Endothelial vasodilator production by ovine uterine and systemic arteries: ovarian steroid and pregnancy control of ER and ER levels
1 Perinatal Research Laboratories
2 Department of Pediatrics and Animal Sciences, Department of Obstetrics and Gynecology, University of Wisconsin–Madison, Atrium-B Meriter Hospital/Park, Madison, WI 53715, USA
Abstract
Pregnancy and the follicular phase are physiological states of elevated oestrogen levels and rises in uterine blood flow (UBF). The dramatic increase in utero-placental blood flow during gestation is required for normal fetal growth and development. Oestrogen exerts its vasodilatory effect by binding to its specific oestrogen receptors (ER) in target cells, resulting in increased expression and activity of endothelial nitric oxide synthase (eNOS) to relax vascular smooth muscle (VSM). However, the regulation of endothelial versus VSM ER and ER expression in uterine arteries (UAs) during the ovarian cycle, pregnancy and with exogenous hormone replacement therapy (HRT) are currently unknown. ER mRNA and protein localization was determined by in situ hybridization (ISH) using 35S-labelled riboprobes and immunohistochemistry (IHC), respectively. UA endothelial (UAendo), UA VSM, omental artery endothelium (OA endo), and OA VSM proteins were isolated and ER and ER protein expression was determined by Western analysis. We observed by ISH and IHC that ER and ER mRNA and protein were localized in both UAendo and UA VSM. Immunoblot data demonstrated ovarian hormone specific regulation of ER and ER protein in UAendo and UA VSM. Compared to luteal phase sheep, both ER and ER levels in UAendo were elevated in follicular phase sheep. Whereas ER was elevated by pregnancy in UAendo and UA VSM, ER was not appreciably altered. eNOS was increased in UAendo from follicular and pregnant sheep. Ovariectomized ewes (OVEX) had substantially reduced UAendo ER, but not UAendo ER or OAendo ER and ER. In contrast, OVEX increased UA VSM ER and ER and decreased OA VSM ER and ER. Treatment with oestradiol-17 (E2), but not progesterone or their combination, increased UAendo ER levels. The reduced ER in UAendo from OVEX ewes was reversed by E2 and progesterone treatment. While ER and eNOS were not elevated in any other reproductive or non-reproductive endothelia tested, ER was augmented by pregnancy in uterine, mammary, placenta, and coronary artery endothelia. ER and ER mRNA and protein are expressed in UA endothelium with expression levels depending on the endocrine status of the animal, indicating UA endothelium is a target for oestrogen action in vivo, and that the two receptors appear to be differentially regulated in a spatial and temporal fashion with regard to the reproductive status or HRT.
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Introduction
A pivotal physiological role of oestrogen to up-regulate uterine blood flow (UBF) during specific reproductive states has been demonstrated by studies showing a concomitant increase in circulating endogenous oestrogen levels and UBF in the follicular, but not luteal, phase of the oestrous cycle and during normal pregnancy in many species (Greiss & Anderson, 1969; Ford & Christenson, 1979; Ford et al. 1982; Magness et al. 1991; Magness, 1998; Gibson et al. 2004). In addition, UBF is increased by exogenous oestrogen treatment of ovariectomized and intact non-pregnant and pregnant sheep (Greiss & Anderson, 1970; Rosenfeld et al. 1973; Rosenfeld et al. 1974, 1976; Magness & Rosenfeld, 1989a,b; Magness, 1998; Gibson et al. 2004).
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During normal pregnancy, a physiological state in which both oestrogen and progesterone are elevated, UBF increases up to 20- to 50-fold in order to provide sufficient oxygen and nutrient supply to meet the developmental needs of the growing fetus (Magness & Zheng, 1996; Magness, 1998). Elevated uterine perfusion is clinically significant as shown in cases where insufficient UBF is associated with intrauterine growth retardation and severe neonatal morbidity due to an inadequate supply of oxygen and nutrients (reviewed in Magness, 1998). Recent evidence also is suggestive that oestrogen regulation of UBF is most likely achieved via direct local actions on the uterine, but not systemic (i.e. omental and renal), artery endothelia via binding to specific oestrogen receptors (ER and/or ER), to increase the expression and/or activity of endothelial nitric oxide synthase (eNOS) for an enhanced production of the potent vasodilator, nitric oxide (NO) (Van Buren et al. 1992; Rosenfeld et al. 1996; Magness et al. 1997, 2005; Vagnoni et al. 1998; Vagnoni & Magness, 1998; Salhab et al. 2000; Rosenfeld et al. 2003). In these studies, vascular smooth muscle (VSM) eNOS levels were quite low and unchanged by oestrogen treatment. Because infusion of oestrogen into ovariectomized (OVEX) ewes begins to increase UBF within 30 min and UBF is elevated more than 10-fold by 2 h (Magness & Rosenfeld, 1989a, b; Magness et al. 1998), these UBF responses to oestrogen may involve both acute non-genomic effects and chronic transcription-based gene expression at the level of the endothelium and VSM (Chen et al. 2004; Liao et al. 2005). This concept is supported by studies demonstrating that the NOS inhibitor N-nitro-L-arginine methyl ester (L-NAME), as well as the ER antagonist ICI 182 780 similarly reduced the elevated UBF in oestrogen-treated OVEX non-pregnant (NP) sheep (Van Buren et al. 1992; Rosenfeld et al. 1996; Magness et al. 2005), follicular phase sheep (Gibson et al. 2004; Magness et al. 2005), as well as late pregnant sheep (Miller et al. 1999; Magness et al. 2005). Although the effects of oestrogen in these vasodilatory processes are postulated to be mediated by specific ERs, the role of changes in ER levels in uterine arteries is unclear. The presence of ERs in uterine arteries has been documented by several groups (Lantta et al. 1983; Giambi et al. 1984; Batra & Iosif, 1987; Wu et al. 2000; Weihua et al. 2000) including our own laboratories (Chen et al. 2004; Liao et al. 2005).
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It has been shown previously that both the originally described ER (Green et al. 1986; Koike et al. 1987) and the more recently cloned ER (Kuiper et al. 1996) are both expressed in whole rat uterine tissue homogenates, with ER being the predominant isoform (Byers et al. 1997). However, it is not known specifically if either or both of these ERs are differentially regulated in uterine or systemic artery endothelium and VSM during physiological states of elevated oestrogen and/or progesterone. Consequently, their potential role in regulating UBF remains unclear.
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The hypothesis of the current study is that ER and ER, receptors known to be present in ovine uterine artery endothelium and VSM, are regulated by the reproductive state via alterations in ovarian/placental steroid (oestrogen/progesterone) levels in the animal. The specific objectives are to determine (1) if ER, ER and eNOS levels in uterine versus systemic artery endothelium and/or VSM are independently regulated in physiological states of elevated oestrogen (follicular), progesterone (luteal), or both (pregnancy), and (2) if exogenous infusion of ovarian steroids, oestrogen, progesterone or their combination will mimic such ER and ER changes in UAendo versus UA VSM.
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Methods
Isolation and preparation of arteries from sheep during the ovarian cycle and pregnancy
Mixed Western breed ovary-intact luteal (n= 12), follicular (n= 8), and pregnant (n= 12, gestational age = 125 ± 4) ewes were killed with intravenous pentobarbital sodium (50 mg kg–1). Procedures for animal handling and experimental protocols were approved by the University of Wisconsin–Madison Research Animal Care Committees of both the Medical School and the College of Agriculture and Life Sciences, and followed the recommended American Veterinary Medicine Association guidelines for killing of laboratory farm animals. Non-pregnant sheep were synchronized to the luteal (day 10–11) and follicular (day –1 to 0) phase as recently described (Gibson et al. 2004).
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We used the previously described and validated rapid isolation procedure to obtain endothelial-derived proteins devoid of VSM (Magness et al. 1997). Briefly, uterine, mammary, and placental (reproductive), omental, renal, and coronary (non-reproductive) arteries were excised, placed in phosphate-buffered saline (PBS: 8 mM sodium phosphate, 2 mM potassium phosphate, 0.15 M NaCl, pH 7.4; Sigma Chemical Co., St Louis, MO, USA), dissected free of connective tissue and rinsed free of blood. Portions of each artery type were opened longitudinally and the endothelium/tunica intima was gently scraped (3–6 times) from the artery and placed into lysis buffer (50 mM Tris, 0.15 M NaCl and 10 mM EDTA, pH 7.4, 0.1% Tween 20, 0.1%mercaptoethanol, 0.1 M phenylmethylsulphonyl floride, 5 μg ml–1 leupeptin, and 5 μg ml–1 aprotinin; all from Sigma) using a curved-end spatula, as previously described (Magness et al. 1997; Vagnoni et al. 1998). The remaining ‘scraped’ vessel was rubbed with a wet cotton swab and any remaining adventitia was completely removed before the denuded artery (VSM) was placed in lysis buffer. The endothelial-isolated proteins (endo) and denuded arteries (VSM) were snap frozen in liquid nitrogen immediately upon collection and were stored at –20°C. Thus UAendo samples represent an endothelial-enriched preparation that was mechanically scraped from the tunica media; UA VSM samples are denuded vessels that have had their endothelium removed leaving the basal lamina and VSM. Additional intact artery segments were collected for in situ hybridization and immunohistochemistry (IHC); they were fixed in 4% formaldehyde in sodium cacodylate buffer (0.1 M, pH = 7.4; EM Science, Fort Washington, PA, USA) for 24 h, and were then stored at 4°C in sodium cacodylate buffer containing 0.01% sodium azide until dehydration and placement into paraffin blocks.
