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Angiotensin II decreases system A amino acid transporter activity in human placental villous fragments through AT1 receptor activation

¹Magee-Womens Research Institute and ²Department of Obstetrics, Gynecology & Reproductive Sciences, University of Pittsburgh School of Medicine; ³Department of Epidemiology and ⁴Department of Environmental and Occupational Health, University of Pittsburgh Graduate School of Public Health, Pittsburgh Pennsylvania

Submitted 21 March 2006 ; accepted in final form 14 June 2006

	ABSTRACT

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Reduced transport of amino acids from mother to fetus can lead to fetal intrauterine growth restriction (IUGR). The activities of several amino acid transport systems, including system A, are decreased in placental syncytiotrophoblast of IUGR pregnancies. Na⁺-K⁺-ATPase activity provides an essential driving force for Na⁺-coupled system A transport, is decreased in the placenta of IUGR pregnancies, and is decreased by angiotensin II in several tissues. Several reports have shown activation of the fetoplacental renin-angiotensin system (RAS) in IUGR. We investigated the effect of angiotensin II on placental system A transport and Na⁺-K⁺-ATPase activity in placental villi. Placental system A activity in single primary villous fragments was measured as the Na⁺-dependent uptake of -(methylamino)isobutyric acid, and Na⁺/K⁺ ATPase activity was measured as ouabain-sensitive uptake of ⁸⁶rubidium. Angiotensin II decreased system A activity in a concentration-dependent fashion (10–500 nmol/l). Angiotensin II type 1 receptor (AT1-R) antagonists losartan and AT1-R anti-peptide blocked the angiotensin II effect, but the angiotensin II type 2 receptor antagonist PD-123319 was without effect. System A activity was not altered by preincubation with AT1-R-independent vasoconstrictors, and antioxidants did not prevent the decrease in activity mediated by angiotensin II. Angiotensin II decreased Na⁺-K⁺-ATPase activity by an AT1-R dependent mechanism, and inhibition of Na⁺-K⁺-ATPase activity decreased system A activity in a dose-response fashion. These data suggest that angiotensin II, via AT1-R signaling, decreases system A activity by suppressing Na⁺-K⁺-ATPase in human placental villi, consistent with possible adverse effects of enhanced placental RAS on fetal growth.

fetal intrauterine growth restriction; preeclampsia; ouabain; Na⁺-K⁺-ATPase; ⁸⁶rubidium; angiotensin II type 1 receptor

The system A amino acid transporter, also known as the Na⁺-dependent neutral amino acid transporter, mediates transport of small neutral amino acids, such as alanine, serine, glutamine, and glycine, in an Na⁺-coupled fashion (11, 24). System A transporter activity is reduced in the placenta of IUGR pregnancies (12, 15, 16, 19, 21, 34), but this does not appear to be due to reduction in placental expression of mRNA for system A (35). A recent study in rats (8) demonstrated that competitive inhibition of system A amino acid transport by -(methylamino)isobutyric acid (MeAIB) results in decreased fetal growth, consistent with reduced amino acid transport as a cause, rather than just an effect, of this pregnancy condition. Consistent with impaired placental amino acid transport as a potential cause of IUGR, cord blood (but not maternal blood) concentrations of most essential amino acids are significantly decreased in pregnancies with IUGR fetuses compared with uncomplicated pregnancies with appropriately grown fetuses (2, 5).

