Skip to main content

The Potential Role of Endoglin During Pregnancy

  • Chapter
Reproductive Immunology
  • 321 Accesses

Abstract

The endoglin (CD 105) is a glycoprotein constitutively expressed at high levels on vascular endothelium and present on syncytiotrophoblast of placenta, throughout pregnancy. It is also transiently expressed on differentiating extravillous trophoblasts (EVT) in anchoring villi. Interference with endoglin expression using antibodies or antisense oligonucleotides in human villous expiants in culture, induces EVT differentiation along the invasive pathway. Endoglin can modulate specific responses to TGF-β1 and TGF-β3 and was recently shown to bind other growth factors of this superfamily including activin, by associating with the appropriate ligand binding serine kinase receptors. Since EVT differentiation is stimulated by activin while inhibited by TGF-β1/β3, we suggest that endoglin might be regulating the effects of these three factors and play a key role in establishing adequate anchoring villi function. Endoglin is mutated in Hereditary Hemorrhagic Telangiectasia Type 1 (HHT1) and reduced levels of surface protein appear to be the underlying cause of this disorder. HHT occurs in 1: 10,000 people, and is associated with dilated vessels and arteriovenous malformations. Preliminary findings suggest that blood vessels within villi of HHT1 placenta at term, express lower levels of endoglin and are susceptible to dilatation. This implicates that endoglin expressed on placental vessels might also contribute to regulation of fetomaternal interactions during pregnancy.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Boyd J.D., Hamilton W.J. The human Placenta. Cambridge, M.A: Heffer & Sons; 1970.

    Google Scholar 

  2. Padykula H.A. The human placenta. In: Weiss, L. & Greep, R.O. (eds), New York McGraw Hill; 1977: 951–978.

    Google Scholar 

  3. Damsky C.H., Fitzgerald M.L., Fisher S.J. Distribution Patterns of extracellular matrix components and adhesion receptors are intricately modulated during first trimester cytotrophoblast differentiation along the invasive pathway, in vivo. J. Clin. Invest 1992; 89: 210–222.

    Article  PubMed  CAS  Google Scholar 

  4. Strickland S., Richards W.G. Invasion of trophoblasts. Cell 1992; 71: 355–357

    Article  PubMed  CAS  Google Scholar 

  5. Fox H. Pathology of the placenta. Philadelphia: Saunders; 1978.

    Google Scholar 

  6. Fisher S.J., Cui T., Hartman L., Grahl K., Guo-Yang Z., Tarpey J., Damsky C.H. Adhesive and degradative properties of human placental cytotrophoblast cells in vitro. J. Cell. Biol. 1989; 109: 891–902.

    Article  PubMed  CAS  Google Scholar 

  7. Lala P.K., Graham C.H. Mechanisms of trophoblast invasiveness and their control: the role of proteases and protease inhibitors. Cancer and Metastatic Reviews 1990; 9: 369–379.

    Article  CAS  Google Scholar 

  8. Librach C.L., Werb Z., Fitzgerald M.L., Chiu K., Corwin N.M., Esteves R.A., Grobelny D., Galardy R., Damsky C.H., Fisher S.J., 92-kd type IV collagenase mediates invasion of human cytotrophoblasts. J. Cell. Biol. 1991; 113: 437–449.

    Article  PubMed  CAS  Google Scholar 

  9. Bischof P., Redard M., Gindre P., Vassilakos P., Campana A. Localization of alpha 2, alpha 5 and alpha 6 integrin subunits in human endometrium, decidua and trophoblast. Eur. J. Obstet Gynecol & Reprod. Biol. 1993; 51: 217–226.

    Article  CAS  Google Scholar 

  10. Damsky C.H., Librach C., Lim K-H, Fitzgerald M.L., McMaster M.T., Janatpour M., Zhou Y., Logan S.K., Fisher S.J. Integrin switching regulates normal trophoblast invasion. Development 1994; 120: 3657–3666.

    PubMed  CAS  Google Scholar 

  11. Zhou Y., Fisher S.J., Janatpour M., Genbacev O., Dejana E., Wheelock M., Damsky C.H. Human cytotrophoblasts adopt a vascular phenotype as they differentiate. A strategy for successful endovascular invasion? J. Clin Invest 1997; 99: 2131–2151.

    Google Scholar 

  12. Genbacev O., Schubach S.A., Miller R.K. Villous culture of first trimester human placenta-Model to study extravillous trophoblast (EVT) differentiation. Placenta 1992; 13: 439–461.

    Article  PubMed  CAS  Google Scholar 

  13. Genbacev O., White T.E.K., Gavin C.E., Miller R.K. Human trophoblast cultures: models for implantation and peri-implantation toxicology. Reproductive Toxicology 1993; 7: 75–94.

    Article  PubMed  CAS  Google Scholar 

  14. Vicovac L., Jones C.J.P., Aplin J.D. Trophoblast differentiation during formation of anchoring villi in a model of the early human placenta in vitro. Placenta 1995; 16: 41–56.

    Article  PubMed  CAS  Google Scholar 

  15. Frolick C.A., Dart L.L., Meyers C.A., Smith D.M., Sporn M.B. Purification and initial characterization of a typeβ transforming growth factor from human placenta. Proc. Natl. Acad. Sci. USA 1983; 80: 3676–3680.

    Article  Google Scholar 

  16. Dungy L.J., Siddiqi T.A., Khan S. Transforming growth factor-βl expression during placental development. Am. J. Obstet Gynecol 1991; 165: 853–857.

    PubMed  CAS  Google Scholar 

  17. Graham C.H., Lysiak J.J., McCrae K.R., Lala P.K. Localization of transforming growth factor-β at the human fetal-meternal interface: role in trophoblast growth and differentiation. Biol. Reprod. 1992; 46: 561–572.

    Article  PubMed  CAS  Google Scholar 

  18. Lysiak J.J., Hunt J., Pringle G.A., Lala P.K. Localization of transforming growth factor β and its natural inhibitor decorin in the human placenta and decidua throughout gestation. Placenta 1995; 16: 221–231.

    Article  PubMed  CAS  Google Scholar 

  19. Graham CH, Lala P.K. Mechanism of control of trophoblast invasion in situ. J. Cell. Physiol. 1991; 148: 228–234.

    Article  PubMed  CAS  Google Scholar 

  20. Feinberg R.F., Kliman H.J., Wang C-L. Transforming growth factor-β stimulates trophoblast oncofetal fibronectin synthesis in vitro: implications for trophoblast implantation in vivo. J. Clin. Endocrinol. Metab. 1994; 78: 1241–1248.

    Article  PubMed  CAS  Google Scholar 

  21. Irving J.A., Lala P.K. Functional role of cell surface integrins on human trophoblast cell migration: regulation by TGF-β, IGF-II and IGFBP-1. Exp. Cell. Res. 1995; 217: 419–427.

    Article  PubMed  CAS  Google Scholar 

  22. Massague J. TGF-β signal transduction. Annu. Rev. Biochem 1998; 67: 753–791.

    Article  PubMed  CAS  Google Scholar 

  23. Wrana J.L., Attisano L, Cárcamo J., Zentella A., Doody J., Laiho M., Wang X-F., Massagué J. TGF-β signals through a heteromeric protein kinase receptor complex. Cell. 1992; 71: 1003–1014.

    Article  PubMed  CAS  Google Scholar 

  24. Wrana J.L., Attisano L., Wieser R., Ventura F., Messagué J. Mechanisms of activation of the TGF-β receptor. Nature (Lond) 1994; 370: 341–347.

    Article  CAS  Google Scholar 

  25. Attisano L., Wrana J.L. Signal transduction by members of the transforming growth factor-β superfamily. Cytokine Growth Fact. Rev. 1996; 7: 327–339.

    Article  CAS  Google Scholar 

  26. Hoodless P.A., Wrana J.L. Mechanisms and function of signalling by the TGF-β superfamily. In: Pawson, A.S. (eds.) Berlin: Springer-Verlag; 1998: 235–272.

    Google Scholar 

  27. López-Casillas F., Wrana J.L., Massagué J. Betaglycan presents ligand to the TGF-β receptor. Cell 1993; 73: 1435–1444.

    Article  PubMed  Google Scholar 

  28. López-Casillas F., Payne H.M., Andres J.L., Massagué J. Betaglycan can act as a dual modulator of TGF-β access to signaling receptors: mapping of ligand binding and GAG attachment sites. J. Cell. Biol. 1994; 124: 557–568.

    Article  PubMed  Google Scholar 

  29. Mitchell E.J., O’Connor-McCourt M.D. A transforming growth factorβ (TGF-β) receptor from human placenta exhibits a greater affinity for TGF-β2 than for TGF-β1. Biochemistry 1991; 30: 4350–4356.

    Article  PubMed  CAS  Google Scholar 

  30. Mitchell E.J., Fitz-Gibbon L., O’Connor-McCourt M.D. Subtypes of betaglycan and type I and type II transforming growth factor-β (TGF-β) receptors with different affinities for TGF-βl and TGF-β2 are exhibited by human placenta trophoblasts. J. Cell. Physiol. 1992; 150: 334–343.

    Article  PubMed  CAS  Google Scholar 

  31. López-Casillas F., Cheifetz S., Doody J., Andres J.L., Lane W.S., Massagué J. Structure and Expression of the membrane proteoglycan betaglycan, a component of the TGF-β receptor. Cell. 1991; 67: 785–795.

    Article  PubMed  Google Scholar 

  32. Wang X-F, Lin H.Y., Ng-Eaton E., Downward J., Lodish H.F., Weinberg R.A. Expression cloning and characterization of the TGF-βtype III receptor. Cell. 1991; 67: 797–805.

    Article  PubMed  CAS  Google Scholar 

  33. Cheifetz S., Bellón T., Calés C., Vera S., Bernabeu C., Massagué J., Letarte M. Endoglin is a component of the transforming growth factor-β receptor system in human endothelial cells. J. Biol. Chem. 1992; 267: 19027–19030.

    PubMed  CAS  Google Scholar 

  34. Quackenbush E.J., Letarte M. Identification of several cell surface proteins of non-T, non-B acute lymphoblastic leukemia by using monoclonal antibodies. J. Immunol. 1985; 134: 1276–1285.

    PubMed  CAS  Google Scholar 

  35. Gougos A., Letarte M. Identification of a human endothelial cell antigen with monoclonal antibody 44G4 produced against a pre-B leukemic cell line. J. Immunol. 1988; 141: 1925–1933.

    PubMed  CAS  Google Scholar 

  36. Letarte M., Greaves A., Vera S. CD105 (endoglin) cluster report. In: Schlossman S.F., Boumsell L., Gilks W., Harlan J., Kishimoto T., Morimoto C., Ritz J., Shaw S., Silverstein R., Springer T., Tedder T. & Todd R (eds.), Leukocyte Typing V. Oxford: Oxford University Press; 1995: 1756–1759.

    Google Scholar 

  37. Bellón T., Corbi A., Lastres P., Calés C., Cebrián M., Vera S., Chefeitz M., Massagué J., Letarte M., Bernabeu C. Identification and expression of two forms of the human transforming growth factor-β-binding protein endoglin with distinct cytoplasmic regions. Eur. J. Immunol. 1993; 23: 2340–2345.

    Article  PubMed  Google Scholar 

  38. Zhang H.W., Shaw A.R.E., Mak A., Letarte M. Endoglin is a component of the TGF-β receptor complex of human pre-B leukemic cells. J. Immunol. 1996; 156: 565–573.

    CAS  Google Scholar 

  39. Pece Barbara N., Wrana J., Letarte M. Endoglin is an accessory protein that interacts with the signaling receptor complex of multiple members of the transforming growth factor-β superfamily. J. Biol. Chem. 1999; 274: 584–594.

