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The Journal of Clinical Endocrinology & Metabolism Vol. 85, No. 10 3808-3814
Copyright © 2000 by The Endocrine Society


Original Studies

Placental Peroxisome Proliferator-Activated Receptor-{gamma} Is Up-Regulated by Pregnancy Serum1

Leslie L. Waite, Eric C. Person, Yan Zhou, Kee-Hak Lim, Thomas S. Scanlan and Robert N. Taylor

Departments of Obstetrics, Gynecology, and Reproductive Sciences (L.L.W., R.N.T.), Pharmaceutical Chemistry and Cellular and Molecular Pharmacology (T.S.S.), Stomatology (Y.Z.), and Graduate Program in Biophysics (E.C.P.), University of California, San Francisco, California 94143; and Department of Obstetrics and Gynecology, Harvard Beth Israel-Deaconess Hospital (K.-H.L.), Boston, Massachusetts 02215

Address all correspondence and requests for reprints to: Dr. Leslie L. Waite, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, California 94143.


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Lipid metabolism plays an important role in normal pregnancy adaptation and in pathological pregnancy (e.g. preeclampsia). In the current studies we examined the expression of peroxisome proliferator-activated receptor-{gamma} (PPAR{gamma}) in tissues and cells relevant to human pregnancy. We found that PPAR{gamma} is expressed in placental cytotrophoblasts in vivo and in trophoblasts (primary and choriocarcinoma cells) and fetal endothelial cells in vitro. We characterized primary cytotrophoblasts and two cell lines with which to study PPAR{gamma} regulation in human pregnancy. Like primary cytotrophoblasts, the choriocarcinoma cell line JEG-3 has endogenous PPAR{gamma} expression. Normal positive and negative PPAR{gamma} regulation was observed in the latter cells. We also created a new JEG-3-derived cell line (EP-JEG) by stable insertion of a PPAR response element-luciferase reporter gene construct. Together, these cell lines are useful for studying PPAR{gamma} expression and activation in human trophoblasts. We examined PPAR{gamma} regulation in these cells by human serum and found that PPAR{gamma} protein expression and activation are dramatically increased by sera from pregnant women. Preliminary characterization of the regulatory principle(s) is consistent with a prostanoid or fatty acid derivative. The results suggest that increased activation of PPAR{gamma} may play an important role in maternal metabolism during human pregnancy.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
THE PEROXISOME proliferator-activated receptors (PPARs) are members of the superfamily of nuclear receptor transcription factors (for reviews, see Refs. 1, 2). Three human PPARs have been identified, PPAR{alpha}, NUC1 (also known as PPARß or -{delta} in other species), and PPAR{gamma}. These receptors regulate lipid and glucose homeostasis and metabolism. In particular, PPAR{gamma} has been shown to be a major regulator of adipogenesis (3, 4, 5, 6) and is a target of antidiabetic drugs of the thiazolidinedione (TZD) family. Activation of PPAR{gamma}, presumably by PGs or other fatty acid metabolites, leads to target gene transcription via a consensus PPAR response element (PPRE). These PPREs are activated by a heterodimer of PPAR{gamma} with the retinoid X receptor {alpha} (7). One specific activator of PPAR{gamma} is 15-deoxy-{Delta}12,14-prostaglandin J2 (15dJ2), a derivative of PGD2 (8, 9). Several studies also have shown that the cytokine tumor necrosis factor-{alpha} (TNF{alpha}) can inhibit the effects of PPAR{gamma} in vitro and in vivo (10, 11, 12, 13). Thus, these two compounds are useful tools to examine positive and negative regulation, respectively, of the PPAR{gamma} receptor.

Recent work suggests that PPARs play a role in hemochorial placentation. For example, studies by Barak et al. (14) demonstrate that PPAR{gamma} is essential for normal placental development in mice. Embryos without this gene show massive placental defects that can be rescued by restoration of the PPAR{gamma} gene via chimeras. Lim et al. (15) found that prostacylin synthesis is essential for implantation and decidualization in mice, and that its actions appear to involve PPAR{delta}. Although substantial placental anatomical differences exist between mice and humans, in vitro studies using human cells complement the findings in mice. Keelan et al. (16) and Matsuo and Strauss (17) have identified messenger RNA (mRNA) for PPAR{gamma} and NUC1, respectively, in JEG-3 cells, a choriocarcinoma cell line derived from placental trophoblasts.

Dramatic maternal physiological changes in human pregnancy necessitate modified regulation of glucose and lipid metabolism. During normal pregnancy, maternal energy and lipid metabolism are profoundly altered (18). The developing fetus uses glucose as its predominant energy source, which puts a continuous demand on the mother to provide this substrate (19). Problems with sugar metabolism, such as hypoglycemia or, alternatively, gestational diabetes, are not uncommon during pregnancy. Lipid metabolism also changes in pregnancy. Levels of circulating free fatty acids are in the normal range during most of pregnancy, but rise dramatically during the final weeks of pregnancy and drop precipitously at term (20). Additionally, maternal triglyceride levels triple during pregnancy (21). PG metabolism also is altered, with levels of vasorelaxants such as prostacylin increasing, whereas vasoconstrictive PG levels decrease (22, 23, 24). Failure of these alterations to occur may lead to pregnancy complications (e.g. preeclampsia) (25, 26).

