1. Preeclampsia: inflammatory signature of decidual cells in early manifestation of disease
- Author
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A.V. Lokhonina, K. Midiber, Timur Fatkhudinov, Polina Vishnyakova, L. Mikhaleva, Maria Nikitina, Andrey Elchaninov, Gennadiy T. Sukhikh, N. Loginova, A. Potapova, Z.S. Khodzhaeva, K. Muminova, A. Pyregov, Anastasiya S. Poltavets, and V. Vtorushina
- Subjects
Adult ,0301 basic medicine ,Inflammation ,Preeclampsia ,Andrology ,03 medical and health sciences ,0302 clinical medicine ,Pre-Eclampsia ,Pregnancy ,Placenta ,Decidua ,medicine ,Humans ,Decidual cells ,Endothelial dysfunction ,reproductive and urinary physiology ,Fetus ,030219 obstetrics & reproductive medicine ,business.industry ,Macrophages ,Obstetrics and Gynecology ,Flow Cytometry ,medicine.disease ,female genital diseases and pregnancy complications ,Phenotype ,030104 developmental biology ,medicine.anatomical_structure ,Reproductive Medicine ,embryonic structures ,Cytokines ,Female ,medicine.symptom ,business ,CD163 ,Developmental Biology - Abstract
Introduction Preeclampsia is a pregnancy-specific complication characterized by hypertension in combination with proteinuria and/or various manifestations of multiple organ failure. It is believed that etiology of preeclampsia lies in dysfunction of the placenta and disorder of the maternal-fetal interactions. In preeclampsia decidual membrane, the maternal part of the placenta which normally supports immunological tolerance of the maternal organism to the semi-allogeneic fetus, becomes a site of inflammation. Methods The aim of our study was to characterize the phenotype of decidual macrophages and plasma profiles in patients with late- and early-onset preeclampsia as compared with controls (n = 43). Decidual cells were obtained by enzymatic digestion method and characterized by flow cytometry analysis, real-time PCR, bioinformatics analysis, immunohistochemistry, and Western blot. Plasma samples were analyzed by multiplex assay. Results The number of inflammation-associated CD86+ and CX3CR1+ cells was significantly higher in the early-onset preeclampsia while the portion of CD163+ cells was significantly higher among studied groups. We observed significant increase of endothelin-1 gene expression and a significant decrease in eNOS and GNB3 expression and TGFβ relative protein level in decidual cells of the early-onset preeclampsia samples. We also revealed elevation of pro- and anti-inflammatory cytokines in plasma of preeclampsia groups. Discussion Our findings reflect profound early-onset preeclampsia-associated alterations in the decidua and emphasize the importance of the decidua as a link in the development of preeclampsia.
- Published
- 2021
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