Endocrinology Vol. 142, No. 9 4086-4094
Copyright © 2001 by The Endocrine Society
PRL Antiapoptotic Effect in the Rat Decidua Involves the PI3K/Protein Kinase B-Mediated Inhibition of Caspase-3 Activity
Christian Tessier,
Anne Prigent-Tessier,
Susan Ferguson-Gottschall,
Yan Gu and
Geula Gibori
Department of Physiology and Biophysics, University of Illinois
College of Medicine, Chicago, Illinois 60612
Address all correspondence and requests for reprints to: Dr. Geula Gibori, Department of Physiology and Biophysics (M/C 901), University of Illinois, 835 South Wolcott Avenue, Chicago, Illinois 60612-7342. E-mail: ggibori{at}uic.edu
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Abstract
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During gestation, the uterus undergoes severe changes to
accommodate and protect the developing conceptus. In particular,
stromal endometrial cells proliferate and differentiate to form the
decidual tissue, which produces PRL. Once the conceptus begins to grow,
extensive regression by apoptosis take place in the decidua coincident
with the loss of the PRL receptor in this tissue. In this report we
have established for the first time that PRL, acting through the long
form of the PRL receptor and the PI3K pathway, exerts an antiapoptotic
effect in rat decidua. We have also shown that protein kinase B
phosphorylation on serine 473 as well as its nuclear translocation are
stimulated by PRL in decidual cells. Moreover, we have found that
caspase-3, a well known effector of apoptosis, becomes expressed and
active in the rat decidua just at a time when this tissue undergoes
extensive apoptosis. PRL was able to down-regulate both caspase-3 mRNA
levels as well as activity. Furthermore, using a protein kinase B
dominant-negative expression vector, we provide evidence that PRL
inhibition of caspase-3 requires an intact protein kinase B pathway.
Finally, we have also found that rat placental lactogen I and II
dose-dependently inhibit caspase-3 mRNA, suggesting multiple sources of
PRL in the hormonal control of rat decidual regression. In summary, the
results of this study have defined an important role for decidual PRL
in the normal progress of pregnancy, specifically in the regression and
reorganization of the decidua.
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Introduction
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APOPTOSIS, ALSO KNOWN as programmed cell
death, is an important biological process that is required to maintain
the integrity and homeostasis of multicellular organisms. In the rat,
implantation of the blastocyst during gestation or artificial stimuli
during pseudopregnancy induces the proliferation and differentiation of
endometrial stromal cells into decidual cells (1, 2). Once
the blastocyst implants and begins to grow, a profound reorganization
and regression of the decidual tissue take place. This regression,
which is necessary for embryonic growth and for the normal progress of
pregnancy, was shown to occur by apoptosis in a cell-specific and
time-related manner (3, 4, 5). The antimesometrial decidual
cells undergo severe regression around midpregnancy to allow for the
increase in placental size and ultimately transform into a thin layer
of tissue termed decidua capsularis. Cell regression later takes place
in the mesometrial decidua or decidua basalis that gradually thins out
as well with the progress of pregnancy. Interestingly, both decidual
tissues regress with similar morphology and kinetics whether induced by
the implanting blastocyst or by artificial means, suggesting that the
signal for decidual cell reorganization does not emanate from the
conceptus, but may involve decidual produced factor(s). We have
recently shown that in the rat, as in the human, the decidua produces
and secretes PRL (6) and that this tissue expresses both
forms of the PRL receptors (PRL-R) (7). An antiapoptotic
effect of PRL was recently shown in several cell types. In rat Nb2
lymphoma cells, PRL inhibits DNA fragmentation induced by
glucocorticoids (8); and in mammary glands, GH and PRL
deficiency increased DNA degradation (9). More recently,
PRL was demonstrated to be a survival factor for rat dorsal and lateral
prostate epithelium (10). Interestingly, our previous
studies have revealed that during development extensive apoptosis
occurs in the decidua at a time when the PRL-R disappears from this
tissue (3, 7), and that the delayed apoptosis that occurs
in the mesometrial decidua (3) is also accompanied by a
delayed loss of PRL-R (7). These findings led us to
investigate whether PRL plays a role in the control of apoptosis in the
decidua.
In this investigation we have established an antiapoptotic role for PRL
in the rat decidua and have shown that this hormone can act as a
survival factor, through the long form of the PRL-R and the
PI3K/protein kinase B (PKB) pathway. Moreover, our results have
revealed for the first time that one of the targets of PRL action in
the decidua is caspase-3, whose expression and activity are
down-regulated by this hormone.
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Materials and Methods
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Chemicals
Acrylamide and bis-acrylamide were obtained from Accurate
Chemical Inc. (Westbury, NY) and Eastman Kodak Co.
