1. High levels of activin A detected in preeclamptic placenta induce trophoblast cell apoptosis by promoting nodal signaling.
- Author
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Yu L, Li D, Liao QP, Yang HX, Cao B, Fu G, Ye G, Bai Y, Wang H, Cui N, Liu M, Li YX, Li J, Peng C, and Wang YL
- Subjects
- Activin Receptors, Type I physiology, Activins analysis, Adult, Amino Acid Sequence, Case-Control Studies, Cells, Cultured, Female, Humans, Matrix Metalloproteinases physiology, Molecular Sequence Data, Pre-Eclampsia etiology, Pregnancy, Prospective Studies, Activins physiology, Apoptosis, Placenta chemistry, Pre-Eclampsia metabolism, Signal Transduction physiology, Trophoblasts pathology
- Abstract
Context: The pregnancy-specific disorder preeclampsia is a major cause of maternal mortality and morbidity. Activin A has been suggested as a potential biomarker of the disease, but whether it plays a role in the pathology of preeclampsia or is just a manifestation of the disease is not fully understood., Objective: The objective of the study was to examine the roles of Activin A on placental trophoblast cells under pathological conditions of preeclampsia., Design: Placental and plasma productions of Activin A in healthy pregnant women and preeclamptic patients were compared by using clinical samples obtained from Peking University First Hospital during November 2005 to November 2007. The role of Activin A at pathological doses was investigated in human trophoblast cells., Results: Plasma and placental productions of Activin A were significantly higher in preeclamptic patients when compared with normal pregnant subjects in a Chinese Han population. Treatment of trophoblast cells with high doses of Activin A resulted in a significant increase in cell apoptosis. This effect was blocked not only by silencing Activin A's receptor activin receptor-like kinase 4 but also by knockdown of Nodal's receptor ALK7. Important to note was that Activin A could significantly increase Nodal expression in trophoblast cells, and knockdown of Nodal resulted in evident blockage on Activin A-induced trophoblast cell apoptosis., Conclusion: High levels of Activin A observed in preeclamptic placenta may play a role in the pathogenesis of preeclampsia by inducing excessive apoptosis in placenta indirectly through enhancing Nodal expression.
- Published
- 2012
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