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Mitochondria as a critical nexus point in mediating THC-induced trophoblast dysfunction: An in vitro study
Get PDFThe etiology of many gestational disorders is still unknown. However, insufficient trans-placental passage of nutrients and wastes due to poor placentation is characteristic of several pathologies and may be due, in part, to altered function of placental mitochondria. Mitochondrial activity is essential in pregnancy because it sustains the metabolic activity of the placenta throughout gestation. Exposure to stressors that perturb processes governing placentation, including maternal drug use, can negatively impact fetal development.
Cannabis use is prevalent during pregnancy. The psychoactive constituent, delta-9-tetrahydrocannbinol (THC), can cross the placenta to affect placental and fetal physiology. Importantly, cannabinoid receptors have been reported on trophoblast cells, and on mitochondria which are abundant in placentae. It has been reported that THC may target the mitochondria in various tissue types, including placental tissue, and alter its function. However, few studies have addressed the physiological control of mitochondria within the placenta, an organ that is critical for fetal growth and pregnancy maintenance.
I investigated the role of mitochondria in trophoblast differentiation and syncytialization using rotenone, a complex I inhibitor. Subsequently, I investigated the role of THC on two important aspects of placentation – invasion and syncytialization – using placental trophoblast cells HTR8/SVneo and BeWo, respectively. In response to rotenone and THC, there was increased ROS production, oxidative stress, and altered transcriptional markers favouring mitochondrial fragmentation. Treatment with 20µM THC for 48 hours led to reduced mitochondrial respiration, ATP production and loss of mitochondrial membrane polarity. Critically, these THC-induced mitochondrial changes occurred concomitant with evidence of reduced trophoblast invasion and syncytialization. Furthermore, THC exposure reduced levels of human chorionic gonadotropin, human placental lactogen and insulin-like growth factor 2, which are growth factors necessary for fetal development. Placental mitochondrial dysfunction, particularly when THC-induced, may be critical in a range of gestational disorders which have important implications for maternal and fetal/offspring health.DissertationDoctor of Philosophy (Medical Science)Cannabis is commonly used by pregnant women. Fetal exposure to cannabis and its components can impair fetal growth and neurological development. These negative fetal outcomes may be the result of poor placental formation, due to placental cell exposure to cannabis and its psychoactive component, delta-9-tetrahydrocannabinol (THC). Importantly, THC can also target intracellular organelles, like the mitochondria which are known as the “powerhouses” of the cell. Few studies have investigated the direct effects of THC on placental development. The purpose of this study was to determine how THC exposure to placental cells may alter their function. We found that THC impaired processes that allow placental attachment to the uterus and form a protective barrier, and compromised mitochondrial function, which are important for placental formation. These findings serve to inform scientists and doctors, thus stimulating the creation of new ideas and methods to further explore the impact of THC on pregnancy outcomes
The effect of lifelong maternal obesity on pregnancy outcomes and placental development
Get PDFMaternal obesity is associated with an increased risk of pregnancy complications, including preeclampsia, miscarriage, birth of small for gestational age (SGA) babies, and stillbirth. Placental dysfunction has been implicated in all of these complications; however, the mechanisms by which maternal obesity influences placental development and function are not well understood. Female Sprague-Dawley rats were fed either a control diet (CON; 16% kcal from fat) or a high fat diet (HF; 45% kcal from fat) for 16 weeks beginning at weaning and were then mated with age-matched CON-fed males. This model emulates life-long obesity prior to pregnancy, a situation which is clinically relevant. Prior to pregnancy, HF-fed dams were 36% heavier and had significantly more abdominal fat. Dams were sacrificed at either gestational day (GD) 15 or GD18 to collect placental tissues. The remaining females were allowed to give birth naturally. HF-fed dams showed evidence of increased intrauterine death at GD15 and GD18. At birth, smaller litter sizes, offspring with reduced birthweight, and more stillbirths were observed in the HF-fed group. Placentas from HF-fed dams exhibited morphological changes at GD15, including an increased area covered by the labyrinth zone, an increase in blood vessel