A Novel Dual-Function Redox Modulator Relieves Oxidative Stress and Anti-Angiogenic Response in Placental Villus Explant Exposed to Hypoxia—Relevance for Preeclampsia Therapy

Background: Preeclampsia (PE) is a severe, life-threatening complication during pregnancy (~5–7%), and no causative treatment is available. Early aberrant spiral artery remodeling is associated with placental stress and the release of oxygen radicals and other reactive oxygen species (ROS) in the pl...

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Main Authors: Diana Pintye, Réka E. Sziva, Maxim Mastyugin, Brett C. Young, Sonako Jacas, Marianna Török, Saira Salahuddin, Prakash Jagtap, Garry J. Southan, Zsuzsanna K. Zsengellér
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Biology
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Online Access:https://www.mdpi.com/2079-7737/12/9/1229
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author Diana Pintye
Réka E. Sziva
Maxim Mastyugin
Brett C. Young
Sonako Jacas
Marianna Török
Saira Salahuddin
Prakash Jagtap
Garry J. Southan
Zsuzsanna K. Zsengellér
author_facet Diana Pintye
Réka E. Sziva
Maxim Mastyugin
Brett C. Young
Sonako Jacas
Marianna Török
Saira Salahuddin
Prakash Jagtap
Garry J. Southan
Zsuzsanna K. Zsengellér
author_sort Diana Pintye
collection DOAJ
description Background: Preeclampsia (PE) is a severe, life-threatening complication during pregnancy (~5–7%), and no causative treatment is available. Early aberrant spiral artery remodeling is associated with placental stress and the release of oxygen radicals and other reactive oxygen species (ROS) in the placenta. This precedes the production of anti-angiogenic factors, which ultimately leads to endothelial and trophoblast damage and the key features of PE. We tested whether a novel dual-function redox modulator—AKT-1005—can effectively reduce placental oxidative stress and alleviate PE symptoms in vitro. Method: Isolated human villous explants were exposed to hypoxia and assessed to determine whether improving cell-redox function with AKT-1005 diminished ROS production, mitochondrial stress, production of the transcription factor HIF1A, and downstream anti-angiogenic responses (i.e., sFLT1, sEng production). MitoTEMPO was used as a reference antioxidant. Results: In our villous explant assays, pretreatment with AKT-1005 reduced mitochondrial-derived ROS production, reduced HIF-1A, sFLT1, and sEng protein expression, while increasing VEGF in hypoxia-exposed villous trophoblast cells, with better efficiency than MitoTEMPO. In addition, AKT-1005 improved mitochondrial electron chain enzyme activity in the stressed explant culture. Conclusions: The redox modulator AKT-1005 has the potential to intervene with oxidative stress and can be efficacious for PE therapy. Future studies are underway to assess the in vivo efficacy of HMP.
