国际妇产科学杂志 ›› 2017, Vol. 44 ›› Issue (6): 614-617.

• 综述 • 上一篇    下一篇

内皮祖细胞在子痫前期发生中的作用

张美华,王谢桐   

  1. 250014  济南,山东省妇幼保健院;国家卫生和计划生育委员会生育调控技术重点实验室;山东大学附属省立医院妇产科
  • 收稿日期:2017-09-04 修回日期:2017-11-01 出版日期:2017-12-15 发布日期:2017-12-15
  • 通讯作者: 王谢桐,E-mail:wxt65@vip.163.com E-mail:wxt65@vip.163.com

The Role of Endothelial Progenitor Cells in Pre-eclampsia

ZHANG Mei-hua,WANG Xie-tong   

  1. Maternal and Child Care Hospital of Shandong Province;Key Laboratory of Birth Regulation and Control Technology of National Health and family Planning Commission of China;Department of Obstetrics and Gynecology,Shandong Provincial Hospital Affliated to Shandong University,250014 Jinan,China
  • Received:2017-09-04 Revised:2017-11-01 Published:2017-12-15 Online:2017-12-15
  • Contact: WANG Xie-tong,E-mail:wxt65@vip.163.com E-mail:wxt65@vip.163.com

摘要: 子痫前期是妊娠期的严重并发症,病因复杂,发病机制尚不明确。血管内皮细胞损伤是子痫前期发病的关键因素之一。内皮祖细胞(endothelial progenitor cells,EPCs)是内皮细胞的前体细胞,能够归巢到内皮损伤的部位,分化为成熟的内皮细胞,修复损伤的血管。妊娠期循环中EPCs数量和功能的异常可能与子痫前期的发生及疾病进程密切相关。缺血缺氧诱发炎症因子的释放,导致EPCs增殖、迁移和分化的能力减弱,参与血管内皮新生的作用减弱,不能及时地补充和修复受损内皮细胞。内皮细胞损伤加剧和功能失调,进而出现了血压升高、蛋白尿、水肿等临床症状。EPCs移植可能成为临床上治疗子痫前期的新方法;EPCs调控因素和机制的阐明,将为应用EPCs治疗子痫前期提供依据。

关键词:  先兆子痫, 高血压, 妊娠性, 内皮细胞, 内皮祖细胞

Abstract: Pre-eclampsia is a severe complication of pregnancy, which has complicated etiopathogenesis as well as unknown pathogenesis. The injury of vascular endothelial cells is one of the key factors in the pathogenesis of preeclampsia. Endothelial progenitor cells endothelial progenitor cells (EPCs) are precursor cells of endothelial cells, which can home to the site of injury and differentiate into mature endothelial cells, repair damaged blood vessels. The number and function of circulating EPCs during pregnancy may be related to the incidence of preeclampsia and the development of disease process. Release of inflammatory factors induced by ischemia and hypoxia, resulting in the proliferation, migration and differentiation ability of EPCs were decreased, and the ability of angiogenesis was weakened. The damaged endothelial cells can′t be repaired and replenished in time. Endothelial cell injury is aggravated and dysfunction, and then the clinical symptoms such as elevated blood pressure, proteinuria, edema and so on are appeared. EPCs transplantation may become a new method for clinical treatment of preeclampsia. The clarification of regulation factors and mechanism of EPCs will provide the basis for the application of EPCs in the treatment of preeclampsia.

Key words: Pre-eclampsia, Hypertension, pregnancy-induced, Endothelial cells, Endothelial progenitor cells