Skip to main content
Top
Published in: Archives of Gynecology and Obstetrics 5/2010

01-05-2010 | Original Article

Altered gene profile of placenta from women with intrahepatic cholestasis of pregnancy

Authors: Jing Wei, Huimin Wang, Xiaofu Yang, Minyue Dong, Zhengping Wang

Published in: Archives of Gynecology and Obstetrics | Issue 5/2010

Login to get access

Abstract

Objectives

To investigate the alterations in gene profile of placenta from pregnant women with intrahepatic cholestasis of pregnancy (ICP) and to enhance the insight of etiology and pathogenesis of ICP.

Methods

Ten pregnant women diagnosed ICP were recruited and 10 healthy pregnant women served as control. Four samples were taken from each placenta and RNA was isolated. Gene expression was analyzed with microarray and real time PCR was used to validate the differentially expressed genes.

Results

392 genes were found differentially expressed. Among these differentially expressed genes, 280 were up-regulated and 112 were down-regulated. These differentially expressed genes involved 20 categories including genes involved in transportation, cell growth, apoptosis and immune response that were putatively participated the pathogenesis of ICP.

Conclusions

293 differentially expressed genes of 20 categories were found in ICP placenta, suggesting the diversity of gene expression alteration and the complexity of etiology and pathogenesis of ICP.
Literature
1.
go back to reference Lammert F, Marschall HU, Glantz A, Matern S (2000) Intrahepatic cholestasis of pregnancy: molecular pathogenesis, diagnosis and management. J Hepatol 33(6):1012–1021CrossRefPubMed Lammert F, Marschall HU, Glantz A, Matern S (2000) Intrahepatic cholestasis of pregnancy: molecular pathogenesis, diagnosis and management. J Hepatol 33(6):1012–1021CrossRefPubMed
2.
go back to reference Beuers U, Pusl T (2006) Intrahepatic cholestasis of pregnancy—a heterogeneous group of pregnancy-related disorders? Hepatology 43(4):647–649CrossRefPubMed Beuers U, Pusl T (2006) Intrahepatic cholestasis of pregnancy—a heterogeneous group of pregnancy-related disorders? Hepatology 43(4):647–649CrossRefPubMed
3.
4.
go back to reference Fisk NM, Storey GN (1988) Fetal outcome in obstetric cholestasis. Br J Obstet Gynaecol 95(11):1137–1143PubMed Fisk NM, Storey GN (1988) Fetal outcome in obstetric cholestasis. Br J Obstet Gynaecol 95(11):1137–1143PubMed
5.
go back to reference Bacq Y, Sapey T, Bréchot MC, Pierre F, Fignon A, Dubois F (1997) Intrahepatic cholestasis of pregnancy: a French prospective study. Hepatology 26(2):358–364CrossRefPubMed Bacq Y, Sapey T, Bréchot MC, Pierre F, Fignon A, Dubois F (1997) Intrahepatic cholestasis of pregnancy: a French prospective study. Hepatology 26(2):358–364CrossRefPubMed
6.
go back to reference Rioseco AJ, Ivankovic MB, Manzur A et al (1994) Intrahepatic cholestasis of pregnancy: a retrospective case-control study of perinatal outcome. Am J Obstet Gynecol 170(3):890–895PubMed Rioseco AJ, Ivankovic MB, Manzur A et al (1994) Intrahepatic cholestasis of pregnancy: a retrospective case-control study of perinatal outcome. Am J Obstet Gynecol 170(3):890–895PubMed
7.
go back to reference Laatikainen T, Ikonen E (1975) Fetal prognosis in obstetric hepatosis. Ann Chir Gynaecol Fenn 64(3):155–164PubMed Laatikainen T, Ikonen E (1975) Fetal prognosis in obstetric hepatosis. Ann Chir Gynaecol Fenn 64(3):155–164PubMed
8.
go back to reference Shaw D, Frohlich J, Wittmann BA, Willms M (1982) A prospective study of 18 patients with cholestasis of pregnancy. Am J Obstet Gynecol 142(6 Pt 1):621–625PubMed Shaw D, Frohlich J, Wittmann BA, Willms M (1982) A prospective study of 18 patients with cholestasis of pregnancy. Am J Obstet Gynecol 142(6 Pt 1):621–625PubMed