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Prolonged oestrogen and progesterone treatment regime
Mixed western breed ewes (n= 20) were ovariectomized via a midventral laparotomy as previously described (Magness & Rosenfeld, 1989a,b; Magness et al. 1993; Vagnoni et al. 1998), and after at least 8–10 days of recovery, steroid replacement therapy was administered. For the oestrogen-treated ewes, an indwelling 19-gauge polyvinyl catheter was placed into the right ventricle via the jugular vein. Animals then received a 5 μg kg–1 bolus of E2 (Sigma) mixed in 3 ml (10–11% EtOH) of saline, then flushed with 5 ml of saline, followed immediately by 6 μg kg–1 day–1 continuous infusion in 9.5% EtOH in isotonic saline (0.0123 ml min–1) for 10 days. E2 was dissolved in 95% ethanol and stored at 4°C at a stock concentration of 1 mg ml–1. The E2 dose for treatment and the time for tissue collection were based on eNOS expression and haemodynamic responses as well as blood levels of E2 as determined in our previous studies (Magness & Rosenfeld, 1989a,b; Magness et al. 1993; Vagnoni et al. 1998; Rupnow et al. 2001). Progesterone (P4) was simultaneously administered using one controlled internal drug release (CIDR) implant with 0.3 g progesterone (Carter Holt Harvey Ltd, New Zealand) placed into the vagina of OVEX ewes for 10 days. Control ewes received vehicle (ethanol in saline) infusion and/or blank CIDR implants. With this protocol, circulating P4 levels are elevated in P4- and P4+ E2treated ewes when compared to vehicle- or E2alone-treated ewes and also higher then time 0 prior to beginning the steroid treatments. The levels of P4 achieved approximate luteal phase levels (1–3 ng ml–1). On day 10 of treatment the OVEX ewes were killed and the vessels isolated as described above.
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In situ hybridization
Intact artery segments were collected for in situ hybridization (Byers et al. 1997) by fixation in 4% formaldehyde in sodium cacodylate buffer (0.1 M, pH 7.4; EM Science, Fort Washington, PA, USA) for 24 h and then stored at 4°C in sodium cacodylate buffer containing 0.01% sodium azide until dehydration and placement into paraffin blocks. Then, 5 μm sections were cut and mounted onto slides. Paraffin mounted tissue sections were depariffinized, rehydrated, then permealized by incubation for 30 min in proteinase K (5 μg ml–1). Next, sections were briefly refixed in 4% paraformaldehyde, acetylated in 0.1 M TEA with acetic anhydride (0.25%), and then dehydrated. Antisense and sense [35S]UTP-labelled RNA probes were synthesized using SP6 or T7 RNA polymerase. The ER probe template was from a partial ovine cDNA sequence and the ER template was a partial bovine cDNA sequence (Spencer & Bazer, 1995). The RNA probe (1 x 107 c.p.m. ml–1) in hybridization buffer (ISH buffer; Sigma) was applied to the tissue sections and then overlaid with coverslips. Slides were hybridized in a humidified incubator at 50°C for 16–18 h. After hybridization, the coverslips were removed and sections were treated with RNase A (20 μg ml–1) for 30 min, washed in increasingly stringent solutions of saline–sodium citrate buffer (SSC; down to 0.1 x SSC) at 55°C, and dehydrated through an ethanol series. Slides were exposed to autoradiography film for 2–3 days then processed for liquid emulsion autoradiography using NTB-2 emulsion (Eastman Kodak, Rochester, NY, USA). Slides were developed using Kodak D-19 developer and fixer and stained with haematoxylin. Images are at 10x magnification. Protein localization was confirmed using immunohistochemistry (IHC) using methods we have previously described (Magness et al. 1997; Chen et al. 2004; Liao et al. 2005).
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Western blot analysis of ER, ER, and eNOS proteins
Total cell extracts (20 μg protein lane–1) were boiled in SDS sample buffer for 5 min, then electrophoresed on 12.5% SDS-PAGE gels for 100 min at 150 V. Separated proteins were then electrically (100 V, 30 min) transferred to a PVDF membrane (Magness et al. 1997). ER, ER, and eNOS protein were detected using specific antibodies of anti-human ER mAb (1 : 200, Neomarker Ab-7), anti-human ER pAb (1 : 3000, Santa Cruz H150) and eNOS mAb (1 : 10 000 Transduction Laboratories). Western blots for the VSM samples were reprobed for smooth muscle myosin (1 : 40 000, NeomarkerSM-M5) as a loading control. Non-specific binding was blocked with 5% fat-free milk in TBST (50 mM Tris-HCl, pH 7.5, 0.15 M NaCl, 0.05% Tween-20) for 2 h at room temperature, after which the membrane was incubated with appropriate amounts of primary antibodies in TBST + 1% BSA at room temperature for 1.5 h. Following five washes (1 x 5, 1 x 15, 3 x 5 min) with TBST, the membrane was incubated with anti-mouse or anti-rabbit peroxidase-conjugated IgG for 1 h, respectively. The membrane was washed five times with TBST, and bound antibodies were detected with the ECL+ reagents (Amersham) according to the manufacturer's instruction.
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Statistical analysis
All applicable data were analysed with 2-tailed Student's t tests or ANOVA as appropriate, assuming unequal variance. Data are presented as the means and standard error of the mean (S.E.M).
Results
Localization of ER and ER mRNA and protein
To determine the cellular (endothelium versus VSM) localization of ER and ER mRNAs in UAs, in situ hybridization was performed (n= 7) using 35S-labelled sense (control) or antisense riboprobes synthesized from specific ovine ER and bovine ER cDNAs (Fig. 1A and B). Hybridization with antisense probes revealed that ER and ER mRNA are both strongly expressed in the ovine UA endothelium seen as concentrated silver grains (darkfield) representing positive mRNA labelling along the lumen of the vessels. Widespread expression of the ERs was also observed throughout the tunica media. Furthermore, the basal lamina, which separates the endothelium and VSM, is shown to be devoid of both ER and ER mRNAs. Tissue sections subjected to hybridization with sense probes showed minimal background levels of ER and ER mRNAs. Because mRNA expression is not necessarily indicative of the mature ‘functional’ protein, immunohistochemistry (data not shown) was utilized to determine the cellular localization of ER and ER protein. As we have previously reported (Chen et al. 2004; Liao et al. 2005), ER and ER proteins were clearly seen in both the uterine artery endothelium and the VSM and as was the case in the mRNA localization, the basal lamina is completely devoid of ER protein. ER protein was expressed uniformly throughout the UA cells (non-nuclear and nuclear staining), whereas ER exhibited heavy, preferential nuclear staining, an observation consistent with reports in ovine fetal pulmonary endothelial cells (Chambliss et al. 2002) and UAECs (Liao et al. 2005).
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Uterine arteries from pregnant sheep were fixed and paraffin-embedded, and whole uterine artery sections (5 μM) were cut. Localization of ER and ER mRNAs was determined by in situ hybridization using 35S-labelled sense (Control) or antisense riboprobes synthesized from a specific ovine ER cDNA or bovine ER cDNA. Silver grains shown in darkfield images represent positive mRNA labelling. Images were taken at 10x magnification. Abbreviations: BL, basal lamina; EC, endothelial cell; L, lumen; VSM, vascular smooth muscle.
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Effects of reproductive state on the expression of ER and ER in uterine artery endothelium and VSM
We determined if ER and ER protein expression is quantitatively regulated in the UAendo and/or VSM during physiological states of elevated oestrogen (follicular phase and pregnancy) or progesterone (luteal phase and pregnancy) using Western blot analysis. Expression levels of the samples from luteal, follicular and pregnant sheep were expressed as a fold of the average of all luteal phase samples run on the same blots (Fig. 2). UAendo ER expression was elevated 1.5-fold (P < 0.05) in follicular compared to luteal UAendo. This rise in ER expression was specific to the endothelium since UA VSM levels were unchanged (P > 0.05) for follicular phase samples. Pregnancy did not significantly alter ER expression levels in either the endothelium or VSM, although UAendo ER levels in pregnancy and follicular phase samples were similar. As seen with ER, ER protein expression (Fig. 2) in the follicular UAendo, but not UA VSM, was significantly elevated. Pregnant UAendo (P < 0.01) ER expression showed a 1.6-fold rise over luteal controls. ER protein levels in VSM were unaltered by the follicular phase, but were significantly increased 3.2-fold of luteal phase UA VSM by pregnancy (P < 0.01). The UA VSM immunoblots were reprobed for smooth muscle myosin and showed homogeneity of protein loading. Specifically, smooth muscle myosin for the follicular phase and pregnant UA VSM averaged 1.0- and 1.1-fold of the luteal control, respectively. There was no significant difference between the three groups.
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Western blot analysis was performed to compare the relative expression levels of ER and ER protein in UAs from luteal (n= 12), follicular (n= 8), and pregnant (n= 12) sheep. A, UAendo samples represent endothelium (i.e. mechanically isolated tunica intima). B, UA VSM samples are denuded vessels that have had their endothelium removed leaving the basal lamina and VSM. Samples from luteal, follicular and pregnant sheep are expressed as fold of the average of all luteal samples run on the same Western blots. Data are means ±S.E.M. Means with different letter superscripts are statistically different (P < 0.05) within a tissue preparation. Representative Western immunoblots are shown above for ER and ER at molecular weights of 67 and 59 kDa, respectively. The UA VSM immunoblots were reprobed for smooth muscle myosin and showed homogeneity of protein loading.
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Effects of ovariectomy and hormone replacement therapy (HRT) on the expression of ER and ER protein in uterine artery endothelium and VSM
We then analysed ER and ER expression in UAendo and UA VSM from OVEX animals treated with vehicle or with E2, P4, and E2+ P4 (Figs 3 and 4). Data are expressed as folds of the average of the luteal samples run on the same blot. Ovariectomy did not alter ER levels in UAendo; however, E2 treatment resulted in a 2-fold increase (P < 0.001) in UAendo ER protein over luteal control and to levels significantly increased (P < 0.05) over the vehicle- and P4-treated sheep (Fig. 3A). Combination treatment of P4 and oestrogen partially attenuated the oestrogen-mediated rises in UAendo ER levels. In contrast to ER, the OVEX vehicle-treated animals had ER expression nearly half that of the luteal control (P < 0.01; Fig. 3B). ER in the UAendo of the E2, P4, and E2+ P4 animals was significantly higher than that of luteal levels (P < 0.01, P < 0.05, P < 0.001, respectively) as well as the OVEX vehicle-treated sheep (P < 0.01, P < 0.01, P < 0.001, respectively). The E2+ P4-treated animals showed further elevation in UAendo ER over both the animals treated with either E2 (P < 0.01) or P4 (P < 0.05) alone, which were similar (P > 0.05).
