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Departments of Physiology and Pharmacology (J.L.G., J.P.F., J.S., J.C.R.) and Obstetrics and Gynecology (J.P.F, G.A.M., J.S., J.C.R.) and Perinatal Research Laboratory (J.L.G., J.P.F., G.A.M., J.S., J.C.R.), Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157-1066
Address all correspondence and requests for reprints to: Dr. James C. Rose, Department of Obstetrics and Gynecology, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157. E-mail: jimrose{at}wfubmc.edu
| Abstract |
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CRH R1 receptor mRNA levels decreased markedly throughout gestation and into the transition to adult life (immature fetus, 1.24 ± 0.17; mature fetus, 0.75 ± 0.13; adult, 0.18 ± 0.093 pg/µg total anterior pituitary RNA). Also, continuous cortisol infusion in immature fetuses significantly decreased CRH R1 mRNA levels by 41%. Similar decreases were noted in protein levels. Thus, the decreased ACTH response to CRH stimulation during late gestation may be related to decreased CRH R1 receptor expression. In addition, plasma cortisol levels may influence corticotroph responsiveness to CRH by decreasing CRH R1 receptor expression.
| Introduction |
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ACTH secretory responses, particularly those involved with CRH, appear to vary as a function of development. The relative responsiveness of the fetal pituitary to CRH stimulation is greater before 130 days of gestation (dg), with less mature fetal pituitaries exhibiting a greater ACTH secretory response to CRH stimulation than mature pituitaries both in vitro and in vivo. (3, 4, 5, 6, 7, 8, 9). Interestingly, adrenalectomy of fetuses at around 120 dg can prevent the loss of corticotroph responsiveness to CRH during late gestation (8).
The maturation of the corticotroph response to CRH depends on changes occurring among the population of ACTH-secreting cells. During early gestation, CRH stimulation increases the proportion of corticotrophs actively secreting ACTH. However, during late gestation CRH is unable to recruit nonsecreting corticotrophs (9). Therefore, the maturation of the fetal hypothalamic-pituitary-adrenal axis may involve alterations in the secretory responses of individual corticotrophs, a process that may rely upon plasma cortisol levels.
An important determinant of corticotroph responsiveness is the presence of membrane-bound receptors. The CRH receptor type that mediates ACTH secretion from the anterior pituitary is the CRH R1 receptor. Binding studies with rat and sheep anterior pituitary membranes have characterized a single, high affinity (Kd = 1 nM), low capacity [125I]Tyr0-CRH binding site present in the anterior pituitary (10). However, the level of expression of these receptors appears species specific, as the number of CRH R1-binding sites in the adult sheep is 1/10th that in the rat (10). In rats, the number of membrane-bound CRH R1 receptors correlates with the ACTH secretory response to this peptide (11). In fetal sheep pituitary membranes, CRH binding reaches a maximum at 125130 dg (12). It is at this time in gestation that the fetal pituitary is most responsive to CRH stimulation (3, 4, 5).
The recent cloning and characterization of the human and rat CRH R1 receptor genes have made it possible to study the regulation of CRH R1 receptor messenger RNA (mRNA) levels (13, 14). CRH R1 receptor mRNA levels in adult rat pituitaries are decreased by dexamethasone, adrenalectomy, CRH, arginine vasopressin, forskolin, and tetradecanoyl-phorbol 13-acetate (15, 16, 17). Based on binding studies in AtT20 cells and adult rats, it appears that CRH binding in the anterior pituitary is also sensitive to manipulations of the hypothalamic-pituitary-adrenal axis (18). Thus, the CRH R1 receptor is subject to multiple levels of control within the pituitary gland and changes in mRNA levels correlate with changes in the number of membrane-bound receptors.
The primary goal of this study was to determine whether the decline in corticotroph responsiveness to CRH that occurs in fetal sheep near term is specifically the consequence of a decrease in CRH R1 receptors and occurs secondary to exposure to increasing cortisol. To test this hypothesis, we compared CRH R1 receptor mRNA and protein levels in pituitaries from adult sheep and fetal sheep at two different stages of development. We also examined the effects of increasing cortisol on receptor mRNA and protein in less mature fetuses.
| Materials and Methods |
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Animals
Ontogeny study. Fetuses of time-dated mixed breed sheep
(immature: 102105 dg, n = 8; mature: 137139 dg, n = 8)
and eight pregnant ewes were studied. Ewes were brought into the animal
facility, anesthetized with pentobarbital, and maintained under general
anesthesia (halothane in O2). The uterus was
exposed, and the fetus was removed and killed by an overdose of
pentobarbital administered via the umbilical vein. To remove the
pituitary, the fetal scalp was incised, and the skull cap was removed.
