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The Journal of Clinical Endocrinology & Metabolism Vol. 85, No. 5 1937-1945
Copyright © 2000 by The Endocrine Society


Original Studies

Glucocorticoid Stimulation of Corticotropin-Releasing Hormone Gene Expression Requires a Cyclic Adenosine 3',5'-Monophosphate Regulatory Element in Human Primary Placental Cytotrophoblast Cells1

You-Hong Cheng2, Richard C. Nicholson, Bruce King, Eng-Cheng Chan, John T. Fitter and Roger Smith

Mothers and Babies Research Center, Endocrine Unit, John Hunter Hospital, Newcastle, New South Wales 2310, Australia

Address all correspondence and requests for reprints to: Dr. Roger Smith, Mothers and Babies Research Center, Endocrine Unit, John Hunter Hospital, Newcastle, New South Wales 2310, Australia. E-mail: mdrsm{at}mail.newcastle.edu.au


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Production of placental CRH, which is identical to the peptide synthesized and secreted in the hypothalamus, has been linked to human parturition. Glucocorticoids stimulate placental CRH secretion and messenger ribonucleic acid expression, in contrast to their inhibition of CRH synthesis in the hypothalamus. A positive feedforward loop involving glucocorticoid-CRH-ACTH-glucocorticoid is thought to drive the exponential increase in placental CRH leading to delivery. Tissue-specific effects of glucocorticoids on CRH expression are therefore of interest. Using human primary placental cells, we investigated the mechanism by which glucocorticoids stimulate placental CRH gene expression. Nuclear run-on transcription shows that in human placental cells glucocorticoids up-regulate transcription of human CRH (hCRH). Using transient transfection assays we demonstrate that dexamethasone up-regulates both basal and cAMP-stimulated hCRH promoter activity, correlating well with the increase in endogenous CRH peptide levels. Through mutagenesis and deletion analyses we show that dexamethasone stimulation of hCRH gene transcription requires a functional cAMP regulatory element (CRE); this CRE is adequate to confer dexamethasone stimulation upon a heterologous promoter, and electrophoretic mobility shift assay studies show that a placental nuclear protein specifically binds to the hCRH CRE.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
CRH IS A 41-amino acid neuropeptide synthesized in the paraventricular nucleus of the hypothalamus and released into the hypophyseal-portal system in response to stress (1, 2). CRH stimulates proopiomelanocortin gene expression and ACTH release in the anterior pituitary, which, in turn, stimulates glucocorticoid synthesis and release from the adrenal cortex (3, 4). The expression of hypothalamic CRH is negatively regulated by glucocorticoids (5, 6, 7). CRH is also expressed at other sites in the central nervous system (8, 9) and peripheral tissues, including the placenta (10, 11, 12). Placental CRH is identical to the peptide synthesized in and released from the hypothalamus (12, 13), but placental expression is limited to higher primates (12). Recent studies indicate that placental CRH levels, which rise exponentially as pregnancy advances, can be used as a marker to time the onset of human parturition (14). In contrast to their effects in the hypothalamus, glucocorticoids (13, 15) and cortisol (16) stimulate placental CRH gene expression. As a result of the potential importance of placental CRH production in human parturition the mechanism by which glucocorticoids stimulate CRH expression has become of interest.

Glucocorticoids, a major subclass of steroid hormones, exert profound effects on cell growth, development, differentiation, and homeostasis through their receptors by modulating the expression of many genes (17, 18, 19). Glucocorticoid receptors (GRs), with bound ligand, act as hormone-dependent transcription factors that recognize a specific glucocorticoid response element (GRE) located either upstream or downstream from the transcription initiation site of target genes, resulting in positive or negative effects on transcription (17, 18, 20, 21). However, glucocorticoid modulation of target gene expression is far more complex than was apparent at the time the genes for the GRs were isolated (22), especially if the targeted gene does not contain a consensus GRE, as is the case for the CRH gene. GRs can also interact with components of the transcription initiation complex (22, 23, 24) and cross-talk with other signaling pathways (22, 25, 26, 27, 28). Indeed, it has recently been suggested that all the important physiological functions of GR may be reliant on protein-protein interactions (29).

Recently, a number of studies on the transcriptional regulation of CRH gene expression by glucocorticoids have been carried out in the transfected mouse corticotroph tumor cell line, AtT-20 (30, 31, 32, 33). Adler and colleagues demonstrated that the synthetic glucocorticoid dexamethasone decreased basal CRH messenger ribonucleic acid (mRNA) level by 40–50% and repressed forskolin-stimulated CRH messenger RNA by 70% in stably transfected AtT-20 cells (31). Both Van’s (30) and Guardiola-Diaz’s (32) groups demonstrated that dexamethasone reduced cAMP stimulation of hCRH promoter activity by more than 50% in transiently transfected AtT-20 cells. More recently, Malkoski and colleagues (33) localized a DNA sequence capable of binding the GR in vitro, which is responsible for dexamethasone-dependent repression of cAMP-stimulated CRH promoter activity in AtT-20 cells. Taken together, these studies show that glucocorticoids inhibit CRH gene or promoter activities in transfected AtT-20 cells despite the absence of a consensus GRE.

