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RESEARCH |
Laboratory of Physiopathology of Pregnancy and Labor, School of Medicine, Center for Pharmacological and Botanical Studies, (CEFYBO, CONICET), National Research Council, University of Buenos Aires, Paraguay 2155, Buenos Aires C1121ABG, Argentina
Correspondence should be addressed to M G Farina; Email: marifarina{at}yahoo.com
| Abstract |
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production before the onset of labor (P<0.01). The ovarian steroid did not affect PLA2 during pregnancy. Collectively, these findings indicate that in the rat uterus, both 17ß-estradiol and OT could be regulating the activity and the expression of the secretory and the cytosolic isoforms of PLA2, thus controlling PGF2
synthesis prior to the onset of labor. | Introduction |
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Multiple isoforms of PLA2 have been identified in a range of tissues. These isoforms include the secretory and the non-secretory cytosolic isozymes (Rice 1995a). The secretory types of the PLA2 (sPLA2) are low-molecular-weight enzymes that require millimolar concentrations of Ca2+ to be active. Up to now, five mammalian sPLA2 isoforms (types I, IIA, IIC, V, and X) have been identified. Group IIA sPLA2 is induced in many cell types (Nakano et al. 1990, Arbibe et al. 1997). Abundant messages for type V sPLA2 were detected in macrophages (Balboa et al. 1996) and in a few cells sPLA2 V appears to substitute sPLA2 IIA (Murakami et al. 1998). The high-molecular-weight cytosolic PLA2 (cPLA2) needs micromolar concentrations of Ca2+ to translocate to the cell membrane and contains no disulphide bonds. Current evidence suggests that two sPLA2 isozymes, types IIA and V, and cPLA2 type IV are functionally coupled with cyclooxygenase (COX). COX converts AA to the intermediate PG precursor PGH2. Liberation of AA by means of the PL and conversion of this lipid into PGs represent the two crucial rate-limiting steps in the PG biosynthetic pathway (Murakami et al. 1998, 1999).
Recently, Brant et al.(2006) observed that sPLA2 and cPLA2 proteins are expressed in the rat uterus at mid (day 10) and late (day 20) pregnancy. Further evidence suggests that this enzyme could play a role in membrane remodeling but not in AA release (Murakami et al. 1998). Although sPLA2 types IIA and Vand cPLA2 were identified in human gestational tissues (Lappas & Rice 2004), it is still unknown which of these enzymes are responsible for the increase in PG synthesis observed at the onset of labor.
During pregnancy, uterine PGF2
production is suppressed to maintain uterus quiescence and in some species to prevent luteal regression (Horton & Poyser 1976). Uterine PGF2
production increases abruptly in rat uterus at day 22 of pregnancy, immediately before the onset of labor (Farina et al. 2004). We have previously reported that during pregnancy, COX-1 and COX-2 expression is augmented at the end of gestation. The exogenous administration of progesterone (P) at the end of pregnancy significantly inhibits uterine PGF2
production as well as COX-2 protein expression. Furthermore, it increases the activity of PG dehydrogenase, the enzyme responsible for initial inactivation of several PGs.
Increased PLA2 activity during late gestation could be due to unidentified factors that augment at this time (Rice 1995b). One possible candidate is estrogen, an ovarian hormone whose concentration is elevated in late gestation (day 21). Besides, it has been shown that estrogen exposure enhances PLA2 production (Dey et al. 1982, Bonney 1985).
Oxytocin (OT) is another potential factor that could be contributing to modulating PLA level. OT is the most potent uterotonic agent known so far and is currently used to induce labor (Chard 1989). Lefebvre et al.(1992) showed that during gestation OT mRNA increases at term in the rat uterus and may act primarily as a local mediator rather than as a circulating hormone. OT binds to a cell-surface membrane receptor that activates a complex intracellular signaling pathway that ultimately leads to the activation of PLA2 (Lee & Silvia 1994). The OT receptor (OTR) has been cloned, and the levels of OTR mRNA increase abruptly in the rat myometrium during labor (Rozen et al. 1995). Nevertheless, the precise mechanism underlying the progressive increase in PLA2 activity and expression in the pregnant uterus before the onset of labor is still unknown. In this context, we hypothesized that steroid hormones and OT would affect the activity of uterine PLA2 involved in the liberation of AA at the time of labor. To examine this possibility, we will consider the effect of 1) RU-486, a selective antagonist of P receptors (PRs); 2) tamoxifen, an inhibitor of estrogen receptors; and 3) atosiban, a synthetic antagonist that blocks OT receptors, on the activity and the mRNA expression of sPLA IIA and Vand cPLA in the uterus.
