Zusammenfassung
Fragestellung: Die Trophoblastzelle synthetisiert die Peptidhormone CRH und ACTH. Durch ihre besondere enzymatische Ausstattung kann sie die Reaktion Kortisol ↔ Kortison katalysieren. In-vitro-Stimulierungsversuche an isolierten Trophoblastzellen mit CRH, ACTH und Prednisolon sollen den Einfluss auf die ACTH- und Kortisolsekretion zeigen. In einem Langzeitversuch wurde die basale Kortisolsekretionsleistung untersucht.
Methode und Methodik: Die Trophoblastzellisolierung erfolgt nach grober Präparation des Plazentagewebes mittels mehrschrittiger DNAse I und Trypsinverdauung. Die gewonnene Zellsuspension wird auf die definierte Zellkonzentration von 1 × 106 Zellen/ml eingestellt und in Nährmedium kultiviert. Nach jeweils 8 Stunden erfolgt die Zugabe von ACTH, CRH oder Prednisolon. Nach weiteren 20 bzw. 30 Minuten wird die Kortisol- bzw. ACTH-Konzentration gemessen. Parallel werden die Kortisol- bzw. ACTH-Werte einer nichtstimulierten Kultur bestimmt.
Ergebnisse: In Langzeitkulturen zeigt die Kortisolkonzentration einen rhythmischen Verlauf. Die Zugabe von CRH (500 ng/ml, 1 µg/ml) stimuliert die ACTH- und Kortisolkonzentration zeitabhängig. ACTH (500 ng/m-2 µg/ml) stimuliert die Kortisolkonzentration zeitabhängig. Prednisolon stimuliert die ACTH-Sekretion.
Schlussfolgerung: Die Trophoblastzelle weist in vitro einen rhythmischen Verlauf der Kortisolkonzentration auf. Erstmals konnte eine vollständige CRH-ACTH-Kortisol-Feedbackschleife innerhalb der Trophoblastzelle in vitro demonstriert werden.
Abstract
Objective Trophoblast cells synthesise CRH and ACTH, which are peptide hormones. On the strength of special enzymes they are capable of catalyzing the reaction cortisol ↔ cortisone. In vitro experiments should give a proof of influence to ACTH- and cortisol secretion by CRH, ACTH and prednisolon. The basal rate of cortisol secretion was examinated in a long term experiment.
Material and methods: Trophoblast cells were prepared from human term placentae by standard trypsin-DNAse dispersion of villous tissue followed by a percoll gradient centrifugation step. After adjusting the cell suspension to a defined cell concentration of 1 × 106 cells/ml the cells were cultivated. The addition of CRH, ACTH or prednisolon followed every eight hours. The samples collected 20 or 30 minutes later, also from unstimulated cultures, were assayed for ACTH and cortisol by enzyme-immunometric methods.
Results: The concentration of cortisol shows a rhythmical course in long term cell cultures. The addition of CRH (500 ng/ml, 1 µg/ml) stimulates the concentration of ACTH- and cortisol in a time-depending manner. The addition of ACTH (500 ng/ml-2 µg/ml) stimulates the concentration of cortisol in a time-depending manner. The addition of prednisolon stimulates the concentration of ACTH.
Conclusions: The trophoblast cell shows a rhythmical course in the concentration of cortisol. For the first time a CRH-ACTH-cortisol feedback loop could be demonstrated in cultured trophoblast cells.
Schlüsselwörter
Trophoblastzelle - CRH - ACTH - Kortisol - in vitro
Key words
Trophoblast cells - CRH - ACTH - cortisol - in vitro
Literatur
1
Beyer H S, Matta S G, Sharp B M.
Regulation of the messenger acid for corticotropin-releasing factor in the paraventricular nucleus and other brain sites of the rat.
Endocrinology.
1988;
123
2113-2117
2
Campbell E A, Linton E A, Wolfe C DA, Scraggs P R, Jones M T, Lowry P J.
Plasma corticotropin releasing hormone concentrations during pregnancy and parturition.
J Clin Endocrinol Metab.
1987;
64
1054-1059
3
Casey M L, Mc Donal P C.
