TAAR1 Induces a Disturbed GSK3 Β Phosphorylation in Recurrent
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ID: 17-0272 7 2 S Stavrou et al. TAAR1 upregulation in 7:2 372–384 recurrent miscarriages RESEARCH TAAR1 induces a disturbed GSK3β phosphorylation in recurrent miscarriages through the ODC Stavroula Stavrou1, Michael Gratz1, Eileen Tremmel1, Christina Kuhn1, Simone Hofmann1, Helene Heidegger1, Mina Peryanova1, Kerstin Hermelink1, Stefan Hutter1, Bettina Toth2, Doris Mayr3, Sven Mahner1, Udo Jeschke1 and Aurelia Vattai1 1Department of Gynecology and Obstetrics, Hospital of the LMU, Munich, Germany 2Department of Gynaecological Endocrinology and Reproductive Medicine, Medical University Innsbruck, Innsbruck, Austria 3Department of Pathology, Hospital of the LMU, Munich, Germany Correspondence should be addressed to U Jeschke: [email protected] Abstract Objectives: Thyroid hormones play an important role in the maintenance of pregnancy. Key Words Their derivates, endogenous amines, act via binding to the trace amine-associated f TAAR1 receptor (TAAR1). The aim of our study was to analyse the regulation of TAAR1, f pGSK3β serine/threonine kinase (pGSK3β) and ornithine decarboxylase (ODC) in placentas f ODC of healthy pregnancies, spontaneous (SM) and recurrent miscarriages (RM) and to f 3-iodothyronamine investigate the influence of thyroid hormone derivates on TAAR1 expression in f RO5203548 trophoblast model cells in vitro. f spontaneous miscarriages Methods: Patients with SM (n = 15) and RM (n = 15) were compared with patients with f recurrent miscarriages healthy pregnancies (n = 15) (pregnancy weeks 7–13 each). Immunohistochemistry was applied to analyse placental TAAR1, pGSK3β and ODC expression. Protein expression of the receptors after stimulation with T3, T1AM and RO5203548 in BeWo trophoblast model cells was determined via Western blot. Double-immunofluorescence was used to determine placental expression of TAAR1 and ODC. Results: Levels of TAAR1, pGSK3β and ODC were higher in placentas of RM in comparison to healthy controls. Stimulation of BeWo cells with T3, T1AM and RO5203548 significantly increased TAAR1 expression. ODC expression in BeWo cells was upregulated through T3. Via double-immunofluorescence, TAAR1 and ODC-positive EVT could be detected. Conclusions: Upregulation of placental TAAR1 may indicate an increased decarboxylation of thyroid hormones in miscarriages. Patients with RM may have a lack of T3 through an enhanced transformation of T3 into T1AM induced by the ODC. Future investigations could be carried out to analyse what role a prophylactic T3 substitution Endocrine Connections plays for patients. (2018) 7, 372–384 Introduction Thyroid disorders such as hypothyroidism and pregnancy (2). Thyroid hormones, which bind to the hyperthyroidism are associated with increased miscarriage thyroid hormone receptor (THR), play an important role and stillbirth rates (1). Untreated hypothyroidism can during trophoblast differentiation and the development result in a twofold increase of miscarriages; therefore, the of the foetal nervous system (3). THR belongs to the maintenance of an euthyroid state is crucial for a healthy nuclear receptor superfamily, and it is involved in various http://www.endocrineconnections.org © 2018 The authors This work is licensed under a Creative Commons https://doi.org/10.1530/EC-17-0272 Published by Bioscientifica Ltd Attribution-NonCommercial 4.0 International License. Downloaded from Bioscientifica.com at 12/02/2019 12:53:47PM via free access 10.1530/EC-17-0272 S Stavrou et al. TAAR1 upregulation in 7:2 373 recurrent miscarriages physiological processes (4). In a former study, we were able In a recent study, we analysed the regulation of to show that mRNA and protein expression of the THR TAAR1 in breast cancer tissue of primary breast cancer isoforms THRα1, THRα2, THRβ1 and THRβ2 are reduced patients and identified that TAAR1 seems to be an in spontaneous and recurrent miscarriages (RM) (5). independent predictor for breast cancer survival (23). The majority of THR seems to be expressed by decidual TAAR1 overexpression (IRS ≥ 6) was associated with a stromal cells (5). significantly longer overall survival (OS) of breast cancer Degradation of thyroid hormones results in the patients (P = 0.02) than reduced TAAR1 expression (IRS < 6) formation of trace amines (TAs), also referred to as during a maximum follow-up of 14 years, demonstrating thyronamines or endogenous amines (6). Transformation that TAAR1 has a favourable effect on OS of early breast of thyroid hormones into TAs is conducted by the enzyme cancer patients (23). ornithine decarboxylase (ODC) through a deiodisation It is speculated that TAAR1 directly or indirectly and a decarboxylation process (7). Thyronamines (3-T1AM, interferes with the