Cited by 41Maternal and fetal healthcarePregnancy and preeclampsia studiesReproductive System and Pregnancy

Up-regulated cytotrophoblast DOCK4 contributes to over-invasion in placenta accreta spectrum

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McNally, Leah, Zhou, Yan, Robinson, Joshua F., Zhao, Guangfeng, Chen, Lee-may, Chen, Hao, Kim, M. Yvonne, Kapidzic, Mirhan +3 more·2020·Proceedings of the National Academy of Sciences

Abstract

Significance: The syndrome of cytotrophoblast invasion beyond the normal boundary (in the superficial myometrium) is collectively termed placenta accreta spectrum. The incidence of this condition is rising. However, little is known about the underlying molecular changes. Global transcriptomic profiling of cytotrophoblasts isolated from these cases, as compared to gestational age-matched controls, revealed numerous changes in gene expression involving diverse pathways, including cell signaling, migration, and immune functions. DOCK4 was the most highly up-regulated mRNA in the cases. Mutations in this gene are mechanistically linked to cancer progression. Overexpression of DOCK4 in primary cytotrophoblasts increased their invasiveness. This study provides molecular insights into the pathways driving placenta accreta spectrum and suggests numerous future directions.

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Authors
McNally, L., Zhou, Y., Robinson, J. F., Zhao, G., Chen, L.-M., Chen, H., Kim, M. Y., Kapidzic, M., Gormley, M., Hannibal, R., & Fisher, S. J.
Affiliations
  • University of California, San Francisco (US)
  • Stanford Medicine (US)
Corresponding author
Fisher, Susan J.
Venue
Proceedings of the National Academy of Sciences
Published
2020-06-23
Volume
117
Issue
27
Pages
15852-15861
ISSN
  • 0027-8424 (ISSN-L)
  • 1091-6490
OpenAlex
W3037504912
Cited by
41
References
1
Citations by year
2026: 2 · 2025: 6 · 2024: 15 · 2023: 5 · 2022: 2 · 2021: 10 · 2020: 1
FWCI
4.32
Type
journal article
Language
en
Open access
Locations
  • Proceedings of the National Academy of Sciences (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
  • eScholarship (California Digital Library) (submittedVersion, cc-by-nc-nd)
Funders
NIH (HD076253)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
  • Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
  • Life Sciences › Immunology and Microbiology › Immunology › Reproductive System and Pregnancy
Keywords
placenta accreta spectrum, DOCK4, cytotrophoblast, trophoblast invasion, myometrium, gene expression profiling, placental pathology, trophoblast migration, immune function, signal transduction
MeSH terms
Female, Gene Expression Regulation, Humans, Myometrium, Placenta, Placenta Accreta, Pre-Eclampsia, Pregnancy, Trophoblasts, Uterus, Up-Regulation, GTPase-Activating Proteins, Transcriptome

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