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1 I. Frauenklinik Innenstadt and 3 Medizinische Klinik II Großhadern, Klinikum der Universität München, D-80337 Munich; and 4 Zentrum für Physiologie und Pathophysiologie, D-37073 Gottingen, Germany; and 2 Division of Clinical Pharmacology, Department of Internal Medicine, University Hospital, CH-8091 Zürich, Switzerland
Human trophoblasts depend on the supply of
external precursors, such as dehydroepiandrosterone-3-sulfate (DHEA-S)
and 16
-OH-DHEA-S, for synthesis of estrogens. The aim of the present
study was to characterize the uptake of DHEA-S by isolated
mononucleated trophoblasts (MT) and to identify the involved
transporter polypeptides. The kinetic analysis of DHEA-35S
uptake by MT revealed a saturable uptake mechanism
(Km = 26 µM,
Vmax = 428 pmol · mg
protein
1 · min
1),
which was superimposed by a nonsaturable uptake mechanism (diffusion constant = 1.2 µl · mg
protein
1 · min
1).
Uptake of [3H]DHEA-S by MT was Na+
dependent and inhibited by sulfobromophthalein (BSP), steroid sulfates,
and probenecid, but not by steroid glucuronides, unconjugated steroids,
conjugated bile acids, ouabain, p-aminohippurate (PAH), and
bumetanide. MT took up [35S]BSP,
[3H]estrone-sulfate, but not 3H-labeled
ouabain, estradiol-17
-glucuronide, taurocholate, and PAH. RT-PCR
revealed that the organic anion-transporting polypeptides OATP-B, -D,
-E, and the organic anion transporter OAT-4 are highly expressed, and
that OATP-A, -C, -8, OAT-3, and Na+-taurocholate
cotransporting polypeptide (NTCP) are not or are only lowly expressed
in term placental tissue and freshly isolated and cultured
trophoblasts. Immunohistochemistry of first- and third-trimester
placenta detected OAT-4 on cytotrophoblast membranes and at the basal
surface of the syncytiotrophoblast. Our results indicate that uptake of
steroid sulfates by isolated MT is mediated by OATP-B and OAT-4 and
suggest a physiological role of both carrier proteins in placental
uptake of fetal-derived steroid sulfates.
estrogen synthesis; isolated trophoblasts; organic anion transporter; dehydroepiandrosterone sulfate
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