| Materials and Methods |
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and PGF2
antiserum were purchased from Sigma Chemical. Estradiol antiserum and mifepristone (RU-486) were kindlyprovidedbyG D Niswender(Colorado State University, Fort Collins, CO, USA). Tamoxifen was kindly provided by Gador Laboratory (Buenos Aires, Argentina). Atosiban was purchased from Ferring Pharmaceuticals (Ferring AB). (5,6,8,9,11,12,14,15(n)-3H)-PGF2
(160 Ci/mmol, 200 µCi/ml) was obtained from Amersham Corporation. RNA extraction, RT and PCR reagents were obtained from Invitrogen Life Technology. All other chemicals were of analytical grade.
Animals
Time-mated pregnant rats of the Wistar strain (200–230 g body weight) were used. Rats were maintained on a 14 h light:10 h darkness schedule and received a supply of animal chow and water ad libitum. The experimental procedures reported here were approved by the Animal Care Committee of the Center Pharmacological and Botanical Studies of the National Research Council (CEFYBO – CONICET) and were performed in accordance with the Guide for the Care and Use of Laboratory Animals (US National Research Council 1996). Rats were treated as previously described (Farina et al. 2004). Briefly, pregnant animals (n = 6 for each state) were killed on different days of gestation (5, 13, 17, 21, and 22) as well as one day post partum. Spontaneous term labor occurs on the night of the 22nd day (day 1: day sperm plug was observed).
Time-mated rats were divided into five groups:
All animals were anesthetized with ether and the blood was drawn from the heart. The serum was stored (–20 °C) for steroid analysis. The uterus, containing both myometrium and endometrium, was cleaned of fat, placenta, fetuses, and blood vessels. Then, tissues were stored (–70 °C) for PLA2 activity assays or extracted for PCR analysis.
Estradiol RIA
E2 was measured in serum samples. Briefly, blood was allowed to clot and centrifuged at 3000 g for 10 min. Serum was extracted twice with 2 ml diethyl ether and estradiol concentrations were determined by RIA. Estradiol antiserum showed low cross-reactivity: 1% for progesterone and testosterone, <5% for17
estradiol and estriol, and 10% for estrone. Antiserum was provided by Dr G D Niswender (Colorado State University, Fort Collins, CO, USA). The sensitivity was 5–10 pg per tube and 2–5 µl serum were assayed routinely. Results were expressed as serum estradiol (ng/ml).
Measurement of sPLA2 and cPLA2 activity
Secretory and cytosolic PLA2 activities measurements were performed with a commercially available assay system (Cayman Chemical Company, Ellsworth Rd, Ann Arbor, MI, USA) exactly as recommended by the manufacturer. 1,2-dithio analog of diheptanoyl phosphatidylcholine was the substrate used for sPLA2 activity, as it serves as a substrate for most PLA2 except cPLA2 type V. Substrate hydrolysis was quantified by measuring the absorbance at 405 nm at different time points and sPLA2 activity was calculated.
Cytosolic PLA2 activity was measured in tissue homogenates using arachidonoyl thio-PC as substrate. To avoid any measurement corresponding to iPLA2 activity, bromoenol lactone (an iPLA2 specific inhibitor) was added to the samples prior to assaying according to the manufacturer. The data were expressed asnmol/min per ml.
cDNA synthesis and RT-PCR
Total RNA was isolated from rat uteri on different days of pregnancy using Trizol reagent (Invitrogen Life Technologies). RNA was quantified by measuring the absorbance at 260 nm. According to the manufacturers instructions, first-strand cDNA was synthesized from 2 µg total RNA, using Moloney murine leukemia virus reverse transcriptase and random primers (Invitrogen) in the presence of recombinant RNase inhibitor. After first-strand synthesis, PCR was performed with specific intron-spanning primers (Invitrogen Custom Primers; Table 1
) based on the sequences of PLA2 and ß-actin reported previously (Ohara et al. 1986, Dieter et al. 2002). Except for the amplification of sPLA2 type V that requires Platinum Taq DNA polymerase (Invitrogen), all other amplifications were performed using Taq DNA polymerase (Invitrogen). The amplification parameters were as follows: 94 °C for 5 min (initial denaturation), and 30 cycles of 94 °C for 40 s, 52 °C 2 min, 72 °C 1 min, 72 °C 5 min for ß-actin; 94 °C for 1 min (initial denaturation), and 34 cycles of 94 °C for 30 s, 57 °C 40 s, 72 °C 2 min for sPLA2 type IIA; 94 °C for 2 min (initial denaturation), and 34 cycles of 94 °C for 1 min, 62 °C 45 s (touchdown –0.1 °C/cycle), 72 °C 1 min for sPLA2 type V; and 96 °C for 5 min (initial denaturation), and 29 cycles of 95 °C for 30 s, 60 °C 1 min (touchdown –0.1 °C/cycle), 72 °C 1 min, 72 °C 5 min for cPLA2 type IV.
