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Cell Death & Disease logoLink to Cell Death & Disease
. 2013 Feb 21;4(2):e502. doi: 10.1038/cddis.2013.1

CUL1 promotes trophoblast cell invasion at the maternal–fetal interface

Q Zhang 1,2, Q Chen 1, X Lu 1,3, Z Zhou 1,3, H Zhang 4, H-Y Lin 1, E Duan 1, C Zhu 1, Y Tan 2,*, H Wang 1,*
PMCID: PMC3734813  PMID: 23429288

Abstract

Human trophoblast progenitor cells differentiate via two distinct pathways, to become the highly invasive extravillous cytotrophoblast (CTB) cells (EVT) or fuse to form syncytiotrophoblast. Inadequate trophoblast differentiation results in poor placenta perfusion, or even complications such as pre-eclampsia (PE). Cullin1 (CUL1), a scaffold protein in cullin-based ubiquitin ligases, plays an important role in early embryonic development. However, the role of CUL1 in trophoblast differentiation during placenta development has not been examined. Here we show that CUL1 was expressed in CTB cells and EVT in the first trimester human placentas by immunohistochemistry. CUL1 siRNA significantly inhibited outgrowth of extravillous explants in vitro, as well as invasion and migration of HTR8/SVneo cells of EVT origin. This inhibition was accompanied by decreased gelatinolytic activities of matrix metalloproteinase (MMP)-9 and increased expression of tissue inhibitors of MMPs (TIMP-1 and -2). Consistently, exogenous CUL1 promoted invasion and migration of HTR8/SVneo cells. Notably, CUL1 was gradually decreased during trophoblast syncytialization and CUL1 siRNA significantly enhanced forskolin-induced fusion of choriocarcinoma BeWo cells. CUL1 protein levels in human pre-eclamptic placental villi were significantly lower as compared to their matched control placentas. Taken together, our results suggest that CUL1 promotes human trophoblast cell invasion and dysregulation of CUL1 expression may be associated with PE.

Keywords: cullin1, placenta, invasion/migration, syncytialization, pre-eclampsia


Two major cell lineages of trophoblast have been identified during the early stages of human placental development: villous trophoblast and extravillous trophoblast.1, 2 Villous cytotrophoblasts (CTBs), as trophoblast progenitor cells, follow one of the two existing differentiation pathways to form syncytiotrophoblast (STB) or extravillous cytotrophoblast cells (EVT). STB, covering the entire surface of the fetal villous tree, is the result of syncytialization, a dynamic process of continuous fusion of CTBs into the existing syncytium and delivery of the waste syncytial knots. STB establishes the important maternal–fetal barrier,2 which secrets hormones including human chorionic gonadotropin (hCG) and human placental lactogen (hPL), participates in immunological defense, and transports nutrients. EVT, including endovascular and interstitial EVT, are motile and highly invasive cells derived from CTBs after undergoing epithelial–mesenchymal transition (EMT). EVT infiltrates the endomyometrium to anchor the placenta and penetrates intima of the uterine spiral arteries to establish the feto-maternal circulation. Defects such as poor EVT migration/invasiveness, poor remodeling of the spiral arteries, and dysregulation of syncytialization, have been observed in severe pre-eclampsia (PE), which in turn, may result in intrauterine growth restriction (IUGR).3

Trophoblast invasion is temporally and spatially regulated in an autocrine or paracrine manner by trophoblastic and uterine factors at the maternal–fetal interface. This regulation guarantees that the invasion of trophoblast cells only happens during the early stage of gestation and is restricted to the whole maternal endometrium and the upper third of myometrium. A complex network of cell types, mediators, and signaling pathways regulating trophoblast invasiveness has been described.4, 5 For example, CTBs secrete matrix metalloproteinases (MMPs) and their tissue inhibitors (TIMPs), which help to balance and tightly control the invasion of EVT into maternal endomyometrium.

Cullin-based ubiquitin ligases, as a subtype of RING-type ubiquitin ligases, are multisubunit complexes.6, 7 Seven mammalian cullin proteins have been identified, CUL1, CUL2, CUL3, CUL4A, CUL4B, CUL5, and CUL7. As one of the three cullins, which are highly conserved from yeast to humans, CUL1 acts as a scaffold protein in Skp1–CUL1–F-box (SCF) complex and plays an important role in early embryonic development.8, 9 CUL1−/− mice are early embryonic lethal and dysregulation of cyclin G1 and cyclin E is observed in these mice.9 CUL3 or CUL4A null mice fail to develop beyond 7.5-day postcoitum (dpc) when the functional placenta has not been fully formed.10, 11 Furthermore, mutations of several cullin genes have been identified in human growth retardation syndromes.12 For instance, mutation of CUL7 has been shown to be linked to 3-M syndrome and the Yakuts short stature syndrome.13, 14 We have previously shown that CUL7 is a key inducer of the EMT of trophoblast lineages.15 However, the exact roles of CULs during placenta development have not been well characterized.

