Molecular Human Reproduction, Vol. 8, No. 1, 58-67,
January 2002
© 2002 European Society of Human Reproduction and Embryology
Uterine physiology |
Lactoferrin gene expression is estrogen responsive in human and rhesus monkey endometrium
1 Gene Regulation Group, Laboratory of Reproductive and Developmental Toxicology, National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, NC 27709, 2 Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Duke University Medical Center, Durham, NC 27710, 3 Department of APR, School of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina and 4 Division of Reproductive Sciences, Oregon Regional Primate Research Center, Beaverton, OR 97006, USA
| Abstract |
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We have previously shown that the estrogen responsiveness of the human lactoferrin gene in a transient transfection system is mediated through an imperfect estrogen response element (ERE) and a steroidogenic factor 1 binding element (SFRE) 26 bp upstream from ERE. Reporter constructs containing SFRE and ERE respond to estrogen stimulation in a dose-dependent manner, whereas mutations at either one of the response elements severely impaired the estrogen responsiveness. In this study, we demonstrated that estrogen receptor (ER
) binds to the human lactoferrin gene ERE and forms two complexes in an electrophoresis mobility shift assay (EMSA). These complexes could be supershifted by an antibody to ER
. We also showed that in normal cycling women, lactoferrin gene expression in the endometrium increases during the proliferative phase and diminishes during the luteal phase. This in-vivo study thus supported the finding from transient transfection experiments that the human lactoferrin gene expression is elevated in an environment with a high level of estrogen. The estrogen effect on lactoferrin gene expression in the rhesus monkey endometrium was studied by Western blotting and immunohistochemistry. The immunohistochemistry results showed that immunoreactive lactoferrin protein was not detectable in the untreated ovariectomized monkey endometrium, was elevated by estrogen treatment, and was suppressed by sequential, combined estrogen plus progesterone treatment. In conclusion, this study has shown that lactoferrin gene expression is responsive to estrogen in primate endometrium. endometrium/estrogen response element/human and monkey/lactoferrin/lactoferrin gene promoter
| Introduction |
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Lactoferrin, a non-haem iron-binding glycoprotein, was first discovered in milk and later found in the wet surface mucosa epithelium. It is a major protein in the secondary granules of neutrophils and is present in many biological secretions including the saliva, tears and semen (Sanchez et al., 1992
) binds COUP/ERE and forms stable complexes with a half-life of 30 min, whereas an interaction between COUP-TF and the DNA elements lasts only 5 min (Liu et al., 1993
activates the mouse lactoferrin gene readily in the transfection system and in the mouse uterus. During the mouse estrus cycle, lactoferrin content in the uterine epithelium fluctuates with the level of circulating estrogen (Newbold et al., 1992
As with the mouse lactoferrin gene, an imperfect ERE, located at similar position in the human lactoferrin gene, can be activated by estrogen in transiently transfected cells (Teng et al., 1992
). However, in the human lactoferrin gene, an additional element, Steroid Factor 1 Response Element (SFRE) (Yang and Teng, 1994
), located 26 bp upstream from the ERE, is involved in estrogen responsiveness (Yang et al., 1996
). Mutations at SFRE reduce the activity of ER
to 50% although the ERE remains intact. Also, an estrogen receptor-related receptor (ERR
1) binds to SFRE and is responsible for modulating the transcriptional activity mediated by ER
(Yang et al., 1996
; Zhang and Teng, 2000
). Therefore, estrogen regulation of the human lactoferrin gene appears to be subject to an additional level of fine-tuning as compared to the mouse (Teng et al., 1992
; Yang et al., 1996
).
