Endocrinology Vol. 141, No. 2 637-648
Copyright © 2000 by The Endocrine Society
Transit of Normal Rat Uterine Stromal Cells through G1 Phase of the Cell Cycle Requires Progesterone-Growth Factor Interactions
Stephanie R. Jones,
Bruce F. Kimler,
William M. Justice and
Virginia Rider
Division of Molecular Biology and Biochemistry (S.R.J., V.R.),
School of Biological Sciences, University of Missouri-Kansas City,
Kansas City, Missouri 64110; and Department of Radiation Oncology
(B.F.K.) and Flow Cytometry Laboratory (W.M.J.), Kansas Cancer
Institute, The University of Kansas Medical Center, Kansas City, Kansas
66160
Address all correspondence and requests for reprints to: Dr. Virginia Rider, University of Missouri-Kansas City, School of Biological Sciences, 5007 Rockhill Road, Kansas City, Missouri 64110. E-mail:
riderv{at}umkc.edu
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Abstract
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Understanding of cell cycle regulation in hormonally responsive cells
lags behind studies in other systems because few models have been
available to identify the role of steroid hormones and their receptors
in this process. This study investigates progesterone-dependent
effects on the progression of normal uterine stromal cells through
early G1 phase of the cell cycle. Quiescent rat uterine stromal cells
were stimulated to reenter the cell cycle by adding serum-free medium
containing medroxyprogesterone acetate (MPA) and basic fibroblast
growth factor (FGF). [3H]thymidine incorporation
increased significantly (P = 0.025) in cells
stimulated with both FGF alone and MPA plus FGF compared with the
control cells. Moreover, cells stimulated with MPA plus FGF
incorporated significantly more (P = 0.01)
[3H]thymidine than cells treated with FGF alone,
suggesting requisite interactions between progesterone and FGF for
stromal cell entry into S phase. Flow cytometric analysis of stimulated
stromal cells showed FGF alone and MPA plus FGF increased significantly
(P = 0.002) the percentage of cells in S phase at
12 h. Incorporation of bromodeoxyuridine into stromal cell
nuclei indicated that FGF alone and MPA plus FGF increased the
percentage of cells entering S phase at 18 and 24 h compared with
the control cells. In addition, MPA plus FGF increased significantly
(P = 0.001) the number of cells entering S phase at
24 h compared with FGF alone and sustained S phase entry compared
with FGF alone, MPA alone, or the control cells. Stromal cells
inhibited from G1 reentry by inhibition of mitosis showed accelerated
entry into S phase in response to MPA plus FGF compared with FGF alone.
Cyclin D1 messenger RNA increased in stromal cells treated with MPA
plus FGF at 9, 12, and 15 h. Addition of RU 486 to cells
stimulated with MPA plus FGF for 9 h reduced cyclin D1 messenger
RNA accumulation by 40%. Western blot analysis of cyclin D1
immunoprecipitates indicated complex formation with both
cyclin-dependent kinase 4 (Cdk4) and cyclin dependent kinase 6 (Cdk6).
Cyclin D1-Cdk complexes and kinase activity correlated temporally with
increased cyclin D1 expression in cells cultured with MPA plus FGF.
Taken together, these results show that progesterone-FGF interactions
increase cyclin D1 expression, correlating with accelerated stromal
cell entry into S phase compared with cells treated with FGF alone.
Morever, progesterone plus FGF sustains the timing of stimulation for
transit of uterine stromal cells through G1 into S phase compared with
FGF alone.
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Introduction
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THE GROWTH and function of the uterus is
dependent on regulated proliferation and differentiation of its
cellular components. Within endometrial cells of the reproductive
tract, hormones exert specific temporal, spatial, and interactive
effects. Estrogens are associated generally with cell proliferation in
uterine and breast tissues, while progesterone is considered more as
the hormone promoting cellular differentiation in these organs. Mice
lacking the progesterone receptor (PR) by targeted mutagenesis exhibit
abnormalities in all aspects of reproduction including sexual behavior,
mammary gland development, ovulation, and implantation (1).
Implantation in PR null mice fails, in part, because the uterine
stromal cells cannot undergo a decidual cell reaction (1). In spite of
the preeminence of progesterone in female reproduction, the molecular
mechanisms of action of this steroid on target cell proliferation and
differentiation are not well understood (reviewed in Ref. 2). At day 3
of pregnancy in the mouse (3), and day 4 of pregnancy in the rat (4, 5), there is a proliferative switch from uterine epithelial to stromal
compartments. Stromal cells do not divide without progesterone, and
proliferation is blocked by progesterone antibodies (6) and
mifepristone (RU 486) (5, 7). The number of synchronously dividing
stromal cells in the rat uterus increases in response to progesterone
priming for 3 days followed by nidatory estrogen (5, 8). Progesterone
alone increases DNA synthesis in the uterine stromal cells of
hormonally sensitized rats (9), suggesting that this steroid can exert
direct control on the genes involved in regulating cell cycle
progression.
Alternatively, progesterone could mediate cell proliferation indirectly
via control of growth factors or growth factor receptors (reviewed in
Ref. 10). Progesterone regulates the expression of a variety of growth
factors in uterine stromal and decidual cells including heparin
binding-epidermal growth factor (11), insulin-like growth
factor-1 (12), and tumor necrosis factor-
(13). In addition, growth
factor receptors such as epidermal growth factor receptor (14) and
tumor necrosis factor-
-RI (15) are induced by progesterone in the
endometrium. Previous studies in our laboratory showed that the spatial
and temporal distribution of fibroblast growth factor (FGF) in rat
uterine stromal cells correlates with uterine stromal cell
proliferation (5, 16). Furthermore, FGF expression is regulated by
progesterone and estrogen in the rat uterus (17), and stromal cells
express high-affinity FGF receptor 1 at the time of their proliferation
(18).
While those earlier studies (16, 17, 18) were important to identify
candidate molecules that regulate progesterone-dependent stromal cell
proliferation in vivo, such an approach cannot be used to
ascertain the molecular mechanisms involved. Progesterone, bound to PR,
acts on target cells by stimulating or repressing the transcription of
specific genes (19). In T47D breast cancer cells, the protooncogenes
c-fos and c-myc are transiently induced by
progesterone (20), and c-fos and c-jun are
modulated by steroids in the rat endometrium (17, 21). Identifying
protooncogenes as downstream effectors of steroid-mediated cell
proliferation is complicated because these proteins function at
multiple sites in signal transduction pathways including increasing
synthesis of growth factors involved in cell cycle control. Moreover,
recent experiments in rodents clearly show that, for some growth
promoters (22) and steroid hormone receptors (23), there is a lack of
correspondence between cell-specific expression in the endometrium and
the proliferative response. The other candidate regulatory target genes
for steroidal control of cellular proliferation include the G1 cyclins
(cyclins C, D, and E) and G2 cyclins (cyclins A and B). Cyclins
interact with their cyclin-dependent kinase (Cdk) partners and catalyze
transitions both into S phase and into mitosis in the cell cycle (24, 25).
