Min Joon Seo1,2, Ju Hyun Lim2,3, Dong-Hwan Kim3, Hae-Rahn Bae2,3. 1. Dept. of Emergency Medicine, College of Medicine, Dong-A University, Busan 49201, Korea. 2. Dept. of Physiology, College of Medicine, Dong-A University, Busan 49201, Korea. 3. Human Life Research Center, Dong-A University, Busan 49315, Korea.
Abstract
Aquaporin (AQP) 3, a facilitated transporter of water and glycerol, expresses in placenta and fetal membranes, but the detailed localization and function of AQP3 in placenta remain unclear. To elucidate a role of AQP3 in placenta, we defined the expression and cellular localization of AQP3 in placenta and fetal membranes, and investigated the structural and functional differences between wild-type and AQP3 null mice. Gestational sacs were removed during mid-gestational period and amniotic fluid was aspirated for measurements of volume and composition. Fetuses with attached placenta and fetal membranes were weighed and processed for histological assessment. AQP3 strongly expressed in basolateral membrane of visceral yolk sac cells of fetal membrane, the syncytiotrophoblasts of the labyrinthine placenta and fetal nucleated red blood cell membrane. Mice lacking AQP3 did not exhibit a significant defect in differentiation of trophoblast stem cells and normal placentation. However, AQP3 null fetuses were smaller than their control litter mates in spite of a decrease in litter size. The total amniotic fluid volume per gestational sac was reduced, but the amniotic fluid-to-fetal weight ratio was increased in AQP3 null mice compared with wild-type mice. Glycerol, free fatty acid and triglyceride levels in amniotic fluid of AQP3 null mice were significantly reduced, whereas lactate level increased when compared to those of wild-type mice. These results suggest a role for AQP3 in supplying nutrients from yolk sac and maternal blood to developing fetus by facilitating transport of glycerol in addition to water, and its implication for the fetal growth in utero.
Aquaporin (AQP) 3, a facilitated transporter of water and glycerol, expresses in placenta and fetal membranes, but the detailed localization and function of AQP3 in placenta remain unclear. To elucidate a role of AQP3 in placenta, we defined the expression and cellular localization of AQP3 in placenta and fetal membranes, and investigated the structural and functional differences between wild-type and AQP3 null mice. Gestational sacs were removed during mid-gestational period and amniotic fluid was aspirated for measurements of volume and composition. Fetuses with attached placenta and fetal membranes were weighed and processed for histological assessment. AQP3 strongly expressed in basolateral membrane of visceral yolk sac cells of fetal membrane, the syncytiotrophoblasts of the labyrinthine placenta and fetal nucleated red blood cell membrane. Mice lacking AQP3 did not exhibit a significant defect in differentiation of trophoblast stem cells and normal placentation. However, AQP3 null fetuses were smaller than their control litter mates in spite of a decrease in litter size. The total amniotic fluid volume per gestational sac was reduced, but the amniotic fluid-to-fetal weight ratio was increased in AQP3 null mice compared with wild-type mice. Glycerol, free fatty acid and triglyceride levels in amniotic fluid of AQP3 null mice were significantly reduced, whereas lactate level increased when compared to those of wild-type mice. These results suggest a role for AQP3 in supplying nutrients from yolk sac and maternal blood to developing fetus by facilitating transport of glycerol in addition to water, and its implication for the fetal growth in utero.
