Effects of Reduced Gcm1 Expression on Trophoblast Morphology, Fetoplacental Vascularity, and Pregnancy Outcomes in Mice

SA Bainbridge, A Minhas, KJ Whiteley, D Qu… - …, 2012 - Am Heart Assoc
SA Bainbridge, A Minhas, KJ Whiteley, D Qu, JG Sled, JCP Kingdom, SL Adamson
Hypertension, 2012Am Heart Assoc
Preeclampsia is a life-threatening disorder characterized by maternal gestational
hypertension and proteinuria that results from placental dysfunction. Placental abnormalities
include abnormal syncytiotrophoblast and a 50% reduction in placental expression of the
transcription factor Gcm1. In mice, homozygous deletion of Gcm1 prevents
syncytiotrophoblast differentiation and is embryonic lethal. We used heterozygous Gcm1
mutants (Gcm1+/−) to test the hypothesis that hypomorphic expression of placental Gcm1 …
Preeclampsia is a life-threatening disorder characterized by maternal gestational hypertension and proteinuria that results from placental dysfunction. Placental abnormalities include abnormal syncytiotrophoblast and a 50% reduction in placental expression of the transcription factor Gcm1. In mice, homozygous deletion of Gcm1 prevents syncytiotrophoblast differentiation and is embryonic lethal. We used heterozygous Gcm1 mutants (Gcm1+/−) to test the hypothesis that hypomorphic expression of placental Gcm1 causes defective syncytiotrophoblast differentiation and maternal and placental phenotypes that resemble preeclampsia. We mated wild-type female mice with Gcm1+/− fathers to obtain wild-type mothers carrying ≈50% Gcm1+/− conceptuses. Gcm1+/− placentas had syncytiotrophoblast abnormalities including reduced gene expression of Gcm1-regulated SynB, elevated expression of sFlt1, a thickened interhemal membrane separating maternal and fetal circulations, and electron microscopic evidence in syncytiotrophoblast of necrosis and impaired maternal-fetal transfer. Fetoplacental vascularity was quantified by histomorphometry and microcomputed tomography imaging. In Gcm1+/−, it was ≈30% greater than wild-type littermates, whereas placental vascular endothelial growth factor A (Vegfa) expression and fetal and placental weights did not differ. Wild-type mothers carrying Gcm1+/− conceptuses developed late gestational hypertension (118±2 versus 109.6±0.7 mm Hg in controls; P<0.05). We next correlated fetoplacental vascularity with placental Gcm1 expression in human control and pathological pregnancies and found that, as in mice, fetoplacental vascularity increased when GCM1 protein expression decreased (R2=−0.45; P<0.05). These results support a role for reduced placental Gcm1 expression as a causative factor in defective syncytiotrophoblast differentiation and maternal and placental phenotypes in preeclampsia in humans.
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