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Endocrinology Vol. 141, No. 12 4664-4670
Copyright © 2000 by The Endocrine Society


ARTICLES

Interleukin-1ß Induces the Expression of Insulin-Like Growth Factor Binding Protein-1 during Decidualization in the Primate1

Zuzana Strakova, Santha Srisuparp and Asgerally T. Fazleabas

Department of Obstetrics and Gynecology, University of Illinois at Chicago, Chicago, Illinois 60212-7313

Address all correspondence and requests for reprints to: Asgi T. Fazleabas, Ph.D., The University of Illinois at Chicago, Department of Obstetrics and Gynecology, 820 South Wood Street (M/C 808), Chicago, Illinois 60612-7313. E-mail: asgi{at}uic.edu


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Since interleukin (IL)-1 can modulate fetal/maternal interactions, we hypothesized that IL-1ß is one potential embryonic cytokine that regulates the conceptus-induced decidual response in baboon stromal fibroblasts. Treatment of stromal fibroblasts with IL-1ß (10 ng/ml, 10 min) resulted in the phosphorylation of p38 mitogen-activated protein kinase and I{kappa}B-{alpha}. This suggests that IL-1ß induces multiple signaling pathways in stromal cells that result in the activation of mitogen-activated protein kinase cascade and the transcription factor NF-{kappa}B. After 4 h of stimulation, IL-1ß induced gene expression of cyclooxygenase-2 (COX-2) but not cyclooxygenase-1 (COX-1). PGE2 synthesis paralleled COX-2 messenger RNA expression. The addition of hormones [36 nM estradiol-17ß, 1 µM medroxyprogesterone acetate, and 100ng/ml relaxin] to IL-1ß-treated cells induced insulin-like growth factor binding protein-1 (IGFBP-1) messenger RNA expression after 3 days of incubation. A specific COX-2 inhibitor, NS 398 (10 nM), partially inhibited IGFBP-1 protein synthesis. In contrast, the induction of IGFBP-1 by N6, 2'-O-dibutyryladenosine 3:5'-cyclic monophosphate (dbcAMP) and hormones was not affected by NS 398 treatment. Both dbcAMP and IL-1ß, in the presence of hormones, can independently induce IGFBP-1 gene expression and decidualization. However, if IL-1ß and dbcAMP were added together, IGFBP-1 expression was inhibited. These data suggest that IL-1ß can activate multiple signaling pathways that either positively or negatively regulate IGFBP-1 gene expression and decidualization.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
IN PRIMATES AND rodents, the uterine endometrial stromal cells differentiate to decidual cells after the establishment of pregnancy. Decidual cells play an important role in implantation and provide nutritional support for embryo. Decidual cells are also thought to produce factors that control trophoblast invasion and protect the embryo from maternal immune rejection. During the process of decidualization in the primate, fibroblast-like stromal cells change morphologically into polygonal cells and begin to express specific decidual proteins (1, 2). The major secretory product of the human and baboon decidualized endometrium is insulin-like growth factor binding protein-1 (IGFBP-1; 3, 4, 5).

Using a simulated pregnant baboon model, we demonstrated that exogenous CG, in conjunction with estrogen and progesterone, can initiate functional changes in uterine endometrium that are comparable with those seen during early pregnancy (2, 6). However, the hormone treatments alone were not sufficient to complete the decidualization process, suggesting the involvement of a conceptus factor (7, 8).

Implantation has been characterized as an inflammatory type response. A number of cytokines have been identified at the implantation site. Interleukin (IL)-1 was identified as one such paracrine factor that modulates the communication between the maternal endometrium and embryo (9, 10).

The cyclooxygenase (COX) enzymes required for PG biosynthesis exist in two isoforms (constitutive COX-1 and inducible COX-2). Studies using COX-2 null mice show reproductive failure at ovulation, fertilization, implantation, and decidualization (11). In the baboon endometrium, with the onset of pregnancy, COX-2 is expressed specifically in the stromal cells at the site of implantation (12). IL-1 regulates COX-2 gene expression in a variety of cell types, including stromal fibroblasts (13, 14).

