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Potential Use of Anti-Cancer Drugs for Treatment of Preeclampsia by Targeting the miRNA-IGF1R-PI3K-AKT Axis
Jieyan Li1, Lei Hou1, Rong Zhao1
1Department of Obstetrics, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing Maternal and Child Health Care Hospital, No. 251 Yaojiayuan Road Chaoyang, Beijing 100026, China.
Aim:
Preeclampsia (PE) belongs to hypertensive disorders of pregnancy (HDP), which can cause maternal death worldwide. This study aimed to identify the miRNA-mRNA-associated ceRNA network and to find new treatment schedules for PE.
Methods:
4 microarray datasets were downloaded from the Gene Expression Omnibus database. We obtained 1737 differentially expressed mRNAs (865 upregulated and 872 downregulated) and 148 differentially expressed miRNAs (76 upregulated and 72 downregulated) from the placenta tissues of PE, respectively. Functional enrichment analyses of DEmRNAs were performed. The regulatory relationship between DEmiRNAs and DEmRNA was predicted via related databases. An miRNA-mRNA regulatory network was constructed.
Results:
hsa-let-7c and IGF1R were identified as potential regulators for PE, and function enrichment analysis showed that the PI3K-Akt signaling pathway was closely related. Therefore, ceRNAs might regulate the PI3K-Akt signaling pathway via the upregulation of IGF1R by binding to hsa-let-7c, affecting invasion of trophoblast, angiogenesis, and proinflammation in PE. Further study demonstrated that anticancer drugs including the PI3K inhibitor, AKT inhibitor, and IGF-1 inhibitor might be a potential solution for PE treatment.
Conclusions:
The hsa-let-7c/IGF1R axis might affect the PI3K-Akt signaling pathway which is involved in the pathogenesis of PE, and inhibitors targeting this pathway might be used for PE treatment.
Insights
This study identified a key molecular pathway involving hsa-let-7c and IGF1R in preeclampsia (PE). Inhibitors targeting this pathway show promise for treating this hypertensive disorder of pregnancy.
Area of Science:
- Genomics
- Molecular Biology
- Reproductive Medicine
Background:
- Preeclampsia (PE) is a major cause of maternal mortality globally, classified under hypertensive disorders of pregnancy (HDP).
- Understanding the molecular mechanisms underlying PE is crucial for developing effective treatments.
Purpose of the Study:
- To identify the microRNA (miRNA)-messenger RNA (mRNA)-associated competing endogenous RNA (ceRNA) network in preeclampsia.
- To discover novel therapeutic strategies for preeclampsia.
Main Methods:
- Downloaded and analyzed four microarray datasets from the Gene Expression Omnibus (GEO) database.
- Identified differentially expressed mRNAs and miRNAs in placental tissues from preeclampsia patients.
- Constructed an miRNA-mRNA regulatory network and performed functional enrichment analyses.
Main Results:
- Identified hsa-let-7c as a key miRNA regulator and IGF1R as a target gene in preeclampsia.
- The hsa-let-7c/IGF1R axis was found to be closely associated with the PI3K-Akt signaling pathway.
- This axis may influence trophoblast invasion, angiogenesis, and inflammation in preeclampsia.
Conclusions:
- The hsa-let-7c/IGF1R axis plays a significant role in preeclampsia pathogenesis via the PI3K-Akt signaling pathway.
- Targeting this pathway with inhibitors (PI3K, AKT, IGF-1 inhibitors) presents a potential therapeutic approach for preeclampsia.
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