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PGF2
determination
PGF2
was quantified as previously described (Farina et al. 2004) using rabbit antiserum (Sigma Chemical Co). Briefly, uteri were removed and then rinsed thoroughly in cold Krebs–Ringer bicarbonate (KRB) buffer before PGF2
determination by RIA. Tissues were incubated in a KRB buffer for 60 min at 37 °C. Total protein content was determined by the Bradford (1976) method. Supernatants were acidified to pH 3 with 1 M HCl and PGs were extracted twice with 2 ml ethyl acetate. Sensitivity of the assay was 5–10 pg/ml and cross-reactivity was less than 0.1% with other PGs. Intra- and inter-assay variations were each <8.0%. Results were expressed as ng PGF2
/h per mg protein.
Statistical analysis
Statistical analysis was performed using the Instat Program (Graph Pad Software, San Diego, CA, USA). Comparisons between values of groups were performed using one-way ANOVA. Significance was determined using Tukeys multiple comparison tests for unequal replicates.
All values presented in this study are mean ± S.E.M. Differences between means were considered significant at P<0.05.
| Results |
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Effect of atosiban and tamoxifen on PGF2
synthesis in rat uterus
PGs are the main mediators of uterine contractility prior to the onset of labor. Besides the regulation of PLA2 activity, we wanted to study if estradiol or OT were regulating the synthesis of PGs before the onset of labor. Thus, rats were treated with the specific inhibitors tamoxifen, atosiban, or both, and PGF2
synthesis was determined in the uterine strips. Figure 7
shows that PGF2
synthesis was markedly diminished (P<0.01) only in the uterine tissue from rats treated with tamoxifen together with atosiban on day 21 of pregnancy. There was no significant difference between the controls and the groups treated with tamoxifen or atosiban.
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| Discussion |
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Several years ago, Dey et al.(1982) showed that in hypophysectomized rats uterine PLA2 activity is under the influence of steroids hormones and Cox et al.(1982) showed that PLA2 activity was markedly increased in the rat uterus by E2 treatment during early pregnancy. Such assays estimate the effect of steroid hormones on net enzymatic activity and do not discriminate between individual PLA2 isoenzymes. A decade passed by and Farrugia et al.(1993) showed that type IIPLA2 is responsible for up to 80% of the total PLA2 enzymatic activity present in placental tissues and that it represents the major component of PLA2 activity in human fetal membranes at term (Aitken et al. 1993). Recently, Brant et al.(2006) showed a significant increase in rat uterine calcium-independent PLA2 activity with the progression of labor. In the present work, we demonstrated a gestation-related increase of both the secretory and the cytosolic PLA2 activities in the rat uterus. Secretory PLA2 increased at late pregnancy similar to E2 levels. These data suggest that endogenous estradiol could be modulating the expression and/or activity of sPLA2 during pregnancy. A substantial augmentation of cPLA2 activity was observed at mid gestation and this activity remained increased until labor. A possible explanation for the increment in cPLA2 activity at mid gestation is an effect of a variety of cytokines and mitogens previously shown to induce activation and increase the synthesis of this enzyme in different cell types (Clark et al. 1995). Transforming growth factor-ß1 is highly expressed in rat decidual cells at mid pregnancy (Shooner et al. 2005), and it has been shown that it increases the levels of cPLA2 protein and activity (Brown et al. 2000). It is well recognized that cPLA2 is a central regulator of stimulus-coupled cellular AA release, whereas the role of sPLA2 in the metabolism of AA has remained ambiguous. Nevertheless, different studies have suggested that sPLA2 IIA, or related sPLA2 isozymes, could participate in immediate and delayed phases of cellular AA release and PG generation (Pfeilschifter et al. 1993, Akiba et al. 2001). However, little is known regarding how the expression and the activity of uterine PLA2 enzymes change during pregnancy. The observed increases in PLA2 expression and activity prior to delivery might be the previous step for the increase of PG synthesis at the time of labor. This issue is relevant, particularly in the rat model as uterine-derived PGs are responsible for ovarian luteolysis, which initiates the sequence of biochemical events that lead to labor.
