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Reproduction (2007) 133 257-264
DOI: 10.1530/REP-06-0080
Copyright © 2007 Society for Reproduction and Fertility
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RESEARCH

Endogenous tumor necrosis factor {alpha} mediates enhanced apoptosis of cultured villous trophoblasts from intrauterine growth-restricted placentae

R T Kilani1,2, M Mackova1,2, S T Davidge1,3, B Winkler-Lowen1,2, N Demianczuk3 and L J Guilbert1,2

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 {alpha} (TNF{alpha}) 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 (35–50 mmHg) oxygen tensions, the production of TNF{alpha} 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{alpha}mRNA revealed ~threefold higher levels in IUGR trophoblasts afterculturing at a pO2 of 38 mmHg. A higher level of TNF{alpha} 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{alpha} significantly inhibited the apoptosis of IUGR trophoblasts cultured at 38 mmHg and addition of TNF{alpha} 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{alpha}-induced apoptosis both because of elevated expression of TNF{alpha} and TNF receptor p55.




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