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Endocrinology Vol. 141, No. 3 1107-1117
Copyright © 2000 by The Endocrine Society


ARTICLES

Pregnancy-Dependent Changes in Cell Signaling Underlie Changes in Differential Control of Vasodilator Production in Uterine Artery Endothelial Cells1

Ian M. Bird, Jeremy A. Sullivan, Tao Di, Jacqueline M. Cale, Lubo Zhang, Jing Zheng and Ronald R. Magness

Perinatal Research Laboratories, Departments of Obstetrics/Gynecology (I.M.B., J.A.S., T.D., J.M.C., J.Z., R.R.M.) and Meat/Animal Science (R.R.M.), University of Wisconsin, Madison, Wisconsin 53715; and the Center for Perinatal Biology, Loma Linda University School of Medicine (L.Z.), Loma Linda, California 92350

Address all correspondence and requests for reprints to: Ian M Bird, Ph.D., Department Obstetrics and Gynecology, Perinatal Research Laboratories, University of Wisconsin, 7E Meriter Hospital/Park, 202 South Park Street, Madison, Wisconsin 53715. E-mail: imbird{at}facstaff.wisc.edu


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
During pregnancy, the uterine vasculature shows a marked increase in vasodilator production [prostacyclin (PGI2) and nitric oxide (NO)] in response to a number of agonists including angiotensin II (AII) and ATP. As a consequence vascular resistance is kept low, and uterine blood flow is maximized to meet the needs of the growing fetus. Studies of the molecular basis underlying this change in control of endothelial NO and PGI2 production have been hampered by the lack of availability of a suitable cell model. To that end we have developed and characterized a new ovine uterine artery endothelial cell (UAEC) culture model derived from nonpregnant (NP) or pregnant (P) ewes. Endothelial cells were isolated from pregnant (120–130 days; n = 6) and nonpregnant (n = 4) ewes and maintained in primary culture. Endothelial cells at passage 4 showed uniform expression of endothelial nitric oxide synthase (eNOS; an endothelial marker) as well as AII type 1 receptor and growth factor receptors and uniform uptake of acetylated low density lipoprotein (a property of endothelial cells not shared by fibroblasts or vascular smooth muscle cells), thus demonstrating cell purity. Expressions of eNOS, cyclooxygenase-1, PGI2 synthase, cytosolic phospholipase A2, AII type 1 receptor, and growth factor receptors are also maintained at passage 4. Mitogenesis is maintained in response to basic fibroblast growth factor (bFGF), epidermal growth factor (EGF), and vascular endothelial growth factor (VEGF) in both NP-UAEC and P-UAEC. The differential production of vasodilators by NP-UAEC and P-UAEC is maintained in a manner similar to that previously reported in vivo. Thus, P-UAEC make NO in response to AII, ATP, bFGF, EGF, and VEGF, whereas NP-UAEC make NO in response to bFGF, EGF, and VEGF only. Similarly, P-UAEC make PGI2 in response to AII, ATP, bFGF, and VEGF, whereas NP-UAEC make PGI2 only in response to ATP and VEGF. As both cytosolic phospholipase A2 and eNOS may be regulated by both Ca2+ and protein kinases, we investigated the effects of these agonists on Ca2+ mobilization and ERK-1/2 phosphorylation. ATP consistently elevates Ca2+ levels in both P-UAEC and NP-UAEC. All other agonists were without acute (0–4 min) effect on Ca2+ in P-UAEC or NP-UAEC. In contrast, all agonists stimulated an acute (10 min) phosphorylation of ERK-1/2 in P-UAEC, whereas only EGF stimulated activation in NP-UAEC. P-UAEC production of PGI2 by agonists of both heptahelical receptors and growth factor receptors correlates closely with ERK-2 phosphorylation alone. For NO, this correlation holds for heptahelical receptor agonists, but additional signaling pathways are also implicated for bFGF and VEGF. In contrast, in NP-UAEC the lack of ERK-2 phosphorylation in response to all agonists other than EGF, and the dissociation between NO or PGI2 production and ERK-2 phosphorylation suggest that alternate pathways play a predominant role.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
ENDOTHELIAL CELLS play an important role in modulating vascular resistance and blood flow through their abilities to produce vasodilators such as nitric oxide (NO) and prostacyclin (PGI2). This is most apparent during pregnancy, when several agonists, including angiotensin II (AII) and ATP, have enhanced effects on uterine artery (UA) endothelial vasodilator production and thus enhance uterine blood flow. Although our recent data clearly show that enhanced UA vasodilator production during pregnancy is associated with increased expression of AII type 1 receptor (AT1-R) (1) as well as other key proteins [endothelial nitric oxide synthase (eNOS), cyclooxygenase-1 (COX-1), and cytosolic phospholipase A2 (cPLA2)] (2, 3, 4) in the vasodilator synthetic pathways, these data alone only reveal changes in the cell’s capacity to synthesize vasodilators and do not address the question of altered coupling or functionality in response to a range of agonists.

