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*ESTRADIOL
Endocrinology Vol. 140, No. 1 484-491
Copyright © 1999 by The Endocrine Society


ARTICLES

Tissue Compartment-Specific Estrogen Receptor-{alpha} Participation in the Mouse Uterine Epithelial Secretory Response1

David L. Buchanan, Tommy Setiawan, Dennis B. Lubahn, Julia A. Taylor, Takeshi Kurita, Gerald R. Cunha and Paul S. Cooke

Department of Veterinary Biosciences, University of Illinois (D.L.B., T.S., P.S.C.), Urbana, Illinois 61802; the Department of Anatomy, University of California (T.K., G.R.C.), San Francisco, California 94143; and the Departments of Biochemistry and Child Health, University of Missouri (J.A.T., D.B.L.), Columbia, Missouri 65211

Address all correspondence and requests for reprints to: Dr. Paul Cooke, Department of Veterinary Biosciences, University of Illinois, 2001 South Lincoln Avenue, Urbana, Illinois 61802. E-mail: p-cooke{at}uiuc.edu


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
17ß-Estradiol (E2) acts through the estrogen receptor (ER) to regulate uterine epithelial cell growth, proliferation, differentiation, and secretory protein production. We have previously shown that E2-induced uterine epithelial proliferation is mediated indirectly by ER{alpha}-positive stroma; epithelial ER{alpha} is neither necessary nor sufficient for E2-induced uterine epithelial mitogenesis. In the present study, we addressed the question of whether production of uterine epithelial secretory proteins and their messenger RNAs (mRNAs) requires ER{alpha} in stroma, epithelium, or both by analyzing tissue recombinations composed of uterine tissue from adult ER{alpha} knockout (ko) and neonatal BALB/c (wt) mice. Stroma (S) and epithelium (E) were separated by trypsinization, and four types of uterine tissue recombinants were prepared: wt-S + wt-E, wt-S + ko-E, ko-S + wt-E, and ko-S + ko-E. These tissue recombinants were grown as subrenal capsule grafts in intact female nude mice for 4 weeks, at which time the hosts were ovariectomized. To assess the production of secretory proteins and their mRNAs, 1 week after ovariectomy the hosts were given three daily injections of oil or E2 (100 ng), and then 24 h later the grafts were recovered and used for either ER or lactoferrin (LF) immunohistochemistry. To assess steady state mRNA levels by Northern blotting, hosts received one injection of oil or E2 24 h before harvest. ER immunohistochemistry was used to monitor the completeness of tissue separation. In wt-S + wt-E tissue recombinants from E2-treated hosts, the epithelium stained intensely for LF (an abundant E2-dependent uterine secretory protein), whereas similar tissue recombinants from oil-treated hosts showed minimal immunostaining. Conversely, LF immunostaining was minimal in wt-S + ko-E grafts from both oil- and E2-treated hosts. LF staining was also minimal in ko-S + ko-E and ko-S + wt-E tissue recombinants regardless of hormone treatment. For Northern analyses, the epithelial content of the tissue recombinants was monitored using the reference epithelial transcript, E-cadherin. While all tissue recombinant groups expressed E-cadherin mRNA, wt-S + wt-E tissue recombinants from E2-treated hosts produced a strong, single 2.6-kb band of LF mRNA. LF transcripts were minimal or absent in all other tissue recombinant types. Northern blotting results identical to those seen for LF were also observed for the uterine secretory protein complement component C3. Our data demonstrate that both stromal and epithelial ER{alpha} are required for the production of LF protein and of LF or C3 mRNAs in response to E2. Thus, in contrast to E2-induced epithelial mitogenesis, which requires only stromal ER{alpha}, both epithelial and stromal ER{alpha} are necessary for the production of E2-dependent epithelial secretory proteins.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
17ß-ESTRADIOL (E2) is the major regulator of uterine epithelial (UtE) proliferation in vivo (1). Despite the expression of estrogen receptor-ß (ERß) messenger RNA (mRNA) in mouse uterus (2), the mitogenic effects of E2 on uterine epithelium appear to be mediated by ER{alpha}, as E2 does not stimulate UtE mitogenesis in the ER{alpha} knockout (ERKO) mouse (3). ER{alpha} is expressed in both the stroma and epithelium of the adult murine uterus, and we have recently shown that stimulation of UtE mitogenesis by E2 is mediated indirectly through stromal ER{alpha} (1). These results indicated that epithelial ER{alpha} are neither necessary nor sufficient to mediate the epithelial mitogenic response to E2 and raise obvious questions regarding the role of epithelial ER{alpha} in the normal uterine response to E2.

Estradiol is also essential for the production of many UtE secretory proteins. A number of these proteins have been identified and include lactoferrin (LF) (4), the most abundant UtE secretory protein, the adhesion molecule CAM 105, keratan sulfate proteoglycan (reviewed in Refs. 3, 5), and complement component C3 (6). The inability of ERKO mice to produce LF in response to E2 treatment (3) indicates that ER{alpha} is essential for mediating the effects of E2 on secretory protein production by UtE cells.

Although epithelial ER{alpha} does not appear to be involved in the induction of epithelial proliferation by E2, some work has indicated that epithelial ER{alpha} may be obligatory for the production of E2-regulated secretory products by UtE. Yamashita et al. (7) observed estrogen stimulation of LF in the UtE of neonatal CD-1 mice. The UtE of neonatal CD-1 mice contain both ER{alpha}-positive and ER{alpha}-negative cells, but LF production was only detected in ER{alpha}-positive UtE cells. These results suggest that epithelial ER{alpha} expression could be a prerequisite for secretory protein production in UtE and that the effects of E2 on UtE secretory proteins may be elicited directly via epithelial ER{alpha}. Work indicating that epithelial androgen receptors (AR) are obligatory for secretory protein production in prostate and seminal vesicle (8, 9) is also consistent with this hypothesis. However, it has not been established whether ER{alpha} in the stroma are also required or whether epithelial ER{alpha} alone are sufficient for mediating the E2 induction of UtE secretory protein production.

We have recently developed a new experimental system that uses tissues from the ERKO mouse to study the mechanism of E2 action on female genital tract epithelia (1, 10). The crucial feature of this system involves enzymatically separating and recombining ERKO uterine epithelium and stroma with that of the wild-type ER-positive BALB/c mouse (1). This tissue separation/recombination technique (reviewed in Ref. 10) provides a unique method for experimentally controlling the presence of ER{alpha} in either stroma or epithelium. By analyzing the effects of a lack of stromal and/or epithelial ER{alpha} on E2 responses such as epithelial secretory protein production, the role of ER{alpha} in each tissue compartment can be definitively determined.

The aim of the present study was to use the tissue recombinant methodology to examine the relative roles of stromal and epithelial ER{alpha} in E2 regulation of the UtE secretory proteins, LF and C3. Our results show that both stromal and epithelial ER{alpha} are required for the production of these E2-dependent epithelial secretory proteins, in contrast to E2-induced UtE mitogenesis, which requires only stromal ER{alpha}.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Animals
Midpregnant BALB/c mice were purchased from Harlan Sprague-Dawley, Inc. (Indianapolis, IN) or Bantin-Kingman (Fremont, CA) and housed individually until birth. ERKO mice were obtained by mating mice of a mixed C57BL6/129SV background that were heterozygous for the ER gene disruption as described previously (11). Pup genotypes were determined by multiplex PCR (11), and only homozygous ERKO females were used in these experiments. Mice were given Purina rodent chow (Ralston Purina, Inc., St. Louis, MO) and tap water ad libitum. All animals were housed under controlled lighting (14 h of light, 10 h of darkness) and temperature (21–22 C) conditions and maintained in accordance with the NIH Guide for the Care and Use of Laboratory Animals.

Tissue recombination
Uteri were removed from adult (90–120 day) ERKO and neonatal (0–3 day) BALB/c mice that had been killed by CO2 asphyxiation or decapitation, respectively. Uterine gland formation in BALB/c mice begins at approximately 1 week of age (12) and continues throughout the neonatal period. Once glandular invasion of the underlying stroma has become extensive, it is not possible to isolate stromal tissue free of contaminating glandular epithelium, and thus neonatal BALB/c mice were used for all studies described here. The ERKO uterine epithelium also forms glands (13), but these glands are rudimentary and do not preclude effective separation of the stromal and epithelial components of the ERKO uterus. Therefore, adult ERKO females were used for all experiments to maximize the amount of uterine tissue that could be obtained from these animals. We have previously shown that tissue recombinations of uterus prepared with combinations of neonatal and adult tissue grow well and manifest normal physiological responses (14, 15).

