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Molecular Endocrinology, doi:10.1210/me.2006-0129
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Molecular Endocrinology 20 (12): 3146-3164
Copyright © 2006 by The Endocrine Society

Human Homologs of the Putative G Protein-Coupled Membrane Progestin Receptors (mPR{alpha}, ß, and {gamma}) Localize to the Endoplasmic Reticulum and Are Not Activated by Progesterone

Tom Krietsch1, Maria Sofia Fernandes1, Jukka Kero, Ralf Lösel, Maria Heyens, Eric W.-F. Lam, Ilpo Huhtaniemi, Jan J. Brosens and Birgit Gellersen

Endokrinologikum Hamburg (T.K., M.H., B.G.), 20251 Hamburg, Germany; Institute of Reproductive and Developmental Biology (M.S.F., J.K., I.H., J.J.B.), and Cancer Research UK Labs, Department of Oncology (E.W.-F.L.), Imperial College London, Hammersmith Hospital, London W12 ONN, United Kingdom; and Department of Clinical Pharmacology (R.L.), School of Medicine Mannheim, University of Heidelberg, 68167 Mannheim, Germany

Address all correspondence and requests for reprints to: Birgit Gellersen, Ph.D., Endokrinologikum Hamburg, Falkenried 88, 20251 Hamburg, Germany. E-mail: gellersen{at}endokrinologikum.com; or Jan J. Brosens, M.D., Ph.D., Institute of Reproductive and Developmental Biology, Imperial College London, Hammersmith Hospital, London W12 ONN, United Kingdom. E-mail: j.brosens{at}ic.ac.uk.


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 RESULTS
 DISCUSSION
 MATERIALS AND METHODS
 REFERENCES
 
The steroid hormone progesterone exerts pleiotrophic functions in many cell types. Although progesterone controls transcriptional activation through binding to its nuclear receptors, it also initiates rapid nongenomic signaling events. Recently, three putative membrane progestin receptors (mPR{alpha}, ß, and {gamma}) with structural similarity to G protein-coupled receptors have been identified. These mPR isoforms are expressed in a tissue-specific manner and belong to the larger, highly conserved family of progestin and adiponectin receptors found in plants, eubacteria, and eukaryotes. The fish mPR{alpha} has been reported to mediate progesterone-dependent MAPK activation and inhibition of cAMP production through coupling to an inhibitory G protein. To functionally characterize the human homologs, we established human embryonic kidney 293 and MDA-MB-231 cell lines that stably express human mPR{alpha}, ß, or {gamma}. For comparison, we also established cell lines expressing the mPR{alpha} cloned from the spotted seatrout (Cynoscion nebulosus) and Japanese pufferfish (Takifugu rubripes). Surprisingly, we found no evidence that human or fish mPRs regulate cAMP production or MAPK (ERK1/2 or p38) activation upon progesterone stimulation. Furthermore, the mPRs did not couple to a highly promiscuous G protein subunit, G{alpha}q5i, in transfection studies or provoke Ca2+ mobilization in response to progesterone. Finally, we demonstrate that transfected mPRs, as well as endogenous human mPR{alpha}, localize to the endoplasmic reticulum, and that their expression does not lead to increased progestin binding either in membrane preparations or in intact cells. Our results therefore do not support the concept that mPRs are plasma membrane receptors involved in transducing nongenomic progesterone actions.


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 RESULTS
 DISCUSSION
 MATERIALS AND METHODS
 REFERENCES
 
FEMALE REPRODUCTIVE function is critically dependent on the ovarian steroid hormone progesterone (P4) for ovulation, implantation, maintenance of pregnancy, and mammary gland development. P4 is an important intermediate in the biosynthesis of androgens and estrogens and also exerts effects in the male reproductive system on sperm capacitation and acrosome reaction. Furthermore, P4 influences the cardiovascular system, kidney function, bone turnover, and sexual behavior (1, 2). The role of nuclear P4 receptors PR-B and PR-A in mediating many of the diverse biological actions of P4 has been unequivocally demonstrated in mouse models in which one or both isoforms have been ablated (3). In the classical mode of action, P4, like other steroid hormones, enters the cell by passive diffusion through the plasma membrane and binds to its cognate receptors, which translocate to the nucleus and act as a ligand-activated transcription factors to modulate gene expression. The kinetics of this genomic process are normally slow, i.e. it takes hours for the steroid hormone signal to be translated into a functional response at the protein level. However, steroid hormones also exert rapid effects on various signal transduction pathways without involvement of transcriptional modulation. It is subject of an ongoing debate whether such nongenomic steroid actions can be attributed to a subpopulation of the nuclear receptors that resides in a cytoplasmic or membrane-associated location, or whether they involve activation of novel unrelated receptors (4, 5). Extranuclear activity has been demonstrated for PR-A and PR-B. These receptors carry a proline-rich motif in their N-terminal domains that, upon P4 binding, mediates interaction with the Src tyrosine kinase at the plasma membrane, resulting in activation of the Ras/Raf-1/MAPK pathway (6). However, combined ablation of PR-A and PR-B expression in mice does not abolish all P4 responses (5, 7, 8). Furthermore, P4 exerts actions in cells and tissues naturally devoid of PR, such as T-lymphocytes, platelets and the rat corpus luteum (9, 10, 11). This lends strong support to the notion that other classes of progestin receptors exist. One such candidate originally identified in porcine vascular smooth muscle cells and hepatocytes and subsequently in human tissues is a P4 membrane-binding protein designated PGRMC1 (progesterone receptor membrane component 1). It has a single transmembrane spanning domain and localizes primarily to the endoplasmic reticulum and the Golgi apparatus (12, 13, 14). Recently, the unrelated protein RDA288 (also termed PAIRBP1 or SERBP1), originally isolated from rat granulosa cells (15), was shown to recruit PGRMC1 into a multimeric P4 membrane receptor complex on the cell surface. P4-dependent activation of this complex leads to stimulation of protein kinase G and is linked to maintenance of low basal intracellular calcium levels, at least in granulosa cells (16, 17, 18).