(Rochester, NY), respectively; Taq DNA polymerase was
purchased from Pan Vera Corp. (Madison, WI);
[32P]deoxy-CTP was obtained from Amersham Pharmacia Biotech (Arlington Heights, IL); the oligonucleotides
used as primers in the RT-PCR analysis were obtained from Life Technologies, Inc. (Grand Island, NY); tissue culture medium
(RPMI 1640), antibiotic-antimycotic solution, nonessential amino acids,
and sodium pyruvate were purchased from Mediatech (Washington DC); FBS
was purchased from HyClone Laboratories, Inc. (Logan, UT);
trypsin-EDTA was obtained from Life Technologies, Inc.;
progesterone and all other reagent grade chemicals were purchased from
Sigma (St. Louis, MO); and ovine PRL (oPRL; PRL-18, 30
IU/mg) was a gift from NIDDK, NIH (Bethesda, MD). The polyclonal
Ser473 phospho-PKB, total PKB, and 17-kDa active
caspase-3 antibodies were purchased from Cell Signaling Technology,
Inc. (Beverly, MA). The polyclonal total caspase-3 antibody was
obtained from Upstate Biotechnology, Inc. (Lake Placid,
NY), and the secondary tetramethylrhodamine isothiocyanate-conjugated
antirabbit-IgG and horseradish peroxidase-labeled antirabbit-IgG
antibodies were purchased from Jackson ImmunoResearch Laboratories, Inc. (West Grove, PA). AG 490, LY294002, and
wortmannin were obtained from Calbiochem-Novabiochem,
Corp. (San Diego, CA). Rat placental lactogen I and II (rPL-I and
rPL-II) were provided by Dr. Robert Shiu (University of Manitoba,
Winnipeg, Canada), and the expression vector for dominant-negative PKB
(PKB-DN) was a gift from Dr. Nissim Hay (University of Illinois,
Chicago, IL). The expression vectors for rat PRL receptor long and
short forms were a gift from Dr. Paul Kelly (INSERM, U-344, Faculte de
Medecine Necker, Paris, France).
Animal model
Pseudopregnancy was induced in Holtzman female rats by mating
them with vasectomized males at the Harlan facilities (Madison, WI).
The day a vaginal plug was found was designated d 1 of pseudopregnancy.
Rats were kept under controlled conditions of light (14 h/d; lights on,
05001900 h) and temperature (22-24 C) with free access to standard
rat chow and water. All experiments were conducted in accordance with
the principles and procedures of the NIH Guide for the Care and Use of
Laboratory Animals and were approved by the institutional animal care
and use committee. Decidualization of uterine endometrium was induced
by scratching the antimesometrial surface of both uterine horns with a
hooked needle on d 5 of pseudopregnancy under ether anesthesia.
Primary cell culture
Decidual cells in primary culture were obtained as previously
described (11). Cells (1.21.5 x
106) were seeded in six-well plates and incubated
at 37 C in a 95% air-5% CO2 humidified atmosphere in RPMI
1640 medium containing 2 x antibiotic-antimycotic solution (200
U/ml penicillin G, 0.5 µg/ml amphotericine B, and 200 µg/ml
streptomycin), 1 x nonessential amino acids, 1 mM
sodium pyruvate, 0.45% D-glucose, and 10% FBS. Cells were
allowed to attach for 34 h, washed several times with PBS, and then
cultured for 1272 h in RPMI 1640 phenol red-free medium supplemented
with 1% charcoal-dextran-stripped FBS with or without treatment. When
transient transfections needed to be performed, the cells were
transfected using lipofectin reagent (Life Technologies, Inc.) according to the manufacturers instructions. The cells
were incubated with the lipofectin-reagent-DNA complexes diluted in
Opti-MEM I reduced serum medium (Life Technologies, Inc.)
for 4 h, after which an equal volume of RPMI 1640 phenol red-free
medium containing 2% charcoal-dextran-treated FBS was added to each
wells with or without treatment. Medium was changed every 12 h in
the case of PRL treatment or every 24 h in the other cases. At the
end of the experiment, cells were washed twice with ice-cold PBS and
stored at -80 C until RNA or protein extraction.
DNA ladder
The internucleosomal cleavage of DNA was analyzed as follows. At
the end of the experiment, cells were scratched in culture medium and
centrifuged for 5 min at 1500 x g. The cell pellets
were resuspended and incubated at 50 C overnight in 100
mM NaCl, 10 mM Tris-Cl (pH
8.0), 25 mM EDTA (pH 8.0), 0.5% SDS, and 0.1
mg/ml proteinase K (Life Technologies, Inc.). The digested
cells were extracted for DNA with phenol/chloroform/isoamyl alcohol
(25:24:1, vol/vol/vol). The DNA was precipitated and digested for
1 h at 37 C in 1 µg/ml ribonuclease solution
(deoxyribonuclease-free; Roche, Indianapolis, IN). After
extraction and precipitation, an equal amount of DNA (35 µg) was
separated by electrophoresis on a 1% agarose gel impregnated with
ethidium bromide. The DNA pattern was examined by UV
transillumination.