The homozygous ERKO genotype, initially established by multiplex PCR, was verified by confirming the presence of hypoplastic uteri and hyperemic ovaries (11). The tissue separation and recombination procedure for uterine epithelium and stroma has been described previously (14, 15, 16). Briefly, uteri from BALB/c and ERKO mice were trimmed, opened lengthwise, and incubated with 1% trypsin (Life Technologies, Grand Island, NY) in calcium- and magnesium-free HBSS for 90 min at 4 C. Uterine stroma and epithelium were then separated using gentle mechanical manipulation, as described previously (1). Stroma and epithelium obtained by this method are devoid of contamination with the other tissue (16). Uterine tissue recombinations were prepared and incubated overnight on 1% agar medium (Difco, Detroit, MI) as described previously (1). The following four tissue recombinants were prepared with ERKO (ko) or wild-type BALB/c (wt) uterine stroma (S) and epithelium (E): wt-S + wt-E, wt-S + ko-E, ko-S + wt-E, and ko-S + ko-E. Tissue recombinants were transplanted under the renal capsule of intact adult female athymic (nude) mice (Harlan Sprague-Dawley). Grafts were allowed to grow for 4 weeks, at which time all hosts were ovariectomized.

Hormone treatments
One week after ovariectomy, hosts were given oil or E2. To determine the mechanism by which E2 elicits epithelial secretory mRNA or protein production in uterine tissue recombinants, host animals received one or three daily injections, respectively, of E2 (100 ng; Sigma Chemical Co., St. Louis, MO) in 0.05 ml corn oil, or vehicle alone. Tissue recombinants were harvested 24 h after the final injection. For Northern blotting, tissue recombinants were immediately flash-frozen in liquid nitrogen upon harvesting and stored at -80 C for subsequent RNA isolation. For immunohistochemical analysis, harvested tissue recombinants were fixed in 10% neutral buffered formalin (Sigma Chemical Co.) for 12 h at 4 C, paraffin embedded, and sectioned at 6 µm.

RNA isolation and Northern blot analysis for lactoferrin, complement component C3, and E-cadherin
Total RNA was extracted from uterine tissue recombinants and whole BALB/c and ERKO uteri using the Qiagen RNeasy total RNA kit (Qiagen, Inc., Chatsworth, CA). After quantification, RNA (9 µg) was denatured at 55 C in the presence of deionized formamide and 37% formaldehyde. RNA was resolved on a 1.5% agarose-formaldehyde gel and blotted on synthetic, uncharged nylon membranes (Duralon-UV, Stratagene, La Jolla, CA). RNA was transferred in 20 x SSC (3.0 M NaCl and 0.3 M sodium citrate, pH 7.0). The RNA in gels and filters was visualized with ethidium bromide by UV transillumination to confirm appropriate transfer, ensure the integrity of RNA, and check the loading of equivalent amounts of total RNA.

Blots were prehybridized for 1.5 h at 65 C in QuikHyb hybridization solution (Stratagene). E-Cadherin complementary DNA (cDNA) probe was premixed with previously sheared and denatured salmon sperm DNA (0.1 mg/ml; Stratagene) and added directly to the QuikHyb for hybridization at 65 C for 2.5 h. The mouse cDNA probe for E-cadherin was a 1800-bp PvuII fragment of a 4300-bp cDNA obtained from Dr. Masatoshi Takeichi (Kyoto University, Kyoto, Japan). Blots were then stripped and rehybridized with LF and C3 cDNAs. To assess RNA load levels between lanes, the expression of 28S ribosomal RNA was assessed. The mouse cDNA probe for LF was a 1930-bp EcoRI fragment obtained from Dr. Christina Teng (NIEHS, Research Triangle Park, NC); the rat cDNA probe for C3 was a 840-bp EcoRI/PstI fragment obtained from Dr. Barry Komm (Wyeth-Ayerst Laboratories, Inc., Radnor, PA). The cDNA probes were labeled with [32P]deoxy-CTP by random oligonucleotide priming (Multiprime DNA labeling systems, Amersham, Arlington Heights, IL). Probes were used at 2 x 108 cpm/µg. Membranes were washed twice for 15 min each time in 2 x SSC and 0.1% SDS at room temperature, then once for 3–5 min in 0.1 x SSC and 0.1% SDS at 65 C and exposed on Kodak X-Omat/AR film (Eastman Kodak Co., Rochester, NY).

