Endocrinology Vol. 138, No. 5 2172-2183
Copyright © 1997 by The Endocrine Society
Structural and Functional Changes in Mitochondria Associated with Trophoblast Differentiation: Methods to Isolate Enriched Preparations of Syncytiotrophoblast Mitochondria1
Federico Martínez,
Marianthi Kiriakidou and
Jerome F. Strauss, III
Departamento de Bioquímica (F.M.), Facultad de Medicina,
Universidad Nacional Autónoma de México, México, and
Center for Research on Reproduction and Womens Health and the
Department of Obstetrics and Gynecology (M.K., J.F.S.), University of
Pennsylvania, Philadelphia, Pennsylvania 19104
Address all correspondence and requests for reprints to: Dr. Federico Martínez, Departamento de Bioquímica, Facultad de Medicina, Universidad Nacional Autónoma de México, Apartado. Postal 70159, 04510, Coyoacan, México, Distrito Federal, México.
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Abstract
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The syncytiotrophoblast of the human placenta is derived from the
fusion of cytotrophoblast cells. The syncytiotrophoblast and
cytotrophoblast cells have different functional properties. Here, we
document that syncytiotrophoblast mitochondria have a distinct
phenotype that differs from that of the mitochondria of cytotrophoblast
cells. Syncytiotrophoblast mitochondria are small and have a dense
matrix and vesicular cristae. They contain the machinery to convert
cholesterol into pregnenolone. The larger cytotrophoblast mitochondria
have lamellar cristae and do not have detectable P450scc.
These observations imply that trophoblast mitochondria undergo
morphological and functional changes as cytotrophoblast cells
differentiate into syncytiotrophoblast. Structural changes in
mitochondria and accumulation of P450scc were induced in a
clonal line of BeWo choriocarcinoma cells by treatment with 8-Br-cAMP,
which promotes formation of syncytial structures in these cultures. We
conclude that the terminal differentiation program of trophoblast cells
includes major changes in the architecture and function of
mitochondria. Based on the unique features of syncytiotrophoblast
mitochondria, we developed a method to prepare highly enriched
syncytiotrophoblast mitochondria from term placenta using differential
centrifugation and density gradient centrifugation.
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Introduction
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THE HUMAN placenta is a multifaceted fetal
structure involved in gas exchange and transport of nutrients from
mother to fetus (1). The human placenta is also an endocrine gland,
responsible for the production of large amounts of progesterone, a
hormone essential for the maintenance of pregnancy (2, 3, 4). The
transport and endocrine functions of the human placenta are mainly
carried out by the syncytiotrophoblast, which comes into direct contact
with maternal blood. The multinucleated syncytiotrophoblast arises from
the fusion of mononuclear cytotrophoblast cells (1, 5). The
cytotrophoblast cells are the replicating components of the trophoblast
lineage. Once cytotrophoblasts exit from the cell cycle, they gain
fusion competence and form a syncytium. This process encompasses more
than just a morphological transformation because the endocrine
activities of the cytotrophoblast cells are distinct from those of the
syncytiotrophoblast (1, 6). Thus, there are concomitant functional
changes as the cells morphologically differentiate.
Mitochondria are involved in the synthesis of progesterone; the first
step in the formation of this steroid hormone is catalyzed by the
cholesterol side-chain cleavage enzyme, P450scc, which is
located on the inner mitochondrial membranes (7, 8, 9). Mitochondria have
been isolated by differential centrifugation from human term placenta
in dense, less dense, and heavy forms (10, 11, 12). The respiratory
properties and progesterone synthesizing activities of these different
mitochondrial fractions have been reported to be similar. In contrast,
ultrastructural studies suggest that the mitochondria of the
syncytiotrophoblast are significantly smaller than those found in the
cytotrophoblast cells (1, 13, 14), indicating that there are
differences among these organelles in the two main trophoblast
phenotypes. The goals of the present work were to document that the
mitochondria of syncytiotrophoblast cells have properties that are
distinct from those of cytotrophoblast cells and to establish methods
to prepare enriched preparations of syncytiotrophoblast mitochondria
from human term placenta.
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Materials and Methods
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Immunohistochemistry
Frozen sections of human term placenta were fixed in 4%
paraformaldehyde in 0.1 M sodium phosphate buffer, pH 7.4.
