Rao C V, Li X, Toth P, Lei Z M, Cook V D
Department of Obstetrics and Gynecology, University of Louisville School of Medicine, Kentucky 40292.
J Clin Endocrinol Metab. 1993 Dec;77(6):1706-14. doi: 10.1210/jcem.77.6.8263161.
Human umbilical cord contains two arteries and a vein surrounded by Wharton's jelly with amnion covering the exterior surface. The cord blood and amniotic fluid contain human CG (hCG). Whether hCG can directly regulate cord functions is unknown. We now report that human umbilical cords contain a major 4.4-kilobase and minor 2.6- and 1.8-kilobase hCG/LH receptor messenger RNA transcripts. The cords also contain a 50-kilodalton immunoreactive receptor protein which can bind hCG and LH, but not hFSH or hTSH. Rat testis used as a positive tissue control contained the same major and minor receptor transcripts and an 80-kilodalton receptor protein which can bind [125I]hCG. Rat liver used as a negative control contained neither receptor transcripts nor receptor protein. The smooth muscle and endothelial cells of umbilical arteries and vein, umbilical amnion, and cells in Wharton's jelly contain the receptor transcripts and receptor protein which can bind [125I]hCG. The receptor expression was higher in umbilical vessels closer to the baby and decreased toward placenta, becoming barely detectable once the vessels were inside the placental tissue. In vitro treatment of umbilical cords with highly purified hCG resulted in an increase of immunoreactive cyclooxygenase-1, cyclooxygenase-2, prostacyclin synthase, and 6-keto-prostaglandin F1 alpha, little change in thromboxane A2 synthase and a decrease of prostaglandin E2 and thromboxane B2 as compared to the controls, indicating that the cord receptors are functional. In summary, these novel findings suggest that hCG present in cord blood and amniotic fluid may directly regulate the vascular tone and quite possibly other functions of human umbilical cord.
人脐带包含两条动脉和一条静脉,周围包裹着华通胶,外表面覆盖着羊膜。脐带血和羊水含有人类绒毛膜促性腺激素(hCG)。hCG是否能直接调节脐带功能尚不清楚。我们现在报告,人脐带含有主要的4.4千碱基以及次要的2.6千碱基和1.8千碱基的hCG/LH受体信使核糖核酸转录本。脐带还含有一种50千道尔顿的免疫反应性受体蛋白,它能结合hCG和LH,但不能结合人促卵泡激素(hFSH)或人促甲状腺激素(hTSH)。用作阳性组织对照的大鼠睾丸含有相同的主要和次要受体转录本以及一种能结合[125I]hCG的80千道尔顿受体蛋白。用作阴性对照的大鼠肝脏既不含有受体转录本也不含有受体蛋白。脐动脉和静脉的平滑肌及内皮细胞、脐带羊膜以及华通胶中的细胞含有能结合[125I]hCG的受体转录本和受体蛋白。受体表达在靠近胎儿的脐带血管中较高,向胎盘方向降低,一旦血管进入胎盘组织就几乎检测不到了。与对照组相比,用高度纯化的hCG对脐带进行体外处理导致免疫反应性环氧化酶-1、环氧化酶-2、前列环素合酶和6-酮-前列腺素F1α增加,血栓素A2合酶变化不大,前列腺素E2和血栓素B2减少,表明脐带受体具有功能。总之,这些新发现表明,脐带血和羊水中存在的hCG可能直接调节人脐带的血管张力,很可能还调节其他功能。