Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Chicago, IL, USA.
Department of Gynecology and Obstetrics, Emory University, Atlanta, GA, USA.
Placenta. 2024 Jan;145:65-71. doi: 10.1016/j.placenta.2023.12.004. Epub 2023 Dec 8.
Preeclampsia (PE) is a serious hypertensive pregnancy disorder and a leading cause of maternal and perinatal morbidity and mortality. Despite the prevalence and complications, there are no approved therapeutics to relieve PE symptoms. Inflammation, oxidative stress, and angiogenic imbalance have been shown to contribute to the PE pathophysiology, though there is a lack of understanding in how best to target these pathways in PE. We recently demonstrated that the bioflavonoid luteolin is a potent inhibitor of the anti-angiogenic and pro-hypertensive soluble fms-like tyrosine kinase 1 (sFlt-1), and here we aimed to determine if luteolin was also capable of reducing inflammation and oxidative stress pathways.
Tumor necrosis factor (TNF)-α, which is upregulated in PE, was utilized to stimulate these pathways in human placental explants and endothelial cells. Endothelin-1 (ET-1) and interleukin (IL)-6 in the media from explants and cells were measured via ELISA, and NF-κB localization and reactive oxygen species were detected via fluorescence microscopy.
Pretreatment with luteolin demonstrated significant reductions in NF-κB activation, reactive oxygen species, superoxide, and IL-6 and ET-1 expression in endothelial cells. We also saw a significant reduction in phosphorylation of NF-κB in human placental explants.
These data demonstrate that luteolin inhibits pathways implicated in the development of PE and should be explored further for its potential as a PE therapeutic.
子痫前期(PE)是一种严重的妊娠高血压疾病,也是孕产妇和围产儿发病率和死亡率的主要原因。尽管这种疾病的患病率和并发症都很高,但目前还没有经过批准的治疗方法可以缓解其症状。炎症、氧化应激和血管生成失衡已被证明与 PE 的病理生理学有关,但人们对如何最好地针对这些途径治疗 PE 仍缺乏了解。我们最近证明,生物类黄酮木樨草素是一种有效的血管生成抑制剂,可抑制抗血管生成和促高血压可溶性 fms 样酪氨酸激酶 1(sFlt-1),在这里,我们旨在确定木樨草素是否也能够减少炎症和氧化应激途径。
肿瘤坏死因子(TNF)-α在 PE 中上调,被用来刺激人胎盘组织和内皮细胞中的这些途径。通过 ELISA 测量组织和细胞培养基中的内皮素-1(ET-1)和白细胞介素(IL)-6,通过荧光显微镜检测 NF-κB 定位和活性氧。
木樨草素预处理显著降低了内皮细胞中 NF-κB 的激活、活性氧、超氧化物和 IL-6 和 ET-1 的表达。我们还观察到人胎盘组织中 NF-κB 磷酸化的显著减少。
这些数据表明,木樨草素抑制了与 PE 发展有关的途径,应该进一步探索其作为 PE 治疗方法的潜力。