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Institute for Hormone and Fertility Research, University of Hamburg (N.S.-L., N.H., D.M., J.O.), and Institute of Anatomy, University of Hamburg Medical School (R.M.), 22529 Hamburg, Germany
Address all correspondence and requests for reprints to: Dr. James Olcese, Institute for Hormone and Fertility Research, University of Hamburg, Grandweg 64, 22529 Hamburg, Germany. E-mail: olcese{at}ihf.de.
| Abstract |
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| Introduction |
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The fact that the light-dark cycle can regulate the daily timing of birth and uterine contractility has been shown for rhesus macaques (8, 9) and rats (10). It is known that maternal melatonin crosses the placenta (11), and plasma melatonin levels have been reported to undergo biphasic dynamics during pregnancy, rising during the first 20 wk of gestation, then falling during wk 2036 before rising again at wk 3642 (12, 13). However, the data on a potential influence of melatonin on human myometrial function are scarce (14), and a clear understanding of the molecular mechanisms of its action in this tissue is completely lacking. Therefore, in the present studies we sought to obtain a better understanding of the molecular mechanisms of melatonin action on uterine function in the human.
| Subjects and Methods |
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Myometrial tissue was taken from the upper edge of the lower uterine segment with written informed consent of the patients and approval of the Hamburg medical ethics committee. Samples were obtained between 08001000 h from noncycling nonpregnant (NP) patients undergoing hysterectomy or pregnant (P) patients undergoing cesarean section (at wk 3840, before labor). The average age of the P patients was 31.8 ± 5.59 yr, and that of the NP patients was 46.67 ± 5.74 yr. Indication for cesarean section was noncephalic presentation, whereas for hysterectomy it was uterine fibromyoma. The samples were used for primary cell culture, or they were immediately frozen in liquid nitrogen and stored at -80 C until further investigation.
Quantitative RT-PCR
RNA isolation was performed with TRIzol reagent (Life Technologies, Inc., Karlsruhe, Germany). Deoxyribonuclease I digestion and RT were carried out following the manufacturers instructions from 1 µg RNA (deoxyribonuclease I, ribonuclease-free, and RT system, Promega Corp., Mannheim, Germany).
Primers for detection of the MT1 receptor were S1 and AS1, and those for the MT2 receptor were S3 and AS3, as specified in Table 1
. As a positive control, the cDNA from cell lines (SKUT, CHO) that had been stably transfected with either the MT1 or MT2 receptor constructs were used. After amplification the PCR products were electrophoresed on a 2% agarose gel, stained with ethidium bromide, and visualized under UV light.
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and oxytocin receptor), 20 sec; elongation, 72 C, 25 sec; and acquisition, 83 C, 15 sec. Up to 45 PCR cycles were used. Melting curve analysis was performed at the end of each run. Variations in cDNA concentrations were normalized against Gs
cDNA, as expression of this mRNA has been shown not to fluctuate significantly during pregnancy (15). Reaction composition was as follows: primer concentrations, 0.5 µM (for both forward and reverse primers); MgCl2, 3 mM; deoxy-NTPs, buffer, and polymerase concentration were provided by supplier. Receptor transcripts were validated by sequencing. For each assay internal standard curves were developed (data not shown). In situ hybridization
Templates (306 bp MT1 cDNA and 424 bp MT2 receptor cDNA, produced by RT-PCR with primer set S2, AS2, S4, and AS4 as listed in Table 1
) after ligation into the pGEM-T easy vector (Promega Corp.) were used for cRNA synthesis. Riboprobes (sense and antisense) were synthesized using SP6 or T7 RNA polymerase and digoxigenin-labeling dNTP mix following the manufacturers instructions (DIG labeling kit, Roche Molecular Biochemicals). The specificity of the probes was validated with ribonuclease protection assay (data not shown). The riboprobes were specific for one receptor type only, i.e. there was no cross-hybridization between MT1 and MT2 receptor riboprobes.
The hybridization procedure was carried out with 10-µm frozen tissue sections as follows. After rehydration, sections were denatured in 0.2 N HCl, heat-denatured in 2x standard saline citrate (2x SSC), then postfixed with 4% paraformaldehyde, acetylated with 0.25% acetic anhydride in 0.1 triethanolamine, dehydrated, and air-dried. Slides were hybridized at 55 C overnight, then washed in 2x SSC (at room temperature) and hybridization buffer (at 65 C), before treatment with ribonuclease A (20 µg/ml) and sequential washing in 1x SSC. Finally, slides were rinsed in 0.1x SSC, then incubated with buffer 1 [0.1 M Tris-HCl (pH 7.5) and 0.15M NaCl] and buffer 2 [0.1 M Tris-HCl (pH 9.5), 0.1 M NaCl, and 50 mM MgCl2, blocked with 20% normal sheep serum]. The AntiDig Detection system (Roche) was used for detection of digoxigenin-labeled cRNA.
