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Endocrinology Vol. 140, No. 7 3228-3237
Copyright © 1999 by The Endocrine Society


ARTICLES

Selective Up-Regulation of Phosphodiesterase-4 Cyclic Adenosine 3',5'-Monophosphate (cAMP)-Specific Phosphodiesterase Variants by Elevated cAMP Content in Human Myometrial Cells in Culture

C. Méhats, G. Tanguy, E. Dallot, B. Robert, R. Rebourcet, F. Ferré and M. J. Leroy

INSERM, U-361, Maternité Port-Royal-Cochin, Université René Descartes, 75014 Paris, France

Address all correspondence and requests for reprints to: M. J. Leroy, Ph.D., INSERM U-361, Pavillon Baudelocque, 123 boulevard Port Royal, 75014 Paris, France. E-mail: leroy-zamia{at}u361.cochin.inserm.fr


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In human myometrium, the modulation of intracellular cAMP content resulting from agonist-mediated stimulation of the receptor-adenylyl cyclase complex is largely influenced by the rate of cAMP hydrolysis by phosphodiesterase (PDE) isoenzymes. We have previously shown that the PDE4 family contributes to the predominant cAMP-hydrolyzing activity in human myometrium and that elevation of the PDE4B2 messenger RNA steady state level occurs in pregnant myometrial tissue.

In the present study, we used a model of human myometrial cells in culture to determine whether an elevated cAMP concentration could influence PDE expression. As in myometrial tissue, high levels of PDE4 activity were detected in these smooth muscle cells. Long term treatment with 8-bromo-cAMP or forskolin resulted in a selective induction of PDE4B and of PDE4D short form messenger RNA variants. Concurrently, an increased immunoreactive signal for the PDE4B- and PDE4D-related isoenzymes was detected. This induction was consistent with an observed significant up-regulation of PDE4 activity.

Accordingly, our results demonstrate that in human cultured myometrial cells, cAMP-elevating agents manipulate PDE4 activity through selective induction of synthesis of PDE4B and PDE4D short forms. Such a mechanism might have physiological importance during pregnancy by dampening hormonal stimulation and could thereby be involved in tolerance to the tocolytic effect of ß-adrenoceptor agonists.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
THROUGHOUT pregnancy, powerful and intricate regulations take place to accommodate the developing fetus. Numerous maternal and fetal factors, including steroid hormones, PGs, and catecholamines, contribute to promote relative quiescence concurrently with growth of the uterus all throughout pregnancy. At term, by means of considerable structural and functional changes in the uterine smooth muscle, namely myometrium, these factors orchestrate synchronized, regular, and intense contractions characteristic of the parturition process (1).

Although little information is available concerning the biochemical mechanisms by which human myometrium integrates hormonal stimulation through specific intracellular effectors, it is now well established that smooth muscle relaxation is partly a consequence of elevation in intracellular cyclic nucleotides, i.e. cAMP and cGMP (2). Hence, modulation of rates of such second messenger formation and degradation is considered to play a pivotal role in the uterine contraction/relaxation process.

Of particular interest are changes in cyclic nucleotide phosphodiesterase activity (PDE), the sole mechanism for inactivating cAMP or cGMP through their hydrolysis to 5'-AMP or 5'-GMP, respectively. This enzymatic system provides a powerful means of manipulating the magnitude and duration of the biological response to these signal-transducing molecules (3). Moreover, PDE is readily manipulated pharmacologically (4). Thus, inhibition of PDE offers an important potential in an attempt to modulate the myometrial activity of women in preterm labor.

PDE cyclic nucleotides comprise an abundant group of structurally related isoenzymes, derived from at least seven distinct, but related, gene families. Strongly conserved in evolution, all of the mammalian PDEs that have been isolated contain a putative catalytic domain with approximately 30% amino acid identity. Because they are differentially expressed and regulated, PDE1 to PDE7 families are found in different amounts, proportions, and subcellular locations depending on the cell, tissue, and species (5, 6).

In human myometrium, we previously observed modifications in the kinetic behavior of the cAMP PDE enzyme during pregnancy compared with nonpregnant tissue (7, 8). Five distinct families (PDE1–5) have been identified in human myometrium extracts. The predominant forms of PDE in myometrial tissue belong to the PDE4 isozyme family (9). Also, rolipram, a selective inhibitor of PDE4, has been shown to exert a potent relaxant effect on spontaneous contractions of human myometrial strips (10).

PDE4 enzymes (cAMP-specific PDE gene family) are characterized by their high affinity for cAMP. They are insensitive to cGMP, which is a poor substrate for these enzymes. Four human and rat PDE4 genes (4A, 4B, 4C, and 4D) have been identified. The four human and rat loci present a one to one correspondence and pairwise homolog variants generated by a complex arrangement of the transcriptional units (11, 12). The PDE4D gene is transcribed after at least three upstream promoters with the formation of the so-called long forms of the enzyme, whereas activation of a further intronic promoter produces the short forms (13). Both short and long forms of the enzyme can also be transcribed from PDE4A, PDE4B, and PDE4C genes (14, 15, 16).