Therefore, the purpose of our study was to evaluate the role of IL-1 as a component of the decidualization process. Specifically we chose to study its ability to induce signal transduction and regulate COX-2 and IGFBP-1 expression in stromal fibroblasts isolated from baboons. Comparative studies were also done with human stromal fibroblasts (HuF).


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Materials
Recombinant human IL-1ß and IL-1 receptor antagonist (IL-1ra) were obtained from R&D Systems, Inc. (Minneapolis, MN). Rabbit polyclonal phospho-p38 mitogen-activated protein kinase (MAPK) (Thr180/Tyr182), p38 MAPK, phospho-I{kappa}B-{alpha} (Ser32), I{kappa}B-{alpha} antibodies were from New England Biolabs, Inc. (Beverly, MA). The selective inhibitor of COX-2, NS-398 [N-(2-Cyclohexyloxy-4-nitrophenyl) methanesulfonamide] was from Calbiochem (San Diego, CA); N6, 2'-O-dibutyryladenosine 3:5'-cyclic monophosphate (dbcAMP) was from Sigma (St. Louis, MO). All cell culture supplies were obtained from Life Technologies, Inc. (Gaithersburg, MD). Other reagents of cell culture grade were purchased from Fisher Scientific (Itasca, IL), Sigma (St. Louis, MO), or Roche Molecular Biochemicals (Indianapolis, IN).

Isolation of baboon stromal cells
Midluteal phase (9–12 days post ovulation) endometrial tissue was obtained from adult female baboons (Papio anubis) by endometrectomy or after hysterectomy. All animal studies were approved by the Animal Care Committee at the University of Illinois at Chicago. Stromal cells were isolated from baboon endometrial tissues as described in detail previously (8).

Isolation of human fibroblast cells
Decidualized uterine endometrium maintains a proliferating population of fibroblastic cells, which closely resemble the stromal cells (15, 16). HuF were isolated from decidua parietalis dissected from the placental membranes after normal vaginal delivery at term. These studies were approved by the Institutional Review Board of the University of Illinois. Briefly, scraped cells were digested in 0.1% collagenase, 0.02% deoxynuclease in calcium- and magnesium-free HBSS. Cells were isolated in the same manner as described previously for baboon stromal fibroblasts (8). Cells were plated in four 100-mm culture dishes (Becton Dickinson and Co. Labware, Franklin Lakes, NJ) and placed into an incubator at 37 C, 5% CO2. The next day, the plates were extensively washed with PBS to remove nonadherent (mainly decidual) cells. At confluence, cells were trypsinized and used for experiments in passage number 3–5. Cell purity was assessed by immunocytochemistry using antibodies against cytokeratin (DAKO Corp., Carpenteria, CA), vimentin (Zymed Laboratories, Inc., San Francisco, CA). The purity of the fibroblast cell preparations used in studies was more than 95%.

Treatment of cells
Experiments were performed when the baboon stromal cells or HuF cells reached 80–90% confluence. Culture medium was changed into serum-free culture medium for the 1-, 4-, and 24-h time points or into 2% stripped FBS culture medium for longer incubation times. The drug treatments are indicated in figure legends. Cell culture medium was changed every 2 days. Twenty-four hours before final experimental end point, the medium was changed into serum-free culture medium. The word "hormones" in this paper includes treatment with a mix of (final concentration) 36 nM estradiol-17ß, 1 µM medroxyprogesterone acetate, and 100 ng/ml highly purified porcine relaxin.This concentration of relaxin does not significantly increase intracellular levels of cAMP after 15 min of incubation (control, 0.79 ± 0.39 pmol/µg protein; relaxin, 1.43 ± 0.50 pmol/µg protein). In the experiments with NS 398, the cells were pretreated with inhibitor for 1 h and then exposed to other treatments. At each time point, the medium was collected, and the IGFBP-1 present in the culture medium was measured using an enzyme-linked immunosorbent assay (ELISA) kit (Diagnostic Systems Laboratories, Inc. Webster, TX). Cells were lysed with TriReagent (Molecular Research Center, Inc., Cincinnati, OH), and RNA was extracted using the protocol provided by the manufacturer. Cellular protein content was measured using the Micro BCA protein assay kit (Pierce Chemical Co., Rockford, IL).