density and decrease in blood vessel maturity in the labyrinth layer, as well as increased carbonic anhydrase staining, indicative of hypoxia. These changes were associated with increased vascular endothelial growth factor (VEGF) protein levels and decreased placental growth factor (PlGF) protein levels. Both interstitial and endovascular trophoblast invasion into the maternal mesometrial triangles were increased at GD15. While these differences were no longer evident by GD18, placental morphometry demonstrated that the area covered by the labyrinth layer remained significantly greater in the HF-fed compared to CON-fed dams. Placental oxidative stress, which is often associated with placental dysfunction, was not observed at statistically significant levels at GD15. The early dysregulation of placental structure in HF-fed dams, which is normalized later in gestation, may play a role in the development of pregnancy complications associated with maternal obesity.Master of Science (MSc
MICROPHYSIOLOGICAL MODELS OF THE HUMAN PLACENTA
Get PDFThe human placenta facilitates many key functions during pregnancy, including uterine invasion, vascular remodeling, hormone secretion, immune regulation, and maternal-fetal exchange. Placental research, however, has been limited in part by the unrepresentative nature of traditional models. The objective of this doctoral thesis was to build and characterize novel, in vitro models that reintegrated important anatomical and environmental elements of the human placenta, thus enabling more physiologically-accurate assessments of placental function. In our first model, we manipulated the thickness of the extracellular matrix surface to promote the self-assembly of trophoblast cells into three-dimensional (3D) aggregates that exhibited increased genetic and functional markers of syncytial fusion. In our second model, we established a high-throughput platform to generate 3D trophoblast spheroids that underwent dynamic invasion and migration, expressed transcriptomic profiles redolent of the extravillous trophoblast phenotype, and responded to various drugs relevant to pregnancy. In our third model, we developed a trophoblast-endothelial co-culture model of the placental barrier that underwent syncytial fusion, exhibited size-specific barrier permeability, and functioned under physiologically-relevant oxygen tensions. In conclusion, our models may each serve as valuable tools for researchers, contribute to investigations of different aspects of placental biology, and aid in the screening of drugs and toxins for pregnancy.ThesisDoctor of Philosophy (PhD)The human placenta is an important organ that helps regulate the health of both the mother and fetus during pregnancy. Researchers have traditionally studied the placenta through the use of animals or isolated cells, but these have been criticized for not being similar enough to the human placenta. Our objective was to build models that better resembled the structure and environment experienced by the human placenta within the body, such that we could better study its function. During the course of my doctoral work, I built and analyzed three models of the human placenta using human cells that were grown in three dimensions, in multiple layers, and/or in a specific environment. Our first model demonstrated that placental cell behaviour and function can be controlled by altering the thickness of the surface we grew them on. Our second model grew placental cells in three-dimensions and mimicked the invasion process into the mother’s uterus during early pregnancy. Our third model grew placental cells with blood vessel cells to form the barrier that regulates the passage of all substances between the mother and fetus during pregnancy. We also tested the impact of low oxygen on the placental barrier’s formation and function. Overall, we discovered that placental cells could indeed function more similarly to how we expect them to in the body when we design platforms that better resemble their structure and environment. Our model development work provides new information about placental biology and may serve as valuable tools in research and drug development
EFFECT OF CANNABIS ON MAMMARY EPITHELIAL CELLS AND BREAST MILK
