Chronic maternal hypertension affects placental gene expression and differentiation in rabbits


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Abstract

BackgroundPreviously, we have shown that adult offspring from hypertensive rabbits develop hypertension.MethodWe aimed to determine the effects of mild (+15 mmHg) and moderate (+25 mmHg) increases in maternal blood pressure and plasma renin activity on placental differentiation and expression of components of the renin–angiotensin system and 11β-hydroxysteroid dehydrogenase type 2 mRNA in rabbits. Placentas were collected from normotensive (sham), mild (2-kidney-1-cellophane wrapped; 2K-1W) and moderate (2-kidney-2-cellophane wrapped; 2K-2W) hypertensive groups at gestational age of 14, 21 and 28 days. Placental gene expression was quantified by reverse transcriptase-PCR, and morphometry was assessed by videoimage analyses of placental sections.ResultsFetal weight was similar between groups across gestation. In the 2K-1W group at gestational age day 14, fetal-to-placental weight ratio was increased (∼34%) as were volumes of fetal capillaries (↑56%) and maternal blood space at gestational age day 21 (↑55%) compared with sham (all P < 0.05). In the 2K-2W group, fetal-to-placental weight ratio was increased at gestational age day 21 (∼25%; P < 0.01) with an accompanying reduction in placental weight, and at gestational age day 28, volume density of fetal capillaries was increased (∼22%; P < 0.05). Placental renin mRNA was lower in both the 2K-1W (∼88%) and 2K-2W (∼98%) groups at gestational age day 28 (all P < 0.01). Placental 11β-hydroxysteroid dehydrogenase type 2 mRNA was lower in the 2K-1W (∼36%) and 2K-2W (∼31%) groups at gestational age day 14 and greater (∼36%) in the 2K-2W group at gestational age day 21 (all P < 0.01). Associations between placental AT1R and AT2R mRNA and placental differentiation were disturbed by hypertension.ConclusionMild and moderate maternal hypertension differentially alters placental structure and gene expression that may affect placental functional capacity and contribute to programming of hypertension in offspring.

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