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Endocrinology Vol. 142, No. 4 1380-1385
Copyright © 2001 by The Endocrine Society


ARTICLES

Transcriptional Regulation of Oxytocin Receptor by Interleukin-1ß and Interleukin-6

Birgit Schmid, Susan Wong and B. F. Mitchell

Perinatal Research Center, Department of Obstetrics and Gynecology, HMRC 220, University of Alberta, Edmonton, Alberta, Canada T6G 2S2

Address all correspondence and requests for reprints to: Dr. B. F. Mitchell, Perinatal Research Center, Department of Obstetrics and Gynecology, University of Alberta, Edmonton, Alberta, Canada T6G 252.


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The up-regulation of oxytocin (OT) receptors in late pregnancy results principally from increased synthesis of messenger RNA. The 5'-flanking region of the human OT receptor gene contains several putative binding sites for nuclear factor-interleukin-6 (NF-IL6), also known as CAAT/enhancer binding protein-ß. This trans-acting factor modulates the expression of genes involved in acute inflammatory responses. Proinflammatory cytokines, such as IL-1ß or IL-6, have been implicated as mediators in both preterm and term labor, particularly in association with intrauterine infection. We hypothesized that IL-1ß and IL-6 induce OT receptor gene expression in human myometrial cells, and this is mediated by NF-IL6 and cognate response elements in the 5'-flanking region of the OT receptor gene. Contrary to the hypothesis, both IL-1ß and IL-6 treatment resulted in a significant decrease in OT receptor messenger RNA measured by ribonuclease protection analysis. Using electrophoretic mobility shift assay, we have shown that NF-IL6 is present at low levels that appear to be increased after treatment with either IL-1ß or IL-6. Using deletion analysis and functional transfection studies in HeLa cells, we demonstrated that the OT receptor gene promoter displays constitutive basal activity and is negatively regulated by both IL-1ß and IL-6. This suppressive ability of IL-1ß and IL-6 depends on the -1203/-722 region of the OT receptor promoter, which contains binding sites for NF-IL6, acute phase response element, and NF-{kappa}B. Our findings suggest a role for IL-1ß and IL-6 in the transcriptional regulation of the human OT receptor gene.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
BEFORE PARTURITION, the pregnant uterus undergoes a process of activation. During this process, the uterus is transformed from a mostly quiescent, nonresponsive organ to one that is very sensitive to uterotonins and capable of the intense contractions that characterize labor. An important feature of uterine activation is a marked increase in the number of receptors for the potent uterotonin oxytocin (OT). The OT receptor (OTR) is a cell surface membrane protein of 43 kDa and consists of 389 amino acids (1). It belongs to the superfamily of G protein-coupled receptors characterized by seven transmembrane domains joined by alternating extracellular and intracellular loops, an extracellular N-terminal domain, and an intracellular C-terminal domain (2). Upon ligand binding, OTRs mediate uterine contractions by coupling through G proteins of the G{alpha}q subfamily to the phospholipase Cß/Ca2+ signaling pathway (3, 4).

The expression of uterine oxytocin receptors is highly regulated. Binding sites for OT in human myometrium increase over 180-fold during gestation, and this is accompanied by a significant increase in specific messenger RNA (mRNA) for OTR (5, 6). The human OTR gene exists as a single copy in the haploid genome and spans approximately 17 kb, consisting of four exons and three introns (7, 8). In its 5'-flanking region a variety of putative nucleotide consensus sequences exist, including binding sites for activator protein-1 (AP-1), Sp-1, nuclear factor-{kappa}B (NF-{kappa}B), acute phase response element (APRF), NF-interleukin-6 (NF-IL6), and several half-palindromic estrogen response elements (EREs; Fig. 1Go). The proximal promoter region contains a TATAA-like motif, an Inr element, a growth-associated binding protein site, and a cAMP response element/AP-1 like motif (7, 9).