The renin-angiotensin system (RAS) is thought to play a crucial regulatory role in the fetoplacental circulation, facilitating adequate placental blood flow for fetal oxygenation and nutrition (40). Apart from the traditional hormonal (circulating) RAS involved in the regulation of blood pressure and salt and fluid homeostasis, the essential components of RAS (including renin, angiotensinogen, angiotensin converting enzyme, and angiotensin receptors) have been identified in many tissues, including the placenta, suggesting that local RAS may modulate placental function (40, 43). The angiotensin II type 1 receptor (AT1-R) predominates over the angiotensin II type 2 receptor (AT2-R) in the human placenta (25, 29, 32), and AT1-R is abundantly present in syncytiotrophoblasts (30, 31, 52), the placental cells responsible for amino acid transport. AT1-R immunoreactivity in normal pregnancy syncytiotrophoblast has a negative correlation with infant birth weight, suggesting that AT1-R signaling is involved in the regulation of fetal growth (30). There is evidence for involvement of altered placental RAS in the pathophysiology of IUGR (28, 29, 37, 47). AT1-R gene expression is reduced in syncytiotrophoblast of pregnancies with IUGR fetuses, potentially reflecting chronic activation of RAS (28, 32). Concentrations of angiotensin II in umbilical cord blood are increased in IUGR cases compared with appropriate-for-gestational-age infants, but fetoplacental vascular AT1-R concentrations are not significantly altered, as would be expected from the elevated angiotensin II levels, consistent with inappropriate activation of fetal RAS in IUGR (28). In contrast to idiopathic IUGR, syncytiotrophoblast AT1-R expression is enhanced in preeclampsia, a hypertensive pregnancy disorder frequently accompanied by IUGR (31).

Na⁺-K⁺-ATPase provides an essential driving force for Na⁺-dependent amino acid transport systems, including system A, by pumping Na⁺ out of cells (22). Indeed, Na⁺-K⁺-ATPase inhibitors reduce Na⁺-dependent transport system activity by accumulating Na⁺ within the cells (22, 42). Na⁺-K⁺-ATPase is abundant in the microvillous plasma membrane of syncytiotrophoblast (22). Recent studies (4, 23) have demonstrated that Na⁺-K⁺-ATPase activity is decreased in IUGR. Na⁺-K⁺-ATPase activity is reportedly reduced by angiotensin II/AT1-R activation in several cell types, including glomerulosa cells and enterocytes (18, 33, 36, 48).

Despite these data, the effects of angiotensin II on system A amino acid transport activity and Na⁺-K⁺-ATPase activity in villous placenta have not been determined. Therefore, we investigated whether angiotensin II alters system A amino acid transport activity and Na⁺-K⁺-ATPase activity in individual placental villous fragments via AT1-R binding. We also compared the concentration-response effects of the Na⁺-K⁺-ATPase inhibitor, ouabain on system A amino acid transport and Na⁺-K⁺-ATPase activities in villous tissue. Given the known stimulatory effects of angiotensin II on cellular production of superoxide and other reactive oxygen species (17, 44), we secondarily sought to determine whether antioxidants would reverse the effects of angiotensin II on system A activity.

	MATERIALS AND METHODS

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Buffers and reagents. All experiments with villous tissue were carried out using Tyrode's buffer, as previously described by Jansson et al. (20). Tyrode's buffer consisted of 135 mM NaCl (or 135 mM choline chloride for sodium-free Tyrode's buffer), 5 mM KCl, 1.8 mM CaCl₂, 1.0 mM MgCl₂, 10 mM HEPES, and 5.6 mM glucose, pH 7.4 (adjusted with NaOH for sodium-containing buffer or KOH for sodium-free buffer). All tissue incubations and dissections were carried out in a buffer consisting of 1 volume of Dulbecco's modified Eagle's medium (DMEM) mixed with 3 volumes of Tyrode's buffer [DMEM-Tyrode's (1:3 vol/vol)]. Because DMEM contains high amino acid concentrations, DMEM-Tyrode's (1:3) was used to achieve a more physiological concentration of amino acids (20). Insulin (human), angiotensin II (human), AT1-R anti-peptide (AT1-R blocker), PD-123319 (AT2-R blocker), phenylephrine (₁-adrenergic receptor agonist), U-46619 (thromboxane receptor A2 analog), ouabain (Na⁺-K⁺-ATPase inhibitor), vitamin C, vitamin E, Tiron (disulfonic acid, superoxide scavenger), and diphenylene iodinium (DPI; NADPH oxidase inhibitor) were purchased from Sigma-Aldrich (St. Louis, MO). Losartan (angiotensin II type 1 receptor blocker) was obtained from Merck (Whitehouse Station, NJ). [¹⁴C]MeAIB (50.5 mCi/mmol) and ⁸⁶rubidium (⁸⁶Rb; 6.58 mCi/mg) were purchased from NEN Life Science Products (Boston, MA).