9.
go back to reference Alsulyman OM, Ouzounian JG, Ames-Castro M, Goodwin TM (1996) Intrahepatic cholestasis of pregnancy: perinatal outcome associated with expectant management. Am J Obstet Gynecol 175(4 Pt 1):957–960CrossRefPubMed Alsulyman OM, Ouzounian JG, Ames-Castro M, Goodwin TM (1996) Intrahepatic cholestasis of pregnancy: perinatal outcome associated with expectant management. Am J Obstet Gynecol 175(4 Pt 1):957–960CrossRefPubMed
10.
go back to reference Williamson C, Hems LM, Goulis DG et al (2004) Clinical outcome in a series of cases of obstetric cholestasis identified via a patient support group. BJOG 111(7):676–681CrossRefPubMed Williamson C, Hems LM, Goulis DG et al (2004) Clinical outcome in a series of cases of obstetric cholestasis identified via a patient support group. BJOG 111(7):676–681CrossRefPubMed
11.
go back to reference Zhao YJ, Yue YF, Liu XQ, Li SH, Liu ZY, Wang Y (2004) Study on relationship between serum cholylglycine and placental apoptosis in patients with intrahepatic cholestasis of pregnancy (in Chinese). Zhonghua Fu Chan Ke Za Zhi 39(7):446–448PubMed Zhao YJ, Yue YF, Liu XQ, Li SH, Liu ZY, Wang Y (2004) Study on relationship between serum cholylglycine and placental apoptosis in patients with intrahepatic cholestasis of pregnancy (in Chinese). Zhonghua Fu Chan Ke Za Zhi 39(7):446–448PubMed
12.
go back to reference Wang DM, La XL, Ding L (2003) Study on apoptosis and expression of Fas, FasL in placenta of intrahepatic cholestasis of pregnancy (in Chinese). Chin J Perinat Med 6(4):199–201 Wang DM, La XL, Ding L (2003) Study on apoptosis and expression of Fas, FasL in placenta of intrahepatic cholestasis of pregnancy (in Chinese). Chin J Perinat Med 6(4):199–201
13.
go back to reference Zhang SJ (2007) Immunohistochemical study on the expression of TNF-α in placenta in intrahepatic cholestasis of pregnancy (in Chinese). Acta Acad Med Xuzhou 27(7):451–452 Zhang SJ (2007) Immunohistochemical study on the expression of TNF-α in placenta in intrahepatic cholestasis of pregnancy (in Chinese). Acta Acad Med Xuzhou 27(7):451–452
14.
go back to reference Dong MY, He J, Wang ZP (2003) Placental expression of epidermal growth factor receptor in intrahepatic cholestasis of pregnancy. Chin J Obstet Gynecol 38(2):106–107 Dong MY, He J, Wang ZP (2003) Placental expression of epidermal growth factor receptor in intrahepatic cholestasis of pregnancy. Chin J Obstet Gynecol 38(2):106–107
15.
go back to reference Watson A, Mazumder A, Stewart M, Balasubramanian S (1998) Technology for microarray analysis of gene expression. Curr Opin Biotechnol 9:609–614CrossRefPubMed Watson A, Mazumder A, Stewart M, Balasubramanian S (1998) Technology for microarray analysis of gene expression. Curr Opin Biotechnol 9:609–614CrossRefPubMed
16.
17.
go back to reference Schena M, Shalon D, Davis RW, Brown PO (1995) Quantitative monitoring of gene expression patterns with a complementary DNA microarray. Science 270(20):467–470CrossRefPubMed Schena M, Shalon D, Davis RW, Brown PO (1995) Quantitative monitoring of gene expression patterns with a complementary DNA microarray. Science 270(20):467–470CrossRefPubMed
18.
go back to reference Dong M, Shi Y (1996) Evaluation of cholic glycine in serum and hemorrheological parameters in women with intrahepatic cholestasis of pregnancy (in Chinese). Curr Adv Obstet Gynecol 5:251–253 Dong M, Shi Y (1996) Evaluation of cholic glycine in serum and hemorrheological parameters in women with intrahepatic cholestasis of pregnancy (in Chinese). Curr Adv Obstet Gynecol 5:251–253
19.
