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GBS 触发的绒毛膜羊膜炎临床前动物模型的剖宫产术。

C-section of Preclinical Animal Model of Chorioamnionitis Triggered by Group B Streptococcus (GBS).

机构信息

Department of Pediatrics, McGill University;

Department of Pharmacology, McGill University.

出版信息

J Vis Exp. 2021 Dec 29(178). doi: 10.3791/63221.

Abstract

Group B Streptococcus (GBS) is one of the most common bacteria isolated during human pregnancy. It is a leading cause of placental infection/inflammation, termed chorioamnionitis. Chorioamnionitis exposes the developing fetus to a high risk of organ injuries, perinatal morbidity, and mortality, as well as life-long neurobehavioral impairments and other non-neurological developmental issues. The two most frequent subtypes of GBS isolates from maternal and fetal tissues are serotypes Ia (13%-23%) and III (25%-53%). Our lab has developed and characterized a rat model of GBS-induced chorioamnionitis to study subsequent impacts on the central nervous system of the developing fetus and to understand underlying mechanistic aspects. This article presents the design as well as uses of the preclinical rat model, which closely reproduces the hallmark of GBS-induced chorioamnionitis in humans. This article aims to help scientists reproduce the experimental design as well as to provide support through examples of troubleshooting. The present model may also contribute to potential discoveries through uncovering causes, mechanisms, and novel therapeutic avenues, which remain unsettled in many developmental impairments arising from chorioamnionitis. Furthermore, the use of this model may be extended to the studies of perinatal non-neurological common and severe morbidities affecting, for instance, the retina, bowel, lung, and kidney. The main interest of this research is in the field of GBS-induced fetal neurodevelopmental impairments such as cerebral palsy (CP), attention deficit hyperactivity disorder (ADHD), and autism spectrum disorder (ASD). The rationale supporting this model is presented in this article, followed by procedures and results.

摘要

B 群链球菌(GBS)是人类妊娠期间分离出的最常见细菌之一。它是胎盘感染/炎症(称为绒毛膜羊膜炎)的主要原因。绒毛膜羊膜炎使发育中的胎儿面临器官损伤、围产期发病率和死亡率以及终身神经行为障碍和其他非神经发育问题的高风险。从母体和胎儿组织中分离出的 GBS 最常见的两个亚型是血清型 Ia(13%-23%)和 III(25%-53%)。我们的实验室已经开发并表征了一种 GBS 诱导的绒毛膜羊膜炎大鼠模型,以研究其对发育中胎儿中枢神经系统的后续影响,并了解潜在的机制方面。本文介绍了临床前大鼠模型的设计和用途,该模型非常接近 GBS 诱导的绒毛膜羊膜炎在人类中的特征。本文旨在帮助科学家复制实验设计,并通过故障排除示例提供支持。该模型还可能通过揭示原因、机制和新的治疗途径为潜在的发现做出贡献,这些原因、机制和新的治疗途径在许多由绒毛膜羊膜炎引起的发育障碍中仍未得到解决。此外,该模型的使用可以扩展到研究影响视网膜、肠道、肺和肾脏等的围产期非神经常见和严重疾病。这项研究的主要兴趣在于 GBS 诱导的胎儿神经发育障碍,如脑瘫(CP)、注意力缺陷多动障碍(ADHD)和自闭症谱系障碍(ASD)。本文介绍了支持该模型的基本原理,随后介绍了程序和结果。

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