In previous studies using primary cultures of human placental cells, we observed that differentiation of cytotrophoblasts to syncytiotrophoblast is oxygen-dependent and associated with a marked induction of aromatase activity and
hCYP19 gene expression [
3,
4]. Transfection of placental and non-placental cells with reporter gene constructs revealed that placenta-specific
exon I.1 5′-flanking sequences between -501 and -42 bp mediates trophoblast-specific
hCYP19 gene expression [
3]. Studies using transgenic mice also suggested that as little as 501 bp of
exon I.1 5′-flanking DNA directed reporter gene expression exclusively to the placenta and specifically to the labyrinthine trophoblast layer, which is region of mouse placenta most analogous to the human syncytiotrophoblast [
5]. Collectively, these findings suggest that the 5′-flanking DNA within 501 bp of
exon I.1 of the
hCYP19 gene contains cis-acting elements that bind placenta-specific transcription factors. Since mouse placenta does not express aromatase, it is likely that placental transcription factors that mediate
hCYP19 gene expression are conserved between mouse and human, while the genetic response elements that bind these factors are not.
More recently, we created transgenic mice carrying fusion genes containing 246, 201 and 125 bp of
exon I.1 5′-flanking sequence fused either to a mutated (
hGX) or wild-type (
hGH) human growth hormone reporter gene (). We found that little as 246 bp of
hCYP19 exon I.1 5′-flanking sequence was sufficient to direct placenta-specific expression of
hGX or
hGH in transgenic mice (). By contrast, transgenes containing 201 bp or 125 bp of
exon I.1 5′-flanking DNA were not expressed in mouse placenta [
6] (). Furthermore,
hCYP19I.1-246:hGX transgene expression was developmentally regulated; expression was observed as early as embryonic day (E) 7.5 in several cells of the trophoblast ectoderm, at E8.5 in some trophoblast giant cells and by E9.5 throughout the giant cell layer (). Very low levels of
hCYP19I.1-246:hGX transgene expression were detected at E9.5 in the primitive labyrinthine layer. However, by E10.5, relatively high levels of
hCYP19I.1-246:hGX transgene expression were observed both in the well-vascularized labyrinthine and in the trophoblast giant cell layers (). By contrast, expression of the
hCYP19I.1-501:hGH transgene was first observed at E10.5 and restricted to the labyrinthine layer (). This suggests the presence of regulatory elements between -501 and -246 bp that may bind inhibitory transcription factors expressed in giant cells.
Both the -501 bp- and -246 bp-containing transgenes were highly expressed in the labyrinthine trophoblast at E10.5. At this stage, the embryonic vasculature has invaded and branched extensively into the labyrinth to facilitate efficient transport of nutrients and oxygen to the embryo [
7,
8]. This indicates that the transcription factors required for activation of these transgenes are expressed in the labyrinth and raises the possibility that O
2 may play a permissive role in their expression. In studies using human trophoblast cells in culture, we observed that syncytiotrophoblast differentiation and induction of
hCYP19 gene expression were prevented when the cells were cultured under hypoxic (2% O
2) conditions [
4]. This suggests the presence of response elements within the 501 bp region that bind hypoxia/O
2-regulated transcription factors, which in turn control
hCYP19I.1 promoter activity. We observed that increased expression of the basic-helix-loop-helix transcription factor mammalian achaete scute homologous protein-2 (Mash-2) under hypoxic conditions prevented induction of
hCYP19 gene expression in cultured human trophoblast cells [
4]. The inhibitory effect of Mash-2 appears to be mediated directly by increased binding of upstream stimulatory factors (USFs) 1 and 2 as heterodimers to E-boxes within the 5′-flanking region (-58 bp) and first exon (+26 bp) of the hCYP19 gene [
9]. In mouse placenta, Mash-2 is expressed in the spongiotrophoblast and labyrinthine layers [
7,
10]. Interestingly, Mash-2 expression decreases at E10.5 [
11], a time that coincides with increased vascularization of the labyrinth and induced expression of the 501 bp- and 246 bp-containing transgenes. Therefore, elevated Mash-2 under the hypoxic conditions existing in mouse placenta prior to E10.5 could possibly inhibit
hCYP19I.1-501:hGH transgene expression by preventing binding of stimulatory transcription factor(s).
To further define potential stimulatory and inhibitory sequences within the 501-bp
exon I.1 5′-flanking region, we carried out transfection experiments using human trophoblast cells in primary culture. In previous cell transfection studies, we observed that
hCYP19I.1-246:hGH fusion genes were highly expressed in human syncytiotrophoblast but also were expressed in human lung and kidney cell lines. By contrast, expression of -501 bp-containing fusion genes was syncytiotrophoblast-specific [
3]. To further define the region between -246 bp and -501 bp upstream of
exon I.1 that may be involved in labyrinth/syncytiotrophoblast-specific
hCYP19 gene expression,
hCYP19I.1:hGH fusion genes comprised of -246, -300, -350, -400 or -501 bp of
exon I.1 5′-flanking DNA were incorporated into recombinant replication defective adenoviral viral particles and introduced into freshly isolated human trophoblast cells and into A549 lung adenocarcinoma cells by infection (multiplicity of infection = 0.5). Fusion gene expression was analyzed three days after infection (when most of the primary trophoblast cells had fused to form syncytia) by assay of levels of hGH secreted into the medium over a 24 h period of culture. As observed previously [
3], fusion genes containing 246 bp of 5′-flanking sequence were highly expressed in the human syncytiotrophoblast cells and in lung A549 cells (). On the other hand, expression of the
hCYP19I.1-300:hGH fusion gene was essentially undetectable, suggesting the presence of transcriptional repressors in both cell types that bind to elements between -246 bp and -300 bp. In the human placental cells, expression levels of fusion genes containing 350-, 400- and 501-bp of
exon I.1 5′-flanking DNA were increased as compared to the 300 bp construct, while in the lung A549 cells, expression of these longer fusion genes was barely detectable (). This suggests that the repression in the trophoblast cells was overcome, in part, by syncytiotrophoblast-specific enhancers binding to the region between -300 and -501 bp. It is possible that analogous repressors also prevent expression of the 501 bp transgene in the trophoblast giant cell layer in transgenic mice.