11
—Original Article— Cellular localization, expression and functional implications of the utero-placental endothelin system during maintenance and termination of canine gestation Aykut GRAM 1) , Alois BOOS 1) and Mariusz P KOWALEWSKI 1) 1) Institute of Veterinary Anatomy, Vetsuisse Faculty, University of Zurich, CH-8057 Zurich, Switzerland Abstract. Utero-placental (Ut-Pl) angiogenesis and blood flow are fundamental for successful outcome of pregnancy. They are controlled by numerous vasodilator and vasoconstrictor systems such as endothelins (EDNs) and the renin angiotensin system. Dogs possess an invasive type of placentation, classified as endotheliochorial. Despite increasing knowledge regarding canine Ut-Pl function, little information exists on uterine and placental vascular activity during initiation, maintenance and termination of pregnancy in this species. The current study investigated expression of EDNs and their receptors (EDNRA and EDNRB) in the pre-implantation uterus and Ut-Pl compartments during gestation and at normal parturition, as well as in mid- pregnant dogs treated with the antigestagen aglepristone. The Ut-Pl mRNA expression of EDN1 and EDNRA was constant until mid-gestation and increased significantly during prepartum luteolysis. In contrast, EDN2 was highest pre-implantation and decreased following placentation, remaining low thereafter. Expression of the EDN-activating enzyme ECE1 and mRNA of EDNRB increased towards mid-gestation and was further elevated at prepartum luteolysis. Antigestagen treatment resulted in increased levels of EDN1 and EDNRA. At the cellular level, the uterine expression of EDN1, ECE1 and EDNRB was found predominantly in the endometrial surface and glandular epithelial cells; uterine signals for EDNRA were weak. In Ut-Pl all targets were mainly localized in the placenta fetalis, with syncytiotrophoblast staining stronger for ECE1 and EDNRB. In contrast, EDNRA stained strongly at the base of the placental labyrinth. Expression and localization of EDNs (EDN1, -2), EDN receptors and ECE1 in the placenta fetalis suggests their involvement in the trophoblast invasion and proliferation. Key words: Domestic dog, Endothelin (EDN)-system, Placenta, Uterus (J. Reprod. Dev. 63: 235245, 2017) T he endothelins (EDNs) are 21 amino acid peptides which are known for their strong vasoactive properties, and they are mainly produced in response to hypoxia [1]. Their active forms are converted from a 212-amino acid precursor by the membrane-bound metal- loproteinase, endothelin-converting enzyme-1 (ECE1) [2]. Three different isoforms of EDNs have been identified so far, designated as EDN1, -2 and -3 [3]. They are mainly derived from endothelium, and by acting through their EDNRA and EDNRB receptors can invoke arterial and venous vasoconstriction or vasodilatation, respectively. Whereas all EDNs show similar affinity to EDNRB, EDN1 and 2 have higher affinity to EDNRA than EDN3 [4, 5]. Although EDNs are mostly known for their vasomodulatory properties, numerous paracrine and/or autocrine effects have been demonstrated, e.g., induction of mitosis in placental fibroblasts and vascular smooth muscle cells [6–8]. In addition, analysis of pre-implantation lumen flushes and demonstration of receptor expres- sion by uterine and conceptus cells in sheep suggest that EDN1 might play an important role in paracrine regulation of embryo development, implantation and early placentation [9]. Importantly, acting through EDNRA and EDNRB, EDN1 also stimulates in vitro proliferation of human trophoblast cells isolated from first trimester placenta, whereas its stimulatory properties on trophoblast invasion are EDNRB-dependent [10, 11]. Being less abundant during the first trimester, expression of EDN1 increases gradually towards term [7]. It is localized in the endothelium of fetal vessels, syncytiotrophoblast and extravillous cytotrophoblast in the human term placenta [12]. The concomitant presence of ECE1 in these cells supports the autocrine and paracrine function of EDN1 during placentation [13]. Less is known about the cellular utero-placental expression and function of EDN2 and -3. Other than these data, knowledge is very limited regarding the potential role of EDNs and other vasomodulatory factors in the uterus and utero-placental (Ut-Pl) units during implantation and placentation in the canine species. However, especially when the invasive, endotheliochorial type of canine placentation is taken into consideration, adequate proliferation and invasion of trophoblasts must be critical for the species-specific decidualization, implantation and placentation in dogs [14–16]. Furthermore, in addition to the physiological importance of the EDN-system in trophoblast invasion and proliferation, it is believed to be involved in the pathophysiology of pre-eclampsia [17, 18]. As a pregnancy-specific, multisystem disorder, pre-eclampsia is characterized by high blood pressure frequently accompanied by severe functional damage to other organ systems, like the kidneys or Received: December 7, 2016 Accepted: February 10, 2017 Published online in J-STAGE: February 20, 2017 ©2017 by the Society for Reproduction and Development Correspondence: A Gram (e-mail: [email protected]) This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License. (CC-BY-NC-ND 4.0: https://creativecommons.org/licenses/by-nc-nd/4.0/) Journal of Reproduction and Development, Vol. 63, No 3, 2017

Journal of Reproduction and Development, Vol. 63, No 3 ...and extravillouscytotrophoblastin the human term placenta[12]. The concomitant presence of ECE1 in these cells supports the

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Page 1: Journal of Reproduction and Development, Vol. 63, No 3 ...and extravillouscytotrophoblastin the human term placenta[12]. The concomitant presence of ECE1 in these cells supports the

—Original Article—

Cellular localization, expression and functional implications of the utero-placental endothelin system during maintenance and termination of canine gestationAykut GRAM1), Alois BOOS1) and Mariusz P KOWALEWSKI1)

1)Institute of Veterinary Anatomy, Vetsuisse Faculty, University of Zurich, CH-8057 Zurich, Switzerland

