Zhang Yuyi, Li Peng, Guo Yue, Liu Xiaowan, Zhang Yubo
Department of Gynecology and Obstetrics, Xiangyang No. 1 People's Hospital, Hubei University of Medicine, Xiangyang, Hubei 441000, P.R. China.
Department of General Surgery, Xiangyang No. 1 People's Hospital, Hubei University of Medicine, Xiangyang, Hubei 441000, P.R. China.
Exp Ther Med. 2019 Jul;18(1):637-641. doi: 10.3892/etm.2019.7591. Epub 2019 May 17.
Expression and characteristics of matrix metalloproteinase-9 (MMP-9) and TIMP metallopeptidase inhibitor-1 (TIMP-1) in the placenta of pregnancy induced hypertension (PIH) were detected in Uygur to analyze its correlation with PIH, and to provide a theoretical basis for clinical work. Ninety cases of placental tissue patients who were hospitalized in the Department of Obstetrics of People's Hospital of Xinjiang Uygur from December 2014 to September 2016 were collected, including 30 cases of severe preeclampsia, 30 cases of mild preeclampsia, and 30 cases of normal group. The distribution of MMP-9 and TIMP-1 in placenta was mainly in the cytoplasm of trophoblast cells, vascular endothelial cells and villous mesenchymal cells. The distribution of MMP-9 positive particles in the placenta tissue of the severe group was significantly reduced. The difference of MMP-9 in the three groups was statistically significant. Severe group was statistically significantly different from normal and mild group. With the aggravation of PIH, positive expression of MMP-9 was gradually decreased. TIMP-1 was expressed in each group, and difference was not statistically significant. Positive expression ratio of MMP-9/TIMP-1 in severe group was lower than that in normal pregnancy and mild group, and positive expression ratio of the two groups became smaller as the condition worsened. Positive expression of MMP-9 in placental tissue of patients with PIH decreased significantly with the severity of PIH. TIMP-1 in placental tissue of PIH patients did not change much in each group, and had no significant correlation with PIH.
检测维吾尔族妊娠高血压综合征(PIH)患者胎盘组织中基质金属蛋白酶-9(MMP-9)和金属蛋白酶组织抑制因子-1(TIMP-1)的表达及特征,分析其与PIH的相关性,为临床工作提供理论依据。收集2014年12月至2016年9月在新疆维吾尔自治区人民医院产科住院的90例胎盘组织患者,其中重度子痫前期30例,轻度子痫前期30例,正常组30例。MMP-9和TIMP-1在胎盘中的分布主要在滋养层细胞、血管内皮细胞和绒毛间质细胞的细胞质中。重度组胎盘组织中MMP-9阳性颗粒分布明显减少。三组间MMP-9差异有统计学意义,重度组与正常组、轻度组比较差异有统计学意义。随着PIH病情加重,MMP-9阳性表达逐渐降低。TIMP-1在各组均有表达,差异无统计学意义。重度组MMP-9/TIMP-1阳性表达率低于正常妊娠组和轻度组,且两组阳性表达率随病情加重而变小。PIH患者胎盘组织中MMP-9阳性表达随PIH严重程度显著降低。PIH患者胎盘组织中TIMP-1在各组变化不大,与PIH无明显相关性。