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Molecular Human Reproduction, Vol. 8, No. 6, 574-579, June 2002
© 2002 European Society of Human Reproduction and Embryology


Implantation and pregnancy

PPAR{gamma} expression in normal human placenta, hydatidiform mole and choriocarcinoma

L. Capparuccia1,4,6, D. Marzioni1, A. Giordano1, F. Fazioli2, M. De Nictolis3, N. Busso5, T. Todros4 and M. Castellucci1

1 Institutes of Normal Human Morphology, 2 Clinical Medicine, 3 Pathological Anatomy and Histology, Faculty of Medicine, University of Ancona, Ancona, 4 Department of Obstetrics and Gynaecology, University of Torino, Torino, Italy and 5 Centre Hospitalier Universitaire Vaudois, Laboratoire de Rhumatologie, Nestlé 05–5029, 1011 Lausanne, Switzerland

Peroxisome proliferator-activated receptor (PPAR) {gamma} belongs to a subclass of nuclear hormone receptors that execute their transcriptional functions as heterodimers with the retinoid X receptors (RXR). PPAR{gamma} plays a pivotal role in cellular differentiation. This study investigated PPAR{gamma} protein expression in normal human placentas, hydatidiform moles and choriocarcinoma, using immunohistochemical and Western blot analyses. In first trimester normal placenta, PPAR{gamma} was mainly localized in the nuclei of the villous cytotrophoblastic cells, whereas at term it was mainly localized in the nuclei of the syncytiotrophoblast. Extravillous cytotrophoblast of cell islands and cell columns also showed nuclear PPAR{gamma} immunostaining. A striking result was the altered expression patterns of PPAR{gamma} in pathological tissues; PPAR{gamma} showed a reduced immunostaining in the trophoblastic diseases. In hydatidiform moles, PPAR{gamma} was mainly localized in the nuclei of the trophoblastic collections of the pathological villi and in the extravillous trophoblastic cells, whereas in the choriocarcinoma, only a few trophoblastic cells showed weak PPAR{gamma} nuclear immunostaining. These findings suggest an involvement of PPAR{gamma} in trophoblast differentiation during normal placental development. The down-regulation of PPAR{gamma} expression in the gestational trophoblastic diseases analysed in this study provides a new insight into the progression of these pathologies.

choriocarcinoma/hydatidiform mole/placenta/PPAR{gamma}

6 To whom correspondence should be addressed at: Institute of Normal Human Morphology–Anatomy, Faculty of Medicine, University of Ancona, Via Tronto, 10/A, I-60020 Ancona, Italy. E-mail: lorenag23{at}libero.it


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