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Regular Article |
a Department of Physiology, College of Medicine,
b Department of Animal Science, College of Agriculture, National Taiwan University, Taipei, Taiwan
c National Taipei College of Nursing, Taipei, Taiwan
d Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan
| ABSTRACT |
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apoptosis, corpus luteum, pregnancy, progesterone, prolactin
| INTRODUCTION |
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Because of extensive sprouting of blood vessels during CL development, luteal capillary endothelial cells accounts for more than 50% of all cells within the CL [46] and are tightly associated with luteal development, function, and regression [7, 8]. Thy-1 differentiation protein is released by Thy-1-positive vascular pericytes, enhancing proliferation and preservation of endothelial cells [9]. The presence of Thy-1 differentiation protein also serves as a marker of luteal vascularization and development [10]. When pregnancy is absent or interrupted, the CL regresses to an avascular structure, and it is reasonable to speculate that luteolysis, induced by PRL withdrawal, might be associated with luteal vascular regression.
Apoptosis, or programmed cell death, is involved in luteal regression [1113]. The Fas (CD95/APO-1) and Fas ligand (FasL) pathway was initially identified in clonal deletion and immune tolerance [14, 15]. FasL induces apoptosis of Fas-bearing immune cells [14, 16]. The Fas-FasL system is also reported to be involved in the maintenance of immune privilege in the mouse testis and anterior chamber of the eye [1618]. In follicular atresia, the Fas-FasL system acts as a mediator of granulosa cell apoptosis [19].
Recent investigations have shown that Fas-FasL interaction is responsible for the apoptosis of PRL-induced luteolysis in rats pretreated with bromocriptine during proestrus [2022]. These in vitro studies showed that FasL-positive nonsteroidogenic cells are CD3+ luteal immunocytes responsible for PRL-induced apoptosis and that addition of PRL increases the expression of membrane-bound FasL on these CD3+ luteal immunocytes. Fas is expressed by cultured steroidogenic luteal cells, and its expression is increased by progesterone withdrawal. Luteal FasL expression during PRL-induced luteolysis in rats has therefore been suggested to be locally regulated in an autocrine/paracrine manner by steroidogenic luteal cells [20, 22]. Thus, PRL plays a luteolytic role by up-regulation of FasL expression in luteal immune cells, which initiate apoptosis during structural luteolysis. However, CL at different stages, from consecutive estrous cycles, are present at the same time in the rat ovary, and PRL must therefore simultaneously exert luteolytic and luteotropic actions, depending on the physiologic state of the CL.
An in vivo study in the rat [23] showed that FasL protein and mRNA are present in the CL at all stages of pregnancy and postpartum and that ovarian FasL mRNA expression significantly decreases at postpartum Day 3 when structural luteolysis starts. We thus hypothesized that FasL expression during pregnancy might play a role in maintaining luteal immune privilege and ensuring the success of pregnancy. Luteal Thy-1 differentiation protein expression and Thy-1-positive vascular pericytes were used as indices of luteal vascularization and development, and Fas and FasL expression in association with apoptosis was evaluated. Daily bromocriptine treatment of pregnant hamsters for the first four gestation days was used to delineate the influences of pituitary PRL on CL formation and regression during early pregnancy, with the aim of determining its luteotropic roles in luteal vascularization and immune privilege.
| MATERIALS AND METHODS |
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Adult female golden hamsters (10 to 12 wk old) were obtained from the Animal Center for College of Medicine, National Taiwan University; maintained and cared for in the Animal Center in a controlled environment with a 14L:10D (lights-on 05001900 h). All experimental procedures involving laboratory hamsters in the present study were approved by the Institutional Animal Care and Use Committee of National Taiwan University College of Medicine. The estrous cycle was monitored in the morning. Day 1 of the cycle was defined by the appearance of viscous vaginal discharges after ovulation. Estrus occurred in the evening of Day 4 (D4). Three consecutive regular 4-day estrous cycles were confirmed before the hamsters were used, then the females were mated overnight with mature males. Day 1 of gestation was designated as the morning on which spermatozoa were found in the vaginal lavage.
Bromocriptine, a dopaminergic agonist that specifically blocks pituitary PRL secretion, was purchased from Sigma (St. Louis, MO) and dissolved in 95% (v/v) ethanol, then diluted with saline to a concentration of 4 mg/ml in 50% (v/v) ethanol. Animals in the experimental group (PB; n = 14) each received an s.c. injection of 1 mg of bromocriptine daily at 1000 h on gestation Days 14. The control group (P4; n = 12) received 50% ethanol in saline. Four untreated proestrous (D4) hamsters were also used in Western blot studies.
The animals were killed by decapitation at 1500 h on gestation Day 4. Trunk blood was collected and allowed to clot at room temperature, and the serum was saved at -20°C for subsequent assay. Ovaries from 4 hamsters from the PB and P4 groups were immersed in 4% paraformaldehyde in buffered saline overnight. After fixation, dehydration, and embedding in paraffin wax, serial sections (5 µm) were mounted on silane-coated slides and dried overnight. The ovaries from the remaining animals were frozen in liquid nitrogen for RNA preparation and Western blotting.
Immunohistochemical Localization of Thy-1, Fas, and FasL
The tissue sections were deparaffinized in xylene and dehydrated in a graded series of ethanol. Endogenous peroxidase was quenched by immersion of the slides in 2% H2O2 in methanol for 10 min. After three washes in 0.01 M PBS, pH 7.4, the slides were incubated for 1 h at 37°C with 10% normal goat serum in PBS to reduce nonspecific binding. After three PBS washes, each of 5 min, the sections were incubated overnight at 4°C with diluted (1:1000) mouse monoclonal antibody against CD90 (rat Thy-1 antigen; MRC OX-7; Serotec Ltd., Oxford, England), human-Fas (clone 13; Transduction, Lexington, KY), or human-FasL (G247-4; BD PharMingen, Los Angeles, CA). Biotinylated goat anti-mouse immunoglobulin (Ig) G (Vector Labs, Burlingame, CA) diluted 1:1600, and extra-avidin peroxidase (Sigma) diluted 1:1000 were each applied for 1 h at room temperature. Tissue-bound peroxidase was visualized with 3,3'-diaminobenzidine tetrahydrochloride (DAB; Vector), and the tissue sections were then counterstained with hematoxylin. The specific protein recognized by the primary antibody was immunostained in brown. Negative controls were treated in the same way except that antibody diluent (1% BSA in PBS) was used instead of the primary antibody.
In Situ 3' End-Labeling of Fragmented DNA
Apoptotic cells were visualized by histochemical detection of DNA fragmentation using the Apop Tag In Situ Apoptosis Detection kit (Oncor, Gaithersburg, MD) (TUNEL method). The hydrated sections were pretreated with proteinase K (20 µg/ml) according to the manufacturer's instructions. DNA fragments were 3' end-labeled with digoxigenin-dUTP using terminal deoxynucleotidyl transferase. Labeling was visualized using a peroxidase-labeled anti-digoxigenin antibody and DAB as substrate, and the sections were counterstained with methyl green (Merck, Darmstadt, Germany). Apoptotic nuclei were stained dark brown. Positive controls were pretreated with DNase I (1 U/ml; Boehringer-Mannheim, Mannheim, Germany) before DNA 3' end-labeling.
Western Blotting of Thy-1, Fas, and FasL
The CL were carefully dissected from 1 ovary of 8 hamsters from each group on Day 4 of pregnancy (n = 8 ovaries) or from both ovaries of 4 proestrous hamsters (n = 8 ovaries). After homogenization in RIPA (radioimmunoprecipitation) buffer (20 mM Tris, 1% SDS, 1% Triton X-100, 1 mM PMSF, 50 ng/ml leupeptin, pH 7.4), the samples were centrifuged for 30 min at 800 x g at 4°C, and the supernatants were used for Western blotting. The samples (10 µg of protein) were electrophoresed on a 12% polyacrylamide gel, and the protein was transferred to nitrocellulose membranes (Millipore, Bedford, MA). To ensure equal loading, membranes were also probed for
-tubulin (clone DM1A; NeoMarker, Fremont, CA). The membranes were then incubated for 2 h at room temperature with 2000-fold diluted primary antibodies (mouse anti-Thy-1, Fas, FasL, and
-tubulin, respectively) in PBS supplemented with 4% skim milk. After three 30-min washes with PBS containing 0.1% Tween 20 (PBST), the membrane was incubated for 1 h at room temperature with a 1000-fold diluted peroxidase-conjugated goat anti-mouse IgG (Vector); then, after an additional three 30-min washes with PBST, the protein was visualized using the DAB system (Vector) and processed in an image analysis system (Alpha Innotech, San Leandro, CA). Quantitative data were determined as the mean ratio of the optical density of the specific bands normalized to that of
-tubulin.
Real-Time Quantitative Reverse Transcription-Polymerase Chain Reaction for Fas and FasL mRNA
The CL were carefully dissected out of 1 ovary of 8 animals from each group (n = 8 ovaries) and stored in liquid nitrogen. Total RNA was extracted using TRIzol (Life Technologies, Inc., Gaithersburg, MD). One microgram of total RNA was reverse-transcribed using a random hexamer and the SuperScript preamplification system (Life Technologies), and an aliquot of the resulting cDNA was used for polymerase chain reaction (PCR) amplification. The primers for Fas were Fas I: CAGA-ACTTGGAAGGCCTGCATC and Fas II: TCTGTTCTGCTGTGTCTT-GGAC [24] which amplified a 682-base pair (bp) fragment. The specific primers for human FasL sequence [25] were primer a (sense): TTCTTC-CCTGTCCAACCTCT (150169), primer b (sense): CGCCACCACT-GCCTCCACTA (243262), primer c (antisense): CTCATCATCTTCCC-CTCCAT (737756), and primer d (antisense): CTTCCCCTCCATCA-TCACCA (729748). For the glyceraldehyde-3-phosphate dehydrogenase (GAPDH) gene, the primers were GAPDH I: CATCACCATCTTCCAG-GAGC and GAPDH II: GGATGATGTTCTGGAGAGCC, which amplified a fragment of 404 bp. To evaluate the quantitative expression of Fas and FasL, real-time PCR was performed using a Light Cycler (Roche, Mannheim, Germany), SYBR Green I probes, and thermal cycling conditions of 45 cycles of 1 sec at 95°C, 3 sec at 55°C, and 8 sec at 72°C, with fluorescence detection at 87°C after each cycle. After the final cycle, melting point analysis of all samples and controls was performed within the range of 7295°C.
Enzyme-Linked Immunosorbent Assay
Serum progesterone levels were measured in duplicate using a commercial kit (Diagnostic Product Corporation, Los Angeles, CA), and all samples were performed in the same assay. The sensitivity of the assay was 10 pg per tube. The intraassay coefficient of variation for the kit was 7%.
Statistical Analysis
Multiple comparisons between means were made by one-way ANOVA, and further analysis of P4 group versus PB group or D4 group was conducted by unpaired t-test. Differences were accepted as significance when P < 0.05. Data are presented as mean ± SEM for results from 4 to 8 hamsters per group.
| RESULTS |
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After 4 consecutive days of bromocriptine treatment, the mean (mean ± SEM; n = 8) serum progesterone level dropped to a lower levels (3.8 ± 2.0 ng/ml) as compared with that in the vehicle-treated control group (16.8 ± 1.6 ng/ml). This functional luteolysis was accompanied by obvious shrinkage of the CL and a change in its color from reddish-pink to beige, suggesting that structural luteolysis also resulted from bromocriptine treatment.
In Situ 3' End-Labeling of Fragmented DNA
To determine whether apoptosis was involved in the structural luteolysis induced by bromocriptine treatment, in situ 3' end-labeling of fragmented DNA was performed. The CL in the control P4 animals showed a well-organized tissue structure (Fig. 1a) with highly differentiated steroidogenic luteal cells arranged in clusters and surrounded by luteal vascular pericytes and few apoptotic cells. However, in the PB group, the CL became avascular, the luteal cell clusters were lost, the steroidogenic cells contained apoptotic nuclei and showed structural breakdown, only rare luteal vascular pericytes were found, and numerous lymphocytes and apoptotic nuclei plugged the disintegrated luteal microvasculature (Fig. 1b).
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Immunohistochemical Localization of Thy-1, Fas, and FasL
To test the possibility that luteal vascular regression was due to PRL withdrawal, immunohistochemical staining of Thy-1 differentiation protein was performed. Specific immunostaining of Thy-1 differentiation protein was evident in luteal cells and pericytes (Fig. 1, c and d). Numerous Thy-1-positive vascular pericytes were seen along the luteal microvasculature in the P4 group (Fig. 1c), whereas in PB group, only rare Thy-1-positive pericytes were present, and Thy-1-positive granules on the surface of the steroidogenic luteal cells were also lost (Fig. 1d).
Immunohistochemistry disclosed that Fas immunoreactivity was present in the CL in both groups and was located mainly on the steroidogenic luteal cells (Fig. 1, e and f). In the PB group, Fas staining was more intense, and the unstained spaces consisted mainly of disintegrated luteal vasculature filled with apoptotic nuclei and lymphocytes. In contrast, FasL staining was less intense in the PB group (Fig. 1, g and h). In addition to luteal cells, small lymphocytes and vascular elements were lightly stained, and these FasL-positive elements filled the disintegrated luteal vasculature, leaving fewer spaces in the regressed CL.
Western Blot Analysis of Thy-1, Fas, and FasL
Western blotting was used to examine the expression of Thy-1, Fas, and FasL. Monoclonal antibody G247-4 recognizes the membrane-bound and soluble forms of FasL. In this study, FasL migrated as a doublet of 40 and 42 kDa (Fig. 2). Image analysis was used to measure semiquantitative changes in levels of these proteins after bromocriptine treatment, and these levels were summarized as the mean ratio of the optical density of the specific bands normalized to their respective
-tubulin bands (Fig. 3). Thy-1 differentiation protein and FasL were present at higher levels in the control P4 group than in the PB group. After PRL withdrawal, decreased expression of Thy-1 differentiation protein coincided with the reduced numbers of Thy-1-positive vascular pericytes seen in the immunohistochemical study. In contrast, Fas expression was increased in the PB group to a level similar to that in the D4 proestrous animals. FasL expression was increased in the P4 group and decreased in the PB group.
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Real-Time Quantitative Reverse Transcription-Polymerase Chain Reaction for Fas and FasL mRNA
Luteal Fas and FasL mRNA levels in both groups, measured by a real-time quantitative reverse transcription-polymerase chain reaction assay and normalized to the corresponding GAPDH mRNA levels, are shown in Figure 4a. In the PB group, expression of Fas mRNA was significantly increased (P < 0.05), whereas that of FasL mRNA was decreased (P < 0.05). Representative data are shown in Figure 4b.
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| DISCUSSION |
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Endothelial cells are located at the interface of the blood and tissues, and they guard and control the entry of blood inflammatory cells and mediators into the underlying tissue [26, 27]. Vascular endothelial cells expressed FasL and inhibited infiltration of Fas-bearing leukocytes by inducing apoptosis of invading immune cells [28]. Tumor necrosis factor
(TNF
)-induced macrophage infiltration is also inhibited by preinfection of the endothelium with a replication-defective adenovirus that constitutively expresses FasL [29]. Progesterone receptor-expressing bovine luteal endothelial cells are protected from TNF
-induced apoptosis [29]. Progesterone prevents the onset of apoptosis in luteal endothelial cells. Direct evidence for this came from the in vitro culture of bovine luteal endothelial cells with physiologic levels of progesterone [30]. Thus, the decline in serum progesterone levels must be a detrimental causative factor for the initiation of apoptosis in luteal endothelial cells and CL regression. In the current study, increased levels of Fas and apoptosis were tightly associated with low serum progesterone levels and hence the luteolysis caused by bromocriptine treatment, while the decreased levels of FasL and Thy-1 in the CL of bromocriptine-treated hamsters further indicated that improper luteal vascularization and immune cell infiltration were highly associated with low serum progesterone levels. However, further experiments are required to determine how Thy-1 and FasL are regulated by progesterone during the development and degeneration of luteal endothelial cells.
Up-regulation of FasL was observed in a different profile of PRL effects as seen in the preovulatory PRL surge causing structural luteolysis [21]. Fas and FasL interaction is responsible for the initiation of apoptosis in PRL-induced structural luteolysis during proestrus [20, 22]. In cultured luteal cell prepared from either proestrous or mid-pseudopregnant rats, exogenous progesterone significantly decreases the expression of Fas, but not that of FasL, whereas FasL expression is enhanced by PRL [20, 22]. The increase in luteal FasL is associated with infiltration of FasL-positive immune cells (CD3 cells) into the nonfunctioning CL, which is no longer producing progesterone [2022]. In pregnant rats, ovarian FasL is expressed throughout pregnancy; its levels decrease at postpartum Day 3 when structural luteolysis starts [22]. Although obtained from different physiologic states, our data are in accord with those from studies in nonpregnant animals showing that Fas is located in steroidogenic luteal cells, that a high incidence of apoptosis results from an increase in Fas during structural luteolysis, and that luteal FasL expression is decreased at low serum PRL levels [2022]. Furthermore, numerous FasL-positive small lymphocytes accumulated in the degenerated luteal vascular spaces, implying that the barrier of luteal vessels was damaged in the bromocriptine-treated CL. Thus, a decrease in luteal FasL levels, together with an increase in luteal Fas levels, after PRL withdrawal leaves the luteal tissue more vulnerable to attacks from infiltrating immune cells (i.e., FasL-positive small lymphocytes) during bromocriptine-induced luteolysis.
In the immune system, Fas was originally identified as an apoptosis-inducing receptor [16], the Fas-FasL interaction has been demonstrated to act as an initiator in immune tolerance and clonal deletion [14], and autocrine or paracrine interactions of Fas and FasL lead to apoptosis of activated T cells and maintain T-cell tolerance [15]. On the other hand, PRL enhances the proliferative response of lymphoid cells to specific antigens, resulting in clonal expansion [31], and also reverses the antiproliferative effect of transforming growth factor ß on B cells [32]. In the present study, luteal expression of Fas and FasL was demonstrated under the regulation of PRL. However, many questions still remain unanswered, especially the local and systemic roles of FasL. An intriguing point, currently under study, is whether local luteal immune cells behave in the same way as their counterparts in the immune system during PRL withdrawal. FasL is known to contribute to the maintenance of immune privilege in the eye and testis [17, 18, 33]. Recently, FasL expression was detected in vivo by in situ hybridization in human colon tumor cells and was regarded as evidence of immune evasion [3436]. Up-regulation of FasL is accompanied by Fas down-regulation in human breast cancer [37]. During pregnancy, luteal expression of FasL is supported by a high serum PRL concentration, while luteal Fas expression is suppressed by high serum progesterone levels. Taken as a whole, PRL modulates the presence of luteal FasL, which may in turn endow the CL as an immune-privileged tissue during early pregnancy.
The current study has demonstrated the luteotropic roles of PRL during early pregnancy in hamsters. PRL regulates serum progesterone levels and facilitates luteal vascular development by maintaining Thy-1-positive vascular pericytes. By up-regulating FasL and down-regulating Fas, PRL protects the CL from immune insult and ensures the success of pregnancy in hamsters.
| FOOTNOTES |
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1 This work was supported in part by a grant from the National Science Council of Taiwan (NSC-89-2320-B002-116). ![]()
2 Correspondence: Joyce C. Chen, Department of Physiology, College of Medicine, National Taiwan University, No. 1 Sec. 1, Jen-Ai Rd., Taipei, Taiwan. FAX: 886 2 2396 4350; joyce{at}ntcn.edu.tw ![]()
Accepted: January 22, 2002.
Received: November 5, 2001.
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