目的探究盆底功能障碍性疾病(pelvic floor dysfunctional disease,PFD)患者血清微小RNA(microRNA,miR)-4429和微小RNA(microRNA,miR)-19-3p水平表达及意义。方法选取2021年6月~2022年6月衡水市第二人民医院收治的PFD患者90例作为PFD组...目的探究盆底功能障碍性疾病(pelvic floor dysfunctional disease,PFD)患者血清微小RNA(microRNA,miR)-4429和微小RNA(microRNA,miR)-19-3p水平表达及意义。方法选取2021年6月~2022年6月衡水市第二人民医院收治的PFD患者90例作为PFD组,分为盆腔器官脱垂(pelvic organ prolapse,POP)组(n=50)、压力性尿失禁(stress urinary incontinence,SUI)组(n=25)和POP并发SUI组(n=15);并选取同期在衡水市第二人民医院检查的健康女性80例为对照组。比较对照组与PFD组分娩方式、既往流产史、PFD家族史等一般资料。比较各组血清miR-4429和miR-19-3p水平。受试者工作特征(receiver operating characteristic,ROC)曲线分析血清miR-4429,miR-19-3p水平对PFD的诊断价值。Logistic回归分析影响PFD的因素。配对样本t检验比较PFD治疗前后血清miR-4429,miR-19-3p水平变化。结果PFD组在分娩方式、既往流产史、PFD家族史方面与对照组相比差异均有统计学意义(t=4.415,6.444,4.707,均P<0.05)。PFD组血清miR-4429水平较对照组降低(0.71±0.19 vs 1.00±0.25),miR-19-3p水平较对照组升高(1.44±0.35 vs 1.01±0.28),差异具有统计学意义(t=8.927,8.772,均P<0.05)。POP组和SUI组血清miR-4429水平高于POP并发SUI组(0.73±0.22,0.74±0.16 vs 0.59±0.16),POP组和SUI组血清miR-19-3p水平低于POP并发SUI组(1.35±0.39,1.41±0.31 vs 1.77±0.56),差异具有统计学意义(t=3.531,3.411;5.003,3.865,均P<0.05)。ROC曲线分析显示,miR-4429,miR-19-3p可辅助评估是否发生PFD的曲线下面积(area under curve,AUC)分别为0.805,0.825,二者联合检测的AUC为0.865。多因素分析显示,miR-19-3p是影响PFD的危险因素,miR-4429是保护因素。经过治疗发现,PFD患者血清miR-4429水平升高(0.93±0.23 vs 0.71±0.19),miR-19-3p水平降低(1.12±0.29 vs 1.44±0.35),差异具有统计学意义(t=6.996,6.679,均P<0.05)。结论PFD患者血清miR-4429水平降低,miR-19-3p水平升高,血清miR-4429,miR-19-3p水平与PFD疾病的发生发展密切相关,可作为预测PFD的评估指标。展开更多
Objective Innate lymphoid cells(ILCs)are a class of newly discovered immunocytes.Group 1 ILCs(ILC1s)are identified in the decidua of humans and mice.High mobility group box 1(HMGB1)is predicted to be one of the target...Objective Innate lymphoid cells(ILCs)are a class of newly discovered immunocytes.Group 1 ILCs(ILC1s)are identified in the decidua of humans and mice.High mobility group box 1(HMGB1)is predicted to be one of the target genes of miR-142-3p,which is closely related to pregnancy-related diseases.Furthermore,miR-142-3p and HMGB1 are involved in regulating the NF-κB signaling pathway.This study aimed to examine the regulatory effect of miR-142-3p on ILC1s and the underlying mechanism involving HMGB1 and the NF-κB signaling pathway.Methods Mouse models of normal pregnancy and abortion were constructed,and the alterations of ILC1s,miR-142-3p,ILC1 transcription factor(T-bet),and pro-inflammatory cytokines of ILC1s(TNF-α,IFN-γand IL-2)were detected in mice from different groups.The targeting regulation of HMGB1 by miR-142-3p in ILC1s,and the expression of HMGB1 in normal pregnant mice and abortive mice were investigated.In addition,the regulatory effects of miR-142-3p and HMGB1 on ILC1s were detected in vitro by CCK-8,Annexin-V/PI,ELISA,and RT-PCR,respectively.Furthermore,changes of the NF-κB signaling pathway in ILC1s were examined in the different groups.For the in vivo studies,miR-142-3p-Agomir was injected in the uterus of abortive mice to evaluate the abortion rate and alterations of ILC1s at the maternal-fetal interface,and further detect the expression of HMGB1,pro-inflammatory cytokines,and the NF-κB signaling pathway.Results The number of ILC1s was significantly increased,the level of HMGB1 was significantly upregulated,and that of miR-142-3p was considerably downregulated in the abortive mice as compared with the normal pregnant mice(all P<0.05).In addition,miR-142-3p was found to drastically inhibit the activation of the NF-κB signaling pathway(P<0.05).The number of ILC1s and the levels of pro-inflammatory cytokines were significantly downregulated and the activation of the NF-κB signaling pathway was inhibited in the miR-142-3p Agomir group(all P<0.05).Conclusion miR-142-3p can regulate ILC1s by targeting HMGB1 via the NF-κB signaling pathway,and attenuate the inflammation at the maternal-fetal interface in abortive mice.展开更多