Aquaporins (AQPs) are a family of small integral membrane proteins that primarily
transport water across the cell membrane along osmotic gradients. Until now, 13 AQPs
have been found in mammals (AQP0-12), some of which permit transcellular passage of
glycerol and urea as well as water (AQP3, 7, 9, and 10) (Ishibashi et al., 2009; Verkman, 2011). AQP1, AQP3, AQP4, AQP8 and AQP9 have been reported to
express in placenta and fetal membranes and suggested to play a key role in fetal
fluid balance (Mann et al., 2002; Wang et al., 2006; Zhu et al., 2009). Mann et
al. (2002) described increased amniotic fluid volume in AQP1 knock-out
mice, speculating the association of AQP1 deficiency in fetal membranes with
idiopathic polyhydramnios (Mann et al.,
2005). Zhu et al. (2009)
observed decreased expression of AQP1 and AQP3 in amnion of human term pregnancies
with oligohydramnios as well as increased expression of AQP8 and AQP9 in
polyhydramnios (Zhu et al., 2009; Jiang et al., 2012). Despite these reports,
the precise role of AQPs in regulation of fetal fluid and electrolyte balance
remains to be determined.AQP3 is a water/glycerol transporting protein, which expresses in the basolateral
membranes of epithelial cells in kidney collecting duct, airways, intestine and
epidermis (Verkman, 2005). Mice lacking
AQP3 manifest various degrees of nephogenic diabetes insipidus resulting from
inability to concentrate the urine, and dry skin with decreased elasticity and
impaired biosynthesis due to reduced glycerol and water content in epidermis (Ma et al., 2000; Hara et al., 2002). Based on the revealed function of AQP3 in
other tissues, we speculated that AQP3 deficiency in placenta and fetal membranes
might affect the fetal growth and development by changing the amniotic fluid volume
and composition due to the defects in maternal-to-fetal transport of water and
glycerol. However, the role of AQP3 in placenta has so far not been explored using
mice lacking AQP3. Here, using AQP3 null mice, we showed that AQP3 deficiency in
placenta and fetal membranes led to the intrauterine growth restriction.
MATERIALSA AND METHODS
Mice
AQP3 null mice generated by targeted gene disruption in embryonic stem cells in a
CD1 genetic background were generously provided by Dr. Alan Verkman at
University of California San Francisco, California, USA. The protocols for this
study were approved by Dong-A University Medical School Institutional Animal
Care Use Committee (DIACUC-07-20). Mice aged 8- to 12-week-old were used for
this study. The presence of vaginal plug on the morning after mating was
considered an evidence of successful copulation, and designated as 0.5 day post
coitum (dpc). Timed pregnant mice were anesthetized and maternal blood was
obtained from inferior vena cava. After the uterine horns were exposed by
laparotomy, the whole gestational sacs were separated from the uterus, counted
and weighed. Then, each gestational sac was isolated and weighed before and
after aspiration of amniotic fluids. Amniotic fluid aspirated from 3 gestational
sacs was pooled and stored at -70℃ for the chemical analysis. Finally,
placenta, fetal membranes and fetuses were separated from each gestational sac
and weighed individually. Amniotic fluid volume was calculated by subtracting
the sum of weights of placental and fetal membrane, and fetus from that of a
gestational sac.
Histology and immunohistochemistry
Gestational sacs were fixed in 10% neutral buffered formalin overnight,
paraffin-embedded and sectioned at 5 μm. For histological evaluation of
placenta and fetus, the paraffin sections were routinely stained with
hematoxylin and eosin. For immunohistochemistry, paraffin sections were
deparaffinized, rehydrated and antigen-retrieved in citrate buffer (10 mM sodium
citrate, 0.05% Tween 20, pH 6.0) for 15 min at 100℃. After inactivation
of endogenous peroxidase with 0.3% hydrogen peroxide, sections were incubated
with 5% bovine serum albumin and 5% fetal bovine serum for 1 h at room
temperature to block non-specific binding. Sections were incubated with primary
antibodies; rabbit polyclonal anti-AQP1 (Chemicon, Temecula, CA, USA), anti-AQP3
(Chemicon, Temecula, CA, USA), and anti-AQP9 (Chemicon, Temecula, CA, USA)
antibodies, overnight at 4℃. Subsequently, the sections were incubated
with secondary anti-rabbithorseradish peroxidase linked IgG (Dako, Glostrup,
Denmark) for 1 h at room temperature, and the reaction was visualized by DAB+
chromogen (Dako, Glostrup, Denmark). Tissue sections were mounted, and then
visualized using digital scanning microscope (Scanscope, Aperio Technologies,
Vista, CA, USA).
