Placental extracellular vesicles express active dipeptidyl peptidase IV; levels are increased in gestational diabetes mellitus

Gestational diabetes mellitus (GDM) is the most common metabolic disorder in pregnancy and is characterized by insulin resistance and decreased circulating glucagon-like peptide-1 (GLP-1). GDM resolves rapidly after delivery implicating the placenta in the disease. This study examines the biological...

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Main Authors: Kandzija, N, Zhang, W, Motta-Mejia, C, Mhlomi, V, McGowan-downey, J, James, T, Cerdeira, S, Tannetta, D, Sargent, I, Redman, C, Bastie, C, Vatish, M
Format: Journal article
Language:English
Published: Taylor and Francis 2019
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author Kandzija, N
Zhang, W
Motta-Mejia, C
Mhlomi, V
McGowan-downey, J
James, T
Cerdeira, S
Tannetta, D
Sargent, I
Redman, C
Bastie, C
Vatish, M
author_facet Kandzija, N
Zhang, W
Motta-Mejia, C
Mhlomi, V
McGowan-downey, J
James, T
Cerdeira, S
Tannetta, D
Sargent, I
Redman, C
Bastie, C
Vatish, M
author_sort Kandzija, N
collection OXFORD
description Gestational diabetes mellitus (GDM) is the most common metabolic disorder in pregnancy and is characterized by insulin resistance and decreased circulating glucagon-like peptide-1 (GLP-1). GDM resolves rapidly after delivery implicating the placenta in the disease. This study examines the biological functions that cause this pathology. The placenta releases syncytiotrophoblast-derived extracellular vesicles (STB-EVs) into the maternal circulation, which is enhanced in GDM. Dipeptidyl peptidase IV (DPPIV) is known to play a role in type 2 diabetes by breaking down GLP-1, which in turn regulates glucose-dependent insulin secretion. STB-EVs from control and GDM women were analysed. We show that normal human placenta releases DPPIV-positive STB-EVs and that they are higher in uterine than paired peripheral blood, confirming placental origin. DPPIV-bound STB-EVs from normal perfused placentae are dose dependently inhibited with vildagliptin. DPPIV-bound STB-EVs from perfused placentae are able to breakdown GLP-1 in vitro. STB-EVs from GDM perfused placentae show greater DPPIV activity. Importantly, DPPIV-bound STB-EVs increase eightfold in the circulation of women with GDM. This is the first report of STB-EVs carrying a biologically active molecule that has the potential to regulate maternal insulin secretion.
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spelling oxford-uuid:188157fb-cbcf-4a71-a018-f3a5d3ec05372022-03-26T10:43:42ZPlacental extracellular vesicles express active dipeptidyl peptidase IV; levels are increased in gestational diabetes mellitusJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:188157fb-cbcf-4a71-a018-f3a5d3ec0537EnglishSymplectic Elements at OxfordTaylor and Francis2019Kandzija, NZhang, WMotta-Mejia, CMhlomi, VMcGowan-downey, JJames, TCerdeira, STannetta, DSargent, IRedman, CBastie, CVatish, MGestational diabetes mellitus (GDM) is the most common metabolic disorder in pregnancy and is characterized by insulin resistance and decreased circulating glucagon-like peptide-1 (GLP-1). GDM resolves rapidly after delivery implicating the placenta in the disease. This study examines the biological functions that cause this pathology. The placenta releases syncytiotrophoblast-derived extracellular vesicles (STB-EVs) into the maternal circulation, which is enhanced in GDM. Dipeptidyl peptidase IV (DPPIV) is known to play a role in type 2 diabetes by breaking down GLP-1, which in turn regulates glucose-dependent insulin secretion. STB-EVs from control and GDM women were analysed. We show that normal human placenta releases DPPIV-positive STB-EVs and that they are higher in uterine than paired peripheral blood, confirming placental origin. DPPIV-bound STB-EVs from normal perfused placentae are dose dependently inhibited with vildagliptin. DPPIV-bound STB-EVs from perfused placentae are able to breakdown GLP-1 in vitro. STB-EVs from GDM perfused placentae show greater DPPIV activity. Importantly, DPPIV-bound STB-EVs increase eightfold in the circulation of women with GDM. This is the first report of STB-EVs carrying a biologically active molecule that has the potential to regulate maternal insulin secretion.
spellingShingle Kandzija, N
Zhang, W
Motta-Mejia, C
Mhlomi, V
McGowan-downey, J
James, T
Cerdeira, S
Tannetta, D
Sargent, I
Redman, C
Bastie, C
Vatish, M
Placental extracellular vesicles express active dipeptidyl peptidase IV; levels are increased in gestational diabetes mellitus
title Placental extracellular vesicles express active dipeptidyl peptidase IV; levels are increased in gestational diabetes mellitus
title_full Placental extracellular vesicles express active dipeptidyl peptidase IV; levels are increased in gestational diabetes mellitus
title_fullStr Placental extracellular vesicles express active dipeptidyl peptidase IV; levels are increased in gestational diabetes mellitus
title_full_unstemmed Placental extracellular vesicles express active dipeptidyl peptidase IV; levels are increased in gestational diabetes mellitus
title_short Placental extracellular vesicles express active dipeptidyl peptidase IV; levels are increased in gestational diabetes mellitus
title_sort placental extracellular vesicles express active dipeptidyl peptidase iv levels are increased in gestational diabetes mellitus
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