The Journal of Clinical Endocrinology & Metabolism Vol. 83, No. 8 2878-2885
Copyright © 1998 by The Endocrine Society
Cloning of Two Novel Growth Hormone Transcripts Expressed in Human Placenta1
Cesar L. Boguszewski,
Per-Arne Svensson,
Thomas Jansson,
Ross Clark,
Lena M. S. Carlsson and
Björn Carlsson
Research Centre for Endocrinology and Metabolism (C.L.B., P-A.S.,
L.M.S.C., B.C.), Department of Internal Medicine, Department of
Physiology and Pharmacology (T.J.), Sahlgrenska University Hospital,
Göteborg, Sweden; Research Centre for Developmental Medicine and
Biology (R.C.), University of Auckland, New Zealand
Address all correspondence and requests for reprints to: Björn Carlsson, Research Centre for Endocrinology and Metabolism-Sahlgrenska University Hospital, Gröna Stråket 8-S-413 45, Göteborg, Sweden. E-mail: bjorn.carlsson{at}ss.gu.se
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Abstract
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Several isoforms of human GH (hGH) are produced by two related genes
expressed in the pituitary (hGH-N) and in the placenta (hGH-V). These
genes consist of five exons (denoted 15) separated by four introns
(denoted A-D). In the present report, two new transcripts of the hGH-V
gene are described. The coding region of the hGH-V gene was amplified
by RT-PCR using placental complementary DNA as template. DNA sequencing
of several clones revealed two novel transcripts. One had a 45-bp
deletion caused by the use of an alternative splice acceptor site
within exon 3, similar to that in the hGH-N gene, predicting a 20-kDa
isoform of hGH-V. The other transcript was generated by the use of an
alternative splice donor site causing a 4-bp deletion in the end of
exon 4, predicting a 24-kDa protein with 219 amino acids, which we
refer to as hGH-V3. The carboxy-terminal sequence of hGH-V3 differs
from 22-kDa hGH-V and hGH-V2, the two previously reported transcripts
of the hGH-V gene, and does not contain a predicted transmembrane
domain as described for hGH-V2. Ligase chain reaction was then used to
analyze the possible use of the same splicing pattern in transcripts
derived from the other genes of the hGH-gene cluster. Alternatively
spliced transcripts encoding the 20-kDa hGH isoform were detected from
the hGH-N and hGH-V genes, but not from the human chorionic
somatomammotropin-A/B genes. The alternative splicing generating
hGH-V3 was only demonstrated in transcripts derived from the hGH-V
gene. Using competitive RT-PCR, the expression of hGH-V3 was estimated
to be 10% of the hGH-V messenger RNA in full-term normal placentas and
in placentas from pathological pregnancies. The 20-kDa hGH-V was
detected in two of four full-term normal placentas, whereas a weak
signal was observed in one of the pathological placentas. We conclude
that the hGH-V primary transcript undergoes alternative splicing
pathways generating at least four different messenger RNAs, predicting
the expression of different hGH isoforms, including two with a complete
sequence divergence in the carboxy-terminus.
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Introduction
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THE human GH (hGH) gene cluster is located
on the long arm of chromosome 17 and consists of five highly
sequence-conserved genes aligned in the same transcriptional
orientation. Among these genes, the hGH-N (N = normal), which is
expressed in somatotrophic cells of the anterior pituitary, and the
hGH-V (V = variant), which is expressed in syncytiotrophoblastic
cells in the placenta, are responsible for the production of different
hGH isoforms. In these genes, five exons (designated 1 to 5) are
separated by four introns sequences (designated A to D) (1, 2, 3, 4, 5).
In the pituitary, the major product of the hGH-N gene is a single chain
polypeptide with 191 amino acids and a molecular mass of
approximately 22-kDa (6), which is an important regulator of postnatal
growth and metabolism (7, 8). Approximately 10% of the hGH-N
transcripts in the pituitary use an alternative splice acceptor site
resulting in the 20-kDa hGH isoform of the hGH-N, in which amino acids
3246 of the 22-kDa hGH-N are deleted (9). The 20-kDa hGH-N shows some
differences regarding biological activities, binding affinity, and
clearance from blood compared with 22-kDa hGH-N (9, 10, 11, 12, 13). However, both
22-kDa and 20-kDa hGH-N are capable of promoting growth (9, 14). The
hGH-V gene encodes a 22-kDa hGH-V isoform, which differs from the
22-kDa hGH-N by 13 amino acids in positions dispersed throughout the
mature secreted hormone (15). The 22-kDa hGH-V also undergoes
glycosylation to yield a 25-kDa isoform (16, 17). The physiological
role of 22-kDa hGH-V is unclear, but it progressively replaces 22-kDa
hGH-N in the maternal circulation during pregnancy (18, 19). Placental
and pituitary 22-kDa hGH show similar somatogenic activity, but the
placental isoform has reduced lactogenic activity (20). In contrast
with the hGH-N gene, the use of the alternative splice site generating
a 20-kDa isoform has not been documented for the hGH-V gene (21, 22).
Instead, a different splicing pathway in which intron D is retained in
the processed messenger RNA (mRNA) has been identified, predicting a
230-amino acid protein called hGH-V2. This 26-kDa isoform of the hGH-V
gene shows complete sequence divergence in the carboxy-terminus
compared with 22-kDa hGH-V, and it is presumably a membrane-bound
protein (23).
In this study, two new transcripts of the hGH-V gene are described. One
of the transcripts uses the same alternative splice acceptor site
within exon 3, as seen in the hGH-N gene (9), predicting a 20-kDa
isoform of the hGH-V gene. The other transcript, which we refer to as
hGH-V3, is generated by the use of an alternative splice donor site
near the end of the fourth exon causing a 4-bp deletion. The hGH-V3
transcript predicts a 24-kDa protein with 219 amino acids, in which the
first 124 amino acids are identical to those of placental 22-kDa hGH,
whereas the remaining carboxy-terminal residues shows a complete
sequence divergence.
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Material and Methods
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Cloning of GH-V complementary DNAs (cDNAs)
hGH-V cDNA was amplified by nested PCR using a human placental
cDNA library as template. The outer primers were hGHV-S1 and hGHV-S2,
and the inner primers were hGHV-S3 and hGHV-S4, as shown in Table 1
. Amplification was done in 50 mmol/L
KCl, 20 mmol/L Tris-HCl (pH 8.4), 1.5 mmol/L MgCl2, 200
µmol dNTPs, 50 pmol of each primer, and 2 U Taq polymerase
in a total volume of 50 µL, using the GeneAmp PCR system 9600
(Perkin-Elmer/Cetus, Norwalk, CT). In the first PCR reaction using
primers hGHV-S1 and hGHV-S2, denaturation at 95 C for 5 min was
followed by 32 cycles of amplification with denaturation at 94 C for 1
min, annealing at 57 C for 1 min, and extension at 72 C for 1 min, with
an extension time increase of 5 sec/cycle. The PCR products were
diluted 1:1000, and 1 µL was used as template for
amplification with primers hGHV-S3 and hGHV-S4, following the same
PCR-profile, with the exception that the annealing temperature was
increased to 62 C. The PCR products were separated on 1% agarose gels
and purified using the Geneclean II kit (Bio 101, Vista, CA) before
restriction analysis or subcloning into pCR-II (Invitrogen, San Diego,
CA). Subcloned PCR products were sequenced using the PRISM
Sequenase terminator single-stranded DNA sequencing kit (Applied
Biosystems, Foster City, CA).
RNA preparation
Total RNA was isolated from pathological and normal placentas
using RNA STAT-60 (Tel-Test B, Friendswood, TX), essentially as
described by Chomczynski and Sacchi (24).
Amplification of cDNAs encoding hGH-V, hGH-N, and human chorionic
somatomammotropin (hCS)-A/B
First-strand cDNA was generated using 2 µg total placental or
pituitary RNA as template, in the presence of RT buffer [50 mmol/L
Tris-HCl (pH 8.3), 50 mmol/L KCl, 10 mmol/L MgCl2, 10
mmol/L dithiothreitol (DTT), and 0.5 mmol/L spermidine; Promega,
Madison, WI], 1 µg random hexamers (Boehringer Mannheim, Mannheim,
Germany), 15 U avian myeloblastosis virus reverse transcriptase
(Promega), 20 U RNasin (Promega), and 3 µL deoxynucleotides (10
mmol/L of each deoxynucleotide triphosphate; Promega) in a final volume
of 20 µL. The reaction was carried out at 42 C for 50 min and
terminated at 70 C for 5 min.