PGE2 assay
The PGE2 concentration in cell culture medium was estimated using a PGE2 enzyme immunoassay kit from Amersham Pharmacia Biotech (Arlington Heights, IL). The sensitivity of the assay was 2.5 pg/ml of medium.

Preparation of cell lysates and immunodetection
Stromal cells were grown to confluence on 35-mm (diameter) dishes and maintained in serum-free medium for 18 h. After each of the respective treatments, the cells were rinsed twice with ice-cold PBS, pH 7.4, and lysed on ice with 150 µl lysis buffer, as previously described (17). Cell lysate proteins (100 µg) were subjected to 10% SDS-PAGE and were transferred into polyvinylidene difluoride (PVDF) membranes. The membranes were incubated in PBS containing 3% BSA and 0.1% Tween 20 for 1 h, followed by overnight incubation with primary antibody (see legends in Fig. 1Go and Fig. 8Go, A and B, for specific antibodies). The membranes were rinsed and incubated with the secondary IgG antibody labeled with horseradish peroxidase for 1 h. Immunocomplexes were visualized by enhanced chemiluminescence (Amersham Pharmacia Biotech).



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Figure 1. IL-1ß activates p38 MAPK and I{kappa}B-{alpha} phosphorylation in baboon stromal cells A, Confluent baboon stromal cells were treated with IL-1ß (10 ng/ml) for 5, 10, and 20 min or with IL-1ra (10 ng/ml) for 10 min. Proteins from cell lysates were separated on 10% SDS-PAGE gels and transferred to PVDF membranes. Western blots were probed with a phospho-p38 MAPK antibody (top panel) and membrane was reprobed with p38 MAPK antibody (bottom panel). Note that p38 was only phosphorylated by IL-1ß and not by IL-1 receptor antagonist. B, Confluent baboon stromal cells were treated with IL-1ß (10 ng/ml) and IL-1ra (10 ng/ml) for the indicated times. The I{kappa}B-{alpha} protein was detected in cell lysates by Western blots using a phospho-I{kappa}B-{alpha} (Ser 32) antibody (top panel) and reprobed with I{kappa}B-{alpha} antibody (bottom panel). Note that I{kappa}B-{alpha} protein was phosphorylated only by IL-1ß and not by IL-1 receptor antagonist.

 


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Figure 8. Signal transduction and IGFBP-1 synthesis induced by IL-1ß in human fibroblasts. A, Confluent human fibroblast cells were treated with IL-1ß (10 ng/ml) for 10 and 20 min or with IL-1ra (10 ng/ml) for 10 min. Proteins from cell lysates were separated on 10% SDS-PAGE gels and transferred to PVDF membranes. Western blots were probed with a phospho-p38 MAPK antibody (top panel), and membrane was reprobed with p38 MAPK antibody (bottom panel). Note that p38 was only phosphorylated by IL-1ß and not by IL-1 receptor antagonist. B, Confluent human fibroblast cells were treated with IL-1ß (10 ng/ml) and IL-1ra (10 ng/ml) for the indicated times. The I{kappa}B-{alpha} protein was detected in cell lysates by Western blots using a phospho-I{kappa}B-{alpha} (Ser 32) antibody (top panel) and reprobed with I{kappa}B-{alpha} antibody (bottom panel). Note that I{kappa}B-{alpha} protein was phosphorylated only by IL-1ß and not by IL-1 receptor antagonist. Compare data in A and B with data shown in Fig. 1CGo. Confluent human fibroblast cells were treated with IL-1ß (10 ng/ml), hormones, and 0.1 mM dbcAMP in different combinations, as indicated in the figure for 13 days, as described in Materials and Methods. Cell supernatants from the last day of the experiment were analyzed for IGFBP-1 protein, by ELISA. The values are mean ± SEM of three separate experiments done in triplicate. Significant differences, at P < 0.05, between groups, are designated by different lowercase letters. Note the decrease in IGFBP-1 secretion after the addition of IL-1ß to the dbcAMP and hormone-treated cells, which was comparable with that seen in baboon stromal cells (Fig. 7Go).

