Full-length human placental sFlt-1-e15a isoform induces distinct maternal phenotypes of preeclampsia in mice

Most anti-angiogenic preeclampsia models in rodents utilized the overexpression of a truncated soluble fms-like tyrosine kinase-1 (sFlt-1) not expressed in any species. Other limitations of mouse preeclampsia models included stressful blood pressure measurements and the lack of postpartum monitoring...

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Veröffentlicht in:PloS one 2015-04, Vol.10 (4), p.e0119547-e0119547
Hauptverfasser: Szalai, Gabor, Romero, Roberto, Chaiworapongsa, Tinnakorn, Xu, Yi, Wang, Bing, Ahn, Hyunyoung, Xu, Zhonghui, Chiang, Po Jen, Sundell, Birgitta, Wang, Rona, Jiang, Yang, Plazyo, Olesya, Olive, Mary, Tarca, Adi L, Dong, Zhong, Qureshi, Faisal, Papp, Zoltan, Hassan, Sonia S, Hernandez-Andrade, Edgar, Than, Nandor Gabor
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container_issue 4
container_start_page e0119547
container_title PloS one
container_volume 10
creator Szalai, Gabor
Romero, Roberto
Chaiworapongsa, Tinnakorn
Xu, Yi
Wang, Bing
Ahn, Hyunyoung
Xu, Zhonghui
Chiang, Po Jen
Sundell, Birgitta
Wang, Rona
Jiang, Yang
Plazyo, Olesya
Olive, Mary
Tarca, Adi L
Dong, Zhong
Qureshi, Faisal
Papp, Zoltan
Hassan, Sonia S
Hernandez-Andrade, Edgar
Than, Nandor Gabor
description Most anti-angiogenic preeclampsia models in rodents utilized the overexpression of a truncated soluble fms-like tyrosine kinase-1 (sFlt-1) not expressed in any species. Other limitations of mouse preeclampsia models included stressful blood pressure measurements and the lack of postpartum monitoring. We aimed to 1) develop a mouse model of preeclampsia by administering the most abundant human placental sFlt-1 isoform (hsFlt-1-e15a) in preeclampsia; 2) determine blood pressures in non-stressed conditions; and 3) develop a survival surgery that enables the collection of fetuses and placentas and postpartum (PP) monitoring. Pregnancy status of CD-1 mice was evaluated with high-frequency ultrasound on gestational days (GD) 6 and 7. Telemetry catheters were implanted in the carotid artery on GD7, and their positions were verified by ultrasound on GD13. Mice were injected through tail-vein with adenoviruses expressing hsFlt-1-e15a (n = 11) or green fluorescent protein (GFP; n = 9) on GD8/GD11. Placentas and pups were delivered by cesarean section on GD18 allowing PP monitoring. Urine samples were collected with cystocentesis on GD6/GD7, GD13, GD18, and PPD8, and albumin/creatinine ratios were determined. GFP and hsFlt-1-e15a expression profiles were determined by qRT-PCR. Aortic ring assays were performed to assess the effect of hsFlt-1-e15a on endothelia. Ultrasound predicted pregnancy on GD7 in 97% of cases. Cesarean section survival rate was 100%. Mean arterial blood pressure was higher in hsFlt-1-e15a-treated than in GFP-treated mice (∆MAP = 13.2 mmHg, p = 0.00107; GD18). Focal glomerular changes were found in hsFlt-1-e15a -treated mice, which had higher urine albumin/creatinine ratios than controls (109.3 ± 51.7 μg/mg vs. 19.3 ± 5.6 μg/mg, p = 4.4 x 10(-2); GD18). Aortic ring assays showed a 46% lesser microvessel outgrowth in hsFlt-1-e15a-treated than in GFP-treated mice (p = 1.2 x 10(-2)). Placental and fetal weights did not differ between the groups. One mouse with liver disease developed early-onset preeclampsia-like symptoms with intrauterine growth restriction (IUGR). A mouse model of late-onset preeclampsia was developed with the overexpression of hsFlt-1-e15a, verifying the in vivo pathologic effects of this primate-specific, predominant placental sFlt-1 isoform. HsFlt-1-e15a induced early-onset preeclampsia-like symptoms associated with IUGR in a mouse with a liver disease. Our findings support that hsFlt-1-e15a is central to the terminal pathway o
