Am J Physiol Heart Circ Physiol 288: H142-H148, 2005.
First published September 9, 2004; doi:10.1152/ajpheart.00655.2004
0363-6135/05 $8.00
Adaptation of uterine artery thick- and thin-filament regulatory pathways to pregnancy
DaLiao Xiao and
Lubo Zhang
Center for Perinatal Biology, Department of Physiology and Pharmacology, School of Medicine, Loma Linda University, Loma Linda, California
Submitted 2 July 2004
; accepted in final form 18 August 2004
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ABSTRACT
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Little is known about the adaptation of uterine artery smooth muscle contractile mechanisms to pregnancy. The present study tested the hypothesis that pregnancy differentially regulates thick- and thin-filament regulatory pathways in uterine arteries. Isometric tension, intracellular free Ca2+ concentration, and phosphorylation of 20-kDa myosin light chain (MLC20) were measured simultaneously in uterine arteries isolated from nonpregnant and near-term (140 days gestation) pregnant sheep. Phenylephrine-mediated intracellular free Ca2+ concentration, MLC20 phosphorylation, and contraction tension were significantly increased in uterine arteries of pregnant compared with nonpregnant animals. In contrast, phenylephrine-mediated Ca2+ sensitivity of MLC20 phosphorylation was decreased in the uterine arteries of pregnant sheep. Simultaneous measurement of phenylephrine-stimulated tension and MLC20 phosphorylation in the same tissue indicated a decrease in MLC20 phosphorylation-independent contractions in the uterine arteries of pregnant sheep. In addition, activation of PKC produced significantly lower sustained contractions in uterine arteries of pregnant compared with nonpregnant animals in the absence of changes in MLC20 phosphorylation levels in either vessels. In uterine arteries of nonpregnant sheep, the mitogen-activated protein kinase kinase/extracellular signal-regulated kinase inhibitor PD-098059 significantly increased phenylephrine-mediated, MLC20 phosphorylation-independent contractions. The results suggest that in uterine arteries, pregnancy upregulates
1-adrenoceptor-mediated Ca2+ mobilization and MLC20 phosphorylation. In contrast, pregnancy downregulates the Ca2+ sensitivity of myofilaments, which is mediated by both thick- and thin-filament pathways.
1-adrenoceptor; protein kinase C; calcium; myosin light chain phosphorylation; extracellular signal regulated kinase
PREGNANCY is associated with a significant decrease in uterine vascular tone and a striking increase in uterine blood flow that optimizes the delivery of oxygen and substrates to the developing fetus via the placenta. Previous studies have focused on endothelial adaptation and have shown an increase in endothelial nitric oxide synthesis and release in uterine arteries during pregnancy (8, 39, 48, 50). However, little is known about the adaptation of contractile mechanisms of uterine artery smooth muscle to pregnancy. Pregnancy causes transient and reversible sympathetic denervation of uterine arteries (23, 30, 31) and increased contractile reactivity to nonsynaptic
1-adrenergic stimulation (3, 4, 11, 12, 33, 47, 51). In addition, recent studies have demonstrated that PKC-mediated, sustained contraction is significantly attenuated in uterine arteries during pregnancy (51). PKC has been proposed to play an important role in the regulation of basal vascular tone and arterial caliber, which are the major determinants of blood flow (13, 29, 34).
Smooth muscle contraction is regulated through both thick- and thin-filament regulatory pathways. Thick-filament regulation is mediated by both Ca2+-dependent mechanisms that lead to activation of myosin light chain kinase (MLCK) and phosphorylation of 20-kDa regulatory light chain of myosin (MLC20) and Ca2+-independent mechanisms that involve inactivation of myosin light chain phosphatase (MLCP) and decreased MLC20 dephosphorylation (20, 21, 35). In addition to thick-filament regulation, many studies have demonstrated dissociation between MLC20 phosphorylation and cross-bridge cycling rates and/or tension development, which suggests a thin-filament regulatory pathway (5, 28).
Our recent studies on pregnant ovine uterine arteries have shown that
1-adrenoceptor-mediated contractions are regulated through both thick- and thin-filament pathways with the thick-filament regulatory pathway, i.e., MLC20 phosphorylation, predominating (49). In contrast, activation of PKC induced contractions without changing MLC20 phosphorylation levels (49). These studies have also shown that extracellular signal-regulated kinase (ERK) modulates contractile force in uterine arteries during pregnancy by dual regulation of thick- and thin-filament pathways. ERK potentiated
1-adrenoceptor-stimulated MLC20 phosphorylation via increases in intracellular free Ca2+ concentrations ([Ca2+]i) and Ca2+ sensitivity of MLC20 phosphorylation. In contrast, ERK attenuated the thin-filament regulatory pathway by suppressing the contractions independent of changes in MLC20 phosphorylation levels.