In the current study we report the expression and localization of PPAR{gamma} protein in placental cytotrophoblasts in vivo. Moreover, we have characterized two human trophoblast cell lines for the study of PPAR{gamma} regulation in pregnancy. Using these cell lines, we have determined that human pregnancy serum contains a factor(s) that up-regulates the expression and activation of PPAR{gamma}.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Unless otherwise specified, all chemicals were obtained from Fisher Scientific (Pittsburgh, PA) or Sigma (St. Louis, MO), and all enzymes were purchased from Life Technologies, Inc. (Gaithersburg MD), or Promega Corp. (Madison WI). Standard molecular biology procedures were performed as previously described (27, 28). Rosiglitazone (BRL 49653) was synthesized according to published procedures (29, 30, 31, 32). 15dJ2 was obtained from Cayman Chemical Co. (Ann Arbor MI).

Serum was prepared from freshly clotted whole blood collected under sterile technique and frozen at -70 C within 12 h of collection. Serum samples from men, nonpregnant reproductive age women (20–40 yr), and pregnant women (36–40 weeks gestation) were collected. All samples were drawn from nonfasting individuals. Six samples from each group were used in each experiment. In experiments in which pools were used, six individual samples were pooled for each group.

Cell culture

All cells were cultured at 37 C in 5% CO2. JEG-3 cells (obtained from American Type Culture Collection, Manassas VA), JAr cells (a gift from Dr. Susan Fisher), and EP-JEG cells were cultured in Eagle’s MEM with Earle’s salts containing 10% FBS, penicillin (100 U/mL), streptomycin (100 µg/mL), and gentamicin (50 µg/mL). Human umbilical vein endothelial (HUVE) cells were isolated according to previously described protocols (33) and cultured on 1% gelatin-coated plates in DMEM/Ham’s F-10 (50:50) plus the following: endothelial cell growth supplement (100 µg/mL), glutamine (292 µg/mL), pyruvate (110 µg/mL), FBS (20%), and antibiotics as described above. Primary cytotrophoblasts from first and second trimester human placentas were isolated and cultured as previously described (34, 35).

Generation of stable transfectants

Stable transfectants expressing integrated copies of the reporter plasmid PPRE3-thymidine kinase (TK)-luciferase (LUC) in JEG-3 cells were obtained using previously described procedures (36). Briefly, a plasmid containing the reporter gene construct PPRE3-TK-LUC and a second plasmid containing a neomycin resistance marker were linearized with XmnI and introduced into JEG-3 cells by electroporation. Cells were maintained under continuous G418 selection for 30 days, and 48 colonies were isolated. Once isolated, colonies were grown in medium without G418. Of these 48 lines, 10 showed a measurable luciferase response to 10 µmol/L rosiglitazone. In further testing, 4 of these showed both low relative basal signal magnitude and robust activation by rosiglitazone relative to the vehicle alone. After checking the responses of these 4 lines to other known PPAR{gamma} ligands (including 15dJ2), 1 line, termed EP-JEG, showed superior consistency of response among experiments and was chosen for the studies described here.

Immunofluorescence studies

Immunofluorescence histochemistry on frozen human placental bed sections (20 weeks gestational age) was performed as previously described (37) using anti-PPAR{alpha} (sc-1985, Santa Cruz Biotechnology, Inc., Santa Cruz, CA) and anti-PPAR{gamma} antibody (sc-7273, Santa Cruz Biotechnology, Inc.) at a dilution of 1:100.

RT-PCR

Total RNA from JAr, JEG-3, primary placental cytotrophoblasts, and HUVE cells was isolated from 106–107 cells using Trizol (Life Technologies, Inc.). Testis RNA was a gift from Dr. Ximena Ares. One microgram of each RNA was reverse transcribed in a 20-µL reaction containing 4 mmol/L MgCl2; 1 x PCR buffer (Life Technologies, Inc.); 1 U reverse transcriptase, 100 µmol/L each of deoxy (d)-ATP, dCTP, dGTP, and dTTP; and 2.5 µmol/L random hexamers. The entire 20-µL reaction was then subjected to PCR amplification. PCR reaction conditions were similar to those described above, with Taq and Taqstart antibody [0.5 U Taq equivalent, according to CLONTECH Laboratories, Inc. (Palo Alto, CA), instructions] replacing reverse transcriptase. The final volume of the PCR reaction was 100 µL. Sequences of the PPAR{gamma}-specific primers were: upstream, 5'-AACTGC AGGGTT GACACA GAGATC GC-3'; and downstream, 5'-GGAATT CTGCAA CCACTG GATCTG TTC-3'. These sequences are based on those used in the mouse (38) and amplify the first 183 bp of the human PPAR{gamma}1 sequence while adding PstI and EcoRI restriction sites, upstream and downstream, respectively, to the PCR products. Cycle parameters for PCR amplification were 94 C for 5 min; 8 cycles of 94 C for 20 s, 57 C for 20 s, and 72 C for 80 s; and 25 cycles of 94 C for 20 s, 62 C for 20 s, and 72 C for 80 s. A final extension round (72 C, 7 min) was used to maximize complete product formation. Ten microliters of each reaction were removed and incubated with HincII enzyme to allow digestion. These digested samples and 10 µL of the corresponding undigested PCR product were mixed with sample buffer and loaded onto a 3% Nu-Sieve gel (FMC, Rockland, ME). After electrophoresis, gels were stained with ethidium bromide and photographed.

