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• W2891500692 abstract "Abstract Problem While diabetes and APS are individually associated with increased risk of poor perinatal outcomes, in particular preeclampsia, recent studies have demonstrated an association between concurrent aPL and diabetes leading to an increased risk of pregnancy morbidity. Hyperglycemia and aPL have independently been shown to alter human trophoblast function by inducing a pro‐inflammatory, anti‐angiogenic, and antimigratory response. However, little is known about the effects of concurrent hyperglycemia and aPL on trophoblast function. Method of study A human first‐trimester extravillous trophoblast cell line was exposed to glucose at 5 mmol/L (normoglycemia) or 25 mmol/L (hyperglycemia), all in the presence or absence of low‐dose aPL or control IgG. For some experiments, the TLR 4 antagonist, LPS ‐ RS , was included. Cell culture supernatants were measured for inflammatory IL ‐1β and IL ‐8, and angiogenic Pl GF , sF lt‐1, and sE ndoglin by ELISA . Inflammasome‐associated uric acid was measured using a bioassay; caspase‐1 was measured using an activity assay. Trophoblast migration was quantified using a two‐chamber colorimetric assay. Results Compared to excess glucose alone, combination excess glucose and low‐dose aPL (a) further augmented trophoblast inflammatory IL ‐1β, inflammasome‐associated uric acid and caspase‐1, and pro‐angiogenic Pl GF ; (b) dampened trophoblast inflammatory IL ‐8, anti‐angiogenic sE ndoglin, and sF lt‐1; and (c) further reduced trophoblast migration. Conclusion Our findings indicate that while concurrent aPL and hyperglycemia are overall detrimental to trophoblast function, the presence of two simultaneous insults triggers some protective effects." @default.
• W2891500692 created "2018-09-27" @default.
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• W2891500692 date "2018-09-08" @default.
• W2891500692 modified "2023-09-26" @default.
• W2891500692 title "Modulation of trophoblast function by concurrent hyperglycemia and antiphospholipid antibodies is in part TLR4-dependent" @default.
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• W2891500692 doi "https://doi.org/10.1111/aji.13045" @default.
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