Get PDFMammary gland (MG) is a dynamic organ that is essential for the production and secretion of breast milk. During pregnancy the MG undergoes a critical phase of remodeling, which is accompanied by the differentiation of mammary epithelial cells (MECs). During lactation, the MG requires high level of energy for proper folding of proteins in the secretory pathway, which takes place in the endoplasmic reticulum (ER). Limited evidence has been reported on the impact of cannabis or its components, delta-9-tetrahydrocannabinol (THC) and cannabidiol (CBD), on the differentiation of MECs. However, both THC and CBD have been reported to induce ER stress in various cell types, resulting in impacting cellular function. Furthermore, consequences of cannabis use in the perinatal period on breast milk composition have not been reported. Using the HC11 cell line, we investigated whether THC and CBD evoke ER stress in MECs resulting in the impaired cellular function. We also reported on the effects of cannabis use during pregnancy and lactation on the levels of macronutrients and bioactive factors in the breast milk of cannabis users. Relative to control, 10μM THC and 10μM CBD reduced mRNA levels of milk proteins (CSN2 and WAP) and lipid synthesizing enzymes (FASN, FABP4, PLIN2 and LPL), as well as whey acidic protein and lipid levels. In addition, 10μM THC, 10μM CBD, and the combination of 10μM THC + 10μM CBD significantly induced the expression of ER stress genes in HC11 cells. Furthermore, in the milk of women who used cannabis during pregnancy and lactation, the levels of secretory immunoglobulin A (SIgA) were decreased, relative to non-users. Altogether, our findings indicate that cannabis use in the perinatal period may have implications on breast milk composition and infant health.ThesisDoctor of Philosophy (Medical Science)Breast milk is crucial to the nutrition and immunity of the newborn. It is produced by the mammary gland (MG), which is composed of mammary epithelial cells (MEC) that play a key role in producing and secreting proteins and factors into the milk. During pregnancy, the MG undergoes remodeling which is accompanied by differentiation of the MECs (change from unspecialized to a specialized stage that allows the MECs to produce milk proteins and other factors). The disruption in MEC differentiation can result in altered milk production and composition. Cannabis is used by women during pregnancy and breastfeeding. In this study, we investigated the impact of cannabinoids on the MEC differentiation and examined the effect of cannabis use in the perinatal period on the breast milk composition in humans. We reported that cannabinoids reduced the differentiation of MECs and maternal cannabis use during breastfeeding reduced levels of an essential immune factor
Matrigel alters the expression of genes related to adipogenesis and the production of extracellular matrix in 3T3-L1 cells
Get PDFStudying molecular mechanisms underlying adipocyte differentiation is imperative to understanding adipocyte function and its role in obesity. However, the majority of research exploring adipogenesis is conducted with cell lines cultured directly on tissue culture plastic. Culturing cells on plastic may result in altered proliferation and differentiation, and subsequent change in pharmacological response. The extracellular matrix (ECM) plays a critical role in adipocyte development and survival. It is suggested that cells in vitro express high levels of ECM proteins to compensate for lack of an ECM. Differentiating preadipocytes on a substrate representative of the mature adipocyte extracellular environment may provide a more physiological response to drugs and environmental chemicals. The purpose of this study was to investigate the impact of Matrigel on 3T3-L1 cell growth, differentiation, lipid accumulation and responsiveness to Rosiglitazone. Matrigel decreased 3T3-L1 cell proliferation, enhanced lipid accumulation, and increased expression of adipogenic and lipogenic markers, including PPARγ, C/EBPα, SREBP1c, FAS, LPL, FABP4 and PLIN1. This was accompanied by a decrease in gene expression of ECM proteins, including fibronectin, collagen 1, collagen 3, collagen 4, laminin and collagen 6 in 3T3-L1 cells on Matrigel. Finally, Matrigel enhanced the response of 3T3-L1 cells to Rosiglitazone, which is a known PPARγ agonist and significantly increases lipid accumulation in 3T3-L1 cells. Our results suggest that enhanced lipid accumulation in 3T3-L1 cells on Matrigel is associated with decreased expression of ECM genes. Future studies require investigation of the cell-to-ECM interaction to confirm these findings. This study proposes that the nature of the ECM for cultured adipocytes alters temporal lipid accumulation patterns and response to various drugs as compared to 3T3-L1 cells grown on tissue culture plastic.ThesisMaster of Science (MSc
The Effects of Olanzapine on Trophoblast Invasion