Treatment of cells with activators and inhibitors of PPAR{gamma}

JEG-3 or EP-JEG cells were treated with trypsin to allow removal from flasks. Cells were pelleted, and trypsin medium was removed. Cells were then resuspended and counted using a hemocytometer and replated onto 12-well tissue culture plates at a density of 1.6 x 105 cells/well. After overnight incubation, media were removed, and cells were rinsed with PBS. After removal of PBS and transient transfection of JEG-3 cells, cells were treated in triplicate for 24 h with the media containing the compounds described in the text before analysis as described below.

Transient transfection

JEG-3 cells were transfected using Superfect (QIAGEN, Valencia, CA) according to the manufacturer’s instructions. The transfection time was 2.5 h with 280 ng DNA/well. A mixture of 5 ng PPRE-luciferase plasmid (7)/1 ng TK-Renilla luciferase plasmid (Promega Corp., no. E2241, internal control) was used.

Luciferase activity assay

Cells were lysed with 250 µL of the appropriate lysis buffer (see below), and 20 µL (JEG-3) or 40 µL (EP-JEG) lysate were used for luciferase analysis. JEG-3 cells were analyzed using a dual luciferase protocol (Promega Corp.) that allows independent measurement of both PPRE3-TK-firefly luciferase and TK-Renilla luciferase. Firefly luciferase activity was expressed as a ratio of Renilla activity for all calculations. For EP-JEGs, firefly luciferase activity was measured using a single luciferase protocol according to the manufacturer’s instructions (Roche, Indianapolis, IN). Lysis buffer alone also was analyzed, and this value was subtracted from sample values before calculating relative activation. In both JEG-3 and EP-JEG cells, luciferase activity in treated cells was normalized to activity in cells incubated with FBS alone as a means of comparing the different raw values obtained in each independent experiment.

Western immunoblotting analysis

Cells were trypsinized and centrifuged as described above, then plated at a density of 8 x 104 cells/well onto 24-well plates. After overnight incubation, cells were treated with medium containing 10% human serum (pregnant or nonpregnant) and antibiotics. After 24 h, cells were lysed and analyzed as described by Vidal-Puig et al. (38). In addition to the protease inhibitors described, we added 1 U/µL deoxyribonuclease I (Roche, no. 776 785). Protein lysates (50 µg) were mixed with Laemmli buffer and loaded onto a 10% SDS-PAGE gel with a 5% stacking gel. After electrophoresis, proteins were transferred to nitrocellulose using a Transblot apparatus (Bio-Rad Laboratories, Inc., Hercules, CA) according to the manufacturer’s instructions. The transfer time was 1 h, and 0.025% SDS was added to the standard buffer. After Ponceau S staining to verify equal protein transfer, blots were developed using standard procedures. Times and conditions of incubations: blocking, 1 h at room temperature; primary antibody (sc-7273, Santa Cruz Biotechnology, Inc.) 1:100 overnight at 4 C; and secondary antibody (sc-2005) 1:2000 for 45 min at room temperature. Blots were developed using ECL reagents (Amersham Pharmacia Biotech, Arlington Heights, IL) and were exposed to film.

Activation of PPRE by pregnancy serum

EP-JEG cells were plated as described above in 12-well plates. After overnight incubation, cells were rinsed with PBS and treated in duplicate with medium containing 10% human serum and antibiotics for 24 h as described in the text. Cells were lysed, and luciferase activity was analyzed as described above (see treatment with activators and inhibitors). As a control, some wells were also treated with FBS or FBS plus 1 µmol/L 15dJ2 to verify normal signaling. Again, after subtraction of signal observed with lysis buffer alone, data were normalized to FBS controls. Pregnancy serum (150 µL) was heated at 65 C for 20 min in a heat block, then placed on ice for about 5 min. A second 150-µL aliquot was left at room temperature (~22 C) for 6 h; a third aliquot was thawed immediately before use. Each aliquot was added to 1.35 mL medium (above) and used to treat triplicate wells of transfected JEG-3 cells for 24 h. Luciferase activity was analyzed as described above for JEG-3 cells.