 
RT-PCR
The cellular RNA preparations were treated with deoxynuclease, and RT-PCR was performed as previously described (8). Primers for COX-2 and the internal standard H3.3 (12), or {alpha}-smooth-muscle actin ({alpha}-SMA), IGFBP-1, and H3.3 (8), were added together in a single tube. The sizes of the PCR products are as follows: COX-1 (777 bp), COX-2 (449 bp), {alpha}-SMA (477 bp), IGFBP-1 (379 bp), H3.3 (213 bp). The PCR products were electrophoresed in 1.5% agarose gels, and dried gels were subjected to autoradiography. The resulting film was scanned using a Phosphoimager (Molecular Dynamics, Inc., Sunnyvale, CA), and the band intensities were standardized as a ratio of the H3.3 internal standard (8).

Statistical analyses
One-way ANOVA was used to test the null hypothesis of group differences, followed by a two-tailed Student’s t test for pairwise comparisons. Each experiment was repeated three times in triplicate, and a P value of <0.05 was considered significant.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
IL-1ß activates immediate signal response in baboon stromal cells
MAPKs are one of the major signaling systems by which cells transduce extracellular signals into intracellular responses. IL-1ß activates p38 kinase subfamily of MAPK in baboon stromal cells. In cell lysates, the presence of the phosphorylated form of p38 kinase was detected after 10 and 20 min of IL-1ß (10 ng/ml) stimulation. The phosphorylated form of p38 MAPK was not detected after 10 min of stimulation with IL-1ra (10 ng/ml; Fig. 1AGo).

In most mammalian cells, I{kappa}B-{alpha} serves as a prevalent inhibitor of NF-{kappa}B complex (18). Activation of I{kappa}B-{alpha}, via phosphorylation at the Ser32 and Ser36 residues, results in the release and nuclear translocation of active NF-{kappa}B (19). The immunodetection with phospho-I{kappa}B-{alpha} (Ser32) antibody revealed the presence of activated I{kappa}B-{alpha} protein after 5 and 10 min of IL-1ß treatment but not IL-1ra treatment (Fig. 1BGo). These data suggest that both p38 MAPK and I{kappa}B-{alpha} are phosphorylated and activated by IL-1ß in baboon stromal cells.

IL-1ß induces COX-2, but not COX-1 gene expression, in stromal cells
The expression of COX-1 and COX-2 messenger RNA (mRNA), after 1, 4, and 24 h of IL-1ß (10 ng/ml) treatment, was determined by RT-PCR in baboon stromal fibroblasts (Fig 2Go). COX-1 mRNA was evident in cells with no treatment, and no further regulation by IL-1ß was detected during culture (Fig. 2AGo). In contrast, after 4 h of IL-1ß stimulation, there was an increase in COX-2 mRNA, which decreased by 24 h of incubation (Fig. 2BGo). Treatment with IL-1 antagonist (IL-1ra, 10 ng/ml), which binds to the IL-1 receptor but does not activate the signaling pathways, did not induce COX-2 expression. As a positive control for COX-2 expression, human endometrial epithelial cells (HES) were treated for 4 h with IL-1ß (13).



