Tae Hoon Kim1, Jae-Wook Jeong1. 1. Dept. of Obstetrics, Gynecology & Reproductive Biology, Michigan State University College of Human Medicine, Grand Rapids, MI 49503, USA.
The primary function of the uterus is supporting fertility, and the endometrium is
the layer critically involved in receiving an embryo, facilitating implantation and
decidualization, and supporting embryo growth and development until placentation
(Marquardt et al., 2019). The uterus is
a target tissue of ovariansteroid hormones. Estradiol (E2) stimulates endometrial
proliferation and growth, while progesterone (P4) suppresses E2 induced epithelial
cell proliferation, concomitant with initiation of stromal cell differentiation
(Marquardt et al., 2019). These dynamic
changes are necessary for embryo implantation and successful pregnancy (Tabibzadeh, 1998). The endometrium undergoes
well-defined and regulated gene expression in preparation for implantation (Fox et al., 2016).The physiological effects of P4 are mediated by the progesterone receptor (PGR). P4
and PGR together play a central role in reproductive events associated with the
establishment and maintenance of pregnancy. PGR regulates implantation,
decidualization, and glandular development via a complex paracrine signaling network
(Wetendorf & DeMayo, 2014; Adams & DeMayo, 2015; Bhurke et al., 2016). The pivotal role of PGR
within reproductive tissues causes it to be an area of focus within reproductive
diseases (Teasley et al., 2018).
Specifically, reduced expression of PGR has been associated with endometriosis, a
prevalent disease in women’s health (Grandi
et al., 2017). Overall, aberrations of steroid hormone signaling can be
found in many uterine disorders including infertility, endometriosis, endometrial
cancer, and uterine leiomyoma (Han &
O’Malley, 2014; Islam et al.,
2017; Patel et al., 2017; Yoo et al., 2017).AT-rich interaction domain 1a (ARID1A) is one subunsit within the SWItch/SucroseNon-Fermentable (SWI/SNF) chromatin remodeling complex (Chunder et al., 2003). It is located in chromosomal region
1p36, which is a region that is often deleted within many different forms of cancer
(Chunder et al., 2003; Takeda et al., 2016). A high frequency of
mutation of ARID1A in cancers, specifically endometrioid cancer of the uterus and
ovarian clear cell and endometrioid cancer, has revealed the potential of ARID1A to
be defined as a tumor suppressor (Jones et al.,
2010; Guan et al., 2011a).
ARID1A is able to inhibit tumor growth and cellular proliferation (Guan et al., 2011b). Several studies have
linked SWI/SNF and ARID1A to transcriptional regulation, particularly nuclear
hormone-induced transcription and expression of cell cycle regulators (Mao & Shih, 2013; Samartzis et al., 2013; Wu & Roberts, 2013). Previously, we have shown that
ARID1A protein levels are lower during both the proliferative and secretory phases,
in epithelial and stromal cells of women with endometriosis compared to those
without (Kim et al., 2015). Ablation of
Arid1a in the murine uterus results in the inability to inhibit
E2-induced epithelial cell proliferation and E2-responsive target gene expression
(Kim et al., 2015). However, the
molecular mechanism of ARID1A action in steroid hormone regulation and pregnancy is
not well studied.Proline-rich acidic protein 1 (PRAP1) is a secretory protein of 149 amino acids, with
a 20 amino acid signal peptide at its N-terminal. PRAP1 has been identified as a
differentially expressed gene in the pregnant uterus of rodents (Kasik & Rice, 1997). It is strongly
expressed in the late pregnant uterus but disappears from the uterus within 3 days
after birth (Kasik & Rice, 1997).
HumanPRAP1 mRNA is detected in the gastrointestinal tract, liver,
and kidney. PRAP1 is localized in the epithelial lining of the colon and cervix, the
hepatocytes, and the kidney proximal and distal tubules (Zhang et al., 2003). PRAP1 plays an important role in
maintaining normal growth homeostasis in epithelia (Lanemo Myhrinder et al., 2008; Zhang et al., 2003). PRAP1 is a p53-responsive gene induced by genotoxic
stress (Huang et al., 2012). It is an
interacting partner of MAD1 and has a suppressive role in mitotic checkpoint
signaling in hepatocellular carcinoma (Sze et al.,
2014). Prap1 mRNA is highly expressed in the uterine
luminal epithelium of gestation day (GD) 0.5 in mice, disappears in the
preimplantation day 3.5 uterus, and reappears abundantly in the luminal epithelium
after embryo implantation (Diao et al.,
2010). Therefore, PRAP1 is suggested as a marker for successful embryo
implantation (Diao et al., 2010).While Prap1 is up-regulated by E2, it is down-regulated by P4 (Diao et al., 2010; Xiong et al., 2011). However, the regulation of PRAP1 in the
uterus is still elusive. In order to explore the regulation of PRAP1 expression in
the uterus, we investigated the expression of PRAP1 in the uterus of
Pgr knockout (PRKO) and uterine specific
Arid1a knockout
(Pgr;
Arid1a) mice. We also evaluated the
regulation of PRAP1 in response to steroid hormones in the uterus.