Lactoferrin was observed in the human endometrium at various stages of menstrual cycle more than 30 years ago (Masson et al., 1968
; Tourville et al., 1970
). However, examination of lactoferrin expression in the human endometrium during the menstrual cycle by immunohistochemistry has yielded inconsistent results. It has been found to be highly expressed in the endometrium of both proliferative (Kelver et al., 1996
) or secretory phase (Tourville et al., 1970
; Walmer et al., 1995
). However, most of the studies were conducted with polyclonal rabbit anti-lactoferrin serum that may also react with other members of the transferrin gene family since they share 60100% sequence identity at certain regions of the protein (Pentecost and Teng, 1987
). The human studies have also been constrained by limited samples and variations among the human subjects. It has also been reported that lactoferrin gene expression in normal and pathological human endometrium is up-regulated by estrogen (Walmer et al., 1995
; Kelver et al., 1996
). The goal of the present study was to investigate human endometrium lactoferrin expression at various stages of the normal cycle in carefully staged tissue samples with a well-characterized antiserum to lactoferrin. In addition, we examined lactoferrin expression in the endometrium of rhesus monkey under experimentally controlled hormonal conditions.
| Materials and methods |
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Patient population and sample preparation
The inclusion criteria of women in the study and preparation of the endometrium samples have been described previously (Bush et al., 1998
Rhesus monkey sample preparation
Animal treatments and endometrial collection have been described previously (Slayden et al., 1993
). Briefly, sexually mature rhesus macaques (Macaca mulatta) were housed and cared for by the veterinary staff of the Oregon Regional Primate Research Center in accordance with the NIH Guide for the Care and Use of Laboratory Animals. Ovariectomy was performed by standard techniques. After ovariectomy, the monkeys were either left untreated to serve as controls, treated for 4 weeks with estradiol-17ß (E2) to provide estrogenized samples, or treated with E2 for 2 weeks, then E2 + progesterone for 2 subsequent weeks to provide artificial luteal phase samples. Tissues collected for Western blotting were cut freehand with a razor blade (2 mm thick), frozen in liquid propane and stored at 70°C until use. The frozen tissue samples were pulverized in liquid N2, then immediately homogenized in 5 volumes of RIPA lysis buffer [150 mmol/l NaCl, 0.1% (sodium dodecyl sulphate) SDS, 1% CHAPS, 1 mmol/l EDTA and 10 mmol/l TrisHCl at pH 7.4] containing a cocktail of protease inhibitors (0.5 mmol/l PMSF, 10 µg/ml aprotinin, 2 µg/ml pepstatin, 2 µg/ml leupeptin; Sigma, St Louis, MO, USA). After sonication with a Branson Sonifier (Ultrasonics Inc., Plain View, NY, USA), the samples were cleared by centrifugation at 10 000 g for 20 min. Aliquots of the clear supernatant were stored at 70°C until use. Tissues collected for histology and immunohistochemistry were fixed in 4% paraformaldehyde, embedded in paraffin, sectioned at 6 µm thickness and mounted on slides. Monkey prostate tissues were obtained from normal adult males during regularly scheduled Primate Center necropsies. Monkey milk was obtained from lactating females with a milk pump by standard procedures.
Nuclear protein preparation and EMSA
Nuclear protein enriched with ER
from human endometrial carcinoma RL95-2 cells (RL95-2) was prepared as previously described (Yang et al., 1996
). ER
was overexpressed in RL95-2 cells with expression vector (HEGO, a gift from Pierre Chambon, Paris, France) for 48 h before harvesting the cells and extracting the nuclear protein. Baculovirus expressed ER
(BV-ER
) was a gift from Malcom Parker (London, UK). The probes that were used in the electrophoresis mobility shift assay (EMSA) have been characterized (Teng et al., 1992
; Yang and Teng, 1994
) and the EMSA was performed as previously described (Liu and Teng, 1992
). The antibody to ER
was obtained from Abbott Laboratories (Abbott ER-ICA monoclonal H222 kit, Chicago, IL, USA).