In the present study, we tested the hypothesis that pregnancy differentially regulates thick- and thin-filament regulatory pathways in uterine arteries. Isometric tension, [Ca2+]i, and MLC20 phosphorylation levels were measured simultaneously in uterine arteries isolated from nonpregnant and near-term (140 days gestation) pregnant sheep. The present study provides evidence that pregnancy upregulates
1-adrenoceptor-mediated intracellular Ca2+ mobilization and MLC20 phosphorylation but downregulates the Ca2+ sensitivity of MLC20 phosphorylation. In addition, pregnancy significantly downregulates MLC20 phosphorylation-independent contractions in uterine arteries.
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METHODS
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Tissue preparation.
Nonpregnant and pregnant (
140 days gestation) sheep were anesthetized with thiamylal (10 mg/kg) administered via the external left jugular vein. The ewes were then intubated, and anesthesia was maintained with 1.52.0% halothane in O2 throughout the surgery. An incision in the abdomen was made, and the uterus was exposed. The uterine arteries were isolated and removed without stretching and were placed into a modified Krebs solution (pH 7.4) of the following composition (in mM): 115.2 NaCl, 4.7 KCl, 1.80 CaCl2, 1.16 MgSO4, 1.18 KH2PO4, 22.14 NaHCO3, 0.03 EDTA, and 7.88 dextrose. The Krebs solution was oxygenated with a mixture of 95% O2-5% CO2. After the tissues were removed, animals were killed with T-61 euthanasia solution (Hoechst-Roussel; Somerville, NJ). All procedures and protocols used in the present study were approved by the Animal Research Committee of Loma Linda University and followed the guidelines in the National Institutes of Health Guide for the Care and Use of Laboratory Animals.
Contraction studies.
The third (in nonpregnant sheep) and fourth (in pregnant sheep) branches of the main uterine arteries that had similar external diameter were separated from the surrounding tissue and were cut into 2-mm ring segments. Isometric tension was measured in the Krebs solution in a tissue bath at 37°C as described previously (49). After 60 min of equilibration, each ring was stretched to the optimal resting tension as determined by the tension developed in response to 120 mM KCl added at each stretch level. Tissues were then stimulated with phenylephrine or phorbol 12,13-dibutyrate (PDBu; Sigma; St. Louis, MO), and contractile tensions and MLC20 phosphorylation levels were measured simultaneously in the same tissues. Tensions developed were continuously recorded with an online computer. To measure phosphorylated MLC20 (MLC20-P) simultaneously in the same tissue, arterial rings were snap frozen with liquid N2-cooled clamps at the indicated times and were rapidly immersed in a dry ice-acetone slurry that contained a 10% trichloroacetic acid (TCA) and 10 mM DTT mixture. Tissues were then stored at 80°C until analysis of MLC20 phosphorylation. In certain experiments, tissues were pretreated with 30 µM PD-098059 (Sigma) or DMSO vehicle for 30 min before stimulation with phenylephrine.
Measurements of MLC20 phosphorylation.
Tissue MLC20 phosphorylation levels were measured as described previously (49). Briefly, tissues were brought to room temperature in a dry ice-acetone-TCA-DTT mixture and washed three times with ether to remove the TCA. Tissues were then extracted in 100 µl of sample buffer that contained 20 mM Tris base and 23 mM glycine (pH 8.6), 8.0 M urea, 10 mM DTT, 10% glycerol, and 0.04% bromophenol blue as previously described. Samples (20 µl) were electrophoresed at 12 mA for 2.5 h after a 30-min prerun in 1.0-mm mini-polyacrylamide gels that contained 10% arcelamide-0.27% bisacrylamide, 40% glycerol, and 20 mM Tris base (pH 8.8). Proteins were transferred to nitrocellulose membranes and subjected to immunoblot with a specific MLC20 antibody (1:500 dilution; Sigma). Goat anti-mouse IgG conjugated with horseradish peroxidase was used as a secondary antibody (1:2,000 dilution; Calbiochem). Bands were detected using enhanced chemiluminescence, visualized on films, and analyzed using Kodak 1D image-analysis software. Moles of phosphate per mole of MLC20 (fraction of MLC20 phosphorylated) were calculated by dividing the density of the phosphorylated band by the sum of the densities of the phosphorylated plus the unphosphorylated bands. In some experiments, MLC20-P was corrected for protein-content differences between uterine arteries of nonpregnant and pregnant animals and was expressed as milligrams of MLC20-P per gram of tissue wet weight as previously described for ovine uterine arteries by Annibale et al. (4).