In this study, expression of CUL1 in placental compartments during early pregnancy, and between normal pregnant and pre-eclamptic placentas has been compared. The role of CUL1 in trophoblast differentiation, including invasion and syncytialization, has also been investigated. We show that CUL1 protein is highly expressed in CTBs and EVT, but not in STB of the placental villi from the first trimester, suggesting that CUL1 may regulate trophoblast invasion and migration. This is further confirmed by using human placental extravillous explant culture, in vitro cell invasion and migration assays combined with RNA interference (RNAi), overexpression and gelatinolytic zymography. Furthermore, we show that CUL1 levels are significantly downregulated during syncytialization of both primary human CTBs and choriocarcinoma BeWo cells. CUL1 siRNA upregulates the expression of GCM1, an essential transcription factor to promote syncytialization in human trophoblast cells, and also enhances forskolin-induced fusion of choriocarcinoma BeWo cells. Finally, we demonstrate that CUL1 protein levels in the human placental villi from pre-eclamptic patients are significantly lower as compared with matched control placentas. The above evidence supports a role of CUL1 in promoting invasion, but not syncytialization of human trophoblast cells. They also suggest that dysregulation of CUL1 expression may be associated with PE.

Results

CUL1 is highly expressed in human placental trophoblast cells exhibiting high invasive and proliferative capacities during the first trimester

We first evaluated CUL1 protein expression in human placental villi at different stages of pregnancy using immunohistochemistry. CUL1 protein was intensely and specifically stained at villous CTBs and trophoblast column (TC) during the first trimester, whereas no obvious immunostaining was observed in the STB (Figure 1Aa). In the term placenta, CUL1 was also expressed in CTB cells (Figure 1Ab) and moderate staining was observed in invasive EVT cells in the maternal decidua as defined by cytokeratin 7 (CK7) staining (Figure 1Ac and Ad). No CUL1 signaling was detected in maternal tissues (Figure 1Ac). In addition, expression of CUL1 in term placental villi was significantly lower than that in the first trimester based on western blottings (Figure 1B and C; P<0.01).

Figure 1.

Figure 1

Expression of CUL1 in human placental villi at the first and the third trimesters. (A) Immunostaining of CUL1 and cytokeratin 7 (CK7) in normal human placental villi from the first and the third trimesters. (a) A placental villi from the first trimester. (b) A placental villi from the third trimester. (c, d) EVT invaded into the maternal decidua at the third trimester immunostained with CUL1 (c) and CK7, a marker of EVT (d). (e, f) Negative controls (NEG) in which normal IgG were used in place of primary antibody. CTB: cytotrophoblast cells; STB: syncytiotrophoblast; TC: trophoblastic column; EVT: extravillous trophoblast; MD: maternal decidua; Bar=100 μm. (B) Western blotting of CUL1 in the human placental villi from the first (n=3) and the third (n=3) trimesters. GAPDH was used as a loading control (here and after). (C) Three experiments as in (B) were quantified by measuring the intensity of CUL1 protein bands relative to GAPDH controls (t-test; **P<0.01)

CUL1 siRNA inhibits migration of EVT in an extravillous explant culture model

Given the evident expression of CUL1 in the TC and EVT in first trimester placentas, we next investigated whether CUL1 has any effect on the migratory capacity of trophoblast cells. Extravillous explants from first trimester human placental villi (5–8 w) were cultured on matrigel-coated dishes. Under normal conditions, EVT cells migrate from the tip of the cell column and infiltrate the matrix during day 1 to day 3 of culture. The outgrowth distance as a result of EVT migration at the matrigel surface was measured at 24, 48, and 72 h. At 24 h of culture, while explants anchored on matrigel and started to outgrow, no significant difference was observed between control siRNA and CUL1 siRNA-treated groups (P>0.05) (Figure 2Ab). At 48 and 72 h of in vitro culture, however, CUL1 siRNA-treated explants displayed a significant reduction in the distance of migration compared with the control siRNA (Figure 2Ac; 48 h: P<0.05; 72 h: P<0.01). Proteolysis of the extracellular matrix (ECM) by MMPs plays a crucial role in the regulation of cell motility. Gelatinases (MMP-2 and MMP-9) have been implicated in remodeling ECM in the trophoblast invasion process.16 Serum-free culture medium of the explant transfected with control siRNA or CUL1 siRNA was collected and the gelatinolytic activities of MMP-2 and -9 were measured by gelatin zymography. As shown in Figure 2C, the spent medium from the CUL1 siRNA-treated explants exhibited much lower level of pro-MMP-9 activities as compared with the control siRNA treated ones. Immunostaining of human extravillous explants for CK7 staining identified EVT outgrowths and CTB (Figure 2Dc and Dh), while integrin α5 identified EVT outgrowths (Figure 2Db and Dg) on the serial sections. Immunofluorescent staining of CUL1 showed that CUL1 siRNA treatment substantially knockdown CUL1 expression in EVT of the explants (Figure 2Di) as compared with CON siRNA (Figure 2Dd)

Figure 2.

Figure 2

Silencing of CUL1 suppresses trophoblast outgrowth in extravillous explant cultures. (A) Extravillous explants from 5–8 weeks of gestation were maintained in culture on matrigel under low oxygen (3% O2) tension. Serial pictures of explants incubated with CUL1 siRNA or control (CON) siRNA were taken under the light microscope after 24, 48, and 72 h of culture in vitro. Bar=100 μm. (B) A statistical assay of the migration distance of villous tips. Data are presented as mean±S.D. of three independent experiments (t-test; *P<0.05; **P<0.01). (C) Serum-free culture medium of the explant transfected with indicated siRNAs was collected for gelatin zymography assay. (D) Examination of CUL1 knockdown efficiency after siRNA transfection. (a, f) Hematoxylin and eosin (HE) staining of CON or CUL1 siRNA-treated explants. Bar=100 μm. (b, g) Immunofluorescent staining using integrin α5 antibody (green) identifies the EVT. Bar=50 μm (c, h) Immunofluorescent staining using CK7 antibody (green) identifies the cytotrophoblast and EVT. Bar=50 μm (d, i) Immunofluorescent staining using CUL1 antibody (green) shows that CUL1 protein is lower in CUL1 siRNA-treated EVT (i) as compared with CON siRNA treated ones (d) at the same exposure time. Bar=50 μm. (e, j) DAPI staining of sections d and i to visualize nuclei. Bar=50 μm. a, b, c, and d are serial sections, so are f, g, h, and i. The region of EVT outgrowths is above the dashed lines

