Skip to main content
Download PDF

Promoter methylation changes and vascular dysfunction in pre-eclamptic umbilical vein

Clinical Epigenetics volume 11, Article number: 84 (2019) Cite this article

Abstract

Background

Hypertension is one of primary clinical presentations of pre-eclampsia. The occurrence and progress of hypertension are closely related to vascular dysfunction. However, information is limited regarding the pathological changes of vascular functions in pre-eclamptic fetuses. Human umbilical cord vein was used to investigate the influence of pre-eclampsia on fetal blood vessels in this study.

Results

The present study found that the vasoconstriction responses to arginine vasopressin (AVP) and oxytocin (OXT) were attenuated in the pre-eclamptic umbilical vein as compared to in normal pregnancy, which was related to the downregulated AVP receptor 1a (AVPR1a), OXT receptor (OXTR), and protein kinase C isoform β (PKCβ), owing to the deactivated gene transcription, respectively. The deactivated AVPR1a, OXTR, and PKCB gene transcription were respectively linked with an increased DNA methylation within the gene promoter.

Conclusions

To the best of our knowledge, this study first revealed that a hyper-methylation in gene promoter, leading to relatively reduced patterns of AVPR1a, OXTR, and PKCB expressions, which was responsible for the decreased sensitivity to AVP and OXT in the umbilical vein under conditions of pre-eclampsia. The data offered new and important information for further understanding the pathological features caused by pre-eclampsia in the fetal vascular system, as well as roles of epigenetic-mediated gene expression in umbilical vascular dysfunction.

Background

Pre-eclampsia (PE) is a leading cause of maternal morbidity, mortality, and premature birth in both developed and developing countries [1, 2]. Although PE in women is a multi-systemic syndrome with unknown etiology, hypertension is a primary clinical presentation of PE. As a surrogate end point for vascular risk, vascular dysfunction is closely related to the occurrence and progress of hypertension. However, information regarding the pathological changes of vascular functions in pre-eclamptic fetuses is limited. The umbilical cord is a conduit between the developing fetus and placenta. Umbilical cord vessels are primary vascular structures that may reflect problems originated from inadequate changes in maternal and fetal vascular systems. Human umbilical cord normally contains two arteries and one vein. The umbilical vein supplies the fetus with oxygenated, nutrient-rich blood from the placenta. Vascular functions of the umbilical vein are so important for placental-fetal circulation and fetal development in utero. Therefore, the present study was conducted with umbilical veins from healthy and pre-eclamptic pregnancy to investigate whether and how vascular functions would be affected under conditions of PE.

Because umbilical vessels have no autonomic innervation [3, 4], circulating and locally synthesized vasoactive substances are important in controlling vascular functions and blood flow in the placental-fetal circulation. As stress hormones, arginine vasopressin (AVP) and oxytocin (OXT) are mainly synthesized in the magnocellular neurons of the paraventricular and supraoptic nucleus of the hypothalamus. In most vascular beds, AVP and OXT are potent vasoconstrictors [5]. AVP has long been implicated in controlling blood pressure and vascular tone through binding of smooth muscle receptors (mainly classified into V1a (AVPR1a), V1b (AVPR1b), and V2 (AVPR2) subtypes) [6,7,8]. In normal delivery, high AVP concentrations in human umbilical cord blood have been reported [9, 10]. Similarly, oxytocin (OXT), a nine amino acid neuropeptide, is also increased at late pregnancy and onset of labor [11, 12]. The actions of both central and peripheral OXT are mediated through oxytocin receptor (OXTR) [13]. It has been reported that AVP- and OXT-induced vasocontractions are mainly regulated by protein kinase C (PKC) pathway [6, 14, 15].

In humans, high AVP and OXT concentrations are demonstrated in umbilical cord blood during normal delivery [9, 10, 12]. Do the high AVP and OXT in the circulation cause remarkable vasoconstrictions in umbilical vessels? Would AVP and OXT play the same physiological roles in pre-eclamptic umbilical vessels as they do in the normal ones? In fact, such is the paucity of knowledge of vascular reactivities of the umbilical vein, with very limited studies and information on umbilical vascular functions and none has compared umbilical vascular responses of AVP and OXT between PE and normal pregnancy. The present study, therefore, investigated the contractile responses of AVP and OXT in normal and pre-eclamptic umbilical vein, to reveal special features of umbilical vascular regulations and possible pathophysiological changes, as well as its underlying mechanisms under PE condition. The data gained in the present study provided new and critical information on regulations of umbilical vascular functions under pre-eclamptic conditions that in favor of further understanding the pathological features and mechanisms of PE as well as vascular diseases in fetal origins.

Results

AVP or OXT-induced contractions in human umbilical vein

Both AVP and OXT could induce dose-dependent constrictions in human umbilical vein (HUV) (Fig. 1a, d). There were no significant differences in KCl-induced maximal contraction between NP and PE group (Fig. 1b, e), whereas, the Emax (AVP- or OXT-induced contraction at 10−4 mol/L) and pD2 (−log[50% effective concentration]) values for AVP and OXT were significantly decreased in pre-eclamptic umbilical vein (Fig. 1c, f). These data indicated that pre-eclamptic umbilical vein was significantly insensitive to AVP and OXT.