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spelling doaj.art-6d4aee7da3784754b6504db4a144336f2023-11-19T09:38:50ZengMDPI AGBiology2079-77372023-09-01129122910.3390/biology12091229A Novel Dual-Function Redox Modulator Relieves Oxidative Stress and Anti-Angiogenic Response in Placental Villus Explant Exposed to Hypoxia—Relevance for Preeclampsia TherapyDiana Pintye0Réka E. Sziva1Maxim Mastyugin2Brett C. Young3Sonako Jacas4Marianna Török5Saira Salahuddin6Prakash Jagtap7Garry J. Southan8Zsuzsanna K. Zsengellér9Department of Medicine, Beth Israel Lahey Health, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02115, USADepartment of Medicine, Beth Israel Lahey Health, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02115, USADepartment of Chemistry, University of Massachusetts, Boston, MA 02125, USADepartment of Obstetrics and Gynecology, Beth Israel Lahey Health, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02115, USADepartment of Medicine, Beth Israel Lahey Health, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02115, USADepartment of Chemistry, University of Massachusetts, Boston, MA 02125, USADepartment of Obstetrics and Gynecology, Beth Israel Lahey Health, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02115, USAAkkadian Therapeutics, Stoneham, MA 02180, USAAkkadian Therapeutics, Stoneham, MA 02180, USADepartment of Medicine, Beth Israel Lahey Health, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02115, USABackground: Preeclampsia (PE) is a severe, life-threatening complication during pregnancy (~5–7%), and no causative treatment is available. Early aberrant spiral artery remodeling is associated with placental stress and the release of oxygen radicals and other reactive oxygen species (ROS) in the placenta. This precedes the production of anti-angiogenic factors, which ultimately leads to endothelial and trophoblast damage and the key features of PE. We tested whether a novel dual-function redox modulator—AKT-1005—can effectively reduce placental oxidative stress and alleviate PE symptoms in vitro. Method: Isolated human villous explants were exposed to hypoxia and assessed to determine whether improving cell-redox function with AKT-1005 diminished ROS production, mitochondrial stress, production of the transcription factor HIF1A, and downstream anti-angiogenic responses (i.e., sFLT1, sEng production). MitoTEMPO was used as a reference antioxidant. Results: In our villous explant assays, pretreatment with AKT-1005 reduced mitochondrial-derived ROS production, reduced HIF-1A, sFLT1, and sEng protein expression, while increasing VEGF in hypoxia-exposed villous trophoblast cells, with better efficiency than MitoTEMPO. In addition, AKT-1005 improved mitochondrial electron chain enzyme activity in the stressed explant culture. Conclusions: The redox modulator AKT-1005 has the potential to intervene with oxidative stress and can be efficacious for PE therapy. Future studies are underway to assess the in vivo efficacy of HMP.https://www.mdpi.com/2079-7737/12/9/1229preeclampsianitric oxide-donorredox modulatorSOD mimeticplacental villous explanthypoxia
spellingShingle Diana Pintye
Réka E. Sziva
Maxim Mastyugin
Brett C. Young
Sonako Jacas
Marianna Török
Saira Salahuddin
Prakash Jagtap
Garry J. Southan
Zsuzsanna K. Zsengellér
A Novel Dual-Function Redox Modulator Relieves Oxidative Stress and Anti-Angiogenic Response in Placental Villus Explant Exposed to Hypoxia—Relevance for Preeclampsia Therapy
Biology
preeclampsia
nitric oxide-donor
redox modulator
SOD mimetic
placental villous explant
hypoxia
title A Novel Dual-Function Redox Modulator Relieves Oxidative Stress and Anti-Angiogenic Response in Placental Villus Explant Exposed to Hypoxia—Relevance for Preeclampsia Therapy
title_full A Novel Dual-Function Redox Modulator Relieves Oxidative Stress and Anti-Angiogenic Response in Placental Villus Explant Exposed to Hypoxia—Relevance for Preeclampsia Therapy
title_fullStr A Novel Dual-Function Redox Modulator Relieves Oxidative Stress and Anti-Angiogenic Response in Placental Villus Explant Exposed to Hypoxia—Relevance for Preeclampsia Therapy
title_full_unstemmed A Novel Dual-Function Redox Modulator Relieves Oxidative Stress and Anti-Angiogenic Response in Placental Villus Explant Exposed to Hypoxia—Relevance for Preeclampsia Therapy
title_short A Novel Dual-Function Redox Modulator Relieves Oxidative Stress and Anti-Angiogenic Response in Placental Villus Explant Exposed to Hypoxia—Relevance for Preeclampsia Therapy
title_sort novel dual function redox modulator relieves oxidative stress and anti angiogenic response in placental villus explant exposed to hypoxia relevance for preeclampsia therapy
topic preeclampsia
nitric oxide-donor
redox modulator
SOD mimetic
placental villous explant
hypoxia
url https://www.mdpi.com/2079-7737/12/9/1229
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