Abstract. Utero-placental(Ut-Pl)angiogenesisandbloodflowarefundamentalforsuccessfuloutcomeofpregnancy.Theyarecontrolledbynumerousvasodilatorandvasoconstrictorsystemssuchasendothelins(EDNs)andthereninangiotensinsystem.Dogspossessaninvasivetypeofplacentation,classifiedasendotheliochorial.DespiteincreasingknowledgeregardingcanineUt-Plfunction,littleinformationexistsonuterineandplacentalvascularactivityduringinitiation,maintenanceandterminationofpregnancyinthisspecies.ThecurrentstudyinvestigatedexpressionofEDNsandtheirreceptors(EDNRAandEDNRB)inthepre-implantationuterusandUt-Plcompartmentsduringgestationandatnormalparturition,aswellasinmid-pregnantdogstreatedwiththeantigestagenaglepristone.TheUt-PlmRNAexpressionofEDN1 and EDNRAwasconstantuntilmid-gestationandincreasedsignificantlyduringprepartumluteolysis.Incontrast,EDN2washighestpre-implantationanddecreasedfollowingplacentation,remaininglowthereafter.ExpressionoftheEDN-activatingenzymeECE1andmRNAofEDNRBincreasedtowardsmid-gestationandwasfurtherelevatedatprepartumluteolysis.AntigestagentreatmentresultedinincreasedlevelsofEDN1 and EDNRA.Atthecellularlevel,theuterineexpressionofEDN1,ECE1andEDNRBwasfoundpredominantlyintheendometrialsurfaceandglandularepithelialcells;uterinesignalsforEDNRAwereweak.InUt-Plalltargetsweremainlylocalizedintheplacenta fetalis,withsyncytiotrophoblaststainingstrongerforECE1andEDNRB.Incontrast,EDNRAstainedstronglyatthebaseoftheplacentallabyrinth.ExpressionandlocalizationofEDNs(EDN1,-2),EDNreceptorsandECE1intheplacenta fetalissuggeststheirinvolvementinthetrophoblastinvasionandproliferation.Key words: Domesticdog,Endothelin(EDN)-system,Placenta,Uterus

(J. Reprod. Dev. 63: 235–245, 2017)

Theendothelins(EDNs)are21aminoacidpeptideswhichareknownfortheirstrongvasoactiveproperties,andtheyaremainly

producedinresponsetohypoxia[1].Theiractiveformsareconvertedfroma212-aminoacidprecursorbythemembrane-boundmetal-loproteinase,endothelin-convertingenzyme-1(ECE1)[2].ThreedifferentisoformsofEDNshavebeenidentifiedsofar,designatedasEDN1,-2and-3[3].Theyaremainlyderivedfromendothelium,andbyactingthroughtheirEDNRAandEDNRBreceptorscaninvokearterialandvenousvasoconstrictionorvasodilatation,respectively.WhereasallEDNsshowsimilaraffinitytoEDNRB,EDN1and2havehigheraffinitytoEDNRAthanEDN3[4,5].AlthoughEDNsaremostlyknownfortheirvasomodulatory

properties,numerousparacrineand/orautocrineeffectshavebeendemonstrated,e.g.,inductionofmitosisinplacentalfibroblastsandvascularsmoothmusclecells[6–8].Inaddition,analysisofpre-implantationlumenflushesanddemonstrationofreceptorexpres-sionbyuterineandconceptuscellsinsheepsuggestthatEDN1mightplayanimportantroleinparacrineregulationofembryo

development,implantationandearlyplacentation[9].Importantly,actingthroughEDNRAandEDNRB,EDN1alsostimulatesin vitro proliferationofhumantrophoblastcellsisolatedfromfirsttrimesterplacenta,whereasitsstimulatorypropertiesontrophoblastinvasionareEDNRB-dependent[10,11].Beinglessabundantduringthefirsttrimester,expressionofEDN1increasesgraduallytowardsterm[7].Itislocalizedintheendotheliumoffetalvessels,syncytiotrophoblastandextravillouscytotrophoblastinthehumantermplacenta[12].TheconcomitantpresenceofECE1inthesecellssupportstheautocrineandparacrinefunctionofEDN1duringplacentation[13].Lessisknownaboutthecellularutero-placentalexpressionandfunctionofEDN2and-3.Otherthanthesedata,knowledgeisverylimitedregardingthe

potentialroleofEDNsandothervasomodulatoryfactorsintheuterusandutero-placental(Ut-Pl)unitsduringimplantationandplacentationinthecaninespecies.However,especiallywhentheinvasive,endotheliochorialtypeofcanineplacentationistakenintoconsideration,adequateproliferationandinvasionoftrophoblastsmustbecriticalforthespecies-specificdecidualization,implantationandplacentationindogs[14–16].Furthermore,inadditiontothephysiologicalimportanceofthe

EDN-systemintrophoblastinvasionandproliferation,itisbelievedtobeinvolvedinthepathophysiologyofpre-eclampsia[17,18].Asapregnancy-specific,multisystemdisorder,pre-eclampsiaischaracterizedbyhighbloodpressurefrequentlyaccompaniedbyseverefunctionaldamagetootherorgansystems,likethekidneysor

Received:December7,2016Accepted:February10,2017PublishedonlineinJ-STAGE:February20,2017©2017bytheSocietyforReproductionandDevelopmentCorrespondence:AGram(e-mail:[email protected])This is anopen-access articledistributedunder the termsof theCreativeCommonsAttributionNon-CommercialNoDerivatives(by-nc-nd)License.(CC-BY-NC-ND4.0:https://creativecommons.org/licenses/by-nc-nd/4.0/)

Journal of Reproduction and Development, Vol. 63, No 3, 2017

Page 2: Journal of Reproduction and Development, Vol. 63, No 3 ...and extravillouscytotrophoblastin the human term placenta[12]. The concomitant presence of ECE1 in these cells supports the

GRAMet al.236

liver.Itisthoughttooriginateindysregulatedtrophoblastinvasionandisnowwidelyregardedasasystemicendothelialcelldisease[19–21].Inpatientssufferingfrompre-eclampsia,elevatedlevelsofEDN1werereportedinbloodserum[22].Importantly,applicationofEDNRAreceptorblockerstoapre-eclampticratmodelreducedhypertension[23,24].Nosuchinformationregardingthepotentialroleofvasoactivefactorsinplacentalfunctionisavailableforthecaninespecies,inwhichabnormaltrophoblastinvasion,possiblyconnectedtoaberrantvascularisationandtissueoxygenation,mayresultinsevereconditionslikesubinvolutionofplacentalsites(SIPS)[25,26].Therefore,inordertobetterunderstandtheprocessesofim-

plantationandplacentationinthedogand,thereby,filltheexistingknowledgegap,inthisstudyweinvestigatedtheexpressionandlocalizationpatternsofEDNs(EDN-1,-2,-3)andEDNreceptors(EDNRAandEDNRB),aswellasoftheiractivatorECE1,inthecanineuterusandUt-Plcompartmentsduringpregnancyandatterm.Potentialprogesterone-mediatedeffectswereinvestigatedinanimalsinwhichpretermparturition/abortionwasinducedbyanantigestagen(aglepristone).