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Western blot analysis was performed to compare the relative levels of ER and ER protein in luteal (n= 12) versus OVEX sheep treated with vehicle (n= 4), E2 (n= 7), P4 (n= 4) or E2+ P4 (n= 5). OVEX samples are expressed as fold of the average of the luteal samples run on the same Western blot. Data are means ±S.E.M. Means with different letters are statistically different (P < 0.05). Representative Western immunoblots are shown for ER and ER at molecular weights of 67 and 59 kDa, respectively.
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Western blot analysis was performed to compare the relative expression of ER and ER protein in luteal (n= 12) versus OVEX sheep treated with vehicle (n= 4), E2 (n= 7), P4 (n= 4) or E2+ P4 (n= 5). OVEX samples are expressed as a fold of the average of all the luteal samples runs on the same Western blot. Data are means ±S.E.M. Means with different letters are statistically different (P < 0.05). Representative Western immunoblots are shown for ER and ER at molecular weights of 67 and 59 kDa, respectively. These UA VSM immunoblots were reprobed for smooth muscle myosin (SMM) and show homogeneity of protein loading.
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Figure 4A illustrates ER UA VSM expression in luteal versus OVEX sheep treated with vehicle, E2, P4, or E2+ P4. ER UA VSM protein expression in vehicle-treated OVEX sheep was nearly 2.5-fold higher than the luteal control (P < 0.001). ER UA VSM was unaltered by oestrogen treatment, and thus remained significantly elevated compared to luteal phase UA VSM (P < 0.05). By contrast, P4 and P4 + E2 decreased UA VSM ER (P < 0.01) compared to OVEX vehicle and oestrogen treatment reaching luteal phase levels. Figure 4B illustrates ER VSM expression in luteal versus OVEX HRT sheep. As observed with ER, UA VSM ER levels in the OVEX vehicle and E2 were elevated 2.0-fold over luteal controls (P < 0.001). Treatment with P4 significantly decreased UA VSM ER compared to both vehicle (P < 0.01) and E2 treatments (P < 0.05). UA VSM ER remained partially elevated in the E2+ P4-treated animals.
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In these OVEX HRT studies we also evaluated OAendo and OA VSM ER levels from the same animals. In contrast to UAendo, OAendo ER levels were unaltered (P > 0.05) by OVEX or HRT, ER and ER, respectively, averaging 0.82 ± 0.06 and 1.09 ± 0.04 OVEX as a fold of luteal levels. By contrast to UA VSM, OA VSM ER levels were substantially reduced (P > 0.01) in OVEX ewes, ER and ER, respectively, averaging only 0.06 ± 0.01 and 0.28 ± 0.02 OVEX as a fold of luteal levels. HRT did not alter OA VSM ER levels showing that the UA responses were specific to that vascular bed (P > 0.05). All of the UA and OA VSM immunoblots were reprobed for smooth muscle myosin and showed homogeneity of protein loading.
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Effects of reproductive state on the expression of ER, ER and eNOS protein in reproductive versus non-reproductive endothelium
Changes in UAendo ER, ER, and eNOS protein were also compared to other reproductive endothelia, i.e. mammary (MAendo) and placental (PAendo) as well as various non-reproductive endothelia, omental (OAendo), renal (RAendo), and coronary (CAendo). In contrast to the 1.5-fold higher UAendo ER in follicular versus luteal UAendo there was no significant ER change in any other endothelial preparation from follicular or pregnant sheep (Fig. 5A). Besides UAendo, when compared to luteal endothelium, ER was not significantly changed in any of the follicular endothelial preparations (P > 0.05) that were surveyed (Fig. 5B). In contrast, during pregnancy, all three reproductive endothelial tissues displayed significantly increased ER expression. Specifically, UAendo ER from the pregnant group was increased 1.6-fold (P < 0.01) and MAendo 1.5-fold (P < 0.01) over luteal controls. Placental endothelial ER was 2.3-fold higher than luteal UAendo and clearly higher than pregnant UAendo. Since PAendo ER was lower than luteal UAendo it appears that ER may be the primary ER in the placental vasculature. The only non-reproductive tissue in which ER changed significantly was CAendo from pregnant sheep, which rose 1.5-fold (P < 0.05) over luteal. In MAendo and CAendo follicular phase levels of ER were intermediate and thus not significantly different from either luteal or pregnant levels.
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Western blot analysis was performed to evaluate the relative levels of ER and ER protein in luteal, follicular, and pregnant sheep reproductive and non-reproductive endothelia. Samples from luteal, follicular and pregnant sheep are expressed as fold of the average of all luteal samples within an artery type, run on the same Western blots. Expression of PAendo is given as fold of the average luteal UAendo also run on the same blot. Treatment groups: luteal: uterine (n= 12), mammary (n= 5), omental (n= 7), renal (n= 6), coronary (n= 7). Follicular: uterine (n= 8), mammary (n= 5), omental (n= 8), renal (n= 6), coronary (n= 8). Pregnant: uterine (n= 12), mammary (n= 6), placental (n= 8) omental (n= 8), renal (n= 8), coronary (n= 8). Data are means ±S.E.M. Means with different letters are statistically different (P < 0.05) within a tissue preparation. ER UAendo: Lut < Fol (P < 0.05), For ER UAendo: Lut < Fol (P < 0.05) and Lut < Preg (P < 0.001); MAendo: Lut < Preg (P < 0.01); CAendo: Lut < Preg (P < 0.05).*For ER: PAendo < Luteal UAendo but for ER PAendo > Luteal UAendo (P < 0.05).
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With regards to protein levels of eNOS, an endothelial marker that is consistently and substantially higher with physiological states of elevated UBF, in the follicular phase UAendo eNOS was elevated over luteal by 4.2-fold (P < 0.001) and during pregnancy by 5.8-fold (P < 0.001) (Fig. 6). However, eNOS protein was barely detectable in UA VSM samples, and was not significantly changed with reproductive state (data not shown). No other significant changes in eNOS levels were observed in any of the other reproductive or non-reproductive endothelia. These data are consistent with our previous reports (Magness et al. 1997, 2001; Vagnoni et al. 1998; Vagnoni & Magness, 1998) in uterne versus omental and renal arteries. We did not previously report the regulation of eNOS in PAendo, MAendo, or CAendo in these three physiological states. The fact that eNOS did not change in these vessels speaks of the uniqueness of the uterine vasculature and validates the physiological state of the animals.
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Western blot analysis was performed to compare the relative expression of eNOS protein in luteal, follicular and pregnant sheep in reproductive and non-reproductive endothelium. Samples from luteal, follicular and pregnant sheep are expressed as fold of the average of all luteal samples within an artery type, run on the same Western blots. Expression of PAendo is given as fold of the average luteal UAendo also run on the same blot. Treatment groups: luteal: uterine (n= 12), mammary (n= 5), omental (n= 7), renal (n= 6), coronary (n= 7). Follicular: uterine (n= 8), mammary (n= 5), omental (n= 8), renal (n= 6), coronary (n= 8). Pregnant: uterine (n= 12), mammary (n= 6), placental (n= 8), omental (n= 8), renal (n= 8), coronary (n= 8). Data are means ±S.E.M. Means with different letters are statistically different (P < 0.05) within a tissue preparation. UAendo: Lut < Fol (P < 0.001), Lut < Preg (P < 0.001). A representative Western immunoblot is shown above for eNOS at a molecular weight of 140 kDa.
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Discussion
Rises in UBF with exogenous oestrogen treatment and during the follicular phase and pregnancy appear to be partly mediated by elevations in endogenous oestrogen levels (Anderson et al. 1977; Ford et al. 1982; Magness & Rosenfeld, 1989a; Magness et al. 1991; Magness, 1998; Gibson et al. 2004). A physiological role for ERs to regulate UBF via an NO-mediated mechanism is deduced from studies demonstrating that the ER receptor antagonist ICI 182 780 and the NOS inhibitor L-NAME both partially, but also similarly, lower the UBF elevated in OVEX sheep with exogenous oestrogen treatment or in follicular and pregnant sheep (Van Buren et al. 1992; Rosenfeld et al. 1996; Magness et al. 1997, 2001; Gibson et al. 2004; Magness et al. 2005). We have not collected data ourselves about the remaining 30–40% of UBF that cannot be inhibited by L-NAME. However this might be due to calcium-activated potassium channels expressed on uterine VSM myocytes (Rosenfeld et al. 2000, 2002). Rosenfeld found that the combination of an inhibitor of BKCa (calcium-activated potassium channel) tetraethylammonium and L-NAME completely inhibited the E2induced rise in UBF in OVEX ewes, which suggests the involvement of endothelium-derived hyperpolarizing factor (EDHF).
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Treatment of UAECs in culture with E2 increases de novo NO production via an ER mediated mechanism, since it is completely blocked by both L-NAME and ICI 182 780 (Chen et al. 2004). In the current studies we observed that both ER and ER mRNAs are expressed in UAendo and VSM using in situ hybridization (Fig. 1). These data are consistent with ER protein expression observed using IHC in this (data not shown) and our recent reports in ovine UAendo (Chen et al. 2004; Liao et al. 2005). Thus both the UAendo and UA VSM indeed are target sites for the actions of oestrogen on the uterine vasculature. However because eNOS is localized in the endothelium rather then the VSM (Magness et al. 1997; Vagnoni et al. 1998), the specific eNOS/NO component of the oestrogen-mediated rises in UBF occurs via an ER-mediated mechanism at the level of the UAendo more so than the VSM. In addition, nuclear and extra-nuclear ER staining ex vivo was observed, suggesting both traditional genomic signalling as well as novel, acute extra-nuclear cell signalling are present in vivo as we have demonstrated in cultured UAEC studies (Chen et al. 2004; Liao et al. 2005). ERs are after all, transcription factors, and in vascular cells ERs mediate oestrogen regulation of the expression of a number of target genes, which in turn mediate the direct long-term or genomic effect of oestrogen on vascular tissue (Mendelsohn & Karas, 1999). The promoter region of the human (Venema et al. 1994) and sheep (Genebank accession no. AY684193) eNOS genes contains multiple half-palindromic oestrogen responsive elements (EREs), suggesting ER-mediated actions on eNOS gene expression in UA endothelial cells. In this regard, we confirmed our previous observations that UAendo eNOS is elevated in the follicular phase (4.2-fold), pregnancy (5.8-fold) (Fig. 6), and with progesterone (2.6-fold), oestrogen (5.4-fold) and combination treatment (7.5-fold) (VEH < P4 << E2B = E2B + P4; not shown) (Magness et al. 1997, 2001; Vagnoni et al. 1998; Rupnow et al. 2001). These data are specifically shown because these well-described changes in eNOS fully validate the UAendo preparations as reflections of the true physiological/HRT status. The data presented herein clearly demonstrate for the first time that the levels of ERs are indeed spatially and differentially regulated in the UAendo and/or UA VSM during physiological states of elevated oestrogen or with HRT.
