Endocrinology Vol. 140, No. 9 3904-3908
Copyright © 1999 by The Endocrine Society
Steroid Regulation of Human Placental Integrins: Suppression of
2 Integrin Expression in Cytotrophoblasts by Glucocorticoids1
Jae S. Ryu,
Robert J. Majeska,
Yuehong Ma,
Linda LaChapelle and
Seth Guller
Departments of Obstetrics and Gynecology (J.S.R., Y.M., S.G.) and
Biochemistry (S.G.), New York University School of Medicine, New York,
New York 10016; and the Department of Orthopedics, Mount Sinai Medical
Center (R.J.M.), New York, New York 10029
Address all correspondence and requests for reprints to: Dr. Seth Guller, Department of Obstetrics and Gynecology, New York University School of Medicine, 550 First Avenue, Tisch Hospital Room 531, New York, New York 10016.
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Abstract
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Maintenance of uterine-placental attachment during human pregnancy may
depend at least partly on adhesive interactions between
cytotrophoblasts and their extracellular matrix (ECM). Such
interactions are often mediated by integrins, signal-transducing
heterodimeric transmembrane glycoproteins. We previously showed that
glucocorticoid (GC) suppressed the expression of collagen and laminin
in human placenta; here we show that GC also modulates the expression
by human cytotrophoblasts of the integrin subunits
2 and
ß1, components of a known receptor for these ECM ligands.
Cytotrophoblasts were isolated from human term placentas, cultured up
to 4 days in the presence of 01000 nM dexamethasone
(DEX), and assayed for 1) integrin messenger RNA (mRNA) levels by
Northern hybridization, 2) integrin subunit synthesis after
[35S]methionine labeling, or 3) cell surface integrin
levels after 125I labeling by lactoperoxidase. In four
independent experiments, 100 nM DEX reduced mRNA levels for
integrin
2 to 6 ± 1% of the control value. This
effect was similar between 14 days of treatment and was dose
dependent between 11000 nM DEX. Cortisol treatment (100
nM) inhibited levels of integrin
2 mRNA, but
100 nM testosterone, estradiol, and progesterone were less
effective, suggesting that this response was specific to GC. In
immunoprecipitation studies, treatment of cytotrophoblasts with 100
nM DEX for 2 days reduced the rates of synthesis of the
2 integrin subunit as well as its expression on the cell
surface to 110% of control levels. DEX effects on the
ß1 integrin subunit were less dramatic. DEX reduced
ß1 mRNA levels to only 69 ± 8% of control levels,
a smaller reduction compared with effects on
2 integrin
mRNA. DEX inhibited ß1 protein synthesis and cell surface
expression to 6070% of control levels. In all experiments, DEX had
no effect on total protein synthesis. Thus, our results demonstrate
that GC treatment specifically and markedly down-regulates expression
of
2 integrin subunit by human cytotrophoblasts. This
finding is consistent with the concept that uterine-placental adherence
across gestation may be regulated by coordinate effects on ECM ligands
and cellular adhesion receptors.
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Introduction
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EXTRACELLULAR matrix (ECM) proteins and
their integrin receptors are known to regulate cell adhesion and
migration in several cell types (1). ECM proteins and integrins have
been suggested to play a specific role in placentation and maintenance
of uterine-placental adhesion throughout human pregnancy (2). The
establishment of uteroplacental circulation during pregnancy depends on
the ability of multipotent placental cells, known as cytotrophoblasts,
to regulate their expression and turnover of integrins and adhesion
molecules during invasion and differentiation (3, 4). Conversely,
pathological pregnancy was associated with aberrant patterns of
expression of cytotrophoblast integrins (5, 6). Information is not
currently available concerning the hormonal regulation of integrin
expression in human placenta. Our group and others have extensively
studied hormonal regulation of ECM protein expression in the human
placenta (7, 8, 9, 10). For these studies, investigators have used primary
cultures of cytotrophoblasts that can be isolated from term and first
trimester placentas with high yield and excellent purity (11, 12).
These cells undergo a process of syncytialization (i.e.
formation of a multinucleate structure) in vitro that
closely mimics differentiation in vivo (11). Studies using
cytotrophoblasts have focused on modulation of oncofetal fibronectin
(FN), a uniquely glycosylated form of FN that is present at
uterine-placental and decidual-fetal membrane interfaces (13, 14).
