体外补充硒会抑制与子宫肌激活和胎膜破裂有关的关键介质。
In vitro selenium supplementation suppresses key mediators involved in myometrial activation and rupture of fetal membranes.
机构信息
Obstetrics, Nutrition and Endocrinology Group, Department of Obstetrics and Gynaecology, University of Melbourne, Level 4/163 Studley Road, Heidelberg, 3084, Victoria, Australia.
出版信息
Metallomics. 2020 Jun 24;12(6):935-951. doi: 10.1039/d0mt00063a.
Spontaneous preterm birth, which can affect up to 20% of all pregnancies, is the greatest contributor to perinatal morbidity and mortality. Infection is the leading pathological cause of spontaneous preterm birth. Infection activates the maternal immune system, resulting in the upregulation of pro-inflammatory and pro-labor mediators that activate myometrial contractions and rupture of fetal membranes. Anti-inflammatory agents therefore have the potential for the prevention of spontaneous preterm birth. Selenium, an essential micronutrient, has been shown to be a potent anti-inflammatory regulator. Notably, clinical and epidemiological studies have suggested a link between selenium and preterm birth. Thus, the aim of this study was to assess the effect of selenite (an inorganic form of selenium) on the expression of pro-inflammatory and pro-labor mediators in human gestational tissues. Human fetal membranes and myometrium were pre-incubated with or without selenite before incubation with the bacterial product lipopolysaccharide (LPS) to stimulate inflammation associated with preterm birth. Selenite blocked LPS-induced expression of pro-inflammatory cytokines and chemokines and enzymes involved in remodelling of myometrium and degradation of fetal membranes. Of note, selenite also suppressed myometrial activation induced by inflammation as evidenced by a decrease in LPS-induced prostaglandin signalling and myometrial cell contractility. These effects of selenite were mediated by the MAPK protein ERK as selenite blunted LPS induced activation of ERK. In conclusion, selenite suppresses key mediators involved in inflammation induced activation of mediators involved in active labor in human fetal membranes and myometrium. These findings support recent clinical studies demonstrating selenium supplementation is associated with decreased incidence of spontaneous preterm birth.
自发性早产可影响多达 20%的所有妊娠,是围产期发病率和死亡率的最大贡献者。感染是自发性早产的主要病理原因。感染激活母体免疫系统,导致促炎和促劳动介质上调,激活子宫肌收缩和胎膜破裂。因此,抗炎剂有可能预防自发性早产。硒是一种必需的微量营养素,已被证明是一种有效的抗炎调节剂。值得注意的是,临床和流行病学研究表明硒与早产之间存在关联。因此,本研究旨在评估亚硒酸钠(硒的一种无机形式)对人妊娠组织中促炎和促劳动介质表达的影响。在与人胎盘中的炎症相关的早产有关的细菌产物脂多糖(LPS)孵育之前,先用亚硒酸钠预孵育人胎膜和子宫肌,以刺激炎症。亚硒酸钠阻断 LPS 诱导的促炎细胞因子和趋化因子以及参与子宫肌重塑和胎膜降解的酶的表达。值得注意的是,亚硒酸钠还抑制了炎症诱导的子宫肌激活,这表现为 LPS 诱导的前列腺素信号和子宫肌细胞收缩性降低。亚硒酸钠的这些作用是通过 MAPK 蛋白 ERK 介导的,因为亚硒酸钠减弱了 LPS 诱导的 ERK 激活。总之,亚硒酸钠抑制了与炎症诱导的人胎膜和子宫肌中促劳动介质激活有关的关键介质。这些发现支持了最近的临床研究,表明补充硒与自发性早产发生率降低有关。