Abstract | OBJECTIVES:
Activin A, a TGFβ family member, circulates in the maternal blood at increasing concentrations throughout gestation during a healthy pregnancy. The circulating concentration of activin A is further increased in pre-eclampsia (PE), a hypertensive disorder of pregnancy that is marked by systemic maternal vascular endothelial cell dysfunction. The effect of increasing activin A concentrations on the maternal vascular endothelium is unknown. The study aim was to investigate the effect of physiological and pathological activin A concentrations observed in normotensive and PE pregnancies respectively, on vascular endothelial cell function. METHODS AND RESULTS: Immunostaining demonstrated the presence of the activin A receptor, ACVR2A, in SGHEC-7 cells used to model the vascular endothelium. SGHEC-7 cells were treated with activin A concentrations representative of concentrations throughout gestation in normotensive (0-10ng/ml) and PE (50ng/ml) pregnancies. xCELLigence functional assays revealed that normotensive activin A concentrations increased SGHEC-7 proliferation and migration, which was inhibited by PE concentrations. Additionally, fluorescence based assays showed that PE concentrations increased endothelial permeability. None of the tested activin A concentrations affected cell apoptosis. PE concentrations also resulted in an imbalance of the vasoactive factors eNOS, PTGIS and EDN1, as determined by quantitative real-time polymerase chain reaction and enzyme-linked immunosorbent assays. CONCLUSION: Compared with normotensive activin A concentrations, the higher PE activin A concentrations resulted in abnormal endothelial functions, which may contribute to the systemic maternal vascular endothelial cell dysfunction observed in the disorder.
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Authors | Hannah E J Yong, Padma Murthi, May H Wong, Bill Kalionis, Judith E Cartwright, Shaun P Brennecke, Rosemary J Keogh |
Journal | Pregnancy hypertension
(Pregnancy Hypertens)
Vol. 5
Issue 4
Pg. 346-53
(Oct 2015)
ISSN: 2210-7797 [Electronic] Netherlands |
PMID | 26597752
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | Copyright © 2015 International Society for the Study of Hypertension in Pregnancy. Published by Elsevier B.V. All rights reserved. |
Chemical References |
- Biomarkers
- activin A
- Activins
- Vascular Endothelial Growth Factor Receptor-1
- Activin Receptors, Type II
- activin receptor type II-A
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Topics |
- Activin Receptors, Type II
(blood)
- Activins
(blood)
- Adult
- Biomarkers
(blood)
- Cell Culture Techniques
- Endothelium, Vascular
(physiopathology)
- Female
- Humans
- Pre-Eclampsia
(blood, diagnosis, physiopathology)
- Predictive Value of Tests
- Pregnancy
- Sensitivity and Specificity
- Vascular Endothelial Growth Factor Receptor-1
(blood)
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