Originally published as JHC exPRESS on June 8, 2009. doi:10.1369/jhc.2009.952085
Volume 57 (9): 871-881, 2009 Copyright ©The Histochemical Society, Inc. The Human Endometrium Expresses the Glycoprotein Mucin-1 and Shows Positive Correlation for Thomsen-Friedenreich Epitope Expression and Galectin-1 Binding
Department of Obstetrics and Gynaecology–Maistrasse (UJ,IM,PP,NS,CK,SS,KF,MSK), and Department of Medicine, Division of Clinical Pharmacology (DA), Ludwig-Maximilians-University Munich, Munich, Germany; Department of Biochemistry and Molecular Biology, University of Rostock, Rostock, Germany (HW); and Glycotope GmbH, Berlin-Buch, Germany (UK) Correspondence to: PD Dr Udo Jeschke, 1st Department of Obstetrics and Gynaecology, Ludwig-Maximilians-University Munich, Maistrasse 11, 80337 Munich, Germany. E-mail: udo.jeschke{at}med.uni-muenchen.de
Mucin 1 (MUC1) is a glycoprotein in human endometrium and is abundant at the luminal epithelial surface in the receptive phase. It has a highly glycosylated ecto-domain that contains keratan sulfate chains, that disappears at the time of implantation. In addition, the glycoforms on MUC1 differ in fertile and infertile women. Therefore the aims of this study were investigations on glycosylation of MUC1 with the Thomsen-Friedenreich (TF) epitope on normal human endometrium throughout the menstrual cycle and binding of galectin-1 on the TF epitope in the endometrium and the expression of galectin-1 on the human oocyte. Human endometrial tissue was obtained from 54 premenopausal patients and was immunohistochemically analyzed with monoclonal antibodies against MUC1, TF epitope, galectin-1, and biotinylated galectin-1. In addition, human oocytes were analyzed for TF, galectin-1 expression, and galectin-1 binding. We identified a significant upregulation of MUC1 and TF epitope and, in addition, galectin-1 binding in glandular epithelium and epithelial apical surface tissue from proliferative to secretory phase. With double staining experiments, we identified a coexpression of TF and MUC1 in the early secretory phase and galectin-1 binding to TF during the same period of time. In addition we identified TF epitope and galectin-1 expression plus binding on the human oocyte and irregularly fertilized oocytes. Upregulation of TF epitope on the glandular epithelium and epithelial apical surface tissue in the secretory phase and binding of galectin-1 at the same time show the possibility of galectin-1–mediated trophectoderm binding to the endometrium within the window of implantation. (J Histochem Cytochem 57:871–881, 2009)
Key Words: endometrium glycosylation Thomsen-Friedenreich epitope galectin-1 oocyte
IMPLANTATION OF THE HUMAN EMBRYO is a complex event that involves changes in expression of embryonic as well as uterine cell surface components (Carson et al. 1998
The Thomsen-Friedenreich (TF) epitope has been known for a long time as a tumor-associated epitope (Springer 1984
Galectin-1, a prototype galectin, forms non-covalently associated homodimers under physiological conditions. Its two carbohydrate recognition domains preferentially recognize type I and type II N-acetyllactosamine residues present on all complex N-linked and many O-linked glycoproteins (Sparrow et al. 1987 Therefore the aim of this study was: (a) identification of MUC1 and TF expression in glandular epithelial cells of the endometrium throughout the menstrual cycle; (b) identification of galectin-1 binding to glandular epithelial cells of the endometrium throughout the menstrual cycle; (c) identification of TF expression and galectin-1 binding to the oocyte and irregularly fertilized oocytes; and (d) binding experiments on irregularly fertilized oocytes using human uterine epithelial Ishikawa cells as a model for TF-expressing glandular epithelial cells of the endometrium.