In initial characterizations of both cPLA2 and eNOS, the hormone-sensitive steps in the production of PGI2 and NO, respectively, it was discovered that both enzymes require Ca2+ for activity. Phosphorylation of cPLA2, however, can also result in a dramatic increase in Ca2+ sensitivity and thus a parallel shift of the Ca2+ dose response to the left, resulting in enhanced cPLA2 activation. Therefore, phosphorylation alone can result in a marked increase in activity without additional increases in free Ca2+. Studies performed in bovine aorta endothelial cells have shown clearly that this occurs and that cPLA2 is indeed a substrate for ERK-1/2, prototypical members of the mitogen-activated protein kinase family (5). In addition, site-directed mutagenesis studies have suggested that phosphorylation of amino acid Ser505 is critical because its elimination negates this response in transfected Chinese hamster ovary (CHO) cells (6). It is therefore apparent that cPLA2 can provide a point of convergence for control of PGI2 production through agonists that act through mobilization of Ca2+ with those that activate ERK-1/2.

The situation with eNOS is more complicated than that for cPLA2 and clearly less well understood. It is apparent that eNOS can be activated by Ca2+/calmodulin and that subsequent total removal of Ca2+ from the medium abolishes such activation of eNOS in vitro. It has also become increasingly clear, however, that either inhibition of tyrosine phosphatases (7) or shear stress (8) can increase eNOS phosphorylation and activity independently of an increase in Ca2+ in endothelial cells (7, 8). The eNOS protein sequence contains a number of putative phosphorylation sites, and although it is not known whether ERK-1/2 or indeed other members of the mitogen-activated protein kinase family directly regulate this enzyme activity, it seems likely that eNOS is another point of convergence of Ca2+ and protein kinase signaling. It also follows that both activation of PGI2 production and NO production could be elicited through agonist-induced elevation of Ca2+ or by activation of endogenous protein kinases (probably ERK-1/2) in UA endothelial cells (UAEC). Until now no in vitro model has been available to investigate the molecular mechanisms underlying the pregnancy-induced changes in vasodilator production in UA endothelium. In this study we describe for the first time a newly developed UAEC culture model derived from nonpregnant (NP) and pregnant (P) ewes that retains the functional differences observed in vivo and further investigated whether the previously reported pregnancy-induced increase in UA vasodilator production from UAEC in response to a variety of agonists is associated with an alteration in receptor coupling to ERK-1/2 and/or intracellular Ca2+. Our results suggest that changes in cell signaling do indeed occur in response to pregnancy and that differential control of vasodilator production relates to differential activation of ERK-1/2 as well as other intracellular kinases.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Isolation of UAEC
Uterine arteries were obtained from Polypay and mixed Western breed nonpregnant sheep (n = 4) and pregnant ewes at 120–130 days gestation (n = 6 each) during nonsurvival surgery. Procedures for animal handling and protocols for experimental procedures were approved by the University of Wisconsin-Madison research animal care committees of both the Medical School and the College of Agriculture and Life Sciences and follow the recommended American Veterinary Medicine Association guidelines for humane treatment and euthanasia of laboratory farm animals. Uterine arteries were dissected free of connective tissue, fat, and veins, and the arteries were thoroughly rinsed free of blood. Uterine arteries were flushed free of blood using medium 199 before tying off arterial branches, clamping off the larger diameter end, and inflating with medium 199 containing 5 mg/ml collagenase B (Roche Molecular Biochemicals) and 0.5% BSA through a luerlock three-way tap. Digestion was allowed to proceed at 37 C for 55 min before flushing the collagenase solution and endothelial cell sheets from the inner surface of the vessel.

Cell culture
Freshly isolated cells (passage 0) were plated to 35-mm dishes in MEM containing 20% FBS, 1% penicillin-streptomycin, and 1% geneticin (growth medium; used throughout). Cells were grown for 6 days and passaged (passage 1) to 60-mm dishes. Cells were grown to approximately 70% confluence and then passaged (passage 2) to T75 flasks. Cells were again grown to approximately 70% confluence and passaged once more (passage 3) to medium containing 10% dimethylsulfoxide and frozen in liquid nitrogen for long term storage. Cells were later recovered and grown in T75 flasks to about 70% confluence and subcultured for experimental use or analyzed for protein or messenger RNA (mRNA) content (passage 4).