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Western analysis revealed that during the follicular phase ER and ER were elevated in the UAendo, but not UA VSM. These data support the premise that ovarian steroids maintain and regulate UAendo ER expression. We also observed that in UAendo ER, but not ER protein was substantially reduced in OVEX vehicle sheep compared to luteal phase sheep (Fig. 3B). Although it is unknown if ER or ER, or both mediate the oestrogen-induced rise in UBF, the fall in UAendo ER with OVEX may partly explain the reduced E2mediated uterine vasodilatory responses observed in OVEX versus ovary intact sheep (Gibson et al. 2004). The alteration in UAendo ERs was due to removal of ovarian-derived oestrogen or progesterone since HRT restored and/or elevated the ER levels. Unlike ER, UAendo ER regulation appeared to be responsive to both oestrogen and progesterone and the combination caused an even greater rise in this receptor. Alternatively, Byers et al. (1997) reported that the preovulatory gonadotropin surge in cycling rats dramatically down-regulated ER mRNA in the ovary. Circulating gonadotropin levels in our OVEX ewes would be elevated, due to a lack of ovarian negative feedback to the hypothalamus (Karsch et al. 1973), possibly also down-regulating ER levels in UAendo. This is plausible, but untested, given that Toth et al. (2001) demonstrated the presence of LH/hCG receptors in UA endothelium.
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During pregnancy, a state of elevated oestrogen and progesterone, only minor changes in ER were noted, whereas ER was significantly increased in both UAendo, but even more so in UA VSM. This substantial rise in UA VSM ER (in the presence of constitutive levels of ER) may have functional implications with regard to the fact that the uterine vascular bed has reduced vasoconstrictor responses during pregnancy (Magness, 1998 for review) and also that UA VSM undergoes dramatic concentric local remodelling during gestation via processes of hypertrophy and hyperplasia (Cipolla & Osol, 1994; Hammer & Cipolla, 2005). There are no studies defining the roles of ER and/or ER in these important uterine vascular adaptations noted during pregnancy. The explicit role of ER subtypes in the entire cardiovascular system has been difficult to assess due to the lack of specific ER receptor subtype antagonists. However some information can be gleaned from genetic knock-out (KO) studies. ER KO mice develop age-dependent hypertension with males showing greater disease progression, demonstrating a role for ovarian steroids, and in particular oestrogen, to maintain reduced constrictor responses in the vasculature via ER (Zhu et al. 2002). In other studies, when wild-type mice were subject to carotid vascular injury, the levels of ER were elevated in the underlying VSM during the healing/remodelling process (Lindner et al. 1998). However when experiments were performed with a truly valid KO model, E2 conferred its vascular protective effect (i.e. reduced medial thickening and VSM proliferation index) via ER (Pare et al. 2002) rather then ER (Karas et al. 2001).
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In contrast to UAendo, UAVSM from OVEX ewes (vehicle and E2) had elevated ER and ER levels compared to luteal phase sheep, demonstrating spatial regulation different from that of the UAendo. In contrast, OA VSM from OVEX sheep showed substantial reductions in both ER and ER levels which were unaltered by HRT (data not shown). The elevated UA VSM ER levels were reduced by progesterone (Fig. 4). Considering that pregnancy is characterized by high levels of oestrogen and progesterone it was surprising that ER in the UA VSM was not regulated by pregnancy and ER expression was dramatically elevated (Fig. 2). Thus unlike the OVEX HRT model, pregnancy may regulate UA VSM ERs via mechanisms other than placental-derived oestrogen and progesterone. This suggestion needs to also be considered in light of the fact that the OVEX sheep were steroid treated for only 10 days and the UAs from pregnant sheep were from late gestation animals (120–130 days).
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There are aspects of the HRT studied that did mimic the endogenous steroid hormone effects. In contrast to the UA VSM, the UAendo showed follicular rises in ER (Fig. 2) that were similar to the E2induced rise in ER and the latter was partially attenuated by progesterone combination to intermediate levels similar to luteal-, vehicle- or progesterone-alone-treated OVEX sheep (Fig. 3). Moreover, ER is significantly elevated in follicular and pregnant sheep (Fig. 2), and also in OVEX sheep with exposure of oestrogen, progesterone, or its combination for 10 days (Fig. 3). Thus, the ER and ER levels in vivo are regulated spatially and differentially in UAendo versus UA VSM by ovarian steroids. Our observations are in part consistent with uterine tissue studies by Wu et al. (1996), who showed that combination oestrogen and progesterone infusion into OVEX ewes down-regulates ER mRNA in myometrium and endometrium. Similar results were seen in OVEX rats treated with progesterone, i.e. ER, but not ER, mRNA fell in uterine extracts, returning to control levels after removal of the progesterone implant (Rosser et al. 1993; Murata et al. 2003). Spencer & Bazer (1995) and Zheng et al. (1996) also demonstrated ER regulation, finding that in cycling and pregnant ewes, steady state levels of endometrial and myometrial ER mRNA are modulated by the endocrine status of the animal. Collectively, these data suggest that uterine ER gene expression is regulated in a tissue- and even a cell type-specific manner during the oestrous cycle and pregnancy and that local UAendo ER changes may partly regulate responsiveness to the vasoactive effects of exogenous and endogenous oestrogen levels.
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While others have shown multiple tissue comparisons (Kuiper et al. 1997; Taylor & Al-Azzawi, 2000) or partial surveys of vascular ER expression (Orimo et al. 1993; Karas et al. 1994; Losordo et al. 1994; Venkov et al. 1996; Kim-Schulze et al. 1996; Caulin-Glaser et al. 1996; Hodges et al. 2000; Andersson et al. 2001), this is the first study in which the endothelial isolated proteins were extensively studied with regard to endocrine status of the animal. Although ER was readily detectable in the vessels tested, none of the other reproductive or non-reproductive endothelia surveyed except UAendo and PAendo had ER levels that were different relative to luteal phase expression (Fig. 5). ER levels also were not altered by physiological state in RAendo and OAendo. The observation that both ERs are not altered in OAendo by the ovarian cycle, OVEX or HTR may have functional significance in that we have demonstrated that whereas oestrogen profoundly increases UBF 10- to 20-fold in as little as 2 h, omental blood flow was unaltered (Magness & Rosenfeld, 1989a; Magness et al. 1998, 2005). It is noteworthy that ER was indeed elevated by pregnancy in the three reproductive endothelia (UA, MA and PA), but also CAendo and that follicular ER levels were similar to pregnancy levels in UA, MA and CA. Thus CA was the only non-reproductive endothelium to show ER regulation and suggests a more ubiquitous role for this receptor subtype in the mammalian vasculature especially in lieu of the observation that ER KO mice develop age-dependent hypertensive cardiovascular disease (Zhu et al. 2002). The finding that ER in CAendo is increased in pregnancy is particularly intriguing, given the substantial increases in cardiac output, heart rate and stroke volume and the profound decrease in systemic vascular resistance observed during normal pregnancy (Magness, 1998; Elkayam et al. 2001). Furthermore, blood flows to the vascular beds surveyed are differentially affected by exogenous E2 treatment, i.e. elevated in the uterine, mammary, and coronary, but not omental or renal (Magness et al. 1998; Rosenfeld et al. 1973, 1976). Moreover, oestrogen-induced rises in UBF (Van Buren et al. 1992; Rosenfeld et al. 1996; Gibson et al. 2004), coronary blood flow (Lang et al. 2000) and mammary blood flow (Mershon et al. 2002) are attenuated by treatment with the NOS inhibitor L-NAME. In this regard, eNOS was only up-regulated in the UAendo during folliculogenesis and pregnancy, though it is present in all the reproductive and non-reproductive endothelia tested (Fig. 6), suggesting elevations in eNOS activation and thus NO production rather then elevations in eNOS capacity may be more important in CA and MA endothelia. These data also reinforce the unique nature of the UAendo versus other vascular beds as a tissue highly responsive to oestrogen.
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In summary, the current study provides clear evidence of ER and ER expression in various vascular beds implicating direct effects of oestrogen on the vascular wall of reproductive and non-reproductive arteries. We also investigated regulation of ER protein expression in the endothelium versus the VSM during physiological states of elevated endogenous oestrogen (i.e. the ovarian cycle and pregnancy) and with exogenous HRT in OVEX sheep. In UAendo, but not UA VSM, ER and ER levels were elevated during the follicular phase. However, pregnancy only elevated ER in both UAendo and UA VSM. OVEX substantially reduced UAendo ER, but not UAendo ER or either ER in OAendo. In contrast, ER and ER were increased in UA VSM, but were decreased in OA VSM. In OVEX ewes UAendo ER levels were increased by E2 treatment whereas UAendo ER levels were elevated by E2 and progesterone treatment. During pregnancy, a state of elevated oestrogen and progesterone, ER levels were greater in uterine, mammary, placental, and coronary artery endothelia. Thus UA ER and ER expression levels depend on the endocrine status of the animal, demonstrating that UA endothelium is a target for oestrogen action in vivo, and that the two receptors appear to be differentially regulated in a spatial and temporal fashion with regard to the reproductive status or HRT. This differential regulation of both ER and ER expression in various reproductive and non-reproductive vascular beds by oestrogen implies an auto-regulation loop with regards to oestrogen actions in the cardiovascular system.
