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Endocrinology Vol. 140, No. 2 585-594
Copyright © 1999 by The Endocrine Society


ARTICLES

Activation of Protein Kinase C by Oxytocin Inhibits the Biological Activity of the Human Myometrial Corticotropin-Releasing Hormone Receptor at Term1

Dimitris K. Grammatopoulos and Edward W. Hillhouse2

The Sir Quinton Hazell Molecular Medicine Research Center, Department of Biological Sciences, University of Warwick, Coventry, United Kingdom CV4 7AL

Address all correspondence and requests for reprints to: Dr. D. Grammatopoulos, The Sir Quinton Hazell Molecular Medicine Research Center, Department of Biological Sciences, University of Warwick, Gibbet Hill Road, Coventry, United Kingdom CV4 7AL. E-mail: chdg{at}dna.bio.warwick.ac.uk


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The role of placental CRH in human pregnancy is currently unknown. The myometrium expresses CRH receptors that during pregnancy become coupled to adenylate cyclase. Oxytocin (OT) is one of the main regulators of uterine activity, acting via activation of the inositol triphosphate pathway. In view of the possible cross-talk between the CRH and OT signal transduction pathways we have sought to examine in more detail the second messenger mechanisms involved.

CRH receptor binding affinity for CRH and activation of adenylate cyclase were reduced in the presence of OT in pregnant (at term, but not preterm) human myometrium. OT action was mediated via pertussis toxin-sensitive G proteins, which directly inhibit adenylate cyclase and, via activation of protein kinase C, phosphorylate the CRH receptor, leading to desensitization. Activation of protein kinase C by OT could be partially inhibited in human pregnant myometrial cells by OT antagonists (F327 and CAP476; 1 µM) or phospholipase C inhibitors (U73122; 10 µM).

These results suggest that in term myometrium, CRH receptor function is modulated by OT, leading to reduced biological activity, lower cAMP levels, and a subsequent shift in favor of contractility rather than relaxation.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
IN SEARCH of potential mediators of human labor, interest has been directed toward placentally derived CRH. The biological function of this placental CRH during human pregnancy is still unknown, but we and others have developed the hypothesis that CRH might influence myometrial contractility, and hence parturition. Specific CRH receptors exist within the human myometrium that increase their affinity during pregnancy and become functionally linked to the adenylate cyclase system in the pregnant state only (1, 2). However, as term approaches, CRH appears to have a reduced stimulatory action on myometrial adenylate cyclase (3), and one explanation is a decreased expression and down-regulation of Gs{alpha} toward term and labor (4).

As the uterus becomes prepared for labor, it is likely that uterine activation occurs in response to paracrine/autocrine action of a variety of uterotonins. Oxytocin (OT) is the most potent known endogenous uterotonic agent (5), and the major factor influencing its bioactivity is an increase in the number of myometrial OT receptors at term (6). Local OT production by uterine tissues is also increased (7). In mice, however, OT may not play a critical role, because the induction of labor and parturition can proceed normally in mice in which the OT gene has been deleted (8). In the human myometrium, the effects of OT are mediated through a seven-transmembrane domain receptor (9) linked to both Gi and Gq proteins (10), which activate phospholipase C (PLC) with subsequent production of inositol 1,4,5-triphosphate. This has two important consequences: 1) the rapid release of calcium ions from intracellular stores in the sarcoplasmic reticulum, and 2) the accumulation of diacylglycerol (DAG), which remains membrane bound. Elevated levels of intracellular calcium activate some types of cytosolic protein kinase C (PKC) and induce its translocation to the cellular membrane, where it is further activated by DAG (11). PKC is a serine/threonine kinase and acts as a key mediator in signal transduction events (12). The family of PKC has several members, which have been divided into a Ca2+-dependent or conventional PKC group and a Ca2+-independent or novel PKC group (12). One of the most important functions of PKC in signal transduction is that it mediates cross-talk between different signaling pathways.

In the human myometrium one of the most important signaling pathways is the adenylate cyclase-cAMP system (13), which can be activated by the CRH receptor (2). Molecular characterization has revealed that this receptor belongs to the calcitonin/vasoactive intestinal polypeptide/GRF/PTH subfamily of G protein-coupled receptors. There are two groups of CRH receptors (CRH-R1 and CRH-R2) arising from separate genes (14, 15), both of which have several variants arising from alternative splicing. The R1 gene encodes four known subtypes: R1{alpha}, R1ß (with a 29-amino acid insertion in the first intracellular loop) (14), R1c (with a 40-amino acid exon deletion from the N-terminal domain) (16), and R1d (with a 12-amino acid exon deletion from the seventh transmembrane domain; our unpublished observations). The CRH-R2 also has three spliced variants, R2{alpha}, R2ß, and R2{gamma}, each the product of differential 5'-exon splicing and each with distinct tissue distributions (17, 18, 19). All of these subtypes of the CRH receptor, with the exception of R2{gamma}, exist in the human pregnant myometrium and have been identified using PCR, sequencing of the amplified DNA fragments, and fluorescent in situhybridization (20). Interestingly, the complementary DNA sequences of the CRH-R1 and -R2 receptors encode four potential PKC phosphorylation sites, identical in both CRH receptors, which are located in the first and second intracellular loops as well as in the C-terminus.

