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Hyperuricemia as a Predictor of Perinatal Outcomes in Pregnancy Induced Hypertension 高尿酸血症作为妊娠高血压围产儿结局的预测因子
Pub Date : 2018-12-30 DOI: 10.17140/goroj-5-147
S. Khalil, S. H. Elshourbagy, Said Hamad, Essmat Hamdy Abo Zeid
Copyright 2018 by Khalil SSH. This is an open-access article distributed under Creative Commons Attribution 4.0 International License (CC BY 4.0), which allows to copy, redistribute, remix, transform, and reproduce in any medium or format, even commercially, provided the original work is properly cited. cc Aim/Objective The aim of this study to determine the relationship between hyperuricemia and perinatal outcome in pregnancy induced hypertension. Material & Methods This prospective and observational study was carried out in the Department of Obstetrics & Gynecology of Tanta University. The study included (100) primigravida female patients in the third trimester (after 32 weeks gestation) with pregnancy induced hypertension .Serum uric acid assay was done then the patients were classified into three groups according to uric acid level; Group I (low hyperuricemia) uric acid below 25th percentile (<3.7 mg/dl ), group II (middle hyperuricemia) uric acid from 25th to 75th percentile (3.8 to 5.7 mg/dl ) and group III (high hyperuricemia) uric acid above 75th percentile (>5.8 mg/dl).
版权所有:Khalil SSH。这是一篇在知识共享署名4.0国际许可(CC BY 4.0)下发布的开放获取文章,允许在任何媒介或格式下复制、再分发、再混合、转换和复制,甚至是商业复制,只要正确引用原始作品。目的探讨妊高征患者高尿酸血症与围生儿结局的关系。材料与方法本前瞻性观察性研究在坦塔大学妇产科进行。本研究纳入100例妊娠晚期(孕32周后)妊高征女性患者,测定血清尿酸,按尿酸水平分为3组;I组(低高尿酸血症):尿酸低于25百分位(5.8 mg/dl)。
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引用次数: 0
Developmental Environmental Exposure Alters the Epigenetic Features of Myometrial Stem Cells. 发育环境暴露改变子宫肌干细胞的表观遗传特征。
Pub Date : 2016-12-01 DOI: 10.17140/GOROJ-3-e005
Qiwei Yang, Ayman Al-Hendy
Uterine fibroids (UFs), are the most common pelvic tumors, occurring in 70-80% of all reproductive-aged women and are the leading indication for hysterectomy worldwide.1-3 Although UFs are benign tumors, they typically cause severe menstrual bleeding, pelvic pain, preterm labor, recurrent abortion, and infertility. Hysterectomy is currently the main treatment used in women who no longer desire childbearing.4-6 UFs are hormonally responsive to estradiol and progesterone as well as other steroid hormones, and regress after menopause.7 Although, the cause of UFs is largely unknown, several risk factors are linked to UF development, which include age, race and ethnicity, family history, body mass index (BMI), etc.7,8
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引用次数: 8
Developmental exposure to endocrine disrupting chemicals alters the epigenome: Identification of reprogrammed targets. 发育暴露于内分泌干扰化学物质改变表观基因组:重编程目标的识别。
Pub Date : 2016-07-01 Epub Date: 2016-05-03 DOI: 10.17140/GOROJ-3-127
Lauren Prusinski, Ayman Al-Hendy, Qiwei Yang

