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The Journal of Immunology, 1998, 160: 4280-4288.
Copyright © 1998 by The American Association of Immunologists

TNF-{alpha} Messenger RNA and Protein Expression in the Uteroplacental Unit of Mice with Pregnancy Loss1

Marat Gorivodsky, Ilona Zemlyak, Hasida Orenstein, Shoshana Savion, Amos Fein, Arkady Torchinsky and Vladimir Toder2

Department of Embryology and Teratology, Sackler School of Medicine, Tel Aviv University, Ramat Aviv, Tel Aviv, Israel


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
An elevated expression of TNF-{alpha} in embryonic microenvironment was found to be associated with postimplantation loss. In this work, we examined the pattern of TNF-{alpha} expression at both the mRNA and the protein level as well as the distribution of TNF-{alpha} receptor mRNA in the uteroplacental unit of mice with induced (cyclophosphamide-treated) or spontaneous (CBA/J x DBA/2J mouse combination) pregnancy loss. RNase protection analysis demonstrated an increase in TNF-{alpha} mRNA expression in the placentae of mice with pregnancy loss compared with that in control mice. TNF-{alpha} messages were localized to the uterine epithelium and stroma as well as the giant and spongiotrophoblast cells of the placenta. The intensity of the hybridization signal in placentae of mice with pregnancy loss was substantially higher than that in control mice. The up-regulation of TNF-{alpha} mRNA was accompanied by an increase in the expression of TNF-{alpha} receptor I mRNA in the same cell populations. The elevation of TNF-{alpha} production was also demonstrated at the protein level. Western blot analysis showed an increased level of the 18- and 26-kDa TNF-{alpha} protein species in the uteroplacental unit of mice with pregnancy loss. Immunostaining revealed TNF-{alpha}-positive leukocytes located in the uterus and placenta. Finally, we found that immunization of mice with cyclophosphamide-induced pregnancy loss while decreasing the resorption rate in these females resulted in a decline in TNF-{alpha} expression at the fetomaternal interface. These data clearly suggest an involvement of TNF-{alpha} in pathways leading to both spontaneous and induced placental death.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The presence and normal functioning of cytokine networks at the fetomaternal interface may be important for the continued development of pregnancy (1). TNF-{alpha} is a multifunctional cytokine that plays a prominent role in immune and host defense responses, stimulates angiogenesis, influences tissue remodeling, promotes apoptosis, and takes part in the regulation of cell proliferation and differentiation (2, 3, 4, 5, 6, 7). It has also been reported to be instrumental in the regulation of reproductive processes (8, 9). TNF-{alpha} was demonstrated to be produced by both uterine and placental cells. In humans, TNF-{alpha} mRNA and protein have been identified in syncytio- and extravillous cytotrophoblast (10, 11, 12), and biologically active TNF-{alpha} was found in the supernatants of placental and decidual tissue (13, 14). In rodents, TNF-{alpha} expression was demonstrated in the uterine epithelium, decidua, and trophoblast (15, 16). Also, TNF-{alpha} mRNA transcripts have been identified in murine macrophage-like cells residing in the endometrial stroma and in NK-like cells populating the decidua and metrial gland (15, 16, 17). The expression of TNF-{alpha} is tightly regulated during mouse gestation (18), reaching its maximum at midgestation and then remaining stable until the end of pregnancy (15).

The role of uterine and placental TNF-{alpha} in pregnancy is poorly understood. It has been suggested that TNF-{alpha} may regulate the migration and behavior of uterine leukocytes (19, 20) and affect the myometrial contractions during labor (13). Furthermore, maternal TNF-{alpha} might influence blastocyst growth and implantation (21, 22) due to regulation of trophoblast growth and differentiation in early embryos (23). Recent studies on knockout mice have demonstrated that TNF-{alpha} is required for normal placental growth and function (24). TNF-{alpha} binds to one of two distinct cellular receptors, TNF-{alpha} receptor I (TNFRI)3 (p55) and TNFRII (p75) (25), thereby initiating different cellular responses. Transcripts of both receptors have been found in the uterus and placenta of pregnant mice (26).