These PKC phosphorylation sites may be involved in the modulation of CRH receptor signal transduction. Their precise role, however, has not yet been characterized. In view of this, we searched for potential mechanisms of cross-talk between OT and the CRH system that might be involved in the regulation of human myometrial contractility during human pregnancy.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Experimental subjects
Pregnant myometrial tissue was obtained from women undergoing elective caesarean section at term (>38 weeks gestation; n = 12) or preterm (<34 weeks gestation; n = 9) before the onset of labor. All cesarean sections were performed for reasons of breech presentation or fetal distress. The biopsy was standardized to the upper margin of the lower segment of the uterus in the midline. This provides the closest approximation of the upper segment of the uterus. The tissue was immediately snap-frozen in liquid nitrogen and stored at -70 C until use.

For myocyte isolation and culture, fresh tissue was placed in 20 ml ice-cold DMEM culture medium containing 200 IU penicillin/ml and 200 mg streptomycin/ml. Myocytes were prepared by enzymatic dispersion (see below).

For all biopsies ethical approval was obtained from the local ethical committee, and each patient gave informed consent to the study.

Chemicals
Ovine (o) CRH, Tyr-oCRH, and all other chemicals were purchased from Sigma Chemical Co. (Poole, UK). Waters Sep-Pak C18 columns were obtained from Millipore Corp. (UK) Ltd. (Watford, UK). OT antagonists, CAP476 (1-deamino-2-D-Tyr-(OEt)-4-Thr-8-Orn-OT) and F327 (des-Gly9-[D-Tyr(Et)2,Thr4,Orn8]dC6-OT), were gifts from Ferring Pharmaceuticals Ltd. (Malmo, Sweden).

125I-Labeled Nle21,Tyr32-oCRH (SA, 922 Ci/mmol), human/rat (h/r) CRH, and OT were obtained from Peninsula Laboratories (Merseyside, UK).

Phorbol myristate acetate (PMA), H-7 and H-8 (PKC inhibitors), and U73122 were obtained from Calbiochem (La Jolla, CA). The myristoylated PKC peptide (Myr-PKC) inhibitor was purchased from Promega Corp. (Madison, WI). The cAMP assay kits were obtained from DuPont-New England Nuclear (Hertfordshire, UK). Protein A-Sepharose beads (CL-4B) were purchased from Pharmacia Biotech (Uppsala, Sweden).

A specific CRH receptor antibody was obtained from Santa Cruz Biotechnology, Inc. (Santa Cruz, CA). This is a goat polyclonal antibody raised against a peptide corresponding to amino acids 425–444 mapping at the C-terminus of the human CRH-R1 precursor. The antibody reacts with both human CRH-R1 and -R2 receptors, and this has been verified in preliminary studies by Western blotting and immunohistochemistry.

Myocyte isolation and culture: preparation of myometrial membranes from biopsies
Pieces of myometrium were transferred into DMEM containing collagenase (300 U/ml), deoxyribonuclease (30 U/ml), penicillin (200 U/ml), and streptomycin (200 mg/ml) and incubated at 37 C for 30 min. After filtration and centrifugation, cells were suspended in DMEM containing 10% FCS, penicillin (100 U/ml), streptomycin (100 mg/ml), and fungizone (2.5 µg/ml). The cells were kept at 37 C in a humidified atmosphere of 95% air and 5% CO2 until confluent (2–4 weeks). The purity of myometrial muscle cells was assessed by immunocytochemical staining. Mouse antihuman smooth muscle actin-specific monoclonal antibody and peroxidase-conjugated rabbit antimouse antibody were used. Human fibroblast cells and omission of the primary antibody were used as negative controls; frozen myometrial tissue was used as a positive control.

Myometrial membranes were prepared by homogenization and differential centrifugation as described previously (1). Protein concentrations were measured using the bicinchoninic acid method (21). The final pellet was resuspended in 3 ml extraction buffer and after homogenization was aliquoted in 1.5 ml Eppendorf tubes (50 µg protein/tube) and stored at -70 C until use.