    Article  Google Scholar 

  40. Gougos A., Letarte M., Primary structure of endoglin, an RGD-containing glycoprotein of human endothelial cells. J. Biol. Chem. 1990; 265: 8361–8364.

    PubMed  CAS  Google Scholar 

  41. Gougos A., St. Jacques S., Greaves A., O’Connell P.J., d’Apice A.J.F., Buhring H-J., Bernabeu C., van Mourik J.A., Letarte M. Identification of distinct epitopes of endoglin, and RGD containing-glycoprotein of endothelial cells, leukemic cells and syncytiotrophoblasts. Inter. Immunol. 1992; 4: 83–92.

    Article  CAS  Google Scholar 

  42. St-Jacques S., Forte M., Lye S.J., Letarte M. Localization of endoglin, a transforming growth factor-β binding protein, and of CD44 and integrins in placenta during the first trimester of pregnancy. Biol. Reprod. 1994; 51: 405–413.

    Article  PubMed  CAS  Google Scholar 

  43. Caniggia I., Taylor C.V., Ritchie J.W.K., Lye S.J., Letarte M. Endoglin regulates trophoblast differentiation along the invasive pathway in human placental villous expiants. Endocrinology 1997; 138: 4977–4988.

    Article  PubMed  CAS  Google Scholar 

  44. Petraglia F., Woodruff T.K., Botticelli G., Botticelli A., Genazzani A.R., Mayo K.E., Vale W. Gonadotrophin-releasing hormone, inhibin, and activin in human placenta: evidence for a common cellular localization. J. Clin. Endocrinol. Metab. 1992; 74: 1184–1188.

    Article  PubMed  CAS  Google Scholar 

  45. Peng C., Huang T-HG., Jeung E-B, Donaldson C.J., Vale W.W., Leung P.C.K. Expression of the type II activin receptor gene in the human placenta. Endocrinology 1993; 133: 3046–3049.

    Article  PubMed  CAS  Google Scholar 

  46. Caniggia 1., Lye S.J., Cross J.C. Activin is a local regulator of human cytotrophoblast cell, differentiation. Endocrinology 1997; 138: 3976–3986.

    Article  PubMed  CAS  Google Scholar 

  47. Plauchu H., de Chadaverian J-P, Bideau A., Robert J-M. Age-related clinical profile of hereditary hemorrhagic telangiectasia in an epidemiologically recruited population. Am. J. Med. Genet. 1989; 32: 291–297.

    Article  PubMed  CAS  Google Scholar 

  48. Guttmacher A.E., Marchuk D.A., White R.I.J. Hereditary hemorrhagic telangiectasia. N. Eng. J. Med. 1995; 333: 918–924.

    Article  CAS  Google Scholar 

  49. Shhovlin C.L., Molecular defects in rare bleeding disorders: Hereditary haemorrhagic telangiectasia. Thrombosis and Haemostasis 1997; 78: 145–150.

    Google Scholar 

  50. Shovlin C., Letarte M. Hereditary hemorrhagic telangiectasia and pulmonary arteriovenous malformations: Issues in clinical management and review of pathogenic mechanisms. In Rare Diseases Series for Thorax; 1998.

    Google Scholar 

  51. McAllister K.A., Grogg K.M., Johnson D.W., Gallione C.J., Baldwin M.A., Jackson C.E., Helmbold E.A., Markel D.S., McKinnon W.C., Murrell J., McCormick M.K., Pericak-Vance M.A., Heutink P., Oostra B.A., Haitjema T., Westerman C.J.J., Porteus M.E., Guttmacher A.E., Letarte M., Marchuk D.A. Endoglin, a TGF-β binding protein of endothelial cells is the gene for hereditary haemorrhagic telangiectasia type 1. Nature Genet 1994; 8: 345–351.

