国际妇产科学杂志 ›› 2020, Vol. 47 ›› Issue (4): 373-377.

• 综述 • 上一篇    下一篇

微粒调控中性粒细胞胞外诱捕网的表达在子痫前期发病中的作用研究进展

崔佳蕾,王永红   

  1. 030001 太原,山西医科大学第二医院妇产科
  • 收稿日期:2019-11-29 修回日期:2020-03-02 出版日期:2020-08-15 发布日期:2020-08-15
  • 通讯作者: 王永红,E-mail:wangyh19672000@126.com E-mail:wangyh19672000@Yahoo.com.cn
  • 基金资助:
    山西省自然科学基金项目(201901D111367)

The Role of Microparticles in Regulating the Expression of Neutrophil Extracellular Traps in the Pathogenesis of Pre-Eclampsia

CUI Jia-lei,WANG Yong-hong   

  1. Department of Obstetrics and Gynecology,The Second Hospital of Shanxi Medical University,Taiyuan 030001,China 
  • Received:2019-11-29 Revised:2020-03-02 Published:2020-08-15 Online:2020-08-15
  • Contact: WANG Yong-hong,E-mail:wangyh19672000@126.com E-mail:wangyh19672000@Yahoo.com.cn

摘要: 子痫前期是导致孕产妇和围生儿死亡的妊娠期特发性疾病之一,至今其具体发病机制尚未阐明。目前研究认为子痫前期发病主要与胎盘滋养细胞侵袭异常导致子宫螺旋小动脉重铸受阻、血管内皮细胞损伤、炎症免疫反应过度激活等有关。最新研究表明,微粒可导致子痫前期患者的全身炎症反应,并通过调节中性粒细胞胞外诱捕网的释放参与子痫前期的发病。同时相关研究显示,中性粒细胞活化并黏附到血管内皮细胞激发炎症反应是子痫前期患者血管内皮损伤的关键环节。当活化的中性粒细胞形成中性粒细胞胞外诱捕网过量或未被机体及时清除时,中性粒细胞胞外诱捕网附着于血管内皮上,引起内皮细胞凋亡,从而导致血管内皮细胞损伤。现对微粒调控中性粒细胞胞外诱捕网的释放在子痫前期发病中作用的研究进展进行综述。

关键词: 先兆子痫;, 血管内皮损伤;, 内皮, 血管;, 微粒体;, 胎盘;, 胞外诱捕网

Abstract: Pre-eclampsia is one of the idiopathic diseases that cause maternal and perinatal deaths, and the specific pathogenesis is not elucidated. Current research suggests that pre-eclampsia is mainly related to the obstruction of uterine spiral arterioles due to abnormal invasion of placental trophoblasts, vascular endothelial cell damage, and excessive activation of inflammatory immune response. Recent studies have shown that microparticles can cause systemic inflammatory responses in patients with pre-eclampsia and participate in the pathogenesis of pre-eclampsia by regulating the release of neutrophil extracellular traps. At the same time, related studies have shown that neutrophil activation and adhesion to vascular endothelial cells stimulate inflammation, which is the key link of vascular endothelial injury in pre-eclampsia patients. When activated neutrophils form neutrophil extracellular traps that are excessive or not cleared by the body in time, neutrophil extracellular traps attach to the vascular endothelium, causing endothelial cells to undergo apoptosis, leading to vascular endothelial cells damage. This article reviews the research progress on the role of microparticles in regulating the release of neutrophil extracellular traps in the pathogenesis of pre-eclampsia.

Key words: Pre-eclampsia, Vascular endothelial injury, Endothelium, vascular, Microsomes, Placenta;, Extracellular traps