Increased maternal and fetal cholesterol efflux capacity and placental CYP27A1 expression in preeclampsia[S]

Preeclampsia is a pregnancy-specific condition that leads to increased cardiovascular risk in later life. A decrease in cholesterol efflux capacity is linked to CVD. We hypothesized that in preeclampsia there would be a disruption of maternal/fetal plasma to efflux cholesterol, as well as difference...

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Main Authors: Hiten D. Mistry, Lesia O. Kurlak, Yosef T. Mansour, Line Zurkinden, Markus G. Mohaupt, Geneviève Escher
Format: Article
Language:English
Published: Elsevier 2017-06-01
Series:Journal of Lipid Research
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0022227520310105
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author Hiten D. Mistry
Lesia O. Kurlak
Yosef T. Mansour
Line Zurkinden
Markus G. Mohaupt
Geneviève Escher
author_facet Hiten D. Mistry
Lesia O. Kurlak
Yosef T. Mansour
Line Zurkinden
Markus G. Mohaupt
Geneviève Escher
author_sort Hiten D. Mistry
collection DOAJ
description Preeclampsia is a pregnancy-specific condition that leads to increased cardiovascular risk in later life. A decrease in cholesterol efflux capacity is linked to CVD. We hypothesized that in preeclampsia there would be a disruption of maternal/fetal plasma to efflux cholesterol, as well as differences in the concentrations of both placental sterol 27-hydroxylase (CYP27A1) and apoA1 binding protein (AIBP). Total, HDL-, and ABCA1-mediated cholesterol effluxes were performed with maternal and fetal plasma from women with preeclampsia and normotensive controls (both n = 17). apoA1 and apoE were quantified by chemiluminescence, and 27-hydroxycholesterol (27-OHC) by GC-MS. Immunohistochemistry was used to determine placental expression/localization of CYP27A1, AIBP, apoA1, apoE, and SRB1. Maternal and fetal total and HDL-mediated cholesterol efflux capacities were increased in preeclampsia (by 10–20%), but ABCA1-mediated efflux was decreased (by 20–35%; P < 0.05). Maternal and fetal apoE concentrations were higher in preeclampsia. Fetal plasma 27-OHC levels were decreased in preeclamptic samples (P< 0.05). Placental protein expression of both CYP27A1 and AIBP were localized around fetal vessels and significantly increased in preeclampsia (P = 0.04). Placental 27-OHC concentrations were also raised in preeclampsia (P < 0.05). Increased HDL-mediated cholesterol efflux capacity and placental CYP27A1/27-OHC could be a rescue mechanism in preeclampsia, to remove cholesterol from cells to limit lipid peroxidation and increase placental angiogenesis.
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spelling doaj.art-d8f7e66350144491ab19250f45cf463b2022-12-21T19:03:06ZengElsevierJournal of Lipid Research0022-22752017-06-0158611861195Increased maternal and fetal cholesterol efflux capacity and placental CYP27A1 expression in preeclampsia[S]Hiten D. Mistry0Lesia O. Kurlak1Yosef T. Mansour2Line Zurkinden3Markus G. Mohaupt4Geneviève Escher5To whom correspondence should be addressed.; Department of Nephrology, Hypertension, Clinical Pharmacology, and Clinical Research, University of Bern, Bern, Switzerland; Division of Child Health, Obstetrics, and Gynecology, School of Medicine, University of Nottingham, Nottingham, United KingdomDivision of Child Health, Obstetrics, and Gynecology, School of Medicine, University of Nottingham, Nottingham, United KingdomDivision of Women's Health, Women's Health Academic Centre, King's College London, London, United KingdomDepartment of Nephrology, Hypertension, Clinical Pharmacology, and Clinical Research, University of Bern, Bern, SwitzerlandDepartment of Nephrology, Hypertension, Clinical Pharmacology, and Clinical Research, University of Bern, Bern, SwitzerlandDepartment of Nephrology, Hypertension, Clinical Pharmacology, and Clinical Research, University of Bern, Bern, SwitzerlandPreeclampsia is a pregnancy-specific condition that leads to increased cardiovascular risk in later life. A decrease in cholesterol efflux capacity is linked to CVD. We hypothesized that in preeclampsia there would be a disruption of maternal/fetal plasma to efflux cholesterol, as well as differences in the concentrations of both placental sterol 27-hydroxylase (CYP27A1) and apoA1 binding protein (AIBP). Total, HDL-, and ABCA1-mediated cholesterol effluxes were performed with maternal and fetal plasma from women with preeclampsia and normotensive controls (both n = 17). apoA1 and apoE were quantified by chemiluminescence, and 27-hydroxycholesterol (27-OHC) by GC-MS. Immunohistochemistry was used to determine placental expression/localization of CYP27A1, AIBP, apoA1, apoE, and SRB1. Maternal and fetal total and HDL-mediated cholesterol efflux capacities were increased in preeclampsia (by 10–20%), but ABCA1-mediated efflux was decreased (by 20–35%; P < 0.05). Maternal and fetal apoE concentrations were higher in preeclampsia. Fetal plasma 27-OHC levels were decreased in preeclamptic samples (P< 0.05). Placental protein expression of both CYP27A1 and AIBP were localized around fetal vessels and significantly increased in preeclampsia (P = 0.04). Placental 27-OHC concentrations were also raised in preeclampsia (P < 0.05). Increased HDL-mediated cholesterol efflux capacity and placental CYP27A1/27-OHC could be a rescue mechanism in preeclampsia, to remove cholesterol from cells to limit lipid peroxidation and increase placental angiogenesis.http://www.sciencedirect.com/science/article/pii/S0022227520310105lipid/efflux27-hydroxycholesterolapolipoproteinspregnancyhypertensionsterol 27-hydroxylase
spellingShingle Hiten D. Mistry
Lesia O. Kurlak
Yosef T. Mansour
Line Zurkinden
Markus G. Mohaupt
Geneviève Escher
Increased maternal and fetal cholesterol efflux capacity and placental CYP27A1 expression in preeclampsia[S]
Journal of Lipid Research
lipid/efflux
27-hydroxycholesterol
apolipoproteins
pregnancy
hypertension
sterol 27-hydroxylase
title Increased maternal and fetal cholesterol efflux capacity and placental CYP27A1 expression in preeclampsia[S]
title_full Increased maternal and fetal cholesterol efflux capacity and placental CYP27A1 expression in preeclampsia[S]
title_fullStr Increased maternal and fetal cholesterol efflux capacity and placental CYP27A1 expression in preeclampsia[S]
title_full_unstemmed Increased maternal and fetal cholesterol efflux capacity and placental CYP27A1 expression in preeclampsia[S]
title_short Increased maternal and fetal cholesterol efflux capacity and placental CYP27A1 expression in preeclampsia[S]
title_sort increased maternal and fetal cholesterol efflux capacity and placental cyp27a1 expression in preeclampsia s
topic lipid/efflux
27-hydroxycholesterol
apolipoproteins
pregnancy
hypertension
sterol 27-hydroxylase
url http://www.sciencedirect.com/science/article/pii/S0022227520310105
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