Wnt5a-Flt1 activation contributes to preterm altered cerebral angiogenesis after prenatal inflammation

Objective: Intraventricular hemorrhage (IVH) causes morbidity and mortality in preterm infants and prenatal exposure to inflammation contributes to brain injury. Moreover, prenatal exposure to severe inflammation increases the risk of IVH in preterm neonates. The current study investigated whether i...

Full description

Bibliographic Details
Main Authors: Han Jiangxue, Yang Liling, Xu Fang, Yang Shumei, Liu Gengying, Ren Xuejun, Yao Yao, Nie Chuan, Yang Jie, Ren Zhuxiao
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:Pediatrics and Neonatology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1875957223000347
_version_ 1797672089706037248
author Han Jiangxue
Yang Liling
Xu Fang
Yang Shumei
Liu Gengying
Ren Xuejun
Yao Yao
Nie Chuan
Yang Jie
Ren Zhuxiao
author_facet Han Jiangxue
Yang Liling
Xu Fang
Yang Shumei
Liu Gengying
Ren Xuejun
Yao Yao
Nie Chuan
Yang Jie
Ren Zhuxiao
author_sort Han Jiangxue
collection DOAJ
description Objective: Intraventricular hemorrhage (IVH) causes morbidity and mortality in preterm infants and prenatal exposure to inflammation contributes to brain injury. Moreover, prenatal exposure to severe inflammation increases the risk of IVH in preterm neonates. The current study investigated whether intrauterine exposure to inflammation affects cerebral angiogenesis and its underlying mechanisms. Methods: Wnt5a, flt1, and vascular endothelial growth factor (VEGF)-A levels in cord blood serum (stored in a bio-bank) of the enrolled patients were measured via enzyme-linked immunosorbent assay. A preterm prenatal inflammation exposure model was established in rats by intraperitoneal injection intraperitoneally during pregnancy. Angiogenesis of cerebral tissue was analyzed using immunohistochemistry. Wnt5a, flt1, and VEGF-A expression levels were measured via immunohistochemistry, immunofluorescence, or western blotting. The correlation between Wnt5a and flt1 expression and the cerebral vessel area was also analyzed. Results: The Wnt5a and flt1 levels in the cord blood serum were significantly higher in the amnionitis group than in the non-amnionitis group. The VEGF-A level in the cord blood serum was significantly lower in the amnionitis group. In the rat model, preterm rats in the prenatal inflammation group exhibited increased microglial cell infiltration and decreased vessel area and diameter in the cerebral tissue compared to the control group. Wnt5a was located in microglial cells, and Wnt5a and flt1 expression in brain tissue significantly increased after prenatal lipopolysaccharide (LPS) exposure. VEGF-A expression declined after prenatal LPS exposure. The cerebral vessel area was negatively correlated with Wnt5a and flt1 expression. Conclusion: Disordered cerebral angiogenesis is associated with increased Wnt5a-Flt1 activation in microglial cells after exposure to intrauterine inflammation.
first_indexed 2024-03-11T21:25:01Z
format Article
id doaj.art-875d9db5eb8a48a490227d31e8f02110
institution Directory Open Access Journal
issn 1875-9572
language English
last_indexed 2024-03-11T21:25:01Z
publishDate 2023-09-01
publisher Elsevier
record_format Article
series Pediatrics and Neonatology
spelling doaj.art-875d9db5eb8a48a490227d31e8f021102023-09-28T05:25:11ZengElsevierPediatrics and Neonatology1875-95722023-09-01645528537Wnt5a-Flt1 activation contributes to preterm altered cerebral angiogenesis after prenatal inflammationHan Jiangxue0Yang Liling1Xu Fang2Yang Shumei3Liu Gengying4Ren Xuejun5Yao Yao6Nie Chuan7Yang Jie8Ren Zhuxiao9Department of Neonatology, Guangdong Key Clinical Specialty, Guangdong Women and Children Hospital, Guangzhou, ChinaDepartment of Neonatology, Guangdong Key Clinical Specialty, Guangdong Women and Children Hospital, Guangzhou, ChinaDepartment of Neonatology, Guangdong Key Clinical Specialty, Guangdong Women and Children Hospital, Guangzhou, ChinaDepartment of Neonatology, Guangdong Key Clinical Specialty, Guangdong Women and Children Hospital, Guangzhou, ChinaDepartment of Neonatology, Guangdong Key Clinical Specialty, Guangdong Women and Children Hospital, Guangzhou, ChinaDongguan Maternal and Children Hospital, Dong Guan, Guangdong, ChinaKey Laboratory of Regenerative Biology, South China Institute for Stem Cell Biology and Regenerative Medicine, Guangzhou Institutes of Biomedicine and Health, Chinese Academy of Sciences, 190 Kaiyuan Avenue, Science Park, Guangzhou, Guangdong, ChinaDepartment of Neonatology, Guangdong Key Clinical Specialty, Guangdong Women and Children