MBL interferes with endovascular trophoblast invasion in pre-eclampsia.
The spiral arteries undergo physiologic changes during pregnancy, and the failure of this process may lead to a spectrum of pregnancy disorders, including pre-eclampsia. Our recent data indicate that decidual endothelial cells (DECs), covering the inner side of the spiral arteries, acquire the ability to synthesize C1q, which acts as a link between endovascular trophoblast and DECs favouring the process of vascular remodelling. In this study, we have shown that sera obtained from pre-eclamptic patients strongly inhibit the interaction between extravillous trophoblast (EVT) and DECs, preventing endovascular invasion of trophoblast cells. We further demonstrated that mannose-binding lectin (MBL), one of the factor increased in pre-eclamptic patient sera, strongly inhibits the interaction of EVT with C1q interfering with the process of EVT adhesion to and migration through DECs. These data suggest that the increased level of MBL in pre-eclampsia may contribute to the failure of the endovascular invasion of trophoblast cells.
Institute for Maternal and Child Health, IRCCS Burlo Garofolo, Trieste, Italy.
Chiara
C
Agostinis
Fleur
F
Bossi
Elisa
E
Masat
Oriano
O
Radillo
Maddalena
M
Tonon
Francesco
F
De Seta
Francesco
F
Tedesco
Roberta
R
Bulla
D002450:Cell Communication / Q000502:physiology; D003656:Decidua / Q000166:cytology; D042783:Endothelial Cells / Q000166:cytology / Q000378:metabolism*; D005260:Female; D006801:Humans; D037601:Mannose-Binding Lectin / Q000097:blood / Q000378:metabolism*; D011225:Pre-Eclampsia / Q000378:metabolism*; D011247:Pregnancy; D057705:Transendothelial and Transepithelial Migration; D014327:Trophoblasts / Q000502:physiology*
D037601:Mannose-Binding Lectin