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Figure 1. Structure of the promoter region of the hOTR gene. The positions of potential regulatory response elements relative to the transcription start site are shown. The sites of cleavage of the promoter also are indicated. 5'ERE/2, 5' half of the ERE; 3'ERE/2, 3' half of the ERE.

 
IL-1ß and IL-6 are proinflammatory cytokines that are increased in both preterm and term labor, particularly in association with intrauterine infection (10, 11). Even without infection, their concentrations in amniotic fluid and maternal serum increase throughout gestation and labor at term (12, 13). In the uteroplacental unit, cytokine-producing cells are present, including macrophages, large granular lymphocytes, and T cells, all of which are especially abundant in term decidua (14, 15). Decidual explants and monolayer cultures produce IL-1ß and IL-6 (16, 17). Placental tissues after spontaneous labor produce more cytokines in culture than tissues after term cesarean section with no labor (18), suggesting a role for cytokines in normal labor.

The transcription factor NF-IL6 was discovered as an IL-1-inducible factor that interacts with an IL-1-responsive element in the IL-6 gene (19). NF-IL6 exists in all tissues at very low levels, but is induced by lipopolysaccharides (LPS), IL-1, IL-6, or tumor necrosis factor-{alpha} (20). NF-IL6 belongs to the CCAAT box/enhancer-binding protein (C/EBP) family with the consensus binding sequence T(T/G)NNGNNAA(T/G) (21). Several signaling pathways activate NF-IL6. These include serine and threonine phosphorylation by mitogen- activated protein kinase, protein kinase A, and a calcium/calmodulin-dependent kinase (20). NF-IL6 regulates a variety of genes, including the genes for acute phase proteins (22), c-Fos (23), pregnancy-specific glycoprotein (24), inducible nitric oxide synthase (25), prostaglandin H2 synthase-2 (26), and placental lactogen (27).

The 5'-flanking region of the OTR gene contain response elements for NF-IL6 that are commonly found in cytokine-induced genes. However, the role of inflammatory cytokines in the induction of the OTR gene at the molecular level has not been investigated to date. We hypothesized that IL-1ß and IL-6 induce OTR gene expression in human myometrial cells and that this is mediated by NF-IL6 and cognate response elements in the 5'-flanking region of the OTR gene. Our specific aims were to investigate the ability of IL-1ß and IL-6 to induce OT mRNA synthesis in immortalized human myometrial cells, to demonstrate the presence of NF-IL6 in nuclear extracts of these cells, and to functionally characterize the 5'-flanking region of the OTR gene promoter.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cell culture
The human myometrial cell line ULTR (28) was provided from Dr. J. K. McDougall (Fred Hutchinson Cancer Research Center, Seattle, WA). These cells were chosen because our hypothesis related specifically to regulation of the OTR in human myometrial cells. We demonstrated using ribonuclease (RNase) protection assays (RPAs) that these cells synthesize mRNA for OTR, but there are no data regarding the presence of functional OTR in the cells. Because of the ease of transfection, HeLa cells (derived from human cervical epithelium) were used in the transient transfection studies. Both cell lines were grown in phenol red-free DMEM (Life Technologies, Inc., Gaithersburg, MD) supplemented with 10% FBS (Life Technologies, Inc.), 100 U/ml penicillin, 100 µg/ml streptomycin sulfate, and 250 ng/ml amphotericin (Life Technologies, Inc.) at 37 C in humidified 5% CO2/95% air.

