Per- and Polyfluoroalkyl Substances Differentially Inhibit Placental Trophoblast Migration and Invasion in Vitro John T

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Per- and Polyfluoroalkyl Substances Differentially Inhibit Placental Trophoblast Migration and Invasion in Vitro John T TOXICOLOGICAL SCIENCES, 2020, 1–10 doi: 10.1093/toxsci/kfaa043 Downloaded from https://academic.oup.com/toxsci/advance-article-abstract/doi/10.1093/toxsci/kfaa043/5812793 by University of North Carolina at Chapel Hill user on 19 May 2020 Advance Access Publication Date: March 27, 2020 Research Article Per- and Polyfluoroalkyl Substances Differentially Inhibit Placental Trophoblast Migration and Invasion In Vitro John T. Szilagyi ,*,† Anastasia N. Freedman,* Stewart L. Kepper,* Arjun M. Keshava,* Jackie T. Bangma,*,‡ and Rebecca C. Fry*,†,‡,1 *Department of Environmental Sciences and Engineering, Gillings School of Global Public Health; †Curriculum in Toxicology; and ‡Institute for Environmental Health Solutions, University of North Carolina, Chapel Hill, North Carolina 27516 1To whom correspondence should be addressed at Department of Environmental Sciences and Engineering, Gillings School of Global Public Health, University of North Carolina, 135 Dauer Drive, CB 7431, Chapel Hill, NC 27516. Fax: (919) 843-9047. E-mail: [email protected]. ABSTRACT Per- and polyfluoroalkyl substances (PFAS) are used as industrial surfactants and chemical coatings for household goods such as Teflon. Despite regulatory efforts to phase out legacy PFAS, they remain detectable in drinking water throughout the United States. This is due to the stability of legacy PFAS and the continued use of replacement compounds. In humans, PFAS have been detected in placenta and cord blood and are associated with low birth weight and preeclampsia risk. Preeclampsia is a leading cause of maternal mortality and is driven by insufficient endometrial trophoblast invasion, resulting in poor placental blood flow. PFAS alter invasion of other cell types, but their impact on trophoblasts is not understood. We therefore assessed the effects of PFAS on trophoblast migration, invasion, and gene expression in vitro. Trophoblast migration and invasion were assessed using a modified scratch assay in the absence or presence of Matrigel, respectively. Treatment with perfluorooctanoic sulfate (PFOS), perfluorooctanoic acid (PFOA), and GenX (1000 ng/ml) each decreased trophoblast migration over 24 h. However, only GenX (1000 ng/ml) significantly inhibited trophoblast invasion. Treatment with PFOS, PFOA, and GenX also decreased trophoblast expression of chemokines (eg, CCL2), chemokine receptors (eg, CCR4), and inflammatory enzymes (eg, ALOX15) involved in migration. Inhibition of chemokine receptors with pertussis toxin (10 ng/ml), a G-protein inhibitor, inhibited trophoblast migration similar to the PFAS. Taken together, PFAS decrease trophoblast migration, invasion, and inflammatory signaling. By understanding the mechanisms involved, it may be possible to identify the biological and exposure factors that contribute to preeclampsia. Key words: PFAS; placenta; trophoblast; preeclampsia; inflammation. Per- and polyfluoroalkyl substances (PFAS) are used as indus- sulfate (PFOS), their stability and the introduction of replace- trial surfactants and chemical coatings for common household ment compounds, such as hexafluoropropylene oxide dimer goods such as Teflon and scotch guard (Renner, 2006; Sajid and acid (ammonium salt with trade name: GenX), result in detect- Ilyas, 2017). In addition, PFAS are frequently employed in indus- able levels of PFAS throughout drinking water in the United trial manufacturing processes due to their hydrophobicity and States (Rayne and Forest, 2009). According to the National stability, 2 key factors that contribute to their persistence in the Health and Nutrition Examination Survey, most people in the environment (Kovarova and Svobodova, 2008). Despite regula- United States and other industrialized countries have detect- tory efforts in the United States to phase out production of leg- able levels (median 10 ng/ml total) of PFAS in their blood acy PFAS perfluorooctanoic acid (PFOA) and perfluorooctanoic (NHANES, 2014). PFAS are detectable even after steady low-level VC The Author(s) 2020. Published by Oxford University Press on behalf of the Society of Toxicology. All rights reserved. For permissions, please e-mail: [email protected] 1 2|PLACENTAL TROPHOBLAST MIGRATION AND INVASION exposure because of their long biological half-life. PFAS have (Manassas, Virginia). Cells were grown in Gibco RPMI 1640, sup- also been detected in both placenta (approximately 0.1–10 ng/g plemented with 10% fetal bovine serum, 1% penicillin/strepto- Downloaded from https://academic.oup.com/toxsci/advance-article-abstract/doi/10.1093/toxsci/kfaa043/5812793 by University of North Carolina at Chapel Hill user on 19 May 2020 wet weight) and