Genetically edited human placental organoids cast new light on the role of ACE2

Abstract ACE2 expression is altered in pregnancy disorders and ACE2 gene variants are associated with several major pregnancy complications including small-for-gestational-age, fetal growth restriction and preeclampsia. This study utilised gene-editing to generate both ACE2 knockout and ACE2 rs20741...

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Main Authors: Anya L. Arthurs, Bianca Dietrich, Martin Knöfler, Caleb J. Lushington, Paul Q. Thomas, Fatwa Adikusuma, Jessica M. Williamson, Susan Babikha, Tyla Damhuis, Tanja Jankovic-Karasoulos, Melanie D. Smith, Kirsty G. Pringle, Claire T. Roberts
Format: Article
Language:English
Published: Nature Publishing Group 2025-02-01
Series:Cell Death and Disease
Online Access:https://doi.org/10.1038/s41419-025-07400-x
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author Anya L. Arthurs
Bianca Dietrich
Martin Knöfler
Caleb J. Lushington
Paul Q. Thomas
Fatwa Adikusuma
Jessica M. Williamson
Susan Babikha
Tyla Damhuis
Tanja Jankovic-Karasoulos
Melanie D. Smith
Kirsty G. Pringle
Claire T. Roberts
author_facet Anya L. Arthurs
Bianca Dietrich
Martin Knöfler
Caleb J. Lushington
Paul Q. Thomas
Fatwa Adikusuma
Jessica M. Williamson
Susan Babikha
Tyla Damhuis
Tanja Jankovic-Karasoulos
Melanie D. Smith
Kirsty G. Pringle
Claire T. Roberts
author_sort Anya L. Arthurs
collection DOAJ
description Abstract ACE2 expression is altered in pregnancy disorders and ACE2 gene variants are associated with several major pregnancy complications including small-for-gestational-age, fetal growth restriction and preeclampsia. This study utilised gene-editing to generate both ACE2 knockout and ACE2 rs2074192 placental organoids, facilitating mechanistic studies into the role of ACE2 in placental development, and the effect of fetal carriage of ACE2 rs2074192 CC, CT and TT genotypes. Parameters of cell and organoid growth were measured, together with qPCR, Western Blotting, and ELISA assessments, in all groups from both organoid models. Here, we report that ACE2 knockout results in delayed placental cell growth and increased cell death. ACE2 knockout organoids had lower ACE protein expression, reduced organoid diameters and asymmetrical growth. Placental organoids with the ACE2 rs2074192 TT genotype had significantly higher expression of ACE2 mRNA and ACE2 protein with elevated ACE2:ACE expression ratio and no change in ACE protein. Despite increased expression of ACE2 protein, ACE2 enzyme activity was significantly decreased in ACE2 rs2074192 TT placental organoids. TT organoids also had reduced diameters and asymmetrical growth. Our research provides a new molecular understanding of the role of ACE2 in placental development, with potential implications for pregnancy in the carriage of the ACE2 rs2074192 gene variant.
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spelling doaj-art-8186fd352de0461c88a6d4aa2248d54e2025-02-09T12:56:51ZengNature Publishing GroupCell Death and Disease2041-48892025-02-0116111210.1038/s41419-025-07400-xGenetically edited human placental organoids cast new light on the role of ACE2Anya L. Arthurs0Bianca Dietrich1Martin Knöfler2Caleb J. Lushington3Paul Q. Thomas4Fatwa Adikusuma5Jessica M. Williamson6Susan Babikha7Tyla Damhuis8Tanja Jankovic-Karasoulos9Melanie D. Smith10Kirsty G. Pringle11Claire T. Roberts12Flinders University, College of Medicine and Public Health, Flinders Health and Medical Research InstitutePlacental Development Group, Medical University of ViennaPlacental Development Group, Medical University of ViennaSchool of Biomedicine and Robinson Research Institute, University of AdelaideSchool of Biomedicine and Robinson Research Institute, University of AdelaideSchool of Biomedicine and Robinson Research Institute, University of AdelaideFlinders University, College of Medicine and Public Health, Flinders Health and Medical Research InstituteFlinders University, College of Medicine and Public Health, Flinders Health and Medical Research InstituteFlinders University, College of Medicine and Public Health, Flinders Health and Medical Research InstituteFlinders University, College of Medicine and Public Health, Flinders Health and Medical Research InstituteFlinders University, College of Medicine and Public Health, Flinders Health and Medical Research InstituteSchool of Biomedical Sciences and Pharmacy, College of Health, Medicine and Wellbeing, University of NewcastleFlinders University, College of Medicine and Public Health, Flinders Health and Medical Research InstituteAbstract ACE2 expression is altered in pregnancy disorders and ACE2 gene variants are associated with several major pregnancy complications including small-for-gestational-age, fetal growth restriction and preeclampsia. This study utilised gene-editing to generate both ACE2 knockout and ACE2 rs2074192 placental organoids, facilitating mechanistic studies into the role of ACE2 in placental development, and the effect of fetal carriage of ACE2 rs2074192 CC, CT and TT genotypes. Parameters of cell and organoid growth were measured, together with qPCR, Western Blotting, and ELISA assessments, in all groups from both organoid models. Here, we report that ACE2 knockout results in delayed placental cell growth and increased cell death. ACE2 knockout organoids had lower ACE protein expression, reduced organoid diameters and asymmetrical growth. Placental organoids with the ACE2 rs2074192 TT genotype had significantly higher expression of ACE2 mRNA and ACE2 protein with elevated ACE2:ACE expression ratio and no change in ACE protein. Despite increased expression of ACE2 protein, ACE2 enzyme activity was significantly decreased in ACE2 rs2074192 TT placental organoids. TT organoids also had reduced diameters and asymmetrical growth. Our research provides a new molecular understanding of the role of ACE2 in placental development, with potential implications for pregnancy in the carriage of the ACE2 rs2074192 gene variant.https://doi.org/10.1038/s41419-025-07400-x
spellingShingle Anya L. Arthurs
Bianca Dietrich
Martin Knöfler
Caleb J. Lushington
Paul Q. Thomas
Fatwa Adikusuma
Jessica M. Williamson
Susan Babikha
Tyla Damhuis
Tanja Jankovic-Karasoulos
Melanie D. Smith
Kirsty G. Pringle
Claire T. Roberts
Genetically edited human placental organoids cast new light on the role of ACE2
Cell Death and Disease
title Genetically edited human placental organoids cast new light on the role of ACE2
title_full Genetically edited human placental organoids cast new light on the role of ACE2
title_fullStr Genetically edited human placental organoids cast new light on the role of ACE2
title_full_unstemmed Genetically edited human placental organoids cast new light on the role of ACE2
title_short Genetically edited human placental organoids cast new light on the role of ACE2
title_sort genetically edited human placental organoids cast new light on the role of ace2
url https://doi.org/10.1038/s41419-025-07400-x
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