While considerable mechanistic information about the hormonal control
of cell cycle transit has emerged from breast cancer cell studies
(Refs. 26, 27, 28 ; reviewed in Ref. 29), the role of hormones, and in
particular progesterone, is less well understood in normal uterine
target cells. Isolated rodent stromal cells express normal permissive
and instructive functions when reassociated with epithelium and grown
in vivo (30). In addition, rat uterine stromal cells
maintain progesterone-dependent proliferation in culture (31, 32, 33, 34).
Previous results from our laboratory showed that in a serum-free,
phenol red-free chemically defined medium, quiescent rat uterine
stromal cells required both progesterone and growth factors that bind
to tyrosine kinase receptors to proliferate (33, 34). Of the growth
factors we tested, FGF was chosen as the prototype for further studies
since we had identified this growth factor as a potential coregulator
of stromal cell proliferation in pregnant rats (5). Stromal cells
stimulated to proliferate in culture with progesterone and FGF
expressed both the A and B forms of PR and proliferation was inhibited
by RU 486 (33). Addition of estrogen to cultures containing FGF alone
and FGF plus progesterone did not significantly increase the
proliferative response (33).
The objective of the following experiments was to determine the
potential mechanisms involved in the progesterone-dependent control of
stromal cell proliferation. While understanding the role of estrogen in
stromal cell function is clearly important, the culture system we have
developed and characterized (33, 34) provides a unique opportunity to
discern the explicit role of progesterone as a mitogenic agent for
uterine stromal cells. In this paper we provide greater insight into
the question of how progestins control cell proliferation in normal
uterine cells.
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Materials and Methods
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Stromal cell isolation and culture
Stromal cells were isolated from the uterus of ovariectomized
Sprague Dawley rats (Charles River Laboratories, Wilmington, MA)
and characterized as described in detail elsewhere (33). Cells from the
same passage (between passages 1025) were used to determine treatment
effects within an experiment by propagating a sufficient number of
cells for each experiment in supplemented medium 199 containing 10%
FBS. Quiescence was induced by culturing stromal cells for 72 h in
serum-free, phenol red-free DMEM (Life Technologies, Inc.,
Gaithersburg, MD) and MCDB-105 (Sigma, St. Louis, MO) in a
3:1 mixture containing insulin (5 µg/ml) and supplements as detailed
elsewhere (33). Quiescent cells were stimulated to synchronously
reenter the cell cycle by adding medroxyprogesterone acetate (MPA, 1
µM) and FGF (50 ng/ml).
[3H]thymidine incorporation
Uterine stromal cells (5 x 104) were
seeded into 24-well plates and quiescence was induced by culture for
72 h in serum-free medium. Cells were stimulated to reenter the
cell cycle by adding fresh serum-free medium containing MPA, FGF, the
two agents together, or ethanol vehicle (negative control). Cells were
incubated for 20 h and then pulsed for 2 h with 1 µCi
[3H]thymidine/well (2030 Ci/mmol,
Amersham Pharmacia Biotech, Arlington Heights, IL) (32).
The cells were washed twice in ice-cold PBS and placed at -20 C for 60
min to detach the cells. The cells were suspended in 10%
trichloroacetic acid. Incorporated [3H]
thymidine was separated from unincorporated by retention on
nitrocellulose membrane filters (Whatman BA85, Fairfield,
NJ). Filters were washed three times with ice-cold 5%
trichloroacetic acid to remove unincorporated labeled thymidine. The
filters were counted using liquid scintillation.
Flow cytometry
Quiescent stromal cells were stimulated to reenter the cell
cycle by adding fresh serum-free medium containing MPA, FGF, MPA plus
FGF, and ethanol vehicle (control). Cells were collected at 12, 15, and
24 h after stimulation with additives. Stromal cells were loosened
from dishes by incubation in single-strength trypsin-EDTA
(Sigma, St. Louis, MO) for 30 sec at 37 C. Cells were
immediately scraped from the dishes and transferred to sterile 15-ml
tubes containing 0.1 vol FBS. The cells were collected by
centrifugation (500 x g), washed twice in PBS, and
then stained for at least 4 h with a one-step propidium iodide
solution (0.005% propidium iodide, 0.02% ribonuclease, 0.3% sodium
phosphate, and 0.1% sodium citrate in distilled water) using standard
methods (34, 35). Between 12 x 106 cells
per time and treatment within an experiment were analyzed on an EPICS
752 flow cytometer (Coulter Electronics, Hialeah, FL) with a laser
output of 400 nW at 488 nm. Red fluorescent data were collected and DNA
histograms were analyzed with the Modfit program (Verity Software,
Topsham, ME). For the mitotic block experiments, quiescent stromal
cells were stimulated with fresh serum-free medium containing MPA, FGF,
MPA plus FGF, or ethanol vehicle. Nocodazole {methyl
[5-(2-thienylcarbonyl)-1H-benzimidazol-2-yl]carbamate;
Calbiochem, La Jolla, CA} was added (0.04 µg/ml) from
a stock solution made up in dimethyl sulfoxide. Stimulated cells were
collected at times 0, 6, 9, 12, and 24 h and the percentage of
cells in S phase and those blocked at the G2-M boundary were determined
by flow cytometry.
Incorporation of bromodeoxyuridine (BrdU) into stimulated uterine
stromal cells
Uterine stromal cells (67 x 103)
were plated into eight-well Lab-Tek chamber slides (Nunc Inc.,
Naperville, IL). The cells were cultured in serum-free medium for
72 h to induce quiescence. Cells were stimulated to reenter the
cell cycle by adding fresh serum-free medium containing MPA, FGF, MPA
plus FGF, and serum-free medium (control). At various timed intervals
after stimulation, the cells were pulsed for 30 min with
BrdU-containing medium (10 µmol/liter). Samples were fixed with
ethanol and stained with anti-BrdU antibody in the presence of
nucleases according to the manufacturess protocol (BrdU Labeling and
Detection Kit, Roche Molecular Biochemicals, Indianapolis,
IN). Bound anti-BrdU antibody was visualized by light
microscopy. The number of labeled nuclei at 12, 18, 24, and 32 h
after stimulation was counted from at least 500 cells for each time and
treatment group. Quiescent stromal cells were also stimulated with
serum-free medium containing BrdU and mitogens, and the number of
labeled nuclei from at least 500 cells was counted after continuous
BrdU (10 µmol/liter) labeling for 18 and 24 h.
Northern blots
Total RNA was isolated from quiescent (time 0) and proliferating
uterine (224 h) stromal cells using a single-step guanidine method
(36). Samples (25 µg) of total RNA were dried under vacuum
centrifugation, suspended in an RNA denaturing solution (0.4
M 3-N-morpholinopropanesulfonic acid, 0.1
M sodium acetate, 0.01 M
EDTA, 2.2 M formaldehyde, 50% formamide), and
loaded onto a 2.2 M formaldehyde-1% agarose gel.