文摘目的探究盆底功能障碍性疾病(pelvic floor dysfunctional disease,PFD)患者血清微小RNA(microRNA,miR)-4429和微小RNA(microRNA,miR)-19-3p水平表达及意义。方法选取2021年6月~2022年6月衡水市第二人民医院收治的PFD患者90例作为PFD组,分为盆腔器官脱垂(pelvic organ prolapse,POP)组(n=50)、压力性尿失禁(stress urinary incontinence,SUI)组(n=25)和POP并发SUI组(n=15);并选取同期在衡水市第二人民医院检查的健康女性80例为对照组。比较对照组与PFD组分娩方式、既往流产史、PFD家族史等一般资料。比较各组血清miR-4429和miR-19-3p水平。受试者工作特征(receiver operating characteristic,ROC)曲线分析血清miR-4429,miR-19-3p水平对PFD的诊断价值。Logistic回归分析影响PFD的因素。配对样本t检验比较PFD治疗前后血清miR-4429,miR-19-3p水平变化。结果PFD组在分娩方式、既往流产史、PFD家族史方面与对照组相比差异均有统计学意义(t=4.415,6.444,4.707,均P<0.05)。PFD组血清miR-4429水平较对照组降低(0.71±0.19 vs 1.00±0.25),miR-19-3p水平较对照组升高(1.44±0.35 vs 1.01±0.28),差异具有统计学意义(t=8.927,8.772,均P<0.05)。POP组和SUI组血清miR-4429水平高于POP并发SUI组(0.73±0.22,0.74±0.16 vs 0.59±0.16),POP组和SUI组血清miR-19-3p水平低于POP并发SUI组(1.35±0.39,1.41±0.31 vs 1.77±0.56),差异具有统计学意义(t=3.531,3.411;5.003,3.865,均P<0.05)。ROC曲线分析显示,miR-4429,miR-19-3p可辅助评估是否发生PFD的曲线下面积(area under curve,AUC)分别为0.805,0.825,二者联合检测的AUC为0.865。多因素分析显示,miR-19-3p是影响PFD的危险因素,miR-4429是保护因素。经过治疗发现,PFD患者血清miR-4429水平升高(0.93±0.23 vs 0.71±0.19),miR-19-3p水平降低(1.12±0.29 vs 1.44±0.35),差异具有统计学意义(t=6.996,6.679,均P<0.05)。结论PFD患者血清miR-4429水平降低,miR-19-3p水平升高,血清miR-4429,miR-19-3p水平与PFD疾病的发生发展密切相关,可作为预测PFD的评估指标。
基金supported by the National Key Research and Development Program of China(Nos.2018YFC1002804 and 2016YFC1000600)the National Natural Science Foundation of China(Nos.81771618 and 81971356)the Fundamental Research Funds for the Central Universities(No.2042023kf0028).
文摘Objective Innate lymphoid cells(ILCs)are a class of newly discovered immunocytes.Group 1 ILCs(ILC1s)are identified in the decidua of humans and mice.High mobility group box 1(HMGB1)is predicted to be one of the target genes of miR-142-3p,which is closely related to pregnancy-related diseases.Furthermore,miR-142-3p and HMGB1 are involved in regulating the NF-κB signaling pathway.This study aimed to examine the regulatory effect of miR-142-3p on ILC1s and the underlying mechanism involving HMGB1 and the NF-κB signaling pathway.Methods Mouse models of normal pregnancy and abortion were constructed,and the alterations of ILC1s,miR-142-3p,ILC1 transcription factor(T-bet),and pro-inflammatory cytokines of ILC1s(TNF-α,IFN-γand IL-2)were detected in mice from different groups.The targeting regulation of HMGB1 by miR-142-3p in ILC1s,and the expression of HMGB1 in normal pregnant mice and abortive mice were investigated.In addition,the regulatory effects of miR-142-3p and HMGB1 on ILC1s were detected in vitro by CCK-8,Annexin-V/PI,ELISA,and RT-PCR,respectively.Furthermore,changes of the NF-κB signaling pathway in ILC1s were examined in the different groups.For the in vivo studies,miR-142-3p-Agomir was injected in the uterus of abortive mice to evaluate the abortion rate and alterations of ILC1s at the maternal-fetal interface,and further detect the expression of HMGB1,pro-inflammatory cytokines,and the NF-κB signaling pathway.Results The number of ILC1s was significantly increased,the level of HMGB1 was significantly upregulated,and that of miR-142-3p was considerably downregulated in the abortive mice as compared with the normal pregnant mice(all P<0.05).In addition,miR-142-3p was found to drastically inhibit the activation of the NF-κB signaling pathway(P<0.05).The number of ILC1s and the levels of pro-inflammatory cytokines were significantly downregulated and the activation of the NF-κB signaling pathway was inhibited in the miR-142-3p Agomir group(all P<0.05).Conclusion miR-142-3p can regulate ILC1s by targeting HMGB1 via the NF-κB signaling pathway,and attenuate the inflammation at the maternal-fetal interface in abortive mice.