Tissue Samples Samples of human endometrium were obtained from 54 premenopausal, non-pregnant patients undergoing gynecological surgery, either by dilation and curettage or hysterectomy, for benign diseases, mainly uterine leiomyoma. All women had a normal and regular menstrual cycle with no hormonal treatment for 3 months prior to surgery. All pathological and hyperplastical endometrial samples were excluded from this study. Endometrium samples were classified according to anamnestical and histological dating (Dallenbach-Hellweg and Poulsen 1985 Controlled ovarian stimulation of infertile patients attending the in vitro fertilization (IVF) department of the Ludwig-Maximilians-University Munich was performed using standard protocols, including recombinant follicle-stimulating hormone (FSH) (Gonal-F; Serono, Geneva, Switzerland), and/or human menopausal gonadotrophin (Menogon; Ferring Pharmaceuticals, Kiel, Germany). Follicular growth was monitored by transvaginal ultrasound and serum levels of estradiol (E-2). hCG (Predalon Organon; AKZO-NOBEL, The Netherlands) was administered 36 hr before oocytes were retrieved by transvaginal ultrasound–guided aspiration. FSH, E-2, and hCG levels were measured using a solid-phase, competitive chemiluminescent immunoassay (DPC Immulite; Diagnostic Products Corp., Los Angeles, CA). Oocytes of each patient were inseminated by homologous standard IVF or intracytoplasmic sperm injection (ICSI) procedures. Fertilization of the oocytes was assessed by light microscopy 14–18 hr after insemination or ICSI for the presence, number, and morphology of pronuclei. A prerequisite for normal fertilization is the presence of two pronuclei (2 PN), one male, one female, approximately of equal size and of two polar bodies. Such a zygote has a diploid chromosomal status. Abnormal zygotes are either haploid [having only one pronucleus (1 PN)], triploid, or polyploid (having 3 PN or more). 3-PN zygotes may arise through different mechanisms, e.g., by penetration of an oocyte by two spermatozoa, by penetration by a binucleate spermatozoon, or by retention of the first or second polar body chromosomes. A 3-PN zygote may develop further to a cleaved embryo and even reach the blastocyst stage; however, the triploid status is not compatible with normal development, and subsequently its growth is arrested. Therefore, all 3-PN zygotes are always excluded from further culture and are discarded. The normally fertilized (2-PN) zygotes used for the present study were donated by patients who chose not to cryopreserve their excess fertilized oocytes. According to German laws for the protection of embryos, all remaining fertilized oocytes, other than those assigned for embryo transfer, must be either cryopreserved or discarded. Normal unfertilized oocytes were derived from cells that at the time of insemination or ICSI were immature and therefore not suitable for clinical use. The Ethical Committee of the Ludwig-Maximilians-University of Munich approved the study, and informed consent of the patients was obtained.
Purification and Biotinylation of Galectin-1 From Human Placenta
The lectin (1 mg/ml) was biotinylated in phosphate-buffered saline (PBS, pH 8.0) by the addition of 40 µl 10 mM biotinyl-N-hydroxysuccinimide in dimethyl sulfoxide (Boorsma et al. 1986
Cocultivation of Irregularly Fertilized Oocytes and Human Uterine Epithelial Ishikawa Cells
Immunohistochemistry Briefly, paraffin-fixed tissue sections were dewaxed using xylol for 15 min, rehydrated in ascending series of alcohol (70%, 96%, and 100%), and subjected to epitope retrieval for 10 min in a pressure cooker using sodium citrate buffer (pH 6.0), containing 0.1 M citric acid and 0.1 M sodium citrate in distilled water. After cooling, sections were washed twice in PBS. Endogenous peroxidase activity was quenched by immersion in 3% hydrogen peroxide (Merck; Darmstadt, Germany) in methanol for 20 min. Nonspecific binding of the primary antibodies was blocked by incubating the sections with "diluted normal serum" (10 ml PBS containing 150 µl horse serum; provided by Vector Laboratories) for 20 min at room temperature. Sections were then incubated at room temperature for 60 min with the primary antibodies. After washing with PBS, sections were incubated in "diluted biotinylated serum" (10 ml PBS containing 50 µl horse serum; provided by Vector Laboratories) for 30 min at room temperature. After incubation with the avidin-biotin-peroxidase complex (diluted in 10 ml PBS; Vector Laboratories) for 30 min and repeated washing steps with PBS, visualization was performed with substrate and chromagen 3,3'-diaminobenzidine (DAB; Dako, Glostrup, Denmark) for 8–10 min. Sections were counterstained with Mayer's acidic hematoxylin and dehydrated in an ascending series of alcohol (50–98%). After xylol treatment, sections were covered. Negative controls were performed by replacing the primary antibody with normal horse serum. Immunohistochemical staining was performed using an appropriate positive control. Positive cells showed a brownish color, and negative controls as well as unstained cells were blue.
Immunocytochemistry and Controls
Immunofluorescence and Confocal Laser Microscopy Imaging was also performed using a confocal laser microscope (LSM 510; Zeiss), and images were processed using Adobe Photoshop for adjustment of contrast and size.
Evaluation and Statistical Analysis
Immunohistochemical Expression of MUC1 in Glandular Epithelial Tissue Throughout the Menstrual Cycle We identified a moderate staining of MUC1 in glandular epithelial cells of the proliferative phase of the human endometrium (Figure 1A ). In addition, a strong staining of MUC1 was found in glandular epithelial cells of the early secretory phase of the human endometrium (Figure 1B). In the late secretory phase, MUC1 is significantly upregulated in glandular epithelial cells (Figure 1C, p=0.017) compared with the proliferative phase. A summary of the staining results of MUC1 in glandular epithelial cells is presented in Figure 2 .