Materials and Methods

Tissue collection and preservationUterineandUt-Plsamplesfromhealthy,cross-breedpregnant

bitches(2–8yearsofage)usedinourpreviousstudieswerealsousedhere[27–29].Stagesofpregnancywereclassifiedaspre-implantation(days8–12,n=5),post-implantation(days18–25,n=5),mid-gestation(days35–40,n=5)andprepartumluteolysis(n=3).Inaddition,theprogesterone(P4)receptorblocker(antigestagen)aglepristone(Alizine®,Virbac,BadOldesloe,Germany;10mg/kgbw;2x/24hapart)wasappliedtomid-pregnantdogs(days40–45ofpregnancy;n=10)toinduceabortionsandUt-Plunitswereobtained24h(n=5)and72h(n=5)afterthesecondtreatment.Dogsweremated2daysafterovulation(P4>5ng/mlinperipheral

blood),whichisthetimeneededforoocytematuration.Thedayofmatingwasdefinedasday0ofpregnancyandthepre-implantationstagewasdetectedbyobservationofembryosinuterineflushingsunderastereomicroscope.Pre-partumluteolysiswasdefinedbasedonmeasurementofP4concentrationsinserumevery6hbeginningfromday58ofpregnancy.WhenP4concentrationscontinuedtodeclinebelow3ng/mlin3consecutivemeasurements,ovariohysterectomy(OHE)wasperformed(therespectiveP4concentrationsarepresentedin[30]).TheanimalexperimentsanduseofalltissuesampleswereapprovedbytherespectiveauthoritiesoftheJustus-LiebigUniversity,Giessen(permitno.II25.3-19c20-15cGI18/14andVIG3-19c-20/15cGI18,14),Giessen,GermanyandtheUniversityofAnkara(permitno.Ankara2006/06),Ankara,Turkey.FollowingOHE,alluterinesamples(pre-implantation)andUt-Pl

units(followingimplantation)werecollected,rinsedinphosphate-bufferedsaline(PBS)andclearedofsurroundingconnectivetis-suesasdescribedbefore[29].TheUt-Plunits(full-thickness,allanatomicaltissuelayerscomprisingtheplacentaandtheadjacentuterus)weresampledfromthemiddlepartoftheplacentalgirdleavoidingmarginalhematoma.Fornon-radioactivein situhybridization(ISH)andimmunohistochemistry(IHC)experiments,sampleswere

immediatelyfixedin10%neutralPBS-bufferedformalinfor24hat+4°C,incubatedinPBSforoneweek,dehydratedthroughethanolseriesandembeddedinparaffinwax.InordertoisolateRNA,tissuesampleswereimmersedinRNAlater®(AmbionBiotechnologyGmbH,Wiesbaden,Germany)for24hat+4°Candthenstoredat–80°Cuntilanalysis.

Total RNA extraction, reverse transcription and Real Time (TaqMan) PCRTotalRNAwasextractedfromthepre-implantationuterusand

Ut-PlcompartmentsusingTRIzol®reagent(Invitrogen,Carlsbad,CA,USA)followingthemanufacturer’sprotocol.ThequalityandquantityofisolatedRNAweremeasuredusingaNanoDrop2000C®spectrophotometer(ThermoFisherScientificAG,Reinach,CH).Inthenextstep,DNase-treatmentwasperformedwithRQ1RNase-freeDNase(Promega,Dübendorf,CH,Switzerland),followedbycDNAsynthesisbyreversetranscription(RT)withrandomhexamersusedasstartersandotherRTreagentspurchasedfromAppliedBiosystems,FosterCity,CA,USA,followingthemanufacturer’sinstructionsandinaccordancewithourpreviouslypublishedprotocol[31,32].Semi-quantitativeRealTime(TaqMan)PCRforallEDN-systemmemberswasperformedonanABIPRISM7500SequenceDetectionSystem(AppliedBiosystems)asdescribedpreviously[32].Allreactionswereruninduplicateandcontaining200nMTaqManProbe,300nMofeachprimer,12.5μlFastStartUniversalProbeMaster(ROX)®(RocheDiagnostics,Mannheim,Germany)and5μlcDNAcorrespondingto100ngtotalRNAforeachtarget.Asacontrol,experimentswererunintheabsenceoftheenzymeduringreversetranscriptionsteptocheckforanypotentialgenomicDNAcontamination(theso-calledminus-RTcontrol).Additionally,waterwasusedinsteadofcDNA.Theamplificationconditionswereasfollows:denaturationat95°Cfor10min,followedby40cycles:95°Cfor15secand60°Cfor60sec.SelectedPCRproductsfromalltargetsweresentforsequencing(Microsynth,Balgach,CH,Switzerland).ResultswerequantifiedwiththecomparativeCT(ΔΔCT)methodusingthreereferencegenes(GAPDH,18SrRNA and CYCLOPHILIN A)asnormalizers.Thesamplewiththelowestconcentrationofthetargetgenewasusedasthecalibrator.ThereactionefficiencywascalculatedwiththeCTslopemethodandwassetupforapproximately100%.ThefollowingprimersandTaqManProbeswereused:GAPDHforward:5’-GCTGCCAAATATGACGACATCA-3’,reverse:5’-GTAGCCCAGGATGCCTTTGAG-3’,TaqManprobe:5’-TCCCTCCGATGCCTGCTTCACTACCTT-3’(GenBank:AB028142,ampliconlength:75bp);18SrRNAforward:5’-GTCGCTCGCTCCTCTCCTACT-3’,reverse:5’-GGCTGACCGGGTTGGTTT-3’,TaqManprobe:5’-ACATGCCGACGGGCGCTGAC-3’(GenBank:FJ797658,ampliconlength:125bp);EDNRAforward:5’-GGCCCCAACGCACTGATA-3’,reverse:5’-CCCGCCAGAAGCTTAAACAC-3’,TaqManprobe:5’-CCAGCCTTGCCCTTGGAGACCTTATC-3’(GenBank:NM_001031632.1,ampliconlength:92bp);EDNRBforward:5’-CATCATCGGGAACTCCACACT-3’,reverse:5’-CAGAGCCAGGCTGGCTATCA-3’,TaqManprobe:5’-CAAGAACAAGTGCATGCGAAACGGC-3’(GenBank:NM_001010943.2,ampliconlength:91bp).ThefollowingcommerciallyavailableTaqManGeneExpressionAssaysfromAppliedBiosystemswereused:EDN1(prod.

