e Human chorionic gonadotropin (hCG) is composed of a common ␣ subunit and a placenta-specific  subunit. Importantly, hCG is highly expressed in the differentiated and multinucleated syncytiotrophoblast, which is formed via trophoblast cell fusion and stimulated by cyclic AMP (cAMP). Although the ubiquitous activating protein 2 (AP2) transcription factors TFAP2A and TFAP2C may regulate hCG expression, it remains unclear how cAMP stimulates placenta-specific hCG gene expression and trophoblastic differentiation. Here we demonstrated that the placental transcription factor glial cells missing 1 (GCM1) binds to a highly conserved promoter region in all six hCG paralogues by chromatin immunoprecipitation-on-chip (ChIPchip) analyses. We further showed that cAMP stimulates GCM1 and the CBP coactivator to activate the hCG promoter through a GCM1-binding site (GBS1), which also constitutes a previously identified AP2 site. Given that TFAP2C may compete with GCM1 for GBS1, cAMP enhances the association between the hCG promoter and GCM1 but not TFAP2C. Indeed, the hCGcAMP-protein kinase A (PKA) signaling pathway also stimulates Ser269 and Ser275 phosphorylation of GCM1, which recruits CBP to mediate GCM1 acetylation and stabilization. Consequently, hCG stimulates the expression of GCM1 target genes, including the fusogenic protein syncytin-1, to promote placental cell fusion. Our study reveals a positive feedback loop between GCM1 and hCG regulating placental hCG expression and cell differentiation.
Successful pregnancy requires a variety of hormones, growth factors, and cytokines to regulate uterine decidualization, embryo implantation, and pregnancy maintenance. For instance, progesterone and estrogen steroid hormones from the ovary prepare the uterine endometrium for embryo implantation. Human chorionic gonadotropin (hCG) is a critical hormone for pregnancy maintenance in humans. hCG is a glycoprotein hormone comprising ␣ and  subunits. The hCG␣ subunit is shared with other glycoprotein hormones, including thyroid-stimulating hormone, follicle-stimulating hormone, and luteinizing hormone (LH), whereas the hCG subunit is specifically expressed in placenta and is unique to hCG. While hCG␣ is encoded by a single gene on chromosome 6, hCG can be encoded by a gene cluster of six (hCG1, -2, -3, -5, -7, and -8) paralogues on chromosome 19 (1). Recent studies have suggested that the expression of hCG5 and -8 may account for the majority of hCG transcripts given that all hCG paralogues share high sequence homology in their promoter regions (2, 3).hCG expression can be detected in early 6-to 8-cell embryos, and this may serve as an embryonic signal for the rendering of appropriate maternal physiology for pregnancy (1). After implantation, the serum hCG level increases dramatically as pregnancy proceeds, reaching its peak at 9 or 10 weeks of gestation, and then decreases and remains at ϳ20% of the peak value until term (4). One of the crucial hCG functions is to stimulate progesterone synthesis from the corpus luteu...