Oxidative stress produced by xanthine oxidase induces apoptosis in human extravillous trophoblast cells

Oxidative stress has been recognized as an important factor in the pathophysiology of preeclampsia. It has been reported that the expression of xanthine oxidase (XO) in the cytotrophoblast and plasma hydrogen peroxide (H₂O₂) level are signifcantly higher in preeclamptics than in control women. The aim of this study was to clarify the biological infuence of reactive oxygen species (ROS) produced by XO on extravillous trophoblast (EVT) cells. TCL1 cells, a human immortalized EVT cell line, were incubated with xanthine and XO (X/XO). We then measured the cell number, urate level of the culture media and the apoptotic cell ratio. Similar experiments were performed with additional administration of allopurinol, catalase, L-NAME or D-NAME, and with administration of H₂O₂ in substitution for X/XO. We assessed the effects of H₂O₂ on invasion ability, tube-like formation and protein expression of HIF1A and ITGAV of TCL1. Finally, the apoptotic cell ratio using primary cultured trophoblasts was measured following exposure to H₂O₂. X/XO decreased the relative cell number and increased the urate level and apoptotic cell ratio signifcantly. Elevation of the urate level and apoptotic cell ratio was attenuated by allopurinol and catalase, respectively. L-NAME and D-NAME had no infuence on these effects. H₂O₂ also decreased the relative cell number. Pretreatment with H₂O₂ signifcantly inhibited the invasion ability, tube-like formation and HIF1A and ITGAV of TCL1. H₂O₂ also induced apoptosis in primary cultured trophoblasts. In conclusion, ROS produced by XO induced apoptosis and affected EVT function including invasion and differentiation.