In the placenta, in contrast to AtT-20 cells, Robinson and colleagues reported that glucocorticoids can stimulate CRH gene expression at protein and messenger RNA levels in human primary trophoblastic cells (13), but, to date, how the CRH gene is regulated by glucocorticoids in placental cells remains unclear.

In this report, primary cultures of human cytotrophoblasts have been used for the first time as a model to characterize the molecular mechanisms involved in glucocorticoid stimulation of human CRH (hCRH) gene expression. We show that in the presence of dexamethasone, transcription of the hCRH gene is increased via a process that is at least in part a primary transcriptional response, occurs at physiological concentrations, and is directed through a cAMP response element (CRE) located in the gene’s promoter region.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Plasmid constructs

All constructs used luciferase as the reporter for assaying transcriptional activation of the promoters under study. The orientation and sequence of all constructs were confirmed by DNA sequencing. The human CRH genomic clone, CRH1001+, was the gift of Joseph Majzoub, Harvard University Medical School (Boston, MA) (31). The CRH 5'-flanking DNA was subcloned into the promoterless Photinus (firefly) luciferase reporter vector pGL3-Basic (Promega Corp., Madison, WI). To make pCRH(5500)-GL3, the 5.5-kb upstream region was isolated by XbaI and HaeII double digestion and filled to blunt ends with Klenow enzyme (Promega Corp.), then ligated into the SmaI site of pGL3-Basic vector with T4 DNA ligase (Promega Corp.). To create pCRH(4300)-GL3, the 4300-bp fragment was isolated from the pCRH(5500)-GL3 construct with SacI and NheI double digestion, then ligated into the SacI and NheI sites of pGL3-Basic vector in a forward orientation. To construct pCRH(663)-GL3, a 790-bp promoter region (including 663 bp of hCRH promoter region and 127 bp of first exon region) was isolated by a PstI digest, then subcloned into pGL3-Basic vector in the same manner.

Additional deletions of the CRH promoter were made by stepwise removal of 5'-flanking DNA with exonuclease III and S1 nuclease. Briefly, hCRH(663 bp)pGL3-Basic vector was double digested with KpnI and NheI, which generates a 5'-overhang at the NheI site in the vector 5' to the hCRH promoter sequences that is suitable for exonuclease III digestion and a 3'-overhang at the KpnI site, located 15 bp 5' of the NheI site, that is resistant to exonuclease III digestion. After treatment with exonuclease III, S1 nuclease was added to remove the single strand DNA overhangs, and the different length promoter-vector DNAs were recircularized with ligase.

To create a plasmid with the ß-globin promoter driving the luciferase reporter the rabbit ß-globin promoter sequence (-109 to +10 bp) was removed from pGLOB-CAT (34) by BamHI and BglII double digestion, and ligated into the BglII site of the pGL3-Basic vector to make the GLOB-pGL3 vector. To construct the CRE-globin promoter plasmid, the BglII site of a luciferase construct containing the hCRH promoter region from -340 to -215 bp (which had been constructed by linking a hCRH PCR fragment into the BglII and [I]MluI sites of the pGL3-promoter vector) was converted to a XhoI site using a linker oligonucleotide. MluI and XhoI double digestion removed the hCRH promoter sequences from this plasmid, and the fragment was ligated into MluI- and XhoI-digested pGLOB-GL3 to create pCRE-GLOB-GL3.

Mutagenesis

Oligonucleotide-directed mutagenesis of the CRE, hybrid steroid response element (HRE), and ecdysone response element (EcRE) were carried out in the pCRH(663)-GL3 construct using the Quik Change Site-Directed Mutagenesis Kit (Stratagene, La Jolla, CA). Mutated base pairs, confirmed by DNA sequencing, are at positions -229, -226, and -225 bp in mtCRE; at -272, -269, and -267 bp in mtEcRE; and at -215 and -213 bp in mtHRE. The oligonucleotides used are as follows with the mutated nucleotides underlined (the complementary strand sequence is not shown): mtCRE, 5'-ccttccattttagggctcgctgcagtcaccaagaggcg-3'; mtEcCR, 5'-ctcattcaagaatttttctcgagggacaagtcataagaagcccttc-3'; and mtHRE, 5'-ggcctttcatagtaagaggcctatatgttttcacacttggg-3'.