[125I]Melatonin binding assay
Crude membranes were prepared on ice as previously described (15). The binding of [125I]melatonin (Amersham Pharmacia Biotech, Little Chalfont, UK; specific activity, 2000 Ci/mmol) was determined as described previously (16). Briefly, membranes (80 µg protein) were incubated in Tris-HCl (50 mM) and 0.02 mM MgCl2 at room temperature for 90 min in the absence (total binding) or presence (nonspecific binding) of 10 µM unlabeled iodomelatonin (Sigma-Aldrich, Taufkirchen, Germany). Saturation and displacement studies were conducted in triplicate samples. In experiments to test for G protein coupling of the melatonin receptor, membranes were incubated with 100 pM [125I]melatonin in a total assay volume of 200 µl. Concomitantly, the nonhydrolyzable guanine nucleotide guanosine 5'-O-3-thiophosphate (GTP
S; Calbiochem, Bad Soden, Germany) was employed at doses ranging from 1100 nM. Reactions were terminated by the addition of 4 ml ice-cold Tris-HCl, followed by rapid filtration over presoaked glass-fiber filters (Schleicher \|[amp ]\| Schuell, Inc., Dassel, Germany). Each filter was thereafter washed twice in 4 ml buffer to remove unbound melatonin, and the radioactivity of the filters was determined in a gamma-counter.
Autoradiographic studies
Autoradiography was performed following the method described by Seltzer et al. (17), Briefly, frozen sections of P human myometrial tissues (12 µm) were mounted on gelatin-coated slides and incubated for 2 h at 4 C with 50 pM [2-125I]melatonin (2000 Ci/mmol) in 50 mM Tris HCl buffer, containing 5 mM MgCl2 in the absence (total binding) or presence (nonspecific binding) of 1 µM melatonin. After incubation, the slides were washed twice for 5 min each time in cold buffer with 5% BSA. Slides were apposed to Hyperfilm (Kodak, Stuttgart, Germany) for 1 wk.
Primary myometrial cell culture
Human myometrial cells were prepared as described by Kobayashi al (18) to establish a primary cell culture. Myometrial tissue (0.5 g) was minced thoroughly and digested in Hams F-12 medium (SigmaAldrich) with 10 mg/ml collagenase type 2 (Worthington LS), 1000 U/ml deoxyribonuclease I (Roche), 100 IU/ml penicillin, 100 µg/ml streptomycin, and 125 µg/ml fungizone (Life Technologies, Inc.) for 15 h at 37 C before plating. Myometrial smooth muscle cells were isolated and maintained in monolayer cultures (maximum of three passages) in Hams F-12/DMEM with 4.5 g/liter glucose (BioWhittaker, Inc. Europe Cambrex Co., Apen, Germany), 3 mM glutamine, 100 IU/ml penicillin, 100 µg/ml streptomycin, and 10% fetal calf serum (Life Technologies, Inc.). For the cAMP determinations cells were plated in 12-well multidishes (Nunc, Naperville, IL) in 1 ml culture medium/well. For RNA isolation, cells were harvested at confluence in T175 flasks (in 10 ml culture medium). Immunofluorescence with
-actin antibody (DAKO Corp., Hamburg, Germany) was used to verify that the cells were myocytes (data not shown).
cAMP assay
For the determination of total cAMP accumulation, an ELISA was employed, which is based on a previously characterized RIA (19). Plated myometrial cells were preincubated for 15 min in the phosphodiesterase inhibitor 3-isobutyl-1-methyl-xanthine (0.25 mM) before stimulation with 10 µM forskolin (Sigma-Aldrich) in the presence or absence of melatonin or iodomelatonin for 1530 min. In experiments to show the pharmacological specificity of melatonins effect, the melatonin receptor antagonist 4-phenyl-2-propionamidotetralin (4P-PDOT; Tocris Cookson, UK) at a dose of 10 nM was also included during the stimulation period. To terminate cAMP accumulation 2 ml ice-cold ethanol was added to the wells (final volume, 2.5 ml), whereupon they were placed at -20 C to facilitate the extraction of intracellular cAMP. After centrifugation and evaporation, samples were redissolved in ELISA buffer, acetylated, and assayed. The sensitivity was 5 fmol/tube. Intraassay coefficients of variation were typically 610%.
