国际妇产科学杂志 ›› 2019, Vol. 46 ›› Issue (4): 402-406.

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MiRNAs与妊娠期糖尿病发病机制的研究进展

谢奇君,刘岚   

  1. 210029 南京医科大学第四临床医学院(谢奇君);南京医科大学附属妇产医院(南京市妇幼保健院)产科(刘岚)
  • 收稿日期:2018-12-21 修回日期:2019-03-29 出版日期:2019-08-15 发布日期:2019-08-15
  • 通讯作者: 刘岚,E-mail:liulalnivy@qq.com E-mail:qijunXie0806@163.com
  • 基金资助:
    国家自然科学基金(81501278)

MiRNAs and Pathogenesis of Gestational Diabetes Mellitus

XIE Qi-jun,LIU Lan   

  1. The Fourth School of Clinical Medicine,Nanjing Medical University,Nanjing 210029,China(XIE Qi-jun);Department of Obstetrics,The Affiliated Obstetrics and Gynecology Hospital of Nanjing Medical University,Nanjing Maternity and Child Health Care Hospital,Nanjing 210004,China (LIU Lan)
  • Received:2018-12-21 Revised:2019-03-29 Published:2019-08-15 Online:2019-08-15
  • Contact: LIU Lan,E-mail:liulanivy@qq.com E-mail:qijunXie0806@163.com

摘要: 妊娠期糖尿病(gestational diabetes mellitus,GDM)是常见的妊娠期合并症之一,并且会对孕妇以及子代造成严重后果甚至有长远影响。随着生活方式的改变,GDM在我国发病率呈逐年升高趋势。微小RNA(microRNAs,miRNAs)是一类长度为19~24个核苷酸的单链小分子非编码RNA,以特异性结合方式抑制靶基因的转录或翻译来调控细胞的发育、分化与增殖、早期胚胎发育、脂肪代谢、神经细胞功能分化及自身免疫调节等生物过程。目前,GDM的发病机制还未完全阐明。近年来,miRNAs在GDM发病机制中的作用备受关注,主要通过胰岛素抵抗、胰岛素分泌异常和脂肪因子等方面参与GDM的发生。

关键词: 糖尿病, 妊娠, 微RNAs, 胰岛素抗药性, 受体, 胰岛素, 信号传导, 脂肪因子类

Abstract: Gestational diabetes mellitus (GDM) is one common gestational complication of gestation period, which leads to serious consequences and even long-term effects on pregnant mother and their offspring. With the change of lifestyle, the incidence of the disease in China is increasing year by year. MicroRNAs (miRNAs) are a class of single-stranded small-molecule non-coding RNAs with a length of 19-24 nucleotides. They inhibit the transcription or translation of target genes by specifically binding to regulate biological processes such as cell development, differentiation and proliferation, early embryo development, fat metabolism, neuronal cell differentiation and autoimmune regulation. At present, the pathogenesis of GDM has not been fully illuminated. In recent years, the role of miRNAs in GDM′s pathogenesis has attracted much attention, mainly through insulin resistance, insulin secretion abnormalities and adipokines involved in the occurrence of GDM.

Key words: Diabetes, gestational, MicroRNAs, Insulin resistance, Receptor, insulin, Signal transduction, Adipokines

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