Gupta Anurag Kumar, Holzgreve Wolfgang, Hahn Sinuhe
Laboratory for Prenatal Medicine, University Women's Hospital/Department of Research, University Hospital, Hebelstrasse, 20, 4031, Basel, Switzerland.
Arch Gynecol Obstet. 2008 Feb;277(2):115-9. doi: 10.1007/s00404-007-0425-2. Epub 2007 Jul 25.
Preeclampsia is characterized by damage to the maternal endothelium that has been suggested to be mediated in part by elevated shedding of inflammatory placental syncytiotrophoblast micro-particles (STBM) into the maternal circulation. Previously, we have shown that STBM, prepared by three different methods: mechanical dissection, in vitro placental explants culture and perfusion of placenta, can inhibit endothelial cell proliferation. Only mechanically prepared STBM induced apoptosis in the endothelial cells. Now, we have examined lipid levels in the three STBM preparations and their differential responses on endothelial cells.
We examined the lipid levels in the three STBM preparations using thin layer chromatography. Furthermore, the effects of reduced lipid levels in the three STBM preparations using the pharmacological agent methyl-beta-cyclodextrin were examined on endothelial cell proliferation and apoptosis.
Among the three STBM preparations, mechanical STBM contained highest levels of lipids. The reduction in lipid levels in mechanical STBM reduced their potential to inhibit human umbilical vein endothelial cells (HUVEC) proliferation and blocked their potential to induce apoptosis. No similar effect was observed following lipid reduction in the two other STBM preparations.
As it has been suggested that mechanically derived STBM may more closely resemble placental micro-particles generated in preeclampsia, our data suggest that lipid content may play a role in the anti-endothelial defects present in this disease.
子痫前期的特征是母体血管内皮损伤,这被认为部分是由炎性胎盘合体滋养层微颗粒(STBM)大量释放入母体循环介导的。此前,我们已经表明,通过三种不同方法制备的STBM:机械分离、胎盘外植体体外培养和胎盘灌注,均可抑制内皮细胞增殖。只有通过机械方法制备的STBM可诱导内皮细胞凋亡。现在,我们检测了三种STBM制剂中的脂质水平及其对内皮细胞的不同反应。
我们使用薄层色谱法检测了三种STBM制剂中的脂质水平。此外,还检测了使用药物甲基-β-环糊精降低三种STBM制剂中的脂质水平对内皮细胞增殖和凋亡的影响。
在三种STBM制剂中,机械制备的STBM脂质含量最高。机械制备的STBM脂质水平降低后,其抑制人脐静脉内皮细胞(HUVEC)增殖的能力下降,并阻断了其诱导凋亡的能力。在另外两种STBM制剂中降低脂质水平后未观察到类似效果。
由于有人提出机械制备的STBM可能更类似于子痫前期产生的胎盘微颗粒,我们的数据表明脂质含量可能在该疾病中存在的抗内皮缺陷中起作用。