Cultured human myometrial cells were used only for those experiments on the OT-induced activation and subsequent translocation of PKC from the cytosol to the cell membrane. The rest of the experimental studies used membrane homogenates prepared from myometrial biopsies at term or preterm.

Binding studies on myometrial membranes: Scatchard analysis
Scatchard analysis was performed as previously described (1). All experiments were performed at 22 C for 2 h. For the control Scatchard plot, myometrial membrane suspensions (100–150 µg protein) were incubated with 50 µl of different concentrations of 125I-labeled Nle21,Tyr32-oCRH (10,000–700,000 cpm) and unlabeled oCRH (1,000-fold molar excess) in 50 µl incubation buffer A [50 mM Tris-HCl, 2 mM EGTA, 10 mM MgCl2, 0.1% BSA (wt/vol), and 0.15 mM bacitracin, pH 7.2]. In an additional series of polypropylene tubes, 10 different concentrations of 125I-labeled Nle21,Tyr32-CRH (10,000–400,000 cpm) were incubated in the presence of varying concentrations of OT (1–500 nM) and unlabeled CRH (1,000-fold molar excess). Binding data were analyzed by computer analysis with EBDA (22) and LIGAND (23).

Isoelectric focusing
Myometrial membrane suspensions (300–350 µg protein) were incubated with 50 µl [125I]oCRH (200,000–300,000 cpm) in the presence or absence of OT (100 nM) diluted in buffer A. Nonspecific binding was determined in the presence of unlabeled CRH (1 µM). The reaction was carried out at 22 C for 2 h. After the binding assay, pellets were resuspended in 500 µl incubation buffer A containing 1% Triton X-100, incubated for 1–2 h at 0 C, and centrifuged at 12,000 rpm for 10 min. The solubilized membrane suspensions were collected, concentrated using Centricon-30 microconcentrators, and fractionated by isoelectric focusing as previously described (24). Gels were stained and dried, and autoradiography was performed for 5–10 days at -70 C using Fuji Photo Film Co. Ltd. x-ray film (Tokyo, Japan) and intensifying screens. The relative distribution of the human myometrial CRH receptor isoforms was measured by optical density scanning using the Image analysis program (Wayne Rasband, NIH, Bethesda, MD).

In preliminary experiments (24), we confirmed that the two isoforms at pI 4.6 and 4.9 represent free radioligand preparation and not receptor-ligand complex; thus, they were excluded from further analysis. Furthermore, no differences in the isoform profile were found when CRH was covalently cross-linked to its binding sites using disuccinimidyl suberate (final concentration, 1.5 mM; for 10 min at room temperature); therefore, disuccinimidyl suberate was not used in subsequent experiments.

cAMP studies
Human pregnant (at term or preterm) myometrial membrane preparations (50 µg protein) were preincubated with different concentrations of h/rCRH (0.1–1000 nM) or OT (100 nM) in 50 µl extraction buffer in the presence or absence of the Myr-PKC inhibitor (final concentration, 100 µM) for 30 min at 22 C before the addition of 100 µl 50 mM Tris-HCl containing 10 mM MgCl2, 1 mM EGTA, 0.1% BSA, 1 mM ATP, ATP regeneration system (7.4 mg/ml creatine phosphate and 1 mg/ml creatine phosphokinase), 100 µM isobutyrmethylxanthine (phosphodiesterase inhibitor), and 0.15 mM bacitracin, pH 7.4 (cAMP assay buffer), at 37 C. The reaction was terminated after 10 min by the addition of 1 ml 0.1 M imidazole buffer, pH 7, followed by heating the tubes in boiling water for 5 min.

For the pertussis toxin (PT) pretreatment of the myometrial membrane preparations, PT was preactivated with 50 mM dithiothreitol. Human pregnant myometrial membranes at term were incubated for 50 min at 30 C with 500 µl 50 mM Tris-HCl containing 1 mM ATP, 1 mM thymidine, 0.1 mM GTP, 10 mM MgCl2, 1 µg/ml digitonin, 1 mM NAD, 7.4 mg/ml creatine phosphate, and 1 mg/ml creatine phosphokinase, pH 7.4, in the presence or absence of PT (final concentration, 25 µg/ml) for 45 min at 30 C. The reaction was stopped by the addition of 1 ml ice-cold extraction buffer, followed by centrifugation at 10,000 rpm in a Beckman Coulter, Inc., J20 centrifuge (Palo Alto, CA) for 15 min. The pellet was then washed with extraction buffer and centrifuged at 10,000 rpm for 15 min (three times). The final pellet was resuspended in extraction buffer and homogenized. Pretreated human myometrial membranes were preincubated with different concentrations of OT (1–500 nM) for 30 min at 22 C before the addition of 50 µl cAMP assay buffer and initiation of the cAMP release reaction at 37 C.

