Effect of Cell Growth and Proliferation Factors (EGF/PDGF Signaling Pathway) on the Etiopathogenesis of Intrauterine Growth Restriction


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İşcan S. C., Demirdağ E., Yaman M., Bağrıaçık E. Ü., Bayram M.

GAZI MEDICAL JOURNAL, cilt.35, sa.1, ss.19-23, 2024 (ESCI)

Özet

Objective: It is likely that the subgroups of the epidermal growth

factor/platelet-derived growth factor (EGF/PDGF) signaling pathway

play a role in the etiopathogenesis of intrauterine growth restriction

(IUGR). This study was planned to understand the molecular genetic

level of apoptosis in IUGR.

Method: The EGF/PDGF signaling pathway gene profile (40 genes) was

investigated using a real-time reverse transcriptase-polymerase chain

reaction. The gene expressions of the IUGR group were compared

both individually and as a group. Individual gene differences were

also evaluated. The genes related to cell survival and growth, which

include the gene groups of apoptosis, cell cycle, cell differentiation,

cell growth, cell motility, and cell proliferation, were investigated using

microarray technology.

Results: Parity, gestational age at delivery, and APGAR scores at

the first and fifth minutes were not significantly different between

the IUGR and control groups. However, the women in the IUGR

group were younger and slimmer. PRKCA was the only gene with a

significant difference in expression between the IUGR and control

groups. Nevertheless, individual differences were detected in gene

expression associated with cell cycle, differentiation, growth, motility,

proliferation, and apoptosis.

Conclusion: Variations in gene expression during pregnancy cause

changes in placental and fetal development by affecting apoptosis and

cellular events at different levels. The genetic causes of IUGR can be

revealed by investigating these metabolic pathways. This study differs

from previous IUGR studies, which focused on one or a few genes,

because all the gene groups in the EGF/PDGF pathway that may be

associated with IUGR were investigated