Lai Shaoyang, Yu Weiwei, Liu Ying, Yang Yuxin, Zhang Xueqin
Department of Obstetrics, School of Medicine, Women and Children's Hospital, Xiamen University, Xiamen, China.
Open Life Sci. 2024 Feb 21;19(1):20220827. doi: 10.1515/biol-2022-0827. eCollection 2024.
Studying the effects of maternal iron deficiency anemia (IDA) is complex owing to its diverse causes, each independently impacting the placenta and fetus. Simple treatment with iron supplements does not always resolve the anemia. Therefore, delving into how IDA alters placental development at a molecular level is crucial to further optimize treatment. This review addresses the effects of IDA on placental structures and functions, including changes in oxygen levels, blood vessels, and the immune system. Profound understanding of physiological characteristics and regulatory mechanisms of placental development is key to explain the mechanisms of abnormal placental development in pregnancy-associated disorders. In turn, future strategies for the prevention and treatment of pregnancy complications involving the placenta can be devised. These studies are significant for improving human reproductive health, enhancing sociodemographic qualities, and even lifelong wellbeing, a focal point in future placental research.
由于母体缺铁性贫血(IDA)病因多样,且每种病因都会独立影响胎盘和胎儿,因此研究其影响较为复杂。单纯补充铁剂治疗并不总能解决贫血问题。因此,深入探究IDA如何在分子水平上改变胎盘发育对于进一步优化治疗至关重要。本综述探讨了IDA对胎盘结构和功能的影响,包括氧水平、血管和免疫系统的变化。深刻理解胎盘发育的生理特征和调控机制是解释妊娠相关疾病中胎盘发育异常机制的关键。反过来,可以制定未来预防和治疗涉及胎盘的妊娠并发症的策略。这些研究对于改善人类生殖健康、提高社会人口素质乃至终身福祉具有重要意义,是未来胎盘研究的重点。