Biomolecular processes in the initiation of parturition: Decidual activation.
Clin Obstet Gynecol.
1988;
31
533-552
4
Csapo A I.
The see-saw theory of parturition.
Ciba Found Symp.
1977;
47
159-210
5
Challis J R, Matthews S G, Van Meir C, Ramirez M M.
Current topic: the placental corticotrophin- releasing hormone-adrenocorticotropin axis.
Placenta.
1995;
16
481-502
6
Daya D, Sabet L.
The use of cytokeratin as a sensitive and reliable marker for trophoblastic tissue.
Am J Clin Pathol.
1991;
95
137-141
7
Frim D M, Emanuel R L, Robinson B G, Smas C M, Adler G K, Majzoud J A.
Characterization and gestational regulation of corticotropin-releasing hormone messenger RNA in human placenta.
J Clin Invest.
1988;
82
287-291
8
Genazzani A R, Fraioli F, Hurliman J, Felber J P.
Immunoreactive ACTH and cortisol levels during pregnancy. Detection and partial purification of corticotrophin like placental hormone: the human chorionic corticotrophin (HCC).
Clin Endocrinol.
1975;
4
1-14
9
Goland R S, Wardlaw S L, Stark R I, Frantz A G.
High levels of corticotropin releasing hormone immunoreactivity in maternal and fetal plasma during pergnancy.
J Clin Endocrinol Metab.
1986;
63
1199-1203
10
Goland R S, Wardlaw S L, Blum M, Tropper P J, Stark R I.
Biologically active corticotropin-releasing hormone in maternal and fetal plasma during pregnancy.
Am J Obst Gynecol.
1988;
159
884-890
11
Grino M, Chrousos G P, Margioris A N.
The corticotropin releasing hormone gene is expressed in human placenta.
Biochem Biophys Res Commun.
1987;
148
1208-1214
12
Jeschke U, Briese V, Richter D, Kunkel S.
Stimulierungsversuche von Trophoblastzellen in vitro mit Hilfe von PP14.
Z Geburtsh Neonatol.
1996;
200
199-201
13
Karalis K, Goodwin G, Majzoub J A.
Cortisol blockade of progesterone: A possible molecular mechanism involved in the initiation of human labor.
Nat Med.
1996;
2
556-560
14
Kliman H J, Nestler J E, Sermasi E, Sanger J M, Strauss J F.
Purification, Characterization, and in vitro Differentiation of Cytotrophoblasts from Human Term Placentae.
Endocrinology.
1986;
118
1567-1582
15
Liggins G C.
Mechanisms of the onset of labor: The New Zealnd perspective.
Aust NZJ Obstet Gynaecol.
1994;
31
338-342
16
Linton E A, Perkins A V, Woods R J, Eben F, Wolfe C D, Behan D P, Potter E, Vale W W, Lowry P J.
Corticotropin releasing hormone binding protein (CRH-BP): Plasma levels decrease during the third trimester of normal human pregnancy.
J Clin Endocrinol Metab.
1993;
76
260-262
17
Liotta A, Houghten R, Krieger D.
Identification of a β-endorphin like peptide in cultered human placental cells.
Nature.
1982;
295
593-595
18
McLean M, Bisits A, Davies J, Woods R, Lowry P, Smith R.
A placental clock controlling the length of human pregnancy.
Nat Med.
1995;
1
460-463
19
Magiakou M A, Mastorakos G, Rabin D, Margioris A N, Dubbert B, Calogero A E, Tsigos C, Munson P J, hrousos G P.
The maternal hypothalamic-pituitary-adrenal axis in the third trimester of human pregnancy.
Clin Endocrinol.
1996;
44
419-428
20
Osinski P A.
Steroid 11β-ol dehydrogenase in human placenta.
Nature.
1960;
187
777
21
Pepe G J, Albrecht E D.
Regulation of functional differentiation of the placental villous syncytiotrophoblast by estrogen during primate pregnancy.
Steroids.
1999;
64
624-627
22
Petraglia F, Sawchenko P E, Rivier J, Vale W.
Evidence for local stimulation of ACTH secretion by corticotropin- relreasing factor in human placenta.