Abnormal TNF-{alpha} production may be associated with pregnancy failure. The TNF-{alpha} level was shown to be significantly elevated in the amniotic fluid of women with uterine infections, and its increased production correlates with the incidence of preterm labor (27). Administration of LPS (an inducer of TNF-{alpha} production) or TNF-{alpha} itself to pregnant mice results in pregnancy loss (28, 29) or embryo growth retardation (30), whereas treatment with anti-TNF-{alpha} Abs or soluble receptors reduces the number of resorptions in mice with a high rate of immune-mediated pregnancy loss (31, 32). Furthermore, enhancement of decidual TNF-{alpha} production has been suggested to be one of the mechanisms involved in stress-triggered abortions in mice (33). Also, an increased TNF-{alpha} level has been demonstrated in supernatants from decidual cell cultures from the resorption-prone CBA/J x DBA/2J mouse compared with that in the nonresorption-prone CBA/J x BALB/c mouse combination (34). In parallel, an elevation in TNF-{alpha} was registered at the mRNA level in placentae of CBA/J x DBA/2J mice (35). Cytokine analysis of supernatants from mixed lymphocyte-placental cell cultures has shown a significantly higher production of TNF-{alpha} in supernatants from CBA/J x DBA/2J mice compared with those from CBA/J x BALB/c mice (36).

The correlation between an elevated level of TNF-{alpha} and pregnancy failure raises the possibility that normalization of TNF-{alpha} expression at the fetomaternal interface may be associated with improved reproductive performance in females with pregnancy loss. It has been widely reported that alloimmunization or nonspecific immune stimulation may protect the fetus and improve reproductive outcome (37, 38). We have demonstrated that such immunization may prevent the embryonic dismorphogenesis induced by extrinsic and intrinsic factors (39, 40). The protective effect of immunization is generally thought to be due to modification of the cytokine milieu in embryonic microenvironment (41).

In this report we present data characterizing the pattern of TNF-{alpha} and TNFRI expression at the fetomaternal interface of mice with spontaneous and induced pregnancy loss and possible changes in this pattern induced by maternal immunization to determine whether the protective effect of immunization in females with pregnancy loss is associated with modulation of TNF-{alpha} expression.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Animals

Six- to eight-week-old ICR and C57BL/6 mice and Long Evans rats were obtained from the Tel Aviv University breading colonies. CBA/J females and DBA/2J males were obtained from The Jackson Laboratory (Bar Harbor, ME). The animals were maintained on a 14-h light/10-h dark cycle with food and water ad libitum. To obtain pregnancies, females were caged with males overnight, and the presence of a vaginal plug was designated day 1 of pregnancy.

Animal models of pregnancy loss

Two mouse models of induced and spontaneous pregnancy loss were used in this study.

The CBA/J x DBA/2J mouse combination, which is well known for its high level of postimplantation loss, was used as a model of spontaneous abortions (31). Cyclophosphamide (CP)-treated ICR x ICR and CBA/J x C57BL/6 mouse combinations were used as models of induced pregnancy loss.

CP was injected i.p. on the morning of day 12 of pregnancy at 40 mg/kg (in 0.5 ml saline/20 g body weight). Dosage was proportional to weight at the time of treatment (42). CBA/J females mated to DBA/2J males were sacrificed on day 12 of gestation, while CP-treated mice were sacrificed on day 15 or 19 of pregnancy. The numbers of implantation sites, resorptions, and live fetuses were recorded, and the incidence of postimplantation loss was calculated as described previously (42).

Immunization

CBA/J and ICR females were treated with either allogeneic paternal (C57BL/6) or xenogeneic rat splenocytes, respectively, 21 days before mating as described previously (39, 43). Briefly, spleens were aseptically removed and dispersed in RPMI 1640 medium (Biologic Industries, Israel) by pressing them through a stainless steel mesh. The cells were washed, and their viability was assessed by trypan blue staining. Under nembutal anesthesia (40 mg/kg) the uterus was identified and injected with 25 to 30 x 106 splenocytes/0.04 ml saline/horn. Mice injected with saline or syngeneic splenocytes served as controls.

Tissue processing

Placentae together with the adjacent uteri were collected from mice with spontaneous resorptions on day 12 and from CP-treated mice on day 15 of pregnancy. The term resorbing placenta refers to a placenta with a pale or visibly destroyed embryo and remnants of extraembryonic tissues but which can still be identified macroscopically as a placenta. The term nonresorbed placenta refers to a macroscopically normal placenta with a live embryo.

For RNase protection and Western blot analysis, placentae and uteri were immediately snap-frozen in liquid nitrogen and stored at -70°C until use. For in situ hybridization or immunohistochemistry techniques, placentae were fixed in 4% paraformaldehyde or in Bouin’s solution, respectively, and embedded in paraffin, and 7-µm sections were further used after histologic examination. Only resorbing placentae containing morphologically unaffected regions were chosen for further analysis.