Page 3: Journal of Reproduction and Development, Vol. 63, No 3 ...and extravillouscytotrophoblastin the human term placenta[12]. The concomitant presence of ECE1 in these cells supports the

CANINEPLACENTALEDN-SYSTEM 237

no.Cf02622421_m1),EDN2(prod.no.Cf02622240-m1),EDN3 (prod.no.Cf02622419-g1),ECE1(prod.no.Cf02627515-m1)andCYCLOPHILIN A(prod.no.Cf03986523-gH).

ImmunohistochemistryOurstandardimmunoperoxidaseIHCassaywasperformed[31,33]

inordertoidentifythelocalizationofEDN1,ECE1andthetwoEDNreceptors(EDNRAandEDNRB)intheuterusandUt-Plcompart-ments.Briefly:tissuesweresectionedat2–3μmthickness,mountedontoSuperFrostmicroscopeslides(Menzel-Glaeser,Braunschweig,Germany),deparaffinizedwithxyleneandrehydratedinanethanolseries.Thiswasfollowedbyantigenretrievalinamicrowaveovenat560Wfor15minin10mMcitratebufferpH6.0.Then,sectionswerecooleddownandtreatedwith0.3%hydrogenperoxideinmethanolfor30min,blockedwith10%normalserumfromthesamespeciesinwhichthesecondaryantibodywasproduced,andoverlaidwithprimaryantibodiesovernightat4°C.Thesewere:affinitypurifiedgoatpolyclonalanti-EDNRA(sc-21194;dilution1:50),affinitypurifiedgoatpolyclonalanti-EDNRB(sc-21196;dilution1:200),affinitypurifiedgoatpolyclonalanti-ECE1(sc-27558;dilution1:300),allfromSantaCruzBiotechnology,CA,USA;andmousemonoclonalanti-EDN1(E166;dilution1:300)purchasedfromSigma-Aldrich,St.Louis,MO,USA.Nocommercialanti-EDN2canine-specificantibodywasavailableforthepresentstudy.Inaddition,monoclonalmouseanti-VIMENTINIgG2a(M7020;Clone3B4),dilution1:100(DakoSchweizAG,Basel,Switzerland)andaffinity-purifiedpolyclonalrabbitanti-CYTOKERATIN,widespectrumscreening,dilution1:300(DakoSchweizAG)antibodieswereused.Thespecificityofallantibodieswascheckedbyreplacingtheprimaryantibodywithnon-immuneIgGsofthesamespeciesinsteadoftheprimaryantibody(servingastheso-calledisotypecontrol),appliedatthesameproteinconcentration.Inthenextstep,sectionswerewashedwithIHCbuffer/0.3%TritonXpH7.2–7.4(0.8mMNa2HPO4,1.47mMKH2PO4,2.68mMKCl,137mMNaCl),andincubatedwiththefollowingbiotin-labeledsecondaryantibodiesat1:100dilution:horseanti-goatIgGBA-9500,horseanti-mouseIgGBA2000andgoatanti-rabbitIgGBA1000(allpurchasedfromVectorLaboratories,Burlingame,CA,USA).Theintensityofsignalswasenhancedbyapplyingthestreptavidin-peroxidaseVectastainABCkit(VectorLaboratories)for30min.ImmunereactionswerevisualizedwiththeLiquidDAB+substratekit(DakoSchweizAG).Finally,slideswerecounter-stainedinhematoxylin,dehydratedinagradedethanolseriesandxylene,andmountedinHistokit®(Assistant,Osterode,Germany).

In situ hybridizationNon-radioactiveISHwasperformedonparaffin-embeddedtissue

slidesinordertolocalizeEDN1,-2,ECE1,EDNRA and EDNRB mRNAbasedonourpreviouslypublishedprotocol[33,34].Briefly,RT-PCRswereperformedforcomplementaryRNA(cRNA)probesynthesisusingthefollowingcanine-specificprimers:

EDN1forward:5`-CCACAGGAAGAGATGCCAGT-3`;EDN1reverse:5`-GATGGCGTCCAACCTTCTTA-3`(amplicon

length205bp);EDN2forward:5`-ACATCATCTGGGTGAACACT-3`;EDN2reverse:5`-CCTAGGAAAGCGGATCTT-3`(amplicon

length281bp);

ECE1forward:5`-CCCCTGATGGAGCTAATTGA-3`;ECE1reverse:5`-GCCCAGTTGGACCATGTAGT-3`(amplicon

length276bp);EDNRAforward:5`-AGGGTGAACAGCACAAAACC-3`;EDNRAreverse:5`-CTTAAGTGAAGCGGGAACCA-3`

(ampliconlength280bp)EDNRBforward:5`-ACGTTACCTGCGAATCTGCT-3`;EDNRBreverse:5`-GCTTCAAAATCCTGCTGAGG-3`

(ampliconlength293bp).FollowingPCR,ampliconswereseparatedonethidiumbromide-

stained2%agarosegel,cutfromthegel,purifiedusingtheQiaexIIgelextractionsystem(QiagenGmbH,Hilden,Germany)andligatedintothepGEM-Tvector(Promega,Duebendorf,CH,Switzerland).TheincorporationofPCRproductsintothepGEM-Tvectorwas

verifiedbycontroldigestionwithNcoIandNotIrestrictionenzymes(NewEnglandBiolabs,Frankfurt,Germany).Plasmidscarryingtheampliconsweresentforsequencing(Microsynth).Then,selectedcloneswerelinearizedwithNcoI(antisense,positiveprobe)andNotI(senseprobe,negativecontrol)restrictionenzymesandlabeledusingtheDIG-RNAlabellingkitaccordingtothemanufacturer’sprotocols(RocheDiagnostics).Tissuesections(2–3μm)werecut,mountedonSuperFrostPlus

microscopeslides(Menzel-Glaeser),deparaffinizedinxylene,rehydratedinanethanolseriesanddigestedwithproteinaseK(70μg/ml,Boehringer,Mannheim,Germany),followedbyhybridiza-tionovernightat37°CusingcRNAprobesasdescribedpreviously[34].Then,followingincubationoftheprobedslideswithalkalinephosphatase-conjugated,sheepanti-DIGFabFragments(RocheDiagnostics,dilution1:5000),signalsweredetectedwiththesubstrate5-bromo-4-chloro-3-indolylphosphateandnitrobluetetrazolium(NBT/BCIP;RocheDiagnostics).