cord blood in a number of studies worldwide mycin, and 1 mM sodium pyruvate at 37 Cin5%CO2. indicating that PFAS are prevalent, being retained in maternal serum, and crossing the placenta into the fetal circulation Resazurin cytotoxicity assay. Cells were seeded at 10 000 cells/ (Fisher et al., 2016; Lee et al., 2016; Mamsen et al., 2017; Spratlen well, incubated overnight, and treated with 0.01–100 000 ng/ml et al., 2019; Wang et al., 2016). PFOS, PFOA, GenX (Synquest Laboratories, Alachua, Florida) or Legacy PFAS are well documented for their role as develop- 10–100 ng/ml pertussis toxin (PTX; Millipore Sigma, St. Louis, mental and metabolic toxicants with impact on later life child- Missouri) for 24 h. Resazurin was then added to each well at a fi- ren’s health (Braun, 2017). There is also evidence of concern to nal concentration of 10 mg/ml, incubated for 4 h at 37Cin5% pregnant women, that PFAS are associated with detriments to CO2, and fluorescence read on a Promega (Madison, Wisconsin) the health of the pregnancy and to the developing fetus (Bach GloMax microplate spectrophotometer using 560 and 590 nm as et al., 2015; Darrow et al., 2013; Huang et al., 2019; Stein et al., the excitation and emission wavelength, respectively. Of all the 2009; Wikstro¨m et al., 2019). Specifically, placental PFOS content chemicals tested, only 100 000 ng/ml PFOS was cytotoxic over has been associated with the incidence of preeclampsia across 24 h. multiple studies (Darrow et al., 2013; Huang et al., 2019; Stein et al., 2009; Wikstro¨m et al., 2019). Placental, maternal serum, Migration and invasion. To measure trophoblast migration and in- and cord serum PFAS concentrations during pregnancy have vasion, an ACEA S16 Real-Time Cell Analyzer (ACEA, San Diego, also been correlated to low birth weight, which is often a conse- California) was utilized, which, using wells lined with gold quence of placental insufficiency, in multiple studies (Ashley- microelectrodes, measures the electrical resistance associated Martin et al., 2017; Rokoff et al., 2018; Sagiv et al., 2018; Valvi et al., with cell number and density. If done in conjunction with the 2017; Verner et al., 2015; Washino et al., 2009; Woods et al., 2017). traditional scratch assay, this setup allows for the collection of Little is known, however, about the mechanistic interactions be- migration and invasion data in real time without relying on mi- tween PFAS and the placenta as it pertains to pregnancy com- croscopy and image analysis (Al-Khayal et al., 2017; Bucur et al., plications such as preeclampsia. 2018; Ragone et al., 2017). For migration and invasion assays, As a tool to study the biological mechanisms underlying pre- cells were seeded at 25 000 cells/well in a 16-well E-Plate VIEW eclampsia, investigators can use placental cell lines to repro- 16 (ACEA) and allowed to adhere overnight. For invasion assays duce and examine trophoblast migration and invasion (Alvarez in particular, wells were coated with 100 mg/ml Matrigel and Chakraborty, 2011; Brooks and Fry, 2017; Zhang et al., (Corning, Corning, New York) the day before seeding. Scratches 2019b). Efficient exchange of nutrients, waste, and dissolved were generated 48 h postseeding when growth had plateaued gasses across the placenta requires sufficient maternal blood and the cells were 100% confluent. The day before scratching, flow in the villous space. This is accomplished through the cells were pretreated with PFAS (1000 ng/ml) for 24 h. This dose remodeling of the maternal endometrial spiral arteries, which is is biologically relevant as it is representative of median serum carried out by invasive extravillous trophoblasts (Anin et al., PFAS concentrations previously observed in occupationally ex- 2004; Lyall et al., 1999; Whitley and Cartwright, 2010). Defective posed populations (Fu et al., 2016; Zhou et al., 2014). On the day spiral artery transformation and shallow trophoblast invasion of the experiment, a scratch was generated in each well with a are both known histological features of preeclampsia 200 ml pipette tip, cells washed twice with culture medium. For (Chaiworapongsa et al., 2014; Falco et al., 2017; Lyall et al., 2013; migration assays, medium containing PFAS (1000 ng/ml) or PTX Silva and Serakides, 2016). The precise regulation of extravillous (10 ng/ml) was then added to each well (100 ml final volume). For trophoblast invasion is essential not only to placentation but invasion assays, scratched were filled in with 50 ml of treatment- also to fetal development. Environmental toxicants that inter- containing Matrigel solution. The concentration of Matrigel fere with the pathways regulating invasion can therefore poten- used in this step was 800 mg/ml, which was determined in a sep- tially be detrimental to maternal and fetal health during arate experiment to reduce cell movement without completely pregnancy
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