The amount of cAMP in the incubate was estimated in the supernatants by RIA using commercial cAMP RIA kits. Standard cAMP concentrations, covering the range 100–0.5 pmol/ml, were used for determination of the standard curve of the RIA. The interassay coefficient of variation was 5%.

PKC assay in human myometrial cell cultures and myometrial membranes
Human pregnant myometrial cells, at a density of around 106 cells/flask, were preincubated for 15 min at 37 C with 5 ml PBS containing OT (1–100 nM) in the presence or absence of 10 µM U73122 (PLC inhibitor) or OT inhibitors (1 µM). After the incubation period, cells were washed with 5 ml PBS (twice) and were removed from the bottom of the dishes and resuspended in 0.5 ml chilled extraction buffer [Dulbecco’s PBS containing 10 mM MgCl2, 2 mM EGTA, 1.5 µg/liter BSA (wt/vol), 10 mM ß-mercaptoethanol, 0.15 mM bacitracin, and 1 mM phenylmethylsulfonylfluoride, pH 7.2]. The suspensions were homogenized for a few seconds and centrifuged for 1 h at 50,000 x g. Supernatants were stored (at 0 C), and the membrane fraction was resuspended in 0.5 ml extraction buffer containing 1% Triton X-100 and solubilized for 1 h at room temperature. After centrifugation and collection of the resulting supernatants, all samples (supernatants) were loaded onto 1-ml diethylaminoethyl (DEAE)-cellulose columns, and the PKC-containing fraction was eluted using 1 ml extraction buffer containing 200 mM NaCl. Samples were frozen at -70 C until assayed for PKC activity.

Human myometrial membranes (250 µg/tube) were resuspended in 50 µl buffer containing 20 mM Tris-HCl and 10 mM MgCl2, pH 7.5. Membrane suspensions were incubated in the presence or absence of PKC activators (PMA, 200 nM; OT, 1–100 nM) or inhibitors (H-7, 100 µM; H-8, 100 µM; myristoylated PKC peptide inhibitor, 100 µM) for 30 min at room temperature. Membranes were solubilized, and PKC was extracted as described using DEAE-cellulose columns.

The activity of PKC recovered from either human myometrial cells or membrane preparations was assayed in a 10 mM Tris-HCl buffer (pH 7.5) containing 10 mM MgCl2, 0.2 mM CaCl2, 0.5 mM EGTA, and 0.1 mg/ml BSA, using a commercial PKC assay system in which the incorporation of 32P into a specific PKC biotinylated peptide substrate (neurogranin-(28–43)-AAKIQASFRGHMAR KK) (25) using [{gamma}-32P]ATP (3000 Ci/mmol) as a 32P donor was measured by the binding of the substrate to streptavidin disks and monitoring the radioactivity using a scintillation counter.

In vitro phosphorylation of the myometrial CRH receptor
Human pregnant (at term or preterm) myometrial membrane suspensions (500 µg/tube) were incubated in the presence or absence of OT (100 nM) with or without myristoylated PKC peptide inhibitor (100 µM) for 10 min at 30 C. [{gamma}-32P]ATP (3000 Ci/mmol) was added as {alpha} 32P- donor (4 µCi/tube). The reaction was stopped by centrifugation (15,000 rpm in a microfuge), and membranes were solubilized for 2 h on ice in 500 µl solubilization buffer containing 10 mM Tris-HCl, 10 mM EDTA, 500 mM NaCl, 1% Nonidet P-40, 0.5% deoxycholate, 0.1% SDS, 1 mM phenylmethylsulfonylfluoride, and 1 mM bacitracin, pH 7.4. After centrifugation, immunoprecipitation of the CRH-receptor complex was performed by adding 25 µl CRH receptor antiserum to the supernatant and incubating overnight at 4 C. Isolation of the immune complexes was carried out using protein A-Sepharose beads (100 µl), rotation for 20 min at 4 C, centrifugation, washing of the resulting pellet with 1 ml Tris-EDTA buffer (three times), and resuspension in SDS buffer. Proteins were resolved on 8% SDS-PAGE, and gels were dried and subjected to autoradiography (-70 C, 10–14 days) using intensifying screens.

Statistical analysis
Data are shown as the mean ± SEM of each measurement. Comparison between group means was performed using the nonparametric statistical method of Kruskal-Wallis. P < 0.05 was considered significant.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Effect of OT on CRH binding to the CRH receptors
In preliminary experiments we found that OT was able to reduce CRH binding to human pregnant (at term) myometrial membranes. This OT effect was time dependent; when OT was added at equilibrium there was a lag phase of 15–20 min in the OT inhibitory effect. Maximum inhibition (50%) was observed at 30 min and remained constant for at least 2 h. The lag phase might be due to our experimental conditions or, alternatively, might be the result of factors missing in the membrane preparation that are necessary for efficient and rapid receptor desensitization and/or the presence of contaminating adenosine triphosphatases, which contribute to the low rate of the reaction. Although we cannot ignore the possibility of receptor degradation, the experimental conditions were designed in such a way as to minimize this possibility by including several protease inhibitors.