CUL1 siRNA significantly inhibits invasion and migration of HTR8/SVneo cells

To further confirm the role of CUL1 in trophoblast invasion and migration, matrigel cell invasion and transwell cell migration models were included. Transfection efficiency, as evaluated by fluorescence signal in FITC-siRNA transfected HTR8/SVneo cells, was ∼90% (data not shown). siRNAs targeting CUL1 significantly decreased the expression of CUL1 protein in HTR8/SVneo cells (Figure 3a). Twenty-four hours after transfection, HTR8/SVneo cells treated with CUL1 siRNA or control siRNA were plated onto matrigel or pure filter for following invasion or migration measurement 24 h later. Compared with the control siRNA, CUL1 siRNA significantly decreased the percentage of cells that invaded (Figure 3b; P<0.05) or migrated (Figure 3c; P<0.01) to the other side of the filter.

Figure 3.

Figure 3

CUL1 siRNA inhibits invasion and migration of HTR8/SVneo cells. (a) Confirmation of RNA interference of CUL1 was shown by western blotting. (b, c) Upper panels: representative images of filters containing invaded cells in matrigel invasion assay (b) and transwell cell migration assay (c) are shown; Middle panels: the number of invaded or migrated cells in a 100 × random field; Lower panels: Statistical bar graphs showing the summary of three independent experiments (t-test; *P<0.05; **P<0.01)

To further confirm the function of CUL1, we overexpressed CUL1 (Supplementary Figure S1E) in HTR8/SVneo cells by transfection and found that exogenous CUL1 promoted migration (P<0.05) and invasion (P<0.01) of HTR8/SVneo cells as compared with control groups (Supplementary Figure S1A and B).

The proportion of apoptotic HTR8/SVneo cells was assessed by Hoechst 33258 staining in parallel. Compared with control or empty vector, apoptosis in CUL1 siRNA or overexpression plasmid transfected cells was negligible (Figure 4a; Supplementary Figure S1D; P>0.05). Further examination by western blotting showed that CUL1 siRNA did not increase expression of the pro-apoptotic cleaved caspase 3 in HTR8/SVneo cells (Figure 4b).

Figure 4.

Figure 4

The effect of CUL1 siRNA on apoptosis and proliferation of HTR8/SVneo cells. (a) Ratio of apoptotic cells in a HTR8/SVneo cell population transfected with indicated siRNAs (t-test; P>0.05). (b) HTR8/SVneo cells transfected with indicated siRNAs were subjected to western blotting using indicated antibodies. (c) Proliferation assay of HTR8/SVneo cells transfected with indicated siRNAs over 3 days of culture (t-test; **P<0.01)

We then examined whether the changes in migration or invasion of HTR8/SVneo cells after CUL1 siRNA transfection or overexpression was a consequence of a decrease in cell proliferation. We observed that CUL1 RNA interference (RNAi) or overexpression had no obvious effect on cell proliferation at 24 h of additional culture after the transfection (Figure 4c; Supplementary Figure S1C; P>0.05), and significantly decreased proliferation of HTR8/SVneo cells only occurred until 72 h of culture (Figure 4c; P<0.01). These results suggested that the decreases in migration and invasion, which were observed at 24 h of cultures after CUL1 siRNA or plasmid transfection for 24 h, are not secondary to reduced proliferation and/or apoptosis.

We investigated the effects of CUL1 on gelatinolytic activities of MMP-2 and MMP-9 in HTR8/SVneo cells. Cells and supernatants were collected 48 h after siRNAs or plasmids transfection. Gelatin zymography assays (Figure 5a) and the statistical analysis revealed that compared with the control siRNA, CUL1 siRNA significantly decreased pro-MMP-9 but not pro-MMP-2 activities in the supernatants of HTR8/SVneo (Figure 5b; P<0.01). Furthermore, we characterized the effect of CUL1 siRNA on the expression of TIMP-1 and TIMP-2, the tissue inhibitors of MMP-2 and MMP-9. We observed that the protein concentrations of TIMP-1 and -2 significantly increased in supernatants of CUL1 siRNA transfection as compared with control siRNA (Figure 5c).

Figure 5.

Figure 5

CUL1 siRNA inhibits the gelatinolytic activities of pro-MMP-9 and increased the expression of TIMP-1 and TIMP-2. (a) HTR8/SVneo cells transfected with indicated siRNAs were subjected to total proteins extraction and western blotting to detect expression of CUL1 (also in c). Serum-free culture medium was collected for gelatin zymography assay. (b) Statistical analysis of the zymographic results in (a) (t-test; **P<0.01). (c) Serum-free culture medium (for the detection of TIMP-1 and -2) or the whole cell proteins (for the detection of CUL1) of HTR8/SVneo cells transfected with indicated siRNAs were used for western blotting using indicated antibodies

CUL1 protein level is reduced during syncytialization

Real-time RT-PCR analysis showed that the transcript level of hCG and GCM1, factors that have been shown to be associated with syncytialization of trophoblast cells, was upregulated after CUL1 siRNA transfection in primary human CTBs (Figure 6a). This result suggested that there may be a negative relationship between CUL1 to syncytialization. To examine this, mononucleated CTB cells were isolated from human term placenta followed by in vitro culture. Spontaneous fusion of these primary cells led to the formation of multinucleated syncytium, which is characterized by increased immunostaining for β-hCG (Figure 6b). Interestingly, CUL1 protein was reduced at a time-dependent manner during the process of spontaneous syncytialization (Figure 6b and c; 0–24 h: P<0.05; 24–48 h: P<0.05; 0–48 h: P<0.01). Furthermore, forskolin, which could induce fusion of BeWo cells (Figure 6d), caused a decrease of CUL1 protein in a concentration-dependent manner (Figure 6d). Morphologically, CUL1 siRNA had no significant effect on the fusion rate of BeWo cells (Supplementary Figure S2a and b; Figure 6e). Forskolin treatment significantly increased the number of multinucleated cells in BeWo cells as compared with the control group (Supplementary Figure S2a and c; Figure 6e), and this increase was further enhanced by the transfection of CUL1 siRNA into the cells (Supplementary Figure S2c and d; Figure 6e).

Figure 6.

Figure 6

CUL1 protein level is decreased during syncytialization. (a) Real-time quantitative PCR analysis of CUL1, β-hCG, and GCM1 in the primary cultured cells treated with indicated siRNAs. The transcript level is expressed as percentage of CON siRNA, after normalization with β-actin (t-test; **P<0.01). (b) Western blotting showing the expression of CUL1 and β-hCG in the primary trophoblast cells cultured for 0 h to 48 h. (c) Statistical analysis of the western blotting results in (b) (one-way ANOVA; *P<0.05; **P<0.01). (d) Western blotting showing the expression of CUL1 in BeWo cells treated with or without forskolin by using indicated antibodies. (e) Twenty-four hours after transfection with siRNAs (CON and CUL1), BeWo cells were treated with 100 μM forskolin or methanol for 48 h. Multinucleated cells were counted as indicated in ‘Materials and Methods'. Statistical bar graph showed that CUL1 enhanced forskolin-induced syncytialization of BeWo cells (NS, P>0.05; *P<0.05; **P<0.01; ANOVA)

CUL1 is downregulated in placental villi from PE patients

Inadequate trophoblast migration/invasion and spiral artery remodeling result in poor placenta perfusion, which mediates maternal injury including the onset of PE.17 Placental villi from pre-eclamptic patients and normal pregnancy controls of close gestational stages were dissected for protein extraction and immunoblotting. Western blotting (Figure 7a) and the statistical analysis (Figure 7b) showed that expression of CUL1 was significantly lower in the placental villi from pre-eclamptic patients as compared with control placentas (n=11, representatively shown in Figure 7a and b, and the others were shown in the Supplementary Figure S3).

Figure 7.

Figure 7

CUL1 is significantly downregulated in the human placental villi from PE patients. (a) Western blotting showing the expression of CUL1 proteins in the placental villi from normal pregnant (n=3) or pre-eclamptic (n=3) women. Three groups representing the 11 groups utilized in this study was shown. (b) Statistical analysis of the western blotting results in (a) (n=11; t-test; **P<0.01)

Discussion

In the current study, we have demonstrated that CUL1 promotes trophoblast invasion and migration, based on several lines of evidence. First, CUL1 was strongly and specifically expressed in TC and EVT cells invaded into maternal deciduae. Furthermore, CUL1 was highly expressed in placentas from the first trimester (when trophoblast cells exhibit high invasiveness), as compared with those from the third trimester. Second, CUL1 siRNA significantly inhibited trophoblast outgrowth and EVT migration in an in vitro extravillous explant culture model. Third, CUL1 promoted invasion and migration of trophoblast HTR8/SVneo cells in the matrigel cell invasion and transwell cell migration models by siRNA and overexpression experiments. Finally, downregulation of pro-MMP-9 and upregulation of TIMP-1 and -2 were accompanied by the decrease in migration and invasion after CUL1 siRNA transfection. Taken together, these data strongly suggest that CUL1 promotes invasion and migration of trophoblast cells.

CUL1 was identified as a member of conserved gene family using EST databases.18 Michel and Xiong19 found that CUL1 is part of a SCF complex, which mediates the ubiquitin-dependent degradation of cyclin G1 and cyclin-dependent kinase inhibitors. Staropoli et al.20 demonstrated that F-box proteins FBXW7 (F-box and WD40 domain protein 7) and CUL1, being in a distinct ubiquitin ligase complex, targets the ligase activity to cyclin E in the regulation of neuronal apoptosis. The deficiency of SCF complex has implicated in the metastasis of breast cancer as a result of impairment in RhoA expression, cell migration and invasion.21 The present study adds a new function of CUL1 in placentation. Of interest, in relate to the results of CUL1, we previously found that another member of cullin family, CUL7, promotes migration of trophoblast cells and induces EMT of the trophoblast lineage via the upregulation of ZEB1 and SLUG, two transcriptional repressors of E-cadherin.15

In human placenta, EVT cells invasion involves degradation of ECM to promote this process. Migratory trophoblasts express MMPs, cathepsins, and urokinase plasminogen activator,5, 22, 23 whereas decidua produce TIMPs and plasminogen activator inhibitor (PAI),24, 25 thereby restricting invasiveness. In this study, CUL1 siRNA was shown to be able to decrease the gelatinolytic activities of MMP-9 in HTR8/SVneo and explants culture media. The activities of MMPs in the extracellular space are inhibited by TIMPs.26 Our results showed that secretion of both TIMP-1 and -2 were increased in CUL1 knockdown cells. The precise mechanism through which CUL1 controls the levels or activities of TIMPs or MMPs, and whether these MMPs and TIMPs are direct targets for CUL1, require further investigation.