MATERIALS AND METHODS
Animals and tissue collection
All mouse experiments were approved by the Institutional Animal Care and Use
Committee of Michigan State University (IACUC number: 11/16-192-00). For the
uteri samples during early pregnancy, wild C57BL/6 female mice at 8 weeks of age
were individually mated with wild-type male mice and uteri were collected at
different time points of pregnancy. The initiation of pregnancy was marked by
the presence of the postcoital vaginal plug as day 0.5 of gestation (GD 0.5) for
early pregnancy study. In order to investigate the expression of PRAP1 by PGR
and ARID1A in the uterus, we used PRKO and Arid1amice (Lydon et al., 1995; Kim et al., 2015). We previously
generated mice with conditional ablation of Arid1a in the PGR
positive cells (Arid1a) to study the role of
Arid1a in the uterus (Kim
et al., 2015). Uterine tissues were collected from both horns then
were stored at −80°C for RNA or fixed in 4%
paraformaldehyde (vol/vol) and paraffin embedded.To study PRAP1 expression by steroid hormone regulation, wild-type C57BL/6 mice,
Arid1a or PRKO mice at 6 weeks of age
underwent bilateral ovariectomy. After at least 2 weeks to eliminate endogenous
ovarian hormone completely, the mice were given subcutaneous injection with
vehicle (sesame oil) or P4 (1mg/mouse) (n=3 per genotype per treatment).
The uteri were collected at 6 hours after the steroid hormone injection.To study PRAP1 expression by steroid hormone regulation, wild-type C57BL/6 mice,
Arid1a or PRKO mice at 6 weeks of age
underwent bilateral ovariectomy. After at least 2 weeks to eliminate endogenous
ovarian hormone completely, the mice were given subcutaneous injection with
vehicle (sesame oil) or P4 (1mg/mouse) (n=3 per genotype per treatment).
The uteri were collected at 6 hours after the steroid hormone injection.
RNA isolation and quantitative real-time PCR
Total RNA was isolated from uteri using Qiagen RNeasy total RNA isolation kit
(Qiagen, Valencia, CA, USA). The expression levels of Prap1
were quantified by RT-qPCR using an Applied Biosystems StepOnePlus system
according to the manufacturer’s instructions (Applied Biosystem, Foster
City, CA, USA). The cDNAs were synthesized with MMLV Reverse Transcriptase
(Invitrogen, Carlsbad, CA, USA) by the use of 1 μg of total RNA primed
with random hexamer primers according to the manufacturer’s instructions.
RT-qPCR was performed on cDNA to assess the expression levels of genes of
interest with primers, by using SYBR green and 96-well optical plates, with an
Applied Biosystems StepOnePlus (Applied Biosystem, Foster City, CA, USA).
Experimental Prap1 data were normalized to 18S ribosomal RNA.
Analysis of Prap1 mRNA expression was first undertaken by the
standard curve method, and results were corroborated by CT values assessing
levels of gene expression. All data are presented as mean ± SEM.
Statistical analyses were performed using Student’s
t-tests using the Instat package from GraphPad (San Diego, CA,
USA). p<0.05 was considered statistically
significant.
Immunohistochemistry
Uterine sections of 5μm thickness were blocked with 10% normal goat
serum in PBS (pH 7.5) for immunohistochemistry. Sections were exposed to primary
anti-PRAP1 (HPA038713, Sigma-Aldrich, St. Louis, MO, USA) antibody in 10%
normal goat serum in PBS (pH 7.5) overnight at 4°C. The Sections were
incubated with biotinylated goat anti-rabbit 2nd antibody (BA-1000; Vector
Laboratories, Burlingame, CA, USA). Following exposure to the horseradish
peroxidase-conjugated streptavidin substrate, positive immunoreactivity (brown
precipitate) was detected using the Vectastain Elite DAB kit (Vector
Laboratories, Burlingame, CA, USA) and hematoxylin (Biocare Medical, Pacheco,
CA, USA) were used for a nuclear counterstain.
