胎儿生长限制和早产视网膜病变之间的关联使用独特的同卵双胞胎模型
Jip A Spekman1, Salma El Emrani2,3, Nicoline E Schalij-Delfos3
1Neonatology, Willem-Alexander Children's Hospital, Department of Pediatrics, Leiden University Medical Center, Leiden, The Netherlands. J.A.Spekman@lumc.nl.
Pediatric research
|May 31, 2023
概括
双胞胎胎的胎儿生长限制 (FGR) 显著增加了早产视网膜病变 (ROP) 的风险. 这项针对同卵双胞胎的研究证实了FGR是危险因素,强调了产前和新生儿条件对ROP发育的影响.
科学领域:
- 新生儿科学 新生儿科学
- 眼科医生 眼科 眼科
- 周围生理学 周围生理学
背景情况:
- 胎儿生长限制 (FGR) 是已知的早产视网膜病变 (ROP) 的风险因素.
- 单体研究中的混因素包括遗传,产科和母亲的影响.
- 研究生长不一致的同卵双胞胎可以最大限度地减少混变量.
研究的目的:
- 为了确定FGR对生长不一致的同卵双胞胎ROP发育的影响.
- 通过研究单角双胞胎来控制遗传和环境因素.
- 为了在不一致的双胞胎中比较较小和较大的双胞胎之间的ROP结果.
主要方法:
- 对具有≥20%出生体重不一致的单胆双胞胎 (MC) 双胞胎对进行了回顾性审查 (2010-2021年).
- 对ROP存在和潜在风险因素的分析.
- 每对中较小和较大的双胞胎之间的结果比较.
主要成果:
- 分析了88对具有生长不一致的MC双胞胎对.
- 在较小的双胞胎 (30%) 与较大的双胞胎 (13%) 相比,ROP的患病率更高,赔率比率为2.8.
- 更小的双胞胎经历了更长的机械呼吸和更早的第一次输血.
结论:
- 在同卵双胞胎中,FGR与ROP发育的几率几乎增加了三倍.
- 不良的产前生长和不良的新生儿结局都会导致ROP.
- 针对性ROP预防对于长时间通风或早期输血的生长受限制新生儿至关重要.
相关概念视频
Regression Toward the Mean
6.3K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.3K
Teratogenicity
2.5K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
2.5K
The Retinoblastoma Gene
4.1K
Tumor suppressor genes are normal genes that can slow down cell division, repair DNA mistakes, or program the cells for apoptosis in case of irreparable damage. Hence, they play an essential role in preventing the proliferation of damaged cells.
The first-ever tumor suppressor gene called Rb was identified in retinoblastoma - a rare eye tumor in children. In inherited forms of the disease, a child inherits one defective copy of the Rb gene, which predisposes them to retinoblastoma. However,...
The first-ever tumor suppressor gene called Rb was identified in retinoblastoma - a rare eye tumor in children. In inherited forms of the disease, a child inherits one defective copy of the Rb gene, which predisposes them to retinoblastoma. However,...
4.1K


