国际妇产科学杂志 ›› 2017, Vol. 44 ›› Issue (1): 56-59.

• 综述 • 上一篇    下一篇

HtrA与子痫前期相关性的研究进展

孔红芳,常亚清,王芳,辛虹   

  1. 河北医科大学第二医院
  • 收稿日期:2016-07-04 修回日期:2016-09-07 出版日期:2017-02-15 发布日期:2017-03-28
  • 通讯作者: 辛虹 E-mail:xh.hbyd@hotmail.com

Progress in research for HtrA correlation with preeclampsia

  • Received:2016-07-04 Revised:2016-09-07 Published:2017-02-15 Online:2017-03-28

摘要: 子痫前期是妊娠期特有的疾病,目前仍是重要的公共卫生问题,是发展中国家孕产妇死亡的主要原因之一。研究表明子痫前期与细胞凋亡、血管痉挛、凝血系统激活、炎症反应等密切相关,其病理变化起始于胎盘浅着床和胎盘血管重铸障碍,导致胎盘组织的缺血缺氧,引起子痫前期的发生。HtrA系丝氨酸蛋白酶家族,该蛋白家族在细胞热休克、氧化应激、炎症、缺血再灌注和肿瘤等应激条件下,降解细胞胞质内错误折叠的蛋白质,参与细胞调亡、关节炎、胚胎形成、神经变性和神经肌肉障碍以及癌症等的病理生理过程,研究表明其亚型与子痫前期密切相关。本文总结了近年来与子痫前期相关的HtrA的研究进展及其介导的调控网络,对于进一步了解子痫前期的发病机制及提供新的治疗途径有重要意义。

关键词: 子痫前期, HtrA, 丝氨酸蛋白酶类

Abstract: Preeclampsia,a major cause of maternal mortality in developing world, holds a central public health concern,is a peculiar disease during pregnancy . Studies have shown that preeclampsia is closely related to the cell apoptosis, vasospasm, activation of blood coagulation system, inflammatory reaction and so on. Its pathological change began in the shallow placenta implantation and placental vascular recasting barriers, lead to the placenta tissue ischemia hypoxia, cause endothelial cell damage. HtrA is one of serine protease family, under stress conditions such as cells to heat shock, oxidative stress, inflammation, ischemia-reperfusion and cancer, degradation of misfolded proteins in the cell cytoplasm, participate in the pathological physiological processes such as cell apoptosis, arthritis, embryonic form, nerve degeneration and neuromuscular disorders and cancer. Studies have showen the subtypes are closely associated with preeclampsia. This paper presents the progress of HtrA associated with preeclampsia and its mediated control network, to further understand the pathogenesis of preeclampsia and provide a new treatment method has an important significance.

Key words: Pre-eclampsia, HtrA, serine protease family

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