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子痫前期患者脐血和胎盘组织中IGF-Ⅱ检测的临床意义

The clinical significance of detecting IGF-Ⅱ in umbilical serum and placenta in patients with preeclampsia

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【作者】 常彩红牛德亮张展贾莉婷

【Author】 CHANG Cai-Hong,NIU De-Liang,ZHANG Zhan,et al.Test Department of the Third Affilated Hospital of Zhengzhou University,Zhengzhou 450052,Henan,China

【机构】 郑州大学第三附属医院检验科河南中医学院第一附属医院检验科郑州大学第三附属医院检验科 河南郑州450052河南郑州450052

【摘要】 目的:探讨IGF-Ⅱ在子痫前期发病机制中的作用。方法:用免疫组织化学方法检测正常晚孕组和轻度、重度子痫前期患者胎盘组织中IGF-Ⅱ的表达,同时用ELISA方法检测3组研究对象胎儿脐血中IGF-Ⅱ的含量。结果:IGF-Ⅱ在脐血中的含量,重度子痫前期组显著高于轻度子痫前期组(P<0.001),轻度子痫前期组显著高于正常晚孕组(P<0.01);IGF-Ⅱ在胎盘组织中的表达,重度子痫前期组显著低于轻度子痫前期组(P<0.01),轻度子痫前期组显著低于正常晚孕组(P<0.01)。结论:子痫前期时脐血IGF-Ⅱ含量升高可能是子痫前期病理变化的结果,而胎盘组织中IGF-Ⅱ表达减少可能是引发子痫前期的重要因素之一。

【Abstract】 Objective:To explore the effect of insulin-like growth factor-Ⅱ(IGF-Ⅱ) on the pathogenesis of preeclampsia.Methods:The umbilical serum IGF-Ⅱ levels in twenty one normal pregnancy and ninety-tree preeclamptic patients was detected by ELISA;The expression of IGF-Ⅱ in placental tissue was measured by immunohistochemistry SP.Results:The content of IGF-Ⅱ in umbilical serum was significantly higher in severe preeclampsia group than that of mild preeclampsia group (P<0.001) and that of mild preeclampsia group were obviously higher than that of normal pregnancy group(P<0.01);The expression of IGF-Ⅱ in severe pregnancy placentas were obviouslyly lower than that of mild preeclampsia group(P<0.01) and both were significantly lower than that of normal group(P<0.01).Conclusion:The IGF-Ⅱ level in placentas could be a key factor involved in the pathogenesis of preeclampsia;and the content of IGF-II in umbilical serum could be the result of pathogenesis of preeclampsia.

【关键词】 子痫前期脐血胎盘组织胰岛素生长因子-Ⅱ
【Key words】 PreeclampsiaUmbilicalPlacentaIGF-Ⅱ
  • 【文献出处】 中国妇幼保健 ,Maternal and Child Health Care of China , 编辑部邮箱 ,2006年20期
  • 【分类号】R714.2
  • 【被引频次】3
  • 【下载频次】98
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