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J Reprod Immunol ; 142: 103185, 2020 11.
Article in English | MEDLINE | ID: mdl-32853845

ABSTRACT

Preeclampsia (PE) and human immunodeficiency virus (HIV) have been linked with marked increases in maternal stress, resulting in a significant change in placental function ranging from alterations in placental structure to the precise and delicate transformations in placental gene expression. Such changes may lead to altered transport of essential signals to the fetus, which can have long-term impacts on offspring health and consequently affect fetal neurodevelopment. Therefore, this work investigated the role of placental 11ß-hydroxysteroid dehydrogenase types 2 (11ß-HSD2) in HIV associated preeclampsia. The placenta were obtained from 76 pregnant women, which were stratified based on pregnancy type and HIV status into; Normotensive HIV negative, normotensive HIV positive, PE HIV negative and PE HIV positive. The placental tissue was processed for immunocytochemistry and stained with rabbit polyclonal to 11ß-HSD2 Our results showed significant downregulation in the placental expression of 11ß-HSD2 in both the conducting and exchange villi of PE and HIV-positive patients when compared with Normotensive and HIV-negative individuals, respectively. Our results provide inferential evidence for comorbidity of PE and HIV in the downregulation of placental 11ß-HSD2 enzyme function, which mediates the programmed outcomes of an adverse maternal environment during pregnancy and long-term impacts on offspring health and consequently affects fetal neurodevelopment.


Subject(s)
11-beta-Hydroxysteroid Dehydrogenase Type 2/metabolism , Fetal Development/immunology , HIV Infections/complications , Neurodevelopmental Disorders/immunology , Pre-Eclampsia/immunology , 11-beta-Hydroxysteroid Dehydrogenase Type 2/analysis , Adolescent , Adult , Brain/embryology , Case-Control Studies , Down-Regulation , Female , Glucocorticoids/immunology , Glucocorticoids/metabolism , HIV Infections/diagnosis , HIV Infections/immunology , HIV Infections/virology , HIV-1/isolation & purification , Humans , Maternal Age , Neurodevelopmental Disorders/pathology , Placenta/enzymology , Placenta/immunology , Placenta/pathology , Pre-Eclampsia/pathology , Pre-Eclampsia/virology , Pregnancy , Retrospective Studies , South Africa , Young Adult
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