Placenta

胎盘
  • 文章类型: Journal Article
    UNASSIGNED: Exposure to environmental chemicals such as phthalates, phenols, and polycyclic aromatic hydrocarbons (PAHs) during pregnancy can increase the risk of adverse newborn outcomes. We explored the associations between maternal exposure to select environmental chemicals and DNA methylation in cord blood mononuclear cells (CBMC) and placental tissue (maternal and fetal sides) to identify potential mechanisms underlying these associations.
    UNASSIGNED: This study included 75 pregnant individuals who planned to give birth at the University of Cincinnati Hospital between 2014 and 2017. Maternal urine samples during the delivery visit were collected and analyzed for 37 biomarkers of phenols (12), phthalates (13), phthalate replacements (4), and PAHs (8). Cord blood and placenta tissue (maternal and fetal sides) were also collected to measure the DNA methylation intensities using the Infinium HumanMethylation450K BeadChip. We used linear regression, adjusting for potential confounders, to assess CpG-specific methylation changes in CBMC (n = 54) and placenta [fetal (n = 67) and maternal (n = 68) sides] associated with gestational chemical exposures (29 of 37 biomarkers measured in this study). To account for multiple testing, we used a false discovery rate q-values < 0.05 and presented results by limiting results with a genomic inflation factor of 1±0.5. Additionally, gene set enrichment analysis was conducted using the Kyoto Encyclopedia of Genes and Genomics pathways.
    UNASSIGNED: Among the 29 chemical biomarkers assessed for differential methylation, maternal concentrations of PAH metabolites (1-hydroxynaphthalene, 2-hydroxyfluorene, 4-hydroxyphenanthrene, 1-hydroxypyrene), monocarboxyisononyl phthalate, mono-3-carboxypropyl phthalate, and bisphenol A were associated with altered methylation in placenta (maternal or fetal side). Among exposure biomarkers associated with epigenetic changes, 1-hydroxynaphthalene, and mono-3-carboxypropyl phthalate were consistently associated with differential CpG methylation in the placenta. Gene enrichment analysis indicated that maternal 1-hydroxynaphthalene was associated with lipid metabolism and cellular processes of the placenta. Additionally, mono-3-carboxypropyl phthalate was associated with organismal systems and genetic information processing of the placenta.
    UNASSIGNED: Among the 29 chemical biomarkers assessed during delivery, 1-hydroxynaphthalene and mono-3-carboxypropyl phthalate were associated with DNA methylation in the placenta.
    UNASSIGNED: The online version contains supplementary material available at 10.1186/s43682-024-00027-7.
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  • 文章类型: Journal Article
    自发性早产被定义为怀孕第37周之前出生过程的开始。胎膜中微生物的存在伴随着前列腺素产量的增加,与早产患病率相关的重要因素之一。微生物的入侵导致蛋白酶的产生,凝固酶,和弹性蛋白酶,这直接刺激了分娩的开始。我们调查了生殖器感染在早产妇女中的作用。
    本病例对照研究是在伊朗西部对100名自发性早产妇女(妊娠24周后和36周零6天之前)作为病例组进行的,100名正常分娩的妇女作为对照。采用问卷收集数据。对胎盘进行聚合酶链反应和病理检查。
    正常分娩妇女的平均年龄(30.92±5.10),自发性早产妇女(30.27±4.93)。沙眼衣原体的患病率,淋病奈瑟菌,单核细胞增生李斯特菌,两组生殖道支原体感染均为零。在病例组中,阴道加德纳菌的患病率最高,为19(19%),在对照组中为小脲原体15(15%)。此外,胎盘炎症在对照组中为零,在患者组中为7(7%)。阴道加德纳菌与自发性早产之间存在显着关系。
    我们的研究结果表明,除了阴道加德纳菌,上述细菌感染与自发性早产无明显关系。此外,尽管在这项研究中许多性传播感染的患病率显着降低,仍然建议提高人们的意识,包括孕妇,关于妇科医生和健康治疗中心传播它的方式。
    UNASSIGNED: Spontaneous preterm delivery is defined as the beginning of the birth process before the 37th week of pregnancy. The presence of microorganisms in the fetal membranes is accompanied by an increase in the production of prostaglandin, one of the important factors associated with the prevalence of preterm birth. The invasion of microorganisms leads to the production of protease, coagulase, and elastase, which directly stimulate the onset of childbirth. We investigated the role of genital infections in women with preterm birth.
    UNASSIGNED: The present case-control study was conducted in the west of Iran on 100 women with spontaneous preterm delivery (following 24 weeks of gestation and before 36 weeks and 6 days) as the case group and 100 women with normal delivery as controls. A questionnaire was applied to collect the data. Polymerase chain reaction and pathological examination of the placenta were performed.
    UNASSIGNED: The average age in women with normal delivery (30.92 ± 5.10) in women with spontaneous preterm delivery (30.27 ± 4.93). The prevalence of Chlamydia trachomatis, Neisseria gonorrhea, Listeria monocytogenes, and Mycoplasma genitalium infections was zero in both groups. The highest prevalence of Gardnerella vaginalis was 19 (19%) in the case group and Ureaplasma parvum 15 (15%) in the control group. Also, Placental inflammation was zero in controls and 7(7%) in the patient group. There was a significant relationship between Gardnerella vaginalis bacteria and spontaneous preterm delivery.
    UNASSIGNED: The results of our study showed that except for Gardnerella vaginalis bacteria, there is no significant relationship between the above bacterial infections and spontaneous preterm birth. Moreover, despite the significant reduction in the prevalence of many sexually transmitted infections in this research, it is still suggested to increase the awareness of people, including pregnant women, about the ways it can be transmitted by gynecologists and health and treatment centers.
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  • 文章类型: Journal Article
    胞吞作用代表一类受调节的主动转运机制。这些包括网格蛋白依赖和独立的机制,以及液相微胞饮作用和巨细胞作用,每个都表现出不同程度的特异性和能力。总的来说,这些机制促进货物内化进入细胞囊泡。妊娠是一种这样的生理状态,在该状态期间内吞作用可能起关键作用。成功的妊娠需要母体和胎儿细胞在母胎界面上持续的交流,以确保对半同种异体胎儿的免疫耐受,同时提供足够的保护,防止病原体感染。如病毒和细菌。它还需要通过母胎界面运输营养物质,但限制潜在有害的化学物质和药物,以允许胎儿发育。在这种情况下,红细胞增多症,一种特定形式的内吞作用,在免疫耐受和感染预防中起着至关重要的作用。胞吞作用也被认为在母胎界面的营养和毒素处理中起重要作用。虽然它的机制仍然不太了解。对内吞作用及其机制的全面了解不仅可以增强我们对母胎相互作用的认识,而且对于确定妊娠病理的发病机理并为治疗干预提供新的途径也是必不可少的。
    Endocytosis represents a category of regulated active transport mechanisms. These encompass clathrin-dependent and -independent mechanisms, as well as fluid phase micropinocytosis and macropinocytosis, each demonstrating varying degrees of specificity and capacity. Collectively, these mechanisms facilitate the internalization of cargo into cellular vesicles. Pregnancy is one such physiological state during which endocytosis may play critical roles. A successful pregnancy necessitates ongoing communication between maternal and fetal cells at the maternal-fetal interface to ensure immunologic tolerance for the semi-allogenic fetus whilst providing adequate protection against infection from pathogens, such as viruses and bacteria. It also requires transport of nutrients across the maternal-fetal interface, but restriction of potentially harmful chemicals and drugs to allow fetal development. In this context, trogocytosis, a specific form of endocytosis, plays a crucial role in immunological tolerance and infection prevention. Endocytosis is also thought to play a significant role in nutrient and toxin handling at the maternal-fetal interface, though its mechanisms remain less understood. A comprehensive understanding of endocytosis and its mechanisms not only enhances our knowledge of maternal-fetal interactions but is also essential for identifying the pathogenesis of pregnancy pathologies and providing new avenues for therapeutic intervention.
