MicroRNAs in pregnancy

Dedicated to Professor Ursula Koldovsky, who died in October 2010 at the age of 73.
https://doi.org/10.1016/j.jri.2011.01.004Get rights and content

Abstract

Since the discovery of non-coding RNAs, several families of small regulatory molecules have been described including small nucleolar RNAs, piwi-interacting RNAs and microRNAs (miRNAs). MiRNAs are small single-stranded RNA molecules which play an important role in the regulation of gene expression at the transcriptional level. Recent studies demonstrated that about 30% of human genes are regulated by miRNAs and their deregulation has been associated with malignancies and poor outcome. Therefore, it is not surprising that profiling of miRNAs expression and studies on their regulation became a great field of interest in the last decade. However, miRNA-mediated regulation in pregnancy remains poorly investigated although several independent processes associated with placenta development have been shown to be miRNA-regulated. This review provides a general overview of the current data on profiles and functions of microRNAs in the peri-implantation period, embryonic stem cells, placentation and pregnancy, as well as in several pregnancy-related pathologies. We conclude that miRNAs present in the maternal circulation may provide a new promising diagnostic tool for pregnancy disorders.

Introduction

Small non-coding RNAs (ncRNAs) constitute a group of RNAs which do not code for proteins, but instead exercise control over those that do. The first ncRNA was characterized in 1965 in baker's yeast, but the physiological role of ncRNAs was not manifest until 1993 when Lee and colleagues described for the first time the involvement of lin4, a so called “small temporal RNA”, in controlling developmental timing in Caenorhabditis elegans (Lee et al., 1993). It was only in the early 2000s that the term microRNA (miRNA) was introduced and the intracellular mechanisms of RNA interference (RNAi) started to be described. One of the first identified characteristics of the miRNAs was the highly conserved sequences throughout species and the fact that they are expressed in a tissue-specific manner. However, their importance in the control of genome expression became clear when the analysis of miRNA sequences revealed the vast amount of recognition sites on many mRNAs, which suggested a potential role of miRNAs in the control of transcription and translation of protein-coding-RNAs and provided information about the still unexplained 98% of genes which do not produce proteins (Zhang et al., 2007, Buckingham, 2003). It is hypothesised that miRNAs may be key factors in evolutionary processes and particularly in the evolution of the complexity of higher mammals (Bentwich et al., 2005).

During the last decade, about 800 miRNAs have been described in humans and their function in the regulation of cell proliferation and apoptosis in cancer has been demonstrated (Zhang et al., 2007). Currently, most of the miRNA-related studies compare cancer cells versus normal cells, but the analysis of miRNAs in the control of physiological processes including pregnancy is just incipient. Recent reports demonstrate that specific patterns of miRNAs are expressed only in embryonic stem cells and in early phases of embryonic development and some miRNAs are shown to be less strongly expressed in choriocarcinoma cells than in normal trophoblast (Chao et al., 2010, Navarro and Monzo, 2010). More surprisingly, placental miRNAs seem to be released into the maternal circulation and their concentration and patterns in plasma raise the potential for them to become markers for the detection of pregnancy disorders such as fetal growth restriction (FGR) (Mouillet et al., 2010a, Mincheva-Nilsson and Baranov, 2010, Frangsmyr et al., 2005).

In this review, we summarize the current knowledge on miRNA biogenesis, targets and functions with relevance for pregnancy and placental development.

Section snippets

MicroRNA biogenesis and RNA interference pathway

The phenomenon of RNA interference was first described in 1998 and refers to gene silencing caused by introducing double-stranded RNA into the cell (Fire et al., 1998). Two types of RNA molecules trigger their effects through the RNAi pathway: small interfering RNAs (siRNAs) and miRNAs. While siRNA are synthetic sequences, miRNAs are endogenous small sequences of RNA (∼22 nt) which have been shown to be highly conserved throughout evolution (Qavi et al., 2010).

Most miRNA are not complementary to

MiRNA in the peri-implantation period

During the menstrual cycle, inflammation-like processes occur aiming to prepare the immunological receptivity of the endometrium for implantation. These processes are controlled by several proteins, enzymes and angiogenic factors which are differentially expressed and tightly regulated. Altered endometrial expression of these molecules seems to be responsible for inappropriate tissue regeneration, resulting in dysfunctional uterine bleeding, failed embryo implantation, and other endometrial

MiRNA expression in placenta

Current reports on miRNA expression patterns have exposed a group of miRNAs almost exclusively expressed by the placenta and fetal brain tissues (Miura et al., 2010). Located in chromosome 19, C19MC represents the largest miRNA cluster ever reported. It comprises 54 predicted miRNAs, 43 of which have been cloned and sequenced (Bentwich et al., 2005, Bortolin-Cavaille et al., 2009, Liang et al., 2007) (Table 1).

Interestingly, this cluster is only present in primates and seems to be the result of

MiRNAs in embryonic stem cells

Similar to C19MC, study of the expression signature in human embryonic stem (hES) cells demonstrated a specific pattern of miRNA. Surprisingly, the majority of the characterized miRNAs are also located in chromosomes 19 and X (Navarro and Monzo, 2010, Suh et al., 2004). Among the 36 miRNAs identified, seven miRNAs were expressed exclusively in hES cells (miR-200c, miR-368, mir-154*, miR-371, miR-372, miR-373 and miR-373*) suggesting that these miRNAs control specific functions of hES. Further,

Involvement of miRNA in regulation of materno-fetal immunotolerance

Several miRNAs seem to repress expression of immune tolerance-associated genes, including HLA-G, but without altering trophoblast invasion. In different situations, HLA-G is involved in developing immune tolerance, such as in pregnancy, inflammatory and autoimmune diseases or cancer (Veit and Chies, 2009). Abnormal HLA-G expression occurs in almost 70% of breast cancer lesions and is associated with poor outcome (Chen et al., 2010). A recent study demonstrated a relation between miRNAs and

Pregnancy related miRNAs in maternal peripheral blood

Placenta-derived miRNAs in the maternal circulation seem to play a pivotal role in adaptation of the organism to pregnancy, especially in regard to inducing immune tolerance. Numerous members of the above mentioned C19MC cluster of miRNA have been detected in maternal blood (Miura et al., 2010). Elevated plasma levels of placental DNA and RNA are associated with clinical conditions related to placenta dysfunction, such as preeclampsia and intrauterine growth restriction (Alberry et al., 2009,

Conclusions and perspectives

Pregnancy is a complex process which requires tightly regulated gene expression in the placenta. MiRNA tune and control gene expression post-transcriptionally, but manifold factors and situations tune and control miRNA. Therefore, their potential for becoming novel biomarkers and also drug targets is enormous. In pregnancy, miRNA may reflect disorders not yet detectable with other methods and contribute to understanding the underlying pathological mechanisms.

Acknowledgements

The group is currently working on miRNA expression in trophoblastic cells and supported by the Deutsche Forschungsgemeinschaft (Project Number MA 1550/7-1). DMM is receiving a Ph.D. grant from the Friedrich-Schiller-University Jena.

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