Expression of oncofetal FN in cytotrophoblasts was negatively regulated
by glucocorticoid (GC) and cAMP (7, 13) and was positively regulated by
transforming growth factor-ß (9, 10). Results from our laboratory
indicated that dexamethasone (DEX), a synthetic GC, also suppressed the
synthesis of laminin in cytotrophoblasts (7, 15), indicating that GC
may coordinately reduce ECM protein expression in placenta. As human
pregnancy is associated with elevated levels of GC in maternal and
fetal sera (16, 17), we suggested that GC might chronically regulate
placental ECM protein expression across gestation and acutely
facilitate changes in ECM protein levels in association with labor,
when levels of GC surge (17). In light of these results and the lack of
information concerning hormonal regulation of placental integrin
expression, in the present study we investigated the effects of
steroids on integrin levels in cytotrophoblasts isolated from human
placentas.
We report the novel finding that expression of
2
integrin in cytotrophoblasts is markedly suppressed by DEX treatment,
suggesting that GC may profoundly regulate cytotrophoblast adherence
across gestation. Elucidation of the effects of GC on adhesion protein
expression at maternal-fetal interfaces is extremely important in light
of the current recommendation for the antenatal use of GC for the
enhancement of fetal lung maturity.
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Materials and Methods
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Materials
Tissue culture medium, DEX, and lactoperoxidase were
obtained from Sigma Chemical Co. (St. Louis, MO). Bovine
sera were obtained from Gemini Bio-Products (Calabasas, CA). Laboratory
plasticware was obtained from Falcon (Becton Dickinson and Co., Lincoln Park, NJ). ITS+, a mixture containing
insulin, transferrin, and selenium, was purchased from
Collaborative Research-Becton Dickinson and Co. (Bedford, MA). Ultraspec used for RNA isolation was
purchased from Biotex Laboratories, Inc. (Houston, TX).
[32P]Deoxy-CTP, [35S]protein labeling mix,
and Na125I were purchased from New England Nuclear (Boston, MA). Plasmids containing complementary DNAs to
human
2 and ß1 integrin subunits and
glyceraldehyde-3-phosphate dehydrogenase (GAPDH) were obtained from
American Type Culture Collection (Manassas, VA).
Zeta-Probe nylon membranes were obtained from Bio-Rad Laboratories, Inc. (Richmond, CA). Murine antihuman monoclonal
antibodies to
2 and ß1 integrin subunits
used in 35S labeling studies were obtained from Chemicon
(Temecula, CA). The rabbit antihuman ß1 antibody used in
surface labeling experiments was a gift from Filippo Giancotti (18, 19). All other reagents used in Northern blotting and
immunoprecipitation experiments were purchased from previously
described sources (7).
Cell culture
Placentas were obtained from uncomplicated pregnancies delivered
at term by cesarean section. The institutional review board committee
at New York University School of Medicine approved the study protocol.
Placentas (n = 16) were transported to the laboratory immediately
after delivery and were trimmed free of decidua and connective tissue.
Cytotrophoblasts were isolated by procedures developed in our
laboratory (7) based on established protocols (11, 12).
Cytotrophoblasts were isolated from villous tissue using trypsin
digestion and centrifugation on a continuous Percoll gradient (7).
Using these procedures we reported cytotrophoblast purity of 95% or
more (7). For experiments, cells were maintained in a 1:1 mixture
containing phenol red-free Hams F-12/DMEM supplemented with 10%
charcoal-stripped calf serum and ITS+ (a supplement used to
obtain a final concentration of 6.25 µg/ml insulin, 6.25 µg/ml
transferrin, 6.25 ng/ml selenous acid, 1.25 mg/ml BSA, and 5.35 µg/ml
linoleic acid), i.e. SCS medium (7, 10).
Northern blotting
Total RNA was extracted from cytotrophoblasts using the
Ultraspec procedure, a modification of the method of Chomczynski and
Sacchi (20). Twenty-five to 50 µg total RNA were separated on a 1%
agarose gel containing 2.2 M formaldehyde (21). After
transfer of RNA to Zeta-Probe nylon membranes, levels of
2 and ß1 integrin subunit and GAPDH
messenger RNAs (mRNAs) were detected using 32P-labeled
complementary DNA probes as described previously (7). We previously
used GAPDH to normalize Northern blot results in DEX-treated and
control cytotrophoblasts, as the level of GAPDH mRNA is not regulated
by DEX in cytotrophoblasts (22). Similarly, in the current study in
five independent experiments in five different placentas, the level of
GAPDH mRNA in cytotrophoblasts maintained for 2 days in 100
nM DEX was 103 ± 10% of control values.