Using pituitary or placental cDNA as template, PCR reactions were
performed in a total volume of 50 µL using a 2-µL aliquot of
the RT reactions, 100 mmol/L KCl, 20 mmol/L Tris-HCl (pH 8.4), 3 mmol/L
MgCl2, 2 µL deoxynucleotides (2.5 mmol/L of each
nucleotide triphosphate), 1.5 U Taq polymerase
(Perkin-Elmer/Cetus), and 25 µmol of each primer (Scandinavian Gene
Synthesis, Köping, Sweden) (Table 1
). A schematic representation
of the location of the primers used in the reactions is shown in Fig. 1
. Sequences containing parts of 22-kDa
hGH-V (125 bp), 20-kDa hGH-V (118 bp), or the full-length 22-kDa hGH-V
(648 bp) were PCR amplified from human placental cDNA using a common
forward primer (PO11) and three different reverse primers, the
hGH-V-22K, located within exon 3, the hGH-V-20K, which was designed to
bridge nucleotides encoding amino acids 31 and 47 of the hGH molecule,
and the PO12, located in the 3'-untranslated region of the hGH-V mRNA
(Fig. 1
). hCS-A/B (388 bp) was amplified from human placenta cDNA using
primers hCS1 and hCS2. hGH-N was amplified using primers FGH1A and
FGH2B with human pituitary cDNA (Clontech, Palo Alto, CA) as template,
resulting in a PCR product containing 573 bp. PCR amplifications were
carried out using the GeneAmp PCR system 9600 (Perkin-Elmer/Cetus; 30
sec denaturation at 94 C, 15 sec annealing at 57 C, and 40 sec
elongation at 72 C; 35 cycles). Aliquots of the amplified samples were
separated on a 1% agarose gel, and the PCR products were purified
using the the Geneclean II kit (Bio 101).

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Figure 1. Nucleotide sequence of hGH-V cDNA.
Nucleotides that differ from hGH-V sequence are shown for hGH-N and
hCS-A cDNAs. Nucleotides underlined in hCS-A sequence
indicate differences from that of hCS-B. Translated region of
22-kDa hGH-V mRNA is shown in triplets, with start and stop codons
marked by circles. Bold type denotes
codons for first and last amino acids of mature polypeptide.
Arrows indicate locations of four introns. Region
underlined in exon 3 shows 45-bp deletion observed in
20-kDa hGH. Double underlined sequence GTGG at end of
exon 4 indicates bases deleted in hGH-V3 transcript. Note sequence GGGG
in hGH-N and hCS-A/B transcripts. Locations of primers used in RT-PCR
and competitive PCR (Table 1 ) are shown by boxes. Note
that sequence of primer hGHV-20K starts at end of exon 2 and continues
within exon 3, after 45-bp region deleted in 20-kDa hGH-V.
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Ligase chain reaction (LCR)
LCR (25, 26) was used to characterize the transcripts of the
hGH-V, hGH-N, and hCS-A/B genes. LCR was performed in a reaction
mixture containing 20 mmol/L Tris-HCl (pH 7.5), 20 mmol/L KCl, 10
mmol/L MgCl2, 0.1% NP-40, 0.1 mmol/L ATP, 1 mmol/L
DTT, 0.4 µg/µL sonicated salmon sperm DNA, 150 nmol/L of all four
LCR primers (Genset, Paris, France; Table 1
), and using 10150 ng
hGH-V, hGH-N, or hCS-A/B cDNAs as template. Previously, 30 pmol of
primers hGH-V-20K-LCR B and hGH-V3-LCR B were end-labeled in a 20-µL
reaction at 37 C for 1 h, consisting of 1.5 µM
[
32P]ATP (Du Pont, Dreieich, Germany), 16 U of T4
polynucleotide kinase (Promega), 70 mM Tris-HCl (pH 7.6),
10 mM MgCl2, and 5 mM DTT. In the
LCR, 4 U of Pyrococcus furiosus (Pfu) ligase (Stratagene, La
Jolla, CA) was added to the reaction after an initial denaturation step
for 4 min at 94 C. The reactions were then performed with 35 cycles for
analysis of 20-kDa hGH-V (20 sec at 94 C; 50 sec at 48 C) and 25 cycles
for analysis of hGH-V3 (20 sec at 94 C; 20 sec at 60 C) in the GeneAmp
PCR system 9600 (Perkin-Elmer/Cetus). The reactions were stopped by
adding loading dye containing formamide. The LCR products were
separated on 6% polyacrylamide gels and analyzed by the Phosphor
Imager (Molecular Dynamics; Sunnyvale, CA). The size of the LCR
products was compared with radiolabeled size markers (Promega).
