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在孕产妇糖尿病中炎症和胎盘的相互作用:对霍夫尔细胞表达模式的洞察
Zdenek Tauber1, Adela Burianova1, Katerina Koubova1
1Department of Histology and Embryology, Faculty of Medicine and Dentistry, Palacky University, Olomouc, Czechia.
Frontiers in immunology
|April 9, 2024
概括
孕产妇糖尿病,包括1型糖尿病 (T1DM) 和妊娠糖尿病 (GDM),会改变胎盘的霍夫尔细胞 (HBCs). T1DM增加了炎症,而GDM显示了SEH表达的改变和延迟状成熟,影响胎儿发育.
科学领域:
- 产科和妇科 产科和妇科
- 免疫学 免疫学 免疫学
- 内分泌学 在内分泌学.
背景情况:
- 胎盘炎症对母亲和胎儿都有风险.
- 糖尿病是一种常见的妊娠并发症.
- 霍夫尔细胞 (Hofbauer cells,HBCs) 是胎盘中的关键胎儿免疫细胞,在胎盘发育中起着关键作用.
研究的目的:
- 研究1型糖尿病 (T1DM) 和孕期糖尿病 (GDM) 患者的胎盘霍夫尔细胞 (HBC) 中的炎症标记物 (IL-1β,IL-10) 和特定酶 (CYP环氧酶,sEH) 的表达.
- 评估T1DM和GDM对胎盘小层结构和血管化的影响.
主要方法:
- 用免疫组织化学分析IL-1β,IL-10,CYP2C8,CYP2C9,CYP2J2和可溶性环氧化酶 (sEH) 在HBCs中的表达.
- 马森的三色染色被用来评估小层层结构.
主要成果:
- 1型糖尿病 (T1DM) 与增加IL-1β和降低HBCs中的CYP环氧酶表达有关.
- 孕期糖尿病 (GDM) 显示稳定的IL-1β和CYP环氧酶水平,但在HBCs中增加了SEH表达.
- 两种T1DM和GDM都表现出延迟的胎盘小成熟和低血管化,而GDM表现出更严重的影响.
结论:
- IL-1β,CYP环氧酶和sEH的表达特征在对照和糖尿病胎盘之间,以及T1DM和GDM之间有显著差异.
- 该CYP环氧化酶-环氧化酸 (EETs) -sEH轴可能与IL-1β表达和胎盘低血管化有关.
- 稳定高IL-10表达表明,所有组的HBC中都保持了免疫耐受性.
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