Simultaneous measurement of [Ca2+]i and tension.
Simultaneous recordings of contraction tension and [Ca2+]i in the same tissue were conducted as described previously (53). Briefly, the arterial ring was attached to an isometric force transducer in a 5-ml tissue bath mounted on a CAF-110 intracellular Ca2+ analyzer (Jasco; Tokyo, Japan). The tissue was equilibrated in Krebs buffer under a resting tension of 0.5 g for 40 min. The ring was then loaded with 5 µM fura 2-AM (Molecular Probes; Eugene, OR) for 3 h in the presence of 0.02% Cremophor EL at room temperature (25°C). After the tissue was loaded, it was washed with Krebs solution at 37°C for 30 min to allow for hydrolysis of fura 2 ester groups by endogenous esterase. Contractile force and fura 2 fluorescence were measured simultaneously at 37°C in the same tissue. The tissue was illuminated alternatively (125 Hz) at excitation wavelengths of 340 and 380 nm, respectively, by means of two monochromators in the light path of a 75-W xenon lamp. Fluorescence emission from the tissue was measured at 510 nm by a photomultiplier tube. The fluorescence intensity at each excitation wavelength (F340 and F380, respectively) and the ratio of these two fluorescence values (Rf340/380) were recorded with a time constant of 250 ms and stored with the force signal on a computer.
Data analysis.
Data were analyzed by computer-assisted linear or nonlinear regression to fit the data using GraphPad Prism (GraphPad; San Diego, CA). Results were expressed as means ± SE. Differences were evaluated for statistical significance (P < 0.05) by one-way ANOVA and Students t-test.
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RESULTS
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Phenylephrine-induced [Ca2+]i and tension.
Phenylephrine produced dose-dependent increases in [Ca2+]i and contractions of uterine arteries from both nonpregnant and pregnant animals (Fig. 1). As shown in Fig. 1A, the phenylephrine-induced concentration-contraction curve for the uterine artery of the pregnant sheep was shifted to the left compared with that of the nonpregnant sheep as indicated by the log of the EC50 values obtained (pD2; 5.86 ± 0.13 vs. 5.15 ± 0.18, respectively; P < 0.05). The maximal responses were 2.51 ± 0.14 and 1.79 ± 0.19 g for the uterine arteries of pregnant and nonpregnant animals, respectively (P < 0.05). Accordingly, phenylephrine produced a dose-dependent increase in [Ca2+]i (measured via fura 2, Rf340/380) in uterine arteries of both nonpregnant and pregnant sheep (pD2, 5.6 ± 0.14 vs. 6.0 ± 0.12, respectively; P = 0.07; Fig. 1B). The maximal response was significantly increased in uterine arteries of pregnant (0.103 ± 0.009) compared with nonpregnant (0.032 ± 0.004) animals (P < 0.05).

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Fig. 1. Phenylephrine-induced contractions (A) and intracellular free Ca2+ concentrations ([Ca2+]i; B) in uterine arteries. Cumulative concentration-response curves of phenylephrine-induced increases in contractions and [Ca2+]i were measured simultaneously in the same tissues of uterine arteries obtained from nonpregnant and pregnant ovine. Data are means ± SE of tissues from 4 animals. Values for pD2 and the maximal responses are presented in the text.
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Phenylephrine-induced MLC20 phosphorylation.
Figure 2 shows the time courses of phenylephrine-induced increases in MLC20-P in uterine arteries of nonpregnant and pregnant animals. As shown, the initial rate of phenylephrine-stimulated MLC20 phosphorylation and the peak phosphorylation levels were significantly increased in uterine arteries of pregnant (rate, 0.071 ± 0.017 mg·g tissue wet wt1·s1; peak level, 0.881 ± 0.056 mg/g tissue wet wt) compared with nonpregnant (rate, 0.022 ± 0.004 mg·g tissue wet wt1·s1; peak level, 0.629 ± 0.061 mg/g tissue wet wt; P < 0.05) animals. As shown in Fig. 3, phenylephrine-induced, dose-dependent increases in phosphorylated MLC20 were significantly increased in uterine arteries of pregnant compared with nonpregnant sheep.

