Fas, Caspase-8, and Caspase-9 pathway-mediated bile acid-induced fetal cardiomyocyte apoptosis in intrahepatic cholestasis pregnant rat models

© 2021 Japan Society of Obstetrics and Gynecology..

AIM: Intrahepatic cholestasis of pregnancy (ICP) is a specific complication in the middle and late pregnancy and has been recognized as one of the high-risk pregnancy for sudden fetal death. In this study, we aimed to investigate the role of Fas, Caspase-8, and Caspase-9 pathways in the internal relations of fetal myocardial apoptosis in ICP rat models, thus resulting in fetal intrauterine death. Furthermore, we researched whether ursodeoxycholic acid (UDCA) promoted benefits in fetal cardiomyocyte apoptosis.

MATERIALS AND METHODS: To establish ICP rat models, on the 15th day of pregnancy, rats were injected 17α-ethynyl estradiol (EE2). Meanwhile, in experimental group, pregnant rats were treated with EE2 + UDCA. All rats were sacrificed on the 21st day of pregnancy. The expression levels of Fas, Caspase-8, and Caspase-9 were examined by western blot and real-time polymerase chain reaction analysis. Fetal rat cardiac tissues were removed and stained for pathological evaluation. In addition, we observed fetal myocardial structure by using transmission electron microscopy.

RESULTS: We detected high concentrations of bile acids and transaminase in the fetal circulation. And we found increased expression levels of Fas, Caspase-8, and Caspase-9 proteins and mRNA in the fetal cardiomyocyte in EE2-treated group but not in control- or EE2 + UDCA-treated groups. Furthermore, compared to controls, EE2-treated rats exhibited severe fetal myocardial structure damage and the apoptotic bodies by using transmission electron microscopy. UDCA reversed the impairment of fetal cardiomyocytes.

CONCLUSION: Our study has led to research into the association between activation of Fas, Caspase-8, and Caspase-9 pathways and bile acid-induced fetal cardiomyocyte apoptosis, which may be one of the mechanisms on fetal cardiac death in ICP. More importantly, UDCA may improve the adverse outcome of fetus.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:47

Enthalten in:

The journal of obstetrics and gynaecology research - 47(2021), 7 vom: 26. Juli, Seite 2298-2306

Sprache:

Englisch

Beteiligte Personen:

Song, Zhaoyi [VerfasserIn]
Tian, Xinyu [VerfasserIn]
Shi, Qingyun [VerfasserIn]

Links:

Volltext

Themen:

Apoptosis
Bile Acids and Salts
Bile acid
Casp8 protein, rat
Casp9 protein, rat
Caspase 8
Caspase 9
Caspase-8
Caspase-9
EC 3.4.22.-
Fas
Fas Receptor
Fas protein, rat
Fetal cardiomyocyte
Intrahepatic cholestasis of pregnancy
Journal Article
Ursodeoxycholic acid

Anmerkungen:

Date Completed 05.07.2021

Date Revised 31.05.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/jog.14765

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM324020376