Study of correlation between intestinal flora and preeclampsia
ZHANG Jiwei1 JIA Sihui1 QIAO Jing1 WANG Cuixiu2
1.Inner Mongolia Medical University, Inner Mongolia Autonomous Region, Hohhot 010059, China;
2.Department of Gynaecology and Obstetrics, the Affiliated Hospital of Inner Mongolia Medical University, Inner Mongolia Autonomous Region, Hohhot 010059, China
Abstract:Preeclampsia is a unique complication during pregnancy, which seriously threatens the health of mothers and fetuses. Up to now, the etiology and pathogenesis have not been fully elucidated, but a large number of studies have shown that the pathogenesis may be related to inflammatory immune overactivation, abnormal glucose and lipid metabolism, oxidative stress, and other abnormalities. With the in-depth study of intestinal flora, studies have found that intestinal flora can affect the over-activation of inflammatory immunity by regulating inflammatory factors, cytokines, and the proliferation and differentiation of T cells. When intestinal flora is disturbed, short-chain fatty acids produced by metabolism are reduced, which affects glucose and lipid metabolism and jointly participate in the occurrence and development of preeclampsia. In addition, placental microecology can be a new entry point to explore the pathogenesis of preeclampsia. This provides new ideas for revealing the pathogenesis of preeclampsia and exploring the prevention and treatment of preeclampsia. This article reviews the current research on the correlation between intestinal flora and preeclampsia.
[1] 漆洪波,童超.从母胎界面着眼探究子痫前期的发病机制[J].中国实用妇科与产科杂志,2020,36(1):61-64.
[2] Ursell LK,Haiser HJ,Van Treuren W,et al. The intestinal metabolome:an intersection between microbiota and host [J]. Gastroenterology,2014,146(6):1470-1476.
[3] Ganesh BP,Nelson JW,Eskew JR,et al. Prebiotics,probiotics,and acetate supplementation prevent hypertension in a model of obstructive sleep apnea [J]. Hypertension,2018,72(5):1141-1150.
[4] Ranjbar R,Vahdati SN,Tavakoli S,et al. Immunomodulatory roles of microbiota-derived short-chain fatty acids in bacterial infections [J]. Biomed Pharmacother,2021,141:111817.
[5] Onyszkiewicz M,Gawry-Kopczyńska M,Konopelski P,et al. Butyric acid,a gut bacteria metabolite,lowers arterial blood pressure via colon-vagus nerve signaling and GPR41/43 receptors [J]. Pflugers Arch,2019,471(11-12):1441-1453.
[6] 赵诚,王伽略,赵扬玉.肠道菌群与子痫前期相关性的研究进展[J].中华围产医学杂志,2018,21(7):479-482.
[7] DiGiulio DB,Callahan BJ,McMurdie PJ,et al. Temporal and spatial variation of the human microbiota during pregnancy [J]. Proc Natl Acad Sci U S A,2015,112(35):11060-11065.
[8] Koren O,Goodrich JK,Cullender TC,et al. Host remodeling of the gut microbiome and metabolic changes during pregnancy [J]. Cell,2012,150(3):470-480.
[9] Pelzer E,Gomez-Arango LF,Barrett HL,et al. Review:maternal health and the placental microbiome [J]. Placenta,2017, 54:30-37.
[10] Smid MC,Ricks NM,Panzer A,et al. Maternal gut microbiome biodiversity in pregnancy [J]. Am J Perinatol,2018, 35(1):24-30.
[11] Gohir W,Whelan FJ,Surette MG,et al. Pregnancy-related changes in the maternal gut microbiota are dependent upon the mother’s periconceptional diet [J]. Gut Microbes,2015, 6(5):310-320.
[12] Gomez-Arango LF,Barrett HL,McIntyre HD,et al. Increased systolic and diastolic blood pressure is associated with altered gut microbiota composition and butyrate production in early pregnancy [J]. Hypertension,2016,68(4):974-981.