The cloning and characterization in 2003 of an entire new family of membrane progestin receptors (mPR) with no structural homology to the nuclear PR or PGRMC1 was widely considered a major breakthrough in the field (19, 20). The prototypical mPR{alpha} was first isolated from ovaries of the spotted seatrout (Cynoscion nebulosus) and predicted to be a seven transmembrane spanning G protein-coupled receptor (GPCR). Upon expression of the seatrout (st) mPR{alpha} in human MDA-MB-231 breast cancer cells, short-term P4 treatment resulted in MAPK (ERK1/2) activation and pertussis toxin-sensitive inhibition of cAMP formation, indicating inhibitory G (Gi) protein coupling. In addition to mPR{alpha}, two other isoforms, mPRß and mPR{gamma}, have been identified in a wide variety of species, ranging from Xenopus to humans. Binding of P4 to bacterially expressed human (h) mPR{alpha} and hmPR{gamma} was competed for by 17{alpha}-hydroxyprogesterone (17{alpha}-OHP) and 20ß-hydroxyprogesterone (20ß-OHP), but not by other steroids including 17ß-estradiol, testosterone, cortisol, or by the antiprogestin RU486 (19, 20).

Based on amino acid sequence homology, the mPRs belong to a larger family of 11 highly conserved mammalian paralogs termed the PAQR (progestin and adipoQ receptors) family, which also includes the two adiponectin receptor isoforms AdipoR1 and AdipoR2. The PAQRs are uniquely identified by the PFAM (database of protein families) motif UPF0073 and appear to be an ancient family that evolved preceding the split of eukaryotes and eubacteria (21, 22). Within this nomenclature, mPR{alpha}, ß, and {gamma} are designated PAQR7, PAQR8, and PAQR5, respectively.

Northern blot analysis of human tissues revealed that mPR{alpha} is primarily expressed in reproductive tissues such as testis, ovary, and placenta, whereas mPRß predominates in the brain and kidney and mPR{gamma} in the kidney and intestinal tract (19). The same tissue distribution was reported for mPRß and mPR{gamma} mRNAs in the rat, whereas mPR{alpha} appears to be more widely expressed (23). We have performed extensive expression profiling of mPRs in human gestational tissues and found mPR{alpha} to be the most highly expressed isoform in placenta (22). Interestingly, mPR{alpha} and mPRß transcripts were found to be down-regulated in the myometrium before parturition, suggesting an important role for these novel receptors in P4 target tissues (22). These observations prompted us to functionally characterize the human mPR isoforms to elucidate their physiological roles and their potential as pharmacological targets. Surprisingly, our findings do not support the concept that the mPRs are plasma membrane receptors or that they modulate cAMP production, MAPK activation or Ca2+ mobilization in response to P4.


    RESULTS
 TOP
 ABSTRACT
 INTRODUCTION
 RESULTS
 DISCUSSION
 MATERIALS AND METHODS
 REFERENCES
 
Generation of Cell Lines Stably Expressing Human, Seatrout, and Fugu mPR Homologs
Expression vectors were generated encoding the wild-type (wt) human mPR{alpha}, mPRß, or mPR{gamma}, with or without an N-terminal hemagglutinin (HA) or a C-terminal V5 tag. For comparative analysis, we also generated a vector for expression of the previously characterized seatrout (st) mPR{alpha} (20) with an N-terminal HA tag. Although mPR{alpha} has been cloned from a number of other teleost species including the zebrafish (Danio rerio), goldfish (Carassius auratus), and channel catfish (Ictalurus punctatus) (19, 24, 25), the homologous transcript has not yet been isolated from the Japanese pufferfish (Takifugu rubripes, Fugu rubripes). Using the stmPR{alpha} sequence in a homology search, we identified the corresponding genomic sequence in the Fugu Genome Project database and cloned the mPR{alpha} cDNA from fugu (f) kidney total RNA. The fmPR{alpha} cDNA sequence has been submitted to GenBank database under accession no. DQ400857. The coding region of fmPR{alpha} cDNA exhibits 83.2% similarity to that of stmPR{alpha} (see supplemental figure, Fig. S1, which is published as supplemental data on The Endocrine Society’s Journals Online web site at http://mend.endojournals.org). Comparative analysis of the fish homologs at the amino acid sequence level revealed that the fmPR{alpha} protein is most closely related to stmPR{alpha} (90.9%) (Fig. 1Go). Notably, the fugu and seatrout proteins contain 352 amino acids as opposed to 354 amino acids in the other fish species, due to a deletion of the same two residues in the core of the mPR{alpha} protein. Search for putative transmembrane domains (TM) with the TopPred II program (26) predicted seven TMs in the seatrout protein, as expected, but only six for the fugu homolog as it lacked the fourth TM of the seatrout mPR{alpha} (Fig. 1Go).