Tissue preparation for villous explants. Fresh placental tissue was obtained within 10 min after delivery from normal pregnant women who delivered healthy, full-term infants in the absence of labor by caesarean section. This study was approved by the University of Pittsburgh Institutional Review Board, and all women gave written informed consent. Biopsies were collected from the maternal side of the placenta, after removal of the decidua, from a central part of cotyledons between the umbilical cord insertion site and the peripheral edge of the placenta that was free of infarcts. Placental tissue was washed three times in room temperature-buffered saline and then transported to the laboratory in room temperature Tyrode's-DMEM (1:3) buffer. Villous fragments (3 mm³) were dissected in Tyrode's-DMEM (1:3) buffer. Single villous fragments were tied with no. 4-0 silk suture and hung on specially designed hooks capable of holding three individual villous fragments. All dissection procedures were performed at room temperature.

Measurement of system A activity of villous explants. Placental system A activity was measured using the method previously described by Jansson et al. (20), with some modifications. After the preparation of the villous fragments on the hooks, the fragments were preincubated in 1-ml volumes of Tyrode's/DMEM (1:3) buffer without (for control and time course experiments described below) or with effector reagents for 60 min at 37°C. After preincubation, the villous fragments were washed twice with 1 ml volume of sodium-containing (for sodium-dependent uptake) or -free (for sodium-independent uptake) Tyrode's buffer at 37°C for 1 min. Subsequently, uptake of [¹⁴C]MeAIB, a specific substrate transported by system A, was measured in sodium-containing or -free (for nonspecific uptake) Tyrode's buffer containing [¹⁴C]MeAIB (1.7 µmol/l, 0.05 µCi/ml) for 20 min at 37°C. The uptake of [¹⁴C]MeAIB was stopped by rinsing (washing) villous fragments in ice-cooled sodium-free Tyrode's buffer two times for 20 s each. Villous fragments were incubated in 1 ml of distilled H₂O for 18 h to release the accumulated [¹⁴C]MeAIB. After villous fragments were removed, scintillation fluid was added to the aqueous supernatant and mixed and the radioactivity counted. Each villous fragment was incubated in 0.2 ml of 0.3 N NaOH overnight, and the total protein amount was determined by the Bradford method. Total pmol of [¹⁴C]MeAIB accumulated was calculated from the radioactive value and normalized to the protein content of its respective villous fragment. System A activity was calculated by subtracting the uptake in sodium-free medium from the uptake in sodium-containing medium and expressed as pmol [¹⁴C]MeAIB·mg protein^–1·20 min^–1.

System A activity assays were completed within 4 h after delivery to avoid significant loss of normal morphology and functional integrity of the villous trophoblast (20, 27, 50). The accumulation of lactate dehydrogenase (LDH; diagnostic from Sigma) into the medium was used to estimate cell damage. LDH data were expressed as percentage of maximum releasable LDH, with the latter determined for each experiment as follows. Briefly, after 60 min of preincubation with or without angiotensin II or other effector reagents, the villous fragments were sonicated, 1% (final concentration) of Triton X-100 was added, and the mixture was then vortexed and incubated for 10 min to ensure complete cell lysis. After centrifugation of particulate matter (300 g, 10 min), LDH and protein concentration in the supernatant were measured to obtain the value for maximal LDH per millgram of protein.