ER and LF immunohistochemistry
To immunohistochemically detect ER{alpha} in uterine tissue recombinants, antigen retrieval followed by an avidin-biotin complex method were used as described previously (1). Nonspecific binding was blocked using Super Block (Pierce, Rockford, IL). Slides were incubated with either the primary monoclonal antibody (NCL-ER-LH2, Novocastra, Burlingame, CA) or a control nonspecific IgG (Dako Corp., Carpinteria, CA) and washed, and then the secondary biotinylated antimouse antibody (LSAB2 kit, Dako Corp.) was applied. Diaminobenzidine (Dako Corp.) was precipitated by streptavidin-conjugated horseradish peroxidase to visualize the immunoreaction.

To immunohistochemically detect LF in uterine tissue recombinants as well as whole BALB/c and ERKO uteri, slides were deparaffinized, rehydrated, and washed in Tris-buffered saline with Tween-20 for 5 min. Slides were then submerged in 3% H2O2 for 10 min to inactivate endogenous peroxidase activity and washed in Tris-buffered saline with Tween-20 (5 min). Nonspecific binding was blocked using BSA. Slides were incubated with either LF antiserum containing the primary antibody or normal rabbit serum as a control at 24 C for 2 h. The LF antiserum was obtained from Dr. Christina Teng at NIEHS and has been used extensively for LF immunodetection (7, 17). The slides were washed, and a secondary donkey antirabbit IgG horseradish peroxidase-linked F(ab')2 fragment was applied. The slides were again washed, and diaminobenzidine in imidazole-containing buffer was used as the chromogen. Finally, slides were dehydrated through graded ethanol washes followed by a xylene dip and then coverslipped. Tissue recombinants from at least three separate experiments were examined using the ER and LF immunostaining procedures.

Image and data analysis
All images were captured using an Olympus Corp. Vanox Photomicroscope with planapochromatic lenses and a Sony Digital Photo Camera DKC-5000 (Sony, Tokyo, Japan) interfaced to a Macintosh computer using Adobe Photoshop software (Adobe Systems Inc., San Jose, CA). Northern blotting results were replicated at least four times for each tissue recombinant type, derived from three or four separate experiments. Relative levels of epithelial mRNA from the various tissue recombinant groups were monitored between lanes in the membrane by hybridizing for the reference epithelial transcript, E-cadherin.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Immunohistochemical analysis revealed intense cytoplasmic staining for LF in uterine epithelium of intact BALB/c mice; in contrast, LF staining was minimal in uteri from ovariectomized BALB/c mice, and only faint staining for LF was observed in ERKO uteri (data not shown). In support of these immunohistochemical results and previous work by others (3, 4), Northern blot analysis revealed a strong single 2.6-kb band of LF mRNA in uteri from intact BALB/c animals, whereas uteri from ovariectomized BALB/c and intact or ovariectomized ERKO animals showed only very weak LF mRNA expression (data not shown).

The E2 treatment regimen used in the present study has been shown to produce optimal induction of UtE LF protein (7) and mRNA (3) in vivo. LF protein expression was strong in epithelium of wt-S + wt-E tissue recombinants from E2-injected host animals, but immunohistochemical staining was faint in the same type of grafts from oil-injected hosts. Furthermore, LF protein expression was minimal in wt-S + ko-E tissue recombinants from both oil- and E2-treated hosts (Fig. 1Go). In ko-S + wt-E and ko-S + ko-E tissue recombinants from both E2-and oil-treated hosts, LF protein expression was also minimal or absent. Consistent with our immunohistochemical results, tissue recombinants composed of wt-S + wt-E from E2-treated hosts showed strong LF mRNA expression, comparable to that observed in uteri from intact BALB/c mice (Fig. 2Go). As expected, LF mRNA expression was low in these same tissue recombinants from oil-treated hosts. Furthermore, LF mRNA was minimal or undetectable in wt-S + ko-E, ko-S + wt-E, and ko-S + ko-E tissue recombinants from either E2- or oil-treated hosts.