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2 Department of Pediatrics and Animal Sciences, Department of Obstetrics and Gynecology, University of Wisconsin–Madison, Atrium-B Meriter Hospital/Park, Madison, WI 53715, USA
Abstract
Pregnancy and the follicular phase are physiological states of elevated oestrogen levels and rises in uterine blood flow (UBF). The dramatic increase in utero-placental blood flow during gestation is required for normal fetal growth and development. Oestrogen exerts its vasodilatory effect by binding to its specific oestrogen receptors (ER) in target cells, resulting in increased expression and activity of endothelial nitric oxide synthase (eNOS) to relax vascular smooth muscle (VSM). However, the regulation of endothelial versus VSM ER and ER expression in uterine arteries (UAs) during the ovarian cycle, pregnancy and with exogenous hormone replacement therapy (HRT) are currently unknown. ER mRNA and protein localization was determined by in situ hybridization (ISH) using 35S-labelled riboprobes and immunohistochemistry (IHC), respectively. UA endothelial (UAendo), UA VSM, omental artery endothelium (OA endo), and OA VSM proteins were isolated and ER and ER protein expression was determined by Western analysis. We observed by ISH and IHC that ER and ER mRNA and protein were localized in both UAendo and UA VSM. Immunoblot data demonstrated ovarian hormone specific regulation of ER and ER protein in UAendo and UA VSM. Compared to luteal phase sheep, both ER and ER levels in UAendo were elevated in follicular phase sheep. Whereas ER was elevated by pregnancy in UAendo and UA VSM, ER was not appreciably altered. eNOS was increased in UAendo from follicular and pregnant sheep. Ovariectomized ewes (OVEX) had substantially reduced UAendo ER, but not UAendo ER or OAendo ER and ER. In contrast, OVEX increased UA VSM ER and ER and decreased OA VSM ER and ER. Treatment with oestradiol-17 (E2), but not progesterone or their combination, increased UAendo ER levels. The reduced ER in UAendo from OVEX ewes was reversed by E2 and progesterone treatment. While ER and eNOS were not elevated in any other reproductive or non-reproductive endothelia tested, ER was augmented by pregnancy in uterine, mammary, placenta, and coronary artery endothelia. ER and ER mRNA and protein are expressed in UA endothelium with expression levels depending on the endocrine status of the animal, indicating UA endothelium is a target for oestrogen action in vivo, and that the two receptors appear to be differentially regulated in a spatial and temporal fashion with regard to the reproductive status or HRT.
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Introduction
A pivotal physiological role of oestrogen to up-regulate uterine blood flow (UBF) during specific reproductive states has been demonstrated by studies showing a concomitant increase in circulating endogenous oestrogen levels and UBF in the follicular, but not luteal, phase of the oestrous cycle and during normal pregnancy in many species (Greiss & Anderson, 1969; Ford & Christenson, 1979; Ford et al. 1982; Magness et al. 1991; Magness, 1998; Gibson et al. 2004). In addition, UBF is increased by exogenous oestrogen treatment of ovariectomized and intact non-pregnant and pregnant sheep (Greiss & Anderson, 1970; Rosenfeld et al. 1973; Rosenfeld et al. 1974, 1976; Magness & Rosenfeld, 1989a,b; Magness, 1998; Gibson et al. 2004).
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During normal pregnancy, a physiological state in which both oestrogen and progesterone are elevated, UBF increases up to 20- to 50-fold in order to provide sufficient oxygen and nutrient supply to meet the developmental needs of the growing fetus (Magness & Zheng, 1996; Magness, 1998). Elevated uterine perfusion is clinically significant as shown in cases where insufficient UBF is associated with intrauterine growth retardation and severe neonatal morbidity due to an inadequate supply of oxygen and nutrients (reviewed in Magness, 1998). Recent evidence also is suggestive that oestrogen regulation of UBF is most likely achieved via direct local actions on the uterine, but not systemic (i.e. omental and renal), artery endothelia via binding to specific oestrogen receptors (ER and/or ER), to increase the expression and/or activity of endothelial nitric oxide synthase (eNOS) for an enhanced production of the potent vasodilator, nitric oxide (NO) (Van Buren et al. 1992; Rosenfeld et al. 1996; Magness et al. 1997, 2005; Vagnoni et al. 1998; Vagnoni & Magness, 1998; Salhab et al. 2000; Rosenfeld et al. 2003). In these studies, vascular smooth muscle (VSM) eNOS levels were quite low and unchanged by oestrogen treatment. Because infusion of oestrogen into ovariectomized (OVEX) ewes begins to increase UBF within 30 min and UBF is elevated more than 10-fold by 2 h (Magness & Rosenfeld, 1989a, b; Magness et al. 1998), these UBF responses to oestrogen may involve both acute non-genomic effects and chronic transcription-based gene expression at the level of the endothelium and VSM (Chen et al. 2004; Liao et al. 2005). This concept is supported by studies demonstrating that the NOS inhibitor N-nitro-L-arginine methyl ester (L-NAME), as well as the ER antagonist ICI 182 780 similarly reduced the elevated UBF in oestrogen-treated OVEX non-pregnant (NP) sheep (Van Buren et al. 1992; Rosenfeld et al. 1996; Magness et al. 2005), follicular phase sheep (Gibson et al. 2004; Magness et al. 2005), as well as late pregnant sheep (Miller et al. 1999; Magness et al. 2005). Although the effects of oestrogen in these vasodilatory processes are postulated to be mediated by specific ERs, the role of changes in ER levels in uterine arteries is unclear. The presence of ERs in uterine arteries has been documented by several groups (Lantta et al. 1983; Giambi et al. 1984; Batra & Iosif, 1987; Wu et al. 2000; Weihua et al. 2000) including our own laboratories (Chen et al. 2004; Liao et al. 2005).
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It has been shown previously that both the originally described ER (Green et al. 1986; Koike et al. 1987) and the more recently cloned ER (Kuiper et al. 1996) are both expressed in whole rat uterine tissue homogenates, with ER being the predominant isoform (Byers et al. 1997). However, it is not known specifically if either or both of these ERs are differentially regulated in uterine or systemic artery endothelium and VSM during physiological states of elevated oestrogen and/or progesterone. Consequently, their potential role in regulating UBF remains unclear.
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The hypothesis of the current study is that ER and ER, receptors known to be present in ovine uterine artery endothelium and VSM, are regulated by the reproductive state via alterations in ovarian/placental steroid (oestrogen/progesterone) levels in the animal. The specific objectives are to determine (1) if ER, ER and eNOS levels in uterine versus systemic artery endothelium and/or VSM are independently regulated in physiological states of elevated oestrogen (follicular), progesterone (luteal), or both (pregnancy), and (2) if exogenous infusion of ovarian steroids, oestrogen, progesterone or their combination will mimic such ER and ER changes in UAendo versus UA VSM.
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Methods
Isolation and preparation of arteries from sheep during the ovarian cycle and pregnancy
Mixed Western breed ovary-intact luteal (n= 12), follicular (n= 8), and pregnant (n= 12, gestational age = 125 ± 4) ewes were killed with intravenous pentobarbital sodium (50 mg kg–1). Procedures for animal handling and experimental protocols were approved by the University of Wisconsin–Madison Research Animal Care Committees of both the Medical School and the College of Agriculture and Life Sciences, and followed the recommended American Veterinary Medicine Association guidelines for killing of laboratory farm animals. Non-pregnant sheep were synchronized to the luteal (day 10–11) and follicular (day –1 to 0) phase as recently described (Gibson et al. 2004).
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We used the previously described and validated rapid isolation procedure to obtain endothelial-derived proteins devoid of VSM (Magness et al. 1997). Briefly, uterine, mammary, and placental (reproductive), omental, renal, and coronary (non-reproductive) arteries were excised, placed in phosphate-buffered saline (PBS: 8 mM sodium phosphate, 2 mM potassium phosphate, 0.15 M NaCl, pH 7.4; Sigma Chemical Co., St Louis, MO, USA), dissected free of connective tissue and rinsed free of blood. Portions of each artery type were opened longitudinally and the endothelium/tunica intima was gently scraped (3–6 times) from the artery and placed into lysis buffer (50 mM Tris, 0.15 M NaCl and 10 mM EDTA, pH 7.4, 0.1% Tween 20, 0.1%mercaptoethanol, 0.1 M phenylmethylsulphonyl floride, 5 μg ml–1 leupeptin, and 5 μg ml–1 aprotinin; all from Sigma) using a curved-end spatula, as previously described (Magness et al. 1997; Vagnoni et al. 1998). The remaining ‘scraped’ vessel was rubbed with a wet cotton swab and any remaining adventitia was completely removed before the denuded artery (VSM) was placed in lysis buffer. The endothelial-isolated proteins (endo) and denuded arteries (VSM) were snap frozen in liquid nitrogen immediately upon collection and were stored at –20°C. Thus UAendo samples represent an endothelial-enriched preparation that was mechanically scraped from the tunica media; UA VSM samples are denuded vessels that have had their endothelium removed leaving the basal lamina and VSM. Additional intact artery segments were collected for in situ hybridization and immunohistochemistry (IHC); they were fixed in 4% formaldehyde in sodium cacodylate buffer (0.1 M, pH = 7.4; EM Science, Fort Washington, PA, USA) for 24 h, and were then stored at 4°C in sodium cacodylate buffer containing 0.01% sodium azide until dehydration and placement into paraffin blocks.