Recently, we reported the concurrent expression of the four PDE4 genes, 4A, 4B, 4C, and 4D, in human myometrial tissue. Our studies using a semiquantitative RT-PCR approach suggested high steady state levels of PDE4D and PDE4B messenger RNAs (mRNAs), whereas those of PDE4A and PDE4C were less elevated. Furthermore, we showed an increase in the proportion of only PDE4B short form transcripts in the myometria of pregnant women compared with that in nonpregnant tissue (17).

Interestingly, the PDE4 affinity constant for cAMP corresponds closely to the level of intracellular cAMP observed after hormonal regulation. Thus, it has been suggested that according to the cell-specific environment, PDE4 isoenzymes are essential modulators of cAMP concentration during hormonal stimulation (18). Furthermore, it became obvious that these forms are regulated by their own substrate (cAMP) both at the gene expression level and in the posttranslational modifications (19, 20, 21). With such mechanisms, PDE4 isozymes can provide both a short and a long term feedback regulation of cAMP content.

In light of this information, the present studies were conducted to determine whether the elevated intracellular cAMP content that occurs after stimulation of adenylate cyclase by numerous factors throughout pregnancy could modulate the PDE4 expression pattern in human myometrium and thereby influence the rate of its own hydrolysis. For this purpose, we used a model of human myometrial cells in culture, under conditions supporting the maintenance of a smooth muscle differentiated state (22). We explored the effects of long term treatment of cAMP-elevating agents on cellular expression of the different PDE4 isozymes. We show that such treatments lead to a marked increase in PDE4 activity, with changes occurring selectively in the expression of variant products of the PDE4B and PDE4D genes.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cell culture and drug treatments
Biopsies of myometrium were collected from women undergoing hysterectomies for benign gynecological indications. Tissue samples were excised from normal muscle in areas free of macroscopically visible abnormalities, at some distance from the endometrium and free of serosa. After collection, the biopsies were placed in DMEM supplemented with 100 IU/ml penicillin and 100 µg/ml streptomycin and transported immediately to the laboratory. Myometrial cells were prepared by the explant method as previously described by Cavaillé et al. (22). Cells were cultured in DMEM supplemented with antibiotic solutions and 10% FCS (Life Technologies, Inc., Eragny, France). Experiments presented in this report were performed during the fourth to sixth subcultures of the cells. At confluence, the cells were placed in serum-free medium for 72 h, allowing the expression of smooth muscle markers: {alpha}-smooth muscle actin, myosin heavy chain isoforms (SM1, SM2), and desmin (22).

For this particular experimental procedure, cells were then incubated for various times with vehicle, 8-bromo-cAMP (8Br-cAMP; 0.1–2 mM) dissolved in water, or forskolin (1–50 µM) dissolved in ethanol at a 0.1% final concentration. We controlled that the presence of 0.1% alcohol had no effect on PDE activity. When actinomycin D or cycloheximide was used, it was dissolved in water and added together with the tested substances at the start of the incubation period.

cAMP-PDE assays
After 8Br-cAMP or forskolin treatment, media were removed, and cells (5 x 105/35-mm dish·treatment) were washed twice in cold PBS. Cells were then harvested by scraping in ice-cold homogenization buffer. The homogenization buffer comprised 100 mM Tris-HCl (pH 7.4), 2 mM MgSO4, 2 mM EDTA, 10% glycerol, and 1 mM ß-mercaptoethanol and was supplemented with a protease inhibitor cocktail: leupeptin (1 µM), aprotinin (10 µg/ml), Pefabloc (25 µg/ml) (Interchim, Montluçon, France), benzamidine (130 µg/ml) and soybean trypsin inhibitor (50 µg/ml). After sonication, samples were immediately stored at -20 C until use.

cAMP PDE activity was determined using the Kincaid and Manganiello method (23). Activities were measured in high affinity conditions with 1 µM cAMP as substrate in the presence or absence of the different selective inhibitors added 10 min before the beginning of the reaction and are expressed as specific activity (picomoles per min/mg protein). All assays were carried out in the linearity conditions with respect to time and protein concentration. PDE4 activity was gauged as the fraction of total cAMP PDE activity that was inhibited by 10 µM rolipram; non-PDE4 activity was estimated as the remaining cAMP PDE activity. Protein concentrations were determined using the Bio-Rad modified Bradford (24) protein assay (Bio-Rad Laboratories, Inc., Richmond, CA) with BSA as a standard.

cAMP assay
To measure cAMP content, cells (5 x 105/35-mm dish·treatment) that were previously incubated with drugs were exposed to ice-cold trichloroacetic acid (10%) to stop the reaction (25) and then were scraped and stored at -20 C. At the time of cAMP assays, cell preparations were thawed on ice, and the precipitated proteins were separated from the soluble extracts by centrifugation at 300 x g for 10 min at 4 C. Trichloroacetic acid was removed from the sample by four successive extractions with water-saturated ethyl ether. cAMP content was measured after acetylation using a commercially available RIA kit (Biotrak, Amersham, Aylesbury, UK). cAMP content was expressed as picomoles of cAMP per 106 cells (26).