Expression of the TF Epitope in Secretory Glandular Epithelial Tissue We identified a moderate staining of TF in glandular epithelial cells of the proliferative phase of the human endometrium (Figure 3A ). In addition, a significantly enhanced staining of TF was found in glandular epithelial cells of the early secretory phase of the human endometrium (Figure 3B, p=0.006). In the late secretory phase, TF is also significantly upregulated in glandular epithelial cells (Figure 3C, p=0.018) compared with the proliferative phase. A summary of the staining results of TF in glandular epithelial cells is presented in Figure 4 .
Binding of Exogenous Biotinylated Galectin-1 to Secretory Glandular Epithelial Tissue We identified no binding of exogenous biotinylated galectin-1 to glandular epithelial cells in the proliferative phase of the human endometrium (Figure 5A ). In addition, a significantly enhanced binding of galectin-1 to glandular epithelial cells was found in the early secretory phase of the human endometrium (Figure 5B, p=0.016). In the late secretory phase, galectin-1 binding to glandular epithelial cells is also significantly upregulated (Figure 5C, p=0.004) compared with the proliferative phase. A summary of the staining results of galectin-1 binding to glandular epithelial cells is presented in Figure 6 .
Coexpression of MUC1 and TF, and Binding of Exogenous Biotinylated Galectin-1 to Endometrial Epithelial Apical Surface Tissue in the Early Secretory Phase We identified a strong expression of MUC1 in endometrial epithelial apical surface tissue of an early secretory endometrium (Figure 7A ). A strong expression of TF epitope was also found in endometrial epithelial apical surface tissue of an early secretory endometrium (Figure 7B). Binding of galectin-1 to endometrial epithelial apical surface tissue was observed in an early secretory endometrium (Figure 7C). In addition, we found coexpression of MUC1 and TF on endometrial epithelial apical surface tissue only in the early secretory phase (Figure 7D–7F). In the early secretory phase, we also show colocalization of galectin-1 binding (Figure 7H) and TF epitope (Figure 7G).
Correlation Between MUC1, TF, and Galectin-1 Comparison of MUC1 and TF staining (Figures 2 and 4) and, in addition, galectin-1 binding analysis (Figure 6) in proliferative (n=32), early secretory (n=10), and late secretory phase (n=12) endometrial tissue slides used in this study revealed a positive correlation for TF epitope expression and galectin-1 binding (coefficient of correlation: 0.633, p=0.01), and in addition, galectin-1 binding and MUC1 expression (coefficient of correlation: 0.355, p=0.034) throughout the menstrual cycle.
Expression of the TF Epitope on the Human Oocyte and on Irregularly Fertilized Oocytes
Binding of Exogenous Biotinylated Galectin-1 to a Human Oocyte In addition, we also found a strong binding of galectin-1 to the surface of these cells (Figures 8B and 9B). Preincubation of TF-PAA conjugates with biotinylated galectin-1 did not result in galectin-1 binding (Figure 10B).
Cocultivation of Irregularly Fertilized Oocytes and Human Uterine Epithelial Ishikawa Cells
Changes in the epithelium of the endometrium are characterized by alterations in cell surface molecules and the appearance of pinopodes. This coincides with the window of endometrial receptivity in the menstrual cycle (Horne et al. 2005
Human endometrial epithelium undergoes progesterone-modulated differentiation during the menstrual cycle (Smith et al. 1989
Endometrial MUC1 contains
Here we show that endometrial MUC1 carries an additional glycosylation type (the TF epitope). The TF glycotope (Galβ1-3GalNAc-) is expressed in more than 85% of human carcinomas (Springer 1984
Galectin-1 expression by the bovine blastocyst was described previously by Mohan et al. (2004)
On the basis of the results of our studies, we are aware that colocalization of galectin-1 and TF epitope in oocytes and endometrium may not necessarily be an indication for the functional involvement of galectin-1 in implantation. Moreover, Fowlis et al. (1995) In summary, we identified a significant upregulation of MUC1, TF epitope, and galectin-1 binding in glandular epithelium and epithelial apical surface tissue from the proliferative to the late secretory phase. In addition, we identified TF epitope and galectin-1 expression plus binding on the human oocyte and irregularly fertilized oocytes. Upregulation of the TF epitope on the glandular epithelium and epithelial apical surface tissue in the secretory phase and binding of galectin-1 during the same phase suggest the possibility of galectin-1–mediated trophectoderm binding to the endometrium during the window of implantation.
Supported by the Deutsche Forschungsgemeinschaft (UJ, HW) and in part by the FöFoLe project of the Ludwig-Maximilians-University Munich (IM). We thank the 1st Department of Obstetrics and Gynaecology for assistance in obtaining the material and S. Kunze for assistance with histochemistry.
1 These authors contributed equally to this work. Received for publication June 20, 2008; accepted May 20, 2009
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