子癇前症の早期診断につながる分子スイッチを発見 (New research brings hope for earlier detection of pre-eclampsia)

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2026-03-09 バース大学

英国バース大学の研究チームは、妊娠中に発症する重篤な合併症である子癇前症(pre-eclampsia)をより早期に検出できる可能性を示す研究成果を発表した。子癇前症は高血圧や臓器障害を引き起こし、母体と胎児双方に重大なリスクをもたらすが、発症の早期予測は難しいとされてきた。研究では、妊娠中の胎盤機能や血管変化に関連する生体指標を分析し、従来より早い段階で疾患リスクを示す兆候を捉える方法を示した。これにより、症状が重くなる前にリスクの高い妊婦を特定し、早期治療や厳密なモニタリングを行うことが可能になると期待される。研究チームは、このアプローチが将来的に臨床検査として利用されれば、子癇前症による母子の健康リスクを大幅に低減できる可能性があるとしている。

<関連情報>

内因性レトロウイルス要素LTR8BとMER65はPSG9の調節を再配線し、栄養芽層の合胞体形成と子癇前症のリスクを制御する Endogenous retroviral elements LTR8B and MER65 rewire PSG9 regulation to control trophoblast syncytialization and pre-eclampsia risk

Manvendra Singh,Yuliang Qu,Amit Pande,Julianna Zadora,Florian Herse,Martin Gauster,Xuhui Kong,Rongyan Zheng,Rabia Anwar,Katarina Stevanovic,Ralf Dechend,Marie Cohen,Attila Molvarec,Jichang Wang,Miriam K. Konkel,Bin Zhang,Cedric Feschotte,Gabriela Dveksler,Sandra M. Blois,Laurence D. Hurst & Zsuzsanna Izsvák
Genome Biology  Published:09 March 2026
DOI:https://doi.org/10.1186/s13059-026-03944-z

子癇前症の早期診断につながる分子スイッチを発見 (New research brings hope for earlier detection of pre-eclampsia)

Abstract

Background

Understanding the causes of the exceptional rate of evolution of the mammalian placenta is likely to aid the understanding of placental development and the etiology of the human-specific pregnancy disorder pre-eclampsia (PE). As retroelements are often lineage-specific and known to be co-opted for placental function, here we consider the binding of the transcription factors GATA3 and DLX5 to retroelements. These factors are dysregulated in pre-eclampsia, as are their downstream consequences.

Results

We identify retrovirus-derived LTR8B as a placentally-relevant cis-regulatory element (CRE), not least within the PSG array, a primate-specific genomic region that exhibits high intraspecies variability. LTR8B at PSG9 is particularly influential affecting other PSG family members. Moreover, unique among PSGs, PSG9 produces both secreted and membrane-anchored isoforms. The retroelement MER65-int provides alternative polyA signals that enable the evolution of secreted PSG variants by truncating the ancestral CEACAM protein’s transmembrane domain. Functional characterization finds that LTR8B/PSG9 regulates the differentiation of multinucleated trophoblasts (syncytialization) and, like chorionic gonadotropin and syncytin1, determines the identity of syncytiotrophoblasts. Notably, PSG9 is the most upregulated PSG in PE, with levels correlated with GATA3 and DLX5 levels.

Conclusions

Retroelements contribute to the structural and expression evolution of PSG genes, facilitating lineage-specific placental evolution. The LTR8B/PSG9 regulatory network plays a central role in syncytiotrophoblast differentiation. Given the association between DLX5/GATA3 dysregulation and elevated PSG9 levels, along with PSG9’s expression in the first trimester, PSG9 shows potential as a predictive biomarker for preeclampsia.

医療・健康
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