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
    Hybrid mapping is a powerful approach to efficiently identify and characterize genes regulated through mechanisms in cis. In this study, using reciprocal crosses of the phenotypically divergent Duroc and Lulai pig breeds, we perform a comprehensive multi-omic characterization of regulatory variation across the brain, liver, muscle, and placenta through four developmental stages. We produce one of the largest multi-omic datasets in pigs to date, including 16 whole genome sequenced individuals, as well as 48 whole genome bisulfite sequencing, 168 ATAC-Seq and 168 RNA-Seq samples. We develop a read count-based method to reliably assess allele-specific methylation, chromatin accessibility, and RNA expression. We show that tissue specificity was much stronger than developmental stage specificity in all of DNA methylation, chromatin accessibility, and gene expression. We identify 573 genes showing allele specific expression, including those influenced by parent-of-origin as well as allele genotype effects. We integrate methylation, chromatin accessibility, and gene expression data to show that allele specific expression can be explained in great part by allele specific methylation and/or chromatin accessibility. This study provides a comprehensive characterization of regulatory variation across multiple tissues and developmental stages in pigs.
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  • 文章类型: Editorial
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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:组织非特异性碱性磷酸酶(TNSALP;由ALPL基因编码)在出生后调节磷酸盐稳态中起关键作用,然而,孕期TNSALP的活性和表达是如何被调控的,目前仍不清楚.这项研究检验了孕酮(P4)和/或干扰素tau(IFNT)在绵羊怀孕期间调节TNSALP活性的假设。
    方法:在实验中。如图1所示,母羊在怀孕的前8天每天肌内注射玉米油载体(CO)或CO(P4)中的25mg孕酮,并在妊娠的第9、12或125天进行子宫切除。在Exp中。2,母羊在发情周期的第7天安装子宫内导管,并在第8天至第15天每天肌内注射50mgP4的CO和/或75mg孕酮受体拮抗剂(RU486),并在第11天至第15天每天两次子宫内注射对照蛋白(CX)或IFNT(25µg/子宫角/d)(治疗组:RUP4和IFc86第4天。
    结果:在实验中。如图1所示,在第12天,施用P4的母羊的子宫内膜的ALPLmRNA表达高于施用CO的母羊。TNSALP活性在上皮中出现更大,致密地层基质,和第12天施用P4的母羊的子宫内膜和子宫肌层中的血管内皮比施用CO的母羊。在第125天,TNSALP活性定位于子宫上皮细胞和内皮细胞,独立于P4治疗。胎盘组织中的TNSALP活性在P4处理的母羊中似乎更高,并且在P4处理的而不是CO处理的母羊中的内皮细胞和软骨组织中检测到。在Exp中。如图2所示,来自施用RU486+P4+CX的母羊的子宫内膜匀浆的TNSALP活性低于P4+CX和P4+IFNT母羊的TNSALP活性。与其他处理组相比,在RU486P4CX处理的母羊中,免疫反应性TNSALP蛋白在中腺和深腺上皮中表现得更高。与其他处理组相比,用RU486P4CX处理的母羊子宫内膜深腺上皮的顶表面的酶活性更大。
    结论:这些结果表明P4,而不是IFNT,调节子宫胎盘组织中TNSALP的表达和活性,并有可能促进磷酸盐可用性的调节,这对怀孕期间的概念发育至关重要。
    BACKGROUND: Tissue non-specific alkaline phosphatase (TNSALP; encoded by the ALPL gene) has a critical role in the postnatal regulation of phosphate homeostasis, yet how TNSALP activity and expression are regulated during pregnancy remain largely unknown. This study tested the hypothesis that progesterone (P4) and/or interferon tau (IFNT) regulate TNSALP activity during pregnancy in sheep.
    METHODS: In Exp. 1, ewes were bred and received daily intramuscular injections of either corn oil vehicle (CO) or 25 mg progesterone in CO (P4) for the first 8 days of pregnancy and were hysterectomized on either Day 9, 12, or 125 of gestation. In Exp. 2, ewes were fitted with intrauterine catheters on Day 7 of the estrous cycle and received daily intramuscular injections of 50 mg P4 in CO and/or 75 mg progesterone receptor antagonist (RU486) in CO from Days 8 to 15, and twice daily intrauterine injections of either control proteins (CX) or IFNT (25 µg/uterine horn/d) from Days 11 to 15 (treatment groups: P4 + CX; P4 + IFNT; RU486 + P4 + CX; and RU486 + P4 + IFNT) and were hysterectomized on Day 16.