Immunoprecipitation
Rates of integrin synthesis were determined in cytotrophoblasts
maintained on 10-cm dishes (
107 cells/experimental
point) for 48 h in SCS medium with and without 100 nM
DEX. Cells were then labeled for 3 h in methionine-free SCS medium
containing 75 µCi/ml [35S]protein labeling mix as we
have previously described (7, 15). Cells were washed twice with PBS and
were incubated on ice for 15 min in a mixture containing PBS, 1
mM MgCl2, 0.5 mM CaCl2,
0.5% Nonidet P-40, and a protease inhibitor cocktail consisting of 10
µg/ml each of leupeptin, aprotonin, pepstatin, soybean trypsin
inhibitor, and phenylmethylsulfonylfluoride. Cells were then scraped,
and levels of trichloroacetic acid (TCA)-precipitable radioactivity
were determined (7). Approximately 107 TCA-precipitable
counts per min of precleared labeled cell extracts were incubated with
a 1:50 dilution of antiintegrin antibody and protein G-Sepharose as
previously described (7). Immunoprecipitation gels were dried on a gel
dryer and exposed to film at -80 C for 14 days. Immune complexes
were washed, and electrophoresis was carried out on 67%
polyacrylamide gels under reducing conditions as previously described
(7).
For surface labeling studies, cells maintained in culture as described
above were washed in HBSS without Ca2+ and Mg2+
and were removed from the substratum by treatment with 0.25% trypsin.
The cells were then washed twice in PBS and resuspended in 0.3 ml PBS.
Lactoperoxidase (200 µl of a 1 mg/ml stock), Na125I (15
µl of a 100 mCi/ml stock), and hydrogen peroxide (10 µl of a 0.1%
stock) were then sequentially added, and the mixture was incubated for
5 min at room temperature. Ten microliters of 0.1% hydrogen peroxide
were added, and the mixture was incubated for an additional 3 min at
room temperature. The cells were then centrifuged (1000 x
g, 5 min), washed four times with DMEM containing 0.02%
sodium azide, and lysed in buffer containing 0.5% Triton X-100, 5
mM EDTA, 1 mM CaCl2, 1
mM MgCl2, and 150 mM NaCl-Tris, pH
7.4, supplemented with a protease inhibitor cocktail (7).
TCA-precipitable counts per min were determined (7), and
immunoprecipitation and electrophoresis were carried out as described
above, except that rabbit antihuman integrin polyclonal sera and
protein A-Sepharose were employed to recover labeled integrins.
Data analysis
Quantitation of autoradiographic signals was performed
using the Electrophoresis Documentation and Analysis System 120 and
Digital Science 1D Image Software (Eastman Kodak Co.,
Rochester, NY). The level of integrin expression in DEX-treated cells
is expressed as the mean percentage of the control value ±
SE. Multiple measurement one-way ANOVA was carried out
using SigmaStat software (Jandel Scientific Corp., San
Rafael, CA). P < 0.05 was considered significant. The
Pearson correlation was used to determine r and P values for
the DEX dose-response experiments.
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Results
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GC treatment markedly suppresses
2
integrin mRNA in cytotrophoblasts
Cytotrophoblasts isolated from human term placentas were incubated
for 14 days in SCS medium without or with 100 nM DEX, and
expression of
2 and ß1 integrin mRNA was
measured by Northern blotting and normalized to levels of GAPDH mRNA.
We observed that DEX treatment reduced the level of
2
integrin mRNA, detected at a mol wt of approximately 7 kb, to 510%
of the control levels on all days studied (Fig. 1
). DEX treatment reduced the level of
ß1 integrin mRNA, detected at a mol wt of 3.2 kb, to
6070% of the control levels. In four independent experiments, a
2-day treatment of cytotrophoblasts with 100 nM DEX
significantly reduced the level of
2 integrin mRNA to
6 ± 1% of control levels (Table 1
), whereas the level of ß1
integrin mRNA was 69 ± 8% of control levels. Statistical
analysis also revealed that DEX treatment caused a greater reduction of
2 integrin mRNA than of ß1 integrin mRNA
(Table 1
).