Antigen retrieval was carried out by heat-steaming of the slides at 80
C. Endogenous peroxidase activity was quenched by treatment in 2%
hydrogen peroxide in methanol for 20 min. Tissue sections were blocked
for 30 min at room temperature with normal goat serum diluted 1:70. Two
different previously characterized anti-P450scc antibodies
were employed in these studies, one produced against purified bovine
P450scc (15), the other against bacterially expressed human
P450scc (16). Anitisera were used at a dilution of 1:2000
and applied for 1 h at 37 C. Slides were washed after incubation
with primary antibody and a biotinylated goat antirabbit antiserum was
then applied for 30 min at 37 C followed by washes and a final
incubation with streptavidin horseradish peroxidase conjugate for 30
min at 37 C. One x automation buffer (Biomeda Corp., Foster City,
CA) was used in all antibody solutions and washes. Control sections
were incubated with preimmune serum instead of anti-P450scc
antiserum. Detection of peroxidase activity was carried out with
diaminobenzamidine as substrate. The sections were counterstained with
hematoxylin.
Electron microscopy and immunogold localization of
P450scc
Specimens for transmission electron microscopy were fixed in 2%
glutaraldehyde and postfixed with osmium tetroxide; sequentially
dehydrated with increasing concentrations of ethanol, and embedded in
an epoxy resin (14). Sections were cut and stained with uranyl acetate
and lead citrate, and observed in a Jeol electron microscope, operated
at 60 kV.
Placental tissue was fixed for immunogold studies with 4%
paraformaldehyde, 0.2% glutaraldehyde and phosphate buffered saline
(17). Immunostaining was performed on thin sections on nickel grids as
described by Smith and Jarret (17). Sections were incubated with
anti-P450scc antibody overnight at 4 C and the antibody was
detected with 10 nm gold particles complexed to antirabbit Ig. Control
sections were incubated with preimmune serum. Sections were stained
with 2% uranyl acetate.
Isolation of mitochondria from human placenta
Placentas were collected immediately following normal delivery
at term. Mitochondria were prepared as previously reported (18).
Briefly, placental cotyledons were isolated and placed into ice-cold
250 mM sucrose, 1 mM EDTA, pH 7.4. The tissue
was washed three times with the same solution, and then minced into
small pieces. The tissue suspension was homogenized with a Polytron at
3,000 rpm for 1 min for two cycles at intervals of 1 min in a cold
room. The pH of the homogenate was adjusted to 7.4 with Tris and then
centrifuged at 1,500 x g for 15 min in a refrigerated
centrifuge. The supernatant was recovered and centrifuged at 4000
x g to pellet the large mitochondria and then the
supernatant was centrifuged again at 16,000 x g for 15
min. The pellet containing the mitochondria was suspended in the same
solution and centrifuged at 1,500 x g for 10 min to
remove remaining erythrocytes. Finally, mitochondria were pelleted at
12,000 x g for 10 min.
Culture of the BeWo choriocarcinoma cells and isolation of
mitochondria
The b30 clone of BeWo cells, kindly provided by Dr. Arnold
Schwartz (Washington University, St. Louis, MO) were cultured in DMEM
with 25 mM glucose, supplemented with 2 mM
L-glutamine, 10% heat inactivated FBS, 25 mM
HEPES, and 50 µg gentamicin per ml (19). When the cells attained 80
or 90% confluence, they were treated with 1 mM 8-Br-cAMP
for 3 days.
To isolate mitochondria, the BeWo cells were released from the culture
dishes with 0.05% trypsin and 0.50 mM EDTA in calcium and
magnesium-free HBSS solution during a 58 min incubation at room
temperature. The released cells were collected by centrifugation at
1,000 x g for 10 min. The cell pellets were suspended
in 10 ml of a solution containing 250 mM sucrose, 1
mM EDTA, and 5 mM HEPES, pH 7.2. After 5 min of
continuous stirring in an ice bath, digitonin was added until 80% of
the cells were lysed. The suspension was then diluted with 2 vol of the
isolation medium and centrifuged at 3,000 x g for 10
min. The pellet was suspended in 3 ml of fresh isolation medium and
homogenized with three to six strokes in a glass homogenizer. The
homogenate was diluted to 35 ml, and centrifuged at 6,000 x
g for 10 min. This last step was repeated three times and
the supernatants were pooled, and centrifuged at 25,000 x
g for 20 min. The pellet containing the mitochondria was
suspended in the isolation media.
Sucrose and Percoll gradients
Discontinuous sucrose and Percoll gradients were used to purify
mitochondria. The sucrose gradients were made from 3550% sucrose, 10
mM Tris-HCl, pH 7.4, at 5% intervals. The formation of
Percoll gradients was accomplished using a procedure modified from a
previously reported technique (20) by using 20, 25, 30, and 40% of
Percoll, maintaining the concentration of sucrose at 250
mM, 1 mM EDTA, pH 7.4, throughout the gradient.