Fig. 1
figure 1

AVP- and OXT-mediated vascular reactivity in human umbilical vein. a, c Concentration-response curves of AVP-induced dose-dependent contractions in HUV (N = 20, n = 38 each group). b, e KCl-induced maximal contractions in HUV (N = 20, n = 38 each group). d, f Concentration-response curves of OXT-induced dose-dependent contractions in HUV (N = 21, n = 36 each group). AVP arginine vasopressin, OXT oxytocin, KCl potassium chloride, NP normal pregnancy, PE pre-eclampsia, HUV human umbilical vein. Error bars denote SEM. *P < 0.05; **P < 0.01. N number of participants, n number of HUV rings

Full size image

Expression of AVP or OXT receptors in human umbilical vein

In the vasculature, AVP receptors include AVPR1a, AVPR1b, and AVPR2 [7]. Compared with NP, mRNA and protein levels of AVPR1a, not AVPR2, were decreased in the PE group (Fig. 2a, b). SR49059 (AVPR1a-specific antagonist) completely blocked AVP-mediated contractions in both NP and PE groups and without significant differences in AVP-induced vasoconstrictions between the two groups after pretreatment with SR49059 (Fig. 2c). Similarly, as shown in Fig. 2d and e, there was a significant decrease in mRNA and protein of OXTR in the PE group. Meanwhile, OXTR-specific antagonist (atosiban) could completely block OXT-mediated contractions in the umbilical vein, without significant differences between NP and PE groups after pretreated with atosiban (Fig. 2f). These data indicated that the decreased sensitivity of pre-eclamptic umbilical vein to AVP and OXT was related to the downregulated AVPR1a and OXTR due to the deactivated gene transcription, respectively.

Fig. 2
figure 2

Expression of AVP and OXT receptors in human umbilical vein. a, b mRNA and protein levels of AVP receptors in HUV were determined by qRT-PCR and Western blot. c Effects of SR49059 on AVP-mediated vasoconstrictions in HUV (N = 13, n = 25 each group). d, e mRNA and protein levels of OXT receptor in HUV. f Effects of atosiban on OXT-mediated vasoconstrictions in HUV (N = 14, n = 28 each group). SR49059, AVPR1a-specific antagonist; Atosiban, OXT-specific antagonist. Error bars denote SEM. *P < 0.05; **P < 0.01; ns no significances, N number of participants, n number of HUV rings

Full size image

The decreased sensitivity of AVP and OXT was also dependent on PKC pathway

AVP- and OXT-induced vasocontractions are mainly regulated by PKC pathway [6, 14, 15]. As shown in Fig. 3a, PKC agonist (PDBu) caused weaker dose-dependent contractions in pre-eclamptic HUV than that of NP group. In the vasculature, PKC mainly includes α, β, γ, δ, and ε isoforms [16]. There were no significant differences in PKCα, PKCγ, PKCε, and PKCδ mRNA expression between NP and PE group; however, mRNA levels of PKCβ were significantly decreased in PE compared with that in NP group (Fig. 3b). Protein levels of PKCβ were also significantly decreased in pre-eclamptic HUV (Fig. 3c). Meanwhile, PKC-specific antagonist (GF109203X) could restrain AVP- or OXT-induced vasoconstrictions in both NP and PE groups, without significant differences in AVP- or OXT-mediated vasoconstrictions between NP and PE group following pretreatment with GF109203X (Fig. 3d, e). Meanwhile, GF109203X could produce a weaker inhibitory effect on AVP- or OXT-mediated vasoconstrictions in NP group (Fig. 3d, e). These data indicated that the decreased sensitivity of pre-eclamptic umbilical vein to AVP and OXT was also related to the downregulated PKC pathway.

Fig. 3
figure 3

The decreased sensitivity of AVP and OXT was dependent on PKC pathway. a PDBu induced vasoconstrictions in HUV (N = 12, n = 26 each group). b The mRNA levels of PKCα, PKCβ, PKCγ, PKCδ, and PKCε in HUV determined by qRT-PCR (N = 40 each group). c The protein levels of PKCβ in HUV determined by Western blot. d The inhibitory effect of GF109203X on AVP-induced contractions in HUV (N = 12, n = 19 each group). e The inhibitory effect of GF109203X on OXT-induced contractions in HUV (N = 12, n = 18 each group). GF109203X, PKC antagonist; PDBu, Phorbol 12, 13-dibutyrate (PKC activator). Error bars denote SEM. *P < 0.05; **P < 0.01; ***P < 0.001; ns no significances, N number of participants, n number of HUV rings

Full size image

DNA methylation of CpG locus within AVPR1a gene promoter in human umbilical vein

AVPR1a is located on chromosome 12q14.2. To clarify whether the deactivated transcription of AVPR1a was associated with DNA methylation alterations, we assessed changes of AVPR1a transcription after adding 5-Aza-2′-deoxycytidine (5-Aza, a specific DNA methylation transferase inhibitor) in human umbilical cord vein endothelial cells (HUVECs). In HUVECs, 5-Aza treatment significantly increased AVPR1a gene transcription (Fig. 4b). One CpG island contains 14 CpG sites within exon of AVPR1a gene (Fig. 4a). Table 1 showed CpG labels. Next, we validated methylation levels of these 14 CpG sites by targeted bisulfite sequencing. The bisulfite conversion rate of each sample was higher than 99%, and no significant difference was observed between NP and PE group, indicating bisulfite conversion was efficient and reliable in the experiments (Fig. 4c). Compared with NP, the mean methylation percentage of these 14 CpG sites in pre-eclamptic umbilical vein was significantly increased with specific CpG site 5 and 6 (Fig. 4d–e, Table 2). Correlation analysis between AVPR1a gene methylation and expression was also conducted. There was a significantly inverse correlation between the methylation statuses of CpG sites (5 and 6) in AVPR1a gene promoter and AVPR1a gene expression (Fig. 4f). In normal and pre-eclamptic HUVECs, after 5-Aza treatment, mRNA levels of AVPR1a were significantly increased and without significant differences between the two groups (Fig. 4g).

