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ACVR2A与子痫前期相关性研究进展
作者单位:哈尔滨医科大学附属第二医院超声科
摘    要:子痫前期是一种妊娠特异性疾病,是孕产妇和围生期死亡的主要原因。至今尚无任何一种假说可以彻底地解释子痫前期的病理变化,目前比较公认的特征是早期胎盘滋养细胞浸润和螺旋动脉重铸减少。ACVR2A(activin A receptor type 2A)是转化生长因子β(TGF-β)受体家族的成员,被认为是生殖功能的重要调节因子,尤其是在蜕膜化、滋养细胞浸润和胎盘形成过程中起重要作用。近些年的研究表明激活素A及其受体在子痫前期的发生、发展过程中有重要的调控作用。综述ACVR2A与子痫前期的关系,旨在为子痫前期的发病机制、早期诊断及治疗提供新的理论依据。

关 键 词:先兆子痫  ACVR2A  滋养细胞浸润  滋养层  螺旋动脉重构

Research Progress on the Correlation between ACVR2A and Pre-Eclampsia
FENG Ya-nan,SUN Li-tao,LU Rui,LI Xiaoying,ZHANG Shuang. Research Progress on the Correlation between ACVR2A and Pre-Eclampsia[J]. Journal of International Obstetrics and Gynecology, 2020, 0(2): 169-172
Authors:FENG Ya-nan  SUN Li-tao  LU Rui  LI Xiaoying  ZHANG Shuang
Affiliation:(Department of Ultrasound,The Second Affiliated Hospital of Harbin Medical University,Harbin 150081,China)
Abstract:Pre-eclampsia is a pregnancy-specific disease and a leading cause of maternal and perinatal death.Until now,no hypothesis can fully explain the pathological changes of pre-eclampsia,which is characterized by early placental trophoblast infiltration and decreased spiral artery remodeling.ACVR2A(activin A receptor type 2A),a member of the transforming growth factorβ(TGF-β)receptor family,is considered as an important regulator of reproductive function,especially in the process of decidualization,trophoblast cell infiltration and placental formation.Recent studies have shown that activin A and its receptor play an important regulatory role in the occurrence and development of pre-eclampsia.This paper reviews the relationship between ACVR2A and pre-eclampsia,aiming to provide a new theoretical basis for the pathogenesis,early diagnosis and treatment of pre-eclampsia.
Keywords:Pre-eclampsia  ACVR2A  Trophoblast invasion  Trophoblasts  Spiral artery remodeling
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