Placental cell isolation and cultures

Human term placentas were obtained from normal pregnant women after spontaneous vaginal delivery or elective cesarian. Collection of placentas was performed with the approval of the Hunter Area Health Service, New South Wales, Australia, and the University of Newcastle human research ethics committees. Cytotrophoblasts were obtained according to Kliman’s method (35). Briefly, chorionic villi tissue obtained from the maternal side of the placenta was dispersed with trypsin and deoxyribonuclease I, a highly purified fraction of cytotrophoblasts was obtained by repeated Percoll gradient centrifugations, and cells were maintained in DMEM (Life Technologies, Inc., Gaithersburg, MD). The purity of the cytotrophoblasts was determined by immunohistochemical staining with markers specific to syncytiotrophoblast (CRH), epithelium (cytokeratin), endothelium, and fibroblasts (vimentin). All experiments were carried out in preparations of cytotrophoblasts with purity greater than 95%.

Transfection

Standard transfection methods were as follows: freshly isolated cytotrophoblasts were plated in six-well plates (Falcon, Becton Dickinson, Bedford, MA) at 2.5 x 106 cells/well. Cells were incubated with plasmid-liposome complexes comprised of 20 µg DNA and 0.5 µg control DNA (pRL-TK vector, Promega Corp.) with 20 µg freshly prepared liposomes (1 mg/mL each of dioleyphosphatidylethanolamine and dimethyldioctadecylammonium bromide) (36, 37) in a humidified atmosphere of 5% CO2 at 37 C. Four hours later, cells were fed with 10% charcoal-stripped FBS with or without dexamethasone. Transfections without hormone received the same volume of ethanol vehicle. A luciferase assay was carried out 48 h thereafter with the dual luciferase assay kit (Promega Corp.).

A 1% transfection efficiency of primary placental cells was routinely obtained as determined by in situ detection of ß-galactosidase activity after transfection with the pSV-ß-galactosidase control reporter vector (Promega Corp.).

AtT-20 cells (D16–16) were obtained from Karen Sheppard (Baker Medical Research Institute, Melbourne, Australia) and maintained in DMEM with 10% charcoal-stripped FBS in a humidified atmosphere of 5% CO2 at 37 C. For transient transfection, cells were plated on six-well plates at a density of 5 x 105/well. Transfections were carried out at 40–60% confluence 24 h after plating. Cells were transfected as described above for 3 h.

Nuclear run-on in vitro transcription assay

Nuclei were isolated, and the nuclear run-on in vitro transcription was performed essentially as described previously (34, 38, 39). Primary placental cells (3 x 107) were collected by scraping into phosphate-buffered saline, followed by gentle resuspension in cell lysis buffer [10 mmol/L Tris-HC (pH 7.5), 10 mmol/L NaCl, and 2 mmol/L MgCl2] and lysis in 0.5% Nonidet P-40. The crude nuclear pellet was formed by centrifugation at 250 x g for 5 min, then washed with lysis buffer. The final nuclear pellet was gently resuspended and stored in 50 mmol/L Tris-Cl (pH 7.5), 5 mmol/L MgCl2, 0.1 mmol/L ethylenediamine tetraacetate (EDTA), and 40% glycerol. The fresh placental cell nuclei were suspended in 25 mmol/L Tris-HCl (pH 7.5), 2.5 mmol/L MgCl2, 0.05 mmol/L EDTA, and 20% glycerol. Forty microliters of nuclei were incubated in a 100-µL reaction mixture containing 125 mmol/L Tris-Cl (pH 7.5); 50 mmol/L NaCl; 350 mmol/L (NH4)2SO4; 5 mmol/L MgCl2; 0.2 mmol/L EDTA; 1 mg/mL heparin; 0.5 mmol/L concentrations of ATP, GTP, and UTP; and 150 µCi [{alpha}-32P]CTP for 45 min at 32 C, then 100 µg transfer RNA were added to the mixture. The reaction was treated with deoxyribonuclease (125 µg/mL) and proteinase K (125 µg/mL) for 30 min at 37 C. After mixing with 50 µL 200 mmol/L EDTA and 50 µL 10% SDS, the mixture was extracted with phenol/chloroform. The aqueous phase was precipitated in 10% trichloroacetic acid, then washed three times with 5% trichloroacetic acid. The pellet was resuspended in 25 mmol/L Tris-C1 (pH 7.5), 1 mmol/L EDTA, then ethanol-precipitated. The pellet was resuspended in distilled water, and aliquots were used to assay specific RNA level by hybridization to filter-bound DNA.

