Hypoxia-Activated Genes from Early Placenta Are Elevated in Preeclampsia, but Not in Intra-Uterine Growth Retardation

Hypoxia-Activated Genes from Early Placenta Are Elevated in Preeclampsia, but Not in Intra-Uterine Growth Retardation

Hypoxia-activated genes from early placenta are elevated in preeclampsia, but not in Intra-Uterine Growth Retardation. Daniel Vaiman, Françoise Mondon, Alexandra Garcès-Duran, Thérèse-Marie Mignot, Brigitte Robert, Régis Rebourcet, Hélène Jammes, Sonia Chelbi, Frédérique Quetin, Geoffrey Marceau, et al. To cite this version: Daniel Vaiman, Françoise Mondon, Alexandra Garcès-Duran, Thérèse-Marie Mignot, Brigitte Robert, et al.. Hypoxia-activated genes from early placenta are elevated in preeclampsia, but not in Intra- Uterine Growth Retardation.. BMC Genomics, BioMed Central, 2005, 6, pp.111. 10.1186/1471-2164- 6-111. inserm-00090202 HAL Id: inserm-00090202 https://www.hal.inserm.fr/inserm-00090202 Submitted on 29 Aug 2006 HAL is a multi-disciplinary open access L’archive ouverte pluridisciplinaire HAL, est archive for the deposit and dissemination of sci- destinée au dépôt et à la diffusion de documents entific research documents, whether they are pub- scientifiques de niveau recherche, publiés ou non, lished or not. The documents may come from émanant des établissements d’enseignement et de teaching and research institutions in France or recherche français ou étrangers, des laboratoires abroad, or from public or private research centers. publics ou privés. BMC Genomics BioMed Central Research article Open Access Hypoxia-activated genes from early placenta are elevated in Preeclampsia, but not in Intra-Uterine Growth Retardation Daniel Vaiman*1,7, Françoise Mondon1, Alexandra Garcès-Duran1, Thérèse- Marie Mignot1, Brigitte Robert1, Régis Rebourcet1, Hélène Jammes1, Sonia T Chelbi1, Frédérique Quetin1, Geoffrey Marceau2, Vincent Sapin2, François Piumi3, Jean-Louis Danan4, Virginie Rigourd1,5, Bruno Carbonne1,6 and Françoise Ferré1 Address: 1Génétique et Epigénétique des Pathologies Placentaires, GEPP, U709 INSERM-Université René Descartes-Institut Alfred Jost, Pavillon Baudelocque, Hôpital Cochin, 123 Boulevard de Port-Royal, 75014, Paris, France, 2Laboratoire de Biochimie Medicale, Faculte de Medecine et de Pharmacie, UMR INSERM U.384 UA, 28 Place Henri Dunant, BP. 38, 63000 Clermont-Ferrand, France, 3Centre de Ressources Biologiques, Laboratoire de Radiobiologie et d'Etudes des Génomes, Centre de Recherches INRA de Jouy-en-Josas, INRA, CRJJ, 78352 Jouy-en-Josas, France, 4UPR CNRS 9078, Université René Descartes ParisV, Site Necker, 156 rue de Vaugirard, 75015 Paris, France, 5Service de Réanimation Néonatale, Institut de Puériculture et de Périnatalogie, 26, boulevard Brune, 75014 Paris, France, 6Service de Gynecologie-Obstetrique, Hopital Saint Antoine, 184 rue du Faubourg Saint Antoine, 75012 Paris, France and 7Département de Génétique Animale, INRA, 78352, Jouy-en-Josas,, France Email: Daniel Vaiman* - [email protected]; Françoise Mondon - [email protected]; Alexandra Garcès- Duran - [email protected]; Thérèse-Marie Mignot - [email protected]; Brigitte Robert - [email protected]; Régis Rebourcet - [email protected]; Hélène Jammes - [email protected]; Sonia T Chelbi - [email protected]; Frédérique Quetin - [email protected]; Geoffrey Marceau - [email protected]; Vincent Sapin - [email protected]; François Piumi - [email protected]; Jean-Louis Danan - [email protected]; Virginie Rigourd - [email protected]; Bruno Carbonne - [email protected]; Françoise Ferré - [email protected] * Corresponding author Published: 29 August 2005 Received: 10 May 2005 Accepted: 29 August 2005 BMC Genomics 2005, 6:111 doi:10.1186/1471-2164-6-111 This article is available from: http://www.biomedcentral.com/1471-2164/6/111 © 2005 Vaiman et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Background: As a first step to explore the possible relationships existing between the effects of low oxygen pressure in the first trimester placenta and placental pathologies developing from mid- gestation, two subtracted libraries totaling 2304 cDNA clones were constructed. For achieving this, two reciprocal suppressive/subtractive hybridization procedures (SSH) were applied to early (11 weeks) human placental villi after incubation either in normoxic or in hypoxic conditions. The clones from both libraries (1440 hypoxia-specific and 864 normoxia-specific) were spotted on nylon macroarrays. Complex cDNAs probes prepared from placental villi (either from early pregnancy, after hypoxic or normoxic culture conditions, or near term for controls or pathological placentas) were hybridized to the membranes. Results: Three hundred and fifty nine clones presenting a hybridization signal