Department of Molecular and Developmental Medicine (C.V., R.N., M.T., F.M.S., F.P.), University of Siena, 53100 Siena, Italy; and Medical Research Council Centre for Reproductive Health (S.B., J.E.N.), University of Edinburgh, EH16 4TY Edinburgh, United Kingdom.
Endocrinology. 2015 Feb;156(2):670-9. doi: 10.1210/en.2014-1432. Epub 2014 Nov 26.
The purpose of the study was to investigate urocortin (Ucn)2 involvement in placental and myometrial inflammatory pathways associated with parturition by evaluating: 1) Ucn2 and its receptor, CRH-receptor type 2 (CRH-R2), expression in laboring/nonlaboring human gestational tissues and in mouse utero-placental tissues approaching delivery; and 2) Ucn2 effect on myometrial contractility and on the expression of inflammatory mediators (prostaglandin F2α receptor and cytokines) and regulation of Ucn2 by TNF-α in cultured myometrial cell line. Placenta (n = 16), fetal membranes (n = 16), and myometrium (n = 22) were obtained from healthy pregnant women delivering at term by vaginal/elective caesarean delivery and from timed-pregnant mice on days 16-19. Expression of Ucn2/CRH-R2 in human/mouse tissues and inflammatory mediators in myometrial cell lines were measured by RT-PCR or ELISA, mouse Ucn2/CRH-R2 protein localization by immunohistochemistry. Ucn2 but not CRH-R2 was up-regulated (P < .05) in all human tissues in labor (compared with before labor) and increased significantly (P < .01) in mouse placenta approaching delivery. Ucn2 was up-regulated by TNF-α via nuclear factor-κB (NF-kB) in myometrium cell lines (P < .05 or P < .01 on the basis of treatment doses) and increased proinflammatory mediators and prostaglandin F (PGF2α) receptor expression (P < .05) via CRH-R2, without a direct effect on contractility. Placental and myometrial Ucn2 may play a role in the endocrine-inflammatory processes of parturition, representing a potential target for treating inflammation-induced obstetric complications.
这项研究的目的是通过评估以下内容来研究尿皮质素 (Ucn)2 参与与分娩相关的胎盘和子宫肌炎性途径:1)在临产/非临产的人妊娠组织和接近分娩的小鼠子宫胎盘组织中评估 Ucn2 及其受体,CRH 受体 2 (CRH-R2) 的表达;2)Ucn2 对子宫肌收缩性的影响,以及对炎性介质(前列腺素 F2α 受体和细胞因子)的表达的影响,以及 TNF-α 对培养的子宫肌细胞系中 Ucn2 的调节。从通过阴道/选择性剖宫产分娩的足月健康孕妇和在第 16-19 天的定时怀孕的小鼠中获得胎盘(n = 16)、胎膜(n = 16)和子宫肌(n = 22)。通过 RT-PCR 或 ELISA 测量人/鼠组织中的 Ucn2/CRH-R2 表达和子宫肌细胞系中的炎性介质,通过免疫组织化学测量小鼠 Ucn2/CRH-R2 蛋白定位。与分娩前相比,所有临产人组织中的 Ucn2(而非 CRH-R2)均上调(P<.05),且接近分娩的小鼠胎盘显著上调(P<.01)。Ucn2 通过核因子-κB (NF-kB) 在子宫肌细胞系中被 TNF-α 上调(根据治疗剂量,P<.05 或 P<.01),并通过 CRH-R2 增加前炎性介质和前列腺素 F(PGF2α)受体的表达(P<.05),而对收缩性没有直接影响。胎盘和子宫肌 Ucn2 可能在分娩的内分泌-炎性过程中发挥作用,代表治疗炎症引起的产科并发症的潜在靶点。