PMID- 25947892 OWN - NLM STAT- MEDLINE DCOM- 20161213 LR - 20210816 IS - 1933-7205 (Electronic) IS - 1933-7191 (Linking) VI - 22 IP - 12 DP - 2015 Dec TI - GDM Alters Expression of Placental Estrogen Receptor alpha in a Cell Type and Gender-Specific Manner. PG - 1488-95 LID - 10.1177/1933719115585147 [doi] AB - OBJECTIVE: The nuclear receptor estrogen receptor alpha (ERalpha) is one of the key players in energy balance, insulin resistance, and trophoblast differentiation. We tested the hypothesis that gestational diabetes mellitus (GDM) alters expression of placental ERalpha in a cell type-specific manner and that this regulation may involve epigenetic changes. STUDY DESIGN: Expression of ERalpha was analyzed by immunohistochemistry using the semiquantitative immunoreactive score in 80 placentas (40 GDM/40 controls). Quantitative real-time polymerase chain reaction (PCR) measured ERalpha messenger RNA (mRNA) in decidual tissue. Methylation-specific PCR was performed to analyze cytosine-phosphatidyl-guanine-island methylation of the ERalpha promoter. RESULTS: Expression of ERalpha protein is upregulated (P = .011) in GDM in extravillous trophoblasts but not in syncytiotrophoblast. Gestational diabetes mellitus downregulated ERalpha in decidual vessels only in pregnancies with male but not female fetuses. Furthermore, mRNA of the ERalpha encoding gene estrogen receptor gene 1 (ESR1) was increased (+1.77 fold) in GDM decidua when compared to controls (P = .024). In parallel, the promoter of ESR1 was methylated only in decidua of healthy control individuals but not in GDM. CONCLUSION: Gestational diabetes mellitus affects expression of placental ERalpha in a cell type-dependent way, on epigenetic level. These data link GDM with epigenetic deregulations of ERalpha expression and open new insights into the intrauterine programming hypothesis of GDM. CI - (c) The Author(s) 2015. FAU - Knabl, Julia AU - Knabl J AD - Department of Obstetrics and Gynecology, Ludwig Maximilians Universitat Munchen, Campus Innenstadt, Munich, Germany Klinik Hallerwiese, Department of Obstetrics, Nuremberg, Germany. FAU - Hiden, Ursula AU - Hiden U AD - Department of Obstetrics and Gynecology, Ludwig Maximilians Universitat Munchen, Campus Innenstadt, Munich, Germany Department of Obstetrics and Gynecology, Medical University Graz, Graz, Austria. FAU - Huttenbrenner, Rebecca AU - Huttenbrenner R AD - Department of Obstetrics and Gynecology, Ludwig Maximilians Universitat Munchen, Campus Innenstadt, Munich, Germany. FAU - Riedel, Christina AU - Riedel C AD - Department of Obstetrics and Gynecology, Ludwig Maximilians Universitat Munchen, Campus Innenstadt, Munich, Germany Institut fur Soziale Padiatrie und Jugendmedizin, Ludwig-Maximilians-Universitat Munchen, Munich, Gemany. FAU - Hutter, Stefan AU - Hutter S AD - Department of Obstetrics and Gynecology, Ludwig Maximilians Universitat Munchen, Campus Innenstadt, Munich, Germany. FAU - Kirn, Verena AU - Kirn V AD - Department of Obstetrics and Gynecology, Ludwig Maximilians Universitat Munchen, Campus Innenstadt, Munich, Germany Department of Obstetrics and Gynecology, University Hospital of Cologne, Cologne, Germany. FAU - Gunthner-Biller, Margit AU - Gunthner-Biller M AD - Department of Obstetrics and Gynecology, Ludwig Maximilians Universitat Munchen, Campus Innenstadt, Munich, Germany. FAU - Desoye, Gernot AU - Desoye G AD - Department of Obstetrics and Gynecology, Ludwig Maximilians Universitat Munchen, Campus Innenstadt, Munich, Germany Department of Obstetrics and Gynecology, Medical University Graz, Graz, Austria. FAU - Kainer, Franz AU - Kainer F AD - Department of Obstetrics and Gynecology, Ludwig Maximilians Universitat Munchen, Campus Innenstadt, Munich, Germany Klinik Hallerwiese, Department of Obstetrics, Nuremberg, Germany. FAU - Jeschke, Udo AU - Jeschke U AD - Department of Obstetrics and Gynecology, Ludwig Maximilians Universitat Munchen, Campus Innenstadt, Munich, Germany udo.jeschke@med.uni-muenchen.de. LA - eng PT - Comparative Study PT - Journal Article DEP - 20150506 PL - United States TA - Reprod Sci JT - Reproductive sciences (Thousand Oaks, Calif.) JID - 101291249 RN - 0 (ESR1 protein, human) RN - 0 (Estrogen Receptor alpha) RN - 0 (RNA, Messenger) SB - IM MH - Adult MH - Blood Vessels/metabolism/pathology MH - Case-Control Studies MH - CpG Islands MH - DNA Methylation MH - Diabetes, Gestational/genetics/*metabolism/pathology MH - Down-Regulation MH - Epigenesis, Genetic MH - Estrogen Receptor alpha/genetics/*metabolism MH - Female MH - Fetus/*metabolism MH - Gene Expression Regulation, Developmental MH - Gestational Age MH - Humans MH - Immunohistochemistry MH - Male MH - Placenta/blood supply/*metabolism/pathology MH - Pregnancy MH - Promoter Regions, Genetic MH - RNA, Messenger/genetics/metabolism MH - Real-Time Polymerase Chain Reaction MH - Reverse Transcriptase Polymerase Chain Reaction MH - Sex Determination Processes MH - Sex Factors MH - Trophoblasts/metabolism/pathology OTO - NOTNLM OT - estrogen OT - gestational diabetes OT - methylation OT - nuclear receptor OT - trophoblast EDAT- 2015/05/08 06:00 MHDA- 2016/12/15 06:00 CRDT- 2015/05/08 06:00 PHST- 2015/05/08 06:00 [entrez] PHST- 2015/05/08 06:00 [pubmed] PHST- 2016/12/15 06:00 [medline] AID - 1933719115585147 [pii] AID - 10.1177/1933719115585147 [doi] PST - ppublish SO - Reprod Sci. 2015 Dec;22(12):1488-95. doi: 10.1177/1933719115585147. Epub 2015 May 6.