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Citation of this paper:.[J].Chinese Journal of Clinical Medicine,2017,24(4):560-564
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Author NameAffiliation
丁晨1,吴维宾1,蔡眉2,张慧娟1* 1.上海交通大学医学院附属国际和平妇幼保健院病理科&生物样本库上海200030 2.上海交通大学医学院附属国际和平妇幼保健院检验科上海200030 
Abstract:Objective:To compare the expression of TP63 in placentas from intrahepatic cholestasis of pregnancy (ICP) patients and normal pregnant women, and to discuss the relationship between bile acid and TP63. Methods:Retrospective study was conducted on 70 placentas from ICP patients (ICP group) and 44 placentas from normal term pregnancy (control group). The samples were collected from January 2012 to December 2014 in the International Peace Maternity & Child Health Hospital Affiliated to Shanghai Jiao Tong University School of Medicine. Immunohistochemistry assay was applied to evaluate the protein expression of TP63 in placentas of the two groups. In addition, the mRNA level of TP63 was tested by RT qPCR assay in trophoblastic cell line JAR after pretreating with different concentrations of bile acids. Results:TP63 was majorly localized in cytotrophoblasts.The expression level of TP63 in placentas from ICP group were significantly lower than that in the control group (P<0.05). Moreover, the expression of TP63 was negatively correlated with total bile acid level in maternal serum at delivery (r=-0.679,P<0.001). Treatment with high concentration of bile acids reduced the mRNA level of TP63 in JAR cells. Conclusions:Down regulation of TP63 by excessive bile acids in placental trophoblasts would contribute to the progression of ICP possibly by attenuating the proliferation of trophoblasts.
keywords:intrahepatic cholestasis of pregnancy  placenta  TP63  immunohistochemistry  bile acid
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