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The Journal of Clinical Endocrinology & Metabolism Vol. 82, No. 5 1385-1389
Copyright © 1997 by The Endocrine Society


Reproductive Endocrinology

Messenger Ribonucleic Acid Expression of Heat Shock Proteins HSP70 and HSP90 in Human Endometrium and Myometrium during the Menstrual Cycle1

Takayuki Komatsu, Ikuo Konishi, Manabu Fukumoto, Kanako Nanbu, Masafumi Koshiyama, Masaki Mandai and Takahide Mori

Department of Gynecology and Obstetrics (T.K., I.K., K.N., M.K., M.M., T.M.) and Pathology (M.F.), Faculty of Medicine, Kyoto University, Kyoto, Japan

Address all correspondence and requests for reprints to: Ikuo Konishi, M.D., Department of Gynecology and Obstetrics, Faculty of Medicine, Kyoto University, Sakyo-ku, Kyoto 606, Japan.


    Abstract
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Heat shock proteins of 72 and 90 kDa (HSP70, HSP90) are thought to be involved in the functional modulation of sex steroid receptors. To examine the expression and transcriptional regulation of HSP70 and HSP90 in both the endometrium and myometrium, messenger ribonucleic acid (mRNA) and protein level expression of these HSPs during various phases of the menstrual cycle were analyzed by Northern blotting and immunohistochemistry. In the endometrium, HSP70 mRNA levels increased during the secretory phase compared with levels during the proliferative phase; this is consistent with the stronger immunostaining of HSP70 in glandular cells in the secretory phase. In the myometrium, however, mRNA and protein expression of HSP70 were higher in the proliferative phase than in the secretory phase. This indicates that the regulatory mechanism of HSP70 expression during the menstrual cycle differs between the endometrial glandular cells and myometrial smooth muscle cells and may be correlated with the period of sex steroid-related functions of the respective cells. Expression of the HSP90 mRNA and protein in the myometrium was higher in the proliferative phase than in the secretory phase. In the endometrium, HSP90 immunostaining in the glandular cells was also stronger in the proliferative phase, although expression of HSP90 mRNA was not significantly different between the tissues of the two phases.


    Introduction
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HEAT SHOCK proteins (HSP) are highly conserved proteins in nearly all organisms and are induced by various kinds of stress, including nonphysiological temperature (1). However, recent studies have demonstrated that several HSPs are expressed even under physiological conditions and play an important role in normal cell function (1, 2). A 90-kDa HSP (HSP90) is well known to modulate the function of sex steroid receptor proteins (3, 4, 5, 6), and a 72-kDa HSP (HSP70) and others are thought to be involved in the assembly of receptor proteins (4, 5, 6). We previously reported the immunohistochemical localization of HSP70 and HSP90 in the human endometrium during various phases of the menstrual cycle (7). However, little is known about the transcriptional regulation of HSP70 and HSP90 in the normal endometrium. In addition, expression of these HSPs has not been reported in the myometrium, which is another target for sex steroids in the human uterus (8, 9, 10). Therefore, we examined the messenger ribonucleic acid (mRNA) expression of HSP70 and HSP90 in both endometrial and myometrial tissues during the menstrual cycle by Northern blot analysis. Immunohistochemical localization of HSP70 and HSP90 in the same specimens was also examined.


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Specimens

Normal endometrial and myometrial tissues were obtained from 19 patients, aged 32–45 yr, who underwent total hysterectomy for the treatment of cervical intraepithelial neoplasia. Informed consent was obtained from each patient according to the guidelines (no. 90) of the ethical committee of Kyoto University Faculty of Medicine. All 19 patients had had regular menstrual cycles, and none had received hormonal therapy. At the time of operation, 7 were in the proliferative phase, and 12 were in the secretory phase. None of the 19 specimens showed pathological abnormalities in the endometrium or myometrium. The menstrual cycles of the patients were estimated by endometrial dating according to the method of Noyes et al. (11). Immediately after the surgical procedure, endometrial tissues (mainly the functional layer) were scraped with a scalpel, and apparently normal myometria were obtained from the anterior wall of the uterine corpus. Tissues were snap-frozen in liquid nitrogen and stored at -80 C.