The final vol for both gradients was 8 ml plus 1 ml of mitochondrial
protein (10 mg). Gradients were centrifuged at 104,000 x
g for 30 min at 4 C in an SW 40.1 rotor in a Beckman
refrigerated ultracentrifuge. Fractions were collected with a Pasteur
pipette, diluted with 250 mM sucrose, 1 mM
EDTA, pH 7.4, centrifuged at 16,000 x g for 15 min,
and the protein content was then determined by the dye-binding method
(21). Comparisons of the sucrose and Percoll (Sigma Chemical Co., St.
Louis, MO) gradient procedures for preparation of placental
mitochondria were performed with five different placenta to establish
the reproducibility of the methods.
Metrizamide gradients
A continuous gradient of 1040% metrizamide (Nyegaard & Co.
To/S, Oslo, Norway) was prepared in a solution containing 1
mM EDTA and 5 mM HEPES, pH 7.3. An aliquot of
0.5 ml of mitochondria was layered over the gradient, with no more than
5 mg of protein/ml, and centrifuged at 106,000 x g,
for 75 min at 4 C in a SW41 rotor in a Beckman (Palo Alto, CA)
ultracentrifuge, as reported previously (22).
Aliquots of 0.5 ml, from the bottom to the top, were collected using a
peristaltic pump. The fractions were diluted with 0.5 ml of the
isolation medium and centrifuged at 14,000 rpm for 25 min in a cold
room in an Eppendorf (Westbury, NY) centrifuge. The supernatants were
discarded and 50 µl of sucrose-EDTA-HEPES solution was added. The
concentration of protein was then determined.
Enzyme activities
Succinate dehydrogenase (SDH) activity was assayed at room
temperature in a dual-beam Aminco (Urbana, IL) DW-2a spectrophotometer,
using the difference between the absorbance at 550 nm and 575 nm. The
reaction medium contained 50 mM phosphate buffer, pH 7.6,
100 mM KCN, 25 mM cytochrome c, and
50 µg of sample protein in a final volume of 1 ml. After the baseline
was obtained, 6 mM sodium succinate, pH 7.6, was added to
start the reaction. SDH activity was followed for 12 min, and then 20
mM malonate was added to stop the reaction (23). SDH
activity was determined in mitochondria from BeWo cells using 10 or 20
µg of protein in a mixture containing: 50 mM phosphate
buffer, pH 7.6, 20 µM cytochrome c, and 100
µM KCN. SDH activity was calculated using an extinction
coefficient for cytochrome c of 22.7 mmol-1
cm-1. Activity is reported as µmol of cytochrome c
reduced mg-1 min-1.
Citrate synthase (Cit S) was assayed at room temperature as reported by
Srere (24) using 50 µg of protein in a final volume of 1 ml.
Western blotting of cytochrome P450scc, adrenodoxin,
and cytochrome oxidase
SDS-PAGE was performed as described by Laemmli (25). For
cytochrome P450scc, 10% polyacrylamide gels were used,
whereas for adrenodoxin and cytochrome oxidase, 15% polyacrylamide
gels were employed. Eight micrograms of mitochondrial protein was
loaded in each lane. After the electrophoresis, the gels were placed on
a Immobilon membranes (Millipore, Bedford, MA) and proteins were
transferred overnight at 60 mV (26). Polyclonal antibodies raised
against bovine P450scc and adrenodoxin have been described
previously (15). The antibody against cytochrome oxidase was a gift of
Dr. Diego González-Halphen, Instituto de Fisiología
Celular, UNAM, México, which was prepared with the technical
assistance of Q. F. B. Miriam Vázquez-Acevedo (27). The membranes
were incubated overnight in at 4 C with the primary antibodies and then
washed with a saline solution containing 0.1% of Tween 20 and
incubated with the second antibody (antirabbit IgG peroxidase) at a
dilution of 1:2,000 at room temperature for 2 h. The membranes
were then washed and incubated with chemiluminescence detection
reagents (ECL, Amersham) and exposed to film.
Determination of respiratory chain cytochromes
Samples (0.5 mg) were added to one ml of a medium containing 50
mM phosphate buffer, pH 7.6, and 100 mM KCN. A
baseline from 400620 nm was taken and subtracted from each scan. The
cytochromes were revealed after adding 6 mM sodium
succinate and dithionite to the sample cuvette as reported previously
(28).
Pregnenolone synthesis
Transformation of 22(R)-OH-cholesterol into pregnenolone by
isolated mitochondria was measured in the following media: 250
mM sucrose, 5 mM MgSO4, 20
mM KH2PO4, 25 mM
Tris-HCl, 0.2 mM EDTA, 1 mg BSA/ml, 10 mM
trilostane, 15 µM 22(R)-OH-cholesterol, 20 mM
glucose-6-phosphate, and 3 U glucose-6-phosphate dehydrogenase.