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Fig. 2. Phenylephrine-induced time courses of 20-kDa myosin light chain (MLC20) phosphorylation in uterine arteries. Arterial rings of uterine arteries from nonpregnant (NP) and pregnant (P) ewes were stimulated with 3 µM phenylephrine. Phosphorylation of MLC20 was detected by Western immunoblot (as described in METHODS). Representative immunoblot (top) shows unphosphorylated MLC20 and phosphorylated MLC20 (MLC20-P, expressed as mg phosphorylated MLC20/g tissue wet weight) induced by phenylephrine at 0300 s (bottom). Data are means ± SE of tissues from 4 animals.
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Fig. 3. Phenylephrine-induced, dose-dependent increases in MLC20 phosphorylation in uterine arteries. Arterial rings of uterine arteries from nonpregnant and pregnant ewes were stimulated with increasing doses of phenylephrine. Phosphorylation of MLC20 was detected by Western immunoblot. Data are means ± SE of tissues from 4 animals; *P < 0.05, pregnant vs. nonpregnant.
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MLC20 phosphorylation-[Ca2+]i relation.
Regulatory pathways in smooth muscle that modulate the Ca2+ dependence of force may exert their effects by altering the dependence of MLC20 phosphorylation on [Ca2+]i or the dependence of force on MLC20 phosphorylation. To determine the effects of pregnancy on the regulation of Ca2+ sensitivity of MLC20 phosphorylation at a given [Ca2+]i, we examined the relationship of phenylephrine-induced, dose-dependent increases in [Ca2+]i and MLC20-P in uterine arteries of both nonpregnant and pregnant animals. As shown in Fig. 4, there was a significant decrease in the slope (MLC20-P/[Ca2+]i) for arteries of pregnant (7.7 ± 2.2) compared with nonpregnant sheep (20.7 ± 7.6; P < 0.05).

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Fig. 4. Phenylephrine-induced MLC20 phosphorylation-[Ca2+]i relation in uterine arteries. Arterial rings of uterine arteries from nonpregnant and pregnant ewes were stimulated with increasing doses of phenylephrine (0.330 µM). Increased levels of MLC20-P stimulated by phenylephrine were plotted to show responses as a function of [Ca2+]i [fura 2 signal and ratio of fluorescence intensities at each excitation wavelength, F340 and F380, respectively (Rf340/380)] at each corresponding concentration. Data are means ± SE of tissues from 4 animals.
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Force-MLC20 phosphorylation relation.
To further examine whether pregnancy regulated contractions independent of changes in MLC20 phosphorylation, we measured MLC20-P and contraction tension simultaneously in the same tissues stimulated with different doses of phenylephrine. Phenylephrine-induced tensions were plotted against their corresponding MLC20-P levels in tissues of both nonpregnant and pregnant sheep. As shown in Fig. 5, there was a significantly rightward shift in the tension-MLC20-P relation curve in the uterine arteries of pregnant compared with nonpregnant sheep. The slope values obtained were not significantly different between uterine arteries of nonpregnant and pregnant animals.

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Fig. 5. Phenylephrine-induced force-MLC20-P relation in uterine arteries. Arterial rings of uterine arteries from nonpregnant and pregnant ewes were stimulated with increasing doses of phenylephrine (0.330 µM). Increased tension stimulated by phenylephrine was plotted to show responses as a function of MLC20-P measured simultaneously in the same tissue at each corresponding concentration. Data are means ± SE of tissues from 4 animals.
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Effects of PD-098059 on phenylephrine-induced MLC20 phosphorylation and contractions.
Our previous studies demonstrated that the mitogen-activated protein kinase kinase (MEK)/ERK inhibitor PD-098059 significantly inhibited phenylephrine-induced increases in MLC20 phosphorylation and contractions but increased MLC20 phosphorylation-independent contractions in pregnant ovine uterine arteries (49). To determine whether PD-098059 had similar effects in uterine arteries of nonpregnant sheep, we examined the effects of PD-098059 on phenylephrine-induced increases in MLC20-P and contractions in uterine arteries of nonpregnant sheep. As shown in Fig. 6, PD-098059 inhibited the initial increases in MLC20 phosphorylation and tension development induced by phenylephrine but significantly enhanced the contractions independent of changes in MLC20-P by increasing the slope (tension/MLC20-P) from 6.8 ± 1.7 to 12.6 ± 1.1 (P < 0.05; Fig. 6C).