Figure 1
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Fig. 1. Comparison of Deduced mPR{alpha} Amino Acid Sequences from F. rubripes, Spotted Seatrout, Channel Catfish, Zebrafish, and Goldfish

Alignment was performed with the GeneBee algorithm (68 ) (http://www.genebee.msu.su/services/malign_reduced.html). Amino acids differing from the fugu sequence are shaded. The TopPred II program (26 ) (http://bioweb.pasteur.fr/seqanal/interfaces/toppred.html) predicts seven transmembrane (TM) regions in the seatrout mPR{alpha} (underlined). For fugu mPR{alpha}, only six transmembrane domains are predicted, without the TM4 of seatrout mPR{alpha}. The phylogenetic tree places the fugu mPR{alpha} sequence most closely to that of seatrout.

 
Human embryonic kidney (HEK) 293 cells, a widely used model for the study of GPCRs (27, 28), were used to generate clonal cell lines that stably express hmPR{alpha}, hmPRß, and hmPR{gamma} either as untagged proteins, or as fusions with HA or V5 tags. Furthermore, we stably transfected HA-tagged human, seatrout, or fugu mPR{alpha} into MDA-MB-231 cells, the human breast cancer cell line originally used to demonstrate that stmPR{alpha} mediates P4-dependent effects on cAMP and MAPK signaling (20).

Western blot analysis was used to select clones that highly express tagged mPR isoforms for further analysis. Notably, all mPRs migrated on SDS-PAGE faster than expected on basis of their theoretical mass, regardless the redox state of the samples (Fig. 2Go, and data not shown). Anomalous migration in SDS-PAGE could be due to the highly hydrophobic nature of the proteins, a known phenomenon (29). Alternatively, in the case of mPRs tagged with a C-terminal V5 epitope, lower apparent molecular mass might indicate the cleavage of an N-terminal signal peptide. This is, however, not consistent with the detection of mPRs with N-terminal HA tag. Cleavage of a signal peptide would lead to loss of the epitope and failure to immunodetect the mature protein. Furthermore, the theoretical size difference between the larger V5-tagged forms (which also include a C-terminal 6xhistidine epitope) and the corresponding smaller HA-tagged forms amounts to about 2 kDa, which is well reflected by the relative faster migration of the latter isoforms (Fig. 2AGo).


Figure 2
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Fig. 2. Expression of mPR Isoforms in Stably Transfected Cells

A, Western blot analysis of HEK293 wt cells (lanes 1, 5), and clonal HEK293 lines stably expressing HA/hmPR{alpha} (lane 2), HA/hmPRß (lane 3), HA/hmPR{gamma} (lane 4), hmPR{alpha}/V5 (lane 6), hmPRß/V5 (lane 7), or hmPR{gamma}/V5 (lane 8). Per lane, 15 µg of protein were loaded. Lanes 1–4 of the resultant blot were detected with HA antibody, lanes 5–8 with V5 antibody (upper panel). The membranes were stripped and reprobed with GAPDH as a loading control (lower panel). Migration of molecular mass markers is shown in kilodaltons on the right. B, Western blot analysis of parental wt MDA-MB-231 cells (wt; lane 1) and MDA-MB-231 cells stably transfected with HA/mPR{alpha} from human (lane 2), seatrout (lane 3) or fugu (lane 4) (15 µg protein/lane). The membrane was immunodetected with HA antibody (upper panel), stripped and reprobed with GAPDH antibody (lower panel).

 
mPRs Do Not Alter cAMP Signaling in Response to P4
It has been reported that stmPR{alpha}, when expressed in mammalian cells, mediates P4-dependent and pertussis toxin-sensitive inhibition of adenylyl cyclase, suggesting coupling to a Gi protein (20). We used HEK293-HA/hmPR{alpha}, HEK293-HA/hmPRß and HEK293-HA/hmPR{gamma} cells to test whether the hmPR isoforms also inhibit cAMP formation in response to P4. Like Zhu et al. (20) in 1993, we treated the cells with 10 nM to 1 µM P4 for 5 min. No decline in cAMP levels was observed in wt HEK293 cells upon P4 treatment (Fig. 3AGo). Surprisingly, such response was also lacking in HEK293 cells stably expressing HA-tagged hmPR{alpha}, hmPRß, or hmPR{gamma} (Fig. 3AGo). To exclude that the HA tag of the mPRs interfered with signal transduction, we repeated these experiments in HEK293 cells stably expressing hmPR{alpha}, hmPRß, or hmPR{gamma} with C-terminal V5 tag or without tag. Again, P4 treatment did not inhibit cAMP formation in any of the cell lines tested (Fig. S2A). In contrast, cAMP levels increased significantly in all HEK293 lines, wt or stably transfected clones, upon stimulation with 1 µM forskolin (data not shown).


Figure 3
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Fig. 3. P4 Does Not Inhibit cAMP Production in mPR-Expressing Cells

A, HEK293 wt cells, or HEK293 cells stably expressing HA/hmPR{alpha}, HA/hmPRß, or HA/hmPR{gamma} were left untreated or treated with P4 (0.01, 0.1 or 1 µM) for 5 min. Intracellular cAMP content was determined and normalized to protein concentration in the extracts. Means ± SD are shown (n = 3). B, MDA-MB-231 wt cells, or MDA-MB-231 cells stably expressing HA/mPR{alpha} from human, seatrout, or fugu were treated as described in A. C, HEK293 cells, stably expressing HA/hmPR{alpha}, and MDA-MB-231 cells stably expressing HA/hmPR{alpha} or HA/stmPR{alpha}, were treated with nicotinic acid (NA; 0.1 or 1 mM) or P4 (0.1 or 1 µM) for 5 min before cAMP content was determined as above (means ± SD, n = 4).

 
To assess whether the lack of coupling to cAMP signaling reflected a species-specific difference between human and seatrout mPR{alpha} and/or was due to the host cell used, we generated MDA-MB-231 breast cancer cells stably expressing stmPR{alpha} to reproduce the conditions used by Zhu et al. (20). For comparison, we performed parallel experiments in MDA-MB-231 cells stably expressing human or fugu mPR{alpha}. The fmPR{alpha} is highly related to the seatrout protein (91% similarity), whereas the hmPR{alpha} shares only 54% sequence similarity with the stmPR{alpha} protein. As shown in Fig. 3BGo, we found no evidence for P4-dependent inhibition of cAMP formation in either wt MDA-MB-231 cells or in cells overexpressing human, seatrout, or fugu mPR{alpha}.

Stimulation with nicotinic acid, a ligand of the endogenous Gi-coupled receptor GPR109a (also designated PUMA-G) (30, 31), was performed as a positive control and resulted in a marked decrease of cAMP production within 5 min in HEK293 or MDA-MB-231 wt cells (Fig. S2B), and in cells stably transfected with HA/mPR{alpha} of human or seatrout origin, whereas parallel incubations with P4 again failed to elicit such a response (Fig. 3CGo). Activity of the P4 preparation and the ability of MDA-MB-231 cells to respond to the hormone were confirmed by cotransfection of a reporter gene construct driven by a progesterone response element and expression vectors for either nuclear PR-A or PR-B. Stimulation with P4 at the same doses as used for the preceding experiment resulted in reporter gene activation in MDA-MB-231 cells transfected with PR-B, but not with PR-A or empty vector (Fig. S2C).

mPRs Do Not Activate ERK1/2 in Response to P4
Next, we examined whether the mPRs couple to MAPK activation. The wt HEK293 cells or clones stably expressing HA/hmPR{alpha}, ß, or {gamma}, were treated with P4 (10 nM to 1 µM) for 5 min before protein extracts were harvested for Western blot analysis. Control cells were stimulated with epidermal growth factor (EGF) (10 pM to 1 nM) for 10 min. Western blots were probed with antibodies specific for total ERK1/2 and for the phosphorylated active form of ERK1/2 (p-ERK1/2). No P4-dependent increase in the amount of p-ERK1/2 relative to total ERK1/2 was detectable in either wt HEK293 cells or any of the clones expressing the human mPR isoforms (Fig. 4AGo). Likewise, HEK293 cells stably transfected with C-terminally V5-tagged hmPR{alpha}, ß, or {gamma}, or with the untagged hmPR isoforms, did not mount a response to P4 in this assay (Fig. S3). In contrast, all cell lines were extremely sensitive to EGF as reflected by a massive increase in ERK1/2 activation, even at a concentration as low as 10 pM (Fig. 4AGo and Fig. S3).


Figure 4
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Fig. 4. P4 Does Not Activate ERK1/2 in mPR-Expressing Cells

A, HEK293 wt cells, or HEK293 cells stably expressing HA/hmPR{alpha}, HA/hmPRß, or HA/hmPR{gamma} were treated with increasing concentrations of P4 (10, 100, 1000 nM; lanes 6–8) for 5 min, or of EGF (10, 100, 1000 pM; lanes 2–4) for 10 min. Controls received the respective vehicles only (lanes 1 and 5). Cell lysates (15 µg/lane) were analyzed by Western blotting with an antibody selective for phosphorylated (active) ERK1/2 (p-ERK1/2). Membranes were stripped and sequentially reprobed with antibodies recognizing total ERK1/2, the HA-tag (to confirm expression of the tagged receptor), and GAPDH as a loading control. B, MDA-MB-231 wt cells, or MDA-MB-231 cells stably expressing HA/mPR{alpha} from human, seatrout, or fugu were treated with P4 or EGF, and cell lysates were analyzed by Western blotting as detailed in A.

 
Zhu et al. (20) had used MDA-MB-231 cells stably expressing stmPR{alpha} to demonstrate a rapid and dose-dependent increase in p-ERK1/2 in response to P4 at a concentration range of 10–1000 nM, which did not occur in control cells transfected with empty vector or a vector containing a reversed insert. Recapitulating these experimental conditions, we found no evidence of P4-dependent ERK1/2 activation in MDA-MB-231 cells expressing mPR{alpha} from seatrout, fugu or human origin, or in wt MDA-MB-231 cells (Fig. 4BGo). In contrast, EGF elicited an increase in ERK1/2 activation even at the lowest concentration (10 pM).

mPRs Do Not Activate p38 MAPK in Response to P4
A recent report demonstrated that treatment of human uterine myocytes with cell-impermeable P4-BSA or with free P4 elicits rapid phosphorylation of p38 MAPK, but not ERK1/2, and inferred that this response was mediated by endogenous hmPR{alpha} and ß (32). To test whether such response was transduced by mPR{alpha}, we incubated MDA-MB-231 cells stably expressing human, seatrout, or fugu mPR{alpha} with P4 (0.1, 1 µM). No p38 activation was seen after 15 or 30 min of treatment in wt or mPR{alpha}-expressing cells, whereas a robust increase in phosphorylated p38 was obtained with anisomycin, a bacterial antibiotic included as a positive control (Fig. 5Go). Likewise, no P4-induced p38 activation was elicited within 5 min of treatment (data not shown).


Figure 5
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Fig. 5. P4 Does Not Activate p38 in mPR-Expressing Cells

MDA-MB-231 wt cells, or MDA-MB-231 cells stably expressing HA/mPR{alpha}from human, seatrout or fugu were treated with P4 (100, 1000 nM; lanes 3, 4, 6, and 7) or were left untreated (lanes 2 and 5) for 15 min (lanes 2–4) or 30 min (lanes 5–7). Treatment with anisomycin (50 µg/ml for 15 min, lane 1) was included as a positive control. Cell lysates (15 µg/lane) were analyzed by Western blotting with an antibody selective for phosphorylated (active) p38 (p-p38). Membranes were stripped and reprobed with an antibody recognizing total p38.

 
This indicates that mPR{alpha}, of human or fish origin, is not involved in relaying P4 signaling to the p38 MAPK cascade.

mPRs Do Not Couple to a Promiscuous G Protein and/or Mediate Ca2+ Mobilization in Response to P4
To further assess whether mPRs are functional GPCRs and activated by P4, we made use of a Ca2+ reporter assay involving a promiscuous G protein {alpha}-subunit, G{alpha}q5i (30, 33). This chimeric protein is based on a G{alpha}q backbone with a mutation of the glycine residue in linker I (G66K), and harbors a substitution of the five amino acids at the extreme C terminus by those of G{alpha}i (34). The G66 mutation confers upon the G{alpha}q the ability to be activated by G{alpha}i- and G{alpha}s-coupled receptors but does not affect the ability to reconstitute a functional Gq-phospholipase Cß-calcium signaling pathway (35). The C-terminal modification bestows vastly improved interaction, as compared with other promiscuous G{alpha} proteins, with Gi-selective GPCRs (36). To monitor receptor activation, we used Chinese hamster ovary (CHO)-K1 cells that stably express a highly sensitive Ca2+ reporter, consisting of green fluorescent protein fused to aequorin (30, 37). These reporter cells were transiently transfected with expression vectors encoding G{alpha}q5i and either hmPR{alpha} or stmPR{alpha}. In control experiments, cells were cotransfected with G{alpha}q5i and GPR109a, a Gi-coupled receptor for nicotinic acid (30, 31). As shown in Fig. 6Go, nicotinic acid rapidly elevated intracellular Ca2+ levels in reporter cells transfected with promiscuous G{alpha}q5i and GPR109a. Notably, this response was approximately hundred-fold lower in cells expressing only GPR109a (data not shown) and undetectable in cells transfected with G{alpha}q5i alone (Fig. 6Go). Importantly, we found no evidence of Ca2+ mobilization upon treatment with P4 (10 nM to 1 µM) in reporter cells transfected with hmPR{alpha} or stmPR{alpha} in the presence or absence of G{alpha}q5i (Fig. 6Go, and data not shown). Furthermore, P4 failed to induce aequorin-mediated green fluorescent protein luminescence in reporter cells transfected with G{alpha}q5i and hmPRß, hmPR{gamma}, or fmPR{alpha} (Fig. S4). Although the above experiments were performed with HA-tagged mPR isoforms, transfection of untagged hmPR{alpha} yielded identical results (data not shown).


Figure 6
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Fig. 6. Human or Seatrout mPR{alpha} Do Not Elicit G Protein-Mediated [Ca2+]i Changes upon P4 Stimulation

Ca2+ reporter cells, transiently transfected with expression vector for G{alpha}q5i alone or in combination with expression vectors for GPR109a, HA/hmPR{alpha}, or HA/stmPR{alpha}, were treated with nicotinic acid (NA, 100 µM) or P4 (1 µM) as indicated to evoke [Ca2+]i changes. Data represent mean relative light units (RLU) ± SEM of triplicate measurements.

 
Collectively, these data indicate that mPRs, upon stimulation with P4, do not activate a typical G protein-mediated signaling pathway. Furthermore, mPRs do not mediate P4-induced Ca2+ mobilization in response to any pathway, whether dependent on G protein coupling or not.

Subcellular Localization of mPRs
The lack of P4 responses in our cell models prompted us to examine the subcellular localization of the mPR isoforms. To this end, we first transiently transfected COS-1 cells with either N-terminally HA-tagged or C-terminally V5-tagged hmPR{alpha} (Fig. 7Go). Cells were either fixed in paraformaldehyde (PFA) (Fig. 7Go, c and d) or in permeabilizing acetone/methanol (Fig. 7Go, a and b). Staining with anti-V5 or anti-HA antibodies yielded strong immunoreactivity for tagged hmPR{alpha} in acetone/methanol-fixed cells but not in PFA-fixed cells. However, permeabilization of PFA-fixed cells with either Triton X-100 (Fig. 7eGo) or digitonin (Fig. 7fGo) allowed the detection of tagged proteins, indicating that neither the N nor the C terminus of the protein is exposed on the cell surface. This could mean that the receptor is not inserted into the plasma membrane, or, alternatively, that it spans the membrane an even number of times such that both termini are located intracellularly. We reasoned that if transfected hmPR{alpha} is expressed on the plasma membrane with classical GPCR topology, then the N-terminal tag should be detectable on living cells with an ELISA. To test this, MDA-MB-231 cells were transiently transfected with N-terminally HA-tagged hmPR{alpha} or HA-tagged plexin-B2, a known cell surface protein that served as a positive control (38). As shown in Fig. 8Go, strong luminescence indicating surface expression was detected in cells transfected with HA-tagged plexin-B2. In contrast, the levels were 47 times lower in HA/hmPR{alpha} expressing cells and comparable to those of mock transfected cells (Fig. 8Go).