Statistics

Results are presented as the mean ± SD. Because of limited sample size and non-Gaussian distributions, data were analyzed using nonparametric methods (Kruskal-Wallis tests for multiple comparisons and Mann-Whitney U tests for post-hoc and two-way analyses). Results were considered significant when two-tailed tests had values of P < 0.05.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
PPAR{gamma} is expressed in the normal placental bed

We used tissue sections from the placental bed to examine expression of PPAR{alpha} and -{gamma} in pregnancy. Cytotrophoblasts were identified in anchoring villi, decidua, and maternal spiral arteries by cytokeratin staining (Fig. 1Go, A, C, and E, respectively). Although we were unable to detect expression of PPAR{alpha} in these experiments (data not shown), we observed expression of PPAR{gamma} in the nuclei of invasive cytotrophoblasts throughout the placenta (Fig. 1Go, B, D, and F). In columns of the anchoring villi (Fig. 1Go, A and B), we observed expression of PPAR{gamma} in cytokeratin-positive invasive cytotrophoblasts. However, the noninvasive, differentiated cells of the syncytiotrophoblast showed no expression of PPAR{gamma}, nor did maternal decidual or vascular cells.



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Figure 1. PPAR{gamma} immunofluorescence histochemistry in human placental tissue at 20 weeks gestation. Tissue sections were processed as described in Materials and Methods. A, C, and E were stained for cytokeratin, a cytoplasmic epithelial cell marker that identifies trophoblasts. B, D, and F were stained for PPAR{gamma} (note the nuclear localization of the antigen). A and B, Column of an anchoring villus (AV) and syncytiotrophoblast (ST); C and D, maternal decidua; E and F, maternal spiral arteriole. Magnification, x400.

 
Extravillous cytotrophoblasts within the maternal decidua (Fig. 1Go, C and D) also showed expression of PPAR{gamma}. Finally, cytotrophoblasts lining the maternal uterine spiral arteries (Fig. 1, E and F) showed intense nuclear expression of PPAR{gamma}. We could identify PPAR{gamma} protein-expressing nuclei in about half the invasive cytotrophoblasts observed throughout the placenta.

To determine whether PPAR{gamma} expression also is detected in vitro, we determined whether the PPAR{gamma} protein is expressed in cultured placental cells. Western immunoblot analysis of primary cytotrophoblasts showed that PPAR{gamma} protein expression is present in freshly isolated trophoblasts (Fig. 2Go, lane 1) and after 24 h in culture (Fig. 2Go, lane 2). Analysis of six independent preparations of primary cytotrophoblasts showed that two of three first trimester samples and all three second trimester samples expressed PPAR{gamma} protein (data not shown).



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Figure 2. Immunoblot of primary trophoblast cells. Second trimester trophoblasts at initial isolation show PPAR{gamma} protein expression (lane 1). Expression is still observed in similar trophoblasts after 24 h in culture (lane 2).

 
We also determined whether the PPAR{gamma} gene is expressed in cultured placental and fetal endothelial cells. RT-PCR identified mRNA for PPAR{gamma} (Fig. 3Go) in primary cytotrophoblast cells and in JEG-3 and JAr choriocarcinoma cell lines (lanes 1, 3, and 6). In addition, HUVE cells expressed PPAR{gamma} mRNA (lane 9). Testis, a control tissue with no expression of PPAR{gamma} (39), showed no product in these studies (lane 12). Restriction enzyme digestion with HincII generated the expected 108- and 76-bp DNA fragments, verifying the specificity of the PCR products (lanes 2, 4, 7, and 10). Control reactions performed on the same RNA samples without reverse transcriptase enzyme showed no PCR products (data not shown).



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Figure 3. RT-PCR of RNA from cultured human cells. Total RNA from trophoblast (JAr, JEG-3, and primary cytotrophoblast) and HUVE cells was analyzed for PPAR{gamma}. Lane M, Molecular weight markers; lanes 1–12, products of RT-PCR from JAr (lanes 1 and 2), JEG-3 (lanes 3 and 4), primary cytotrophoblast (lanes 6 and 7), HUVE (lanes 9 and 10), and testis (lanes 12 and 13) cells. The specificity of the RT-PCR product band was verified by HincII restriction enzyme digestion (lanes 2, 4, 7, 10, and 13). Lanes 5, 8, and 11 are blank. Expected product sizes: full-length PCR product, 196 bp; HincII digest, 108, 76, and 12 bp.

 
JEG-3 cells respond normally to activators of PPAR{gamma}

To examine the usefulness of JEG-3 cells as a model to study the role of PPAR{gamma} in pregnancy, we tested regulation of PPAR{gamma} activity. We used a previously described reporter gene construct (7) that contains three consecutive PPAR response elements (PPRE3) positioned upstream of a TK promoter and firefly luciferase complementary DNA. JEG-3 cells were cotransfected with this construct and a second control plasmid containing the Renilla luciferase complementary DNA under control of a constitutive TK promoter alone. Cells were then treated with the PPAR{gamma}-specific activator, 15dJ2. For quantification of gene expression, firefly luciferase activity was measured and normalized to Renilla luciferase activity. No treatments resulted in detectable stimulation or inhibition of Renilla luciferase activity (data not shown). As shown in Fig. 4Go, transiently transfected JEG-3 cells showed a dosage response to 15dJ2, with an EC50 of approximately 3.5 x 10-7 mol/L, similar to other in vitro studies using this activator.



