Approximately 3% of children in developed countries are born with nongenetic birth defects. However, the nature and mechanisms of teratogenesis are poorly understood. We investigated mechanisms of teratogen-mediated blockade of maternofetal transport by screening a combinatorial library for peptides that bind nonendothelial placental vasculature in pregnant mice. Here, we identified a peptide motif, TPKTSVT, that homes to the yolk sac, induces placental necrosis, and disrupts embryo development. We show that TPKTSVT promotes transcytosis of phage into the embryo and blocks the transplacental transport of immunoglobulins. Based on these data, we propose a model in which TPKTSVT targets a placental Fc receptor. Absence of TPKTSVT placental homing in mice lacking 2-microglobulin (2m) suggests FcRn͞2m as a target for the TPKTSVT, which is unexpected, given the normal development of FcRn͞2m-deficient progeny. High-throughput screening for embryotoxins that target placental receptors could be developed to systematically identify and avoid exposure to teratogenic drugs. T eratogens, substances that cause nongenetic fetal morbidity and mortality while being negligibly toxic to the mother, fall into two classes. The first class includes compounds that are actively or passively transferred through the maternofetal barrier and target fetal development by altering cell-signaling pathways controlling essential processes, such as angiogenesis, in the developing embryo (1, 2). Teratogens of the second class interfere with fetal development by affecting the delivery of nutrients to the embryo executed by the placenta (3, 4). In mammals, maternofetal molecule exchange occurs by filtration of blood from the maternal to the fetal side of the placenta through several distinct cell layers (4). Teratogens that target the placenta are thought to function by blocking receptors required for transport of nutrients to the fetus (3, 5). However, although many amino acid, fatty acid, nucleoside, and carbohydrate transporters are expressed in the placenta (6), the roles of specific receptors in the maintenance of maternofetal exchange and normal embryo development have not yet been established.In vivo phage display, a method for studying interactions between receptors expressed preferentially in an organ of interest and their ligands (7,8), is a prospective tool for molecular analysis of placental transport. Screenings of phage-displayed random peptide libraries in mice (9-12) and humans (13) have resulted in the isolation of ligands that selectively home to specific tissues when administered systemically. Homing ligands subsequently have been used to identify corresponding receptors differentially expressed in normal and tumor blood vessels (14-16). Here, we adapted this technology to select teratogenic ligands that bind nonendothelial receptors expressed on the villous placental epithelium, the site of maternofetal molecule exchange.
Experimental ProceduresAnimals. Staged pregnant, 18 days postconception (dpc) C57BL͞6 female mice were ...