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The Influence of Fluidic Flow Stress on the Development of the Secondary Palate. 流体流动应力对次上颚发育的影响。
IF 2.5 Q3 DEVELOPMENTAL BIOLOGY Pub Date : 2026-02-12 DOI: 10.3390/jdb14010009
Masayo Nagata, Satoru Hayano, Ziyi Wang, Takahiro Kosami, Hiroshi Kamioka

Craniofacial development is orchestrated by a finely regulated interplay of numerous genes and signaling pathways. Palatogenesis proceeds through a complex, stepwise process, in which endogenous mechanical stresses within tissues have been implicated. However, the impact of exogenous fluidic flow mechanical stress derived from maternal movement on palatal development remains unclear. In this study, we investigated the effect of exogenous fluidic flow mechanical stress on palatal morphogenesis, focusing on the horizontal outgrowth of palatal shelves after elevation. Palatal tissues dissected from mouse embryos were subjected to organ culture with or without mechanical loading (loaded and unloaded groups, respectively). Stress magnitude was quantified by calculating wave energy, and morphometric and molecular analyses were performed. Compared with the unloaded group, palatal shelves in the loaded group showed significant increases in thickness and volume, accompanied by enhanced cell proliferation, nuclear translocation of YAP and β-catenin, and upregulation of the osteogenic markers Osterix and Osteocalcin. No significant difference in apoptosis was observed. These findings indicate that exogenous mechanical stress promotes cell proliferation and osteogenic differentiation through the Hippo and WNT/β-catenin pathways in palate explants. Our results suggest that moderate maternal movement-induced mechanical stress contributes to normal palatogenesis, providing new insights into the mechanisms underlying cleft palate.

颅面发育是由许多基因和信号通路的精细调节的相互作用精心安排的。发育过程是一个复杂的、逐步的过程,其中涉及到组织内的内源性机械应力。然而,来自母体运动的外源性流体流动机械应力对腭发育的影响尚不清楚。在这项研究中,我们研究了外源流体流动机械应力对腭形态发生的影响,重点研究了腭架在抬高后的水平生长。从小鼠胚胎中分离的腭组织进行器官培养,有或没有机械负荷(分别为加载组和卸载组)。通过计算波能来量化应力大小,并进行形态计量学和分子分析。与未加载组相比,加载组腭架厚度和体积显著增加,细胞增殖增强,YAP和β-catenin核易位,成骨标志物Osterix和Osteocalcin上调。细胞凋亡无明显差异。这些结果表明,外源性机械应力通过Hippo和WNT/β-catenin通路促进腭外植体细胞增殖和成骨分化。我们的研究结果表明,适度的母亲运动引起的机械应力有助于正常的腭裂发生,为腭裂的机制提供了新的见解。
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引用次数: 0
Vestigial-like 4 Regulates Neurogenesis and Neural Crest Formation During Xenopus Development. 退化样4在爪蟾发育过程中调控神经发生和神经嵴形成。
IF 2.5 Q3 DEVELOPMENTAL BIOLOGY Pub Date : 2026-02-11 DOI: 10.3390/jdb14010008
Pierre Thiébaud, Emilie Simon, François Moisan, Sandrine Fedou, Hamid-Reza Rezvani, Nadine Thézé

VESTIGIAL-LIKE proteins constitute a family of evolutionarily conserved proteins that act as cofactors in regulating gene expression through their binding to TEAD transcription factors. Among the four members of this family in vertebrates, VESTIGIAL-LIKE 4 has emerged as a tumor suppressor that competes with YAP in binding TEADs, thus inhibiting the HIPPO pathway downstream of YAP. Nevertheless, very few studies have addressed its function during early vertebrate development. Here, we used gain- and loss-of-function strategies to investigate the role of vestigial-like 4 during Xenopus laevis development. Our data show that vestigial-like 4 is a key regulator of neurogenesis and neural crest formation. In embryos depleted of vestigial-like 4, neurogenesis is severely impaired, and neither neurog1 nor neurod1 is able to stimulate neurogenesis. Vestigial-like 4 is also required for neural crest formation through pax3 and sox9 regulation, and this property does not necessarily require its interaction with tead. Collectively, our findings demonstrate that vestigial-like 4 is an important regulator of neurogenesis and neural crest formation. Although vestigial-like 4 can bind to tead proteins in the embryo, its function does not depend solely on this interaction, suggesting a complex level of regulation with which vestigial-like 4 regulates early steps in development and differentiation.