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Figure 1. Immunohistochemical staining for LF in uterine tissue recombinants. Staining was intense in epithelium (arrow) of wt-S + wt-E tissue recombinants from E2-treated hosts (A), but was minimal in those from oil-treated hosts (B). In contrast, epithelial LF staining was faint or absent in wt-S + ko-E tissue recombinants from E2-treated (C) and oil-treated hosts (D) and in ko-S + wt-E and ko-S + ko-E tissue recombinants from E2-treated (E and F) or oil-treated (not shown) hosts.

 


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Figure 2. Representative Northern blots of LF and C3 mRNA expression relative to epithelial content, as assessed by E-cadherin (E-cad) mRNA expression in uterine tissue recombinants. The wt-S + wt-E tissue recombinants from E2-treated hosts (lane 1) expressed both LF (2.6 kb) and C3 (6.0 kb) mRNAs, whereas the same tissue recombinant type from oil-treated hosts (lane 2) and all other tissue recombinant types (lanes 3–8), regardless of E2 or oil treatment, had minimal expression of these mRNAs. When the same blots were stripped and rehybridized with E-cad cDNA, a single 5.1-kb band of E-cad mRNA was present in all tissue recombinants (lanes 1–8), indicating epithelial presence and demonstrating that the lack of LF and C3 mRNA expression seen in the grafts in lanes 2–8 is not due to the lack of epithelium. RNA loading was similar among lanes (data not shown).

 
Rat C3 is almost identical to mouse C3 at the nucleotide level, and the rat C3 cDNA cross-reacts strongly with the mouse molecule (6). The expression pattern of C3 mRNA was identical to that seen for LF mRNA in the different tissue recombinants. Tissue recombinants composed of wt-S + wt-E from E2-treated hosts showed a strong, single 6.0-kb band of C3 mRNA, whereas all other tissue recombinant types from either E2- or oil-treated hosts expressed only minimal or undetectable levels of C3 mRNA (Fig. 2Go).

Similar RNA loading was observed under UV illumination (data not shown); however, more critical than the amount of total RNA loaded was verification that epithelial RNA was present in all tissue recombinants. The impaired proliferation of ERKO or BALB/c epithelium when associated with ERKO stroma (1) suggested that the decreased LF or C3 mRNA signal in tissue recombinants prepared with ko-S could be due to a lack of epithelium in these tissue recombinants rather than to a deficiency in LF or C3 mRNA production in these epithelia caused by the association with ko-S. To address this possibility, we examined the expression of an epithelial-specific marker, E-cadherin mRNA (18). Although E-cadherin levels varied between the different tissue recombinant types, a 5.1-kb band of E-cadherin was observed in each of the tissue recombinant types (Fig. 2Go). Therefore, the lack of LF or C3 mRNA in the wt-S + ko-E tissue recombinants from E2-treated hosts and the lack of LF or C3 mRNA expression in all tissue recombinants prepared with ko-S (ko-S + wt-E and ko-S + ko-E) are clearly not due to an absence of epithelium in these tissue recombinants, a finding consistent with our immunohistochemical results.

According to the manufacturer, the LH2 antibody is specific to several epitopes along the entire length of the ER{alpha} molecule, some of which have high homology to ERß. However, the lack of ER staining in ERKO uterine tissue with this antibody (Fig. 3Go) despite the reported expression of ERß mRNA in ERKO uterus (2) suggests that the LH2 antibody staining seen in the present experiments is due to ER{alpha}. Therefore, ER immunohistochemistry confirmed the expected ER{alpha} expression in epithelium and stroma of the various tissue recombinants (Fig. 3Go) and demonstrated the efficacy of the tissue separation and recombination technique. Tissue recombinants composed of wt-S + wt-E showed high levels of dark nuclear staining in both epithelial and stromal cells, indicating the presence of ER{alpha}. In wt-S + ko-E, ER{alpha} was detected in stroma but not in epithelium. Conversely, ER{alpha} was detected by immunohistochemistry in epithelium only but not stroma in ko-S+ wt-E tissue recombinants and in neither epithelium or stroma in ko-S + ko-E tissue recombinants (Fig. 3Go).



