Review Article

Small Molecule, Big Prospects: MicroRNA in Pregnancy and Its Complications

Table 1

A brief list of pregnancy-related microRNAs.

MicroRNA nameFunction relates to pregnancyReference

Placenta-specific microRNA

miR-23a, miR-136, and miR-141Enriched in placenta; trophoblast cell proliferation; target pleiomorphic adenoma gene 1 (PLAG1)[2325]

C14MC clusterAbundant in developing embryo and placenta[26]

C19MC cluster (miR-516, 517, 518, 519, etc.)Expression restricted in reproductive system and placenta; trophoblast cell invasion, migration; implicated in complete hydatidiform moles (CHM), fetal growth restriction (FGR)[2732]

miR-371, miR-372, and miR-373Predominantly expressed in placenta[33]

miR-675Inhibits embryonic and extraembryonic cell lines proliferation[34]

miR-1302 familyFound in mammal placenta[35]

Placenta-associated microRNA

Let-7Regulates NF-κB pathway and IL-6[36]

miR-15a, miR-15bRegulates angiogenesis and is increased in preeclampsia; differentially expressed in preterm birth placenta[37, 38]

miR-16, miR-21, and miR-146aDownregulated in response to smoke exposure, angiogenesis-associated, and decreased in the small for gestation (SGA) placentas[39, 40]

miR-17∼92 clusterRegulate syncytiotrophoblast differentiation[41]

miR-17, miR-27, and miR-92Differentially expressed in gestation age; downregulated in early pregnancy loss placenta[42, 43]

miR-17, miR-20a, and miR-20bIncreased in preeclampsia and regulate hydrogen sulphide (H2S)[44, 45]

miR-18aInhibits invasion and promotes apoptosis of trophoblast cells[46]

miR-19bDownregulated in early pregnancy loss placenta[43]

miR-27a, miR-199b, and miR-429Regulate renin-angiotensin system to help placenta adapt to hypoxia[47]

miR-29bRegulates apoptosis, invasion, and angiogenesis of trophoblast cells[48]

miR-30aAttenuates mesenchymal stem cells (MSCs) mediated immune response in preeclampsia[44]

miR-34aIt is decreased in placenta accreta patients; and suppression of miR-34a increased trophoblast invasion[49]

miR-93, miR-205, miR-224, miR-335, miR-424, miR-451, miR-491Differentially expressed in primary trophoblasts exposed to hypoxia and downregulate eNOS (miR-335)[50, 51]

miR-101Regulates apoptosis of trophoblast cells[52]

miR-126Proangiogenic factor and decreased in preeclampsia[53]

miR-133aOverexpressed in recurrent spontaneous abortion (RSA) and downregulates human leukocyte antigen (HLA)-G[54]

miR-137Affects proliferation and migration of placenta trophoblast cells[55]

miR-148/152 familyInhibits IL-12, IL-6, and TNF-α and mediates immune tolerance; regulates HLA-G[56, 57]

miR-155Regulates trophoblast function, including proliferation, migration, invasion, and differentiation; downregulates angiogenic factors and implicated in preeclampsia; targets angiotensin II type 1 receptor; modulates eNOS expression[5862]

miR-181Regulates TGF-β pathway and IL-6; attenuates the immunosuppressive properties in placenta; inhibits proliferation and immunosuppressive properties of MSCs; is differentially expressed in preterm birth placenta[37, 63]

miR-195Altered expression in preeclampsia; affects trophoblast cell invasion[31, 6467]

miR-210Increased expression in response to the hypoxic placenta; regulates trophoblast cell migration and invasion; modulates mitochondrial respiration in placenta; targets critical steroidogenetic enzyme; modulates inflammation-related pathway, potassium channel modulatory factor, and thrombospondin; increased in FGR; differentially expressed in preterm birth placenta[37, 6875]

miR-325Elevated in preeclampsia and correlates with blood pressure[76]

miR-376cPromotes trophoblast cell proliferation and invasion[77]

miR-378a-5pPromotes trophoblast cell survival, migration, and invasion and contributes to preeclampsia[78]

miR-424Regulates trophoblast differentiation[79]

miR-494Inhibits MSCs proliferation and angiogenesis[80]

miR-675Regulates placental trophoblast cell proliferation[81]

Placenta-derived circulating microRNA

C14MC clusterIdentified in the circulation of pregnancy women[82]

C19MC clusterIdentified in exosome and released from human primary trophoblast; upregulated in preeclamptic plasma; increased at early gestational age in circulation[8385]

miR-127, miR-134, and miR-498 clusterUniquely correlated in the maternal and fetal circulation[82]

miR-135b, miR-141, miR-149, and miR-299-5pDetected in maternal plasma during pregnancy and decreased in postdelivery plasma[86]

Uterine microRNA

Let-7a, let-7bInduction on the process of embryo invasion during implantation; gradually increased in uteri to inhibit uterine stromal cell proliferation[87, 88]

miR-34b, miR-34c, and miR-223Overexpressed in spontaneous term labor[89]

miR-96, miR-219-5p, and miR-375Differentially expressed during prereceptive and receptive phase; regulator of progesterone receptor[90]

mmu-miR-101a and mmu-miR-199Regulate critical gene for implantation[91]

miR-199a/miR-214Decreased in laboring myometrium and in an inflammatory preterm labor mouse model[92]

miR-200Implicated in uterus of preterm labor; involved in progesterone/progesterone receptor pathway[93, 94]

miR-222Regulates endometrial stromal cells (ESCs) differentiation[95]