18030522.
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Placental protein 13 (PP13): a new biological target shifting individualized risk assessment to personalized drug design combating pre-eclampsia.胎盘蛋白 13(PP13):将个体化风险评估转移到针对子痫前期的个体化药物设计的新生物学靶点。
Hum Reprod Update. 2013 Jul-Aug;19(4):391-405. doi: 10.1093/humupd/dmt003. Epub 2013 Feb 17.
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Increased annexin A2 expression in the placenta of women with acute worsening of preeclampsia.子痫前期急性加重的女性胎盘组织中膜联蛋白A2表达增加。
Osaka City Med J. 2014 Dec;60(2):87-93.
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[PlGF and sFlt-1--diagnostic significance in preeclampsia prediction in pregnant women with gestational and chronic hypertension].[胎盘生长因子和可溶性血管内皮生长因子受体-1——在妊娠合并慢性高血压孕妇子痫前期预测中的诊断意义]
Akush Ginekol (Sofiia). 2013;52 Suppl 1:61-9.
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Effects of preeclampsia-like symptoms at early gestational stage on feto-placental outcomes in a mouse model.早孕期子痫前期样症状对小鼠胎-胎盘结局的影响。
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Postpartum preeclampsia: emergency department presentation and management.产后子痫前期:急诊科表现与处理
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Preeclampsia, of mice and women.子痫前期,小鼠与人类的情况
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Acute Kidney Injury in Pregnancies Complicated With Preeclampsia or HELLP Syndrome.妊娠期并发子痫前期或HELLP综合征的急性肾损伤
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