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Figure 3. Immunohistochemical detection of ER{alpha} in uterine tissue recombinants. The wt-S + wt-E tissue recombinants contained ER{alpha} in both stroma and epithelium (A). Stroma, but not epithelium, of wt-S + ko-E tissue recombinants expressed ER{alpha} (B), whereas only epithelium of ko-S + wt-E tissue recombinants (C) was ER{alpha} positive. In ko-S + ko-E tissue recombinants (D), ER{alpha} was not expressed in either stroma or epithelium.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
LF, the most abundant uterine secretory protein, was used as the primary marker of E2 action in this study. LF mRNA and protein are hardly detectable in ovariectomized mice and are very strongly induced (as much as 300-fold) by E2 in fetal, neonatal, and adult UtE (4, 19, 20). Our results showing strong LF expression in wild-type BALB/c uterine epithelium and the abolition of immunohistochemical staining by ovariectomy clearly indicate that LF is induced by E2, in agreement with extensive previous work (21). The absence of LF mRNA or immunostaining in ERKO mice indicates that the effects of E2 on the production of this protein are normally mediated through ER{alpha}, again consistent with the results of earlier studies (3). The large differences in LF mRNA and protein production with and without E2 in conjunction with the tissue separation/recombination technique allow unequivocal conclusions to be drawn about the dependence of LF production on the binding of E2 to ER{alpha} of uterine stroma vs. uterine epithelium.

Our histochemical results for LF clearly indicate that both stromal and epithelial ER{alpha} must be present to obtain normal LF protein expression in response to E2 treatment. In the present study, expression of neither stromal nor epithelial ER{alpha} alone resulted in significant LF expression; thus, the absence of either stromal or epithelial ER{alpha} essentially precludes LF protein production by the epithelium. Our immunostaining results were corroborated by Northern blot for LF mRNA production in the various types of tissue recombinants and again demonstrated that both stromal and epithelial ER{alpha} are necessary for the production of LF mRNA by the epithelium.

It has been postulated that LF is directly regulated by estradiol actions on uterine epithelium in the rodent (22, 23) based partially on the existence of an estrogen response element in the LF gene (22). The present results show that although epithelial ER{alpha} is necessary for LF production, the presence of both epithelial ER{alpha} and an estrogen response element in the LF gene are not by themselves sufficient to allow LF production in response to E2 in the absence of stromal ER{alpha}, emphasizing the critical role of stromal ER{alpha} in normal uterine E2 responsiveness.

The results showing that epithelial ER{alpha} are necessary for epithelial secretory production are consistent with reports of an estrogen response element in the LF gene (22) discussed above and the observation that LF expression was detected in ER-positive, but not ER-negative, uterine epithelium of early postnatal CD-1 mice (7). More recently, epithelial LF expression in fetal uteri of CD-1 mice after diethylstilbestrol (DES) exposure has been reported (20). Although fetal and neonatal uterine epithelia appear to be ER negative (24), DES exposure rapidly increases the expression of UtE ER mRNA and protein (7, 25) in neonatal mice, suggesting that uterine epithelium expressing LF in the DES-treated fetuses might have also been expressing ER, although this was not evaluated.

To determine whether the findings related to the relative roles of stromal and epithelial ER{alpha} in LF production are generally applicable to other secretory proteins, we also examined the role of stromal and epithelial ER{alpha} in the production of another E2-dependent epithelial secretory protein, complement component C3. E2 injection produces a 25-fold increase in C3 mRNA in ovariectomized rats (6). Analysis of the production of C3 mRNA in various tissue recombinants suggests a common regulatory pathway for the production of uterine secretory proteins. As shown for LF, ER{alpha}-positive uterine epithelia cannot make C3 mRNA in vivo in response to E2 when associated with an ER{alpha}-negative uterine stroma. Likewise, epithelium in tissue recombinants consisting of ER{alpha}-positive uterine stroma and ER{alpha}-negative uterine epithelia does not make C3 mRNA in response to E2. C3 mRNA production is stimulated by E2 only in the presence of both stromal and epithelial ER{alpha}.

