Using high throughput screens to predict miscarriages with placental stem cells and long-term stress effects with

Elizabeth E Puscheck1,2,3, Ximena Ruden1, Aditi Singh1,4

  • 1CS Mott Center for Human Growth and Development, Department of Ob/Gyn, Reproductive Endocrinology and Infertility, Wayne State University School of Medicine, Detroit, Michigan, USA.

Birth Defects Research
|August 18, 2022
PubMed

Insights

Developmental toxicology faces a critical knowledge gap regarding miscarriage causes. High-throughput screening of embryonic and placental stem cells offers a novel approach to understanding environmental impacts on early embryonic loss.

Area of Science:

  • Developmental toxicology
  • Reproductive biology
  • Stem cell research

Background:

  • Massive embryonic loss occurs from fertilization through gastrulation, with limited understanding of miscarriage causes.
  • Environmental and genetic factors contribute nearly equally to early embryonic loss, a significant public health concern.
  • Existing data on teratogenic or epigenetic imbalances in surviving embryos and their stem cells are insufficient.

Purpose of the Study:

  • To propose high-throughput screening (HTS) using embryonic stem cells (ESC) and trophoblast stem cells (TSC) to rapidly assess environmental stresses.
  • To investigate the differential responses of ESC and TSC to various stressors, predicting miscarriage or long-term health defects.
  • To advocate for increased research in developmental toxicology (DevTox) focusing on pre-gastrulation events and miscarriage epidemiology.

Main Methods:

  • Utilizing cultured viable reporter ESC and TSC with fluorescent reporters to monitor cellular responses.
  • Exposing stem cells to a range of hormonal, environmental, nutritional, drug, and diet supplement stresses.
  • Analyzing changes in stem cell proliferation, stemness, and differentiation as indicators of stress impact.

Main Results:

  • Hypothesized that ESC and TSC HTS can rapidly test a wide array of environmental stresses.
  • Predicted that TSC are more sensitive to miscarriage-inducing stress, while ESC predict long-term health defects.
  • Emphasized the need for more ESC and TSC HTS to model miscarriage and teratogenesis.

Conclusions:

  • DevTox testing requires enhanced HTS models using ESC and TSC to accurately predict developmental toxicities.
  • Further research into the epidemiology of stress and miscarriage is crucial.
  • A shift in focus towards pre- and early gastrulation events is necessary to address maximum embryonic loss.

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