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Figure 2. IL-1ß induces COX-2 gene expression. Baboon stromal cells were cultured to 90% confluence and treated in serum-free medium with IL-1ß (10 ng/ml), IL-1 receptor antagonist (IL-1ra; 10 ng/ml), or without any additions for 1 h, 4 h, and 24 h, as indicated in the figure. RT-PCR, using primers for COX-1 and H3.3 (A) or COX-2 and H3.3 (B), was performed on isolated RNA. HES were used as positive control. The densitometric scans of the representative gels from two separate experiments are shown at the bottom of each of the gels. The data are expressed in arbitrary units as a ratio of COX-1/H3.3 or COX-2/H3.3. Note that COX-1 expression was not changed, but there is a transient increase in COX-2 expression after 4 h of IL-1ß treatment.

 
PGE2 release after IL-1ß stimulation
Because COX-2 is the key regulatory enzyme in PG synthesis, the cell media were analyzed for PGE2, by an ELISA. In conditioned media from stromal cells isolated from cycling baboons, a significant increase in PGE2 concentration was detected after 24 h of IL-1ß treatment (Fig. 3Go). Addition of IL-ra to IL-1ß resulted in a decrease in PGE2 production.



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Figure 3. Production of PGE2 after IL-1ß stimulation. Stromal cells, isolated from cycling baboons, were treated in the absence or presence of IL-1ß (10 ng/ml), IL-1ra (10 ng/ml), and a combination of IL-1ß and IL-ra for 1, 4, and 24 h. Cell culture medium was assayed for PGE2 using an enzyme immunoassay (Biotrak EIA system, Amersham Pharmacia Biotech). Data are expressed as the mean ± SEM of three different experiments. Significant differences, at P < 0.05, between groups, are designated by different lowercase letters. Note the increase in PGE2 level after 24 h of IL-1ß treatment and partial inhibition of this increase in the presence of IL-ra.

 
Effect of IL-1ß on {alpha}-SMA and IGFBP-1 expression
The decidualization process in baboons is associated with a decrease in {alpha}-SMA expression and an increase in IGFBP-1 expression (see 8, 20). In baboon stromal fibroblasts from cycling animals, IGFBP-1 expression was evident after incubation with IL-1ß (10 ng/ml), in the presence of hormones (Fig. 4Go). When added independently, neither IL-1ß nor hormones were capable of inducing IGFBP-1 expression in baboon stromal cells in 3 days. The expression of IGFBP-1 continues to increase, with time, in culture in the presence of dbcAMP and hormones, and this is also associated with a decrease in {alpha}-SMA expression (Fig. 4Go and 8). Treatment with IL-1ß and hormones for 6 days also showed a similar response in vitro (Fig 4Go).



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Figure 4. Effect of IL-1ß on {alpha}-SMA and IGFBP-1 expression. Baboon stromal cells were treated for 6 h, 3 days, and 6 days with IL-1ß, IL-1ß plus hormones (36 nM 17ß-estradiol, 1 µM medroxyprogesterone acetate, and 100 ng/ml relaxin), hormones alone, or 0.1 mM dbcAMP and hormones. Total RNA was isolated and subjected to the RT-PCR using primers for {alpha}-SMA, IGFBP-1, and the internal standard H3.3 in a single tube (A). B, Densitometric evaluation of gel expressed in arbitrary units of {alpha}-SMA/H3.3 values and IGFBP-1/H3.3. Note the increase in IGFBP-1 expression after IL-1ß treatment in the presence of hormones, which was accompanied by a gradual decrease in {alpha}-SMA expression, after 6 days of incubation.

 
IGFPB-1 protein production after IL-1ß and hormone treatment
To investigate whether IGFBP-1 mRNA expression induced by IL-1ß in combination with hormones is followed by protein synthesis, the levels of IGFBP-1 released into the cell culture media were detected by ELISA (Fig. 5Go). After 6 days in culture, the combination of 0.1 mM dbcAMP and hormones induced the most amount of IGFBP-1 (2084.4 ± 82.7 pg/µg protein), followed by IL-1ß in combination with hormones (485.6 ± 206.0 pg/µg protein) and hormones only (93.1 ± 17.9 pg/µg protein).