Figure 7
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Fig. 7. Exogenously Expressed hmPR{alpha} Does Not Localize to the Plasma Membrane

COS-1 cells were transiently transfected with N-terminally HA-tagged (a, c, e, and f) or C-terminally V5-tagged (b and d) hmPR{alpha} (constructs pHA/hmPR{alpha} or pcDNA/hmPR{alpha}/V5, respectively). Cells were then either fixed with acetone/methanol (a, b) or 4% PFA (c–f). In addition, PFA-fixed cells were permeabilized with Triton X-100 (e) or digitonin (f). Confocal images were captured after indirect immunofluorescent staining with antibodies to HA (red; a, c, e, and f) or V5 (green; b and d), respectively. Nuclei were counterstained with DAPI (blue).

 

Figure 8
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Fig. 8. The N Termini of hmPR{alpha} and stmPR{alpha} Are Not Expressed on the Cell Surface

MDA-MB-231 cells were transiently transfected with expression vectors that encode N-terminally HA-tagged hmPR{alpha} (pHA/hmPR{alpha}), stmPR{alpha} (pHA/stmPR{alpha}) or plexin-B2 (pHA/plexin-B2), a known cell surface protein, or were mock transfected. The cell surface expression of the HA-tag was assessed in living cells by an ELISA using anti-HA antibody, horseradish peroxidase-conjugated secondary antibody and horseradish peroxidase substrate. Data represent mean relative light units (RLU) ± SEM of triplicate measurements.

 
To test whether the presence of a protein tag interfered with the membrane integration of hmPRs, we transiently transfected COS-1 cells with an expression vector encoding wt hmPR{alpha} and stained the cells with an affinity-purified antipeptide antibody that specifically recognizes the C terminus of the human {alpha} isoform (22). As shown in Fig. 9Go, a–c, the pattern of wt hmPR{alpha} immunofluorescence was indistinguishable from that of the tagged proteins, characterized by strong perinuclear staining that fizzled out into a cytoplasmic tubuloreticular network. Furthermore, overexpressed wt hmPR{alpha} was only detectable upon permeabilization of the cells.


Figure 9
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Fig. 9. Expressed mPRs Localize to a Cytoplasmic Tubuloreticular Network Independently of the Presence of Protein Tags (HA, V5, or No Tag), Isoform ({alpha}, ß, and {gamma}), or Species of Origin (Human, Seatrout, Fugu)

COS-1 cells were transiently transfected with pcDNA/hmPR{alpha} (a), pcDNA/hmPR{alpha}/V5 (b), pHA/hmPR{alpha} (c), pHA/hmPRß (d), pHA/hmPR{gamma} (e), pcDNA/hmPR{alpha} and pHA/hmPRß (f), pcDNA/hmPR{alpha} and pHA/hmPR{gamma} (g), pHA/fmPR{alpha} (h) and pHA/stmPR{alpha} (i). Cells were then fixed with PFA and permeabilized with saponin. Indirect immunofluorescence was performed with antibodies to hmPR{alpha} (a, f, and g), V5 (b), or HA (c–i). f and g, Overlay of dual staining for hmPR{alpha} cotransfected with HA-tagged hmPRß or hmPR{gamma}, respectively; the insets show individual staining obtained with hmPR{alpha} antibody (green) and HA antibody (red). Nuclei were counterstained with DAPI (blue).

 
Next, we examined the cellular expression pattern of the human ß and {gamma} isoforms. In addition, we cotransfected combinations of the receptor isoforms because it has been reported for various GPCRs that heteromerization is essential for proper trafficking and membrane insertion (39). To this end, COS-1 cells were transiently transfected with expression vectors that encode HA-tagged hmPRß or {gamma} either alone or in combination with wt hmPR{alpha}. Like hmPR{alpha}, the ß and {gamma} isoforms were detected in the cytoplasm (Fig. 9Go, d and e). Furthermore, coexpression of hmPR{alpha} with either hmPRß or {gamma} did not alter the cellular localization pattern, and overlay of images revealed a high degree of colocalization between the family members (Fig. 9Go, f and g).

Previous studies have reported that transfection of stmPR{alpha} into human cells results in plasma membrane expression (20), raising the possibility that the cellular localization of fish mPRs differs from that of their mammalian homologs. To test this hypothesis, we also transfected COS-1 cells with expression vectors that code for N-terminally HA-tagged seatrout or fugu mPR{alpha}. Surprisingly, no immunoreactivity was detected in nonpermeabilized PFA-fixed cells. Furthermore, the cellular distribution of both fish homologs was identical with that of hmPRs (Fig. 9Go, h and i). It has been proposed that stmPR{alpha} has a classical GPCR topology exposing the N terminus on the cell surface (20). To validate these results, we also performed ELISA on living cells transfected with N-terminally HA-tagged stmPR{alpha}, but again, the level of luminescence was comparable to that of mock-transfected cells (Fig. 8Go). The cytoplasmic localization of exogenous mPRs was not an artifact of COS-1 cells as an identical pattern of expression was observed in transfected Ishikawa and MDA-MB-231 cells (data not shown, and Fig. S5). Furthermore, no difference in the cellular expression pattern was observed between transiently and stably transfected hmPR{alpha} (Fig. S5). Together, the data unequivocally demonstrate that mPRs do not localize to the cell surface, at least not when overexpressed.

