CN114470161A - 骨形态发生蛋白6在子痫前期早期诊断、预防及治疗中的应用 - Google Patents
骨形态发生蛋白6在子痫前期早期诊断、预防及治疗中的应用 Download PDFInfo
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Abstract
本发明涉及生物医药技术领域,具体涉及骨形态发生蛋白6在子痫前期早期诊断及治疗中的应用。本发明提供BMP6作为子痫前期早期诊断/治疗标志物的应用,BMP6联合PlGF和激活素A在子痫前期早期诊断中的应用,以及BMP6在制备子痫前期预防和治疗药物的应用。本发明发现了BMP6联合PlGF和激活素A在子痫前期早期诊断中可提高现有诊断标记物对子痫前期诊断效果;并且还发现了BMP6能够增加人滋养层细胞的侵袭力和内皮特性获得,改善子痫前期早期的胎盘滋养细胞侵袭不足和血管重塑不良,继而改善子痫前期的发展,具有制备子痫前期预防和治疗药物的潜力。
Description
技术领域
本发明涉及生物医药技术领域,具体涉及骨形态发生蛋白6在子痫前期早期诊断、预防及治疗中的应用。
背景技术
公开该背景技术部分的信息仅仅旨在增加对本发明的总体背景的理解,而不必然被视为承认或以任何形式暗示该信息构成已经成为本领域一般技术人员所公知的现有技术。
子痫前期是常见的妊娠相关疾病,是导致孕产妇和新生儿发病及死亡的主要原因之一。由于子痫前期的病因和发病机制复杂,目前临床诊疗中尚缺乏除对症治疗外的有效靶标治疗药物,多数患者不得不接受提前终止妊娠的手术治疗。此外,早期诊断和识别子痫前期患者可帮助临床医生提前发现高危人群并对子痫前期患者进行早期管理和治疗,阻止病情恶化,降低不良孕产结局发生率。但是,目前尚无针对子痫前期早期诊断治疗的有效靶标。因此,深入阐明发病机制并筛查有效的诊疗潜在靶点分子对于子痫前期的诊断和干预尤为必要。
胎盘分泌的生长因子可在母胎界面对胎盘发育过程中滋养层细胞分化和功能起关键调控作用,被认为可以作为子痫前期早期预测及治疗的潜在靶标。此外,胎盘分泌的生长因子可以进入母体血液循环,其在母体妊娠期血液中的表达水平陆续被认为能够反映胎盘发育情况,并有望成为子痫前期发生的早期预测诊断靶标分子。已有研究提出可通过检测妊娠早期孕妇外周血血清中激活素A, sEndoglin,PlGF,sFLT-1,VEGF等胎盘分泌生长因子的表达水平来预测子痫前期的发病风险。但上述已知的标记分子预测子痫前期的特异性和准确性仍有待进一步证实,且妊娠母体血清中sFLT-1, PlGF,sEndoglin,激活素A,sFLT1:PlGF表达水平变化往往伴随疾病症状的迅速出现,无法在妊娠早期(如妊娠11-12周)对子痫前期的发生进行预警和诊断。因此,发掘妊娠早期母体外周血中新的与子痫前期相关的关键胎盘分泌因子,筛选敏感有效的生物标志物,对于子痫前期的早期诊断、早期干预尤为必要。
发明内容
针对现有技术中存在的问题,本发明的目的是提供一种骨形态发生蛋白6(BMP6)在子痫前期早期诊断、预防及治疗中的应用,提供BMP6联合PlGF和激活素A在子痫前期早期诊断中的应用,提高现有诊断标记物对子痫前期诊断效果;并且还发现了BMP6具有预防及治疗子痫前期治疗的潜力。
为了实现上述目的,本发明的技术方案如下所述:
在本发明的第一方面,提供骨形态发生蛋白6(BMP6)作为子痫前期早期诊断/预防/治疗标志物的应用。
在本发明的第二方面,提供骨形态发生蛋白6(BMP6)联合PlGF和激活素A在子痫前期早期诊断中的应用;
BMP6联合PlGF、激活素A可提高现有诊断标记物对子痫前期诊断效果(AUC:0.943)。BMP6 联合PlGF、激活素A诊断与患者收缩压(SBP)和肌酐水平正相关(P<0.05)。
在本发明的第三方面,提供一种子痫前期诊断试剂盒,所述诊断试剂盒中包括检测BMP6、PlGF 和激活素A表达含量的试剂。
