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INSERM, U-344, Endocrinologie Moléculaire, Faculté de Médecine Necker (N.B., C.H., P.C.-L., N.B.), 75730 Paris, France; Cancer Research Program, Garvan Institute of Medical Research (C.J.O.), Darlinghurst, New South Wales 2010, Sydney, Australia; and Unité de Biologie du Développement, Institut Pasteur (J.B.), Paris 75015, France
Address all correspondence and requests for reprints to: Dr. Nadine Binart, INSERM, U-344, Endocrinologie Moléculaire, Faculté de Médecine Necker, 156 rue de Vaugirard, 75730 Paris Cedex 15, France. E-mail: binart{at}necker.fr
| Abstract |
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| Introduction |
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Multiple murine PRL receptors are encoded by alternatively spliced messenger RNAs (mRNAs), and the expression of the mRNAs encoding the four distinct forms of the PRL receptor was reported in the mature mouse ovary during pregnancy (11). Cell-cell interactions between the blastocyst trophectoderm and uterine luminal epithelium are essential to the process of implantation. The factors that participate in these interactions or their mechanisms of action are poorly understood. Although the absolute requirement for progesterone for the maintenance of pregnancy in mammals is well known, there have been few studies that establish to what extent the level of progesterone support required may change as pregnancy progresses. In mice, ovariectomy at any stage of pregnancy results in resorption of the fetuses or abortion (12). Activation of the PRL receptor by binding of one of these ligands (PRL, placenta lactogen I, and placenta lactogen II) leads to a variety of molecular, cellular, and physiological responses, including the induced transcription and stabilization of several mRNAs, the stimulation of cell proliferation or differentiation, and the development and maintenance of structures such as the CL in the ovary and the ducts and alveoli in the mammary gland (13). When female PRLR-/- mice were bred, they were found to be infertile. Mating of these females with fertile males of any genotype, aged 612 months, never resulted in clinically detectable pregnancy or the production of offspring. We report here that the defect of preimplantation egg development in these mice is completely rescued by the addition of progesterone. Although implantation occurs, the maintenance of full-term pregnancy is not complete.
| Materials and Methods |
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Hormone measurements
Mice were anesthetized, and blood was collected by cardiac
puncture. Blood was centrifuged, and serum was assayed for PRL,
estradiol, and progesterone by RIA. The serum concentration of PRL was
established using an immunoassay with a polyclonal rabbit antibody
directed specifically against mouse PRL (a gift from Dr. F.
Talamantes). Estradiol and progesterone were measured in individual
serum samples from 3-month-old animals using human RIA kits
(Immunotech, Paris, France; reference no. 1663 and 1188,
respectively). The levels of steroid hormones were measured on days
0.5, 1.5, 2.5, and 3.5 after observation of the vaginal plug. The
values are the mean ± SEM (n = 812 for each
group).
Recovery and staging of preimplantation embryos
Embryos were recovered from the oviduct as previously described.
Oviducts were flushed with Whittens medium (14) to recover eggs or
embryos, and their morphologies were examined under a microscope. They
were classed as follows: one- and two-cell embryos, morula, and
blastocyst.
Recovery of embryos
Embryos were recovered from both uterine horns. The number of
implantation sites was recorded. Live embryos as well as resorption
sites were counted at the indicated times after observation of the
vaginal plug.
Histology of mammary glands
The fourth inguinal mammary glands from
PRLR+/+ and
PRLR-/- mice were removed
and fixed in 4% formalin. Whole mounts were performed as previously
described (15), using carmin alum staining. Formalin-fixed specimens
were paraffin embedded and serially sectioned (5 µm) before
hematoxylin-eosin-safran staining.
Statistics
The significance of differences between groups was evaluated
with ANOVA and Students t test.
| Results |
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Maintenance of pregnancy until delivery
As the presence of a near-normal number of blastocysts was seen on
day 3.5 in the uterus of progesterone-treated
PRLR-/- females, we
decided to permit pregnancy to continue to the time of normal
parturition to examine whether the uterus was able to accept embryo
implantation. The results are presented in Fig. 3
. Knowing that the window of
implantation occurs between days 3.54, we began to verify the
presence of normal embryos and resorption sites from day 8.5.
