ST2 and IL-33 in pregnancy and pre-eclampsia.

ST2 and IL-33 in pregnancy and pre-eclampsia.
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妊娠和先兆子痫的ST2和IL-33。

DOI:
10.1371/journal.pone.0024463
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发表时间:
2011
期刊:
影响因子:
3.7
通讯作者:
Sargent IL
Sargent IL
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Granne I;Southcombe JH;Snider JV;Tannetta DS;Child T;Redman CW;Sargent IL

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正常妊娠与轻微的全身炎症反应和对 2 型细胞因子产生的免疫偏向有关,而先兆子痫的特点是更强烈的炎症反应,与内皮功能障碍和 1 型细胞因子占主导地位有关。白细胞介素 (IL)-33 是 IL-1 家族的新成员,它与其受体 ST2L 结合以诱导 2 型细胞因子。 ST2 (sST2) 的可溶性变体充当诱饵受体来调节 IL-33 的活性。在这项研究中,测量了正常妊娠每个三个月和先兆子痫女性的循环 IL-33 和 sST2。虽然 IL-33 在正常妊娠期间或非妊娠、正常妊娠或先兆子痫妇女之间没有变化,但 sST2 发生了显着变化。 sST2 在正常妊娠晚期升高(p<0.001),在先兆子痫中进一步升高(p<0.001)。这种增加是在疾病发作之前出现的(p<0.01)。先兆子痫是一种由胎盘源性因素引起的疾病,我们发现在正常胎盘和先兆子痫胎盘的裂解物中都可以检测到 IL-33 和 ST2。在合体滋养层上鉴定出 ST2,但未鉴定出 IL-33,而 IL-33 在血管周围组织上表达。在体外胎盘灌注模型中,sST2由胎盘分泌到“母体”洗脱液中,并且用促炎细胞因子处理或受到缺氧/再灌注损伤的胎盘外植体释放更多的sST2,这表明先兆子痫女性中循环sST2量增加的至少一部分源自胎盘。这些结果表明,sST2 可能在妊娠并发先兆子痫中发挥重要作用,并且 sST2 增加可能导致该疾病出现 1 型偏倚。
Normal pregnancy is associated with a mild systemic inflammatory response and an immune bias towards type 2 cytokine production, whereas pre-eclampsia is characterized by a more intense inflammatory response, associated with endothelial dysfunction and a type 1 cytokine dominance. Interleukin (IL)-33 is a newly described member of the IL-1 family, which binds its receptor ST2L to induce type 2 cytokines. A soluble variant of ST2 (sST2) acts as a decoy receptor to regulate the activity of IL-33. In this study circulating IL-33 and sST2 were measured in each trimester of normal pregnancy and in women with pre-eclampsia. While IL-33 did not change throughout normal pregnancy, or between non-pregnant, normal pregnant or pre-eclamptic women, sST2 was significantly altered. sST2 was increased in the third trimester of normal pregnancy (p<0.001) and was further increased in pre-eclampsia (p<0.001). This increase was seen prior to the onset of disease (p<0.01). Pre-eclampsia is a disease caused by placental derived factors, and we show that IL-33 and ST2 can be detected in lysates from both normal and pre-eclampsia placentas. ST2, but not IL-33, was identified on the syncytiotrophoblast layer, whereas IL-33 was expressed on perivascular tissue. In an in vitro placental perfusion model, sST2 was secreted by the placenta into the ‘maternal’ eluate, and placental explants treated with pro-inflammatory cytokines or subjected to hypoxia/reperfusion injury release more sST2, suggesting the origin of at least some of the increased amounts of circulating sST2 in pre-eclamptic women is the placenta. These results suggest that sST2 may play a significant role in pregnancies complicated by pre-eclampsia and increased sST2 could contribute to the type 1 bias seen in this disorder.
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