go back to reference Dong M, Wang Z, He J, Shi Y, Yang P, Pan Y (1999) Increased anticardiolipin antibody in intrahepatic cholestasis of pregnancy (in Chinese). Chin J Obstet Gynecol 34:491 Dong M, Wang Z, He J, Shi Y, Yang P, Pan Y (1999) Increased anticardiolipin antibody in intrahepatic cholestasis of pregnancy (in Chinese). Chin J Obstet Gynecol 34:491
20.
go back to reference Dong M, Xie X, Wang Z, He J, Zhou J (2002) Impaired mixed lymphocyte reaction in intrahepatic cholestasis of pregnancy (in Chinese). Gynecol Obstet Invest 54:191–195CrossRefPubMed Dong M, Xie X, Wang Z, He J, Zhou J (2002) Impaired mixed lymphocyte reaction in intrahepatic cholestasis of pregnancy (in Chinese). Gynecol Obstet Invest 54:191–195CrossRefPubMed
22.
go back to reference Wang ZP, Dong MY, Chu HN, He J (2004) Increased serum levels of neopterin and soluble interleukin-2 receptor in intrahepatic cholestasis of pregnancy. Acta Obstet Gynecol Scand 83(11):1067–1070PubMed Wang ZP, Dong MY, Chu HN, He J (2004) Increased serum levels of neopterin and soluble interleukin-2 receptor in intrahepatic cholestasis of pregnancy. Acta Obstet Gynecol Scand 83(11):1067–1070PubMed
23.
go back to reference Peng B, Liu SY (2002) Study of relationship between T helper cell type1 and type2 cytokines and intrahepatic cholestasis of pregnancy (in Chinese). Zhonghua Fu Chan Ke Za Zhi 37(9):516–518PubMed Peng B, Liu SY (2002) Study of relationship between T helper cell type1 and type2 cytokines and intrahepatic cholestasis of pregnancy (in Chinese). Zhonghua Fu Chan Ke Za Zhi 37(9):516–518PubMed
24.
go back to reference Ling B, Yao FQ, Zhou Y, Chen ZZ, Shen GD, Zhu YY (2007) Cell-mediated immunity imbalance in patients with intrahepatic cholestasis of pregnancy. Cell Mol Immunol 4(1):71–75PubMed Ling B, Yao FQ, Zhou Y, Chen ZZ, Shen GD, Zhu YY (2007) Cell-mediated immunity imbalance in patients with intrahepatic cholestasis of pregnancy. Cell Mol Immunol 4(1):71–75PubMed
25.
go back to reference Koehler LH, Benz EJ (1962) Serum adenosine deaminase: methodology and clinical applications. Clin Chem 8:133–140PubMed Koehler LH, Benz EJ (1962) Serum adenosine deaminase: methodology and clinical applications. Clin Chem 8:133–140PubMed
26.
go back to reference Ungerer JP, Oosthuizen HM, Bissbort SH, Vermaak WJ (1992) Serum adenosine deaminase: isoenzymes and diagnostic application. Clin Chem 38(7):1322–1326PubMed Ungerer JP, Oosthuizen HM, Bissbort SH, Vermaak WJ (1992) Serum adenosine deaminase: isoenzymes and diagnostic application. Clin Chem 38(7):1322–1326PubMed
27.
go back to reference Trajkovic V, Sweet MJ, Xu D (2004) T1/ST2—an IL-1 receptor-like modulator of immune responses. Cytokine Growth Factor Rev 15(2–3):87–95CrossRefPubMed Trajkovic V, Sweet MJ, Xu D (2004) T1/ST2—an IL-1 receptor-like modulator of immune responses. Cytokine Growth Factor Rev 15(2–3):87–95CrossRefPubMed
28.
go back to reference Xu D, Chan WL, Leung BP et al (1998) Selective expression of a stable cell surface molecule on type 2 but not type 1 helper T cells. J Exp Med 187(5):787–794CrossRefPubMed Xu D, Chan WL, Leung BP et al (1998) Selective expression of a stable cell surface molecule on type 2 but not type 1 helper T cells. J Exp Med 187(5):787–794CrossRefPubMed
29.
go back to reference Löhning M, Stroehmann A, Coyle AJ et al (1998) T1/ST2 is preferentially expressed on murine Th2 cells, independent of interleukin 4, interleukin 5, and interleukin 10, and important for Th2 effector function. Proc Natl Acad Sci USA 95(12):6930–6935CrossRefPubMed Löhning M, Stroehmann A, Coyle AJ et al (1998) T1/ST2 is preferentially expressed on murine Th2 cells, independent of interleukin 4, interleukin 5, and interleukin 10, and important for Th2 effector function. Proc Natl Acad Sci USA 95(12):6930–6935CrossRefPubMed
30.