The brain was removed and the pituitary was removed from the sella
turcica. The neurointermediate lobe was separated from the anterior
lobe. The anterior lobe was bisected and snap-frozen in liquid nitrogen
before being stored at -80 C.
Cortisol infusion study. Ten time-dated pregnant sheep were brought to the animal facility and allowed to acclimate for several days before surgery. Surgery was performed at 120128 dg. Ewes were fasted 48 h before surgery. Before surgery, anesthesia was induced with im ketamine (20 mg/kg). The surgery included placement of catheters in the femoral arteries and veins of the fetus and ewe as well as placement of an amniotic catheter. Details of the surgical procedures have been described previously (19). Animals were allowed 2 recovery days after surgery before the cortisol or saline infusion was begun. Pituitary tissue was harvested as described above.
Amniotic pressure monitoring
Amniotic pressure was monitored for 1 h before beginning
the infusion and for 1 h after the 5-day infusion period via the
amniotic catheter using a transducer coupled to BMP amplifier
(Louisville, KY). The signal was sampled at 100 Hz, averaged,
and recorded at 1-min intervals using a Packard Bell
computer (Thousand Oaks, CA).
Infusion
Continuous cortisol or saline infusion via the fetal femoral
venous catheter was begun after allowing 2 days of postsurgery recovery
(fetal gestational age, 122130 days). Hydrocortisone (H4001,
Sigma, St. Louis, MO) was dissolved in ethanol and diluted
in sterile isotonic saline to a final concentration of 42 µg/ml.
Based on the estimated fetal weight at the time of surgery, a Harvard
infusion pump (Natick, MA) was used to deliver the saline or cortisol
(0.8 µg/kg·min) for 5 days via the fetal femoral venous
catheter. This dose has been shown to increase plasma cortisol
concentrations to the physiological range seen during late gestation
(20).
Collection of blood samples
Fetal and maternal arterial blood was collected daily to measure
blood gases and hormone concentrations. Blood samples were placed into
tubes containing 25 µl EDTA/ml blood (1.4 mg EDTA/ml blood) and were
kept on ice until centrifuged at 4 C for 15 min at 1500 x
g. After centrifugation, the plasma was stored at -20 C
until hormones were assayed. Blood was also collected into heparinized
syringes for determination of blood gases on an ABL5 blood gas analyzer
(Radiometer, Copenhagen, Denmark).
Cortisol assay
The cortisol concentration in unextracted plasma was measured by
RIA using the DSL 2000 cortisol kit from Diagnostics Systems Laboratories, Inc. (Webster, TX). The inter- and intraassay
coefficients of variation (CVs) were 9.04% and 9.12%,
respectively.
ACTH immunoradiometric assay
The ACTH-(139) concentration in unextracted plasma was
measured by immunoradiometric assay using the Active ACTH Kit DSL 5100
from Diagnostics Systems Laboratories, Inc. The inter- and
intraassay CVs were 3.14% and 3.06%, respectively.
RT-PCR of ovine CRH R1 receptor (Retroscript Kit, Ambion, Inc., Austin, TX)
For the reverse transcriptase reaction, 5 µg total RNA from
adult anterior pituitary were mixed with 4 µl deoxy-NTP mix (2.5
mM each), 2 µl first strand primers (random decamers, 50
µM), and dH2O to a final volume of
20 µl. This reaction mixture was mixed well, heated to 80 C for 3
min, and then placed on ice. Then, 2 µl 10 x RT-PCR buffer
[100 mM Tris-HCl (pH 8.3), 500 mM KCl, and 15
mM MgCl2], 1 µl placental
ribonuclease (RNase) inhibitor, and 1 µl Moloney murine leukemia
virus reverse transcriptase were added to the reaction mixture and
mixed gently. The reaction was incubated at 42 C for 1 h. After
this incubation, the reverse transcriptase was inactivated by
incubation at 92 C for 10 min.
