Davenport Baylea N, Jones Helen N, Wilson Rebecca L
Center for Research in Perinatal Outcomes, University of Florida College of Medicine, Gainesville, FL, United States.
Department of Physiology and Aging, University of Florida College of Medicine, Gainesville, FL, United States.
Front Physiol. 2023 Jan 4;13:1055234. doi: 10.3389/fphys.2022.1055234. eCollection 2022.
Clinically, fetal growth restriction (FGR) is only detectable in later gestation, despite pathophysiological establishment likely earlier in pregnancy. Additionally, there are no effective treatment options for FGR. We have developed a nanoparticle to deliver () in a trophoblast-specific manner which results in increased expression of . IGF-1 signaling in the placenta regulates multiple developmental processes including trophoblast invasion and maternal vascular remodeling, both of which can be diminished in the FGR placenta. We aimed to determine the effects of short-term nanoparticle treatment on sub-placenta/decidua trophoblast signaling mechanisms in FGR and under normal growth conditions. Using the guinea pig maternal nutrient restriction (MNR) model of FGR, ultrasound-guided, intra-placenta injections of nanoparticle were performed at gestational day 30-33, and dams sacrificed 5 days later. Sub-placenta/decidua tissue was separated from placenta for further analyses. Western blot was used to analyze protein expression of ERK/AKT/mTOR signaling proteins (phospho-Erk (pERK), phospho-Akt (pAKT), raptor, rictor and deptor). qPCR was used to analyze gene expression of vascular/remodeling factors [ (), (), ()) and tight junction/adhesion proteins ( (), (), () and ()]. MNR reduced expression of pERK, and , and increased expression of and in the sub-placenta/decidua. In MNR + nanoparticle sub-placenta/decidua, expression of , and was normalized, whilst pAkt, , and were increased compared to MNR. In contrast, nanoparticle treatment of normal placentas reduced expression of pERK, raptor and increased expression of the mTOR inhibitor deptor. This was associated with reduced expression of , , and . Here we have shown that the impact of nanoparticle treatment is dependent on pregnancy environment. Under MNR/FGR, nanoparticle treatment triggers increased expression of growth factors and normalization of EMT factors. However, under normal conditions, the response of the placenta is to decrease AKT/mTOR signaling and growth factor expression to achieve homeostasis.
临床上,胎儿生长受限(FGR)直到妊娠后期才能被检测到,尽管其病理生理过程可能在妊娠早期就已确立。此外,对于FGR尚无有效的治疗方法。我们开发了一种纳米颗粒,以滋养层特异性方式递送(),从而导致()表达增加。胎盘中的胰岛素样生长因子-1(IGF-1)信号传导调节多个发育过程,包括滋养层侵袭和母体血管重塑,而这两个过程在FGR胎盘中均可能减弱。我们旨在确定短期纳米颗粒治疗对FGR以及正常生长条件下胎盘下/蜕膜滋养层信号传导机制的影响。使用FGR的豚鼠母体营养限制(MNR)模型,在妊娠第30 - 33天进行超声引导下胎盘内纳米颗粒注射,5天后处死母鼠。将胎盘下/蜕膜组织与胎盘分离以进行进一步分析。蛋白质印迹法用于分析细胞外信号调节激酶/蛋白激酶B/哺乳动物雷帕霉素靶蛋白(ERK/AKT/mTOR)信号蛋白(磷酸化ERK(pERK)、磷酸化Akt(pAKT)、 Raptor、Rictor和Deptor)的蛋白表达。定量聚合酶链反应(qPCR)用于分析血管/重塑因子[()、()、()]和紧密连接/黏附蛋白[()、()、()和()]的基因表达。MNR降低了胎盘下/蜕膜中pERK、()和()的表达,并增加了()和()的表达。在MNR +纳米颗粒处理的胎盘下/蜕膜中,()、()和()的表达恢复正常,而与MNR相比,pAkt、()、()和()增加。相比之下,纳米颗粒处理正常胎盘会降低pERK、Raptor的表达,并增加mTOR抑制剂Deptor的表达。这与()、()和()的表达降低有关。在这里我们表明,纳米颗粒治疗的影响取决于妊娠环境。在MNR/FGR条件下,纳米颗粒治疗会触发生长因子表达增加和上皮-间质转化(EMT)因子正常化。然而,在正常条件下,胎盘的反应是降低AKT/mTOR信号传导和生长因子表达以实现内稳态。