Endocrine disruptions induced by environmental toxicants have placed an immense burden on society to properly diagnose, treat and attempt to alleviate symptoms and disease. Environmental exposures during critical periods of development can permanently reprogram normal physiological responses, thereby increasing susceptibility to disease later in life - a process known as developmental reprogramming. During development, organogenesis and tissue differentiation occur through a continuous series of tightly-regulated and precisely-timed molecular, biochemical and cellular events. Humans may encounter endocrine disrupting chemicals (EDCs) daily and during all stages of life, from conception and fetal development through adulthood and senescence. Though puberty and perimenopausal periods may be affected by endocrine disruption due to hormonal effects, prenatal and early postnatal windows are most critical for proper development due to rapid changes in system growth. Developmental reprogramming is shown to be caused by alterations in the epigenome. Development is the time when epigenetic programs are 'installed' on the genome by 'writers', such as histone methyltransferases (HMTs) and DNA methyltransferases (DNMTs), which add methyl groups to lysine and arginine residues on histone tails and to CpG sites in DNA, respectively. A number of environmental compounds, referred to as estrogenic endocrine disruptors (EEDs), are able to bind to estrogen receptors (ERs) and interfere with the normal cellular development in target tissues including the prostate and uterus. These EEDs, including diethylstilbestrol (DES), bisphenol A (BPA), and genistein (a phytoestrogen derived from soybeans), have been implicated in the malformation of reproductive organs and later development of disease. Due to the lack of fully understanding the underlying mechanisms of how environmental toxicants and their level of exposure affect the human genome, it can be challenging to create clear clinical guidance to address the potential health effects of lower-level exposures commonly experienced within the general population. In addition, human studies concerning environmental exposures are limited in feasibility by ethical concerns for human safety. Therefore, studies in animal models provide great opportunities to reveal links between early-life exposure to EDCs and related diseases. It has been shown that developmental exposure to EDCs, such as diethylstilbestrol (DES) and genistein, during reproductive tract development increases the incidence, multiplicity and overall size of uterine fibroids in the Eker rat model, concomitantly reprogramming estrogen-responsive gene expression. Importantly, EDC exposure represses enhancer of zeste 2 (EZH2) and reduces levels of the histone 3 lysine 27 trimethylation (H3K27me3) repressive mark through Estrogen receptor / Phosphatidylinositide 3-kinases / Protein kinase B non-genomic signaling in the developing uterus. More recent research id

环境毒物引起的内分泌紊乱给社会带来了巨大的负担,需要正确诊断、治疗并试图减轻症状和疾病。发育关键时期的环境暴露可以永久性地重编程正常的生理反应,从而增加以后生活中对疾病的易感性——这一过程被称为发育重编程。在发育过程中,器官发生和组织分化是通过一系列严格调控和精确定时的分子、生化和细胞事件发生的。从受孕和胎儿发育到成年和衰老,人类每天都可能接触到内分泌干扰化学物质(EDCs)。虽然青春期和围绝经期可能会受到激素作用引起的内分泌紊乱的影响,但由于系统生长的快速变化,产前和产后早期窗口期对正常发育最为关键。发育重编程被证明是由表观基因组的改变引起的。发育是表观遗传程序被“编撰者”“安装”到基因组上的时期,比如组蛋白甲基转移酶(hmt)和DNA甲基转移酶(dnmt),它们分别在组蛋白尾部的赖氨酸和精氨酸残基以及DNA中的CpG位点上添加甲基。一些环境化合物,被称为雌激素内分泌干扰物(eed),能够与雌激素受体(er)结合,干扰目标组织(包括前列腺和子宫)的正常细胞发育。这些eed,包括己烯雌酚(DES)、双酚A (BPA)和染料木素(一种从大豆中提取的植物雌激素),与生殖器官畸形和疾病的后期发展有关。由于缺乏对环境毒物及其暴露水平如何影响人类基因组的潜在机制的充分了解,因此制定明确的临床指导以解决一般人群中常见的低水平暴露对健康的潜在影响可能具有挑战性。此外,由于对人体安全的伦理考虑,有关环境暴露的人体研究的可行性受到限制。因此,动物模型研究为揭示早期接触EDCs与相关疾病之间的联系提供了很好的机会。研究表明,在Eker大鼠模型中,生殖道发育过程中暴露于EDCs,如己烯雌酚(DES)和染料木素,会增加子宫肌瘤的发生率、多样性和总体大小,同时雌激素应答基因表达重编程。重要的是,EDC暴露抑制zeste 2增强子(EZH2),并通过雌激素受体/磷脂酰肌苷3激酶/蛋白激酶B非基因组信号通路降低组蛋白3赖氨酸27三甲基化(H3K27me3)抑制标记的水平。最近的研究发现了一个发育重编程的目标,即Scbg2a1基因,其表观遗传状态可以通过早期暴露于大鼠前列腺中的BPA而改变。分子分析显示,Scgb2a1(一种促分泌素基因)的表达在发育过程中暴露于BPA后显著增加(超过100倍)。Scgb2a1表达的增加与乙酰化H3K9 (H3K9Ac代表活跃的染色质状态)的增加和Scgb2a1转录起始位点上游CpG岛DNA的低甲基化密切相关。这些数据表明,成人前列腺中Scgb2a1的表达可能在前列腺发育过程中因BPA暴露而发生表观遗传重编程。需要进行进一步的研究,以创造更有针对性的预防性干预措施以及具体有效的治疗方法,以减少疾病的发病率。
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引用次数: 47
Potential Co-Factor Role of Tobacco Specific Nitrosamine Exposures in the Pathogenesis of Fetal Alcohol Spectrum Disorder. 烟草亚硝胺暴露在胎儿酒精谱系障碍发病机制中的潜在协同作用。
Pub Date : 2016-04-01 Epub Date: 2016-03-15 DOI: 10.17140/GOROJ-2-125
Valerie Zabala, Elizabeth Silbermann, Edward Re, Tomas Andreani, Ming Tong, Teresa Ramirez, Fusun Gundogan, Suzanne M de la Monte

