Abstract

Preeclampsia is associated with an increased cardiovascular morbidity of mother and offspring, thus contributing to a substantial burden in women and children’s health. It has been proven that endothelial progenitor cell (EPC) numbers and functional characteristics are impaired in cardiovascular disease and preeclampsia, although causative factors for the latter have remained elusive. MicroRNA (miRNA) modifications are a potential mechanism through which exposure to an altered environment translates into the development of chronic disease. In this study, we examined whether development of preeclampsia corresponds to alterations of miRNAs in maternal- and cord-blood-derived EPC. To test this end, we analyzed maternal and neonatal miRNAs via RNA sequencing from endothelial cells of preeclamptic and healthy controls in different cell culture passages. We were able to demonstrate differentially represented miRNAs in all groups. Hsa-miR-1270 showed significantly different levels in cord blood EPC from preeclampsia versus control and was negatively correlated with mRNA levels of its predicted targets ANGPTL7 and TFRC. Transfection with an hsa-miR-1270 inhibitor decreased the tube formation capacity and chemotactic motility but did not change proliferation in vitro. Target predictions and gene set enrichment analyses identified alternative splicing as a significantly enriched pathway for hsa-miR-1270. The top miRNAs in three other groups were predicted to target transcriptional and developmental pathways. Here, we showed for the first time significantly different levels of miRNAs and differently represented mRNA levels of predicted target genes in EPC derived from preeclampsia. Understanding the effects of preeclampsia on the epigenetic mechanisms of EPC will be crucial and may provide initial insights for further evaluation of the benefits of therapies targeting this cell population.

Highlights

  • A woman’s obstetrical history is an important part of her and her offspring’s risk profile for future cardiovascular disease

  • Gestational age was significantly lower in preeclampsia in both the cord blood group (p = 0.03) and in the group of maternal-bloodderived endothelial colony-forming cells (ECFC) (p = 0.01)

  • MiRNA studies of human-pregnancy-related tissues and cells have started to reveal important insights into pathogenesis, whether aberrant Micro RNAs (miRNAs) patterns are involved in the functional changes observed in ECFC from preeclamptic pregnancies and if these lead to an increased cardiovascular risk are factors that have not been investigated

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Summary

Introduction

A woman’s obstetrical history is an important part of her and her offspring’s risk profile for future cardiovascular disease. EPC have been extensively studied for almost 20 years and are considered a potential marker for endothelial regeneration ability [8]. Both a decreased number and impaired function of circulating EPC have been reported in patients with cardiovascular disease [9]. Decreased cell numbers and colony-forming units of maternal EPC are described as a sign of impaired endothelial repair capacity in preeclampsia [10,11]. We described key functional differences and differential DNA methylation profiles between ECFC obtained from cord blood of preeclamptic compared to healthy pregnancies [12,13]

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