Mitochondrial protein (0.25 mg) in a total volume of 0.5 ml was
incubated at 37 C. The reaction was started by the addition of 5
mM isocitrate and 0.5 mM NADP+. At
the indicated times, an aliquot of 0.1 ml was withdrawn and mixed with
0.5 ml petroleum ether to stop the reaction. Pregnenolone was extracted
twice with petroleum ether. The evaporated samples were used to measure
pregnenolone by RIA, as described by (29) using an antibody kindly
provided by Dr. Charles Strott (NIH, Bethesda, MD).
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Results
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P450scc is localized to syncytiotrophoblast
mitochondria
Immunohistochemistry of term placenta at the light microscope
level demonstrated that P450scc is localized to the
syncytiotrophoblast (Fig. 1
). The occasional
cytotrophoblast cells in the chorionic villi were not stained.
Identical results were obtained with the two different
anti-P450scc used. Ultrastructural examination revealed two
forms of mitochondria in the trophoblast cells (Fig. 2
).
Large mitochondria were found in the cytotrophoblast cells. These
organelles had a structure similar to the morphology of liver
mitochondria, with lamellar cristae in an orthodox configuration. The
syncytiotrophoblast contained smaller mitochondria with a condensed
matrix and vesicle-like cristae. The larger cytotrophoblast
mitochondria had a round shape, whereas the syncytiotrophoblast
mitochondria were irregular in shape with protuberances of the outer
and inner membranes. P450scc was localized in the small
syncytiotrophoblast mitochondria by immunogold electron microscopy
(Fig. 3
). Approximately 75% of the mitochondrial
profiles in the syncytiotrophoblast contained from 15
particles/profile. Gold particles were rarely found in the
cytotrophoblast mitochondria (<7% of profile contained a gold
particle), confirming the distribution of P450scc observed
at the light microscope level. When the sections were stained with
preimmune serum, gold particles were infrequently seen (<1% of
mitochondrial profiles contained a gold particle).

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Figure 1. Immunohistochemical localization of
P450scc in the human term placenta. A and C, Sections
stained with antibovine P450scc antibody showing
immunostaining in syncytiotrophoblast cytoplasm in a granular pattern.
Cytotrophoblast cells (arrowheads) underlying the
syncytium are not stained. B, Section stained with preimmune serum.
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Figure 2. Ultrastructure of human syncytiotrophoblast and
cytotrophoblast cells. Electron micrograph of term placental villus
showing syncytiotrophoblast (ST) and underlying cytotrophoblast (CT).
N, Nucleus; m, mitochondria. 10,000x.
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Figure 3. Immunogold localization of P450scc in
syncytiotrophoblast mitochondria. A and inset, Section
stained with anti-bovine P450scc antibody. Gold particles
(arrowheads) are localized in syncytiotrophoblast
mitochondria (arrows), but rarely in mitochondria of an
adjacent cytotrophoblast cell with a more densely stained cytoplasm. B,
Section stained with preimmune serum. Bar, 1 µm.
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Isolation and characterization of syncytiotrophoblast
mitochondria
The syncytiotrophoblast is the predominant trophoblast form in the
term placenta. However, occasional cytotrophoblast cells are present at
term and the villous core contains stromal and endothelial cells. Thus,
standard differential centrifugation methods cannot achieve a high
degree of enrichment of syncytiotrophoblast mitochondria from tissue
homogenates. Based on our observations that the syncytiotrophoblast
mitochondria are smaller than those found in other placental cell
types, we established methods to isolate syncytiotrophoblast
mitochondria relying on density differences predicted from their
ultrastructural features.
Mitochondria are generally isolated by differential centrifugation at
2,5002,800 x g followed by a second centrifugation
of the supernatant at 9,80016,000 x g, in which
mitochondria are pelleted. To separate large from small mitochondria,
we included another centrifugation at 4,000 x g. The
pellets obtained at 4,000 and 16,000 x g contained SDH
activity, an enzyme exclusively found in mitochondria.
Mitochondria sedimented at 16,000 x g were first
loaded onto a sucrose gradient (from 2550%). Four well-defined bands
at the 3035, 3540, 4045, and 4550% interfaces were observed
(Fig. 4
). A gradient from 3550% sucrose resulted in
better resolution of these bands. The bands containing mitochondria
were localized by measurements of SDH and citrate synthase (Cit S)
activities, and pregnenolone synthesis. In addition, cytochrome
P450scc and adrenodoxin were identified by Western
blotting, and cytochromes from the electron transport chain were
determined by spectrophotometry. Electron microscopic examination of
each band was performed.

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Figure 4. Distribution of mitochondrial fractions on the
sucrose and Percoll gradients and mitochondrial enzymatic activities.