Heterologous expression of GPCRs can result in retention of the receptor in the endoplasmic reticulum (40, 41). In an RT-PCR screen for endogenous mPR expression in a range of cell lines, we had observed that transcripts for hmPR{alpha} were readily detected in Ishikawa and MDA-MB-231 cells (data not shown). This prompted us to examine the subcellular localization of the endogenous hmPR{alpha} in these cell types. Ishikawa cells were first double stained for hmPR{alpha} and pan-cadherin, a plasma membrane marker. As shown in Fig. 10Go, a–c, endogenous hmPR{alpha} immunofluorescence was found to be almost exclusively cytoplasmic with little or no overlap with pan-cadherin staining. In contrast, staining of cells with an endoplasmic reticulum marker (KDEL) yielded an almost complete overlap with endogenous hmPR{alpha} immunofluorescence (Fig. 10Go, d–f). To visualize the mitochondria, Ishikawa cells were loaded with Mitotracker Red CMXRos, but the pattern of staining was distinct from that of the endogenous hmPR{alpha} (Fig. 10Go, g–i). These colocalization studies were repeated with MDA-MB-231 cells and again a high degree of overlap was found between hmPR{alpha} and KDEL staining but not with pan-cadherin or Mitotracker Red CMXRos (Fig. S6).


Figure 10
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Fig. 10. Endogenous hmPR{alpha} Is Expressed Predominantly in the Endoplasmic Reticulum

Confocal images were obtained in Ishikawa cells by double staining for hmPR{alpha} and different organelle markers after PFA fixation and saponin permeabilization. Endogenous mPR{alpha} was detected with hmPR{alpha} antibody (a, d, g, c, f, and i; green); simultaneously the plasma membrane, endoplasmic reticulum or mitochondria were stained with anti-pan cadherin (b and c; red), anti-KDEL (e and f; red), or Mitotracker Red CMXRos (h and i; red). Merged confocal images demonstrate that endogenous hmPR{alpha} localizes predominantly to the endoplasmic reticulum (f) but not to the plasma membrane (c) or mitochondria (i). Colocalization in the overlays is indicated by yellow coloration.

 
Taken together, the data demonstrate that the tubuloreticular pattern of hmPR{alpha} immunofluorescence can be attributed to its expression in the endoplasmic reticulum. Furthermore, the expression patterns of the transfected hmPR{alpha}, ß and {gamma} isoforms were very similar, and the distribution of transiently or stably transfected hmPR{alpha} was indistinguishable from that of the endogenous protein.

Progesterone Binding Assays
To determine the binding characteristics of eukaryotically expressed mPRs, we incubated crude membrane preparations from stably transfected MDA-MB-231 or HEK293 cells with tritiated P4 as the ligand, and compared the amount of displaceable binding to that of the corresponding wt cells (Fig. 11Go). In addition to P4, we employed 17{alpha}-OHP and 20ß-OHP for competition studies as these steroids have been reported to bind to recombinant stmPR{alpha} and hmPR{gamma}, whereas 17ß-estradiol was used as a nonspecific competitor (19, 20). If the mPRs were bona fide P4 receptors, then the amount of tritiated P4 that remains bound in the presence of excess cold P4 could be considered nonspecific binding, and the difference between total binding and nonspecific binding would represent specific binding. However, because the ligand specificity of fish and human mPRs has not been determined in a eukaryotic system, we decided to avoid these terms and substitute them with nondisplaceable binding and displaceable binding. In wt MDA-MB-231 cells, about 30–50% of total bound [3H]-P4 was displaced by P4, 17{alpha}-OHP or 20ß-OHP, whereas less than 10% was displaced by 17ß-estradiol. However, neither total binding nor the amount of displaceable binding was elevated in MDA-MB-231 cells expressing HA-tagged mPR{alpha} of human, seatrout, or fugu origin, irrespective of the competitor used (Fig. 11Go, A–D).


Figure 11
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Fig. 11. Progestin Binding Is Not Increased upon Expression of mPRs

A–D, Crude total membrane preparations from MDA-MB-231 cells stably expressing human, fugu, or seatrout mPR{alpha}, or from wt cells, were subjected to radioligand binding assays with 10 nM [3H]-P4. As competitors, P4 (A), 17{alpha}-OHP (B), 20ß-OHP (C), or 17ß-estradiol (D) were added at 10 µM. E, Crude membrane preparations from HEK293 cells stably expressing hmPR{alpha}, ß, or {gamma}, or from wt cells, were subjected to ligand binding assay as in A. A preparation of porcine liver microsomes (PLM) was included as a positive control. Bound [3H]-P4 (dpm) is expressed per mg protein (means ± SD, n = 3). Open bars represent total binding (TB), shaded bars nondisplaceable binding (NDB) in the presence of the indicated competitor, and black bars represent displaceable binding (DB; equalling TB – NDB). F, COS-1 cells were transiently transfected with empty expression vector, expression vector for human PR-B or for untagged hmPR{alpha}. Controls received no vector. P4 radioreceptor assay on whole cells was performed with 17{alpha}-OHP as the competitor. Open bars represent total binding (TB), shaded bars nondisplaceable binding in the presence of excess 17{alpha}-OHP (NDB), and black bars displaceable binding (DB).

 
Likewise, HEK293 cells expressing untagged hmPR{alpha}, ß, or {gamma} did not show higher displaceable binding of P4 than the corresponding wt cells (Fig. 11EGo). In this binding experiment, a preparation of porcine liver microsomes, which are known to contain high-affinity P4 binding sites, was included as a positive control (42). Similar results were obtained with V5-tagged hmPRs, and when using microsomal fractions instead of crude membrane preparations (data not shown).