Linear plasmid carrying the human CRH genomic clone, CRH1001+ (31), or control DNA (PUC18 plasmid) dissolved in 0.1 mol/L Tris, pH 7.5, was boiled for 10 min and cooled on ice, 1 vol 20 x SSC (standard saline citrate) was added and loaded onto the slot blot apparatus. The nitrocellulose was dried at 80 C in a gel dryer (model 583, Bio-Rad Laboratories, Inc., Richmond, CA) for 2 h. After prehybridization overnight, nitrocellulose filters were hybridized for 48 h in 50% formamide, 3.3 x SSC, 20 mmol/L sodium phosphate, 0.1% SDS, 1 x Denhardt’s solution, 20 µg/mL transfer RNA, 40 µg/mL heparin, and 107 cpm in vitro synthesized RNA. The same quantity of radioactivity was used for all hybridizations, carried out in parallel. After hybridization, the nitrocellulose filters were washed four times in 4 x SSC and 0.1% SDS at 65 C, treated with ribonuclease A (10 µg/mL), and washed several times again. After air-drying, the nitrocellulose filters were exposed to Kodak Biomax MS film (Eastman Kodak Co., Rochester, NY) with an intensifying screen for 24–72 h.

Electrophoretic mobility shift assay (EMSA)

EMSAs were performed using as a probe 5-32P-labeled, blunt ended, double stranded oligonucleotides (wtCRE) identical to the CRE motif of the hCRH promoter region from -232 to -217 bp. The probe (10,000 cpm) was incubated for 1 h at 4 C in 15 µL 10% glycerol-10 mmol/L Tris-HCl (pH 7.8), 10 mmol/L KCl, and 1 mmol/L dithiothreitol containing 10 µg nuclear protein extract after preincubation for 30 min with 2 µg poly(dI-dC) and 0.5 µg BSA. Competition was performed with 50 ng unlabeled wtCRE oligonucleotides or oligonucleotides identical to the CRE region of the CRH promoter from -248 to -211 bp (comCRE) or containing mutations at positions -229, -226, and -225 bp (mtCRE), which were added simultaneously with the labeled probe. The samples were loaded on a 4% polyacrylamide gel in 0.25% Tris-glycine and 1 mmol/L EDTA (pH 8.3). The gel was run for 2 h at 4 C.

The DNA sequences of the oligonucleotides used in EMSA are as follows (the complementary strand sequence is not shown): wtCRE, 5'-TCGTTGACGTCACCAA-3'; comCRE, 5'-CCTTCCATTTTAGGGC-TCGTTGACGTCACCAAGAGGCG-3'; and mtCRE 5'-CCTTCCATT- TTAGGGCTCGCTGCAGTCACCAAGAGGCG-3'.

CRH RIA

CRH immunoreactivity in the culture medium was extracted using activated Vycor (Corning, NY) glass. Frozen culture medium samples (1 mL) were thawed at room temperature and adsorbed onto Vycor silica glass powder (200 mg glass powder/1 mL medium sample). The sample was then washed first with 3 mL deionized water and then with 2 mL 1 mol/L HCl (BDH Chemicals, Poole, UK) before the adsorbed material was eluted with 2 mL 60% acetone (BDH Chemicals). The eluate was transferred to polycarbonate tubes, dried, and stored at -20 C for RIA. CRH RIA was performed as previously described (14). Human CRH-(1–41) (Sigma, St. Louis, MO) was used as the standard, and radioligand was prepared with the chloramine-T method and purified by HPLC. The anti-CRH antibody Y2B0 was a gift from Phil Lowry (University of Reading, Reading, UK). The concentration of CRH IR was expressed as picograms per 2.5 x 106 cells/24 h.

Statistical analyses

Induction was defined as the fold increase over a baseline level of 1.0 or 100%. The values are expressed as the mean ± SEM. P < 0.05 was considered statistically significant. Statistical analysis for dexamethasone-dependent induction was determined by paired t test, and the difference in hormonal response for various plasmid/promoter constructs was assessed by unpaired t tests. Multiple comparisons were performed by one-way ANOVA or repeated measures ANOVA together with post-hoc pairwise comparisons using Excel 97 (Microsoft Corp., Redmond, WA).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
DEX-mediated induction is a primary transcriptional response

To investigate whether the increase in CRH is a transcriptional response to dexamethasone and to determine the requirement for ongoing protein synthesis in this glucocorticoid-dependent induction of CRH gene expression, nuclear run-on transcription was performed with nuclei from human primary placental cells in the presence or absence of cycloheximide, which blocks peptide bond formation. As shown in Fig. 1Go, A and B, dexamethasone stimulated endogenous CRH gene expression 2-fold, and prior exposure to cycloheximide did not affect the level of dexamethasone stimulation of endogenous CRH gene expression. These results indicate that the dexamethasone-mediated up-regulation of CRH expression occurs at the transcriptional level in a manner that does not require synthesis of new protein.



