Expression of nuclear factor-kappa B and placental apoptosis in pregnancies complicated with intrauterine growth restriction and preeclampsia: An immunohistochemical study


Aban M., Cinel L., Arslan M., Dilek U. , Kaplanoglu M., Arpaci R., et al.

TOHOKU JOURNAL OF EXPERIMENTAL MEDICINE, cilt.204, ss.195-202, 2004 (SCI İndekslerine Giren Dergi)

  • Cilt numarası: 204 Konu: 3
  • Basım Tarihi: 2004
  • Doi Numarası: 10.1620/tjem.204.195
  • Dergi Adı: TOHOKU JOURNAL OF EXPERIMENTAL MEDICINE
  • Sayfa Sayısı: ss.195-202

Özet

Preeclampsia affects 7-10% of all pregnancies, and is a major cause of maternal and fetal morbidity and mortality. Although enhanced apoptosis is well known in placentas with preeclampsia, the role of transcription factor nuclear factor-kappa B (NF-kappaB) in the process is still being debated. In this work, we investigate the relationship between NF-kappaB expression and trophoblastic cell apoptosis in pregnancies complicated with preeclampsia or intrauterine growth restriction (IUGR) by immunohistochemical analysis of NF-kappaB and three apoptosis related markers: bcl-2, caspase-3, and M30 CytoDeath antibody that identifies early apoptotic changes in the cytoskeleton related to action of caspase. The study was conducted on placental samples from 19 preeclamptic, 5 IUGR-complicated and 10 normal pregnant women. The three conclusions from the statistical analysis of the data are obtained; (i) Significantly higher expression of NF-kappaB in IUGR-complicated (p = 0.003) and preeclamptic placentas (p = 0.004) than the control placentas, (ii) significantly higher M30 index and caspase 3 expression in IUGR and preeclampsia placentas (p = 0.003), and (iii) decreased expression of bcl-2 in IUGR and preeclampsia placentas (p = 0.001). Based on these observations, we suggest that increased trophoblastic apoptosis is at least partially induced by NF-kappaB and reduced bcl-2 expression. (C) 2004 Tohoku University Medical Press.