RT-PCR analysis
Total RNA was extracted from myometrial cells using the Trizol reagent method (Life Technologies, France). Briefly, scraped cells (107) were resuspended in 1 ml Trizol and homogenized by repeated pipetting. RNA preparations were recovered by phenol/chloroform extraction, isopropanol precipitation, and ethanol washing, according to the manufacturer’s instructions.

The first strand of complementary DNA (cDNA) was generated from 8 µg total RNA using random hexamers to prime the RT in a total reaction volume of 50 µl. Essentially, total RNA was denatured by heating at 72 C for 10 min and cooling immediately on ice. This preparation was then incubated with 800 U murine reverse transcriptase (Life Technologies) in the presence of 10 mM dithiothreitol, 20 µM random hexamers, and 20 U ribosomal RNasin ribonuclease inhibitor (Promega Corp., Madison, WI) for 60 min at 39 C. The reaction was stopped by heating at 95 C for 5 min followed by cooling. RT products were stocked at -20 C. Preparations achieved without reverse transcriptase were routinely used as a control of each RNA sample. No PCR product was detected in the absence of reverse transcriptase during the RT step, indicating that the RNA preparations were free from intact genomic DNA.

Amplification was performed in 1 x PCR buffer (50 mM KCl and 20 mM Tris-HCl, pH 8.3) in a 25-µl total reaction volume. This contained 200 µM of each deoxy-NTP and 1–2 mM MgCl2 together with 1 µM of each primer, sense and antisense, 1.25 U Taq DNA polymerase (Life Technologies), and 3 µl of the RT product (480 ng cDNA). The amplification profile consisted of denaturation at 94 C for 1 min, annealing for 1 min at the specific temperature (Table 1Go), and extension at 72 C for 1 min, with a final extension at 72 C for 10 min. The primers for each studied PDE4 (Table 1Go) were designed from the reported primary sequences (12, 27, 28, 29, 30) deposited with the GenBank database. After the indicated subsaturating cycles of denaturation and extension, a 15-µl aliquot from each reaction mixture was resolved by electrophoresis on a 3% Nusieve agarose gel and visualized by ethidium bromide staining under UV light. The DNA molecular mass standards ladder consists of fragments between 100-1500 bp in multiples of 100 bp; the 600-bp band is brighter than the other ladder bands (100-bp DNA ladder, Life Technologies). Additional validity control was achieved by a Southern blot analysis of the PCR product as previously described (17) (data not shown).


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Table 1. Primers and conditions used in PCR experiments

 
An endogenous marker, human ß2-microglobulin cDNA, was used as a standard because its related protein is found on the surface of nearly all nucleated cells (31, 32).

The intensities of the bands on Polaroid (European Imap Scientist, Massy, France) pictures of the ethidium bromide-stained gels were analyzed densitometrically using a computer-linked scanner and the NIH Image 1.60 software package (NIH, Bethesda, MD). The results are expressed in arbitrary densitometric units (ADU) as the mean ± SEM.

Immunodetection of PDE4 isozymes
Immunoblotting was carried out using monoclonal antibodies designed to be specific for particular PDE4 isozymes (donated by Dr. K. Ferguson, ICOS Corp., Seattle, WA). They were raised against glutathione-S-transferase fusion proteins formed from a portion of the C-terminal end found to be unique to each of the PDE4 isozymes and which appear to be common to all active proteins produced by a particular PDE4 family isoform. The monoclonal antibodies were the PDE4B-specific species 96G7A, which can recognize amino acids 529–558 in clone TM72 (GenBank accession no. L20966) found in the common C-terminus of PDE4B isoforms, and the PDE4D-specific species 61D10E, which can recognize amino acids 618–634 in clone PDE43 (GenBank accession no. L20970) found near the C-terminus of all known active PDE4D splice variants, but not in any other PDE4 classes (20, 36).

After their exposure to the various agents, cells were harvested and sonicated in the homogenization buffer described above. They were immediately frozen and stored at -80 C until use. Samples (50 µg of proteins/lane) were dissolved (vol/vol) in Laemmli buffer (37) and boiled for 5 min before electrophoresis on a 8% SDS-PAGE. Then proteins were transferred to a nitrocellulose membrane (Amersham) in a Bio-Rad Transblot apparatus. Blots were dried for 1 day and then blocked for 1 h in 10% nonfat dried milk powder in TBS-T (Tris 10 mM, NaCl 150 mM, and Tween-20 0.1%, pH 7.6) at room temperature. Blocked membranes were washed three times with TBS-T. The blots were then incubated overnight at 4 C with a 1:10,000 dilution of the primary antibody (in TBS-T containing 1% nonfat dried milk powder). After three washes with TBS-T, blots were incubated for 45 min with horseradish peroxidase-linked antimouse IgG whole antibody from sheep (DAKO Corp., Glostrup, Denmark) diluted 1:2,000 and washed five times with TBS-T. Immunoreactive proteins were detected by chemiluminescence (Amersham ECL reagents). The intensities of the bands were analyzed densitometrically by the NIH software package and expressed in ADU as the mean ± SEM.