RESULTS
PRAP1 is a target of ARID1A in the murine uterus
ARID1A has a critical role in modulating epithelial proliferation at the
pre-implantation stage which is a critical requisite for uterine receptivity
(Kim et al., 2015). To determine
transcriptional regulation of Prap1 by ARID1A, RT-qPCR was
performed in the uteri of control (Arid1a) and
Pgr
(Arid1a) mice (Kim et al., 2015) at GD 3.5. The results revealed that
there was a significant increase in Prap1 mRNA expression in
the Arid1amice uterus compared to the control
mice (Fig. 1A). This result was extended
through immunohistochemistry to examine spatial expression of PRAP1 protein in
the Arid1amice (Fig. 1B). Control samples at GD 3.5 showed very weak PRAP1
expression within the uterine epithelial, glandular, and stromal cells. However,
Arid1amice showed a remarkable increase
in PRAP1 expression throughout when compared to control mice. These data suggest
that the expression of PRAP1 is suppressed by ARID1A.
Fig. 1.
The expression of PRAP1 in the uteri of control,
Arid1a, and PRKO mice. (A) The
expression pattern of Prap1 from control and
Arid1a mice uteri determined by
RT-qPCR. Total RNA used for RT-qPCR assay was prepared from control and
Arid1a mice uteri at GD 3.5. The
results represent the mean ± SEM of three independent RNA sets.
p>0.05. (B) The localization pattern of
PRAP1 proteins by immunohistochemistry in the uteri of control (a) and
Arid1a (b) mice. Uterine sections
were collected from control and Arid1a
mice at GD 3.5. PRAP1, proline-rich acidic protein 1; GD, day of
gestation.
The expression of PRAP1 in the uterus during early pregnancy
The expression of ARID1A mRNA and protein was strongly detected on GD 0.5, which
consistently expressed until GD 6.5 in the uterus (Kim et al., 2015). To investigate the expression pattern
of PRAP1 in mouse uteri during early pregnancy, we performed
immunohistochemistry from GD 0.5 to GD 7.5 in the uteri of natural pregnancy
(Fig. 2). The initiation of pregnancy
was marked by the presence of the postcoital vaginal plug (GD 0.5). At GD 0.5,
PRAP1 expression was present within uterine luminal and glandular epithelium,
however expression was not seen within stroma. At GD 2.5, expression increased,
and was also present within stroma. At GD 3.5 and 4.5, PRAP1 levels showed a
slight decrease in uterine epithelial and stromal cells. Interestingly, the
expression of PRAP1 was remarkably decreased after embryo implantation GD 5.5
and 7.5. The expression of PRAP1 was not observed in the uterus including the
primary and secondary decidual zone at GD 5.5 and 7.5. These data indicate that
PRAP1 is tightly regulated in the uterus during early pregnancy.
Fig. 2.
The localization pattern of PRAP1 during early pregnancy.
Representative photomicrographs show immunohistochemical staining of
PRAP1 proteins in the uterus from GD 0.5 to GD 7.5. The arrow indicates
the embryo. PRAP1, proline-rich acidic protein 1; GD, day of
gestation.
The regulation of PRAP1 by P4 in the uterus
In order to evaluate PRAP1 expression in response to P4 treatment,
immunohistochemistry was performed on ovariectomized control (wild type and
Arid1a),
Arid1a, and PRKO mice treated with either
vehicle or P4 for 6 hours (Fig. 3). PRAP1
expression was strongly detected at luminal and glandular epithelium of the
ovariectomized control mice treated with vehicle. After P4 treatment, the strong
PRAP1 expression disappeared at the luminal and glandular epithelium of control
mice. Both Arid1a and the PRKO mice showed
expression of PRAP1 after vehicle treatment. However, PRAP1 expression was not
changed in Arid1a and PRKO mice after P4
treatment. This data further reveals that PRAP1 is regulated by PGR and
ARID1A.
Fig. 3.
The regulation of PRAP1 expression by ARID1A and PGR in the uterus.
Representative photomicrographs show the localization pattern of PRAP1
by immunohistochemistry in the vehicle or P4-treated uteri from control
(a and d), Arid1a (b and e), and PRKO (c
and f). Uterine sections were collected from ovariectomized control,
Arid1a, and PRKO that were
treated with vehicle (sesame oil; a-c) or P4 (d-f) for 6 hours. PRAP1,
proline-rich acidic protein 1; PRKO, progesterone receptor
knock-out.