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Figure 1. Effect of dexamethasone on in vivo and in vitro CRH promoter activity. A, Human primary placental cells were plated in 100-mm petri dishes and grown in DMEM containing 10% charcoal-stripped FBS. Twenty-four hours after plating, cells were exposed to 10-7 mol/L dexamethasone (DEX) for 6 h (+) or vehicle (-). To determine the requirement for de novo protein synthesis, some cells were exposed to 10 µg/mL cycloheximide (Chx) for 2 h (+) before the addition of dexamethasone for 6 h. Cells were harvested, and nuclei were extracted for nuclear run-on in vitro transcription (see Materials and Methods). Autoradiography of a slot blot hybridization was performed, comparing in vitro synthesized 32P-labeled RNA hybridized to nitrocellulose-bound hCRH DNA. B, Histogram depicting averaged quantified results from two independent experiments from A presented with transcription levels in the absence of either agent set as 100% of the basal value. C, Four hours posttransfection with the indicated hCRH-luciferase plasmids, human placental cells were treated with either vehicle (-) or dexamethasone (+) for 48 h, then harvested for luciferase assay. Relative luciferase activity is presented as firefly luciferase values normalized to Renilla luciferase activity. Results represent the mean ± SEM from four independent experiments. **, Difference from the basal value (P < 0.01). D, The concentration of endogenously synthesized hCRH peptide in culture medium of cells transfected with pCRH(663)-GL3 was measured by RIA. **, Difference from the basal value (P < 0.01).

 
Glucocorticoid up-regulation of CRH gene expression in placental cells

To determine whether DNA sequences within the 5'-flanking region of the CRH gene are involved in glucocorticoid-mediated transcriptional regulation, primary cultures of human placental cells were transfected with plasmids containing a luciferase reporter gene fused to 5500 bp [pCRH(5500)-GL3] or 663 bp [pCRH(663)-GL3] of hCRH 5'-flanking DNA sequences. Dexamethasone (10-7 mol/L) increases hCRH promoter activity 2-fold (Fig. 1CGo), and this increase parallels the elevation in endogenous CRH gene expression (Fig. 1DGo) as determined by RIA for CRH in culture medium of transfected cells. This result is consistent with the nuclear run-on result and shows that dexamethasone induces transcription of the hCRH gene through DNA sequences in the promoter region of the gene.

Time-course studies show that hCRH promoter activity is increased by 12-h exposure to dexamethasone, with maximal stimulation occurring by 36 h (see Fig. 2AGo). Dose-response studies indicate that a maximal stimulation of 2-fold over basal levels occurs at 10-8 mol/L dexamethasone (see Fig. 2BGo).



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Figure 2. Time and dose responses to dexamethasone of hCRH promoter activity. A, Primary placental cells were transfected with pCRH(663)-GL3 plasmid DNA and exposed to 10-7 mol/L dexamethasone for the indicated time before harvesting for luciferase assay. Results represent the mean ± SEM from four independent experiments. B, Cells were transfected with pCRH(663)-GL3 plasmid DNA, exposed to either vehicle (0) or the indicated concentration of dexamethasone for another 48 h, then harvested for luciferase assay. Results represent the mean ± SEM from four independent experiments.

 
Localization of the CRH dexamethasone regulatory region

To localize the regulatory elements required for dexamethasone stimulation of hCRH gene expression, we transfected luciferase reporter plasmids containing progressively shorter sections of the hCRH gene into human primary placental cells (Fig. 3Go). This analysis of these 5'-deletions of the hCRH promoter sequences indicates that dexamethasone responsiveness is lost when the DNA sequences between -342 to -213 bp are removed. This indicates that this region of the promoter is required for dexamethasone-mediated up- regulation of hCRH gene expression in human placental cells.



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Figure 3. Location of the dexamethasone response region of the hCRH promoter. Placental cells were transfected with constructs containing different lengths of the hCRH gene promoter as shown, then exposed to 10-7 mol/L dexamethasone or vehicle (basal) for 48 h. Results represent the mean ± SEM from three independent experiments.

 
Dexamethasone stimulates cAMP-mediated CRH promoter activity

To determine whether dexamethasone modulates cAMP-stimulated CRH promoter activity, we examined the coeffects of dexamethasone and 8-bromo-cAMP on expression of different hCRH gene promoter constructs in human primary placental cells. Treatment with dexamethasone, 8-bromo-cAMP, and both agents increases hCRH promoter activity 2-, 5-, and 8-fold, respectively, using the longer hCRH gene promoter constructs in these cells (see Fig. 4Go). However, deletion of the -342 to -213 bp promoter region not only destroys cAMP inducibility of the hCRH promoter, but also abolishes dexamethasone responsiveness.



