The invention belongs to the technical field of
obstetrics and
gynecology disease prediction, and particularly relates to a premature
fetal membrane premature rupture prediction marker based on maternal circulation
exosome microRNA and an application kit. According to the invention, placentas, fetal membranes and
plasma exosomes of pregnant women with full-term birth and
premature birth premature rupture of fetal membranes are collected for sequencing, the
fetal membrane-derived
exosome hsa-miR-145-3p which can be detected in the
plasma exosomes is screened out in combination with a
verification set, and the
cell source and the
premature birth promoting effect of the
fetal membrane-derived
exosome hsa-miR-145-3p are respectively clarified at a
cell level and an animal level; and finally, by detecting the level of the
plasma exosome hsa-miR-145-3p of the pregnant 12 (+ 1)-17 (+ 6) perimaternal body, the efficiency (AUC = 0.833) of the exosome in predicting the occurrence of premature rupture of fetal membranes in premature delivery is illustrated. According to the method, the high-risk crowd of the pPROM can be predicted through a noninvasive method in the early and middle stages of
pregnancy, and the method has guiding significance for subsequent prevention and intervention of the high-risk crowd.