2008, Número 2
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Rev Invest Clin 2008; 60 (2)
Mecanismos de regulación de la síntesis y secreción de la gonadotropina coriónica humana (hCG) durante el embarazo
Barrera D, Chirinos M, García-Becerra R
Idioma: Español
Referencias bibliográficas: 63
Paginas: 124-132
Archivo PDF: 92.96 Kb.
RESUMEN
La gonadotropina coriónica humana (hCG) es una hormona
proteica esencial para el desarrollo y sostenimiento de la gestación. La adecuada producción de la hCG es fundamental para que el embarazo llegue a término, ya que concentraciones anormales de la hormona han sido correlacionadas con anomalías como los abortos recurrentes y la preeclampsia. La regulación de la producción de la hCG implica diversas moléculas que emplean diferentes vías de señalización para mediar sus efectos sobre las concentraciones de hCG, lo cual ha dificultado el establecimiento de los mecanismos involucrados en su producción. En este trabajo se hace una revisión crítica de los hallazgos más relevantes relacionados con la producción de la hCG y su función durante el embarazo con el objeto de comprender ciertas patologías relacionadas y tratarlas de la manera más apropiada.
REFERENCIAS (EN ESTE ARTÍCULO)
Pierce JG, Parsons TF. Glycoprotein hormones: structure and function. Annu Rev Biochem 1981; 50: 465-95.
Bo M, Boime I. Identification of the transcriptionally active genes of the chorionic gonadotropin beta gene cluster in vivo. J Biol Chem 1992; 267: 3179-84.
Knofler M, Saleh L, Bauer S, Galos B, Rotheneder H, Husslein P, et al. Transcriptional regulation of the human chorionic gonadotropin beta gene during villous trophoblast differentiation. Endocrinology 2004; 145: 1685-94.
Rao CV, Lei ZM. The past, present and future of nongonadal LH/hCG actions in reproductive biology and medicine. Mol Cell Endocrinol 2007; 269: 2-8.
Ziecik AJ, Kaczmarek MM, Blitek A, Kowalczyk AE, Li X, Rahman NA. Novel biological and possible applicable roles of LH/hCG receptor. Mol Cell Endocrinol 2007; 269: 51-60.
Jameson JL, Hollenberg AN. Regulation of chorionic gonadotropin gene expression. Endocr Rev 1993; 14: 203-21.
Yang M, Lei ZM, Rao Ch V. The central role of human chorionic gonadotropin in the formation of human placental syncytium. Endocrinology 2003; 144: 1108-20.
Handschuh K, Guibourdenche J, Tsatsaris V, Guesnon M, Laurendeau I, Evain-Brion D, et al. Human chorionic gonadotropin produced by the invasive trophoblast but not the villous trophoblast promotes cell invasion and is down-regulated by peroxisome proliferator-activated receptor-gamma. Endocrinology 2007; 148: 5011-9.
Herr F, Baal N, Reisinger K, Lorenz A, McKinnon T, Preissner KT, et al. HCG in the regulation of placental angiogenesis. Results of an in vitro study. Placenta 2007; 28 Suppl A: S85- S93.
Fluhr H, Bischof-Islami D, Krenzer S, Licht P, Bischof P, Zygmunt M. Human chorionic gonadotropin stimulates matrix metalloproteinases- 2 and -9 in cytotrophoblastic cells and decreases tissue inhibitor of metalloproteinases-1, -2, and -3 in decidualized endometrial stromal cells. Fertil Steril 2008; En prensa.
Milwidsky A, Finci-Yeheskel Z, Yagel S, Mayer M. Gonadotropin- mediated inhibition of proteolytic enzymes produced by human trophoblast in culture. J Clin Endocrinol Metab 1993; 76: 1101-5.
Polliotti BM, Gnall-Sazenski S, Laughlin TS, Miller RK. Inhibitory effects of human chorionic gonadotropin (hCG) preparations on HIV infection of human placenta in vitro. Placenta 2002; 23 (Suppl. A): S102-S106.
Khil LY, Jun HS, Kwon H, Yoo JK, Kim S, Notkins AL, et al. Human chorionic gonadotropin is an immune modulator and can prevent autoimmune diabetes in NOD mice. Diabetologia 2007; 50: 2147-55.
Sasaki Y, Ladner DG, Cole LA. Hyperglycosylated human chorionic gonadotropin and the source of pregnancy failures. Fertil Steril 2007; En prensa.
Kovalevskaya G, Kakuma T, Schlatterer J, O’Connor JF. Hyperglycosylated HCG expression in pregnancy: cellular origin and clinical applications. Mol Cell Endocrinol 2007; 260-2: 237-43.
Ticconi C, Zicari A, Belmonte A, Realacci M, Rao Ch V, Piccione E. Pregnancy-promoting actions of HCG in human myometrium and fetal membranes. Placenta 2007; 28 (Suppl. A): S137-S143.
Janssens JP, Russo J, Russo I, Michiels L, Donders G, Verjans M, et al. Human chorionic gonadotropin (hCG) and prevention of breast cancer. Mol Cell Endocrinol 2007; 269: 93-8.
O’Shaughnessy PJ, Baker PJ, Johnston H. The foetal Leydig cell— differentiation, function and regulation. Int J Androl 2006; 29: 90-5; discussion 105-8.
Pakarainen T, Ahtiainen P, Zhang FP, Rulli S, Poutanen M, Huhtaniemi I. Extragonadal LH/hCG action—not yet time to rewrite textbooks. Mol Cell Endocrinol 2007; 269: 9-16.
Handschuh K, Guibourdenche J, Tsatsaris V, Guesnon M, Laurendeau I, Evain-Brion D, et al. Human chorionic gonadotropin expression in human trophoblasts from early placenta: comparative study between villous and extravillous trophoblastic cells. Placenta 2007; 28: 175-84.
Shi QJ, Lei ZM, Rao CV, Lin J. Novel role of human chorionic gonadotropin in differentiation of human cytotrophoblasts. Endocrinology 1993; 132: 1387-95.
Malek A, Sager R, Willi A, Muller J, Hanggi W, Leiser R, et al. Production of protein hormones by cultured trophoblast cells isolated from term and early placentae. Am J Reprod Immunol 2000; 43: 278-84.
Taylor RN, Martin MC. Endocrinología del embarazo. En: Greenspan FS, Strewler GJ (eds.). Endocrinología básica y clínica. 4a. Ed. México: El Manual Moderno; 1998, p. 623-54.
Zuo J, Lei ZM, Rao CV. Human myometrial chorionic gonadotropin/ luteinizing hormone receptors in preterm and term deliveries. J Clin Endocrinol Metab 1994; 79: 907-11.
Edelstam G, Karlsson C, Westgren M, Lowbeer C, Swahn ML. Human chorionic gonadatropin (hCG) during third trimester pregnancy. Scand J Clin Lab Invest 2007; 67: 519-25.
Bas-Budecka E, Perenc M, Sieroszewski P. Abnormal second trimester screening for fetal chromosomal abnormalities as a predictor of adverse pregnancy outcome. Ginekol Pol 2007; 78: 877-80.
Basirat Z, Barat S, Hajiahmadi M. Serum beta human chorionic gonadotropin levels and preeclampsia. Saudi Med J 2006; 27: 1001-4.
Ganapathy R, Lamont RF, Bassett P. Unexplained elevated maternal serum beta-HCG concentration and adverse pregnancy outcome. Prenat Diagn 2007; 27: 995-9.
Knofler M, Saleh L, Bauer S, Vasicek R, Griesinger G, Strohmer H, et al. Promoter elements and transcription factors involved in differentiation-dependent human chorionic gonadotrophin-alpha messenger ribonucleic acid expression of term villous trophoblasts. Endocrinology 2000; 141: 3737-48.