Immunofluorescence
Frozen sections were air-dried, fixed in ice-cold acetone and blocked with 5%
bovine serum albumin. The sections were incubated with anti-AQP antibodies as
described above, and then with Alexa Fluor 488- or 555-conjugated anti-rabbit
IgG antibodies (Molecular Probes, Eugene, OR, USA). The sections were mounted
with Vectashield anti-fade reagent containing DAPI (Vector Laboratories,
Burlingame, CA, USA) and visualized using confocal microscopy (LSM 510, Carl
Zeiss, Thornwood, NY, USA) or fluorescence microscopy (IX70, Olympus, Tokyo,
Japan).
Chemical assay of amniotic fluid and plasma
Biochemical metabolic parameters in amniotic fluid and plasma were measured using
commercially available kits according to the manufacturer’s protocols;
for glucose by the hexokinase colorimetric assay kit (Sigma-Aldrich, Saint
Louis, MO, USA), for glycerol by the glycerol assay kit (Sigma-Aldrich, Saint
Louis, MO, USA), for triglyceride by the serum triglyceride determination kit
(Sigma-Aldrich, Saint Louis, MO, USA), for lactate by the lactate assay kit
(BioVision, Mountain View, CA, USA) and for FFA by the free fatty acid assay kit
(Cell Biolabs, San Diego, CA, USA). Osmolality of serum and amniotic fluid was
determined by freezing point method with Multi Osomometer (Precision System
Inc., Natick, MA, USA). Electrolyte (Na, K and Cl) concentrations in amniotic
fluid were determined by ion selective electrode method using Toshiba TBA 200FR
(Toshiba Medical Systems Co., Ltd., Tokyo, Japan). Other chemical assays of
amniotic fluids were done using automation system of diagnostic and laboratory
medicine in Dong-A university.
Statistical analysis
All the data were expressed as mean±standard deviation. The statistical
significance of differences between groups was analyzed by Mann-Whitney U
t-test or one-way repeated measure ANOVA. Statistical
significance was assumed at a value of p<0.05.
RESULTS
Expression and distribution of AQP3 in fetal membrane and placenta
In order to obtain the detailed information about the localization of AQP3 in
placenta and fetal membrane, we first conducted immunohistochemistry and
immunofluorescence using antibodies against different AQP subtypes. As shown in
Fig. 1, AQP1 and AQP3 were abundantly
expressed in placenta and fetal membrane showing a subtype-specific difference
in subcellular localization. Anti-AQP3 antibody revealed strong labeling at the
fetal-maternal interface in the labyrinthine region of placenta at E14.5 (Fig. 1A). AQP3 immunoreactivity was localized
to the double-layered syncytiotrophoblasts of blood-placental barrier as well as
the plasma membranes of fetal nucleated erythrocytes (Fig. 1B). The higher magnification image shows that AQP3
immunoreactivity was more restricted to the syncytiotrophoblast layer I (ST-1)
facing maternal blood sinuses (Fig. 1D). In
addition, AQP3 immunoreactivity was prominent in the basolateral membranes of
visceral yolk sac endoderm as well as amniotic epithelium (Fig. 1C and E).
However, no significant density of anti-AQP3 stain was detected in the
mesodermal cells of visceral and parietal yolk sac. In contrast to AQP3, none of
the three layers of trophoblasts composing the blood-placental barrier were
immunoreactive for AQP1 (Fig. 1G and I). AQP1 immunoreactivity was detected at the
plasma membranes of maternal rather than fetal red blood cells, and in
endothelial cells lining both maternal and fetal blood vessels. In fetal
membranes, AQP1 immunoreactivity was localized to the apical rather than
basolateral membrane of visceral and parietal yolk sac endoderm as well as
amnion (Fig. 1H and J).