The uterus is one of the target organs of the steroid hormones, progesterone and estradiol. To ascertain whether endogenous estradiol and progesterone were involved in the increased expression and/or activity of uterine PLA2s, the effects of tamoxifen, an antiestrogenic agent, and RU-486, an antiprogestogen, were examined. Our observations suggest that steroid hormones do not regulate the expression and the activity of uterine PLA2s during pregnancy and labor.
Other groups obtained similar results. It has been reported that E2 has no effect on PLA2 expression in sheep (Di et al. 1999), rat (Ospina et al. 2002), and baboons (Rosenthal et al. 2001). In contrast, others found that estradiol or different combinations of steroid treatments promote an increase in PLA2 protein levels (Rupnow et al. 2002) and activity (Fayard et al. 1994, Periwal et al. 1996). These discrepancies could be due to differences in the strains of the rats used, differences in the dose and timetable of hormones administration, as well as differences in the tissue processing.
Several lines of evidence suggest a role for the OT/OTR system in the regulation of parturition. The concentration of OT in plasma and the expression of uterine OTR increase before parturition. Infusions of OT stimulate myometrial contractions to a magnitude indistinguishable from normal labor and the administration of antagonists of OTR can disrupt the pattern of normal labor (Mitchell & Schmid 2001). Finally, OT stimulates PGF2
synthesis possibly by increasing cPLA2 activity (Burns et al. 2000). Estrogen appears to be the major regulator of OT synthesis. In the rat, the administration of an estrogen receptor antagonist during late pregnancy reduced uterine OT mRNA and protein causing a significant delay in parturition (Fang et al. 1996). In addition, estrogen stimulates the synthesis of OTR (Soloff 1975). Thus, it is plausible that the expression and activity of uterine PLA2s was induced by both estradiol and OT. In this work, we have shown that plasma estradiol concentrations significantly increased on day 21 of gestation, but the administration of tamoxifen, an antiestrogen, did not modify the time-dependent-induced cPLA2 activity during gestation. On the other hand, a synthetic OT antagonist, atosiban, was able to diminish cPLA2 activity. We have also demonstrated that the co-administration of atosiban with tamoxifen during day 21 of pregnancy significantly inhibited sPLA2 and cPLA2 activities before the onset of labor and also diminished the mRNA expression of sPLA2 IIA and cPLA2.
Changes in uterine PGs production appear to be involved in the regulation of myometrial activity during pregnancy and labor. We have recently demonstrated that uterine PGF2
synthesis increased abruptly on day 22, just before the onset of labor (Farina et al. 2004).
Although the contribution of PLA2 isoenzymes in the progress of parturition has been previously demonstrated by other investigators, there are still no reports about which factors could be modulating the activity and/or the expression of these isoenzymes during gestation and at the time of labor. The primary stimulus to the onset of labor is believed to be an increase in E:P ratio in maternal circulation (Challis & Lye 1994). Our data suggest that this endocrine axis, while necessary, is not sufficient to bring about the increased activity of phospholipases A2. In the present study, we demonstrated for the first time that not only the E:P ratio modulates labor, but also the presence of OT together with E2 are crucial for the regulation of uterine PLA2 activity and expression prior to labor. In addition, we showed that this regulation over PLA2 isoenzymes was reflected in the synthesis of PFG2
, the ultimate and more potent mediator of myometrial contractions during delivery.
OT acting through its receptor is involved in the myometrial hyperactivity of preterm labor, and atosiban has now been registered in many countries for the treatment of preterm labor. The effect of this drug on uterine PLA2 activity and subsequently on PGF2 synthesis could be part of its mechanism of action (Akerlund 2006).
In conclusion, our results suggest that a specific modulation of both the secretory and non-secretory PLA2s by estradiol and OT might be implicated in the increase of PGs synthesis before the onset of labor. These observations reveal that both hormones are essential for the upregulation of uterine phospholipase expression and activity. More studies are necessary to elucidate if a combination of tamoxifen and atosiban could be used to prevent preterm delivery.
| Acknowledgements |
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| Footnotes |
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