Fig. 4
figure 4

DNA methylation of CpG locus at AVPR1a gene promoter in human umbilical vein. a Bioinformatic analysis of CpG islands of AVPR1a gene from upstream − 1.5 kb to downstream + 1.5 kb region. Sequence analysis identified one CpG island in exon that contains 14 CpG sites, located at positions + 1292 to + 1484 from the translation start site (TSS, defined as position 1) in AVPR1a gene promoter. b The mRNA levels of AVPR1a in HUVECs after treatment with 5-Aza-2′-deoxycytidine (5-Aza) for 2 days. c Represent image of bisulfite conversion efficiency between NP and PE group (N = 30 each group). d–e The mean methylation status of CpG locus (the total and each tested) at AVPR1a gene promoter in HUV (N = 30 each group). f Expression analysis of AVPR1a gene and its correlation with methylation levels of CpG sites (5 and 6). DNA methylation/mRNA correlation plots for AVPR1a gene identified by causal inference test (N = 30 each group). The Y-axis represents the relative expression level of AVPR1a gene which was detected with qRT-PCR method. The X-axis represents the relative mean methylation level of the CpG sites (5 and 6) at AVPR1a gene promoter in HUV. r: Pearson correlation coefficient. g mRNA levels of AVPR1a gene in normal and pre-eclamptic HUVECs after 5-Aza treatment (N = 8 each group). Error bars denote SEM. *P < 0.05; **P < 0.01; ***P < 0.001. N number of participants

Full size image
Table 1 Methylated CpG sites at AVPR1a gene promoter measured in this study
Full size table
Table 2 The methylation status of CpG locus (the total and each tested) at AVPR1a gene promoter. The data was expressed as mean ± SEM. PE pre-eclampsia, NP normal pregnant. **P < 0.01; ***P < 0.001
Full size table

DNA methylation of CpG locus within OXTR gene promoter in human umbilical vein

OXTR is located on chromosome 3p25. Sequence analysis identified one CpG island that contains 22 CpG sites within exons of the OXTR gene (Fig. 5a). Table 3 provided a key for CpG labels. In HUVECs, after 5-Aza treatment, OXTR mRNA level was significantly increased (Fig. 5b). Compared with NP, mean methylation percentage of the total 22 CpG sites in the PE group was remarkably increased (Fig. 5d), whereas, no significant differences were observed in each tested CpG site between NP and PE group (Fig. 5c, d). Table 4 showed the position and methylation levels of these 22 CpG sites. As shown in Fig. 5e, there was a significantly inverse correlation between the methylation status of 22 CpG sites in OXTR gene promoter and OXTR gene expression. In normal and pre-eclamptic HUVECs, mRNA levels of OXTR were significantly increased, and no significant differences were observed between the two groups after 5-Aza treatment (Fig. 5g).

Fig. 5
figure 5

DNA methylation of CpG locus at OXTR gene promoter in human umbilical vein. a Sequence analysis identified one CpG island in exon 1 that contains 22 CpG sites, located at positions + 55 to + 225 from the TSS in the OXTR gene promoter. b mRNA levels of OXTR in HUVECs after treatment with 5-Aza. c–d Represent the mean methylation status of the genomic regions in OXTR gene promoter. Each bar represents mean methylation percentage in a genomic region of a sample. e Expression analysis of OXTR gene and its correlation with methylation levels of 22 CpG sites. DNA methylation/mRNA correlation plots for OXTR gene identified by causal inference test. The y-axis represents the relative expression level of OXTR gene which was detected with qRT-PCR method. The x-axis represents the relative mean methylation level of all the 22 CpG sites in OXTR gene. r: Pearson correlation coefficient. f mRNA levels of OXTR gene in normal and pre-eclamptic HUVECs after 5-Aza treatment (N = 8 each group). Error bars denote SEM.*P < 0.05; ***P < 0.001. N number of participants

Full size image
Table 3 Methylated CpG sites at OXTR gene promoter measured in this study
Full size table
Table 4 The methylation status of CpG locus (the total and each tested) at OXTR gene promoter. The data was expressed as mean ± SEM. PE pre-eclampsia, NP normal pregnant. ***P < 0.001
Full size table

DNA methylation of CpG locus within PKCΒ gene promoter in human umbilical vein

PKCΒ is located on chromosome 16p12.2. One CpG island contains 44 CpG sites within exons of PKCΒ gene (Fig. 6a). 5-Aza treatment also significantly increased PKCΒ gene transcription in HUVECs (Fig. 6b). Targeted bisulfite sequencing showed that compared with NP, the mean methylation percentage of the total 44 CpG sites was remarkably increased with specific CpG sites (38–41) within PKCΒ gene promoter in the PE group, whereas no significant difference was observed in other specific CpG sites between NP and PE group (Fig. 6c–e). Position and methylation levels of the 44 CpG sites were listed in Table 5. After careful analysis of DNA methylation and expression data, it is concluded that there was also a significantly inverse correlation between the methylation statuses of 38–41 CpG sites and PKCΒ expression (Fig. 6f). After 5-Aza treatment, mRNA levels of PKCΒ were significantly increased, and no significant differences were observed between normal and pre-eclamptic HUVECs (Fig. 6g).

Fig. 6
figure 6

DNA methylation of CpG locus at PKCΒ gene promoter in human umbilical vein. a One CpG island that contains 44 CpG sites, located at positions + 27 to + 321 from TSS at PKCΒ gene promoter. b mRNA levels of PKCΒ in HUVECs after treatment with 5-Aza. c–e The mean methylation status of CpG locus (the total and each tested) at PKCΒ gene promoter in HUV (N = 30 each group). f DNA methylation/mRNA correlation plots for PKCΒ gene identified by causal inference test (N = 30 each group). g mRNA levels of OXTR gene in normal and pre-eclamptic HUVECs after 5-Aza treatment (N = 8 each group). Error bars denote SEM.*P < 0.05; **P < 0.01; ***P < 0.001. N number of participants

Full size image
Table 5 The methylation status of CpG locus (the total and each tested) at PKCΒ gene promoter. The data was expressed as mean ± SEM. PE pre-eclampsia, NP normal pregnant. *P < 0.05; **P < 0.01; ***P < 0.001
Full size table

Discussion

This present study found a special feature of AVP- and OXT-mediated vascular contractions in pre-eclamptic umbilical vasculature. The main findings are as follows: (1) Compared with the normal control, the vasoconstriction responses to AVP and OXT were attenuated in pre-eclamptic umbilical vein, which was related to the downregulated AVPR1a, OXTR, and PKCB, owing to the deactivated gene transcription, respectively. (2) The deactivated AVPR1a, OXTR, and PKCB transcriptions were respectively linked with an increased DNA methylation within gene promoter. The data gained not only offered new information for further understanding the pathological features and mechanisms of pre-eclamptic umbilical cords, but also providing novel clues for roles of epigenetic-mediated gene expression in fetal vascular dysfunction.

