Small extracellular vesicles-transported lncRNA TDRKH-AS1 derived from AOPPs-treated trophoblasts initiates

Qian Chen1, Jiexing He1, Haihua Liu1

  • 1Department of Obstetrics & Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.

Insights

Oxidative stress in preeclampsia (PE) involves placenta and endothelial injury. This study identifies TDRKH-AS1 in extracellular vesicles as a key factor, inducing pyroptosis and endothelial dysfunction in PE pathogenesis.

Area of Science:

  • Reproductive Biology
  • Molecular Medicine
  • Cellular Biology

Background:

  • Preeclampsia (PE) pathogenesis involves oxidative stress, placental dysfunction, and endothelial injury.
  • Circulating factors from oxidative stress-induced placentae trigger systemic inflammation and endothelial dysfunction.
  • Advanced oxidation protein products (AOPPs) are novel biomarkers for PE, but underlying mechanisms remain unclear.

Purpose of the Study:

  • To investigate the role of placenta-derived extracellular vesicles (pEVs) and specific lncRNAs in PE pathogenesis.
  • To identify and characterize lncRNA TDRKH-AS1 as a potential causative factor in PE.
  • To elucidate the molecular mechanisms by which sEV-derived TDRKH-AS1 contributes to endothelial dysfunction and PE.

Main Methods:

  • Isolation and characterization of small extracellular vesicles (sEVs) from plasma and trophoblast cells using TEM, NTA, and Western blotting.
  • Quantification of lncRNA TDRKH-AS1 expression in plasmatic sEVs and placentae via qRT-PCR.
  • In vivo studies in pregnant mice and in vitro experiments using HUVECs to assess TDRKH-AS1 function and molecular interactions (RNA pulldown, RIP, ChIRP, Co-IP).

Main Results:

  • lncRNA TDRKH-AS1 expression is significantly increased in PE patients' plasmatic sEVs and placentae, correlating positively with disease severity.
  • In vivo administration of TDRKH-AS1-enriched sEVs induced PE-like symptoms in pregnant mice, including hypertension and systemic inflammation.
  • In vitro, sEV-derived TDRKH-AS1 from AOPPs-treated trophoblasts promoted endothelial pyroptosis by upregulating DDIT4 expression through interaction with PDIA4.

Conclusions:

  • lncRNA TDRKH-AS1 within sEVs derived from oxidative stress-affected trophoblasts plays a crucial role in PE pathogenesis.
  • TDRKH-AS1 contributes to PE by inducing pyroptosis and exacerbating endothelial dysfunction.
  • This study reveals a novel molecular mechanism linking oxidative stress, placental dysfunction, and endothelial injury in preeclampsia.
Abstract