Western analysis
Freshly isolated and cultured UAEC were solubilized directly into lysis buffer [150 mM NaCl, 50 mM Tris-HCl, 10 mM EDTA (pH 7.4), 0.1% Tween-20, 0.1% ß-mercaptoethanol, 0.1 mM pheylmethylsulfonylfluoride, 5 µg/ml leupeptin, and 5 µg/ml aprotinin]. Solubilized protein was quantified using a modified Lowry assay procedure (Bio-Rad Laboratories, Inc., Hercules, CA). Proteins (10 µg/lane) were then separated by size on 7.5% polyacrylamide gels (100 V, 2.5 h; Mini Protean II, Bio-Rad Laboratories, Inc.) alongside positive controls (adrenal cortex homogenate, 10 µg/lane) and Rainbow molecular weight markers (Bio-Rad Laboratories, Inc.) before transfer to Immobilon P membranes (100 V, 2 h). The Immobilon P membranes were then probed using the enhanced chemiluminescence reagent detection system, as described by Amersham Pharmacia Biotech (Arlington Heights, IL), and exposed to Hyperfilm (Amersham Pharmacia Biotech). Antiserum incubations were all performed at room temperature diluted as follows: AT1-R (sc-306, Santa Cruz Biotechnology, Inc., Santa Cruz, CA), diluted 1:750, 2 h followed by donkey antirabbit horseradish peroxidase (HRP)-linked Fab2 (Amersham Pharmacia Biotech) at 1:2,500 dilution, 1 h; eNOS (N30020, Transduction Laboratories, Inc., Lexington, KY), diluted 1:750, 2 h, followed by Amersham Pharmacia Biotech sheep antimouse Ig HRP (Amersham Pharmacia Biotech), diluted 1:3,000, 1 h; cPLA2 sc-454 (Santa Cruz Biotechnology, Inc.), at 1:100 dilution, 2 h, followed by sheep antimouse HRP-linked Fab2 (Amersham Pharmacia Biotech), diluted 1:2,500, 1 h; COX-1 (monoclonal, Cayman), diluted 1:3,000, 2 h, followed by sheep antimouse HRP-linked Fab2 (Amersham Pharmacia Biotech), diluted 1:5,000, 1 h; and PGI2 synthase (PGIS; polyclonal, Cayman) at 1:30,000 dilution, 2 h, followed by donkey antirabbit HRP-linked Ig (Amersham Pharmacia Biotech), diluted 1:2500, 1 h. Results in each case were quantified by scanning densitometry (670 scanning densitometer, Bio-Rad Laboratories, Inc.) and expressed relative to standards on the same blot. All results were within the linear range for the antiserum and film in each case.

Extraction of total cellular RNA
Freshly isolated cells or cultured UAEC were washed in fresh medium 199, and total RNA was extracted using a guanidinium isothiocyanate/phenol/chloroform method. Cells were solubilized in 1 ml RNAzol B (Cinna Biotecx Laboratories, Inc., Houston, TX). After the addition of 150 µl chloroform and phase separation by centrifugation (12,000 x g, 20 min), the upper aqueous phase was removed, extracted twice with phenol/chloroform/isoamyl alcohol using heavy grade phase lock gel (5-Prime, 3-Prime, Boulder, CO), and finally mixed with 110% (vol/vol) isopropanol. RNA was then precipitated by standing at -20 C for 1 h before recovery by centrifugation (12,000 x g, 30 min) and washing of the pellet in 75% ethanol. RNA was solubilized in molecular biology grade water (5-Prime, 3-Prime) and quantified by spectrophotometry.

RT/PCR assay for AT11-R mRNA, eNOS mRNA, and COX-1 mRNA
AT1-R mRNA, eNOS mRNA, and COX-1 mRNA levels were separately quantified by coupled RT-PCR amplification in single tube assays using AMV reverse transcriptase and Taq polymerase and normalized to the 28S ribosomal RNA level, exactly as we previously described (1, 3, 9, 10). Total cellular RNA (1 µg/tube for AT1-R or 0.1 µg for eNOS or COX-1 assay) was incubated in a 50-µl final volume of the RT-PCR reagents. Targets were designed such that the final products, by homology to the human and bovine sequences, spanned at least two intron sites in each case; thus, genomic contamination would not result in a false signal because it would be of considerably greater size. A standard curve containing known copy numbers of complementary DNA target sequence was run in each assay [note that the presence or absence of mRNA species other than the reverse primer target has little effect on the standard curve and so was not necessary for the standards (Wiltbank, M., personal communication)]. At the end of the assay 10 µl of products were separated by size on a Tris-acetate EDTA/agarose gel and transferred to MagnaGraph hybridization membrane (Molecular Separations, Inc., through Fisher Scientific, Westboro, MA) for Southern blotting against a probe encoding the same coding sequence, generated by asymmetric PCR (11, 12). After hybridization, membranes were washed once in 2 x SSC (standard saline citrate)-0.1% SDS for 30 min and twice in 0.1 x SSC-0.1% SDS (30 min each time) before drying and direct exposure to a phosphorimager (Bio-Rad Laboratories, Inc., BI screen; 15 min to 1 h) for direct quantification (Molecular Analyst version 1.4, Bio-Rad Laboratories, Inc.). Data were calculated from the standard curve as copy number of mRNA per µg total cellular RNA. All data were normalized to the 28S ribosomal RNA content of each sample, determined by slot blot analysis of 1 µg total RNA (10).