Although it is well known that AVP and OXT can produce vascular contractions in adults [5, 17], data regarding their functional effects on fetal blood vessels is limited. In human, umbilical vessels are only healthy fetal blood vessels that can be obtained ethically in medical studies. Both of AVP and OXT exhibited significant dose-dependent vasoconstrictions in human fetal umbilical vein, suggesting that the two peptides are critically involved in the regulating umbilical vascular tone and circulation. Notably, we found that compared with normal pregnancy, pre-eclamptic umbilical vein was significantly insensitive to AVP and OXT, which was not only associated with their respective receptors, but also correlated with PKC pathway. This finding was supported by the following data: (1) The mRNA and protein levels of AVPR1a and OXTR were remarkably decreased in pre-eclamptic umbilical vein. Meanwhile, AVPR1a- or OXTR-specific antagonist could completely block AVP- and OXT-mediated contractions in umbilical vein, respectively. (2) PKC agonist caused weaker dose-dependent contractions, and PKC antagonist produced a weaker inhibitory effect on AVP- and OXT-mediated vasoconstrictions in pre-eclamptic umbilical vein; furthermore, mRNA and protein levels of PKCβ were significantly decreased in pre-eclamptic umbilical vein. These data above indicated that the decreased sensitivity of pre-eclamptic umbilical vein to AVP and OXT was related to the downregulated AVPR1a, OXTR, and PKCB, particularly with their deactivated gene transcription.

The number of studies in humans and laboratory animals indicated promoter DNA methylation levels are important for transcriptional regulation of AVPR1a [18,19,20], OXTR [21,22,23], and PKCB [24,25,26,27]. In exploring the possible underlying mechanisms of the altered AVP- and OXT-mediated vascular functions, the present study also focused on epigenetic causes. Firstly, to clarify whether the deactivated transcriptions of AVPR1a, OXTR, and PKCB are owing to DNA methylation, we assessed the changes of these gene transcriptions after adding 5-Aza in HUVECs. 5-Aza treatment significantly increased AVPR1a, OXTR, and PKCB gene transcriptions, indicating that these gene transcriptions were regulated by DNA methylation in human umbilical vascular cells. Secondly, we evaluated DNA methylation status of CpG sites within AVPR1a, OXTR, and PKCB gene promoter and found that the mean methylation percentages of CpG sites within CpG islands in AVPR1a, OXTR, and PKCB gene promoter were obviously increased in umbilical vein under conditions of PE. Thirdly, we conducted correlation analysis between gene methylation and expression and found that there was a significantly inverse correlation between DNA methylation levels of gene promoter and gene transcription. Fourthly, we isolated and cultured HUVECs in vitro and evaluated expressions of these genes in both of normal and pre-eclamptic HUVECs after 5-Aza treatment. Compared with normal, mRNA levels of these genes were decreased in the pre-eclamptic HUVECs. After 5-Aza treatment, mRNA levels of these genes were significantly increased in both of normal and pre-eclamptic HUVECs, and no significant differences were observed in mRNA levels of these genes between the two groups. Together, the present study first indicated that transcriptions of AVPR1a, OXTR, and PKCB were regulated by DNA methylation in human umbilical vessels and revealed that hyper-methylation in AVPR1a, OXTR, and PKCB gene promoter, leading to a relatively low pattern of gene expressions, were responsible for the decreased sensitivity of AVP and OXT in pre-eclamptic umbilical vessels. Large amount of research showed that DNA methylation has been considered for contribution to the development for PE [28]. In the present study, we first demonstrated that DNA methylation-mediated gene expression was also critically involved in the pathogenesis of vascular dysfunction in pre-eclamptic umbilical vasculature. The pathological and clinical importance of DNA methylation in pre-eclamptic vascular dysfunction deserves further investigation.

Significance of our findings is also closely linked to “the development of chronic diseases in fetal origins.” According to this theory, prenatal adverse factors have been demonstrated as major causes to induce diseases after birth [29,30,31]. PE could act as a stress for development fetuses. Thirty percent of newborns born from pre-eclamptic women experience some forms of adverse prenatal outcome, including prematurity and intrauterine growth retardation [1, 2]. PE is a long-term disease risk factor for the mother and possibly the offspring too [32,33,34]. Evidence from clinical studies has proposed that children born from pre-eclamptic women have a higher risk of suffering neurological, psychological, and behavioral alterations, particularly cardiovascular diseases, including hypertension and stroke, compared to children born from normal pregnancies [32, 33, 35,36,37,38,39,40]. However, to date, the mechanisms behind these vascular outcomes are poorly understood. In human, the umbilical cord is physiologically and genetically part of the fetus and may reflect problems originated from inadequate changes in the fetus with maternal history of PE. Interestingly, this study found that pre-eclamptic fetal umbilical vein showed a specific epigenetic-mediated vascular dysfunction, suggesting that pre-eclamptic fetal vascular system may undergo similar changes as it is represented in fetal umbilical vessels. It is rational that there may exist the same or similar abnormalities in pre-eclamptic fetal vascular systems as that observed in the fetal umbilical cord vein. Given this, due to epigenetic code that can be inherited, it put forward the hypothesis that the child with maternal history of PE are with a higher risk of diseases and disorders particularly in vascular problems. Recent cohort studies assessing whether maternal PE are associated with vascular problems in the offspring throughout childhood and early adolescence have provided supportive evidence for this concept [39,40,41,42]. Although this study did not investigate the offspring, the interesting finding in epigenetic-mediated umbilical vascular dysfunctions provides new important information for further studies on cardiovascular diseases in fetal origins.

