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外科片产科妇科云南省第一人民医院
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.
基金:
Grants of Fostering Leading Talents in Health System from the Health Department of Yunnan Province [201201]
第一作者机构:[1]Faculty of Environmental Science and Engineering[2]Medical School, Kunming University of Science and Technology
共同第一作者:
通讯作者:
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.
推荐引用方式(GB/T 7714):
Hu Jilin,Zhang Jinman,Chan Ying,et al.A rat model of placental inflammation explains the unexplained elevated maternal serum alpha-fetoprotein associated with adverse pregnancy outcomes[J].JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH.2019,45(10):1980-1988.doi:10.1111/jog.14085.
APA:
Hu, Jilin,Zhang, Jinman,Chan, Ying&Zhu, Baosheng.(2019).A rat model of placental inflammation explains the unexplained elevated maternal serum alpha-fetoprotein associated with adverse pregnancy outcomes.JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH,45,(10)
MLA:
Hu, Jilin,et al."A rat model of placental inflammation explains the unexplained elevated maternal serum alpha-fetoprotein associated with adverse pregnancy outcomes".JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH 45..10(2019):1980-1988