Northern blot comparisons of mRNA for LF or C3 in the various tissue recombinants are only semiquantitative because tissue recombinants can contain varying amounts of epithelium. As mentioned above, pronounced increases in uterine LF and C3 expression in response to E2 have been observed by others (4, 6); therefore, even substantial variations in the epithelial content of the various tissue recombinants used in the present study (e.g. 2- to 3-fold) cannot account for the decreased LF and C3 expression observed in tissue recombinants that lack stromal or epithelial ER{alpha} and do not affect the overall interpretation of our results. However, we also probed our Northern blots for E-cadherin mRNA to monitor the epithelial presence in the various tissue recombinants and to ensure that the lack of a LF mRNA signal in tissue recombinants, such as wt-S + ko-E and ko-S + wt-E, from E2-treated hosts was not due to an absence of epithelium. E-Cadherin is universally and specifically expressed in epithelial cells and has not been reported to vary with hormonal status of the animal (26, 27). Despite the presence of epithelium in all tissue recombinant groups, as indicated by E-cadherin mRNA expression, only wt-S + wt-E tissue recombinants produced LF mRNA.

The present results indicating that both stromal and epithelial ER{alpha} are required for the production of E2-dependent UtE secretory proteins, such as LF and C3, parallel our recent data obtained with vaginal tissue recombinants, where both stromal and epithelial ER{alpha} are required for E2-induced vaginal epithelial cornification, normal stratification, and mucification (28). Terminal morphological and functional epithelial differentiation therefore appear to require epithelial ER{alpha}. However, these findings with epithelial differentiation are in contrast to our results showing that uterine, vaginal, and mammary gland epithelial proliferations in response to E2 are mediated entirely through ER{alpha} in the stroma and that epithelial ER{alpha} is neither necessary nor sufficient for this process (1, 28, 29). Thus, ER{alpha} mediation of E2-induced epithelial proliferation and secretory protein production differ in a very fundamental manner. Furthermore, the present results showing that both stromal and epithelial ER{alpha} are necessary for the production of UtE secretory proteins along with our previous demonstration that vaginal epithelial cornification and normal stratification are also dependent on both stromal and epithelial ER{alpha} represent the first known in vivo epithelial responses to E2 shown to require ER{alpha} in each of these tissue compartments (28). Although estrogen treatment has been shown to increase epithelial progesterone receptor expression in isolated UtE cells in vitro (30), the present results showing the essential role of epithelial ER{alpha} in E2-induced secretory protein production represent the first function described in vivo for UtE ER{alpha} and are consistent with our recent report in vagina describing the necessity of epithelial ER{alpha} for vaginal epithelial differentiation (28).

The role of ERß in LF production, if any, is unclear. The lack of LF mRNA in ERKO mice (3), which express uterine ERß mRNA (2), suggests that ERß by itself is not sufficient and that ER{alpha} is necessary to mediate E2-induced LF production. However, it is not possible to determine from this previous work or our present data whether ERß may be necessary for LF production, and whether the absence of ERß would impair or eliminate LF production in a uterus that expressed ER{alpha}. The recent development of the ERß knockout mouse should provide an unequivocal answer to this question.

Immunohistochemical staining for ER in uterine tissue recombinants provided an important control for verifying the completeness of tissue separation and allowed identification of tissue origin in heterotypic tissue recombinants. ER immunostaining also showed that epithelial and stromal cells maintain the expression of ER{alpha} independent of the presence or absence of ER{alpha} in the adjoining tissue.

The precise role of stromal ER{alpha} in allowing uterine epithelium to produce E2-dependent secretory proteins is not clear. Occupancy of stromal ER{alpha} by E2 could stimulate the stromal cells to produce a growth factor(s), which then acts on the epithelium (10, 31), presumably in concert with changes induced by occupancy of epithelial ER{alpha} by E2, to result in secretory protein production. Conversely, occupancy of stromal ER{alpha} by E2 could reduce or abolish the production of some inhibitory stromal factor(s) that acts tonically under normal circumstances to prevent secretory protein production; the constitutive expression of secretory proteins that are normally induced in response to E2 by cultured UtE cells is consistent with this hypothesis (5).

The effects of E2 on stromal cells could also involve changes in the stromal extracellular matrix (ECM) and/or basement membrane, which then secondarily influences epithelial cell secretory activity. The structural composition of the ECM and basement membrane is influenced by stromal regulatory factors and is important for normal epithelial growth and differentiation (32, 33, 34, 35). E2 could directly act on stromal cells to elicit changes in the ECM or the epithelial basement membrane, with secondary effects on the secretory activity of the adjacent epithelial cells. Similarly, E2 has been shown to produce changes in the production of stromal growth factors, which could then have paracrine effects on surrounding stromal cells that are essential to allow secretory protein production by the overlying epithelial cells. For example, E2 up-regulates stromal transforming growth factor-ß expression, and transforming growth factor-ß-stimulated collagen production by fibroblasts contributes to the functional stromal organization (36), which is required to support the integrity of the epithelial basement membrane and, therefore, normal epithelial growth and differentiation.

