Primary cultures of purified human cytotrophoblasts have been used to examine the expression of the corticotropin-releasing hormone (CRH) gene in placenta. We report here that glucocorticoids stimulate placental CRH synthesis and secretion in primary cultures of human placenta. This stimulation is in contrast to the glucocorticoid suppression of CRH expression in hypothalamus. The positive regulation of CRH by glucocorticoids suggests that the rise in CRH preceding parturition could result from the previously described rise in fetal glucocorticoids. Furthermore, this increase in placental CRH could stimulate, via adrenocorticotropic hormone, a further rise in fetal glucocorticoids, completing a positive feedback loop that would be terminated by delivery.Corticotropin-releasing hormone (CRH), one ofthe hypothalamic components of the hypothalamic-pituitary-adrenal axis (1, 2), is also present in human placenta, where its synthesis and secretion rise more than 20-fold in the 5 weeks preceding parturition (3, 4). The secretion of glucocorticoids by the adrenal gland of the human fetus also increases markedly during this same period (5), although the manner in which glucocorticoids interact with placental CRH is not known. Defining the nature of this interaction is a prerequisite to determining the role of these hormones in human pregnancy. To examine the effect of glucocorticoids on placental CRH gene expression, we have purified and characterized cultures of human cytotrophoblasts and performed blot hybridization analysis of RNA isolated from cultured cells.
METHODSCytotrophoblast Purification and Immunocytochemistry. Full-gestation human placentae were obtained at elective Caesarean section, and cytotrophoblasts were enzymatically dispersed, purified by Percoll gradient centrifugation, and cultured as described (6). For immunocytochemistry, cultures were washed in several changes of cold 0.01 M phosphate, pH 7.4/0.9% NaCl (PBS), and fixed for 10 min in cold acetone/methanol (1:1, vol/vol) or 2% paraformaldehyde in PBS. Slides were air dried and stored at -70°C until immunocytochemistry was performed. Acetone/methanolfixed cells were allowed to react with anti-cytotrophoblast monoclonal antibody 18B/A5 (kindly provided by Y. W. Loke, Univ. of Cambridge) (7). Avidin-biotin-peroxidase (Vectastain, Burlingame, CA) and 0.05% diaminobenzidine (Sigma) were used to localize bound antibody. Paraformaldehyde-fixed cells were allowed to react with a polyclonal anti-placental alkaline phosphatase antiserum (Dako, Santa Barbara, CA) and horseradish peroxidase. All sections were lightly counterstained with Gill's hematoxylin. tTo whom reprint requests should be addressed.
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