Expression levels of ACE and ACE2 in the placenta and white adipose tissue of lean and obese pregnant women

Biomarkers. 2024 Nov;29(7):434-441. doi: 10.1080/1354750X.2024.2411346. Epub 2024 Oct 23.

Abstract

Background: This study evaluated the expression of ACE and ACE2 in the placenta and white adipose tissue in lean and obese women, and correlated their levels with anthropometric, clinical, and laboratory parameters, and tissue count of inflammatory cells.

Methods: A cross-sectional analytical study was performed with 49 pregnant women and their respective newborns. Samples of placenta and adipose tissue were used for measuring mRNA expression for ACE and ACE2 through qRT-PCR. Inflammatory cell counting was performed through conventional microscopy.

Results: An increase in ACE expression and a decrease in ACE2 were observed in the placenta and adipose tissue of women with obesity. ACE2 levels showed a negative correlation with pre-pregnancy BMI and total cholesterol.

Conclusion: Maternal obesity can modulate the expression of RAS components in the placenta and white adipose tissue, with ACE2 correlated with pre-pregnancy BMI and total cholesterol.

Keywords: Maternal obesity; adipose tissue; inflammation; placenta; renin-angiotensin system.

MeSH terms

  • Adipose Tissue, White* / metabolism
  • Adult
  • Angiotensin-Converting Enzyme 2* / genetics
  • Angiotensin-Converting Enzyme 2* / metabolism
  • Body Mass Index*
  • Cholesterol / metabolism
  • Cross-Sectional Studies
  • Female
  • Humans
  • Infant, Newborn
  • Obesity* / genetics
  • Obesity* / metabolism
  • Peptidyl-Dipeptidase A* / genetics
  • Peptidyl-Dipeptidase A* / metabolism
  • Placenta* / metabolism
  • Pregnancy
  • Pregnancy in Obesity / genetics
  • Pregnancy in Obesity / metabolism
  • RNA, Messenger / genetics
  • RNA, Messenger / metabolism

Substances

  • Angiotensin-Converting Enzyme 2
  • Peptidyl-Dipeptidase A
  • ACE2 protein, human
  • ACE protein, human
  • Cholesterol
  • RNA, Messenger