vestial - like蛋白是一类进化上保守的蛋白,通过与TEAD转录因子结合,作为调节基因表达的辅助因子。在脊椎动物中该家族的4个成员中,VESTIGIAL-LIKE 4作为一种肿瘤抑制因子与YAP竞争结合TEADs,从而抑制YAP下游的HIPPO通路。然而,很少有研究涉及其在早期脊椎动物发育中的功能。本研究采用功能获得和功能丧失策略来研究非洲爪蟾发育过程中退化样4的作用。我们的数据表明,退化样4是神经发生和神经嵴形成的关键调节因子。在退化样4缺失的胚胎中,神经发生严重受损,而且neurog1和neurod1都不能刺激神经发生。通过pax3和sox9调控,神经嵴的形成也需要退化样4,而这种特性并不一定需要它与tead相互作用。总之,我们的研究结果表明,退化样4是神经发生和神经嵴形成的重要调节因子。尽管在胚胎中,退化样4蛋白可以与先导蛋白结合,但其功能并不仅仅依赖于这种相互作用,这表明退化样4蛋白在发育和分化的早期阶段具有复杂的调控水平。
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引用次数: 0
Functional State of Lampbrush Chromosomes in Early Vitellogenic Oocytes of Hibernating Frogs Rana temporaria. 越冬蛙早期卵黄细胞灯刷染色体功能状态的研究。
IF 2.5 Q3 DEVELOPMENTAL BIOLOGY Pub Date : 2026-02-02 DOI: 10.3390/jdb14010007
Nadya V Ilicheva, Olga I Podgornaya

Lampbrush chromosomes (LBCs) are a feature of amphibian oocytes and are typically associated with high levels of transcription during active oocyte growth. However, their state during winter hibernation has not been studied. Here, we investigated LBCs in early vitellogenic oocytes (early stage 4) of the grass frog Rana temporaria during winter hibernation. We found that the chromosomes retained their lampbrush morphology, and the phosphorylated form of RNA polymerase II resided on the lateral loops. Transcription on the lateral loops was reduced but detectable at cold conditions and significantly increased when the oocytes were transferred at room temperature. Satellite S1a transcripts were detected at the lateral loops of the chromosomes by RNA FISH. The possible significance of maintaining chromosomes in the lampbrush form during hibernation is discussed.

灯刷染色体(Lampbrush chromosome, lbc)是两栖动物卵母细胞的一个特征,通常在卵母细胞活跃生长期间与高水平的转录相关。然而,它们在冬季冬眠期间的状态尚未被研究过。在此,我们研究了草蛙冬季冬眠时卵黄细胞早期(早期4期)的lbc。我们发现染色体保留了它们的灯刷形态,并且RNA聚合酶II的磷酸化形式驻留在侧环上。侧环上的转录减少,但在寒冷条件下可检测到,当卵母细胞在室温下转移时显著增加。通过RNA FISH在染色体的侧环上检测到卫星S1a转录本。讨论了在冬眠期间保持灯刷状染色体的可能意义。
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引用次数: 0
Female Aging Affects Coilin Pattern in Mouse Cumulus Cells. 女性衰老影响小鼠积云细胞卷曲蛋白模式。
IF 2.5 Q3 DEVELOPMENTAL BIOLOGY Pub Date : 2026-01-15 DOI: 10.3390/jdb14010006
Alexey S Anisimov, Dmitry S Bogolyubov, Irina O Bogolyubova

Cumulus cells (CCs) are a distinct population of granulosa cells (GCs) that surround the developing and ovulated mammalian oocyte. The features of their structural organization and the expression pattern of key genes significantly affect oocyte viability. Changes in the functional activity of the nucleus are often expressed in changes in the structure of nuclear bodies (NBs), including Cajal bodies (CBs). The diagnostic protein of CBs is coilin, which maintains their structural integrity. Using fluorescent and electron microscopy, we examined maternal aging-associated changes in coilin pattern in mouse CCs. We found that older mice had a decrease in the number of coilin-positive bodies, while external transcriptome data analysis revealed no significant changes in Coil and Smn1 gene expression. We hypothesized that the age-related dynamics of coilin-containing bodies are determined not by changes in the expression level of key components of these bodies, but by age-related changes in CC metabolism. Considering that CCs are a by-product of IVF protocols, making them available for analysis in sufficient quantities, age-related changes in the number and size of coilin-positive NBs in CCs may serve as a promising biomarker for assessing ovarian functional aging.