Fig. 1.
The expression and distribution of AQP3 in placenta and fetal
membranes. (A-J) Immunohistochemistry of paraffin sections of
E14.5 placenta and fetal membranes from wild-type CD1 mice using AQP3
(A-E) or AQP1 (F-J) antibodies with or without hematoxylin counterstain.
Areas indicated by boxes in A and F were magnified in B-E and G-J,
respectively. AQP3 immunoreactivity is observed at the plasma membrane
of maternal-facing syncytiotrophblasts in fetal-maternal interface of
the labyrinth (arrows in B and D), the basolateral membrane of visceral
yolk sac endoderm (arrows in C and E) and fetal erythrocytes (arrowheads
in C and E). F, fetal blood sinus; M, maternal blood sinus. AQP1
immunoreactivity is found in the plasma membrane of maternal
erythrocytes (an arrowhead in I) and the apical membrane of visceral
yolk sac endoderm (arrows in H and J). (K-T) Immunofluorescence staining
for AQP3 (K-O) and AQP9 (P-T) using frozen sections of E9.5 placenta and
fetal membranes. AQP3 immunoreactivity is detected in the fetal-maternal
interface (arrows in K and L), fetal erythrocytes (an arrowhead in L),
visceral yolk sac endoderm (arrows in K, M, and N) and amnion (an arrow
in O). AQP9 immunoreactivity is found in the perimetrium (an arrow in
P). Scale bars; 100 μm (A, F, K, P), 20 μm (the rest).
AQP, aquaporin.
A distinct expression pattern of AQP3 in placenta and fetal membranes observed by
immunohistochemistry was confirmed by immunofluorescence microscopy. An intense
fluorescent anti-AQP3 signal was detected at the fetal-maternal interface of the
labyrinth, the cell surface of fetal nucleated erythrocytes as well as the
basolateral membrane of visceral yolk sac endodermal cells (Fig. 1K, L, M, and N). Amnion also displayed a low but detectable signal of anti-AQP3
(Fig. 1O). However, visceral yolk sac
mesoderm, parietal yolk sac endoderm and endometrial epithelia were lack of AQP3
immunoreactivity. In contrast, AQP9 immunoreactivity was found neither at the
fetal-maternal interface in the labyrinthine nor in visceral and parietal yolk
sac (Fig. 1Q, R, S, and T). Only mesothelial cells of the perimetrium displayed a
prominent AQP9 immunoreactivity (Fig.
1P).
Placental development and fetal growth of AQP3 knock-out mice
We examined whether AQP3 deficiency affects placental development through
histological analysis of the placentas at E14.5 of AQP3 knock-out mice.
Formation of chorioallantoic placenta appeared to be normal and three regions of
decidua, the junctional zone and the labyrinth were well-recognized in AQP3-null
mouse placentas as well as those of wild-type mice (Fig. 2A and B).
Trophoblast giant cells, spongiotrophoblast cells and glycogen trophoblast cells
were identified in the junctional zone, and three-cell-layered placental barrier
developed normally in the labyrinth of AQP3-null mouse placenta (Fig. 2C, D, E, and F). In addition, the fetal membranes of AQP3 knock-out mice
were also similar to those of wild-type mice; visceral yolk sac endoderm formed
the villi near the placenta (Fig. 2G and
H), and was transferred to
microvilli-developed cuboidal cells of parietal yolk sac as it got farther away
from placenta (Fig. 2I and J). There was no apparent histological defect
observed during the development of placenta and fetal membrane due to AQP3 gene
deficiency.
Fig. 2.
