Placental network differences among obstetric syndromes identified with an integrated multiomics approach.

Publication Title

Commun Biol

Document Type

Article

Publication Date

8-18-2025

Keywords

washington; isb

Abstract

The placenta is essential for pregnancy, and its dysfunction can harm both mother and fetus. To better understand placental physiology and its disruption in disease, we employ a multiomics approach (transcriptomics, metabolomics, and proteomics) combined with clinical data and histopathology from 321 placentas across conditions: severe fetal growth restriction (FGR), FGR with hypertension (FGR + HDP), severe preeclampsia (PE), and spontaneous preterm delivery (PTD). Cellular deconvolution reveals FGR + HDP placentas have more extravillous trophoblasts than controls (p <  0.0001). After adjusting for fetal sex and gestational age, we build condition-specific interomics networks and detect communities (a.k.a. subnetworks). In a control community, miR-365a-3p is the most connected node, whereas in FGR + HDP placentas, it is hypoxia-induced miR-210-3p. From this community, we identify a signature containing mRNAs implicated in placental dysfunction (e.g. FLT1, FSTL3, HTRA4, LEP, and PHYHIP), which distinguishes FGR + HDP placentas from those with other conditions, illustrating the power of interomics in understanding obstetric syndromes.

Area of Special Interest

Women & Children

Specialty/Research Institute

Institute for Systems Biology

Specialty/Research Institute

Obstetrics & Gynecology

Specialty/Research Institute

Pediatrics

DOI

10.1038/s42003-025-08631-6

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