Another set of antibodies (donated by Dr. M. Conti, Stanford University, Stanford, CA) was used for additional controls: K118, rabbit polyclonal antibodies raised against PDE4B, and M3S1 murine monoclonal antibodies directed against PDE4D (38). They were used as described above.

Statistical analysis
The nonparametric Wilcoxon-Mann-Whitney test for paired samples was applied for comparison of the cAMP PDE activities of cultured myometrial cells. All results were expressed as the mean ± SEM. The difference was considered significant when P < 0.05.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Pharmacological identification of cAMP PDE activity in human myometrial cells
In an attempt to define which PDE families are responsible for cAMP PDE activity in human cultured myometrial cells, a pharmacological approach was used employing PDE inhibitors in activity measurements. As illustrated in Fig. 1Go, addition of isobutylmethylxanthine (IBMX), a nonselective PDE inhibitor, resulted in a concentration-dependent inhibition of total homogenate cAMP PDE activity in these smooth muscle cells. Even using high doses of IBMX, 10% of PDE activity remained; hence, we could not exclude the expression of PDE7 isoforms, an IBMX-resistant PDE family for which no specific inhibitor is yet available. The selective PDE1 inhibitor, 8-methoxy-IBMX, decreased cAMP PDE activity by about 20%, suggesting the presence of a subtype of this family. Zaprinast, a PDE5 inhibitor, led to the same weak, but significant, decrease in cAMP PDE activity. cGMP present at low concentration was responsible for about 20% inhibition of the activity. The degree of inhibition was similar when using cilostamide, an inhibitor selective for the cGMP-inhibited PDE3 family, indicating contributions of PDE3 isoforms. cGMP-stimulated PDE2 appeared to be a minor component of the activity, with no significant effect of EHNA, described as a PDE2 inhibitor. In contrast, rolipram, a selective inhibitor of PDE4, caused a 50% significant decrease in cAMP PDE activity. Together, these results indicated that although cAMP PDE activity inhibition was seen with PDE1, PDE3, and PDE5 inhibitors, PDE4 was responsible for the major cAMP hydrolysis activity in human myometrial cells. Because no difference was observed in the inhibition degree when using 10 or 50 µM of rolipram, we defined PDE4 activity as the cAMP PDE activity inhibited by 10 µM rolipram in the experiments which followed.



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Figure 1. Pharmacological identification of cAMP PDE activity in human myometrial cells. Myometrial cell homogenates were assayed for PDE activity using 1 µM cAMP as substrate. Untreated cell activity is the designed vehicle. IBMX was employed as a nonspecific inhibitor, and 8-methoxy-IBMX, zaprinast, cilostamide, EHNA, and rolipram were used as inhibitors of PDE1, PDE5, PDE3, PDE2, and PDE4 families, respectively. cGMP was used as an inhibitor of PDE3 or as a stimulator of PDE2. Data are given as the mean ± SEM for at least five separate experiments using cell homogenates from different explants. For each experiment, PDE assays were performed in duplicate. Significance of difference from vehicle: *, P < 0.05; **, P < 0.01; n.s. refers to a nonsignificant difference between the effects of two rolipram concentrations.

 
Effect of long term exposure to cAMP-elevating agents on cAMP PDE activity
To determine whether PDE4 activity could over the long term be modulated by cAMP-elevating agents, human myometrial cells were treated with a 5-h exposure to 8Br-cAMP, a cell-penetrant analog of cAMP, or to forskolin, which activates adenylate cyclase by direct fixation on its catalytic site. As demonstrated in Table 2Go, both of these treatments led to a slight, significant increase in the cAMP PDE activity of these cells. The PDE4 activity increased dramatically after both treatments, whereas rolipram-resistant PDE activity (non-PDE4 activity) remained identical in control cells vs. treated cells.


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Table 2. Effects of 8Br-cAMP or forskolin on total cAMP PDE, PDE4, and non-PDE4 activities in myometrial cells

 
Effect of forskolin treatment on cellular cAMP content
The ability of forskolin to stimulate the adenylate cyclase and consequently to induce a cAMP content rise was assessed in cultured myometrial cells. As shown in Fig. 2Go, the drug produced a 40-fold increase in cAMP content within 1 h of incubation. After 5 h of treatment, the cAMP content was still greater than that of control cells, but did not differ from that observed after a 1-h exposure. Addition of rolipram, which prevents degradation of cAMP due to the PDE4 family, had no effect on basal cAMP content, but during forskolin treatment, it permitted a time-dependent accumulation of the cyclic nucleotide, reaching a 100-fold rise within 5 h.



