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Original Studies |
Medical Research Council Group in Fetal and Neonatal Health and Development, Departments of Physiology and Obstetrics and Gynecology (F.A.P, V.L.C., J.R.G.C.), University of Toronto, Toronto, Ontario, Canada; and Research Laboratories of Schering AG (K.C.), Berlin, Germany
Address all correspondence and requests for reprints to: Dr. Falguni A. Patel, 1 Kings College Circle, Medical Sciences Building, Room 3209, Department of Physiology, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada M5S 1A8. E-mail: fal.patel{at}utoronto.ca
NAD+-dependent 15-hydroxyprostaglandin dehydrogenase
(PGDH) is the key catabolic enzyme controlling levels of
biologically active PGs. PGDH is localized to syncytiotrophoblast in
placenta, and to trophoblast cells in chorion. To examine the
regulation of PGDH by steroids and to determine any changes with labor,
we obtained placenta and chorion from term elective cesarean section or
spontaneous delivery and isolated trophoblast cells using a Percoll
density gradient. Cells were treated with varying concentrations of
cortisol, progesterone, the synthetic progestins R5020,
and medroxyprogesterone acetate with or without RU486 or the specific
progesterone receptor antagonist, onapristone, and the
3ß-hydroxysteroid dehydrogenase inhibitor, trilostane. The activity
of PGDH was assessed by measurement of
13,14-dihydro-15-keto-PGF2
. PGDH messenger ribonucleic
acid was quantified by in situ hybridization and
computerized image analysis.
The basal output of 13,14-dihydro-15-keto-PGF2
was lower
in placenta or chorion collected at spontaneous labor than in that
obtained at elective cesarean section. Cortisol had a significant
dose-dependent inhibitory effect on PGDH activity in both placental and
chorion trophoblast cells and significantly decreased levels of PGDH
messenger ribonucleic acid. Responses were similar between tissues from
laboring and nonlaboring women. PGDH activity was increased by R5020
and medroxyprogesterone acetate and was inhibited by RU486,
onapristone, and trilostane. We conclude that cortisol inhibits PGDH
activity and expression and that progestagens increase PGDH activity in
human chorion and placenta.
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