Acetylated low density lipoprotein (LDL) uptake
UAEC were subcultured onto eight-well glass slides and incubated for 4 h in the presence of acetylated LDL (10 µg/ml) in growth medium or in growth medium alone (control). Cells were then thoroughly washed in serum-free medium and viewed on a Carl Zeiss axioscope (New York, NY) using a rhodamine excitation/emission filter set.

Immunocytochemistry
Subconfluent UAEC cultured in eight-chamber slides (Nunc, Inc., Naperville, IL) were fixed in 4% formaldehyde after being rinsed in PBS [10 mM phosphate and 0.14 M NaCl (pH 7.3) containing 0.3% Triton X-100]. Immunolocalization was accomplished using rabbit antirat-AT1-R and antihuman-Flt-1 antisera (polyclonal, Santa Cruz Biotechnology, Inc.) as well as mouse anti-FGF receptors 1 and 3 (monoclonal, Zymed Laboratories, Inc., San Francisco, CA) and epidermal growth factor (EGF) receptor (EGFR; monoclonal, NeoMarkers, Fremont, CA) antisera. Localization of specific staining was visualized by indirect immunoperoxidase detection via the avidin-biotinylated peroxidase complex method with 3,3'-diaminobenzidine as the chromogen, as previously described (1, 2, 3, 13). Controls consisted of replacing the primary antibody with preimmune rabbit and mouse IgG (Vector Laboratories, Inc., Burlingame, CA) at the same concentration as the primary antibody. After immunostaining, the cells were counterstained briefly (30 sec) with Harris’ hematoxylin to visualize nuclei.

Cell mitogenesis assay
Briefly, UAEC were precultured (37 C, 95% air-5% CO2) overnight in 96-well plates (5,000 cells/well) in 0.2 ml DMEM containing 10% FBS, 10% calf serum, and 1% penicillin-streptomycin. After preculture, media were changed to 0.2 ml serum-free DMEM alone (control) or containing bovine bFGF, human recombinant EGF, and human recombinant vascular endothelial growth factor (VEGF; amino acids: 165; R\|[amp ]\|D Systems, Minneapolis, MN) at 0.01, 0.1, 1, 10, or 100 ng/ml (6 wells/concentration for each growth factor). Controls were run on each plate. After an additional 72 h of culture, the number of cells per well was determined by quantification of histone protein as previously described (14). Wells containing known cell numbers (0, 5,000, 10,000, 20,000, or 40,000 cells/well; 6-well/cell density) were treated in a similar fashion to establish standard curves.

Agonist-stimulated production of NO and PGI2
Cells plated in 12-well dishes were washed twice with Krebs buffer before incubation for 1 h in 450 µl Krebs buffer/well. Agonists were then added as a 50-µl volume in wells, and incubation was continued for 1 h. Medium was then collected for assay, wells were drained thoroughly, and cells were solubilized in lysis buffer for protein assay. NO production/release were measured immediately by conversion of total nitrate and nitrite back to NO and electrochemical detection using a Seivers model 280 NO analyzer (100 µl medium injected). Results were calculated against a standard curve (using known quantities of NaNO3). Samples were then stored frozen for further assay. 6-Keto-PGF1{alpha} levels in medium were assayed by enzyme immunoassay using a commercially available kit (Cayman Chemical Co., Ann Arbor, MI), using 10 µl medium/well and including quality control standards of Krebs buffer alone or standards made up in Krebs buffer to monitor assay drift. Standard curves typically show correlations of r2 = 0.98.

Fura-2 Ca2+ imaging studies
UAEC were plated to low density (10–20% confluence) on 35-mm dishes with glass coverslip windows (Intracellular Imaging, Inc., Cincinnati, OH) the night before use to allow attachment. The next day, immediately before use, cells were loaded with fura-2/AM for 40 min and rinsed three times in prewarmed (37 C) Krebs buffer (with 2 mM CaCl2) before covering them in Krebs buffer (2 ml final volume). Fura-2 loading was verified by viewing at 380 nm UV excitation on a Nikon Diaphot inverted microscope (InCyt Im2, Intracellular Imaging, Inc., Cincinnati, OH). A single isolated cell was then set in the field of view, and recordings commenced using alternate excitation at 340 and 380 nm at 25-msec intervals and measuring emitted light using a photomultiplier. From the ratio of emission at 510 nm detected at the two excitation wavelengths and by comparison to a standard curve established for the same settings using buffers of known free Ca2+, the intracellular free Ca2+ was then calculated in real time using InCyt Im2 software on-line.

