Endocrinology Vol. 142, No. 1 68-80
Copyright © 2001 by The Endocrine Society
Localization and Developmental Regulation of 11ß-Hydroxysteroid Dehydrogenase-1 and -2 in the Baboon Syncytiotrophoblast1
Gerald J. Pepe,
Marcia G. Burch and
Eugene D. Albrecht
Department of Physiological Sciences, Eastern Virginia Medical
School (G.J.P., M.G.B.), Norfolk, Virginia 23507; and Departments of
Obstetrics/Gynecology/Reproductive Sciences and Physiology, Center for
Studies in Reproduction, University of Maryland School of Medicine
(E.D.A.), Baltimore, Maryland 21201
Address all correspondence and requests for reprints to: Gerald J. Pepe, Ph.D., Department of Physiological Sciences, Eastern Virginia Medical School, P.O. Box 1980, Norfolk, Virginia 23501-1980. E-mail:
pepegj{at}evms.edu
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Abstract
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We previously showed that the messenger RNA and protein levels of the
11ß-hydroxysteroid dehydrogenase (11ßHSD) enzymes catalyzing
glucocorticoid reduction (11ßHSD-1) and oxidation (11ßHSD-2)
increased with advancing baboon gestation and concluded that the
estrogen-regulated change in placental cortisol metabolism from
reduction at midgestation to oxidation near term is not simply the
result of a change in the relative concentrations of these two enzymes.
Therefore, in the current study we determined whether 11ßHSD-1 and -2
are located in different regions of the baboon and human
syncytiotrophoblast and whether there is a developmental change in
their localization with advancing baboon gestation. Western blot
analyses, immunofluorescence, and electron microscopic
immunocytochemistry indicated that 11ßHSD-1 expression was abundant
in microvillus membranes (MVM) juxta the maternal circulation, and
their levels are significantly lower, but detectable, in more internal
regions of the syncytiotrophoblast, including membranes contiguous with
the basal membrane (BMm) facing the fetal vasculature in
both the human and baboon. In contrast, in both species 11ßHSD-2
expression was limited in the MVM and extensive throughout the
remainder of the syncytiotrophoblast, including the BMm. In
the baboon, the relative mean (±SE) concentrations
(arbitrary densitometric units per µg protein) of 11ßHSD-1 in the
MVM were similar at mid (i.e. day 100; 38,859 ±
3,484; n = 3) and late (i.e. day 180; 43,561
± 1,784; n = 3) gestation (term = day 184) and exceeded
(P < 0.01) respective values for 11ßHSD-2 by
approximately 16-fold. In contrast, levels of 11ßHSD-1 in the
BMm declined (P < 0.05) by
approximately 50% between mid (7,099 ± 758) and late (4,013
± 738) gestation, whereas levels of 11ßHSD-2 in this fraction
increased. Thus, the ratio of 11ßHSD-2 to 11ßHSD-1 in the
BMm at midgestation (1.22 ± 0.10) was increased
(P < 0.05) 2-fold in late gestation (2.66 ±
0.05). Collectively, these findings indicate that the 11ßHSD-1 and -2
enzymes are localized to different membrane fractions of the baboon and
human placental syncytiotrophoblast. Moreover, we propose that the
developmental increase in the ratio of 11ßHSD-2 to 11ßHSD-1 in
membranes facing fetal blood near term is consistent with and perhaps
the subcellular mechanism responsible for the previously demonstrated
switch in transplacental glucocorticoid metabolism from reduction at
midgestation to oxidation late in gestation and appears to be
responsible for the activation/maturation of the fetal
pituitary-adrenocortical axis.
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Introduction
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WE HAVE PREVIOUSLY demonstrated that the
estrogen-induced increase in transplacental oxidation of bioactive
cortisol to bioinactive cortisone during the second half of baboon
pregnancy (1) resulted in enhanced expression of ACTH by
the fetal pituitary (2) and, consequently, maturation and
ontogenesis of de novo production of cortisol by the fetal
adrenal cortex (3, 4). The interconversion of cortisol and
cortisone is catalyzed by two 11ß-hydroxysteroid dehydrogenase
(11ßHSD-1 and -2) enzymes (5, 6, 7). Recently, we showed
that the proteins for both 11ßHSD-1 and -2 were expressed in the
baboon (8, 9) and human (9) placental
syncytiotrophoblast. Moreover, our laboratories have shown that the
messenger RNA (mRNA) and protein levels of 11ßHSD-1 and -2 in baboon
syncytiotrophoblast progressively increased with advancing gestation
(8) and that the activities of the 5'-flanking regions of
both genes were enhanced by estrogen (10).
It is well known that 11ßHSD-1 can function as a reductase, whereas
11ßHSD-2 only catalyzes the oxidation of cortisol to cortisone.
Therefore, because the levels of both 11ßHSD enzymes were comparably
increased in the syncytiotrophoblast with advancing gestation, we
(8) concluded that the estrogen-induced change in the
pattern of transplacental cortisol-cortisone metabolism from reduction
at mid-gestation to oxidation near term is not simply the result of
a change in the relative concentrations of these two enzymes. Rather,
we propose that these two enzymes reside in different locations within
the developing syncytiotrophoblast and that there is a developmental
change in their localization that dictates the qualitative pattern of
cortisol and cortisone crossing the syncytiotrophoblast into the fetus.
