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Huang A, Wu H, Iriyama T, Zhang Y, Sun K, Song A, Liu H, Peng Z, Tang L, Lee M, Huang Y, Ni X, Kellems RE, Xia Y. Elevated Adenosine Induces Placental DNA Hypomethylation Independent of A2B Receptor Signaling in Preeclampsia. Hypertension 2017; 70:209-218. [PMID: 28507174 DOI: 10.1161/hypertensionaha.117.09536] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2017] [Revised: 04/18/2017] [Accepted: 04/22/2017] [Indexed: 12/20/2022]
Abstract
Preeclampsia is a prevalent pregnancy hypertensive disease with both maternal and fetal morbidity and mortality. Emerging evidence indicates that global placental DNA hypomethylation is observed in patients with preeclampsia and is linked to altered gene expression and disease development. However, the molecular basis underlying placental epigenetic changes in preeclampsia remains unclear. Using 2 independent experimental models of preeclampsia, adenosine deaminase-deficient mice and a pathogenic autoantibody-induced mouse model of preeclampsia, we demonstrate that elevated placental adenosine not only induces hallmark features of preeclampsia but also causes placental DNA hypomethylation. The use of genetic approaches to express an adenosine deaminase minigene specifically in placentas, or adenosine deaminase enzyme replacement therapy, restored placental adenosine to normal levels, attenuated preeclampsia features, and abolished placental DNA hypomethylation in adenosine deaminase-deficient mice. Genetic deletion of CD73 (an ectonucleotidase that converts AMP to adenosine) prevented the elevation of placental adenosine in the autoantibody-induced preeclampsia mouse model and ameliorated preeclampsia features and placental DNA hypomethylation. Immunohistochemical studies revealed that elevated placental adenosine-mediated DNA hypomethylation predominantly occurs in spongiotrophoblasts and labyrinthine trophoblasts and that this effect is independent of A2B adenosine receptor activation in both preeclampsia models. Extending our mouse findings to humans, we used cultured human trophoblasts to demonstrate that adenosine functions intracellularly and induces DNA hypomethylation without A2B adenosine receptor activation. Altogether, both mouse and human studies reveal novel mechanisms underlying placental DNA hypomethylation and potential therapeutic approaches for preeclampsia.
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Affiliation(s)
- Aji Huang
- From the Xiangya Hospital, Central South University, Changsha, China (A.H., Z.P., L.T., Y.X.); Department of Biochemistry and Molecular Biology, McGovern Medical School (A.H., H.W., T.I., Y.Z., K.S., A.S., H.L., Z.P., R.E.K., Y.X.) and Graduate School of Biomedical Sciences (K.S., H.L., R.E.K., Y.X.), University of Texas at Houston; Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo, Japan (T.I.); Institute of Biosciences and Technology, Texas A&M University, Houston (M.L., Y.H.); and Department of Physiology, The Second Military Medical School, Shanghai, China (X.N.)
| | - Hongyu Wu
- From the Xiangya Hospital, Central South University, Changsha, China (A.H., Z.P., L.T., Y.X.); Department of Biochemistry and Molecular Biology, McGovern Medical School (A.H., H.W., T.I., Y.Z., K.S., A.S., H.L., Z.P., R.E.K., Y.X.) and Graduate School of Biomedical Sciences (K.S., H.L., R.E.K., Y.X.), University of Texas at Houston; Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo, Japan (T.I.); Institute of Biosciences and Technology, Texas A&M University, Houston (M.L., Y.H.); and Department of Physiology, The Second Military Medical School, Shanghai, China (X.N.)
| | - Takayuki Iriyama
- From the Xiangya Hospital, Central South University, Changsha, China (A.H., Z.P., L.T., Y.X.); Department of Biochemistry and Molecular Biology, McGovern Medical School (A.H., H.W., T.I., Y.Z., K.S., A.S., H.L., Z.P., R.E.K., Y.X.) and Graduate School of Biomedical Sciences (K.S., H.L., R.E.K., Y.X.), University of Texas at Houston; Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo, Japan (T.I.); Institute of Biosciences and Technology, Texas A&M University, Houston (M.L., Y.H.); and Department of Physiology, The Second Military Medical School, Shanghai, China (X.N.)
| | - Yujin Zhang
- From the Xiangya Hospital, Central South University, Changsha, China (A.H., Z.P., L.T., Y.X.); Department of Biochemistry and Molecular Biology, McGovern Medical School (A.H., H.W., T.I., Y.Z., K.S., A.S., H.L., Z.P., R.E.K., Y.X.) and Graduate School of Biomedical Sciences (K.S., H.L., R.E.K., Y.X.), University of Texas at Houston; Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo, Japan (T.I.); Institute of Biosciences and Technology, Texas A&M University, Houston (M.L., Y.H.); and Department of Physiology, The Second Military Medical School, Shanghai, China (X.N.)
| | - Kaiqi Sun
- From the Xiangya Hospital, Central South University, Changsha, China (A.H., Z.P., L.T., Y.X.); Department of Biochemistry and Molecular Biology, McGovern Medical School (A.H., H.W., T.I., Y.Z., K.S., A.S., H.L., Z.P., R.E.K., Y.X.) and Graduate School of Biomedical Sciences (K.S., H.L., R.E.K., Y.X.), University of Texas at Houston; Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo, Japan (T.I.); Institute of Biosciences and Technology, Texas A&M University, Houston (M.L., Y.H.); and Department of Physiology, The Second Military Medical School, Shanghai, China (X.N.)
