Development of placentation and successful pregnancy depend on co-ordinated
interactions between the maternal decidua. and myometrium, and the invasiv
e properties of the fetal trophoblast. Syncytin, a protein encoded by the e
nvelope gene of a recently identified human endogenous defective retrovirus
, HERV-W, is highly expressed in placental tissue. Previously, we have show
n that the major site of syncytin expression is the placental syncytiotroph
oblast, a fused multinuclear syncytium. originating from cytotrophoblast ce
lls. Here we present the first evidence that in pre-eclampsia, syncytin gen
e expression levels are dramatically reduced. Additionally, immunohistochem
ical examination of normal placentae and placentae from women with pre-ecla
mpsia reveals that the syncytin protein in placental tissue from women with
pre-eclampsia is localized improperly to the apical syncytiotrophoblast mi
crovillous membrane as opposed to its normal location on the basal syncytio
trophoblast cytoplasmic membrane. Our previous results suggest that syncyti
n may mediate placental cytotrophoblast fusion in vivo and may play an impo
rtant role in human placental morphogenesis. The present study suggests tha
t altered expression of the syncytin gene, and altered cellular location of
its protein product, may contribute to the aetiology of pre-eclampsia. (C)
2001 Harcourt Publishers Ltd.