Western blot analysis
Tissue extracts containing 25 µg of protein (BioRad Protein Assay Kit) from the prostate or endometrial samples of the human and monkey were examined in Western blot analysis. For antibody characterization, mouse lactoferrin (mLF) was isolated from the uterine fluid of an estrogen-treated mouse (Teng et al., 1986
). Bovine milk lactoferrin (bLF), human milk lactoferrin (hLF), and mouse transferrin (mTF) were obtained commercially (Sigma). The rabbit polyclonal antibodies, raised against mouse lactoferrin (mLF 8344), human lactoferrin (hLF 12484) and mouse transferrin (mTF), have been previously described (Teng et al., 1986
; Panella et al., 1991
). Proteins were loaded onto precast 412% BisTris NuPAGE gels and electrophoresed in a 1x MOPS buffer at 120 mA and 200 V for 1.25 h in a Novex XCell II Mini-Cell system (Novex, San Diego, CA). Proteins were transferred from the gel onto an Immobilon-P polyvinylidene difluoride (PDVF) membrane (Millipore) at 200 mA and 25 V for 2 h in a 1x NuPAGE transferring buffer containing 20% methanol. Immunodetections were carried out with an enhanced chemiluminescence (ECL) kit (Amersham) according to the manufacturer's specifications. Primary antibodies were diluted x10 000 and incubated with the protein blots overnight in the cold and with constant shaking. (For the transferrin antibody neutralization experiments, 10µg/ml of transferrin from either human or rat was included in the primary antibody interaction step.) After washing, the blots were incubated with diluted (x10 000) second antibody (donkey anti-rabbit IgG linked with horseradish peroxidase) for another hour before ECL detection. X-ray film was exposed to the blot for 1 min and developed in Konica SRX-101 developer (Tokyo, Japan).
IgG purification and immunohistochemistry staining
IgG fractions of the hLF 12484 and mLF 8344 were purified from the rabbit antiserum according to the IgG purification protocol from ImmunoPureTM IgG (Protein A) Purification Kit (Pierce, Rockford, IL. USA). The immunohistochemistry protocol was derived from the Histostain SP Kit for rabbit polyclonal antibody (Zymed Laboratories Inc., San Francisco, CA, USA). Briefly, the deparaffinized tissue sections were first circled with a PAP to define the area and all subsequent steps were carried out in a dark and humidified box. The tissue sections were blocked by two different blocking solutions: first the Pierce Peroxidase Suppressor to block the endogenous peroxidase activity and then another blocking solution supplied with the Kit to block non-specific interactions. The primary antibody, mLF 8344 IgG at a concentration of 10 µg/ml in phosphate-buffered saline containing either 1 mg/ml of bovine serum albumin (BSA) or rat transferrin, was applied to the tissue sections overnight at room temperature. The secondary antibody, Pharmingen goat anti-rabbit biotin, was diluted 1:1500 before use. The colour reaction was then developed with horseradish peroxidasesteptavidin and aminoethyl carbazole, and counter-stained with a modified Harris haematoxylin (Sigma).
| Results |
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ER
binding to the imperfect ERE of human lactoferrin geneMultiple DNA elements in the human lactoferrin gene promoter are involved in estrogen regulation (Figure 1
binds the ERE in the context of human lactoferrin gene was investigated in the current study. By EMSA we demonstrated that the BV-ER
binds to the ERE in vitro and forms two complexes (Figure 2A
(lane 1 and 5) could be competed off by 50x excess cold ERE oligonucleotides (lane 3), and the ER
antibody (H222) retarded the mobility of the complexes in EMSA (lanes 2 and 4).