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Figure 4. PPRE3-luciferase activity in JEG-3 ({circ}) and EP-JEG cells (•) treated with 15dJ2. Cells were prepared as described in Materials and Methods and treated in triplicate with the indicated concentrations of 15dJ2 for 24 h. Fold stimulation relative to the effect of treatment with 10% FBS alone is shown. The mean ± SD from representative experiments are shown for each cell type. Similar results were found in triplicate determinations of at least two independent experiments.

 
Creation of a stably transfected JEG-3 cell line

As PPAR{gamma} activation by 15dJ2 appeared to be regulated normally in JEG-3 cells, we constructed a stably transfected cell line (EP-JEG) to more reproducibly study transcriptional activation by PPAR{gamma} in placental cells. EP-JEG cells responded to 15dJ2 and rosiglitazone with EC50 values of approximately 3 x 10-7 and 1 x 10-7 mol/L, respectively (Fig. 4Go; data for rosiglitazone not shown). This is consistent with the responses we see in transiently transfected JEG-3 cells and is also consistent with published values for other in vitro assay systems (8, 9, 40).

JEG-3 and EP-JEG cells respond similarly to PPAR{gamma} activators and inhibitors

In addition to 15dJ2, rosiglitazone is a highly specific PPAR{gamma} activator (40), whereas the inflammatory cytokine TNF{alpha} is a physiological inhibitor of PPAR{gamma} activation and action (10, 11, 12, 13). We therefore examined the ability of all three compounds to affect signaling via PPAR{gamma} in our two cell lines. JEG-3 cells were transfected as before and then both JEG-3 and EP-JEG cells were treated with 15dJ2 (1 µM), rosiglitazone (1 µM), TNF{alpha} (100 ng/mL), or a combination of TNF{alpha} and 15dJ2 in the above concentrations. Figure 5Go shows that JEG-3 and EP-JEG cells respond similarly and significantly (P < 0.01, by Kruskal-Wallis test) to these compounds and in all respects appear to show normal regulation (both activation and inhibition) of PPAR{gamma} pathways.



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Figure 5. PPRE3-luciferase activity in JEG-3 ({square}) and EP-JEG ({blacksquare}) cells. Cells were treated as described in Materials and Methods. Luciferase activation normalized to 10% FBS treatment alone is shown. Values represent the mean ± SD for combined normalized data from independent experiments. Concentrations of compounds: 15dJ2, 1 µmol/L; rosiglitazone, 1 µmol/L; and TNF{alpha}, 5.7 nmol/L. The results differed significantly (P < 0.01, by Kruskal-Wallis test), and all the conditions differed from those of the FBS control (P < 0.05, by Mann-Whitney U tests).

 
Treatment of JEG-3 cells with pregnancy serum leads to increased PPAR{gamma} expression and activation

As circulating levels of fatty acids and lipid metabolites increase during pregnancy, and these factors are known to activate PPAR{gamma} (41, 42), we examined the effects of pooled sera from six nonpregnant and six normal pregnant women on PPAR{gamma} protein expression in cultured JEG-3 cells. JEG-3 cells incubated with sera for 24 h were lysed and analyzed for PPAR{gamma} protein by Western immunoblot analysis (Fig. 6Go). Cells treated with sera from men (data not shown) or nonpregnant women (Fig. 6Go, lane 1) showed little or no expression of PPAR{gamma} protein. In contrast, cells treated with sera from pregnant women (Fig. 6Go, lane 2) showed high levels of PPAR{gamma} expression. This result was observed in multiple experiments using three independent pregnant serum pools. Similar results were observed in cultured HUVE cells (data not shown).



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Figure 6. Immunoblot from JEG-3 cells treated with pooled sera from nonpregnant (lane 1) and pregnant (lane 2) women. Cell lysates (50 µg protein) were analyzed for PPAR{gamma} using a specific mouse antihuman monoclonal antibody. The prominent band corresponds to 55 kDa.

 
To verify that increased PPAR{gamma} protein expression also reflected increased activation, we treated EP-JEG cells with individual sera from six pregnant and six nonpregnant women. As shown in Fig. 7Go, average luciferase activity was nearly doubled in cells treated with pregnancy sera (1.95 ± 0.45-fold; P < 0.005, by Mann-Whitney U test). Only one of the six pregnancy samples failed to induce luciferase activity significantly (1.75-fold or higher). In contrast, all six nonpregnant samples showed luciferase activity similar to that of FBS alone (0.80 ± 0.24-fold). It should be noted that JEG-3 cells displayed similar signaling results (data not shown). Thus, we conclude that treatment of cells with sera from pregnant women results in both increased PPAR{gamma} expression and increased activation of PPAR{gamma}-regulated genes.



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Figure 7. PPRE3-luciferase activity in serum-treated EP-JEG cells. Cells were treated with serum as described in Materials and Methods. Values for six individual samples in each group are shown ({circ}). The mean and SD for each set are shown to the right of individual values (•). The results were significant (P < 0.005, by Mann-Whitney U test).