Nature.
1987;
328
717-719
23
Petraglia F, Tabanelli S, Galassi M C, Garuti G C, Mancini A C, Genazzani A R, Gurpide E.
Human decidua and in vitro decidualized endometrial stroma cells at term contain immunoreactive corticotropin-releasing factor (CRF) and CRF mRNA.
J Clin Endocrinol Metab.
1992;
74
1427-1731
24
Petraglia F, Potter E, Camerun V, Sutton S, Behan D P, Woods R J, Sawchenko P E, Lowry P J, Vale W.
Corticotropin-releasing factor binding protein is produced by human placenta and intrauterine tissues.
J Clin Endocrinol Metab.
1993;
77
919-924
25
Rees L, Burka C, Chard T, Evans S, Letchworth A.
Possible placental origin of ACTH in normal human pregnancy.
Nature.
1975;
254
620-622
26
Riley S C, Walton J C, Herlick J M, Challis J RG.
The localization and distribution of corticotropin-releasing hormone in the human placenta and the fetal membranes throughout gestation.
J Clin Endocrinol Metab.
1991;
72
1001-1007
27
Robinson B G, Emanuel R L, Frim D M, Majzoub J A.
Glucocorticoid stimulates expression of corticotropin releasing hormone gene in human placenta.
Proc Nat Acad Sci.
1988;
85
5244-5248
28
Sasaki A, Liotta A S, Luckey M M, Margioris A N, Suda T, Krieger D T.
Immunoreactive corticotropin releasing factor is present in human maternal plasma during the third trimester of pregnancy.
J Clin Endocrinol Metab.
1984;
59
812-814
29
Sasaki A, Osamu S, Margioris A N, Liotta A S, Sato S, Murakawi O, Go M, Shimizu Y, Hanew K, Yoshinaga K.
Immunoreactive corticotropin-releasing hormone in human palsma during pregnancy, labor, and delivery.
J Clin Endocrinol Metab.
1987;
64
224-229
30
Sasaki A, Tempst P, Liotta A S, Margoiris A N, Hood L E, Kent S B, Sato S, Shinkawa O, Yoshinaga K, Krieger D T.
Isolation and characterization of a corticotropin-releasing hormone-like peptide from human placenta.
J Clin Endorinol Metab.
1988;
67
768-773
31
Seckl J R.
Glucocorticoids ans small babies.
QJ Med.
1994;
87
259-262
32
Shibasaki T, Odagiri E, Shizume K, Ling N.
Corticotropin-releasing factor-like activity in human placental extracts.
J Clin Endocrinol Metab.
1982;
55
384-386
33
Smith R, Thomson M.
Neuroendocrinology of the hypothalamo-pituitary-adrenal axis in pregnancy and the puerperium.
Bailliere's Clin Endocrinol Metab.
1991;
5
167-188
34
Stalla G K, Bost H, Stalla T, Kaliebe H G, Dörr D, Pfeiffer D, von Werder K, Müller O A.
Human corticotropin releasing hormone during pregnancy.
Gynecol Endocrinol.
1989;
3
1-10
35
Stewart P M, Rogerson F M, Mason J I.
Type 2 11β-hydroxysteroid dehydrogenase messenger ribonucleic acid and activity in human placenta and fetal membranes:ist relationship to birth weight and putative role in fetal adrenal steroidogenesis.
J Clin Endocrinol Metab.
1995;
80
885-890
36
Sun K, Yang K, Challis J RG.
Glucocorticoid actions and metabolisms in pregnancy: Implications for placental function and fetal cardiovascular activity.
Placenta.
1998;
19
353-360
37
Tulchinsky D, Hobel C J, Yeager E, Marshall J R.
Plasma estrone, estradiol, progesterone and 17-hydroxyprogesterone in human pregnancy.
Am J Obstet Gynecol.
1972;
112
1095-1100
38
Warren W B, Silverman A J.
Cellular localization of corticotropin releasing hormone in the placenta, fetal membranes and deciduas.
Placenta.
1995;
16
147-156
Dr. rer. nat. habil. U Jeschke
I. Frauenklinik - Klinikum Innenstadt
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