Immunoblot analysis
To isolate protein from decidual tissue, tissue was homogenized
in an ice-cold lysis buffer (PBS containing 2% SDS, 2 mM
EDTA, 1 mM phenylmethylsulfonylfluoride, 2 µg/ml
aprotinin and leupeptin, and 1 µg/ml pepstatin) with a Polytron
homogenizer (Brinkmann Instruments, Inc., Ontario, Canada)
and then centrifuged at 10,000 x g for 10 min. An
aliquot of the supernatant was kept for protein measurement.
To obtain protein from cultured cells, primary cells were washed at
least twice in ice-cold PBS and were scraped off the culture dishes
using a rubber policeman. The cells were then resuspended in RIPA lysis
buffer [50 mM Tris-Cl (pH 7.4), 1% Nonidet P-40, 0.25%
sodium deoxycholate, 150 mM NaCl, 1 mM EDTA, 1
mM phenylmethylsulfonylfluoride, and 1 µg/ml aprotinin,
leupeptin, and pepstatin]. Protein concentrations were determined
using the bicinchoninic acid kit (Pierce Chemical Co.,
Rockford, IL). Equal amounts of total proteins (3040 µg/lane) were
dissolved in Laemmli buffer and heated for 5 min at 100 C. Proteins
were separated through 12% SDS-PAGE gels under reducing conditions in
25 mM Tris-Cl (pH 8.3), 192 mM glycine, and
0.1% SDS in the case of PKB immunoblots or through 15% SDS-PAGE gels
in 100 mM Tris-Tricine with 0.1% SDS in the case of
caspase-3 blots. The latter condition allows reduction of the gel
acrylamide concentration and improved migration of low mol wt proteins.
Proteins were then electrophoretically transferred to nitrocellulose
membranes (0.2 µm pore size, Protran, Schleicher & Schuell, Inc., Keene, NH) in cold transfer buffer [20 mM
Tris-Cl (pH 8.4), 192 mM glycine, and 20% methanol]. The
blots were incubated for 1 h at room temperature in 5% nonfat dry
milk in TBS buffer [20 mM Tris-Cl (pH 7.6) and 137
mM NaCl] containing 0.1% Tween 20 to block nonspecific
binding, then washed and incubated overnight at 4 C with
anti-phospho-PKB, total PKB, or active caspase-3 antibodies at a
dilution of 1:1000. The membranes were washed and incubated with a
horseradish peroxidase-conjugated antirabbit IgG (1:1000) for 2 h.
Protein-antibody complexes were visualized using the enhanced
chemiluminescence Western blotting system (Santa Cruz Biotechnology, Inc., Santa Cruz, CA) and exposed for 15 min to
x-ray film (Biomax MR, Kodak).
Immunocytochemistry
Decidual cells in primary culture were grown for 1248 h in
RPMI 1640 phenol red-free medium supplemented with 1%
charcoal-dextran-treated FBS on sterile coverslips (13 mm in diameter)
in four-well plates (Nunc, Naperville, IL). Cells were washed twice in
PBS and fixed for 10 min in 4% paraformaldehyde solution in PBS at
room temperature. After rinsing in TBS buffer, the cells were
permeabilized for 15 min at room temperature in TBS-10% BSA, 0.1%
Triton X-100, and 0.2% Tween 20 solution. The cells were then
incubated overnight at 4 C with either a polyclonal antibody to total
PKB or a polyclonal antibody to total caspase-3 at a 1:100 final
dilution in TBS-1% BSA. Control cells were treated with TBS-1% BSA
alone. The cells were then exposed for 3 h at room temperature to
a tetramethylrhodamine isothiocyanate-conjugated antirabbit IgG (1:200
dilution). The coverslips were mounted in Vectashield medium
(Vector Laboratories, Inc., Burlingame, CA) onto
microscope slides containing a counterstain for DNA
(4',6-diamino-2-phenylindole) and observed with a Carl Zeiss LSM 510 laser confocal microscope (Oberkochen, Germany)
equipped with a x40 water immersion objective lens (NA 1.2).
RNA isolation and semiquantitative RT-PCR analysis
Total RNA from frozen decidual tissue or decidual cells in
primary culture was purified using Tri-Reagent (Sigma)
according to the manufacturers instructions. The RT and PCR reactions
were performed as previously described (11). For the PCR
reaction, the conditions were such that amplification of the product
was in the exponential phase, and the assay was linear with respect to
the amount of input cDNA. Reaction products were electrophoresed on an
8% polyacrylamide nondenaturing gel. Each PCR reaction included rat
ribosomal protein L19 mRNA primers used as internal control to
normalize the data. After autoradiography, data were quantified using a
PhosphorImager and ImageQuant version 3 software (Molecular Dynamics, Inc., Sunnyvale, CA).