RNA isolation and Northern blot analysis

Total RNA was prepared from normal human endometrial or myometrial tissue by the acid guanidinium-phenol-chloroform method (12) using Trizol Reagent (Life Technologies, Gaithersburg, MD). Five-microgram aliquots of total RNA were separated by electrophoresis in 1% agarose-formaldehyde gels and transferred onto nylon membranes. The membranes were prehybridized for 1 h at 65 C in 5 x saline-sodium phosphate-ethylenediamine tetraacetate, 1% SDS, 5 x Denhardt’s solution, and 0.5 mg/dL salmon sperm DNA. The genomic DNA probe for human HSP70 was provided by Dr. Morimoto (Northwestern University, Evanston, IL), and the complementary DNA probe for human HSP90-{alpha} was purchased from Riken Gene Bank (Tsukuba, Ibaraki, Japan). Probes were labeled by the random primer technique with [32P]deoxy-CTP to a specific radioactivity of 0.5–1 x 106 cpm/mL. Hybridization with the labeled probe was performed overnight at 65 C. After hybridization, membranes were washed at room temperature in 2 x SSC (standard saline citrate) plus 0.1% SDS, followed by 0.1 x SSC plus 0.1% SDS at 65 C for 15 min, and then subjected to autoradiography. The membranes were washed in boiled 0.1 x SSC plus 0.1% SDS and used again for Northern blotting with human glyceraldehyde-3-phosphate dehydrogenase complementary DNA probe, the expression level of which was similar in most tissues. Radioactivity was measured in a BAS 2000 Bioimage Analyzer (Fujix, Tokyo, Japan).

Immunohistochemistry

Immunostaining of HSP70 and HSP90 was performed on cryostat sections by the avidin-biotin-peroxidase complex method with mouse anti-72 kDa HSP monoclonal antibody (diluted 1:500; SPA-810, StressGen Biotechnologies, Victoria, Canada) and mouse anti-90 kDa HSP monoclonal antibody (diluted 1:500; SPA-830, StressGen), using a Vectastain Elite ABC kit (Vector Laboratories, Burlingame, CA), as described previously (7). The grade of staining intensity was estimated by two independent observers as negative, weakly positive, or strongly positive.

Statistical analysis

Statistical analysis of the HSP mRNA levels was performed using the Mann-Whitney U test. The values of HSP expression represent the relative expression of these genes and glyceraldehyde-3-phosphate dehydrogenase expression.


    Results
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Expression of HSP70 in the endometrium and myometrium

In the endometrium, HSP70 mRNA levels during the secretory phase were significantly higher than those during the proliferative phase (Fig. 1Go). Immunohistochemically, glandular cells in the functionalis of the endometrium were negative for HSP70 during the proliferative phase, but they exhibited strong immunoreactivity for HSP70 during the secretory phase. On the other hand, stromal cells in the functionalis during both the proliferative and secretory phases were negative or very weakly positive for HSP70.



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Figure 1. Northern blot of HSP70 mRNA from endometrial tissues. *, Significantly different (P < 0.01).

 
On the contrary, HSP70 mRNA levels in the myometrium were significantly greater during the proliferative phase compared to those during the secretory phase (Fig. 2Go). Although immunoreactivity for HSP70 was observed in myometrial smooth muscle cells throughout the menstrual cycle, the staining intensity of HSP70 was also strong in the cells during the proliferative phase and very weak during the secretory phase (Fig. 3Go). This contrasts with the change in the staining intensity in endometrial glandular cells, in which the staining intensity for HSP70 was much stronger in the secretory phase than that in the proliferative phase.



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Figure 2. Northern blot of HSP70 mRNA from myometrial tissues. *, Significantly different (P < 0.01).

 


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Figure 3. Immunohistochemical staining of HSP70 in myometrial smooth muscle cells in the proliferative phase (A) and the secretory phase (B) of the menstrual cycle. There was weaker staining of HSP70 in the smooth muscle cells in the secretory phase than in the proliferative phase, in contrast to changes in HSP immunostaining in the endometrial glands. Magnification, x200.

 
Expression of HSP90 in the endometrium and myometrium

There was no significant difference in endometrial HSP90 mRNA levels between the proliferative and secretory phases (Fig. 4Go). Immunoreactivity for HSP90 was observed in both the glandular and stromal cells in the functional layer throughout the menstrual cycle. However, the staining intensity for HSP90 in the glandular cells was strong in the proliferative phase and weak in the secretory phase.



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Figure 4. Northern blot of HSP90 mRNA from endometrial tissues.

 
In the myometrium, HSP90 mRNA expression during the proliferative phase was high, and the levels of HSP90 mRNA varied during the secretory phase (Fig. 5Go). Statistically, there was a significant difference in the HSP90 mRNA level between the proliferative and secretory phases. Immunoreactivity for HSP90 was observed in the myometrial smooth muscle cells throughout the menstrual cycle. The staining intensity of HSP90 was strong in the proliferative phase and weak in the secretory phase (Fig. 6Go).



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Figure 5. Northern blot of HSP90 mRNA from myometrial tissues. *, Significantly different (P < 0.05).