A, The distribution of mitochondria on sucrose and Percoll gradients is
shown schematically with the specific activities of succinate
dehydrogenase (SDH) and citrate synthase (Cit S) in each fraction. The
activities of the enzymes in the starting material before fractionation
are presented. SDH is expressed as µmol of cytochrome C reduced
min-1 mg protein-1. Cit S is expressed as
µmol of 5,5'-dithio-bis(2-nitrobenzoic acid) reduced
min-1mg protein-1. N.D., Not determined. B,
Western blot analysis of cytochrome P450scc and adrenodoxin
in the different fractions from the sucrose and Percoll gradients.
Equal amounts of protein (8 µg) were loaded in each lane. U,
Unfractionated mitochondria. S1, P1 refer to the fractions isolated
from sucrose and Percoll gradients, respectively.
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Figure 4A
shows the distribution of the mitochondrial fractions in the
sucrose gradient, and the activities of SDH and Cit S in the four
bands. Band 2 had four times higher SDH activity and two times greater
Cit S activity compared with the starting material, suggesting that
band two contains intact mitochondria, since enzymes of the matrix
(e.g. Cit S) were retained.
P450scc and adrenodoxin distribution among the different
bands is shown in Fig. 4B
. P450scc in band 2 was enriched
approximately 4- to 6-fold, while adrenodoxin was enriched around 3- to
4-fold compared with the starting material. Electron microscopy
demonstrated that band 1 contains a mixture of vesicles with some
swollen mitochondria (Fig. 5
). Band 2 contained mostly
mitochondria, with some broken outer membranes. Bands 3 and 4 contained
a mixture of mitochondria, vesicles, and other unidentified structures.
As noted above, low SDH and Cit S activities were observed in these two
bands as well as a low concentration of P450scc and
adrenodoxin.

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Figure 5. Electron microscopic examination of the four bands
obtained from the sucrose gradient. A, Band S1; B, Band S2; C, Band S3;
D, Band S4. All photomicrographs were taken at 22410x.
Bar in lower right panel, 1 µm.
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The presence of reduced respiratory chain cytochromes was determined in
the isolated fractions (Fig. 6
). The characteristic
Soret
, ß- and
-bands of cytochrome c are at
415420 nm, 521524 nm and 550556 nm, respectively. Cytochrome
b is detected at 427432 nm, 528531 nm and 559566 nm.
The
band at 444 nm and the
-band at 601605 nm reflect
cytochrome oxidase (cytochrome aa3). Band 2 of
the sucrose gradient contained the cytochromes of the respiratory chain
in higher concentrations than the other bands.

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Figure 6. Reduced respiratory cytochromes in the bands
obtained from the sucrose (A) and Percoll (B) gradients. Cytochrome
content was determined spectrophotometrically as described in the text.
Aliquots of the same unfractionated mitochondrial preparation were
subjected to either sucrose or Percoll gradient separation. Gradient
bands are designated S2, S3, and S4 for the sucrose gradients and P1,
P2, and P3 for the Percoll gradients. In each case, 0.5 mg of
mitochondrial protein was analyzed except for P3, where only 0.33 mg
was available for analysis. Insufficient amounts of protein were
recovered in S1 in this experiment to perform cytochrome analyses. The
wave lengths of absorption peaks reflecting the reduced cytochromes are
indicated.
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The capacity of the mitochondrial fractions to transform
22(R)-OH-cholesterol into pregnenolone was determined. Using
22(R)-OH-cholesterol as a substrate, which readily enters into
mitochondria, maximal rates of cholesterol side-chain cleavage can be
assessed. Figure 7
shows the time course of pregnenolone
synthesis for each of the bands. Band 2 synthesized four to five times
greater amounts of pregnenolone than the starting material. The
relative cholesterol side-chain cleavage activities paralleled the
distribution of P450scc and adrenodoxin in the different
bands as determined by Western blotting.

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Figure 7. Pregnenolone synthesis by different bands from the
sucrose and Percoll gradients. The conversion of 22(R)-0H-cholesterol
into pregnenolone was monitored over time as described in the text
using mitochondria from the same starting material fractionated
simultaneously on a sucrose or Percoll gradient. Upper
panel,Pregnenolone synthesis by mitochondrial fractions
collected from a sucrose gradient. Lower panel,
Pregnenolone synthesis by fractions collected from a Percoll
gradient.
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Because it has been suggested that sucrose gradients modify some
characteristics of the mitochondrial membranes (30), we decided to
compare the results obtained with mitochondria isolated on sucrose
gradients with mitochondria isolated on Percoll gradients. Using 50%
Percoll, three bands were observed, two closely positioned and another
distant from the other two. Mitochondria were localized in the second
band of the adjacent bands, but the collection of this fraction was
difficult. To avoid this technical problem, a discontinuous gradient of
Percoll from 2040% was chosen after several trials. Three bands were
observed in the discontinuous gradients with good separation (Fig. 4A
).