StatisticsTheeffectsoftheobservationgroupontargetgeneexpressionwere

assessedbyapplyingaparametricone-wayANOVA.IncaseofP<0.05,eithertheTukey-Kramermultiplecomparisonspost-testwasperformedinordertodetecttheeffectofpregnancystageonexpressionofEDNsystemmembersatdifferenttimepointsduringpregnancy,orDunnett’smultiplecomparisontestinexperimentsinvestigat-ingtheeffectsofaglepristonetreatmentontargetgeneexpression;resultsshowthen-foldchangeingeneexpressioncomparedwithitsexpressionatmid-gestation(non-treatedcontrol).ThestatisticalsoftwareprogramGraphPad3.06(GraphPadSoftware)wasusedforalltests.Numericaldataarepresentedasthemean±S.D.

Results

Expression profile of the EDN system in canine uterus and Ut-Pl compartments throughout gestation and at normal prepartum luteolysis.Atime-dependentexpressionprofileofEDN1,-2,ECE1 and

bothEDN receptors (EDNRA and EDNRB)wasdetectableinallsamples(Fig.1A,C,EandFig.2A,C).Specifically,EDN1mRNAwasexpressedconstantlyfrompre-implantationuntilmid-gestation,andincreasedstrongly(P<0.001)duringprepartumluteolysiscomparedwithpreviousgestationalstages(Fig.1A).Theopposite

Page 4: Journal of Reproduction and Development, Vol. 63, No 3 ...and extravillouscytotrophoblastin the human term placenta[12]. The concomitant presence of ECE1 in these cells supports the

GRAMet al.238

Fig. 1. ExpressionofEDN1,-2 and ECE1-mRNAasdeterminedbyRealTime(TaqMan)PCR(mean±SD)inthecaninepre-implantationuterusandutero-placental(Ut-Pl)compartmentsduringpregnancy(A,C,E)andataglepristone-inducedparturition/abortioninmid-pregnantdogs(B,D,F).(B,DandF;comparedwiththemid-pregnancygroupasanon-treatedcontrol).BarswithdifferentlettersdifferatP<0.001in(A),P<0.05in(B)oratP<0.01in(D).

Page 5: Journal of Reproduction and Development, Vol. 63, No 3 ...and extravillouscytotrophoblastin the human term placenta[12]. The concomitant presence of ECE1 in these cells supports the

CANINEPLACENTALEDN-SYSTEM 239

expressionpatternwasobservedforEDN2mRNA:itwashighestatthepre-implantationstageofpregnancyandwassignificantlysuppressed(P<0.001)followingimplantationandplacentation,remaininglowuntilprepartumluteolysis(Fig.1C).TheexpressionofEDN3wasgenerallylowandevenfrequentlybelowthedetectionlimitinbothuterineandUt-Plsamplesthroughoutpregnancy,normalandinducedparturition,precludingquantificationofitsexpression(datanotshown).TheexpressionofmRNAencodingforECE1, responsibleforconvertingandtherebyactivatingEDNs,showedagradualincreasefollowingplacentationtowardsmid-gestation(P<0.05)(Fig.1E).Itreachedthehighestlevelsatprepartumluteolysiscomparedwithpre-implantationandpost-implantationstages(P<0.001andP<0.05,respectively),resemblingtheexpressionpatternobservedforEDN1.

RegardingtheEDNreceptors,likeEDN1,EDNRAmRNAwasconstantlyexpressedduringpregnancyandwasstronglyupregulatedatprepartumluteolysis,comparedwithallothergestationaltimepoints(P<0.05)(Fig.2A).AsimilarexpressionpatternwasobservedforEDNRB,theexpressionofwhichwas,however,stronglyelevatedatmid-gestation(P<0.01andP<0.001comparedwithpre-implantationandpost-implantationstages,respectively)(Fig.2C).Therewasafurther,significantstrongincreaseofEDNRBtowardsprepartumluteolysis(P<0.01)(Fig.2C).

Effects of antigestagen treatment on expression of the EDN system in canine Ut-Pl units during mid-gestationInordertoexaminetheeffectsoftheantigestagenaglepristonetreat-

mentontargetgeneexpressionduringmid-gestation,corresponding

Fig. 2. ExpressionofEDNRA and EDNRB-mRNAasdeterminedbyRealTime(TaqMan)PCR(mean±SD)incaninepre-implantationuterusandutero-placental(Ut-Pl)compartmentsduringpregnancy(A,C)andataglepristone-inducedparturition/abortioninmid-pregnantdogs(B,D).(BandD;comparedwiththemid-pregnancygroupasanon-treatedcontrol).BarswithdifferentlettersdifferatP<0.05in(A,B)oratP<0.001in(D).

Page 6: Journal of Reproduction and Development, Vol. 63, No 3 ...and extravillouscytotrophoblastin the human term placenta[12]. The concomitant presence of ECE1 in these cells supports the

GRAMet al.240

samplesfrommid-pregnantdogswereusedasnon-treatedcontrols.TheexpressionlevelsofEDN1 and EDNRAincreasedsignificantly(P<0.05andP<0.05,respectively)24hafterthesecondtreatment.TheirmRNAlevelswere,however,diminished48hlater,i.e., at the72htimepoint,anddidnotdiffersignificantlyfromcontrols(Fig.1BandFig.2B).WhereasEDN2decreasedgraduallybutsignificantly(P<0.01)towards72hafterthesecondapplicationofaglepristone,theexpressionofEDNRBwassignificantlysuppressedat72hcomparedwiththecontrolandthe24htimepoint(P<0.01)(Fig.1DandFig.2D).TheexpressionofECE1remainedunaffectedbytreatmentwithantigestagen(P>0.05)(Fig.1F).

