C omplicating 7% to 10% of pregnancies, 1 preeclampsia, along with other hypertensive disorders of pregnancy, is a major contributor to maternal morbidity worldwide.
2,3Although abnormal placentation is thought to play a major role in the development of preeclampsia, the pathogenesis of this disorder is not clearly understood. 4 Defects of trophoblast cell function, such as reduced proliferation, 5 excessive apoptosis, 6 aberrant differentiation, 7 limited migration and invasion of the uterus, and poor remodeling of spiral arteries, 8,9 have been considered to be associated with preeclampsia. Nevertheless, the molecular mechanisms underlying the onset and progression of preeclampsia remain largely unknown.MicroRNAs are 22-to 24-nucleotide noncoding RNAs that regulate gene expression by seed sequence pairing with the 3′-untranslated region (UTR) of target mRNAs, leading to repressed translation or induced mRNA cleavage of the target genes. 10,11 MicroRNAs have been identified as essential mediators of numerous cellular processes, 12 potentially including the response to hypoxia. In particular, microRNA-210 (miR-210) is specifically induced by hypoxia-inducible factor-1α during hypoxia 13 and regulates many hypoxia response pathways, including cell survival, 14 angiogenesis, mitochondrial metabolism, 15 and DNA repair. 16 miR-210 can target and suppress a large number of genes, including the cell cycle regulator E2F transcription factor 3, 17 the receptor tyrosine kinase ligand ephrinA3, 18 the DNA repair protein RAD52, 19 and the iron-sulfur cluster assembly proteins 1/2. 15 Recent studies revealed that miR-210 was upregulated in patients with preeclampsia [20][21][22][23][24] and demonstrated that hypoxia-inducible miR-210 might participate in the occurrence of preeclampsia via the downregulation of ephrin-A3 and homeobox-A9. 24 The repressive effect of miR-210 on primary trophoblast cell invasion was also reported. 23 In addition, the study by us and others revealed that miR-210 could be a potential serum biomarker Abstract-Preeclampsia is a pregnancy-specific syndrome manifested by the onset of hypertension and proteinuria after the 20th week of gestation. Abnormal placenta development has been generally accepted as the initial cause of the disorder. Recently, microRNA-210 (miR-210) has been found to be upregulated in preeclamptic placentas compared with normal placentas, indicating a possible association of this small molecule with the placental pathology of preeclampsia. However, the function of miR-210 in the development of the placenta remains elusive. The aim of this study was to characterize the molecular mechanism of preeclampsia development by examining the role of miR-210. In this study, miR-210 and potassium channel modulatory factor 1 (KCMF1) expressions were compared in placentas from healthy pregnant individuals and patients with preeclampsia, and the role of miR-210 in trophoblast cell invasion via the downregulation of KCMF1 was investigated in the immortal trophoblast cell line HTR8/SVneo. Th...