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A rat model of placental inflammation explains the unexplained elevated maternal serum alpha-fetoprotein associated with adverse pregnancy outcomes

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机构: [1]Faculty of Environmental Science and Engineering [2]Medical School, Kunming University of Science and Technology [3]National Health Commission’s Key Laboratory for Healthy Births in Western China, Department of Obstetrics and Gynecology, First People’s Hospital of Yunnan Province, Kunming, China
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关键词: alpha-fetoprotein fetal growth restriction pre-eclampsia preterm birth stillbirth

摘要:
Aim It has been reported in numerous studies that elevated maternal serum alpha-fetoprotein (MS-AFP) is associated with adverse pregnancy outcomes (APO), such as pre-eclampsia, stillbirth, preterm birth and fetal growth restriction. However, the mechanism linking elevated MS-AFP and APO is obscure. In this study, we tried to explore the mechanism by using pregnant rats. Methods Lipopolysaccharide (LPS) was used to induce placental inflammation in pregnant rats. Maternal serum and placental inflammatory cytokines and placental morphology were used to assess the level of placental inflammation. The incidences of APO and the levels of MS-AFP were evaluated. The expressions of alpha-fetoprotein (AFP) in the related organs and fetal serum AFP levels were detected. Results Compared to saline-treated pregnant rats, LPS led to elevated maternal serum and placental inflammatory cytokines and a higher rate of placental inflammation. Lipopolysaccharide resulted in the features of APO and at the same time elevated MS-AFP. Maternal serum alpha-fetoprotein levels were significantly correlated to the evaluation parameters of APO. Lipopolysaccharide did not increase the expressions of AFP in fetal liver, maternal liver and placenta, but reduced the fetal serum AFP levels. Conclusion The phenomenon that elevated MS-AFP is associated with APO, which has been reported in human pregnancies, is observed in our rat model. Placental inflammation can be the potential cause linking the two manifestations together. Although the source of elevated MS-AFP is not identified, fetal blood circulation is suspected. Our study may provide an animal model for the future studies on this subject.

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出版当年[2019]版:
大类 | 4 区 医学
小类 | 4 区 妇产科学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 妇产科学
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出版当年[2018]版:
Q4 OBSTETRICS & GYNECOLOGY
最新[2023]版:
Q3 OBSTETRICS & GYNECOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2018版] 出版当年五年平均 出版前一年[2017版] 出版后一年[2019版]

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第一作者机构: [1]Faculty of Environmental Science and Engineering [2]Medical School, Kunming University of Science and Technology
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通讯机构: [2]Medical School, Kunming University of Science and Technology [3]National Health Commission’s Key Laboratory for Healthy Births in Western China, Department of Obstetrics and Gynecology, First People’s Hospital of Yunnan Province, Kunming, China [*1]National Health Commission’s Key Laboratory for Healthy Births in Western China, Department of Obstetrics and Gynecology, First People’s Hospital of Yunnan Province, No. 157, Jinbi Road, Xishan District, Kunming 650032, China.
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