In conclusion, this study firstly revealed a special feature of vascular regulations and pathophysiological changes in the umbilical vein under conditions of PE. Significances of the finding includes (1) offering new information for further understanding the pathological features of pre-eclamptic fetal umbilical vessels, and (2) underlining roles of epigenetic-mediated gene expression in pre-eclamptic umbilical vascular dysfunction, and (3) providing new insights into the underlying mechanisms of PE-related higher risks of vascular diseases and disorders in fetal origins. In addition, it is well known that an altered placenta-umbilical cord circulation plays an important role in the development of PE [2, 43]. Whether and how the changed umbilical vascular dysfunction contributes or complicates to PE is another interesting and important direction for researching.

Materials and methods

Sample preparation

Healthy normal pregnant (N = 42) and pre-eclamptic women (N = 40) were recruited from the local hospitals, Suzhou, China. The Ethics Committee of the First Hospital of Soochow University approved all procedures in this work (ref. no. 2015-129), and all participants were given informed consent. Healthy pregnant participants were defined as blood pressure < 120/90 mmHg and no clinically significant complications. Pre-eclamptic pregnant participants were defined as blood pressure > 140/90 mmHg and significant proteinuria after the 20th weeks of pregnancy [1, 44]. Women with essential hypertension or medical complications, such as diabetes and renal and cardiovascular diseases, were excluded from the study. The clinical characteristics of all participants were detailed in Table 6.

Table 6 Basic characteristics of pre-eclampsia cases and normotensive controls
Full size table

Measurement of vascular tension

Human umbilical cords were immediately acquired from normal and pre-eclamptic pregnant women after vaginal delivery and delivered within 1 h. The umbilical cords (10 cm in length) were kept in iced Krebs solution (containing in mmol/L NaCl 119, NaHCO3 25, KH2PO4 1.2, KCl 4.7, MgSO4 1.0, glucose 11, and CaCl2 2.5), and bubbled with 95% O2 and 5% CO2. Human umbilical vein was carefully isolated and cut into rings approximately 4–5 mm in length and suspended in a 5 mL organ bath with 5 mL Krebs solution and continuously with a mixture of 95% O2 and 5% CO2. Under the tension of 2 g, HUV rings were allowed to balance for 2 h. Then the contraction of potassium chloride (KCl, 120 mol/L) was used to gain maximum vascular reaction. The contraction induced by AVP or OXT was standardized through comparing with the maximal tension caused by KCl. HUV rings were contracted by the addition of incremental doses of vasopressin AVP (10−10 to 10−4 mol/L), OXT (10−10 to 10−4 mol/L), or PDBu (Phorbol 12, 13-dibutyrate, PKC activator; 10−10 to 10−5 mol/L) at 4-min intervals. Between continuous concentrations of AVP, OXT, or PDBu, there was at least 4 min of reaction time, during that period, the reaction of preceding concentration reached equilibrium phase. In the subsequent experiment, SR49059 (a specific inhibitor of AVP, 10 μmol/L), atosiban (a specific inhibitor of OXT, 10 μmol/L), or GF109203X (PKC antagonist, 100 μmol/L) were used for pretreating HUV rings for 30 min before application of AVP or OXT, and vessel responses were recorded [45]. All drugs were freshly prepared and purchased from Sigma-Aldrich (St. Louis, MO).

Quantitative real-time PCR (qRT-PCR) and Western blot analysis

Total RNA was isolated from HUV using Trizol reagent and was reversed transcribed using first-strand cDNA Synthesis Kit (Invitrogen). qRT-PCR was performed using SYBR Green Supermix Taq Kit (Takara Biotechnology Co., Ltd., Dalian, China) and analyzed on an iQ5 Real-Time PCR Detection System (Bio-Rad Laboratories, Inc., Hercules, CA, USA). The primer sequences are listed in Table 7. ∆∆Ct method was used to comparatively quantify the amount of mRNA levels. The protein abundance of AVPR1a, AVPR2, OXTR, and PKC (α and β) in HUV was measured with Western blot normalized to β-actin. The primary antibodies were the rabbit polyclonal antibody (Santa Cruz Biotechnology) against AVPR1a, AVPR2, OXTR, or PKCβ (all 1:1000). The secondary antibody was the goat anti-rabbit antibody (1:500; Beyotime Biotechnology, Jiangsu, China). Immuno-signals were visualized using UVP imaging system (EC3-Imaging-System, Upland, CA, USA). Imaging signals were calculated and analyzed, and then the ratio of band brightness to β-actin was acquired to measure relative protein expression levels as previously described [46, 47].

Table 7 List of oligonucleotide primers used in this study
Full size table

DNA isolation and targeted bisulfite sequencing assay

To prepare genomic DNA, HUV rings were lysed with lysis buffer containing (10 mM Tris-Cl (pH 7.5), 10 mM NaCl, 10 mM EDTA, 0.5% sarcosyl, and 1 mg/mL proteinase K) and incubated overnight at 60 °C. Genomic DNA was extracted from lysates by standard phenol/chloroform technique and subjected to bisulfite conversion using EpiTect bisulfite kit (Qiagen) according to the manufacturer’s protocols. DNA was quantified and then diluted to a working concentration of 20 ng/μL for BiSulfite Amplicon Sequencing (BSAS) [48]. CpG islands located in the proximal promoter of AVPR1a, OXTR, and PKCB were selected according to the following criteria: (1) ≥ 200 bp length, (2) ≥ 50% GC content, (3) ≥ 60% ratio of observed/expected dinucleotides CpG. Based on the genomic coordinates of the candidate CpG sites (Table 3, 4, 8), we carefully designed the BSAS primers in order to detect them in a panel (Table 7). After PCR amplification, products were sequenced by Illumina Hiseq 2000. Methylation level at each tested CpG site was calculated as the percentage of the methylated cytosines over the total tested cytosines. The average methylation levels were calculated using methylation levels of all measured CpG sites within the AVPR1a, OXTR, or PKCB gene.

