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Loegl, J; Nussbaumer, E; Cvitic, S; Huppertz, B; Desoye, G; Hiden, U.
GDM alters paracrine regulation of feto-placental angiogenesis via the trophoblast.
Lab Invest. 2017; 97(4):409-418 Doi: 10.1038/labinvest.2016.149 [OPEN ACCESS]
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Leading authors Med Uni Graz
Hiden Ursula
Co-authors Med Uni Graz
Desoye Gernot
Huppertz Berthold
Tokic Silvija
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Abstract:
Feto-placental angiogenesis and vascular development are tightly regulated by pro- and anti-angiogenic factors. Villous trophoblast may be a major source of these factors. It forms the classical placental barrier between mother and fetus, and is thus exposed to maternal influences as well. Metabolic and hormonal derangements in gestational diabetes mellitus (GDM) affect feto-placental angiogenesis and vascular growth. Here we hypothesized that GDM alters the trophoblast secretome, which will modulate the paracrine regulation of feto-placental angiogenesis. Primary term trophoblasts were isolated from normal (n=6) and GDM (n=6) pregnancies. Trophoblast conditioned medium (CM) was used to investigate paracrine effects of normal and GDM-exposed trophoblasts on feto-placental endothelial cells (fpECs; n=7), using functional assays for 2D network formation, wound healing, chemotaxis, and proliferation. Gene expression of 23 pro- and anti-angiogenic factors was analyzed. Four trophoblast-derived paracrine regulators of angiogenesis were specifically measured in CM. CM from GDM trophoblasts increased 2D network formation of fpEC by 2.4-fold (P<0.001), whereas wound healing was attenuated by 1.8-fold (P=0.02) and chemo-attraction to the CM was reduced by 33±9% (P=0.02). The effect of CM on proliferation was unchanged between normal and GDM trophoblasts. Expression analysis of pro- and anti-angiogenic molecules in normal and GDM trophoblasts revealed significant differences in ANGPT2, HGF, KISS1 and PLGF expression. Analysis of secreted proteins demonstrated reduced pigment epithelium derived factor and tumor necrosis factor-α secretion by GDM trophoblasts. GDM alters the balance of trophoblast derived, angiogenesis modulating paracrine factors. This may contribute to GDM-associated changes in placental angiogenesis and vascular structure.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Angiopoietin-2 - genetics
Angiopoietin-2 - metabolism
Cell Movement - drug effects
Cell Proliferation - drug effects
Cells, Cultured -
Culture Media, Conditioned - pharmacology
Diabetes, Gestational - genetics
Diabetes, Gestational - metabolism
Endothelial Cells - drug effects
Endothelial Cells - metabolism
Endothelial Cells - physiology
Enzyme-Linked Immunosorbent Assay -
Female -
Fetus - blood supply
Fibroblast Growth Factor 2 - metabolism
Gene Expression - drug effects
Hepatocyte Growth Factor - genetics
Humans -
Kisspeptins - genetics
Neovascularization, Physiologic -
Paracrine Communication -
Placenta - blood supply
Placenta Growth Factor - genetics
Pregnancy -
Reverse Transcriptase Polymerase Chain Reaction -
Trophoblasts - metabolism
Tumor Necrosis Factor-alpha - metabolism

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