Treatment by effector reagents. Insulin was used as a positive control for stimulation of system A activity (final concentration 300 ng/ml) (20, 26). Angiotensin II stock solution was diluted in 1 ml volume of Tyrode's/DMEM (1:3) buffer (100 nM). To observe the dose-dependent response of system A to angiotensin II, angiotensin II was diluted to final concentrations as follows: 3, 10, 30, 100, and 500 nM. These concentrations are thought to be appropriate given the relatively high local angiotensin II concentration found in placenta (40). AT1-R blockers [losartan (2 µM) and AT1-R anti-peptide (50 µM)] and an AT2-R blocker [PD-123319 (50 µM)] were used to assess whether angiotensin II receptor activation is involved in the decrease of system A activity. Phenylephrine [₁-adrenergic receptor agonist (10 µM)] and U-46619 [thromboxane A₂ receptor agonist (10 µM)] were used to test AT1-R-independent vasoconstrictor effects on system A activity. To investigate the role of oxidative stress on angiotensin II's effect on system A activity, villous fragments were preincubated with antioxidants, either vitamin C (water soluble vitamin, 100 µM), vitamin E (lipid-soluble vitamin, 100 µM), Tiron (disulfonic acid, 100 µM), or DPI (100 µM, NADPH oxidase inhibitor), followed by angiotensin II (100 nM).

Investigation of ouabain-sensitive Na⁺-K⁺-ATPase activity of villous explants. Ouabain-sensitive Na⁺-K⁺-ATPase activity was measured using the established method of Clarson et al. (7), with some modifications. Villous fragments were preincubated with or without ouabain (1 mM) or other effector reagents. After preincubation, the villous fragments were washed twice with 1 ml volume of sodium-containing Tyrode's buffer at 37°C for 1 min. Subsequently, the uptake of ⁸⁶Rb (1 µCi/ml) as an indicator of Na⁺-K⁺-ATPase activity was performed in sodium-containing Tyrode's buffer containing unlabeled MeAIB (1.7 nmol/ml) for 20 min at 37°C. Unlabeled MeAIB was added to keep experimental conditions similar between experiments. The uptake of ⁸⁶Rb was stopped by rinsing (washing) villous fragments in ice-cooled sodium-containing Tyrode's buffer for 10 s. Villous fragments were incubated in 1 ml of distilled H₂O for 18 h to release the accumulated ⁸⁶Rb. Na⁺-K⁺-ATPase activity was calculated in a manner similar to that of system A.

Statistical analysis. Results are expressed as means ± SD. Each group (n) represents data from one placenta performed in triplicate. Linear regression analysis was used to test for differences in transport activity by dose of angiotensin II. Differences between groups or treatments were evaluated by ANOVA with Fisher's post hoc test, and a P value <0.05 was considered significant.

	RESULTS

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System A activity is linear 180 min. As shown in Fig. 1, system A activity in villous fragments from normal placentas was linear 180 min, after which Na⁺-dependent uptake (pmol [¹⁴C]MeAIB/mg protein) began to plateau. All subsequent experiments were performed with an incubation time of 20 min for the uptake of [¹⁴C]MeAIB. None of the agents used in the study significantly altered the nonspecific uptake measured for 20 min (i.e., that in sodium-free, choline-containing medium).

View larger version (10K): [in this window] [in a new window]   Fig. 1. Time-dependent uptake of -(methylamino)isobutyric acid ([14C]MeAIB) in villous fragments freshly isolated from 8 normal-term placentas. System A activity at each time point () is determined as the difference between sodium-dependent () and sodium-independent () uptake of [14C]MeAIB. A: [14C]MeAIB uptake for 300 min. B: [14C]MeAIB uptake for the first 60 min. Data are given as means ± SD.

View larger version (10K): [in this window] [in a new window]   Fig. 2. Insulin increases and angiotensin II (ANG II) decreases system A activity of villous fragments. Data are means ± SD (n = 12 control, n = 5 insulin, 300 ng/ml; n = 12 ANG II, 100 nmol/l). *P < 0.01; **P < 0.001 vs. control.

