目的探讨米非司酮对人早孕绒毛组织中核转录因子-κB(NF-κB)表达的影响。方法人工流产组早孕绒毛18例和药物流产组早孕绒毛22例,应用逆转录聚合酶链反应(RT-PCR)和免疫组织化学技术分别测定两组早孕绒毛组织中NF-κB蛋白和mRNA的分布与含量。结果药物流产组早孕绒毛组织中NF-κBmRNA表达量与人工流产组相比下调明显(P〈0.01);药物流产组早孕绒毛细胞滋养层细胞中NF-κB蛋白表达与人工流产组相比明显下调(P〈0.05)。结论米非司酮引起早孕绒毛NF-κB表达降低,可能是米非司酮终止早孕的机理之一。
Objective To probe into the effect of mifepirstone on expression of nuclear factor-κB(NF-κB) in human villi during the early pregnancy. Methods Expression of NF-κB was detected in human villi of 18 surgical abortion women and 22 medical abortion women by RT-PCR and immunohistochemical analysis. Results Expression of NF-κB mRNA in villi of the medical abortion group was significantly weaker when compared with that of the surgical abortion group(P〈0.01),and expression of NF-κB protein in cytotrophoblasts of the medical abortion group was significantly weaker when compared with that of the surgical abortion group(P〈0.05). Conclusions Decreased expression of NF-κB in human villi induced by mifepristone may be one of the mechanisms for terminating early pregnancy.