 


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Figure 6. Immunohistochemical staining of HSP90 in myometrial smooth muscle cells is stronger in the proliferative phase (A) than in the secretory phase (B) of the menstrual cycle. Magnification, x200.

 

    Discussion
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This study demonstrated the mRNA and protein levels of both HSP70 and HSP90 in the human endometrium and myometrium during the menstrual cycle. Changes in HSP expression in the normal endometrium have been reported at the protein level immunohistochemically (7) and by Western blot analysis (13), as well as at the mRNA level by reverse transcription-PCR (14). However, there have been no reports on HSP expression in the human myometrium. Our study showed that the expression of HSP90 mRNA in the myometrium is significantly higher in the proliferative phase than in the secretory phase. Immuohistochemistry also confirmed that the HSP90 protein is localized in the smooth muscle cells, and the staining intensity is stronger in the proliferative phase than in the secretory phase.

HSP90 is known to bind sex steroid receptors such as estrogen receptors (ER) and progesterone receptors (PR). In myometrial smooth muscle cells, expression of both ER and PR is known to be high during the proliferative phase. In the secretory phase, ER expression is down-regulated, although PR expression is maintained (9, 10). HSP90 is known to mask the functional domains to maintain an inactive state (6), but this receptor-associated protein is also thought to be a necessary component for the maintenance of the appropriate conformation required for hormone-binding activity of the receptor (15). Therefore, the fluctuation of HSP90 expression in the myometrium may parallel the change in sex steroid receptor levels during the menstrual cycle in smooth muscle cells. This is the case for HSP90 expression in the endometrial glands; immunostaining of HSP90 in the glandular cells was stronger in the proliferative phase than in the secretory phase. In this study, however, HSP90 mRNA levels were not significantly different between the proliferative and secretory endometria. This discrepancy may be due to either the small sample size or the heterogeneity of endometrial tissue that contains many different kind of cells, such as epithelial, stromal, and immune cells (16).

This study demonstrated that expression of HSP70 mRNA in the endometrium is significantly increased during the secretory phase. This concurs with a recent report on HSP70 mRNA by the reverse transcription-PCR method (14). Our immunohistochemical results suggest that the increased HSP70 mRNA in the secretary phase represents the strong induction of HSP70 protein in the glandular cells during the secretory phase. In our previous study, overexpression of HSP70 in the normal endometrial glands was also observed during treatment with medroxyprogesterone acetate (17) and was usually associated with down-regulation of sex steroid receptors (7, 17). In the neoplastic glandular cells of well differentiated carcinomas, however, HSP70 was not induced, and the constitutive expression of ER and PR was present even in the presence of progesterone (17). These findings suggest that strong expression of HSP70 may be related to the down-regulation of sex steroid receptors. Overexpression of HSP70 has been found in poorly differentiated endometrial carcinomas and epithelial ovarian carcinomas with p53 protein expression and is associated with the loss of sex steroid receptors (17, 18).

Our study also showed changes in HSP70 expression in the myometrium during the menstrual cycle. Both HSP70 mRNA and protein levels were significantly higher in the proliferative phase of the menstrual cycle, and strikingly, this was in contrast to changes in HSP70 expression in the endometrial glands. Myometrial smooth muscle cells maintain the expression of PR even in the secretory phase (9, 10), and progesterone has been known to play a role in the proliferative activity (10) and in the morphological and functional differentiation of the smooth muscle cells in the secretory phase and during pregnancy (19). Therefore, the expression of HSP70 seems to be inversely correlated with the hormonal regulation of the function and proliferation of myometrial smooth muscle cells. This finding may be consistent with previous in vivo and in vitro studies which suggested that HSP70 may act as a repressor of steroidal effects (5, 7).

In conclusion, the expression of both HSP70 and HSP90 is differently regulated in the endometrium and myometrium and changes during the menstrual cycle. In the mouse or sheep uterus, treatment with estradiol has been shown to increase HSP90 mRNA and protein levels (20, 21, 22, 23). Progesterone has also been shown to transiently increase HSP70 mRNA expression in human breast cancer cell lines possessing PRs (14). Therefore, HSP expression may be regulated by sex steroids. However, the biological roles of HSP70 and HSP90 in the human endometrium and myometrium remain undetermined, and further analysis is needed to clarify them.


    FDA News
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Newly approved: Allegra (fexofenadine) Lipitor (atorvastatin calcium) Nilandron (nilutamide) Nutropin (somatropin rDNA) Rezulin and Prelay (troglitazone) Newly withdrawn: Seldane (terfenadine) Seldane E (terfenadine and pseudoephedrine) —as well as generic versions of this prescription antihistamine


    Footnotes
 
1 This work was supported by Grant-in-Aid 05454447 for Scientific Research from the Ministry of Education, Science, and Culture, Japan. Back

Received December 20, 1996.

