Webster R P, Roberts V H J, Myatt L
Department of Obstetrics and Gynecology, University of Cincinnati, College of Medicine, PO Box 670526, Cincinnati, OH 45267, USA.
Placenta. 2008 Dec;29(12):985-94. doi: 10.1016/j.placenta.2008.09.003. Epub 2008 Oct 11.
Crucial roles of the placenta are disrupted in early and mid-trimester pregnancy loss, preeclampsia, eclampsia and intrauterine growth restriction. The pathophysiology of these disorders includes a relative hypoxia of the placenta, ischemia/reperfusion injury, an inflammatory response and oxidative stress. Reactive oxygen species including nitric oxide (NO), carbon monoxide and superoxide have been shown to participate in trophoblast invasion, regulation of placental vascular reactivity and other events. Superoxide, which regulates expression of redox sensitive genes, has been implicated in up-regulation of transcription factors, antioxidant production, angiogenesis, proliferation and matrix remodeling. When superoxide and nitric oxide are present in abundance, their interaction yields peroxynitrite a potent pro-oxidant, but also alters levels of nitric oxide, which in turn affect physiological functions. The peroxynitrite anion is extremely unstable thus evidence of its formation in vivo has been indirect via the occurrence of nitrated moieties including nitrated lipids and nitrotyrosine residues in proteins. Formation of 3-nitrotyrosine (protein nitration) is a "molecular fingerprint" of peroxynitrite formation. Protein nitration has been widely reported in a number of pathological states associated with inflammation but is reported to occur in normal physiology and is thought of as a prevalent, functionally relevant post-translational modification of proteins. Nitration of proteins can give either no effect, a gain or a loss of function. Nitration of a range of placental proteins is found in normal pregnancy but increased in pathologic pregnancies. Evidence is presented for nitration of placental signal transduction enzymes and transporters. The targets and extent of nitration of enzymes, receptors, transporters and structural proteins may markedly influence placental cellular function in both physiologic and pathologic settings.
胎盘的关键作用在妊娠早期和中期流产、子痫前期、子痫及胎儿生长受限中受到破坏。这些疾病的病理生理学包括胎盘相对缺氧、缺血/再灌注损伤、炎症反应和氧化应激。包括一氧化氮(NO)、一氧化碳和超氧化物在内的活性氧已被证明参与滋养细胞侵袭、胎盘血管反应性调节及其他事件。调节氧化还原敏感基因表达的超氧化物与转录因子上调、抗氧化剂产生、血管生成、增殖和基质重塑有关。当超氧化物和一氧化氮大量存在时,它们的相互作用会产生过氧亚硝酸盐,这是一种强效促氧化剂,但也会改变一氧化氮水平,进而影响生理功能。过氧亚硝酸盐阴离子极其不稳定,因此其在体内形成的证据一直是间接的,通过蛋白质中包括硝化脂质和硝基酪氨酸残基在内的硝化部分的出现来证明。3-硝基酪氨酸(蛋白质硝化)的形成是过氧亚硝酸盐形成的“分子指纹”。蛋白质硝化在许多与炎症相关的病理状态中已被广泛报道,但据报道在正常生理状态下也会发生,并且被认为是一种普遍的、与功能相关的蛋白质翻译后修饰。蛋白质硝化可产生无影响、功能增强或功能丧失的结果。在正常妊娠中可发现一系列胎盘蛋白的硝化,但在病理妊娠中会增加。本文提供了胎盘信号转导酶和转运蛋白硝化的证据。酶、受体、转运蛋白和结构蛋白的硝化靶点和程度可能在生理和病理情况下显著影响胎盘细胞功能。