Placental cell fates are regulated in vivo by HIF-mediated hypoxia responses

  1. David M. Adelman1,2,
  2. Marina Gertsenstein3,
  3. Andras Nagy3,
  4. M. Celeste Simon2,4,5, and
  5. Emin Maltepe1
  1. 1Department of Pathology, University of Chicago, Chicago, Illinois 60637, USA; 2Abramson Family Cancer Research Institute, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA; 3Samuel Lunenfeld Research Institute, Mount Sinai Hospital, Toronto M5G 1X5, Canada; 4Department of Cell and Developmental Biology and the Howard Hughes Medical Institute, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA

Abstract

Placental development is profoundly influenced by oxygen (O2) tension. Human cytotrophoblasts proliferate in vitro under low O2 conditions but differentiate at higher O2 levels, mimicking the developmental transition they undergo as they invade the placental bed to establish the maternal–fetal circulation in vivo. Hypoxia-inducible factor-1 (HIF-1), consisting of HIF-1α and ARNT subunits, activates many genes involved in the cellular and organismal response to O2deprivation. Analysis of Arnt −/− placentas reveals an aberrant cellular architecture due to altered cell fate determination of Arnt −/− trophoblasts. Specifically, Arnt −/− placentas show greatly reduced labyrinthine and spongiotrophoblast layers, and increased numbers of giant cells. We further show that hypoxia promotes the in vitro differentiation of trophoblast stem cells into spongiotrophoblasts as opposed to giant cells. Our results clearly establish that O2 levels regulate cell fate determination in vivo and that HIF is essential for mammalian placentation. The unique placental phenotype of Arnt −/− animals also provides an important tool for studying the disease of preeclampsia. Interestingly, aggregation of Arnt −/− embryonic stem (ES) cells with tetraploid wild-type embryos rescues their placental defects; however, these embryos still die from yolk sac vascular and cardiac defects.

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