积云细胞(CCs)是一种独特的颗粒细胞(GCs),围绕在发育和排卵的哺乳动物卵母细胞周围。它们的结构组织特征和关键基因的表达模式显著影响卵母细胞的活力。细胞核功能活性的变化通常表现为核体(NBs)结构的变化,包括Cajal小体(CBs)。大肠杆菌的诊断蛋白是维持其结构完整性的coilin。利用荧光显微镜和电子显微镜,我们检测了小鼠cc中母体年龄相关的卷曲蛋白模式变化。我们发现老年小鼠的coilin阳性体数量减少,而外部转录组数据分析显示Coil和Smn1基因表达没有显著变化。我们假设含coilin小体的年龄相关动力学不是由这些小体关键成分的表达水平变化决定的,而是由CC代谢的年龄相关变化决定的。考虑到CCs是体外受精方案的副产品,使它们能够用于足够数量的分析,CCs中coilin阳性NBs数量和大小的年龄相关变化可能作为评估卵巢功能衰老的有希望的生物标志物。
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引用次数: 0
Influence of Obstructive Uropathy on Cyst Formation and Nephrogenesis: Insights from a Fetal Lamb Model. 梗阻性尿路病变对囊肿形成和肾发生的影响:来自胎儿羔羊模型的见解。
IF 2.5 Q3 DEVELOPMENTAL BIOLOGY Pub Date : 2026-01-09 DOI: 10.3390/jdb14010005
Kohei Kawaguchi, Takuya Kawaguchi, Juma Obayashi, Yasuji Seki, Kunihide Tanaka, Kei Ohyama, Junki Koike, Shigeyuki Furuta, Kevin C Pringle, Hiroaki Kitagawa

Obstructive uropathy (OU) during fetal development induces a fetal cystic dysplastic kidney. The mechanisms of cyst formation and the onset of renal dysfunction remain unclear. Determining whether nephrogenic potential persists during fetal life may suggest whether early intervention could preserve renal development. We aimed to evaluate residual nephrogenic activity in fetal cystic dysplastic kidneys using β-catenin and CD10 immunostaining, and to assess whether the site of obstruction influences cystogenesis. After appropriate approval, 20 timed-gestation fetal lambs had OU created at 60 days. Males underwent urethral and urachal ligation (n = 8, 3 lost), and females underwent unilateral ureteric ligation (n = 8, 1 lost). Fetuses were sacrificed at 80 days (n = 6) and 140 days (term, n = 10), comparing kidneys with normal controls of the same gestational age using immunohistochemical staining for β-catenin and CD10. Developing fetal cystic dysplastic kidneys were identified at 80 days. β-catenin staining showed the absence of granular cytoplasmic expression in cystic regions, indicating arrested nephrogenesis. In male models, cysts originated exclusively from proximal tubules. Female models exhibited mixed proximal and distal tubular involvement. CD10 staining confirmed the loss of proximal tubular markers. Renal development remained arrested at term. Cyst formation disrupts renal development early in gestation, which persists until term. Differences in cystogenesis between the models suggest that the site of obstruction influences pathogenic mechanisms.

胎儿发育期间梗阻性尿病(OU)诱发胎儿囊性肾发育不良。囊肿形成的机制和肾功能障碍的发生仍不清楚。确定在胎儿时期肾脏形成的潜能是否持续可能提示早期干预是否可以保护肾脏发育。我们的目的是利用β-catenin和CD10免疫染色来评估胎儿囊性发育不良肾脏的残留肾原活性,并评估阻塞部位是否影响膀胱发生。经适当审批后,20只妊娠期胎羊在60天造出OU。男性行尿道和尿管结扎术(n = 8, 3例丢失),女性行单侧输尿管结扎术(n = 8, 1例丢失)。在80天(n = 6)和140天(n = 10)时处死胎儿,用免疫组织化学染色检测β-catenin和CD10,将其与相同胎龄的正常对照组进行比较。发育中的胎儿囊性发育不良肾脏在第80天被发现。β-catenin染色显示囊区没有颗粒状细胞质表达,提示肾发生阻滞。在男性模型中,囊肿完全起源于近端小管。女性模型显示混合近端和远端管受累。CD10染色证实近端小管标记物缺失。在监禁期间,肾脏发育仍然停滞不前。囊肿的形成在妊娠早期破坏肾脏的发育,这种情况一直持续到足月。不同模型之间的膀胱形成差异提示梗阻部位影响致病机制。
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引用次数: 0
Discovery of New Markers for Haemogenic Endothelium and Haematopoietic Progenitors in the Mouse Yolk Sac. 小鼠卵黄囊内造血内皮和造血祖细胞新标志物的发现。
IF 2.5 Q3 DEVELOPMENTAL BIOLOGY Pub Date : 2026-01-06 DOI: 10.3390/jdb14010004
Guillermo Diez-Pinel, Alessandro Muratore, Christiana Ruhrberg, Giovanni Canu