RNA was transferred by diffusion onto a nylon membrane (Micron
Separation Inc., Westboro MA) for 18 h. The membrane was baked for
2 h at 60 C under vacuum. Hybridization probes were prepared by
random prime labeling (RTS Rad Prime DNA Labeling System, Life Technologies, Inc., Gaithersburg, MD) the full-length murine
cyclin D1 cDNA and rat ß-actin. Northern blots were hybridized in 5x
SSPE, 5x Denhardts, 0.5% (wt/vol) SDS, and 100 µg/ml sheared salmon
testes DNA (Sigma) at 65 C for 18 h. Blots were
washed using high stringency in 5x SSPE [0.75
M NaCl, 0.05 M
NaH2PO4, 5
mM EDTA, (adjusted to pH 7.4 with NaOH)]-0.5%
SDS at 22 C, 1x SSPE-0.5% SDS at 37 C, and 0.1x SSPE-1%SDS at 65 C.
Blots were exposed to Fiji x-ray film (Fisher Scientific, Pittsburgh, PA) using intensifying screens for 57
days at -80 C. The amount of cyclin D1 messenger RNA (mRNA) was
determined by scanning densitometry using the NIH image software.
Values were adjusted for assay variation by dividing the integrated
optical density of cyclin D1 mRNA by the integrated optical density of
ß-actin mRNA in the same sample.
Western blots
Uterine stromal cells were seeded at a density of 2.5 x
105 cells/10 cm2 in growth
medium containing 10% FBS for 16 h. The cells were washed twice
in PBS and cultured in serum-free medium for 72 h to induce
quiescence. The cells were stimulated with fresh serum-free medium
containing MPA, FGF, MPA plus FGF, or ethanol vehicle alone (Control).
The cells were collected at timed intervals between 024 h. The cells
were washed with PBS and lysed with lysis buffer [10 mM
Tris-HCL, pH 7.5, 30 mM sodium pyrophosphate, 50
mM sodium chloride, 50 mM sodium fluoride, 5
mM EDTA, 1% Triton X-100, 1 mM sodium
orthovanadate, 1 mM phenylmethylsulfonyl fluoride, 10
µg/ml leupeptin, and 10 µg/ml aprotinin] for 30 min at 4 C.
Protein extracts were centrifuged at 13,000 x g for 10
min at 4 C. The supernatants were transferred to a fresh tube and
stored at -80 C. Protein extracts (150300 µl) containing similar
amounts of protein for each independent assay, as determined by
absorbance at 280 nm, were incubated with cyclin D1 agarose-conjugated
antibody (Mab D172-13G, Santa Cruz Biotechnology, Inc.,
Santa Cruz, CA) for 614 h at 4 C. The agarose beads were collected by
centrifugation and washed four times in PBS containing 0.1
M NaCl. The samples were boiled for 3 min in
sample buffer (37) and cooled to 22 C, and the proteins were size
fractioned by SDS-PAGE. Proteins were transferred to a nitrocellulose
membrane using standard methods (18). The membrane was blocked in
Tris-buffered saline [50 mM Tris, pH 7.4, 150
mM NaCl] containing gelatin (0.2%), powdered
milk (5%), and Tween-20 (0.05%) at 4 C for 14 h. The proteins
were reacted with primary antibodies [Cdk6 (MS-451, Neo Markers, Union
City, CA) diluted 1:500; Cdk4 (sc-601-G, Santa Cruz Biotechnology, Inc.) diluted 1:500] for 90 min at 22 C. The
blots were washed and reacted with species-specific alkaline
phosphatase secondary antibodies (Sigma) diluted 1:1000.
After washing, bound antibody was detected by incubating the blots with
0.3 mg/ml nitroblue tetrazolium and 0.15 mg/ml
5-bromo-4-chloro-3-indolyl phosphate in 0.1 M Na
HC03, 1.0 mM
MgCl2, pH 9.8. The size of reactive bands was
determined from prestained molecular size standards (Bio-Rad Laboratories, Inc., Hercules, CA) and the relative amount of
reactive species was quantified using scanning densitometry (NIH image
software). Western blots processed without primary antibody or reacted
with c-fos primary antibody did not show either of the
reactive species (data not shown).
Immune complex kinase assays
Quiescent stromal cells were stimulated with mitogens and
approximately 23 x 106 cells were
suspended at the appropriate times in a lysis buffer (10 mM
Tris-HCL, pH 7.5, 30 mM sodium pyrophosphate, 50
mM sodium chloride, 50 mM sodium fluoride, 5
mM EDTA, 1% Triton X-100, 1 mM sodium
orthovanadate) containing 1 mM phenylmethylsulfonyl
fluoride and protease inhibitor cocktails (38). Cells were incubated on
ice for 30 min, and the samples were centrifuged (12,500 x
g) for 10 min at 4 C. Cdk4 and Cdk6-cyclin complexes were
immunoprecipitated from clarified cell lysates with agarose-conjugated
antibodies to Cdk4 (sc-601, Santa Cruz Biotechnology, Inc.) and Cdk6 (sc-177, Santa Cruz Biotechnology, Inc.). The agarose-conjugated antibodies were suspended and
incubated for 30 min at 30 C in a kinase buffer (50
mM HEPES, pH 7.5, 10 mM
MgCl2, 1 mM dithiothreitol,
0.1 mM sodium orthovanadate, 1
mM EGTA) containing 100
µM ATP, 10 µCi
[
-32] ATP (>4000 Ci/mmol, ICN Biochemicals, Inc., Costa Mesa, CA), and 0.52 µg of
purified glutathione-S-transferase-retinoblastoma protein
(GST-pRb) substrate (Santa Cruz Biotechnology, Inc.) (39).
Reactions were size fractionated by SDS PAGE (10%), and the gel was
exposed to x-ray film for 30 min. The size of the radioactive bands was
determined from prestained molecular size markers (Bio-Rad Laboratories, Inc.).
Statistical analysis
Data were analyzed using the SPSS, Inc. (Chicago,
IL) statistical software package. Differences among treatments were
examined by ANOVA, and differences among means were determined through
Scheffés and Bonferronis posthoc tests. The effects of
treatment, time, and time-by-treatment interactions were assessed by
least squares regression analysis. Differences between treatments in
Fig. 6
were assessed by t test (two-tailed) for equality of
means.

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Figure 6. PR antagonism reduces cyclin D1 steady-state
levels in uterine stromal cells stimulated with progesterone plus basic
FGF but not FGF alone. Quiescent uterine stromal cells were stimulated
with FGF (50 ng/ml) alone and synthetic progestin (MPA, 1
µM) plus FGF (50 ng/ml). Parallel cultures contained 10
µM RU 486 in addition to additives. Total RNA was
collected at 9 h and cyclin D1 steady-state mRNA levels were
analyzed by Northern blotting. This same blot was hybridized with rat
ß-actin to assess assay variation. Lane 1, FGF; lane 2, FGF plus RU
486; lane 3, FGF plus MPA; lane 4, FGF plus MPA plus RU 486.
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Results
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MPA plus FGF action stimulates [3H]thymidine
incorporation into uterine stromal cells
We showed previously that stromal cells proliferated significantly
in response to progesterone plus FGF (33) and that those agents
stimulated stromal cell transit through the cell cycle (34).
