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妊娠相关疾病中的细胞外囊泡:从机制到临床意义

Extracellular vesicles in pregnancy-related disorders: from mechanisms to clinical implications.

作者信息

He Xiaojing, Liu Shiqi, Wang Yudi, Du Hualongyue, Lin Qiaoxi, Wang Wenhui, Ou Zihao, Zheng Lei

机构信息

Department of Laboratory Medicine, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.

出版信息

Sci China Life Sci. 2025 Jul 11. doi: 10.1007/s11427-024-2937-4.

DOI:10.1007/s11427-024-2937-4
PMID:40650813
Abstract

The discovery of extracellular vesicles (EVs), including exosomes, microvesicles, and shedding vesicles, signifies a paradigm shift in our understanding of cellular communication and a variety of biological processes, encompassing immune regulation, disease pathogenesis, and tissue repair. Particularly in the realm of pregnancy-related diseases, EVs have unveiled new perspectives and tools for deciphering the molecular mechanisms underlying pregnancy and its associated disorders. Emerging evidence indicates the multifaceted role of EVs in placental formation, regulation of maternal-fetal immune balance, and the development of pregnancy complications. The review aims to synthesize current research findings on the potential applications of EVs in pregnancy diseases and may help identify the EVs as diagnostic or therapeutic strategies for pregnancy-related disorders.

摘要

细胞外囊泡(EVs)的发现,包括外泌体、微囊泡和脱落囊泡,标志着我们对细胞通讯以及包括免疫调节、疾病发病机制和组织修复在内的各种生物学过程的理解发生了范式转变。特别是在妊娠相关疾病领域,细胞外囊泡为解读妊娠及其相关疾病背后的分子机制提供了新的视角和工具。新出现的证据表明,细胞外囊泡在胎盘形成、母胎免疫平衡调节以及妊娠并发症的发展中具有多方面的作用。本综述旨在综合目前关于细胞外囊泡在妊娠疾病中潜在应用的研究结果,并可能有助于将细胞外囊泡确定为妊娠相关疾病的诊断或治疗策略。

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本文引用的文献

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Recent advances in bacterial outer membrane vesicles: Effects on the immune system, mechanisms and their usage for tumor treatment.细菌外膜囊泡的最新进展:对免疫系统的影响、作用机制及其在肿瘤治疗中的应用
J Pharm Anal. 2024 Dec;14(12):101049. doi: 10.1016/j.jpha.2024.101049. Epub 2024 Jul 23.
2
Extracellular Vesicles as Biomarkers of Pregnancy Complications.细胞外囊泡作为妊娠并发症的生物标志物。
Int J Mol Sci. 2024 Nov 6;25(22):11944. doi: 10.3390/ijms252211944.
3
Artificial Intelligence-Augmented Clinical Decision Support Systems for Pregnancy Care: Systematic Review.
用于孕期护理的人工智能增强型临床决策支持系统:系统评价
J Med Internet Res. 2024 Sep 16;26:e54737. doi: 10.2196/54737.
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Soluble FLT-1 in angiogenesis: pathophysiological roles and therapeutic implications.可溶性 FLT-1 在血管生成中的作用:病理生理作用和治疗意义。
Angiogenesis. 2024 Nov;27(4):641-661. doi: 10.1007/s10456-024-09942-8. Epub 2024 Aug 29.
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The evolving roles of extracellular vesicles in embryo-maternal communication.细胞外囊泡在胚胎-母体通讯中的不断演变的作用。
Commun Biol. 2024 Jun 21;7(1):754. doi: 10.1038/s42003-024-06442-9.
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First Trimester Placental Biomarkers for Pregnancy Outcomes.早孕期胎盘生物标志物与妊娠结局。
Int J Mol Sci. 2024 Jun 2;25(11):6136. doi: 10.3390/ijms25116136.
7
Placenta: an old organ with new functions.胎盘:一个具有新功能的古老器官。
Front Immunol. 2024 Apr 19;15:1385762. doi: 10.3389/fimmu.2024.1385762. eCollection 2024.
8
Isolation and usage of exosomes in central nervous system diseases.中枢神经系统疾病中外泌体的分离与应用。
CNS Neurosci Ther. 2024 Mar;30(3):e14677. doi: 10.1111/cns.14677.
9
Protein Profiling of Placental Extracellular Vesicles in Gestational Diabetes Mellitus.妊娠期糖尿病胎盘细胞外囊泡的蛋白质组学分析。
Int J Mol Sci. 2024 Feb 6;25(4):1947. doi: 10.3390/ijms25041947.
10
The role of extracellular vesicles from placenta and endometrium in pregnancy: Insights from tumor biology.胎盘和子宫内膜来源的细胞外囊泡在妊娠中的作用:来自肿瘤生物学的见解
J Reprod Immunol. 2024 Mar;162:104210. doi: 10.1016/j.jri.2024.104210. Epub 2024 Feb 1.