Background: Cerebellar developmental abnormalities in Fetal Alcohol Spectrum Disorder (FASD) are linked to impairments in insulin signaling. However, co-morbid alcohol and tobacco abuses during pregnancy are common. Since smoking leads to tobacco specific Nitrosamine (NNK) exposures which have been shown to cause brain insulin resistance, we hypothesized that neurodevelopmental abnormalities in FASD could be mediated by ethanol and/or NNK.

Methods: Long Evans rat pups were intraperitoneal (IP) administered ethanol (2 g/kg) on postnatal days (P) 2, 4, 6 and/or NNK (2 mg/kg) on P3, P5, and P7 to simulate third trimester human exposures. The Cerebellar function, histology, insulin and Insulin-like Growth Factor (IGF) signaling, and neuroglial protein expression were assessed.

Results: Ethanol, NNK and ethanol+NNK groups had significant impairments in motor function (rotarod tests), abnormalities in cerebellar structure (Purkinje cell loss, simplification and irregularity of folia, and altered white matter), signaling through the insulin and IGF-1 receptors, IRS-1, Akt and GSK-3β, and reduced expression of several important neuroglial proteins. Despite similar functional effects, the mechanisms and severity of NNK and ethanol+NNK induced alterations in cerebellar protein expression differed from those of ethanol.

Conclusions: Ethanol and NNK exert independent but overlapping adverse effects on cerebellar development, function, insulin signaling through cell survival, plasticity, metabolic pathways, and neuroglial protein expression. The results support the hypothesis that tobacco smoke exposure can serve as a co-factor mediating long-term effects on brain structure and function in FASD.

背景:胎儿酒精紊乱症(FASD)的小脑发育异常与胰岛素信号传导障碍有关。然而,怀孕期间同时酗酒和吸烟的情况很常见。由于吸烟会导致烟草特异性亚硝胺(NNK)暴露,而亚硝胺已被证明会引起脑胰岛素抵抗,因此我们假设 FASD 的神经发育异常可能是由乙醇和/或 NNK 介导的:长伊文斯大鼠幼崽在出生后第 2、4、6 天和/或第 3、5 和 7 天腹腔注射乙醇(2 克/千克)和/或 NNK(2 毫克/千克),以模拟人类怀孕三个月时的暴露情况。对小脑功能、组织学、胰岛素和胰岛素样生长因子(IGF)信号转导以及神经胶质蛋白表达进行了评估:结果:乙醇组、NNK组和乙醇+NNK组的运动功能(转体测试)明显受损,小脑结构异常(浦肯野细胞缺失、叶片简化和不规则以及白质改变),通过胰岛素和IGF-1受体、IRS-1、Akt和GSK-3β的信号传导以及几种重要神经胶质蛋白的表达减少。尽管功能效应相似,但NNK和乙醇+NNK诱导的小脑蛋白表达改变的机制和严重程度与乙醇不同:结论:乙醇和NNK通过细胞存活、可塑性、代谢途径和神经胶质蛋白表达对小脑发育、功能、胰岛素信号转导产生独立但重叠的不利影响。研究结果支持了烟草烟雾暴露可作为辅助因素介导对 FASD 患者大脑结构和功能的长期影响的假设。
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引用次数: 0
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Gynecology and obstetrics research : open journal
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