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Endoplasmic reticulum stress disrupts placental morphogenesis: implications for human intrauterine growth restriction.

Published version
Peer-reviewed

Type

Article

Change log

Authors

Yung, Hong Wa 
Hemberger, Myriam 
Watson, Erica D 
Senner, Claire E 
Jones, Carolyn P 

Abstract

We recently reported the first evidence of placental endoplasmic reticulum (ER) stress in the pathophysiology of human intrauterine growth restriction. Here, we used a mouse model to investigate potential underlying mechanisms. Eif2s1(tm1RjK) mice, in which Ser51 of eukaryotic initiation factor 2 subunit alpha (eIF2α) is mutated, display a 30% increase in basal translation. In Eif2s1(tm1RjK) placentas, we observed increased ER stress and anomalous accumulation of glycoproteins in the endocrine junctional zone (Jz), but not in the labyrinthine zone where physiological exchange occurs. Placental and fetal weights were reduced by 15% (97 mg to 82 mg, p < 0.001) and 20% (1009 mg to 798 mg, p < 0.001), respectively. To investigate whether ER stress affects bioactivity of secreted proteins, mouse embryonic fibroblasts (MEFs) were derived from Eif2s1(tm1RjK) mutants. These MEFs exhibited ER stress, grew 50% slower, and showed reduced Akt-mTOR signalling compared to wild-type cells. Conditioned medium (CM) derived from Eif2s1(tm1RjK) MEFs failed to maintain trophoblast stem cells in a progenitor state, but the effect could be rescued by exogenous application of FGF4 and heparin. In addition, ER stress promoted accumulation of pro-Igf2 with altered glycosylation in the CM without affecting cellular levels, indicating that the protein failed to be processed after release. Igf2 is the major growth factor for placental development; indeed, activity in the Pdk1-Akt-mTOR pathways was decreased in Eif2s1(tm1RjK) placentas, indicating loss of Igf2 signalling. Furthermore, we observed premature differentiation of trophoblast progenitors at E9.5 in mutant placentas, consistent with the in vitro results and with the disproportionate development of the labyrinth and Jz seen in placentas at E18.5. Similar disproportion has been reported in the Igf2-null mouse. These results demonstrate that ER stress adversely affects placental development, and that modulation of post-translational processing, and hence bioactivity, of secreted growth factors contributes to this effect. Placental dysmorphogenesis potentially affects fetal growth through reduced exchange capacity.

Description

Keywords

Akt, Igf2, Pdk1, endoplasmic reticulum, intrauterine growth restriction, mTOR, placental morphogenesis, stress, Animals, Cell Differentiation, Disease Models, Animal, Endoplasmic Reticulum Stress, Eukaryotic Initiation Factor-2, Female, Fetal Growth Retardation, Glycoproteins, Glycosylation, Humans, Mice, Inbred C57BL, Mice, Mutant Strains, Organ Size, Placenta, Placentation, Pregnancy, Protein Serine-Threonine Kinases, Proto-Oncogene Proteins c-akt, Pyruvate Dehydrogenase Acetyl-Transferring Kinase, Signal Transduction, TOR Serine-Threonine Kinases

Journal Title

J Pathol

Conference Name

Journal ISSN

0022-3417
1096-9896

Volume Title

228

Publisher

Wiley

Rights

All rights reserved
Sponsorship
Wellcome Trust (084804/Z/08/Z)