For the detection of caspase-3 mRNA, we designed oligonucleotide
primer pairs based on the sequence of the rat caspase-3 gene
(5'-ACCGATGTCGATGCAGCTAA-3' and 5'-GGTGCGGTAGAGTAAGCATA-3')
(12). L19 primers were 5'-CTGAAGGTCAAAGGGAATGTG-3' and
5'-CGTTCACCTTGATGAGCCCATT-3' (13). The predicted sizes of
the PCR-amplified products were 404 and 198 bp for caspase-3 and L19,
respectively.
Caspase-3 activity
Caspase-3 activity was measured using the colorimetric ApoAlert
Caspase-3 assay kit (CLONTECH Laboratories, Inc., Palo
Alto, CA) according to the manufacturers instructions. Briefly, cells
were scratched in culture medium and centrifuged for 5 min at 1500
x g. Cell pellets were resuspended in PBS, and an aliquot
was kept for protein measurement. After centrifugation, cell pellets
were resuspended in ice-cold cell lysis buffer and incubated on ice for
10 min. At the end of the incubation, cell lysates were centrifuged at
10,000 x g to precipitate cellular debris.
Supernatants were then incubated for 1 h at 37 C in the presence
of 1 mM caspase-3 substrate (DEVD-pNA), and the
OD was measured at 405 nm.
Statistical analysis
Data were examined by one-way ANOVA followed by Duncans
multiple range test. When appropriate, t test was used.
P < 0.05 was accepted as statistically
significant.
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Results
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DNA fragmentation in primary decidual cells
To study the mechanism controlling decidual regression, decidual
cells in primary culture obtained from d 9 pseudopregnant rats were
first grown in 1% FBS-DCC for different times. Genomic DNA was
isolated, and DNA fragmentation, a hallmark of apoptosis, was examined
as described in Materials and Methods. The results show an
increase in DNA fragmentation with time of culture (Fig. 1
). Extensive DNA degradation was found
after 72 h of culture, indicating that decidual cells in primary
culture are an appropriate model to study the mechanisms controlling
apoptosis in the decidua.

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Figure 1. DNA fragmentation in decidual cells in primary
culture. Decidual cells were isolated from pseudopregnant rats (d 9 of
pseudopregnancy) and cultured for different times in RPMI 1640 phenol
red-free medium containing 1% charcoal-dextran-treated FBS. Genomic
DNA was isolated, and equal amounts of DNA were applied on a 1%
agarose gel and electrophoresed as described in Materials and
Methods. The position of a 100-bp DNA ladder is shown on the
right. One representative gel of three experiments is
shown.
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PRL inhibits apoptosis through the PI3K/PKB pathway in decidual
cells in primary culture
As we have previously found that the decidual tissue undergoes
extensive apoptosis just at a time when PRL-R disappears from this
tissue (3, 7), we examined whether PRL had any effect on
the apoptotic process that takes place in the decidua. Decidual cells
in primary culture were grown for 72 h in the presence of
different doses of PRL. The effect of these treatments on DNA
degradation was examined. As we have previously described that decidual
cells in culture lose the PRL-R within 12 h (7), we
also transfected the cells with either the PRL-R long form (PRL-RL) or
the PRL-R short form (PRL-RS). PRL was able to decrease DNA
fragmentation significantly (40%) in cells transfected with PRL-RL at
the 1 µg/ml dose (Fig. 2A
), but had no
effect in cells transfected with PRL-RS (Fig. 2B
).

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Figure 2. Effect of PRL on DNA fragmentation in decidual
cells in primary culture. Decidual cells obtained from d 9
pseudopregnant rats were transfected with 1 µg/well of either PRL-RL
(A) or PRL-RS (B). The cells were cultured for 72 h in presence of
various doses of PRL in RPMI 1640 phenol red-free medium containing 1%
charcoal-dextran-treated FBS. Genomic DNA was isolated as described in
Materials and Methods. The left panels
show one representative ethidium bromide gel (n = 3), and the
right panels depict the densitometric analysis of the
DNA ladder bands (mean ± SEM; values expressed as a
percentage of the control, which was considered 100%). *,
P < 0.05 compared with vehicle-treated controls
(by one-way ANOVA, followed by Duncans multiple range test).
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To determine by which signaling pathway PRL exerts its effect, we
cultured the cells with or without PRL in the presence or absence of
inhibitors of various signaling pathways. As PRL is known to signal
through the classical Janus tyrosine kinase (Jak)/signal transducer and
activator of transcription (Stat) pathway (14), we used
AG490, which has been described as a specific inhibitor of Jak2
(15). However, because PRL can also activate the PI-3
kinase pathway (16) and because the PI3K was shown to play
a crucial role in the prevention of apoptosis in other cell types
(17), we also used two specific inhibitors of this
pathway, wortmannin and LY294002. As previously shown, a 72-h treatment
with 1 µg/ml PRL was able to inhibit DNA fragmentation (Fig. 3
). The addition of AG490 at a
concentration known to prevent PRL signaling through the Jak/Stat5
pathway in decidual cells (18) did not prevent
PRL-mediated inhibition of apoptosis. In contrast, both wortmannin and
LY294002, well known inhibitors of PI-3 kinase activity (19, 20), reversed the PRL effect. AG490, wortmannin, and LY294002
added alone to the culture medium had no effect on DNA
fragmentation.

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Figure 3. Effects of Jak2 and PI-3 kinase inhibitors on PRL
inhibition of DNA fragmentation in decidual cells in primary culture.
Decidual cells in primary culture (d 9 of pseudopregnancy) transfected
with 1 µg/well PRL-RL were cultured in RPMI 1640 phenol red-free
medium supplemented with 1% charcoal-dextran-treated FBS for 72 h
in the presence or absence of oPRL (1 µg/ml) with or without AG490
(20 µM), wortmannin (100 nM), or LY 294002 (5
µM). The effects of these different treatments on DNA
fragmentation were determined as described in Materials and
Methods. One representative gel of three experiments is
shown.
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As PKB is a known downstream target of PI3K (17), we
examined whether PRL was able to activate this kinase. Decidual cells
were cultured for different times in the presence of 1 µg/ml PRL, and
phosphorylation of PKB was examined using an antibody that specifically
recognizes PKB phosphorylated on Ser473. Western
blot analysis revealed that PRL was able to induce phosphorylation of
PKB on Ser473 after 15 and 30 min of culture
(Fig. 4A
). To examine whether PRL induces
PKB translocation to the nucleus, decidual cells were cultured in the
presence of PRL, and PKB localization was examined by
immunocytochemistry. Results shown in Fig. 4B
revealed that PRL induces
a redistribution of PKB from the cytoplasm to the nucleus of the
decidual cells.

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Figure 4. Effect of PRL on phosphorylation and translocation
of PKB in decidual cells in primary culture. A, Decidual cells were
isolated from d 9 pseudopregnant rats and cultured in RPMI 1640 phenol
red-free medium supplemented with 1% charcoal-dextran-treated FBS.
After 12 h of culture, the cells were treated with 1 µg/ml PRL
for different times. Total proteins were isolated as described in
Materials and Methods, and equal amounts were separated
by SDS-PAGE and transferred to nitrocellulose membrane. One
representative immunoblot (n = 3) is shown. B, Decidual cells were
cultured on sterile coverslips for 12 h in RPMI 1640 phenol
red-free medium supplemented with 1% charcoal-dextran-treated FBS. The
cells were then treated for 1 h with 1 µg/ml PRL, and the
coverslips were prepared for immunocytochemistry as described in
Materials and Methods. a, Control cells incubated
without primary antibody. Cells treated without (b) or with (c) PRL
were incubated with a polyclonal PKB antibody (1:100, final
dilution).
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Caspase-3 expression during pseudopregnancy
Because one of the caspases known to play a crucial role in
apoptosis is caspase-3, we next examined whether this protease is
expressed in decidual tissue. Figure 5A
shows DNA degradation during pseudopregnancy in both antimesometrial
and mesometrial decidual tissue. As previously shown (3),
fragmentation of DNA was absent on d 10 in both tissues and was
observed only in the antimesometrial tissue on d 12 of pseudopregnancy.
By d 14, extensive DNA degradation was found in both antimesometrial
and mesometrial decidua, although it was more pronounced in the
antimesometrial tissue. Interestingly, when we examined the expression
of the 17-kDa active caspase-3, we found a correlation between the
expression of this caspase and DNA fragmentation (Fig. 5B
). No active
caspase-3 protein could be detected on d 9 and 10 of pseudopregnancy.
The expression of this protease increased thereafter, becoming highly
expressed at a time when extensive apoptosis occurs in decidual
tissue.

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Figure 5. DNA fragmentation and caspase-3 expression in
endometrial stromal tissue during decidualization. A, Decidual tissue
was obtained between d 10 and 14 of pseudopregnancy and separated into
mesometrial (M) and antimesometrial (A) tissue. Genomic DNA was
isolated, and equal amounts were electrophoresed as described in
Materials and Methods. B, Equal amounts of total
proteins (40 µg) obtained from whole decidual tissue on different
days of pseudopregnancy were transferred to nitrocellulose membrane and
probed with a polyclonal antibody that specifically recognizes the
17-kDa active form of caspase-3. One representative immunoblot is
shown. In lane C, cellular extract provided by Cell Signaling
Technology, Inc., was loaded as a positive control for cleaved
caspase-3.
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When we examined caspase-3 mRNA levels in both antimesometrial and
mesometrial tissue, we found low levels in the antimesometrial or no
expression in the mesometrial decidua during early pseudopregnancy (d
1012) when no apoptosis was observed (Fig. 6
). Caspase-3 mRNA expression increased
from d 12 of pseudopregnancy, correlating to the abrupt increase in DNA
fragmentation and active caspase-3 protein as shown in Fig. 5
.

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Figure 6. Developmental expression of caspase-3 mRNA in
decidual tissue of pseudopregnant rats. Total RNA was isolated from
antimesometrial (A; panel A) or mesometrial (M; panel B) decidual
tissue at different stages of pseudopregnancy and analyzed by RT-PCR
using specific primers for rat caspase-3 as described in
Materials and Methods. Ribosomal L19 mRNA was used in
each reaction as an internal standard for normalizing the data. The
upper panels depict one representative autoradiogram
(n = 3). The lower panels show the normalized mRNA
levels as the mean ± SEM
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Caspase-3 mRNA and activity are inhibited by PRL through the PKB
pathway in decidual cells in primary culture
To determine whether PRL could affect caspase-3 expression or
activity, we first examined whether decidual cells in primary culture
express this protease. Decidual cells were cultured 24 h in 1%
FBS-DCC. Immunocytochemistry was performed using an antibody that
recognizes both the active and nonactive forms of caspase-3. As shown
in Fig. 7A
, caspase-3 expression was
observed in decidual cells to be mainly located around the nucleus and
in the filaments of the cells. Interestingly, when we examined mRNA
levels of caspase-3 in decidual cells in primary culture, we observed
an increase in the expression of this protease with time of culture
(Fig. 7B
). The maximum expression was observed after 72 h of
culture, which correlates to the maximum DNA degradation seen under the
same culture conditions (Fig. 1
).

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Figure 7. Immunolocalization and expression of caspase-3 in
decidual cells in primary culture. A, Decidual cells obtained from d 9
pseudopregnant rats were cultured for 48 h in RPMI 1640 phenol
red-free medium supplemented with 1% charcoal-dextran-treated FBS.
Immunocytochemistry was performed as described in Materials and
Methods using a polyclonal antibody that recognizes total
(active and nonactive) caspase-3 (1:100, final dilution). A negative
control obtained by omitting the primary antibody incubation step from
the procedure was free of staining (a). A positive signal was indicated
by the red staining (b). B, Total RNA obtained from decidual cells
cultured for different times in RPMI 1640 phenol red-free medium
supplemented with 1% charcoal-dextran-treated FBS was prepared and
subjected to semiquantitative RT-PCR analysis. PCR products were
visualized by autoradiography and normalized to the amount of the L19
mRNA internal control. The upper panel shows a
representative autoradiogram (n = 3), and the lower
panel illustrates the normalized mRNA levels (mean ±
SEM).
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To examine whether caspase-3 could be a target for PRL, we
cultured the cells for 72 h with different doses of PRL and
examined both its activity and expression. The results revealed that
PRL was able to significantly decrease both the protein levels of
active caspase-3 (Fig. 8A
) and its
activity (Fig. 8B
). Interestingly, PRL was also able to significantly
decrease caspase-3 mRNA levels after 12 h of culture (Fig. 8C
).

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Figure 8. Effect of PRL on caspase-3 expression and activity
in cultured primary decidual cells. A, Decidual cells transfected with
the PRL-RL were cultured for 72 h in the presence of different
doses of PRL in RPMI 1640 phenol red-free medium supplemented with 1%
charcoal-dextran-treated FBS. Total proteins were separated, and
Western blotting analysis was performed using a polyclonal antibody
that recognizes specifically the 17-kDa active form of caspase-3 as
described in Materials and Methods. In lane C, cellular
extract provided by Cell Signaling Technology, Inc., was loaded as a
positive control for cleaved caspase-3. B, Caspase-3 activity was
measured using the CLONTECH Laboratories, Inc., kit
according to the manufacturers instructions from decidual cells
cultured for 72 h in RPMI 1640 phenol red-free medium supplemented
with 1% charcoal-dextran-treated FBS and treated with different doses
of PRL. *, P < 0.05, by one-way ANOVA, followed by
Duncans multiple range test. C, Total RNA obtained from decidual
cells in primary culture (d 9 of pseudopregnancy) treated 12 h
with different doses of oPRL was isolated, reverse transcribed into
single stranded complementary DNA, and amplified with specific
oligonucleotide pairs for caspase-3 mRNA as described in
Materials and Methods. One representative autoradiogram
is shown in the left panel. The densitometric analysis
from three independent experiments (mean ± SEM;
values expressed as a percentage of the control, which was considered
100%) is depicted in the right panel. *,
P < 0.05, by one-way ANOVA, followed by Duncans
multiple range test.
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Because rPL-I and rPL-II, two PRL-like hormones produced by the
trophoblast (21), are also known to bind to the PRL-R, we
examined the roles of these two hormones in caspase-3 mRNA expression
(Fig. 9
). We cultured decidual cells for
12 h with different doses of rPL-I or rPL-II and examined
caspase-3 expression by RT-PCR. Similarly to PRL, both rPL-I (Fig. 9A
)
and rPL-II (Fig. 9B
) were able to decrease caspase-3 mRNA levels in a
dose-dependent manner.

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Figure 9. Effects of rPL-I and rPL-II on caspase-3
expression. Decidual cells were isolated from pseudopregnant rats (d 9
of pseudopregnancy) and cultured for 12 h in the presence of
different doses of rPL-I or rPL-II in RPMI 1640 phenol red-free medium
supplemented with 1% charcoal-dextran-treated FBS. Total RNA was
prepared and subjected to RT-PCR analysis as described in
Materials and Methods. RT-PCR products were visualized
by autoradiography and normalized to the amount of the L19 mRNA
internal control. A, The effect of rPL-I on caspase-3 mRNA; B, the
effect of rPL-II. The upper panels depict one
representative autoradiogram (n 3), and the right
panels show the normalized mRNA levels (mean ±
SEM). *, P < 0.05 compared with
vehicle-treated controls (by one-way ANOVA, followed by Duncans
multiple range test).
|
|
To find out whether PRL action through the long form of the PRL-R on
caspase-3 is through PKB, we transfected decidual cells with either a
PKB-DN expression vector or an empty vector. Cells were then cultured
for 72 h in the presence or absence of 1 µg/ml PRL, and
caspase-3 activity was evaluated. As previously shown, PRL
significantly inhibited caspase-3 activity (Fig. 10
). This PRL effect was reversed by
PKB-DN, indicating that PKB is involved in PRL inhibition of
caspase-3.

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|
Figure 10. Prevention of PRL-mediated inhibition of
caspase-3 activity in decidual cells by PKB-DN. Decidual cells isolated
from d 9 pseudopregnant rats were transiently transfected with PRL-RL
(1 µg/well) and either pcDNA (EV; 5 µg/well) or an expression
vector for PKB-DN (5 µg/well). The cells were then cultured for
72 h with or without 1 µg/ml oPRL and caspase-3 activity was
measured as described in Materials and Methods. *,
P < 0.05, by one-way ANOVA, followed by Duncans
multiple range test.
|
|
 |
Discussion
|
|---|
In the present investigation we have demonstrated that PRL can
act, through the long form of the PRL-R, as a survival factor able to
inhibit apoptosis in the rat decidua. No PRL-mediated inhibition of
apoptosis was observed in decidual cells expressing only the short form
of this receptor. It is well established that after PRL stimulation,
PRL-R is tyrosyl phosphorylated and activates Jak2 (14).
This kinase phosphorylates the cytokine Stats such as Stat1, -3, and -5
(a and b) that regulate the expression of various genes (reviewed in
Ref. 22). Moreover, PRL has also been shown to activate
other kinases such as MAPK (14) and PI3K
(16). In rat decidual cells, PRL appears to exert its
survival effect through activation of the PI3K signaling pathway and
does not require Jak2 stimulation. Indeed, the specific PI-3 kinase
inhibitors, wortmannin and LY294002, prevented PRL inhibition of DNA
fragmentation, whereas AG490, a Jak2 inhibitor, had no effect. Although
the PRL-R was shown to be phosphorylated by Jak2 in COS cells, thereby
providing docking sites for the p85 PI3K subunit and activating PI3K
and its downstream biological effects (23), activation of
the PI3K pathway was shown to be independent of Jak2 in Nb2 cells
(24), where Cbl was suggested to function as an adapter
protein (25). In the rat decidua the mechanism of action
by which PRL activates the PI3K pathway remains to be investigated.
One of the important downstream targets of PI3K is PKB, or Akt, which
has been identified as an important component of prosurvival signaling
pathways (26, 27, 28). This serine/threonine kinase is
activated via the PI-3 kinase signaling pathway by a number of
receptors, such as insulin, epidermal growth factor, platelet-derived
growth factor, basic fibroblast growth factor, or the cytokines IL-2,
IL-3, and IL-4 (26, 27, 28). In this report we provide
evidence that PRL activates PKB and induces both phosphorylation and
nuclear translocation of this kinase in decidual cells. Interestingly,
GH, which, like PRL, signals through the same cytokine superfamily of
receptors and activates Jak2 in response to ligand binding
(29), was also shown to inhibit apoptosis through an
activation of the PI-3 kinase/PKB pathway. However, whereas the GH
survival effect is also dependent on Jak2 activation (30),
our results suggest that PRL action may be independent of this pathway,
although this hormone activates and phosphorylates Jak2 in decidual
cells (31).
Both human and rat decidua express the PRL gene, and it is highly
possible that decidual PRL prevents cell death in both species.
However, the mechanism through which this hormone exerts its protective
effect is still not known. PRL was shown to up-regulate both the mRNA
and protein levels of the protooncogene bcl-2, which is
known to suppress cell death, and to reduce the expression of
proapoptotic Bax protein in Nb2 cells (32). However,
addition of PRL to glucocorticoid treatment failed to maintain normal
levels of Bcl2 (33). PRL may block glucocorticoid-induced
cell death by inhibiting the disruption of the mitochondrial membrane
(33). In addition to Bcl2 family members, the caspase
family of proteases is known to play a central role in apoptosis
(34, 35, 36, 37). Caspases can be subdivided into apoptotic
initiators and apoptotic executioners. The former caspases cleave and
activate the latter, which, in turn, are responsible for degradation of
essential cellular components. Among the executioner proteases,
caspase-3 plays a direct role in proteolytic digestion of cellular
proteins responsible for progression to apoptosis. Caspase-3 is
synthesized as an inactive 32-kDa proenzyme that is activated after
cleavage at specific aspartate sites (35, 36). Our study
demonstrates for the first time that one of the targets of PRL action
is caspase-3. Indeed, PRL was able to down-regulate both caspase-3
expression and activity. Interestingly, our results also show that
caspase-3 expression in the rat decidua in vivo correlates
to the disappearance of the PRL receptor from this tissue and with
decidual regression by apoptosis (3, 7). This result
further supports the possibility that PRL-mediated inhibition of
apoptosis may at least in part occur through the suppression of
caspase-3 activity. Of interest was our finding that PRL-mediated
inhibition of caspase-3 involves PKB. Similar to PRL, the survival
action of epidermal growth factor is associated with a PI3K-dependent
inhibition of caspase-3 activity in an epithelial tumor cell line
(38). The serine/threonine kinase PKB mediates cell
survival in a variety of systems by acting on cellular proteins with
well established roles in apoptosis (27, 28). In
particular, PKB-induced phosphorylation of caspase-9 has been found to
decrease apoptosis by directly inhibiting protease activity
(39). Our investigation suggests that PKB may also exert
its antiapoptotic effects through an inhibition of caspase-3 activity.
Interestingly, PKB was recently shown to activate NF-
B in various
cell types (40, 41, 42). NF-
B is known as an antiapoptotic
transcription factor, in particular by activating the inhibitor of
apoptosis proteins (43, 44) that can directly inhibit
caspase-3 (45). Whether PKB acts directly, as it does on
caspase-9, or indirectly through NF-
B to inhibit caspase-3 in the
rat decidua remains to be investigated.
In addition to PRL, progesterone appears to protect decidual cells from
apoptosis (5, 46, 47, 48). Two recent investigations using the
PRL-R knockout mice have shown that progesterone administration to
PRL-R-/- mice rescues both implantation and
decidualization failures (49, 50). However, the
maintenance of full-term pregnancy was incomplete, and abortion
occurred, leading the researchers (50) to suggest a direct
role of PRL on the decidua. Whether the embryo resorbtions observed in
the PRL-R-/- mice are due to increased and
disorganized apoptosis in the decidua is a subject of further
investigation.
In summary, the results of our investigation have revealed an important
antiapoptotic role for PRL in the decidua. As the rat decidua expresses
the PRL gene and produces PRL (6), our study provides a
possible new local role for decidual PRL as an antiapoptotic molecule.
The inverse correlation between the occurrence of apoptosis and the
loss of PRL-R in the mesometrial and antimesometrial decidua (3, 7) strongly suggests that it is the disappearance of the PRL-R
first from the antimesometrial then from the mesometrial decidua that
allows for cell death at different times and at different intensities
in this tissue, leading to reorganization of the decidua and allowing
for the normal growth of the conceptus.
 |
Acknowledgments
|
|---|
We are grateful to Dr. Robert Shiu for providing the rPL-I and
-II, and to Dr. Nissim Hay for the dominant-negative expression vector
of PKB. We thank the NIDDK and the National Hormone and Pituitary
Program, NIH, for the oPRL. We also thank Dr. Catherine Boyer for
skillful assistance with the confocal studies. We are very grateful to
Gil B. Gibori for his help with the editing and preparation of the
manuscript.
 |
Footnotes
|
|---|
This work was supported by NIH Grants HD-12356 and HD-11119 (to G.G.)
and the Ernst Schering Research Foundation (to C.T.).
Abbreviations: Jak, Janus tyrosine kinase; NF-
B, nuclear
factor-
B; oPRL, ovine PRL; PKB, protein kinase B; PKB-DN,
dominant-negative PKB; PRL-R, PRL receptor; PRL-RL, PRL-R long form;
PRL-RS, PRL-R short form; rPL, rat placental lactogen; Stat, signal
transducer and activator of transcription.
Received February 16, 2001.
Accepted for publication May 15, 2001.
 |
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