Shu Chang, Liu Zitao, Cui Lifeng, Wei Chengguo, Wang Shuwen, Tang Jian Jenny, Cui Miao, Lian Guodong, Li Wei, Liu Xiufen, Xu Hongmei, Jiang Jing, Lee Peng, Zhang David Y, He Jin, Ye Fei
Department of Obstetrics and Gynecology, The First Hospital of Jilin University, Changchun, Jilin, China.
Department of Obstetrics and Gynecology, Tufts Medical Center, Tufts University School of Medicine, Boston, Massachusetts, United States of America.
PLoS One. 2014 Nov 13;9(11):e112890. doi: 10.1371/journal.pone.0112890. eCollection 2014.
Preeclampsia is a multi-system disorder involved in pregnancy without an effective treatment except delivery. The precise pathogenesis of this complicated disorder is still not completely understood. The objective of this study is to evaluate the alterations of protein expression and phosphorylations that are important in regulating placental cell function in preterm and term preeclampsia. Using the Protein Pathway Array, 38 proteins in placental tissues were found to be differentially expressed between preterm preeclampsia and gestational age matched control, while 25 proteins were found to be expressed differentially between term preeclampsia and matched controls. Among these proteins, 16 proteins and their associated signaling pathways overlapped between preterm and term preeclampsia, suggesting the common pathogenesis of two subsets of disease. On the other hand, many proteins are uniquely altered in either preterm or term preeclampsia and correlated with severity of clinical symptoms and outcomes, therefore, providing molecular basis for these two subsets of preeclampsia. Furthermore, the expression levels of some of these proteins correlated with neonatal small for gestational age (PAI-1 and PAPP-A) and adverse outcomes (Flt-1) in women with preterm preeclampsia. These proteins could potentially be used as candidate biomarkers for predicting outcomes of preeclampsia.
子痫前期是一种妊娠相关的多系统疾病,除了分娩外没有有效的治疗方法。这种复杂疾病的确切发病机制仍未完全阐明。本研究的目的是评估在早产和足月子痫前期中对调节胎盘细胞功能起重要作用的蛋白质表达和磷酸化的变化。使用蛋白质通路阵列,发现胎盘组织中有38种蛋白质在早产子痫前期与孕周匹配的对照组之间存在差异表达,而有25种蛋白质在足月子痫前期与匹配的对照组之间存在差异表达。在这些蛋白质中,有16种蛋白质及其相关信号通路在早产和足月子痫前期中重叠,提示这两种疾病亚型存在共同的发病机制。另一方面,许多蛋白质在早产或足月子痫前期中发生独特改变,并与临床症状和结局的严重程度相关,因此,为这两种子痫前期亚型提供了分子基础。此外,这些蛋白质中的一些表达水平与早产子痫前期女性新生儿小于胎龄(PAI - 1和PAPP - A)及不良结局(Flt - 1)相关。这些蛋白质有可能用作预测子痫前期结局的候选生物标志物。