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胎盘印迹基因 CDKN1C、PHLDA2 和 IGF-2 的丰度与足月小于胎龄儿的低出生体重和早期追赶性生长有关。

Abundances of placental imprinted genes CDKN1C, PHLDA2 and IGF-2 are related to low birth weight and early catch-up growth in full-term infants born small for gestational age.

机构信息

Department of Pediatrics, Peking University Third Hospital, Beijing, China.

出版信息

PLoS One. 2019 Jun 13;14(6):e0218278. doi: 10.1371/journal.pone.0218278. eCollection 2019.

Abstract

Children born small for gestational age (SGA) generally have a catch-up growth and rapid weight gain in the first years of life, which is a high risk of insulin resistance and cardiovascular diseases later in life. It was reported that the level of imprinted genes IGF-2, CDKN1C and PHLDA2 regulates placental growth. We assessed these imprinted genes expression levels in placental tissue and their influences on catch-up growth of full-term SGA infants. The protein and mRNA levels of placental CDKN1C, PHLDA2 and IGF-2 were analyzed in 29 full-term SGA and 29 full-term infants born appropriate for gestational age (AGA) using quantitative RT-PCR and Western blot assay, respectively. Catch-up growth was indicated by increased standard deviation score (ΔSDS) of weight at 1, 3 and 6 months relative to birth weight (BW). Correlations between indicated variables were evaluated using Pearson correlation coefficient analysis. Compared to AGA infants, CDKN1C and PHLDA2 levels were significantly increased, whereas IGF-2 was significantly reduced in SGA infants. The value of ΔSDS was significantly higher in SGA than that in AGA infants. For SGA status, Pearson analysis shows i) a negative correlation of CDKN1C and PHLDA2 abundances with BW, and a positive correlation of IGF-2 with BW, ii) no correlation between the three imprinted gene abundances and placental weight (PW), and between PW and BW, iii) a positive correlation of PHLDA2 abundance with CDKN1C, and iv) a positive correlation of CDKN1C and PHLDA2 abundances with ΔSDS, and a negative correlation of IGF-2 with ΔSDS at 1, 3 and 6 months. Taken together, increased CDKN1C and PHLDA2 and reduced IGF-2 abundances in placental tissue were related to BW and early period catch-up growth in full-term SGA infants. Placental CDKN1C, PHLDA2 and IGF-2 level monitoring may be useful for predicting and preventing the development of SGA.

摘要

出生体重小于胎龄儿(SGA)的儿童在生命的最初几年通常会经历追赶性生长和体重快速增加,这是他们以后患胰岛素抵抗和心血管疾病的高风险因素。有报道称,印迹基因 IGF-2、CDKN1C 和 PHLDA2 的水平调节胎盘生长。我们评估了这些印迹基因在胎盘组织中的表达水平及其对足月 SGA 婴儿追赶性生长的影响。使用定量 RT-PCR 和 Western blot 分析分别检测了 29 例足月 SGA 婴儿和 29 例胎龄适宜足月(AGA)婴儿胎盘组织中 CDKN1C、PHLDA2 和 IGF-2 的蛋白和 mRNA 水平。追赶性生长的指标为出生后 1、3 和 6 个月体重相对于出生体重(BW)的标准差评分(ΔSDS)增加。使用 Pearson 相关系数分析评估指示变量之间的相关性。与 AGA 婴儿相比,SGA 婴儿的 CDKN1C 和 PHLDA2 水平显著升高,而 IGF-2 水平显著降低。SGA 婴儿的 ΔSDS 值明显高于 AGA 婴儿。对于 SGA 状态,Pearson 分析显示:i)CDKN1C 和 PHLDA2 丰度与 BW 呈负相关,IGF-2 与 BW 呈正相关,ii)三种印迹基因丰度与胎盘重量(PW)之间以及 PW 与 BW 之间无相关性,iii)PHLDA2 丰度与 CDKN1C 呈正相关,iv)CDKN1C 和 PHLDA2 丰度与 ΔSDS 呈正相关,IGF-2 与 1、3 和 6 个月的 ΔSDS 呈负相关。总之,胎盘组织中 CDKN1C、PHLDA2 增加和 IGF-2 减少与 BW 和足月 SGA 婴儿早期追赶性生长有关。监测胎盘 CDKN1C、PHLDA2 和 IGF-2 水平可能有助于预测和预防 SGA 的发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be8d/6564030/22c03a66f187/pone.0218278.g001.jpg

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