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Fig. 6. Effects of PD-098059 on phenylephrine-induced contractions and MLC20 phosphorylation in uterine arteries from nonpregnant animals. Arterial rings were pretreated with 30 µM PD-098059 or DMSO vehicle (control) for 30 min before stimulation with 3 µM phenylephrine. Contractions (A) and MLC20 phosphorylation (B) were measured simultaneously in uterine arteries. Increased tension stimulated by phenylephrine was plotted to show responses as a function of MLC20-P measured simultaneously in the same tissue at each corresponding time point (C). Data are means ± SE of tissues from 5 animals.
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PDBu-stimulated MLC20 phosphorylation and tension.
We previously demonstrated that PDBu-induced contractions were significantly decreased in uterine arteries of pregnant compared with nonpregnant animals (51). To determine the mechanism of MLC20 phosphorylation in PDBu-mediated contractions, we measured PDBu-induced contractile tensions and MLC20-P levels simultaneously in the same tissues of uterine arteries of nonpregnant and pregnant sheep. As shown in Fig. 7, PDBu produced a significantly decreased contraction in uterine arteries of pregnant compared with nonpregnant sheep in the absence of changes in MLC20-P levels in either vessels.

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Fig. 7. Phorbol 12,13-dibutyrate (PDBu)-induced contractions and MLC20 phosphorylation in uterine arteries. Arterial rings of uterine arteries from nonpregnant and pregnant ewes were stimulated with 5 µM PDBu. PDBu-induced contractions and MLC20 phosphorylation were measured simultaneously in the same tissues. Data are means ± SE of tissues from 48 animals; *P < 0.05, pregnant vs. nonpregnant.
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DISCUSSION
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The present study offers the following new findings. First,
1-adrenoceptor-mediated Ca2+ mobilization and MLC20 phosphorylation are significantly greater in uterine arteries of pregnant than nonpregnant sheep. Second,
1-adrenoceptor-mediated Ca2+ sensitivity of MLC20 phosphorylation and MLC20 phosphorylation-independent contractions are significantly less in uterine arteries of pregnant than nonpregnant animals. Third, activation of PKC induces contractions in the absence of changes in MLC20 phosphorylation in uterine arteries of both nonpregnant and pregnant sheep, and pregnancy is associated with a decrease in PKC-mediated, MLC20 phosphorylation-independent contractions in uterine arteries. Fourth, in agreement with the finding for uterine arteries of pregnant sheep (49), the MEK/ERK inhibitor PD-098059 decreases the
1-adrenoceptor-mediated initial increases in MLC20 phosphorylation and contractions but increases the MLC20 phosphorylation-independent contractions in the uterine arteries of nonpregnant sheep.
The present finding that
1-adrenoceptor-mediated contractions of isolated uterine arteries were increased in the pregnant animals is in agreement with previous studies (3, 4, 11, 12, 33, 47, 51). This is probably due in part to a transient and reversible sympathetic denervation of the uterine artery during pregnancy (23, 30, 31) that results in a sensitization of postsynaptic
1-adrenoceptor-mediated responses. In contrast, pregnancy did not result in changes in postsynaptic
1-adrenoceptor-mediated contractions in systemic vessels (3, 19). In addition, 5-HT- and KCl-stimulated contractions were the same between uterine arteries of nonpregnant and pregnant animals (52). These findings suggest a specific effect of pregnancy on
1-adrenoceptors in uterine arteries and are consistent with the notion of sympathetic denervation-mediated sensitization of postsynaptic
1-adrenoceptor-mediated responses. Previous studies demonstrated that the increased
1-adrenoceptor-mediated contractions in pregnant ovine uterine arteries were not the result of increased cellularity in the arterial cross-section but rather were related to properties of the vascular smooth muscles themselves (4). In addition, uterine arterial wall thickness and actin-to-myosin ratio were found to be unaltered during pregnancy (4).