Data analysis and statistics
Experiments were conducted in triplicate with a minimum of three independent tissue samples and were repeated at least three times. In all figures the data represent the mean ± SE. Statistical analyses were performed using an ANOVA, followed by the Bonferroni post hoc test with a significance criterion of P < 0.05.
| Results |
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S, specific binding was reduced to 8% of normal control values (Fig. 4C
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| Discussion |
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The real-time PCR quantification of melatonin receptor transcripts showed a decline in MT2-R expression in the face of clearly up-regulated oxytocin receptor mRNA expression in P tissue (Fig. 3
). Such up-regulation of oxytocin receptor transcripts and binding sites has been described by Ivell et al. (25) and Fuchs et al. (26). The decline in MT2-R transcript expression is also mirrored by the marked reduction in receptor density as assessed by ligand binding assay (Fig. 4
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Doolen et al. (27) described a melatonin effect on smooth muscle activity in the rat caudal artery in which MT1 receptor activation causes contraction, whereas MT2 receptors mediate relaxation. Generally speaking, melatonin receptor signal transduction mechanisms appear to rather site specific (28, 29). Previous investigations on direct actions of melatonin on uterine function have been performed mostly in the rat, where melatonin has been shown to block prostaglandin generation (30) and depress spontaneous as well as oxytocin-induced uterine contractility (31, 32). On the other hand, Märtensson et al. (14) found an augmentation of contractile force in human myometrial strips by melatonin after the administration of noradrenaline. These differences are likely to relate to differences in the phase relation between nocturnal melatonin secretion and maximal myometrial contractile activity (high at night in primates, high during the day in rodents).
It is well known that melatonin can inhibit cAMP signaling via the coupling of its receptors (MT1 and MT2) to pertussis toxin-sensitive G proteins (Gi2 or Gi3). The fact that melatonin binding to human myometrial membranes is abolished by coincubation with GTP
S (Fig. 4
) is consistent with G protein coupling of the melatonin receptors. Melatonin has been shown to act via the Gq/11 protein (33), which is also known to be involved in the oxytocin receptor regulatory pathway. The ability of the melatonin receptor antagonist 4P-PDOT to abolish melatonins inhibitory action on cAMP in the human myometrium (Fig. 5
) also points to this effect being mediated specifically via one or both melatonin receptors. However, the effects of melatonin on cAMP signaling reported in the present study do not appear to be related to the tocotrophic effects of the hormone on myometrial contractions in late pregnancy as reported by Martensson et al. (14), as we see an inhibitory effect of melatonin on cAMP levels only in NP tissues. Melatonin may of course participate through other signaling pathways in the nocturnal switching mechanism from contractures to contractility as described by Nathanielsz (34). For example, it is known that melatonin can also modulate both potassium and calcium channel activities in various tissues (35, 36), although this has yet to be examined in myometrium.
The switching mechanism between an inhibitory effect on cAMP signaling in myocytes from NP women to a loss of effect in myocytes from P women might be related to the expression of specific ß
-stimulated adenylyl cyclase isoforms exclusively during pregnancy, as described by Price et al. (37). However, we cannot exclude other mechanisms underlying such a switching phenomenon, for example, differential coupling of melatonin to the MT1 and MT2 receptors in P compared with NP myometrial tissues. An analogous switching phenomenon has recently been reported to occur in the P myometrium in terms of adrenaline and noradrenaline actions via ß- and
2-adrenergic receptors (38).
In summary, our present data demonstrate for the first time the functional expression of both melatonin receptor isoforms in the NP and P human myometrium as well as a direct influence of melatonin on cAMP on NP myometrial cells in vitro. Taken together these findings clearly demonstrate that the human myometrium is a target for melatonin and point to interesting new horizons for the potential use of this hormone or antagonists of the melatonin receptors in the treatment of uterine contractile disturbances.
| Acknowledgments |
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| Footnotes |
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Present address for N.S.-L.: Department of Experimental Gynecology, Clinic of Obstetrics and Gynecology, University of Hamburg Medical School, 22529 Hamburg, Germany.
Abbreviations: GTP
S, Guanosine 5'-O-3-thiophosphate; NP, nonpregnant; P, pregnant; 4P-PDOT, 4-phenyl-2-propionamidotetralin.
Received March 21, 2002.
Accepted November 18, 2002.
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subunits in the pregnant human myometrium is mimicked by elevated smoothelin expression. FASEB J 14:1726This article has been cited by other articles:
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J. T. Sharkey, R. Puttaramu, R. A. Word, and J. Olcese Melatonin Synergizes with Oxytocin to Enhance Contractility of Human Myometrial Smooth Muscle Cells J. Clin. Endocrinol. Metab., February 1, 2009; 94(2): 421 - 427. [Abstract] [Full Text] [PDF] |
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