国际妇产科学杂志 ›› 2018, Vol. 45 ›› Issue (2): 133-135.

• 综述 • 上一篇    下一篇

微小RNA与妊娠期糖尿病的研究进展

刘娇,韩莹,张云山   

  1. 300480  天津医科大学总医院滨海医院妇产科(刘娇);南开大学医学院(韩莹);天津市中心妇产科医院生殖中心(张云山)
  • 收稿日期:2017-08-30 修回日期:2018-02-02 出版日期:2018-04-15 发布日期:2018-04-15
  • 通讯作者: 张云山,E-mail:tjzys@hotmail.com E-mail:tjzys@hotmail.com

Research Progress of MicroRNAs and Gestational Diabetes Mellitus

LIU Jiao,HAN Ying,ZHANG Yun-shan   

  1. Department of Obstetrics and Gynecology,Binhai Hospital,Tianjin Medical University General Hospital,Tianjin 300480,China(LIU Jiao);School of Medicine,Nankai University,Tianjin 300071,China(HAN Ying);Reproductive Medicine Center,Tianjin Central Hospital of Gynecology Obstetrics,Tianjin 300100,China(ZHANG Yun-shan)
  • Received:2017-08-30 Revised:2018-02-02 Published:2018-04-15 Online:2018-04-15
  • Contact: ZHANG Yun-shan,E-mail:tjzys@hotmail.com E-mail:tjzys@hotmail.com

摘要: 妊娠前糖代谢正常,妊娠期才出现的糖尿病称为妊娠期糖尿病,是一种常见的妊娠期并发症,并且随着疾病的发展会对母儿造成不良结局。微小RNA(microRNA,miRNA)是一种短链非编码RNA,在转录后水平上调控基因编码。妊娠期间可在母体血液里检测到大量与妊娠期糖尿病相关的miRNA,其由胎盘分泌,并在母亲血液里稳定存在。随着妊娠期胎盘的生长,胎盘中分泌的miRNA可调控细胞的分化、黏附、代谢、迁移、生长、凋亡、血管的再生及糖代谢的病理生理过程。通过不同的miRNA检测方法,了解妊娠期糖尿病发病人群中异常表达的miRNA,可作为妊娠期糖尿病患者筛查特异性指标的生物学标记。综述妊娠期糖尿病中不同miRNA的表达及对新生儿影响的作用机制。

关键词: 糖尿病, 妊娠, 微RNAs, 生物学标记, 作用机制

Abstract: Gestational diabetes mellitus (GDM), defined as a type of diabetes during pregnancy, is one common complication of gestation period and it will cause adverse consequences for mothers and their offspring with the development of the disease. MicroRNA is a class of small non-coding RNAs and regulate gene expression through post-transcriptional level. During pregnancy, a large number of miRNAs associated with gestational diabetes can be detected in maternal blood, which is secreted by the placenta and is stable in the mother′s blood. With the growth of the placenta during pregnancy, miRNAs secreted in the placenta can regulate cell differentiation, adhesion, metabolism, migration, proliferation, apoptosis, angiogenesis and physiological and pathophysiological processes of glucose metabolism. Through different miRNA detection methods, understanding the abnormally expressed miRNA in the gestational diabetes population can be used as a biomarker for screening specific markers of gestational diabetes. Review the expression of different miRNAs in GDM and the mechanism of effect on newborns.

Key words: Diabetes, gestational, MicroRNAs, Biological markers, Mechanism

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