Consistent with the sensitization of postsynaptic
1-adrenoceptor-mediated Ca2+ mobilization and contractions, we have demonstrated that the density of
1-adrenoceptors and the norepinephrine binding affinity to
1-adrenoceptors are significantly increased in pregnant compared with nonpregnant ovine uterine arteries and result in increased inositol 1,4,5-trisphosphate [Ins(1,4,5)P3] synthesis (46, 47). The mechanisms for pregnancy-mediated increase in agonist binding affinity of
1-adrenoceptors in uterine arteries are not clear at present. The role of Ins(1,4,5)P3 as the messenger of agonist-mediated Ca2+ mobilization in smooth muscle has been firmly established (40). In addition to the possible sensitization of postsynaptic
1-adrenoceptors due to sympathetic denervation in uterine arteries during pregnancy, pregnancy and steroid hormones may also have direct effects on
1-adrenoceptor-mediated responses in uterine arteries. In isolated female rat aorta, estrogen pretreatment increased the number of
1-adrenoceptors and the amount of intracellular Ca2+ available for contraction (6). In myometrial smooth muscle, progesterone had no effect on Ins(1,4,5)P3-dependent or -independent Ca2+ release from intracellular Ca2+ stores (15) but significantly increased
1-adrenoceptor-mediated synthesis of inositol phosphates (37). It has been demonstrated (16) that progesterone of endogenous or exogenous origin increases
1-adrenoceptor numbers on uterine arterial smooth muscle membranes.
The increased Ca2+ mobilization is likely to play an important role in the increased MLC20 phosphorylation by activation of
1-adrenoceptors in the uterine arteries of pregnant sheep in the present study. This is consistent with the previous finding with ovine uterine arteries that the phenylephrine-stimulated total amount of MLC20-P was increased in uterine arteries of pregnant compared with nonpregnant animals (4). In contrast, studies on human myometrial smooth muscle demonstrated that KCl-mediated MLC20 phosphorylation was significantly reduced in tissues from pregnant compared with nonpregnant individuals (45). This also suggests that increased MLC20 phosphorylation observed in the uterine artery during pregnancy is specific to the
1-adrenoceptor-mediated pathway. As discussed above, this selective sensitization occurred upstream of the signal transduction pathway at the receptor levels, i.e.,
1-adrenoceptor density and endogenous agonist binding affinity. Unlike
1-adrenoceptors, KCl-mediated MLC20 phosphorylation depends on Ca2+ influx through voltage-sensitive Ca2+ channels. Both estrogen and progesterone have been demonstrated to inhibit Ca2+ influx in smooth muscle (15, 38).
In addition to [Ca2+]i, phosphorylation of MLC20 is also regulated by activities of MLCK and MLCP. Although it is unknown at present whether MLCK activity is altered in uterine arteries during pregnancy, the specific activity of MLCK was not different in myometria of nonpregnant and pregnant individuals (45). In the present study, we have demonstrated that pregnancy is associated with a significant decrease in the Ca2+ sensitivity of MLC20 phosphorylation in response to phenylephrine, i.e., less MLC20 phosphorylation occurs at a given [Ca2+]i in uterine arteries of pregnant animals, which suggests an increase in MLCP activity in these vessels. It has been demonstrated that steroid hormones regulate the expression of MLCP catalytic (PP1-
) and large regulatory (MYPT) subunits and increase the levels of PP1-
and MYPT in myometria of pregnant individuals (43). In addition, estrogen and progesterone treatment inhibited agonist- and GTP
S-induced Ca2+ sensitization of smooth muscle by increasing the expression of Rnd1 and Rnd3, which inhibited the RhoA-dependent pathways (9, 26).
The present finding that
1-adrenoceptor-mediated contractions at given levels of MLC20 phosphorylation were significantly deceased in uterine arteries of pregnant compared with nonpregnant sheep suggests that pregnancy enhances the thin-filament-mediated inhibition of contractions in uterine arteries. This is further supported by the results of PKC-mediated contractions in uterine arteries. In this study, we demonstrated that PKC-induced contractions are independent of changes in MLC20 phosphorylation in uterine arteries of both nonpregnant and pregnant animals, which indicates that in uterine arteries, PKC-induced contractions were mediated predominately through thin-filament regulatory pathways. Although many studies have demonstrated that PKC mediates Ca2+-independent contractions by increasing myofilament Ca2+ sensitivity in vascular smooth muscle, the significance of MLC20 phosphorylation in PKC-induced contractions remains controversial and may be tissue dependent. Consistent with the present findings, the dissociation between MLC20 phosphorylation and tension development in response to phorbol esters has been demonstrated previously (17, 41). In addition to thick-filament regulation, i.e., MLC20 phosphorylation through MLCP, the Ca2+ sensitivity of myofilaments is also regulated through smooth muscle thin-filament actin-binding proteins such as caldesmon that inhibit myosin ATPase activity. Studies using the antagonist peptide GS17C and the corresponding antisense (28) strongly suggest an important and physiologically relevant role for caldesmon in suppressing smooth muscle tone. It has been demonstrated (42, 44, 49) that PKC induces phosphorylation of caldesmon, which reverses its inhibitory effect on myosin ATPase. The finding that PKC-mediated contractions were attenuated in uterine arteries of pregnant ewes in the present study further suggests an adaptation of the thin-filament regulatory pathway to pregnancy. Indeed, it has been reported (25, 45) that during pregnancy, caldesmon levels increase in both human and rat myometria, which contributes to suppression of contractility.