[13] 杨泽俊,王田田,尚宏伟,等.肠道菌群代谢产物与脑-肠-骨髓轴在高血压调节中的作用[J].国际心血管病杂志,2021,48(1):17-21.
[14] Xue B,Thunhorst RL,Yu Y,et al. Central renin-angiotensin system activation and inflammation induced by high-fat diet sensitize angiotensin Ⅱ-elicited hypertension [J]. Hypertension,2016,67(1):163-170.
[15] 罗晓蕾,王涛.2019年ACOG妊娠期高血压疾病妇产科医师临床管理指南要点解读[J].实用妇产科杂志,2019, 35(4):24-27.
[16] 陈夏.肠道菌群失调介导的细菌移位在子痫前期发生中的作用及机制研究[D].广州:南方医科大学,2020.
[17] Liu J,Yang H,Yin Z,et al. Remodeling of the gut microbiota and structural shifts in preeclampsia patients in South China [J]. Eur J Clin Microbiol Infect Dis,2017,36(4):713-719.
[18] Ishimwe JA,Akinleye A,Johnson AC,et al. Gestational gut microbial remodeling is impaired in a rat model of preeclampsia superimposed on chronic hypertension [J]. Physiol Genomics,2021,53(3):125-136.
[19] Chang Y,Chen Y,Zhou Q,et al. Short-chain fatty acids accompanying changes in the gut microbiome contribute to the development of hypertension in patients with preecl- ampsia [J]. Clin Sci(Lond),2020,134(2):289-302.
[20] Wang J,Gu X,Yang J,et al. Gut microbiota dysbiosis and increased plasma LPS and TMAO levels in patients with preeclampsia [J]. Front Cell Infect Microbiol,2019,9:409.
[21] 金华.肠道菌群是高血压干预的新靶点[J].基础医学与临床,2018,38(3):413-417.
[22] Fu J,Bonder MJ,Cenit MC,et al. The gut microbiome contributes to a substantial proportion of the variation in blood lipids [J]. Circ Res,2015,117(9):817-824.
[23] Amarasekara R,Jayasekara RW,Senanayake H,et al. Microbiome of the placenta in preeclampsia supports the role of bacteria in the multifactorial cause of preeclampsia [J]. J Obstet Gynaecol Res,2015,41(5):662-669.
[24] Khan S,Jena G. Sodium butyrate reduces insulin-resistance,fat accumulation and dyslipidemia in type-2 diabetic rat:a comparative study with metformin [J]. Chem Biol Interact,2016,254:124-134.
[25] Kovalovszki L,Villányi Z,Pataki I,et al. Isolation of aerobic bacteria from the placenta [J]. Acta Paediatr Acad Sci Hung,1982,23(3):357-360.
[26] Aagaard K,Ma J,Antony KM,et al. The placenta harbors a unique microbiome [J]. Sci Transl Med,2014,6(237):237ra65.
[27] Barak S,Oettinger-Barak O,Machtei EE,et al. Evidence of periopathogenic microorganisms in placentas of women with preeclampsia [J]. J Periodontol,2007,78(4):670-676.
[28] Kuperman AA,Zimmerman A,Hamadia S,et al. Deep microbial analysis of multiple placentas shows no evidence for a placental microbiome [J]. BJOG,2020,127(2):159-169.
[29] 孟骁,钟世林,邓玉清.胎盘微生物的研究进展[J].中国妇产科临床杂志,2020,21(6):667-669.
[30] Upadrasta A,Madempudi RS. Probiotics and blood pressure:current insights [J]. Integr Blood Press Control,2016,9:33-42.
[31] Nordqvist M,Jacobsson B,Brants?覸ter AL,et al. Timing of probiotic milk consumption during pregnancy and effects on the incidence of preeclampsia and preterm delivery:a prospective observational cohort study in Norway [J]. BMJ Open,2018,8(1):e018021.
[32] Robles-Vera I,Toral M,de la Visitación N,et al. Probiotics prevent dysbiosis and the rise in blood pressure in genetic hypertension:role of short-chain fatty acids [J]. Mol Nutr Food Res,2020,64(6):e1900616.