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RESEARCH |
mediates enhanced apoptosis of cultured villous trophoblasts from intrauterine growth-restricted placentae
1 University of Alberta Perinatal Research Centre, Edmonton, Canada, 2 Departments of Medical Microbiology and Immunology and 3 Obstetrics and Gynaecology, University of Alberta, Edmonton, Canada
Correspondence should be addressed to L J Guilbert, 6-25 HMRC, 8440-112 Street, University of Alberta, Edmonton, Canada T6G 2S2; Email: larry.guilbert{at}ualberta.ca
Tumor necrosis factor
(TNF
) has been implicated in the abnormally high levels of trophoblast apoptosis seen in placentae from pregnancies complicated by small births. We examined the hypothesis that at physiological (3550 mmHg) oxygen tensions, the production of TNF
stimulates the apoptosis of placental trophoblasts associated with infants that are intrauterine growth-restricted (IUGR). Highly purified cytotrophoblasts (CT) from IUGR-complicated pregnancies spontaneously underwent a higher rate of apoptosis after 24 h of culture at a normoxic (for villous CT) tension of 38 mmHg than did CT from normal placentae. Real-time PCR analysis of TNF
mRNA revealed ~threefold higher levels in IUGR trophoblasts afterculturing at a pO2 of 38 mmHg. A higher level of TNF
receptor p55 (which mediates apoptosis) was found in IUGR CT by western blot analysis at pO2 of <10, 38, and 140 mmHg. Neutralizing antibody to TNF
significantly inhibited the apoptosis of IUGR trophoblasts cultured at 38 mmHg and addition of TNF
significantly elevated apoptosis of normal and IUGR trophoblasts but less in IUGR cells cultured at <10 mmHg. We conclude that at physiological oxygen tensions (38 mmHg), villous CT from IUGR pregnancies, when compared with uncomplicated pregnancies, undergo more TNF
-induced apoptosis both because of elevated expression of TNF
and TNF receptor p55.
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