Competitive PCR assay
To estimate the relative proportions of the new transcripts in
relation to the total hGH-V mRNA, competitive PCRs for 20-kDa hGH-V and
hGH-V3 were performed using primers PO11/PO14 and GHV3A/GHV3B,
respectively (Table 1
and Fig. 1
). The forward primers were end-labeled
in a reaction similar to that described for the LCR primers.
Competitive PCR was performed with placental cDNA as template (20 sec
at 94 C, 15 sec at 57 C (20-kDa hGH-V) or 60 C (hGH-V3), and 30 sec at
72 C; 35 cycles). The PCR products were electrophoresed on 6%
polyacrylamide gels, and the bands were visualized and quantified by
the Phosphor Imager (Molecular Dynamics).
Hydrophilicity plots
The hydrophilicity plots (scale Kyte-Doolittle) of 22-kDa hGH-V,
hGH-V2, and hGH-V3 were obtained using the software MacVector version
4.5 (Eastman Kodak, Rochester, NY).
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Results
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Identification of novel hGH splice variants in human
placenta
A scheme of the splicing mechanisms of hGH-V gene is shown in the
Fig. 2A
. Sequencing of several clones
obtained by PCR of the coding region of the hGH-V gene using human
placental cDNA as template revealed two novel transcripts. One of the
transcripts had a 45-bp deletion within exon 3, similar to that
described in the hGH-N gene, predicting a 20-kDa isoform of hGH-V
(GeneBank accession number: AF006060). Using RT-PCR and primers PO11
and hGHV-20K, which were designed for specific amplification of
placental 20-kDa hGH-V, a DNA fragment of 118 bp was identified (data
not shown). The other new transcript, designated hGH-V3, resulted from
the use of an alternative splice donor site near the end of exon 4,
causing a deletion of 4 bp (GTGG) upstream of the regular splice site
(GeneBank accession number: AF006061). The hGH-V3 transcript is
predicted to encode a 24-kDa protein with 219 amino acids (245 with the
signal peptide) with a frameshift after residue 124 compared with
placental 22-kDa hGH. This alternative splice donor site is not present
in either hGH-N or hCS-A/B because of a nucleotide difference in the
sequence of these genes (GGGG instead of GTGG) (Fig. 2B
).

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Figure 2. Schematic representation of hGH-V gene and
its alternative spliced products. A, hGH-V gene with its five exons
(1 2 3 4 5 ) and four introns (A-D) is shown in upper part of
diagram. Most common splicing mechanism of hGH-V primary transcript
removes all intron sequences resulting in 22-kDa hGH-V mRNA.
Twenty-kilodalton hGH-V mRNA is generated by use of an alternative
splice site within exon 3, which eliminates codons for amino acids
3246, similar to that described for hGH-N. In hGH-V2 mRNA, intron D
is retained in processed mRNA, resulting in frameshift. hGH-V3 mRNA is
produced by use of an alternative splice site near end of exon 4,
predicting a protein with a unique carboxy-terminus. Right
arrows in hGH-V2 and hGH-V3 transcripts denote sequence
divergence carboxy-terminal to splice site. *, In hGH-V3 indicates
sequence after exon 5 that is translated in this isoform. B,
Characterization of hGH-V3 (left) and 20-kDa hGH
(right) mRNA splicing of hGH-V gene. Consensus sequences
for splice donor and acceptor sites are shown. Bold type
indicates highly conserved bases. Predominant splicing site is
indicated by solid lines, and alternative splicing sites
is indicated by dotted lines. In hGH-V3 mRNA,
alternative site is located only 4 bp upstream of normal splice donor
site (GTGG, in italics). Note T to G transition present
in hGH-N and hCS-A/B genes.
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LCR was then used to analyze the use of the same splicing pattern in
transcripts derived from the other genes of the hGH-gene cluster. The
LCR products of 50 bp corresponding to transcripts encoding the 20-kDa
isoforms of hGH-N and hGH-V were detected in hGH-N cDNA and in hGH-V
cDNA, respectively, but not in hCS-A/B cDNA (Fig. 3
). In addition, the 50-bp band
corresponding to hGH-V3 transcript was only observed in placental cDNA
from the hGH-V gene, but not in cDNAs derived from the other genes of
the cluster (Fig. 3
).