Probe construction

The 709-bp TNF-{alpha} and 640-bp TNFRI cDNAs (provided by Prof. D. Wallach, Weizmann Institute of Science, Rehovot, Israel) were subcloned into the EcoRI-SacI and EcoRI-SphI sites of the pBluescript SK+ vector (Stratagene, La Jolla, CA), respectively. After linearization with SacI for TNF-{alpha} and with SphI for TNFRI cDNA, the DNA template served for generation of digoxigenin-11-UTP-labeled (Boehringer Mannheim, Mannheim, Germany) antisense RNA probes using T7 RNA polymerase (Stratagene). RNA probes for ß-actin (360 bp) and the prokaryotic neo gene (760 bp) were synthesized as described above. The lengths of the generated RNA probes were evaluated by comparing their sizes with that of the digoxigenin-labeled DNA m.w. marker VIII (Boehringer Mannheim) in denatured 5% polyacrylamide gel.

RNase protection analysis

Total RNA was extracted from placentae and uteri by the method of Chomzynski and Sacchi (44) using the Tri-Reagent (Molecular Research Center, Cincinnati, OH). The RNA concentration was calculated by spectrophotometry at 260 and 280 nm, and the integrity of the RNA was monitored by electrophoresis in 1% agarose/2.2 M formaldehyde gel. The following procedures are those described in the protocol of the RNase Protection Assay System (Promega, Madison, WI). Briefly, 30 to 50 µg of total RNA were coprecipitated with 30 ng of antisense RNA probe, incubated overnight in 20 µl of hybridization buffer (80% formamide, 1 mM EDTA, 0.2 M sodium acetate, and 40 mM PIPES, pH 6.4) at 45°C, and then digested with 16 U of RNase ONE (Promega) for 1 h at room temperature. Following RNase inactivation, RNA was precipitated and resuspended in gel loading buffer, and protected fragments were resolved by electrophoresis in denatured 5% polyacrylamide/8 M urea gel. The m.w. of specific mRNA was calculated using the digoxigenin-labeled DNA m.w. marker VIII. RNA was transferred to Nytran nylon membranes (Schleicher & Schuell, Dassel, Germany), which were rinsed briefly in 6x SSC (150 mM sodium chloride and 15 mM sodium citrate, pH 7.0) and exposed to UV light for cross-linking of RNA to the filters. Hybridization bands were visualized by incubating the blots in alkaline phosphatase-conjugated antidigoxigenin Abs at 1/10,000 dilution (Boehringer Mannheim) and the chemiluminescent substrate CSPD (Tropix, Bedford, MA) followed by exposure to x-ray film.

As a negative control, tissue RNA was substituted by yeast tRNA. Equivalency of RNA loading on the gel was controlled by hybridization of the same quantity of tissue RNA with a ß-actin riboprobe. The quantitative character of the RNase protection assay was confirmed by titration of tissue RNA with the labeled riboprobe and generation of a titration curve (data not shown).

Densitometric analysis of films was performed using B.I.S. 202D image densitometric system (Bio-Rad, Richmond, CA), and results were analyzed by TINA software (Raytest, Straubenhard, Germany).

In situ hybridization

Tissue sections were deparaffinized and processed as previously described (45). Briefly, the sections were washed and heated for 30 min at 70°C in 2x SSC, treated with 10 µg/ml proteinase K (IBI, New Haven, CT) for 15 min at 37°C, and fixed in 4% ice-cold paraformaldehyde. Prehybridization was performed for 1 h at 45°C in 50% formamide, 6x SSPE (150 mM sodium chloride, 10 mM sodium phosphate, and 1 mM EDTA, pH 7.4), 5x Denhardt’s solution (Sigma, Rehovot, Israel) and 0.5% SDS. The sections were overlaid with 30 µl of hybridization mixture (50% formamide, 5x Denhardt’s solution, 10% dextran sulfate, 6x SSPE, and 0.5% SDS) containing 0.5 ng/µl digoxigenin-labeled antisense RNA probe. Hybridization was conducted overnight at 45°C in a humidified chamber. The slides were washed twice for 15 min in 2x SSC, followed by incubation with 20 µg/ml RNase A (Sigma) for 30 min at 37°C. High stringency washes were performed by incubating the slides twice for 15 min at 50°C in 0.1x SSC followed by a 10-min wash in 0.1x SSC at room temperature. The hybridization signal was detected by alkaline phosphatase-conjugated antidigoxigenin Abs followed by incubation in nitro blue tetrazolium/5-bromo-4-chloro-3-indolyl-phosphate color substrate solution (Boehringer Mannheim) containing 1 mM levamisole according to the manufacturer’s recommendations. Finally, sections were lightly counterstained with neutral red, and a positive signal was indicated by a deep purple-brown staining.

As a control for hybridization, a nonhomologic RNA probe synthesized from a prokaryotic neo cDNA was substituted for the specific probes. Tissue sections pretreated with 100 µg/ml RNase A (Sigma) for 30 min at 37°C before hybridization served as an additional control.

