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[重度子痫前期合并妊娠的胎盘组织中血管抑制素和血管内皮生长因子蛋白水平]

[Vasohibin and VEGF protein levels in placentae from pregnancies complicated by severe pre-eclampsia].

作者信息

Wang Fang, Bai Huai, Fan Ping, Liu Xing-hui, He Guo-lin, Liu Rui

机构信息

Laboratory of Genetic Disease and Perinatal Medicine, West China Second Hospital, Sichuan University, Chengdu 610041, China.

出版信息

Sichuan Da Xue Xue Bao Yi Xue Ban. 2010 Sep;41(5):814-7.

Abstract

OBJECTIVE

To study the expression of vasohibin and vascular endothelial growth factor (VEGF) in placentae from normal pregnancies and pregnancies complicated by severe pre-eclampsia.

METHODS

Placental tissues were obtained by caesarean section for 30 cases of pregnancy with severe pre-eclampsia and 30 cases of matched normal pregnancies. Protein levels of vasohibin and VEGF in placental tissue were quantified by Western blot analysis. Immunohistochemistry was used to determine the localization of the vasohibin protein in placental tissue.

RESULTS

The mean value of vasohibin in normal pregnant women was 0.91 +/- 0.12, and in women with severe pre-eclampsia was 0.58 +/- 0.09. These values were statistically different between the two groups (P < 0.05). Moreover, VEGF expression was also significantly reduced in the patients compared with the controls (0.65 +/- 0.20 vs. 0.24 +/- 0.13, P < 0.05). There was a significant positive correlation between vasohibin and VEGF levels (r = 0.262, P < 0.05). Immunolocalization of vasohibin in normal term villous placenta was specifically expressed in the vascular endothelial cells, and no positive staining of other cell types such as syncytiotrophoblast cells, cytotrophoblast cells, and chorionic villi interstitial cells was found.

CONCLUSION

These results suggest that reduced vasohibin and VEGF expression may be responsible, at least in part, for the impaired vascular development which occurs in the pre-eclampsia.

摘要

目的

研究血管抑制素和血管内皮生长因子(VEGF)在正常妊娠及合并重度子痫前期妊娠的胎盘组织中的表达情况。

方法

选取30例重度子痫前期孕妇及30例孕周匹配的正常孕妇,剖宫产获取胎盘组织。采用蛋白质免疫印迹法检测胎盘组织中血管抑制素和VEGF的蛋白水平。采用免疫组织化学法确定血管抑制素蛋白在胎盘组织中的定位。

结果

正常孕妇血管抑制素的平均值为0.91±0.12,重度子痫前期孕妇为0.58±0.09。两组间差异有统计学意义(P<0.05)。此外,与对照组相比,患者VEGF表达也显著降低(0.65±0.20 vs. 0.24±0.13,P<0.05)。血管抑制素与VEGF水平呈显著正相关(r=0.262,P<0.05)。血管抑制素在足月绒毛胎盘的免疫定位特异性表达于血管内皮细胞,未发现其他细胞类型如合体滋养层细胞、细胞滋养层细胞和绒毛间质细胞有阳性染色。

结论

这些结果表明,血管抑制素和VEGF表达降低可能至少部分导致了子痫前期发生时的血管发育受损。

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