Evidence map›Paper›PMID 36881072›Full record

ArticleIn vivo (Athens, Greece)

Impact of ACE2 and TMPRSS2 Expression in Patients With Preeclampsia.

Ji Eun Park, Dae Hyun Song, Yu-Min Kim, Hyen Chul Jo, Jong Chul Baek, Hyoeun Kim, Juseok Yang, Hyo Jung An

Open access · diamondAbstract read
In one paragraph

Article in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 96% 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

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. Review
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

8 authors at 2 institutions in 1 country.

Ji Eun ParkDepartment of Obstetrics and Gynecology, Gyeongsang National University Changwon Hospital, Changwon, Republic of Korea.
Dae Hyun SongInstitute of Health Science, Gyeongsang National University, Jinju, Republic of Korea.
Yu-Min KimInstitute of Health Science, Gyeongsang National University, Jinju, Republic of Korea.
Hyen Chul JoDepartment of Obstetrics and Gynecology, Gyeongsang National University Changwon Hospital, Changwon, Republic of Korea.
Jong Chul BaekDepartment of Obstetrics and Gynecology, Gyeongsang National University Changwon Hospital, Changwon, Republic of Korea.
Hyoeun KimDepartment of Obstetrics and Gynecology, Gyeongsang National University Changwon Hospital, Changwon, Republic of Korea.
Juseok YangDepartment of Obstetrics and Gynecology, Gyeongsang National University Changwon Hospital, Changwon, Republic of Korea.
Hyo Jung AnInstitute of Health Science, Gyeongsang National University, Jinju, Republic of Korea; ariel2020@naver.com.
Changwon National University · KRGyeongsang National University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimAs maternal morbidity and mortality during pregnancy have increased during the COVID-19 pandemic, studies on pregnancy-related complications from SARS-CoV-2 infection are being actively conducted. Considering that pregnant women with COVID-19 may develop a preeclampsia (PE)-like syndrome, it is necessary to differentiate it from PE because true PE can result in an unfavorable perinatal outcome during a hasty delivery. MATERIALS AND

methodsWe investigated the protein expression of transmembrane serine protease 2 (TMPRSS2) and angiotensin-converting enzyme 2 (ACE2) in placental samples from 42 normotensive (n=9) and PE (n=33) patients without SARS-CoV-2 infection. We isolated placental trophoblast cells from normotensive and PE patients without evidence of SARS-CoV-2 infection to determine the mRNA and protein expression levels of TMPRSS2 and ACE2.

resultsHigh ACE2 cytoplasmic expression in extravillous trophoblasts (EVTs) was correlated with lower fibrin deposition (p=0.017). In comparison with high nuclear TMPRSS2 expression, low nuclearTMPRSS2 expression in endothelial cells (ECs) was positively correlated with PE (p=0.005), significantly higher systolic blood pressure (p=0.006), and higher urine protein-to-creatinine ratio (p=0.022). In contrast, high cytoplasmic TMPRSS2 expression in fibroblasts (FBs) was correlated with higher urine protein-to-creatinine ratio (p=0.018). Trophoblast cells extracted from PE placental tissue showed lower mRNA levels for both ACE2 and TMPRSS2.

conclusionTMPRSS2 nuclear expression in ECs and cytoplasmic expression in FBs of the placenta may be related to a trophoblast-independent PE mechanism, and TMPRSS2 could be a new biomarker to discriminate actual PE from a PE-like syndrome associated with COVID-19.

Indexed as

COVID-19Pre-EclampsiaAngiotensin-Converting Enzyme 2CreatinineEndothelial CellsFemaleHumansPandemicsPlacentaPregnancySARS-CoV-2Serine EndopeptidasesACE2 protein, humanAngiotensin-Converting Enzyme 2CreatinineSerine EndopeptidasesTMPRSS2 protein, humanACE2PreeclampsiaSARS-CoV-2 infectionTMPRSS2

Identifiers

PMID36881072
PMCPMC10026679
OpenAlexW4323348474

What OpenQuestion holds

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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.