The transcriptome of cervical ripening in human pregnancy before the onset of labor at term: Identification of novel molecular functions involved in this process

Sonia S. Hassan, Roberto Romero, Adi L. Tarca, Chia Ling Nhan-Chang, Edi Vaisbuch, Offer Erez, Pooja Mittal, Juan Pedro Kusanovic, Shali Mazaki-Tovi, Lami Yeo, Sorin Draghici, Jung Sun Kim, Niels Uldbjerg, Chong Jai Kim

Research output: Contribution to journalArticlepeer-review

55 Scopus citations

Abstract

The aim of this study was to identify changes in the cervical transcriptome in the human uterine cervix as a function of ripening before the onset of labor. Study Design. Human cervical tissue was obtained from women at term not in labor with ripe (n=11) and unripe (n=11) cervices and profiled using Affymetrix GeneChip® HGU133Plus2.0 arrays. Gene expression was analyzed using a moderated t-test (False Discovery Rate 5%). Gene ontology and pathway analysis were performed. Quantitative reverse transcription-polymerase chain reaction (qRT-PCR) was used for confirmation of selected differentially expressed genes. Results. (1) Ninety-one genes were differentially expressed between ripe and unripe groups. (2) Cervical ripening was associated with enrichment of specific biological processes (e.g. cell adhesion, regulation of anatomical structure), pathways and 11 molecular functions (e.g. extracelluar matrix (ECM)-structural constituent, protein binding, glycosaminoglycan binding). (3) qRT-PCR confirmed that 9 of 11 tested differentially expressed genes (determined by microarray) were upregulated in a ripe cervix (e.g. MYOCD, VCAN, THBS1, COL5A1). (4) Twenty-three additional genes related to ECM metabolism and adhesion molecules were differentially regulated (by qRT-PCR) in ripe cervices. Conclusion. (1) This is the first description of the changes in the human cervical transcriptome with ripening before the onset of labor. (2) Biological processes, pathways and molecular functions were identified with the use of this unbiased approach. (3) In contrast to cervical dilation after term labor, inflammation-related genes did not emerge as differentially regulated with cervical ripening. (4) Myocardin was identified as a novel gene upregulated in human cervical ripening.

Original languageEnglish
Pages (from-to)1183-1193
Number of pages11
JournalJournal of Maternal-Fetal and Neonatal Medicine
Volume22
Issue number12
DOIs
StatePublished - 1 Dec 2009
Externally publishedYes

Keywords

  • ADAMTS
  • Cell adhesion
  • Cervix
  • Collagen
  • Extracellular matrix structural constituent
  • Integrin binding
  • Matrix metalloproteinase
  • Regulation of anatomical structure
  • Regulation of locomotion
  • Ripe cervix
  • Structural molecule activity
  • Versican

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