Progesterone or FGF alone did not stimulate proliferation
significantly; therefore, our first goal was to determine whether
stromal cells treated with progesterone or FGF alone entered DNA
replication. Since indistinguishable results were obtained in
proliferation assays with progesterone and the synthetic progestin MPA,
the latter was used routinely in these studies. We measured the
incorporation of [3H]thymidine in cells
cultured in MPA alone, FGF alone, the two agents together (MPA + FGF),
or serum-free medium with ethanol vehicle. Proliferative agents were
added for 20 h, and then the cells were pulsed for 2 h with
[3H]thymidine (Fig. 1
). Incorporation of
[3H]thymidine increased significantly
(P = 0.025) in cells cultured with FGF alone and MPA
plus FGF compared with cells in the control cultures. Cells stimulated
with MPA plus FGF incorporated [3H]thymidine at
a significantly higher (P = 0.01) level than the cells
treated with FGF alone. Incorporation of labeled thymidine into cells
treated with MPA alone was significantly less (P =
0.01) than the amount measured in cells treated with FGF alone or MPA
plus FGF. Taken together, these results show that control of stromal
cell entry into DNA replication, as measured by the incorporation of
labeled thymidine, is enhanced by MPA plus FGF compared with FGF or MPA
alone.

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Figure 1. Basic FGF and progesterone plus FGF stimulate
stromal cell entry into DNA replication. Quiescent uterine stromal
cells were stimulated to reenter the cell cycle by adding serum-free
medium containing synthetic progestin (MPA, 1 µM), FGF
(50 ng/ml), and the two agents together (MPA + FGF). The control
cultures received fresh serum-free medium with ethanol vehicle. Cells
were cultured for 20 h and then pulsed for 2 h with
[3H]thymidine (1 µCi/well). [3H]thymidine
incorporation was determined by scintillation counting. Results are the
mean ± SEM for six observations for each treatment.
*, P = 0.025 compared with the control cells. (a)
vs. (b), (b) vs. (c), and (a)
vs. (c), P < 0.01 Scheffés
test.
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FGF alone and MPA plus FGF increase the percentage of cells in S
phase
To investigate further cell cycle-specific effects of
progesterone, quiescent uterine stromal cells were stimulated to
synchronously reenter the cell cycle in serum-free medium containing
MPA, FGF, or the two agents together. Control cells received serum-free
medium containing ethanol vehicle. The cells were collected between
024 h after mitogen addition, and the percentage of cells in S phase
was determined using flow cytometry. Preliminary experiments showed
that the percentage of cells in S phase in all treatment groups (MPA,
FGF, MPA plus FGF) remained within 10% of the control cells
(serum-free medium) until 12 h post stimulation (data not shown).
Therefore, the percentage of cells in S phase was compared among the
different treatments at times 0, 12, 15, and 24 h after addition
of agents (Fig. 2
). Stimulation of cells
with FGF alone and MPA plus FGF increased significantly
(P = 0.002) the percentage of cells in S phase at
12 h after stimulation. Approximately 40% of the cells stimulated
with FGF alone and MPA plus FGF were in S phase compared with 17% of
the control cells at the same time. At 24 h poststimulation the
percentage (28%) of cells in S phase was similar between cells treated
with FGF alone and MPA plus FGF.

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Figure 2. Basic FGF alone and progesterone plus FGF increase
the percentage of cells in S phase of the cell cycle. Quiescent uterine
stromal cells were collected at times 0, 12, 15, and 24 h after
the addition of synthetic progestin (MPA, 1 µM), FGF (50
ng/ml), the two agents together (MPA plus FGF), or serum-free medium
containing ethanol vehicle (control). The percentage of cells in S
phase of the cell cycle was determined using flow cytometry as
described in the text. Data are the mean percentages ±
SEM of cells in S phase from three independent experiments.
*, P = 0.002 compared with the control cells. At
all other times there were no significant differences. , MPA plus
FGF; , FGF alone; , MPA alone; , serum-free medium (control).
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MPA plus FGF increases the number of cells entering S phase and
sustains the time of stimulation for cells to enter S phase
To further clarify cell cycle-specific effects of progesterone on
G1 transit and entry into S phase, BrdU incorporation into uterine
stromal cell nuclei was investigated in cells stimulated with
serum-free medium containing MPA, FGF, MPA plus FGF, and ethanol
vehicle (control). Analysis of BrdU pulse labeling results by
polynomial curve fitting showed that MPA not only stimulated the number
of cells incorporating BrdU, but this steroid also sustained the time
for stromal cell entry into S phase of the cell cycle (Fig. 3
). At 18 h, BrdU incorporation into
nuclei increased significantly (P = 0.001) in cells
treated with FGF alone and cells treated with MPA plus FGF. At 24
h after stimulation, BrdU incorporation continued to increase
significantly in the cells treated with MPA plus FGF (P
= 0.001) and FGF alone (P = 0.023) compared with the
control cells. Importantly, however, cells stimulated with MPA plus FGF
showed significantly more (P = 0.001) BrdU-labeled
nuclei than cells stimulated with FGF alone. The number of labeled
nuclei in the cells treated with MPA alone was similar to that in the
control cells. BrdU incorporation at 32 h poststimulation was
similar among all of the treatment groups. We investigated the effects
of treatment across time and found that the number of labeled nuclei in
cells treated with MPA plus FGF increased significantly
(P = 0.036) at 24 h compared with 18 h. The
number of BrdU-labeled nuclei in cells cultured with FGF declined at
24 h compared with the number at 12 h (P =
0.027) and declined further at 32 h compared with the number at
18 h and 24 h (P = 0.034 and
P = 0.007, respectively). There were no differences
across time for BrdU incorporation in cells treated with MPA alone.

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Figure 3. Progesterone plus basic FGF increase the number of
cells entering S phase and extend the time of stromal cell entry into
DNA replication. Quiescent uterine stromal cells were stimulated to
reenter the cell cycle with serum-free medium containing synthetic
progestin (MPA, 1 µM), FGF (50 ng/ml), the two agents
together (FGF plus MPA), or ethanol vehicle (control). At the indicated
times, cells were pulsed for 30 min with BrdU-containing medium (10
µmol/liter). Samples were fixed and stained with anti-BrdU antibody
as detailed in the text. Data are the mean ± SEM of
three (18 h, 24 h) or two (12 h, 32 h) independent
experiments. *, P = 0.001, compared with the
control cells. At 18 h, the percent of labeled nuclei increased in
cells treated with FGF alone (P = 0.01) and MPA
plus FGF (P = 0.004) compared with the control
cells. At 24 h, the number of labeled nuclei in cells cultured
with MPA plus FGF was significantly greater than for cells cultured in
FGF alone (P = 0.001), MPA alone
(P = 0.001), and the control medium
(P = 0.001). The number of labeled nuclei in cells
treated with FGF alone remained increased (P =
0.023) over that in the control cells at 24 h, Bonferroni posthoc
tests. , MPA plus FGF; , FGF; , MPA; , serum-free medium
(control).