Western blot analysis

Placentae and uteri were homogenized in ice-cold buffer containing 100 mM Tris-HCl (pH 7.4), 200 mM sodium chloride, 2 mM EDTA, 1 mM PMSF, and 2 µg/ml aprotinin. An equal volume of lysing solution (1% desoxycholate, 0.04% Nonidet P-40, and 0.2% SDS) was added then to each sample, and the resulting homogenates were centrifuged for 10 min at 4°C at 10,000 x g, aliquoted, and stored at -70°C until use.

Protein concentration was determined by the Bio-Rad protein assay method (Bio-Rad). Samples containing 50 µg of protein were resolved by electrophoresis in a 12% SDS-polyacrylamide gel. Prestained m.w. standards (Novex, Rockford, IL) and murine rTNF-{alpha} (provided by Prof. D. Wallach, Weizmann Institute of Science) were used as markers. Proteins were transferred to nitrocellulose membranes (Schleicher and Schuell), and nonspecific binding sites on blots were blocked by incubation in 5% (w/v) low fat dried milk in buffer containing 50 mM Tris-HCl (pH 7.4), 500 mM sodium chloride, and 0.1% SDS (TBST) for 2.5 h at room temperature. Filters were incubated in polyclonal TNF-{alpha} rabbit antiserum (Endogen, Cambridge, MA) at 15 µg/ml TBST for 30 min at 37°C. Nonimmune rabbit serum, used at the same dilution as the primary Ab, served as a negative control. After intensive washing in TBST, the membranes were incubated for 1 h at room temperature with biotinylated goat anti-rabbit IgG (Jackson ImmunoResearch Laboratories, West Grove, PA) at 10 ng/ml, washed again, and incubated with streptavidin-conjugated horseradish peroxidase (Zymed, San Francisco, CA) at 0,5 µg/ml for 45 min at room temperature. After another wash, the membranes were incubated with ECL reagents (Amersham Life Sciences, Arlington Heights, IL) and exposed to x-ray film.

Immunohistochemistry

Tissue sections were deparaffinized, washed briefly in PBS (pH 7.4), and treated with 1.5 mg/ml hyaluronidase (Sigma) in PBS, pH 6.5, for 1 h at 37°C. Ag retrieval was performed by heating the tissue sections in PBS, pH 7.4, for 30 min at 80°C. Endogenous peroxidase activity was inhibited by incubating the sections in 3% hydrogen peroxide. Nonspecific binding sites were blocked by a 20% solution of FCS in PBS/0.05% Tween (PBST) for 30 min at 37°C. Sections were stained with rabbit anti-mouse TNF-{alpha}-specific Abs diluted to 1/70 in 10% FCS/PBST. Nonimmune rabbit serum used at the same dilution as the primary Ab served as a negative control. Then, slides were washed in PBS and incubated for 30 min at room temperature with biotinylated goat anti-rabbit IgG, diluted to 1/1000, followed by incubation in streptavidin-conjugated horseradish peroxidase/PBST at 12 µg/ml. Anti-TNF-{alpha} Ab-stained cells were visualized by incubating the sections with 0.2 mg/ml diaminobenzidine (Sigma) followed by counterstaining with 0.1% hematoxylin.

Statistical analysis

Each tested sample of total RNA and protein was obtained by combining four or five placentae in a tested litter. To evaluate the results of RNase protection and Western blot analyses statistically, four or five samples obtained from different litters were analyzed and compared by Student’s t test. The two-tailed level of significance of differences was {alpha} = 0.05. The reproducibility of RNase protection and Western blot analysis was tested in two experiments using the same samples.

For in situ hybridization analysis and immunostaining, four or five resorbing and/or nonresorbed uteroplacental units collected from four mice were analyzed for each experimental group. To test reproducibility, in situ hybridization and immunostaining experiments were repeated three times. In each experiment, four or five tissue sections of each uteroplacental unit were processed and analyzed by two independent readers. Results characterizing signal intensity were averaged.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Pregnancy loss in tested animal models

To estimate the level of postimplantation loss, 15 litters were tested in each animal model.

The rate of resorptions in the CBA/J x DBA/2J mouse combination evaluated on day 12 of pregnancy was 30.4%. The level of resorptions in CP-treated ICR mice reached 32. 3% by day 15 of pregnancy and increased dramatically to approximately 80% on day 19 of pregnancy. The level of resorptions in CBA/J females mated to C57BL/6 males and treated with CP was practically identical with that in CP-treated ICR mice.