在本发明的第四方面,提供一种骨形态发生蛋白6(BMP6)在制备子痫前期预防/治疗药物的应用;
所述预防/治疗药物的作用包括:
增加人滋养层细胞的侵袭力和内皮特性获得;
预防子痫前期早期的胎盘滋养细胞侵袭不足和血管重塑不良,继而预防子痫前期的发生,降低子痫前期的发生风险。
在本发明的第五方面,提供一种子痫前期预防/治疗方法,所述预防/治疗方法包括改善子痫前期早期的胎盘滋养细胞侵袭不足和血管重塑不良,减轻子痫前期患者妊娠期高血压、蛋白尿症状的严重程度。
在本发明的第六方面,提供一种子痫前期的预防/治疗药物,所述药物以骨形态发生蛋白6 (BMP6)作为活性物质。
本发明的具体实施方式具有以下有益效果:
本发明提供BMP6作为子痫前期早期诊断/治疗标志物的应用,发现了BMP6联合PlGF和激活素A在子痫前期早期诊断中可提高现有诊断标记物对子痫前期诊断效果;并且还发现了BMP6能够增加人滋养层细胞的侵袭力和内皮特性获得,改善子痫前期早期的胎盘滋养细胞侵袭不足和血管重塑不良,继而改善子痫前期的进展,具有制备子痫前期预防及治疗药物的潜力。
附图说明
构成本发明的一部分的说明书附图用来提供对本发明的进一步理解,本发明的示意性实施例及其说明用于解释本发明,并不构成对本发明的不当限定。
图1:A上图:ELISA检测正常和子痫前期孕妇血清中BMP6、水平(N为41vs.26);下图: ROC曲线显示血清中BMP6水平对子痫前期的诊断效能;
B上图:ELISA检测正常和子痫前期孕妇血清中PlGF水平(N为42vs.29);下图:ROC曲线显示血清中PlGF水平对子痫前期的诊断效能;
C上图:ELISA检测正常和子痫前期孕妇血清中激活素A(C)水平(N为36vs.24);下图:ROC 曲线显示血清中激活素A水平对子痫前期的诊断效能;
D,BMP6与PlGF血清浓度的Pearson相关性分析;
E,BMP6与激活素A血清浓度的Pearson相关性分析;
F,ROC曲线显示BMP6与PlGF、激活素A联合公式对子痫前期的诊断效能(N=36vs.24)。联合公式=BMP6×激活素A/PlGF;
G,联合公式与患者SBP的Pearson相关分析(N=36vs.24);
H,联合公式与患者血清肌酐水平的Pearson相关分析(N=36vs.24);
图2:A为HTR8/SVneo细胞分别用空白载体或BMP6(50ng/ml)处理24小时,分析细胞侵袭性;左图显示代表性图像,右图显示定量结果;比例尺,200μm;
B为HTR8/SVneo细胞分别用空白载体或BMP6(50ng/ml)处理24小时,分析内皮样管形成情况;左图显示代表性图像,右图显示定量结果;比例尺,200μm。
具体实施方式
应该指出,以下详细说明都是例示性的,旨在对本申请提供进一步的说明。除非另有指明,本申请使用的所有技术和科学术语具有与本申请所属技术领域的普通技术人员通常理解的相同含义。
需要注意的是,这里所使用的术语仅是为了描述具体实施方式,而非意图限制根据本申请的示例性实施方式。如在这里所使用的,除非上下文另外明确指出,否则单数形式也意图包括复数形式,此外,还应当理解的是,当在本说明书中使用术语“包含”和/或“包括”时,其指明存在特征、步骤、操作、器件、组件和/或它们的组合。
下面结合具体的实施例对本发明作进一步的解释和说明。
实施例1
采集子痫前期孕妇和健康孕妇妊娠期间或分娩当天的清晨空腹血清样本,分装后于-80℃保存直至检测当天。
采用人BMP6 ELISA试剂盒(LSBio,#LS-F4538)对采集的子痫前期孕妇和健康孕妇的血清样本进行ELISA测定。具体根据ELISA试剂盒生产商的说明书进行检测。在美国Molecular Devices 公司的SpectraMax Plus酶标仪上,从450nm处读数减去540nm处读数,即可测得最终的吸光度值。