Saturation analysis of 125I-labeled Nle21,Tyr32-oCRH binding to human pregnant myometrial membranes demonstrated that binding was saturable and of high affinity (Fig. 1aGo). When the myometrial membranes were incubated with radiolabeled oCRH in the presence of OT for 2 h, the receptor required a greater concentration of radioligand to reach saturation. Scatchard analysis of these data (Fig. 1bGo) showed that the OT effect was due to a reduction in the affinity of the CRH receptor. The dissociation constant (Kd) was increased from 84 ± 4 to 165 ± 12 pM, whereas the maximum receptor concentration was unchanged (11 ± 2 fmol/mg membrane protein). This effect was OT concentration dependent, was apparent at OT concentrations greater than 1 nM, and was maximal at a concentration around 100 nM (Table 1Go). This OT concentration was used in all subsequent experiments.



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Figure 1. Saturation curves (a) and Scatchard plot (b) of 125I-labeled Nle21,Tyr32-oCRH binding to human pregnant myometrial at term membranes in the absence (open circles) or presence of 100 nM OT (closed squares). Specific binding is expressed as femtomoles per mg membrane protein, and results are from two individual biopsy samples and are representative of repeated analyses from five different biopsies. c, Isoelectric focusing (pH gradient, 4–6) followed by autoradiography of human pregnant (at term) myometrial membranes. Membranes were incubated with [125I]oCRH in the presence of OT (100 nM; A), [125I]oCRH only (B), or [125I]oCRH coincubated with a 1000-fold excess of oCRH (C; nonspecific binding) before being subjected to isoelectric focusing (pH gradient, 4–6) and autoradiography. The relative distribution of CRH receptor isoforms was measured by optical density scanning. *, P < 0.05 compared with A. #, Isoforms that represent free [125I]oCRH preparation.

 

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Table 1. Effect of different concentrations of OT on the binding affinity (Kd) and maximum receptor number (Bmax) of the CRH receptor in human pregnant myometrium at term

 
In membrane preparations from human pregnant myometrial tissue, we identified multiple CRH-binding sites using isoelectric focusing (24). The effect of OT on radiolabeled oCRH binding to each of the isoforms was analyzed. OT caused decreased binding to four of the five isoforms; in particular, CRH binding to the two most basic isoforms (pI 5.1 and 5.2) was completely inhibited (Fig. 1cGo). Analysis of membrane preparations incubated with a 1000-fold excess of unlabeled h/rCRH showed an equal displacement of bound [125I]oCRH from each of the five receptor isoforms.

Effect of OT on basal and CRH-stimulated cAMP production
This OT effect was analyzed in more detail at a functional level. In membranes prepared from human pregnant term myometrium, OT (at a concentration range of 0.1–500 nM) was able to reduce the basal cAMP production (maximum inhibition, 37–42 ± 6% at an OT concentration of 100 nM; Fig. 2aGo). One possible explanation for the effect of OT on cAMP release is the involvement of an inhibitory guanyl-nucleotide binding protein (Gi) in the regulation of adenylate cyclase activity. To test for this possibility, myometrial membranes were pretreated with PT, which catalyses the ADP-ribosylation and inactivates the Gi{alpha} subunit of the guanine nucleotide regulatory component, thus preventing inhibition of adenylate cyclase. The OT effect was reversed when myometrial membranes were pretreated with PTX (25 µg/ml; Fig. 2aGo).



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Figure 2. OT (100 nM) effect on basal cAMP production from human myometrial membranes at term with or without PTX pretreatment (a; final concentration, 25 µg/ml) and on cAMP release from human myometrial membranes at term in the presence of different concentrations of h/rCRH with or without PTX pretreatment (b; final concentration, 25 µg/ml). Results are expressed as the mean ± SEM of eight estimations from eight individual biopsies. *, P < 0.05 compared with basal. +, P < 0.05 compared with results without PTX pretreatment.