Subcutaneous delivery of progesterone clearly had a beneficial effect
on the maintenance of embryos during the first half of pregnancy.
However, an increasing number of resorption sites was seen between days
12.519.5. Despite the fact that a large number of embryos was lost
from midgestation, 22% of the embryos remained viable. On day 19.5, we
performed cesarean sections, and a total of 12 live pups were observed
to have developed normally. In wild-type females on the 129 Sv
background the average number of ovulated eggs is 11.4, but the average
litter size is only 9.4; in young females (35 months), up to 30% of
the embryos are routinely resorbed in utero during
pregnancy. To ascertain that progesterone delivery via the implants was
effective, we measured circulating levels of progesterone. Values were
on the same order of magnitude as in pregnant wild-type animals. For
example, the serum progesterone level was 237 ng/ml (+/+) on day 17.5
vs. 191 ng/ml (-/-; rescued) and 120 ng/ml (+/+) on day
18.5 vs. 166 ng/ml (-/-; rescued).
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| Discussion |
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Our results are the first to demonstrate that PRL probably has a direct effect on the regulation of its own secretion at the hypothalamic or pituitary level, or both. In the anterior pituitary, spontaneous PRL release from lactotrophs is tonically inhibited by activation of D2 receptors (17). Mice with a disrupted D2 dopamine receptor gene had chronic hyperprolactinemia (although much less than that seen with PRL-/- mice) and developed anterior lobe lactotroph hyperplasia (18). A decrease in dopamine is probably involved in our mouse model, because the administration of D2 dopamine receptor agonists such as bromocriptine was able to drastically reduce PRL levels to near normal (data not shown). Most anterior pituitary hormones are regulated via negative feedback exerted by circulating hormones, but there is no known peripheral regulator for PRL. Thus, the feedback mechanism must be either direct, on dopamine secretory neurons, or indirect, via some as yet undiscovered factor.
The mechanism by which the LH surge induces granulosa cells to undergo rapid reprogramming and terminal differentiation to become luteal cells is not well understood, but involves the acquisition of PRL responsiveness, a process requisite for maintenance of luteal cell function. Previous studies have detailed the temporal requirements for the CL to maintain and produce progesterone by pituitary PRL and LH during rat pregnancy (19). Measurements of progesterone concentration during early pregnancy in the mouse showed that there was a significant rise in plasma levels before implantation (20). The results of this investigation in the wild-type females are in good agreement with reported values. However in the -/- mice, progesterone levels were very low. Thus, the result of lack of trophic support of the CL by PRL is a reduction of progesterone levels in early pregnancy. The failure of preimplantation egg development in PRLR-/- females is clear at the first stages of pregnancy. These results indicate that PRL must trigger an early signal to the CL. The targeted disruption of the progesterone receptor gene resulted in a complete block of ovulation in mice, and morphological analysis of ovaries revealed a conspicuous absence of CL and the presence of an unexpectedly large number of mature preovulatory type follicles (8). This model provides strong in vivo evidence for an important functional role for progesterone receptor in the luteinization process. In our model, the low level of progesterone remaining appears to be enough to induce ovulation, but not to ensure normal preimplantation development. The rescue of egg development before implantation is almost complete after administration of an adapted support of exogenous progesterone, highlighting the importance of this steroid synthesis. The rescue of preimplantation egg development reaches 74% vs. 87% of the total eggs observed in wild-type animals on day 3.5, suggesting that progesterone could act via factors from tubal epithelial cells that may facilitate the development of mouse eggs throughout the preimplantation stages. High levels of PRL secreted by the pituitary are not functional due to the lack of the receptor; consequently, appropriate progesterone and estrogen signals are not present for implantation. Although there have been a number of isolated studies of the endocrine requirements for maintenance of pregnancy after ovariectomy in both mice and rats, these have largely been conducted over very limited stages of pregnancy and using steroid injections as the basis of the replacement regimen. Low concentrations of progesterone in the luteal phase have been reported to be associated with reduced embryo survival (21). The establishment and maintenance of pregnancy required different minimum progesterone levels (22). Our experimental conditions are in good agreement with the circulating concentrations that have been reported.