For the PCR reaction, 5 µl of the RT reaction were added to 5 µl 10 x RT-PCR buffer, 2.5 µl deoxy-NTP mix, 2.5 µl CRH R1 receptor-specific primers (5 µM each; BCRHR, 5'-GCGGATCCCAGAAGAAGTTGG-3'; ECRHR, 5'-GCGAATTCTTTTTCTATGGTGTCC-3'), 34 µl H2O, and 1 U Taq DNA polymerase. The reactions were mixed, centrifuged briefly, and covered with 2 drops of mineral oil. After a 5-min hot start at 94 C, 30 cycles of the following protocol were employed: 94 C for 30 sec, 55 C for 30 sec, and 72 C for 40 sec, followed by an extension of 15 min at 72 C.
The ECRHR and BCRHR primers flank the region corresponding to nucleotides 211615 of the ovine CRH R1 receptor complementary DNA (GenBank accession no. AF054582). The DNA fragment generated by PCR was ligated into the pSP72 vector (Promega Corp., Madison, WI) and sequenced in the forward and reverse directions using SP6- and T7-specific primers (Wake Forest University School of Medicine DNA Sequencing Facility). The ovine RT-PCR product shares 93% and 88% nucleotide identity with the human and rat CRH R1 receptors, respectively. This corresponds to amino acid identities of 96% and 95%, respectively, for the human and rat.
Synthesis of CRH R1 receptor probe
The CRH R1 receptor probe was synthesized using an in
vitro transcription reaction as described by Promega Corp.. Briefly, pSP72 containing the ovine CRH R1 complementary
DNA RT-PCR product (named pSP72.oCRHR1) was linearized with
EcoRI. The in vitro transcription reaction was
performed by mixing 1 µl SP6 polymerase; 4 µl 5 x
transcription buffer; 2 µl 100 mM
dithiothreitol; 1 µl RNasin RNase inhibitor; 4 µl ATP, GTP, and CTP
mix (25 mM each); 100 µM
UTP; and 5 µl [
-32P]UTP (3000 Ci/mmol;
NEN Life Science Products, Boston, MA) and incubating at
37 C for 3 h. One microliter of RQ1 RNase-free deoxyribonuclease
was added at 37 C for 15 min to remove the DNA template. Unincorporated
nucleotides were then removed by filtering the probe mixture through a
G50 Quick Spin Column (Roche Molecular Biochemicals,
Indianapolis, IN). Sense strand RNA for construction of the standard
curve was synthesized by linearizing the pSP72.oCRHR1 plasmid with
BamHI followed by in vitro transcription with T7
polymerase.
Isolation of total RNA
Total RNA was extracted using TRIzol reagent (Life Technologies, Inc., Gaithersburg, MD) according to the
manufacturers instructions. Briefly, tissue was homogenized in TRIzol
(1 ml/50 mg tissue) using a Polytron homogenizer (Brinkmann Instruments, Inc., Westbury, NY). Samples were incubated at room
temperature for 5 min before the addition of chloroform (0.2 ml/1 ml
TRIzol). Samples were vigorously shaken and incubated at room
temperature for 3 min. RNA was precipitated by the addition of
isopropanol (0.5 ml/1 ml TRIzol) and incubation at room temperature for
10 min. Samples were centrifuged at 14,000 x g for 15
min to pellet the RNA. The RNA pellet was washed with 75% ethanol,
air-dried, and resuspended in diethylpyrocarbonate
H2O. The purity of RNA was determined using the
A260/280 ratio and by the observation of intact
28S and 18S ribosomal RNA bands after formaldehyde gel
electrophoresis.
RNase protection assay for CRH R1 receptor (RPA II kit,
Ambion, Inc.)