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Other limitations of mouse preeclampsia models included stressful blood pressure measurements and the lack of postpartum monitoring. We aimed to 1) develop a mouse model of preeclampsia by administering the most abundant human placental sFlt-1 isoform (hsFlt-1-e15a) in preeclampsia; 2) determine blood pressures in non-stressed conditions; and 3) develop a survival surgery that enables the collection of fetuses and placentas and postpartum (PP) monitoring. Pregnancy status of CD-1 mice was evaluated with high-frequency ultrasound on gestational days (GD) 6 and 7. Telemetry catheters were implanted in the carotid artery on GD7, and their positions were verified by ultrasound on GD13. Mice were injected through tail-vein with adenoviruses expressing hsFlt-1-e15a (n = 11) or green fluorescent protein (GFP; n = 9) on GD8/GD11. Placentas and pups were delivered by cesarean section on GD18 allowing PP monitoring. Urine samples were collected with cystocentesis on GD6/GD7, GD13, GD18, and PPD8, and albumin/creatinine ratios were determined. GFP and hsFlt-1-e15a expression profiles were determined by qRT-PCR. Aortic ring assays were performed to assess the effect of hsFlt-1-e15a on endothelia. Ultrasound predicted pregnancy on GD7 in 97% of cases. Cesarean section survival rate was 100%. Mean arterial blood pressure was higher in hsFlt-1-e15a-treated than in GFP-treated mice (∆MAP = 13.2 mmHg, p = 0.00107; GD18). Focal glomerular changes were found in hsFlt-1-e15a -treated mice, which had higher urine albumin/creatinine ratios than controls (109.3 ± 51.7 μg/mg vs. 19.3 ± 5.6 μg/mg, p = 4.4 x 10(-2); GD18). Aortic ring assays showed a 46% lesser microvessel outgrowth in hsFlt-1-e15a-treated than in GFP-treated mice (p = 1.2 x 10(-2)). Placental and fetal weights did not differ between the groups. One mouse with liver disease developed early-onset preeclampsia-like symptoms with intrauterine growth restriction (IUGR). A mouse model of late-onset preeclampsia was developed with the overexpression of hsFlt-1-e15a, verifying the in vivo pathologic effects of this primate-specific, predominant placental sFlt-1 isoform. HsFlt-1-e15a induced early-onset preeclampsia-like symptoms associated with IUGR in a mouse with a liver disease. Our findings support that hsFlt-1-e15a is central to the terminal pathway of preeclampsia, and it can induce the full spectrum of symptoms in this obstetrical syndrome.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0119547</identifier><identifier>PMID: 25860260</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adenoviruses ; Age ; Albumin ; Amino Acid Sequence ; Angiogenesis ; Animal models ; Animals ; Aorta ; Blood ; Blood Pressure ; Blood Pressure Monitors ; Carotid artery ; Catheters ; Cell adhesion &amp; migration ; Cesarean section ; Childrens health ; Creatinine ; Disease Models, Animal ; Female ; Fetuses ; Fluorescence ; Gene Expression Profiling ; Gestational Age ; Green fluorescent protein ; Green Fluorescent Proteins - genetics ; Gynecology ; Humans ; Hypertension ; Liver ; Liver diseases ; Medical research ; Medicine ; Mice ; Mice, Transgenic ; Molecular Sequence Data ; Monitoring ; Obstetrics ; Pathology ; Phenotype ; Placenta ; Placenta - diagnostic imaging ; Placenta - pathology ; Placenta - physiopathology ; Postpartum ; Pre-eclampsia ; Pre-Eclampsia - etiology ; Pre-Eclampsia - pathology ; Pre-Eclampsia - physiopathology ; Preeclampsia ; Pregnancy ; Pressure measurement ; Pressure measurements ; Protein Isoforms - administration &amp; dosage ; Protein Isoforms - genetics ; Protein Isoforms - physiology ; Protein-tyrosine kinase ; Recombinant Proteins - administration &amp; dosage ; Recombinant Proteins - genetics ; RNA, Messenger - genetics ; RNA, Messenger - metabolism ; Rodents ; Sequence Homology, Amino Acid ; Species Specificity ; Surgery ; Surgical implants ; Survival ; Telemetry ; Tyrosine ; Ultrasonography ; Ultrasound ; Urine ; Vascular Endothelial Growth Factor Receptor-1 - administration &amp; dosage ; Vascular Endothelial Growth Factor Receptor-1 - genetics ; Vascular Endothelial Growth Factor Receptor-1 - physiology</subject><ispartof>PloS one, 2015-04, Vol.10 (4), p.e0119547-e0119547</ispartof><rights>This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication: https://creativecommons.org/publicdomain/zero/1.0/ (the “License”) Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c592t-597cb86b5d46b057130b7ce68b07159ce6862745738be64499c992e6243065903</citedby><cites>FETCH-LOGICAL-c592t-597cb86b5d46b057130b7ce68b07159ce6862745738be64499c992e6243065903</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4393117/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4393117/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2095,2914,23846,27903,27904,53769,53771,79346,79347</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25860260$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Kanellopoulos-Langevin, Colette</contributor><creatorcontrib>Szalai, Gabor</creatorcontrib><creatorcontrib>Romero, Roberto</creatorcontrib><creatorcontrib>Chaiworapongsa, Tinnakorn</creatorcontrib><creatorcontrib>Xu, Yi</creatorcontrib><creatorcontrib>Wang, Bing</creatorcontrib><creatorcontrib>Ahn, Hyunyoung</creatorcontrib><creatorcontrib>Xu, Zhonghui</creatorcontrib><creatorcontrib>Chiang, Po Jen</creatorcontrib><creatorcontrib>Sundell, Birgitta</creatorcontrib><creatorcontrib>Wang, Rona</creatorcontrib><creatorcontrib>Jiang, Yang</creatorcontrib><creatorcontrib>Plazyo, Olesya</creatorcontrib><creatorcontrib>Olive, Mary</creatorcontrib><creatorcontrib>Tarca, Adi L</creatorcontrib><creatorcontrib>Dong, Zhong</creatorcontrib><creatorcontrib>Qureshi, Faisal</creatorcontrib><creatorcontrib>Papp, Zoltan</creatorcontrib><creatorcontrib>Hassan, Sonia S</creatorcontrib><creatorcontrib>Hernandez-Andrade, Edgar</creatorcontrib><creatorcontrib>Than, Nandor Gabor</creatorcontrib><title>Full-length human placental sFlt-1-e15a isoform induces distinct maternal phenotypes of preeclampsia in mice</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Most anti-angiogenic preeclampsia models in rodents utilized the overexpression of a truncated soluble fms-like tyrosine kinase-1 (sFlt-1) not expressed in any species. Other limitations of mouse preeclampsia models included stressful blood pressure measurements and the lack of postpartum monitoring. We aimed to 1) develop a mouse model of preeclampsia by administering the most abundant human placental sFlt-1 isoform (hsFlt-1-e15a) in preeclampsia; 2) determine blood pressures in non-stressed conditions; and 3) develop a survival surgery that enables the collection of fetuses and placentas and postpartum (PP) monitoring. Pregnancy status of CD-1 mice was evaluated with high-frequency ultrasound on gestational days (GD) 6 and 7. Telemetry catheters were implanted in the carotid artery on GD7, and their positions were verified by ultrasound on GD13. Mice were injected through tail-vein with adenoviruses expressing hsFlt-1-e15a (n = 11) or green fluorescent protein (GFP; n = 9) on GD8/GD11. Placentas and pups were delivered by cesarean section on GD18 allowing PP monitoring. Urine samples were collected with cystocentesis on GD6/GD7, GD13, GD18, and PPD8, and albumin/creatinine ratios were determined. GFP and hsFlt-1-e15a expression profiles were determined by qRT-PCR. Aortic ring assays were performed to assess the effect of hsFlt-1-e15a on endothelia. Ultrasound predicted pregnancy on GD7 in 97% of cases. Cesarean section survival rate was 100%. Mean arterial blood pressure was higher in hsFlt-1-e15a-treated than in GFP-treated mice (∆MAP = 13.2 mmHg, p = 0.00107; GD18). Focal