ANGPTL4 mediates the protective role of PPARγ activators in the pathogenesis of preeclampsia

Cell Death Dis. 2017 Sep 21;8(9):e3054. doi: 10.1038/cddis.2017.419.

Abstract

Peroxisome proliferator-activated receptor γ (PPARγ) has been shown to be a therapeutic target for preeclampsia (PE). Angiopoietin-like protein 4 (ANGPTL4) is a multifunctional secretory protein involved in regulating lipid metabolism and angiogenesis in various tissues. However, the expression of PPARγ and ANGPTL4 and their interaction in PE remain elusive. Here we showed that PPARγ agonist rosiglitazone upregulated the expression and secretion of ANGPTL4 in a dose-dependent manner in HTR8/SVneo cells, human umbilical vein endothelial cells (HUVECs) and placental explants. More importantly, we confirmed that the PPARγ/retinoid X receptor α heterodimer specifically binds to the ANGPTL4 promoter region and enhances its transcriptional activity. In addition, the levels of ANGPTL4 and PPARγ activators in the serum and their expression in placental tissues were significantly reduced in preeclamptic patients compared with normal pregnant subjects. Furthermore, functional studies demonstrated that ANGPTL4 mediates the facilitative effects of the PPARγ agonist on the survival, proliferation, migration and invasion of HTR8/SVneo cells, placental explants outgrowth and angiogenesis in HUVECs. Taken together, our results suggest that ANGPTL4 is a potential target gene for PPARγ and mediates the protective role of PPARγ activators in the pathogenesis of PE.

MeSH terms

  • Angiopoietin-Like Protein 4 / metabolism*
  • Cell Movement / drug effects
  • Cell Proliferation / drug effects
  • Cell Survival / drug effects
  • Female
  • Human Umbilical Vein Endothelial Cells / drug effects
  • Human Umbilical Vein Endothelial Cells / metabolism
  • Humans
  • Models, Biological
  • Neoplasm Invasiveness
  • Neovascularization, Physiologic / drug effects
  • PPAR gamma / agonists
  • PPAR gamma / metabolism*
  • Pre-Eclampsia / genetics
  • Pre-Eclampsia / metabolism*
  • Pre-Eclampsia / pathology
  • Pregnancy
  • Promoter Regions, Genetic / genetics
  • Protective Agents / metabolism*
  • Protein Binding / drug effects
  • Rosiglitazone
  • Thiazolidinediones / pharmacology
  • Transcription, Genetic / drug effects
  • Trophoblasts / drug effects
  • Trophoblasts / metabolism
  • Trophoblasts / pathology

Substances

  • Angiopoietin-Like Protein 4
  • PPAR gamma
  • Protective Agents
  • Thiazolidinediones
  • Rosiglitazone