A gradient of sucrose was always run in parallel with the Percoll
gradient for comparison. SDH and Cit S activities from the Percoll
gradient are shown in Fig. 4A
. Only three bands were obtained, and band
2 contained the highest activities of SDH and Cit S. The other
functional properties of the mitochondria studied including contents of
P450scc and adrenodoxin and ability to convert
22(R)-0H-cholesterol into pregnenolone were generally similar to those
obtained with mitochondria isolated on sucrose gradients (Figs. 4B
, 6
, and 7
), suggesting that band 2 from the Percoll gradient was enriched
with syncytiotrophoblast mitochondria. Electron microscopic analysis
confirmed that band 2 contained intact mitochondria (data not shown).
Some differences between mitochondria isolated on sucrose and Percoll
gradients were noted including a lower rate of pregnenolone synthesis
during the initial 5 min of incubation by mitochondria isolated on
Percoll gradients in association with a different spectrum of reduced
cytochromes.
Differentiation of mitochondria in BeWo choriocarcinoma cells
induced by 8-Br-cAMP
The ultrastructural and biochemical observations discussed above
imply that cytotrophoblast mitochondria undergo a process of structural
and functional differentiation as they form syncytiotrophoblast cells.
It has been reported that a clonal line of BeWo choriocarcinoma cells,
which display features of normal cytotrophoblast cells (31), can be
induced to differentiate into syncytial structures by cAMP (19). cAMP
analogs also increase the abundance of mRNAs encoding steroidogenic
enzymes, including P450scc, in choriocarcinoma cells and
substantially stimulate their secretion of progesterone (32). To
determine if cAMP-induced differentiation of BeWo cells is associated
with changes in mitochondrial structure, we analyzed cells after 3 days
of treatment with control medium or 1 mM 8-Br cAMP. This
treatment protocol with 8-Br-cAMP converts >70% of the cells into
syncytia (19). Compared with the untreated BeWo cells, the cells
exposed to the cAMP analog had smaller mitochondria which contained
fewer cristae, often with a vesicular configuration (Fig. 8
). The mean of the largest diameter of the
mitochondrial profiles of the control cells (N = 22) was 1.4 times
greater (P < 0.005 by Students t test)
than that of the mitochondrial profiles in photomicrographs of the
cells treated with 8-Br-cAMP (N = 16).

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Figure 8. Changes in mitochondrial structure in BeWo cells
treated with 8-Br-cAMP. BeWo cells were cultured for 72 h in 1
mM 8-Br-cAMP or control medium and then processed for
transmission electron microscopy. Mitochondria of 8-Br-cAMP-treated
cells (lower panel) are smaller and contain vesicular
cristae compared with the mitochondria of control cells (upper
panel) that have lamellar cristae. Bar, 1
µm.
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To further characterize the BeWo cell mitochondria, the mitochondrial
pellet obtained by differential centrifugation was layered onto a
discontinuous gradient of sucrose, and four well-defined bands between
the interfaces of sucrose 35%, 40%, 45%, and 50% sucrose were
formed. Each fraction was processed for Western blotting to identify
cytochrome P450scc and cytochrome oxidase, as well as the
SDH activity. These analyses revealed that band 3 contained the highest
amount of cytochrome P450scc (Fig. 9
). Also,
the highest amount of cytochrome oxidase was observed in band 3, and
the SDH activity paralleled this distribution (Fig. 9
).
A substantial increment of cytochrome P450scc was observed
in mitochondria isolated from BeWo cells treated with 8-Br-cAMP
compared with control cells, whereas the amount of cytochrome oxidase
was equivalent in the control cells and in cells treated with
8-Br-cAMP.

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Figure 9. Detection of cytochrome P450scc and
cytochrome oxidase by Western blot in mitochondria isolated in a
sucrose gradient from BeWo cells treated with 8-Br-cAMP or control
medium. BeWo cells were cultured for 72 h in control medium or in
the presence of 1 mM 8-Br-cAMP. Mitochondria were prepared
as described in the text and fractionated on a sucrose gradient. Equal
amounts of protein (8 µg) from the indicated bands were subjected to
Western blotting.
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BeWo cell mitochondria were also separated on continuous gradients of
metrizamide, a compound used to separate cell organelles with high
resolution. The distribution pattern of cytochrome P450scc
and cytochrome oxidase across fractions with recoverable protein
revealed that 8-Br-cAMP increased the content of P450scc,
most notably in fractions 3 and 4 (Fig. 10
). Cytochrome oxidase was
most abundant in fraction 4. In control cells, fraction 3 contained the
highest content of cytochrome oxidase, suggesting a shift in density of
the organelles.

