Defective decidualization during and after severe preeclampsia reveals a possible maternal contribution to the etiology

Autors de IIS La Fe
Autors aliens a IIS La Fe
- Garrido-Gomez, T
- Dominguez, F
- Quiñonero A
- Diaz-Gimeno, P
- Kapidzic, M
- Gormley, M
- Ona, K
- McMaster, M
- Genbacev, O
- Fisher, SJ
- Simon, C
Grups d'Investigació
Abstract
In preeclampsia (PE), cytotrophoblast (CTB) invasion of the uterus and spiral arteries is often shallow. Thus, the placenta's role has been a focus. In this study, we tested the hypothesis that decidual defects are an important determinant of the placental phenotype. We isolated human endometrial stromal cells from nonpregnant donors with a previous pregnancy that was complicated by severe PE (sPE). Compared with control cells, they failed to decidualize in vitro as demonstrated by morphological criteria and the analysis of stage-specific antigens (i.e., IGFBP1, PRL). These results were bolstered by global transcriptional profiling data that showed they were transcriptionally inert. Additionally, we used laser microdissection to isolate the decidua from tissue sections of the maternal-fetal interface in sPE. Global transcriptional profiling revealed defects in gene expression. Also, decidual cells from patients with sPE, which dedifferentiated in vitro, failed to redecidualize in culture. Conditioned medium from these cells failed to support CTB invasion. To mimic aspects of the uterine environment in normal pregnancy, we added PRL and IGFBP1, which enhanced invasion. These data suggested that failed decidualization is an important contributor to down-regulated CTB invasion in sPE. Future studies will be aimed at determining whether this discovery has translational potential with regard to assessing a woman's risk of developing this pregnancy complication.
Dades de la publicació
- ISSN/ISSNe:
- 0027-8424, 1091-6490
- Tipus:
- Article
- Pàgines:
- 8468-8477
- PubMed:
- 28923940
- Factor d'Impacte:
- 6,092 SCImago ℠
- Quartil:
- Q1 SCImago ℠
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA NATL ACAD SCIENCES
Cites Rebudes en Web of Science: 192
Documents
- No hi ha documents
Filiacions
Keywords
- preeclampsia; human endometrial stromal cells; decidua; cytotrophoblast; transcriptomics
Projectes associats
APLICACION DE TECNICAS LAPLACIANAS PARA LA MONITORIZACION DE LA ACTIVIDAD ELECTRICA DEL MUSCULO LISO HUMANO:ENFASIS EN ELECTROHISTEROGRAMA (LAMOHIS)
Investigador Principal: ALFREDO JOSÉ PERALES MARÍN
LAMOHIS PLAN NACIONAL I+D+I 2008-2011 . 2010
CON-CIENCIA-YV: PILDORAS DE SALUD
FCT-13-7457_FECYT_2013 . MINISTERIO DE ECONOMIA Y COMPETITIVIDAD; FUNDACIÓN PARA LA INVESTIGACIÓN DEL HOSPITAL UNIVERSITARIO LA FE DE LA COMUNIDAD VALENCIANA . 2013
PAPEL DEL FACTOR DE CRECIMIENTO PLACENTARIO EN EL MANEJO DE LA PREECLAMPSIA NO SEVERA: ESTUDIO ALEATORIZADO
Investigador Principal: ALFREDO JOSÉ PERALES MARÍN
PI15/01935 . INSTITUTO DE SALUD CARLOS III . 2016