Steroid-independent regulation of uterine oxytocin receptors

Oxytocin: its mechanism of action and receptor signalling in the myometrium

Oxytocin is a nonapeptide hormone that has a central role in the regulation of parturition and lactation. In this review, we address oxytocin receptor (OTR) signalling and its role in the myometrium during pregnancy and in labour. The OTR belongs to the rhodopsin-type (Class 1) of the G-protein coupled receptor superfamily and is regulated by changes in receptor expression, receptor desensitisation and local changes in oxytocin concentration. Receptor activation triggers a number of signalling events to stimulate contraction, primarily by elevating intracellular calcium (Ca(2+) ). This includes inositol-tris-phosphate-mediated store calcium release, store-operated Ca(2+) entry and voltage-operated Ca(2+) entry. We discuss each mechanism in turn and also discuss Ca(2+) -independent mechanisms such as Ca(2+) sensitisation. Because oxytocin induces contraction in the myometrium, both the activation and the inhibition of its receptor have long been targets in the management of dysfunctional and preterm labours, respectively. We discuss current and novel OTR agonists and antagonists and their use and potential benefit in obstetric practice. In this regard, we highlight three clinical scenarios: dysfunctional labour, postpartum haemorrhage and preterm birth.

Expression of sex hormone-binding globulin, oxytocin receptor, caveolin-1 and p21 in leiomyoma

BACKGROUND

Interaction of sex hormone-binding globulin (SHBG) and oxytocin (OT) is among the factors that control smooth muscle proliferation and tumor growth through the oxytocin receptor (OTR). Also, a close functional interaction of OTR and caveolin-1 has been shown to modulate cell growth and proliferation.

METHODS

We studied surgical samples from 23 leiomyoma patients (aged 33-66 years) with immunocytochemistry. Specimens from five patients (34-76 years), who had hysterectomy for other reasons, served as controls. Tissue samples were cut into serial 1-microm thick sections for co-localization of SHBG, OTR, proliferation marker p21 and caveolin-1.

RESULTS

SHBG was found in smooth muscle cells in all samples. OTR staining occurred in most of these cells in myomas, while controls contained only scattered cells positive for OTR. There were no apparent differences in immunostaining for p21, while immunoreactivity for caveolin-1 was observed in most cells in myomas and in only few cells in controls. Caveolin-1 was mostly co-localized with SHBG and OTR in myoma samples whereas controls showed this co-localization only occasionally.

CONCLUSIONS

Our observations indicate an interaction of SHBG and OTR, associated with caveolin-1, which may account in part for known non-genomic actions of ovarian steroids. Growth of leiomyomas may be linked to these mechanisms.

Oxytocin Receptor Is Differentially Expressed in Mouse Endometrium and Embryo during Blastocyst Implantation

The oxytocin (OT)-oxytocin receptor (OTR) system of the mammalian uterus has mainly been studied in relation to its involvement in the onset of labor. The aim of this study was to elucidate the in vivo expression and localization pattern of OTR in the mouse endometrium and embryo during implantation, as well as OTR mRNA expression in the in vitro developing mouse embryo. The expression of OTR or OT was detected immunohistochemically in uterine tissue sections of 5- to 8-week-old female mice between days 4 and 10 of an established pregnancy. In addition, the expression of OTR mRNA was detected by means of reverse transcription polymerase chain reaction (RT-PCR) in mouse oocytes and embryos up to the blastocyst stage. The mean ratios of normalized expression levels of OTR gene in all samples were also calculated. The recorded increase in OTR mRNA immediately after fertilization could mean a possible role of OT in this process, as OTR mRNA gradually decreased after the four-cell stage of pre-embryonic development. The differential expression of OTR during embryonic apposition and embryonic invasion/placentation in the mouse uterus suggests a potential role of OT in the implantation process of the mouse. It is possible that the interaction of OTR with the hormones included in the ovulation induction regiments utilized today in in vitro fertilization (IVF) could be affecting the receptivity/quality of the implanting endometrium.

Parturition and perfect prematurity: birth in marsupials

Marsupials are distinguished from eutherian mammals in their mode of reproduction. They give birth to a highly altricial young, which completes its development whilst attached to a teat, usually within a pouch. The marsupial neonate has relatively well-developed digestive, respiratory and circulatory systems but retains its fetal excretory system with a fully functional mesonephric kidney and undifferentiated gonads and genitalia. We have investigated birth in the tammar wallaby (Macropus eugenii) and shown that the tiny (400 mg) fetus determines the time of its own delivery. Although plasma progesterone falls, and oestradiol associated with the postpartum oestrus typically rises, around the time of parturition, neither hormone is essential for the timing of birth. However relaxin may loosen the connective tissue of the cervix and vaginae for birth. Labour starts suddenly and is completed within minutes. Both prostaglandins and mesotocin are essential for the contractions that deliver the young. Prostaglandins from the reproductive tract act via the brain to control parturient behaviour. In the last 2 days of gestation fetal adrenal glucocorticoid production increases, promoting lung maturation and surfactant production and ultimately triggering labour. The accessibility of the altricial neonatal marsupial provides a unique opportunity for experimental manipulation of organ development and maturation.