| | - Anren Song
- From the Xiangya Hospital, Central South University, Changsha, China (A.H., Z.P., L.T., Y.X.); Department of Biochemistry and Molecular Biology, McGovern Medical School (A.H., H.W., T.I., Y.Z., K.S., A.S., H.L., Z.P., R.E.K., Y.X.) and Graduate School of Biomedical Sciences (K.S., H.L., R.E.K., Y.X.), University of Texas at Houston; Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo, Japan (T.I.); Institute of Biosciences and Technology, Texas A&M University, Houston (M.L., Y.H.); and Department of Physiology, The Second Military Medical School, Shanghai, China (X.N.)
| | - Hong Liu
- From the Xiangya Hospital, Central South University, Changsha, China (A.H., Z.P., L.T., Y.X.); Department of Biochemistry and Molecular Biology, McGovern Medical School (A.H., H.W., T.I., Y.Z., K.S., A.S., H.L., Z.P., R.E.K., Y.X.) and Graduate School of Biomedical Sciences (K.S., H.L., R.E.K., Y.X.), University of Texas at Houston; Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo, Japan (T.I.); Institute of Biosciences and Technology, Texas A&M University, Houston (M.L., Y.H.); and Department of Physiology, The Second Military Medical School, Shanghai, China (X.N.)
| | - Zhangzhe Peng
- From the Xiangya Hospital, Central South University, Changsha, China (A.H., Z.P., L.T., Y.X.); Department of Biochemistry and Molecular Biology, McGovern Medical School (A.H., H.W., T.I., Y.Z., K.S., A.S., H.L., Z.P., R.E.K., Y.X.) and Graduate School of Biomedical Sciences (K.S., H.L., R.E.K., Y.X.), University of Texas at Houston; Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo, Japan (T.I.); Institute of Biosciences and Technology, Texas A&M University, Houston (M.L., Y.H.); and Department of Physiology, The Second Military Medical School, Shanghai, China (X.N.)
| | - Lili Tang
- From the Xiangya Hospital, Central South University, Changsha, China (A.H., Z.P., L.T., Y.X.); Department of Biochemistry and Molecular Biology, McGovern Medical School (A.H., H.W., T.I., Y.Z., K.S., A.S., H.L., Z.P., R.E.K., Y.X.) and Graduate School of Biomedical Sciences (K.S., H.L., R.E.K., Y.X.), University of Texas at Houston; Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo, Japan (T.I.); Institute of Biosciences and Technology, Texas A&M University, Houston (M.L., Y.H.); and Department of Physiology, The Second Military Medical School, Shanghai, China (X.N.)
| | - Minjung Lee
- From the Xiangya Hospital, Central South University, Changsha, China (A.H., Z.P., L.T., Y.X.); Department of Biochemistry and Molecular Biology, McGovern Medical School (A.H., H.W., T.I., Y.Z., K.S., A.S., H.L., Z.P., R.E.K., Y.X.) and Graduate School of Biomedical Sciences (K.S., H.L., R.E.K., Y.X.), University of Texas at Houston; Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo, Japan (T.I.); Institute of Biosciences and Technology, Texas A&M University, Houston (M.L., Y.H.); and Department of Physiology, The Second Military Medical School, Shanghai, China (X.N.)
| | - Yun Huang
- From the Xiangya Hospital, Central South University, Changsha, China (A.H., Z.P., L.T., Y.X.); Department of Biochemistry and Molecular Biology, McGovern Medical School (A.H., H.W., T.I., Y.Z., K.S., A.S., H.L., Z.P., R.E.K., Y.X.) and Graduate School of Biomedical Sciences (K.S., H.L., R.E.K., Y.X.), University of Texas at Houston; Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo, Japan (T.I.); Institute of Biosciences and Technology, Texas A&M University, Houston (M.L., Y.H.); and Department of Physiology, The Second Military Medical School, Shanghai, China (X.N.)
| | - Xin Ni
- From the Xiangya Hospital, Central South University, Changsha, China (A.H., Z.P., L.T., Y.X.); Department of Biochemistry and Molecular Biology, McGovern Medical School (A.H., H.W., T.I., Y.Z., K.S., A.S., H.L., Z.P., R.E.K., Y.X.) and Graduate School of Biomedical Sciences (K.S., H.L., R.E.K., Y.X.), University of Texas at Houston; Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo, Japan (T.I.); Institute of Biosciences and Technology, Texas A&M University, Houston (M.L., Y.H.); and Department of Physiology, The Second Military Medical School, Shanghai, China (X.N.)
| | - Rodney E Kellems
- From the Xiangya Hospital, Central South University, Changsha, China (A.H., Z.P., L.T., Y.X.); Department of Biochemistry and Molecular Biology, McGovern Medical School (A.H., H.W., T.I., Y.Z., K.S., A.S., H.L., Z.P., R.E.K., Y.X.) and Graduate School of Biomedical Sciences (K.S., H.L., R.E.K., Y.X.), University of Texas at Houston; Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo, Japan (T.I.); Institute of Biosciences and Technology, Texas A&M University, Houston (M.L., Y.H.); and Department of Physiology, The Second Military Medical School, Shanghai, China (X.N.)
| | - Yang Xia
- From the Xiangya Hospital, Central South University, Changsha, China (A.H., Z.P., L.T., Y.X.); Department of Biochemistry and Molecular Biology, McGovern Medical School (A.H., H.W., T.I., Y.Z., K.S., A.S., H.L., Z.P., R.E.K., Y.X.) and Graduate School of Biomedical Sciences (K.S., H.L., R.E.K., Y.X.), University of Texas at Houston; Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo, Japan (T.I.); Institute of Biosciences and Technology, Texas A&M University, Houston (M.L., Y.H.); and Department of Physiology, The Second Military Medical School, Shanghai, China (X.N.).
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