胎盘组织中 PLGF 和 EZH2 的表达对 GDM 胎盘结构和妊娠结局的影响

IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Alternative therapies in health and medicine Pub Date : 2024-10-01
Jianfen Hong, Yifeng Chen
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引用次数: 0

摘要

目的方法:探讨妊娠期糖尿病(GDM)妇女胎盘组织中胎盘生长因子(PLGF)和Zeste同源增强子2(EZH2)的表达与胎盘功能、妊娠结局的关系:选取2019年1月-2020年5月在我院确诊的100例妊娠期糖尿病(GDM)妇女作为GDM组,同时选取100例正常妊娠妇女作为对照组。检测并分析两种成分分娩后胎盘组织中PLGF和EZH2蛋白的表达水平。使用电子显微镜观察不同 PLGF 和 EZH2 蛋白的表达情况,分析 GDM 妇女胎盘组织的超微结构变化。最后,评估妊娠结局的差异:GDM组PLGF蛋白表达强度高于对照组(P < .001),GDM组EZH2蛋白表达强度低于对照组(P < .001);GDM组PLGF蛋白阳性率比对照组高67.00%高于对照组35.00%(P < .001),GDM组EZH2蛋白阳性率15.00%低于对照组33.00%(P = .003);PLGF阳性GDM产妇胎盘超微结构变化率71.64%高于阴性表达组45.45 %(P = .011);EZH2蛋白阳性GDM产妇的胎盘超微结构变化率为33.33%,低于阴性表达A混合组的68.24%(P = .01);早产儿(26.87%)和胎儿呼吸窘迫(13.43%),高于阴性表达组(9.09%,0%)(P = .027,.04);EZH2蛋白阳性GDM组早产儿发生率(0.00%)低于阴性表达组(24.71%)(P = .03).结论:结论:GDM 妇女胎盘组织中 PLGF 表达上调,EZH2 表达下调,导致胎盘组织超微结构改变,在一定程度上增加了早产和胎儿呼吸窘迫的发生率。
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Effect of PLGF and EZH2 Expression in Placenta Tissue on GDM Placental Structure and Pregnancy Outcome.

Objective: To explore the relationship between the expression of placental growth factor (PLGF) and Zeste homolog enhancer 2 (EZH2) in placental tissues of women with gestational diabetes (GDM), placental function, and pregnancy outcome.

Methods: Select 100 women with GDM diagnosed in our hospital from January 2019 to May 2020 as the GDM group and 100 women with normal pregnancy at the same time as the control group. Detection and analysis of the expression levels of PLGF and EZH2 proteins in placental tissue after delivery of the two components. Observation of the expression of different PLGF and EZH2 proteins using an electron microscope, and analyze the ultrastructural changes in placental tissue of women with GDM. Finally, assess the differences in pregnancy outcomes.

Results: The expression intensity of PLGF protein in the GDM group was higher than that in the control group (P < .001), and the expression intensity of EZH2 protein in the GDM group was lower than that in the control group (P < .001); the positive rate of PLGF protein in the GDM group was 67.00% higher than that of the control group 35.00% (P < .001), the positive rate of EZH2 protein in the GDM group was 15.00% lower than 33.00% in the control group (P = .003); the placental ultrastructural change rate of PLGF-positive GDM women was 71.64% higher than that in the negative expression group 45.45 % (P = .011); the placental ultrastructural change rate of EZH2 protein-positive GDM mothers was 33.33% lower than that of negative expression of A mixed 68.24% (P = .01); the incidence of premature infants (26.87%) and fetal respiratory distress (13.43%) in the PLGF-positive GDM group, the rate was higher than that in the negative expression group (9.09%, 0%) (P = .027, .04); the incidence of preterm infants in the EZH2 protein-positive GDM group (0.00%) was lower than that in the negative expression group (24.71%) (P = .03).

Conclusion: The expression of PLGF is up-regulated and the expression of EZH2 is down-regulated in the placental tissue of GDM women, which causes ultrastructural changes in the placental tissue and increases the incidence of preterm birth and fetal respiratory distress to a certain extent.

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来源期刊
Alternative therapies in health and medicine
Alternative therapies in health and medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
0.90
自引率
0.00%
发文量
219
期刊介绍: Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field. Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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