Induction of uterine prostaglandin H synthase 2 by estradiol following fetal adrenalectomy

Abstract: In sheep, fetal cortisol stimulates the conversion of progesterone to estradiol in late gestation initiating labor. It is unclear whether an intact fetal hypothalamic-pituitary-adrenal (HPA) axis is required to induce the estradiol-triggered subsequent endocrine changes including enhanced intrauterine prostaglandin (PG) synthesis associated with the onset of labor. We have shown that maternal estradiol administration stimulates PG H synthase (PGHS)-2 expressions in pregnant ovine intrauterine tissues. The current study was undertaken to determine whether the fetal adrenal mediates estradiol’s stimulation of the intrauterine PGHS-2 in pregnant sheep. Placenta, myometrium, and endometrium were collected from two groups of ewes at 123–127 d of gestational age (dGA) after fetal adrenalectomy and vehicle treatment (ADX; n=5); or fetal ADX and maternal estradiol administration (5 mg twice a day for 2 d, ADX+E2, n=5). PGHS-2 mRNA and protein were analyzed by Northern and Western Blot analyses in both groups and presented as the ratios to beta actin mRNA for Northern and G protein β subunit for Western blot analysis. Fetal plasma cortisol was measured by radio-immunoassay. Data were analyzed by Student’s t test. Fetal plasma cortisol levels were low in ADX and ADX+E2 groups (<6 ng/mL). The cervix of all ADX+E2 treated ewes was dilated at necropsy. Three out of five ADX+E2-treated ewes delivered within 48 h. The cervix was closed in all fetal ADX ewes at necropsy. PGHS-2 mRNA and protein increased (p<0.05) in myometrium and endometrium, but not placenta in ADX+E2-treated ewes compared with ADX group. These data provide the first in vivo evidence for estradiol upregulation of intrauterine PGHS-2 in late gestation in the absence of an intact fetal HPA axis. Thus, the fetal adrenal is not required to mediate estradiol’s stimulation of uterine PGHS-2 expression associated with the onset of labor.