ERK-1/2 phosphorylation assays
UAEC were passaged to 60-mm dishes and maintained for 24 h before serum withdrawal/incubation in 3 ml MEM for 4 h. Cells were stimulated with agonists (300 µM ATP, 100 nM AII, or 10 ng/ml bFGF, VEGF, and EGF) for 10 min, the point at which ERK-2 phosphorylation was determined to be maximal in preliminary time-course studies. Reactions were terminated by the addition of ice-cold PBS. Cells were subsequently washed twice in ice-cold PBS and solubilized in lysis buffer (4 mM sodium pyrophosphate, 50 mM HEPES (pH 7.5), 100 mM NaCl, 10 mM EDTA, 10 mM sodium fluoride, 2 mM sodium orthovanadate, 1 mM pheylmethylsulfonylfluoride, 1% Triton X-100, 5 µg/ml leupeptin, and 5 µg/ml aprotinin) before sonication, protein determination (bicinchoninic acid assay- Sigma, St. Louis, MO), and Western blotting (10 µg per lane) on 7.5% polyacrylamide gels as described. Blots were initially probed for total ERK-1/2 protein (New England Biolabs, Inc., Beverley, MA), which ensures constant protein expression and also serves as a loading control. ERK1/2 activity was assessed using a phospho-specific antiserum (Promega Corp., Madison, WI), which preferentially recognizes the dually phosphorylated state (pTEpY) of ERK1/2 (dual phosphorylation of ERK1/2 has been shown to increase the activity of these enzymes by approximately 1000-fold over that of the basal or monophosphorylated forms) (15). The intensity of staining was expressed relative to control.

Statistical analysis
Data were analyzed by one-way ANOVA or Student’s t test, as appropriate. Data presented are the mean ± 1 SE. Results were considered significant at the P < 0.05 level.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Examination of the expression levels of AT1-R, eNOS, cPLA2, COX-1, and PGIS in freshly isolated UA endothelial cells by Western blot analysis is shown in Fig. 1Go. Consistent with our previously reported data (1, 2, 3, 4, 16), we found similar pregnancy-related increases in the expression of each protein (Fig. 1Go), demonstrating the consistency of data using the collagenase dispersion technique compared with the previously described mechanical endothelial isolation technique (1, 2).



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Figure 1. Pregnancy-induced changes in expression of proteins in freshly isolated UAEC. Cells were freshly isolated from uterine artery of NP or P (120–130 days gestation) ewes by collagenase dispersion and solubilized in lysis buffer. Solubilized protein was then separated by SDS-PAGE (10 µg/lane) and transferred to Immobilon P membrane for sequential Western blot analysis.

 
Cells isolated as described and maintained to passage 4 were both thoroughly evaluated, as it was of the utmost importance to know any changes in its characteristics from the day the cells were isolated to the point at which cells were used. We therefore monitored changes in the expression of the key proteins and, where possible, mRNA at each passage (Fig. 2Go). These cells retained expression of all key proteins at passage 4. Levels of eNOS protein and mRNA and of COX-1 mRNA still showed higher expression in cells from pregnant ewes than in cells from nonpregnant ewes at the fourth passage (Fig. 2Go), suggesting some retention of the characteristics present at the time of isolation. The fact that COX-1 protein was not higher in P-UAEC than in NP-UAEC is probably a reflection of this lower level of COX-1 protein at passage 4 being near the sensitivity limit for enhanced chemiluminescence detection, which is to be expected for a protein with such a short half-life. Both cPLA2 and PGIS expression were also retained at passage 4, but the difference in between NP- and P-UAEC levels was lost at this time. AT1-R protein and mRNA levels increased at passage 4 in both NP-UAEC and P-UAEC and were higher in NP-UAEC at passage 4 than in P-UAEC. This increase is not unique to UAEC alone, however, in that it has also been reported to occur in fibroblasts in culture (17).



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Figure 2. Changes in level of mRNA species and/or proteins in UAEC after isolation and culture to passage 4. UAEC isolated by collagenase dispersion from NP (open bars) and P (shaded/solid bars) ewes (n = 4–6) were split and immediately processed or maintained in culture to passage 4 and then processed for RNA extraction and protein solubilization. mRNA levels (top row) and/or protein levels (middle/bottom row) were then determined en mass by RT-PCR or SDS-PAGE/Western analysis. Results shown are the mean ± SEM, and significant differences vs. the NP control at any given passage are indicated (*, P < 0.05). Note the log scale for COX-1.

 
We further confirmed that continued uptake of acetylated LDL (Fig. 3AGo), expression of bFGF, EGF, and VEGF receptors by immunocytochemistry (Fig. 3BGo), and mitogenic responses to bFGF, EGF, and VEGF (Fig. 4Go) were all retained and similar in NP- and P-UAEC at the fourth passage, as expected of endothelial cells. In addition, and most important of all, the functionality of the cells was retained, in that both AII and ATP enhanced production of NO in P-UAEC, which was not otherwise seen in NP-UAEC. PGI2 production was similarly found in P-UAEC in response to AII and ATP, but only in response to ATP in NP-UAEC. Of the growth factors tested, maximally mitogenic doses of bFGF, EGF, and VEGF all stimulated NO production in both NP- and P-UAEC (Fig. 5AGo), but for PGI2 biosynthesis (Fig. 5BGo), P-UAEC responded to all three growth factors, whereas NP-UAEC only responded significantly to VEGF.



