一种研究子痫前期血管内皮功能障碍的新型干细胞模型。
A Novel Stem Cell Model to Study Preeclampsia Endothelial Dysfunction.
机构信息
Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, CA, USA.
Stanford Cardiovascular Institute, Stanford University School of Medicine, Stanford, CA, USA.
出版信息
Reprod Sci. 2024 Oct;31(10):2993-3003. doi: 10.1007/s43032-024-01590-z. Epub 2024 Aug 23.
Preeclampsia is a common pregnancy complication affecting 5% to 7% of all pregnancies worldwide annually. While the pathogenesis is not fully understood, maternal endothelium dysfunction is thought to be a central component to preeclampsia development. Studies to dissect maternal endothelial dysfunction, particularly on a patient-specific basis, are hampered by limited access to systemic primary endothelial cells (ECs). The objective of this study was to establish a replenishable, patient-specific in vitro EC model to allow robust mechanistic studies to dissect endothelial dysfunction in preeclampsia. Induced pluripotent stem cells (iPSCs) from three women with a history of normotensive pregnancies were differentiated into ECs. The established ECs were exposed to pooled sera from normotensive pregnancies, preeclamptic pregnancies, normotensive postpartum for non-pregnant comparison and controls. Endothelial functions including nitric oxide (NO) release, cell migration, tube formation and viability were evaluated. Levels of NO release were significantly lower after incubation with preeclamptic sera compared to the fetal bovine serum (FBS) control, and normotensive and non-pregnant (postpartum) sera treatments were also lower than FBS but higher than preeclamptic sera treatments. Tube formation and cell migration were also impaired with preeclamptic sera compared to FBS controls. Cell viabilities remained unaffected by any sera treatment. Consistent outcomes were obtained across all three patient-specific lines treated with the same pooled sera. Establishment of patient-derived iPSC-ECs treated with pregnancy sera serves as a novel model to explore the interplay between individual maternal endothelial health and circulating factors that lead to endothelial dysfunction in preeclampsia.
子痫前期是一种常见的妊娠并发症,每年影响全球 5%至 7%的妊娠。虽然发病机制尚未完全阐明,但母体内皮功能障碍被认为是子痫前期发展的核心组成部分。由于系统原发性内皮细胞(ECs)的获取有限,因此在特定患者基础上剖析母体内皮功能障碍的研究受到阻碍。本研究的目的是建立一种可再生的、特定于患者的体外 EC 模型,以允许进行强大的机制研究来剖析子痫前期的内皮功能障碍。从三位有正常妊娠史的女性中诱导多能干细胞(iPSCs)分化为 ECs。建立的 ECs 暴露于来自正常妊娠、子痫前期妊娠、正常妊娠后(非妊娠)的混合血清中,用于非妊娠对照和对照。评估了内皮功能,包括一氧化氮(NO)释放、细胞迁移、管形成和活力。与胎牛血清(FBS)对照相比,用子痫前期血清孵育后 NO 释放水平显着降低,正常和非妊娠(产后)血清处理也低于 FBS,但高于子痫前期血清处理。与 FBS 对照相比,子痫前期血清还会损害管形成和细胞迁移。任何血清处理对细胞活力均无影响。用相同的混合血清处理的所有三个特定于患者的系中均获得了一致的结果。用妊娠血清处理的患者来源的 iPSC-ECs 的建立为探索个体母体内皮健康与导致子痫前期内皮功能障碍的循环因子之间的相互作用提供了一种新模型。