above the background were sequenced and shown to correspond to 276 different genes. Nine of these genes are mitochondrial, while 267 are nuclear. Specific expression profiles characteristic of preeclampsia (PE) could be identified, as well as profiles specific of intra-uterine growth retardation (IUGR). Focusing on the chromosomal distribution of the fraction of genes that responded in at least one hybridization experiment, we could observe a highly significant chromosomal clustering of 54 genes into 8 chromosomal regions, four of which containing imprinted genes. Comparative mapping data Page 1 of 19 (page number not for citation purposes) BMC Genomics 2005, 6:111 http://www.biomedcentral.com/1471-2164/6/111 indicate that these imprinted clusters are maintained in synteny in mice, and apparently in cattle and pigs, suggesting that the maintenance of such syntenies is requested for achieving a normal placental physiology in eutherian mammals. Conclusion: We could demonstrate that genes induced in PE were also genes highly expressed under hypoxic conditions (P = 5.10-5), which was not the case for isolated IUGR. Highly expressed placental genes may be in syntenies conserved interspecifically, suggesting that the maintenance of such clusters is requested for achieving a normal placental physiology in eutherian mammals. Background result of endogenous developmental and growth factors Preeclampsia (PE) is a severe disorder of human pregnan- affecting the fetus growth; or, alternatively, a placental cies affecting up to 10 % of primiparous women in indus- defect may inhibit the transfer of nutriments and oxygen trialized countries. This hypertensive disease develops from the mother to the fetus (IUGR of vascular origin or from the second half of pregnancy and is associated with not). In the following, vascular IUGR correspond to those proteinuria, and sometimes with oedemas. The causes of exhibiting an abnormal Doppler. In this latter case, the preeclampsia are complex and multiple, with a combina- IUGR may be caused by a vascular pathology such as PE. tion of environmental and genetic effects from maternal Consequently, there is a clear need for classification of [1] as well as paternal origin [2,3]. At the histological IUGR, and for improving the understanding of its etiol- level, preeclampsia is characterized by a shallow coloniza- ogy, both issues possibly based upon the characterization tion of the maternal endometrium (and more specifically of specific marker genes. of the wall of the uterine vessels) by the invasive cytotro- phoblasts. In a normal gestation, this process occurs dur- In addition, it is now well documented that babies pre- ing the second trophoblastic colonization wave around senting with a small birth weight are at increased risk for the end of the first trimester of gestation allowing the developing systemic pathologies at adulthood, such as invasive cytotrophoblasts to reach the placental bed. In diabetes or cardiovascular troubles [15,16]. One clear lim- this case, the arterial wall is infiltrated by endovascular itation of the therapeutic possibilities for PE and IUGR trophoblasts, triggering a suppression of the vasomotor resides in the fact that whilst many indications suggest control, thus resulting in a very important dilatation of that their causes are very precocious during placental the lumen and a loss of the elastic properties of the arteries development [17], their symptoms occur late, at least [4-8]. By contrast, when the invasion is defective, remain- from mid-gestation, and more often from the last trimes- ing too shallow [9], fibrinous material accumulates in the ter of the pregnancy. Evaluating the risk early would allow arteries, myocytes proliferate. This may lead to local orienting the medical choices towards a better follow-up thrombosis and is therefore supposed to impact on the of the pregnancy, or even towards some pharmacological local oxygen pressure leading to placental ischemia/ options, such as the chronic use of mild doses of aspirin. hypoxia, and ultimately to functional anomalies of the maternal vascular endothelium [10,11]. Finally, the func- In order to explore on a wide basis the links between tions of the syncytiotrophoblast, the specific tissue result- hypoxia and placental diseases, and to identify early puta- ing from the fusion of the cytotrophoblasts, may be tive markers of the preeclamptic pathology, we combined modified, leading to trophoblast apoptosis. Links the Subtractive/Suppressive Hybridization (SSH) meth- between placental pathology and hypoxia are now clearly odology starting with cDNA material obtained from first documented ([12,13], for a recent review, see

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