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  • 文章类型: Journal Article
    背景:胎盘是对胎儿发育至关重要的短暂器官。正常胎盘功能的破坏会影响个体一生的健康。尽管被美国国立卫生研究院人类胎盘计划确认为重要器官,胎盘仍未被研究,部分原因是缺乏用于纵向评估胎盘功能关键方面的非侵入性工具。
    目的:我们的目标是创建一种非侵入性的临床前成像管道,可以在体内纵向探测鼠胎盘的健康状况。我们使用先进的成像处理方案来建立功能生物标志物,用于胎盘发育的非侵入性纵向评估。
    方法:我们实施了动态对比增强磁共振成像(DCE-MRI)和分析管道,以量化子宫收缩和胎盘灌注动力学。我们使用光学流和时频分析来量化和表征与收缩相关的胎盘运动。我们新颖的成像和分析管道使用皮下给予钆进行最陡的基于斜率的灌注评估,实现非侵入性纵向监测。
    结果:我们证明胎盘表现出从E14.5到E17.5的空间不对称收缩运动。此外,我们看到胎盘灌注,灌注输送速率,和底物递送都从E14.5增加到E17.5,高灌注室(HPC)导致从E14.5到E17.5发生的胎盘变化。
    结论:我们通过一种新颖的,基于生理的阈值模型,用于腔室定位,并使用多种功能指标来评估整个妊娠期间小鼠胎盘发育和重塑,从而证明胎盘腔室在空间上变化。
    结论:我们的管道能够实现非侵入性,从单个成像会话纵向评估多个胎盘功能。我们的管道是推进胎盘疾病和疾病小鼠模型研究的关键工具箱。
    BACKGROUND: The placenta is a transient organ critical for fetal development. Disruptions of normal placental functions can impact health throughout an individual\'s entire life. Although being recognized by the NIH Human Placenta Project as an important organ, the placenta remains understudied, partly because of a lack of non-invasive tools for longitudinally evaluation for key aspects of placental functionalities.
    OBJECTIVE: Our goal is to create a non-invasive preclinical imaging pipeline that can longitudinally probe murine placental health in vivo. We use advanced imaging processing schemes to establish functional biomarkers for non-invasive longitudinal evaluation of placental development.
    METHODS: We implement dynamic contrast enhancement magnetic resonance imaging (DCE-MRI) and analysis pipeline to quantify uterine contraction and placental perfusion dynamics. We use optic flow and time-frequency analysis to quantify and characterize contraction-related placental motion. Our novel imaging and analysis pipeline uses subcutaneous administration of gadolinium for steepest slope-based perfusion evaluation, enabling non-invasive longitudinal monitoring.
    RESULTS: We demonstrate that the placenta exhibits spatially asymmetric contractile motion that develops from E14.5 to E17.5. Additionally, we see that placental perfusion, perfusion delivery rate, and substrate delivery all increase from E14.5 to E17.5, with the High Perfusion Chamber (HPC) leading the placental changes that occur from E14.5 to E17.5.
    CONCLUSIONS: We advance the placental perfusion chamber paradigm with a novel, physiologically based threshold model for chamber localization and demonstrate spatially varying placental chambers using multiple functional metrics that assess mouse placental development and remodeling throughout gestation.
    CONCLUSIONS: Our pipeline enables the non-invasive, longitudinal assessment of multiple placenta functions from a single imaging session. Our pipeline serves as a key toolbox for advancing research in mouse models of placental disease and disorder.
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  • 文章类型: Journal Article
    胎盘缺氧对母体健康和胎儿生长发育都有危害。子痫前期和宫内生长受限是常见的妊娠问题,原因之一是胎盘缺氧。胎盘缺氧与许多妊娠疾病有关。为了研究它们在缺氧环境下的潜在功能,我们模拟了HTR-8/Svneo细胞的缺氧环境,并使用高通量RNA测序对缺氧HTR-8/Svneo细胞进行了lncRNA和circRNA研究.通过整合子痫前期和宫内生长受限胎盘中miRNA的异常表达来预测miRNA靶基因,并开发了ceRNA网络图以对circRNAs和lncRNAs进行完整的转录组学和生物信息学研究。使用GO和KEGG分析预测基因主要参与的信号传导途径。为缺氧环境中lncRNAs和circRNAs引起的滋养细胞衰竭提出新的解释。
    Placental hypoxia is hazardous to maternal health as well as fetal growth and development. Preeclampsia and intrauterine growth restriction are common pregnancy problems, and one of the causes is placental hypoxia. Placental hypoxia is linked to a number of pregnancy illnessesv. To investigate their potential function in anoxic circumstances, we mimicked the anoxic environment of HTR-8/Svneo cells and performed lncRNA and circRNA studies on anoxic HTR-8/Svneo cells using high-throughput RNA sequencing. The miRNA target genes were predicted by integrating the aberrant expression of miRNAs in the placenta of preeclampsia and intrauterine growth restriction, and a ceRNA network map was developed to conduct a complete transcriptomic and bioinformatics investigation of circRNAs and lncRNAs. The signaling pathways in which the genes were primarily engaged were predicted using GO and KEGG analyses. To propose a novel explanation for trophoblastic organism failure caused by lncRNAs and circRNAs in an anoxic environment.
