Preeclampsia is a significant pregnancy complication characterized by de novo hypertension, proteinuria, and further organ dysfunction. We previously demonstrated both cardio- and renoprotective effects by systemic activation of apelin receptor system (APJ) in preeclampsia. Although the APJ ligands apelin and elabela stimulate trophoblast cell proliferation and migration, the cellular mechanisms underlying these actions are not well understood, particularly in response to hypoxia. To examine the response of the APJ system to cellular hypoxia in human trophoblasts, HTR-8/SVneo trophoblastic cells were treated with cobalt chloride (CoCl 2: 200 μM, 24 hours) to induce hypoxic conditions. The cellular mRNA responses for sFlt-1 variants, VEGF, PLGF, IL-6, and IL-1β were determined by RT-qPCR for control and apelin- or elabela-treated cells with or without CoCl 2 . The presence of APJ mRNA was confirmed in HTR-8/SVneo cells. Hypoxia increased apelin content approximately 2-fold in both the cell lysate (723 ± 52 vs. 1216 ± 20 ng/mg protein, n=6, p<0.01) and the conditioned media (49 ± 5 vs. 102 ± 9 ng/ml, n=6, p<0.01). Elabela content also increased in the media of hypoxic cells (0.11 ± 0.01 vs. 0.14 ± 0.01 ng/ml, n=6, p<0.05), although elabela levels were 100-fold lower than apelin. Hypoxia upregulated hsFlt-1-i13 (2.6 fold), hsFlt-1-e15a (2.9 fold), VEGF (3.7 fold), PLGF (1.3 fold), and IL-6 (3.5 fold) mRNA levels. Treatment with (Pyr-1)-apelin-13, a stable APJ ligand (0.1 μM), decreased VEGF (1.2 fold; n=3, p<0.05) and IL-6 (1.4 fold, n=3, p<0.05) mRNA levels in cells exposed to COCl 2 , but had no effect in normoxic cells. Similarly, elabela (0.1 μM) downregulated VEGF (1.1 fold; n=3, p<0.05) and IL-6 (1.2 fold; n=3, p<0.05). We found no difference in sFlt-1 variants, PLGF, or IL-1β mRNAs following treatment of hypoxic cells with either peptide. We conclude that cobalt-induced hypoxia markedly increases various indices of inflammation, as well as stimulates the endogenous apelin and elabela systems in the HTR-8/SVneo cells. Furthermore, local activation of these peptidergic systems may be a compensatory response of the trophoblast cells to hypoxia as exogenous apelin and elabela treatment effectively ameliorate the hypoxia-induced pro-inflammatory milieu.
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