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To determine the proportion of cells that incorporated BrdU over this
same time period, we stimulated quiescent stromal cells with serum-free
medium containing MPA, FGF, MPA plus FGF, or vehicle control and added
BrdU at the time of stimulation. The number of labeled nuclei was
counted at 18 and 24 h after stimulation (Table 1
). Consistent with the pulse-labeling
experiments, FGF alone and MPA plus FGF significantly increased
(P = 0.01) the number of labeled nuclei compared with
the control cells at 24 h. In addition, there were significantly
more (P = 0.001) labeled nuclei in the cells treated
with MPA plus FGF compared with FGF alone. That increase in labeled
nuclei occurred at some time after 18 h since the percentage of
labeled nuclei was similar between cells treated with FGF alone (50%)
and MPA plus FGF (47%) at 18 h. In cultures containing BrdU
continuously, the number of labeled nuclei was similar between the
cells treated with MPA compared with the control cells. Comparison of
the incorporation into control cells pulsed with BrdU (Fig. 3
) with the
incorporation into cells continuously labeled with BrdU (Table 1
)
indicated that cells in the control group did not progress through the
cell cycle. Rather, there was a constant percentage of cells (1215%)
in the control medium that incorporated BrdU. Together, results from
the BrdU labeling experiments showed that both FGF alone and MPA plus
FGF increased the number of cells incorporating BrdU into nuclei
compared with the control cells or cells cultured with MPA alone.
Moreover, MPA plus FGF sustained the timing for stromal cell entry into
S phase compared with FGF alone, MPA alone, or the control medium. This
resulted in a significant (P = 0.001) increase in the
number of BrdU labeled nuclei in cells cultured with MPA plus FGF over
the number in cells cultured with FGF alone.
MPA plus FGF accelerates stromal cell entry into S phase
To clarify MPA effects on the kinetics of stromal cell transit
through G1 phase of the cell cycle, we inhibited the G1 reentry of
stromal cells from M phase with nocodazole and monitored G1 exit into S
phase by flow cytometry. Quiescent stromal cells stimulated with
mitogenic agents and blocked in mitosis by nocodazole showed a
significant increase in the percentage of cells in S phase at 9 and
12 h after treatment with FGF alone (P = 0.001)
and MPA plus FGF (P = 0.001) compared with the control
cells (Fig. 4
). In addition, the
percentage of cells in S phase at 9 h increased significantly
(P = 0.002) when cells were cultured with MPA plus FGF
compared with FGF alone. The percentage of cells arrested at the G2-M
boundary at 24 h after stimulation was 66% for cells treated with
FGF alone compared with 75% for cells cultured with MPA plus FGF. In
the control and MPA-treated cells, the percentages at the G2-M border
was similar (35% and 33%, respectively).

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Figure 4. Progesterone accelerates transit through G1 into S
phase. Quiescent uterine stromal cells were stimulated to reenter the
cell cycle with serum-free medium containing synthetic progestin (MPA,
1 µM), FGF (50 ng/ml), the two agents together (MPA plus
FGF), or ethanol vehicle (control). Culture medium also contained the
mitotic inhibitor nocodazole (0.04 µg/ml) to inhibit reentry from M
phase. The percentage of cells in S phase of the cell cycle was
determined using flow cytometry as described in the text. The
percentage of cells in S phase increased significantly (*,
P = 0.001) at 9 and 12 h when cells were
stimulated with FGF alone and MPA plus FGF. At 9 h there was a
significant increase (P = 0.002) in the percent of
cells in S phase after stimulation with MPA plus FGF compared with FGF
alone. Data are the mean percentages ± SEM of cells
in S phase from three (0, 6, 9 h) or two (12 h) independent
experiments. , MPA plus FGF; , FGF alone; , MPA alone; ,
serum-free medium (control).
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The temporal appearance and amount of cyclin D1 mRNA is stimulated
by MPA plus FGF
The D cyclins have emerged as the major sensors for growth factor
signal transduction (40). Activation of cyclin D1-Cdk is responsible
for the phosphorylation of the pRb leading to the activation of the E2F
transcription factor (41, 42). Progesterone accelerates the passage of
breast cancer cells through G1 into S phase by stimulating
transcription of the cyclin D1 gene (43). To determine whether cyclin
D1 was a progesterone target in normal uterine cells the effects of
MPA, FGF, and MPA plus FGF on cyclin D1 steady-state mRNA levels were
investigated at various time points after addition of these agents to
quiescent uterine stromal cells. Control cells received fresh
serum-free medium with ethanol vehicle. Stromal cell total RNA (25
µg) from the indicated time points was analyzed by Northern blotting
using a murine cyclin D1 cDNA. The same blots were hybridized with
ß-actin to control for assay variation (Fig. 5
, A and B). Cyclin D1 mRNA was readily
detectable between 2 and 6 h after stimulating cells with MPA plus
FGF. The steady-state mRNA levels in cells cultured with MPA plus FGF
remained above those in the quiescent (time 0) and the control cells
(Fig. 5A
). Cyclin D1 mRNA in stromal cells cultured with FGF increased
compared with quiescent cells between 6 and 24 h after addition of
FGF (Fig. 5B
). In the cells treated with MPA alone and in the control
cells cyclin D1 mRNA was relatively low (compare Fig. 5A
and 5B
).

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Figure 5. Interaction between progesterone plus basic FGF
increase cyclin D1 steady-state mRNA levels. A, Quiescent uterine
stromal cells were stimulated to reenter the cell cycle by the addition
of synthetic progestin (MPA, 1 µM) plus FGF (50 ng/ml),
or ethanol vehicle (control). Total RNA (25 µg) was isolated at the
indicated times and size fractionated by gel electrophoresis. After
transfer to a membrane, the RNA was hybridized with a radioactive
full-length murine cyclin D1 cDNA. This same blot was hybridized with
ß-actin to control for assay variation. B, Quiescent uterine stromal
cells were stimulated to reenter the cell cycle by addition of MPA (1
µM) or FGF (50 ng/ml). Total RNA (25 µg) was isolated
at the indicated times and analyzed by Northern blotting. This same
blot was hybridized with ß-actin to control for assay variation. C,
Quantitative analysis of cyclin D1 mRNA in stimulated uterine stromal
cells. Steady-state cyclin D1 mRNA levels were measured from
autoradiographs of Northern blots. Values were adjusted using ß-actin
mRNA to control for assay variation as described in the text. Data
shown are the mean ± SEM adjusted cyclin D1 mRNA
levels from three independent assays. Between 06 h after addition of
agents, no significant differences in cyclin D1 mRNA were measured.
Cyclin D1 mRNA increased significantly (*, P =
0.001, 9 h; *, P = 0.003, 12 h; *,
P = 0.001, 24 h) in cells cultured with MPA
plus FGF compared with MPA alone, FGF alone, or the control medium. At
24 h, cyclin D1 remained significantly (P =
0.015) higher in cells treated with MPA plus FGF compared with cells
treated with MPA alone or the control cells, but it was not
significantly different from the amount in cells treated with FGF alone
(Scheffés posthoc tests). Solid bars, Control;
small striped bars, MPA; stippled bars,
FGF; wide striped bar, MPA plus FGF.
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To gain further insight into the temporal and quantitative changes in
cyclin D1 expression, steady-state mRNA levels in stromal cells from
separate passages and experiments were measured from multiple Northern
blots (Fig. 5C
). The data shown in Fig. 5C
are mean adjusted cyclin D1
values obtained by scanning densitometry of Northern blots from three
independent experiments. Cyclin D1 steady-state mRNA increased in all
treatment groups compared with the amount in the control cells after
stimulation, but there were no significant (P > 0.05)
differences in treatments at 0, 2, 4, and 6 h after stimulation.
