A new insight into the pathway behind spontaneous recurrent pregnancy loss: decreased CYR61 gene expression.

Revista da Associacao Medica Brasileira (1992) Pub Date : 2024-07-19 eCollection Date: 2024-01-01 DOI:10.1590/1806-9282.20231673
Fahri Burcin Firatligil, Burcu Firatligil Yildirir, Ozden Yalcin-Ozuysal
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Abstract

Objective: Investigating the potential role of CYR61 in recurrent pregnancy loss is critical for developing diagnostic approaches and treatments for recurrent pregnancy loss.

Methods: In this prospective case-control study, we have investigated the expression patterns of CYR61 in blood samples from participants with recurrent pregnancy loss in their medical history and control group (n=20 vs n=10). Peripheral blood mononuclear cells from study and control groups were isolated and the expression patterns of the CYR61 gene were determined by real-time semi-quantitative reverse transcriptase PCR.

Results: A significant decrease in CYR61 gene expression was demonstrated in patients with two or more clinically recognized miscarriages compared with patients without miscarriages or with a history of miscarriage (p<0.01), which may make the CYR61 gene a potential candidate for predicting the risk of recurrent pregnancy loss.

Discussion: This study provides a basis for a detailed investigation of candidate biomarkers and molecular players involved in the development of recurrent pregnancy loss and for the development of potential treatment approaches to prevent recurrent pregnancy loss.

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自发性复发性妊娠失败背后的新途径:CYR61 基因表达下降。
摘要研究CYR61在复发性妊娠失败中的潜在作用对于开发复发性妊娠失败的诊断方法和治疗手段至关重要:在这项前瞻性病例对照研究中,我们调查了有病史的复发性妊娠失败参与者和对照组(n=20 vs n=10)血液样本中 CYR61 的表达模式。我们分离了研究组和对照组的外周血单核细胞,并通过实时半定量逆转录酶 PCR 检测了 CYR61 基因的表达模式:结果:与无流产史或有流产史的患者相比,两次或两次以上临床确认的流产患者的 CYR61 基因表达明显下降(p.讨论):这项研究为详细调查参与复发性妊娠失败发生的候选生物标志物和分子角色以及开发预防复发性妊娠失败的潜在治疗方法奠定了基础。
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