Petraglia F, Florio P, Nappi C, Genazzani AR. Peptide signaling in human placenta and membranes: autocrine, paracrine, and endocrine mechanisms. Endocr Rev 1996; 17: 156-86.
Petraglia F, Santuz M, Florio P, Simoncini T, Luisi S, Plaino L, et al. Paracrine regulation of human placenta: control of hormonogenesis. J Reprod Immunol 1998; 39: 221-33.
Jeschke U, Karsten U, Reimer T, Richter DU, Bergemann C, Briese V, et al. Stimulation of hCG protein and mRNA in first trimester villous cytotrophoblast cells in vitro by glycodelin A. J Perinat Med 2005; 33: 212-8.
Licht P, Russu V, Wildt L. On the role of human chorionic gonadotropin (hCG) in the embryo-endometrial microenvironment: implications for differentiation and implantation. Semin Reprod Med 2001; 19: 37-47.
Cirelli N, Lebrun P, Gueuning C, Delogne-Desnoeck J, Vanbellinghen AM, Graff G, et al. Physiological concentrations of albumin stimulate chorionic gonadotrophin and placental lactogen release from human term placental explants. Hum Reprod 2001; 16: 441-8.
Lambot N, Lebrun P, Delporte C, De Vriese C, Delogne-Desnoeck J, Vanbellinghen AM, et al. Effect of IPs, cAMP, and cGMP on the hPL and hCG secretion from human term placenta. Mol Cell Endocrinol 2005; 243: 80-5.
Meisser A, Chardonnens D, Campana A, Bischof P. Effects of tumour necrosis factor-alpha, interleukin-1 alpha, macrophage colony stimulating factor and transforming growth factor beta on trophoblastic matrix metalloproteinases. Mol Hum Reprod 1999; 5: 252-60.
Leisser C, Saleh L, Haider S, Husslein H, Sonderegger S, Knofler M. Tumour necrosis factor-alpha impairs chorionic gonadotrophin beta-subunit expression and cell fusion of human villous cytotrophoblast. Mol Hum Reprod 2006; 12: 601- 9.
Liu L, Leaman D, Villalta M, Roberts RM. Silencing of the gene for the alpha-subunit of human chorionic gonadotropin by the embryonic transcription factor Oct-3/4. Mol Endocrinol 1997; 11: 1651-8.
Weedon-Fekjaer MS, Duttaroy AK, Nebb HI. Liver X receptors mediate inhibition of hCG secretion in a human placental trophoblast cell line. Placenta 2005; 26: 721-8.
Barrera D, Avila E, Hernandez G, Mendez I, Gonzalez L, Halhali A, et al. Calcitriol affects hCG gene transcription in cultured human syncytiotrophoblasts. Reprod Biol Endocrinol 2008; 6: En prensa.
Pestell RG, Hollenberg AN, Albanese C, Jameson JL. c-Jun represses transcription of the human chorionic gonadotropin alpha and beta genes through distinct types of CREs. J Biol Chem 1994; 269: 31090-6.
Barnea ER, Neubrun D, Shurtz-Swirski R. Effect of insulin on human chorionic gonadotrophin secretion by placental explants. Hum Reprod 1993; 8: 858-62.
Yamamoto T, Matsumoto K, Kurachi H, Okamoto Y, Nishio Y, Sakata M, et al. Progesterone inhibits transcriptional activation of human chorionic gonadotropin-alpha gene through protein kinase A pathway in trophoblast cells. Mol Cell Endocrinol 2001; 182: 215-24.
Knofler M, Saleh L, Strohmer H, Husslein P, Wolschek MF. Cyclic AMP- and differentiation-dependent regulation of the proximal alphaHCG gene promoter in term villous trophoblasts. Mol Hum Reprod 1999; 5: 573-80.
Tasken K, Aandahl EM. Localized effects of cAMP mediated by distinct routes of protein kinase A. Physiol Rev 2004; 84: 137-67.
Johnson W, Albanese C, Handwerger S, Williams T, Pestell RG, Jameson JL. Regulation of the human chorionic gonadotropin alpha- and beta-subunit promoters by AP-2. J Biol Chem 1997; 272: 15405-12.