 
We have begun characterization of the stimulatory factor(s) present in pregnancy sera. Cells were treated with pregnancy serum as described above as well as with pregnancy serum that had been heated at 65 C for 20 min or left at room temperature for 6 h. In all three cases, no loss of activity of the pregnancy serum was observed (Fig. 8Go). This heat resistance suggests that the factor(s) involved in the activity is not a protein. Indeed, our data are consistent with an activator that is a prostanoid or other fatty acid derivative, similar to natural PPAR{gamma} ligands that have been identified to date.



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Figure 8. PPRE3-luciferase activity in serum-treated JEG-3 cells. Serum was treated as described in Materials and Methods. The mean and SD are shown for triplicate wells.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In this study we have determined that PPAR{gamma} protein is localized in invasive human placental cytotrophoblast nuclei in vivo and in cultured primary trophoblasts in vitro. We have also shown that PPAR{gamma} mRNA is abundant in cultured trophoblasts and HUVE cells in vitro. We identified and characterized choriocarcinoma cell lines (JEG-3 and EP-JEG) with endogenous expression and apparently normal regulation of PPAR{gamma}. Using these cell lines, we show that circulating factors in pregnancy serum up-regulate the expression and activation of PPAR{gamma} in vitro.

There are several reasons to believe that PPAR{gamma} plays a role in normal pregnancy. As both glucose and lipid metabolism are altered in pregnancy, the role of PPAR{gamma} as a common regulator of these systems is particularly appealing (4). We found that PPAR{gamma} is expressed in extravillous cytotrophoblasts in vivo; however, we saw no expression of PPAR{alpha} in these tissues. Invasive cytotrophoblasts express PPAR{gamma} throughout the placental bed and into the maternal spiral arteries. However, we found no expression of PPAR{gamma} in the syncytiotrophoblast, the terminally differentiated trophoblast progeny. This finding suggests that PPAR{gamma} may be required for the maintenance of an invasive trophoblast phenotype, but not for the transport and endocrine functions of syncytiotrophoblast. Further studies will explore these questions.

We have identified a cell line (JEG-3) that is useful to study the role of PPAR{gamma}, particularly as it relates to pregnancy. The cell line has native expression of PPAR{gamma}, and this receptor appears to be regulated normally in vitro. Stimulation of cells with 15dJ2 showed a dose-dependent response of the PPRE3-luciferase construct with an EC50 of about 3.5 x 10-7 mol/L, consistent with the EC50 found in other cell systems. PPAR{gamma} signaling in these cells was inhibited by TNF{alpha}, a cytokine known to inhibit PPAR{gamma} expression and action in other cells (10, 11, 12, 13).

In addition, we created a stably transfected cell line from JEG-3 cells, EP-JEG, which provides a simple and reproducible way to assay PPAR signaling in vitro. EP-JEG cells behave remarkably similarly to transfected JEG-3 cells in all of our assays; their key advantage is that they do not require transfection of a reporter construct to assay PPAR{gamma} activation.

Using these two cell lines, we established that normal human pregnancy serum contains factors that increase the expression and activation of PPAR{gamma}. Such factors are not present in nonpregnant serum. Expression of PPAR{gamma} protein was dramatically increased from undetectable to high levels of expression in a Western immunoblot assay. PPRE-dependent luciferase signaling was increased by 1.95 ± 0.45-fold in cells treated with pregnancy serum compared to that in cells treated with nonpregnant serum. These levels of signaling are similar to those in cells incubated with FBS in the presence or absence of 1 µmol/L 15dJ2, respectively.

The presence of PPAR{gamma} activators in pregnancy serum supports a role for PPAR{gamma} action in pregnancy. The dramatic alterations in glucose and lipid metabolism seen during pregnancy certainly are consistent with changes induced by a master regulator such as PPAR{gamma}. Lim et al. identified a potential role for PPAR{delta} in trophoblast implantation of mice (15). Additionally, Bastie et al. Showed that exogenous expression of PPAR{delta} may lead to induction of PPAR{gamma} expression in vitro (43). Taken together, these findings point to the possibility that the human PPAR{delta} homolog NUC1 along with PPAR{gamma} are important in implantation and human pregnancy. Recent work by Barak et al. identifies PPAR{gamma} as necessary for placental development in mice (14). Thus, it is possible that NUC1 and PPAR{gamma} both play important roles in the development and homeostatic maintenance of the placenta throughout pregnancy.


    Acknowledgments
 
We thank Dr. Susan Fisher for her helpful discussions and access to primary trophoblasts and tissue sections, and Jean Perry for her help with the collection of serum samples.


    Footnotes
 
1 This work was supported by NIH Grants HD-08567 (to L.L.W.) and HD-30367-04 (to R.N.T.). Back

Received March 10, 2000.

Revised June 9, 2000.