 
Human CRH caused a dose-dependent increase in adenylate cyclase activity, with a maximal 65 ± 4% increase at a concentration of 100 nM. Both basal and CRH-stimulated cAMP responses were reduced when OT (100 nM) was coincubated with CRH (Fig. 2bGo, open squares). To test whether the inhibitory effect of OT on adenylate cyclase was mediated via PT-sensitive G proteins (probably a Gi), we used PT pretreatment of the myometrial membranes. Such pretreatment completely abolished the OT-induced inhibition of basal adenylate cyclase activity and partially reversed the OT-induced inhibition of CRH-stimulated cAMP production. Furthermore, it reduced both the sensitivity and the magnitude of the CRH effect (Fig. 2bGo, closed triangles). These data suggest the involvement of another component in this phenomenon that is PTX insensitive, and that OT might target the activity of the CRH receptor itself.

Studies on PKC activity of human myometrium
Using a specific PKC assay system, we measured the PKC activity in human pregnant (term and preterm) myometrial membranes. Significant PKC activity was present in the pregnant (term) myometrial membranes (Fig. 3Go); furthermore, PMA (200 nM) and OT (1–100 nM) were able to stimulate PKC activity. PKC activity was reduced in the presence of PKC inhibitors (H-7, 100 µM; myristoylated PKC peptide inhibitor, 100 µM), with the myristoylated PKC peptide inhibitor being the most potent inhibitor. H-8 at an equimolar concentration (100 µM) had no effect on PKC activity. In contrast, no measurable PKC activity was detected in pregnant (preterm) membranes, and agents such as PMA and OT could not exert any stimulatory action (data not shown).



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Figure 3. Effect of activators (PMA and OT) and inhibitors (H-7, H-8, and myristoylated PKC inhibitor) on the PKC activity present in human pregnant myometrial membranes at term. Results are expressed as the mean ± SEM of eight estimations from eight individual biopsies. *, P < 0.05 compared with basal.

 
The effect of OT on PKC activity was further investigated in human pregnant myometrial cells. Cells were incubated with OT (0.1–100 nM) in the presence or absence of OT antagonists, CAP and F327 (1 µM), or a PLC inhibitor, U73122 (10 µM). PKC activity was determined in the cytosolic and cell membrane fractions. The results clearly demonstrated that OT at concentrations of at least 1 nM induced translocation of the enzyme from the cytosol to the plasma membrane of the myometrial cells. This effect appeared to be mediated via the OT receptor-PLC second messenger system, because it could be blocked by specific OT antagonists and PLC inhibitors (Fig. 4Go).



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Figure 4. Effect of OT (0.1–100 nM) in the presence or absence of OT antagonists or phospholipase inhibitors on the PKC activity of human pregnant myometrial cells. Cells were preincubated with OT with or without the OT antagonists or the PLC inhibitor for 15 min at 37 C, PKC was extracted from the cytosolic and membrane fractions using DEAE-cellulose columns, and the PKC activity recovered was estimated using a PKC assay system. Results are expressed as the mean ± SEM of five estimations from five individual myometrial cell cultures. *, P < 0.05 compared with basal. +, P < 0.05 compared with maximal PKC activation.

 
Effect of PKC inhibition on OT-CRH interactions
The role of PKC was evaluated by treatment of myometrial membranes with the Myr-PKC inhibitor (100 µM) before the addition of CRH and/or OT and determination of cAMP production. Membrane preparations from human pregnant (term and preterm) myometrial biopsies were used. The results showed that pretreatment of term myometrium with the PKC inhibitor reversed the OT inhibitory effect on CRH-induced cAMP action without affecting the OT inhibition of basal cAMP levels. This suggests that the OT action was mediated via the activation of PKC and the subsequent phosphorylation and desensitization of the myometrial CRH receptor. Furthermore, inhibition of PKC in term myometrium, but not in preterm myometrium, increased CRH sensitivity; the cAMP stimulation threshold for CRH was 1 nM in membranes pretreated with the PKC inhibitor compared with 10 nM CRH in untreated membranes (Fig. 5Go). In contrast, in preterm myometrium there was no effect of OT or the PKC inhibitor on cAMP levels. CRH was able to activate adenylate cyclase at lower concentrations, consistent with previous findings (4). In both membrane preparations, adenylate cyclase activities were similar and were unaffected by inhibition of PKC, as forskolin was able to increase cAMP levels to a similar level (10- to 12-fold increase in basal values) in both membrane preparations in the presence or absence of PKC inhibitor (data not shown).



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Figure 5. Effect of the myristoylated PKC inhibitor on the OT effect of CRH-induced cAMP response from human pregnant myometrial membranes at term (a) or human preterm pregnant myometrial membranes (b). Results are expressed as the mean ± SEM of eight estimations from eight individual biopsies. *, P < 0.05 compared with basal. +, P < 0.05 compared with controls with no addition of the PKC inhibitor. Inset, In vitro phosphorylation of the human pregnant myometrial CRH receptor. Human pregnant (at term or preterm) myometrial membrane suspensions were incubated in the absence (A) or presence (B) of OT (100 nM) or with OT (100 nM) plus the myristoylated PKC peptide inhibitor (100 µM; C) for 10 min at 30 C in the presence of [{gamma}-32P]ATP (32P donor), followed by solubilization, immunoprecipitation of the CRH receptor, and SDS-PAGE. Gels were dried and subjected to autoradiography (-70 C, 10–14 days) using intensifying screens. Identical results were from five (of each group) individual biopsies are shown.