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Figure 1. Time course of DEX effects on integrin mRNA
expression in term cytotrophoblasts. Cytotrophoblasts were maintained
for up to 96 h in culture medium without (C) and with (D) 100
nM DEX, and levels of 2 and ß1
integrin subunit mRNAs were assessed after Northern blotting and
hybridization of 32P-labeled probes. This experiment
represents three time courses performed with cells isolated from three
separate placentas.
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We observed that DEX treatment suppressed expression of
2 integrin mRNA between 0.11000 nM (Fig. 2
). Treatment of cytotrophoblasts with
100 nM DEX cortisol significantly reduced levels of
2 integrin mRNA compared with control values (Table 2
). Conversely, the presence of 100
nM progesterone, estradiol, or testosterone did not
markedly affect levels of
2 integrin mRNA compared with
control values (Table 2
). A similar pattern of GC-specific
down-regulation of
2 integrin mRNA was noted at a
steroid concentration of 1000 nM (not shown).
Medroxyprogesterone acetate (a synthetic progestin) treatment
significantly reduced levels of
2 integrin mRNA (Table 2
). This result is consistent with the reported GC-like activity of
this steroid (23). These results indicated that
2
integrin levels in cytotrophoblasts were regulated specifically by
GC.
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Table 2. Steroid hormone effects on 2 integrin
mRNA expression in cytotrophoblasts isolated from human term placentas
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DEX treatment inhibits expression of
2
integrin protein in cytotrophoblasts
Integrin protein synthesis was examined in immunoprecipitation
studies in cytotrophoblasts maintained in culture medium for 48 h
with and without 100 nM DEX. Using either
anti-
2 integrin (Fig. 3A
)
or anti-ß1 integin (Fig. 3B
) antibody for
immunoprecipitation, we observed that DEX treatment down-regulated the
expression of a 165-kDa species to 5% of control levels (denoted by
the large arrow in each of the panels). This molecular mass
is consistent with that previously described for the
2
integrin subunit (24). The ß1-specific antibody would
also be expected to immunoprecipitate the
2 integrin
subunit, as the
2-subunit can be complexed to
ß1 in the form of an
2ß1
integrin (1). The levels of a protein migrating with a molecular mass
of approximately 125130 kDa (denoted by the lower small
arrow in Fig. 3B
), consistent with that reported for the
ß1-subunit (24), was down-regulated to approximately 60%
of control levels. A second ß1-associated protein with a
molecular mass of approximately 180 kDa (denoted by the upper
small arrow in Fig. 3B
), consistent with that reported for the
1-subunit (24), was not affected by DEX treatment. The
165-, 125-, and 180-kDa species were not observed when
immunoprecipitations were carried out with either anti-
v
integrin or anti-ß3 integrin subunit antibodies (not
shown). A nonspecific band at approximately 65 kDa was noted in all
immunoprecipitations.
To determine the effect of GC on the expression of integins on the cell
surface, cells were maintained with and without 100 nM DEX
for 48 h. Cells were then trypsinized, and cell surface proteins
were labeled with Na125I. After immunoprecipitation of
labeled integrins with anti-ß1 integrin antibody, we
observed that DEX treatment reduced cell surface levels of
2 and ß1 integrin subunits to
approximately 10% and 70% of control values, respectively (Fig. 4
).

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Figure 4. GC effects on cell surface expression of integrins
in cytotrophoblasts. Cells were incubated for 48 h without (C) and
with (D) 100 nM DEX, and after trypsinization, cell surface
proteins were labeled with Na125I. Cell surface integrins
were then immunoprecipitated with anti-ß1 integrin
subunit antibody and were separated by SDS-PAGE. This representative
experiment was performed twice in cells isolated from two separate
placentas.
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We noted that treatment of cytotrophoblasts with 100
nM DEX did not significantly affect the rate of protein
synthesis or the level of total cell protein (not shown). These results
support our earlier findings (7, 22) and demonstrate that the
GC-dependent reduction in integrin expression in cytotrophoblasts was
not indicative of a nonspecific reduction in cellular protein.
Thus, our results demonstrated that GC treatment specifically and
markedly down-regulated expression of
2 integrin mRNA
and protein in cytotrophoblasts isolated from human term placentas.
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Discussion
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The
2ß1 integrin is a major receptor
for collagen and laminin as well as a cell-cell adhesion molecule
(25, 26, 27). The
2-subunit is expressed in epithelium of
intestinal crypts, mammary ducts, and the basal layer of keratinizing
cells, where it is postulated to regulate cell proliferation (28).
