Key result
MMP15 silencing in first trimester chorionic villous explants reduced trophoblast outgrowth length by 35% and area by 43%, whereas maternal obesity did not alter MMP15 levels.
Why the study?
Placental anchoring requires cytotrophoblast invasion mediated by matrix metalloproteinases, and whether placental MMP15 is involved in this invasion and regulated by maternal obesity in early pregnancy was hypothesized.
MMP15 is essential for first trimester cytotrophoblast invasion but its expression is not affected by maternal obesity or short-term inflammation.
May link maternal obesity to impaired placentation via MMP15; hypothesis-generating and requires validation before clinical consideration.
Adequate anchoring of the placenta in the uterus through invasion of first trimester cytotrophoblasts (CTB) is required for a successful pregnancy. This process is mediated by matrix metalloproteinases (MMPs) and regulated by the maternal environment. Obesity is known to alter the intrauterine milieu and has been related to impaired invasion. We hypothesized that placental MMP15, a novel membrane-type MMP, is involved in CTB invasion and regulated by maternal obesity in early pregnancy. Thus, in this study MMP15 was immunolocalized to invasive extravillous and interstitial CTB. MMP15 silencing in chorionic villous explants using two different siRNAs reduced trophoblast outgrowth length (-35%, P ≤ .001 and -26%, P < .05) and area (-43%, P ≤ .001 and -36%, P ≤ .01) without altering trophoblast proliferation or apoptosis. Short-term treatment of primary first trimester trophoblasts with IL-6 (10 ng/mL), interleukin 10 (IL-10) (50 ng/mL), and tumor necrosis factor α (TNF-α) (10 ng/mL) did not affect MMP15 protein levels. Likewise, MMP15 mRNA and protein levels were unaltered between human first trimester placentas from control pregnancies vs those complicated with maternal obesity. Overall, our results suggest that the role of MMP15 in placental development and function in early pregnancy is limited to CTB invasion without being affected by short- and long-term inflammation.
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Majali‐Martinez et al. (2020) studied First trimester pregnancy (n=59). MMP15 silencing vs. Non-targeting siRNA was evaluated on Trophoblast outgrowth length (-35%, p=≤0.001). MMP15 silencing in first trimester chorionic villous explants reduced trophoblast outgrowth length by 35% and area by 43%, whereas maternal obesity did not alter MMP15 levels.
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