Histological analysis of embryonic day 14.5 placentas from
wild-type and AQP3 knock-out mice. (A, B) Cross sections of
embryonic day 14.5 placentas from wild-type (+/+) and AQP3 knock-out
(−/−) mice. Scale bar, 1 mm. (C-F) Higher magnifications
of boxed areas in A and B, respectively. Labyrinth zone (C, D) and
junctional zone (E, F). F, fetal blood sinus; M, maternal blood sinus.
Scale bar, 20 μm. (G-J) periplacental (G, I) and distal (H, J)
regions of fetal membrane. Visceral yolk sac endoderm cells (arrows) and
amnion (arrowheads) are marked. F, vitelline vessels. Scale bar, 20
μm. AQP, aquaporin.
Fetal growth of AQP3 knock-out mice
We next investigated whether AQP3 deficiency affects pregnancy and embryonic
development. AQP3 knock-out mice had higher pregnancy failure rate than
wild-type mice (67.21% vs 14.71%, data not shown). In addition, number of
fetuses in a pregnancy was reduced in AQP3 knock-out mice compared with that of
wild-type mice (9.13±0.54 vs 10.92±0.35,
p<0.05, Fig. 3A).
In spite of the small number of gestational sacs, fetuses of AQP3 knock-out mice
were smaller than those of wild-type mice (Fig.
3B). The height of the fetus at E14.5, measured by the crown-rump
length (CRL), was significantly reduced in AQP3 knock-out mice (10.5±1.1
mm vs 13.4±2.0 mm, p<0.05). AQP3 knock-out
fetuses had lower body weight than wild-type fetuses regardless of the embryonic
days during pregnancy. The difference in the weights between AQP3 knock-out and
wild-type fetuses was highest on E14.5 (0.24±0.02 g vs. 0.43±0.03
g, p<0.05), showing a 44% reduction compared to the
wild-type control (Fig. 3C). Although the
difference in fetal weights reduced to 21% in the late gestation at E16.5, AQP3
knock-out fetuses still exhibited lower body weights at birth than did the
wild-type fetuses (1.21±0.07 g vs. 1.53±0.09 g,
p<0.05).
Fig. 3.
Fetal growth of AQP3 knock-out mice. (A) Number of
fetuses per pregnancy of wild-type (+/+) and AQP3 knock-out (-/-) mice.
(B) Gross appearance of 14.5-dpc fetuses. The AQP3 -/- fetus is smaller
than a wild-type littermate. (C) Body weights of wild- type and AQP3
knock-out fetuses and pups. Values are mean±SE. *
p<0.05, AQP3+/+ vs. AQP3-/- mice. AQP,
aquaporin.
Amniotic fluid volume and composition of AQP3 knock-out mice
To determine whether AQP3 deficiency influences the amount and composition of
amniotic fluid, we measured amniotic fluid volume directly at the different
stages of development. The volume of amniotic fluid per gestational sac
gradually increased during pregnancy. However, there was no significant
difference in total amount of amniotic fluid in each gestational sac between
AQP3 knock-out and wild-type mice (Fig.
4A). When the amniotic fluid volume was normalized to average weight of
fetus considering the lower body weight of AQP3 knock-out mice than wild-type
mice, it increased significantly during early to mid-gestation in AQP3 knock-out
mice compared with wild-type mice (Fig.
4B). The biggest difference in amniotic fluid volume between AQP3
knock-out and wild-type mice was observed at E14.5 (0.60±0.02 mL vs.
0.35±0.03 mL, p<0.05), whereas the amniotic fluid
volume of AQP3 knock-out mice became similar to that of wild-type mice during
late gestation (E16.5).
Fig. 4.
Amniotic fluid volume of AQP3 knock-out mice during the
mid-gestational period. (A) Total amount of amniotic fluid
(AF) in each gestational sac of wild-type (+/+) and AQP3 knock-out (-/-)
mice. (B) Average weight-normalized AF volume of AQP3 +/+ and -/- mice.
Values are mean±SE. *
p<0.05, AQP3+/+ vs. AQP3-/- mice. AQP,
aquaporin.
