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Abstract Background During preeclampsia, placental angiogenesis is impaired. Factors released from the placenta including vascular endothelial growth factor (VEGF), placental growth factor (PLGF), soluble VEGF receptor 1 (sFlt1), and soluble endoglin (sEng) are regulatory molecules of placental development and function. While the renin angiotensin system has been shown to regulate angiogenic factors in other research fields, these mechanisms have not been extensively studied during pregnancy. Methods We evaluated the effects of angiotensin II (Ang II) and angiotensin-(1-7) [Ang-(1-7)] on the release of VEGF, PLGF, sFlt1, and sEng from placental chorionic villi (CV). CV were collected from nulliparous third-trimester normotensive and preeclamptic subjects. CV were incubated for 0, 2, 4, and 16 hours with or without Ang II (1 nM and 1 microM) or Ang-(1-7) (1 nM and 1 microM). The release of VEGF, PLGF, sFlt1, sEng, lactate dehydrogenase (LDH), and human placenta lactogen (HPL) was measured by ELISA. Results The release of sFlt1, PLGF, sEng from normal and preeclamptic CV increased over time. Release of sFlt1 and sEng was significantly higher from preeclamptic CV. VEGF was below the detectable level of the assay in normal and preeclamptic CV. After 2 hours, sFlt1 release from normal CV was significantly inhibited with Ang II (1 nM and 1 microM) and Ang-(1-7) (1 nM and 1 microM). There was a time-dependent increase in HPL indicating that the CV were functioning normally. Conclusions Our study demonstrates a critical inhibitory role of angiotensin peptides on sFlt1 in normal pregnancy. Loss of this regulation in preeclampsia may allow sFlt1 to increase resulting in anti-angiogenesis and end organ damage in the mother.
Adult, Vascular Endothelial Growth Factor A, Angiotensins, QH471-489, Placenta, Down-Regulation, Endocrinology, Pre-Eclampsia, Pregnancy, Humans, Protein Isoforms, Placental Circulation, Cells, Cultured, Vascular Endothelial Growth Factor Receptor-1, Reproduction, Research, Angiotensin II, Gynecology and obstetrics, Middle Aged, Placental Lactogen, Peptide Fragments, Reproductive Medicine, Solubility, RG1-991, Female, Angiotensin I, Chorionic Villi, Developmental Biology
Adult, Vascular Endothelial Growth Factor A, Angiotensins, QH471-489, Placenta, Down-Regulation, Endocrinology, Pre-Eclampsia, Pregnancy, Humans, Protein Isoforms, Placental Circulation, Cells, Cultured, Vascular Endothelial Growth Factor Receptor-1, Reproduction, Research, Angiotensin II, Gynecology and obstetrics, Middle Aged, Placental Lactogen, Peptide Fragments, Reproductive Medicine, Solubility, RG1-991, Female, Angiotensin I, Chorionic Villi, Developmental Biology
citations This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 15 | |
popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Top 10% | |
influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Average | |
impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Top 10% |