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Figure 3. Characterization of UAEC at passage 4 in culture. A, Cells at passage 4 were examined for uptake of acetylated LDL, and results were visualized under UV light. Cells exposed to acetylated LDL (left) showed bright fluorescence, whereas those exposed to control serum (right) showed only faint signal. B, Cells grown overnight on glass slides were immunostained for FGF receptors 1 and 3, Flt-1, EGFR, and AT1-R. Positive staining was seen in each case, although that for EGFR was more faint. Control IgG or omission of first antibody gave no significant staining (not shown), and similar results were obtained for both NP- and P-UAEC.

 


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Figure 4. Effects of growth factors on NP- and P-UAEC mitogenesis. Cells were incubated in serum-free medium and then treated for 72 h with or without (control) the growth factors bFGF, EGF, and VEGF at the doses shown. Cell number was then determined by measurement of histone protein. Results are expressed as a percentage of the control (2806 cells/well) and are the mean ± SEM of data from 6 incubations each in 3 separate NP-UAEC or P-UAEC preparations. All responses at all doses tested were significantly above the control value for each growth factor (P < 0.05).

 


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Figure 5. Effects of agonists on acute NO and PGI2 production by NP- and P-UAEC. Cells plated to 12-well dishes were incubated in Krebs buffer and treated for 1 h with buffer alone (control) or with AII (10-7 M), ATP (300 µM), bFGF (10 ng/ml), VEGF (10 ng/ml), or EGF (10 ng/ml). Krebs buffer was then recovered and analyzed for NO (A) or 6-keto-PGF1{alpha} (B). Results were normalized to 50 µg cellular protein/well and are expressed as the fold increase over the control value. Values are the mean ± SEM of data from four separate NP-UAEC and P-UAEC preparations, each run as triplicate incubations. Significance from control is indicated (*, P < 0.05). Basal values were as follows. NO: NP-UAEC, 2.10 ± 0.85; P-UAEC, 2.55 ± 0.75 nmol/mg protein; 6-keto-PGF1{alpha}: NP-UAEC, 57.0 ± 19; P-UAEC, 129 ± 37 ng/mg protein.

 
Examination of changes in Ca2+ levels in UAEC was undertaken in cells loaded with fura-2 (Fig. 6Go). Although a robust acute response was observed after ATP challenge (10 µM), no response was seen to AII (100 nM; Fig. 6AGo) or any of the growth factors (10 ng/ml; Fig. 6BGo). Similar responses were seen in both P-UAEC and NP-UAEC, with the increase in Ca2+ in NP-UAEC being slightly less than that in P-UAEC. The effect of ATP on both P-UAEC and NP-UAEC was blocked by suramine (not shown), suggesting a receptor of the P2 subclass.



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Figure 6. Agonist-induced changes in intracellular Ca2+ in P-UAEC as measured using fura-2. Cells plated at low density on glass dishes were loaded with fura-2/AM and then challenged with agonists as described. Recordings of changes in the fura-2 fluorescence ratio of a two- or three-cell group are shown in response to AII (10-7 M), ATP (30 µM), bFGF (10 ng/ml), VEGF (10 ng/ml), or EGF (10 ng/ml) challenge. Results shown are representative for P-UAEC, but similar results were observed in both NP- and P-UAEC, and were consistent across cells from three NP-UAEC and three P-UAEC.

 
Having shown that not all agonists are able to invoke a Ca2+ elevation in UAEC, we examined the extent to which these same agonists could signal through ERK-1/2 by measuring ERK-2 phosphorylation. Preliminary time-course studies suggested that all agonists examined evoked a maximal response at 10 min (not shown). In addition to the agonists studied previously, we included 12-O-tetradecanoyl phorbol 13-acetate (TPA) treatment to provide a control stimulus functioning independently of receptor expression. In P-UAEC (Fig. 7Go), significant increases in ERK-2 phosphorylation were seen in response to all agonists tested. In NP-UAEC, however, there was a noticeable lack of ERK-2 phosphorylation in response to ATP, AII, bFGF, and VEGF and much impaired activation in response to TPA, suggesting reduced coupling efficiency. This was further confirmed by the finding that total ERK-1/2 was unaltered in NP-UAEC vs. P-UAEC, and that EGF still evoked a strong activation of ERK-2 in NP-UAEC comparable to that seen in P-UAEC.



