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作 者:禤文婷 陈丽霞 黎美金 叶伟标[1] 张秀薇 李仲均[1] XUAN Wen-ting;CHEN Li-xia;LI Mei-jin;YE Wei-biao;ZHANG Xiu-wei;LI Zhong-jun(Dongguan People's Hospital of Southern Medical University,Dongguan 523059,China)
机构地区:[1]南方医科大学附属东莞人民医院,广东东莞523059
出 处:《中国实用妇科与产科杂志》2020年第1期90-92,共3页Chinese Journal of Practical Gynecology and Obstetrics
基 金:国家卫生计生委医药卫生科技发展研究中心科研项目(W2O16CWGDO5);广东省医学科学技术研究基金(C2017034,C2018053,C2018054);东莞市礼会科技发展重点项冃(201950715001208)。
摘 要:目的探讨妊娠期糖尿病(GDM)患者外周血胎盘来源外泌体中miRNA的表达情况,评估其在GDM早期预测中的价值。方法选取2018年1月至12月在南方医科大学附属东莞人民医院诊治的GDM患者25例、健康孕妇25例。利用密度梯度离心法分离血清中胎盘来源外泌体;通过基因芯片和实时荧光定量PCR检测miRNA表达情况;建立logistic回归模型,以ROC曲线分析其预测效能。结果GDM患者胎盘来源外泌体中存在7种异常表达的miRNAs,其中miR-122、miR-29a、miR-210、miR-20、miR-192表达显著上调,而miR-223、miR-130a表达明显下调。7种miRNA联合检测AUC值为0.903(95%CI 0.813~0.992)。结论胎盘来源外泌体中异常表达的miRNA可作为GDM早期预测的潜在标志物,值得深入研究。ObjectiveTo investigate the miRNA expression of placenta-derived exosomes in patients with gestationaldiabetes mellitus(GDM),and evaluate its value in early prediction of GDM.MethodsA total of 25 pregnant womenwith GDM and 25 healthy controls were recruited from January 2018 to December 2018 at Dongguan People’s Hospital ofSouthern Medical University.The placenta-derived exosomes were extracted by density gradient centrifugation.Themi RNA expression was assessed using microarray and real-time quantitative PCR.Logistic regression model wasestablished and ROC curve was applied to evaluate its predictive value.ResultsA total of 7 dysregulated mi RNAs wereidentified,including 5 up-regulated mi RNAs(miR-122,mi R-29 a,miR-210,miR-20,miR-192)and 2 down-regulated mi RNAs(miR-223,miR-130 a).The AUC of 7-mi RNA panel was 0.903(95%CI 0.813~0.992).Conclusion Dysregulated mi RNAs of placenta-derived exosomes have potential value in early prediction of GDM,and deservefurther investigation.
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