Possible Association between Cathepsin V and the Development of Placenta Accreta Spectrum Disorders

© 2019 S. Karger AG, Basel..

BACKGROUND/AIMS: The study aimed to evaluate molecular changes related to trophoblast adhesion in placenta accreta spectrum (PAS) disorders.

METHODS: A retrospective analysis of 10 PAS cases in which both the trophoblast adherent site and the non-adherent site were identified was performed in April 2010 and March 2013. Microarray analysis and reverse transcription polymerase chain reaction (RT-PCR) analyses were performed to extract upregulated genes in the adherent site. Gene expression changes were examined by immunohistochemistry.

RESULTS: Microarray analysis showed that 157 transcripts were > 3-fold upregulated, including the following: a disintegrin and metalloproteinase-28 (ADAM28), 3.10-fold; cathepsin V (CTSV), 3.73-fold; cathepsin S (CTSS), 3.46-fold; and matrix metalloproteinase-19 (MMP19), 3.41-fold. RT-PCR showed relatively high mRNA expressions. On immunohistochemistry, extravillous trophoblast (EVT) at the non-adherent site showed weak or no CTSV expression, whereas EVT that invaded myometrium at the adherent site showed strong expression (histological score, median [min-max], 115.6 [37.6-153.6] vs. 184.8 [56.4-222.8], p < 0.05). MMP19 showed moderate staining, with no difference between the adherent and non-adherent sites. ADAM28 and CTSS showed weak or no staining.

DISCUSSION: This limited study suggests that CTSV may be involved in the pathogenesis of PAS.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:84

Enthalten in:

Gynecologic and obstetric investigation - 84(2019), 4 vom: 31., Seite 396-406

Sprache:

Englisch

Beteiligte Personen:

Matsukawa, Satoshi [VerfasserIn]
Sumigama, Seiji [VerfasserIn]
Kotani, Tomomi [VerfasserIn]
Wang, Jingwen [VerfasserIn]
Miki, Rika [VerfasserIn]
Moriyama, Yoshinori [VerfasserIn]
Nakano, Tomoko [VerfasserIn]
Mano, Yukio [VerfasserIn]
Tsuda, Hiroyuki [VerfasserIn]
Tamakoshi, Koji [VerfasserIn]
Kikkawa, Fumitaka [VerfasserIn]

Links:

Volltext

Themen:

ADAM Proteins
ADAM28 protein, human
Abnormally invasive placenta
Adherent placenta
Biomarker
CTSV protein, human
Cathepsins
Cysteine Endopeptidases
EC 3.4.-
EC 3.4.22.-
EC 3.4.22.43
EC 3.4.24.-
Journal Article
Matrix Metalloproteinases, Secreted
Matrix metalloproteinase 19
Observational Study
Pathogenesis
Placenta creta
Proteinase

Anmerkungen:

Date Completed 23.10.2019

Date Revised 23.10.2019

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1159/000496609

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM293850615