Risk of spontaneous preterm birth and fetal growth associates with fetal SLIT2.

Spontaneous preterm birth (SPTB) is the leading cause of neonatal death and morbidity worldwide. Both maternal and fetal genetic factors likely contribute to SPTB. We performed a genome-wide association study (GWAS) on a population of Finnish origin that included 247 infants with SPTB (gestational a...

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Main Authors: Heli Tiensuu, Antti M Haapalainen, Minna K Karjalainen, Anu Pasanen, Johanna M Huusko, Riitta Marttila, Marja Ojaniemi, Louis J Muglia, Mikko Hallman, Mika Rämet
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2019-06-01
Series:PLoS Genetics
Online Access:https://doi.org/10.1371/journal.pgen.1008107
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author Heli Tiensuu
Antti M Haapalainen
Minna K Karjalainen
Anu Pasanen
Johanna M Huusko
Riitta Marttila
Marja Ojaniemi
Louis J Muglia
Mikko Hallman
Mika Rämet
author_facet Heli Tiensuu
Antti M Haapalainen
Minna K Karjalainen
Anu Pasanen
Johanna M Huusko
Riitta Marttila
Marja Ojaniemi
Louis J Muglia
Mikko Hallman
Mika Rämet
author_sort Heli Tiensuu
collection DOAJ
description Spontaneous preterm birth (SPTB) is the leading cause of neonatal death and morbidity worldwide. Both maternal and fetal genetic factors likely contribute to SPTB. We performed a genome-wide association study (GWAS) on a population of Finnish origin that included 247 infants with SPTB (gestational age [GA] < 36 weeks) and 419 term controls (GA 38-41 weeks). The strongest signal came within the gene encoding slit guidance ligand 2 (SLIT2; rs116461311, minor allele frequency 0.05, p = 1.6×10-6). Pathway analysis revealed the top-ranking pathway was axon guidance, which includes SLIT2. In 172 very preterm-born infants (GA <32 weeks), rs116461311 was clearly overrepresented (odds ratio 4.06, p = 1.55×10-7). SLIT2 variants were associated with SPTB in another European population that comprised 260 very preterm infants and 9,630 controls. To gain functional insight, we used immunohistochemistry to visualize SLIT2 and its receptor ROBO1 in placentas from spontaneous preterm and term births. Both SLIT2 and ROBO1 were located in villous and decidual trophoblasts of embryonic origin. Based on qRT-PCR, the mRNA levels of SLIT2 and ROBO1 were higher in the basal plate of SPTB placentas compared to those from term or elective preterm deliveries. In addition, in spontaneous term and preterm births, placental SLIT2 expression was correlated with variations in fetal growth. Knockdown of ROBO1 in trophoblast-derived HTR8/SVneo cells by siRNA indicated that it regulate expression of several pregnancy-specific beta-1-glycoprotein (PSG) genes and genes involved in inflammation. Our results show that the fetal SLIT2 variant and both SLIT2 and ROBO1 expression in placenta and trophoblast cells may be correlated with susceptibility to SPTB. SLIT2-ROBO1 signaling was linked with regulation of genes involved in inflammation, PSG genes, decidualization and fetal growth. We propose that this receptor-ligand couple is a component of the signaling network that promotes SPTB.
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spelling doaj.art-40722b32dea848e9ab80e286121da7522022-12-21T22:36:24ZengPublic Library of Science (PLoS)PLoS Genetics1553-73901553-74042019-06-01156e100810710.1371/journal.pgen.1008107Risk of spontaneous preterm birth and fetal growth associates with fetal SLIT2.Heli TiensuuAntti M HaapalainenMinna K KarjalainenAnu PasanenJohanna M HuuskoRiitta MarttilaMarja OjaniemiLouis J MugliaMikko HallmanMika RämetSpontaneous preterm birth (SPTB) is the leading cause of neonatal death and morbidity worldwide. Both maternal and fetal genetic factors likely contribute to SPTB. We performed a genome-wide association study (GWAS) on a population of Finnish origin that included 247 infants with SPTB (gestational age [GA] < 36 weeks) and 419 term controls (GA 38-41 weeks). The strongest signal came within the gene encoding slit guidance ligand 2 (SLIT2; rs116461311, minor allele frequency 0.05, p = 1.6×10-6). Pathway analysis revealed the top-ranking pathway was axon guidance, which includes SLIT2. In 172 very preterm-born infants (GA <32 weeks), rs116461311 was clearly overrepresented (odds ratio 4.06, p = 1.55×10-7). SLIT2 variants were associated with SPTB in another European population that comprised 260 very preterm infants and 9,630 controls. To gain functional insight, we used immunohistochemistry to visualize SLIT2 and its receptor ROBO1 in placentas from spontaneous preterm and term births. Both SLIT2 and ROBO1 were located in villous and decidual trophoblasts of embryonic origin. Based on qRT-PCR, the mRNA levels of SLIT2 and ROBO1 were higher in the basal plate of SPTB placentas compared to those from term or elective preterm deliveries. In addition, in spontaneous term and preterm births, placental SLIT2 expression was correlated with variations in fetal growth. Knockdown of ROBO1 in trophoblast-derived HTR8/SVneo cells by siRNA indicated that it regulate expression of several pregnancy-specific beta-1-glycoprotein (PSG) genes and genes involved in inflammation. Our results show that the fetal SLIT2 variant and both SLIT2 and ROBO1 expression in placenta and trophoblast cells may be correlated with susceptibility to SPTB. SLIT2-ROBO1 signaling was linked with regulation of genes involved in inflammation, PSG genes, decidualization and fetal growth. We propose that this receptor-ligand couple is a component of the signaling network that promotes SPTB.https://doi.org/10.1371/journal.pgen.1008107
spellingShingle Heli Tiensuu
Antti M Haapalainen
Minna K Karjalainen
Anu Pasanen
Johanna M Huusko
Riitta Marttila
Marja Ojaniemi
Louis J Muglia
Mikko Hallman
Mika Rämet
Risk of spontaneous preterm birth and fetal growth associates with fetal SLIT2.
PLoS Genetics
title Risk of spontaneous preterm birth and fetal growth associates with fetal SLIT2.
title_full Risk of spontaneous preterm birth and fetal growth associates with fetal SLIT2.
title_fullStr Risk of spontaneous preterm birth and fetal growth associates with fetal SLIT2.
title_full_unstemmed Risk of spontaneous preterm birth and fetal growth associates with fetal SLIT2.
title_short Risk of spontaneous preterm birth and fetal growth associates with fetal SLIT2.
title_sort risk of spontaneous preterm birth and fetal growth associates with fetal slit2
url https://doi.org/10.1371/journal.pgen.1008107
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