The increase in cyclin D1 expression in cells cultured with MPA plus
FGF approached significance (P = 0.053) at 6 h
compared with the other treatment groups. Between 9 and 15 h after
stimulation, cells treated with MPA plus FGF expressed significantly
more (P = 0.001, 9 h; P = 0.003,
12 h; P = 0.001, 15 h) cyclin D1 mRNA than
cells treated with MPA alone, FGF alone, or the control cells. Peak
levels of steady-state cyclin D1 mRNA (5-fold increase) were measured
9 h after addition of MPA plus FGF to quiescent cells compared
with the amount in the control cells at the same time point. At 24
h after stimulation, the amount of cyclin D1 mRNA in cells treated with
MPA plus FGF remained significantly higher (P = 0.015)
than the amount in the control and MPA-treated cells.
PR antagonism reduces the progesterone-dependent increase in cyclin
D1 mRNA
Previously we showed that progesterone-dependent proliferation was
blocked in stromal cells cultured with 10-fold molar excess of RU 486
(33). To investigate whether the antiproliferative effects of RU 486
were exerted on cyclin D1 expression, cells were stimulated with FGF
alone and MPA plus FGF. Parallel cultures contained mitogenic agents
and RU 486 (10 µM), which we showed previously was
cytostatic but not cytotoxic to uterine stromal cells (33). Total RNA
was isolated at 6 and 9 h after addition of agents. Cyclin D1 mRNA
was detected by Northern blotting of total RNA isolated from cells
cultured without and with RU 486 (Fig. 6
). Addition of RU 486 to cultures
containing FGF did not change steady-state cyclin D1 mRNA (Fig. 6
).
Cyclin D1 mRNA decreased in cells cultured in medium containing MPA
plus FGF and RU 486 at 6 h (data not shown) and 9 h (Fig. 6
).
Analysis of cyclin D1 mRNA levels adjusted to ß-actin from three
independent experiments showed that cyclin D1 steady-state mRNA
decreased by 40% in cells cultured for 9 h in medium containing
MPA plus FGF and RU 486 (0.2 ± 0.05 SEM) compared
with the amount in cells cultured in MPA plus FGF (0.31 ± 0.04
SEM). These results suggest that the progesterone-dependent
regulation of cyclin D1 mRNA is mediated, at least in part, via its
receptor protein.
Cyclin D1 forms complexes with Cdk4 and Cdk6 in stimulated stromal
cells
Mice lacking the retinoblastoma (rb) gene die in
utero, demonstrating the importance of this protein in cell cycle
regulation (reviewed in Ref. 41). The pRb sequesters positive and
negative cell cycle regulators. When pRb is phosphorylated, the
positive regulators such as E2F are released and activate target gene
transcription. While the timing of synthesis and proteolysis of cyclin
subunits regulates cell cycle progression, the modulation of the kinase
activity of the Cdk partner through phosphorylation/dephosphorylation
modification is also known to regulate cell cycle transit. Cdk4 and
cdk6 code for the proteins that form the kinase components of the
cyclin D1-Cdk complex (44). Western blot analysis from stromal cell
lysates (6 mg of protein) immunoprecipitated with cyclin D1 and reacted
with Cdk4 (Fig. 7A
) and Cdk 6 (Fig. 7B
)
antibodies showed complexes of the expected size (34 kDa and 40 kDa,
respectively) in quiescent and proliferating stromal cells. There were
no obvious differences in the amount of complexes among the various
treatments. To test whether cyclin D1 was depleted from the initial
extracts, residual supernatants were reprecipitated with cyclin D1
antibody. When analyzed on Western blots, the reprecipitated samples
contained no cyclin D1, indicating immunodepletion of cyclin D1 from
the initial extracts (data not shown). Quantitative analysis of Cdk4 on
two Western blots from independent assays did not measure any
statistically significant differences among the treatments (data not
shown). Cyclin D1-Cdk6 complexes analyzed from multiple Western blots
showed a modest increase in complex formation in cells treated with MPA
plus FGF compared with the other treatments. The amount of complex at 9
and 12 h increased significantly (P < 0.05) in
the stromal cells cultured with MPA plus FGF compared with cells
cultured in the other treatment groups (Fig. 7C
). There were no
differences across time in cells cultured with MPA alone or cells
cultured in the control medium. Across the times investigated, however,
the amount of complexes was greater (P = 0.04) in
stromal cells cultured with FGF alone at 12 h compared with 4
h.

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Figure 7. Stromal cells express Cdk4 and Cdk6. Quiescent
uterine stromal cells were stimulated to reenter the cell cycle with
synthetic progestin (MPA, 1 µM), FGF (50 ng/ml), the two
agents together (MPA plus FGF), and ethanol vehicle (control). Cell
extracts (1 x 106 cells, 6 mg protein) at each time
point were collected and immunoprecipitated with a cyclin D1 antibody.
The immunoprecipitates were analyzed for Cdk4 and Cdk6 on Western
blots. A, Cyclin D1-Cdk4 complexes were detected in quiescent cells and
at all times after addition of agents. Changes in the amount of the
complexes were relatively modest. Similar results were obtained on two
Western blots from independent assays. B, Cyclin D1-Cdk6 complexes were
detected in quiescent cells and in all treatment groups. Similar
results were obtained on three Western blots from independent assays.
C, Quantitative analysis of cyclin D1-Cdk6 complexes in uterine stromal
cells. Data shown are mean values ± SEM of three
independent assays. *, P < 0.05 compared with the
control cells. At 9 h, the amount of cyclin D-Cdk6 complexes
increased significantly (P = 0.003, MPA alone;
P = 0.014, FGF alone) in the cells cultured with
MPA plus FGF (Bonferroni posthoc tests). , MPA plus FGF; , FGF
alone; , MPA alone; , control.
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Cyclin D-Cdk4 activity increases in cells treated with MPA plus
FGF
To determine whether kinase activity in the complexes differed
among the treatment groups, we immunoprecipitated Cdk4 using clarified
stromal cell lysates from cells that had been stimulated with MPA, FGF,
MPA plus FGF, and serum-free medium with ethanol vehicle (control).
Kinase activity at the various time points was assayed using pRb as the
substrate (Fig. 8
). The relative amount
of phosphorylated pRb substrate in lysates collected from the control
cells was low (Fig. 8A
, control). In stromal cells stimulated with MPA
plus FGF, Cdk4 activity increased 15-fold at 8 h after stimulation
compared with the control cells at 8 h in the same assay (Fig. 8A
, MPA + FGF). Kinase activity in these extracts was reduced by 70% when
immunodepleted with Cdk4 antibody (data not shown). The increased
kinase activity at 8 h was 4-fold greater than the amount of
substrate phosphorylated in cells treated with MPA plus FGF at 4 h
and corresponds to increased cyclin D1 mRNA levels at these same time
points (see Fig. 5C
). It should be noted that in separate kinase
assays, pRb phosphorylation consistently increased in cells stimulated
with MPA plus FGF compared with quiescent or control cells (data not
shown). Cdk4 activity in FGF- treated cells increased modestly
(1.5-fold compared with quiescent cells in the same assay) 24 h
after stimulation (Fig. 8B
). This modest increase in Cdk4 activity in
cells cultured with FGF correlated with maximal cyclin D1 mRNA levels
measured in these cells at the same time (see Fig. 5C
). No fold
increase in Cdk4 activity was measured in extracts prepared from cells
treated with MPA alone compared with the quiescent cells (time 0) in
the same assay. Together, these results show that cyclin D-Cdk4
activity increases in cells treated with MPA plus FGF, and this
activity corresponds temporally with the timing of maximal pRb
phosphorylation and increased cyclin D1 mRNA.