Indeed, the syncytiotrophoblast is polarized, and such enzymes,
including alkaline phosphatase and sodium-potassium adenosine
triphosphatase, are localized specifically to the microvillus and basal
membranes, respectively (11).
Therefore, the current study was designed to determine whether
11ßHSD-1 and -2 are located in different compartments of the baboon
and human syncytiotrophoblast and whether there is a developmental
change in their localization with advancing gestation. To examine these
possibilities, we compared the levels of 11ßHSD-1 and -2 protein by
Western blot in enriched fractions of the syncytiotrophoblast and their
localization in the syncytiotrophoblast by immunofluorescence and
electron microscopic (EM) immunocytochemistry in the baboon placenta
obtained at mid- and late gestation and human placenta at term.
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Materials and Methods
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Tissue preparation
Placentas were obtained from baboons undergoing cesarean section
on days 100 (i.e. mid; n = 3) and 180 (i.e.
late; n = 3) of gestation (term = day 184) and after elective
cesarean section from women (n = 2) with uncomplicated term
pregnancies. Tissues were immediately rinsed several times in ice-cold
0.9% saline, and the decidua basalis and chorionic plate were
dissected from placental villous tissue. Small portions of the placenta
were then placed in 10% phosphate-buffered formalin
(Sigma, St. Louis, MO) or Zambonis fixative
(12) for immunocytochemistry/EM or snap-frozen and stored
in liquid nitrogen. Approximately 6070 g whole villous tissue were
then used for the preparation of syncytiotrophoblast microvillus and
basal membranes essentially as described by Kamath and Smith
(11). Briefly, villous tissue was minced, stirred with a
magnetic stir bar for 60 min (4 C) in PBS (pH 7.4; Sigma),
and filtered through nylon mesh (Sigma) to obtain filtrate
and particulate fractions. The filtrate fraction was centrifuged at
800 x g (to pellet debris), 10,000 x
g for 10 min (to pellet intracellular organelles), and then
at 150,000 x g for 25 min, after which the membrane
pellet was homogenized in Tris-mannitol buffer to which 10
mM MgCl2 was added. After
incubation on ice for 10 min, the sample was centrifuged at 2,200
x g for 12 min (to pellet endoplasmic reticulum) and then
centrifuged at 150,000 x g for 25 min to obtain the
microvillus membranes (MVM), which were resuspended in Tris-sucrose
buffer with gentle homogenization. The particulate fraction was washed
four times with PBS and four times with 50 mM
Tris. The sample was placed in an ice-ethanol bath and sonicated (15
g/100 ml 50 mM Tris) for 10 sec using a Biosonik
IV sonicator (VWR Scientific, Baltimore, MD), and the fraction
containing membranes contiguous with the basal membrane
(BMm) was filtered through six layers of gauze
and collected. The sonicated tissue was washed, incubated for 10 min in
10 mM EDTA-Tris sucrose buffer at room
temperature, and then sonicated again for 20 sec. The supernatant was
then centrifuged at 10,000 x g for 20 min and then at
150,000 x g for 25 min to obtain the basal membrane
(BM). All fractions collected were aliquoted and stored at -80 C until
analyzed. In addition, a section of baboon whole villous placenta
before membrane purification and the tissue remaining after mechanical
stirring and after the first and second sonications were placed in
Zambonis fixative and prepared for examination by transmission EM
essentially as described previously (12).
Western blot analyses
Western blot analysis of 11ßHSD-1 and -2 in homogenates of
whole villous placenta as well as in various membrane fractions,
including the MVM, endoplasmic reticulum/cytosol, and the
BMm, was performed essentially as described
previously (8, 9). Briefly, membrane fractions were
solubilized in 1.0% Triton X-100 (Sigma), 250
mM sodium chloride (Sigma), 25 mM
Tris-HCl (pH 7.5; Bio-Rad Laboratories, Inc. Richmond,
CA), 5 mM EDTA (pH 8.0; Sigma), 1
mM phenylmethylsulfonylfluoride (Sigma), 2
µg/ml aprotinin (Sigma), 2 µg/ml pepstatin A
(Sigma), and 10 µg/ml leupeptin (Sigma) and
incubated on ice for 20 min. Samples of whole villous tissue from
baboon and human placentas were suspended in 1% cholic acid
(Sigma), 0.1% SDS (Sigma), and 1 mm EDTA in
PBS (pH 7.4) containing 0.1 mg/ml phenylmethylsulfonylfluoride, 10
µg/ml aprotinin, and 0.1 mg/ml soybean inhibitor (Sigma)
and homogenized on ice with a Polytron (Brinkmann Instruments, Inc., Westbury, NY). After determination of protein
concentration by the bicinchoninic acid procedure (Sigma),
5 x Laemmli buffer was added to a final concentration of 1
x (13), and all samples were heated at 100 C for 5 min,
cooled on ice for 2 min, and loaded (30 µg protein/lane) onto
discontinuous SDS-polyacrylamide minigels (12% for 11ßHSD-1; 10%
for 11ßHSD-2) maintained in Bio-Rad Laboratories, Inc.,
Mini-Protean II electrophoresis chambers (Bio-Rad Laboratories, Inc.) containing chilled 0.025 M Tris, 0.192
M glycine (Bio-Rad Laboratories, Inc.), and
0.1% SDS buffer (pH 8.3). Samples were electrophoresed and wet
transferred to Immobilon P (Millipore Corp., Bedford, MA)
with a Mini Trans Blot transfer unit. The membrane was then blocked
after incubation with constant agitation for 1 h at 37 C in 3%
BSA in 50 mM Tris, pH 7.5, containing 150 mm NaCl and
0.05% Tween-20 (Bio-Rad Laboratories, Inc.). Samples were
incubated (1 h) at room temperature with polyclonal antibodies to
11ßHSD-1 and -2, which were prepared (Cocalico Biologicals,
Reamstown, PA) from rabbits injected with multiple antigenic peptides
composed of an eight-branched lysine core matrix to which amino acids
2236 of human 11ßHSD-1 and 332345 of human 11ßHSD-2 were
coupled as described previously (9). Both antibodies were
partially purified using a Protein A Plus column (Pierce Chemical Co., Rockford, IL) and dialyzed against PBS. The specificity and
applicability of these antibodies for analysis of 11ßHSD-1 and -2 in
baboon and human placenta were described previously (9).
Primary antibodies were diluted to 10 µg/ml in buffer I [50 mm Tris
(pH 7.5), 150 mm NaCl, 0.05% Tween-20, and 0.05% IGEPAL CA-630]
containing 1.5% BSA. Membranes were washed and incubated at room
temperature for 1 h with donkey antirabbit IgG horseradish
peroxidase-conjugated second antibody (Amersham Pharmacia Biotech, Arlington Heights, IL) at the dilutions recommended by
the manufacturer in buffer I containing 1.5% BSA. After washing, equal
amounts of enhanced chemiluminescent reagent (ECL, Amersham Pharmacia Biotech) were applied to membranes for 1 min.
Membranes were then wrapped in plastic, placed in x-ray film cassettes
containing Fugi Medical x-ray film (Fugi
Medical Systems, Stamford, CT), and exposed in a dark room for 15180
sec. Preliminary studies confirmed that the second antibody contributed
no nonspecific bands at the concentrations employed. To compare the
levels of 11ßHSD-1 and -2 in whole villous homogenate, the MVM or the
BMm between mid-and late gestation, Western blots
were developed in the same film cassette for both 11ßHSD-1 and -2.
After film development, samples were quantified by one-dimensional
densitometry using an Image 1 analysis system (Universal Imaging Corp.,
Reamstown, PA), and results were expressed as arbitrary densitometric
units per µg protein, per mg tissue, or per placenta
(8).
Immunofluorescence
Sections (4 µm) of formalin-fixed, paraffin-embedded baboon
placenta were mounted onto SuperFrost Plus microscope slides
(Fisher Scientific, Philadelphia, PA), and endogenous
peroxidase was blocked with 0.4% hydrogen peroxide in methanol. Slides
were placed in 10 mM sodium citrate buffer (pH 6.0;
Sigma) and microwaved for 15 min. After cooling (30 min),
sections were washed in PBS, blocked (30 min) in 5% normal goat serum
(NGS; Vector Laboratories, Inc., Burlingame, CA), and then
incubated overnight at 4 C with primary antibodies to 11ßHSD-1 and -2
diluted 1:2000 in 5% NGS. Sections were washed and incubated for
2 h at room temperature with biotinylated antirabbit IgG
(Zymed Laboratories, Inc., South San Francisco, CA)
diluted 1:500 in 5% NGS. Biotin was detected after treatment for 30
min in the dark with streptavidin conjugated with a Cy3 fluorotag
(Zymed Laboratories, Inc.) diluted 1:50 in 5% NGS. Slides
were rinsed in PBS, and autofluorescence was quenched by incubation (10
min) in the dark with Sudan Black (Sigma; 1% in 70%
methanol). Sections were then rinsed in PBS, and coverslips were
mounted using Vectashield mounting medium for fluorescence
(Fisher Scientific) and secured using rubber cement.
Slides were stored at 4 C in the dark until being photographed with
Elite Chrome 400-color film (Eastman Kodak Co., Rochester,
NY) using a Nikon FX-35 WA camera and Nikon
MICROPHOT-FX microscope and rhodamine filter (Nikon,
Melville, NY).
EM immunocytochemistry
EM immunocytochemistry was also used to confirm the
intracellular localization of 11ßHSD-1 and -2 within the baboon
syncytiotrophoblast at mid- and late gestation using primary antibodies
to 11ßHSD-1 and -2 that were partially purified by ammonium sulfate
precipitation. Sections of placental villous tissue were fixed
overnight in Zambonis solution and embedded in capsules containing LR
White Resin (Fisher Scientific). Ultrathin sections were
collected onto 200-mesh nickel grids and after blocking were incubated
overnight (4 C) with or without primary antibodies to 11ßHSD-1 or -2.
After several washes in Tris-buffered saline, sections were incubated
at room temperature for 60 min with goat antirabbit secondary
antibody-coated colloidal gold (18 nm), washed, counterstained with 2%
aqueous uranyl acetate, and examined by transmission EM.
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Results
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Isolation of syncytiotrophoblast membrane fractions
Figure 1A
illustrates a
representative EM photomicrograph of the intact near-term baboon
placental syncytiotrophoblast and its component nuclei and cellular
organelles, a MVM facing the maternal side, and a BM facing the fetal
vasculature. As shown in Fig. 1B
, the MVM was totally removed by
mechanical agitation in PBS, and as a consequence a portion of the
cytosolic contents was extruded along with the MVM. However, the
membranes contiguous with the BM (i.e. not contiguous with
the MVM) and those cytosolic organelles of the syncytiotrophoblast not
lost after mechanical agitation remained intact. Based on alkaline
phosphatase activity, the MVM obtained by mechanical agitation was
enriched at both mid- and late gestation approximately 16- to 20-fold
by high speed centrifugation in mannitol and
MgCl2 (Table 1
).
Because the fraction of the filtrate obtained by centrifugation at
10,000 x g was also enriched for alkaline phosphatase
activity by approximately 3-fold, it appears that the 10,000 x
g fraction also contained some MVM.

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Figure 1. A, Transmission electron micrograph (original
magnification, x12,000) of the baboon placental syncytiotrophoblast
obtained near term (i.e. day 180 of gestation; term
= day 184) and its component MVM, cellular organelles and BM juxta the
fetal vasculature/inner villous core (IVC). B, Syncytiotrophoblast
after mechanical agitation/magnetic stirring for 60 min in PBS showing
complete removal of the MVM and portions of the associated cellular
contents. MVM and cellular contents released in PBS were filtered
through nylon mesh, volume and osmolarity were adjusted by addition of
Tris-mannitol and MgCl2, and then the MVM and cellular
contents were subjected to differential centrifugation to isolate MVM
from cytosolic components (10,000 x g fraction).
C, IVC remaining after sonication of the particulate fraction to
release membranes contiguous with the BM of the syncytiotrophoblast.
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Table 1. Alkaline phosphatase activity in membrane
preparations of baboon placenta at mid (n = 3) and late
(n = 3) gestation
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As illustrated in Fig. 1C
, the contents of the syncytiotrophoblast,
including BMm, were released by sonication.
However, the BM remained intact and was only released after a second
sonication (data not shown). Alkaline phosphatase activity was minimal
in BMm and BM (Table 1
). The specific activity of
alkaline phosphatase in whole villous homogenate and MVM was
approximately 3-fold greater at late gestation than at midgestation
(Table 1
). As shown in Table 2
, the
concentration of soluble protein in whole villous placental homogenate
was approximately 40% greater (P < 0.05) near term
than at midgestation. Of the three trophoblast fractions examined,
protein concentrations were greatest in BMm.
However, protein concentrations in MVM, but not the
BMm or 10,000 x g
fraction, appeared to be 2- to 3-fold greater (P
= 0.08) near term than at midgestation.
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Table 2. Placental weight and concentration of soluble
protein in membrane fractions isolated from baboon placenta at mid
(n = 3) and late (n = 3) gestation
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Western blot analysis of 11ßHSD-1 and -2
Figure 2
depicts representative
Western blots for 11ßHSD-1 and -2 expression in homogenate of whole
villous placenta and in MVM, the cytosolic contents released after
mechanical agitation of the syncytiotrophoblast (i.e. the
10,000 x g fraction), as well as the
BMm released by sonication of the
syncytiotrophoblast of baboon placenta obtained at mid- and late
gestation and the human placenta collected at term. As previously
demonstrated, in baboon and human placental syncytiotrophoblast
(9), 11ßHSD-1 was expressed as a 32-kDa protein, and
11ßHSD-2 was expressed as a doublet of approximately 40 and 42 kDa.
Specificity was confirmed by demonstration of the absence of the 32-kDa
11ßHSD-1 and 40- to 42-kDa 11ßHSD-2 signals using antibodies
preabsorbed with an excess of the respective immunizing peptide (Fig. 2D
). In both the human and the baboon, 11ßHSD-1 expression was most
extensive in the MVM, relatively lower in the 10,000 x
g fraction, and lower, but still detectable, in the
BMm. Moreover, in the baboon, although the level
of 11ßHSD-1 in the MVM was similar or slightly greater at term than
at midgestation, 11ßHSD-1 expression in the BMm
decreased with advancing gestation (Fig. 2
). In contrast to these
observations, in both the human and the baboon, 11ßHSD-2 was
expressed in low abundance in the MVM and was present in
relatively high levels in both the 10,000 x g fraction
and the BMm. Moreover, in the baboon, levels of
11ßHSD-2 in the 10,000 x g fraction and the
BMm were similar at both mid- and late gestation.
Based on location in the gel, it would appear that sonication of the
BMm modified the 11ßHSD-2 protein. Thus, the
mobility of 11ßHSD-2 in the 10,000 x g fraction was
comparably reduced after sonication (data not shown).

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Figure 2. AC, Representative Western immunoblot of
11ß-HSD-1 and -2 proteins in whole villous homogenate (Homog) and in
various fractions of baboon and human term placenta isolated as
described in Materials and Methods. Syncytiotrophoblast
MVM and cytosolic contents (10,000 x g; 10K) were
isolated by mechanical agitation and differential centrifugation, and
BMm were released from the BM by sonication.
Membrane-associated proteins were solubilized and loaded (30 µg/lane)
onto discontinuous SDS-polyacrylamide gels. Electrophoresed samples
were transferred to Immobilon P and incubated with polyclonal
antibodies to 11ß-HSD-1 or -2. D, Western blot of 11ß-HSD-1 and
11ß-HSD-2 protein in baboon syncytiotrophoblast (10 µg/lane) probed
with antibodies preabsorbed with excess immunizing peptide.
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Immunofluorescence and EM of 11ßHSD-1 and -2
As shown in Fig. 3
, 11ßHSD-1 was
detected by immunofluorescence in the MVM and contiguous regions of the
syncytiotrophoblast and occasionally in fetal vascular cells, but not
in syncytiotrophoblast nuclei, at both mid (Fig. 3A
) and late (Fig. 3B
)
gestation. Although 11ßHSD-1 was also detected in regions of the
syncytiotrophoblast contiguous with and/or in proximity to the BM at
midgestation (Fig. 3A
), expression of 11ßHSD-1 in this region of the
syncytiotrophoblast juxta the inner villous core was considerably
reduced in late gestation (Fig. 3B
). Similar results were observed
using EM immunocytochemistry (Fig. 4
).
Thus, gold particles reflective of 11ßHSD-1 expression were detected
in the MVM and contiguous regions of the syncytiotrophoblast at both
mid (Fig. 4A
) and late (Fig. 4B
) gestation. However, whereas gold
particles reflective of 11ßHSD-1 were noted in the BM region of the
syncytiotrophoblast at midgestation (Fig. 4A
), gold particles
associated with 11ßHSD-1 became less abundant in regions close to
fetal blood (i.e. inner villous core) in late gestation
(Fig. 4B
). The specificity of these immunocytochemistry studies was
confirmed by the absence of fluorescence and gold particles in sections
of mid (Figs. 3E
and 4C
, respectively) and late (not shown) gestation
baboon placenta incubated without primary antibody to 11ßHSD-1 and by
the paucity of grains over nontissue areas in sections incubated with
primary antibody (Fig. 4
, A and B).

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Figure 3. Representative photomicrographs of 11ß-HSD-1 (A
and B) and 11ß-HSD-2 (C and D) detected by immunofluorescence in the
baboon placental syncytiotrophoblast at mid (A, C, and E) and late (B
and D) gestation. Sections were incubated without (E) or with
antibodies to 11ß-HSD-1/2, and proteins were detected with
streptavidin conjugated with a Cy3 fluorotag and photographed with
Elite Chrome 400 color film. Original magnification, x 400. IVC, Inner
villous core.
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Figure 4. Representative photographs of the EM
immunocytochemical detection of 11ß-HSD-1 in baboon placental
syncytiotrophoblast at mid (A and C) and late (B) gestation. Ultrathin
sections were incubated without (C) or with antibody to 11ß-HSD-1,
washed, and then incubated with goat antirabbit secondary
antibody-coated colloidal gold (18 nm). Original magnification,
x15,000 (A and B) and 12,000 (C); 0.5- and 2.0-µm
magnification bars are shown at the bottom right
corners.
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In contrast to 11ßHSD-1, at both mid (Fig. 3C
) and late (Fig. 3D
)
gestation, 11ßHSD-2 was detected by immunofluorescence throughout the
syncytiotrophoblast, including regions close to the inner villous core,
but was not expressed in the MVM. The protein for 11ßHSD-2 was also
detected in and/or associated with the syncytiotrophoblast nuclei and
was occasionally detected in vascular cells in the inner villous core.
Consistent with these immunofluorescence data, EM immunocytochemistry
showed that gold particles reflective of 11ßHSD-2 expression were
uniformly distributed at mid (Fig. 5A
)
and late (Fig. 5B
) gestation throughout the syncytiotrophoblast,
including regions contiguous with the BM (i.e.
BMm) as well as the BM itself, but were much less
abundant in the MVM. Grains reflective of 11ßHSD-2 expression were
also observed over syncytiotrophoblast nuclei and appeared to be
associated mostly with the heterochromatin (not shown). Specificity was
confirmed by the absence of fluorescence and gold particles in sections
of mid (Figs. 3E
and 5C
, respectively) and late (not shown) gestation
incubated without primary antibody to 11ßHSD-2 and by the paucity of
grains over nontissue areas in sections incubated with primary antibody
(Fig. 5C
).

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Figure 5. Representative photographs of the EM
immunocytochemical detection of 11ß-HSD-2 in baboon placental
syncytiotrophoblast at mid (A and C) and late (B) gestation. Ultrathin
sections were incubated without (C) or with purified antibody to
11ß-HSD-2, washed, and then incubated with goat antirabbit secondary
antibody-coated colloidal gold (18 nm). Original magnification,
x15,000 (A and B) and 12,000 (C); 0.5- and 2.0-µm
magnification bars are shown in the bottom right
corners. n, Nucleus; IVC, inner villous core.
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Concentrations and ratios of 11ßHSD-1 and -2
As previously demonstrated (14), the total capacity
of the baboon placenta to oxidize cortisol to cortisone
(i.e. NAD+-dependent 11ßHSD-2 enzyme
activity per placenta) was 3-fold greater near term than at
midgestation (Fig. 6B
). However, because
the volume fraction of the chorionic villi occupied by capillaries and
extratrophoblastic components increases with advancing gestation,
whereas the volume fraction of trophoblast remains relatively constant,
and 11ßHSD is only expressed in the syncytiotrophoblast (8, 9), the specific activity (e.g. per µg protein) of
11ßHSD-2 was similar at mid- and late gestation (Fig. 6A
). Consistent
with these observations, the results of the current study show that
although the concentration of 11ßHSD-2 protein (arbitrary
densitometric units) per µg whole villous protein (Fig. 6C
) or per mg
tissue (not shown) was similar at mid (58,147 ± 1,738) and late
(48,023 ± 3,769) gestation, total placental expression of
11ßHSD-2 protein (i.e. the product of 11ßHSD-2 and
placental weight; units x
10-9/placenta) was 3-fold
greater (P = 0.05) on day 180 (29.9 ± 6.1) than
on day 100 (11.3 ± 2.8; Fig. 6D
). Similar observations were noted
for 11ßHSD-1 protein concentrations (Fig. 6E
) and levels per placenta
(Fig. 6F
). Thus, in whole villous baboon placenta, as previously shown
for 11ßHSD-1 and -2 mRNA and protein levels in syncytiotrophoblast,
the expression of both proteins increases with advancing gestation
apparently at comparable rates, as indicated by the similarity in the
ratio of 11ßHSD-2 to 11ßHSD-1 in whole villous homogenate at mid
(2.0 ± 0.2) and late (1.9 ± 0.2) gestation (Fig. 6G
).
Therefore, the similar increases in 11ßHSD-1 and -2 in whole villous
placenta cannot account for the transplacental switch in conversion of
bioactive cortisol to bioinactive cortisone between mid- and late
gestation.

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Figure 6. Comparison of mean (±SE) specific
(units per µg protein) and total (units per placenta) concentrations
of 11ß-HSD-1 and -2 in extracts of whole villous baboon placenta on
days 100 (n = 3) and 180 (n = 3) of gestation with specific
and total 11ß-HSD-2 enzyme activity previously determined
(14 ) on days 100 and 165 of gestation. The levels of
11ß-HSD-2 enzyme activity and of 11ß-HSD-1 and -2 per placenta were
calculated as the product of 11ß-HSD per mg whole villous tissue and
placental wet weight. The value at term exceeds (by t
test) that at midgestation (*, P < 0.05; ,
P = 0.06).
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As shown in Fig. 7
, the mean
(±SE) concentrations (arbitrary densitometric units per
µg protein) of 11ßHSD-1 protein in the MVM were similar at mid
(38,859 ± 3,484) and late (43,561 ± 1,784) gestation and
greatly exceeded (P < 0.01) respective values for
11ßHSD-2 by approximately 16-fold (Fig. 7A
). When values were
corrected for the total amount of protein associated with the MVM and
expressed as total 11ßHSD-1 in the MVM (arbitrary densitometric
units x
10-6/placenta; Fig. 7B
),
11ßHSD-1 in the MVM was approximately 6-fold greater
(P = 0.07) in late gestation (101 ± 32) than at
midgestation (17 ± 10). Again, however, the ratio of 11ßHSD-2
to 11ßHSD-1 in the MVM (Fig. 7C
) was similar at mid (0.06 ±
0.04) and late (0.06 ± 0.01) gestation, and therefore, levels of
these enzymes in the MVM also cannot explain the switch in
transplacental cortisol-cortisone metabolism with advancing
gestation.

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Figure 7. Mean (±SE) specific concentrations
(A; units per µg protein) and total amount (B; units per placenta) of
11ß-HSD-1 and -2 proteins determined by Western blot in the MVM of
baboon syncytiotrophoblast prepared from placentas of mid (n = 3;
day 100) and late (n = 3; day 180) gestation. C, Ratio (mean
± SE) of the concentrations of 11ß-HSD-2 and 11ß-HSD-1
in MVM at midgestation and late gestation (data from A). *, The value
for 11ß-HSD-1 exceeds that for 11ß-HSD-2 (P <
0.05, by t test).
|
|
In contrast to the MVM, the concentration (units per µg protein) of
11ßHSD-1 protein in the BMm, declined
(P < 0.05) by approximately 50% between mid
(7,099 ± 759) and late (4,013 ± 738; Fig. 8A
) gestation, and thus the total amount
(units x
10-6/placenta) of
11ßHSD-1 in the BMm did not change with
advancing gestation (Fig. 8B
). However, the concentration (units per
µg protein) of 11ßHSD-2 in the BMm increased
(Fig. 8A
), although not significantly, between mid (8,506 ± 850)
and late (10,624 ± 3,194) gestation, and thus the total amount of
11ßHSD-2 in the BMm (units x
10-6/placenta) was
approximately 2-fold greater at term (835 ± 322) than at
midgestation (383 ± 97; Fig. 8B
). Because of these changes, the
ratio of 11ßHSD-2 to 11ßHSD-1 in the BMm of
the syncytiotrophoblast at midgestation (1.22 ± 0.10) was
increased (P < 0.05) by approximately 2-fold in late
gestation (2.66 ± 0.05; Fig. 8C
); these changes may explain the
increased transplacental conversion of cortisol to cortisone near
term.

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Figure 8. Mean (±SE) specific concentrations
(A; units per µg protein) and total amount (B; units per placenta) of
11ß-HSD-1 and -2 proteins determined by Western blot in the
BMm of baboon syncytiotrophoblast prepared from placentas
of mid (n = 3; day 100) and late (n = 3; day 180) gestation.
Values with different letter superscripts differ from
each other at P < 0.05 (by Students
t tests). C, Ratio (mean ± SE) of the
concentrations of 11ß-HSD-2 and 11ß-HSD-1 in membranes contiguous
with the BMm at midgestation and late gestation (data from
A). *, The value in late gestation differs from that at midgestation
(P < 0.05, by t test for
independent observations).
|
|
 |
Discussion
|
|---|
The results of the current study are the first to demonstrate that
the 11ßHSD-1 and -2 enzymes are localized to different membrane
fractions of the syncytiotrophoblast in both baboon and human placenta.
Based on Western blot analyses of isolated membrane fractions as well
as immunofluorescence and EM immunogold studies using highly specific
antibodies, our findings indicate that the concentration of 11ßHSD-1
in the MVM juxta the maternal blood was extensive and greater than that
in membranes more internal to the syncytiotrophoblast at both mid- and
late gestation. Consequently, there was a gradient of 11ßHSD-1
expression across the syncytiotrophoblast, with expression being
greatest on the maternal-facing surface. However, because the
proportion of the syncytiotrophoblast comprised of MVM (e.g.
protein associated with the MVM) was lower than that of membranes more
internal, a significant amount of 11ßHSD-1 was present in membranes
close to the fetal blood, particularly at midgestation, and therefore,
any changes in enzyme content in the BMm would
potentially have a significant impact on transplacental
cortisol-cortisone interconversion. In contrast to 11ßHSD-1,
11ßHSD-2 expression in the MVM was minimal; rather, this enzyme was
detected throughout the remainder of the syncytiotrophoblast, including
cytosolic organelles and membranes contiguous with the BM facing the
fetal blood compartment. Most significantly, our studies also are the
first to demonstrate that the concentrations and absolute amounts of
these two enzymes within the membranes contiguous with the BM were
significantly different near term from those at midgestation. Thus, in
the BMm the concentration of 11ßHSD-1 protein
declined, whereas that of 11ßHSD-2 increased between mid- and late
gestation, resulting in a 2-fold increase in the total amount of
11ßHSD-2 associated with this particular fraction of the
syncytiotrophoblast by late gestation. As a consequence, there was a
2-fold increase in the ratio of 11ßHSD-2 to 11ßHSD-1 in the
fraction of membranes juxta fetal blood. Moreover, this developmental
change in the ratio of the reductive and oxidative 11ßHSD enzymes
appears to be specific to the BMm and was not
observed in the MVM, whole villous homogenate, or enriched fractions of
baboon placental syncytiotrophoblast (8, 9). Because
11ßHSD-2 functions exclusively as an oxidase and 11ßHSD-1 as a
reductase, the last enzyme at the fetal:placental interface to which
maternal corticosteroids crossing the placenta to the fetus would
primarily be exposed in late gestation would be the 11ßHSD-2
catalyzing the conversion of cortisol to cortisone. Therefore, we
suggest that the differential localization of the 11ßHSD enzymes in
the syncytiotrophoblast and the developmental change in the ratio of
11ßHSD-2 to 11ßHSD-1 in membranes facing fetal blood provide the
molecular architectural basis for the developmental switch in
transplacental cortisol-cortisone metabolism that we previously
demonstrated by in vivo isotope dilution procedures
(15). Thus, because of the decrease in 11ßHSD-1 and the
increase in 11ßHSD-2 concentration in the BMm
in late gestation, there would be an increase in transplacental
conversion of bioactive cortisol to cortisone, as illustrated in Fig. 9
. Consequently, the secretion of
cortisol into the baboon fetus that predominates during early to
midgestation, presumably due to the relatively high levels of
11ßHSD-1 throughout the syncytiotrophoblast including the
BMm, would decline near term, resulting in
disinhibition of the fetal pituitary-adrenocortical axis, release of
pituitary ACTH (2), and activation/maturation of the fetal
adrenal with de novo cortisol output (3).

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Figure 9. Subcellular localization of 11ß-HSD-1 and -2 in
the baboon placental syncytiotrophoblast at mid- and late gestation;
control of cortisol (F) and cortisone (E) secretion into the fetus and
regulation of the fetal pituitary-adrenal axis.
|
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It is also well established that with advancing gestation there is a
marked decrease in the mean villous diameter and a thinning of the
villi overall, structural changes that decrease the effective diffusion
distance across the villous membrane (16). Because
cortisone is a potent inhibitor of 11ßHSD-2 enzyme activity
(14), this developmental change in the structure of the
villi may also be important physiologically, because the diffusion of
cortisone to the fetus would presumably be enhanced (e.g.
shorter distance), and 11ßHSD-2-catalyzed oxidation of cortisol to
cortisone would be facilitated. Therefore, we propose that the spatial
separation of the 11ßHSD-1 and -2 enzymes, the developmental change
in their relative ratio within the syncytiotrophoblast membranes, and
morphological changes in the syncytiotrophoblast are physiologically
important to the maturation of the primate fetus.
In previous studies in the baboon we also demonstrated that the late
gestational switch in placental glucocorticoid metabolism from
reduction to oxidation was regulated by estrogen (1).
Thus, we speculate that the developmental change in the ratio of the
11ßHSD enzymes in specific membrane components of the placental
syncytiotrophoblast of baboons in the present study is regulated by
estrogen. Substantiation of this process would further indicate the
integrative role that estrogen has in regulating key aspects of
placental differentiation that have a major impact on fetal
maturation.
Consistent with our previous studies (8, 9) demonstrating
that the expression of 11ßHSD-1 and -2 in baboon syncytiotrophoblast
increased with advancing gestation, the total amount of 11ßHSD-2 in
whole villous placenta and in specific membrane components of the
syncytiotrophoblast (i.e. BMm)
determined in this study were higher near term than at midgestation.
Similarly, there was a 6-fold increase in the amount of 11ßHSD-1
associated with the MVM, presumably due to an increase in the quantity
of MVM between mid- and late gestation, reflected in the current study
as a 3-fold increase in the specific activity of the MVM-specific
marker alkaline phosphatase.
The EM immunocytochemistry and immunofluorescence results of the
current study suggest that 11ßHSD-2, but not 11ßHSD-1, was present
in and/or associated with the nuclear envelope of syncytiotrophoblast
nuclei. Consistent with these observations, there was abundant
11ßHSD-2 enzyme activity in 25,000 x g fractions of
human (17) and baboon (18) term placenta,
indicating localization at sites in addition to the endoplasmic
reticulum. Using confocal laser microscopy, Shimojo et al.
(19) have shown that approximately 40% of total
11ßHSD-2 immunostaining in renal collecting ducts and colonic
epithelial cells is nuclear in origin, confirming previous studies
(20, 21) demonstrating nuclear renal 11ßHSD activity.
However, these researchers as well as others (22) failed
to detect 11ßHSD protein in nuclei of human term placenta and thus
presumed that 11ßHSD-2 was localized almost exclusively to
endoplasmic reticulum (23, 24).
Mechanisms by which proteins uniquely move and insert into specific
membranes of polarized cells, including the syncytiotrophoblast
(25), are extremely complex and not completely understood
(26). Neither 11ßHSD-1 nor 11ßHSD-2 has sorting
signals in their ectodomains that would target them to specific
membrane fractions. Studies have shown that 11ßHSD-1 is glycosylated
(27, 28) and 11ßHSD-2 contains a potential glycosylation
site (9) and was indeed detected as a doublet in human and
baboon syncytiotrophoblast in the present study as well as our previous
study (9). However, despite the fact that glycosylation
could affect cellular localization, it has also been shown that
modification of such posttranslational processing of other proteins
does not necessarily alter sorting (26). Thus, the factors
acting to target 11ßHSD-1 to the MVM and 11ßHSD-2 to other
syncytiotrophoblast components remain to be elucidated. Recent studies
(29) have demonstrated that the ezrin-radixin-moesin
family of proteins plays structural and regulatory roles in the
assembly and stabilization of specialized plasma membrane domains and
that ezrin and related molecules are concentrated in surface
projections such as microvilli to link microfilaments to the membrane.
Interestingly, ezrin is abundantly expressed in the human placenta and
is localized specifically to the microvilli (30). Whether
ezrin or other relevant regulatory factors bind and/or complex with the
11ßHSD-1 and/or -2 proteins to provide a mechanism by which the
11ßHSD enzymes are targeted to distinct regions of the
syncytiotrophoblast remains to be elucidated.
Recently, it has been shown in the rat placenta that 11ßHSD-1 and -2
were localized primarily to the labyrinth and basal zones, respectively
(31). Moreover, the ratio of the mRNAs and activities of
11ßHSD-2 and 11ßHSD-1 changed significantly in late rat gestation
(7, 31). Thus, the spatial separation of 11ßHSD-1 and -2
in the syncytiotrophoblast of baboon and human placenta as shown in the
present study also appears to occur in the rodent placenta.
In summary, the current study shows that the 11ßHSD-1 and -2 enzymes
were localized to different fractions of baboon and human
syncytiotrophoblast. 11ßHSD-1 was localized extensively to the MVM,
whereas 11ßHSD-2 was located throughout the remainder of the
syncytiotrophoblast, including the BMm facing the
fetal blood compartment. Moreover, there was a developmental increase
in the ratio of 11ßHSD-2 to 11ßHSD-1 in the syncytiotrophoblast
membranes juxta the fetal blood compartment, which we propose is
consistent with and perhaps the subcellular mechanism responsible for
the previously demonstrated switch in transplacental glucocorticoid
metabolism from reduction at midgestation to oxidation late in
gestation and which appears to be responsible for the
activation/maturation of the fetal pituitary-adrenocortical axis.
 |
Acknowledgments
|
|---|
The authors sincerely appreciate the secretarial assistance of
Ms. Sandra Huband with the manuscript, Mr. Nicholas Zachos with the
preparation of the photomicrographs, and Ms. Pam Brien with the baboon
husbandry, and thank R. B. Billiar, Ph.D., for advice and
assistance with the Western blot analyses. The authors thank Ms.
Neelima Shah, Imaging Core Facility, University of Pennsylvania
(Philadelphia, PA), and James F. Sanzo, Ph.D., Director, for performing
the EM immunogold studies.
 |
Footnotes
|
|---|
1 This work was supported by NIH Research Grant R01-HD-13294. 
Received January 10, 2000.
 |
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