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Plasma gelsolin (pGSN), a protein primarily involved in clearance of circulating actin filaments, is an upcoming novel biomarker. Its level changes in multiple disease and injury conditions, attributable mainly to its consumption during actin clearance; the endogenous regulation of its expression, however, remains elusive as well as unexplored. Here, we are reporting the first isolation of the promoter region of pGSN gene and investigation of its transcriptional regulation during pregnancy (a natural process associated with a well-programmed injury course of parturition). Interestingly, two of the pregnancy-related hormones, human chorionic gonadotrophin (hCG) and progesterone, significantly upregulated pGSN promoter activity in muscle cells. This action of both hormones was found to mediate through their respective cellular receptors and involved a contribution of multiple signaling pathways including those of protein kinase A, protein kinase C, epidermal growth factor receptor and prostaglandin-endoperoxidase synthase 2 in the case of hCG-mediated upregulation. This novel upregulation was further supported by elevated levels of endogenous pGSN transcripts as well as secreted protein upon hormonal treatments of muscle cells compared with untreated controls. A participation of pGSN promoter cis-elements, capable of interacting with endogenous transcription factors, Ap1, Sp1, and p300, was also observed during this hormonal upregulation. Additionally, the augmented pGSN levels observed in pregnant mice compared with the control animals further supported an upregulation of this protein during pregnancy, implicating vital role(s) played by pGSN during this period in mammals.
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http://dx.doi.org/10.1152/ajpregu.00131.2017 | DOI Listing |
J Surg Case Rep
September 2025
Department of Pathology, Tishreen University Hospital, Lattakia, Syria.
Endometriosis is a chronic gynecological condition characterized by the presence of endometrial-like tissue outside the uterine cavity. Although commonly associated with pelvic pain and infertility, its incidental discovery during a cesarean section is rare. To our knowledge, we report the first documented case of decidualized endometriosis identified on the anterior peritoneum during an emergency cesarean section in a 28-year-old woman with only one previous cesarean delivery and no prior symptoms.
View Article and Find Full Text PDFGait Posture
August 2025
Auckland Bioengineering Institute, The University of Auckland, Auckland, New Zealand.
Background: During pregnancy, significant physiological, morphological, and hormonal changes profoundly affect women's biomechanics, increasing the risk of falls and musculoskeletal complaints, especially in the third trimester. To understand movement adaptations and musculoskeletal disorders in pregnant women, kinetic analysis using pregnant-specific multi-segment or musculoskeletal models is essential. This review aims to evaluate the development, applications and limitations of such models intended for kinetic analysis in pregnancy.
View Article and Find Full Text PDFBiol Psychiatry
September 2025
Department of Psychiatry, University of Iowa, Iowa City, IA 52242; Iowa Neurosciences Institute, University of Iowa, Iowa City, IA 52242; Department of Obstetrics and Gynecology, University of Iowa, Iowa City, IA 52242. Electronic address:
Perinatal mood and anxiety disorders (PMADs) are a spectrum of mental health conditions that are the most common pregnancy-related complications in the United States. Despite great strides in developing appropriate pharmacological and psychological treatments, PMADs continue to lack biological measures for diagnosis and prediction. Such measures could be effectively utilized to subtype and mechanistically explore PMADs and appropriately leverage mental healthcare resources.
View Article and Find Full Text PDFBMC Pregnancy Childbirth
August 2025
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey.
Background: Pregnancy-related anatomical and hormonal changes, including increased relaxin levels, may cause ligamentous laxity and joint hypermobility, while also contributing to decreased overall body mobility, potentially affecting functional stability. Pilates, focusing on core strength and postural control, is recommended during pregnancy, but its effects on ligamentous laxity and joint hypermobility have not been tested in a randomized controlled trial. This study aimed to investigate the effectiveness of a prenatal Pilates program on ligamentous laxity and joint hypermobility in pregnant women.
View Article and Find Full Text PDFEBioMedicine
August 2025
Scripps Research Translational Institute, 3344 N Torrey Pines Ct Plaza Level, La Jolla, CA, 92037, USA. Electronic address:
Background: The rising maternal health crisis in the United States necessitates innovative approaches to pregnancy monitoring. This observational cohort study aimed to assess whether wearable sensors can effectively track physiological and behavioural changes during pregnancy and examine their associations with pregnancy-related hormonal fluctuations.
Methods: This longitudinal cohort study recruited participants via a bilingual mobile research platform.