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Figure 10. Distribution of cytochrom and cytochrome
oxidase of mitochondria isolated by a Metrizamide gradient. Western
blot analysis of P450scc and cytochrome oxidase was carried
out on the indicated fractions with recoverable protein from cells
cultured in control medium or with 1 mM 8-Br-cAMP for
72 h. Each lane contained 8 µg of protein.
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Discussion
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The present studies provide evidence for structural and functional
changes in human trophoblast mitochondria associated with the terminal
differentiation of cytotrophoblast cells into syncytiotrophoblast. The
mechanisms underlying these alterations, which may include
mitochondrial replication or fission and or reorganization of the
membranes and matrix of existing organelles, remain to be elucidated.
Among the important functional changes occurring in the mitochondria
with the formation of the syncytiotrophoblast is the acquisition of the
ability to convert cholesterol into pregnenolone. The cytotrophoblast
mitochondria are not endowed with significant levels of
P450scc. This enzyme, which catalyzes the first committed
step in steroidogenesis, is abundant in the syncytiotrophoblast
mitochondria. Thus, mitochondria gain P450scc as part of
the trophoblast differentiation program that leads to the fusion of
cytotrophoblast cells. There may be other functional changes in the
mitochondria during the transformation of cytotrophoblast cells into
multinucleated syncytia.
We previously reported that the cytoplasmic differentiation of primary
cultures of human cytotrophoblast cells isolated from term placenta
treated with 8-Br-cAMP included the accumulation of numerous small
mitochondria (14). These observations suggest that mitochondrial
changes can be induced in cultured trophoblast cells. However, these
primary cultures contain heterogeneous populations of cells at
different stages of differentiation and the cells have limited
replicative activity (5). The inability to fully synchronize
differentiation and the limited amount of material make it difficult to
isolate subcellular organelles from primary cultures (5, 33). To
examine the structural and functional differentiation of trophoblast
mitochondria in vitro, we studied a clonal line of BeWo
choriocarcinoma cells that are transformed from cytotrophoblast-like
cells into multinucleated syncytia by cAMP in association with a marked
increase in steroidogenic activity. The ability to initiate the
differentiation process with a homogeneous cell population and the
rapid growth of the BeWo cells offer distinct advantages over the
primary cultures. Three days of 8-Br-cAMP treatment produced
significant morphological changes in the BeWo cell mitochondria
including a reduction in size and a marked change in the configuration
of the cristae accompanied by a substantial increase in
P450scc content. The structural changes, although showing
trends towards those implied from the analysis of cytotrophoblast and
syncytiotrophoblast cells in situ, did not achieve the
striking size and matrix alterations seen in the syncytiotrophoblast
mitochondria or in primary cultures of term cytotrophoblast cells
treated with 8-Br-cAMP (14). This probably reflects the recognized
inability of the BeWo cell lines to undergo the complete program of
trophoblast terminal differentiation (6, 19).
The reduction in size of the mitochondria and the change in the
structure of the cristae may improve the steroidogenic activity of the
syncytiotrophoblast mitochondria. The smaller surface to volume ratio
could enhance the movement of cholesterol, the P450scc
substrate, to the inner membranes where the enzyme is located. The
translocation of cholesterol to P450scc has long been known
to be a rate-limiting step in steroidogenesis that is facilitated in
gonadal and adrenal steroid producing cells by steroidogenic acute
regulatory protein (StAR). However, the StAR gene is not expressed in
the human placenta or choriocarcinoma cells (34). Thus, other
mechanisms must subserve the role of StAR in the human placenta. It is
attractive to speculate that structural changes in the mitochondria,
such as those described in this report, allow the syncytiotrophoblast
mitochondria to efficiently transfer cholesterol from the outer to
inner membranes in the absence of StAR.
What causes the change in mitochondrial structure as cytotrophoblasts
differentiate into syncytiotrophoblast? Our observations on the BeWo
choriocarcinoma cells suggest that cAMP could be one factor that
triggers the mitochondrial differentiation process. This could be the
result of an effect of the cyclic nucleotide on the phosphorylation
status of mitochondrial proteins or the consequence of activation of a
generalized differentiation program at the genomic level. For example,
cAMP increases the levels of proteins that are imported into
mitochondria, including P450scc, and this change in
mitochondrial protein composition could influence organelle structure.
The mitochondrial changes may take place as syncytiotrophoblasts form
or they may occur over a longer time span, perhaps as the
syncytiotrophoblast undergoes maturation. The concept of progressive
syncytiotrophoblast maturation was recently proposed by Babischkin
et al. (35), who reported increasing accumulation of
P450scc mRNA as pregnancy advances in
syncytiotrophoblast-enriched fractions obtained from baboon placentas,
whereas relative adrenodoxin mRNA abundance was constant.