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Figure 7. Effects of acute agonist stimulation on ERK-2 phosphorylation in NP- and P-UAEC. Cells incubated in serum-free medium as described were then challenged for 10 min with AII (10-7 M), ATP (300 µM), bFGF (10 ng/ml), VEGF (10 ng/ml), EGF (10 ng/ml), or a positive control TPA (10 nM) before immediate cell lysis. Lysates were separated by SDS-PAGE and subjected to Western blot analysis for the phosphorylated forms of ERK-1/2. Results were also normalized to levels of total ERK-1/2 protein determined by Western analysis. Results are the mean ± SEM of data from four separate NP-UAEC and P-UAEC preparations and are expressed as the fold increase over the control value. Significance from control is indicated (*, P < 0.05).

 
As our evidence strongly suggested that changes in agonist-induced NO and PGI2 production of NP-UAEC vs. P-UAEC may relate most closely to changes in ERK-2 phosphorylation, we further investigated this possibility by replotting the data for all three parameters (Fig. 8Go). Comparison of NO production vs. PGI2 production for P-UAEC shows that the relationship for growth factors vs. nongrowth factors is clearly different, with growth factors all giving noticeably more NO relative to PGI2 in response to each agonist. This relationship is also clearly altered from that in NP-UAEC. Comparison of PGI2 production vs. ERK-2 phosphorylation is also of interest, as in P-UAEC the results show that regardless of the agonist, there is a direct relationship, whereas in NP-UAEC there is clearly no such relationship, and EGF in particular stands alone in its ability to fail to stimulate PGI2 production in the face of ERK-2 phosphorylation. Finally, comparison of NO production vs. ERK-2 phosphorylation is striking in that the relationship for growth factors is clearly different from that for nongrowth factors and is strikingly reminiscent of that for NO per U PGI2 production, except with regard to EGF. In the case of EGF there is comparatively strong ERK-2 phosphorylation with comparatively little NO production relative to bFGF or VEGF. In the case of NP-UAEC, however, for all agonists except EGF there is no apparent relationship between NO production and ERK-2 phosphorylation, whereas for EGF stimulation there is the same relationship as in P-UAEC.



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Figure 8. Multiple comparison of agonist effects on NO or PGI2 production and ERK-2 phosphorylation in NP-UAEC (left panels) and P-UAEC (right panels). Data from Figs. 5Go and 7Go is replotted as described in Results and Discussion.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Pregnancy is associated with dramatic increases in uterine blood flow to meet the continually increasing needs of the growing fetus. The importance of this adaptive response is shown by the observation that direct impairment of uterine blood flow results in intrauterine growth retardation and low birth weight, which, in turn, inversely correlate with neonatal morbidity. During normal pregnancy, we have previously shown that AII stimulation of NO and PGI2 production is enhanced in maternal uterine artery endothelium during pregnancy compared with that in the nonpregnant state (18). Xiao et al. (18A ) have also recently shown that uterine artery NO production in response to ATP is greatly enhanced in the pregnant state over an otherwise poor response in the nonpregnant state; PGI2 production was not measured in that study.

Heptahelical receptor agonists (AII and ATP) are not the only factors that control vasodilator production. In addition to their angiogenic role, bFGF and VEGF have been implicated in control of uterine blood flow. Growth factor receptors are known to be expressed on uterine artery endothelium, which shows mitogenic responses to bFGF, EGF, and VEGF (7, 8). VEGF is known to be an important part of the regulation of normal pregnancy, in that it is an important mediator of the increases in angiogenesis as well as vascular permeability occurring at that time (19). In addition, VEGF in particular has recently been argued to be a key factor in the pathogenesis of preeclampsia (19), which is consistent with its known action to increase vascular permeability, a hallmark of preeclampsia. In addition, UA explants secrete PGI2 in response to growth factors in an endothelium-dependent manner (20). We have also shown directly the production of NO in response to growth factors in ovine fetoplacental artery endothelial cells (Zheng, J., personal communication).

Therefore, just how do growth factors and heptahelical receptor agonists achieve integrated control of vasodilator production in UA endothelium to maintain lower vascular resistance in the uteroplacental unit during normal pregnancy? To answer this question at the molecular level we require a cell model that until now has not been available. Herein we describe for the first time cell culture models derived from nonpregnant (NP-UAEC) and pregnant (P-UAEC) ewes that have retained not only the ability to produce both NO and PGI2 in response to a variety of agonists, but also show the same enhancement of AII- and ATP-induced vasodilator production in P-UAEC vs. NP-UAEC known to occur in vivo. Thus, we have been able to use these cell models to further investigate differences in the molecular integration of signaling responses to these different agonists in pregnancy with the integration (or lack of integration) in these same cells in the nonpregnant state.

