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炎症介导的早产预测因素。

Predictors of Inflammation-Mediated Preterm Birth.

机构信息

Department of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven, Connecticut, United States.

Department of Obstetrics and Gynecology, Tufts University School of Medicine, Boston, Massachusetts, United States.

出版信息

Physiology (Bethesda). 2025 Jan 1;40(1):0. doi: 10.1152/physiol.00022.2024. Epub 2024 Aug 6.

DOI:10.1152/physiol.00022.2024
PMID:39106300
Abstract

Preterm birth remains a worldwide health concern because of ongoing challenges in prediction and prevention. Current predictors are limited by poor performance, need for invasive sampling, and an inability to identify patients in a timely fashion to allow for effective intervention. The multiple etiologies of preterm birth often have an inflammatory component. Thus, a deeper understanding of the inflammatory mechanisms involved in preterm birth may provide opportunities to identify new predictors of preterm birth. This review discusses the multiple etiologies of preterm birth, their links to inflammation, current predictors available, and new directions for the field.

摘要

早产仍然是一个全球性的健康问题,因为在预测和预防方面仍然存在挑战。目前的预测方法受到性能不佳、需要有创性采样以及无法及时识别患者以进行有效干预等因素的限制。早产的多种病因通常都具有炎症成分。因此,深入了解早产中涉及的炎症机制可能为识别早产的新预测指标提供机会。本综述讨论了早产的多种病因、它们与炎症的联系、现有的预测指标以及该领域的新方向。

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本文引用的文献

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TLR8-activating miR-146a-3p is an intermediate signal contributing to fetal membrane inflammation in response to bacterial LPS.TLR8 激活的 miR-146a-3p 是一种中间信号,有助于胎儿膜对细菌 LPS 的炎症反应。
Immunology. 2024 Aug;172(4):577-587. doi: 10.1111/imm.13794. Epub 2024 Apr 17.
2
The role of placental insufficiency in spontaneous preterm birth: A literature review.胎盘功能不全在自发性早产中的作用:文献综述
Eur J Obstet Gynecol Reprod Biol. 2024 Apr;295:136-142. doi: 10.1016/j.ejogrb.2024.02.020. Epub 2024 Feb 10.
3
Management of preterm labor: Clinical practice guideline and recommendation by the WAPM-World Association of Perinatal Medicine and the PMF-Perinatal Medicine Foundation.
早产的管理:世界围产医学会和围产医学基金会的临床实践指南和建议。
Eur J Obstet Gynecol Reprod Biol. 2023 Dec;291:196-205. doi: 10.1016/j.ejogrb.2023.10.013. Epub 2023 Oct 10.
4
A key role for NLRP3 signaling in preterm labor and birth driven by the alarmin S100B.NLRP3 信号在 S100B 警报素驱动的早产和分娩中的关键作用。
Transl Res. 2023 Sep;259:46-61. doi: 10.1016/j.trsl.2023.04.004. Epub 2023 Apr 28.
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Preterm Birth and Corticotrophin-Releasing Hormone as a Placental Clock.早产与促肾上腺皮质激素释放激素:胎盘的时钟。
Endocrinology. 2022 Dec 19;164(2). doi: 10.1210/endocr/bqac206.
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Guideline No. 430: Diagnosis and management of preterm prelabour rupture of membranes.指南 430:未足月胎膜早破的诊断与处理。
J Obstet Gynaecol Can. 2022 Nov;44(11):1193-1208.e1. doi: 10.1016/j.jogc.2022.08.014. Epub 2022 Oct 2.
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Preterm Labor: A Comprehensive Review of Guidelines on Diagnosis, Management, Prediction and Prevention.早产:诊断、管理、预测和预防指南的综合综述。
Obstet Gynecol Surv. 2022 May;77(5):302-317. doi: 10.1097/OGX.0000000000001023.
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Systematic review of preterm birth multi-omic biomarker studies.早产多组学生物标志物研究的系统评价
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Arthritis Rheumatol. 2022 Jun;74(6):1001-1012. doi: 10.1002/art.42068. Epub 2022 Apr 27.