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  • 文章类型: Journal Article
    基因调控对胎盘功能和胎儿发育至关重要。我们使用数字基因组足迹和转录组数据构建了人类胎盘的基因组尺度转录调控网络(TRN)。我们整合了来自胎盘样品的475个转录组和12个DNase超敏反应数据集,以全局和定量地绘制转录因子(TF)-靶基因相互作用。在独立的数据集中,TRN模型预测了73%靶基因的样品外R2大于0.25的靶基因表达。我们进行了四种TF的siRNA敲除,并且实现了我们的TRN中预测的基因靶标与敲除的表达差异之间的一致性,对于四种TF中的三种,准确度>0.7。我们的最终模型包含391TFs和7712个靶基因的113,158个相互作用,并且是公开可用的。我们确定了29个TFs,这些TFs作为先前与早产相关的基因的调节因子,在早产胎盘中,这些TFs中有8个减少。
    Gene regulation is essential to placental function and fetal development. We built a genome-scale transcriptional regulatory network (TRN) of the human placenta using digital genomic footprinting and transcriptomic data. We integrated 475 transcriptomes and 12 DNase hypersensitivity datasets from placental samples to globally and quantitatively map transcription factor (TF)-target gene interactions. In an independent dataset, the TRN model predicted target gene expression with an out-of-sample R2 greater than 0.25 for 73% of target genes. We performed siRNA knockdowns of four TFs and achieved concordance between the predicted gene targets in our TRN and differences in expression of knockdowns with an accuracy of >0.7 for three of the four TFs. Our final model contained 113,158 interactions across 391 TFs and 7712 target genes and is publicly available. We identified 29 TFs which were significantly enriched as regulators for genes previously associated with preterm birth, and eight of these TFs were decreased in preterm placentas.
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  • 文章类型: Editorial
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  • 文章类型: Editorial
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  • 文章类型: Journal Article
    先天性心脏病(CHD)影响每1,000个活产中就有8个,对出生后有重大影响,包括生长障碍,神经发育迟缓,和死亡率。胎盘与胎儿心脏同时发育。受CHD影响的妊娠中胎盘病理和不一致生长的高率突出了胎儿-胎盘-心脏轴的重要性。
    本研究旨在表征新生儿出生体重(BW)之间的关系,头围,胎盘重量(PW),和受冠心病影响的妊娠胎盘病理。PW:BW提供了评估胎盘效率的替代方法,或者胎盘的营养交换和分娩,跨CHD表型。
    回顾性队列研究了139例出生后确诊的CHD伴胎盘病理的单胎。胎盘检查,婴儿BW,头围,和冠心病类别(间隔缺损,右侧缺陷,左侧缺陷,conotruncal异常,和其他)被包括在内。卡方,费希尔的精确,或者Kruskall-Wallis检验和多项逻辑回归,视情况而定。
    出生体重中位数和头围百分位数分别为33和35。在37%的病例中记录了胎盘病理学。PW与BW之比<10百分位数(78%),<3百分位数(54%),CHD类别之间没有差异(分别为P=0.39和P=0.56)。
    CHD婴儿在小胎盘环境中保留了体重和头围,胎盘病理患病率增加,提示胎盘效率。检测胎盘异常生长可以增加产前诊断价值。胎盘和新生儿不一致的生长可能暗示血管异常使胎儿容易发展为CHD。需要进一步的研究来探索胎儿营养素的分娩和利用效率。
    UNASSIGNED: Congenital heart disease (CHD) affects 8 in 1,000 live births with significant postnatal implications including growth failure, neurodevelopmental delay, and mortality. The placenta develops concomitantly with the fetal heart. High rates of placental pathology and discordant growth in pregnancies affected by CHD highlight the significance of the fetal-placental-cardiac axis.
    UNASSIGNED: This study aimed to characterize the relationship between neonatal birthweight (BW), head circumference, placental weight (PW), and placental pathology in pregnancies affected by CHD. PW:BW provides a surrogate to assess placental efficiency, or nutrient exchange and delivery by the placenta, across CHD phenotypes.