上述样品的血清BMP6水平可通过将吸光度值带入标准曲线的拟合公式(具体依据ELISA试剂盒生产商的说明书实施)计算得出。
结果表明,血清BMP6水平在子痫前期患者中相较正常孕妇显著升高(P<0.05),如图1A-C 的上图所示。
通过ROC曲线进一步分析血清BMP6水平对所有子痫前期的诊断效果,结果显示血清BMP6 对子痫前期有较好的诊断效果(AUC:0.738),如图1A-C的下图所示。且血清BMP6水平与现有诊断血清生物学标记物PlGF(图1D)、激活素A(图1E)有较好的相关性。
BMP6联合现有诊断血清生物学标记物PlGF、激活素A可提高现有诊断标记物对子痫前期诊断效果(AUC:0.943),如图1F所示。BMP6联合PlGF、激活素A诊断与患者收缩压(SBP)(图 1G)和肌酐(图1H)水平正相关(P<0.05)。
实施例2
用人BMP6蛋白(50ng/ml)(R&D,#355-BM-010)或空白载体处理人滋养层细胞24小时。
将步骤1中处理后的细胞分别消化后在含0.1%(vol/vol)胎牛血清DMEM培养基中重悬,取250μl含 8x104个细胞的细胞悬液接种在处理好的Transwell小室中(Transwell小室已提前用40μl浓度为1 mg/ml的基质胶包被,Transwell小室为孔径为8μm,Transwell小室与基质胶均采购于BD Biosciences)。Transwell小室下层中加入750μl含10%(vol/vol)胎牛血清的DMEM培养基。将接种后的细胞在37℃孵育36h后,将膜上部未侵袭的细胞擦拭干净,将膜下部细胞用冷甲醇(-20℃) 固定并风干。细胞核用Hoechst 33258(Abcam,#ab228550)染色,Olympus IX73倒置显微镜成像, Image-J软件分析两组侵袭细胞数。
将10mg/mL的基质胶与含0.1%(vol/vol)胎牛血清DMEM培养基1:1(vol/vol)稀释,在96孔板的每孔中加入50μL稀释后的基质胶,37℃孵育2小时固化。将步骤1中处理后的细胞分别消化后于含空白载体或BMP6的0.1%胎牛血清DMEM培养液中重悬,然后将50μL含3×104个细胞的细胞悬液接种于已准备好的基质胶中,37℃孵育12小时。采用Olympus IX73倒置显微镜拍摄,观察小管形成,并采用ImageJ软件测量分析。
研究发现,BMP6(50ng/ml)处理24小时后相较对照组可显著增加人滋养层细胞的侵袭力和内皮特性获得(P<0.05),从图2中可以看出,提示BMP6处理可能通过促进帮助滋养层细胞侵袭过程来改善子痫前期早期的胎盘滋养细胞侵袭不足和血管重塑不良,继而改善子痫前期的发展。
以上所述仅为本发明的优选实施例而已,并不用于限制本发明,对于本领域的技术人员来说,本发明可以有各种更改和变化。凡在本发明的精神和原则之内,所作的任何修改、等同替换、改进等,均应包含在本发明的保护范围之内。
Claims (7)
1.BMP6作为子痫前期早期诊断/预防/治疗标志物的应用。
2.BMP6联合PlGF和激活素A在子痫前期早期诊断中的应用。
3.一种子痫前期诊断试剂盒,其特征在于,所述诊断试剂盒中包括检测BMP6、PlGF和激活素A表达含量的试剂。
4.BMP6在制备子痫前期预防/治疗药物的应用。
5.如权利要求4所述的应用,其特征在于,预防/治疗药物的作用包括:
增加人滋养层细胞的侵袭力和内皮特性获得;
改善子痫前期早期的胎盘滋养细胞侵袭不足和血管重塑不良,继而改善子痫前期的发展。
6.一种子痫前期预防/治疗方法,其特征在于,所述预防/治疗方法包括改善子痫前期早期的胎盘滋养细胞侵袭不足和血管重塑不良。
7.一种子痫前期的预防/治疗药物,其特征在于,所述药物以BMP6作为活性物质。
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