1. Decreased FGF23 inhibits placental angiogenesis via the ERK1/2-EGR-1 signaling pathway in preeclampsia.
- Author
-
Zhao, Shanshan, Zhou, Junling, Chen, Run, Zhou, Wei, Geng, Huizhen, Huang, Yihong, Shi, Shaole, Yuan, Lemin, Wang, Zilian, and Wang, Dongyu
- Subjects
- *
PREECLAMPSIA , *FIBROBLAST growth factors , *VASCULAR endothelial growth factors , *THIRD trimester of pregnancy , *CELLULAR signal transduction , *VASCULAR endothelial cells - Abstract
[Display omitted] • Serum FGF23 levels increased with gestational age in normal pregnant women. • Preeclampsia group had lower FGF23 levels than control group in the third trimester. • FGF23 promoted cell migration, invasion and tube formation abilities in vitro. • FGF23 stimulated placental VEGF-A expression via ERK1/2-EGR-1 pathway. • This study provides a potential mechanism involved in progression of preeclampsia. This study aimed to investigate the expression of fibroblast growth factor 23 (FGF23) in pregnant women with preeclampsia and elucidate its role in promoting placental angiogenesis through the ERK1/2-EGR-1 signaling pathway. Serum FGF23 levels were measured by ELISA in healthy pregnant women and patients with preeclampsia during the first, second, and third trimesters of pregnancy. Wound healing, Transwell, and tube formation assays were performed to investigate the effects of FGF23 on cell migration, invasion and tube formation. The expression of vascular endothelial growth factor A (VEGF-A) and its upstream signaling molecules, p-ERK, and EGR-1, in placental tissues was detected by RT-qPCR and western blotting. Additionally, the effect of FGF23 on VEGF-A, p-ERK, and EGR-1 expression was further explored in vitro. Serum FGF23 levels increased with gestational age. During the third trimester, the control group exhibited a more pronounced increase in FGF23 levels than the preeclampsia group. Administering exogenous FGF23 promoted trophoblast cell migration, invasion and enhanced tube formation in vascular endothelial cells. The expression levels of VEGF-A, p-ERK, and EGR-1 in the placental tissues were significantly lower in the preeclampsia group than in the control group. In vitro experiments confirmed that FGF23 up-regulated VEGF-A expression through the p-ERK/EGR-1 signaling pathway. The serum level of FGF23 decreased in pregnant women with preeclampsia, inhibiting the ERK1/2-EGR-1 pathway and resulting in decreased expression of VEGF-A, thereby inhibiting placental angiogenesis. This could be a potential mechanism involved in the progression of preeclampsia. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF