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Pregnancy |
Department of Obstetrics and Gynecology,3 Division of Reproductive Endocrinology and Fertility, the University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599-7570
Department of Physiology,4 School of Veterinary Medicine, Universidad Complutense, 28040 Madrid, Spain
Department of Cell Biology,5 Vanderbilt University School of Medicine, Nashville, Tennessee 37232
Department of Obstetrics and Gynecology,6 Women's Reproductive Health Research Center, Vanderbilt University School of Medicine, Nashville, Tennessee 37232
DuPont Pharmaceuticals Research Laboratories,7 Experimental Station, Wilmington, Delaware 19880-0400
Department of Obstetrics and Gynecology,8 Division of Maternal and Fetal Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599-7570
| ABSTRACT |
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embryo, implantation, pregnancy, progesterone, uterus
| INTRODUCTION |
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The steroid hormone-dependent establishment of endometrial receptivity is associated with a complex set of morphological transitions of the uterine lining. Interaction between trophectoderm and luminal epithelium likely initiates the implantation process. Both soluble signals and association between molecules on opposing epithelial surfaces appear to be involved [7]. A number of cell surface molecules have been implicated in the initial attachment reaction between trophectoderm and maternal surface epithelium. These include heparin-binding epidermal growth factor (HB-EGF) [8, 9], trophinin [10], CD44 [11], integrins [12, 13], and extracellular matrix molecules such as osteopontin (OPN) [14], each of which exhibit elevated levels of expression at the time of implantation.
OPN is a phosphorylated glycoprotein containing an arginine-glycine-aspartic acid (RGD) cell adhesion sequence [15]. Although originally identified in bone, OPN expression is found in a number of different tissues and has been shown to exert multifunctional biological effects [16]. In the reproductive tract, OPN expression by secretory phase endometrial epithelial cells, invading cytotrophoblasts, and placentae is temporally correlated with blastocyst invasion and placentation [17]. Recent studies in humans [14] and ewes [18, 19] have shown that OPN is abundantly expressed in the glandular epithelium of luteal-phase endometrium and its expression is regulated by progesterone [20].
Osteopontin has been shown to bind primarily to
vß3 integrin on tissues/cells via its RGD sequence and may promote cell attachment and/or cell spreading [21, 22]. The presence of
vß3 integrin both on trophoblast cells of mouse and human embryos [23, 24] and endometrium [12, 25, 26] at the time of implantation led to the hypothesis that this integrin mediates some of the molecular aspects of adhesion between the nascent embryo and the endometrium.
The rabbit appears to be an outstanding model in which to study implantation [27]. Both pseudopregnancy and pregnancy can be precisely triggered, and rabbit endometrium resembles the physiology of human endometrium of the secretory phase [28, 29]. This animal model has been used to study the expression of several endometrial proteins thought to be associated with implantation including cytokines [30, 31], haptoglobin [32], vascular endothelial growth factor (VEGF) [33], and the mucin MUC-1 [34]. We recently demonstrated that the
vß3 integrin is expressed by the rabbit embryo but not by the peri-implantation endometrium [35]. To date, OPN expression has been shown to be regulated during the menstrual cycle in humans [14], the estrous cycle in sheep [18], and early pregnancy in the mouse [36], but its expression patterns in rabbit endometrium and embryo are unknown. The present study was therefore undertaken to compare the temporal and spatial pattern of OPN expression during early pregnancy in the rabbit and to study its hormonal regulation in this species. Based on these results, we hypothesize that OPN plays a critical role in the endometrial receptivity with possible roles as a ligand for the blastocyst integrin receptor
vß3 during attachment to the surface epithelium.
| MATERIALS AND METHODS |
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Sexually mature New Zealand white female rabbits were used for this study. Animal protocols conformed to NIH guidelines for humane animal care, and their use in research was approved by institutional animal care and use committees at the Universidad Complutense in Madrid, Spain, and the University of North Carolina and Vanderbilt University. Rabbits used in these studies were housed in individual cages in a controlled environment with a 12L:12D cycle. Food and water were provided ad libitum. Nonpregnant rabbits were used to study the basal and regulated expression of OPN. To study the expression of OPN during early pregnancy, females were naturally mated twice to a fertile buck; the day of mating was designated as Day 0 of pregnancy. Samples of endometrium were obtained from nonmated and mated rabbits on Days 18 of pregnancy. Uterine tissues from these animals were used for Northern blot analyses, in situ hybridization, and immunohistochemistry. Prior to collection of the tissues, rabbits were killed by a lethal i.v. injection of pentobarbital. Endometrial samples were obtained by immediately opening the excised uterus and scraping the uterine lumen with a razor blade. Tissue for RNA and cross-sections of uteri for immunohistochemistry or in situ hybridization was immediately snap frozen in liquid N2 and stored at -70°C until use.
Embryos were collected from mature pregnant female rabbits (n = 2) killed by lethal i.v. injection of pentobarbital 6.5 d after breeding. The entire uterus was immediately excised and the uterine horns were cut below the oviduct. A 16-gauge catheter was inserted in each horn, and the embryos were flushed into a 100 mm Petri dish with 10 ml HEPES buffered Ham F-10 culture medium (Irvine Scientific, Irvine, CA) supplemented with human serum albumin 10 mg/ml (Sage Biopharma, Badmister, NJ).
RNA Isolation and Northern Blot Analysis
Total RNA was isolated from tissue using TRIzol Reagent (Life Technologies, GIBCO-BRL, Gaithersburg, MD) and quantified by absorbance spectroscopy at 260 nm, and integrity of the RNA was confirmed by electrophoretic fractionation through 0.8% agarose gel. Twenty micrograms of total RNA from each stage was aliquotted and stored at -70°C until use. Total RNA (20 µg per lane) was glyoxylated followed by fractionation through 1.0% agarose gels and blotted by capillary action onto a nylon membrane. RNA was cross-linked to the membrane by UV radiation (Stratalinker 1800, Stratagene, La Jolla, CA) using 12 x 104 µJ radiation. The membrane was prehybridized with NorthernMax-Gly hybridization solution (Ambion, Inc., Austin, TX) at 42°C for 2 h. Approximately 1.4 kb cDNA fragment encoding a full-length human OPN gene served as the template for synthesis of a labeled DNA probe using a random priming method (Random Primed DNA labeling kit, Boehringer Mannheim Biochemicals, Indianapolis, IN). The membrane was subsequently hybridized with (
-32P)dCTP (Amersham Pharmacia Biotech, Piscataway, NJ) labeled OPN probe for 16 h at 42°C. After hybridization, the membrane was washed twice at room temperature for 15 min in 2 x SSC and 0.1% SDS, and twice further, 15 min each at 42°C with 0.1 x SSC and 0.1% SDS. Autoradiography was performed using Hyperfilm (Amersham) for 2472 h at -70°C until the desired exposure was obtained. Further, the integrity and relative amount of RNA loaded into each lane were confirmed by using a GAPDH 32P-labeled cDNA probe as a constitutively expressed marker.
Immunohistochemistry
The polyclonal antibody used to detect rabbit OPN was raised in guinea pig against the human-OPN fusion protein. This antibody has been previously characterized and shown by Western analysis and immunohistochemistry (IHC) to efficiently and specifically detect rabbit OPN [37]. Immuno-localization of OPN protein expression in endometrial cell types was performed on endometrium obtained from estrous and Day 6.75 of pregnancy. Uterine segments were placed in histologic embedding medium (Histo Prep, Fisher Scientific, Chicago, IL), frozen in liquid N2, and stored at -70°C. Five-micrometer-thick cryosections were fixed with 4% formaldehyde in 0.1 M phosphate buffer, pH 7.2, at 4°C for 30 min. Sections were rinsed in Tris-buffered saline (TN: 20 mM Tris-HCl, pH 8.0, 150 mM NaCl, 0.05% Tween 20) and then blocked in TN containing 2.5% BSA and 5% normal donkey serum. Sections were then incubated for 1 h in guinea pig antiserum to osteopontin diluted 1:1000 in blocking solution. Control specimens were incubated in an equivalent dilution of nonimmune guinea pig serum. After three washes in TN containing 1% serum, specimens were incubated in Cy3-donkey anti-guinea pig IgG (Jackson ImmunoResearch, West Grove, PA) diluted 1:500 in blocking solution. Specimens were then washed three times in TN and examined by phase contrast and fluorescence microscopy.
For immunofluorescent detection of OPN and
vß3 on rabbit embryos, we used blastocysts collected on Day 6.5 as described above. Embryos were transferred to organ culture dishes (Falcon, Becton Dickinson and Co., Lincoln Park, NJ) that contained culture medium with 1 mg/ml protease (Sigma Chemicals Co., St. Louis, MO). Following a 20-min incubation at room temperature, the outer mucin coat was digested and completely removed by repeated pipetting through a wide-tip transfer pipette. The embryos were then washed three times in culture medium and fixed for 20 min in 2% paraformaldehyde in PBS. Embryos were rinsed three times with PBS and incubated in 2% of normal goat serum to block nonspecific binding before being incubated with anti-
vß3 antibody (1:500; LM609; Chemicon International Inc., Temecula, CA), guinea pig antiosteopontin antibody (1:1000), or an equal concentration of nonimmune serum (control) for 18 h at 4°C. Embryos were then washed three times with PBS prior to further incubation with fluorescein isothiocyanate-labeled secondary anti-mouse or anti-guinea pig antibody (Vector Laboratories Inc., Burlingame, CA) for 1 h at room temperature (RT) at a working dilution of 1:100. Following multiple washes, embryos in each group were then examined for fluorescence immunostaining with an inverted Olympus fluorescence microscope at standard fluorescein isothiocyanate settings. Images were captured digitally with the aid of NIH videomicrography software (NIH Image Software, version 1.61, Bethesda, MD).
In Situ Hybridization
The human osteopontin cDNA clone encompassing the entire coding sequence was linearized with XbaI and XhoI for a generation of antisense and sense (control) cRNA probes using T7 and T3 polymerases, respectively. Uterine sections obtained from secretory phase human endometrium and rabbit endometrium on Day 6.75 of pregnancy were used in this study. The in situ hybridization method using 35S-labeled probes was derived from the research of Cox et al. [38] and adapted for application with formalin-fixed, paraffin-embedded tissues essentially as described previously [39]. Briefly, formalin-fixed, paraffin-embedded tissues were sectioned (7 µm) and placed onto poly-L-lysine coated slides. Tissues were deparaffinize with xylene and rehydrated through a graded series of ethanols. Hybridization was carried out in a humidified chamber using 35S-labeled sense and antisense complementary RNA probes specific for OPN overnight at 56°C. After hybridization, the coverslips were removed by washing in 4 x SSC followed by incubation with 20 µg/ml of RNase A for 30 min at 37°C. After a series of washes, the RNase A resistant hybrids were detected by autoradiography using Kodak NTB-2 liquid emulsion (Eastman Kodak Co., Rochester, NY). Exposure was carried out for 3 wk at 4°C. The slides were counterstained with hematoxylin, dehydrated through a graded series of alcohol, cleared in xylene, and coverslipped. Representative dark and bright fields were photographed at 200x magnification on a microscope (Olympus Corp., Tokyo, Japan).
Steroid Hormone Effects on Uterine Osteopontin Expression
In vivo steroid hormonal treatments were carried out on nonpregnant does, as previously described [31]. Nonmated animals were used in this study. Steroids comprising estradiol-17ß, progesterone (Sigma), and antiprogesterone ZK137.316 (Schering AG, Berlin, Germany) were first dissolved in a minimal amount of absolute ethanol and diluted to final concentration in vegetable oil. Doses of steroids were chosen on the basis that they would maintain pregnancy in ovariectomized animals. The unmated rabbits were distributed into six groups comprising three rabbits per group. The rabbits received subcutaneous injections of 0.5 ml of vegetable oil alone or with steroid hormones as follows: 1) controls; vehicle only/rabbit/d for 3 d; 2) 5µg of estradiol-17ß/rabbit/d for 3 d; 3) 5 mg progesterone/rabbit/d for 3 d; 4) 5µg of estradiol-17ß plus 5 mg progesterone/rabbit/d for 3 d; 5) 5 mg progesterone plus 15 mg of antiprogesterone ZK137.316/rabbit/d for 3 d; 6) 5µg of estradiol-17ß plus 5 mg progesterone plus 15 mg of anti-progesterone ZK137.316/rabbit/d for 3 d. Rabbits were killed by i.v. injection of pentobarbital, and the endometrium was collected for RNA isolation and Northern blot analysis as described above.
| RESULTS |
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To monitor uterine OPN expression through early pregnancy, Northern blot analysis was performed in the endometrium obtained prior to mating and from successive days of early pregnancy (Days 18). A representative Northern blot demonstrates that a single OPN mRNA transcript was detectable in the rabbit endometrium (Fig. 1, upper panel). OPN mRNA was present at very low levels in nonpregnant rabbits and during Days 13 of pregnancy. OPN expression increased on Days 4 and 5 and decreased thereafter. Very little, if any, OPN mRNA transcripts were detected by Day 8 of pregnancy. RNA integrity was confirmed by rehybridizing the same blot to a GAPDH probe (Fig. 1). These results indicate that OPN is expressed in the uterus during early pregnancy in a highly stage-specific manner between Days 4 and 7 of gestation, corresponding to the mid to late luteal phase in the human.
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In Situ Localization of Osteopontin mRNA in the Uterus
Cell-specific distribution of OPN mRNA within human secretory endometrium and from rabbits on Day 6.75 of pregnancy was examined by in situ hybridization analyses (Fig. 2). As a comparison, human endometrium expresses an OPN message during the midsecretory phase confined to both the glandular and luminal epithelium (Fig. 2, top panel). Antisense OPN probing of rabbit endometrium also defines expression in the glandular elements (Fig. 2, lower panel). Hybridization with the sense strand demonstrated no specific labeling in either human or rabbit endometrium. Tissues were counterstained with hematoxylin to enhance visualization by the light field (Fig. 2, far right).
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Immunolocalization of Osteopontin in the Rabbit Uterus
To examine the spatial patterns of expression of OPN protein in the rabbit uterus, we performed immunofluorescence staining from samples obtained from nonpregnant uteri and from Day 6.75 of pregnancy. Photomicrographs showing red immunofluorescence indicated the sites of immunostaining for OPN protein (Fig. 3, AD). There is no specific fluorescence noted in nonpregnant rabbits (Fig. 3B). Intensive staining was noted in the uterine section of Day 6.75 of pregnancy and was limited to the glandular epithelium (Fig. 3D). No staining was detected in any cell types within the stroma or myometrium during either phase.
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Steroid Hormone Regulation of Osteopontin Expression in the Rabbit Uterus
As uterine OPN expression peaked during the progesterone-dominated secretory phase in early pregnancy, it was considered that ovarian steroids were responsible for its regulation. Unmated rabbits were treated with physiologic concentration of either estradiol-17ß or progesterone alone or in combination for 3 d in the presence or absence of the antiprogestin ZK137.316 as described above. RNA extracted from the endometrium of these hormonally treated animals was subjected to Northern blot analysis for OPN. As shown in Figure 4, progesterone stimulated OPN mRNA expression. In contrast, estrogen alone had little or no effect on the expression of OPN. In animals treated with a combination of estrogen and progesterone, there was no additive effect, but OPN expression was slightly lower than that found in rabbits receiving progesterone alone. No OPN expression was detected in control animals that were injected with vegetable oil alone. The antiprogesterone ZK137.316 completely inhibited the stimulatory effects of progesterone in these studies. Taken together, the results suggest that the OPN expression in the rabbit uterus is strictly regulated by progesterone, and these effects are mediated through its nuclear receptor.
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Osteopontin and Its Receptor
vß3 Integrin in Rabbit Preimplantation Embryos
Expression of OPN and its receptor,
vß3, was studied in Day 6.5 rabbit blastocysts by immunofluorescence (Fig. 5). Relatively intense cell-surface staining for
vß3 integrin was detected on the embryo (Fig. 5F). In contrast, no immunofluorescence was noted for OPN on preimplantation embryos (Fig. 5E) and no staining was seen when primary antibody was omitted (Fig. 5D).
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| DISCUSSION |
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Several specific endometrial gene products have been studied in the rabbit during estrous and early pregnancy, including uteroglobin [44], leukemia-inhibitory factor (LIF) [30], MUC-1 [34], and VEGF [33]. In the present study, we examined the pattern of OPN expression in this species. The results of Northern blot analysis demonstrate that OPN mRNA is expressed in a stage-dependent fashion in rabbit endometrium, increasing during the peri-implantation period. Consistent with observations in mouse [36], sheep [18, 45], and human [14], OPN mRNA levels are highest during the secretory phase, corresponding to the time of epithelial differentiation under the influence of progesterone. As demonstrated in the human [46], progesterone is essential for successful pregnancy in the rabbit [47]. Further, the rabbit uterus has been shown to be receptive to embryo attachment 57 d postovulation [48]. Maximal uterine OPN expression correlates well with the rise in maternal progesterone concentration at this time in pregnancy.
Cellular localization of OPN mRNA and protein demonstrated that OPN expression is restricted to the glandular epithelium of the secretory phase endometrium. No expression of OPN was observed prior to mating, and little if any OPN expression was present on the blastocyst. Similar expression patterns have been reported in the sheep [18, 44] and human [14], with OPN expression restricted to the glandular epithelium during the secretory phase in both species. Like LIF [30], haptoglobin [32], MUC-1 [34], and uteroglobin [49] in the rabbit uterus, OPN is modulated by progesterone and appears during the secretory phase of endometrial development. In the nonpregnant rabbit model, we demonstrate that OPN is dependent on progesterone, but not estrogen, and its expression in progesterone-treated animals was blocked by the addition of the antiprogestin ZK137.316.
In the human, OPN is also dependent on progesterone [14], acting perhaps through the progesterone receptor (PR)-B, rather than the PR-A, progesterone receptor isoform [50]. Interestingly, the rabbit endometrium expresses only the PR-B isoform [51], which declines on glandular and luminal epithelium around Day 5 of pregnancy [43, 44], consistent with reports in other mammalian species that down-regulation of epithelial estrogen receptor (ER) and/or PR correlates well with the time of implantation, including mouse [52], dog [53], pig [54], and human [55, 56]. Regulation of OPN by PR-B is consistent with the recent study by Mote et al. [57], which showed that PR-A and PR-B were differentially expressed in the endometrium during the menstrual cycle. Regulation of OPN by PR-B in human and rabbit endometrium is further supported by observations made using PR-A null mutant mice [58].
The timing and localization of OPN expression during the peri-implantation period suggests a potential role of OPN during early embryo attachment in both rabbits and humans. The existence of an RGD tripeptide sequence in OPN provides the binding sequence for interaction with cell surface receptors such as
vß3. Indeed, OPN has been shown to bind to a variety of integrins, including
vß1,
vß5,
4ß1, and
vß3, which is a primary receptor to promote cell adhesion and migration [22, 59]. Previous reports have demonstrated cycle-dependent expression of the
vß3 integrin receptor in the human endometrium [12, 60] and outer surface of the embryo [24]. Recent in vitro studies have further demonstrated that OPN binds to the
vß3 integrin receptor in the endometrial epithelium [14]. In the present study, we now demonstrate that this integrin is expressed only on the rabbit blastocyst at the time of pregnancy. These data suggest that the rabbit model is slightly different compared with the human, although OPN is secreted by uterine epithelial cells in both species. Unlike the human endometrium that expresses
vß3 on both the endometrial and embryonic surface epithelium [12, 24], the rabbit uterus lacks expression of
vß3 integrin on the surface or glandular epithelium [35] but maintains expression on the embryo.
Other adhesion molecules on the surface epithelium of the rabbit uterus at the time of implantation that might serve as a receptor that binds to OPN have been reported. The most likely candidate includes the hyaluronate receptor CD44 [61]. This receptor has been shown to bind OPN through a non-RGD site, providing a compelling model for cell-cell interaction involving OPN as the bridging molecule between
vß3 and CD44. Introduction of antibodies that block the
vß3 receptor or RGD peptides that could compete for OPN was previously shown to reduce implantation efficiency in the rabbit model [35]. Future studies will be focused on CD44 to test whether neutralization of this adhesion molecule also perturbs implantation in the rabbit.
In conclusion, these results indicate that OPN is expressed in a stage-specific manner in the rabbit uterus, correlating temporally with increasing concentration of plasma progesterone during the luteal phase. Further, OPN expression is induced by progesterone and antagonized by the antiprogestin ZK137.316 in vivo, indicating that OPN expression is regulated through PR. The presence of
vß3 integrin expression on the embryo and the reported expression of CD44 on the maternal surface suggests that OPN may serve as a bridging molecule between maternal and embryonic surfaces at the time of implantation. Roles for OPN in embryo signaling may not be excluded. The simplicity of the rabbit model with unilateral expression of key adhesion molecules makes this species particularly attractive for the study of embryo attachment during early pregnancy.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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2 Correspondence: Bruce A. Lessey, Department of OB/GYN, Division of Reproductive Endocrinology and Fertility, CB #7570, Old Clinic Building, The University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7570. FAX 919 966 5214; lessey{at}med.unc.edu ![]()
Received: 12 November 2001.
First decision: 28 November 2001.
Accepted: 18 October 2002.
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