Increased autophagy in placentas of intrauterine growth-restricted pregnancies.

Unexplained intrauterine growth restriction (IUGR) may be a consequence of placental insufficiency; however, its etiology is not fully understood. We surmised that defective placentation in IUGR dysregulates cellular bioenergic homeostasis, leading to increased autophagy in the villous trophoblast....

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Main Authors: Tai-Ho Hung, Szu-Fu Chen, Liang-Ming Lo, Meng-Jen Li, Yi-Lin Yeh, T'sang-T'ang Hsieh
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2012-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3397998?pdf=render
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author Tai-Ho Hung
Szu-Fu Chen
Liang-Ming Lo
Meng-Jen Li
Yi-Lin Yeh
T'sang-T'ang Hsieh
author_facet Tai-Ho Hung
Szu-Fu Chen
Liang-Ming Lo
Meng-Jen Li
Yi-Lin Yeh
T'sang-T'ang Hsieh
author_sort Tai-Ho Hung
collection DOAJ
description Unexplained intrauterine growth restriction (IUGR) may be a consequence of placental insufficiency; however, its etiology is not fully understood. We surmised that defective placentation in IUGR dysregulates cellular bioenergic homeostasis, leading to increased autophagy in the villous trophoblast. The aims of this work were (1) to compare the differences in autophagy, p53 expression, and apoptosis between placentas of women with normal or IUGR pregnancies; (2) to study the effects of hypoxia and the role of p53 in regulating trophoblast autophagy; and (3) to investigate the relationship between autophagy and apoptosis in hypoxic trophoblasts.Compared with normal pregnant women, women with IUGR had higher placental levels of autophagy-related proteins LC3B-II, beclin-1, and damage-regulated autophagy modulator (DRAM), with increased p53 and caspase-cleaved cytokeratin 18 (M30). Furthermore, cytotrophoblasts cultured under hypoxia (2% oxygen) in the presence or absence of nutlin-3 (a p53 activity stimulator) had higher levels of LC3B-II, DRAM, and M30 proteins and increased Bax mRNA expression compared with controls cultured under standard conditions. In contrast, administration of pifithrin-α (a p53 activity inhibitor) during hypoxia resulted in protein levels that were similar to those of the control groups. Moreover, cytotrophoblasts transfected with LC3B, beclin-1, or DRAM siRNA had higher levels of M30 compared with the controls under hypoxia. However, transfection with Bcl-2 or Bax siRNA did not cause any significant change in the levels of LC3B-II in hypoxic cytotrophoblasts.Together, these results suggest that there is a crosstalk between autophagy and apoptosis in IUGR and that p53 plays a pivotal and complex role in regulating trophoblast cell turnover in response to hypoxic stress.
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spelling doaj.art-b0a132d8396845a9907be23bbc9e82b82022-12-22T01:49:37ZengPublic Library of Science (PLoS)PLoS ONE1932-62032012-01-0177e4095710.1371/journal.pone.0040957Increased autophagy in placentas of intrauterine growth-restricted pregnancies.Tai-Ho HungSzu-Fu ChenLiang-Ming LoMeng-Jen LiYi-Lin YehT'sang-T'ang HsiehUnexplained intrauterine growth restriction (IUGR) may be a consequence of placental insufficiency; however, its etiology is not fully understood. We surmised that defective placentation in IUGR dysregulates cellular bioenergic homeostasis, leading to increased autophagy in the villous trophoblast. The aims of this work were (1) to compare the differences in autophagy, p53 expression, and apoptosis between placentas of women with normal or IUGR pregnancies; (2) to study the effects of hypoxia and the role of p53 in regulating trophoblast autophagy; and (3) to investigate the relationship between autophagy and apoptosis in hypoxic trophoblasts.Compared with normal pregnant women, women with IUGR had higher placental levels of autophagy-related proteins LC3B-II, beclin-1, and damage-regulated autophagy modulator (DRAM), with increased p53 and caspase-cleaved cytokeratin 18 (M30). Furthermore, cytotrophoblasts cultured under hypoxia (2% oxygen) in the presence or absence of nutlin-3 (a p53 activity stimulator) had higher levels of LC3B-II, DRAM, and M30 proteins and increased Bax mRNA expression compared with controls cultured under standard conditions. In contrast, administration of pifithrin-α (a p53 activity inhibitor) during hypoxia resulted in protein levels that were similar to those of the control groups. Moreover, cytotrophoblasts transfected with LC3B, beclin-1, or DRAM siRNA had higher levels of M30 compared with the controls under hypoxia. However, transfection with Bcl-2 or Bax siRNA did not cause any significant change in the levels of LC3B-II in hypoxic cytotrophoblasts.Together, these results suggest that there is a crosstalk between autophagy and apoptosis in IUGR and that p53 plays a pivotal and complex role in regulating trophoblast cell turnover in response to hypoxic stress.http://europepmc.org/articles/PMC3397998?pdf=render
spellingShingle Tai-Ho Hung
Szu-Fu Chen
Liang-Ming Lo
Meng-Jen Li
Yi-Lin Yeh
T'sang-T'ang Hsieh
Increased autophagy in placentas of intrauterine growth-restricted pregnancies.
PLoS ONE
title Increased autophagy in placentas of intrauterine growth-restricted pregnancies.
title_full Increased autophagy in placentas of intrauterine growth-restricted pregnancies.
title_fullStr Increased autophagy in placentas of intrauterine growth-restricted pregnancies.
title_full_unstemmed Increased autophagy in placentas of intrauterine growth-restricted pregnancies.
title_short Increased autophagy in placentas of intrauterine growth-restricted pregnancies.
title_sort increased autophagy in placentas of intrauterine growth restricted pregnancies
url http://europepmc.org/articles/PMC3397998?pdf=render
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