go back to reference Coyle AJ, Lloyd C, Tian J et al (1999) Crucial role of the interleukin 1 receptor family member T1/ST2 in T helper cell type 2-mediated lung mucosal immune responses. J Exp Med 190(7):895–902CrossRefPubMed Coyle AJ, Lloyd C, Tian J et al (1999) Crucial role of the interleukin 1 receptor family member T1/ST2 in T helper cell type 2-mediated lung mucosal immune responses. J Exp Med 190(7):895–902CrossRefPubMed
31.
go back to reference Dann AT, Kenyon AP, Wierzbicki AS, Seed PT, Shennan AH, Tribe RM (2006) Plasma lipid profiles of women with intrahepatic cholestasis of pregnancy. Obstet Gynecol 107(1):106–114PubMed Dann AT, Kenyon AP, Wierzbicki AS, Seed PT, Shennan AH, Tribe RM (2006) Plasma lipid profiles of women with intrahepatic cholestasis of pregnancy. Obstet Gynecol 107(1):106–114PubMed
32.
go back to reference Spreyer P, Schaal H, Kuhn G et al (1990) Regeneration-associated high level expression of apolipoprotein D mRNA in endoneurial fibroblasts of peripheral nerve. EMBO J 9(8):2479–2484PubMed Spreyer P, Schaal H, Kuhn G et al (1990) Regeneration-associated high level expression of apolipoprotein D mRNA in endoneurial fibroblasts of peripheral nerve. EMBO J 9(8):2479–2484PubMed
33.
go back to reference Xia SY, Chen ZQ, Li L (2003) Change of vascular endothelial growth factor (VEGF) and its significance in placenta for patients with intrahepatic cholestasis in pregnancy (in Chinese). J Chin Phys 5(8):1068–1070 Xia SY, Chen ZQ, Li L (2003) Change of vascular endothelial growth factor (VEGF) and its significance in placenta for patients with intrahepatic cholestasis in pregnancy (in Chinese). J Chin Phys 5(8):1068–1070
34.
go back to reference Liu JP, Baker J, Perkins AS, Robertson EJ, Efstratiadis A (1993) Mice carrying null mutations of the genes encoding insulin-like growth factor I (Igf-1) and type 1 IGF receptor (Igf1r). Cell 75(1):59–72PubMed Liu JP, Baker J, Perkins AS, Robertson EJ, Efstratiadis A (1993) Mice carrying null mutations of the genes encoding insulin-like growth factor I (Igf-1) and type 1 IGF receptor (Igf1r). Cell 75(1):59–72PubMed
35.
go back to reference DeChiara TM, Efstratiadis A, Robertson EJ (1990) A growth-deficiency phenotype in heterozygous mice carrying an insulin-like growth factor II gene disrupted by targeting. Nature 345(6270):78–80CrossRefPubMed DeChiara TM, Efstratiadis A, Robertson EJ (1990) A growth-deficiency phenotype in heterozygous mice carrying an insulin-like growth factor II gene disrupted by targeting. Nature 345(6270):78–80CrossRefPubMed
36.
go back to reference Lin CG, Leu SJ, Chen N et al (2003) CCN3 (NOV) is a novel angiogenic regulator of the CCN protein family. J Biol Chem 278(26):24200–24208CrossRefPubMed Lin CG, Leu SJ, Chen N et al (2003) CCN3 (NOV) is a novel angiogenic regulator of the CCN protein family. J Biol Chem 278(26):24200–24208CrossRefPubMed
37.
go back to reference Ellis PD, Chen Q, Barker PJ, Metcalfe JC, Kemp PR (2000) Nov gene encodes adhesion factor for vascular smooth muscle cells and is dynamically regulated in response to vascular injury. Arterioscler Thromb Vasc Biol 20(8):1912–1919PubMed Ellis PD, Chen Q, Barker PJ, Metcalfe JC, Kemp PR (2000) Nov gene encodes adhesion factor for vascular smooth muscle cells and is dynamically regulated in response to vascular injury. Arterioscler Thromb Vasc Biol 20(8):1912–1919PubMed
38.
go back to reference Gellhaus A, Schmidt M, Dunk C, Lye SJ, Kimmig R, Winterhager E (2006) Decreased expression of the angiogenic regulators CYR61 (CCN1) and NOV (CCN3) in human placenta is associated with pre-eclampsia. Mol Hum Reprod 12(6):389–399CrossRefPubMed Gellhaus A, Schmidt M, Dunk C, Lye SJ, Kimmig R, Winterhager E (2006) Decreased expression of the angiogenic regulators CYR61 (CCN1) and NOV (CCN3) in human placenta is associated with pre-eclampsia. Mol Hum Reprod 12(6):389–399CrossRefPubMed