Revised January 31, 1997.

Accepted February 5, 1997.


    References
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 Abstract
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  1. Lindquist S, Craig EA. 1988 The heat shock proteins. Annu Rev Genet. 22:631–677.[CrossRef][Medline]
  2. Welch WJ. 1992 Mammalian stress response: cell physiology, structure/function of stress proteins, and implications for medicine and disease. Physiol Rev. 72:1063–1081.[Free Full Text]
  3. Kost SL, Smith DF, Sullivan WP, Welch WJ, Toft DO. 1989 Binding of heat shock proteins to the avian progesterone receptor. Mol Cell Biol. 9:3829–3838.[Abstract/Free Full Text]
  4. Schwalter DB, Sullivan WP, Maihle NJ, et al. 1991 Characterization of progesterone receptor binding to the 90- and 70-kDa heat shock proteins. J Biol Chem. 266:21165–21173.[Abstract/Free Full Text]
  5. Bagchi MK, Tsai SY, Tsai MJ, O’Malley BW. 1991 Progesterone enhances target gene transcription by receptor free of heat shock proteins hsp90, hsp56, and hsp70. Mol Cell Biol. 11:4998–5004.[Abstract/Free Full Text]
  6. Smith DF, Toft DO. 1993 Steroid receptors and their associated proteins. Mol Endocrinol. 7:4–11.[CrossRef][Medline]
  7. Koshiyama M, Konishi I, Nanbu K, et al. 1995 Immunohistochemical localization of heat shock proteins HSP70 and HSP90 in the human endometrium: correlation with sex steroid receptors and Ki-67 antigen expression. J Clin Endoclinol Metab. 80:1106–1112.[Abstract]
  8. Garcia E, Bouchard P, De Brux J, et al. 1988 Use of immunocytochemistry of progesterone and estrogen receptors for endometrial dating. J Clin Endocrinol Metab. 67:80–87.[Abstract]
  9. Lessey BA, Killam AP, Metzger DA, Haney AF, Greene GL, McCarty KS. 1988 Immunohistochemical analysis of human uterine estrogen and progesterone receptors throughout the menstrual cycle. J Clin Endocrinol Metab. 67:334–340.[Abstract]
  10. Kawaguchi K, Fujii S, Konishi I, et al. Immunohistchemical analysis of oestrogen receptors, progesterone receptors and Ki-67 in leiomyoma and myometrium during the menstrual cycle and pregnancy. Virchows Arch A. 419:309–315.
  11. Noyes RW, Hertig AT, Rock J. 1950 Dating the endometrial biopsy. Fertil Steril. 1:3–10.
  12. Chomczynsky P, Sacchi N. 1987 Single-step method of RNA isolation by acid guanidinium thiocyanate-PhOH-chloroform extraction. Anal Biochem. 162:156–159.[Medline]
  13. Tabibzadeh S, Kong QF, Satyaswaroop PG, Babaknia A. 1996 Heat shock proteins in human endometrium throughout the menstrual cycle. Hum Reprod. 11:633–640.
  14. Tang PZ, Gannon MJ, Andrew A, Miller D. 1995 Evidence for oestrogenic regulation of heat shock protein expression in human endometrium and steroid-responsive cell lines. Eur J Endocrinol. 133:598–605.[Abstract]
  15. Bresnick EH, Dalman FC, Sanchez ER, Pratt WB. 1989 Evidence that the 90-kDa heat shock protein is necessary for the steroid binding conformation of the L cell glucocorticoid receptor. J Biol Chem. 264:4992–4997.[Abstract/Free Full Text]
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  17. Nanbu K, Konishi I, Komatsu T, et al. 1996 Expression of heat shock proteins HSP70 and HSP90 in endometrial carcinomas: correlation with clinicopathology, sex steroid receptor status, and p53 protein expression. Cancer. 77:330–338.[CrossRef][Medline]
  18. Koshiyama M, Konishi I, Mandai M, et al. 1995 Immunohistochemical analysis of p53 protein and 72 kDa heat shock protein (HSP72) expression in ovarian carcinomas: correlation with clinicopathology and sex steroid receptor status. Virchows Archiv. 425:603–609.[Medline]
  19. Fujii S, Konishi I, Katabuchi H, Okamura H. 1990 Ultrastructure of smooth muscle tissue in the female reproductive tract: uterus and oviduct. In: Motta PM, ed. Ultrastructure of smooth muscle. Boston: Kluwer; 197–220.
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