Localization of EDN system in the canine uterus and placentaLocalizationofEDN1,ECE1andEDNreceptors(EDNRAand

EDNRB)wasdeterminedincaninepre-implantationuterusandUt-PlcompartmentsattheproteinandtranscriptlevelsbyIHCandISH.Duetothelackofcanine-specificand/orcross-reactingantibody,expressionofEDN2waslocalizedonlyatthemRNAlevel.Duringpre-implantation,strongpositivesignalsforEDN1wereobservedintheendometrialsurfaceepithelium,superficialanddeeputerineglandsandmyometrium(Fig.3A,B).Relativelyweakerstainingwasobservedintheconnectivetissuesofstromalcompartments.AsimilarlocalizationpatternofEDN1intheuterinepartoftheUt-Plcompartmentswasalsoobservedfollowingimplantation,however,withsignalsappearingstrongeratprepartumluteolysis(Fig.3F,G),compared,e.g.,withmid-gestation(Fig.3C,D).TheplacentallocalizationofEDN1wasobservedinfetaltrophoblastcells,predominantlyincytotrophoblast,throughouttheplacentationperiod,withsignalsnoticeablystrongeratprepartumluteolysis(Fig.3E,H).AsforECE1,duringpre-implantationitsuterineendometrial

signalswerelocalizedtotheepithelialcellsoftheendometrialsurface,superficialanddeeputerineglands,aswellastothemyometriumandmediaofthevessels(Fig.4A,B).Theunevendistributionpatternofsignalsinthesurfaceepitheliumcanbemostprobablyattributedtotherelativelylowproteinexpressionlevelinthiscompartmentortothesensitivitylimitsoftheantibody.Followingimplantationuntilprepartumluteolysis,nooronlyweaksignalsweredetectedintheuterus(Fig.4C,D,H,I).InordertofacilitatecharacterizationofthelocalizationpatternofECE1withinthespecificcellularcomponentsoftheplacenta(i.e.,inendothelialcells,fetaltrophoblastandmaternaldecidualcells),differentialstainingwasperformedonconsecutivesectionsusinganti-VIMENTINoranti-(pan)CYTOKERATINanti-bodies(Fig.4EandF,respectively).Whereasduringearlierstagesofgestation(post-implantationandmid-gestation)bothcyto-andsyncytiotrophoblaststainedintenselyforECE1,duringpre-partumluteolysisthesignalsweremainlylocalizedinthecytotrophoblast(Fig.4G,J).Muchweakerstainingwasobservedinmaternalstroma-deriveddecidualcells(Fig.4G,J).TheuterineexpressionofEDNRAreceptorwasgenerallyweak

throughoutpregnancy,withsomesignalslocalizedtouterineepithelialcompartments(Fig.5A,B,C,D).Thisstronglycontrastedwithitsplacentalexpressionduringprepartumluteolysis.Followingrelativelylowexpressionduringearlierstagesofpregnancy,strongEDNRAsignalsweredetectedprepartuminthefetalcytotrophoblast,especiallyatthebaseoftheplacentallabyrinth(Fig.5E,F).RegardingEDNRB,itsuterineexpressionandcellularlocalization

patternsweresimilartothoseobservedforEDN1andECE1.Thus,signalsweredetectedinluminalepithelialcells,superficialanddeeputerineglandsandmyometrium(Fig.6A,B).However,afterplacentation(Fig.6C,D)andduringprepartumluteolysis,noorrelativelyweaksignalswereobservedintheuterinepartofUt-Plunits.Intheplacentallabyrinth,strongEDNRBsignalsweredetectedpredominantlyinsyncytiotrophoblastcellsfrompost-implantation

Fig. 3. Immunohistochemical(IHC)localizationofEDN1inthecanineuterusandutero-placental(Ut-Pl)compartmentsatselectedtimepointsduringpregnancy;atthepre-implantationstage(AandB),intheUt-Plunitsduringmid-gestation(C,DandE),andintheUt-Plcompartmentsatprepartumluteolysis(F,GandH).(A,B)Atpre-implantation,EDN1islocalizedtotheendometrialluminal(surface)epithelialcells(solidarrowsinA),glandularepithelialcells of the superficial (open arrows in A) and deep uterineglands(openarrowsinB)andmyocytes(solidarrowheadsinB).Duringmid-gestation,withintheUt-PlunitsendometrialEDN1expressionappearsweakerandisdetectedinthesuperficialglands(theso-calledglandularchambers)anddeeputerineglands(openarrows inC andD, respectively).During prepartum luteolysis,endometrialEDN1expressionisdetectedinthesuperficialglands(the so-called glandular chambers), deep uterine glands (openarrows in F and G, respectively) and endothelial cells (solidarrowheadsinG).Intheplacentallabyrinthduringmid-gestation,signals are localized in fetal trophoblast cells (cytotrophoblast)(open arrows in E). At prepartum luteolysis, fetal trophoblast(cytotrophoblast)stainsstrongly(openarrowsinH).Nooronlyweaksignalsweredetectedinmaternalstroma-deriveddecidualcells(solidarrowsinEandH).Thereisnobackgroundstainingintheisotypecontrol(insertedinH).

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untilmid-gestation(Fig.6E).Interestingly,however,thesignalswerespreadovertheentiretrophoblast(i.e.,syncytio-andcytotrophoblast)atthetimeofprepartumluteolysis(Fig.6F).Anti-VIMENTINstainingwasusedonconsecutivesectionsforeasierdifferentiationofcells(Fig.6G).SimilarlocalizationpatternsofEDN1,ECE1,EDNRAandEDNRB

wereobservedinplacentallabyrinthbynon-radioactiveISH(Fig.7).Duetothelackofcommerciallyavailablecanine-specificantibody,

localizationofEDN2wasdeterminedatthetranscriptlevel.ThelocalizationpatternofEDN2mRNAgreatlyresembledthatofEDN1.Intheuterus,itwaslocalizedpredominantlyinepithelialcompart-ments(Fig.8A,B).Itwasclearlydetectableduringpre-implantation,whereasduringprepartumluteolysisitwasbarelydetectable(Fig.8C,

Fig. 4. Immunohistochemical(IHC)localizationofECE1inthecanineuterus and utero-placental (Ut-Pl) compartments at selectedtime points during pregnancy and at prepartum luteolysis; atthepre-implantation stage (AandB), in theUt-Pl units duringmid-gestation (C,D andG), and in theUt-Pl compartments atprepartumluteolysis(H,I,J).(A,B)Atpre-implantation,signalsarepredominantlylocalizedtotheendometrialluminal(surface)epithelial cells (solid arrows inA), glandular epithelial cells ofthesuperficialanddeeputerineglands(openarrowsinAandB),inmedia of the vessels (open arrowheads in B) andmyocytes(solidarrowheadsinB).Duringmid-gestationandatprepartumluteolysis, within the Ut-Pl units, endometrial expression ofECE1 appears weaker and is detected in tunica media of thevessels(openarrowheadsinCandD),thesuperficialglands(so-calledglandularchambers)anddeeputerineglands(openarrowsinC,H,andD,I,respectively).Intheplacentallabyrinthduringmid-gestation,signalsarelocalizedinfetaltrophoblastcells(i.e.,syncytio- and cytotrophoblast) (open arrows in G). In order todistinguishbetweenfetalandmaternalcelltypeswithinthecanineplacenta, i.e., endothelial, trophoblast and decidual cells, (pan)CYTOKERATIN(widespectrum)andVIMENTINstainingwasapplied to consecutive sections following thoseused forECE1.Trophoblast cells stain positively for CYTOKERATIN (openarrowsinF),whereasendothelialcells(openarrowheadinE)anddecidualcells(solidarrowinE)stainpositivelyforVIMENTIN.At prepartum luteolysis, fetal cytotrophoblasts stain strongly(openarrowsinJ)forECE1.Nooronlyweaksignalscanbeseeninmaternaldecidualcells(solidarrowsinGandJ).Thereisnobackgroundstainingintheisotypecontrol(insertedinJ).