In agreement with our previous findings with uterine arteries of pregnant animals, the present study demonstrates that the ERK inhibitor PD-098059 causes a significant leftward shift in the force-MLC20 phosphorylation relation in uterine arteries of nonpregnant sheep. This suggests that ERK plays a key role in maintaining the thin-filament-mediated inhibitory effect on contractions of uterine arteries. We previously demonstrated (51) that pregnancy selectively enhances the role of ERK in
1-adrenoceptor-mediated contractions and its effect in suppressing PKC-mediated contractions in uterine arteries. In vascular smooth muscle, ERK has been demonstrated to be a physiologically relevant caldesmon kinase that phosphorylates caldesmon at Ser789 (1, 2). However, whether caldesmon phosphorylation at ERK-specific sites induces smooth muscle contraction remains controversial (10, 24, 32). Our recent studies with uterine arteries of pregnant sheep suggest that ERK-mediated phosphorylation of caldesmon may stabilize the inhibitory effect of caldesmon on actin-activated myosin ATPase (49). Pregnancy significantly upregulates ERK-signaling pathways in both endothelium and vascular smooth muscle in uterine artery, although different mechanisms may be involved (7, 14, 51). Taken together, ERK is likely to play an important role in the adaptation of uterine artery contractility to pregnancy by increasing the thin-filament-mediated inhibitory effect on uterine artery contractions.
From the physiological perspective, during pregnancy, the uterine vasculature acts as a low-resistance shunt to accommodate the large increase in uteroplacental blood flow that is required for normal fetal development. In addition to increased endothelial nitric oxide synthesis and release, pregnancy is associated with a transient and reversible sympathetic denervation of the uterus and uterine artery that is associated with a profound decrease in contractions of smooth muscle in response to electric field stimulation (23, 31). Although decreased sympathetic innervation combined with increased nitric oxide release maintain low uterine vascular tone during pregnancy, sympathetic denervation is likely to sensitize the postsynaptic
-adrenergic pathway and increase the ability of nonsynaptic
-adrenergic-mediated contractions in uterine artery. This may be important for a mother to protect herself under stress and may allow a redistribution of blood by contracting the uterine artery in response to circulating catecholamines. Indeed, uterine blood flow was found to be significantly reduced under the stress of short-term exercise in pregnant women and sheep (27). This may be achieved in part by enhanced intracellular Ca2+ mobilization through activation of
1-adrenoceptors that result in activation of MLCK and phosphorylation of MLC20. On the other hand, the decreased Ca2+ sensitivity of myofilaments contributes to maintaining low basal vascular tone of uterine arteries during pregnancy and helps to maintain low vascular tone in response to increased blood flow through uterine arteries during pregnancy. Although it is reasonable to suggest that steroid hormones play a key role in the adaptation to pregnancy of both thick- and thin-filament regulatory pathways in uterine arteries, additional investigation is needed to establish the cause-and-effect relationship in an ovariectomized ovine model as described previously (18, 36).
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GRANTS
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This work was supported in part by National Institutes of Health Grants HL-57787, HL-67745, and HD-31226 and by the Loma Linda University School of Medicine. D. Xiao is a recipient of American Heart Association Predoctoral Fellowship AHA-0215040Y.
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FOOTNOTES
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Address for reprint requests and other correspondence: L. Zhang, Center for Perinatal Biology, Dept. of Physiology and Pharmacology, Loma Linda Univ. School of Medicine, Loma Linda, CA 92350 (E-mail: lzhang{at}som.llu.edu)
The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
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