Hospital, Guangzhou, ChinaDepartment of Neonatology, Nanfang Hospital, Southern Medical University, China; Corresponding author.Department of Neonatology, Guangdong Key Clinical Specialty, Guangdong Women and Children Hospital, Guangzhou, China; Corresponding author. Guangdong Women and Children Hospital, 521 Xingnan Avenue, Guangzhou, Guangdong, 511442, China.Objective: Intraventricular hemorrhage (IVH) causes morbidity and mortality in preterm infants and prenatal exposure to inflammation contributes to brain injury. Moreover, prenatal exposure to severe inflammation increases the risk of IVH in preterm neonates. The current study investigated whether intrauterine exposure to inflammation affects cerebral angiogenesis and its underlying mechanisms. Methods: Wnt5a, flt1, and vascular endothelial growth factor (VEGF)-A levels in cord blood serum (stored in a bio-bank) of the enrolled patients were measured via enzyme-linked immunosorbent assay. A preterm prenatal inflammation exposure model was established in rats by intraperitoneal injection intraperitoneally during pregnancy. Angiogenesis of cerebral tissue was analyzed using immunohistochemistry. Wnt5a, flt1, and VEGF-A expression levels were measured via immunohistochemistry, immunofluorescence, or western blotting. The correlation between Wnt5a and flt1 expression and the cerebral vessel area was also analyzed. Results: The Wnt5a and flt1 levels in the cord blood serum were significantly higher in the amnionitis group than in the non-amnionitis group. The VEGF-A level in the cord blood serum was significantly lower in the amnionitis group. In the rat model, preterm rats in the prenatal inflammation group exhibited increased microglial cell infiltration and decreased vessel area and diameter in the cerebral tissue compared to the control group. Wnt5a was located in microglial cells, and Wnt5a and flt1 expression in brain tissue significantly increased after prenatal lipopolysaccharide (LPS) exposure. VEGF-A expression declined after prenatal LPS exposure. The cerebral vessel area was negatively correlated with Wnt5a and flt1 expression. Conclusion: Disordered cerebral angiogenesis is associated with increased Wnt5a-Flt1 activation in microglial cells after exposure to intrauterine inflammation.http://www.sciencedirect.com/science/article/pii/S1875957223000347cerebral angiogenesisprenatalinflammationpretermwnt5a-Flt1
spellingShingle Han Jiangxue
Yang Liling
Xu Fang
Yang Shumei
Liu Gengying
Ren Xuejun
Yao Yao
Nie Chuan
Yang Jie
Ren Zhuxiao
Wnt5a-Flt1 activation contributes to preterm altered cerebral angiogenesis after prenatal inflammation
Pediatrics and Neonatology
cerebral angiogenesis
prenatalinflammation
preterm
wnt5a-Flt1
title Wnt5a-Flt1 activation contributes to preterm altered cerebral angiogenesis after prenatal inflammation
title_full Wnt5a-Flt1 activation contributes to preterm altered cerebral angiogenesis after prenatal inflammation
title_fullStr Wnt5a-Flt1 activation contributes to preterm altered cerebral angiogenesis after prenatal inflammation
title_full_unstemmed Wnt5a-Flt1 activation contributes to preterm altered cerebral angiogenesis after prenatal inflammation
title_short Wnt5a-Flt1 activation contributes to preterm altered cerebral angiogenesis after prenatal inflammation
title_sort wnt5a flt1 activation contributes to preterm altered cerebral angiogenesis after prenatal inflammation
topic cerebral angiogenesis
prenatalinflammation
preterm
wnt5a-Flt1
url http://www.sciencedirect.com/science/article/pii/S1875957223000347
work_keys_str_mv AT hanjiangxue wnt5aflt1activationcontributestopretermalteredcerebralangiogenesisafterprenatalinflammation
AT yangliling wnt5aflt1activationcontributestopretermalteredcerebralangiogenesisafterprenatalinflammation
AT xufang wnt5aflt1activationcontributestopretermalteredcerebralangiogenesisafterprenatalinflammation
AT yangshumei wnt5aflt1activationcontributestopretermalteredcerebralangiogenesisafterprenatalinflammation
AT liugengying wnt5aflt1activationcontributestopretermalteredcerebralangiogenesisafterprenatalinflammation
AT renxuejun wnt5aflt1activationcontributestopretermalteredcerebralangiogenesisafterprenatalinflammation
AT yaoyao wnt5aflt1activationcontributestopretermalteredcerebralangiogenesisafterprenatalinflammation
AT niechuan wnt5aflt1activationcontributestopretermalteredcerebralangiogenesisafterprenatalinflammation
AT yangjie wnt5aflt1activationcontributestopretermalteredcerebralangiogenesisafterprenatalinflammation
AT renzhuxiao wnt5aflt1activationcontributestopretermalteredcerebralangiogenesisafterprenatalinflammation