Table 8 Methylated CpG sites at PKCΒ gene promoter measured in this study
Full size table

Isolation and culture HUVECs

Umbilical cords (about 15 cm in length) were excised from the placenta immediately after delivery and placed into cold sterile phosphate-buffered saline. Endothelial cells were isolated from umbilical veins as described previously [46]. HUVECs were cultured in DMEM containing 20% fetal bovine serum at 37 °C with 5% CO2 and 95% air humidified incubator. Cultures were passaged every 2–3 days and used in experiments 2 passages. In 5-Aza treatment studies, HUVECs were seeded and allowed to grow for 2 days with or without 5-Aza (Sigma-Aldrich, 10−6 mol/L) and then mRNA were extracted for experiments.

Data analysis and statistics

All data were expressed as the mean ± SEM. Significance (P < 0.05) was ascertained by t test or two-way analysis of variance (ANOVA) followed by the Bonferroni test. Concentration-dependent response curves were performed by computer-assisted nonlinear regression. DNA methylation/mRNA correlation plots were identified by causal inference test (Graph Pad Prism software CA, USA).

Abbreviations

Atosiban:

OXT-specific antagonist

AVP:

Arginine vasopressin

GF109203X:

PKC antagonist

HUV:

Human umbilical vein

KCl:

Potassium chloride

NP:

Normal pregnancies

OXT:

Oxytocin

PDBu:

Phorbol 12, 13-dibutyrate (PKC activator)

PE:

Pre-eclampsia

PKC:

Protein kinase C

SR49059:

AVPR1a-specific antagonist

References

  1. Steegers EA, von Dadelszen P, Duvekot JJ, Pijnenborg R. Pre-eclampsia. Lancet. 2010;376:631–44.

    Article  Google Scholar 

  2. Chaiworapongsa T, Chaemsaithong P, Yeo L, Romero R. Pre-eclampsia part 1: Current understanding of its pathophysiology. Nat Rev Nephrol. 2014;10:466–80.

    Article  CAS  Google Scholar 

  3. Walker DW, McLean JR. Absence of adrenergic nerves in the human placenta. Nature. 1971;229:344–5.

    Article  CAS  Google Scholar 

  4. Reilly FD, Russell PT. Neurohistochemical evidence supporting an absence of adrenergic and cholinergic innervation in the human placenta and umbilical cord. Anat Rec. 1977;188:277–86.

    Article  CAS  Google Scholar 

  5. Japundzic-Zigon N. Vasopressin and oxytocin in control of the cardiovascular system. Curr Neuropharmacol. 2013;11:218–30.

    Article  CAS  Google Scholar 

  6. Yang G, Li T, Xu J, Liu L. Pkc plays an important mediated effect in arginine vasopressin induced restoration of vascular responsiveness and calcium sensitization following hemorrhagic shock in rats. Eur J Pharmacol. 2010;628:148–54.

    Article  CAS  Google Scholar 

  7. Koshimizu TA, Nakamura K, Egashira N, Hiroyama M, Nonoguchi H, Tanoue A. Vasopressin v1a and v1b receptors: from molecules to physiological systems. Physiol Rev. 2012;92:1813–64.

    Article  CAS  Google Scholar 

  8. Koshimizu TA, Nasa Y, Tanoue A, Oikawa R, Kawahara Y, Kiyono Y, Adachi T, Tanaka T, Kuwaki T, Mori T, et al. V1a vasopressin receptors maintain normal blood pressure by regulating circulating blood volume and baroreflex sensitivity. Proc Natl Acad Sci U S A. 2006;103:7807–12.

    Article  CAS  Google Scholar 

  9. Wellmann S, Benzing J, Cippa G, Admaty D, Creutzfeldt R, Mieth RA, Beinder E, Lapaire O, Morgenthaler NG, Haagen U, et al. High copeptin concentrations in umbilical cord blood after vaginal delivery and birth acidosis. J Clin Endocrinol Metab. 2010;95:5091–6.

    Article  CAS  Google Scholar 

  10. Polin RA, Husain MK, James LS, Frantz AG. High vasopressin concentrations in human umbilical cord blood--lack of correlation with stress. J Perinat Med. 1977;5:114–9.

    Article  CAS  Google Scholar 

  11. de Geest K, Thiery M, Piron-Possuyt G, Vanden Driessche R. Plasma oxytocin in human pregnancy and parturition. J Perinat Med. 1985;13:3–13.

    Article  Google Scholar 

  12. Chard T, Hudson CN, Edwards CR, Boyd NR. Release of oxytocin and vasopressin by the human foetus during labour. Nature. 1971;234:352–4.

    Article  CAS  Google Scholar 

  13. Arrowsmith S, Wray S. Oxytocin: Its mechanism of action and receptor signalling in the myometrium. J Neuroendocrinol. 2014;26:356–69.

    Article  CAS  Google Scholar 

  14. Yang G, Xu J, Li T, Ming J, Chen W, Liu L. Role of v1a receptor in avp-induced restoration of vascular hyporeactivity and its relationship to mlcp-mlc20 phosphorylation pathway. J Surg Res. 2010;161:312–20.

    Article  CAS  Google Scholar 

  15. Eto M, Kitazawa T, Brautigan DL. Phosphoprotein inhibitor cpi-17 specificity depends on allosteric regulation of protein phosphatase-1 by regulatory subunits. Proc Natl Acad Sci U S A. 2004;101:8888–93.

    Article  CAS  Google Scholar 

  16. Ringvold HC, Khalil RA. Protein kinase c as regulator of vascular smooth muscle function and potential target in vascular disorders. Adv Pharmacol. 2017;78:203–301.

    Article  CAS  Google Scholar 

  17. Chen YL, Shepherd C, Spinelli W, Lai FM. Oxytocin and vasopressin constrict rat isolated uterine resistance arteries by activating vasopressin v1a receptors. Eur J Pharmacol. 1999;376:45–51.