The data from P-UAEC show that the relationship between the production of NO and PGI2 in response to heptahelical receptor agonists is divergent from that for growth factors. The importance of this finding is that it demonstrates the capacity for differential NO and PGI2 production by UAEC in response to each agonist, a feature also described previously in studies of bovine aorta endothelial cells (20A ). Furthermore, this finding suggests that such differential control of NO and PGI2 production is mediated at the level of alternate signal transduction pathway activation by each agonist. Although both heptahelical receptor agonists and growth factors can stimulate PGI2 production, both growth factors and AII failed to show mobilization of Ca2+, suggesting that at least some factors must work through alternate pathways. The additional findings that all agonists can activate ERK-1/2 and, further, that there is a direct relationship between the extent of ERK-2 phosphorylation and PGI2 production suggest that it is ERK-2, rather than Ca2+, that is the predominant physiological regulator of cPLA2 activation in P-UAEC.

The lack of a similar correlation for all agonists between NO production and ERK-2 phosphorylation suggests that the control of eNOS is not solely due to ERK-2, and the greater ability of the growth factors bFGF and VEGF to stimulate NO for a given parallel level of PGI2 production suggests that growth factors must be capable of stimulating additional signaling events that can potentiate NO production more fully than heptahelical receptors. As neither AII nor growth factors can stimulate Ca2+ mobilization in NP-UAEC, it follows that this difference does not relate to a Ca2+-based mechanism. Thus, alternate pathways are implied for signaling in response to growth factors, but not agonists of heptahelical receptors. Recent studies suggest that one possibility is protein kinase B, also known as AKT, activation (21, 22). An important exception to this observation is the data from EGF stimulation, which show some degree of agreement in the findings for correlation between ERK-2 phosphorylation and PGI2 production but relatively poor NO production relative to PGI2 production in comparison with bFGF and VEGF. The as yet unidentified pathway would be expected to be activated by bFGF and VEGF, but not EGF. This observation will be of value in the design of appropriate controls for future studies in this area.

With regard to the control of vasodilator production in NP-UAEC, the situation is clearly different from that in P-UAEC. The mitogenic responsiveness of these cells to growth factors is identical to that in P-UAEC, and the ability of agonists to evoke or not evoke Ca2+ mobilization is similar, if somewhat reduced, for ATP. The most striking difference at the level of signaling is the striking lack of coupling of agonist responses to ERK-2 phosphorylation, the important exception being the response to EGF. This highlights again the different responses to EGF, but also provides an important positive control for this experiment. In addition, we confirmed that altered coupling of other agonist responses to ERK-2 phosphorylation was not due to a lack of total ERK-1/2 protein and showed that this loss of coupling was also seen in response to TPA, confirming that it was not due to changes at the level of cell surface receptors. For heptahelical receptors, in the face of poor coupling to ERK-2, the rank order of PGI2 production (ATP>>AII) could be explained by the ability (or lack of ability) to mobilize Ca2+. However the lack of a potent effect of EGF on PGI2 production in NP-UAEC even in the face of ERK-2 phosphorylation suggests a more complicated scenario, whereby alteration of the coactivation of alternate pathways by an EGFR diminishes the necessity of ERK-1/2 for cPLA2 activation. Furthermore, a possible involvement of an alternate Ca2+-independent, ERK-1/2-independent pathway in stimulation of cPLA2 is demonstrated by the current finding that bFGF and VEGF can still stimulate PGI2 production in NP-UAEC without mobilizing Ca2+ or significantly stimulating ERK-2 phosphorylation.

Examination of similar data for NO production in NP-UAEC shows that the ability of a heptahelical receptor agonist to mobilize Ca2+ has no bearing on the activation of eNOS, as NO production is not seen in response to any of the agonists. The action of EGF in NP-UAEC on NO production is similar to that in P-UAEC, so the signaling pathways by which EGF activates eNOS (ERK-1/2 phosphorylation alone?) may be unaltered. The lack of ability of bFGF and VEGF to significantly activate ERK-1/2 phosphorylation or mobilize Ca2+ but still activate NO production suggests strongly that alternate pathways are responsible for eNOS activation in NP-UAEC.

In conclusion, we describe for the first time in UAEC that the dependence of NO production and PGI2 production on Ca2+ mobilization by agonists is less global than previously assumed, and that cell signaling through other pathways is a key determinant in the ability to differentially regulate vasodilator production through agonists using heptahelical receptors and growth factors. Furthermore, the pregnancy-induced refractoriness of the UA to vasoconstriction due to an increase in agonist-stimulated vasodilator production by uterine artery endothelium may be due to a marked alteration in coupling to alternate signaling pathways, which includes, but is not restricted to, activation of the ERK-1/2 signaling pathway. We believe that this is an important finding that impacts directly on our understanding of adaptation to healthy pregnancy and provides a model for investigation of abnormal conditions, such as intrauterine growth retardation and preeclampsia. In addition, this model provides us with a unique opportunity to further understand the molecular mechanisms that differentially regulate eNOS and cPLA2 activation in other cells.


    Footnotes
 
1 This work was supported by funding from the American Heart Association, Wisconsin (AHA-WI 95-GB-41); the USDA (9601773); and the NIH (HL-56702, HL-49210, and HL-57653). Back

Received September 20, 1999.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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