View larger version (12K): [in this window] [in a new window]   Fig. 3. ANG II decreases system A activity in a dose-response fashion without affecting cell viability. A: dose-response effect of ANG II on system A activity (n = 6). B: %release of lactate dehydrogenase (LDH) in response to ANG II (n = 3). Data are means ± SD. *P < 0.05; **P < 0.01 vs. untreated control.

Suppression of system A activity by angiotensin II is mediated by the AT1-R. AT1-R blockers [losartan (2 µM) and AT1-R anti-peptide (50 µM)] and an AT2-R blocker [PD-123319 (50 µM)] were used to investigate the involvement of angiotensin II receptor activation. As shown in Fig. 4, losartan and AT1-R anti-peptide inhibited the negative effect of angiotensin II on system A activity, but PD-123319 had no effect {pmol [¹⁴C]MeAIB·mg protein^–1·20 min^–1 (n = 6 placentas): control 28.3 ± 3.2; angiotensin II 19.8 ± 3.3 (P < 0.01 vs. control); losartan + angiotensin II 30.0 ± 4.5 (P = 0.77 vs. control); AT1-R anti-peptide + angiotensin II 31.2 ± 6.9 (P = 0.71 vs. control); PD-123319 + angiotensin II 19.7 ± 3.2 (P < 0.01 vs. control)}. To test for effects of endogenous angiotensin II on system A transport activity, villous fragments from six placentas were also incubated with losartan alone (2 µM). Losartan itself did not alter system A activity (control 28.3 ± 3.2 vs. losartan 30.3 ± 5.2, P = 0.90).

View larger version (11K): [in this window] [in a new window]   Fig. 4. The effect of ANG II on system A activity is dependent on activation of the ANG II type 1 receptor (AT1-R). ANG II = 100 nmol/l; losartan = 2 µM; AT1-R blocking peptide (AT1-R BP) = 50 µM; and PD-123319 = ANG II receptor inhibitor. Data are means ± SD (n = 6 placentas/treatment). *P < 0.01 vs. control.

View larger version (9K): [in this window] [in a new window]   Fig. 5. Vasoconstrictors phenylephrine and U-46619 do not affect system A activity. ANG II = 100 nmol/l; phenylephrine = 10 µmol/l; and U-46619 = 10 µmol/l. Data are means ± SD. *P < 0.01 vs. control.

View larger version (11K): [in this window] [in a new window]   Fig. 6. Antioxidants do not prevent the effect of ANG II on system A activity. ANG II = 100 nmol/l; vitamin C (vit C) = 100 µmol/l; vitamin E (vit E) = 100 µmol/l; Tiron = 100 µmol/l; and diphenylene iodinium (DPI) = 100 µmol/l. Data are expressed as means ± SD. *P < 0.01 vs. control.

View larger version (11K): [in this window] [in a new window]   Fig. 7. ANG II decreases placental Na+-K+-ATPase activity by an AT1-R-dependent mechanism. A: time course of ouabain-sensitive villous explant uptake of 86rubidium (86Rb). Ouabain-sensitive Na+-K+-ATPase activity (;86Rb nmol/mg protein) is expressed as the difference between 86Rb uptake in ouabain-free medium () and ouabain-containing (1 mmol/l) medium () (n = 3). B: ANG II (100 nmol/l) decreases Na+-K+-ATPase activity, and this effect is blocked by losartan but not PD-123319 (n = 7 each). Data are means ± SD. *P < 0.05 vs. control.