Increased expression of the
2ß1 integrin
is associated with reorganization of connective tissue in fibroblasts
and increased production of interstitial collagenase and collagen in
osteogenic cell lines (29, 30). Expression of this integrin correlated
with metastatic potential of melanoma and breast carcinoma cell lines
(29, 31).
Implantation and placental development requires that cytotrophoblasts
transiently acquire an invasive phenotype that is accompanied by
appropriate changes in expression of cell surface integrins and
extracellular matrix proteins (2, 3, 4). In the first trimester of human
pregnancy, cytotrophoblast stem cells differentiate into a syncytium or
form columns of nonpolarized cells and establish a connection between
the developing embryo and the uterus (2, 3, 4). Cytotrophoblasts within
the column acquire an invasive phenotype and invade the uterine spiral
arteries, the decidua, and the first third of the myometrium (3, 4).
This process is accompanied by the loss of
6ß4 integrin and induction of
5ß1 and
1ß1
integrins in cytotrophoblasts (3, 4). Failure of cytotrophoblasts in
the placental bed to express vascular cell adhesion molecules is
associated with the absence of endovascular invasion of uterine vessels
in preeclampsia (6).
In the current study, we report that GC treatment markedly
down-regulated expression of the
2 integrin subunit in
cytotrophoblasts isolated from human term placentas. Time-course
studies revealed that cytotrophoblasts expressed the
2-subunit at high levels immediately after plating,
whereas its levels decreased significantly between 24 and 96 h of
culture. During this period in culture, mononuclear cytotrophoblasts
undergo a dramatic differentiation process in forming a multinuclear
syncytium (11). Syncytialization of cytotrophoblasts in
vitro is known to be accompanied by a loss of invasive patterns of
expression (e.g. high levels of protease activity) (32) and
acquisition of the characteristics of a mature syncytium
(e.g. high levels of expression of hCG) (7, 11). Therefore,
our data suggest that syncytialization is accompanied by
down-regulation of
2 integrin subunit expression.
Surface labeling and immunoprecipitation results indicated that the
2ß1 integrin was a major ß1
integrin synthesized by cytotrophoblasts in vitro. We did
not anticipate this finding, as previous immunohistochemical analyses
detected staining for
1,
3,
5, and ß1, but not
2,
integrin subunits in sections of first trimester and term human
placentas (3, 33, 34). The
2 subunit is expressed at
high levels in cytotrophoblasts and syncytiotrophoblasts of
hydatidiform mole (35). It is of note that
2
integrins are detected in first trimester trophoblasts by
immunofluorescent labeling after isolation by trypsin digestion and
Percoll gradient centrifugation (35), indicating that trypsinization
may reveal cryptic sites in
2ß1 integrin.
It is possible that human cytotrophoblasts transiently express the
2ß1 integrin during invasion and
implantation as is the case for the
vß3
integrin in melanoma cells during vascular invasion (36). In the
present study, results from Northern blotting, immunoprecipitation, and
surface labeling experiments indicated that GC effects on
2 integrin subunit expression were greater than those
noted for ß1 subunit. This finding is similar to other
studies showing differential regulation of individual
- and
ß-subunits by fibroblast growth factor-2 and retinoic acid in
endothelial cells and osteoclasts (37, 38), respectively. This suggests
that GC may reduce the expression of individual ß1
integrins in cytotrophoblasts (i.e. the
2ß1 integrin) without coordinately
suppressing the synthesis of all ß1 integrins in human
placenta. Growth factors, but not steroids, modulated integrin
expression in uterine stromal cells isolated from human endometrium
(39), suggesting that integrin expression is differentially regulated
in fetal and maternal compartments of the uterine-placental
interface.
In conclusion, our results suggest that GC markedly suppresses
2 integrin expression in cytotrophoblasts isolated from
human term placentas. As GC levels in maternal serum rise during
pregnancy and peak during labor (16, 17), this suggests that
GC-mediated regulation of integrin expression may play an important
role in placental development and regulation of trophoblast adherence
across gestation.
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Acknowledgments
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We thank Dr. En-Yu Wang for her technical assistance with
preparation of cytotrophoblasts, Dr. Ray Sanders for help with the
surface labeling studies, and Dr. Donato DAntona for assistance with
statistical analyses.
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Footnotes
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1 This work was supported in part by NIH Grant HD-33909 (to
S.G.). 
Received December 28, 1998.
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