 
To confirm the PKC-mediated phosphorylation of myometrial CRH, we performed in vitro phosphorylation followed by immunoprecipitation of the human myometrial CRH receptor. Autoradiography demonstrated that in human pregnant (at term) myometrial membranes, PKC activation by OT (100 nM) resulted in incorporation of 32P into a protein with an apparent molecular mass of approximately 42–45 kDa, which was immunoprecipitated by specific CRH receptor antibodies. The molecular mass of this protein is consistent with previously reported data (14, 24). Incorporation of 32P was inhibited when membranes were treated with the Myr-PKC inhibitor (100 µM). In contrast, in human pregnant (preterm) myometrial membranes, the same procedure failed to demonstrate a 32P-radiolabeled protein (Fig. 5Go, inset).


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The results presented here provide strong evidence for a regulatory role of OT in human myometrial CRH receptor function. It is well known that the human myometrium expresses specific high affinity CRH receptors that during pregnancy are coupled to Gs protein and stimulate the adenylate cyclase system (1, 2). Interestingly, the CRH concentrations needed to stimulate cAMP production from human pregnant myometrial membranes were substantially higher than the receptor affinity (Kd). Several possibilities exist to explain this discrepancy. One might be the differences between the ligands used in the two experiments. Ideally, human CRH should have been used for both experiments. Our preliminary experiments, however, showed that radioiodinated human CRH does not have any substantial biological activity and therefore could not be used for Scatchard analysis. For these experiments, 125I-labeled Nle21,Tyr32-oCRH was used as the radiolabeled ligand, and unlabeled oCRH was used for the determination of nonspecific binding and estimation of the free fraction. Another possibility to be considered might be differences in incubation time between the two experiments. For the Scatchard analysis, the incubation time was 2 h at 22 C, whereas for estimating adenylate cyclase activity it was 30 min at 22 C plus 10 min at 37 C. Finally, another possibility might be the relative insensitivity of the myometrial homogenate membrane system. It is possible that the homogenization procedure might affect the cAMP production system and reduce the activity of one or more of its components. In support of this hypothesis, we obtained data suggesting that in cultured human myometrial cells h/rCRH is able to stimulate cAMP production at a concentration as low as 100 pM (unpublished observations).

At term, the ability of the myometrial CRH receptors to activate adenylate cyclase is impaired (3), and our results implicate OT in this phenomenon. The decidua has been shown to express high concentrations of messenger RNA for OT (7), and the translated peptide may reach high concentrations locally and exert a paracrine effect. Furthermore, the number of OT receptors can increase as much as 200-fold (6). We now report that OT is able to reduce CRH binding to its myometrial receptor by reducing the affinity of the CRH receptor without affecting the number of receptors. This effect is mediated by at least four CRH receptor isoforms, as identified by isoelectric focusing. Previously, we have shown that the human myometrium expresses five isoforms of the CRH receptor, which can be separated by charge (24). However, a paradox appears to exist, as Scatchard analysis suggested a single population of high affinity CRH receptors. It is possible that the different isoforms separated with isoelectric focusing might represent receptor heterogeneity due to different glycosylation forms of the same receptor during posttranslational modification that display the same binding affinity. It is well known that there are several potential N-glycosylation sites in both R1 and R2 CRH receptor amino acid sequences (14, 15). In support of this hypothesis was the observation that the isoform profile was identical in both pregnant and nonpregnant myometrium (24), which suggests that the difference in CRH binding affinity and function in these two tissues is not due to differences in the receptor isoform population.

In human pregnant myometrium at term, OT was able to reduce both basal and CRH-stimulated cAMP levels, in agreement with previous data (26). The OT effect on basal adenylate cyclase activity appears to be mediated by a PTX-sensitive G protein, most likely Gi protein, which is consistent with previous observations (10). Such PTX-sensitive as well as PTX-insensitive G proteins have been shown to be involved in OT stimulation of phosphoinositol hydrolysis in human myometrial cells (10). Inhibition of Gi activity by PTX, however, did not completely reverse the OT effect on CRH-stimulated cAMP, suggesting the presence of an additional mechanism. Subsequently, we showed that OT as well as phorbol esters (PMA) were able to stimulate PKC in human pregnant (at term but not preterm) myometrial membranes, an effect that could be reversed in the presence of PKC inhibitors. A possible explanation for the lack of PKC activity in preterm myometrium is the immaturity of the myometrium, which lacks sufficient OT receptors as well as sensitizing stimuli capable of inducing myometrial PKC activity in the cell membrane.