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Figure 2. cAMP accumulation upon forskolin treatment. Myometrial cells were incubated with vehicle (solid column), 20 µM rolipram (vertical striped column), 10 µM forskolin (open column), or 10 µM forskolin plus 20 µM rolipram (diagonal striped column). The cAMP content was determined as described in Materials and Methods at the indicated times. Data in picomoles per 106 cells are given as the mean of three experiments using cell preparations from a single explant.

 
Time course and concentration dependency of 8Br-cAMP or forskolin-PDE4 activity induction
Treatment of myometrial cells with 1 mM 8Br-cAMP produced a time-dependent increase in PDE4 activity (Fig. 3AGo). After exposing the cells to 1 mM of the cAMP analog, PDE4 activity rose during the first 5 h, reaching a value significantly different from that of control cells. The significant increase in PDE4 activity was still seen at 18 h of treatment. The ability of 8Br-cAMP to raise PDE4 activity was also concentration dependent (Fig. 3BGo). We observed a significant rise in PDE4 activity from the 0.5 mM cAMP analog, and a 2-fold induction was obtained with 2 mM 8Br-cAMP compared with untreated cells.



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Figure 3. Effect of 8Br-cAMP on PDE4 activity in human myometrial cells. Cells were incubated for the indicated times in the presence of vehicle (open squares) or 1 mM 8Br-cAMP (solid squares; A) or for 5 h in the presence of the indicated 8Br-cAMP concentrations (B). PDE4 activity was then measured as described in Materials and Methods. Data are given as the mean ± SEM for at least five separate experiments using cell homogenates from different explants. Significance of differences from control cells: *, P < 0.05; **, P < 0.01.

 
The results presented in Fig. 4AGo show the time course for the PDE4 activity induction in response to forskolin treatment. When challenged with 10 µM forskolin, PDE4 activity increased rapidly within 2 h and reached values significantly different from those of control cells after 5 and 18 h of of treatment. Examination of the PDE4 activity in cells incubated for 5 h with a range of 1–50 µM forskolin revealed a significant concentration-dependent increase. The rise attained a maximum with 10 µM forskolin (Fig. 4BGo).



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Figure 4. Effect of forskolin on PDE4 activity in human myometrial cells. Cells were incubated for the indicated times in the presence of vehicle (open squares) or 10 µM forskolin (solid squares; A) or for 5 h in the presence of the indicated forskolin concentrations (B). PDE4 activity was then measured as described in Materials and Methods. All values represent the mean ± SEM for at least five separate experiments using cell homogenates from different explants. Significance of differences from control cells: *, P < 0.05; **, P < 0.01.

 
Effect of actinomycin D or cycloheximide on PDE4 activity induction
The increase in PDE4 activity induced by 8Br-cAMP was abolished by coincubating cells with either actinomycin D, an inhibitor of mRNA synthesis, or cycloheximide, an inhibitor of protein synthesis (Table 3Go). The stimulation induced by forskolin was partially blocked by both inhibitors. When used alone, actinomycin D or cycloheximide caused a slight, but nonsignificant, decrease in PDE4 activity compared with control cells.


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Table 3. Effects of actinomycin D or cycloheximide on the increase in PDE4 activity challenged by 8Br-cAMP or forskolin

 
Effect of long-term exposure to 8Br-cAMP or forskolin on PDE4 mRNA steady state levels
To establish whether 8Br-cAMP or forskolin could induce a selective up-regulation in expressed PDE4 transcripts, mRNAs from treated and nontreated cells were extracted and reverse transcripted for PCR analysis. Initially, we employed sets of generic primers designed for amplifying fragments present in a characteristic region of each PDE4 subtype but common to all known products of a particular PDE4 gene (Fig. 5Go). As illustrated in Fig. 6Go, A and B, the four PCR amplifications yielded fragments of the appropriate size, as assessed by the mol wt standard migrations, in control and treated cells. We verified successful normalization of RNA amounts by obtaining equivalent intensity for the ß2-microglobulin band in control vs. treated cells. When control cells were treated with actinomycin D alone, the signals for PDE4A decreased slightly as did those for PDE4B and PDE4D, whereas no change was seen for PDE4C or ß2-microglobulin. In the RT-PCR preparations from 8Br-cAMP- and forskolin-exposed cells, no difference in signal intensity was seen for the PDE4A and PDE4C products, whereas a slight elevation of the band intensity for the PDE4D fragment and a notable increase in the PDE4B PCR signal were observed. Incubation of the cells with 8Br-cAMP or forskolin in the presence of actinomycin D prevented the increase in signals for PDE4B and PDE4D.



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Figure 5. Location of the set of primers used in PCR experiments. The positions of the primers used for the PCR analyses of human PDE4 transcripts are shown on a schematic structure of PDE4 mRNAs. Sequence common to active members of a PDE4 subtype is shown by heavy lines. Thinner lines indicate sequence regions unique to each transcript. Open circles represent the two major points of alternative splicing junctions. Active splice variants are named on the left; the PDE nomenclature of Beavo et al. (46 ) is used. Open arrows indicate the relative positions of the generic primer pairs used to identify the presence of transcripts of a PDE4 subtype. Filled arrows indicate the relative positions of primer pairs used to discriminate short and long form products of PDE4B and PDE4D genes.

