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IL-6、TNFα和TGFβ可促进非凋亡性滋养细胞脱落并进而导致内皮细胞活化
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IL-6, TNFα and TGFβ Promote Nonapoptotic Trophoblast Deportation and Subsequently Causes Endothelial Cell Activation
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Chen LM, Liu B, Zhao HB, Stone P, Chen Q, Chamley L
2010/3/11 9:51:00
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Placenta,
2010,
Volume 31,
Issue 1
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Preeclampsia is a complex disease of pregnancy with both feto-placental and maternal factors contributing to its pathogenesis. Failed transformation of the uterine spiral arteries leading to release of ischemic placental factors into the maternal circulation is thought to be the initial step in triggering preeclampsia. One placental factor associated with preeclampsia is necrotic trophoblastic debris that is deported in the maternal blood. The deported material ranges from multinucleated syncytial knots to nano-meter scale exosomes. Increasingly, it is being questioned whether failed transformation of the spiral arteries with subsequent placental ischemia is either necessary, or adequate, to explain the genesis of preeclampsia. In clinically established preeclampsia, maternal circulating levels of cytokines, such as TGFβ, IL-6 and TNFα, are reported to be elevated. This study investigates whether cytokines can increase the shedding of necrotic material from the placenta. To investigate this question, placental explants were treated with nine cytokines which resulted in significantly increased amounts of trophoblasts being shed from explants treated with IL-6, TGFβ-1 or TNFα but not the other cytokines. Trophoblasts shed from explants treated with IL-6, or TGFβ-1 demonstrated a significant reduction in the activities of caspases while exposing endothelial cells to trophoblasts shed from explants treated with IL-6, TGF β1 or TNFα resulted in endothelial cell activation. These results suggest that some cytokines can induce excess and/or aberrant death (necrotic or aponecrotic) trophoblast death. If reflected in vivo this might explain, at least in part, how some cytokines could affect trophoblast shedding/deportation and contribute to the pathogenesis of preeclampsia. © 2009 Elsevier Ltd. All rights reserved.
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Correspondence Address:
Chen, Q.; Hospital of Obstetrics and Gynaecology, Fudan University, Shanghai, China; email: q.chen@auckland.ac.nz
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疾病资源中心
摘自:《西氏内科学》,第23版
患者女性,60岁,因胸痛到急诊科就诊。患者自述在入院前约1h突发胸痛。疼痛性质呈“抓取感”,起病急剧,疼痛程度以0~10级量表评价为8级。疼痛部位在前胸部中线,并放射至咽部,患者称此前从未经历过类似情况。疼痛无法缓解,可因劳累而加剧。患者有与疼痛相关的呼吸急促和恶心症状。否认出汗、头晕、乏力或意识丧失。
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