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Figure 4. Dexamethasone stimulates cAMP-mediated hCRH promoter activity. Human primary placental cells were transfected with different hCRH promoter constructs as indicated. Four hours posttransfection, the cells were exposed to 0.5 mmol/L 8-bromo-cAMP, 10-7 mol/L dexamethasone, both agents, or vehicle (basal) for 48 h before harvesting for luciferase assay. Results represent the mean ± SEM from three independent experiments.

 
Mutational analysis of consensus elements

A search of the hCRH DNA sequence against the TRANSFAC database (40) revealed that the region between -342 and -213 bp contains a consensus CRE, a hybrid steroid HRE (41), and a sequence with identity to the insect steroid hormone (42), EcRE.

To further characterize this promoter region as a critical regulatory element for dexamethasone up-regulation of hCRH gene expression, we made hCRH promoter-luciferase constructs in which the CRE, HRE, and EcRE consensus sequences were specifically mutated. Dexamethasone stimulates expression from the wild-type promoter (see Fig. 5AGo), whereas mutation of the CRE not only decreases basal hCRH promoter activity by 30% (P < 0.05), but abolishes dexamethasone responsiveness as well. This indicates that dexamethasone stimulation of hCRH gene expression requires a functional cAMP regulatory element in the placental cells. Mutation of the HRE has no effect on basal expression or dexamethasone induction, but mutation of the EcRE results in a 2-fold increase in basal expression and maintains dexamethasone induction.



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Figure 5. Mutation analysis of consensus sequences in hCRH promoter. A, Placental cells were transfected with the wild-type or mutant pCRH(663)-GL3 plasmids as shown, exposed to either vehicle (-) or 10-7 mol/L dexamethasone (+) for 48 h, then harvested for luciferase assay. **, Difference from basal for that construct (P < 0.01); *#, difference from basal expression of wild-type construct (P < 0.05). Results represent the mean ± SEM from three independent experiments. B, Freshly isolated human primary placental cells were transfected with pGLOB-GL3 or pCRE-GLOB-GL3 constructs and treated with either vehicle (-) or 10-7 mol/L dexamethasone (+). Results represent the mean ± SEM from four independent experiments. **, Difference from basal with that construct (P < 0.01); *#, difference from pGLOB-GL3 basal expression (P < 0.05).

 
Human CRH CRE confers dexamethasone responsiveness on a heterologous promoter in placental cells

To test whether the hCRH CRE region can transfer dexamethasone up-regulation to a heterologous promoter, we created a plasmid with the hCRH CRE region inserted 5' of the rabbit ß-globin promoter, linked to the luciferase reporter. The effects of dexamethasone on this chimeric construct were studied in transiently transfected human primary placental cells. Dexamethasone has no effect on the native rabbit ß-globin promoter driving the luciferase reporter (see Fig. 5BGo), but significantly induces the expression of the chimeric construct containing the hCRH CRE linked to the ß-globin promoter. Furthermore, the CRE also increases basal rabbit ß-globin promoter activity. This study shows that the hCRH CRE can transfer dexamethasone up-regulation to a heterologous promoter in placental cells, indicating that the hCRH CRE region alone is sufficient to confer dexamethasone-mediated transcriptional induction in the placental cell environment.

A placental nuclear protein binds specifically with CRE in vitro

To show that the regulation of the hCRH gene in primary placental cells involves specific interaction of transcription factor protein binding to the CRE we used EMSA to detect nuclear protein-DNA complexes. Figure 6Go shows that a specific DNA-protein complex (Fig. 6Go, at position of arrow) is detected using 32P-labeled wild-type CRE (wtCRE) oligonucleotide probe (lane 2). This complex can be specifically competed away with cold wtCRE oligonucleotides or another oligonucleotide pair containing the hCRH CRE plus more of the hCRH flanking sequences (comCRE; lanes 6 and 7), but not with oligonucleotides containing a mutated CRE (mutCRE; lane 8). No difference in complex formation was observed under these conditions with nuclei isolated from cells exposed to dexamethasone, cAMP, both agents, or no treatment (compare lanes 2–5 and 9).



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Figure 6. Specific binding of nuclear protein to CRE. EMSA was performed for nuclear protein from primary placental cells bound to 32P-labeled oligonucleotides containing the CRE DNA sequence. Nuclear protein was extracted from primary placental cells exposed for 24 h to 10-6 mol/L dexamethasone (lane 3), 3 mmol/L 8-bromo-cAMP (lane 4), both agents (lanes 5–9), or vehicle (lane 2) and bound to 32P-labeled wtCRE oligonucleotides (lanes 2–9). The position of the specific protein:DNA complex is indicated with an arrow. Protein:DNA complex formation was competed with cold wtCRE (lane 6), cold comCRE (lane 7), or cold mtCRE (lane 8) oligonucleotides. Lane 1 contains no nuclear protein extract.

