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乳酸脱氢酶A(LDHA)缺乏通过PI3K/AKT/FOXO1/细胞周期蛋白D1信号通路抑制不明原因复发性自然流产中滋养细胞的增殖。

LDHA deficiency inhibits trophoblast proliferation via the PI3K/AKT/FOXO1/CyclinD1 signaling pathway in unexplained recurrent spontaneous abortion.

作者信息

Zhu Yueyue, Wu Fan, Hu Jianing, Xu Yichi, Zhang Jinwen, Li Yan, Lin Yi, Liu Xiaorui

机构信息

The International Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.

Shanghai Key Laboratory of Embryo Original Diseases, Shanghai, China.

出版信息

FASEB J. 2023 Feb;37(2):e22744. doi: 10.1096/fj.202201219RR.

Abstract

Dysregulated trophoblast proliferation, invasion, and apoptosis may cause several pregnancy-associated complications, such as unexplained recurrent spontaneous abortion (URSA). Recent studies have shown that metabolic abnormalities, including glycolysis inhibition, may dysregulate trophoblast function, leading to URSA. However, the underlying mechanisms remain unclear. Herein, we found that lactate dehydrogenase A (LDHA), a key enzyme in glycolysis, was significantly reduced in the placental villus of URSA patients. The human trophoblast cell line HTR-8/SVneo was used to investigate the possible LDHA-mediated regulation of trophoblast function. LDHA knockdown in HTR-8/SVneo cells induced G0/G1 phase arrest and increased apoptosis, whereas LDHA overexpression reversed these effects. Next, RNA sequencing combined with Kyoto Encyclopedia of Genes and Genomes analysis demonstrated that the PI3K/AKT signaling pathway is potentially affected by downstream genes of LDHA. Especially, we found that LDHA knockdown decreased the phosphorylation levels of PI3K, AKT, and FOXO1, resulting in a significant downregulation of CyclinD1. In addition, treatment with an AKT inhibitor or FOXO1 inhibitor also verified that the PI3K/AKT/FOXO1 signaling pathway influenced the gene expression of CyclinD1 in trophoblast. Moreover, p-AKT expression correlated positively with LDHA expression in syncytiotrophoblasts and extravillous trophoblasts in first-trimester villus. Collectively, this study revealed a new regulatory pathway for LDHA/PI3K/AKT/FOXO1/CyclinD1 in the trophoblast cell cycle and proliferation.

摘要

滋养层细胞的增殖、侵袭和凋亡失调可能会导致多种与妊娠相关的并发症,如不明原因复发性自然流产(URSA)。最近的研究表明,包括糖酵解抑制在内的代谢异常可能会使滋养层细胞功能失调,从而导致URSA。然而,其潜在机制仍不清楚。在此,我们发现,糖酵解中的关键酶乳酸脱氢酶A(LDHA)在URSA患者的胎盘绒毛中显著降低。我们使用人滋养层细胞系HTR-8/SVneo来研究LDHA可能介导的对滋养层细胞功能的调节作用。HTR-8/SVneo细胞中LDHA基因敲低诱导了G0/G1期阻滞并增加了细胞凋亡,而LDHA过表达则逆转了这些作用。接下来,RNA测序结合京都基因与基因组百科全书分析表明,PI3K/AKT信号通路可能受到LDHA下游基因的影响。特别是,我们发现LDHA基因敲低降低了PI3K、AKT和FOXO1的磷酸化水平,导致细胞周期蛋白D1显著下调。此外,用AKT抑制剂或FOXO1抑制剂处理也证实了PI3K/AKT/FOXO1信号通路影响滋养层细胞中细胞周期蛋白D1的基因表达。而且,孕早期绒毛合体滋养层细胞和绒毛外滋养层细胞中p-AKT表达与LDHA表达呈正相关。总的来说,本研究揭示了LDHA/PI3K/AKT/FOXO1/细胞周期蛋白D1在滋养层细胞周期和增殖中的一条新的调控途径。

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