RPA
To investigate the effect of cytokine stimulation on OTR mRNA, ULTR cells were treated with 10 ng/ml IL-1ß and 10 ng/ml IL-6 (Upstate Biotechnology, Inc., Lake Placid, NY) for varying time intervals (1.5, 3, and 6 h). Preliminary studies using concentrations from 0.1–100 ng/ml demonstrated maximal effectiveness at the 10 or 100 ng/ml concentrations for both cytokines. Total RNA was extracted from cells using TRIzol reagent (Life Technologies, Inc.). The DNA template for synthesis of the OTR riboprobe was prepared from human decidual RNA by RT-PCR (Invitrogen, Carlsbad, CA). A 237-bp fragment corresponding to a region extending from the third to the fifth transmembrane domain was amplified and subcloned into pCR-Script (Stratagene, La Jolla, CA) The primers used were 5'-CTA CCT GCT GCT GCT CAT GTC-3' and 5'-AGC GTG ATC CAT GTG ATG TAG G-3' (29). Human cyclophilin (Ambion, Inc., Austin, TX) served as the internal standard. Human (h) OTR (333 bp) and cyclophilin antisense riboprobes were generated in a 10-µl reaction containing 1 x transcription buffer (40 mM Tris-Cl, 8 mM MgCl2, 2 mM spermidine, and 50 mM NaCl); 1.2 U/µl RNasin (Promega Corp., Madison, WI); 6 mM dithiothreitol (Promega Corp.); 0.5 mM each of ATP, GTP, and UTP; 100 µCi [{alpha}-32P]CTP (Amersham Pharmacia Biotech, Aylesbury, UK); 1 µg DNA template; and 17 U/µl T3 RNA polymerase (Promega Corp.). After incubation at 37 C for 1 h, 6 µl RNase-free deoxyribonuclease I (10–50 x 103 U/ml; Roche Molecular Biochemicals, Mannheim, Germany) were added, followed by an incubation at 37 C for 20 min. Labeled complementary RNA probe was extracted by adding 100 µl 1 x TE (10 mM Tris, pH 7.4, and 1 mM EDTA), 4 µl carrier transfer RNA (tRNA; 50 µg/ml), and 150 µl Tris-saturated phenol-chloroform containing isoamyl alcohol. The reaction was vortexed, spun down, ethanol precipitated, and incubated at -20 C overnight. The labeled complementary RNA was pelleted, dried at room temperature, resuspended in 3 µl 1 x TE and 16 µl loading buffer (80% vol/vol formamide; 1 mM EDTA, pH 8; 0.1% bromophenol blue; and 0.1% xylene cyanol), and purified electrophoretically on a prewarmed 6% denaturing polyacrylamide gel at 350 V in 1 x TBE (89 mM Tris, 89 mM boric acid, and 2 mM EDTA, pH 8.0). After elution in 400 µl prewarmed buffer (2 M ammonium acetate, 1% SDS, and 25 µg/ml tRNA) at 37 C for 3 h, the labeled probe was ethanol precipitated, dried at room temperature, redissolved in 3 µl TE, and taken up in 100 µl hybridization buffer [40 mM PIPES, pH 6.4; 0.4 M NaCl; 1 mM EDTA; and 80% (vol/vol) formamide]. Total RNA (3–5 µg) from samples was ethanol precipitated in presence of 40 µg tRNA. In each experiment tRNA alone served as the negative control. Vacuum-dried precipitates were redissolved in 2 µl 1 x TE and hybridized with each 3 x 105 cpm OTR and cyclophilin riboprobes in hybridization buffer in 30 µl for at least 14 h at 55 C. Seven hundred and fifty nanograms of RNase A and 300 U RNase T1 were added in buffer containing 10 mM Tris-Cl, pH 7.5; 300 mM NaCl; and 5 mM EDTA and incubated for 30 min at 30 C. Addition of 100 µg proteinase K in the presence of 0.6% SDS for 20 min at 37 C removed RNases. After a phenol-chloroform extraction, hybridized 32P-labeled RNA fragments were dried at room temperature, dissolved in loading buffer, and electrophoresed on a prewarmed 6% denaturing polyacrylamide gel. RNA bands were detected by autoradiography. Their intensities were quantified using the SCION IMAGE program (NIH, 1998, Scion Corp., Frederick, MD) and corrected for cyclophilin mRNA. OTR densitometric values were divided by those of cyclophilin measured in the same RNA preparations. Data were analyzed using ANOVA and Tukey-Kramer multiple comparisons test.

