Evidence map›Paper›PMID 36788289›Full record

ArticlePediatric research2023

Elevated human placental heat shock protein 5 is associated with spontaneous preterm birth.

Pinja Tissarinen, Heli Tiensuu, Antti M Haapalainen, Tomi A Määttä, Marja Ojaniemi, Mikko Hallman, Mika Rämet

Open access · hybridAbstract read
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Article in Pediatric research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 21% of its field
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

7 citing papers in PubMed, 8 citations in OpenAlex.

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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

7 authors at 3 institutions in 1 country.

Pinja TissarinenPEDEGO Research Unit and Medical Research Center Oulu, University of Oulu, Oulu, Finland.
Heli TiensuuPEDEGO Research Unit and Medical Research Center Oulu, University of Oulu, Oulu, Finland.
Antti M HaapalainenPEDEGO Research Unit and Medical Research Center Oulu, University of Oulu, Oulu, Finland.
Tomi A MäättäPEDEGO Research Unit and Medical Research Center Oulu, University of Oulu, Oulu, Finland.
Marja OjaniemiPEDEGO Research Unit and Medical Research Center Oulu, University of Oulu, Oulu, Finland.
Mikko Hallman *PEDEGO Research Unit and Medical Research Center Oulu, University of Oulu, Oulu, Finland.
Mika Rämet *PEDEGO Research Unit and Medical Research Center Oulu, University of Oulu, Oulu, Finland. mika.ramet@tuni.fi.
Oulu University Hospital · FIOulu University of Applied Sciences · FIUniversity of Oulu · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpecific heat shock proteins are associated with pregnancy complications, including spontaneous preterm birth (SPTB). Placental proteomics and whole exome sequencing recently suggested an association between heat shock protein HSPA5 and uncomplicated SPTB. In the present study, we investigated the localization of and possible roles for HSPA5 in SPTB.

methodsWestern blot was performed to validate the result from the previously published proteomic analysis. We used qPCR to assess mRNA expression of genes and immunohistochemistry and immunoelectron microscopy to examine localization of HSPA5 in placental tissue. We silenced the HSPA5 gene in the HTR8/SVneo human trophoblast cell line to investigate possible functions of HSPA5.

resultsHSPA5 was upregulated in placentas from SPTBs compared to spontaneous term births. We did not observe upregulation of HSPA5 mRNA in placental samples. The protein was localized in placental trophoblast in both spontaneous preterm and term placentas. Gene silencing of HSPA5 in human trophoblast cell culture affected the inflammatory response and decreased the expression of several proinflammatory genes.

conclusionsWe suggest that upregulation of HSPA5 in the placenta is associated with spontaneous preterm labor. HSPA5 may promote the inflammatory response and alter the anti-inflammatory state of the placenta which could eventually lead to premature labor. IMPACT: We validated upregulation of HSPA5 in placentas from spontaneous preterm birth. HSPA5 was not upregulated at transcriptional level which suggests that it may be regulated post-translationally. Silencing HSPA5 in a human trophoblast-derived cell line suggested that HSPA5 promotes expression of proinflammatory cytokines. The emerging inflammation could lead to spontaneous preterm labor. Identifying inflammatory pathways and factors associated with spontaneous preterm birth increases knowledge of the molecular mechanisms of premature labor. This could provide cues to predict imminent premature labor and lead to information about how to safely maintain pregnancies.

Indexed as

Obstetric Labor, PrematurePremature BirthEndoplasmic Reticulum Chaperone BiPFemaleHumansInfant, NewbornPlacentaPregnancyProteomicsRNA, MessengerEndoplasmic Reticulum Chaperone BiPRNA, Messenger

Identifiers

PMID36788289
PMCPMC9926443
OpenAlexW4320726705

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Registered trials

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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.