Erythro-myeloid progenitors (EMPs) originate from the haemogenic endothelium in the yolk sac via an endothelial-to-haematopoietic transition (EHT) to generate blood and immune cells that support embryo development. Yet, the transitory nature of EHT and the limited availability of molecular markers have constrained our understanding of the origin, identity, and differentiation dynamics of EMPs. Here, we have refined the annotation of yolk sac haemato-vascular populations in publicly available single-cell RNA sequencing (scRNAseq) datasets from mouse embryos to identify novel molecular markers of haemogenic endothelium and EMPs. By sub-clustering key cell populations followed by pseudotime analysis, we refined cluster annotations and then reconstructed differentiation trajectories. Subsequent differential gene expression analysis between clusters identified novel cell surface markers for haemogenic endothelial cells (Fxyd5 and Scarf1) and EMPs (Fcer1g, Tyrobp, and Mctp1). Further, we have identified candidate signalling and metabolic pathways that may regulate yolk sac haematopoietic emergence and differentiation. The specificity of FXYD5, SCARF1, and FCER1G for haemogenic endothelium and EMPs was validated by immunostaining of the mouse yolk sac. These insights into the transcriptional dynamics in the yolk sac should support future investigation of EHT and haematopoietic differentiation during early mammalian development.

红髓祖细胞(EMPs)起源于卵黄囊内的造血内皮,通过内皮向造血转化(EHT)产生支持胚胎发育的血液和免疫细胞。然而,EHT的短暂性和分子标记的有限可用性限制了我们对emp起源、身份和分化动力学的理解。在这里,我们在公开可用的小鼠胚胎单细胞RNA测序(scRNAseq)数据集中改进了卵黄囊血管种群的注释,以鉴定出新的造血内皮和emp分子标记。通过对关键细胞群进行亚聚类,然后进行伪时间分析,改进聚类注释,然后重建分化轨迹。随后的基因表达差异分析发现了造血内皮细胞(Fxyd5和Scarf1)和emp (Fcer1g, Tyrobp和Mctp1)的新细胞表面标记。此外,我们已经确定了可能调节卵黄囊造血出现和分化的候选信号和代谢途径。通过小鼠卵黄囊免疫染色验证FXYD5、SCARF1和FCER1G对造血内皮和EMPs的特异性。这些卵黄囊转录动力学的见解将支持未来对早期哺乳动物发育过程中EHT和造血分化的研究。
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引用次数: 0
The Interplay of One-Carbon Metabolism, Mitochondrial Function, and Developmental Programming in Ruminant Livestock. 反刍家畜单碳代谢、线粒体功能和发育程序的相互作用。
IF 2.5 Q3 DEVELOPMENTAL BIOLOGY Pub Date : 2026-01-03 DOI: 10.3390/jdb14010003
Kazi Sarjana Safain, Kendall C Swanson, Joel S Caton

Maternal nutrition during gestation profoundly influences fetal growth, organogenesis, and long-term offspring performance through developmental programming. Among the molecular mechanisms responsive to maternal nutrient availability, one-carbon metabolism plays a central role by integrating folate, methionine, choline, and vitamin B12 pathways that regulate methylation, nucleotide synthesis, and antioxidant defense. These processes link maternal nutritional status to epigenetic remodeling, cellular proliferation, and redox balance during fetal development. Mitochondria act as nutrient sensors that translate maternal metabolic cues into bioenergetic and oxidative signals, shaping tissue differentiation and metabolic flexibility. Variations in maternal diet have been associated with shifts in fetal amino acid, lipid, and energy metabolism, suggesting adaptive responses to constrained intrauterine environments. This review focuses on the molecular interplay between one-carbon metabolism, mitochondrial function, and metabolomic adaptation in developmental programming of ruminant livestock. Understanding these mechanisms offers opportunities to design precision nutritional strategies that enhance fetal growth, offspring productivity, and long-term resilience in livestock production systems.

