Aldosterone from endometrial glands is benefit for human decidualization

Cell Death Dis. 2020 Aug 13;11(8):679. doi: 10.1038/s41419-020-02844-9.

Abstract

Local renin-angiotensin system (RAS) in female reproductive system is involved in many physiological and pathological processes, such as follicular development, ovarian angiogenesis, ovarian, and endometrial cancer progress. However, studies on the functional relevance of RAS in human endometrium are limited, especially for renin-angiotensin-aldosterone system (RAAS). In this study, we defined the location of RAS components in human endometrium. We found that angiotensin II type-1 receptor (AT1R) and aldosterone synthase (CYP11B2), major components of RAAS, are specifically expressed in endometrial gland during mid-secretory phase. Aldosterone receptor, mineralocorticoid receptor (MR), is elevated in stroma in mid-secretory endometrium. In vitro, MR is also activated by aldosterone during decidualization. Activated MR initiates LKB1 expression, followed by phosphorylating of AMPK that stimulates PDK4 expression. The impact of PDK4 on decidualization is independent on PDHE1α inactivation. Based on co-immunoprecipitation, PDK4 interacts with p-CREB to prevent its ubiquitination for facilitating decidualization via FOXO1. Restrain of MR activation interrupts LKB1/p-AMPK/PDK4/p-CREB/FOXO1 pathway induced by aldosterone, indicating that aldosterone action on decidualization is mainly dependent on MR stimulation. Aldosterone biosynthesized in endometrial gland during mid-secretory phase promotes decidualization via activating MR/LKB1/p-AMPK/PDK4/p-CREB/FOXO1 signaling pathway. This study provides the valuable information for understanding the underlying mechanism during decidualization.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • AMP-Activated Protein Kinase Kinases
  • Adenylate Kinase / metabolism
  • Adult
  • Aldosterone / pharmacology*
  • Cell Line
  • Cells, Cultured
  • Cyclic AMP Response Element-Binding Protein / metabolism
  • Decidua / drug effects
  • Decidua / metabolism*
  • Down-Regulation / drug effects
  • Endometrium / drug effects
  • Endometrium / metabolism*
  • Epithelial Cells / drug effects
  • Epithelial Cells / metabolism
  • Female
  • Forkhead Box Protein O1 / metabolism
  • Glycolysis / drug effects
  • Humans
  • Menstrual Cycle / drug effects
  • Models, Biological
  • Phosphorylation / drug effects
  • Pregnancy
  • Progesterone / pharmacology
  • Protein Serine-Threonine Kinases / metabolism
  • Receptors, Mineralocorticoid / metabolism
  • Renin-Angiotensin System / drug effects
  • Stromal Cells / drug effects
  • Stromal Cells / metabolism
  • TRPP Cation Channels / metabolism

Substances

  • Cyclic AMP Response Element-Binding Protein
  • FOXO1 protein, human
  • Forkhead Box Protein O1
  • Receptors, Mineralocorticoid
  • TRPP Cation Channels
  • polycystic kidney disease 2 protein
  • Aldosterone
  • Progesterone
  • Protein Serine-Threonine Kinases
  • STK11 protein, human
  • AMP-Activated Protein Kinase Kinases
  • Adenylate Kinase