PMID- 29208245 OWN - NLM STAT- MEDLINE DCOM- 20180720 LR - 20211204 IS - 1532-3102 (Electronic) IS - 0143-4004 (Linking) VI - 60 DP - 2017 Dec TI - Mammalian target of rapamycin signaling is a mechanistic link between increased endoplasmic reticulum stress and autophagy in the placentas of pregnancies complicated by growth restriction. PG - 9-20 LID - S0143-4004(17)31130-X [pii] LID - 10.1016/j.placenta.2017.10.001 [doi] AB - INTRODUCTION: Increased endoplasmic reticulum (ER) stress and autophagy have been noted in the placentas of pregnancies complicated by idiopathic intrauterine growth restriction (IUGR); however, the cause of these phenomena remains unclear. We surmised that oxygen-glucose deprivation (OGD) may increase ER stress and autophagy and that mammalian target of rapamycin (mTOR) signaling is involved in regulating placental ER stress and autophagy in pregnancies complicated by IUGR. METHODS: We obtained placentas from women with normal term pregnancies and pregnancies complicated by IUGR to compare ER stress, mTOR signaling, and levels of autophagy-related proteins between the two groups and used primary cytotrophoblast cells treated with or without salubrinal (an ER stress inhibitor), MHY1485 (an mTOR activator), or rapamycin (an mTOR inhibitor) to investigate the effects of OGD on ER stress, mTOR activity, and autophagy levels in vitro. RESULTS: Women with pregnancies complicated by IUGR displayed higher placental ER stress and autophagy levels but lower mTOR activity than women with normal pregnancies. Furthermore, OGD increased ER stress, regulated in development and DNA damage responses-1 (REDD1), phosphorylated tuberous sclerosis complex 2 (TSC2), and autophagy levels and decreased mTOR activity compared to the standard culture condition; however, the salubrinal treatment attenuated these changes. Moreover, the administration of MHY1485 or rapamycin to OGD-treated cells decreased or increased autophagy levels, respectively. DISCUSSION: Based on our results, mTOR is a mechanistic link between OGD-induced ER stress and autophagy in cytotrophoblast cells; thus, mTOR plays an essential role in the pathogenesis of pregnancies complicated by IUGR. CI - Copyright (c) 2017 Elsevier Ltd. All rights reserved. FAU - Hung, Tai-Ho AU - Hung TH AD - Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Taipei, Taiwan; Department of Chinese Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan. Electronic address: thh20@cgmh.org.tw. FAU - Hsieh, T'sang-T'ang AU - Hsieh TT AD - Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Taipei, Taiwan. FAU - Wu, Chung-Pu AU - Wu CP AD - Graduate Institute of Biomedical Sciences, Department of Physiology and Pharmacology and Molecular Medicine Research Center, College of Medicine, Chang Gung University, Taoyuan, Taiwan; Department of Neurosurgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan. FAU - Li, Meng-Jen AU - Li MJ AD - Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Taipei, Taiwan. FAU - Yeh, Yi-Lin AU - Yeh YL AD - Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Taipei, Taiwan. FAU - Chen, Szu-Fu AU - Chen SF AD - Department of Physical Medicine and Rehabilitation, Cheng Hsin General Hospital, Taipei, Taiwan. LA - eng PT - Journal Article DEP - 20171009 PL - Netherlands TA - Placenta JT - Placenta JID - 8006349 RN - 0 (4,6-dimorpholino-N-(4-nitrophenyl)-1,3,5-triazin-2-amine) RN - 0 (Cinnamates) RN - 0 (Morpholines) RN - 0 (Triazines) RN - 0 (salubrinal) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - GYV9AM2QAG (Thiourea) RN - IY9XDZ35W2 (Glucose) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Adult MH - *Autophagy MH - Cinnamates MH - *Endoplasmic Reticulum Stress MH - Female MH - Fetal Growth Retardation/*metabolism MH - Glucose/deficiency MH - Humans MH - Hypoxia MH - Morpholines MH - Placenta/*metabolism MH - Pregnancy MH - Sirolimus MH - TOR Serine-Threonine Kinases/*metabolism MH - Thiourea/analogs & derivatives MH - Triazines OTO - NOTNLM OT - Autophagy OT - Endoplasmic reticulum stress OT - Intrauterine growth restriction OT - Mammalian target of rapamycin OT - Placenta EDAT- 2017/12/07 06:00 MHDA- 2018/07/22 06:00 CRDT- 2017/12/07 06:00 PHST- 2017/05/12 00:00 [received] PHST- 2017/10/01 00:00 [revised] PHST- 2017/10/06 00:00 [accepted] PHST- 2017/12/07 06:00 [entrez] PHST- 2017/12/07 06:00 [pubmed] PHST- 2018/07/22 06:00 [medline] AID - S0143-4004(17)31130-X [pii] AID - 10.1016/j.placenta.2017.10.001 [doi] PST - ppublish SO - Placenta. 2017 Dec;60:9-20. doi: 10.1016/j.placenta.2017.10.001. Epub 2017 Oct 9.