PMID- 17322376 OWN - NLM STAT- MEDLINE DCOM- 20070501 LR - 20240414 IS - 0002-9440 (Print) IS - 1525-2191 (Electronic) IS - 0002-9440 (Linking) VI - 170 IP - 3 DP - 2007 Mar TI - Glyceryl trinitrate inhibits hypoxia/reoxygenation-induced apoptosis in the syncytiotrophoblast of the human placenta: therapeutic implications for preeclampsia. PG - 909-20 AB - Damage of the placenta resulting from ischemia-reperfusion is important to the pathophysiology of preeclampsia. Here we investigated whether low concentrations of glyceryl trinitrate (GTN), a nitric oxide mimetic with anti-apoptotic properties, inhibit hypoxia/reoxygenation-induced apoptosis in the syncytiotrophoblast of chorionic villous explants from human placentas. Compared with villi analyzed immediately after delivery or maintained under normoxic conditions, villi exposed to a 6-hour cycle of hypoxia/reoxygenation exhibited greater numbers of syncytiotrophoblasts with terminal dUTP nick-end labeling (TUNEL)-positive nuclei in the syncytiotrophoblast. This increased number of TUNEL-positive nuclei was paralleled by higher levels of 4-hydroxynonenal (marker of lipid peroxidation), nitrotyrosine residues, and active caspase-3 and polyADP-ribose polymerase expression. Morphological analysis of explants exposed to hypoxia/reoxygenation revealed apoptotic and aponecrotic features similar to those of chorionic villi from preeclamptic pregnancies. Treatment with GTN during the hy-poxia/reoxygenation cycle blocked the increases in the number of TUNEL-positive nuclei and in the levels of 4-hydroxynonenal, nitrotyrosine, and active caspase-3. Incubation with GTN also attenuated the hypoxia/reoxygenation-induced polyADP-ribose polymerase expression and the apoptotic and aponecrotic morphological alterations. These results suggest that small concentrations of nitric oxide protect chorionic villi from hypoxia/reoxygenation-induced damage and provide a rationale for the use of low doses of nitric oxide mimetics in the treatment and/or prevention of preeclampsia. FAU - Belkacemi, Louiza AU - Belkacemi L AD - Department of Anatomy and Cell Biology, Queen's University, Kingston, Ontario, Canada. FAU - Bainbridge, Shannon A AU - Bainbridge SA FAU - Dickinson, Michelle A AU - Dickinson MA FAU - Smith, Graeme N AU - Smith GN FAU - Graham, Charles H AU - Graham CH LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Am J Pathol JT - The American journal of pathology JID - 0370502 RN - 0 (Aldehydes) RN - 0 (COL11A2 protein, human) RN - 0 (Collagen Type XI) RN - 0 (Tocolytic Agents) RN - 3604-79-3 (3-nitrotyrosine) RN - 42HK56048U (Tyrosine) RN - EC 3.4.22.- (Caspase 3) RN - G59M7S0WS3 (Nitroglycerin) RN - K1CVM13F96 (4-hydroxy-2-nonenal) SB - IM MH - Aldehydes/metabolism MH - Apoptosis/*drug effects MH - Blotting, Western MH - Caspase 3/drug effects MH - Collagen Type XI/drug effects MH - Female MH - Humans MH - Hypoxia/physiopathology MH - Immunohistochemistry MH - In Situ Nick-End Labeling MH - Microscopy, Electron, Transmission MH - Nitroglycerin/*pharmacology MH - Organ Culture Techniques MH - Pre-Eclampsia/*drug therapy MH - Pregnancy MH - Reperfusion Injury/*prevention & control MH - Tocolytic Agents/*pharmacology MH - Trophoblasts/*drug effects/pathology MH - Tyrosine/analogs & derivatives/drug effects PMC - PMC1864864 EDAT- 2007/02/27 09:00 MHDA- 2007/05/02 09:00 PMCR- 2007/09/01 CRDT- 2007/02/27 09:00 PHST- 2007/02/27 09:00 [pubmed] PHST- 2007/05/02 09:00 [medline] PHST- 2007/02/27 09:00 [entrez] PHST- 2007/09/01 00:00 [pmc-release] AID - S0002-9440(10)60912-1 [pii] AID - 10.2353/ajpath.2007.060665 [doi] PST - ppublish SO - Am J Pathol. 2007 Mar;170(3):909-20. doi: 10.2353/ajpath.2007.060665.