In this study, we have also evaluated the role of CUL1 in regulating syncytialization and demonstrated that (1) CUL1 was barely detectable in the multinucleated STB based on an immunohistochemical analysis on human placental villi from the first and third trimesters; (2) in a spontaneous syncytialization model of primary cultured term CTB cells, the level of CUL1 was time dependently decreased with the onset of syncytialization; (3) during the forskolin-induced fusion of BeWo cells, CUL1 level decreased with the elongation of forskolin treatment and CUL1 siRNA significantly enhanced forskolin-increased the number of multinucleated cells. The above evidence strongly suggests that CUL1 is possible to be a negative regulator for syncytialization.

Trophoblast syncytial fusion was shown to be regulated by factors such as fusion proteins (e.g., syncytin-1 and syncytin-2), proteases and cytoskeletal proteins as well as cytokines (e.g., Leukemia inhibitory factor, LIF), hormones, and transcription factors (e.g., GCM1). GCM1 is a critical transcription factor of syncytin-1, and thus plays an important role during syncytialization.27 As a syncytialization-promoting molecule, GCM1 is required for the differentiation of the human trophoblast.28 Previously, an interesting study by Chen and coworkers29 found that GCM1 is a direct target for CUL1, and the CUL1–SCF complex mediates ubiquitination and degradation of human GCM1. In this study, GCM1 mRNA was upregulated after CUL1 siRNA transfection in primary cultured term CTB cells, suggesting a non-ubiquitination-related role of CUL1 on GCM1, which requires further investigation. It is possible that CUL1, by multiple mechanisms, downregulates GCM1 expression and hampers the differentiation of the CTB cells into STB. The precise mechanism whereby CUL1 regulates EVT invasion needs to be further investigated. CUL1 appears to direct CTB cells invasive pathway rather than the fusion pathway.

PE is defined by the occurrence of gestational hypertension associated with proteinuria after 20 weeks of gestation in a previously normotensive woman.30 Impaired trophoblast invasiveness/migration, which results in poor spiral arterial remodeling and consequently inadequate placental perfusion, is believed to cause PE.31, 32 In this study, we found that the level of CUL1 is relatively lower in the placentas from PE patients as compared with their matched controls (Figure 7; Supplementary Figure S3, which may suggest that CUL1 is disrupted under pathological condition. Nevertheless, the elucidation of the mechanism underlying downregulation of CUL1 in PE placentas and the relationship between CUL1 and the onset of PE remains to be further investigated.

In summary, our present studies support an important role for CUL1 in promoting invasion/migration of trophoblast, and suggest a possible pathological mechanism of PE.

Materials and Methods

Tissue collection

Human placental tissues from the first trimester (5–8 w) were obtained from healthy women undergoing legal abortion for nonmedical reasons (for immunohistochemical study, western blotting, and explant culture). Term placentas (normal and pre-eclamptic; for western blotting and spontaneous syncytialization) were collected after cesarean birth. PE was defined as new onset of both hypertension (systolic/diastolic blood pressure⩾140/90 mm Hg measured on two occasions of at least 4 h apart) and proteinuria (⩾300 mg per 24 h) after 20 weeks of gestation. None of the PE patients involved in this study was complicated with obesity, chronic hypertension, gestational diabetes mellitus (GDM), or eclampsia. All the PE patients were aged 23–35, developed hypertension and proteinuria after gestational age of 32 weeks, and delivered at 36+ to 40 weeks, which matched with normal controls. Among them, two patients were complicated with IUGR. Informed consent for placenta donation was obtained from all women. Ethical approval was granted by the Ethic Committee of the Beijing Obstetrics and Gynecology Hospital. All women were informed and signed consent to donate placenta for scientific research use. This study and the use of samples were under standard experimental protocols approved by the Ethics Committee of the Institute of Zoology, Chinese Academy of Sciences. For immunohistochemical study and western blotting, all the sample tissues were collected and stored in ice-cold DMEM (Gibco, Grand Island, NY, USA), transported to the laboratory within 30 min after surgery, and washed with ice-cold PBS before fixation (first trimester: n=5; normal third trimester: n=5) or protein extraction (first trimester: n=3; normal third trimester: n=11; PE third trimester: n=11).

Cell culture, RNAi, and overexpression of CUL1

HTR8/SVneo cell line, derived from the invasive EVT, was used as a model for the first trimester EVT invasion and migration. HTR8/SVneo cells used in this study were from Dr. Benjamin K Tsang (Department of Obstetrics & Gynecology and Cellular & Molecular Medicine, University of Ottawa; Chronic Disease Program, Ottawa Health Research Institute, Ottawa, ON K1Y 4E9, Canada), as previously mentioned.33 Cells were cultured in RPMI 1640 (Gibco) containing 10% fetal bovine serum (FBS), 100 IU/ml penicillin and 100 μg/ml streptomycin, and incubated under 5% CO2 at 37 °C. For gelatinolytic zymography assay, cells were cultured in serum-free media.

