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急性缺氧/复氧时缺氧诱导因子-2α在妊娠期肝内胆汁淤积症患者胎盘中的变化

Study of hypoxia-inducible factors in the placenta with intrahepatic cholestasis of pregnancy under acute hypoxic/nonhypoxic conditions.
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摘要 目的探讨缺氧诱导因子-2α(hypoxia-inducibletranscriptionfactors-2α,HIF-2α)在ICP患者胎盘上的表达及意义。方法通过急性缺氧/复氧体外培养胎盘绒毛组织,采用免疫组织化学染色技术,研究了ICP患者和正常晚孕妇女胎盘上HIF-2α蛋白质表达的变化。结果(1)常氧下(21%O2)ICP患者胎盘组织HIF-2α的表达明显高于正常晚孕组(P<0.01);(2)2%O2低氧浓度下培养4h后两组胎盘上HIF-2α的表达无显著性差异(P>0.05);正常组HIF-2α的表达较常氧下显著升高(P<0.01);(3)复氧15min,正常组胎盘绒毛HIF-2α的表达较缺氧4h显著降低(P<0.01)。而缺氧/复氧过程中ICP组HIF-2α的变化差异无统计学意义(P>0.05)。结论急性缺氧时ICP胎盘上HIF-2α的功能障碍可能导致不良妊娠结局。 Objectives: As a key transcriptional regulator of downstream genes, hypoxiainducible factor (HIF) is a basic helix-loop-helix transcription factor which transactivates downstream molecules responses to hypoxia. Therefore, we would investigate the expression of the HIF in placenta of pregnant women with ICP. Methods:Protein from villous explant culture under hypoxia condition was probed for HIF-2α by immuno-histochemistry methods. Results: ( 1 ) Under normal concentration oxygen, HIF-2α was highly expressed in the placentae of pregnant women with ICP (P 〈 0. 01 ) ;(2)When the placental villous tissues cultured for 4h under hypoxic condition (2% O2 ), the HIF-2α expression in the placentae of pregnant women with ICP was normal compared to those normal term placentae;the expression of HIF-2α was highly increased under hypoxia condition than that under normal concentration oxygen;(3 )With the oxygen concentration recovered ,the high oxygen concentration (21% O2 ) decreased the expression HIF-2α in 15 minutes( P 〈O. 05 ) in normal group. Respectively, no significant difference was revealed in the change of the HIF-2α in ICP (P 〉0.05 ). Conclusion:This study suggested that under hypoxic conditions the abnormal change of HIF-2α may play a role in bad pregnancy outcome in ICP.
出处 《现代妇产科进展》 CSCD 北大核心 2006年第8期608-610,F0003,共4页 Progress in Obstetrics and Gynecology
基金 国家博士点基金资助(20020610030)
关键词 妊娠期肝内胆汁淤积症 缺氧诱导因子-2Α lntrahepatic cholestasis of pregnancy Hypoxia-inducible factors-2α
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