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Figure 3. LCR analysis of use of novel splice donor
and acceptor sites mRNAs derived from hGH-gene cluster.
Arrows indicate 50-bp LCR products and 25-bp unligated
primers. A, Use of alternative splice acceptor site for generation of
20-kDa hGH transcripts: lane 1, template was 150 ng hCS-A/B cDNA; lane
2, 150 ng hGH-V cDNA; lane 3, 150 ng hGH-N cDNA; lane 4, control with
no template; lane 5, control with all four primers; lane 6, control
with labeled LCR-primer. B, Use of alternative splice donor site for
generation of hGH-V3 transcript: lanes 1 and 2, templates were 10 and
50 ng hCS-A/B cDNA; lanes 3 and 4, 10 and 50 ng hGH-V cDNA; lanes 5 and
6, 10 and 50 ng hGH-N cDNA; lanes 79, control samples as shown in
left panel.
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Expression of new transcripts in human placenta
The expression of the new transcripts in relation to the total
hGH-V mRNA was estimated by competitive PCR in four full-term normal
placentas and three placentas from pregnancies with complications. A
diagram showing the location of the primers used in the competitive
PCRs is shown in Fig. 4A
. The expression
of hGH-V3 did not vary greatly in normal and pathological placentas,
corresponding to approximately 10% of the hGH-V transcripts. The
20-kDa hGH-V mRNA was only detected in two of the four normal
placentas, and a weak signal was observed in one of the abnormal
placentas (Fig. 4B
).

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Figure 4. Competitive RT-PCR for 20-kDa hGH-V and
hGH-V3. A, Schematic illustration of hGH-V gene organization showing
location of primers used in reactions for placental 20-kDa hGH
(left) and hGH-V3 (right). Exons are
shown as boxes and introns as horizontal
lines. Vertical lines indicate alternative
splice sites. Radiolabeled forward primers are shown by *. B, Lanes
14, normal full-term placentas; lane 5, gestational diabetes,
full-term; lane 6, intrauterine growth retardation (IUGR), 35 weeks of
gestation; lane 7, pregestational and insulin-treated diabetes + IUGR,
full-term. In upper panel, 74- and 70-bp bands denote
transcripts encoding 22-kDa hGH-V and hGH-V3, respectively, whereas in
lower panel, 179- and 134-bp bands denote those for
22-kDa hGH-V and 20-kDa hGH-V, respectively.
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Hydrophilicity of hGH-V3
The predicted proteins encoded by the hGH-V2 and hGH-V3
transcripts have distinct carboxy-termini compared with other hGH
isoforms (Fig. 5
). The hGH-V3 is a 24-kDa
protein with 219 amino acids, in which the first 124 amino acids are
identical to those of 22-kDa hGH-V, with a frameshift occurring in the
remaining carboxy-terminal sequence. In this part of hGH-V3, there is
no transmembrane domain, as predicted for the hGH-V2 (23) (Fig. 6
).

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Figure 5. Predicted amino acid sequences of 22-kDa
hGH-V, hGH-V2, and hGH-V3. *, Denote identical residues in hGH-V2 and
hGH-V3 proteins compared with 22-kDa hGH-V. Underlined
amino acids are those deleted in 20-kDa hGH-V.
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Figure 6. Hydrophilicity plots of 22-kDa hGH-V,
hGH-V2, and hGH-V3. Sequences include signal peptide (26 amino acids).
Circle indicates predicted transmembrane domain of
hGH-V2 that is not present in either placental 22-kDa hGH and
hGH-V3.
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Discussion
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Sequence analysis of several hGH-V cDNA clones revealed the
presence of two novel transcripts of this gene, in addition to those
two previously described encoding 22-kDa hGH-V (27, 28) and hGH-V2
(23). One of the novel transcripts predicts a 20-kDa hGH-V isoform,
generated through the use of an alternative splice site similar to that
described for the hGH-N gene (9, 29, 30). The other novel transcript,
hGH-V3, uses an alternative splice donor site near the end of exon 4 of
the hGH-V gene, only 4 bp upstream of the regular splicing site. hGH-V3
mRNA is predicted to encode a 24-kDa protein with 219 amino acids and
an unique carboxy-terminus. In our study, LCR products corresponding to
20-kDa hGH-V and hGH-V3 were detected by oligonucleotides that were
correctly base-paired at the junction in both transcripts, using
placental cDNAs as template. As expected, the 20-kDa hGH-transcript was
also detected in cDNA derived from the hGH-N gene, but not in cDNA
derived from the hCS-A/B genes. In contrast, the alternative splice
pattern generating hGH-V3 mRNA was only observed in transcripts derived
from the hGH-V gene.