    Article  CAS  Google Scholar 

  18. Okhovat M, Maguire SM, Phelps SM. Methylation of avpr1a in the cortex of wild prairie voles: effects of cpg position and polymorphism. R Soc Open Sci. 2017;4:160646.

    Article  CAS  Google Scholar 

  19. Bodden C, van den Hove D, Lesch KP, Sachser N. Impact of varying social experiences during life history on behaviour, gene expression, and vasopressin receptor gene methylation in mice. Sci Rep. 2017;7:8719.

    Article  Google Scholar 

  20. Okhovat M, Chen IC, Dehghani Z, Zheng DJ, Ikpatt JE, Momoh H, Phelps SM. Genetic variation in the developmental regulation of cortical avpr1a among prairie voles. Genes Brain Behav. 2018;17:36–48.

    Article  CAS  Google Scholar 

  21. Smearman EL, Almli LM, Conneely KN, Brody GH, Sales JM, Bradley B, Ressler KJ, Smith AK. Oxytocin receptor genetic and epigenetic variations: association with child abuse and adult psychiatric symptoms. Child Dev. 2016;87:122–34.

    Article  Google Scholar 

  22. Mamrut S, Harony H, Sood R, Shahar-Gold H, Gainer H, Shi YJ, Barki-Harrington L, Wagner S. DNA methylation of specific cpg sites in the promoter region regulates the transcription of the mouse oxytocin receptor. PLoS One. 2013;8:e56869.

    Article  CAS  Google Scholar 

  23. Kusui C, Kimura T, Ogita K, Nakamura H, Matsumura Y, Koyama M, Azuma C, Murata Y. DNA methylation of the human oxytocin receptor gene promoter regulates tissue-specific gene suppression. Biochem Biophys Res Commun. 2001;289:681–6.

    Article  CAS  Google Scholar 

  24. Hagiwara K, Ito H, Murate T, Miyata Y, Ohashi H, Nagai H. Prox1 overexpression inhibits protein kinase c beta ii transcription through promoter DNA methylation. Genes Chromosomes Cancer. 2012;51:1024–36.

    Article  CAS  Google Scholar 

  25. Li C, Gao W, Gao Y, Yu C, Lv J, Lv R, Duan J, Sun Y, Guo X, et al. Age prediction of children and adolescents aged 6-17 years: an epigenome-wide analysis of DNA methylation. Aging. 2018;10:1015–26.

    Article  Google Scholar 

  26. Liu S, Chen X, Chen R, Wang J, Zhu G, Jiang J, Wang H, Duan S, Huang J. Diagnostic role of wnt pathway gene promoter methylation in non small cell lung cancer. Oncotarget. 2017;8:36354–67.

    PubMed  PubMed Central  Google Scholar 

  27. Heo HJ, Tozour JN, Delahaye F, Zhao Y, Cui L, Barzilai N, Einstein FH. Advanced aging phenotype is revealed by epigenetic modifications in rat liver after in utero malnutrition. Aging Cell. 2016;15:964–72.

    Article  CAS  Google Scholar 

  28. Yeung KR, Chiu CL, Pidsley R, Makris A, Hennessy A, Lind JM. DNA methylation profiles in preeclampsia and healthy control placentas. Am J Physiol Heart Circ Physiol. 2016;310:H1295–303.

    Article  Google Scholar 

  29. Gao Q, Tang J, Chen J, Jiang L, Zhu X, Xu Z. Epigenetic code and potential epigenetic-based therapies against chronic diseases in developmental origins. Drug Discov Today. 2014;19:1744–50.

    Article  CAS  Google Scholar 

  30. Murphy MO, Cohn DM, Loria AS. Developmental origins of cardiovascular disease: impact of early life stress in humans and rodents. Neurosci Biobehav Rev. 2017;74:453–65.

    Article  CAS  Google Scholar 

  31. Buffington SA, Di Prisco GV, Auchtung TA, Ajami NJ, Petrosino JF, Costa-Mattioli M. Microbial reconstitution reverses maternal diet-induced social and synaptic deficits in offspring. Cell. 2016;165:1762–75.

    Article  CAS  Google Scholar 

  32. Davis EF, Lazdam M, Lewandowski AJ, Worton SA, Kelly B, Kenworthy Y, Adwani S, Wilkinson AR, McCormick K, Sargent I, et al. Cardiovascular risk factors in children and young adults born to pre-eclamptic pregnancies: a systematic review. Pediatrics. 2012;129:e1552–61.

    Article  Google Scholar 

  33. Alsnes IV, Vatten LJ, Fraser A, Bjorngaard JH, Rich-Edwards J, Romundstad PR, Asvold BO. Hypertension in pregnancy and offspring cardiovascular risk in young adulthood: prospective and sibling studies in the hunt study (nord-trondelag health study) in norway. Hypertension. 2017;69:591–8.

    Article  CAS  Google Scholar 

  34. Beukers F, Aarnoudse-Moens CSH, van Weissenbruch MM, Ganzevoort W, van Goudoever JB, van Wassenaer-Leemhuis AG. Maternal psychological distress after severe pregnancy hypertension was associated with increased child behavioural problems at the age of 12. Acta Paediatrica. 2018.

  35. Figueiro-Filho EA, Mak LE, Reynolds JN, Stroman PW, Smith GN, Forkert ND, Paolozza A, Ratsep MT, Croy BA. Neurological function in children born to pre-eclamptic and hypertensive mothers - a systematic review. Pregnancy Hypertens. 2017;10:1–6.

    Article  Google Scholar 

  36. Lara E, Acurio J, Leon J, Penny J, Torres-Vergara P, Escudero C. Are the cognitive alterations present in children born from pre-eclamptic pregnancies the result of impaired angiogenesis? Focus on the potential role of the vegf family. Frontiers Physiology. 2018;9:1591.

    Article  Google Scholar 

  37. Fields JA, Garovic VD, Mielke MM, Kantarci K, Jayachandran M, White WM, Butts AM, Graff-Radford J, Lahr BD, Bailey KR, Miller VM. Preeclampsia and cognitive impairment later in life. Am J Obstet Gynecol. 2017;217:74 e71–11.