Accepted June 28, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Michalik L, Wahli W. 1999 Peroxisome proliferator-activated receptors: three isotypes for a multitude of functions. Curr Opin Biotechnol. 10:564–570.[CrossRef][Medline]
  2. Lemberger T, Desvergne B, Wahli W. 1996 Peroxisome proliferator-activated receptors: a nuclear receptor signaling pathway in lipid physiology. Annu Rev Cell Dev Biol. 12:335–363.[CrossRef][Medline]
  3. Brun R, Kim J, Hu E, Spiegelman B. 1997 Peroxisome proliferator-activated receptor {gamma} and the control of adipogenesis. Curr Opin Lipid. 8:212–218.[Medline]
  4. Kliewer S, Willson T. 1998 The nuclear receptor PPAR{gamma}: bigger than fat. Curr Opin Gen Dev. 8:576–581.[CrossRef][Medline]
  5. Auwerx J. 1999 PPAR{gamma}, the ultimate thrifty gene. Diabetologia. 42:1033–1049.[CrossRef][Medline]
  6. Spiegelman B. 1998 PPAR-{gamma}: adipogenic regulator and thiazolidinedione receptor. Diabetes. 47:507–514.[Abstract]
  7. Kliewer S, Umesons K, Noonan D, Heyman R, Evans R. 1992 Convergence of 9-cis retinoic acid and peroxisome proliferator signalling pathways through heterodimer formation of their receptors. Nature. 358:771–774.[CrossRef][Medline]
  8. Forman B, Tontonoz P, Chen J, Brun R, Spiegelman B, Evans R. 1995 15-Deoxy-{delta}12,14-prostaglandin J2 is a ligand for the adipocyte determination factor PPAR {gamma}. Cell. 83:803–812.[CrossRef][Medline]
  9. Kliewer S, Lenhard J, Willson T, Patel I, Morris D, Lehmann J. 1995 A prostaglandin J2 metabolite binds the peroxisome proliferator-activated receptor {gamma} and promotes adipocyte differentiation. Cell. 83:813–819.[CrossRef][Medline]
  10. Tanaka T, Itoh H, Doi K, et al. 1999 Down regulation of peroxisome proliferator-activated receptor {gamma} expression by inflammatory cytokines and its reversal by thiazolidinediones. Diabetologia. 42:702–710.[CrossRef][Medline]
  11. Zhang B, Berger J, Hu E, et al. 1996 Negative regulation of peroxisome proliferator-activated receptor-{gamma} gene expression contributes to the antiadipogenic effects of tumor necrosis factor-{alpha}. Mol Endocrinol. 10:1457–1466.[Abstract/Free Full Text]
  12. Xing H, Northrop J, Grove R, Kilpatrick K, Su J-L, Ringold G. 1997 TNF-{alpha}-mediated inhibition and reversal of adipocyte differentiation is accompanied by suppressed expression of PPAR{gamma} without effects on Pref-1 expression. Endocrinology. 138:2776–2783.[Abstract/Free Full Text]
  13. Hill M, Young M, McCurdy C, Gimble J. 1997 Decreased expression of murine PPAR{gamma} in adipose tissue during endotoxemia. Endocrinology. 138:3073–3076.[Abstract/Free Full Text]
  14. Barak Y, Nelson M, Ong E, et al. 1999 PPAR{gamma} is required for placental, cardiac, and adipose tissue development. Mol Cell. 4:585–595.[CrossRef][Medline]
  15. Lim H, Gupta R, Ma W-g, et al. 1999 Cyclo-oxygenase-2-derived prostacyclin mediates embryo implantation in the mouse via PPAR{delta}. Genes Dev. 13:1561–1574.[Abstract/Free Full Text]
  16. Keelan J, Sato T, Marvin K, Lander J, Gilmour R, Mitchell M. 1999 15-Deoxy-{delta}(12,14)-prostaglandin J(2), a ligand for peroxisome proliferator-activated receptor-{gamma}, induces apoptosis in JEG3 choriocarcinoma cells. Biochem Biophys Res Commun. 262:579–585.[CrossRef][Medline]
  17. Matsuo H, Strauss J. 1994 Peroxisome proliferators and retinoids affect JEG-3 choriocarcinoma cell function. Endocrinology. 135:1135–1145.[Abstract]
  18. Waisman H, Kerr G. 1965 Amino acid and protein metabolism in the developing fetus and newborn infant. Pediatr Clin North Am. 12:551–572.[Medline]
  19. Hay W. 1994 Placental transport of nutrients to the fetus. Horm Res. 42:215–222.[Medline]
  20. Blackburn S, Loper D. 1992 Maternal, fetal and neonatal physiology: a clinical perspective. Philadelphia: Harcourt Brace Jovanovich; 585–587.
  21. Potter J, Nestel P. 1979 The hyperlipidemia of pregnancy in normal and complicated pregnancies. Am J Obstet Gynecol. 133:165–170.[Medline]
  22. Ogburn P, Johnson S, Williams P, Holman R. 1980 Levels of free fatty acids and arachidonic acid in pregnancy and labor. J Lab Clin Med. 95:943–949.[Medline]