39.
go back to reference Chen M, Sun LZ, Ding HJ, Wu WP (2007) The relationship between intrahepatic cholestasis and placenta cells apoptosis in pregnancy (in Chinese). Mod Med J 35(6):428–431 Chen M, Sun LZ, Ding HJ, Wu WP (2007) The relationship between intrahepatic cholestasis and placenta cells apoptosis in pregnancy (in Chinese). Mod Med J 35(6):428–431
40.
go back to reference Perez MJ, Macias RI, Marin JJ (2006) Maternal cholestasis induces placental oxidative stress and apoptosis. Protective effect of ursodeoxycholic acid. Placenta 27(1):34–41CrossRefPubMed Perez MJ, Macias RI, Marin JJ (2006) Maternal cholestasis induces placental oxidative stress and apoptosis. Protective effect of ursodeoxycholic acid. Placenta 27(1):34–41CrossRefPubMed
41.
go back to reference Huang JR, Liu J, Chang SF (2006) Mechanism of farnesoid X receptor and bile salt excretory pump on bile acid transport in placenta of intrahepatic cholestasis of pregnany (in Chinese). Chongqing Med J 174:9–1950 Huang JR, Liu J, Chang SF (2006) Mechanism of farnesoid X receptor and bile salt excretory pump on bile acid transport in placenta of intrahepatic cholestasis of pregnany (in Chinese). Chongqing Med J 174:9–1950
42.
go back to reference Floreani A, Carderi I, Paternoster D et al (2008) Hepatobiliary phospholipid transporter ABCB4, MDR3 gene variants in a large cohort of Italian women with intrahepatic cholestasis of pregnancy. Dig Liver Dis 40(5):366–370CrossRefPubMed Floreani A, Carderi I, Paternoster D et al (2008) Hepatobiliary phospholipid transporter ABCB4, MDR3 gene variants in a large cohort of Italian women with intrahepatic cholestasis of pregnancy. Dig Liver Dis 40(5):366–370CrossRefPubMed
43.
go back to reference Arrese M, Macias RI, Briz O, Perez MJ, Marin JJ (2008) Molecular pathogenesis of intrahepatic cholestasis of pregnancy. Expert Rev Mol Med 28:10:e9 Arrese M, Macias RI, Briz O, Perez MJ, Marin JJ (2008) Molecular pathogenesis of intrahepatic cholestasis of pregnancy. Expert Rev Mol Med 28:10:e9
44.
go back to reference Serrano MA, Macias RIR, Briz O et al (2007) Expression in human trophoblast and choriocarcinoma cell lines, BeWo, Jeg-3 and JAr of genes involved in the hepatobiliary-like excretory function of the placenta. Placenta 28:107–117CrossRefPubMed Serrano MA, Macias RIR, Briz O et al (2007) Expression in human trophoblast and choriocarcinoma cell lines, BeWo, Jeg-3 and JAr of genes involved in the hepatobiliary-like excretory function of the placenta. Placenta 28:107–117CrossRefPubMed
45.
go back to reference Patel P, Weerasekera N, Hitchins M, Boyd CAR, Johnston DG, Williamson C (2003) Semi quantitative expression analysis of MDR3, FIC1, BSEP, OATP-A, OATP-C, OATP-D, OATP-E and NTCP gene transcripts in 1st and 3rd trimester human placenta. Placenta 24:39–44CrossRefPubMed Patel P, Weerasekera N, Hitchins M, Boyd CAR, Johnston DG, Williamson C (2003) Semi quantitative expression analysis of MDR3, FIC1, BSEP, OATP-A, OATP-C, OATP-D, OATP-E and NTCP gene transcripts in 1st and 3rd trimester human placenta. Placenta 24:39–44CrossRefPubMed
Metadata
Title
Altered gene profile of placenta from women with intrahepatic cholestasis of pregnancy
Authors
Jing Wei
Huimin Wang
Xiaofu Yang
Minyue Dong
Zhengping Wang
Publication date
01-05-2010
Publisher
Springer-Verlag
Published in
Archives of Gynecology and Obstetrics / Issue 5/2010
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-009-1156-3

Other articles of this Issue 5/2010

Archives of Gynecology and Obstetrics 5/2010 Go to the issue