胎儿暴露和早产:环境暴露和多omics证据的系统综合
Wiku Andonotopo1, Muhammad Adrianes Bachnas2, Julian Dewantiningrum3
1Fetomaternal Division, Women Health Center, Department of Obstetrics and Gynecology, Ekahospital BSD City, Tangerang, Banten, Indonesia.
Journal of perinatal medicine
|November 16, 2025
概括
环境暴露会破坏胎儿发育,增加早产 (PTB) 的风险. 多omics揭示了生物途径,有助于生物标志物发现精确的产前干预.
科学领域:
- 环境健康 环境健康
- 基因组学就是基因组学.
- 生殖生物学 生殖生物学
背景情况:
- 早产 (PTB) 是导致婴儿死亡率和发育问题的主要原因.
- 它的复杂起源涉及环境,遗传和心理社会因素,阻碍了预测和预防.
- 胎儿暴露组框架将环境影响与多原子数据相结合.
研究的目的:
- 系统地审查环境暴露如何通过多原子干扰影响PTB风险.
- 在胎儿暴露组范式中合成证据.
- 为了确定PTB风险分层的潜在生物标志物.
主要方法:
- 对95项人类研究进行了全面的文献搜索 (PRISMA指南).
- 提取有关暴露 (如空气污染,EDC,压力,营养),omics平台和PTB亚型的数据.
- 使用纽卡斯尔-太华尺度进行质量评估;根据暴露和PTB类型分层的发现.
主要成果:
- 环境暴露与氧化应激,炎症,免疫和荷尔蒙调节,胎盘衰老和微生物生态的干扰有关.
- 孕产妇,胎盘和胎儿组织中的多原子特征调解这些效应.
- 候选生物标志物显示出潜力,但需要验证才能在人口层面进行预测.
结论:
- 整合胎儿暴露组和多组组提供了对PTB的机制理解.
- 这种方法可以促进生物标志物发现,用于精确的产前干预.
- 临床应用需要标准化的暴露评估,生物标志物验证和公平的实施.
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