Ten micrograms of total RNA for each fetus and 25 µg total RNA
for maternal samples were analyzed using the RPA II kit according to
the manufacturers instructions. Briefly, RNA samples and standards
ranging from 0.525 pg were mixed with 20 µl hybridization buffer
[80% deionized formamide, 100 mM sodium citrate (pH 6.4),
300 mM sodium acetate (pH 6.4), and 1 mM EDTA]
and 1 x 105 cpm antisense CRH R1 receptor
probe. The samples were heated at 85 C for 5 min and then incubated at
45 C overnight. After hybridization, RNase digestion buffer containing
0.25 U RNase A and 10 U RNase T1 was added to the samples and allowed
to incubate at 37 C for 30 min. The digestion reaction was terminated,
and RNA was precipitated by the addition of RNase
inactivation/precipitation mixture followed by incubation at -20 C for
1 h. The RNA fragment was recovered by centrifugation at
14,000 x g for 15 min. Samples were then analyzed by
fractionation on a 5% polyacrylamide/8 M urea
denaturing gel and exposed to Reflection NEF film (NEN Life Science Products) and an intensifying screen overnight at -70
C. The films were analyzed using a densitometer (pdi Software,
Hercules, CA). Arbitrary optical density units were converted to
picograms of CRH R1 mRNA per µg anterior pituitary total RNA using
the equation from the linear regression line generated by the CRH R1
sense RNA standard curve (Fig. 1
).
Yeast transfer RNA (10 µg) was used as a negative control. Fifty
micrograms of adult anterior pituitary total RNA were used as an
internal control in each assay. The inter- and intraassay CVs were
20.3% and 9.57%, respectively.
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Data analysis
Data for the ontogeny study were analyzed by one-way ANOVA.
Newman-Keuls test was used for post-hoc analyses. The
t test was used to determine the effect of cortisol
infusion. Two-way ANOVA was used to analyze the plasma cortisol and
plasma ACTH data. Differences were significant at P <
0.05. Data are presented as the mean ±
SEM.
| Results |
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Plasma cortisol
Basal preinfusion plasma cortisol concentrations were not
significantly different between fetuses in the saline (4.4 ± 1.4
ng/ml) and cortisol (5.6 ± 1.2 ng/ml) groups. Cortisol
concentrations in the saline-treated animals did not change over the
infusion period (mean, 3.4 ± 0.6 ng/ml). In fetuses receiving the
cortisol infusion, plasma cortisol levels rose significantly to a mean
of 23.6 ± 3.0 ng/ml over the infusion period (P
< 0.05) (Fig. 4
). This level of plasma
cortisol is consistent with previous reports detailing the
physiological changes in fetal plasma cortisol levels throughout
development (4, 23).
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| Discussion |
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Immunocytochemical studies have shown that the corticotroph population in the anterior pituitary changes throughout development, with corticotroph number being highest in the immature fetus (9). Although this decrease in corticotroph number may theoretically account for some of the decrease seen in CRH R1 mRNA levels, it cannot fully explain the difference between the immature fetus and the adult. Most importantly, physiological studies demonstrating concurrent decreases in CRH responsiveness and increases in arginine vasopressin responsiveness during gestation do not support a dilution of corticotroph responses by other pituitary cell types, but, rather, indicate a change in responsiveness of the existing corticotroph population (6, 8, 9). It is possible that other factors, including those of hypothalamic or intrapituitary origin, may be important for regulation of CRH R1 receptors in the adult. One possibility is vasopressin, which has been shown to decrease CRH R1 mRNA (17) and CRH-binding sites (26, 27, 28) and which is found in fairly high concentrations in the adult sheep hypophysial portal blood (29).
Another possible influence on CRH R1 receptors is plasma cortisol levels. It is well known that plasma cortisol levels rise in the late gestation fetus (4) coincident with a decline in ACTH responses to CRH. Also, infusion of cortisol to fetuses between 90 and 130 dg attenuate CRH-induced increases in plasma ACTH, and corticotrophs spared exposure to the high cortisol levels characteristic of late gestation do not lose their responsiveness to CRH stimulation (8).
Finally, studies in rats and in AtT20 cells have described decreases in CRH R1 mRNA and CRH binding after dexamethasone and corticosterone treatment (15, 16, 17, 30, 31, 32, 33, 34). Additional support for the data presented in this paper include the finding that cortisol treatment of cultured fetal sheep adenohypophysial cells results in a significant reduction of the number of CRH-binding sites (26). Thus, this study further extends our knowledge about the regulation of CRH R1 receptor mRNA and protein and suggests that responses seen in vitro can be replicated in in vivo models. Plasma cortisol levels achieved after 5 days of continuous cortisol infusion (0.8 µg/kg·day) were comparable to those measured in mature fetuses (4) and had the effect of decreasing CRH R1 mRNA levels by 40%. There was also a significant decrease in intensity of both the 70- and 200-kDa bands as measured by Western immunoblotting. These findings are consistent with the effects of glucocorticoids noted above and suggest that elevations in plasma cortisol can suppress CRH R1 receptor expression in the fetus.