Although the hGH-V gene is highly similar in structure to the hGH-N
gene, processing of its primary transcript has not been shown to use
the alternative acceptor site that generates pituitary 20-kDa hGH.
Instead, transfection studies using genes encoding hGH-N, hGH-V, or
chimeric genes, have identified striking differences between hGH-N and
hGH-V genes regarding the use of this acceptor site (21, 31). Sequences
in the immediate proximity of the alternative splice acceptor sites, as
well as more remote sequences, seem to contribute to the splice site
selection (22). Our results using placental cDNA as template show that
primary transcripts derived from the hGH-V gene can be alternatively
spliced within exon 3 in a manner similar to that observed for the
hGH-N gene. The expression of the placental 20-kDa hGH transcript seems
to vary among different full-term normal placentas and placentas with
abnormalities. In fact, the transcript encoding 20-kDa hGH-V was not
detected in all placentas. This variation in expression of the 20-kDa
hGH-V transcript might partly explain the previous unsuccessfully
attempts in detecting this transcript (21). Interestingly, altered
hGH/hCS gene expression has been described in human trophoblastic
neoplasms in comparison with normal placentas (32), and further studies
are needed to address whether the expression of various transcripts
differs under physiological or pathological conditions.
In contrast to the transcript encoding 20-kDa hGH-V, the hGH-V3
transcript seems to be expressed in similar amounts in different
placentas, comprising approximately 10% of the total hGH-V
transcripts. However, it is unclear whether the abundance of these
transcripts reflects the production of the predicted proteins. The
alternative splice site generating hGH-V3 is not present in the other
genes of the cluster. This is probably because of a T to G transition
observed in the splice donor site of the other genes that presumably
prevents this splicing in the hGH-N and hCS-A/B genes. Interestingly,
the predicted hGH-V3 protein exhibits a complete frameshift
carboxy-terminal to the splice site, similar to what is observed in
hGH-V2 (23) and bovine GH (33). However, in contrast to hGH-V2, there
was no putative transmembrane domain in the carboxy-terminus of the
predicted hGH-V3 protein as analyzed by hydrophilicity plots. The
predicted hGH-V3 protein is a member of a group of GH-related proteins
with distinct carboxy-terminal, which includes hGH-V2 and bovine GH
(23, 33).
The interaction between hGH and its receptor is a sequential event, in
which hGH initially binds to one hGH receptor (hGHR) molecule through a
large contact surface area (site 1), involving amino acids of the
carboxy-terminal part of the fourth helix bundle, to form an inactive
1:1 complex. This complex then associates with a second hGHR molecule
via binding to site 2, which represents a smaller surface area on the
N-terminal part of the hGH molecule (34, 35). The distinct
carboxy-terminus in the predicted hGH-V2 and hGH-V3 proteins completely
changes the amino acids in binding site 1. Thus, it remains to be
elucidated if these new hGH isoforms are able to bind and activate the
hGHR (36). Alternatively, it is possible that hGH-V3 and related
molecules act through specific receptors, as suggested for other hGH
and human PRL fragments (37, 38) and more recently, for 22-kDa hGH-V
(39).
The role of placental hGH-V is unclear, but there are indications that
it may participate in the regulation of maternal metabolism (40). The
22-kDa hGH-V levels are reduced in most cases of intrauterine growth
retardation in comparison with normal pregnancies (41). Moreover,
hGH-V2 is probably a membrane-bound protein, and its expression is
controlled independently from the expression of 22-kDa hGH-V during
gestation, supporting the idea that hGH-V and related peptides play a
role in placental growth or function (42, 43). The results of the
present study showing that the hGH-V primary transcript undergoes
alternative splicing generating at least four different mRNAs, two of
them predicting proteins with completely distinct carboxy-termini, add
new complexity to the physiology of hGH during pregnancy.
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Footnotes
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1 This study was supported by grants from the Swedish Medical Research
Council (11576, 11331, 11285, and 11502). 
Received March 10, 1998.
Revised April 29, 1998.
Accepted May 5, 1998.
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