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Figure 5. IGFPB-1 secretion in response to decidual stimuli. Baboon stromal cells were grown to 90% confluence and treated with IL-1ß (10 ng/ml); IL-1ß in the presence of hormones, 0.1 mM dbcAMP and hormones, or hormones alone for 3 days and 6 days, as indicated in the figure. The IGFBP-1 protein released into the cell culture media was detected by a specific ELISA. The values are mean ± SEM of three separate experiments done in triplicate. Significant differences, at P < 0.05, between groups, are designated by different lowercase letters. Note the significant increase in IGFBP-1 levels after 6 days of IL-1ß treatment in the presence of hormones. The IGFBP-1 concentration induced by IL-1ß and hormones is significantly higher, in comparison with treatment with hormones only, and lower than dbcAMP treatment in the presence of hormones.

 
Effect of COX-2 inhibitor on IGFPB-1 protein levels induced by IL-1ß and hormones
A specific COX-2 inhibitor, NS-398, was used to study the effect of COX-2 protein inhibition on IGFBP-1 protein synthesis induced by IL-1ß and hormones in baboon stromal fibroblasts. The COX-2 inhibitor fully prevented PGE2 synthesis induced by treatment with IL-1ß for 24 h (data not shown). Addition of NS-398 (10 nM) resulted in a 42% inhibition of IGFBP-1 protein levels after 6 days of treatment with IL-1ß and hormones in baboon stromal cells (Fig. 6AGo) and a 48% decrease in human fibroblasts (data not shown). In contrast, the IGFBP-1 protein induced by dbcAMP and hormones was not affected by NS-398 (Fig. 6BGo), confirming that the pathways downstream of COX-2 were not affected. These results suggest that COX-2-induced pathway is partially responsible for IL-1ß and hormone-induced IGFBP-1 expression.



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Figure 6. Effect of COX-2 inhibitor on IGFBP-1 secretion. Baboon stromal fibroblasts were cultured without, or were pretreated with, a COX-2 inhibitor, NS-398 (10 nM) for 1 h. This preincubation was followed by stimulation with IL-1ß (10 ng/ml) and hormones (A) or 0.1 mM dbcAMP and hormones (B) for 3 or 6 days. The cell culture media were analyzed by ELISA for IGFBP-1 protein levels. The values are mean ± SEM of three separate experiments done in triplicate. Significant differences, at P < 0.05, between groups, are designated by different lowercase letters. Note that pretreatment with NS-398 did not influence IGFBP-1 induced by dbcAMP and hormones but caused significant decrease in IL-1ß and hormone-induced IGFBP-1 protein.

 
Effect of IL-1ß and cAMP cotreatment on IGFBP-1 protein levels, in the presence of hormones
We previously reported that in vitro decidualization in baboon and human stromal cells is induced by dbcAMP in the presence of hormones (8). The present study suggests that IL-1ß, in the presence of hormones, also induces decidualization, as determined by IGFBP-1 expression. Previous studies (21, 22) have suggested that IL-1ß inhibits decidualization and, correspondingly, the synthesis of PRL and IGFBP-1 in human stromal cells. However, these studies were done in the presence of both dbcAMP/or PGE2 and IL-1ß (21, 22). Our studies indicate that, when added individually, both IL-1ß (10 ng/ml) and dbcAMP (0.1 mM), in the presence of hormones, are stimulatory. In contrast, when added in combination, as previously reported, IL-1ß, dbcAMP, and hormones together resulted in a significant reduction (74%) of IGFBP-1 protein released into the medium (Fig. 7Go).



