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E-Lip-siRNA-sFlt1 对子痫前期的治疗作用:靶向基因沉默和改善妊娠结局。

Therapeutic effect of E-Lip-siRNA-sFlt1 on pre-eclampsia: targeted gene silencing and improved pregnancy outcomes.

机构信息

Department of Obstetrics & Gynecology, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, 310006, China.

The Women & Children Hospital Affiliated to Jiaxing University, 2468 Middle Ring Eastern Road, Jiaxing City, Zhejiang, 314000, China.

出版信息

Nanomedicine (Lond). 2024;19(18-20):1615-1627. doi: 10.1080/17435889.2024.2368449. Epub 2024 Jul 17.

Abstract

To evaluate a liposome complex conjugated with anti-epidermal growth factor receptor (EGFR) antibodies for the treatment of pre-eclampsia (PE). In experiments, the transfection rate, silencing effect and cytotoxicity were determined. In the PE model, the siRNA distribution, mean arterial pressure, 24-h urine protein concentration, serum sFlt1 concentration, number of viable fetuses and placental weight were measured. The nanomedicine effectively reduced the expression of sFIt1 and had a strong ability to target placental tissues. It could significantly reduce the symptoms of pre-eclampsia and improve pregnancy outcomes in PE model rats. The constructed nanomedicine can improve pregnancy outcomes in a rat model of pre-eclampsia and provides a new strategy for the treatment of pre-eclampsia.

摘要

为了评估一种与抗表皮生长因子受体(EGFR)抗体偶联的脂质体复合物在子痫前期(PE)治疗中的应用。在实验中,测定了转染率、沉默效果和细胞毒性。在 PE 模型中,测量了 siRNA 分布、平均动脉压、24 小时尿蛋白浓度、血清 sFlt1 浓度、活胎数和胎盘重量。该纳米药物有效降低了 sFIt1 的表达,具有靶向胎盘组织的强大能力。它可显著减轻 PE 模型大鼠的子痫前期症状并改善妊娠结局。所构建的纳米药物可以改善子痫前期大鼠的妊娠结局,为子痫前期的治疗提供了新策略。

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本文引用的文献

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Chronic hypertension and superimposed preeclampsia: screening and diagnosis.慢性高血压与子痫前期重叠:筛查与诊断。
Am J Obstet Gynecol. 2022 Feb;226(2S):S1182-S1195. doi: 10.1016/j.ajog.2020.11.029. Epub 2021 Jun 17.
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Preeclampsia: Pathophysiology, Challenges, and Perspectives.子痫前期:病理生理学、挑战与展望。
Circ Res. 2019 Mar 29;124(7):1094-1112. doi: 10.1161/CIRCRESAHA.118.313276.

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