Shi Zou , Wei Guo , Miao Tan , Xuechen Yu , Jinli Liu , Qian Du , Yuting Tan , Yingjie Wu , Songjie Wu , Yanan Zhu , Yong Feng , Ke Liang
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引用次数: 0
Abstract
Introduction
Combination antiretroviral therapy (cART) based on protease inhibitor lopinavir /ritonavir (LPV/r) is the first-line regimen for HIV-infected pregnant women to prevent mother-to-child transmission (MTCT) in China. Studies have indicated a correlation between LPV/r and adverse pregnancy outcomes (APOs). However, a knowledge gap exists regarding the potential mechanisms.
Methods
In this study, the transcriptomics and proteomics analyses were performed to investigate the genes in BeWo cells and human placentae exposed to LPV/r. BeWo cells were treated with LPV/r with different concentrations for 24 h, then the mRNAs were sequenced. We also adopted proteomics sequencing between human placentae exposed to LPV/r and non-LPV/r based antiretroviral regimens. Flow cytometry analysis, real-time PCR and immunohistochemistry were performed to verified our sequencing results.
Results
A Total 800–4000 differentially expressed genes (DEGs) after LPV/r treatment in Bewo cells were identified compared to the vehicle control. There were 321 differentially expressed proteins (DEPs) in the LPV/r group of human placentae. Comprehensive analysis of the Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) terms in transcriptomics and proteomics analyses demonstrated that LPV/r may result in APOs via active apoptosis, Endoplasmic reticulum (ER) stress, oxidative stress and lipid metabolism. Expression up-regulation of BAX (Bcl2 Associated X Protein), C-FOS (Cellular oncogene fos), P53 (Tumor suppressor protein p53) and down- regulation of MDM2 (Mouse double minute 2 homolog) by LPV/r may be the key genes for APOs.
Conclusions
Apoptosis by LPV/r may be the most important factor for APOs. The deep analysis provides important clues for understanding the mechanisms for the APOs were attributed to LPV/r.
期刊介绍:
Drawing from a large number of disciplines, Reproductive Toxicology publishes timely, original research on the influence of chemical and physical agents on reproduction. Written by and for obstetricians, pediatricians, embryologists, teratologists, geneticists, toxicologists, andrologists, and others interested in detecting potential reproductive hazards, the journal is a forum for communication among researchers and practitioners. Articles focus on the application of in vitro, animal and clinical research to the practice of clinical medicine.
All aspects of reproduction are within the scope of Reproductive Toxicology, including the formation and maturation of male and female gametes, sexual function, the events surrounding the fusion of gametes and the development of the fertilized ovum, nourishment and transport of the conceptus within the genital tract, implantation, embryogenesis, intrauterine growth, placentation and placental function, parturition, lactation and neonatal survival. Adverse reproductive effects in males will be considered as significant as adverse effects occurring in females. To provide a balanced presentation of approaches, equal emphasis will be given to clinical and animal or in vitro work. Typical end points that will be studied by contributors include infertility, sexual dysfunction, spontaneous abortion, malformations, abnormal histogenesis, stillbirth, intrauterine growth retardation, prematurity, behavioral abnormalities, and perinatal mortality.