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Figure 7. IL-1ß inhibits dbcAMP and hormone-induced IGFBP-1 secretion. Confluent baboon stromal cells were treated with IL-1ß (10 ng/ml), hormones (H), and 0.1 mM dbcAMP in different combinations, as indicated in the figure, for 6 days, as described in Materials and Methods. Cell supernatants from the last day of the experiment were analyzed for IGFBP-1 protein, by ELISA. The values are mean ± SEM of three separate experiments done in triplicate. Significant differences, at P < 0.05, between groups, are designated by different lowercase letters. Note the decrease in IGFBP-1 secretion after the addition of IL-1ß to the dbcAMP and hormone-treated cells.

 
Correlation of baboon stromal cell responses with human fibroblast cells
Comparative studies with HuF were done to determine the similarity of IL-1ß activated pathways between the baboon and human systems. In HuF cells, p38 MAPK was activated after IL-1ß (10 ng/ml) treatment (Fig. 8AGo). In addition, phosphorylation of I{kappa}B-{alpha} was also evident (Fig. 8BGo). When added together with hormones, IL-1ß also induces IGFBP-1 protein synthesis (Fig. 8CGo). In contrast, in combination with dbcAMP treatment, IL-1ß shows an inhibitory effect (74%) on IGFBP-1 protein levels similar to that observed with baboon stromal cells.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Our previous studies in the baboon have clearly demonstrated that IGFBP-1 gene expression in the endometrium is a conceptus-mediated response (7). Subsequent studies in vitro established that IGFBP-1 gene expression in decidualizing stromal fibroblasts requires the presence of both hormones and dbcAMP (8). This induction is associated with a concomitant decrease of {alpha}-SMA expression in vivo (20) and in vitro (8). Furthermore, our subsequent in vivo studies suggested that COX-2 expression in stromal fibroblasts, underlying the implantation site, precedes IGFBP-1 induction in the decidualized stromal cells (12).

Because IL-1ß is expressed both in the progestational endometrium and in trophoblast cells (23, 24), we evaluated IL-1ß as one possible factor that could influence differentiation of stromal cells into decidual cells. IL-1ß has been reported to be actively involved in fetal-maternal interactions (9, 10), but its role in decidualization has not been clarified. In addition, IL-1 can modulate changes in the cytoskeleton (25, 26) and induce COX-2 gene expression (13, 27). Our present data suggest that IL-1ß activates a signaling pathway that induces COX-2 gene expression followed by an increase in IGFBP-1 expression. These data are in agreement with our previous in vivo studies (7, 12). However, there are other reports suggesting that IL-1ß is inhibitory to decidualization (21, 22). In both these studies, the inhibitory effects of IL-1ß on IGFBP-1 and/or PRL synthesis were determined in the presence of dbcAMP or PGE2. Our data are also in agreement with these previously published studies and confirm that IL-1ß in the presence of hormones inhibits dbcAMP-induced IGFBP-1 when all agents are added together.

The up-regulation of IGFBP-1, in response to IL-1ß, is in agreement with previous in vivo studies in rats and mice (27, 28). Intraperitoneal injections of IL-1 acutely increased serum levels of IGFBP-1 protein and hepatic IGFBP-1 mRNA synthesis within 2 h of stimulation (29). The direct effects of cytokines on IGFBP-1 induction were confirmed in vitro using HepG2 cells (29). IL-1 is a cytokine with many functions and is capable of inducing multiple immediate signaling pathways in the cells (reviewed in 30). We detected phosphorylated I{kappa}B-{alpha} protein after 10 min of IL-1ß treatment, suggesting possible activation of the NF{kappa}B transcription factor in stromal fibroblasts. The other cascades activated by IL-1 are those activating the three best-known types of the MAPK subfamilies, namely p42/p44 extracellular signal-regulated protein kinase, c-Jun N-terminal kinase, p38 MAPK (31). In our studies we also detected activation of p38 MAPK kinase after IL-1ß treatment of baboon and human stromal cells.