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Lactoferrin gene expression in human endometrium during the menstrual cycle
Endometrial samples collected from women during early proliferative (EP), mid proliferative (MP), mid luteal (days 2022), and late luteal (days 2628) phases of the cycle were examined by Western blotting analysis with human lactoferrin antiserum, hLF 12484 (Figure 3A
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The initial characterization of the antibody indicated that this lot of anti-hLF antibody cross-reacted weakly with the mouse transferrin (Figure 4
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Estrogen effect on lactoferrin expression in rhesus monkey endometrium
To explore whether lactoferrin in monkey endometrium is regulated by estrogen, we first evaluated the species specificity of the rabbit polyclonal anti-lactoferrin sera. Among the ten rabbit antisera that we analysed, the hLF 12484 and the mLF 8344 antisera were used in the present study (Figure 4
To detect the immunoreactive protein by Western blotting, monkey endometrial tissue extracts were prepared and analysed (Figure 5A
). Milk, which contains a high level of lactoferrin but no transferrin, and prostate tissue extracts, which contain both lactoferrin and transferrin, were used as controls. Both human and monkey samples were used. The tissue extracts and the control samples were examined by antisera to mLF (lanes 16), hLF (lanes 7 and 8) and mTF (lanes 914). The 84 kDa immunoreactive band detected in the samples of monkey milk and prostate (lane 1 and lane 2, upper band) is likely to represent a form of monkey lactoferrin, based on the lack of reactivity to the anti-mTF antiserum. The size of this protein contrasts with the 76 kDa protein detected in human milk (lanes 5 and 8) and prostate (lane 6) lactoferrin. Interestingly, the monkey prostate and endometrial tissue extracts contained a 70 kDa lactoferrin-immunoreactive protein, which was distinct from the 84 kDa milk lactoferrin (lanes 24, lower band). Transferrin ran slightly ahead of the lactoferrin on a SDSpolyacrylamide gel electrophoresis as shown earlier (Figure 3
). Therefore, the size of monkey transferrin was ~78 kDa (Figure 5A
, lanes 1012, the upper band) and the hTF was ~74 kDa (lane 14). As expected, the transferrin was not detected in either monkey (lane 9) or human (lane 13) milk, and the hLF antiserum only reacted to hLF (lane 8) and not with monkey lactoferrin (lane 7). There was some cross-reactivity between the mTF and the monkey lactoferrin-reactive 70 kDa protein (lanes 1012, lower band). The monkey endometrial extracts of E2 and E2 + progesterone consisted of heterogenous cell populations from various zones of the endometrium and infiltrating neutrophils which have a high content of lactoferrin. For this reason, Western blot experiments of the monkey endometrium can only provide qualitative but not quantitative information on lactoferrin. Therefore, the lactoferrin-reactive protein from E2 and E2 + progesterone samples showed equal intensity (Figure 5A
, lanes 3 and 4). We also performed Western blotting on samples of monkey prostate and endometrium with human and rhesus monkey milk as control, in which 10 µg/ml rat transferrin was added to the mLF 8344 antibody. Comparing the amino acid sequence of the transferrin protein from mouse and rat (GeneBank, rat-d38380 and mouse tf-bco12310), a 90% sequence homology was found. Therefore, the presence of neutralizing rat transferrin with the mLF antibody could block most of the antibody epitopes that recognize mTF. Under these conditions the mLF antibody detected only the 70 kDa lactoferrin-like protein in monkey endometrium (Figure 5B
). The fast-moving bands apparent in the monkey milk and prostate samples may be degradation products of lactoferrin.
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To immunolocalize the lactoferrin protein in the monkey endometrium, we isolated the IgG fractions from the mLF 8344 antiserum and performed immunohistochemistry with the mLF 8344 IgG purified fraction (Figure 6
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| Discussion |
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Estrogen regulation of lactoferrin gene expression in the mouse uterus is well established (Teng, 1999
In the present study, we also investigated the use of a non-human primate model to study estrogen regulation of lactoferrin gene expression in the endometrium. The lactoferrin of rhesus monkey has high similarity to the human protein in both amino acid composition and carbohydrate moiety (Davidson and Lonnerdal, 1986
). Moreover, monkey lactoferrin, like human lactoferrin, has an unusual amino acid sequence at the N-terminus which is essential for binding to bacterial lipopolysaccharide and to the mammalian lactoferrin receptor (Wu et al., 1995
; van Berkel et al., 1997
), indicating that monkey lactoferrin could function similarly to the human protein. The reproductive physiology of the female rhesus macaque monkey is also highly comparable to that of women (Slayden et al., 1993
). However, the polyclonal antibody produced against human lactoferrin did not cross-react with the monkey milk lactoferrin nor did it detect any immunoreactive protein in the endometrial tissue extracts or in the immunostaining study (data not shown). However, the rabbit anti-mouse lactoferrin serum, mLF8344, reacted to an 84 kDa lactoferrin in the monkey milk and to a 70 kDa protein, presumed to be lactoferrin, in the endometrium. With this antibody, we were able to show that lactoferrin-reactive protein in monkey endometrium is up-regulated by estrogen. This finding is in agreement with the human study showing that lactoferrin gene expression is increased under the influence of estrogen.