TNF-{alpha} mRNA expression

TNF-{alpha} mRNA expression was evaluated using RNase protection analysis. In placentae of control mice, two species of mRNA corresponding to 320 and 283 bp were detected (Fig. 1Go). The densitometric analysis revealed that in nonresorbed placentae of mice with induced pregnancy loss, the expression of both fragments was 2.4-fold higher than that in placentae of control mice, while in resorbing placentae of these animals this increase was less prominent. A third fragment, corresponding to 363 bp, was detected only in the placentae of CP-treated mice, whether resorbing or nonresorbed, but not in control mice.



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FIGURE 1. RNase protection analysis of TNF-{alpha} mRNA in the placenta of control and CP-treated mice. Top, Hybridization with TNF-{alpha}-specific antisense RNA probe: Lane 1, yeast tRNA; lane 2, undigested TNF-{alpha} riboprobe; lane 3, nonresorbed placenta from CP-treated mice; lane 4, placenta from control mice; lane 5, resorbing placenta from CP-treated mice; lane 6, nonresorbed placenta from immunized mice; lane 7, nonresorbed placenta from immunized and CP-treated mice. Middle, Hybridization with ß-actin-specific riboprobe (a 250-bp protected fragment). Bottom, Densitometric analysis of the protected fragment corresponding to 283 bp. CP, Nonresorbed placentae from CP-treated mice; IM, nonresorbed placentae from immunized mice; IM + CP, nonresorbed placentae from immunized CP-treated mice. Bars represent the percentage of mRNA (±SE) in the experimental groups (CP and IM + CP) relative to the mRNA level in the control group (100%). The level of TNF-{alpha} mRNA expression in placentae of CP-treated mice was significantly higher (p < 0.05) than that in control mice. Also, TNF-{alpha} mRNA expression in placentae from immunized CP-treated mice was significantly lower (p < 0.05) than that in placentae of nonimmunized CP-treated mice.

 
In the CBA/J x DBA/2J mouse model of spontaneous abortions, one fragment of RNA corresponding to 220 bp was detected (Fig. 2Go). Densitometric analysis revealed a 20% increase in the level of TNF-{alpha} mRNA expression in the resorbing vs the nonresorbed placenta.



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FIGURE 2. RNase protection analysis of TNF-{alpha} mRNA in placentae from CBA/J females (CBA/J x DBA/2J mouse combination). Top, Hybridization with TNF-{alpha}-specific antisense RNA probe: lane 1, yeast tRNA; lane 2, undigested TNF-{alpha} riboprobe; lane 3, nonresorbed placenta; lane 4, resorbing placenta. Middle, Hybridization with a ß-actin-specific riboprobe (a 250-bp protected fragment). Bottom, Densitometric analysis of RNA blots. Bars represent the percentage of mRNA (±SE) in resorbing placentae relative to the mRNA level in nonresorbed placenta (100%). The levels of TNF-{alpha} mRNA expression in resorbing and nonresorbed placentae were significantly different (p < 0.05).

 
Localization of TNF-{alpha} mRNA

Data from in situ hybridization analysis characterizing the cellular localization and intensity of the hybridization signal are summarized in Table IGo and Figure 3Go.


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Table I. Tissue distribution of TNF-{alpha} mRNA in the uteroplacental unit1

 


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FIGURE 3. Distribution of TNF-{alpha} mRNA in placentae and uteri of control and CP- treated ICR mice (day 15 of pregnancy). a and b, Low magnification of the uteroplacental unit of control (a) and CP-treated (b) mice hybridized with TNF-{alpha}-specific probes (e, epithelium; m, myometrium; mg, metrial gland; d, decidua; tr, trophoblast; magnification, x15). c and d, Expression of TNF-{alpha} mRNA in the uterine epithelium (arrowheads) of control (c) and CP-treated (d) mice (x100). e and f, Expression of TNF-{alpha} mRNA in giant (arrowheads) and spongiotrophoblast (sp) cells in the placenta of control (e) and CP-treated (f) mice (magnification, x100). g, Hybridization of placental tissue from control mice with a nonhomologic probe (magnification, x100). h, Leukocytes containing TNF-{alpha} mRNA (arrowheads) in placental blood lacunae of control mice (magnification, x280).

 
The distributions of cells expressing TNF-{alpha} mRNA in placentae and uteri were similar in control and CP-treated mice. In the uterus, TNF-{alpha} mRNA expression was demonstrated in cells of luminal epithelium and stroma (Fig. 3Go, c and d, and Table IGo). In the placenta, giant and spongiotrophoblast were the dominant cell populations containing specific messages (Fig. 3Go, e and f), while labyrinthine trophoblast cells were negative (data not shown). Also, leukocytes containing TNF-{alpha} mRNA were detected in placental blood lacunae (Fig. 3Goh).

