Oxidative stress, lipid peroxidation and ferroptosis are major pathophysiological signatures in the placental tissue of women with late-onset preeclampsia

Preeclampsia, a serious and potentially life-threatening medical complication occurring during pregnancy, is characterized by hypertension and often accompanied by proteinuria and multiorgan dysfunction. It is classified into two subtypes based on the timing of diagnosis: early-onset (EO-PE) and lat...

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Detalles Bibliográficos
Autores: Ortega, Miguel A., García Puente, Luis M., Fraile Martínez, Óscar|||0000-0002-4494-6397, Pekarek, Tatiana, García Montero, Cielo|||0000-0001-6016-7855, Bujan, Julián, Pekarek, Leonel|||0000-0002-5966-9003, Barrena Blázquez, Silvestra|||0000-0003-2715-1979, Gragera Martínez, Raquel de los Reyes|||0000-0001-5694-8579, Rodríguez Rojo, Inmaculada C., Rodríguez Benítez, Patrocinio, López González, Laura|||0009-0005-1023-7639, Díaz Pedrero, Raúl|||0000-0001-9318-4045, Álvarez de Mon Soto, Melchor|||0000-0003-1309-7510, García Honduvilla, Natalio Antonio|||0000-0003-0904-6198, León Luis, Juan A. de, Bravo Arribas, Coral, Saez, Miguel A.
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Universidad de Alcalá (UAH)
Repositorio:e_Buah Biblioteca Digital Universidad de Alcalá
Idioma:inglés
OAI Identifier:oai:ebuah.uah.es:10017/67811
Acceso en línea:http://hdl.handle.net/10017/67811
https://dx.doi.org/10.3390/antiox13050591
Access Level:acceso abierto
Palabra clave:Oxidative stress
Lipid peroxidation
Ferroptosis
Placental
Preeclampsia
Medicina
Medicine
Descripción
Sumario:Preeclampsia, a serious and potentially life-threatening medical complication occurring during pregnancy, is characterized by hypertension and often accompanied by proteinuria and multiorgan dysfunction. It is classified into two subtypes based on the timing of diagnosis: early-onset (EO-PE) and late-onset preeclampsia (LO-PE). Despite being less severe and exhibiting distinct pathophysiological characteristics, LO-PE is more prevalent than EO-PE, although both conditions have a significant impact on placental health. Previous research indicates that different pathophysiological events within the placenta may contribute to the development of preeclampsia across multiple pathways. In our experimental study, we investigated markers of oxidative stress, ferroptosis, and lipid peroxidation pathways in placental tissue samples obtained from women with LO-PE (n = 68) compared to healthy control pregnant women (HC, n = 43). Through a comprehensive analysis, we observed an upregulation of specific molecules associated with these pathways, including NADPH oxidase 1 (NOX-1), NADPH oxidase 2 (NOX-2), transferrin receptor protein 1 (TFRC), arachidonate 5-lipoxygenase (ALOX-5), acyl-CoA synthetase long-chain family member 4 (ACSL-4), glutathione peroxidase 4 (GPX4) and malondialdehyde (MDA) in women with LO-PE. Furthermore, increased ferric tissue deposition (Fe3+) was observed in placenta samples stained with Perls’ Prussian blue. The assessment involved gene and protein expression analyses conducted through RT-qPCR experiments and immunohistochemistry assays. Our findings underscore the heightened activation of inflammatory pathways in LO-PE compared to HC, highlighting the pathological mechanisms underlying this pregnancy disorder.