Fig. 5. Immunohistochemical(IHC)localizationofEDNRAinthecanineuterineandutero-placental(Ut-Pl)compartmentsatselectedtimepoints during pregnancy; at the pre-implantation stage (A andB), and in theUt-Pl compartments at prepartum luteolysis (C,D,EandF).(A,B)Atpre-implantation,thesignalsforEDNRAin endometrial surface epithelial cells (solid arrows in A),superficialanddeeputerineglandsareweak(openarrows inAandB,respectively).Duringprepartumluteolysis,withintheUt-Plunits,onlyweakendometrialEDNRAexpressionisobservedin thesuperficialglands(theso-calledglandularchambers)anddeeputerineglands(openarrowsinCandD,respectively).Intheplacental labyrinthduringprepartum luteolysis, cytotrophoblastcells at the base of the placental labyrinth stain strongly (openarrowsinEandF).Thereisnobackgroundstainingintheisotypecontrol(insertedinF).

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D).InUt-Plunits,theplacentallocalizationofEDN2wastargetedtothefetaltrophoblastcells(Fig.8E).

Fig. 6. Immunohistochemical(IHC)localizationofEDNRBinthecanineuterineandutero-placental(Ut-Pl)compartmentsatselectedtimepointsduringpregnancy;atthepre-implantationstage(AandB),intheUt-Plunitsduringmid-gestation(C,DandE),andintheUt-Pl compartments at prepartum luteolysis (F). (A,B)At pre-implantation,stainingofEDNRBispredominantlylocalizedtotheendometrialluminal(surface)epithelialcells(solidarrowsinA),glandularepithelialcellsofthesuperficialanddeeputerineglands(openarrowsinAandB)andmyocytes(solidarrowheadsinB).Duringmid-gestation,within theUt-Plunits,weakendometrialEDNRBexpressionisdetectedinthesuperficialglands(theso-calledglandularchambers)anddeeputerineglands(openarrowsinCandD,respectively).Intheplacentallabyrinthduringmid-gestation,strongsignalsarelocalizedinfetalsyncytiotrophoblastcells (open arrows in E). At prepartum luteolysis, only fetaltrophoblast (i.e., syncytio- and cytotrophoblast) stains strongly(openarrowsinF).No,orsporadicallyonlyweaksignals,canbeidentifiedinmaternaldecidualcells(solidarrowsinEandF).Inordertodistinguishbetweenfetalandmaternalcelltypeswithinthe canine placenta, i.e., endothelial, trophoblast and decidualcells, VIMENTIN staining was performed on consecutivesections following those used for EDNRB. Endothelial cells(openarrows inG)anddecidualcells (solidarrows inG)stainpositivelyforVIMENTIN.Thereisnobackgroundstainingintheisotypecontrol(insertedinF).

Fig. 7. LocalizationofEDN1,ECE1,EDNRA and EDNRBmRNAinthecanineutero-placental (Ut/Pl) unitsduringprepartum luteolysisas determined by in situ Hybridization (ISH). All factors arelocalized in trophoblast cells (open arrows;A–D). There is nobackgroundstaininginthenegativecontrols(inserttoA–D).

Fig. 8. Localization of EDN2-mRNA as determined by in situ Hybridization(ISH)inthecanineuterusatthepre-implantationstage(AandB)andintheutero-placental(Ut-Pl)compartmentsduring prepartum luteolysis (C, D and E). (A, B) At pre-implantation, EDN2-mRNA is localized to the endometrialluminal (surface) epithelial cells (solid arrows inA), glandularepithelial cells of the superficial (open arrows inA) and deeputerineglands(openarrowsinB).Duringprepartumluteolysis,onlyweakornosignalsarevisibleforEDN2expressionin thesuperficial glands (the so-called glandular chambers) and deeputerine glands (open arrows in C and D, respectively). In theplacentallabyrinthduringprepartumluteolysis,fetaltrophoblastcellsstainstrongly(openarrowsinE).There isnobackgroundstaininginthenegativecontrol(insertedinE).

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Discussion

Unequivocally,angiogenesisandvasculogenesisarecriticalstepsresponsibleforsuccessfuldecidualization,implantationandplacentation.Whiletheyhavebeenintensivelyinvestigatedinothermammalianspecies,sofar,littleisknownabouttheseprocessesinthecaninespecies.Therefore,inthecurrentstudy,wefeltpromptedtoinvestigatetheexpressionandlocalizationpatternsofthemembersoftheEDNfamily,i.e.,EDN1,-2,-3,aswellasoftheEDN-activatingenzymeECE1andthetwoEDNreceptors,EDNAandEDNB,inthecanineuterusandUt-Plcompartmentsduringselectedtimepointsofgestation(pre-implantation,post-implantation,mid-gestation),andduringnormalparturition(prepartumluteolysis)andantigestagen-inducedabortion.Inagreementwithpreviouslypublisheddatafromotherspecies,

e.g.,humans[35,36]orsheep[37],therewasclearlydetectableproteinexpressionofEDN1and-2,theconvertingenzyme(ECE1)andoneofthereceptors,EDNRB,particularlyintheepithelialuterinecompartmentsduringthepre-implantationstageofpregnancy.Interestingly,EDN2seemstobethemajorisoformrepresentedduringtheearlystagesofpregnancyinthedog.Thisfindingcorrespondspositivelywithobservationsmadeinmice,inwhichEDN2washighlyrepresentedinsomeorgansliketheuterus,ovaryorintestine[38].Itappearsplausiblethatalsointhedog,priortoimplantation,EDN2,

whichiscolocalizedwithEDNRB,mightbeinvolvedinfacilitat-ingthereleaseofNO[39].This,inturn,wouldimplytheindirectinvolvementofEDN2inregulationofuterineproliferation,vascularpermeabilizationandedemathatareimportantforuterineremodeling,embryoattachmentandimplantation.ItisalsointerestingthatEDN2wasabsentfromtheovariesofknockoutmicelackingexpressionoftheP4receptor(PGR),indicatingafunctionalrelationshipbetweenexpressionandfunctionofthesetwoentities[40].Takingintoac-countthehighuterinecontentofthispeptidepriortoimplantationanditssignificantlydecreasedexpressioninUT-Plcompartmentsofmid-pregnantdogsinresponsetoaglepristone-treatment,suchrelationshipmightalsoapplyinthedoguterus.Furthermore,theexpressionandcolocalizationofEDN-family

members,i.e.,thereceptors,theirligandsandtheEDN-activatingECE1,withintheplacentafetalis(trophoblast)oftheUt/Plcompart-ments,suggestsapossiblefunctionalroleofthissystemintrophoblastproliferationandinvasion.Ifproved,thiswouldresemblethesituationdescribedpreviouslyforhumantrophoblasts,whoseproliferativeandinvasivepropertiesaremediatedbytheEDNsreceptor[10,11].EDNRBisknownasapotentvasodilator[41],whereasEDNRA

exhibitsstrongvasoconstrictorproperties[42].Thus,thegradualincreaseofEDNRBexpressiontowardsmid-gestation,parallelingtheprogressionofcaninegestation,anditsabundantpresenceinthefetaltrophoblast,impliesthepossibleinvolvementofEDNRBin

Fig. 9. SchematicrepresentationofplacentalEDNsystemdistributionwithincanineutero-placentalcompartments(placenta endotheliochorialis).Post-implantationandatmid-gestationsimilarlocalizationpatternsareobservedforEDNRB,ECE1andEDN1.WhereasECE1islocalizedboth,insyncytiotrophoblastandcytotrophoblastcells,EDN1targetsonlytocytotrophoblastcells,andEDNRBstainspositivelyinsyncytiotrophoblast.Duringprepartumluteolysis,bothtypesoffetaltrophoblastcellsstainpositivelyforEDN2andEDNRB.EDN1,ECE1andEDNRAarelocalizedonlyincytotrophoblastcells.Asdeterminedbyin situhybridization(ISH),localizationpatternsofEDN1,ECE1,EDNRA and EDNRBmRNAweresimilarwithexpressionprofilesoftherespectiveproteins(investigatedbyimmunohistochemistry).Duetothelackofcommerciallyavailablecanine-specificantibody,localizationofEDN2wasdeterminedatthetranscriptlevelbyISH.

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modulatingvascularpermeabilityandtherebyfacilitatingbloodflowinfeto-maternalunits.Itisnoteworthythatitsplacentalexpressionshownhereiniscolocalizedwithcellularlocalizationofanotherpotentvascularpermeabilityfactor,whichisVEGFA[43].Duringprepartumluteolysis,placentalexpressionoftheEDN

receptors,aswellasECE1andEDN1,beingpredominantlyassociatedwithtrophoblastcells,stronglyresemblestheplacentallocalizationofprostaglandin(PG)familymembersregulatingtheavailabilityofprepartumprostaglandinsinthedog,e.g.,cyclooxygenase(COX2/PTGS2),PTGFS/AKR1C3orPTGES.Thefunctionalinvolve-mentofEDNsinPGsynthesishasbeenshownpreviously[27–29],implyingthatEDNsplayaroleintheregulationofutero-placentalhemodynamicsaffectingthephysiologicalmechanismsofparturition.Whetherthiscouldalsoapplyinthecaninespeciesremainstobeelucidated.Nevertheless,theupregulationofEDN1andEDNRAexpressionnotonlyduringnormalprepartumluteolysisbutalsoduringantigestagen-inducedparturition/abortion,whichinbothsituationsisassociatedwithincreasedPGoutput,impliesatemporalassociationbetweenPGsandEDNsduringprepartumluteolysisinthedog.ItisnoteworthythatthespatialexpressionofECE1andEDNRB

changedduringgestation.WhereasECE1wasinitiallyexpressedbothinsyncytio-andcytotrophoblast,itsexpressionprepartumwaspredominantlyrestrictedtothecytotrophoblastandwascolocalizedwiththeincreasedavailabilityofEDN1andEDNRAinthesamecells.Incontrast,theexpressionofEDNRB,whichwasinitiallylocalizedmostlyinthesyncytiotrophoblast,spreadovertheentiretrophoblastatthetimeofitsincreasedexpressionduringprepartumluteolysis.Evenifthisimpliesspatio-temporaldifferencesinthebiologicaleffectsevokedbyEDNsduringthemaintenanceandterminationofcaninegestation,thefunctionalmeaningoftheseobservationremainstobefurtherinvestigated.SchematicrepresentationofplacentalEDNsystemdistributionwithincanineutero-placentalcompartmentsisshowninFig.9.Thetime-dependentuterineandplacentalexpressionoftheEDN

system,andinparticularitsstrongabundanceinfetaltrophoblastcellsthroughoutpregnancy,impliesitsinvolvementinthefunctionalproliferativeandinvasivepropertiesofthesecells.Thefunctionalapproachpresentedhere,consistingofantigestagen-treatedanimals,leadingtotheupregulationoffetalplacentalEDN1anditsvasocon-strictorreceptorEDNRA,resemblingtherebythesituationobservedatnormalparturition,suggeststhattheyareinvolvedininitiatingthesignalingcascadeofPGsynthesisleadingtotheinductionofparturitioninthedog.

Acknowledgements

AuthorsaregratefultoProfDrSelimAslan,NearEastUniversi-ty,Cyprus(formerlyoftheUniversityofAnkara,Turkey),andProfDrBerndHoffmann,Justus-LiebigUniversityGiessen,Germany,andtheirteamsforprovisionofthetissuematerial,andtoDrBarryBavisterforcarefuleditingofthemanuscript.Thetechnicalexper-tiseandcontributionsofElisabethHöggeraregreatlyappreciated.PartofthelaboratoryworkwasperformedusingthelogisticsattheCenter forClinicalStudies,VetsuisseFaculty,UniversityofZu-rich.ThisresearchwassupportedbytheSwissNationalScienceFoundation (SNSF); researchgrantnumber31003A_160251.The

authorsdeclarethattheyhavenoconflictofinterests.Allauthorsreadandapprovedthefinalversionofthemanuscript.

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