发育医学电子杂志 2022, Vol. 10 Issue (4): 315-320 DOI: 10.3969/j.issn.2095-5340.2022.04.012
围产医学
综述
|产科
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p53 基因介导的细胞凋亡与复发性流产的 研究进展
靳元元 李铭德 刘洋 张建军
1. 潍坊医学院 临床医学院,山东 潍坊 261053;2. 潍坊医学院附属医院 产二科,山东 潍坊 261031)
Research progress of p53 gene-mediated apoptosis and recurrent spontaneous abortion
Jin Yuanyuan, Li Mingde, Liu Yang, et al
摘要 复发性流产(recurrent spontaneous abortion, RSA)是指同一对夫妇连续发生3 次或3 次以上的 自然流产,影响着1%~5% 的育龄期女性;现在很多 专家认为,连续发生2 次自然流产的妇女,再次发 生妊娠丢失的风险接近于连续发生3 次的妇女,因 此应该予以重视。RSA 病因复杂,可识别的原因包 括父母及胚胎染色体异常、解剖异常、内分泌异常、 感染、血栓倾向、免疫因素等,此外,依然存在一半 左右的RSA 病因未知[1] 。RSA 的病理基础是细胞 凋亡失衡。正常的妊娠是胎盘滋养层细胞不断地 进行凋亡和增殖的过程,细胞凋亡和细胞增殖的平 衡是妊娠成功的关键,而过度的凋亡将会使其失去 平衡,进而导致RSA。胎盘滋养层细胞凋亡受到多 种细胞因子的调控,并通过多种信号通路来完成, 目前研究所发现的细胞凋亡的信号通路主要有内 源性的线粒体凋亡通路和外源性的死亡受体凋亡 通路[2] 。
关键词:
复发性流产
p53
细胞凋亡
信号通路
收稿日期: 2021-11-24
发布日期: 2022-07-31
基金资助: 潍坊市科技发展计划项目(医学类)(2019YX058)
通讯作者:
张建军
E-mail: zhjianjun567@163.com
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