Syncytiotrophoblast derived extracellular vesicles in relation to pre-eclampsia

The syncytiotrophoblast, a fused single-cell layer between mother and fetus, constitutively releases extracellular vesicles (STBEV) directly into the maternal circulation. STBEV contain a variety of proteins and RNA which can be targeted to specific cells. In preeclampsia, asymptomatic placental oxi...

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Main Authors: Cooke, WR, Jones, GD, Redman, CWG, Vatish, M
Formato: Journal article
Idioma:English
Publicado: Lippincott, Williams & Wilkins 2021
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author Cooke, WR
Jones, GD
Redman, CWG
Vatish, M
author_facet Cooke, WR
Jones, GD
Redman, CWG
Vatish, M
author_sort Cooke, WR
collection OXFORD
description The syncytiotrophoblast, a fused single-cell layer between mother and fetus, constitutively releases extracellular vesicles (STBEV) directly into the maternal circulation. STBEV contain a variety of proteins and RNA which can be targeted to specific cells. In preeclampsia, asymptomatic placental oxidative stress is a precursor to later multi-organ dysfunction in the mother. Increased STBEV release in preeclampsia is considered a manifestation of syncytiotrophoblast stress, which may play a key role in signaling between fetus and mother. STBEV release in preeclampsia changes, both in terms of volume and content. In this review, we outline the latest advances in STBEV isolation and detection. We consider evidence for differential STBEV release, protein cargo and RNA content in preeclampsia, highlighting common pitfalls in study design. We summarise studies to date demonstrating STBEV actions on target cells. Ultimately, we consider how STBEV fit into the pathophysiology of the heterogeneous syndrome of preeclampsia. The key unifying concept in early- and late-onset preeclampsia is syncytiotrophoblast stress. We submit that STBEV are the key stress signal in preeclampsia. We believe that further investigation of STBEV release, content, and actions may offer valuable insights into preeclampsia pathophysiology and potential new clinical diagnostics and therapeutic targets.
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spelling oxford-uuid:402e0737-8158-45b5-8431-d0c507f61ff02022-03-26T14:36:27ZSyncytiotrophoblast derived extracellular vesicles in relation to pre-eclampsiaJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:402e0737-8158-45b5-8431-d0c507f61ff0EnglishSymplectic ElementsLippincott, Williams & Wilkins2021Cooke, WRJones, GDRedman, CWGVatish, MThe syncytiotrophoblast, a fused single-cell layer between mother and fetus, constitutively releases extracellular vesicles (STBEV) directly into the maternal circulation. STBEV contain a variety of proteins and RNA which can be targeted to specific cells. In preeclampsia, asymptomatic placental oxidative stress is a precursor to later multi-organ dysfunction in the mother. Increased STBEV release in preeclampsia is considered a manifestation of syncytiotrophoblast stress, which may play a key role in signaling between fetus and mother. STBEV release in preeclampsia changes, both in terms of volume and content. In this review, we outline the latest advances in STBEV isolation and detection. We consider evidence for differential STBEV release, protein cargo and RNA content in preeclampsia, highlighting common pitfalls in study design. We summarise studies to date demonstrating STBEV actions on target cells. Ultimately, we consider how STBEV fit into the pathophysiology of the heterogeneous syndrome of preeclampsia. The key unifying concept in early- and late-onset preeclampsia is syncytiotrophoblast stress. We submit that STBEV are the key stress signal in preeclampsia. We believe that further investigation of STBEV release, content, and actions may offer valuable insights into preeclampsia pathophysiology and potential new clinical diagnostics and therapeutic targets.
spellingShingle Cooke, WR
Jones, GD
Redman, CWG
Vatish, M
Syncytiotrophoblast derived extracellular vesicles in relation to pre-eclampsia
title Syncytiotrophoblast derived extracellular vesicles in relation to pre-eclampsia
title_full Syncytiotrophoblast derived extracellular vesicles in relation to pre-eclampsia
title_fullStr Syncytiotrophoblast derived extracellular vesicles in relation to pre-eclampsia
title_full_unstemmed Syncytiotrophoblast derived extracellular vesicles in relation to pre-eclampsia
title_short Syncytiotrophoblast derived extracellular vesicles in relation to pre-eclampsia
title_sort syncytiotrophoblast derived extracellular vesicles in relation to pre eclampsia
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AT jonesgd syncytiotrophoblastderivedextracellularvesiclesinrelationtopreeclampsia
AT redmancwg syncytiotrophoblastderivedextracellularvesiclesinrelationtopreeclampsia
AT vatishm syncytiotrophoblastderivedextracellularvesiclesinrelationtopreeclampsia