PMID- 15775999 OWN - NLM STAT- MEDLINE DCOM- 20050901 LR - 20070607 IS - 1350-9047 (Print) IS - 1350-9047 (Linking) VI - 12 IP - 5 DP - 2005 May TI - A novel Mtd splice isoform is responsible for trophoblast cell death in pre-eclampsia. PG - 441-52 AB - Pre-eclampsia is a serious disorder of human pregnancy, characterized by decreased utero-placental perfusion and increased trophoblast cell death. Presently, the mechanisms regulating trophoblast cell death in pre-eclampsia are not fully elucidated. Herein, we have identified a novel Mtd/Bok splice isoform (Mtd-P) resulting from exon-II skipping. Mtd-P expression was unique to early-onset severe pre-eclamptic placentae as assessed by quantitative real-time-PCR and immunoblotting. Mtd-P overexpression in cell lines (BeWo: cytotrophoblast-derived; and CHO: ovary-derived) resulted in increased apoptotic cell death as assessed by caspase-3 cleavage, internucleosomal DNA laddering and mitochondrial depolarization. Moreover, Mtd-P expression increased under conditions of low oxygenation/oxidative stress in human villous explants. Antisense knockdown of Mtd under conditions of oxidative stress resulted in decreased caspase-3 cleavage. We conclude that under conditions of reduced oxygenation/oxidative stress, Mtd-P causes trophoblast cell death in pre-eclampsia and hence may contribute to the molecular events leading to the clinical manifestations of this disease. FAU - Soleymanlou, N AU - Soleymanlou N AD - Mount Sinai Hospital, Toronto, Ontario, Canada M5G 1X5. FAU - Wu, Y AU - Wu Y FAU - Wang, J X AU - Wang JX FAU - Todros, T AU - Todros T FAU - Ietta, F AU - Ietta F FAU - Jurisicova, A AU - Jurisicova A FAU - Post, M AU - Post M FAU - Caniggia, I AU - Caniggia I LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Cell Death Differ JT - Cell death and differentiation JID - 9437445 RN - 0 (BOK protein, human) RN - 0 (Protein Isoforms) RN - 0 (Proto-Oncogene Proteins c-bcl-2) SB - IM MH - *Alternative Splicing MH - Amino Acid Sequence MH - *Cell Death MH - Female MH - Humans MH - Membrane Potentials MH - Mitochondria/physiology MH - Models, Biological MH - Molecular Sequence Data MH - Oxidative Stress MH - Placenta/cytology MH - Pre-Eclampsia/metabolism/*pathology MH - Pregnancy MH - Pregnancy Trimester, First MH - Protein Isoforms/genetics/metabolism MH - Proto-Oncogene Proteins c-bcl-2 MH - Trophoblasts/*pathology EDAT- 2005/03/19 09:00 MHDA- 2005/09/02 09:00 CRDT- 2005/03/19 09:00 PHST- 2005/03/19 09:00 [pubmed] PHST- 2005/09/02 09:00 [medline] PHST- 2005/03/19 09:00 [entrez] AID - 4401593 [pii] AID - 10.1038/sj.cdd.4401593 [doi] PST - ppublish SO - Cell Death Differ. 2005 May;12(5):441-52. doi: 10.1038/sj.cdd.4401593.