 


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Figure 6. RT-PCR analysis of myometrial cell mRNAs using generic primers specific for PDE4 subtypes. Total RNA was prepared from myometrial cells that were either untreated (vehicle) or treated for 5 h with 1 mM 8Br-cAMP or 10 µM forskolin in the presence or absence of actinomycin D (5 µg/ml). The samples were then analyzed in a RT-PCR procedure using sets of generic primers for the four PDE4 classes (4A to 4D), as described inMaterials and Methods. The PCR products were electrophoresed on a 3% agarose gel and visualized with ethidium bromide. A, Representative ethidium bromide-stained gels. These data are typical of experiments performed three times using cell preparations from different explants. DNA molecular mass standards appear in the lane at the far left; the arrow indicates the 600-bp band. B, Densitometric traces. The intensities of bands were quantitied by densitometry and expressed as ADU. Each bar represents the mean ± SEM for three different experiments using materials from cell preparations of different explants. RNA extracts from treated or untreated cells were matched in each instance and give identical signals for amplification of the standard reference, ß2-microglobulin (ß2µ).

 
We then examined more closely the variant transcripts for both PDE4B and PDE4D isoforms. From RT-PCR analysis of untreated cell mRNAs, using primers designed to discriminate the long and short form products of each gene (Fig. 5Go), signals for the short form of PDE4B, namely PDE4B2 (567 bp), and long forms of PDE4B (674-bp fragment present in PDE4B1 and PDE4B3) were revealed by ethidium bromide (Fig. 7Go, A and B). We were able to detect in untreated cells, a signal for the long forms of PDE4D, i.e. a fragment of 642 bp found in PDE4D3, 4D4, and 4D5. Signals for the short forms of PDE4D, a 530-bp fragment present in PDE4D1 and a 456-bp fragment present in PDE4D2, were also obtained (Fig. 7Go).



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Figure 7. RT-PCR analysis of myometrial cell mRNAs using primers specific for long or short forms of PDE4B and PDE4D. Myometrial cells were cultured with vehicle, 1 mM 8Br-cAMP, or 10 µM forskolin in the presence or absence of actinomycin D. PCR was conducted using the specific primers designed to discriminate short and long form transcripts of PDE4B and PDE4D genes (4B2, 4Blong, 4D1, 4D2, and 4Dlong). After electrophoresis on 3% agarose gel, the PCR products were detected by ethidium bromide. A, Representative ethidium bromide-stained gels. DNA molecular mass standards appear in the lane on the far left, with the arrow indicating the 600-bp band. B, The densitometric analyses of PCR fragment intensities, expressed in ADU as the mean ± SEM of three experiments using materials from cell preparations of different explants.

 
The effect of either 8Br-cAMP or forskolin treatment was a dramatic increase in the signal for the short form transcript PDE4B2 and to a lesser extent of the signals for both short forms of PDE4D, 4D1 and 4D2. Coincubation with actinomycin D prevented the rise of these PCR signals. No change in intensity was detected for the PDE4B and PDE4D long forms.

Effect of long-term exposure to 8Br-cAMP or forskolin on PDE4B and PDE4D immunoreactivities
To further characterize the PDE4B and PDE4D isoforms induced by cAMP-elevating agents, we conducted Western blot analyses using antibodies raised against specific epitopes of PDE4B and PDE4D proteins.

An immunoblot representative of results using the anti-PDE4B monoclonal antibodies (96G7A) is shown in Fig. 8Go, A and B. In control cells, we observed a 76-kDa signal and two immunoreactive species of 98 and 105 kDa, respectively. Upon treatment with 8Br-cAMP or forskolin, the intensity of the signals corresponding to the latter two PDE4B isoforms decreased slightly, whereas the intensity of the 76-kDa band was stronger. The 76-kDa signal had the same migration on SDS-PAGE as the short form PDE4B2 detected in human monocytes (20). The 105- and 98-kDa signals might have corresponded to the PDE4B long forms 4B3 and 4B1, even though some differences existed in molecular mass estimation compared with human PDE4B species expressed in COS-7 cells (39). These three immunoreactive bands were also detected when using polyclonal PDE4B-specific K118 antibodies, raised against a different PDE4B-specific epitope (data not shown).



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Figure 8. Immunoblot analysis of PDE4B and PDE4D isozymes in human myometrial cells upon 8Br-cAMP or forskolin treatment. Myometrial cells were cultured in the presence or absence of either 1 mM 8Br-cAMP or 10 µM forskolin for 5 h. Cell extracts (50 µg protein loading/lane) were prepared, subjected to SDS-PAGE, and immunoblotted with PDE4 specific antibodies as described in Materials and Methods. A, Western blots representative of three experiments using materials from cell preparations of different explants. The molecular size markers comigrated in the gel and are indicated by the line on the far left, corresponding to 104 and 80 kDa. B, Densitometric analyses of the immunological signals. The results are expressed in ADU as the mean ± SEM of three different experiments.

