Evidence map›Paper›PMID 24901243›Full record

ArticlePloS one2014

Hypoxia and the anticoagulants dalteparin and acetylsalicylic acid affect human placental amino acid transport.

Marc-Jens Kleppa, Sarah-Vanessa Erlenwein, Natallia Darashchonak, Constantin S von Kaisenberg, Frauke von Versen-Höynck

Abstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Placental Origins of Chronic Disease.Physiological reviews · 2016
    Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Marc-Jens KleppaDepartment of Obstetrics and Gynecology, Hannover Medical School, Hannover, Germany.
Sarah-Vanessa ErlenweinDepartment of Obstetrics and Gynecology, Hannover Medical School, Hannover, Germany.
Natallia DarashchonakDepartment of Obstetrics and Gynecology, Hannover Medical School, Hannover, Germany.
Constantin S von KaisenbergDepartment of Obstetrics and Gynecology, Hannover Medical School, Hannover, Germany.
Frauke von Versen-HöynckDepartment of Obstetrics and Gynecology, Hannover Medical School, Hannover, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnticoagulants, e.g. low-molecular weight heparins (LMWHs) and acetylsalicylic acid (ASA) are prescribed to women at risk for pregnancy complications that are associated with impaired placentation and placental hypoxia. Beyond their role as anticoagulants these compounds exhibit direct effects on trophoblast but their impact on placental function is unknown. The amino acid transport systems A and L, which preferably transfer essential amino acids, are well-described models to study placental nutrient transport. We aimed to examine the effect of hypoxia, LMWHs and ASA on the activity of the placental amino acid transport systems A and L and associated signalling mechanisms.

methodsThe uptake of C14-MeAIB (system A) or H3-leucin (system L) was investigated after incubation of primary villous fragments isolated from term placentas. Villous tissue was incubated at 2% O2 (hypoxia), 8% O2 and standard culture conditions (21% O2) or at 2% O2 and 21% O2 with dalteparin or ASA. Activation of the JAK/STAT or mTOR signalling pathways was determined by Western analysis of total and phosphorylated STAT3 or Raptor.

resultsHypoxia decreased system A mediated MeAIB uptake and increased system L mediated leucine uptake compared to standard culture conditions (21% O2). This was accompanied by an impairment of STAT3 and a stimulation of Raptor signalling. System L activity increased at 8% O2. Dalteparin treatment reduced system A and system L activity under normoxic conditions and ASA (1 mM) decreased system A and L transporter activity under normoxic and hypoxic conditions.

conclusionsOur data underline the dependency of placental function on oxygen supply. LMWHs and ASA are not able to reverse the effects of hypoxia on placental amino acid transport. These findings and the uncovering of the signalling mechanisms in more detail will help to understand the impact of LMWHs and ASA on placental function and fetal growth.

Indexed as

HypoxiaAdaptor Proteins, Signal TransducingAmino Acid Transport System AAmino Acid Transport System LAnticoagulantsAspirinBiological TransportCarbon RadioisotopesChorionic VilliDalteparinFemaleHumansIn Vitro TechniquesPhosphorylationPlacentaPregnancyAdaptor Proteins, Signal TransducingAmino Acid Transport System AAmino Acid Transport System LAnticoagulantsAspirinCarbon RadioisotopesDalteparinRegulatory-Associated Protein of mTORRPTOR protein, humanSTAT3 Transcription FactorTritium

Identifiers

PMID24901243
PMCPMC4047053

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.