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巨大儿胎盘组织中HO-1、IGF-1的变化及其意义
作者:李真真  魏碧蓉  薛海燕  娄伟 
单位:莆田学院医学院, 福建 莆田 351100
关键词:血红素氧合酶-1 胰岛素样生长因子-1 巨大儿 妊娠糖尿病 胎盘 
分类号:R714.7
出版年·卷·期(页码):2014·33·第五期(592-596)
摘要:

目的:探讨血红素氧合酶-1(HO-1)、胰岛素样生长因子-1(IGF-1)在健康母亲和妊娠糖尿病(GDM)母亲分娩的巨大儿胎盘组织中的变化及其意义。方法:选择足月新生儿60例,其中GDM母亲分娩的巨大儿(巨大儿A组)12例,健康母亲分娩的巨大儿组(巨大儿B组)18例,正常出生体重新生儿(对照组)30例。分别用免疫组织化学法观察胎盘HO-1、IGF-1的表达,用酶联免疫吸附法测定胎盘HO-1、IGF-1水平。结果:巨大儿A组、B组胎盘HO-1、IGF-1表达强度均高于对照组(P<0.05),巨大儿A组、B组与对照组比较,胎盘HO-1、IGF-1水平均增高(P<0.05),而巨大儿A组与B组之间HO-1、IGF-1的表达强度及水平比较,差异无统计学意义(P>0.05)。巨大儿A组及B组HO-1与IGF-1的水平均呈正相关(P<0.05)。结论:胎盘HO-1、IGF-1的表达水平可能与巨大儿的发生有关。

Objective: To investigate the changes of heme oxygenase-1(HO-1),insulin-like growth factor-1(IGF-1) in healthy macrosomia placenta and macrosomia of gestational diabetic placenta and it's significance.Methods: Sixty healthy full-term neonates were chosen and 12 cases of macrosomias who's mothers were gestational diabetes mellitus(GDM) patients as macrosomia group A,18 cases of macrosomias who's mothers were healthy as macrosomia group B,30 cases of normal birth weight neonates were as control group.The expression of HO-1,IGF-1 in placenta tissue were detected by the method of immunohistochemistry,the levels of HO-1,IGF-1 in placenta tissue were measured by enzyme linked immunosorbent assay.Results:The intensity of HO-1,IGF-1 expression in placenta of both macrosomia group A and macrosomia group B were higher than at in control group(all P<0.05),the comparison of HO-1,IGF-1 levels in plaecnta of both macrosomia group A and macrosomia group B were higher than at in control group(all P<0.05).There were no significant difference was found between macrosomia group A and macrosomia group B(P>0.05).Both macrosomia group A and macrosomia group B,the significant positve correlations were observed between levels of HO-1 and levels of IGF-1(P<0.05).Conclusion: The expression levels of placental HO-1,IGF-1 may have relationship with macrosomias.

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