 
Glucocorticoids have opposite effects on the CRE-modulated regulation of CRH in placental and pituitary cells

To test whether CRE-mediated dexamethasone up-regulation of CRH expression is unique to the placenta and distinct from mechanisms controlling CRH gene expression in AtT-20 cells, we compared expression of the hCRH (663 bp)-luciferase gene construct in placental cells and AtT-20 cells. Dexamethasone stimulates CRH gene expression in transfected primary cultures of human placental cells (Fig. 7AGo), whereas it blocks cAMP stimulation of hCRH gene expression in AtT-20 cells (Fig. 7BGo), suggesting that the differential regulation of CRH gene in placenta and hypothalamus is most likely due to tissue-specific transcriptional factor differences rather than to the CRH gene itself.



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Figure 7. Opposite effects of dexamethasone on the transcriptional regulation of hCRH gene in placental and AtT-20 cells. A, Freshly isolated human primary placental cells were transfected with pCRH(663)-GL3 plasmid DNA. After exposure to vehicle, 10-7 mol/L dexamethasone, or 500 µmol/L 8-bromo-cAMP for 48 h, the cells were harvested for luciferase assay. Results represent the mean ± SEM from three independent experiments. B, Same as for A, but with AtT-20 cells.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Although mechanisms of transcriptional repression of the hCRH gene in AtT-20 cells by glucocorticoids have been well studied (30, 31, 32, 33), there is very little literature concerning the mechanisms of transcriptional stimulation of the hCRH gene in placental cells. We have now used primary cultures of human placental cells as a model to characterize the regulation of hCRH expression by glucocorticoids. Our studies indicate that glucocorticoid stimulation of CRH gene transcription requires a CRE and does not require de novo protein synthesis in primary human placental cells.

The hypothalamic hormone CRH is also expressed at many other sites in the central nervous system (8, 9) and in peripheral tissues, including the placenta (10, 11, 12). Glucocorticoids can exert either inhibitory or stimulatory effects on CRH mRNA levels depending on the cell model examined. In AtT-20 cells, glucocorticoids inhibit CRH mRNA accumulation, whether measured using stable or transient transfection with CRH gene or promoter constructs (31, 43, 44), whereas glucocorticoids stimulate CRH mRNA accumulation in human primary trophoblast cultures (12). Guardiola-Diaz and colleagues indicate that glucocorticoid repression of cAMP-activated CRH promoter activity is modulated via glucocorticoid receptor interference with CRE-binding protein, and glucocorticoid receptor binding to putative GR-binding sites is not required (32). In contrast, Malkoski and colleagues suggest that glucocorticoids repress cAMP-stimulated, but not basal, CRH promoter activity through direct glucocorticoid receptor interaction with DNA, and a functional CRE is not required (33). Exactly how glucocorticoids modulate CRH gene activity is still unclear, and the different results reported may reflect differences in the cell lines examined. It should be noted that AtT-20 cells are a transformed mouse corticotroph cell line that does not express endogenous CRH, although it can accurately express and secrete CRH after transfection with CRH gene constructs (31). Thus, interpretations of results from transcriptional analyses with cells exhibiting a partially differentiated phenotype must be made with caution, and extrapolation to in vivo events may be difficult.

It is well established that human villous trophoblasts in vitro differentiate from cytotrophoblastic cells into syncytiotrophoblasts (35), which express both endogenous CRH (12, 13) and glucocorticoid receptor (45). Thus, human trophoblast primary cultures provide a good model to characterize endocrine factors involved in transcriptional regulation of hCRH gene expression within the placenta. However, it is notoriously difficult to transfect such primary placental cells. Recently, Golos and colleagues reported that freshly isolated primate placental cytotrophoblasts can take and express exogenous genes during fusion to syncytiotrophoblasts (36). Our results are consistent with those of Golos et al. (36) in demonstrating transient transfection of human primary placental cells with CRH promoter constructs. Furthermore, we show that dexamethasone increases both basal and cAMP-mediated hCRH promoter activity in transfected human primary placental cells, and this correlates well with the measured response of CRH peptide production. Dexamethasone stimulates transfected hCRH promoter activity in a dose-dependent manner, with the effective dose for dexamethasone ranging from 10-9–10-8 mol/L. We conclude that primary cultures of human placental cells provide a good model to characterize transcriptional regulation of the hCRH gene by glucocorticoids in the human placenta.