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Prolonged oestrogen and progesterone treatment regime
Mixed western breed ewes (n= 20) were ovariectomized via a midventral laparotomy as previously described (Magness & Rosenfeld, 1989a,b; Magness et al. 1993; Vagnoni et al. 1998), and after at least 8–10 days of recovery, steroid replacement therapy was administered. For the oestrogen-treated ewes, an indwelling 19-gauge polyvinyl catheter was placed into the right ventricle via the jugular vein. Animals then received a 5 μg kg–1 bolus of E2 (Sigma) mixed in 3 ml (10–11% EtOH) of saline, then flushed with 5 ml of saline, followed immediately by 6 μg kg–1 day–1 continuous infusion in 9.5% EtOH in isotonic saline (0.0123 ml min–1) for 10 days. E2 was dissolved in 95% ethanol and stored at 4°C at a stock concentration of 1 mg ml–1. The E2 dose for treatment and the time for tissue collection were based on eNOS expression and haemodynamic responses as well as blood levels of E2 as determined in our previous studies (Magness & Rosenfeld, 1989a,b; Magness et al. 1993; Vagnoni et al. 1998; Rupnow et al. 2001). Progesterone (P4) was simultaneously administered using one controlled internal drug release (CIDR) implant with 0.3 g progesterone (Carter Holt Harvey Ltd, New Zealand) placed into the vagina of OVEX ewes for 10 days. Control ewes received vehicle (ethanol in saline) infusion and/or blank CIDR implants. With this protocol, circulating P4 levels are elevated in P4- and P4+ E2treated ewes when compared to vehicle- or E2alone-treated ewes and also higher then time 0 prior to beginning the steroid treatments. The levels of P4 achieved approximate luteal phase levels (1–3 ng ml–1). On day 10 of treatment the OVEX ewes were killed and the vessels isolated as described above.
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In situ hybridization
Intact artery segments were collected for in situ hybridization (Byers et al. 1997) by fixation in 4% formaldehyde in sodium cacodylate buffer (0.1 M, pH 7.4; EM Science, Fort Washington, PA, USA) for 24 h and then stored at 4°C in sodium cacodylate buffer containing 0.01% sodium azide until dehydration and placement into paraffin blocks. Then, 5 μm sections were cut and mounted onto slides. Paraffin mounted tissue sections were depariffinized, rehydrated, then permealized by incubation for 30 min in proteinase K (5 μg ml–1). Next, sections were briefly refixed in 4% paraformaldehyde, acetylated in 0.1 M TEA with acetic anhydride (0.25%), and then dehydrated. Antisense and sense [35S]UTP-labelled RNA probes were synthesized using SP6 or T7 RNA polymerase. The ER probe template was from a partial ovine cDNA sequence and the ER template was a partial bovine cDNA sequence (Spencer & Bazer, 1995). The RNA probe (1 x 107 c.p.m. ml–1) in hybridization buffer (ISH buffer; Sigma) was applied to the tissue sections and then overlaid with coverslips. Slides were hybridized in a humidified incubator at 50°C for 16–18 h. After hybridization, the coverslips were removed and sections were treated with RNase A (20 μg ml–1) for 30 min, washed in increasingly stringent solutions of saline–sodium citrate buffer (SSC; down to 0.1 x SSC) at 55°C, and dehydrated through an ethanol series. Slides were exposed to autoradiography film for 2–3 days then processed for liquid emulsion autoradiography using NTB-2 emulsion (Eastman Kodak, Rochester, NY, USA). Slides were developed using Kodak D-19 developer and fixer and stained with haematoxylin. Images are at 10x magnification. Protein localization was confirmed using immunohistochemistry (IHC) using methods we have previously described (Magness et al. 1997; Chen et al. 2004; Liao et al. 2005).
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Western blot analysis of ER, ER, and eNOS proteins
Total cell extracts (20 μg protein lane–1) were boiled in SDS sample buffer for 5 min, then electrophoresed on 12.5% SDS-PAGE gels for 100 min at 150 V. Separated proteins were then electrically (100 V, 30 min) transferred to a PVDF membrane (Magness et al. 1997). ER, ER, and eNOS protein were detected using specific antibodies of anti-human ER mAb (1 : 200, Neomarker Ab-7), anti-human ER pAb (1 : 3000, Santa Cruz H150) and eNOS mAb (1 : 10 000 Transduction Laboratories). Western blots for the VSM samples were reprobed for smooth muscle myosin (1 : 40 000, NeomarkerSM-M5) as a loading control. Non-specific binding was blocked with 5% fat-free milk in TBST (50 mM Tris-HCl, pH 7.5, 0.15 M NaCl, 0.05% Tween-20) for 2 h at room temperature, after which the membrane was incubated with appropriate amounts of primary antibodies in TBST + 1% BSA at room temperature for 1.5 h. Following five washes (1 x 5, 1 x 15, 3 x 5 min) with TBST, the membrane was incubated with anti-mouse or anti-rabbit peroxidase-conjugated IgG for 1 h, respectively. The membrane was washed five times with TBST, and bound antibodies were detected with the ECL+ reagents (Amersham) according to the manufacturer's instruction.
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Statistical analysis
All applicable data were analysed with 2-tailed Student's t tests or ANOVA as appropriate, assuming unequal variance. Data are presented as the means and standard error of the mean (S.E.M).
Results
Localization of ER and ER mRNA and protein
To determine the cellular (endothelium versus VSM) localization of ER and ER mRNAs in UAs, in situ hybridization was performed (n= 7) using 35S-labelled sense (control) or antisense riboprobes synthesized from specific ovine ER and bovine ER cDNAs (Fig. 1A and B). Hybridization with antisense probes revealed that ER and ER mRNA are both strongly expressed in the ovine UA endothelium seen as concentrated silver grains (darkfield) representing positive mRNA labelling along the lumen of the vessels. Widespread expression of the ERs was also observed throughout the tunica media. Furthermore, the basal lamina, which separates the endothelium and VSM, is shown to be devoid of both ER and ER mRNAs. Tissue sections subjected to hybridization with sense probes showed minimal background levels of ER and ER mRNAs. Because mRNA expression is not necessarily indicative of the mature ‘functional’ protein, immunohistochemistry (data not shown) was utilized to determine the cellular localization of ER and ER protein. As we have previously reported (Chen et al. 2004; Liao et al. 2005), ER and ER proteins were clearly seen in both the uterine artery endothelium and the VSM and as was the case in the mRNA localization, the basal lamina is completely devoid of ER protein. ER protein was expressed uniformly throughout the UA cells (non-nuclear and nuclear staining), whereas ER exhibited heavy, preferential nuclear staining, an observation consistent with reports in ovine fetal pulmonary endothelial cells (Chambliss et al. 2002) and UAECs (Liao et al. 2005).
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Uterine arteries from pregnant sheep were fixed and paraffin-embedded, and whole uterine artery sections (5 μM) were cut. Localization of ER and ER mRNAs was determined by in situ hybridization using 35S-labelled sense (Control) or antisense riboprobes synthesized from a specific ovine ER cDNA or bovine ER cDNA. Silver grains shown in darkfield images represent positive mRNA labelling. Images were taken at 10x magnification. Abbreviations: BL, basal lamina; EC, endothelial cell; L, lumen; VSM, vascular smooth muscle.
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Effects of reproductive state on the expression of ER and ER in uterine artery endothelium and VSM
We determined if ER and ER protein expression is quantitatively regulated in the UAendo and/or VSM during physiological states of elevated oestrogen (follicular phase and pregnancy) or progesterone (luteal phase and pregnancy) using Western blot analysis. Expression levels of the samples from luteal, follicular and pregnant sheep were expressed as a fold of the average of all luteal phase samples run on the same blots (Fig. 2). UAendo ER expression was elevated 1.5-fold (P < 0.05) in follicular compared to luteal UAendo. This rise in ER expression was specific to the endothelium since UA VSM levels were unchanged (P > 0.05) for follicular phase samples. Pregnancy did not significantly alter ER expression levels in either the endothelium or VSM, although UAendo ER levels in pregnancy and follicular phase samples were similar. As seen with ER, ER protein expression (Fig. 2) in the follicular UAendo, but not UA VSM, was significantly elevated. Pregnant UAendo (P < 0.01) ER expression showed a 1.6-fold rise over luteal controls. ER protein levels in VSM were unaltered by the follicular phase, but were significantly increased 3.2-fold of luteal phase UA VSM by pregnancy (P < 0.01). The UA VSM immunoblots were reprobed for smooth muscle myosin and showed homogeneity of protein loading. Specifically, smooth muscle myosin for the follicular phase and pregnant UA VSM averaged 1.0- and 1.1-fold of the luteal control, respectively. There was no significant difference between the three groups.
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Western blot analysis was performed to compare the relative expression levels of ER and ER protein in UAs from luteal (n= 12), follicular (n= 8), and pregnant (n= 12) sheep. A, UAendo samples represent endothelium (i.e. mechanically isolated tunica intima). B, UA VSM samples are denuded vessels that have had their endothelium removed leaving the basal lamina and VSM. Samples from luteal, follicular and pregnant sheep are expressed as fold of the average of all luteal samples run on the same Western blots. Data are means ±S.E.M. Means with different letter superscripts are statistically different (P < 0.05) within a tissue preparation. Representative Western immunoblots are shown above for ER and ER at molecular weights of 67 and 59 kDa, respectively. The UA VSM immunoblots were reprobed for smooth muscle myosin and showed homogeneity of protein loading.
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Effects of ovariectomy and hormone replacement therapy (HRT) on the expression of ER and ER protein in uterine artery endothelium and VSM
We then analysed ER and ER expression in UAendo and UA VSM from OVEX animals treated with vehicle or with E2, P4, and E2+ P4 (Figs 3 and 4). Data are expressed as folds of the average of the luteal samples run on the same blot. Ovariectomy did not alter ER levels in UAendo; however, E2 treatment resulted in a 2-fold increase (P < 0.001) in UAendo ER protein over luteal control and to levels significantly increased (P < 0.05) over the vehicle- and P4-treated sheep (Fig. 3A). Combination treatment of P4 and oestrogen partially attenuated the oestrogen-mediated rises in UAendo ER levels. In contrast to ER, the OVEX vehicle-treated animals had ER expression nearly half that of the luteal control (P < 0.01; Fig. 3B). ER in the UAendo of the E2, P4, and E2+ P4 animals was significantly higher than that of luteal levels (P < 0.01, P < 0.05, P < 0.001, respectively) as well as the OVEX vehicle-treated sheep (P < 0.01, P < 0.01, P < 0.001, respectively). The E2+ P4-treated animals showed further elevation in UAendo ER over both the animals treated with either E2 (P < 0.01) or P4 (P < 0.05) alone, which were similar (P > 0.05).
