FtMt reduces oxidative stress-induced trophoblast cell dysfunction via the HIF-1α/VEGF signaling pathway

Background Preeclampsia (PE) is a complication of pregnancy that causes long-term adverse outcomes for the mother and fetus and may even lead to death. Oxidative stress caused by the imbalance of oxidants and antioxidants in the placenta has been considered as one of the key mechanisms of preeclampsia (together with inflammation, etc.), in which the placental mitochondria play an important role. The expression of hypoxia-inducible factor-1 (HIF-1 alpha) and vascular endothelial growth factor (VEGF) is known to be increased in patients with PE. Mitochondrial ferritin (FtMt) is known to protect the mitochondria from oxidative stress, although its specific role in PE remains unclear.Methods We used qRT-PCR and western blotting to detect the expression levels of FtMt, HIF-1 alpha, and VEGF in placental tissues from patients with PE. Human chorionic trophoblast cells were also administered with hypoxia treatment, followed by the detection of cell proliferation, invasion and angiogenic capacity by CCK8, Transwell, and endothelial cell angiogenesis assays; we also detected the expression of HIF-1 alpha and VEGF in these cells. Finally, overexpression or inhibitory FtMt lentiviral vectors, along with negative control vectors, were constructed and transfected into hypoxiatreated human chorionic trophoblast cells; this was followed by analyses of cell function.Results The expression levels of FtMt, HIF-1 alpha and VEGF in the PE group were higher than those in the control group (P < 0.05). Following hypoxia, there was an increase in the expression levels of HIF-1 alpha and VEGF protein in trophoblast cells. There was also an increase in invasion ability and vascular formation ability along with a reduction in cell proliferation ability. These effects were reversed by transfecting cells with the knockout FtMt lentivirus vector. The differences were statistically significant.Conclusion Analyses showed that FtMt plays a key role in the vascular regulation of PE trophoblast cells after hypoxia possibly acting via the HIF-1 alpha/VEGF signaling pathway. These results provide us an enhanced understanding of the pathogenesis of PE and suggest that the HIF-1 alpha/VEGF signaling pathway represents a new target for the treatment of PE.

Automated summary

Preeclampsia (PE) is a complication of pregnancy that can have serious consequences for both mother and fetus. Oxidative stress caused by an imbalance of oxidants and antioxidants in the placenta is considered a key mechanism in PE, and the mitochondrial ferritin (FtMt) plays a role in protecting the mitochondria from this stress. The study found that FtMt has a significant regulatory effect on the function of PE trophoblast cells after hypoxia.