This study was performed to assess the biological significance of miR-210 in
preeclampsia and small-for-gestational-age (SGA) pregnancies. Placental miR-210 expression was evaluated by quantitative RT-PCR (RT-qPCR) in the following groups: i) appropriate-for-gestational-age pregnancies (n = 72), ii)
preeclampsia (n = 52), iii) SGA (n = 66), and iv)
preeclampsia with SGA (n = 31). The effects of
hypoxia (1% O(2)) on miR-210 and
iron-
sulfur cluster scaffold homologue (
ISCU) expressions and miR-210 binding to
ISCU 3' UTR were examined in Swan 71 and BeWo cell lines. Perls' reaction (n = 229) and electron microscopy (n = 3) were conducted to verify
siderosis of trophoblasts. miR-210 expression was increased in
preeclampsia and SGA cases and was decreased with
birth weight and gestational age. In both cell lines, miR-210 was induced by
hypoxia, whereas
ISCU expression was decreased. The
luciferase assay confirmed miR-210 binding to
ISCU mRNA 3' UTR. RNA interference knockdown of
ISCU expression in Swan 71, but not in BeWo, cells resulted in autophagosomal and siderosomal
iron accumulation and a fourfold decrease of
Matrigel invasion (P = 0.004). Placental
ISCU expression was decreased in
preeclampsia (P = 0.002) and SGA (P = 0.002) cases. Furthermore,
hemosiderin-laden trophoblasts were more frequent in the placental bed of preterm
preeclampsia and/or SGA births than in control cases (48.7% versus 17.9%; P = 0.004).
Siderosis of interstitial trophoblasts is a novel pathological feature of
preeclampsia and SGA. The findings herein suggest that
ISCU down-regulation by miR-210 perturbing trophoblast
iron metabolism is associated with defective placentation.