We measured the concentrations of metabolic substrates in amniotic fluid of AQP3
knock-out mice at E14.5. Concentrations of the metabolites measured were all
reduced except lactate. Glycerol concentration in amniotic fluid showed the
biggest difference between wild-type and AQP3 knock-out mice (6.69 mg/dL vs.
4.33 mg/dL, 1.54 fold decrease, p<0.01, Fig. 5A). The levels of triglyceride and free
fatty acids in amniotic fluid were also low in AQP3 knock-out mice compared to
wild-type mice (1.38 fold and 1.36 fold decrease, respectively, Fig. 5B and C). The glucose concentration in amniotic fluid was also decreased
in AQP3 knock-out mice, but with a less difference between the two groups (81.10
mg/dL vs. 72.23 mg/dL, 1.12 fold decrease, p<0.01, Fig. 5D). However, the lactate concentration
in amniotic fluid of AQP3 knock-out mice was much higher than that of wild-type
mice (1.52 mM vs. 2.18 mM, 1.43 fold decrease, p<0.01,
Fig. 5E).
Fig. 5.
Concentrations of metabolic substrates in amniotic
fluid. Amniotic fluid was harvested from wild-type (+/+) and
AQP3 knock-out (-/-) mice on the embryonic day 14.5. The concentrations
of glycerol (A), free fatty acid (B), triglyceride (C), glucose (D) and
lactate (E) were measured. Values are mean±SE. **
p<0.01, AQP3+/+ vs. AQP3−/− mice.
AQP, aquaporin.
DISCUSSION
We conducted this study in order to investigate the role of AQP3 in placenta and
fetal membranes using AQP3 knockout mice. We found that AQP3 knockout mice exhibited
intrauterine growth restriction as well as decreased metabolite concentrations in
amniotic fluid. However, AQP3 knockout mice did not display hydroamnios or
oligohydroamnios, although the amniotic fluid-to-fetal weight ratio increased in
AQP3 null mice compared with wild-type mice.The presence of AQP1, AQP3, AQP4, AQP8 and AQP9 transcripts and proteins have been
described in placenta and fetal membranes (Liu et
al., 2008; Hua et al., 2013).
AQP1 expresses in the epithelial cells of chorionic plate amnion as well as
endothelial cells in placenta and yolk sac of both human and mouse (Zhu et al., 2009). AQP3, AQP8 and AQP9
localize not only in epithelial cells of amnion but also in cytotrophoblasts and
syncytiotrophoblasts of placenta in human (Damiano
et al., 2001), whereas AQP4 is reported to express in stroma of human
placenta (De Falco et al., 2007). In mice,
AQP3 expression in amnion and trophoblasts of the labyrinth has been demonstrated
(Kobayashi & Yasui, 2010). Here
we first described the expression of AQP3 in the basolateral membranes of visceral
yolk sac endoderm. We also determined the precise localization of AQP3 in the
basolateral membrane of epithelial cells in amnion and the syncytiotrophoblast
facing maternal blood sinuses in the labyrinth. In addition, AQP1 localization at
the apical membrane of epithelial cells of both amnion and visceral yolk sac
endoderm was also first described. Inconsistently with the previous reports (Damiano et al., 2001; Kobayashi & Yasui, 2010), AQP9 expression was not
observed either in amnion or placenta except mesothelial cells of the
perimetrium.Development of placenta and fetal membrane is essential for normal fetal growth
(Cross et al., 1994). Placenta provides
vascular connections necessary for nutrient transport as well as attachment of the
embryo to uterus. In mammals, two different types of placenta develop, yolk sac
placenta (choriovitelline placenta) and chorioallantoic placenta (Carter, 2007). The yolk sac placenta formed in
early pregnancy provides nourishment to the developing embryo until a definitive
chorioallantoic placenta is established, then undergoing degeneration in human.