  23. Ogburn P, Williams P, Johnson S, Holman R. 1984 Serum arachidonic acid levels in normal and preeclamptic pregnancies. Am J Obstet Gynecol. 148:5–9.[Medline]
  24. Arbogast B, Leeper S, Merrick R, Olive K, Taylor R. 1996 Plasma factors that determine endothelial cell lipid toxicity in vitro correctly identify women with preeclampsia in early and late pregnancy. Hypertens Preg. 15:263–279.[CrossRef]
  25. Taylor R, de Groot CJM, Cho Y, Lim K-H. 1998 Circulating factors as markers and mediators of endothelial cell dysfunction in preeclampsia. Semin Reprod Endocrinol. 16:17–31.[Medline]
  26. Roberts J, Redman C. 1993 Pre-eclampsia: more than pregnancy-induced hypertension. Lancet. 341:1447–1451.[CrossRef][Medline]
  27. Sambrook J, Fritsch E, Maniatis T. 1989 Molecular cloning: a laboratory manual, 2nd Ed, vol. 1–3. Cold Spring Harbor: Cold Spring Harbor Laboratory Press.
  28. Ausubel F, Brent R, Kingston R, et al. 1995 Current protocols in molecular biology. In: Janssen K, ed. Current protocols, vol 1–3. New York: Wiley & Sons.
  29. Sohda T, Ikeda H, Meguro K. 1995 Studies on antidiabetic agents. XII. Synthesis and activity of the metabolites of (+/-)-5(-)[p(-)[2-(5-ethyl-2-pyridyl)ethoxy]benzyl]-2,4-thiazolidinedione (pioglitazone). Chem Pharm Bull. 43:2168–2172.
  30. Tanis S, Parker T, Colca J, Fisher R, Kletzein R. 1996 Synthesis and biological activity of metabolites of the antidiabetic, antihyperglycemic agent pioglitazone. J Med Chem. 39:5053–5063.[CrossRef][Medline]
  31. Cantello B, Cawthorne M, Cottam G, et al. 1994 [[{omega}-(Heterocyclylamino)alkoxy]benzyl]-2,4-thiazolidinediones as potent antihyperglycemic agents. J Med Chem. 37:3977–3985.[CrossRef][Medline]
  32. Cantello B, Cawthorne M, Haigh D, Hindley R, Smith S, Thurlby P. 1994 The synthesis of BRL 49653: a novel and potent antihyperglycaemic agent. Bioorg Med Chem Lett. 4:1181–1184.[CrossRef]
  33. Jaffe E. 1987 Cell biology of endothelial cells. Hum Pathol. 18:234–239.[Medline]
  34. Fisher S, Cui T-Y, Zhang L, et al. 1989 Adhesive and degradative properties of human placental trophoblasts in vitro. J Cell Biol. 109:891–902.[Abstract/Free Full Text]
  35. Librach C, Werb Z, Fitzgerald M, et al. 1991 92-kD type IV collagenase mediates invasion of human cytotrophoblasts. J Cell Biol. 113:437–449.[Abstract/Free Full Text]
  36. Miesfeld R, Godowski P, Maler B, Yamamoto K. 1987 Glucocorticoid receptor mutants that define a small region sufficient for enhancer activation. Science. 236:423–427.[Abstract/Free Full Text]
  37. Zhou Y, Fisher S, Janatpour M, et al. 1997 Human cytotrophoblasts adopt a vascular phenotype as they differentiate: a strategy for successful endovascular invasion? J Clin Invest. 99:2139–2151.[Medline]
  38. Vidal-Puig A, Jimenez-Linan M, Lowell B, et al. 1996 Regulation of PPAR {gamma} gene expression by nutrition and obesity in rodents. J Clin Invest. 97:2553–2561.[Medline]
  39. Kliewer S, Forman B, Blumberg B, et al. 1994 Differential expression and activation of a family of murine peroxisome proliferator-activated receptors. Proc Natl Acad Sci USA. 91:7355–7359.[Abstract/Free Full Text]
  40. Lehmann J, Moore L, Smith-Oliver T, Wilkison W, Willson T, Kliewer S. 1995 An antidiabetic thiazolidinedione is a high affinity ligand for peroxisome proliferator-activated receptor {gamma} (PPAR{gamma}). J Biol Chem. 270:12953–12956.[Abstract/Free Full Text]
  41. Kliewer S, Sundseth S, Jones S, et al. 1997 Fatty acids and eicosanoids regulate gene expression through direct interactions with peroxisome proliferator-activated receptors {alpha} and {gamma}. Proc Natl Acad Sci USA. 94:4318–4323.[Abstract/Free Full Text]
  42. Yu K, Bayona W, Kallen C, et al. 1995 Differential activation of peroxisome proliferator-activated receptors by eicosanoids. J Biol Chem. 270:23975–23983.[Abstract/Free Full Text]
  43. Bastie C, Holst D, Gaillard D, Jehl-Pietri C, Grimaldi P. 1999 Expression of peroxisome proliferator-activated receptor PPAR{delta} promotes induction of PPAR{gamma} and adipocyte differentiation in 3T3C2 fibroblasts. J Biol Chem. 274:21920–21925.[Abstract/Free Full Text]



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