Fournier Thierry, Thérond Patrice, Handschuh Karen, Tsatsaris Vassilis, Evain-Brion Danièle
INSERM, U767, Faculté des Sciences Pharmaceutiques et Biologiques, 4 avenue de l'Observatoire, 75006 Paris, France.
Curr Med Chem. 2008;15(28):3011-24. doi: 10.2174/092986708786848677.
During pregnancy, the placenta ensures multiple functions, which are directly involved in the initiation, outcome of gestation and fetal growth. Human implantation involves a major invasion of the uterus wall and a complete remodeling of the uterine arteries by the extravillous cytotrophoblasts (EVCT) during the first trimester of pregnancy. Abnormality of these early steps of placental development leads to poor placentation, fetal growth defects and is very often associated with preeclampsia, a major and frequent complication of human pregnancy. Unexpectedly, genetic studies performed in mice established that the peroxisome proliferator-activated receptor-gamma (PPARgamma) is essential for placental development. In the human placenta, PPARgamma is specifically expressed in the villous cytotrophoblast (VCT) and the syncytiotrophoblast (ST) as well as in the EVCT along their invasive pathway. To study the mechanisms that control human trophoblast invasion during early placental development and to provide new insight in the understanding of preeclampsia, we have developed in vitro models of human invasive trophoblasts. We observed that activation of the ligand-activated nuclear receptor PPARgamma agonists inhibits the trophoblastic invasion process in a concentration-dependent manner. Analysis of PPARgamma-target genes revealed that placental growth hormone, the protease PAPP-A and the human chorionic gonadotropin hormone (hCG) might be involved in the PPARgamma-mediated effect in an autocrine manner. The presence of oxidized-LDLs at the maternofetal interface suggests that oxidized-LDLs from maternal sera might be a source of potential PPARgamma ligands for the trophoblasts. Indeed, oxidized-LDLs decrease trophoblast invasion in vitro and analysis of their content revealed that they contain potent PPARgamma agonists such as eicosanoids, but also oxysterols, which are ligands for another nuclear receptor, the liver X Receptor (LXR). LXRbeta was found to be expressed in trophoblast and LXR agonists shown to inhibit trophoblast invasion. Together, these data underscore a major role for PPARgamma in the control of human trophoblast invasion during early placental development and suggest that ligands such as oxidized-LDLs at the implantation site might contribute to the modulation of trophoblast invasion through activation of PPARgamma and LXRbeta, two nuclear receptors that modulate the human trophoblastic cell invasion process.
在孕期,胎盘发挥多种功能,这些功能直接参与妊娠的起始、结局及胎儿生长。人类着床过程涉及子宫壁的重大侵袭以及在妊娠头三个月由绒毛外细胞滋养层(EVCT)对子宫动脉进行的完全重塑。胎盘发育这些早期步骤的异常会导致胎盘形成不良、胎儿生长缺陷,并且常常与子痫前期相关,子痫前期是人类妊娠的一种主要且常见的并发症。出乎意料的是,在小鼠中进行的基因研究表明,过氧化物酶体增殖物激活受体γ(PPARγ)对胎盘发育至关重要。在人类胎盘中,PPARγ在绒毛细胞滋养层(VCT)、合体滋养层(ST)以及沿其侵袭途径的EVCT中特异性表达。为了研究在胎盘早期发育过程中控制人类滋养层细胞侵袭的机制,并为理解子痫前期提供新的见解,我们建立了人类侵袭性滋养层细胞的体外模型。我们观察到配体激活的核受体PPARγ激动剂的激活以浓度依赖的方式抑制滋养层细胞的侵袭过程。对PPARγ靶基因的分析表明,胎盘生长激素、蛋白酶PAPP - A和人绒毛膜促性腺激素(hCG)可能以自分泌方式参与PPARγ介导的效应。母胎界面存在氧化型低密度脂蛋白(oxidized - LDLs)表明,来自母体血清的氧化型低密度脂蛋白可能是滋养层细胞潜在的PPARγ配体来源。事实上,氧化型低密度脂蛋白在体外会降低滋养层细胞的侵袭,对其成分的分析表明它们含有强效的PPARγ激动剂,如类花生酸,也含有氧固醇,氧固醇是另一种核受体——肝X受体(LXR)的配体。发现LXRβ在滋养层细胞中表达,并且LXR激动剂显示出抑制滋养层细胞侵袭的作用。总之,这些数据强调了PPARγ在胎盘早期发育过程中控制人类滋养层细胞侵袭方面的主要作用,并表明着床部位的氧化型低密度脂蛋白等配体可能通过激活PPARγ和LXRβ这两种调节人类滋养层细胞侵袭过程的核受体,来促进对滋养层细胞侵袭的调节。