    Article  PubMed  CAS  Google Scholar 

  52. Johnson D.W., Berg J.N., Baldwin M.A., Gallione C.J., Marondel I., Yoon S-J., Stenzel T.T., Speer M., Pericak-Vance M.A., Diamond A., Guttmacher A.E., Jackson C.E., Attisano L., Kucherlapati R., Porteus M.E.M., Marchuk D.A. Mutations in the activin receptor-like kinase 1 gene in hereditary hemorrhagic telangiectasia type 2. Nature Genet 1996; 13: 189–195.

    Article  PubMed  CAS  Google Scholar 

  53. Attisano L., Cárcamo J., Ventura F., Weis F.M.B., Massagué J., Wrana J.L. Identification of human activin and TGFβ type I receptors that form heteromeric kinase complexes with type II receptors. Cell. 1993; 75: 671–680.

    Article  PubMed  CAS  Google Scholar 

  54. McAllister K.A., Baldwin M.A., Thukkani A.K., Gallione C.J., Berg J.N., Porteus M.E., Guttmacher A.E., Marchuk D.A. Six novel mutations in the endoglin gene in hereditary hemorrhagic telangiectasia tupe 1 suggest a dominant-negative effect of receptor function. Hum. Mol. Genet. 1995; 4: 1983–1985.

    Article  PubMed  CAS  Google Scholar 

  55. Yamaguchi H., Azuma H., Shigekiyo T., Inoue H. A novel missense mutation in the endoglin gene in hereditary hemorrhagic telangiectasia. Thrombosis and Haemostasis 1997; 77: 243–247.

    PubMed  CAS  Google Scholar 

  56. Shovlin C.L., Hughes J.M.B., Scott J., Seidman C.E., Seidman J.G. Characterization of endoglin and identification of novel mutations in Hereditary Hemorrhagic Telangiectasia. Am. J. Hum. Genet. 1997; 61: 68–79.

    Article  PubMed  CAS  Google Scholar 

  57. Pece N., Vera S., Cymerman U., White R.I.J., Wrana J.L., Letarte M. Mutant endoglin in Hereditary Hemorrhagic Telangectasia type I us transiently expressed intracellularly and is not a dominant negative. J. Clin Invest 1997; 100: 2568–2579.

    Article  PubMed  CAS  Google Scholar 

  58. Gallione C.J., Klaus DJ., Yeh E.Y., Stenzel T.T., Xue Y., Anthony K.B., McAllister K.A., Baldwin M.A., Berg J.N., Lux A., Smith J.D., Vary C.P.H., Craighen W.J., Westennann C.J.J., Warner M.L. Miller Y.E., Jackson C.E., Guttmacher A.E., Marchuk D.A. Mutation and expression analysis of the endoglin gene in Hereditary Hemorrhagic Telangiectasia reveals null alleles. Human Mutation 1998; 11: 286–294.

    Article  PubMed  CAS  Google Scholar 

  59. Berg J.N., Gallione C.J., Stenzel T.T., Johnson D.W., Allen W.P., Schwartz C.E., Jackson C.E., Porteous M.E.M., Marchuk D.A. The activin receptor-like kinase 1 gene: genetic structure and mutations in hereditary hemorrhagic telangiectasia type 2. Am. J. Hum. Genet. 1997; 6: 60–67.

    Article  Google Scholar 

  60. Klaus D.J., Gallione C.J., Anthony K., Yeh E.Y., Yu J. Lux A. Johnson D.W., Marchuk D.A. Novel missense and frameshift mutations in the activin receptor-like kinase-1 gene in Hereditary Hhemorrhagic Telangiectasia. Human Mutation-Mutation in Brief; 1998: 64.

    Google Scholar 

  61. McAllister K.A., Lennon F., Bowles-Biesecker B., McKinnon W.C., Helmbold E.A., Markel D.S., Jackson C.E., Guttmacher A.E., Pericak-Vance M.A., Marchuk D.A. Genetic heterogeneity in hereditary haemorrhagic telangiectasia: possible correlation with clinical phenotype. J. Med. Genet. 1994; 31: 927–932.

