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河北医学  2020, Vol. 26 Issue (11): 1780-1785    DOI: 10.3969/j.issn.1006-6233.2020.11.05
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Mir-125b和PIGF在早期流产孕妇绒毛组织及血清中的表达及意义
杨艳华, 吴军, 严格
湖北省天门市第一人民医院妇产科,湖北 天门 431700
Expression of Mir-125b and PIGF in Villus Tissue and Serum of Women Suffering Early Abortion and Its Significance
YANG Yanhua, WU Jun, YAN Ge
The First People's Hospital of Tianmen City,Hubei Tianmen 431700,China
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摘要 目的: 研究微小RNA-125b(mir-125b)与胎盘生长因子(PIGF)在早期流产女性绒毛组织中及血清中的表达及意义。方法: 选择2017年7月至2019年10月本院收治的孕早期自然流产妇女105例为研究对象,另选择同期105例人工流产孕妇为对照组,采集受试者外周静脉血血清,分离所有患者流产组织中绒毛膜组织,采用实时定量PCR检测血清及绒毛膜组织mir-125b、PIGFmRNA表达水平,采用免疫印迹法(WB)检测绒毛组织中PIGF蛋白表达水平,采用酶联免疫吸附试验(ELISA)检测血清PIGF水平,采用Pearson法分析血清及绒毛膜组织中mir-125b、PIGF蛋白水平相关性。绘制受试者工作特性曲线(ROC)分析血清mir-125b、PIGF水平对孕早期自然流产患者的预测价值。结果: 与对照组比较,自然流产组女性绒毛膜组织mir-125b水平显著升高、PIGFmRNA和蛋白水平显著降低,血清mir-125b水平显著升高、PIGF水平显著降低,差异均有统计学意义(P<0.05)。Pearson法分析结果显示,自然流产孕妇绒毛膜组织、血清mir-125b水平与PIGF蛋白水平均呈负相关性(r=-0.643,P<0.05)。血清mir-125b、PIGF水平预测孕早期自然流产发生的曲下面积(AUC)分别为0.896(95%CI:0.850-0.943)、0.884(95%CI:0.838-0.929),mir-125b≥1.630预测自然流产发生的灵敏度为95.30%,特异度为84.60%,PIGF≤42.553pg/mL预测自然流产发生的灵敏度为90.60%,特异度为77.90%;二者联合检测预测孕早期自然流产发生的AUC为0.954,灵敏度为89.60%,特异度为92.30%。结论: 早期自然流产孕妇绒毛膜组织中mir-125b水平上调,PIGF水平下调,且二者呈负相关,可能对自然流产发生有一定预测价值。
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作者相关文章
杨艳华
吴军
严格
关键词 早期自然流产微小RNA-125b胎盘生长因子绒毛膜组织    
AbstractObjective: To study the expression and significance of microRNA-125b (mir-125b) and placental growth factor (PIGF) in villi and serum of women with early abortion.Method: 105 cases of early spontaneous aborted women admitted to our hospital from July 2017 to October 2019 were selected as the research objects,and 105 cases of induced abortion in the same period were selected as the control group.Peripheral venous blood serum was collected and chorionic tissue was separated from all abortion tissues.Real-time quantitative PCR was used to detect the mRNA expression levels of miR-125b and PIGF in serum and villus tissue,and immunoblotting (WB) was used to detect the protein expression levels of PIGF in villus tissue.The serum PIGF level was detected by enzyme linked immunosorbent assay (ELISA),and the correlation of mir-125b and PIGF protein levels in serum and chorionic tissue was analyzed by Pearson method.The predictive value of serum mir-125b and PIGF levels in patients of spontaneous abortion in early pregnancy was analyzed by receiver operating characteristic (ROC).Result: Compared with the control group,the level of mir-125b in chorionic tissue of pregnant women in spontaneous abortion group increased significantly,and the level of PIGF mRNA and protein decreased significantly (P<0.05);The level of miR-125b in serum increased significantly and the level of PIGF decreased significantly;The difference was statistically significant (P<0.05).Pearson analysis showed that there was a negative correlation between mir-125b level and PIGF protein level in chorionic tissue,serum of spontaneous abortion pregnant women (r=-0.643,P<0.05).Serum levels of mir-125b and PIGF were 0.896 (95% CI:0.850-0.943) and 0.884 (95% CI:0.838-0.929) respectively for predicting the area under curve (AUC) of spontaneous abortion in early pregnancy.The sensitivity and specificity of mir-125b (>1.630) in predicting spontaneous abortion were 95.30% and 84.60%,respectively.The sensitivity and specificity of PIGF (<42.553 pg/mL) in predicting spontaneous abortion were 90.60% and 77.90%;the AUC,specificity and sensitivity of combined detection for predicting spontaneous abortion in early pregnancy were 0.954,92.30% and 89.60%,respectively.Conclusion: The levels of mir-125b and PIGF in chorionic tissues of women suffering early spontaneous abortion are up-regulated,and they are negatively correlated,which may have some predictive value for the occurrence of spontaneous abortion.
Key wordsEarly spontaneous abortion    MicroRNA-125b    Placental growth factor    Chorionic tissue
    
基金资助:湖北省卫生和计划生育委员会科研项目,(编号:WJ2017MB096)
引用本文:   
杨艳华, 吴军, 严格. Mir-125b和PIGF在早期流产孕妇绒毛组织及血清中的表达及意义[J]. 河北医学, 2020, 26(11): 1780-1785.
YANG Yanhua, WU Jun, YAN Ge. Expression of Mir-125b and PIGF in Villus Tissue and Serum of Women Suffering Early Abortion and Its Significance. HeBei Med, 2020, 26(11): 1780-1785.
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http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2020.11.05     或     http://www.hbyxzzs.cn/CN/Y2020/V26/I11/1780
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