Most importantly, we showed that in human pregnant myometrial cells, OT was able to induce PKC translocation from the cytosol to the cell membrane. This phenomenon has been suggested previously, and interactions between PKC activation/inhibition and the OT signaling pathway have been described in human myometrium (27) and amnion cells (28), although no direct PKC stimulation has been shown. Several isoforms of PLC (ß1, ß2, ß3, {gamma}1, and ß2) have been described in human myometrial cells (26), and this pathway was investigated in more detail using specific OT antagonists and the PLC inhibitor U73122 (29); partial inhibition of the OT-induced translocation of PKC activity was achieved. Only one dose of OT antagonists was used, so as to demonstrate the effect of the antagonists rather than investigate dose-response characteristics. The actions of OT antagonists used have been well described; they inhibit OT-induced calcium influx (30) and inositol triphosphate generation in myometrial cells (31).

These results in association with the presence of four potential PKC phosphorylation sites in each of the three intracellular loops as well as in the C-terminus of the complementary DNA sequence of the CRH-R1 and -R2 receptors led us to investigate whether the inhibitory action of OT was mediated by PKC-induced phosphorylation and desensitization of the CRH receptor. There are several examples of 7TMD receptors where PKC-induced phosphorylation and desensitization are accompanied by a reduction in the receptor affinity for the agonist, presumably by impairment of receptor-G protein coupling (32, 33, 34). Furthermore, interactions between the CRH signaling pathway and PKC have been described previously; in the pituitary, PKC activation potentiates CRH-stimulated cAMP production (35). In term pregnant myometrium, the inhibitory action of OT on CRH-stimulated cAMP production was reversed in the presence of the Myr-PKC inhibitor, and the sensitivity of the CRH receptor was increased. In preterm myometrium there was no effect of either OT or the PKC inhibitor on CRH-stimulated cAMP production. Although we cannot exclude other actions of OT on the CRH receptor resulting in increased sensitivity, we obtained further evidence for a direct phosphorylation effect of PKC (induced by OT) on the CRH receptor only in term myometrium with a direct phosphorylation assay.

At present, it is not clear how PKC can potentiate CRH action in the pituitary while inhibiting it in the myometrium at term. It is possible that different PKC isoenzymes are involved with tissue-specific action or that the PKC actions target different CRH-R subtypes. Recently, in pregnant myometrium we have identified several CRH-R messenger RNA transcripts (20). These correspond to four spliced variants of the R1 receptor (1{alpha}, 1ß, 1C, and a novel form named 1d) and the R2{alpha} receptor. At the moment it is uncertain which of these subtypes mediates the OT effect, and studies using recombinant receptor subtypes are necessary to delineate these events.

In summary, these data suggest that in human pregnant (at term) myometrium there is an inhibitory action of OT on CRH biological activity that is mediated via activation of PKC and subsequent phosphorylation and desensitization of the CRH receptor. CRH-OT interactions may play a primary, and important, role in the fine balance of myometrial contractility. Furthermore, these interactions appear to be dependent on both OT receptor expression (36) and up-regulation of PKC activity at term. Currently, the role of CRH during pregnancy is unknown, and the presence of multiple CRH receptor subtypes in the human pregnant (at term) myometrium suggests distinct functional roles for each receptor during pregnancy and raises the possibility of multiple roles for CRH and/or related peptides. It is attractive to speculate that the OT-sensitive CRH receptors are responsible mainly for the generation of cAMP and the stimulation of myometrial relaxation; inhibition of their biological activity by OT may enable CRH to play a different role in the control of uterine contractility and the mechanism of labor. We speculate that the major CRH receptor subtype influenced by OT is R1{alpha}, as in transfection studies we have shown that this subtype is most efficiently linked to adenylate cyclase (unpublished observations). The interactions of the CRH and OT signal transduction pathways are shown diagrammatically in Fig. 6Go. Further studies are under way to investigate in-depth the role of phosphorylation on the function of the CRH receptor by using mutant receptor technology where the potential PKC phosphorylation sites have been mutated.



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Figure 6. A schematic representation of the proposed interactions between CRH and OT signaling pathways in the human myometrium during pregnancy at term. CRH-R, CRH receptor; AC, adenylate cyclase.

 


    Footnotes
 
1 This work was supported by a grant from the Wellcome Trust. Back

2 Holds the WPH Charitable Trust Chair of Medicine. Back

Received July 22, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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