    Article  Google Scholar 

  38. Davis EF, Lewandowski AJ, Aye C, Williamson W, Boardman H, Huang RC, Mori TA, Newnham J, Beilin LJ, Leeson P. Clinical cardiovascular risk during young adulthood in offspring of hypertensive pregnancies: insights from a 20-year prospective follow-up birth cohort. BMJ Open. 2015;5:e008136.

    Article  Google Scholar 

  39. Bellamy L, Casas JP, Hingorani AD, Williams DJ. Pre-eclampsia and risk of cardiovascular disease and cancer in later life: systematic review and meta-analysis. Bmj. 2007;335:974.

    Article  Google Scholar 

  40. Kajantie E, Eriksson JG, Osmond C, Thornburg K, Barker DJ. Pre-eclampsia is associated with increased risk of stroke in the adult offspring: The helsinki birth cohort study. Stroke. 2009;40:1176–80.

    Article  Google Scholar 

  41. Hakim J, Senterman MK, Hakim AM. Preeclampsia is a biomarker for vascular disease in both mother and child: the need for a medical alert system. Int J Pediatr. 2013;2013:953150.

    Article  Google Scholar 

  42. Hoodbhoy Z, Hasan BS, Mohammed N, Chowdhury D. Impact of pre-eclampsia on the cardiovascular health of the offspring: a cohort study protocol. BMJ Open. 2018;8:e024331.

    Article  Google Scholar 

  43. Gao Q, Tang J, Li N, Liu B, Zhang M, Sun M, Xu Z. What is precise pathophysiology in development of hypertension in pregnancy? Precision medicine requires precise physiology and pathophysiology. Drug Discov Today. 2018;23:286–99.

    Article  CAS  Google Scholar 

  44. Young BC, Levine RJ, Karumanchi SA. Pathogenesis of preeclampsia. Annu Rev Pathol. 2010;5:173–92.

    Article  CAS  Google Scholar 

  45. Zhu X, Gao Q, Tu Q, Zhong Y, Zhu D, Mao C, Xu Z. Prenatal hypoxia enhanced angiotensin ii-mediated vasoconstriction via increased oxidative signaling in fetal rats. Reprod Toxicol. 2016;60:21–8.

    Article  CAS  Google Scholar 

  46. Gao Q, Zhu X, Chen J, Mao C, Zhang L, Xu Z. Upregulation of p53 promoted g1 arrest and apoptosis in human umbilical cord vein endothelial cells from preeclampsia. J Hypertens. 2016;34:1380–8.

    Article  CAS  Google Scholar 

  47. Liu X, Gao Q, Li P, Zhao Q, Zhang J, Li J, Koseki H, Wong J. Uhrf1 targets dnmt1 for DNA methylation through cooperative binding of hemi-methylated DNA and methylated h3k9. Nat Commun. 2013;4:1563.

    Article  Google Scholar 

  48. Masser DR, Berg AS, Freeman WM. Focused, high accuracy 5-methylcytosine quantitation with base resolution by benchtop next-generation sequencing. Epigenetics Chromatin. 2013;6:33.

    Article  CAS  Google Scholar 

Download references

Acknowledgments

We thank Tian Hao Biotechnology Co., Ltd., Shanghai, China for the excellent technical assistance.

Funding

Supported partly by the National Nature & Science Foundation of China (81873841, 81741024, 81401244, 81771592, and 81320108006), the Natural Science Foundation of Jiangsu Province (BK20140292), “333 Project,” “Six one project (LGY2018076),” “Shuang Chuang Tuan Dui” and Key Discipline “Fetal medicine” of Jiangsu Province, and the Suzhou city “Wei Sheng Ren Cai (GSWS2019029)” program.

Author information

Author notes

  1. Qinqin Gao, Xiaorong Fan, and Ting Xu contributed equally to this work.

Authors and Affiliations

  1. Institute for Fetology and Department of Obstetrics and Gynecology, First Hospital of Soochow University, Suzhou, 215006, China

    Qinqin Gao, Xiaorong Fan, Ting Xu, Huan Li, Yun He, Jie Chen, Hongmei Ding & Zhice Xu

  2. Center for Perinatal Biology, Loma Linda University, California, USA

    Zhice Xu

  3. Department of Obstetrics and Gynecology, Suzhou Municipal Hospital, Suzhou, China

    Jianying Tao

  4. Department of Obstetrics and Gynecology, Affiliated Suzhou Hospital of Nanjing University of Chinese Medicine, Suzhou, China

    Yuxian Yang

Authors
  1. Qinqin Gao
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Xiaorong Fan
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ting Xu
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Huan Li
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Yun He
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Yuxian Yang
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Jie Chen
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Hongmei Ding
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Jianying Tao
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. Zhice Xu
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

QG processed the data and figures and performed vessel experiments with FX, HL, TX, HD, YY, and YH. QG, FX, and TX performed the molecular studies. JC, JT, and ZX prepared the human umbilical cord samples. The work was supervised by ZX and QG. All authors read and approved the final manuscript.

Corresponding authors

Correspondence to Qinqin Gao or Zhice Xu.

Ethics declarations

Ethics approval and consent to participate

The studies were approved by the institutional review boards of the First Hospital of Soochow University at Jiangsu Province, China. Written informed consent was obtained from each study subject.

Consent for publication

Not applicable

Competing interests

The authors declare that they have no competing interests.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Gao, Q., Fan, X., Xu, T. et al. Promoter methylation changes and vascular dysfunction in pre-eclamptic umbilical vein. Clin Epigenet 11, 84 (2019). https://doi.org/10.1186/s13148-019-0685-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1186/s13148-019-0685-2

Keywords

  • Pre-eclampsia
  • Arginine vasopressin
  • Oxytocin
  • DNA methylation
  • Umbilical vein dysfunction

Clinical Epigenetics

ISSN: 1868-7083

Contact us