glomerular changes were found in hsFlt-1-e15a -treated mice, which had higher urine albumin/creatinine ratios than controls (109.3 ± 51.7 μg/mg vs. 19.3 ± 5.6 μg/mg, p = 4.4 x 10(-2); GD18). Aortic ring assays showed a 46% lesser microvessel outgrowth in hsFlt-1-e15a-treated than in GFP-treated mice (p = 1.2 x 10(-2)). Placental and fetal weights did not differ between the groups. One mouse with liver disease developed early-onset preeclampsia-like symptoms with intrauterine growth restriction (IUGR). A mouse model of late-onset preeclampsia was developed with the overexpression of hsFlt-1-e15a, verifying the in vivo pathologic effects of this primate-specific, predominant placental sFlt-1 isoform. HsFlt-1-e15a induced early-onset preeclampsia-like symptoms associated with IUGR in a mouse with a liver disease. Our findings support that hsFlt-1-e15a is central to the terminal pathway of preeclampsia, and it can induce the full spectrum of symptoms in this obstetrical syndrome.</description><subject>Adenoviruses</subject><subject>Age</subject><subject>Albumin</subject><subject>Amino Acid Sequence</subject><subject>Angiogenesis</subject><subject>Animal models</subject><subject>Animals</subject><subject>Aorta</subject><subject>Blood</subject><subject>Blood Pressure</subject><subject>Blood Pressure Monitors</subject><subject>Carotid artery</subject><subject>Catheters</subject><subject>Cell adhesion &amp; migration</subject><subject>Cesarean section</subject><subject>Childrens health</subject><subject>Creatinine</subject><subject>Disease Models, Animal</subject><subject>Female</subject><subject>Fetuses</subject><subject>Fluorescence</subject><subject>Gene Expression Profiling</subject><subject>Gestational Age</subject><subject>Green fluorescent protein</subject><subject>Green Fluorescent Proteins - genetics</subject><subject>Gynecology</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Liver</subject><subject>Liver diseases</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Mice</subject><subject>Mice, Transgenic</subject><subject>Molecular Sequence Data</subject><subject>Monitoring</subject><subject>Obstetrics</subject><subject>Pathology</subject><subject>Phenotype</subject><subject>Placenta</subject><subject>Placenta - diagnostic imaging</subject><subject>Placenta - pathology</subject><subject>Placenta - physiopathology</subject><subject>Postpartum</subject><subject>Pre-eclampsia</subject><subject>Pre-Eclampsia - etiology</subject><subject>Pre-Eclampsia - pathology</subject><subject>Pre-Eclampsia - physiopathology</subject><subject>Preeclampsia</subject><subject>Pregnancy</subject><subject>Pressure measurement</subject><subject>Pressure measurements</subject><subject>Protein Isoforms - administration &amp; dosage</subject><subject>Protein Isoforms - genetics</subject><subject>Protein Isoforms - physiology</subject><subject>Protein-tyrosine kinase</subject><subject>Recombinant Proteins - administration &amp; dosage</subject><subject>Recombinant Proteins - genetics</subject><subject>RNA, Messenger - genetics</subject><subject>RNA, Messenger - metabolism</subject><subject>Rodents</subject><subject>Sequence Homology, Amino Acid</subject><subject>Species Specificity</subject><subject>Surgery</subject><subject>Surgical implants</subject><subject>Survival</subject><subject>Telemetry</subject><subject>Tyrosine</subject><subject>Ultrasonography</subject><subject>Ultrasound</subject><subject>Urine</subject><subject>Vascular Endothelial Growth Factor Receptor-1 - administration &amp; dosage</subject><subject>Vascular Endothelial Growth Factor Receptor-1 - genetics</subject><subject>Vascular Endothelial Growth Factor Receptor-1 - physiology</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNptUk1v1DAQjRCIlsI_QBCJSy9Z_O34goSqLlSqxAXOluPM7nrl2MF2kPrvSbpp1SJOHnnee_Nm9KrqPUYbTCX-fIxTCsZvxhhggzBWnMkX1TlWlDSCIPrySX1Wvcn5iBCnrRCvqzPCW4GIQOeV307eNx7CvhzqwzSYUI_eWAjF-DpvfWlwA5ib2uW4i2moXegnC7nuXS4u2FIPpsBipB4PEGK5G-dm3NVjArDeDGN2MznUg7Pwtnq1Mz7Du_W9qH5tr39efW9uf3y7ufp621iuSGm4krZrRcd7JjrEJaaokxZE2yGJuVoqQSTjkrYdCMaUskoREIRRJLhC9KL6eNIdfcx6PVTWWEhCWobRgrg5IfpojnpMbjDpTkfj9P1HTHttUnHWgyYIW4Z3BCHcMila1XOOu36WUsRaxWatL-u0qRugX26XjH8m-rwT3EHv4x_NqKIYy1ngchVI8fcEuejBZQvemwBxuvdN0bysXGZ9-gf6_-3YCWVTzDnB7tEMRnoJzwNLL-HRa3hm2oenizySHtJC_wKnL8EE</recordid><startdate>20150410</startdate><enddate>20150410</enddate><creator>Szalai, Gabor</creator><creator>Romero, Roberto</creator><creator>Chaiworapongsa, Tinnakorn</creator><creator>Xu, Yi</creator><creator>Wang, Bing</creator><creator>Ahn, Hyunyoung</creator><creator>Xu, Zhonghui</creator><creator>Chiang, Po Jen</creator><creator>Sundell, Birgitta</creator><creator>Wang, Rona</creator><creator>Jiang, Yang</creator><creator>Plazyo, Olesya</creator><creator>Olive, Mary</creator><creator>Tarca, Adi L</creator><creator>Dong, Zhong</creator><creator>Qureshi, Faisal</creator><creator>Papp, Zoltan</creator><creator>Hassan, Sonia S</creator><creator>Hernandez-Andrade, Edgar</creator><creator>Than, Nandor Gabor</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20150410</creationdate><title>Full-length human placental sFlt-1-e15a isoform induces distinct maternal phenotypes of preeclampsia in mice</title><author>Szalai, Gabor ; Romero, Roberto ; Chaiworapongsa, Tinnakorn ; Xu, Yi ; Wang, Bing ; Ahn, Hyunyoung ; Xu, Zhonghui ; Chiang, Po Jen ; Sundell, Birgitta ; Wang, Rona ; Jiang, Yang ; Plazyo, Olesya ; Olive, Mary ; Tarca, Adi L ; Dong, Zhong ; Qureshi, Faisal ; Papp, Zoltan ; Hassan, Sonia S ; Hernandez-Andrade, Edgar ; Than, Nandor Gabor</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c592t-597cb86b5d46b057130b7ce68b07159ce6862745738be64499c992e6243065903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adenoviruses</topic><topic>Age</topic><topic>Albumin</topic><topic>Amino Acid Sequence</topic><topic>Angiogenesis</topic><topic>Animal models</topic><topic>Animals</topic><topic>Aorta</topic><topic>Blood</topic><topic>Blood Pressure</topic><topic>Blood Pressure Monitors</topic><topic>Carotid artery</topic><topic>Catheters</topic><topic>Cell adhesion &amp; migration</topic><topic>Cesarean section</topic><topic>Childrens health</topic><topic>Creatinine</topic><topic>Disease Models, Animal</topic><topic>Female</topic><topic>Fetuses</topic><topic>Fluorescence</topic><topic>Gene Expression Profiling</topic><topic>Gestational Age</topic><topic>Green fluorescent protein</topic><topic>Green Fluorescent Proteins - genetics</topic><topic>Gynecology</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Liver</topic><topic>Liver diseases</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Mice</topic><topic>Mice, Transgenic</topic><topic>Molecular Sequence Data</topic><topic>Monitoring</topic><topic>Obstetrics</topic><topic>Pathology</topic><topic>Phenotype</topic><topic>Placenta</topic><topic>Placenta - diagnostic imaging</topic><topic>Placenta - pathology</topic><topic>Placenta - physiopathology</topic><topic>Postpartum</topic><topic>Pre-eclampsia</topic><topic>Pre-Eclampsia - etiology</topic><topic>Pre-Eclampsia - pathology</topic><topic>Pre-Eclampsia - physiopathology</topic><topic>Preeclampsia</topic><topic>Pregnancy</topic><topic>Pressure measurement</topic><topic>Pressure measurements</topic><topic>Protein Isoforms - administration &amp; 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Other limitations of mouse preeclampsia models included stressful blood pressure measurements and the lack of postpartum monitoring. We aimed to 1) develop a mouse model of preeclampsia by administering the most abundant human placental sFlt-1 isoform (hsFlt-1-e15a) in preeclampsia; 2) determine blood pressures in non-stressed conditions; and 