 
With the anti-PDE4D specific monoclonal antibody 61D10E, four bands in control cells were labeled, presenting a major signal at 105 kDa and three less intensive signals at 93, 72, and 67 kDa (Fig. 8Go, A and B). The 67-kDa signal in untreated cells was more intense than the 72-kDa signal. In 8Br-cAMP- or forskolin-treated cells, the signals detected at 72 and 67 kDa were stronger than those in control cells, and the band at 93 kDa almost disappeared, whereas the intensity of the 105-kDa signal did not change. The 72- and 67-kDa signals had the same migration behavior as the PDE4D short forms 4D1 and 4D2, previously described in human peripheral mononuclear cells (32). This antibody also recognized PDE4D species that have identical behavior on SDS-PAGE, i.e. 105 and 93 kDa, and that are identified as the long forms, PDE4D5 and PDE4D3, respectively, in HeLa cells (36). Similar results were obtained with M3S1 monoclonal antibodies directed toward a different PDE4D-specific epitope (data not shown).

Several bands of molecular masses lower than 50 kDa were also present on the immunoblots and probably resulted from partial proteolysis (40).


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The current study provides evidence that the PDE4 family represents the prominent cAMP-hydrolysing PDE in human cultured myometrial cells. Interestingly, elevated cAMP content in these smooth muscle cells results in a significant rise in PDE4 activity, concomitant with a selective accumulation of PDE4B and PDE4D mRNAs and protein variants. This new report of PDE4 isoenzyme induction by cAMP in cultured myometrial cells suggests that long term up-regulation of PDE4 expression in vivo may represent an important mechanism by which human myometrium adapts to chronic activation of the cAMP-dependent pathway.

We first established a pharmacological profile of the cAMP PDE activity based on the effects of family-selective inhibitors on total cAMP hydrolysis (41). The observed predominance of the PDE4 family agrees with our previous data in human myometrial tissue, in which PDE4 contributes to the major cAMP catalytic activity (9). Like whole myometrium (8), cultured myometrial cells presented additional minor cAMP activities of PDE1, PDE3, and PDE5 families, and only PDE2 was not recovered in the cells. This difference, also observed in other smooth muscle tissues and their corresponding primary cell culture, might have been due to the presence of nonsmooth muscle cellular constituents in the whole tissue or else was inherent to the cellular model (41). Nevertheless, it is evident that the strong contribution of PDE4 in our cell model, as in the tissue, leads to the recognition that PDE4 isoenzymes play a pivotal role in regulating cAMP turnover in the human myometrium.

PDE4 activity in cultured myometrial cells is significantly increased upon treatment with either 8Br-cAMP, a cell-penetrant analog of cAMP, or forskolin, a direct activator of adenylate cyclase. Change in the cAMP breakdown is PDE4 family selective, inasmuch as the procedures employed led to identical values for rolipram-resistant activity, whereas rolipram-sensitive activity was markedly enhanced. Furthermore, activation of the cAMP-mediated pathway by forskolin was clearly involved during this process, as a rise in cellular cAMP content preceded or accompanied the up-regulation of PDE4 activity.

Concurrently, our findings reveal that long-lived elevation of cAMP levels in cultured myometrial cells specifically manipulates the expression of at least two genes, PDE4B and PDE4D. We have shown that the four PDE4 genes are expressed in these smooth muscle cells, and interestingly, distinct changes in the pattern of PDE4B and PDE4D PCR products were detected after treatment with 8Br-cAMP and with forskolin. When focusing more precisely on both long and short products of these two genes, we demonstrated that only signals for the short forms of these PDE4 subtypes were enhanced in treated myometrial cells. Such results are correlated with our immunoreactivity analyses of PDE4B and PDE4D expressions. Treatment of myometrial cells with 8Br-cAMP or forskolin enhances immunoreactive PDE4B and PDE4D signals, which are detected within an apparent molecular mass range of 67–76 kDa, classically described as short form variants of PDE4B and PDE4D subtypes (11). It thus appears that long term activation of the cAMP-mediated pathway in myometrial cells induces up-regulation of cAMP hydrolysis, through an increase in specific PDE4B and PDE4D protein variants, providing a way of adapting PDE4 activity to changes in intracellular cAMP content.