The stromal changes induced by occupancy of stromal ER{alpha} by E2 that are essential for allowing uterine epithelium to produce E2-dependent secretory proteins may also involve mechanisms other than simple changes in growth factor signaling by stromal cells. For example, E2 stimulation of stromal cells could result in changes in enzymatic modification or changes in bioavailability of growth factors, their receptors, binding proteins, or enzymes that modify the activity of the molecules involved (10, 31), thus making identification of any stromal paracrine factor(s) particularly elusive.

The concept that epithelial ER{alpha} could be involved in the production of UtE proteins, but not mitogenesis, is supported by previous work in the male. The use of a mutant mouse strain lacking functional AR has provided information on the relative role of stromal and epithelial AR in androgen-induced epithelial proliferation and secretory protein production in organs such as the prostate and seminal vesicle. Mice with the testicular feminization (Tfm) mutation have a frameshift mutation in the AR gene that results in a truncated and inactive AR (37). Affected males have testes and produce testosterone, but their cells cannot respond to androgens. Wild-type mesenchyme from the fetal urogenital sinus (UGS; the precursor of the prostate in the male) can induce Tfm bladder epithelium to form prostatic epithelium that responds mitogenically to androgen (8). However, this epithelium does not express AR or prostatic secretory proteins (9). Thus, epithelial AR appear necessary for the production of secretory proteins even though epithelial growth and morphogenesis appear to be mediated by mesenchymal/stromal AR. Although recombining tissues from Tfm and wild-type mice has provided important information, there are certain intrinsic limitations to this system that preclude examining the role of stromal AR in prostatic epithelial secretory activity. In the absence of stromal AR, the UGS of a Tfm male mouse cannot form prostate and instead differentiates into vagina. Hence, an AR-negative UGS Tfm mesenchyme plus wild-type bladder epithelium tissue recombinant does not produce prostate. Therefore, the necessity of stromal AR for prostatic development means that it is impossible to obtain an AR-deficient prostatic stroma, so the autonomous ability of prostatic epithelial AR to mediate the production of prostatic androgen-dependent secretory proteins when associated with an AR-deficient prostatic stroma cannot be evaluated. Similarly, this limitation means that the necessity of stromal AR for mediating the production of androgen-dependent secretory proteins also cannot be definitively established. Our finding that both stromal and epithelial ER{alpha} are necessary for normal E2-induced UtE secretory protein production strongly implies that a similar mechanism is involved in AR mediation of androgen-induced secretory protein production in prostate and that stromal AR may also be obligatory for prostatic epithelial secretory protein production in vivo.

In summary, E2-induced UtE secretory responses, such as the production of LF mRNA and protein and C3 mRNA, require both stromal and epithelial ER{alpha}. These are the first known functions described for UtE ER{alpha} in vivo. The mechanism of E2-induced UtE secretory protein production is mechanistically different from that of E2-induced uterine and vaginal epithelial proliferation, but the requirement for both stromal and epithelial ER{alpha} for E2-stimulated production of UtE secretory proteins is similar to the mechanism we have recently described for E2-induced vaginal epithelial differentiation (28). Taken together, UtE secretory protein production and vaginal epithelial differentiation represent the first known epithelial responses to E2 shown to require both stromal and epithelial ER{alpha}. The obligatory requirement for epithelial ER{alpha} in UtE secretory protein production parallels AR mediation of secretory protein production in male reproductive organs and indicates that dependence of secretory protein production on epithelial sex steroid receptors such as AR and ER may be common to both male and female reproductive organs.


    Acknowledgments
 
We are grateful to Dr. Niromi Arambepola for her excellent advice and assistance on cDNA amplification and Northern blotting.


    Footnotes
 
1 Presented in part at the 30th Annual Meeting of the Society for the Study of Reproduction, Portland, Oregon, August 1997. This work was supported by NIH Grants AG-15500 (to P.S.C.), ES-08272 (to D.B.L.), and CA-05388 and AG-13784 (to G.R.C.). Back

Received April 28, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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