In the resorbing placenta of CP-treated mice, trophoblast cells demonstrated a loss of TNF-{alpha} transcripts, in contrast to metrial gland cells and uterine stroma, which were positive (Table IGo).

The intensity of the hybridization signal was elevated in the uterine epithelium as well as in trophoblast cells of nonresorbed placentae of CP-treated compared with control mice (Table IGo and Fig. 3Go, a–f). The resorbing placentae (vs nonresorbed placentae) showed a clear induction of TNF-{alpha} mRNA expression in metrial gland cells and an enhanced hybridization signal in uterine stroma. In parallel, the signal was weaker in the uterine epithelium of these placentae (Table IGo).

The cellular pattern of TNF-{alpha} mRNA expression in the uteroplacental unit of the CBA/J x DBA/2J mouse combination was basically similar to that in CP-treated mice, except for metrial gland cells, which demonstrated a positive signal (Table IGo).

In resorbing placentae of mice with spontaneous pregnancy loss, the specific signal was more intensive than in nonresorbed placentae (Table IGo). As expected, numerous leukocytes containing TNF-{alpha} mRNA were found to infiltrate the tissue areas of the resorbing placenta undergoing necrosis (data not shown).

Hybridization with nonhomologic prokaryotic RNA probe (Fig. 3Gog) as well as hybridization of tissue sections pretreated with RNase before hybridization with specific riboprobes (data not shown) demonstrated no signal.

Localization of TNFRI mRNA

In control mice, the expression of TNFRI mRNA was observed basically in the same cells that expressed TNF-{alpha} mRNA (Tables I and II).

In mice with spontaneous and induced abortions, TNFRI mRNA transcripts were found in the uterine epithelium (Table IIGo) as well as in giant and spongiotrophoblast cells (Fig. 4Go and Table IIGo). A weak signal was also detected in metrial gland cells of CP-treated mice compared with that in control mice (Table IIGo).


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Table II. Tissue distribution of TNFRI mRNA in the uteroplacental unit1

 


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FIGURE 4. Expression of TNFRI mRNA in control placenta (a) and nonresorbed placenta of CP-treated ICR mice (day 15 of pregnancy; b) and in nonresorbed (c) and resorbing (d) placenta of the CBA/J x DBA/2J mouse combination (day 12 of pregnancy). sp, spongiotrophoblast cells. Arrowheads indicate giant trophoblast cells (magnification, x100).

 
The hybridization signal was more intense in both uteri and placentae of females with CP-induced pregnancy loss than in controls (Fig. 4Go, a and b, and Table IIGo).

In the CBA/2 x DBA/2J mouse combination, an elevation of TNFRI mRNA expression was observed in giant trophoblast cells of the resorbing placentae compared with that in the nonresorbed placenta (Table IIGo and Fig. 4, c and d).

TNF-{alpha} protein expression

Results of Western blot analysis of homogenates from placentae of control and CP-treated mice are presented in Figure 5Go. Probing the blots with TNF-{alpha} antiserum revealed multiple immunoreactive proteins with molecular masses of 18, 19, 26, 30, 32, 36, and 38 kDa. These proteins were not detected after incubation of the blots with nonimmune rabbit serum (data not shown).



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FIGURE 5. Western blot analysis of TNF-{alpha} in placentae of mice treated with CP. Proteins were probed with TNF-{alpha}-specific Abs. Lane 1, placentae of control mice; lane 2, nonresorbed placentae of CP-treated mice; lanes 3 and 4, placentae of immunized only or immunized CP-treated mice, respectively; lane 5, resorbing placentae of CP-treated mice.

 
Analysis of TNF-{alpha}-immunoreactive proteins showed that the 18- and 26-kDa forms were expressed at a low level in control placentae, while their expression in nonresorbed placentae of animals with pregnancy loss was increased (Fig. 5Go). The immunoreactive forms corresponding to 30- and 32-kDa TNF-{alpha} were highly expressed in resorbing placentae, while their expression in control placentae was weak (Fig. 5Go). Also, the 18- and 19-kDa immunospecific proteins were not detected in resorbing placentae (Fig. 5Go).

Immunolocalization of the TNF-{alpha} protein

In tissue sections of placentae and uteri of control mice, TNF-{alpha}-positive leukocytes were identified in placental lacunae located between decidua and trophoblast (Fig. 6Gob). A weak positive staining was also detected in placental giant cells, and the intensity of staining was not changed following CP treatment (data not shown).



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FIGURE 6. TNF-{alpha}-positive leukocytes in placental lacunae of CP-treated ICR mice (day 15 of pregnancy). a, Placental tissue sections incubated with nonimmune rabbit antiserum. b through d, TNF-{alpha}-positive leukocytes (arrowheads) in control (b), CP-treated (c), and immunized CP-treated (d) mice. Magnification, x220.