IL-1 acts by inducing many genes (e.g. IL-2 and IL-6), chemokines (e.g. IL-8 and monocyte chemotactic protein 1), proteases (e.g. collagenase and stromelysin), adhesion molecules (e.g. intracellular adhesion molecule 1 and E-selectin), and cyclooxygenase (reviewed in 32). In our previous studies, COX-2 expression was detected specifically at the implantation site in baboons (13). In this report, we demonstrate that, in both baboon and human stromal cells cultured in vitro, treatment with IL-1ß induced COX-2 gene expression and PGE2 synthesis. The IL-1ß-induced COX-2 activation contributes to the expression of IGFBP-1, because NS-398, a specific COX-2 inhibitor, partially inhibits the measurable IGFBP-1 protein levels in stromal cells. The lack of complete inhibition indicates that IL-1ß activates at least two immediate signaling pathways leading to IGFBP-1 synthesis in uterine stromal fibroblasts. The alternate pathway may be activated by IL-6. IL-1 has been shown to induce IL-6 production in cultured human decidual cells, and this induction can be prevented by actinomycin treatment (33). IL-6 elevates a 30- to 32-kDa IGF-binding protein in the plasma of mice and increases IGFBP-1 production in HepG2 cells (34). Moreover, specific regions on the IGFBP-1 promoter are regulated by IL-6 (35, 36). Thus, it is conceivable that activation of IL-6 in addition to COX-2 by IL-1ß could account for the lack of complete inhibition of IGFBP-1 expression in the presence of the COX-2 inhibitor. In fact, stimulation with IL-1ß induces IL-6 gene expression in HuF (Strakova, Hales and Fazleabas, unpublished results).

Our current studies have established the signaling pathways activated by IL-1ß in stromal fibroblasts and their role in inducing IGFBP-1 gene expression. The response to IL-1ß has a hormone-independent (COX-2 induction) and hormone-dependent (IGFBP-1 induction) pathway. In the presence of hormones, IL-1ß induces a similar pattern of IGFBP-1 expression and synthesis as that observed with hormones and dbcAMP (8). However, if dbcAMP is present together with IL-1ß, the differentiation process and IGFBP-1 induction are inhibited, suggesting the negative cross-talk between the two pathways. We can only hypothesize how the inhibition is accomplished. The response to IL-1ß or dbcAMP in the presence of hormones, in terms of IGFBP-1 expression, takes 2–3 days. This implies that, after initial stimulus, the decidualization process requires several intermediate steps. IL-1ß-induced PGE2 causes additional cAMP release, because cAMP is a second messenger of PGE2 stimulation (37). The cAMP is known to transmit its signals primarily through PKA, but expression of mRNA of PKA subunits did not differ in nondecidualized and decidualized cells (8). During the course of decidualization, expression of the inducible cAMP early repressor (ICER) is enhanced (38). The ICER is an isoform generated within the cAMP response element (CRE)-binding modulator (CREM) gene, which encodes both activators and repressors of cAMP-induced transcription. Thus, it is conceivable that, in the presence of both dbcAMP and IL-1ß, there is a premature increase in ICER expression that can subsequently inhibit the ability of PGE2-induced cAMP to act positively and enhance IGFBP-1 transcription. Studies to test this hypothesis are currently underway in our laboratory.

Thus, it is evident that cytokines (IL-1) and mediators of cAMP activation (i.e. PGE2) have independent stimulating effects, but synergistic inhibitory effects, in differentiating stromal fibroblasts. The complex signaling pathways activated during implantation may play a critical role in maintaining the appropriate homeostasis required for decidualization and trophoblast invasion.


    Acknowledgments
 
We thank Dr. Douglas Kniss (Ohio State University, Columbus, OH) for his kind gift of HES cell line, and Dr. David Sherwood (University of Illinois, Urbana-Champaign, IL) for purified porcine relaxin.


    Footnotes
 
1 This work was supported by NIH Grant HD-36759. Back

Received March 13, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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