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微小RNA Mi 517和Mi 526作为生物标志物在孕早期检测高血压和先兆子痫中的诊断潜力

Diagnostic potential of microRNAs Mi 517 and Mi 526 as biomarkers in the detection of hypertension and preeclampsia in the first trimester.

作者信息

Kondracka Adrianna, Kondracki Bartosz, Jaszczuk Ilona, Staniczek Jakub, Kwasniewski Wojciech, Filip Agata, Kwasniewska Anna

机构信息

Department of Obstetrics and Pathology of Pregnancy, Medical University of Lublin, Poland.

Department of Cardiology, Medical University of Lublin, Poland.

出版信息

Ginekol Pol. 2024;95(12):952-958. doi: 10.5603/GP.a2023.0036. Epub 2023 Apr 12.

Abstract

OBJECTIVES

MicroRNAs have been observed to play a major role in various physiological processes, for instance, programmed cell death, cell division, pregnancy development, and proliferation. With the help of profiling of microRNAs in the serum of pregnant women, it is possible to link alterations in their concentration to the emergence of gestational problems. The aim of the study was to evaluate the diagnostic potential of MicroRNAs Mi 517 and Mi 526 as biomarkers in the detection of hypertension and preeclampsia.

MATERIAL AND METHODS

The study considered 53 patients who are in their first trimester of a singleton pregnancy. Participants have been divided into two study groups, one group with normal pregnancy and another group having the risk of developing preeclampsia or who developed hypertension or preeclampsia during follow-up constitute the study group. In order to collect data associated with circulating miRNAs in serum, blood samples have been collected from the participants of the study.

RESULTS

Based on the univariate regression model, increased expression of Mi 517 and 526 and parity status (primapara/multipara) has been obtained. The multivariate logistic analysis shows that independent risk factors for hypertension or preeclampsia are the presence of an R527 and being a primipara.

CONCLUSIONS

The study's findings have revealed that R517s and R526s act as major indicative biomarkers in the first trimester for the detection of hypertension and preeclampsia. The circulating C19MC MicroRNA was examined as a potential early indicator of preeclampsia and hypertension in pregnant individuals.

摘要

目的

已观察到微小RNA在各种生理过程中发挥主要作用,例如程序性细胞死亡、细胞分裂、妊娠发育和增殖。通过对孕妇血清中的微小RNA进行分析,有可能将其浓度变化与妊娠问题的出现联系起来。本研究的目的是评估微小RNA Mi 517和Mi 526作为生物标志物在检测高血压和先兆子痫方面的诊断潜力。

材料与方法

该研究纳入了53名单胎妊娠早期的患者。参与者被分为两个研究组,一组为正常妊娠,另一组为有先兆子痫风险或在随访期间发生高血压或先兆子痫的患者组成研究组。为了收集与血清中循环微小RNA相关的数据,已从研究参与者中采集了血样。

结果

基于单变量回归模型,获得了Mi 517和526表达增加以及产次状态(初产妇/经产妇)的数据。多变量逻辑分析表明,高血压或先兆子痫的独立危险因素是存在R527以及为初产妇。

结论

该研究结果表明,R517和R526在妊娠早期作为检测高血压和先兆子痫的主要指示生物标志物。循环C19MC微小RNA被检测为孕妇先兆子痫和高血压的潜在早期指标。

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