Although striking differences in structure and function of the placenta are present
among species, human and mouse placentas show structural similarities in terms of a
highly invasive hemochorial type (Rossant &
Cross, 2001; Cross et al., 2003;
Enders & Carter, 2006). A
comparative proteomic and transcriptomic investigation of placental tissues from
both species revealed that over 80% of genes known to cause placental phenotypes in
mouse are co-expressed in human (Cox et al.,
2009). However, the number of trophoblast layers interposed between the
maternal blood space and fetal capillaries is different between human and mouse.
Human placenta is hemomonochorial with a single layer of syncytiotrophoblast
adjacent to fetal endothelial cells, while the mouse placenta is hemotrichorial
containing two syncytiotrophoblast layers and one cytotrophoblast layer in the
placental barrier (Carter, 2007). We
described here that AQP3 is strongly expressed in the syncytiotrophoblast in
chorioallantoic placenta, an epithelium responsible for materno-fetal substrate
transfer. Glucose (GLUT1 -3 and -4) and amino acid transporters (SNAT1, -2, and -4)
have also been demonstrated to express at the microvillous and basal membranes of
the syncytiotrophoblast in human placenta (Takata
et al., 1994; Novak & Beveridge,
2000). Therefore, AQP3-mediated glycerol transport across the
syncytiotrophoblast in placental barrier seems to be rate-limiting in embryo
transfer and so do sugar and amino acids.The yolk sac, which comprises both endoderm and mesoderm layers, is also a true
placenta crucial for early embryonic development and survival in both human and
mouse (Freyer & Renefree, 2008). The
yolk sac serves as the only hematopoietic organ in early pregnancy and involves
vasculogenesis, which is essential to fulfil its basic function as gas exchange and
nutrient supply (Palis & Yoder,
2001). As the eutherian yolk sac essentially lacks nutrients inside the sac
unlike that of an oviparous organism, maternal nutrients originating from the
exocoelomic cavity or uterine glandular secretion are transferred to the growing
embryo through the yolk sac. Uterine nutrients enter the yolk sac by passing through
the trophoblasts, the parietal yolk sac endoderm cells and Reichert’s
membrane formed between these cell layers vasculature (Sheng & Foley, 2012). Once inside the exocoelomic
cavity, maternal nutrients are taken up by the visceral yolk sac endoderm and
transported to the embryo through the vitelline. In the yolk sac-mediated route of
nutrient transfer, the visceral yolk sac endoderm is the principal interface for
nutrient uptake (Maurer & Cooper,
2005). Furthermore, the visceral yolk sac endoderm synthesizes
cholesterol de novo and secretes serum proteins including apolipoprotein B
(apoB)-containing lipoproteins, which play an essential role in lipid transport to
the fetus (Plonne et al., 1992; Madsen et al., 2004). In this paper, we
observed strong AQP3 expression in basolateral membrane of the visceral yolk sac
endoderm, which is a key player in maternal-to-fetal nutrient transfer through yolk
sac. Considering this with the finding of high AQP3 expression at the cell surface
of fetal erythrocytes, we speculate that AQP3-mediated glycerol transport through
yolk sac is highly activated in early pregnancy and presumably required for backbone
of lipid or energy source to rapidly developing embryo.Amniotic fluid provides an ideal environment for normal fetal growth (Brace, 1997). During mid to late gestation,
amniotic fluid is produced from fetal urine and lung fluid, and removed by fetal
swallowing and intramembranous absorption (Beall et
al., 2007). AQPs in placenta and fetal membranes have been proposed to
regulate the amniotic fluid volume. Alterations in their expression levels in
placenta and fetal membranes have been reported to be related to polyhydramnios and
oligohydramnios. It was demonstrated that AQP1 null mice exhibited polyhydroamnios
and that AQP1 expression was increased in human placenta with idiopathic
polyhydramnios (Mann et al., 2005).