For RNAi, cells were transfected with 100 nM CUL1 siRNA (5′-CUAGAUACAAGAUUAUACAUGCGG-3′, Invitrogen, Frederick, MD, USA; Genbank ID for CUL1: NM_003592.2) or the control siRNA (a universal negative control, Invitrogen) with Lipofectamine 2000 (Invitrogen, Carlsbad, CA, USA) as recommended by the manufacturer. The transfection efficiency was >90% as measured by using fluorescence-labeled siRNA (Invitrogen).

For overexpression study, full-length human CUL1 coding sequence was amplified from HTR8/SVneo cDNA by PCR as described previously.19 Amplified CUL1 was cloned directly into a TA cloning vector, pGEM-T vector (Promega, Madison, WI, USA), and subcloned into pFLAG-CMV4 vector using NotI, BamHI sites. In all, 5 μg Flag–CUL1 plasmids were transfected into HTR8/SVneo cells at 70% confluence for 60 mm dish with Lipofectamine 2000 (Invitrogen) as recommended by the manufacturer. pFLAG-CMV4 empty vector transfected HTR8/SVneo cells serve as a control.

Twenty-four hours after siRNA or plasmids transfection, HTR8/SVneo cells were used for transwell assay, MTT assay, and Hoechst 33258 staining.

Fusion of BeWo cells after forskolin treatment

The human choriocarcinoma cell line BeWo (ATCC) was maintained in F12K medium (Sigma-Aldrich Inc., St. Louis, MO, USA) supplemented with 10% FBS, 100 units/ml penicillin, 100 units/ml streptomycin, and incubated under 5% CO2 at 37 °C. BeWo cells were treated with forskolin at different concentrations (0 μM, 50 μM, 100 μM) after being starved. To test whether CUL1 siRNA has a role to play during forskolin-induced fusion of BeWo cells, CUL1 siRNA or control siRNA were transfected into BeWo cells for 24 h before being treated with forskolin or methanol (the vehicle control for forskolin) for 48 h. To assess fusion rates, we performed multinucleated cell counting following E-cadherin immunostaining. The fusion index is calculated as [(NS)/T] × 100%.34 (NS) is the number of fusion events, N is the number of syncytial cell nuclei, S is the number of syncytia, and T is the total number of nuclei.

Explant culture

The explant culture was performed as described previously.35 In brief, small pieces of tissues (2–3 mm) from tips of first trimester human placental villi (5 w–8 w) were dissected and explanted in Millicell-CM culture dish inserts (0.4 μm pore size, Millipore, Carrigtwohill, Co., Cork, Ireland) pre-coated with phenol red-free matrigel substrate (Becton Dickinson, Bedford, MA, USA). Inserts were placed into 24-well culture dishes (Costar, Cambridge, MA, USA). The explants were cultured in serum-free DMEM/F12 media with 100 IU/ml penicillin and 100 μg/ml streptomycin at 3% O2/5%CO2/92%N2. Placental villi, anchored on matrigel and successfully initiated to outgrow, were used for the subsequent experiments and referred to as 0 h. EVT sprouting and migration from the distal end of the villous tips were recorded daily for up to 4 days. The extent of migration (i.e., the distance from the cell column base to the tip of the outgrowth) was measured at defined positions with SPOT software (SPOT Imaging Solutions, a division of diagnostic instruments, Inc., Sterling Heights, MI, USA). To test the effect of CUL1 on the migration of EVT, siRNA specifically targeting CUL1 (500 nM) or an equal concentration of the control siRNA was introduced into two wells of culture media. All explant experiments with cultured villi were repeated three times. For each time, six explants were analyzed for both CUL1 siRNA and control groups (12 in total), which were obtained from three independent placentas (four from each). And the four samples from each placenta were divided into two parts, two for CUL1 siRNA and two for control.

Isolation and culture of term villous CTBs

Human term placentas were obtained after elective cesarean section from uncomplicated pregnancies with informed consent. Villi were isolated by trypsin/DNase I digestion of minced chorionic tissue and mononucleated cells were purified by density gradient centrifugation as previously described.36 Cells were seeded at a density of 1.0 × 106 in 35 mm dishes and cultured in DMEM supplemented with 10% FBS (Gibco) under 5% CO2 at 37 °C. After 2 h, the dishes were washed gently to remove dead cells and blood corpuscles.

Immunohistochemistry and immunofluorescence

Immunohistochemistry was performed on formalin-fixed, paraffin-embedded 5 μm sections using the biotin–streptavidin–peroxidase (SP) and diaminobenzidine (DAB) kit (Zhongshan Golden Bridge Crop., Beijing, China), as previously reported.37 Sections were dewaxed in xylene and rehydrated through a gradient of ethanol. Slides were boiled in citrate buffer (10 mM citrate sodium, 10 mM citric acid, pH 6.0) for 15 min to retrieve antigen, and incubated with 3% hydrogen peroxide in methanol for 10 min to quench endogenous peroxidase activity. After blocking with normal goat serum for 20 min, sections were incubated with primary antibodies against rabbit monoclonal CUL1 (LS-C90294 (9E237) LifeSpan Biosciences, Inc., Seattle, WA, USA) at a 1 : 50 dilution, or mouse monoclonal Cytokeratin 7 (ab20206 (LP1K), Abcam, Cambridge, MA, USA) at a 1 : 200 dilution overnight at 4 °C. After washing in PBS, the sections were incubated with biotinylated secondary antibody and stained by using a diaminobenzidine kit. The negative control experiment was performed by replacing the primary antibody with goat serum or IgG from the same species where the primary antibodies were generated.

