Endocrinology Vol. 142, No. 10 4496-4503
Copyright © 2001 by The Endocrine Society
Estrogen Regulates 11ß-Hydroxysteroid Dehydrogenase-1 and -2 Localization in Placental Syncytiotrophoblast in the Second Half of Primate Pregnancy
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 recently demonstrated that the 11ß-hydroxysteroid
dehydrogenase enzymes catalyzing cortisol-cortisone reduction
(11ß-hydroxysteroid dehydrogenase-1) and oxidation
(11ß-hydroxysteroid dehydrogenase-2) are located in different
regions of the baboon and human placental syncytiotrophoblast.
Moreover, there was a 2-fold increase in the ratio of
11ß-hydroxysteroid dehydrogenase-2 to 11ß-hydroxysteroid
dehydrogenase-1 in syncytiotrophoblast membranes contiguous with the
basal membrane (BMm) between mid and late baboon gestation. Our
laboratories have also shown that estrogen regulates
syncytiotrophoblast functional differentiation. Therefore, the current
study determined whether the change in the ratio of
11ß-hydroxysteroid dehydrogenase-2 to 11ß-hydroxysteroid
dehydrogenase-1 in the BMm was regulated by estrogen. Placentas were
obtained on d 165 of gestation (term = d 184) from baboons that
were untreated or were treated daily beginning on d 100 with the
aromatase inhibitor CGS 20267, which reduced uterine and maternal serum
E2 by more than 95% or with CGS 20267 plus E2 benzoate. Western blot
analyses and immunofluorescence confirmed that in untreated controls
the expression of 11ß-hydroxysteroid dehydrogenase-1 was abundant in
the microvillus membranes and considerably less in the BMm. In
contrast, expression of 11ß-hydroxysteroid dehydrogenase-2 was
abundant in more internal regions of the syncytiotrophoblast, including
the BMm, but was not detected in the microvillus membranes. The
11ß-hydroxysteroid dehydrogenase-2 protein level was
significantly decreased in the BMm of placentas from
estrogen-suppressed baboons, resulting in a 2-fold decrease in the
ratio of these enzymes in membranes juxta the fetal blood, and
these changes were partially restored by CGS 20267 and E2. In contrast,
estrogen had no effect on the ratio of 11ß-hydroxysteroid
dehydrogenase-2 to 11ß-hydroxysteroid dehydrogenase-1
in whole villous homogenate or the micro-villus membranes.
Collectively, these results indicate that estrogen regulates the
developmental increase in the ratio of 11ßhydroxysteroid
dehydrogenase-2 to 11ß-hydroxysteroid dehydrogenase-1 in
syncytiotrophoblast membranes juxta fetal blood, providing the
subcellular architectural mechanism responsible for the previously
demonstrated estrogen-dependent switch in transplacental glucocorticoid
metabolism that regulates maturation of the primate fetal
pituitary-adrenocortical axis.
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Introduction
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WE RECENTLY DEMONSTRATED that the
11ß-hydroxysteroid dehydrogenase (11ßHSD) enzymes catalyzing
the reduction of cortisone to cortisol (11ßHSD-1) and oxidation of
cortisol to cortisone (11ßHSD-2) are located in different regions of
the baboon and human placental villous syncytiotrophoblast
(1). Thus, 11ßHSD-1 expression was abundant in the
microvillus membrane (MVM) and less in more internal regions of the
syncytiotrophoblast, including membranes contiguous with the basal
membrane (BMm). In contrast, 11ßHSD-2 expression was limited in the
MVM and was extensive throughout the remainder of the
syncytiotrophoblast, including the BMm facing the fetal blood
compartment. Our studies also showed that in the BMm, levels of
11ßHSD-1 declined and those of 11ßHSD-2 increased between mid and
late baboon gestation in association with the increase in estrogen,
resulting in a 2-fold increase in the ratio of 11ßHSD-2 to 11ßHSD-1
in syncytiotrophoblast membranes juxta the fetal blood compartment
(1). It is well established that the pattern of
glucocorticoid metabolism across the baboon placenta changes from
reduction at midgestation to oxidation in late gestation
(2). Because the baboon syncytiotrophoblast mRNA and
protein levels for both 11ßHSD-1 and -2 increased with advancing
gestation (3, 4), we (1) have proposed that
the change in the ratio of these two enzymes in membranes contiguous
with the fetal vasculature may be the subcellular mechanism responsible
for the developmental switch in transplacental glucocorticoid
metabolism that results in decreased secretion of maternal cortisol
into the fetus and activation of the fetal pituitary-adrenocortical
axis at term (5).