Preparation of nuclear extracts
ULTR cells were grown to 80–90% confluence and treated with 10 ng/ml IL-1ß and 100 ng/ml IL-6 for 0.25 and 1 h, respectively. Cells were harvested, and nuclear extracts were prepared (30). Briefly, myocyte monolayers were rinsed three times with ice-cold PBS and scraped in PBS in 1.5-ml microfuge tubes. Cells were pelleted by centrifugation at 1500 x g for 3 min. Pellets were resuspended in 400 µl buffer A (10 mM HEPES, pH 7.9; 10 mM KCl; 0.1 mM EGTA; 1 mM dithiothreitol; and 1 mM phenylmethylsulfonylfluoride) and swelled for 15 min at 4 C. Twenty-five microliters of 10% Nonidet P-40 were added, and tubes were vortexed. Homogenates were centrifuged 30 sec at 13,800 x g in a microfuge. The nuclear pellets were resuspended in 50 µl ice-cold buffer C (20 mM HEPES, pH 7.9; 0.4 M NaCl; 1 mM EDTA; 1 mM EGTA; 1 mM dithiothreitol; and 1 mM phenylmethylsulfonylfluoride), and the extracts were vigorously rocked at 4 C for 15 min. The nuclear extracts were then centrifuged for 5 min at 13,800 x g in a microfuge at 4 C, and the supernatant was used in the electrophoretic mobility shift assay (EMSA).

EMSA
The EMSA was performed using a kit (Geneka, Montréal, Canada) that was revalidated for our system. The DNA probe containing a C/EBP consensus motif was 5'-end labeled with [{gamma}-32P]ATP (NEN Life Science Products-DuPont, Boston, MA) and T4 polynucleotide kinase (Promega Corp.) and purified on a Micro Spin G25 column. EMSA and supershift assays were performed according to the manufacturer’s protocol using 105 cpm DNA probe and 5 µg nuclear extract. Nuclear extract from rat liver tissue served as a positive control. The extract was electrophoresed on a precooled 5% nondenaturing polyacrylamide gel in 1 x TGE buffer (6.06 g Tris-base, 28.54 g glycine, and 0.78 g EDTA in 1l deionized water, pH 8.5). Shifted and supershifted bands were detected by auto- radiography.

Promoter constructs
The OTR promoter construct and its 5'-deletions were prepared by PCR using selected sense/antisense primers. The complementary DNA template (provided by Dr. T. Kimura, Osaka University, Medical School, Osaka, Japan) ranged from approximately 3 kb upstream of the transcription start site to the middle of the third intron. The first transcriptional start site (7) was assigned +1. The 5'-end primers consisted of 20–22 nucleotides complementary to the bottom strand of the template. Upstream of the matched sequence a HindIII restriction site was attached flanked by 4 nucleotides. The sense primer sequences were ATC GAA GCT TGG CAG GCT TGG TTC TAC AGG, ATC GAA GCT TCT GTA ATT TTC GAG CCG ATA G, ATC GAA GCT TGG AAA CCC AGT CCT TGGCTA, and ATC GAA GCT TGC GCA GAC AAG CAG AAT CAC. The 3'-end primer consisted of 20 nucleotides complementary to the top strand, upstream of which was an XbaI restriction site with 4 flanking nucleotides. Its sequence was ATC GTC TAG ACT GAG GCT GCA CTA TCG CAC. All constructs had the same 3'-end, because the same 3'-end primer was used in each of the PCR reactions. DNA was amplified in a 100-µl reaction consisting of 10 µl 10 x polymerase buffer, 200 µM of each deoxy-NTP, 1.5 mM MgCl2, 0.2 µM of each of the primers, 2 ng complementary DNA template, and 5 U platinum Taq DNA polymerase (Life Technologies, Inc.). After denaturing the template for 1 min at 94 C, DNA was amplified through 30 cycles for 1 min at 94 C, 1 min at 58 C, and 2 min at 72 C. A final extension step was performed at 72 C for 6 min. PCR reactions were electrophoresed on a 1% agarose gel in TAE buffer (2 M Tris-HCl, 250 mM sodium acetate, and 1 M EDTA) at 120 V and yielded the following products: a 1.31-kbp fragment (-1203 bp/+108 bp), a 1.01-kbp fragment (-909 bp/+108 bp), an 830-bp fragment (-722 bp/+108 bp), and a 511-bp fragment (-403 bp/+108 bp). Bands of interest were excised with a scalpel, and DNA was eluted from the gel using a kit (Promega Corp., Madison, WI). The purified products were digested with HindIII/XbaI and inserted into the HindIII/XbaI polylinker restriction site upstream of the chloramphenicol acetyltransferase (CAT) reporter gene in the promoterless pCAT-Basic vector (Promega Corp.).

Transient transfections
The day before transfection, HeLa cells were plated into six-well tissue culture plates and transfected at approximately 80% confluence with 1 µg/well reporter construct using FuGENE6 reagent as recommended by the supplier (FuGENE6, Roche Molecular Biochemicals). In all experiments 1 µg/well pSV-ß-galactosidase vector (Promega Corp.) was cotransfected and used as an internal standard. At 5 h posttransfection, cells were treated with IL-1ß (10 ng/ml) or IL-6 (10 ng/ml), respectively, until lysis. At 48 h posttransfection, cell lysates for CAT and ß-galactosidase (ß-gal) assays were prepared with buffers supplied by the manufacturer according to the protocol provided (Promega Corp.). Lysates were microcentrifuged for 2 min at 4 C. CAT and ß-gal activities were measured in supernatants according to the supplier’s protocol (Promega Corp.). Briefly, CAT activity was determined by liquid scintillation counting (LS5000TD, Beckman Coulter, Inc., Fullerton, CA) after 100 µl cell lysate were incubated with 0.15 µCi [14C]chloramphenicol (Amersham Pharmacia Biotech) and 25 µg n-butyryl coenzyme A for 20 h at 37 C. ß-Gal activity was determined by adding 50 µl cell lysate to 50 µl substrate containing 2 x assay buffer (Promega Corp.), incubating at 37 C until a faint yellow color developed, and measuring absorbance at 405 nm in an enzyme-linked immunosorbent assay reader (Molecular Devices, Menlo Park, CA) after the addition of 150 µl 1 M sodium carbonate.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The effects of IL-1ß and IL-6 treatment on hOTR mRNA levels are shown in Fig. 2Go. Using the RPA, we detected a protected band for OTR at 237 bp as expected. In response to both IL-1ß and IL-6, there was a significant decrease in OTR mRNA within 3 h. After 6-h exposure to either IL-1ß or IL-6, OTR mRNA levels decreased to approximately 25–30% of those at time zero.



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Figure 2. The effects of treatment with IL-1ß (10 ng/ml; A) and IL-6 (10 ng/ml; B) on the concentration of mRNA for OTR in transformed human myometrial cells (ULTR) in culture. The inset in each panel demonstrates a representative film from RPA. Results are shown as a percentage of the time zero concentration. Six separate experiments were performed for each of the cytokine treatments. Points with different letters are significantly different from each other (P < 0.05).

 
NF-IL6 was detected using EMSA analysis in the nuclear fraction of the ULTR cells in the presence or absence of IL-1ß or IL-6 (Fig. 3Go). The addition of anti-NF-IL6 antibody created a supershift, confirming the identity of NF-IL6 in nuclear extracts of both IL-1ß- and IL-6-stimulated and unstimulated ULTR cells. This semiquantitative assay suggested an increase in NF-IL-6 in the nuclear extracts of IL-1ß- or IL-6-treated ULTR cells compared with control cells. There were no changes in NF-IL6 in the untreated controls over the time of the incubation (data not shown).



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Figure 3. EMSA demonstrating the presence of NF-IL6 in nuclear extracts of ULTR transformed myometrial cells after treatment with IL-1ß (A) and IL-6 (B). The addition of anti-NF-IL6 antibody resulted in a supershifted band that appeared to be of greater intensity after treatment with either of the cytokines.

 
The results of the 5'-deletion constructs and transfection experiments are shown in Fig. 4Go. The level of CAT expression decreased significantly (P < 0.05) when the sequence between -1203 and -909 was deleted. A further significant decrease was observed when the sequence between -909 and -722 was deleted (P < 0.05). The deletion of the sequence from -722 to -403 had no further effect.



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Figure 4. The effect of 5'-deletions of the hOTR gene promoter on CAT activity in transfected HeLa cells. Deletion constructs were linked to a CAT reporter and CAT activity values were normalized to ß-gal activity from a cotransfected ß-gal plasmid. Results are expressed as the percent change relative to the -1203/+108 construct. Five separate transfection experiments were performed with each promoter construct. Bars with different letters were significantly different from each other (P < 0.05).

 
To determine whether cytokine-responsive regions are present in the hOTR promoter, the effects of IL-1ß and IL-6 on CAT activity of 5'-deletion constructs of the hOTR promoter transfected in HeLa cells were investigated (Fig. 5Go). In response to both IL-1ß and IL-6, CAT activity was similarly and significantly (P < 0.05) decreased by IL-1ß and IL-6 treatment of transfected HeLa cells transfected with promoter constructs containing the -1203/+108 and -909/+108 fragments compared with that in untreated cells. In cells transfected with constructs lacking the -1203 to -722 sequence, neither IL-1ß nor IL-6 treatment showed a significant effect on CAT activity.



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Figure 5. The effects of IL-1ß and IL-6 on CAT activity of 5'-deletion constructs of the hOTR gene promoter transfected into HeLa cells. The 5'-deletion constructs were linked to a CAT reporter gene, and each construct was used in four separate experiments. After transfection, cells were treated with either cytokine for 48 h. Results were expressed as the percent change relative to the -1203/+108 construct. The asterisks denote a significant difference (P < 0.05) between the control incubations (C) and those treated with either IL-1ß or IL-6.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Uterine contractions are mediated by OTRs, which are highly expressed in human myometrium at term. It is likely that a variety of signaling cascades become activated to up-regulate myometrial OTR gene transcription. The structure of the OTR gene promoter region supports a potential role for proinflammatory cytokines as modulators of OTR gene transcription. We have used ULTR cells as a model to study the regulation of OTR mRNA synthesis by IL-1ß and IL-6. This cell line originates from nonpregnant human myometrium and was immortalized with a retroviral vector containing the E6/E7 open reading frames of human papillomavirus type 16 (28). Contrary to our hypothesis, we have shown that treatment of ULTR cells with either IL-1ß or IL-6 significantly decrease OT mRNA within a few hours. This is in keeping with the findings of Rauk et al. (31), who noted a decrease in OT binding, OTR mRNA, and OT-stimulated PG production from primary cultures of human myometrial cells after treatment with IL-1. This group also has demonstrated that these cells have a significant reduction in the response to OT in terms of inositol triphosphate production, intracellular calcium transient, and arachidonate release (32). Others have used primary cell cultures and a transformed cell line derived from late pregnant human myometrium to demonstrate a significant increase in OTR mRNA after IL-6 treatment, but a decrease after treatment with IL-1ß (33). The discrepancies between the results may be related to the use of different cells and cell culture conditions. Interestingly, we have recently demonstrated, using rat uterine explants, that exposure to IL-6 significantly increases concentrations of OTR mRNA in tissues obtained from late pregnant animals, but has no effect in explants from nonpregnant rats (34). It is likely that the source and milieu of the myometrial cells have an important influence on their response to cytokine treatment.

Down-regulation of OTR mRNA has further been reported by two other groups. Maggi et al. (35) have shown that interferon-{alpha} decreases OTR mRNA in cultured human myometrial cells in a time- and dose-dependent way. They found that OT mRNA levels are maximally inhibited after 2–3 days treatment. Although all three cytokines, IL-1ß, IL-6, and interferon-{alpha}, have been reported to decrease mRNA for OTRs in myometrial cells, the time frame is different. This may suggest that the mechanisms leading to this suppression are different or, again, the cell context is critical. Phaneuf et al. (36) reported down-regulation of OTR mRNA in human primary myometrial cells incubated with OT for 24 h. Such an agonist-induced decrease in receptor concentrations is common for many receptor mRNAs, but occurs within different time intervals depending on the cell type.

There are at least two potential mechanisms through which IL-1ß or IL-6 could decrease OTR mRNA levels in ULTR cells. The cytokines could induce a signaling cascade, leading to the transcriptional suppression of the OTR gene. This mechanism could involve NF-IL6 as a mediator. Alternatively, IL-1ß or IL-6 treatment of ULTR cells could activate factors in the cell that are responsible for mRNA destabilization. In this regard, the third intron of the OTR gene contains an element that may mediate transcriptional suppression of the hOTR gene (37). This region is hypomethylated in term myometrium, which highly expresses the OTR gene. In tissues not expressing OTRs, this region is hypermeth-ylated and binds nuclear proteins associated with suppression of OTR promoter activity. It is known that AU-rich sequences in the 3'-untranslated region mediate mRNA degradation by RNases (38, 39). Such AU-rich elements can be found in the 3'-untranslated region of the hOTR gene (40), and it is possible that the cytokines may influence this region to alter mRNA stability.

Using EMSA, we have shown that NF-IL6 is present in nuclear extracts from ULTR cells with or without cytokine treatment. This transcription factor is found in most tissues at very low levels, but can rapidly be induced by exposure to lipopolysaccharide or proinflammatory cytokines, including IL-1ß and IL-6 (20). Although there appeared to be an increase in NF-IL6 levels after cytokine treatment, we have not demonstrated that this was causally related to the changes in OTR mRNA concentrations. Further, we do not know whether the apparent increase in nuclear NF-IL6 was due to increased synthesis of NF-IL6 or to posttranslational modifications, such as phosphorylation of NF-IL6, that could increase its DNA-binding activity. The early onset of the apparent increase (by 15 min) may support the latter possibility. Finally, NF-IL6 may not directly bind to the OTR promoter, but may form complexes with other transcription factors. This possibility is supported by a recent study that provided a detailed analysis of approximately 3000 nucleotides of the 5'-flanking region of the OTR gene. Using EMSA, nuclear extracts of term human myometrium were compared with nuclear extracts from nonpregnant myometrium. In term myometrium, only two fragments were found to form specific DNA-protein complexes, and the involved cis elements did not include binding sites for NF-IL6 (41).

With respect to the effects of IL-1ß and IL-6, we functionally characterized the proximal 1.3 kb (-1203/+108) fragment of the hOTR gene promoter using 5'-deletion mutants transfected into HeLa cells that do not naturally express OTR mRNA. We demonstrated that the full length of this promoter fragment exhibits basal transcriptional activity in these cells. This is in agreement with other studies using OTR promoters from rat or human in different cell lines (9, 41, 42, 43). This basal transcriptional activity of the human OTR promoter occurs independently of whether cells naturally express OTR mRNA (43).

Deletion of the promoter fragment from -1203 to -909 caused a significant reduction in transcription from the OTR promoter, suggesting that this sequence had a net positive effect on transcription. A similar conclusion was reached concerning the -909 to -722 fragment. These findings are in keeping with the report by Hoare et al. (9), who studied OTR regulation in the mammary tumor cell line Hs578T. Our studies found no further decrease in CAT activity with deletion of the -722 to -403 fragment. However, Hoare et al. found an ets gene family-binding site between -85 and -65 that was essential for basal and serum-induced expression of the OTR gene (9). Using supershift assays, they identified the transcription factor as GABP{alpha}/ß. Our studies would not have detected this regulatory element, but do demonstrate that the -1203 to -722 fragment is required for maximal promoter activity.

Contrary to our hypothesis, in response to treatment with IL-1ß or IL-6, elements within the -1203/-722 region of the OTR promoter mediate suppression of OTR gene promoter activity. The apparent increase in NF-IL6 suggests that this may be the mediator that negatively regulates transcription from the OTR promoter. However, the signaling pathways of IL-1ß and IL-6 may involve synthesis or activation of several transcription factors. The presence of {kappa}B and APRE binding sites in this region suggest NF{kappa}B and APRF (also known as STAT-3) as candidates mediating the actions of IL-1ß and IL-6, as noted in the transcriptional regulation of acute phase response genes (9, 44, 45). As there is an overall positive effect of this promoter region on basal transcription, the negative effects of cytokine treatment must involve important interactions between positive and negative regulators. These interactions could involve competition for DNA-binding sites, protein- protein interactions, or indirect effects mediated through other genes. Future studies will need to analyze the effects of specific transcription factors in the context of the wide variety of potential regulatory elements present in this promoter.

These experiments were undertaken to demonstrate that the increase in OTR was caused by the associated increases in the tissue and circulating concentrations of proinflammatory cytokines that occur in preterm or term labor in the presence and absence of infection (10, 11, 12, 13, 14). Our findings fail to support such a cause-effect relationship. If the increased cytokine concentrations play a role in stimulating parturition, it is probably through mechanisms other than direct stimulation of myometrial OTR. A potential mechanism would be the well described cytokine-induced stimulation of PGH2 synthase, the rate- limiting enzyme in PG synthesis (26, 32, 46).

In summary, we have demonstrated that IL-1ß and IL-6 treatment of immortalized human myometrial cells results in a significant decrease in OTR mRNA within a few hours of treatment. We have also shown that the ubiquitous transcription factor NF-IL6 is present at low levels in these cells and appears to be increased by IL-1ß and IL-6 treatment. Furthermore, we have demonstrated that the 5'-flanking region of the OTR gene is functional when transfected into HeLa cells. The presence of the -1203 to -722 fragment of this promoter is essential for full activity. Treatment of transfected HeLa cells with either IL-1ß or IL-6 decreased promoter activity of the promoter-reporter constructs, an effect dependent on the presence of the -1203 to -722 fragment. Taking these findings together, we conclude that IL-1ß and IL-6 may be involved in transcriptional regulation of the OTR gene. The promoter region from -1203 to -722 contains both positive and negative elements. The net effect is dependent on the transcription factors present and the milieu of the cell. A more detailed characterization of the -1203/-722 region of the OTR promoter and identification of trans-acting factors may provide valuable information regarding the regulation of human myometrial activation.

Received October 3, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Kimura T, Azuma C, Mori K, Brownstein MJ, Okayama H 1992 Structure and expression of a human oxytocin receptor. Nature 356:526–529[CrossRef][Medline]
  2. Barberis C, Mouillac B, Durroux T 1998 Structural bases of vasopressin/oxytocin receptor function. J Endocrinol 156:223–229[CrossRef][Medline]
  3. Ku CY, Qian A, Wen Y, Anwer K, Sanborn BM 1995 Oxytocin stimulates myometrial guanosine triphosphatase and phospholipase-C activities via coupling to G{alpha}q/11. Endocrinology 136:1509–1515[Abstract]
  4. Phaneuf S, Europe-Finner GN, Carrasco MP, Hamilton CH, Lopez-Bernal A 1995 OT signaling in human myometrium. In: Ivell R, Russell JA (eds) Oxytocin. Cellular and Molecular Approaches in Medicine and Research. Plenum Press, New York, pp 453–467
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