Role of corin in trophoblast invasion and uterine spiral artery remodelling in pregnancy.

Role of corin in trophoblast invasion and uterine spiral artery remodelling in pregnancy.
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Corin在妊娠期滋养细胞侵袭和子宫螺旋动脉重塑中的作用

DOI:
10.1038/nature10897
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发表时间:
2012-03-21
期刊:
影响因子:
64.8
通讯作者:
Wu, Qingyu
Wu, Qingyu
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Cui, Yujie;Wang, Wei;Dong, Ningzheng;Lou, Jinglei;Srinivasan, Dinesh Kumar;Cheng, Weiwei;Huang, Xiaoyi;Liu, Meng;Fang, Chaodong;Peng, Jianhao;Chen, Shenghan;Wu, Shannon;Liu, Zhenzhen;Dong, Liang;Zhou, Yiqing;Wu, Qingyu

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In pregnancy, trophoblast invasion and uterine spiral artery remodelling are important for lowering maternal vascular resistance and increasing uteroplacental blood flow. Impaired spiral artery remodelling has been implicated in pre-eclampsia, a major complication of pregnancy, for a long time but the underlying mechanisms remain unclear,. Corin (also known as atrial natriuretic peptide-converting enzyme) is a cardiac protease that activates atrial natriuretic peptide (ANP), a cardiac hormone that is important in regulating blood pressure. Unexpectedly, corin expression was detected in the pregnant uterus. Here we identify a new function of corin and ANP in promoting trophoblast invasion and spiral artery remodelling. We show that pregnant corin- or ANP-deficient mice developed high blood pressure and proteinuria, characteristics of pre-eclampsia. In these mice, trophoblast invasion and uterine spiral artery remodelling were markedly impaired. Consistent with this, the ANP potently stimulated human trophoblasts in invading Matrigels. In patients with pre-eclampsia, uterineCorinmessenger RNA and protein levels were significantly lower than that in normal pregnancies. Moreover, we have identifiedCoringene mutations in pre-eclamptic patients, which decreased corin activity in processing pro-ANP. These results indicate that corin and ANP are essential for physiological changes at the maternal–fetal interface, suggesting that defects in corin and ANP function may contribute to pre-eclampsia.
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