In addition to cAMP, drugs that act on the peripheral benzodiazepine
receptor induce morphological changes in mitochondria and mitochondrial
proliferation. Shiraishi et al. (36) demonstrated that these
agents cause changes in mitochondrial structure and increase the number
of mitochondria and the percentage of dividing mitochondria in glioma
cells. Others have suggested that drugs that act on the peripheral
benzodiazepine receptor modulate mitochondrial function, causing
inhibition of mitochondrial respiratory control (37) and decreasing
O2 consumption in mouse neuroblastoma cells. It is notable
that human term placental mitochondria display a low respiratory
capacity, with respiratory control rations of 2.55 (38). Moreover,
peripheral benzodiazepine receptor ligands stimulate steroid secretion
by human placental explants (39). Thus, the possibility that the
endogenous ligand for the peripheral benzodiazepine receptor promotes
changes in mitochondrial structure that alter respiratory activity and
enhance steroidogenesis is attractive, but at this juncture still
speculative.
Human term placental mitochondria have been isolated by others
using sucrose gradients and differential centrifugation (40, 41, 42, 43). In
these reports, electron microscopic observations revealed size
heterogeneity with some contamination by nonmitochondrial membranes.
Gasnier et al. (30), using a Percoll gradient, isolated
placental mitochondria. However, only two steps of centrifugation were
employed and the electron microscopic images showed large mitochondria,
similar to those observed in the cytotrophoblast. In placenta obtained
early in gestation, isolated mitochondria had a broad range of sizes
with significant contamination (43). Here we demonstrate that sucrose
and Percoll gradients are useful tools that can be used to obtain
highly enriched preparations of steroidogenic mitochondria from human
placenta and BeWo choriocarcinoma cells. In contrast to previously
reported methods, we employed a sequential centrifugation protocol to
obtain the small mitochondria from human placenta that correspond to
the P450scc-containing mitochondria of the
syncytiotrophoblast. The mitochondrial fractions enriched with
P450scc displayed 2- to 5-fold greater cholesterol
side-chain cleavage activity with 22(R)-0H-cholesterol as substrate
than reported by others using human placental mitochondria isolated by
differential centrifugation alone (44). Although highly purified
mitochondria were obtained using both sucrose and Percoll gradients,
there were some differences in the characteristics of the organelles
isolated on the two different gradients, probably reflecting the
effects of the separation media (40).
The human placenta at term weighs approximately 500 g and 100
g of this mass is syncytiotrophoblast (45). The placenta produces about
250 mg of progesterone/day. Assuming that 10% of the wet weight of
syncytiotrophoblast is protein and 10% of the cellular protein is
mitochondrial protein, the syncytiotrophoblast mitochondria in
vivo produce 250 mg of progestin/g of protein. The placental
mitochondria that we isolated on sucrose or Percoll density gradients
produce approximately 270 mg of pregnenolone from
22(R)-0H-cholesterol/day·g of protein. Thus, the method we have
developed appears to yield organelles that reflect the synthetic
capacity of the syncytiotrophoblast mitochondria in situ. It
is important to note that the BeWo cell mitochondria displayed a
slightly different pattern of distribution on density gradient
centrifugation compared with placental mitochondria. These differences
could be related to differences in the lipid composition and the
protein content of the organelles.
In summary, this report documents structural and functional changes in
trophoblast mitochondria with the formation of syncytial structures.
Methods to isolate highly enriched preparations of steroidogenic
mitochondria from human trophoblast have been established and an
in vitro system that can be used to explore the mechanisms
underlying the alterations in trophoblast mitochondrial morphology and
function associated with terminal differentiation in the trophoblast
lineage has been characterized.
 |
Acknowledgments
|
|---|
The electron microscopic analyses were performed by the Electron
Microscope Core of the University of Pennsylvania Diabetes Center,
supported by United States Public Health Service Grant DK-19525. The
authors thank Robert Smith and Neelima Shah for their assistance in the
electron microscope studies. Dr. Walter L. Miller, University of
California, San Francisco, generously provided antibody to human
P450scc and Dr. Charles Strott, NIH, kindly provided
antibody to pregnenolone used in RIAs. The authors wish to express
their appreciation to Dr. Bayard T. Storey, University of Pennsylvania,
for making available instruments and reagents for enzyme and cytochrome
analyses.
 |
Footnotes
|
|---|
1 Supported by UPHS Grant HD-06274 (to J.F.S.) and a grant from the
Rockefeller Foundation (to F.M.). 
Received December 12, 1996.
 |
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