妊娠期母体营养通过发育规划深刻影响胎儿生长、器官发生和后代的长期表现。在响应母体营养可用性的分子机制中,单碳代谢通过整合叶酸、蛋氨酸、胆碱和维生素B12途径发挥核心作用,这些途径调节甲基化、核苷酸合成和抗氧化防御。这些过程将母体营养状况与胎儿发育过程中的表观遗传重塑、细胞增殖和氧化还原平衡联系起来。线粒体作为营养传感器,将母体代谢信号转化为生物能量和氧化信号,塑造组织分化和代谢灵活性。母体饮食的变化与胎儿氨基酸、脂质和能量代谢的变化有关,表明胎儿对受限的宫内环境有适应性反应。本文就反刍家畜发育过程中单碳代谢、线粒体功能和代谢组学适应之间的分子相互作用进行综述。了解这些机制为设计精确的营养策略提供了机会,从而提高牲畜生产系统中的胎儿生长、后代生产力和长期恢复力。
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引用次数: 0
A Zebrafish Seizure Model of cblX Syndrome Reveals a Dose-Dependent Response to mTor Inhibition. cblX综合征的斑马鱼癫痫模型揭示了对mTor抑制的剂量依赖性反应。
IF 2.5 Q3 DEVELOPMENTAL BIOLOGY Pub Date : 2025-12-25 DOI: 10.3390/jdb14010002
Claudia B Gil, David Paz, Briana E Pinales, Victoria L Castro, Claire E Perucho, Annalise Gonzales, Giulio Francia, Sepiso K Masenga, Antentor Hinton, Anita M Quintana

Mutations in the transcriptional co-factor HCFC1 cause methylmalonic aciduria and homocystinemia, cblX type (cblX) (MIM#309541), non-syndromic X-linked intellectual disability (XLID), and focal epilepsy. Zebrafish studies have revealed increased activation of the Akt/mTor signaling pathway after mutation of hcfc1a, one ortholog of HCFC1. mTOR hyperactivation is linked to seizures, and its inhibition alleviates epilepsy in other preclinical models. We hypothesized that mTor overactivity in hcfc1a mutant zebrafish increases seizure susceptibility and/or severity. We employed a two-concentration model of the seizure-inducing agent, pentylenetetrazol (PTZ), with or without pretreatment of the mTor inhibitor, torin1. Mutation of hcfc1a did not alter the response to PTZ at sub-optimal concentrations, and the pharmaceutical inhibition of mTor using the compound Torin1 reduced response to 1 µM PTZ, but only in a dose-dependent manner. Higher doses of mTor inhibition did not reduce the seizure response in mutant larvae but were effective in wildtype siblings. These data suggest that inhibition of mTor in an hcfc1a-deficient background leads to a reaction that differs from the traditional response observed in wildtype siblings. Collectively, we present a model that can be used to test dose-response and the development of combinatorial treatment approaches in a high-throughput manner.

转录辅助因子HCFC1的突变导致甲基丙二酸尿症和同型半胱氨酸血症、cblX型(cblX) (MIM#309541)、非综合征性x连锁智力残疾(XLID)和局灶性癫痫。斑马鱼研究发现,HCFC1的同源物hcfc1a突变后,Akt/mTor信号通路的激活增加。mTOR过度激活与癫痫发作有关,在其他临床前模型中,其抑制可减轻癫痫。我们假设hcfc1a突变斑马鱼的mTor过度活性增加了癫痫发作的易感性和/或严重程度。我们采用了两浓度的癫痫诱导剂,戊四唑(PTZ),有或没有预处理mTor抑制剂torin1的模型。hcfc1a突变并没有改变对亚最佳浓度PTZ的反应,而化合物Torin1对mTor的药物抑制降低了对1 μ M PTZ的反应,但仅以剂量依赖的方式。高剂量的mTor抑制并没有降低突变幼虫的癫痫发作反应,但对野生型兄弟姐妹有效。这些数据表明,在hcfc1a缺乏的背景下抑制mTor导致的反应不同于在野生型兄弟姐妹中观察到的传统反应。总的来说,我们提出了一个模型,可用于测试剂量-反应和开发高通量的联合治疗方法。
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引用次数: 0
The Epithelial Egg Tooth of the Chicken Shares Protein Markers with the Embryonic Subperiderm and Feathers. 鸡上皮蛋齿与胚胎下周皮和羽毛具有相同的蛋白标记。
IF 2.5 Q3 DEVELOPMENTAL BIOLOGY Pub Date : 2025-12-22 DOI: 10.3390/jdb14010001
Attila Placido Sachslehner, Julia Steinbinder, Claudia Hess, Veronika Mlitz, Leopold Eckhart