Get PDFOlanzapine (OLN) is one of the most commonly taken antipsychotics during pregnancy. Exposure of the fetus to OLN during gestation leads to altered birth weight. This is of concern because altered fetal growth increases the risk of metabolic syndrome later in life, which negatively impacts an individual’s quality of life, lifespan, and increases the burden on the healthcare system. However, the mechanisms of how antipsychotics, such as OLN, contribute to fetal growth effects have yet to be determined. The placenta plays a critical role in modulating the in utero environment to promote optimal fetal growth and is dysfunctional in pregnancies complicated by fetal growth restriction. However, no previous work has examined the direct effect of OLN on the placenta. We assessed whether OLN can impact the placenta by exposing a human trophoblast cell line (HTR-8/SVneo cells) to OLN and determining its effects on trophoblast invasion. Altered invasion is heavily implicated in adverse pregnancy outcomes such as preeclampsia, and intrauterine growth restriction. This thesis demonstrates that OLN increases trophoblast cell invasion, as well as integrin gene expression and the amount of active extracellular MMPs, which are important for invasion. Although the cellular signaling pathway(s) by which OLN mediates these effects remains unclear, it may involve OLN’s ability to decrease the maximal activity of the mitochondrial electron transport chain complexes. These findings provide the first evidence that OLN has the potential to affect placentation. This thesis contributes to the current understanding of how antipsychotic drugs can result in adverse fetal outcomes and allows healthcare providers to better predict and manage fetal outcomes of women taking OLN during pregnancy.ThesisMaster of Science (MSc
The Implications of Delta-9-tetrahydrocannabinol on Localized Immune and Hormonal Responses Mediated by Trophoblasts of the Human Placenta
Get PDFOver the approximate nine months of its intrauterine existence, the development of the fetus is supported by the human placenta. This transient organ is central to pregnancy success as it facilitates maternal-fetal exchange, immunological tolerance, and hormone production. Villous trophoblasts mediate placental formation by engaging in a continuous turnover process of proliferation, differentiation, fusion, and apoptosis. In doing so, cytotrophoblasts and syncytiotrophoblasts maintain the integrity of the outer placental lining known as the syncytium. Exposure to drugs, however, can compromise placental establishment, which can in turn adversely impact pregnancy and fetal health. Specifically, cannabis is widely used by women of reproductive age and during pregnancy. While maternal cannabis use is linked to poor outcomes such as preterm birth and neurodevelopmental delays in exposed children, the underlying mechanisms are not well-defined. First, we characterized a functionally relevant cell line to model differentiation and fusion. In a comparison of the BeWo and BeWo b30 cell lines, our findings demonstrated that both models similarly undergo fusion. We then explored the implications of exposure to delta-9- tetrahydrocannabinol (∆9-THC) on the immunological roles of villous trophoblasts. We observed that cytotrophoblast differentiation and fusion were associated with localized inflammation due to elevated interleukin-2 (IL-2) and tumour necrosis factor-alpha (TNF-α) but inhibited interleukin-4 (IL-4) and interleukin-10 (IL-10) production. ∆9-THC exposure impaired this T helper 1/2 cytokine balance through decreased IL-2 and TNF-α as well as increased IL-4 and IL-10 levels. Subsequently, we investigated the effects of ∆9-THC in TNF-α- and IL-10-dominant environments, to represent inflammatory and immunomodulatory microenvironments, respectively. Coincident with inflammation, ∆9-THC attenuated trophoblast fusion and the biosynthesis of steroid hormones, progesterone and cortisol, through perturbed cytochrome P450 regulation. This thesis ultimately lays a foundation for understanding how cannabis use during pregnancy may compromise the fusogenic, immune and endocrine functions of villous trophoblasts in the placenta.ThesisMaster of Science (MSc)The human placenta is a pregnancy-specific organ that supports the health of the mother- to-be and fetus. Stem cells known as cytotrophoblasts undergo differentiation and fusion to support the establishment of the syncytium, which creates a boundary that separates the maternal and fetal circulations. In the case of cannabis consumption during pregnancy, its biologically active components can travel to the placenta, cross the syncytium, and enter fetal blood. Our primary objective was to determine how cannabis exposure can impact the formation and maintenance of the syncytium. While maternal use has been linked to short- and long-term consequences for child health, existing research lacks a complete understanding of the underlying mechanisms. We demonstrate that cannabis exposure alters the production of important immune and hormonal factors during cytotrophoblast fusion, which may play a role in mediating poor placental development. Ultimately, it is critical to explore the implications of cannabis use for female reproductive health due to a rising trend in its use
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Get PDF“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
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