    RESULTS: In Exp. 1, endometria from ewes administered P4 had greater expression of ALPL mRNA than ewes administered CO on Day 12. TNSALP activity appeared greater in the epithelia, stratum compactum stroma, and endothelium of the blood vessels in the endometrium and myometrium from ewes administered P4 than ewes administered CO on Day 12. On Day 125, TNSALP activity localized to uterine epithelial and endothelial cells, independent of P4 treatment. TNSALP activity in placentomes appeared greater in P4 treated ewes and was detected in endothelial cells and caruncular tissue in P4 treated but not CO treated ewes. In Exp. 2, endometrial homogenates from ewes administered RU486 + P4 + CX had lower TNSALP activity those for P4 + CX and P4 + IFNT ewes. Immunoreactive TNSALP protein appeared greater in the mid- and deep-glandular epithelia in RU486 + P4 + CX treated ewes as compared to the other treatment groups. Enzymatic activity appeared greater on the apical surface of the deep glandular epithelia in endometria from ewes treated with RU486 + P4 + CX compared to the other treatment groups.
    CONCLUSIONS: These results suggest that P4, but not IFNT, regulates the expression and activity of TNSALP in utero-placental tissues and has the potential to contribute to the regulation of phosphate availability that is critical for conceptus development during pregnancy.
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  • 文章类型: English Abstract
    Objective: To investigate the clinicopathological and genetic features of confined placental mosaicism (CPM) and its effect on fetal intrauterine growth. Methods: Fourteen CPM cases of Haidian Maternal and Children Health Hospital were collected from May 2018 to March 2022. Clinicopathological examination on placental specimens and molecular genetic analysis were performed. Results: The age of the parturient women ranged from 27 to 34 years, with an average age of (30.0±3.54) years. The gestational weeks ranged from 35+1 to 41+2 weeks. There were 4 premature births and 10 term births, among which 6 were female and 8 were male fetuses. Nine cases (9/14) had adverse pregnancy outcomes, including 7 cases of fetal growth restriction. The weight of CPM placenta decreased, with 6 cases below the 10th percentile of weight standards and 5 cases between the 10th and 25th percentile. All 14 CPM placental specimens showed morphological changes of perfusion dysfunction to varying degrees, with mainly placental-maternal vascular malperfusion followed by placental-fetal vascular malperfusion. The mosaic chromosomes in different CPM cases varied, with 16-trisomy/monosomy mosaicism being the most common followed by 7-trisomy and 21-trisomy/monosomy mosaicism. The mosaic proportion was unequal in different parts of the same CPM placenta, with the mosaic proportion of umbilical cord, fetal membranes, fetal surface, maternal surface, and edge ranging from 1% to 70%. Conclusions: The mosaic chromosomes in different CPM cases vary, and the mosaic proportion is unequal in different parts of the same CPM placenta. The pathological morphology is mainly manifested as perfusion dysfunction, which can lead to adverse pregnancy outcomes such as fetal growth restriction and preterm birth.
    目的: 探讨限制性胎盘嵌合(confined placental mosaicism,CPM)的分子遗传与临床病理特征及其对胎儿宫内发育的影响。 方法: 收集北京市海淀区妇幼保健院2018年5月至2022年3月确诊的14例CPM,对胎盘标本进行分子遗传和病理学检查,并进行临床病理学分析。 结果: 产妇年龄27~34岁,平均年龄(30.0±3.54)岁,孕周35+1~41+2周。4例早产,10例足月产,其中女胎儿6例,男胎儿8例。9例(9/14)出现了不良妊娠结局,其中7例为胎儿生长受限。CPM胎盘重量减轻,其中6例重量小于第10百分位数,5例重量位于第10~25百分位数之间。14例CPM胎盘均出现不同程度的灌注功能障碍形态学变化,以胎盘-母体血管灌注功能障碍为主,其次为胎盘-胎儿血管灌注功能障碍。不同CPM病例嵌合染色体各异,以16-三体/单体嵌合常见,其次为7-三体和21-三体/单体嵌合。同一个CPM胎盘不同部位嵌合比例不等,脐带、胎膜、胎儿面、母体面和边缘嵌合比例波动范围为1%~70%。 结论: 不同CPM病例嵌合染色体各异,同一CPM胎盘不同部位嵌合比例不等,病理形态学以灌注功能障碍为主要表现,可导致胎儿生长受限、早产等不良妊娠结局发生。.
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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
    由于多种原因,牛的双胞胎怀孕是不可取的,包括与单胎妊娠相比流产风险更高。然而,流产风险受胎儿宫内位置的显著影响,也就是说,如果将它们植入同一子宫角(单侧双胎妊娠),则流产风险要比将一个胎儿植入每个子宫角(双侧双胎妊娠)高几倍。单侧双胎妊娠流产风险较高的原因尚不清楚,但这可能与胎盘容量有限导致的最外层胎儿营养不良有关,马双胞胎胎儿也是如此。进行了屠宰场研究,并测量了怀孕双胞胎的牛的胎儿。我们发现了65例双胎妊娠,其中35例为单侧双胎妊娠,30例为双侧双胎妊娠.在单侧双胎妊娠中,最外层和更中心位置的胎儿在体重和掌骨骨干的长度方面没有显着差异。因此,无法确认最外层胎儿的生长迟缓是单侧牛双胎妊娠流产风险较高的原因。确定了4例屠宰前胎儿死亡率。在其中三个案例中,两个双胞胎都死了,大小相等,退化程度相当。在第四种情况下,大约40天大的双胞胎胎儿大小相等,只有一个胎儿显示出屠宰前死亡的迹象。
    Twin pregnancy in cattle is undesirable for a number of reasons, including a higher abortion risk compared to pregnancies with a single foetus. Yet, the abortion risk is significantly influenced by the intrauterine location of the foetuses, that is, the abortion risk is several times higher if they are implanted in the same uterine horn (unilateral twin pregnancy) than if they are implanted with one foetus in each uterine horn (bilateral twin pregnancy). The reason for the higher abortion risk in unilateral twin pregnancies is unknown, but it may be related to malnutrition of the outermost foetus due to a limited placental capacity, as is the case for equine twin foetuses. A slaughterhouse study was performed and the foetuses of cattle pregnant with twins were measured. We identified 65 cases of twin pregnancies, of which 35 were unilateral twin pregnancies and 30 were bilateral twin pregnancies. There was no significant difference between the outermost and the more centrally located foetus in unilateral twin pregnancies in terms of body weight and length of the metacarpal diaphysis. Growth retardation of the outermost foetus could therefore not be confirmed as the cause of the higher abortion risk in unilateral bovine twin pregnancies. Four cases of pre-slaughter foetal mortality were identified. In three of these cases, both twins were dead, of equal size and at a comparable level of degradation. In the fourth case, with approximately 40-day-old twin foetuses of equal size, only one of the foetuses showed signs of pre-slaughter death.
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  • 文章类型: Journal Article
    本文探讨了用于诊断胎盘植入频谱(PAS)的最新MR成像技术。PAS,以胎盘对子宫壁的异常粘附为特征,由于其与孕产妇发病率和死亡率相关,特别是在以前置胎盘和先前剖宫产为特征的高危妊娠中。尽管超声(美国)仍然是主要的筛查方式,局限性促使人们更加重视MR成像.这篇综述强调了定量MR成像的实用性,特别是在美国的研究结果没有定论的情况下,或者当母亲的身体习惯构成挑战时,承认,然而,解释胎盘MR成像需要放射科医师的专业培训。
    This article delves into the latest MR imaging developments dedicated to diagnosing placenta accreta spectrum (PAS). PAS, characterized by abnormal placental adherence to the uterine wall, is of paramount concern owing to its association with maternal morbidity and mortality, particularly in high-risk pregnancies featuring placenta previa and prior cesarean sections. Although ultrasound (US) remains the primary screening modality, limitations have prompted heightened emphasis on MR imaging. This review underscores the utility of quantitative MR imaging, especially where US findings prove inconclusive or when maternal body habitus poses challenges, acknowledging, however, that interpreting placenta MR imaging demands specialized training for radiologists.
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