Genes regulated by glucocorticoids have been classified into two groups, primary and secondary response genes (46). According to this classification, the primary genes are defined as those that respond relatively rapidly to glucocorticoid and do not require ongoing protein synthesis, whereas secondary response genes are those whose induction is delayed from hours to days and are dependent upon new protein synthesis. We have measured transcription by in vitro extension of in vivo initiated RNA (nuclear run-on) to demonstrate that dexamethasone stimulation of hCRH gene expression in primary human placental cells does not require ongoing protein synthesis. In time-course studies, hCRH promoter activity increased in transfected primary placental cells after 12-h exposure to dexamethasone, whereas maximal stimulation occurred by 36 h. These results are consistent with those of Guardiola-Diaz et al. in AtT-20 cells (32) and Rosen et al. (44) in NPLC cells. Taken together, these data show that the hCRH gene belongs to the primary glucocorticoid response class, implying that glucocorticoid-mediated effects on hCRH gene transcription are modulated by direct or indirect interaction of GR with the hCRH promoter region in a manner not requiring the synthesis of new protein.

Sequence analysis of the proximal hCRH promoter region did not reveal the presence of consensus palindromic GREs (47), even though glucocorticoids stimulate placental CRH secretion (13, 15) and mRNA expression (15). Work with AtT-20 cells indicates that glucocorticoids repress cAMP-stimulated, but not basal, hCRH promoter activity (30, 32, 33). Our data suggest that dexamethasone stimulates placental hCRH gene expression through its interaction with the cAMP signaling pathway. Indeed, cross-talk between the steroid receptor signaling pathway and membrane receptor signals such as activator protein-1, signal transducer and activator of transcription-5, and nuclear factor-{kappa}B has been established (22, 27, 28, 48, 49, 50). This type of regulation does not depend on the presence of a GR-binding site in the promoter and potentially explains glucocorticoid-mediated transcription of certain genes (22, 27, 50), such as hCRH, whose promoters lack GREs or negative GREs (47, 51). Recently, Stauber and colleagues demonstrated that a mutual cross-interference between glucocorticoid receptor and CRE-binding protein was important for transcription regulation of the glycoprotein hormone {alpha}-subunit gene in human placental cells (26). We now show that deletion and site-directed mutagenesis of the CRE in the hCRH promoter abolishes dexamethasone responsiveness, whereas a hCRH promoter fragment containing a functional CRE confers glucocorticoid responsiveness to a heterologous promoter. These results clearly indicate that a functional CRE is necessary and adequate for glucocorticoid-mediated stimulation of hCRH gene expression in human primary placental cells. This is consistent with the findings of Guardiola-Diaz and colleagues for glucocorticoid-mediated repression of CRH expression in the AtT-20 cell line (32). Gel shift analysis shows that a nuclear protein from primary placental cells specifically binds to the CRE. Taken together, these data imply that up-regulation of hCRH gene expression in response to glucocorticoids in human placental cells occurs through an interaction with the cAMP signaling pathway.

Finally, we compared the transfection results from human primary placental cells with those from AtT-20 cells using chimeric hCRH(663 bp)luciferase constructs. Our observations from AtT-20 cells that dexamethasone decreased cAMP-mediated, but not basal, hCRH promoter activity by nearly 50% are consistent with the findings of other groups (30, 31, 32, 33). Dexamethasone exerts an opposite effect on CRH gene expression in placental compared with AtT-20 cells, suggesting that there are unique mechanisms within placental cells by which glucocorticoids modulate hCRH gene expression. CRH is a single copy gene that is highly conserved; thus, the differential regulation of the hCRH gene in placental and AtT-20 cells is probably due to tissue-specific differences in trans-acting factors.


    Acknowledgments
 
We thank the nursing and medical staff of the delivery suite (John Hunter Hospital) for their cooperation in obtaining placenta, B. Lojewski and J. Wood (Department of Clinical Biochemistry, John Hunter Hospital) for his measurements of progesterone levels in culture medium, Dr. M. Read (Department of Obstetrics and Gynecology, John Hunter Hospital) for statistical advice, Dr. C. Meldrum (Genetics Laboratory, John Hunter Hospital) for his helpful suggestions and discussions, Prof. J. A. Majzoub (Harvard University Medical School, Boston, MA) for the gift of the human genomic CRH clone, and Dr. T. G. Golos (University of Wisconsin Medical School, Madison, WI) for his very helpful suggestions regarding transfection of primary placental cells.


    Footnotes
 
1 This work was supported by the National Health and Medical Research Council of Australia. Back

2 Present address: Division of Endocrinology, Children’s Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, Ohio 45229-3039. Back

Received October 11, 1999.

Revised January 4, 2000.

Accepted January 4, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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