Chemical cross-linking studies show that the CRH type 1 receptor in the anterior pituitary has a range of molecular masses, with the most prominent form being approximately 75 kDa (35, 36, 37). Further studies have indicated that the molecular mass of the deglycosylated receptor is 45 kDa, consistent with the predicted molecular mass from the DNA sequence (13, 38, 39).
Recent studies using Western immunoblotting have demonstrated several different molecular sizes of the CRH R1 receptor. Castro and colleagues reported a molecular mass for rat CRH R1 receptor in the pituitary ranging from 11540 kDa (22). More recent studies have demonstrated sizes of 72 and 59 kDa in the mouse and rat (40). It appears that AtT20 cells express a receptor of about 70 kDa, in addition to other bands (41).
The CRH R1 antibody used in this study for Western immunoblotting resulted in the detection of three separate bands with approximate molecular masses of 70 kDa, 118 kDa (data not shown), and 200 kDa, which changed in concert with mRNA levels. Each of these bands was analyzed individually. Although alterations in CRH R1 receptor protein levels were not as pronounced as changes in mRNA levels, they did tend to decrease throughout gestation and with cortisol treatment, exhibiting the same pattern of change as that observed in mRNA levels. CRH R1 receptor protein levels were significantly decreased in the adult compared with those in both the immature and mature fetus. In addition, CRH R1 receptor protein levels decreased after the precocious elevation of plasma cortisol levels in fetuses before term. In the aforementioned studies, CRH R1 receptor protein with molecular masses of 40, 45, 59, 72, 99, 110, and 115 kDa (22, 40) have been explained as potentially due to differences in glycosylation and alternative splicing and as a function of the quality of the membrane preparation (22, 40). It is possible that the different molecular masses observed in the present study may be related to the ovine species, as no other studies have reported the molecular size of the CRH R1 in the sheep. Although different molecular mass receptors have been reported, the most frequently cited size is 70 kDa. Therefore, our results indicating that changes in the 70-kDa band are qualitatively similar to changes in mRNA levels support previous data suggesting that CRH R1 mRNA and CRH receptor protein reflect each other. Given that corticotroph responsiveness to CRH stimulation decreases throughout gestation and remains decreased in the adult, these results suggest that this decrease in responsiveness may be explained by alterations in the CRH R1 receptor population, as reflected by changes in mRNA and protein levels, expressed on corticotrophs.
A recent study also reported that G protein-coupled receptors are capable of forming SDS-resistant dimers and other oligomers (42). Thus, the detection of higher molecular mass bands (i.e. 118 and 200 kDa) by the CRH R1 receptor antibody used in these studies may represent receptor dimers and trimers. It is interesting to note that other receptors, such as the epidermal growth factor receptor, appear to exhibit greatest functional activity in their dimeric form (43). If this finding can be extrapolated to G protein-coupled receptors such as the CRH R1 receptor, then another explanation for the decreased ACTH secretory capacity of the late gestation corticotroph may be decreases in the number of receptor dimers and trimers throughout gestation and in the transition to adulthood.
To summarize, we have found that CRH R1 receptor mRNA and protein levels decrease throughout gestation and reach a nadir in adult sheep pituitaries. The effects of fetal development on CRH R1 receptors can be mimicked by precociously elevating plasma cortisol in immature fetuses. Assuming that CRH R1 receptor mRNA and peptide levels reflect the number of functional receptors present on the cell surface, our data suggest that the decreased corticotroph responsiveness to CRH seen during late gestation is mediated by cortisol modulation of the CRH R1 receptor population.
| Acknowledgments |
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| Footnotes |
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2 Current address: Department of Physiology, University of Adelaide,
Adelaide, Australia 5005. ![]()
Received December 7, 1999.
| References |
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