The epithelial egg tooth is used by birds to open the eggshell for hatching. This ectodermal structure consists of a multilayered periderm and a hard cornified portion, the caruncle or actual egg tooth. Here, we determined the protein composition of the egg tooth of the chicken and compared the proteins to markers of other epithelia identified in previous studies. The egg tooth and the upper beak of chicken embryos of Hamburger and Hamilton (HH) stage 44 were subjected to mass spectrometry-based proteomics. We found that scaffoldin, a marker of the embryonic periderm and the feather sheath, was enriched in the egg tooth relative to the beak. Likewise, Epidermal Differentiation protein containing DPCC Motifs (EDDM) and Epidermal Differentiation protein starting with a MTF motif and rich in Histidine (EDMTFH), which had previously been characterized as markers of the subperiderm on embryonic scutate scales and the barbs of feathers, were also enriched in the egg tooth. The expression of EDDM and EDMTFH was confirmed RT-PCR analysis. Our data suggest that the epithelial egg tooth is related to the subperiderm and feathers, a hypothesis with potentially important implications for the evolution of the avian integument.

上皮卵齿是鸟类用来打开蛋壳孵化的。这种外胚层结构包括多层的周皮和坚硬的角质部分,即卵齿或实际的卵齿。在这里,我们确定了鸡蛋齿的蛋白质组成,并将蛋白质与先前研究中发现的其他上皮标志物进行了比较。采用质谱技术对汉堡和汉密尔顿(HH) 44期鸡胚的蛋齿和上喙进行了蛋白质组学研究。我们发现,相对于喙,蛋齿中含有丰富的支架蛋白,这是胚胎周皮和羽毛鞘的标记。同样,含有DPCC基序的表皮分化蛋白(EDDM)和以MTF基序开始并富含组氨酸的表皮分化蛋白(EDMTFH),这些蛋白之前被认为是胚胎鳞片和羽毛倒刺上的下周表皮标记,也在卵齿中富集。RT-PCR分析证实EDDM和EDMTFH的表达。我们的数据表明,上皮性卵齿与下周皮和羽毛有关,这一假设对鸟类被皮的进化具有潜在的重要意义。
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引用次数: 0
Pathophysiology and Management of Placenta Accreta Spectrum. 胎盘增生谱的病理生理及处理。
IF 2.5 Q3 DEVELOPMENTAL BIOLOGY Pub Date : 2025-12-10 DOI: 10.3390/jdb13040045
Lana Shteynman, Genevieve Monanian, Gilberto Torres, Giancarlo Sabetta, Deborah M Li, Zhaosheng Jin, Tiffany Angelo, Bahaa E Daoud, Morgane Factor

Placenta Accreta Spectrum (PAS) disorders, including placenta accreta, increta, and percreta, are serious obstetric conditions characterized by abnormal placental adherence to the uterine wall. With increasing incidence, PAS poses significant risks, primarily through massive hemorrhage during or after delivery, often necessitating hysterectomy. Key risk factors include prior cesarean sections, uterine surgery, and placenta previa diagnosis. In this review, we will examine the pathophysiology of PAS, with a focus on the mechanisms underlying abnormal trophoblast invasion and defective decidualization. We will highlight the role of uterine scarring, extracellular matrix remodeling, dysregulated signaling pathways, and immune and vascular alterations in disrupting the maternal-fetal interface, ultimately predisposing to morbid placentation and delivery complications. We will also discuss the life-threatening complications of PAS, such as shock and multi-organ failure, which require urgent multidisciplinary intensive care, as well as the optimization of management through preoperative planning and intraoperative blood loss control to reduce maternal morbidity and mortality.

胎盘增生症(PAS)是一种严重的产科疾病,包括胎盘增生、增生性胎盘和percreta,其特征是胎盘异常粘附于子宫壁。随着发病率的增加,PAS具有显著的风险,主要是通过分娩期间或分娩后大出血,通常需要子宫切除术。主要危险因素包括既往剖宫产、子宫手术和前置胎盘诊断。在这篇综述中,我们将研究PAS的病理生理学,重点关注滋养细胞异常侵袭和缺陷脱细胞化的机制。我们将强调子宫瘢痕、细胞外基质重塑、信号通路失调以及免疫和血管改变在破坏母胎界面中的作用,最终导致病态胎盘和分娩并发症。我们还将讨论PAS危及生命的并发症,如休克和多器官功能衰竭,需要紧急的多学科重症监护,以及通过术前计划和术中失血控制来优化管理,以降低产妇发病率和死亡率。
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引用次数: 0
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