Rajashekhar G, Loganath A, Roy A C, Chong S S, Wong Y C
Department of Obstetrics and Gynaecology, National University Hospital, National University of Singapore, Singapore, Singapore.
J Soc Gynecol Investig. 2005 Jul;12(5):310-9. doi: 10.1016/j.jsgi.2005.02.010.
Many processes that are involved in cellular invasion, including blastocyst implantation, placental development, and rapidly growing tumors, occur in reduced oxygen environments. It has been surmised that oxygen tension could regulate the cytotrophoblast ability to differentiate and, as a consequence, to express proteins that are critical for placentation. The objective of the current investigation was therefore to test the hypothesis that placental tissues and trophoblast cells in culture, under low oxygen tension, release angiogenic factors that could affect vascular behavior and invasive potential, thus providing a link between abnormal placentation and maternal vascular abnormality.
Functionally active term placental explant culture and trophoblast cultures were used to demonstrate the secretion profiles of angiogenin and vascular cell adhesion molecule-1 (VCAM-1), and the real-time quantitative reverse transcriptase polymerase chain reaction (RT-PCR) technique was employed to demonstrate the mRNA expression under both normoxic and hypoxic conditions.
A significant increase in the secretion (P <.01) and mRNA expression (P <.01) of angiogenin and a significant decrease in the secretion (P <.04) and mRNA expression (P <.03) of VCAM-1 from both term placental explants and trophoblast cultures subjected to hypoxia in vitro were observed.
Because the primary defect in uteroplacental insufficiency is placental maldevelopment probably associated with hypoxia in situ, this study provides molecular evidence to indicate that the differential expression and secretion of angiogenic factors may play an important role in these pathologic conditions.
许多参与细胞侵袭的过程,包括囊胚着床、胎盘发育以及快速生长的肿瘤,都发生在低氧环境中。据推测,氧张力可能调节细胞滋养层细胞的分化能力,进而影响对胎盘形成至关重要的蛋白质的表达。因此,本研究的目的是检验以下假设:在低氧张力条件下,培养的胎盘组织和滋养层细胞会释放血管生成因子,这些因子可能影响血管行为和侵袭潜能,从而在胎盘形成异常与母体血管异常之间建立联系。
使用功能活跃的足月胎盘外植体培养物和滋养层细胞培养物来证明血管生成素和血管细胞黏附分子-1(VCAM-1)的分泌情况,并采用实时定量逆转录聚合酶链反应(RT-PCR)技术来证明常氧和低氧条件下的mRNA表达。
观察到,体外低氧处理的足月胎盘外植体和滋养层细胞培养物中,血管生成素的分泌(P <.01)和mRNA表达(P <.01)显著增加,而VCAM-1的分泌(P <.04)和mRNA表达(P <.03)显著减少。
由于子宫胎盘功能不全的主要缺陷可能是胎盘发育不良,且可能与原位缺氧有关,本研究提供了分子证据表明血管生成因子的差异表达和分泌可能在这些病理状况中起重要作用。