To demonstrate the knockdown efficiency of CUL1 in extravillous explants, sections of the first trimester explants were incubated with rabbit polyclonal integrin α5 (1 : 100, SC-10729 (H-104), Santa Cruz Biotechnology, Santa Cruz, CA, USA) and rabbit monoclonal CUL1 (1 : 50, LS-C90294 (9E237) LifeSpan) overnight at 4 °C. After washing in PBS, the sections were incubated with secondary antibody to fluorescein isothiocyanate (FITC)-conjugated anti-rabbit IgG (Zhongshan Golden Bridge Crop.) at a 1 : 100 dilution for 30 min at 37 °C. 4′, 6′-Diamidino-2-phenylindole (DAPI) was used to stain the nuclei of the explants.

Matrigel cell invasion and transwell cell migration assays

Invasion was performed in matrigel (Becton Dickinson)-coated transwell inserts (6.5 mm, Costar) containing polycarbonate filters with 8 μm pores size, as described previously.37 Briefly, the inserts were pre-coated with 50 μl of 1 mg/ml matrigel matrix at 37 °C for 4 h for gelling. HTR8/SVneo cells (1 × 105 in 200 μl serum-free media), transfected with siRNA or plasmids for 24 h, were plated in the upper chamber, whereas medium with 10% FBS was added to the lower well. After incubating for 24 h, the cells on the matrigel side of the insert were removed by cotton swab. The inserts were then fixed in methanol for 10 min at room temperature and stained with hematoxylin and eosin (Zhongshan Golden Bridge Corp.). Cells invaded to the other side of the insert were counted under a light microscope (Olympus IX51, Tokyo, Japan) in five random fields at a magnification of × 200. The assay was repeated three times, and the results were represented as means of invasion percentage (%)±S.D. in cell invasion compared with control. Conditional culture medium was collected for gelatinolytic activity assay.

The migratory ability of HTR8/SVneo cells was determined by their ability to cross the 8-μm pores on the filter of the migration chambers as previously reported.37 Methods used in cell migration assay were similar to matrigel invasion assay except that the transwell insert was not coated with matrigel.

Hoechst 33258 staining

Hoechst 33258 staining was performed as previously reported.38 In brief, 25 μl of cell suspension (around 0.5 × 104 cells) was incubated with neutral-buffered formalin (10%) containing Hoechst 33258 dye (12.5 ng/ml) (Sigma). The cell suspension was placed onto a microscopic slide covered by a coverslip. The cells, producing cell fragments called apoptotic bodies, are defined as apoptotic cells. The number of apoptotic cells in 200 total cells was counted under a fluorescent microscope (Olympus IX51). To avoid counting bias, the counter was blinded to sample identity.

Cell proliferation assay

HTR8/SVneo cells transfected with CUL1 siRNA or the control siRNA for 24 h were seeded at a density of 2.0 × 105 cells per well onto a six-well plate. And the seeding time was deemed as 0 h. The plate was put in an incubator and the number of cells was counted every 24 h.

MTT assay

Twenty-four hours after plasmids transfection, HTR8/SVneo cells were used for MTT assay. Briefly, HTR8/SVneo cells were seeded at 0.5 × 104/well in 96-well plates. The culture medium was changed after 20 h to 100 μl MTT reagent (3-[4,5-dimethylthiazol-2-yl]-2, 5-diphenyltetrazolium bromide; Apllygen Corp., Beijing, China). The MTT reagent was gently removed 4 h later and 100 μl DMSO was added in each well. The optical density of each well was measured at 570 nm wavelengths (Beckman DU530, Fullerton, CA, USA). The experiment was performed in triplicates.

Reverse transcription and real-time PCR

Total RNA was extracted from HTR8/SVneo cells using TRIzol regent (Invitrogen) and purified as described according to the manufacturer's instructions. Two micrograms of RNA were reverse transcribed in a 20-μl reaction containing Superscript II reverse transcriptase (Invitrogen) and incubated for 50 min at 42 °C and 15 min at 72 °C.

Real-time PCR was performed using the TaKaRa SYBR Premix Ex Taq II kit and on an ABI Prism 7500 Real-Time PCR System in triplicates in 25 μl volume. A total of 2 μl of cDNA were mixed with 1.6 μl primers, 10 μl SYBR Premix Ex Taq II and 0.4 μl ROX Reference Dye II. The PCR program was initiated at 95 °C for 30 s, followed by 40 thermal cycles of 5 s at 95 °C and 34 s at 60 °C. A melting curve for primer validation and a template standard curve were performed to show template independent amplification results. The comparative CT method (ABI technical manual) was used to analyze the real-time PCR. The expression of the GCM1 gene (Forward: 5′-CAGCCATGTACGTTGCTATCCAGG-3′, Reverse: 5′-AGGTCCAGACGCAGGATGGCATG-3′), CUL1 Forward: 5′-TGGGGCACCACAGAGATGCG-3′, reverse: 5′-GGGGTTCTGGCTCCGGGTTG-3′ β-hCG Forward: 5′-GAGCTCACCCCAGCATCCTATCACC-3′, reverse: 5′-TTGATGGGGCGGCACCGTGG-3′ was normalized to the geometric mean of β-actin (Forward: 5′-CAGCCATGTACGTTGCTATCCAGG-3′, Reverse: 5′-AGGTCCAGACGCAGGATGGCATG-3′) and expressed as fold change relative to negative controls (n=5).