Our laboratories have demonstrated that estrogen has a central role in
regulating syncytiotrophoblast functional differentiation during
primate pregnancy (6). Thus, estrogen increases placental
syncytiotrophoblast mRNA and protein levels for 11ßHSD-1 and -2
(7, 8) and components of the progesterone biosynthetic
pathway (9, 10, 11). It is possible, therefore, that the
developmental change in the 11ßHSD-1/11ßHSD-2 ratio in
syncytiotrophoblast membranes juxta fetal blood is also regulated
by estrogen. To determine this possibility, we compared the expression
of 11ßHSD-1 and 11ßHSD-2 proteins in enriched fractions of
syncytiotrophoblast membranes prepared from baboon placentas obtained
in late gestation from untreated animals with that in placentas from
baboons in which placental estrogen production was suppressed by
administration of an aromatase inhibitor throughout the second half of
pregnancy.
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Materials and Methods
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Animals
Sixteen female baboons (Papio anubis/cynocephalus),
weighing 1015 kg, were mated and maintained as described previously
(12). Six of the animals were treated daily beginning on d
100 of gestation (term = d 184) with the aromatase inhibitor CGS
20267 (4,4-[1,2,4,-triazol-1yl-methylene]bis-benzonitrite, Letrozol,
Novartis Pharma AG, Basel, Switzerland) administered to the mother sc
(2 mg/d·ml sesame oil) as described previously (13). Six
additional animals were injected with CGS 20267 (2 mg/d) and E2
benzoate in increasing doses (1.02.0 mg/d·ml sesame oil) designed
to replicate the normal pattern of serum E2 also beginning on d 100 of
gestation. Four baboons served as untreated controls. Blood samples
(34 ml) were obtained at 1- to 4-d intervals between d 85 and 165 of
gestation via a maternal saphenous vein after sedation with an im
injection of ketamine-HCl (10 mg/kg BW; Parke-Davis,
Detroit, MI). On d 161165 of gestation, baboons were sedated with
ketamine and anesthetized with isoflurane/nitrous oxide, blood samples
were obtained from the maternal saphenous and right and left uterine
veins, and fetus and placenta were delivered. Serum samples were stored
at -20 C and assayed for E2 as described previously (13).
Animals were cared for and used strictly in accordance with USDA
regulations and the NIH Guide for the Care and Use of Laboratory
Animals (HHS, NIH Publication 86-23, 1985). The experimental protocol
used in this study was approved by the institutional animal care and
use committees of the Eastern Virginia Medical School and the
University of Maryland School of Medicine.
Tissue preparation
Placentas were immediately rinsed in ice-cold 0.9% saline, and
after removal of membranes, decidua basalis, and chorionic plate,
sections of villous tissue were placed in 10% buffered formalin for
subsequent immunofluorescence or were stored in liquid nitrogen. A
small portion was homogenized in Tris-sucrose (homogenate) and stored
at -80 C. Approximately 6070 g whole villous tissue were then
rinsed in saline, and used for preparation of syncytiotrophoblast MVM
and BMm by methods recently developed in our laboratories
(1). Briefly, villous tissue was minced, stirred with a
magnetic stir bar for 60 min (4 C) in PBS (pH 7.4;
Amresco, Solon, OH), and filtered through nylon mesh
(Sefar America, Kansas City, MO) 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 including
nuclei), 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 were
added. After incubation on ice for 10 min, the sample was centrifuged
at 2,200 x g for 12 min and then at 150,000 x
g for 25 min to obtain MVM. The particulate fraction was
washed with PBS and 50 mM Tris, then 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) to release the BMm, and then sonicated again in EDTA to
release the BM which was obtained by centrifugation. All fractions
collected were aliquoted and stored at -80 C until analyzed for
11ßHSD-1 and -2 by Western blot, for alkaline phosphatase activity
(Sigma) and protein concentration using the bicinchoninic
acid procedure (Sigma, St. Louis, MO), and for
dihydroalprenolol binding essentially as described by Kelley et
al. (14). Briefly, fractions were incubated (37 C)
for 30 min with 10 nM
[3H]dihydroalprenolol (40 Ci/mmol; NEN Life Science Products, Boston, MA) in the presence (nonspecific
binding) or absence of 30 µM
d,l-propanolol (Sigma), followed by
filtration onto glass-fiber filters (GFC, Whatman,
Clifton, NJ). To confirm the site of localization of
syncytiotrophoblast nuclei, aliquots (10 µg protein/20 µl) of the
various fractions were added to 20 µl Vectashield mounting medium
(Vector Laboratories, Inc., Burlingame, CA) containing 1
µg/ml 4',6-diamidino-2-phenylindole dihydrochloride hydrate (DAPI;
Sigma), placed onto microscope slides, coverslipped, and
examined for immunofluorescence as described previously
(1).
Western blot analyses
Western blot analysis of 11ßHSD-1 and -2 was performed
essentially as described previously (1, 4). Briefly, after
determination of protein concentration using the bicinchoninic
procedure (Sigma) and addition of Laemmli buffer
(15), samples were heated (100 C for 5 min), cooled, and
then loaded (25 µg protein/lane) onto discontinuous
SDS-polyacrylamide minigels (12% for 11ßHSD-1; 10% for 11ßHSD-2)
in electrophoresis chambers containing chilled 0.025 M
Tris, 0.192 M glycine (Bio-Rad Laboratories, Inc., Richmond, CA), and 0.1% SDS buffer (pH 8.3). Samples were
electrophoresed and wet-transferred to Immobilon P (Millipore Corp., Bedford, MA), and membranes were blocked and then
incubated with polyclonal antibodies to 11ßHSD-1 and -2 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 then incubated with
donkey antirabbit IgG horseradish peroxidase-conjugated second antibody
(Amersham Pharmacia Biotech, Arlington Heights, IL) in
buffer I containing 1.5% BSA. After washing and application of
enhanced chemiluminescent reagent (ECL, Amersham Pharmacia Biotech), membranes were 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. The second antibody
contributed no nonspecific bands at the concentrations employed. The
specificity of the primary antibodies prepared (Cocalico Biologicals,
Reamstown, PA) from rabbits injected with multiple antigenic peptides
to which amino acids 2236 of human 11ßHSD-1 and amino acids
332345 of human 11ßHSD-2 were coupled (4) was
confirmed in previous experiments (1, 4) demonstrating
elimination of signal in syncytiotrophoblast samples probed with
primary antibodies preabsorbed with excess immunizing peptide. To
compare the levels of 11ßHSD-1 and -2 in the MVM or the BMm between
treatment groups, 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
(1).
Immunofluorescence
Localization of 11ßHSD-1 and -2 proteins in baboon
syncytiotrophoblast was determined by immunofluorescence essentially as
described previously (1). Briefly, peroxidase-blocked
sections (4 µm) were microwaved for 20 min in sodium citrate buffer
(pH 6.0; Sigma), cooled (30 min), washed in PBS, blocked
(30 min) in 5% normal goat serum (NGS; Vector Laboratories, Inc.), and incubated overnight at 4 C with rabbit primary
antibodies to 11ßHSD-1 or 11ßHSD-2 diluted 1:2000 in 5% NGS. After
washing, sections were incubated for 2 h at room temperature with
biotinylated antirabbit IgG (Zymed Laboratories, Inc.,
South San Francisco, CA). Biotin was detected after treatment (30 min)
in the dark with streptavidin conjugated with a Cy3 fluorotag
(Zymed Laboratories, Inc.) diluted 1:50 in 5% NGS
(1). Autofluorescence was quenched by incubation with
Sudan Black (Sigma; 1% in 70% methanol), slides were
rinsed, and Vectashield mounting medium (Vector Laboratories, Inc.) was applied with/without 1 µg/ml DAPI
(Sigma). Slides were then coverslipped and stored at 4 C
in the dark until photographed with Elite Chrome 400 color film
(Eastman Kodak Co., Rochester, NY) using a
Nikon FX-35 WA camera and Microphot-FX microscope and
rhodamine or DAPI filters (Nikon, Melville, NY).
Statistical analysis
Data are expressed as the mean ± SE.
Statistical differences between groups were determined by ANOVA, with
post-hoc comparisons of the means by Newman-Keuls multiple
comparison test.
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Results
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Serum E2
Serum E2 in untreated baboons increased from approximately 1 ng/ml
on d 85120 of gestation to 2.53.5 ng/ml by d 165 (Fig. 1A
). Within 13 d after the onset of CGS
20267 treatment on d 100 of gestation, maternal serum E2 decreased to
and remained at levels less than 0.1 ng/ml. The qualitative pattern of
maternal serum E2 after treatment with CGS 20267 plus E2 benzoate
approximated that in the control. Mean (±SE) E2 levels in
uterine vein serum on the day of delivery in untreated animals
(5.74 ± 1.47 ng/ml) were decreased (P < 0.05) by
CGS 20267 (0.34 ± 0.09 ng/ml) and restored (P <
0.05) by CGS 20267 plus E2 benzoate (4.98 ± 0.97 ng/ml; Fig. 1B
).

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Figure 1. A, Mean maternal peripheral serum E2 levels
between d 85 and 165 of gestation in baboons that were untreated or
treated with CGS 20267 (2 mg/d, sc) or CGS 20267 and E2 benzoate (12
mg/d; sc) beginning on d 100 of gestation (term = d 184). B, Mean
(±SE) uterine vein serum E2 levels on d 165 of gestation
in baboons that were untreated (n = 4) or treated with CGS 20267
(n = 6) or CGS 20267 and E2 benzoate (n = 6). Values with
different letter superscripts differ from each other at
P < 0.05 (by ANOVA and multiple comparison of the
means using the Student-Newman-Keuls statistic).
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Immunofluorescence of 11ßHSD-1 and -2
11ßHSD-1 was detected by immunofluorescence in
syncytiotrophoblast MVM and to a limited extent in regions of the
syncytiotrophoblast in proximity to the basal membrane (i.e.
the BMm; Fig. 2A
). In estrogen-deprived
baboons (Fig. 2B), 11ßHSD-1 was still detected in the MVM, but
was also detected in the BMm in the majority, but not all, of the
placental sections examined. In baboons treated with CGS 20267 and
estrogen, 11ßHSD-1 syncytiotrophoblast localization was more like
that in the untreated animals and thus was not detected in the BMm in
the majority of placental sections examined (Fig. 2C
). Although
11ßHSD-1 was occasionally detected in fetal vascular cells,
11ßHSD-1 was not detected in syncytiotrophoblast nuclei, which bound
the blue fluorescent dye DAPI, regardless of treatment in
vivo (Fig. 2D
). In contrast to 11ßHSD-1, 11ßHSD-2 was detected
by immunofluorescence in regions of the syncytiotrophoblast including
nuclei, identified by expression of DAPI (Fig. 2H
), close to the inner
villous core, but was not detected in the MVM in all three groups (Fig. 2
, EG).

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Figure 2. Representative photomicrographs of 11ßHSD-1
(AD) and 11ßHSD-2 (EH) immunofluorescence in the baboon placenta
on d 165 of gestation in animals that were untreated (A and E) or
treated during the second half of gestation with CGS 20267 (B and F) or
CGS 20267 plus E2 benzoate (C and G) as described in Fig. 1 . Sections
were incubated with primary antibody to 11ßHSD-1/-2, and proteins
were detected with streptavidin conjugated with a Cy3 fluorotag and
photographed with Elite Chrome 400 color film. Sections D and H are the
same as those in C and G, but were coated with DAPI before photography
to confirm localization of syncytiotrophoblast nuclei. Original
magnification, x400. IVC, Inner villous core.
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Western blot of 11ßHSD-1/-2
Figure 3
depicts representative
Western blots for 11ßHSD-1 and -2 expression in the MVM, the
10,000 x g fraction (i.e. intracellular
organelles and 10K fraction), and the BMm of the baboon placental
syncytiotrophoblast. 11ßHSD-1 was expressed as a 32-kDa protein, and
11ßHSD-2 was expressed as a doublet of approximately 40 and 42 kDa as
previously shown (1, 4). In all groups 11ßHSD-1
expression was most extensive in the MVM, was relatively low in the 10K
fraction, and was lower, but still detectable, in the BMm. In contrast,
11ßHSD-2 was expressed in low abundance in MVM and was present in
relatively high levels in the 10K fraction and the BMm. Finally, as
previously demonstrated (1), based on location in the gel
it would appear that the sonication procedure used to isolate the BMm
modified the 11ßHSD-2 protein.

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Figure 3. Representative Western immunoblot of 11ßHSD-1
and -2 proteins in fractions of placenta from baboons that were
untreated or treated with CGS 20267 or CGS 20267 plus E2 benzoate.
Syncytiotrophoblast MVM and intracellular organelles (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
(25 µg/lane) onto discontinuous SDS-polyacrylamide gels.
Electrophoresed samples were transferred to Immobilon P and incubated
with antibodies to 11ßHSD-1 or -2.
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In homogenate of whole villous placenta (Fig. 4A
), the mean (±SE)
11ßHSD-2 concentration (67.6 ± 1.4 arbitrary densitometric
units x 10-3/µg protein) was decreased
(P < 0.05) in baboons in which estrogen production was
suppressed by treatment with CGS 20267 (49.3 ± 2.6) and was
restored (P < 0.05) to normal by CGS 20267 and E2
benzoate (63.9 ± 1.7). In contrast, 11ßHSD-1 levels were
similar in whole villous homogenate of placentas from baboons that were
untreated (34.3 ± 4.9) or treated with CGS 20267 (29.9 ±
1.4) or CGS 20267 plus estrogen (32.2 ± 1.8). Moreover, the ratio
of 11ßHSD-2 to 11ßHSD-1 in whole villous placenta was similar in
untreated (2.1 ± 0.4), CGS 20267-treated (1.7 ± 0.1), and
CGS 20267- plus E2 benzoate-treated (2.0 ± 0.1) baboons.
In the MVM, 11ßHSD-2 protein was considerably lower than that of
11ßHSD-1 (Fig. 4B
). Moreover, levels of both proteins in the MVM and
their ratios were not affected by treatment with CGS 20267 and/or
E2.
In contrast to the MVM, 11ßHSD-2 protein concentrations in the BMm
(Fig. 4C
) were lower (P < 0.05) in baboons in which
estrogen production was decreased by CGS 20267 (3.8 ± 0.6) than
in untreated baboons (8.2 ± 0.8) and were increased
(P < 0.05) to an intermediate value (5.9 ± 0.7)
in animals in which estrogen was restored by CGS 20267 and E2 benzoate
treatment. However, the level of 11ßHSD-1 in the BMm of placentas
from untreated baboons (3.4 ± 0.5) was slightly, but not
significantly, higher in BMm of animals treated with CGS 20267
(4.1 ± 1.0). Thus, as shown in Fig. 4D
, the ratio of 11ßHSD-2
to 11ßHSD-1 in the BMm of untreated baboons (2.6 ± 0.4) was
decreased (P < 0.05) by approximately 50% by CGS
20267 (1.2 ± 0.3) and was partially restored by CGS 20267 plus E2
benzoate (1.7 ± 0.2).
Alkaline phosphatase activity and protein concentrations in
syncytiotrophoblast membranes
Alkaline phosphatase activity was minimal in the BMm and was
enriched approximately 13- to 20-fold in the MVM in all treatment
groups (Table 1
). Alkaline phosphatase
was also enriched approximately 4-fold in the 10K fraction, indicating
contamination of this fraction with MVM. In whole villous homogenate
and MVM, alkaline phosphatase was reduced, although not significantly,
by approximately 40% and 25%, respectively, by CGS 20267 and was
restored to normal by CGS 20267 plus E2. Protein concentrations were
greatest in the BMm and were not significantly altered by CGS 20267.
However, compared with those in untreated baboons (Fig. 5A
), the height and perhaps the amount of
microvilli were markedly lower in placental syncytiotrophoblast of
estrogen-deprived baboons (Fig. 5B
), a structural change that appeared
to be prevented by restoration of estrogen (Fig. 5C
).
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Table 1. Mean (±SE) alkaline phosphatase
activity and soluble protein concentration in baboon placental membrane
preparations in late gestation
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Figure 5. Representative histology of sections of villous
placenta obtained on d 165 of gestation from baboons that were
untreated (A) or treated with CGS 20267 (B) or CGS 20267 plus E2
benzoate (C; see Fig. 1 ). Paraffin sections (4 µm) were rehydrated in
graded alcohols and stained with hematoxylin. Magnification, x1,200.
IVC, Inner villous core.
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Dihydroalprenolol binding and detection of nuclei in
syncytiotrophoblast membrane fractions
Binding of dihydroalprenolol, a marker of the basal membrane (BM)
(14), was enriched approximately 16-fold in the BM, but
not in the BMm or the 10K fraction (Table 2
), compared with that in the whole
villous homogenate. The MVM, however, did exhibit dihydroalprenolol
binding, which appeared to be approximately 7-fold greater than that in
the homogenate. It is also apparent that syncytiotrophoblast nuclei
released after mechanical disruption of the baboon villous placenta
pelleted and thus were detected primarily in the 10K fraction. In
contrast, very few nuclei were detected in the BMm, and none was found
in the BM or MVM. Finally, as shown in Fig. 5
, in untreated baboons the
syncytiotrophoblast nuclei were uniformly aligned and in close
proximity to the BM. In contrast, in estrogen-deprived animals, the
nuclei appeared to be less uniformly distributed and more distant from
the BM (Fig. 5B
), a structural change that appeared to be prevented in
part in syncytiotrophoblast of baboons treated with CGS 20267 plus
estrogen (Fig. 5C
).
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Table 2. Dihydroalprenolol binding and relative proportion of
nuclei in baboon placental syncytiotrophoblast fractions in late
gestation
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Discussion
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We previously demonstrated that the ratio of 11ßHSD-2 to
11ßHSD-1 in the BMm of the baboon placental syncytiotrophoblast in
late gestation was approximately 2-fold greater than that at
midgestation (1), and we proposed that the latter provided
the biochemical-architectural basis for the estrogen-dependent
change in transplacental metabolism of cortisol-cortisone from
reduction at midgestation to oxidation by term (2). In the
estrogen-deprived baboons of the current study, the ratio of 11ßHSD-2
to 11ßHSD-1 in the BMm was decreased to a level comparable to that
previously observed at midgestation. Therefore, the results of the
current study support the suggestion that the developmental increase in
the 11ßHSD-2/11ßHSD-1 ratio in the BMm of the primate placenta is
regulated by estrogen. Estrogen has been previously shown to regulate
other critical aspects of primate syncytiotrophoblast functional
maturation, including expression of the low density lipoprotein
receptor and P-450 cholesterol side-chain cleavage enzyme
(9, 10, 11). Collectively, therefore, the results of these
studies lend further support to the concept put forth by our
laboratories that estrogen plays a central role in regulating primate
placental-fetal development (6).
We previously demonstrated that the estrogen-induced increase in
transplacental oxidation of cortisol to cortisone during the second
half of baboon gestation resulted in maturation of the fetal
pituitary-adrenocortical axis (5, 16) and onset of
de novo fetal adrenal cortisol production (16).
Because cortisol is the dominant glucocorticoid formed within the
baboon placenta and secreted into the fetus at midgestation, we suggest
that in estrogen-suppressed baboons, cortisol would continue to be
preferentially transported across the placenta and secreted into the
fetus, potentially compromising fetal adrenal development. Although the
latter remains to be determined, we (16) previously showed
that 3ßHSD-isomerase activity in the fetal adrenal was 3-fold lower
at term in baboons in which the action of estrogen was blocked during
the second half of gestation by treatment of the mother with an ER
antagonist that also prevented the increase in placental oxidation of
cortisol to cortisone (17). Therefore, we further propose
that the spatial separation of the 11ßHSD-1 and -2 enzymes and the
estrogen-regulated developmental change in their relative ratio
within the syncytiotrophoblast BMm juxta fetal blood are of utmost
physiological importance to the maturation of the primate fetus.
Indeed, exposure of the fetus to cortisol has been suggested to impact
on function in adulthood (18, 19), and reductions in
placental 11ßHSD-2 have been implicated in development of
hypertension in adulthood (20). Whether physiological
function has indeed been compromised in estrogen-depleted baboons
remains to be determined. However, we suggest that the baboon provides
a model to perform such critical studies.
The mechanism(s) by which estrogen regulates localization of the
11ßHSD enzymes in the syncytiotrophoblast remains to be determined.
In our previous study (1) we showed that the developmental
increase in the ratio of 11ßHSD-2 to 11ßHSD-1 in the BMm was due to
a marked reduction in the concentration of 11ßHSD-1 and an increase
in that of 11ßHSD-2. Consistent with the latter observations, in the
current study there was a decrease in the ratio of 11ßHSD-2 to
11ßHSD-1 in the placental BMm from baboons deprived of estrogen, and
this reflected a significant reduction, as determined by Western blot,
in the level of 11ßHSD-2 and a concurrent, albeit slight, increase in
11ßHSD-1. The results of immunofluorescence indicated that expression
of 11ßHSD-1 in the placental BMm of estrogen-suppressed baboons was
more extensive than that in untreated baboons, although this increase
was not uniform. It is possible, therefore, that regional differences
in syncytiotrophoblast structure occur in estrogen-deprived animals,
which might impact 11ßHSD-1 localization. In the human, and
presumably the baboon, placenta, the trophoblast basement membrane is
comprised of extracellular matrix components that are products of the
villous trophoblast (21, 22), and changes in BM structure
may reflect alterations in synthesis/secretion of its components.
Although it remains to be shown whether estrogen plays a role in the
latter process, experimental procedures that decrease the production of
fetal adrenal androgens and thus placental estrogen synthesis in rhesus
monkeys also cause a striking increase in the thickness of the
trophoblast basement membrane of the retained placenta (23, 24).
Recently, we demonstrated that the activity of the baboon 11ßHSD-2
promoter was increased in JEG 3 cells cotransfected with ER and
incubated with E2 (8) and that syncytiotrophoblast
expression of 11ßHSD-2 increased with advancing gestation in
association with the elevation in estrogen (3, 4).
Moreover, placental NAD+-dependent 11ßHSD-2
activity was increased at midgestation in baboons treated with estrogen
(25). That estrogen up-regulates expression of the
11ßHSD-2 enzyme is supported by observations in the current study
demonstrating that the 11ßHSD-2 protein concentration in whole
villous homogenate and that in the BMm were decreased in
estrogen-deprived baboons and were restored by estrogen. Although
the baboon 11ßHSD-1 promoter is also increased by E2
(8), and placental syncytiotrophoblast 11ßHSD-1
expression increases with advancing pregnancy (3, 4),
the levels of 11ßHSD-1 protein in the whole villous tissue and BMm as
well as the MVM, its major site of localization, were not decreased in
syncytiotrophoblast from estrogen-depleted baboons. The reason(s)
for this lack of change is unknown. However, because 11ßHSD-1 resides
primarily in the MVM, and the amount of MVM, as determined by histology
and alkaline phosphatase activity, was lower in syncytiotrophoblast of
estrogen-depleted compared with untreated baboons, it may be
difficult to measure changes specifically in 11ßHSD-1 in either whole
villous homogenate or MVM relative to those in other protein
components.
The results of the current study also suggest that syncytiotrophoblast
nuclei, which pellet primarily in the 10K fraction, as has been shown
for the human placenta (14), are a major site of
11ßHSD-2 expression. Moreover, the 11ßHSD-2 signal detected by
Western blot in the 10K fraction exceeded that in the BMm. However,
because the Western blots were normalized to a specific amount of
protein, the total amount of protein in the BMm was more than 10-fold
greater than that in the 10K fraction, and nuclei were not detected in
the BMm, it appears that the BMm and not the nuclei is the major site
of 11ßHSD-2 localization. Nevertheless, because the
syncytiotrophoblast nuclei express 11ßHSD-2, but not 11ßHSD-1,
it is possible that nuclear metabolism may contribute to the
developmental increase in placental cortisol oxidation in late
gestation. The results of the current study also showed that
syncytiotrophoblast nuclei at term were localized in close proximity to
the BM, a process that appears to have been disrupted in
estrogen-deprived baboons. Therefore, we propose that estrogen not only
regulates the levels and localization of the 11ßHSD-1 and -2 enzymes
in the baboon placenta, but also structural maturation of the
syncytiotrophoblast, including the BM and microvilli. Consistent with
the latter, estrogen has been shown to increase the number and length
of microvilli in rat pituitary cells (26) and in
ER-positive MCF7 breast cancer cells (27). Moreover, in
MCF7 cells estrogen increased the expression of EBP50/NHE-RF
(28), a cytoskeletal PDZ domain-containing protein that is
typically concentrated in microvilli, including those of the human
(29) and baboon (30) term placenta. Whether
estrogen regulates EBP50/NHE-RF expression in the MVM of the baboon
placenta remains to be determined.
In summary, the results of the current study indicate that the
localization of 11ßHSD-2 and the developmental increase in the ratio
of 11ßHSD-2 to 11ßHSD-1 in baboon syncytiotrophoblast membranes
juxta the fetal blood compartment are regulated by estrogen. We propose
that this increase in the ratio of 11ßHSD-2 to 11ßHSD-1 in the BMm
provides the subcellular architectural mechanism responsible for the
previously demonstrated estrogen-dependent switch in transplacental
glucocorticoid metabolism, which regulates maturation of the primate
fetal pituitary-adrenocortical axis. Therefore, these studies further
support the concept that estrogen plays a central role in regulating
placental development essential to fetal maturation and neonatal
adrenocortical self-sufficiency.
 |
Acknowledgments
|
|---|
CGS 20267 was provided by Novartis Pharma AG (Basel,
Switzerland). The authors sincerely appreciate the secretarial
assistance of Ms. Sandra Huband with the manuscript, Mr. Nicholas
Zachos with the preparation of the photomicrographs, Ms. Pam Brien with
the baboon husbandry, and R. B. Billiar, Ph.D., with advice and
assistance with the Western blot analyses.
 |
Footnotes
|
|---|
This work was supported by NIH Grant R01-HD-13294.
Abbreviations: BM, Basal membrane; BMm, membranes contiguous
with the basal membrane; DAPI, 4',6-diamidino-2-phenylindole
dihydrochloride hydrate; 11ßHSD, 11ß-hydroxysteroid dehydrogenase;
MVM, microvillus membranes; NGS, normal goat serum.
Received January 18, 2001.
Accepted for publication June 22, 2001.
 |
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