 
The cellular patterns of TNF-{alpha} protein expression in the uteroplacental units of control mice (Fig. 6Gob) and CP-treated mice (Fig. 6Goc) were similar. Also, the distribution of TNF-{alpha}-positive cells in the uteroplacental unit of the CBA/J x DBA/2J mouse combination was basically the same as that in CP-treated mice (data not shown). No staining was observed in the tissue sections incubated with nonimmune rabbit serum (Fig. 6Goa).

Effect of immunization on TNF-{alpha} expression at the fetomaternal interface

Since our previous works (39, 43) demonstrated that >80% of nonresorbed day 15 placentae in CP-treated mice are destined to be resorbed by the end of pregnancy, we used still nonresorbed 15-day-old placentae from immunized and nonimmunized mice treated with CP to evaluate the effect of immunization on TNF-{alpha} expression in the uteroplacental unit.

In immunized CP-treated mice, in situ hybridization analysis revealed a decreased intensity of the hybridization signal in the uterine epithelium and trophoblast cells (Table IGo).

Results of RNase protection analysis also showed a clear decrease in placental TNF-{alpha} mRNA expression following immunization. Thus, the expression of the 283-bp fragment was lower in placentae of immunized CP-treated (Fig. 1Go, lane 7) than in those of nonimmunized CP-treated mice (Fig. 1Go, lane 3).

Finally, immunization resulted in a clear decrease in TNF-{alpha} protein expression in the uteroplacental unit of CP-treated mice (Fig. 5Go). The proportion of leukocytes expressing the TNF-{alpha} protein in placentae of mice with pregnancy loss was also decreased following immunization (Fig. 6Go, c and d).

No major differences were found in TNFRI mRNA expression in placentae of CP-treated mice following immunization, except for metrial gland cells, which showed a loss of TNFRI mRNA transcripts (Table IIGo).


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
It was shown earlier that the pattern of TNF-{alpha} expression in combined nonresorbed and resorbing placentae obtained from mice exhibiting a high rate of resorptions differs significantly from that observed in nonresorption-prone mice (35). It might be supposed, however, that resorbing and nonresorbed placentae have different patterns of TNF-{alpha} expression. Therefore, in the present work, TNF-{alpha} expression was tested separately in nonresorbed and resorbing placentae.

The quantitative analysis of mRNA expression revealed that in mice with CP-induced pregnancy loss, TNF-{alpha} mRNA expression was higher in nonresorbed placentae compared with that in control untreated animals. Also, in placentae of mice with CP-induced pregnancy loss, three forms of TNF-{alpha} mRNA corresponding to the protected fragments of 363, 320, and 283 bp were revealed, while in placentae of control mice only the 283- and 320-bp TNF-{alpha} mRNA forms were detected. The physiologic role of the proteins encoded by these transcripts remains to be elucidated. It cannot be excluded that the 363-bp TNF-{alpha} mRNA variant detected in destined to be resorbed placentae may encode a TNF-{alpha} form contributing to signals mediating cell death.

In parallel, a substantial increase in the level of TNF-{alpha} mRNA expression in resorbing placentae of CBA females mated to DBA/2 males compared with that in nonresorbed placentae of these females was observed. However, unlike ICR mice, in placentae of the CBA/J x DBA/2J mouse combination we detected only a 220-bp TNF-{alpha} mRNA variant. This difference may be attributed to the TNF-{alpha} gene polymorphism demonstrated in different mouse strains (46). It has been shown that different sensitivities of various mouse strains to infections and some physical factors may be associated with TNF-{alpha} gene polymorphism (47, 48, 49). Whether the differences in TNF-{alpha} transcripts found in placentae of ICR and CBA mice have some functional significance remains to be elucidated.

An increased expression of TNF-{alpha} in placentae of mice with a high rate of pregnancy loss was observed not only at the mRNA but also at the protein level. Western blot analysis of proteins from placentae of mice with induced abortions revealed, besides the earlier described 18-kDa secreted and the 26-kDa membrane forms (50), multiple variants of 26, 30, 32, 36, and 38 kDa of the TNF-{alpha} protein. It is possible that the 36- and 38-kDa species are dimers of the 18- and 19-kDa TNF-{alpha} forms, respectively. The 30- and 32-kDa immunoreactive forms of TNF-{alpha}, were highly expressed in the resorbing placenta of mice with pregnancy loss. Such a finding may suggest that TNF-{alpha} gene expression may be differentially regulated at the post-transcriptional and/or post-translational level at different stages of the placental death process. Further studies are needed for understanding the biologic functions of these TNF-{alpha} forms.