At midpregnancy, a further change in the minimum endocrine requirements appears to coincide with the time at which both progesterone (23) and estradiol (24) concentrations normally increase. Under our experimental conditions where progesterone is delivered at a constant rate, we still observed an increasing number of resorption sites starting on day 12.5. Previous studies have shown the essential role of estrogen in maintenance of the CL and production of progesterone during rat pregnancy (25). Daily addition of 1 µg estradiol to the mice at midpregnancy was not able to improve these results (two embryos and two resorption sites recovered on day 18.5 in five independent experiments). We thus conclude that these defects are not only the result of a deficiency of ovarian steroid hormones, but also that PRL could play a direct or indirect role (via some unknown factors) on the maintenance of pregnancy. Moreover, the synthesis of PRL in decidua has been reported, and PRLR gene expression has previously been observed in many different tissues (26). The PRL gene and its receptor are expressed in the uterus (27), suggesting that this might also have some potential for a paracrine or autocrine effect. Overall, these observations indicate that preventing PRL action by disruption of the PRLR gene alters the maternal decidual transformation in response to the implanting blastocyst, demonstrating an essential role of PRL in reproduction. PRLR expression has also been reported in human endometrial tissue (27). The spatio-temporal expression of the receptor gene has been now studied (27A ). PRL is known to be expressed in the decidualized human endometrium and secreted into amniotic fluid. By using in situ hybridization histochemistry techniques, PRL-specific hybridization signals were distributed over the decidual cells in early and term pregnancy. It would be interesting to determine whether the production of PRL or the expression of PRLR is altered in pathological conditions associated with female sterility.
Like other PRL-responsive tissues, Stat5 proteins are essential for the development of functional CL in the ovary (28). This is consistent with the critical role that PRL has in ovarian function based on the female infertility of both PRL-deficient (29) and PRLR-deficient (5) mice. When placentation occurs, the high level of circulating PRL might give rise to 16K fragments, which could exert an antiangiogenic property on the uterus (30). PRL (and placental lactogens), which stimulate cell proliferation, could have an opposing action, and thus the balance between PRL and 16K PRL might be important in the regulation of tissue growth in the context of angiogenesis and maintenance of placenta vascularization (31). The high abortion rate from day 12.5 could be a result of this effect. The analysis of the mammary phenotype in PRLR-deficient mice was previously complicated by the fact that the reproductive function affecting mammary gland development was altered in the female. Systemic endocrine effects or the inability of the mammary epithelium to respond to PRL should be responsible for the persistence of endbud-like structures at the ductal ends and of poor ductal branching. Similar defects in ductal branching and end bud differentiation are seen in mice lacking PRL (29) or the transcription factor Stat5a (32). Progesterone is required for ductal branching (33), and the addition of this steroid to maintain the pregnancy is also able to rescue ductal side-branching in PRLR-/- females, as ductal bifurcation appeared to be normal. However, the treatment by progesterone and estradiol does not improve alveolar development. Lobulo-alveolar development during pregnancy is under the control of both PRL and progesterone; in the pregnant -/- females it is reduced, but not completely absent, indicating that some other growth factor or cytokine signaling pathways can partially compensate for the effect of PRL.
The last decade has seen the identification of polypeptide growth factors and cytokines as mediators of many of the growth-promoting properties of steroid hormones as well as components of materno-embryo signaling at the implantation site. Cytokines have long been thought to play important roles in the events surrounding implantation (34). Rodent models have produced a plethora of data from which a number of molecules have been strongly implicated in regulating uterine remodeling, implantation, and the placenta. The collective and coordinate action of these molecules on uterine and extra-embryonic cells is likely to be a major mechanism by which pregnancy is successfully established and maintained (35).
To more fully understand the molecular mechanisms involved in PRL-mediated events in the oviduct and uterus, we are using PRLR-deficient mice and differential display technology to identify and characterize new gene targets of PRL. In-depth molecular characterization should help to elucidate the actual control mechanisms as well as PRL-dependent signaling pathways that are involved in the early stages of pregnancy.
| Acknowledgments |
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Received December 23, 1999.
| References |
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