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Figure 8. Cyclin D-Cdk4 activity increases in stromal cells
treated with MPA plus FGF. Quiescent uterine stromal cells were
stimulated with the agents indicated for various time points. Cell
extracts were prepared as described in the text. Cyclin D-Cdk4
complexes were immunoprecipitated using Cdk4 antibody. Kinase activity
in the extracts was assessed by the phosphorylation of recombinant pRb.
A, Stromal cells were stimulated with synthetic progestin (MPA, 1
µM) plus FGF (50 ng/ml) or ethanol vehicle (control), and
cell lysates (2 x 106 cells, 14 mg total protein)
were collected. Reactions contained 0.5 µg recombinant pRb as the
phosphorylation substrate. Exposure time was 30 min. B, Quiescent
stromal cells were stimulated with FGF (50 ng/ml) or MPA (1
µM) alone, and cell extracts (2 x 106
cells, 14 mg protein) were collected at the indicated times. The
extracts were immunoprecipitated with Cdk4 antibody, and the amount of
cyclin D-Cdk4 activity was measured in the immunoprecipitates using 2
µg of recombinant pRb as the phosphorylation substrate. Exposure time
was 15 min.
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Cyclin D-Cdk6 activity increases in cells treated with MPA plus
FGF
Since Cdk6 also forms complexes with cyclin D1, we measured kinase
activity in clarified stromal cell lysates after cells had been
stimulated with MPA, FGF, MPA plus FGF, and serum-free medium with
ethanol vehicle (control). Cdk6 was immunoprecipitated and kinase
activity was detected at the various time points using pRb as the
substrate (Fig. 9
). The relative amount
of phosphorylated pRb substrate in lysates collected from the control
cells was low, and there were no notable increases in activity over
time (Fig. 9A
, control). Cdk6 activity increased at 9 h
(
3-fold) in cells stimulated with MPA plus FGF and increased further
(
9-fold) at 12 h compared with the quiescent cells (time 0) in
the same assay (Fig. 9A
, MPA + FGF). Cdk6 activity remained higher
(
7-fold) at 24 h after stimulation with MPA plus FGF compared
with the quiescent cells (time 0) in the same assay (Fig. 9A
). There
was a modest increase in Cdk6 activity at 9 and 12 h after
stimulation with FGF (1.5-fold) and at 9 h (2-fold) in cells
treated with MPA alone compared with quiescent cells in the same assay
(Fig. 9B
).

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Figure 9. Cyclin D-Cdk6 activity increases in uterine
stromal cells treated with progesterone and FGF. Quiescent uterine
stromal cells were stimulated with the agents indicated for various
time points. Cell extracts were prepared as described in the text.
Cyclin D-Cdk6 complexes were immunoprecipitated using Cdk6 antibody.
Kinase activity in the extracts was assessed by the phosphorylation of
recombinant pRb. A, Stromal cells were stimulated with synthetic
progestin (MPA, 1 µM) plus FGF (50 ng/ml) or ethanol
vehicle (control), and cell lysates (2 x 106 cells,
14 mg total protein) were collected. Reactions contained 1.0 µg
recombinant pRb as the phosphorylation substrate. Exposure time was 30
min. B, Quiescent stromal cells were stimulated with FGF (50 ng/ml) or
MPA (1 µM) alone, and cell extracts (2 x
106 cells, 14 mg protein) were collected at the indicated
times. The extracts were immunoprecipitated with Cdk6 antibody. The
amount of cyclin D-Cdk6 activity was measured in the immunoprecipitates
using 2 µg of pRb as the phosphorylation substrate. Exposure time was
30 min.
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Discussion
|
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Progress through the cell cycle requires the sequential activation
of a number of genes, as well as transit through a series of crucial
checkpoints (45). The lack of suitable model systems has prevented
previous identification of the mechanisms by which progesterone
regulates cellular proliferation in normal target cells. Earlier
studies clearly demonstrate that progesterone is essential for stromal
cell proliferation in vivo (5, 6, 7) and in vitro
(31, 32, 33, 34) but the mechanisms involved were not well understood. This
investigation extends our earlier reports (33, 34) and shows that
cyclin D1 is one of the early gene targets for progesterone-dependent
stromal cell proliferation. Our data show a significant increase in the
number of cells entering S phase after treatment with MPA plus FGF
compared with FGF alone. Interestingly, in the absence of FGF, MPA is
unable to augment cyclin D1 mRNA levels or stimulate cell cycle
transit, providing direct evidence for requisite interactions between
MPA and FGF for control of cyclin D1 expression. The reduction (40%)
in cyclin D1 steady-state mRNA in stromal cells cultured with MPA plus
FGF and RU 486 in this study, and our previous report (33) showing RU
486 blocked progesterone-dependent proliferation, indicates
progesterone action on uterine stromal cell proliferation is mediated
via ligand-bound PR. Since we used a poorly metabolized progestin in
the present experiments, incomplete antagonism between RU 486 and MPA
could account for the failure of RU 486 to block cyclin D1 steady-state
mRNA at a statistically significant level in cells cultured with MPA
plus FGF and RU 486 compared with cells cultured with MPA plus FGF
without PR antagonist.
In uterine stromal cells stimulated with MPA plus FGF, cyclin D1 mRNA
increases significantly at 9, 12 and 15 h. The increase in cyclin
D1 expression correlates with increased assembly of cyclin D1-Cdk
complexes and kinase activity in cells stimulated with MPA plus FGF.
Moreover, when stromal cells are prevented from reentering G1 phase by
blocking mitosis with nocodazole, the percentage of cells in S phase
increases significantly in response to MPA plus FGF compared with FGF
alone, showing that progesterone exerts a direct effect on the transit
of uterine stromal cells through G1 phase of the cell cycle. Stromal
cells inhibited from reentering G1 phase by nocodazole progress
temporally through G1 into S phase in conjunction with increased cyclin
D1 mRNA (up to 5-fold), cyclin D1-Cdk complex formation, and kinase
activity. These results indicate that changes in cyclin D1 steady-state
mRNA levels in uterine stromal cells are indicative of biologically
active protein under the conditions used in our experiments. This
temporal accumulation of cyclin D1 mRNA is dependent upon progesterone
and FGF, and the resulting cyclin D1-Cdk complex formation and
activity, although modest, promotes a significant increase in the
number of stromal cells entering S phase.