The uterine epithelium and stroma as well as placental giant and spongiotrophoblast cells were found to express TNF-{alpha} mRNA. This cellular pattern of TNF-{alpha} mRNA expression is practically identical with that observed in the pioneer works of Hunt et al. performed in nonresorption-prone Swiss and C57BL/6 mice (18, 15). Additionally, as expected, tissue areas in resorbing placentae undergoing necrosis were found to be infiltrated with numerous leukocytes containing the TNF-{alpha} mRNA transcripts.

Earlier studies in the CBA/J x DBA/2J mouse combination in which combined nonresorbed and resorbing placentae were tested raised the question of whether the elevation in placental TNF-{alpha} expression is an upstream event or, the opposite, a consequence of placental death (35). The results of the present study may clarify this point.

Indeed, our studies revealed an increased expression of TNF-{alpha} not only in resorbing placentae of the CBA/J x DBA/2J mouse combination, but also in the nonresorbed placenta of mice with CP-induced pregnancy loss. In this model, the level of resorption reaches ~30% up to day 15 of pregnancy and exceeds 80% by the end of pregnancy. This fact allows us to suppose that most of nonresorbed uteroplacental units tested on day 15 of pregnancy in this model are destined to be resorbed by the end of pregnancy. Thus, the elevation in TNF-{alpha} expression demonstrated in nonresorbed placentae of CP-treated mice is an event that precedes placental death.

The involvement of TNF-{alpha} in mechanisms underlying pregnancy loss was additionally confirmed by the analysis of its expression in mice with reproductive failure after immunization. It was reported earlier that maternal alloimmunization with BALB/c lymphocytes significantly decreased the level of pregnancy loss in the CBA/J x DBA/2J mouse combination (37). It was also demonstrated that nonspecific maternal immunization with CFA may improve the reproductive performance of CBA/J females mated to DBA/2J males (42). Finally, the level of CP-induced pregnancy loss in CBA/J x C57BL/6 or ICR x ICR mouse models was shown to be decreased by specific maternal immunization with allogeneic paternal splenocytes or nonspecific immunization with rat splenocytes, respectively (39, 43). In this study we have clearly demonstrated that the decrease in the rate of induced resorptions caused by maternal immunization is accompanied by a decline in the TNF-{alpha} mRNA level and by a decrease in the levels of all immunoreactive forms of the TNF-{alpha} protein at the fetomaternal interface.

Finally, an increased expression of TNFRI mRNA transcripts was demonstrated in placentae and uteri of mice with pregnancy loss. This finding seems to implicate the existence of a TNF-{alpha}-associated signaling pathway leading to placental death. Indeed, since the level of TNFRI mRNA in the placenta was constant throughout pregnancy (51), it is reasonable to suppose that its increased expression may lead to an alteration of TNF-{alpha} signaling in the placenta. One of the cellular responses to TNF-{alpha} is suggested to be associated with apoptotic cell death (6). It has recently been shown that TNF-{alpha} may promote apoptosis in trophoblast cells following binding to TNFRI (52). This ligand-receptor interaction was found to be critical, since cells lacking the TNFRI did not show a detectable level of apoptosis (25).

In conclusion, the results of the present study clearly demonstrate that up-regulation of TNF-{alpha} expression in the embryonic microenvironment may contribute to spontaneous and induced placental death. Furthermore, down-regulation of TNF-{alpha} expression by maternal immunization might play an important role in mechanisms underlying its beneficial effect on reproductive performance.


    Acknowledgments
 
We are grateful to Dr. J. Zaretsky for critical reading of the article and to Prof. D. Wallach for providing us with murine rTNF-{alpha} and cDNAs of murine TNF-{alpha} and TNFRI. We appreciate the help of Dr. Z. Zaslavsky in performing the densitometric analysis and of Mr. A. Pinchasov for preparation of the photomicrographs.


    Footnotes
 
1 This work was supported by grants from the Israel Ministry of Health and the Israel Ministry of Science and Technology. This work is in partial fulfillment of the requirements for the Ph.D. degree of M.G. and the M.Sc. degree of I.Z. from the Sackler School of Medicine at Tel Aviv University. Back

2 Address correspondence and reprint requests to Dr. V. Toder, Department of Embryology and Teratology, Sackler School of Medicine, Tel Aviv University, Ramat Aviv, Tel Aviv 69978, Israel. E-mail address: Back

3 Abbreviations used in this paper: TNFRI, TNF-{alpha} receptor I; CP, cyclophosphamide. Back

Received for publication July 31, 1997. Accepted for publication January 6, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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