β-arrestin2/Akt/GSK3 pathway (24, 25). T0AM) are endogenous compounds, which can possibly be GSK3 is a serine/threonine protein kinase, and it is encoded derived from L-thyroxine (T4) (7). Decarboxylated thyroid by the two genes GSK3A and GSK3B (26). Besides cellular hormones act through rapid actions like rapid lowering of proliferation, migration, glucose regulation and apoptosis, body temperature and heart rate, while classical thyroid the isoform GSK3β is a key enzyme in the wnt-signalling hormones act epigenetically (8). Ornithine decarboxylase pathways (27). Those are a group of signal transduction (ODC) is a rate-limiting enzyme for the biosynthesis of pathways that play an important role in carcinogenesis and polyamines, and it is responsible for the decarboxylation embryo development. The latter is controlled through cell of thyroid hormones (9, 10). Changes in the brain proliferation and cell migration, and wnt pathways regulate ODC/polyamine system can have an influence on the pre-implantation, blastocyst implantation and uterine development of catecholaminergic nerve pathways (11). decidualisation (27). Wnt-signalling proteins participate Bulgaroni and colleagues found that ODC upregulation in numerous developmental events during embryogenesis may be linked to cytotrophoblast proliferation and and differentiation of diverse reproductive tissues (28, 29). placental repair in compensation to injuries induced by A crosstalk between TAAR1 and dopamine D2L organophosphate pesticides (12). receptor (D2R) has formerly been described (6, 30, 31). Thyroid hormone derivates function by binding to Harmeier and colleagues found that the activation of the G-protein-coupled receptor trace amine-associated the TAAR1-D2R complex negatively modulates GSK3β receptor 1 (TAAR1) (8). TAAR1 was first described in 2001 signalling in vitro and in vivo. D2R is a target receptor for by Borowsky and coworkers (13). Upon activation of various antipsychotic drugs, and TAAR1 can interact with adenylcyclase, TAAR1 induces a rise of the intracellular D2R forming a functional heteromer (6, 32). cAMP level (13, 14). TAAR1 is expressed by the placenta, Aim of our study was to investigate the placental brain, spinal cord, stomach, pancreatic β-cells and immune expression of TAAR1, GSK3β and ODC in healthy cells like macrophages, leukocytes and dendritic cells (15, pregnancies and spontaneous as well as RM and to 16, 17). Different compounds, including dopaminergic, further analyse the crosstalk between these receptors. adrenergic and serotonergic classes and a wide spectrum of Additionally, the influence of TAAR1 ligands on the agonists, such as trace amines, common biogenic amines, expression of TAAR1 in trophoblast model cells in vitro amphetamine-like stimulants and 3-iodothyronamine was assessed. As we assume that the processing of thyroid can activate TAAR1 (18, 19, 20). The only known TAAR1 hormones through the ODC plays an important role antagonist to date is RO5212773 (EPPTB) (21). during miscarriages, regulation of the ODC was a further TAAR1 has so far been investigated in the field of component of the study. neuroscience whereby it could be shown that TAAR1 is able to modulate the serotonergic and dopaminergic system in the brain (15). As TAAR1 is a negative regulator Materials and methods of dopamine transmission, TAAR1 and its agonists as well Tissue samples as antagonists represent a target for psychiatric disorders like Parkinson’s disease, depression and schizophrenia Samples collected from spontaneous (SM, 15 cases) and (15). Stimulation of TAAR1 can furthermore have a RM, 15 cases) in the time period between 2011 and 2012 beneficial effect on glucose and obesity control in mice were obtained from the archives of the Gynaecology with type 2 diabetes mellitus (22). and Obstetrics Department of the Ludwig-Maximilians- http://www.endocrineconnections.org © 2018 The authors This work is licensed under a Creative Commons https://doi.org/10.1530/EC-17-0272 Published by Bioscientifica Ltd Attribution-NonCommercial 4.0 International License. Downloaded from Bioscientifica.com at 12/02/2019 12:53:47PM via free access S Stavrou et al. TAAR1 upregulation in 7:2 374 recurrent miscarriages University Munich, Germany. Samples from elective Immunohistochemistry terminations of pregnancy (ETP, 15 cases) collected in After tissue preparation, tissue samples were fixed in 3.7% the same time period were provided by outpatients clinic formalin and then embedded in paraffin. Formalin-fixed in Munich. Tissue samples were attained by curettage paraffin-embedded sections (3 µm) were deparaffinised without any prior pharmacological induction. In cases in Roticlear (Carl Roth, Karlsruhe, Germany), blocked of miscarriages, curettages were performed within and rehydrated with 3% H O /methanol for