Western blotting

Proteins were extracted from cells or tissues with whole cell lysis buffer (50 mM HEPES, 150 mM NaCl, 1 mM EGTA, 10 mM sodium pyrophosphatate, 1.5 mM MgCl2, 100 mM NaF, 10% glycerol, and 1% Triton X-100) containing an inhibitor cocktail (1 mM phenylmethylsulfonylfluoride, 10 μg/ml aprotinin, and 1 mM sodium orthovanadate). Culture media were concentrated using Microcon YM-3 centrifugal filter (Millipore). The protein concentration was measured using the Bradford method of protein quantitation by spectrophometry at 595 nm (Beckman DU530). Thirty micrograms of denatured proteins per well were subjected to SDS-PAGE according to standard protocols. Separated proteins were transferred electrophoretically onto a pure nitrocellulose blotting membrane (Pall Corporation, Pensacola, FL, USA). After being blocked with 5% skim milk for 1 h at room temperature, the membrane was sequentially incubated with primary antibodies against CUL1 (1 : 500 ab2964, Abcam), TIMP-1 (1 : 200, SC-5538, Santa Cruz), TIMP-2 (1 : 200, SC-5539, Santa Cruz), caspase 3 (1 : 200, SC-7272, Santa Cruz), cleaved caspase 3 (1 : 500, 9664, Cell Signaling Technology, Beverly, MA, USA), β-hCG (1 : 500, ab9582, Abcam), β-actin (1 : 2000, 4970, Cell Signaling Technology) and GAPDH (1 : 20000, ab37187, Abcam) overnight at 4 °C, and washed three times for 10 min per wash with TBST. A subsequent incubation with monoclonal HRP-conjugated antibody was carried out for 1 h at room temperature in 5% skim milk, and three times of washes with TBST were performed. Immunoreactive bands were detected using enhanced chemiluminescence (Pierce Chemical Co., Rockford, IL, USA).

Gelatin zymography

Analysis of gelatinolytic activity was performed using 10% (w:v) polyacrylamide gels containing 0.5 mg/ml gelatin (Difco Laboratories, Detroit, MI, USA) as previously reported.16 Briefly, conditioned medium was diluted in 4 × sample buffer (8% SDS (w:v), 0.04% bromophenol blue (w:v), 0.25 M Tris) and incubated at 37 °C for 30 min, and equal amounts of protein were subjected to substrate-gel electrophoresis. After electrophoresis, the gel was washed twice in 2.5% Triton X-100 (v:v) and 50 mM Tris–HCl (pH 7.5) for 30 min at room temperature to remove SDS, and incubated in calcium assay buffer (50 mM Tris, 10 mM CaCl2, 1 mM ZnCl2, 1% Triton X-100, pH 7.5) for 24 h at 37 °C. The gel was stained with Coomassie Brilliant Blue R250 in 50% methanol and 10% acetic acid and destained in 10% acetic acid to reveal zones with gelatinase activity.

Statistical analysis

The bands from RT-PCR, western blotting and gelatin zymography were quantified by MetaView Image Analyzing System (Version 4.50; Universal Imaging Corp., Downingtown, PA, USA). Each experiment was performed in triplicates. Results were presented as mean±S.D. Statistical analyses included one-way ANOVA and t-test, which were performed using the Statistical Package for Social Science (SPSS for Windows package release 10.0; SPSS Inc., Chicago, IL, USA) and indicated in Results and Figure legends. P<0.05 was considered as statistically significant. *P<0.05; **P<0.01.

Acknowledgments

This study was supported by the 973 Program Grant (2011CB944400) from the Ministry of Science and Technology of the People's Republic of China, National Natural Science Foundation of China Grants (30770816, 31171436 to YT and 81225004 to HMW), the Strategic Priority Research Program and the Knowledge Innovation Program of Chinese Academy of Sciences (XDA01020102 and KSCX2-EW-R-06 to HMW).

Glossary

CTBs

cytotrophoblasts

CUL1

cullin1

CK7

cytokeratin 7

ECM

extracellular matrix

EMT

epithelial–mesenchymal transition

EVT

extravillous cytotrophoblast cells

GCM1

Glial Cell Missing Homolog 1

hCG

human chorionic gonadotropin

hPL

human placental lactogen

IUGR

intrauterine growth restriction

MMP

matrix metalloproteinase

PE

pre-eclampsia

STB

syncytiotrophoblast

TC

trophoblast column

TIMP

tissue inhibitors of MMP

The authors declare no conflict of interest.

Footnotes

Supplementary Information accompanies this paper on Cell Death and Disease website (http://www.nature.com/cddis)

Edited by Y Shi

Supplementary Material

Supplementary Figure 1
Supplementary Figure 2
Supplementary Figure 3
Supplementary Figure Legends

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Supplementary Materials

Supplementary Figure 1
Supplementary Figure 2
Supplementary Figure 3
Supplementary Figure Legends

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