The slow increase in PDE4 activity as well as the elevated steady state level of PDE4B and PDE4D subtype mRNAs in treated cells imply that regulation at the transcriptional or posttranscriptional level may occur in myometrial cells. Indeed, the rise in PDE4 activity induced by 8Br-cAMP was completely abolished by actinomycin D. The increase in PDE4B and PDE4D short forms must therefore be due in part to an increase in transcription from both of these genes. Previously reported data on the variant products of PDE4A, 4B, 4C, and 4D subtypes demonstrated that the four genes can generate long and short form variants. This strongly suggests similar organizations of the transcriptional units of these four genes (14, 15, 16). A mechanism of regulation of PDE4D short form expression is now well documented. The two PDE4D short forms, 4D1 and 4D2, which differ from each other by only a short intron sequence, are initiated from the same start site in an intronic promoter (15). The activation of this transcription initiation site is clearly cAMP dependent. Run-off assays indicated that the rate of transcription of rat PDE4D1 mRNA was substantially increased by treatments with (Bu)2cAMP or forskolin in myoblasts (42). It has been shown that exposure of Sertoli cells to (Bu)2cAMP, an analog of cAMP, leads to specific induction of synthesis of PDE4D short forms (19). Conti and co-workers have begun to address this rat PDE4D promoter. The presence of cAMP- and hormone-inducible promoter in the rat PDE4D gene, which controls the transcription of mRNAs encoding for a PDE short form variant of 68–72 kDa, has been demonstrated (43). In accordance with such mechanisms of regulation, we suggest that direct activation of PDE4B and PDE4D gene transcription may also act in myometrial cells in culture via the interaction of a cis-element present in a distinct promoter of PDE4 subtypes with trans-factors of the cAMP-dependent pathway.

Interestingly, an additional posttranslational mechanism of regulation of cAMP hydrolysis appears to occur in forskolin-treated myometrial cells. The up-regulation of PDE4 activity induced by forskolin was not completely blocked by actinomycin D or cycloheximide. Although the concentrations of these drugs might be insufficient to produce a total inhibitory effect, it is more likely that forskolin can activate PDE4 independently of new protein synthesis. In this way, PKA-mediated phosphorylation has been demonstrated to result in activation of a preexisting PDE4 (11).

Furthermore, we noted that rolipram permitted a time-dependent accumulation in cAMP content when the cells were challenged with forskolin, which indicates that PDE4 isoenzymes play an increasing role, whereas cAMP content is elevated through hormonal stimulation. These observations reflect the ability of PDE4 subtypes to hydrolyse cAMP within a concentration range higher than that of the other cAMP PDE families (11). Interestingly, in cells treated with forskolin alone, cAMP content attained an apparent steady state level that might be due to an increase in cAMP degradation by PDE4 subtypes rather than to a decrease in adenylate cyclase activity, inasmuch as cAMP content rose during the forskolin-rolipram combined treatment. This observation emphasizes the role of certain inducible PDE4 subtypes under hormonal stimulation.

In light of these observations, we conclude that the increased transcription rate is the primary cause of the increase in PDE4B and PDE4D mRNA steady state levels, but additional regulations are apparent at both the messenger and protein levels. Such intricate adjustments point out the complexity of cAMP breakdown catalyzed by PDE4 isoenzymes. Over the simplistic view of a mechanical means for removing cyclic nucleotides in excess, it is now clear that complex expression of PDE4 isoenzymes finely modulates cAMP catalysis and is clearly implicated in hormonal signalization.

As a device to control the responsiveness of cells to hormones, long term regulation of PDE4 activity by its own substrate is now widely described (20, 44, 30). The fact that forskolin mimicked 8Br-cAMP effects on PDE4 expression in our cell model strongly suggests that endogenous activators of adenylate cyclase, such as epinephrine, PGE2, and prostacyclin, or exogenous activators, e.g. ß-adrenoceptor agonists such as salbutamol, can influence rates of cAMP hydrolysis in myometrial tissue. This latter phenomenon has clinical implications in obstetrics. Indeed, ß-mimetics are commonly used as a treatment in preterm labor to produce myometrial relaxation through elevation of cAMP content. Application of these agonists is repeatedly questioned because of their loss of efficacy over the long term (45). The results of this study give a preliminary indication that up-regulation of PDE4 activity could be involved in tolerance to the tocolytic effect of ß-adrenoceptor agonists and thus lessen the therapeutic usefulness of these drugs.

In conclusion, our results demonstrate that in human myometrial cells, PDE4B and PDE4D short forms are up-regulated by cAMP at the level of transcription, with subsequent modifications in the protein level. Such a feedback loop provides a mechanism by which cells might adapt to chronic stimulation of the cAMP-dependent pathway and obtain a protection from overstimulation. During pregnancy, numerous hormones that are known to act through modulation of the intracellular cAMP level, e.g. catecholamines and prostanoids, are implicated in the growth and differentiation of the uterus as well as in determining its contractile state (1). The culture of human myometrial cells provides a convenient myometrial tissue model whose hormonal environment can be modulated. This would enable further examination of the physiological relevance of hormonal regulation of the cAMP degradation process in human uterine smooth muscle, especially during pregnancy.


    Acknowledgments
 
We thank Dr. S. Wolda (ICOS Corp., Seattle, WA) for generously donating monoclonal antibodies and for advice. We acknowledge Dr. M. Conti for providing the K118 and M3S1 antibodies. We are grateful to the Maternité Port Royal-Cochin (Head: Prof. E. Papiernik, Hospital Cochin, Paris, France) for providing the biopsies. We also thank G. Delrue (SC6) for photographic expertise.

Received September 3, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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