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Western blot analysis was performed to compare the relative levels of ER and ER protein in luteal (n= 12) versus OVEX sheep treated with vehicle (n= 4), E2 (n= 7), P4 (n= 4) or E2+ P4 (n= 5). OVEX samples are expressed as fold of the average of the luteal samples run on the same Western blot. Data are means ±S.E.M. Means with different letters are statistically different (P < 0.05). Representative Western immunoblots are shown for ER and ER at molecular weights of 67 and 59 kDa, respectively.
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Western blot analysis was performed to compare the relative expression of ER and ER protein in luteal (n= 12) versus OVEX sheep treated with vehicle (n= 4), E2 (n= 7), P4 (n= 4) or E2+ P4 (n= 5). OVEX samples are expressed as a fold of the average of all the luteal samples runs on the same Western blot. Data are means ±S.E.M. Means with different letters are statistically different (P < 0.05). Representative Western immunoblots are shown for ER and ER at molecular weights of 67 and 59 kDa, respectively. These UA VSM immunoblots were reprobed for smooth muscle myosin (SMM) and show homogeneity of protein loading.
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Figure 4A illustrates ER UA VSM expression in luteal versus OVEX sheep treated with vehicle, E2, P4, or E2+ P4. ER UA VSM protein expression in vehicle-treated OVEX sheep was nearly 2.5-fold higher than the luteal control (P < 0.001). ER UA VSM was unaltered by oestrogen treatment, and thus remained significantly elevated compared to luteal phase UA VSM (P < 0.05). By contrast, P4 and P4 + E2 decreased UA VSM ER (P < 0.01) compared to OVEX vehicle and oestrogen treatment reaching luteal phase levels. Figure 4B illustrates ER VSM expression in luteal versus OVEX HRT sheep. As observed with ER, UA VSM ER levels in the OVEX vehicle and E2 were elevated 2.0-fold over luteal controls (P < 0.001). Treatment with P4 significantly decreased UA VSM ER compared to both vehicle (P < 0.01) and E2 treatments (P < 0.05). UA VSM ER remained partially elevated in the E2+ P4-treated animals.
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In these OVEX HRT studies we also evaluated OAendo and OA VSM ER levels from the same animals. In contrast to UAendo, OAendo ER levels were unaltered (P > 0.05) by OVEX or HRT, ER and ER, respectively, averaging 0.82 ± 0.06 and 1.09 ± 0.04 OVEX as a fold of luteal levels. By contrast to UA VSM, OA VSM ER levels were substantially reduced (P > 0.01) in OVEX ewes, ER and ER, respectively, averaging only 0.06 ± 0.01 and 0.28 ± 0.02 OVEX as a fold of luteal levels. HRT did not alter OA VSM ER levels showing that the UA responses were specific to that vascular bed (P > 0.05). All of the UA and OA VSM immunoblots were reprobed for smooth muscle myosin and showed homogeneity of protein loading.
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Effects of reproductive state on the expression of ER, ER and eNOS protein in reproductive versus non-reproductive endothelium
Changes in UAendo ER, ER, and eNOS protein were also compared to other reproductive endothelia, i.e. mammary (MAendo) and placental (PAendo) as well as various non-reproductive endothelia, omental (OAendo), renal (RAendo), and coronary (CAendo). In contrast to the 1.5-fold higher UAendo ER in follicular versus luteal UAendo there was no significant ER change in any other endothelial preparation from follicular or pregnant sheep (Fig. 5A). Besides UAendo, when compared to luteal endothelium, ER was not significantly changed in any of the follicular endothelial preparations (P > 0.05) that were surveyed (Fig. 5B). In contrast, during pregnancy, all three reproductive endothelial tissues displayed significantly increased ER expression. Specifically, UAendo ER from the pregnant group was increased 1.6-fold (P < 0.01) and MAendo 1.5-fold (P < 0.01) over luteal controls. Placental endothelial ER was 2.3-fold higher than luteal UAendo and clearly higher than pregnant UAendo. Since PAendo ER was lower than luteal UAendo it appears that ER may be the primary ER in the placental vasculature. The only non-reproductive tissue in which ER changed significantly was CAendo from pregnant sheep, which rose 1.5-fold (P < 0.05) over luteal. In MAendo and CAendo follicular phase levels of ER were intermediate and thus not significantly different from either luteal or pregnant levels.
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Western blot analysis was performed to evaluate the relative levels of ER and ER protein in luteal, follicular, and pregnant sheep reproductive and non-reproductive endothelia. Samples from luteal, follicular and pregnant sheep are expressed as fold of the average of all luteal samples within an artery type, run on the same Western blots. Expression of PAendo is given as fold of the average luteal UAendo also run on the same blot. Treatment groups: luteal: uterine (n= 12), mammary (n= 5), omental (n= 7), renal (n= 6), coronary (n= 7). Follicular: uterine (n= 8), mammary (n= 5), omental (n= 8), renal (n= 6), coronary (n= 8). Pregnant: uterine (n= 12), mammary (n= 6), placental (n= 8) omental (n= 8), renal (n= 8), coronary (n= 8). Data are means ±S.E.M. Means with different letters are statistically different (P < 0.05) within a tissue preparation. ER UAendo: Lut < Fol (P < 0.05), For ER UAendo: Lut < Fol (P < 0.05) and Lut < Preg (P < 0.001); MAendo: Lut < Preg (P < 0.01); CAendo: Lut < Preg (P < 0.05).*For ER: PAendo < Luteal UAendo but for ER PAendo > Luteal UAendo (P < 0.05).
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With regards to protein levels of eNOS, an endothelial marker that is consistently and substantially higher with physiological states of elevated UBF, in the follicular phase UAendo eNOS was elevated over luteal by 4.2-fold (P < 0.001) and during pregnancy by 5.8-fold (P < 0.001) (Fig. 6). However, eNOS protein was barely detectable in UA VSM samples, and was not significantly changed with reproductive state (data not shown). No other significant changes in eNOS levels were observed in any of the other reproductive or non-reproductive endothelia. These data are consistent with our previous reports (Magness et al. 1997, 2001; Vagnoni et al. 1998; Vagnoni & Magness, 1998) in uterne versus omental and renal arteries. We did not previously report the regulation of eNOS in PAendo, MAendo, or CAendo in these three physiological states. The fact that eNOS did not change in these vessels speaks of the uniqueness of the uterine vasculature and validates the physiological state of the animals.
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Western blot analysis was performed to compare the relative expression of eNOS protein in luteal, follicular and pregnant sheep in reproductive and non-reproductive endothelium. Samples from luteal, follicular and pregnant sheep are expressed as fold of the average of all luteal samples within an artery type, run on the same Western blots. Expression of PAendo is given as fold of the average luteal UAendo also run on the same blot. Treatment groups: luteal: uterine (n= 12), mammary (n= 5), omental (n= 7), renal (n= 6), coronary (n= 7). Follicular: uterine (n= 8), mammary (n= 5), omental (n= 8), renal (n= 6), coronary (n= 8). Pregnant: uterine (n= 12), mammary (n= 6), placental (n= 8), omental (n= 8), renal (n= 8), coronary (n= 8). Data are means ±S.E.M. Means with different letters are statistically different (P < 0.05) within a tissue preparation. UAendo: Lut < Fol (P < 0.001), Lut < Preg (P < 0.001). A representative Western immunoblot is shown above for eNOS at a molecular weight of 140 kDa.
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Discussion
Rises in UBF with exogenous oestrogen treatment and during the follicular phase and pregnancy appear to be partly mediated by elevations in endogenous oestrogen levels (Anderson et al. 1977; Ford et al. 1982; Magness & Rosenfeld, 1989a; Magness et al. 1991; Magness, 1998; Gibson et al. 2004). A physiological role for ERs to regulate UBF via an NO-mediated mechanism is deduced from studies demonstrating that the ER receptor antagonist ICI 182 780 and the NOS inhibitor L-NAME both partially, but also similarly, lower the UBF elevated in OVEX sheep with exogenous oestrogen treatment or in follicular and pregnant sheep (Van Buren et al. 1992; Rosenfeld et al. 1996; Magness et al. 1997, 2001; Gibson et al. 2004; Magness et al. 2005). We have not collected data ourselves about the remaining 30–40% of UBF that cannot be inhibited by L-NAME. However this might be due to calcium-activated potassium channels expressed on uterine VSM myocytes (Rosenfeld et al. 2000, 2002). Rosenfeld found that the combination of an inhibitor of BKCa (calcium-activated potassium channel) tetraethylammonium and L-NAME completely inhibited the E2induced rise in UBF in OVEX ewes, which suggests the involvement of endothelium-derived hyperpolarizing factor (EDHF).
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Treatment of UAECs in culture with E2 increases de novo NO production via an ER mediated mechanism, since it is completely blocked by both L-NAME and ICI 182 780 (Chen et al. 2004). In the current studies we observed that both ER and ER mRNAs are expressed in UAendo and VSM using in situ hybridization (Fig. 1). These data are consistent with ER protein expression observed using IHC in this (data not shown) and our recent reports in ovine UAendo (Chen et al. 2004; Liao et al. 2005). Thus both the UAendo and UA VSM indeed are target sites for the actions of oestrogen on the uterine vasculature. However because eNOS is localized in the endothelium rather then the VSM (Magness et al. 1997; Vagnoni et al. 1998), the specific eNOS/NO component of the oestrogen-mediated rises in UBF occurs via an ER-mediated mechanism at the level of the UAendo more so than the VSM. In addition, nuclear and extra-nuclear ER staining ex vivo was observed, suggesting both traditional genomic signalling as well as novel, acute extra-nuclear cell signalling are present in vivo as we have demonstrated in cultured UAEC studies (Chen et al. 2004; Liao et al. 2005). ERs are after all, transcription factors, and in vascular cells ERs mediate oestrogen regulation of the expression of a number of target genes, which in turn mediate the direct long-term or genomic effect of oestrogen on vascular tissue (Mendelsohn & Karas, 1999). The promoter region of the human (Venema et al. 1994) and sheep (Genebank accession no. AY684193) eNOS genes contains multiple half-palindromic oestrogen responsive elements (EREs), suggesting ER-mediated actions on eNOS gene expression in UA endothelial cells. In this regard, we confirmed our previous observations that UAendo eNOS is elevated in the follicular phase (4.2-fold), pregnancy (5.8-fold) (Fig. 6), and with progesterone (2.6-fold), oestrogen (5.4-fold) and combination treatment (7.5-fold) (VEH < P4 << E2B = E2B + P4; not shown) (Magness et al. 1997, 2001; Vagnoni et al. 1998; Rupnow et al. 2001). These data are specifically shown because these well-described changes in eNOS fully validate the UAendo preparations as reflections of the true physiological/HRT status. The data presented herein clearly demonstrate for the first time that the levels of ERs are indeed spatially and differentially regulated in the UAendo and/or UA VSM during physiological states of elevated oestrogen or with HRT.