A reduced immunostaining for lactoferrin in the endometrial glands after E2 + progesterone treatment suggests that a high level of progesterone may block the affects of E2 on lactoferrin, probably by suppressing glandular estrogen receptors, as previously reported (West and Brenner, 1985
). Nonetheless, in the basal glands of the endometrium, the intensity of lactoferrin staining was similar in both estrogen- and progesterone-dominant stages. This observation is consistent with the finding that 256% of the basal glands in the human endometrium at any give time during the menstrual cycle are lactoferrin positive (Walmer et al., 1995
). Whether lactoferrin gene expression in the human and monkey endometrium exhibit regional specificity is under investigation. Based on the organization of the estrogen response module and the transcription factors that are involved in estrogen action (Teng et al., 1992
; Yang et al., 1996
; Teng, 1999
), the molecular mechanisms of estrogen action in the human and non-human primate endometrium could be very different from that in the mouse uterus. Multiple levels of control may be required to fine-tune the estrogenic effect in human endometrial cells.
The 70 kDa immunoreactive band detected in the monkey endometrium and presumed to be lactoferrin, is smaller than the milk protein. This 70 kDa smaller form of lactoferrin was also detected in the prostate. Interestingly, lactoferrin in the human prostate is also smaller than that in the milk. Protein modification and presence of isoforms could contribute to the size differences in various tissues. Isoforms of lactoferrin have been identified in the human milk (Furmanski and Fortuna, 1989), granulocytes (Furmanski and Li, 1990
) and seminal plasma (Sorrentino et al., 1999
). These isoforms share physical, chemical and antigenic properties with lactoferrin, yet differ in functions. Recently, a subset of cytotrophoblasts of the human placenta was reported to be recognized by a lactoferrin monoclonal antibody but not by several other polyclonal and monoclonal antibodies to human lactoferrin, suggesting that the cytotrophoblasts express a unique epitope of lactoferrin (Thaler et al., 1999
). In addition, an alternative form of human lactoferrin mRNA that is expressed in adult and fetal tissues but not tumour-derived cell lines has been described (Siebert and Huang, 1997
). The biological significance of lactoferrin and its isoforms in these tissues is not known. It is well documented that estrogen regulates the mucosal immune system of the female rodent reproductive tract (Wira and Stern, 1992
; Wira and Kaushic, 1996
) and it is therefore likely that lactoferrin, an immunomodulator, could participate in the mucosal immunity of the primate endometrium.
| Acknowledgements |
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We thank Malcom Parker, Pierre Chambon and Nenyu Yang for the reagents used in this study and we appreciate Barbara Davis and Sylvia Hewitt for reading the manuscript.
| Notes |
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5 To whom correspondence should be addressed at: P.O.Box 12233, MD E2-01, RTP, NC 27709, USA. E-mail: Teng{at}niehs.nih.gov
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Submitted on May 8, 2001; accepted on October 10, 2001.
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H. O. D. Critchley, T. A. Henderson, R. W. Kelly, G. S. Scobie, L. R. Evans, N. P. Groome, and P. T. K. Saunders Wild-Type Estrogen Receptor (ER{beta}1) and the Splice Variant (ER{beta}cx/{beta}2) Are Both Expressed within the Human Endometrium throughout the Normal Menstrual Cycle J. Clin. Endocrinol. Metab., November 1, 2002; 87(11): 5265 - 5273. [Abstract] [Full Text] [PDF] |
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