Ouabain decreases both system A and Na⁺-K⁺-ATPase activities. The relationship between Na⁺-K⁺-ATPase and system A activities was further explored by examining the dose response effect of ouabain on these two transport systems (n = 4 placentas). As shown in Fig. 8, A and B, system A and Na⁺-K⁺-ATPase activities, respectively, displayed similar oubain dose-inhibitory response profiles. Furthermore, the degree of reduction of system A and Na⁺-K⁺-ATPase by 100 nM angiotensin II (37.2 vs. 44.2% of maximal response to oubain, respectively) was not different (Fig. 8, A and B).

View larger version (13K): [in this window] [in a new window]   Fig. 8. Ouabain decreases system A and Na+-K+-ATPase activity in villous explants. Dose-response effect of ouabain on system A activity (A) and Na+-K+-ATPase activity (B) in villous explants compared with control and ANGII (100 nmol/l; n = 4 each). Data are means ± SD. *P < 0.05; **P < 0.01 vs. control.

	DISCUSSION

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The technique of using single, isolated, villous fragments to study amino acid uptake has several potential advantages, as previously discussed by Jansson et al. (20). It enables villous transport to be studied in primary (explant) tissue, maintaining microvillous membrane/basal membrane polarization and cell-cell contacts and avoiding potential changes in transporter characteristics that may occur with passaged cells in culture. In addition, as discussed previously (20), defining system A activity as Na⁺-dependent uptake of MeAIB makes it unlikely that nonspecific uptake (i.e., diffusion into interstitial spaces or nonspecific binding to extracellular surfaces) contributes significantly to measured values. Rubidium is commonly used as a substitute for potassium in studies of the oubain-sensitive Na⁺-K⁺-ATPase (9). Uptake of ⁸⁶Rb was rapid and linear over the time course of our experiments, and oubain inhibited this uptake. These data are consistent with previous reports (22, 23) indicating the presence of Na⁺-K⁺-ATPase maintaining a low intracellular Na⁺ concentration and thus the electrochemical gradient for Na⁺ across the syncytiotrophoblast plasma membrane.

Activation of the uteroplacental RAS with increased production of angiotensin II may occur in the IUGR infant as a regulatory response to protect from hypoxemia by inducing redistribution of blood flow to critical organs such as the fetal heart and brain (13, 28, 29, 32, 37). However, this transiently protective effect may pose a serious dilemma for the nutrition of the IUGR fetus in the form of reduced system A amino acid activity. In this regard, the reduced gene and protein expression of AT1-R in syncytiotrophoblast of IUGR placentas may occur as a secondary adaptive response to the adverse effects of enhanced placental RAS (32).

One possible source of excess AT1-R activation in IUGR pregnancies may relate to agonistic IgG autoantibodies in the maternal circulation that are directed at the second extracellular loop of the AT1-R (53). Originally thought to be exclusive to women with preeclampsia, these autoantibodies have recently been shown to track with abnormal second trimester uterine artery Doppler waveform, thus occurring principally in cases of reduced uteroplacental perfusion, many of whom subsequently develop IUGR (with or without preeclampsia) (54). There is evidence that the circulating AT1-R autoantibody, like angiotensin II, stimulates production of reactive oxygen species through AT1-R-dependent activation of NADPH oxidase (10).

Excess production of peroxynitrite anion by nitric oxide in combination with superoxide anion impairs system A amino acid transport activity in villous explants (27). However, we found that angiotensin II-mediated decreases in system A activity are not prevented by antioxidants, and therefore, oxidative stress does not appear to be the primary mechanism by which angiotensin II decreases system A activity. Furthermore, antioxidants alone had no effect on system A activity (data not shown). These data, however, do not rule out possible adverse effects of chronic exposure to reactive oxygen species induced by angiotensin II.