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Western analysis revealed that during the follicular phase ER and ER were elevated in the UAendo, but not UA VSM. These data support the premise that ovarian steroids maintain and regulate UAendo ER expression. We also observed that in UAendo ER, but not ER protein was substantially reduced in OVEX vehicle sheep compared to luteal phase sheep (Fig. 3B). Although it is unknown if ER or ER, or both mediate the oestrogen-induced rise in UBF, the fall in UAendo ER with OVEX may partly explain the reduced E2mediated uterine vasodilatory responses observed in OVEX versus ovary intact sheep (Gibson et al. 2004). The alteration in UAendo ERs was due to removal of ovarian-derived oestrogen or progesterone since HRT restored and/or elevated the ER levels. Unlike ER, UAendo ER regulation appeared to be responsive to both oestrogen and progesterone and the combination caused an even greater rise in this receptor. Alternatively, Byers et al. (1997) reported that the preovulatory gonadotropin surge in cycling rats dramatically down-regulated ER mRNA in the ovary. Circulating gonadotropin levels in our OVEX ewes would be elevated, due to a lack of ovarian negative feedback to the hypothalamus (Karsch et al. 1973), possibly also down-regulating ER levels in UAendo. This is plausible, but untested, given that Toth et al. (2001) demonstrated the presence of LH/hCG receptors in UA endothelium.
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During pregnancy, a state of elevated oestrogen and progesterone, only minor changes in ER were noted, whereas ER was significantly increased in both UAendo, but even more so in UA VSM. This substantial rise in UA VSM ER (in the presence of constitutive levels of ER) may have functional implications with regard to the fact that the uterine vascular bed has reduced vasoconstrictor responses during pregnancy (Magness, 1998 for review) and also that UA VSM undergoes dramatic concentric local remodelling during gestation via processes of hypertrophy and hyperplasia (Cipolla & Osol, 1994; Hammer & Cipolla, 2005). There are no studies defining the roles of ER and/or ER in these important uterine vascular adaptations noted during pregnancy. The explicit role of ER subtypes in the entire cardiovascular system has been difficult to assess due to the lack of specific ER receptor subtype antagonists. However some information can be gleaned from genetic knock-out (KO) studies. ER KO mice develop age-dependent hypertension with males showing greater disease progression, demonstrating a role for ovarian steroids, and in particular oestrogen, to maintain reduced constrictor responses in the vasculature via ER (Zhu et al. 2002). In other studies, when wild-type mice were subject to carotid vascular injury, the levels of ER were elevated in the underlying VSM during the healing/remodelling process (Lindner et al. 1998). However when experiments were performed with a truly valid KO model, E2 conferred its vascular protective effect (i.e. reduced medial thickening and VSM proliferation index) via ER (Pare et al. 2002) rather then ER (Karas et al. 2001).
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In contrast to UAendo, UAVSM from OVEX ewes (vehicle and E2) had elevated ER and ER levels compared to luteal phase sheep, demonstrating spatial regulation different from that of the UAendo. In contrast, OA VSM from OVEX sheep showed substantial reductions in both ER and ER levels which were unaltered by HRT (data not shown). The elevated UA VSM ER levels were reduced by progesterone (Fig. 4). Considering that pregnancy is characterized by high levels of oestrogen and progesterone it was surprising that ER in the UA VSM was not regulated by pregnancy and ER expression was dramatically elevated (Fig. 2). Thus unlike the OVEX HRT model, pregnancy may regulate UA VSM ERs via mechanisms other than placental-derived oestrogen and progesterone. This suggestion needs to also be considered in light of the fact that the OVEX sheep were steroid treated for only 10 days and the UAs from pregnant sheep were from late gestation animals (120–130 days).
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There are aspects of the HRT studied that did mimic the endogenous steroid hormone effects. In contrast to the UA VSM, the UAendo showed follicular rises in ER (Fig. 2) that were similar to the E2induced rise in ER and the latter was partially attenuated by progesterone combination to intermediate levels similar to luteal-, vehicle- or progesterone-alone-treated OVEX sheep (Fig. 3). Moreover, ER is significantly elevated in follicular and pregnant sheep (Fig. 2), and also in OVEX sheep with exposure of oestrogen, progesterone, or its combination for 10 days (Fig. 3). Thus, the ER and ER levels in vivo are regulated spatially and differentially in UAendo versus UA VSM by ovarian steroids. Our observations are in part consistent with uterine tissue studies by Wu et al. (1996), who showed that combination oestrogen and progesterone infusion into OVEX ewes down-regulates ER mRNA in myometrium and endometrium. Similar results were seen in OVEX rats treated with progesterone, i.e. ER, but not ER, mRNA fell in uterine extracts, returning to control levels after removal of the progesterone implant (Rosser et al. 1993; Murata et al. 2003). Spencer & Bazer (1995) and Zheng et al. (1996) also demonstrated ER regulation, finding that in cycling and pregnant ewes, steady state levels of endometrial and myometrial ER mRNA are modulated by the endocrine status of the animal. Collectively, these data suggest that uterine ER gene expression is regulated in a tissue- and even a cell type-specific manner during the oestrous cycle and pregnancy and that local UAendo ER changes may partly regulate responsiveness to the vasoactive effects of exogenous and endogenous oestrogen levels.
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While others have shown multiple tissue comparisons (Kuiper et al. 1997; Taylor & Al-Azzawi, 2000) or partial surveys of vascular ER expression (Orimo et al. 1993; Karas et al. 1994; Losordo et al. 1994; Venkov et al. 1996; Kim-Schulze et al. 1996; Caulin-Glaser et al. 1996; Hodges et al. 2000; Andersson et al. 2001), this is the first study in which the endothelial isolated proteins were extensively studied with regard to endocrine status of the animal. Although ER was readily detectable in the vessels tested, none of the other reproductive or non-reproductive endothelia surveyed except UAendo and PAendo had ER levels that were different relative to luteal phase expression (Fig. 5). ER levels also were not altered by physiological state in RAendo and OAendo. The observation that both ERs are not altered in OAendo by the ovarian cycle, OVEX or HTR may have functional significance in that we have demonstrated that whereas oestrogen profoundly increases UBF 10- to 20-fold in as little as 2 h, omental blood flow was unaltered (Magness & Rosenfeld, 1989a; Magness et al. 1998, 2005). It is noteworthy that ER was indeed elevated by pregnancy in the three reproductive endothelia (UA, MA and PA), but also CAendo and that follicular ER levels were similar to pregnancy levels in UA, MA and CA. Thus CA was the only non-reproductive endothelium to show ER regulation and suggests a more ubiquitous role for this receptor subtype in the mammalian vasculature especially in lieu of the observation that ER KO mice develop age-dependent hypertensive cardiovascular disease (Zhu et al. 2002). The finding that ER in CAendo is increased in pregnancy is particularly intriguing, given the substantial increases in cardiac output, heart rate and stroke volume and the profound decrease in systemic vascular resistance observed during normal pregnancy (Magness, 1998; Elkayam et al. 2001). Furthermore, blood flows to the vascular beds surveyed are differentially affected by exogenous E2 treatment, i.e. elevated in the uterine, mammary, and coronary, but not omental or renal (Magness et al. 1998; Rosenfeld et al. 1973, 1976). Moreover, oestrogen-induced rises in UBF (Van Buren et al. 1992; Rosenfeld et al. 1996; Gibson et al. 2004), coronary blood flow (Lang et al. 2000) and mammary blood flow (Mershon et al. 2002) are attenuated by treatment with the NOS inhibitor L-NAME. In this regard, eNOS was only up-regulated in the UAendo during folliculogenesis and pregnancy, though it is present in all the reproductive and non-reproductive endothelia tested (Fig. 6), suggesting elevations in eNOS activation and thus NO production rather then elevations in eNOS capacity may be more important in CA and MA endothelia. These data also reinforce the unique nature of the UAendo versus other vascular beds as a tissue highly responsive to oestrogen.
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In summary, the current study provides clear evidence of ER and ER expression in various vascular beds implicating direct effects of oestrogen on the vascular wall of reproductive and non-reproductive arteries. We also investigated regulation of ER protein expression in the endothelium versus the VSM during physiological states of elevated endogenous oestrogen (i.e. the ovarian cycle and pregnancy) and with exogenous HRT in OVEX sheep. In UAendo, but not UA VSM, ER and ER levels were elevated during the follicular phase. However, pregnancy only elevated ER in both UAendo and UA VSM. OVEX substantially reduced UAendo ER, but not UAendo ER or either ER in OAendo. In contrast, ER and ER were increased in UA VSM, but were decreased in OA VSM. In OVEX ewes UAendo ER levels were increased by E2 treatment whereas UAendo ER levels were elevated by E2 and progesterone treatment. During pregnancy, a state of elevated oestrogen and progesterone, ER levels were greater in uterine, mammary, placental, and coronary artery endothelia. Thus UA ER and ER expression levels depend on the endocrine status of the animal, demonstrating that UA endothelium is a target for oestrogen action in vivo, and that the two receptors appear to be differentially regulated in a spatial and temporal fashion with regard to the reproductive status or HRT. This differential regulation of both ER and ER expression in various reproductive and non-reproductive vascular beds by oestrogen implies an auto-regulation loop with regards to oestrogen actions in the cardiovascular system.
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