    UNASSIGNED: Retrospective cohort of 139 live-born singletons with postnatally confirmed CHD with placental pathology. Placental examination, infant BW, head circumference, and CHD categories (septal defects, right-sided defects, left-sided defects, conotruncal anomalies, and others) were included. Chi-square, Fisher\'s exact, or Kruskall-Wallis tests and multinomial logistic regressions, as appropriate.
    UNASSIGNED: Median birthweight and head circumference percentile was 33 and 35, respectively. Placental pathology was documented in 37% of cases. PW to BW ratios were <10th percentile for 78% and <3rd percentile for 54% of the cohort, with no difference between CHD categories (P = 0.39 and P = 0.56, respectively).
    UNASSIGNED: Infants with CHD have preserved BW and head circumferences in the setting of small placentas and increased prevalence of placental pathology, suggesting placental efficiency. Detection of abnormal placental growth could add prenatal diagnostic value. Placental and neonatal discordant growth may allude to a vascular anomaly predisposing fetuses to developing CHD. Further studies are needed to explore fetal nutrient delivery and utilization efficiency.
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  • 文章类型: Journal Article
    人类巨细胞病毒(CMV)感染是发达国家先天性畸形的主要非遗传原因,造成严重的胎儿伤害,在某些情况下还有胎儿死亡.这种宿主特异性病毒感染然后损害胎盘和胎儿大脑的致病机制目前尚不明确。我们使用人类早孕胎盘滋养层(TEV-1)细胞研究了这些器官的关键信号通路蛋白的CMV调节,包括双特异性酪氨酸磷酸化调节激酶(DYRK)和SonicHedgehog(SHH)通路蛋白。原代人星形胶质细胞(NHA)脑细胞,和CMV感染的人胎盘组织。免疫荧光显示SHH蛋白在CMV感染的TEV-1细胞中的积累和重新定位,Gli2,Ulk3和Shh重新定位到CMV细胞质病毒体组装复合物(VAC)。在CMV感染的NHA细胞中,DYRK1A重新定位到VAC,DYRK1B重新定位到CMV核复制区室,并且SHH蛋白以与TEV-1细胞中观察到的相似的模式重新定位。在CMV感染的TEV-1细胞中的蛋白质印迹分析显示Rb的表达上调,Ulk3和嘘,但不是Gli2。在CMV感染的NHA细胞中,有DYRK1A的上调,DYRK1B,Gli2,Rb,Ulk3和嘘。这些体外单培养发现与在自然感染的胎盘组织和CMV感染的离体胎盘外植体组织培养中观察到的蛋白质上调和重新定位的模式一致。这项研究揭示了CMV诱导的对胎儿发育至关重要的蛋白质变化,并确定CMV治疗开发的新潜在靶标。
    Human cytomegalovirus (CMV) infection is the leading non-genetic cause of congenital malformation in developed countries, causing significant fetal injury, and in some cases fetal death. The pathogenetic mechanisms through which this host-specific virus infects then damages both the placenta and the fetal brain are currently ill-defined. We investigated the CMV modulation of key signaling pathway proteins for these organs including dual-specificity tyrosine phosphorylation-regulated kinases (DYRK) and Sonic Hedgehog (SHH) pathway proteins using human first trimester placental trophoblast (TEV-1) cells, primary human astrocyte (NHA) brain cells, and CMV-infected human placental tissue. Immunofluorescence demonstrated the accumulation and re-localization of SHH proteins in CMV-infected TEV-1 cells with Gli2, Ulk3, and Shh re-localizing to the CMV cytoplasmic virion assembly complex (VAC). In CMV-infected NHA cells, DYRK1A re-localized to the VAC and DYRK1B re-localized to the CMV nuclear replication compartments, and the SHH proteins re-localized with a similar pattern as was observed in TEV-1 cells. Western blot analysis in CMV-infected TEV-1 cells showed the upregulated expression of Rb, Ulk3, and Shh, but not Gli2. In CMV-infected NHA cells, there was an upregulation of DYRK1A, DYRK1B, Gli2, Rb, Ulk3, and Shh. These in vitro monoculture findings are consistent with patterns of protein upregulation and re-localization observed in naturally infected placental tissue and CMV-infected ex vivo placental explant histocultures. This study reveals CMV-induced changes in proteins critical for fetal development, and identifies new potential targets for CMV therapeutic development.
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