DISCUSSION
Our study examined the regulation of Prap1 by ARID1A and determined
the expression patterns of PRAP1 in the uterus during early pregnancy and in
response to ovariansteroid hormone treatment. In the present study, we report that
PRAP1 expression levels are remarkably increased in mice with conditional ablation
of Arid1a (Arid1a) (Fig. 1). ARID1A plays a role as a transcriptional
repressor in breast cancer (Guo et al.,
2018). Loss of ARID1A profoundly alters histone modifications and the
transcriptome. In response to a lack of Arid1a, mice did not
suppress the expression of PRAP1 by P4, further confirming ARID1A is a
transcriptional suppressor of Prap1 gene.Throughout implantation and early pregnancy, fluctuations in steroid hormone
expression are exhibited. GD 0.5 and 1.5 in murine pregnancy are the days in which
pre-ovulatory ovarian E2 is secreted, and proliferation occurs. From GD 2.5 on,
proliferation shifts from the luminal and glandular epithelial cells to the stromal
cells. Overall, we observed fluctuation of PRAP1 expression (Fig. 2). At GD 2.5 expression levels were the highest overall.
E2 stimulated proliferation occurs during the first two days of pregnancy in the
mouse uterus (Das, 2010). Our result is
consistent that PRAP1 is regulated by E2 (Xiong et
al., 2011). At GD 4.5, implantation occurs, as stromal cells transition
into decidual cells in response to a blastocyst (Huet-Hudson et al., 1989). We and others showed reduction of PRAP1
expression after implantation and down-regulation by P4 (Diao et al., 2010; Xiong et
al., 2011). The invading blastocyst then induces a decidualization
reaction of the P4-primed stromal cells, where they differentiate into
morphologically and functionally unique cells to surround the implanting embryo and
support growth until placentation, all under critical continued P4 regulation (Marquardt et al., 2019). Therefore, PRAP1 is
a suppressed protein at the post-implantation stage.PRKO is an invaluable model in assessing P4’s role in gene and protein
expression. Past research has revealed that the ablation of PGR results in
abnormalities in the reproductive biology of the mouse and also a defect in the
implantation process (Vasquez & DeMayo,
2013). Within this study, we utilized the PRKO mouse model in order to
analyze the expression of PRAP1 in response to the ablation of both PGR isoforms
(Fig. 3). Results showed a difference in
only epithelial expression of PRAP1 in the PRKO mouse model in comparison to
controls. Epithelial cells are associated with the production of paracrine factors,
mediated through the PGR receptors, which are critical in enhancing epithelial
differentiation and growth within the uterus (Lee
et al., 2006; Franco et al.,
2012). These results suggest that epithelial PRAP1 expression is regulated by
PGR.P4 is a steroid hormone that is critical in reproductive processes, and has been
utilized for therapeutic treatment in peri-menopausal women who experience aberrant
bleeding or menstrual problems (Prior,
2011; Czyzyk et al., 2017). In order
to analyze P4’s effect on PRAP1 expression, we examined PRAP1 expression
within control, Arid1a, and PRKO mice, with both
vehicle and 6-hour P4 treatment (Fig. 3). In
this analysis we found that P4 treatment decreased expression in the control mice.
This result allows us to hypothesize P4’s role in PRAP1 expression, and also
allows for a connection of P4 treatment in the two different mouse models. P4 does
not suppressed PRAP1 expression in the Arid1amice.
PRAP1 plays normal epithelial cell homeostasis as a negative regulator and the
down-regulation of Prap1 in cancer cells may lead to dysregulated
cell growth (Zhang et al., 2003). Although
the regulation of PRAP1 expression by ovariansteroid hormone suggests a possible
connection to uterine function, molecular mechanisms of PRAP1 regulation should be
dissected in uterine function during early pregnancy.Our results demonstrate that PRAP1 is a novel target of ARID1A and PGR in the murine
uterus. Additional research within this context would provide for greater insight
into the role of PRAP1 within the context of reproductive biology, and provide for a
new possible therapeutic target for uterine disorders.
Authors: Anna Lanemo Myhrinder; Eva Hellqvist; Ekaterina Sidorova; Anita Söderberg; Helen Baxendale; Charlotte Dahle; Kerstin Willander; Gerard Tobin; Eva Bäckman; Ola Söderberg; Richard Rosenquist; Sohvi Hörkkö; Anders Rosén Journal: Blood Date: 2008-01-25 Impact factor: 22.113
Authors: Giovanni Grandi; Michael D Mueller; Nick A Bersinger; Fabio Facchinetti; Brett D McKinnon Journal: Gynecol Endocrinol Date: 2017-04-17 Impact factor: 2.260
Authors: Tae Hoon Kim; Jung-Yoon Yoo; Zhong Wang; John P Lydon; Shikha Khatri; Shannon M Hawkins; Richard E Leach; Asgerally T Fazleabas; Steven L Young; Bruce A Lessey; Bon Jeong Ku; Jae-Wook Jeong Journal: PLoS Genet Date: 2015-09-17 Impact factor: 5.917