Western blot analysis of cyclin D1 protein in stimulated uterine
stromal cells over the same times and treatments we used to measure
mRNA revealed no statistically significant differences in cyclin D1
protein (data not shown). Cyclin D1 does not oscillate with the
magnitude observed for other cyclins because the D type cyclin proteins
are normally present in cultured mammalian cells as long as growth
factor stimulation persists (46). This dampening of cyclin D1
oscillation may be compounded further because eukaryotic cells cannot
be perfectly synchronized in culture. When cells are synchronized in
serum-free medium, typically 70% of the cells are arrested in G1 phase
of the cell cycle and the other 30% are distributed in S and G2 phases
of the cell cycle (34, 47, 48).
In the present experiments, a significant number of cells treated with
FGF alone are in S phase of the cell cycle 12 h after stimulation,
and in uterine stromal cells treated with FGF alone thymidine and BrdU
incorporation is enhanced significantly compared with the control
cells. Although the levels of cyclin D1 steady-state mRNA and cyclin
D1-Cdk complexes appeared somewhat greater in FGF-treated cells than in
the quiescent (time 0) or control (serum-free medium) cells, these
differences were not statistically significant. Nevertheless, our
results suggest that a subpopulation of uterine stromal cells are
capable of entering S phase at a lower threshold of cyclin D1-Cdk
complex formation and activation than the majority of cells in culture.
Alternatively, we have shown previously that cyclin D3 mRNA levels are
maximal at 9 and 12 h in cells cultured with FGF (49), and we
cannot exclude the possibility that cyclin D3-Cdk complexes are
involved in the FGF stimulation of stromal cell transit through G1 into
S phase. However, only a cohort of the cells responding to FGF alone
progress through M phase of the cell cycle because we have shown
previously that although FGF alone augments cell proliferation, the
differences are not statistically significant compared with the level
of proliferation in the control cells (33). Cyclin D2 mRNA cannot be
detected in quiescent or stimulated uterine stromal cells (49).
The lag time (
69 h) between the addition of MPA plus FGF to
uterine stromal cell cultures and the subsequent accumulation of cyclin
D1 mRNA suggests that progesterone-dependent regulation of cyclin D1
may occur through an intermediate factor. Transcription of cyclin D1 is
controlled by progesterone in breast cancer cell lines but the
mechanisms are not well understood (29). Progesterone response-like
elements are not evident within 3 kb of the 5'-flanking DNA of the
cyclin D1 gene (50). However, analysis of the human cyclin D1 promoter
revealed a number of potential regulatory regions that included
recognition sequences for Myc, E2F, OTF, Sp-1, FOS/JUN and CREB/ATF
(50). Several of these potential cyclin D1 gene-regulatory proteins are
controlled by steroids in the endometrium (17, 21), further suggesting
the potential for indirect regulation.
Cyclin D1 mRNA is reported to have a short half-life (51). Examination
of the rat cyclin D1 full-length cDNA revealed five copies of the
sequence motif AUUUA. Two of these motifs are positioned in an A/U-rich
(71%) segment in the 3'-untranslated region of the cyclin D1 mRNA.
These motifs, which are often positioned in A/U-rich regions, confer
mRNA instability in certain lymphokine and immediate early gene
transcripts (52). Interestingly, these motifs have been reported
previously in the transcripts arising from the rat cyclin B gene (53, 54). It is notable that the regulation of cyclin B in the regenerating
rat liver is primarily controlled by changes in mRNA stability rather
than transcriptional activity although the mechanisms involved are not
known (53). Steroid hormones promote the stability of transcripts from
a number of hormone-responsive genes (55), but further studies on the
control of progesterone-dependent cyclin D1 mRNA accumulation are
necessary to clarify the mechanisms involved.
Since the timing of cyclin expression is a key step for activating its
kinase partner (45, 46), our results show that progesterone exerts a
direct effect on regulating cell cycle progression in normal uterine
stromal cells. Cyclin D1-Cdk complex formation, and Cdk4/6 activities
as measured by pRb phosphorylation, correlate temporally with increased
cyclin D1 mRNA levels. Importantly however, progesterone also induces a
more sustained stimulation of G1 to S phase progression than FGF alone.
During this extended stimulation period, the number of cells entering S
phase (as evidenced by [3H]thymidine and BrdU
labeling) is significantly greater in MPA plus FGF-treated cells
compared with cells treated with FGF alone. When cells are continuously
labeled with BrdU in medium containing both MPA and FGF, the number of
labeled nuclei increases significantly compared with other treatment
groups. It seems likely that this sustained entry into S phase is
stimulated by an increase in Cyclin D1-Cdk6 activity that begins at
9 h after cells are treated with MPA plus FGF, peaks at 12 h,
and is maintained for at least 24 h. Taken together, these data
now provide direct evidence for the recruitment of a significant number
of uterine stromal cells treated with MPA plus FGF into S phase by
accelerating entry into S phase and by sustained stimulation of uterine
stromal cell transit through G1 owing to increased cyclin D1 expression
and cyclin D1-Cdk6 assembly and activation. These results suggest that
progesterone and FGF function at dual points early in the cell cycle
and provide a molecular explanation for our earlier observations, which
showed a significant increase in cell number after 48 h of culture
in MPA plus FGF (33).
Since progesterone-dependent differentiation of uterine stromal cells
involves endomitosis with resulting cellular DNA contents ranging from
4 n to 32 n (56, 57), separation of progesterone
control of proliferation vs. differentiation is essential.
It is tempting to speculate that the progesterone-dependent window that
sustains stimulation of the G1 to S phase transit provides an
opportunity for temporally controlled cues that direct cells from the
proliferative cycle into a differentiation pathway. While our study
shows that progesterone and FGF promote proliferation, the results
suggest that additional molecules must be involved in uterine stromal
cell differentiation. It is likely that these additional molecules will
regulate exit from the cell cycle and entry into a differentiation
program. Central to the differentiation cascade in antimesometrial
uterine stromal cells is the process of endoreplication, which involves
the uncoupling of DNA replication from mitosis. This process of
polyploidization also occurs in terminally differentiating bone marrow
megakaryocytes, and it is coupled with cell cycle exit due to the
inability of cyclin B to physically associate with Cdk1 (58). Mitosis
in these cells does not occur in the absence of Cdk1 activation (59).
The available evidence indicates that control of the uncoupling of DNA
replication and mitosis may be cell type dependent and involves cyclin
E-Cdk (59), cyclin A-Cdk (60), and cyclin B-Cdk (58). The data
presented in this paper are the first to identify
progesterone-dependent mechanisms for transit of normal uterine stromal
cells through G1 phase of the cell cycle. Results from continuing
studies are expected to identify further progesterone-dependent control
of cell cycle progression. This knowledge will lay the foundation to
systematically analyze cessation of cell proliferation for cellular
differentiation.
 |
Acknowledgments
|
|---|
The authors are grateful to Dr. Charles Sherr (St Jude
Childrens Research Hospital) for the murine cyclin D1 cDNA and Dr
Michael Soares (University of Kansas Medical Center) for the ß-actin
probe. We thank Jim Swafford (University of MissouriKansas
City Dental School) for help with the figures. This research was
funded in part by a grant from the University of Missouri Research
Board and the Sarah Morrison fund.
Received July 22, 1999.
 |
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