Lambot N, Lebrun P, Cirelli N, Vanbellinghen AM, Delogne- Desnoeck J, Graff G, et al. Colloidal effect of albumin on the placental lactogen and chorionic gonadotrophin releases from human term placental explants. Biochem Biophys Res Commun 2004; 315: 342-8.
Bernucci L, Henriquez M, Diaz P, Riquelme G. Diverse calcium channel types are present in the human placental syncytiotrophoblast basal membrane. Placenta 2006; 27: 1082-95.
Shi CZ, Zhuang LZ. Norepinephrine regulates human chorionic gonadotrophin production by first trimester trophoblast tissue in vitro. Placenta 1993; 14: 683-93.
Xie H, Rothstein TL. Protein kinase C mediates activation of nuclear cAMP response element-binding protein (CREB) in B lymphocytes stimulated through surface Ig. J Immunol 1995; 154: 1717-23.
Currie WD, Setoyama T, Lee PS, Baimbridge KG, Church J, Yuen BH, et al. Cytosolic free Ca2+ in human syncytiotrophoblast cells increased by gonadotropin-releasing hormone. Endocrinology 1993; 133: 2220-6.
Bernatchez R, Belkacemi L, Rassart E, Daoud G, Simoneau L, Lafond J. Differential expression of membrane and soluble adenylyl cyclase isoforms in cytotrophoblast cells and syncytiotrophoblasts of human placenta. Placenta 2003; 24: 648-57.
Borodinsky LN, Spitzer NC. Second messenger pas de deux: the coordinated dance between calcium and cAMP. Sci STKE 2006; 2006: 1-4.
Hashimoto Y, Miyachi H. Nuclear receptor antagonists designed based on the helix-folding inhibition hypothesis. Bioorg Med Chem 2005; 13: 5080-93.
Guibourdenche J, Alsat E, Soncin F, Rochette-Egly C, Evain- Brion D. Retinoid receptors expression in human term placenta: involvement of RXR alpha in retinoid induced-hCG secretion. J Clin Endocrinol Metab 1998; 83: 1384-7.
Tarrade A, Schoonjans K, Guibourdenche J, Bidart JM, Vidaud M, Auwerx J, et al. PPAR gamma/RXR alpha heterodimers are involved in human CG beta synthesis and human trophoblast differentiation. Endocrinology 2001; 142: 4504-14.
Piccinni MP. T cells in normal pregnancy and recurrent pregnancy loss. Reprod Biomed Online 2006; 13: 840-4.
Barrera D, Avila E, Diaz L. Immunological role of progesterone in the maintenance of pregnancy. Rev Invest Clin 2007; 59: 139-45.
Meisser A, Cameo P, Islami D, Campana A, Bischof P. Effects of interleukin-6 (IL-6) on cytotrophoblastic cells. Mol Hum Reprod 1999; 5: 1055-8.
Yanushpolsky EH, Ozturk M, Polgar K, Berkowitz RS, Hill JA. The effects of cytokines on human chorionic gonadotropin (hCG) production by a trophoblast cell line. J Reprod Immunol 1993; 25: 235-47.
Pedersen AM, Fulton SK, Porter L, Francis GL. Tumor necrosis factor-alpha affects in vitro hormone production by JEG-3 choriocarcinoma cell cultures. J Reprod Immunol 1995; 29: 69-80.
Li Y, Matsuzaki N, Masuhiro K, Kameda T, Taniguchi T, Saji F, et al. Trophoblast-derived tumor necrosis factor-alpha induces release of human chorionic gonadotropin using interleukin- 6 (IL-6) and IL-6-receptor-dependent system in the normal human trophoblasts. J Clin Endocrinol Metab 1992; 74: 184-91.
Liu L, Roberts RM. Silencing of the gene for the beta subunit of human chorionic gonadotropin by the embryonic transcription factor Oct-3/4. J Biol Chem 1996; 271: 16683-9.