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Molecular Human Reproduction, Vol. 5, No. 9, 789-796, September 1999
© 1999 European Society of Human Reproduction and Embryology


Molecular endocrinology

The decidualizing effect of progesterone may involve direct transcriptional activation of corticotrophin-releasing hormone from human endometrial stromal cells

A. Makrigiannakis1, A.N. Margioris2, E. Chatzaki1,4, E. Zoumakis1, G.P. Chrousos3 and A. Gravanis1,4

1 Departments of Pharmacology and 2 Clinical Chemistry, School of Medicine, University of Crete, Heraklion, Greece and 3 Developmental Endocrinology Branch, National Institutes of Health, Bethesda, MD, USA

Abstract

The hypothalamic neuropeptide corticotrophin-releasing hormone (CRH) is also produced by human endometrial cells and is directly involved in the decidualization process as a paracrine inducer. The aim of the present work was to examine the effect of progesterone, the main decidualizing factor, on endometrial CRH, in primary cultures of human endometrial stromal cells. The effect of progesterone was examined by measuring the effects of medroxyprogesterone acetate (MPA) on (i) the concentration of immunoreactive CRH in isolated human endometrial stromal cells and (ii) the activity of the CRH promoter in human endometrial stromal cells transfected with a 0.9 kb fragment of the 5'-flanking region of the human CRH gene coupled to luciferase reporter. The data show that MPA increased the production and secretion of immunoreactive CRH from stromal cells and induced the activity of the CRH promoter, both in a dose-dependent manner. These effects were partially reversed by a molar excess of the antiprogestin RU 486 and were completely abolished in the presence of 100 nmol/l of the cAMP inhibitor, Rp-cAMP. The effect of progesterone on the CRH promoter requires the existence of an intact CRH sequence since experiments carried out with a deleted palindromic cAMP response element (CRE: 5'-TGACGTCA) at –224 bp of the CRH promoter resulted in a complete loss of MPA effect. In conclusion, these data provide evidence that progesterone induces the transcription of CRH gene in human endometrial stroma. This effect coupled with the decidualizing properties of progesterone and CRH may indicate that progesterone and CRH form a decidualizing local pathway within the human endometrium.

CRF/corticotrophin-releasing hormone/decidualization/endometrium/progesterone

Notes

4 To whom correspondence should be addressed at: Department of Pharmacology, Medical School, University of Crete, Heraklion GR-711 10, Greece


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