3) develop a survival surgery that enables the collection of fetuses and placentas and postpartum (PP) monitoring. Pregnancy status of CD-1 mice was evaluated with high-frequency ultrasound on gestational days (GD) 6 and 7. Telemetry catheters were implanted in the carotid artery on GD7, and their positions were verified by ultrasound on GD13. Mice were injected through tail-vein with adenoviruses expressing hsFlt-1-e15a (n = 11) or green fluorescent protein (GFP; n = 9) on GD8/GD11. Placentas and pups were delivered by cesarean section on GD18 allowing PP monitoring. Urine samples were collected with cystocentesis on GD6/GD7, GD13, GD18, and PPD8, and albumin/creatinine ratios were determined. GFP and hsFlt-1-e15a expression profiles were determined by qRT-PCR. Aortic ring assays were performed to assess the effect of hsFlt-1-e15a on endothelia. Ultrasound predicted pregnancy on GD7 in 97% of cases. Cesarean section survival rate was 100%. Mean arterial blood pressure was higher in hsFlt-1-e15a-treated than in GFP-treated mice (∆MAP = 13.2 mmHg, p = 0.00107; GD18). Focal glomerular changes were found in hsFlt-1-e15a -treated mice, which had higher urine albumin/creatinine ratios than controls (109.3 ± 51.7 μg/mg vs. 19.3 ± 5.6 μg/mg, p = 4.4 x 10(-2); GD18). Aortic ring assays showed a 46% lesser microvessel outgrowth in hsFlt-1-e15a-treated than in GFP-treated mice (p = 1.2 x 10(-2)). Placental and fetal weights did not differ between the groups. One mouse with liver disease developed early-onset preeclampsia-like symptoms with intrauterine growth restriction (IUGR). A mouse model of late-onset preeclampsia was developed with the overexpression of hsFlt-1-e15a, verifying the in vivo pathologic effects of this primate-specific, predominant placental sFlt-1 isoform. HsFlt-1-e15a induced early-onset preeclampsia-like symptoms associated with IUGR in a mouse with a liver disease. Our findings support that hsFlt-1-e15a is central to the terminal pathway of preeclampsia, and it can induce the full spectrum of symptoms in this obstetrical syndrome.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25860260</pmid><doi>10.1371/journal.pone.0119547</doi><oa>free_for_read</oa></addata></record>
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subjects Adenoviruses
Age
Albumin
Amino Acid Sequence
Angiogenesis
Animal models
Animals
Aorta
Blood
Blood Pressure
Blood Pressure Monitors
Carotid artery
Catheters
Cell adhesion & migration
Cesarean section
Childrens health
Creatinine
Disease Models, Animal
Female
Fetuses
Fluorescence
Gene Expression Profiling
Gestational Age
Green fluorescent protein
Green Fluorescent Proteins - genetics
Gynecology
Humans
Hypertension
Liver
Liver diseases
Medical research
Medicine
Mice
Mice, Transgenic
Molecular Sequence Data
Monitoring
Obstetrics
Pathology
Phenotype
Placenta
Placenta - diagnostic imaging
Placenta - pathology
Placenta - physiopathology
Postpartum
Pre-eclampsia
Pre-Eclampsia - etiology
Pre-Eclampsia - pathology
Pre-Eclampsia - physiopathology
Preeclampsia
Pregnancy
Pressure measurement
Pressure measurements
Protein Isoforms - administration & dosage
Protein Isoforms - genetics
Protein Isoforms - physiology
Protein-tyrosine kinase
Recombinant Proteins - administration & dosage
Recombinant Proteins - genetics
RNA, Messenger - genetics
RNA, Messenger - metabolism
Rodents
Sequence Homology, Amino Acid
Species Specificity
Surgery
Surgical implants
Survival
Telemetry
Tyrosine
Ultrasonography
Ultrasound
Urine
Vascular Endothelial Growth Factor Receptor-1 - administration & dosage
Vascular Endothelial Growth Factor Receptor-1 - genetics
Vascular Endothelial Growth Factor Receptor-1 - physiology
title Full-length human placental sFlt-1-e15a isoform induces distinct maternal phenotypes of preeclampsia in mice
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