    Article  PubMed  CAS  Google Scholar 

  62. Heutink P., Haitjema T., Breedveld G.J., Janssen B., Sandkuijl L.A., Bontekoe C.J.M., Westerman C.J.J., Oostra B.A. Linkage of hereditary haemorrhagic telangiectasia to chromosome 9q34 and evidence for locus heterogeneity. J. Med. Genet. 1994; 31: 933–936.

    Article  PubMed  CAS  Google Scholar 

  63. Berg J.N., Guttmacher A.E., Marchuk D.A., Porteous M.E.M. Clinical heterogeneity in hereditary haemorrhagic telangiectasia: are pulmonary arteriovenous malformations more common in families linked to endoglin? J. Med. Genet. 1996; 33: 256–257.

    Article  PubMed  CAS  Google Scholar 

  64. Shovlin C.L., Winstock A.R., Peters A.M., Jackson J.E., Hughes J.M.B. Medical complications of pregnancy in hereditary haemorrhagic telangiectasia. Quart J. Med. 1995; 88: 879–887.

    CAS  Google Scholar 

  65. Pece Barbara N., Cymerman U., Vera S., Marchuk D., Letarte M. Expression analysis of four endoglin missense mutations suggests haploinsufficiency is the predominant mechanism for hereditary hemorrhagic telangietasia type 1. 1999; submitted:.

    Google Scholar 

  66. Letarte M., Bourdeau A., Vera S., Pece N., Greaves A., Dignat-George F., M.M., Kraling B., Linask K., O’Brien E., Labinaz M., Ross J., Parish C., Bernabeu C. EC2 CD105 Workshop Panel report. In: Kishimoto T., Kikutani H., von dem Borne AEGKr, Goyert S.M., Mason D.Y., Miyasaka, m., Moretta L., Okumura K., Shaw S., Springer T.A., Sugamura K & Zola H. (eds.), Leukocyte Typing VI New York: Garland Publishing; 1997: 703–708.

    Google Scholar 

  67. Seon B.K., Matsuno F., Haruta Y., Barcos M., Spaulding B. CD105 Workshop: Immunohistochemical detection of CD105 in the vascular endothelium of human malignant and non-malignant tissues. In: Kishimoto T., Kikutani H., von dem Borne AEGKr, Goyert S.M., Mason D.Y., Miyasaka M., Moretta L., Okumura K., Shaw S., Springer T.A., Sugamura K & Zola H. (eds.), Leukocyte Typing VI New York: Garland Publishing; 1997: 709–710.

    Google Scholar 

  68. Haruta Y., Seon B.K. Distinct human leukemia-associated cell surface glycoprotein GP160 defined by monoclonal antibody SN6. Proc. Natl. Acad. Sci. USA 1986; 83: 7898–7902.

    Article  PubMed  CAS  Google Scholar 

  69. Cabanas C., Sanchez-Madrid F., Bellon T., Figdor C.G., Te Velde A.A., Fernandez J.M., Acevedo A., Bernabeu C. Characterization of a novel myeoid antigen regulated during differentiation of monocytic cells. Eur. J. Immunol. 1989; 19: 1373–1378.

    Article  PubMed  CAS  Google Scholar 

  70. Qu R., Silver M.M., Letarte M. Distribution of endoglin in early human development reveals high levels on endocardial cushion tissue mesenchyme during valve formation. Cell. and Tissue Research 1997; 292: 323–343.

    Google Scholar 

  71. Benirschke K., Kaufmann P. Pathology of the Human Placenta. New York: Springer-Verlag; 1995.p

    Book  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1999 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Letarte, M. (1999). The Potential Role of Endoglin During Pregnancy. In: Gupta, S.K. (eds) Reproductive Immunology. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-4197-0_16

Download citation

  • DOI: https://doi.org/10.1007/978-94-011-4197-0_16

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-5825-4

  • Online ISBN: 978-94-011-4197-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics