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The Journal of Clinical Endocrinology & Metabolism Vol. 88, No. 9 4488-4495
Copyright © 2003 by The Endocrine Society

Placental Iodothyronine Deiodinase Expression in Normal and Growth-Restricted Human Pregnancies

S. Chan, S. Kachilele, E. Hobbs, J. N. Bulmer, K. Boelaert, C. J. McCabe, P. M. Driver, A. R. Bradwell, M. Kester, T. J. Visser, J. A. Franklyn and M. D. Kilby

Department of Fetal Medicine, Division of Reproductive and Child Health (S.C., S.K., E.H., M.D.K.), Department of Medical Sciences (K.B., C.J.M., P.M.D., A.R.B., J.A.F.), University of Birmingham, Birmingham, United Kingdom B15 2TG; Department of Pathology, University of Newcastle-upon-Tyne (J.N.B.), Newcastle-upon-Tyne, NE1 4LP United Kingdom; and Department of Internal Medicine III, Erasmus University Medical School (M.K., T.J.V.), 3015 GE Rotterdam, The Netherlands

Address all correspondence and requests for reprints to: Prof. Mark Kilby, Department of Fetal Medicine, Division of Reproductive and Child Health, Floor 3, Birmingham Women’s Hospital, University of Birmingham, Edgbaston, Birmingham, United Kingdom B15 2TG. E-mail: m.d.kilby{at}bham.ac.uk.

We have described the expression of specific iodothyronine deiodinase mRNAs (using quantitative RT-PCR) and activities in normal human placentas throughout gestation and compared our findings to those in placentas from pregnancies affected by intrauterine growth restriction (IUGR). The predominant deiodinase expressed in placenta was type III (D3); type II (D2) was also present. In general terms, the activities of the enzymes D2 and D3 (and mRNAs encoding these enzymes) were higher earlier in gestation (<28 wk) than at term and displayed an inverse relationship with the duration of gestation (P < 0.05). Comparison of the relative expressions of mRNAs encoding D2 and D3 as well as their activities in placentas associated with IUGR (early and late gestational groups) with findings from normal placentas of similar gestational ages revealed no significant differences. Immunolocalization of D2 and D3 in syncytiotrophoblast (including syncytial sprouts) and cytotrophoblast of human placentas was demonstrated at both early and late gestation. Treatment of primary cultures of term cytotrophoblast cells in vitro with increasing doses of T3 (1, 10, and 100 nM) resulted in increased expression of mRNAs encoding both D2 and D3 at 100-nM concentrations (P < 0.01) compared with control. Experiments with JEG-3 choriocarcinoma cells demonstrated a similar effect on D3 mRNA at 10 and 100 nM T3 (P < 0.01). The demonstrated changes in iodothyronine deiodinase expression in the placenta across pregnancy are likely to contribute to regulation of the thyroid hormone supply to the developing fetus. The lack of difference in deiodinase expression in normal placentas and those found in IUGR argues against placental deiodinases being responsible for the hypothyroxemia in circulating fetal thyroid hormones observed in this condition.

This work was supported by Medical Research Council, United Kingdom; the Wellcome Trust; and the Endowment Fund of the former United Birmingham Hospitals and the Masons Trust.

Abbreviations: CI, Confidence intervals; CNS, central nervous system; D1, deiodinase type I; D2, deiodinase type II; D3, deiodinase type III; FT3, free T3; FT4, free T4; IUGR, intrauterine growth restriction; PTU, propylthiouracil; TBS, Tris-buffered saline; TR, thyroid hormone receptor.




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