Unlike idiopathic IUGR, preeclampsia is not accompanied by indirect evidence of reduced amino acid transport from maternal to fetal circulation, such as lower amino acid concentration in cord blood or decreased system A amino acid transport activity, compared with normotensive controls with appropriately grown fetuses despite the high incidence (30–35%) of IUGR in preeclampsia. Indeed, cord blood concentrations of many kinds of amino acids are reportedly increased in preeclampsia compared with normal pregnancy (14), and the expression of system A transporter gene subtypes, ATA1 and ATA2, in preeclamptic placenta is not different from normal pregnancy (35). However, amino acid transport activity is intricately modified by other regulatory hormones such as insulin and leptin (20). In this context it is noteworthy that maternal plasma concentrations and placental production of leptin are increased in women with preeclampsia (1, 46), and leptin has recently been reported (20) to significantly increase system A amino acid transport activity of villous explants.

A previous study (51) showed that human angiotensinogen transgenic female mice mated with human renin transgenic male mice develop hypertension and IUGR in late pregnancy due to angiotensin I generated by human renin secreted from the fetal side to maternal circulation. Moreover, the hypertension and IUGR occurring in this model were prevented by the administration of AT1-R blockers (47). As with our data, this result is consistent with AT1-R activation in the uteroplacental unit as a mediator of IUGR.

Na⁺-K⁺-ATPase provides the key driving force for Na⁺-dependent amino acid transport systems by pumping Na⁺ out of syncytiotrophoblast cells (22). It is of interest that others have reported inhibition of taurine uptake (Na⁺- and Cl^–-dependent amino acid transporter system ) into human placental villous fragments following short-term incubation with oubain (6). The activity of Na⁺-K⁺-ATPase in microvillous membranes from IUGR placentas was found to be reduced by 35% compared with controls, whereas protein expression of the Na⁺-K⁺-ATPase ₁-subunit was only slightly reduced (10%) (23). IUGR is also associated with decreased activity of several Na⁺-coupled transporters in microvillous membranes, including the system A amino acid transporter (34), the taurine transporter (41), and Na⁺/H⁺ exchanger (23). Hence, decreased Na⁺-K⁺-ATPase activity may cause a reduction of Na⁺-coupled transporters in the placenta of IUGR pregnancy. However, the underlying reason for the decreased Na⁺-K⁺-ATPase activity in IUGR placenta is still unknown. Angiotensin II has been shown to decrease Na⁺-K⁺-ATPase activity in several tissues (18, 33, 36, 48), and our data indicate that angiotensin II is also a potent inhibitor of oubain-sensitive Na⁺-K⁺-ATPase activity in villous explants.

Taken together, our data indicate that activation of the AT1-R by angiotensin II decreases placental system A amino acid transporter activity and suggests that enhanced placental RAS is a potential contributor to reduced system A amino acid transport in IUGR. Hypoxia has recently been shown to decrease system A activity and the expression of ATA1 and ATA2 in cultured term human trophoblast cells, suggesting that hypoxia also contributes to decreased amino acid transport in IUGR (39). The regulation of placental amino acid transport activity is not yet fully understood. Additional work on the regulation of placental amino acid transport may increase our understanding of the pathophysiology of pregnancy disorders accompanied by fetal IUGR.

	GRANTS

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This study was supported by National Institutes of Health Grants HL-64144 (to C. A. Hubel), HD-30367 (to J. M. Roberts), and MO1-RR-00056 (to the Clinical Research Center).

	ACKNOWLEDGMENTS

 
We are grateful to the staff of the Clinical Data Core and the nurses of Magee-Womens Hospital for their invaluable assistance in obtaining placental samples. We thank Joseph Tucker and Meredith Snook of Magee-Womens Research Institute for their excellent technical support. We thank Janet M. Catov for assistance in statistical analysis. Losartan was kindly provided by Merck. We are grateful to the Society for Gynecologic Investigation (SGI) for the opportunity to present portions of these data at the 52nd Annual Meeting of the SGI in Los Angeles, CA, in March 2005.

	FOOTNOTES

 

Address for reprint requests and other correspondence: C. A. Hubel, Magee-Womens Research Institute, 204 Craft Ave., Pittsburgh, PA, 15213 (e-mail: rsicah{at}mwri.magee.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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