» Articles » PMID: 34769478

SUCNR1 Is Expressed in Human Placenta and Mediates Angiogenesis: Significance in Gestational Diabetes

Abstract

Placental hypervascularization has been reported in pregnancy-related pathologies such as gestational diabetes mellitus (GDM). Nevertheless, the underlying causes behind this abnormality are not well understood. In this study, we addressed the expression of SUCNR1 (cognate succinate receptor) in human placental endothelial cells and hypothesized that the succinate-SUCNR1 axis might play a role in the placental hypervascularization reported in GDM. We measured significantly higher succinate levels in placental tissue lysates from women with GDM relative to matched controls. In parallel, SUCNR1 protein expression was upregulated in GDM tissue lysates as well as in isolated diabetic fetoplacental arterial endothelial cells (FpECAds). A positive correlation of SUCNR1 and vascular endothelial growth factor (VEGF) protein levels in tissue lysates indicated a potential link between the succinate-SUCNR1 axis and placental angiogenesis. In our in vitro experiments, succinate prompted hallmarks of angiogenesis in human umbilical vein endothelial cells (HUVECs) such as proliferation, migration and spheroid sprouting. These results were further validated in fetoplacental arterial endothelial cells (FpECAs), where succinate induced endothelial tube formation. VEGF gene expression was increased in response to succinate in both HUVECs and FpECAs. Yet, knockdown of SUCNR1 in HUVECs led to suppression of VEGF gene expression and abrogated the migratory ability and wound healing in response to succinate. In conclusion, our data underline SUCNR1 as a promising metabolic target in human placenta and as a potential driver of enhanced placental angiogenesis in GDM.

Citing Articles

Unveiling Gestational Diabetes: An Overview of Pathophysiology and Management.

Mittal R, Prasad K, Lemos J, Arevalo G, Hirani K Int J Mol Sci. 2025; 26(5).

PMID: 40076938 PMC: 11900321. DOI: 10.3390/ijms26052320.


Subcutaneous adipose tissue compensates for the perturbations in circulating one-carbon metabolism in women with gestational diabetes.

Wei X, Wei S, Chen M, Tan Y, Yang Z, Feng W Acta Diabetol. 2025; .

PMID: 39899132 DOI: 10.1007/s00592-025-02452-z.


Succinate Regulates Endothelial Mitochondrial Function and Barrier Integrity.

Atallah R, Gindlhuber J, Platzer W, Rajesh R, Heinemann A Antioxidants (Basel). 2025; 13(12.

PMID: 39765906 PMC: 11673088. DOI: 10.3390/antiox13121579.


SUCNR1 regulates insulin secretion and glucose elevates the succinate response in people with prediabetes.

Sabadell-Basallote J, Astiarraga B, Castano C, Ejarque M, Repolles-de-Dalmau M, Quesada I J Clin Invest. 2024; 134(12).

PMID: 38713514 PMC: 11178533. DOI: 10.1172/JCI173214.


Extracellular succinate derived from ectopic milieu drives adhesion and implantation growth of ectopic endometrial stromal cells via the SUCNR1 signal in endometriosis.

Tian Q, Ruan J, Wang Y, Xiao Y, Cheng Q, Chen Y Cell Commun Signal. 2024; 22(1):82.

PMID: 38291428 PMC: 10826047. DOI: 10.1186/s12964-023-01415-7.


References
1.
Jong Y, Sergin I, Purgert C, OMalley K . Location-dependent signaling of the group 1 metabotropic glutamate receptor mGlu5. Mol Pharmacol. 2014; 86(6):774-85. PMC: 4244594. DOI: 10.1124/mol.114.094763. View

2.
Hiden U, Lang I, Ghaffari-Tabrizi N, Gauster M, Lang U, Desoye G . Insulin action on the human placental endothelium in normal and diabetic pregnancy. Curr Vasc Pharmacol. 2009; 7(4):460-6. DOI: 10.2174/157016109789043973. View

3.
Huang X, Jia L, Qian Z, Jia Y, Chen X, Xu X . Diversity in human placental microvascular endothelial cells and macrovascular endothelial cells. Cytokine. 2018; 111:287-294. DOI: 10.1016/j.cyto.2018.09.009. View

4.
Abbade J, Klemetti M, Farrell A, Ermini L, Gillmore T, Sallais J . Increased placental mitochondrial fusion in gestational diabetes mellitus: an adaptive mechanism to optimize feto-placental metabolic homeostasis?. BMJ Open Diabetes Res Care. 2020; 8(1). PMC: 7059528. DOI: 10.1136/bmjdrc-2019-000923. View

5.
Koolwijk P, Van Erck M, de Vree W, Vermeer M, Weich H, Hanemaaijer R . Cooperative effect of TNFalpha, bFGF, and VEGF on the formation of tubular structures of human microvascular endothelial cells in a fibrin matrix. Role of urokinase activity. J Cell Biol. 1996; 132(6):1177-88. PMC: 2120755. DOI: 10.1083/jcb.132.6.1177. View