Helliwell Rachel J A, Keelan Jeffrey A, Marvin Keith W, Adams Linda, Chang Maxwell C, Anand Ashmit, Sato Timothy A, O'Carroll Simon, Chaiworapongsa Tinnakorn, Romero Roberto J, Mitchell Murray D
The Liggins Institute, Faculty of Medical and Health Sciences, University of Auckland, Private Bag 92019, Auckland, New Zealand.
J Clin Endocrinol Metab. 2006 Feb;91(2):597-606. doi: 10.1210/jc.2005-1982. Epub 2005 Nov 15.
The importance of prostaglandin (PG) signaling pathways to the maintenance of pregnancy and initiation of labor is well recognized. However, the complexity of these pathways and the mechanism(s) of their coordinated regulation in physiological and pathological conditions are only now being appreciated.
In this report we provide new evidence of a complete pathway for the biosynthesis and actions of PGD(2) and its metabolites within human gestational tissues.
Using immunohistochemistry and Northern and Western blotting, we demonstrate the dynamic regulation of H-type PGD synthase (PGDS) in placenta during gestation; in contrast, L-type PGDS and its PG products were detected in amniotic fluid, with increased amounts associated with labor.
Placental tissues were shown to express both forms of the PGD(2) receptor identified to date, D prostanoid(1) (DP(1)) and DP(2)/chemotactic receptor on type 2 helper T cells, with a distribution consistent with the villous placenta being a major target, as well as source, of PGD(2). In vitro, placental PGD(2) production was shown to be stimulated upon inflammatory activation, whereas PGD(2) and its J series metabolites exerted potent inhibitory effects on placental cytokine production.
These findings suggest that PGDS-derived prostanoids play important physiological roles in the placenta, such as immunoregulation and feto-placental communication, while potentially having a regulatory role in the processes of parturition.
前列腺素(PG)信号通路对维持妊娠和启动分娩的重要性已得到充分认识。然而,这些通路的复杂性及其在生理和病理条件下的协调调控机制直到现在才被了解。
在本报告中,我们提供了关于PGD₂及其代谢产物在人妊娠组织中的生物合成和作用完整通路的新证据。
我们使用免疫组织化学、Northern印迹法和Western印迹法,证明了妊娠期间胎盘中H型PGD合成酶(PGDS)的动态调控;相比之下,在羊水中检测到L型PGDS及其PG产物,且其含量增加与分娩相关。
胎盘组织显示表达迄今为止已鉴定的两种PGD₂受体形式,即前列腺素D受体1(DP₁)和2型辅助性T细胞上的DP₂/趋化因子受体,其分布与绒毛膜胎盘是PGD₂的主要靶器官以及来源一致。在体外,炎症激活后胎盘PGD₂的产生被刺激,而PGD₂及其J系列代谢产物对胎盘细胞因子的产生具有强大的抑制作用。
这些发现表明,PGDS衍生的前列腺素在胎盘中发挥重要的生理作用,如免疫调节和胎儿 - 胎盘通讯,同时可能在分娩过程中起调节作用。