Alterations of AQP3, AQP8 and AQP9 expressions in fetal membrane were also reported
in idiopathic polyhydramnios (Zhu et al.,
2010). However, contrary to our assumption, we observed that AQP3
knock-out mice did not display polyhydramnios. We speculated that AQP3-mediated
water transport across the basolateral membrane of amnion epithelial cells might be
replaced with other AQPs present in the same membrane domain, whereas water
reabsorption across the apical membrane of amnion epithelial cells and subsequently
to blood vessels beneath through AQP1 cannot be substituted by any other AQPs. In
addition, inability to concentrate the urine in AQP3 knock-out fetus did not seem to
contribute to an increase in the amniotic fluid volume presumably due to no
necessity for concentrating urine in fetal life floated in amniotic fluid.Maternal triglycerides have been suggested as a primary source of fatty acids and
glycerol because of their substantial increase in mid- to late gestation (Herrera, 2002). As maternal triglycerides
cannot directly cross the placental barrier, they are either hydrolyzed into free
fatty acids and glycerol by lipoprotein lipase (LPL) and endothelial lipase (EL) in
microvillous membrane or taken up by syncytiotrophoblasts via a receptor-mediated
endocytosis as incorporated into lipoproteins (Gil-Sanchez et al., 2011). FFA transport across the plasma membrane,
apical or basal., occurs either by a simple diffusion through lipid bilayer or by
facilitated diffusion using a fatty acid translocase (FAT/CD36), a fatty acid
transport protein (FATP) and plasma membrane fatty acid-binding protein (FABPpm) for
the uptake of long chain polyunsaturated fatty acids (Schaffer & Lodish, 1994). FAT/CD36, five members of
FATPs (FATP1-4, and 6) and FABPpm have been identified in placental trophoblasts
(Campbell et al., 1998).Whereas considerable studies have been carried out on FFA transport across placenta,
little attention was paid on the glycerol transfer from mother to fetus. Glycerol
released along with FFA during triglyceride hydrolysis is either passively diffused
across the cell membrane or transported by a facilitated diffusion through
aquaglyceroporins to enter fetal circulation. Based on our findings of AQP3
localization in the syncytiotrophoblast of chorioallantoic placenta and basolateral
membrane of endoderm of visceral yolk sac as well as low amniotic fluid glycerol
concentration in AQP3 knock-out mice, we speculated that AQP3-mediated glycerol
transport across the syncytiotrophoblast in placental barrier and endoderm of
visceral yolk sac seems to be a rate-limiting step in glycerol transfer of embryo.
Glycerol is used as a backbone of phospholipids or a source of energy during fetal
development. Glycerol is a precursor of glucose and enters the gluconeogenic pathway
as dihydroxyacetone phosphate in order to be converted into glucose (Klein et al., 1990).AQP3 knockout mice exhibited intrauterine growth restriction along with decreased
concentrations of metabolite substrates including glycerol in amniotic fluid. During
embryonic development, especially the second half of gestation when energetic and
biosynthetic demand increases rapidly to support the exponential rate of fetal
growth, mobilization of maternal fat stores is accelerated (Herrera et al., 2006). Decrease in maternal glycerol delivery
to fetus due to the AQP3 deficiency despite increasing demand during the second half
of gestation might explain the reduced growth rate of AQP3 knockout pups to some
extent.In conclusion, this study is the first to demonstrate that AQP3 deficiency in
placenta and fetal membranes is associated with reduced metabolite concentrations in
amniotic fluid and impaired fetal growth. Our findings that AQP3 plays an important
role in supplying glycerol from yolk sac and maternal blood to developing fetus in
mice and that glycerol and its transporter, AQP3 might be implicated in normal fetal
growth in human pregnancy.
Authors: Lilian M Martinelli; Antonio Carucci; Victor J H Payano; Kristin L Connor; Enrrico Bloise Journal: Reprod Sci Date: 2022-02-08 Impact factor: 3.060