Unique transcriptomic landscapes identified in idiopathic spontaneous and infection related preterm births compared to normal term births

• Published in: PloS one 2019-11, Vol.14 (11), p.e0225062-e0225062
• Main Authors: Brockway, Heather M, Kallapur, Suhas G, Buhimschi, Irina A, Buhimschi, Catalin S, Ackerman, William E, Muglia, Louis J, Jones, Helen N
• Format: Article
• Language: English
• Subjects: Adult; Binding proteins; Bioinformatics; Biology; Biology and Life Sciences; Birth; Comparative analysis; Data analysis; Death; Disease Susceptibility; Epigenetics; Female; Fetuses; Gene Expression Profiling; Gene Expression Regulation; Genes; Gestation; Gestational age; Gynecology; Health aspects; Hospitals; Humans; Infant mortality; Infants; Infections; Inflammation; Insulin-like growth factor-binding protein 1; Insulin-like growth factor-binding protein 2; Insulin-like growth factor-binding protein 6; Insulin-like growth factors; Male; Medical schools; Medicine; Medicine and Health Sciences; Mitosis; Morphology; Obstetrics; Pediatrics; Placenta; Pregnancy; Premature birth; Premature Birth - etiology; Premature Birth - metabolism; Premature infants; Protein binding; Proteins; Reproducibility of Results; Research and analysis methods; Signal Transduction; Studies; Term Birth - genetics; Transcriptome
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0225062

Preterm birth (PTB) is leading contributor to infant death in the United States and globally, yet the underlying mechanistic causes are not well understood. Histopathological studies of preterm birth suggest advanced villous maturity may have a role in idiopathic spontaneous preterm birth (isPTB). To better understand pathological and molecular basis of isPTB, we compared placental villous transcriptomes from carefully phenotyped cohorts of PTB due to infection or isPTB between 28-36 weeks gestation and healthy term placentas. Transcriptomic analyses revealed a unique expression signature for isPTB distinct from the age-matched controls that were delivered prematurely due to infection. This signature included the upregulation of three IGF binding proteins (IGFBP1, IGFBP2, and IGFBP6), supporting a role for aberrant IGF signaling in isPTB. However, within the isPTB expression signature, we detected secondary signature of inflammatory markers including TNC, C3, CFH, and C1R, which have been associated with placental maturity. In contrast, the expression signature of the gestational age-matched infected samples included upregulation of proliferative genes along with cell cycling and mitosis pathways. Together, these data suggest an isPTB molecular signature of placental hypermaturity, likely contributing to the premature activation of inflammatory pathways associated with birth and providing a molecular basis for idiopathic spontaneous birth.