Furthermore, we performed binding assays on intact whole cells, using COS-1 cells transiently transfected with untagged hmPR{alpha}, and with PR-B as a positive control. As a competitor, we used 17{alpha}-OHP, which has been reported to bind to mPR{alpha} and {gamma} with high specificity (19, 20). In addition, 17{alpha}-OHP is a known agonist on PR-B and is clinically used for prevention of recurrent preterm delivery (43, 44). Whereas cells expressing PR-B readily bound tritiated P4, and binding was largely displaced by excess 17{alpha}-OHP, the amount of total and displaceable binding was extremely low in cells expressing hmPR{alpha} and not different from that seen in untransfected cells or cells transfected with empty vector (Fig. 11FGo).

In summary, we found no evidence of increased P4 binding in mammalian cells that overexpress mPRs.


    DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 RESULTS
 DISCUSSION
 MATERIALS AND METHODS
 REFERENCES
 
Whereas the ability of P4 to exert rapid nongenomic actions is undisputed, the mechanisms transducing these actions have remained enigmatic (4, 5). The isolation of conserved putative membrane progestin receptors with GPCR topology, in fishes, amphibians, and mammals, has sparked tremendous interest in the field (45). Moreover, these receptors have now also been implicated in mediating the phenomenon of functional P4 withdrawal before parturition in humans. Throughout pregnancy, high P4 levels are required to maintain uterine quiescence. In contrast to most species, circulating P4 levels do not decline before the onset of labor in humans. A number of hypotheses have been put forward to explain the apparent loss of P4 sensitivity in human myocytes at term, including a change in the ratio of the nuclear PR isoforms toward the inhibitory PR-A or PR-C over the transcriptional activator PR-B, or an altered expression of steroid receptor coactivators (SRC) (46, 47). Most recently, Karteris et al. (32) proposed a novel mechanism of functional P4 withdrawal that involves P4 signal transduction through the membrane PR isoforms mPR{alpha} and mPRß. According to this model, activation of mPRs leads to a decrease in the level of SRC2 and a modulation of PR-B transcriptional activity. Moreover, the authors reported increased expression of mPR{alpha} at term and, through coupling to G{alpha}i protein, reduced cAMP formation, resulting in increased phosphorylation of myosin light chain, which would lead to enhanced contractile activity of myometrial smooth muscle cells (32). This proposed model elegantly integrates P4 actions mediated by membrane and nuclear PR isoforms and explains how high P4 concentrations could serve to promote the onset of labor.

However, our findings do not lend support to the concept that mPRs are plasma membrane receptors that mediate P4 actions on cAMP production and MAPK activation. First, we could not confirm that mPRs localize to the plasma membrane. By immunofluorescence, all isoforms were found to reside primarily in the endoplasmic reticulum, and there was little or no overlap in immunoreactivity upon double staining for endogenous hmPR{alpha} and a plasma membrane marker. Arguably, residence of mPRs in the endoplasmic reticulum would not preclude activation by P4, as steroid hormones freely enter cells due to their lipophilic nature. However, it makes it difficult to interpret the findings of Karteris et al. (32), who used a membrane-impermeable P4 conjugate (P4-BSA) to elicit mPR-mediated events. These included an increase in the phosphorylation of p38, a decrease in cAMP formation, an increase in myosin light chain phosphorylation and a reduction in SRC2 expression in cultured human myocytes. The latter two effects were abrogated by silencing of hmPR{alpha} expression by small interfering RNA and therefore attributed to the action of this receptor isoform (32). Although it is conceivable that the P4-BSA preparation was contaminated with sufficient free P4 (48) to elicit these responses upon binding to mPRs in the endoplasmic reticulum, Karteris et al. (32) further showed surface binding of fluorescently labeled P4-BSA conjugate (P4-BSA-fluorescein isothiocyanate) to cultured myocytes. They also raised antibodies against mPR{alpha} and mPRß. In Western blot analyses, these antibodies detected bands of 40 and 80 kDa in MDA-MB-231 cells transfected with human mPR{alpha} and mPRß, which were interpreted as mono- and dimeric forms. Surprisingly, the immunoreactive bands were detected in plasma membrane extracts of transfected, but not of nontransfected MDA-MB-231 cells, although we found that this cell line expresses substantial amounts of endogenous hmPR{alpha}. These antibodies were also used for indirect immunofluorescent detection of hmPR{alpha} and ß in myometrial tissue sections and cultured myocytes. The pattern of immunoreactivity was interpreted to show plasma membrane localization of the mPRs, but no dual staining with organelle markers was performed to support this notion (32).

Second, Zhu et al. (20) reported that P4 inhibits adenylyl cyclase activity in MDA-MB-231 cells transfected with stmPR{alpha}, but we found no such effect with any of the human isoforms. We reasoned that this apparent discrepancy could be due to species-specific differences in mPR{alpha} signal transduction. To test this, we recapitulated the experimental design of Zhu et al. (20) by stably transfecting MDA-MB-231 cells with expression vectors for the seatrout or the closely related fugu mPR{alpha}. However, we failed to observe an effect of P4 on cAMP production. As mentioned, hmPR{alpha} is expressed endogenously in MDA-MB-231 cells raising the question why cAMP levels did not change in the mock-transfected cells in the study by Zhu et al. (20) or in our parental wt MDA-MB-231 cells upon P4 treatment.

Third, previous studies described P4-dependent activation of ERK1/2 through transfected stmPR{alpha} and of p38 MAPK through endogenous human mPR{alpha} and/or mPRß (20, 32). Again, in our hands P4 did not activate ERK1/2 or p38 MAPK in MDA-MB-231 cells expressing mPR{alpha} of seatrout, fugu, or human origin, or in HEK293 cells expressing the human mPR{alpha}, ß, or {gamma} isoforms. Notably, the evidence implicating hmPR{alpha} and/or hmPRß in P4-BSA-dependent p38 phosphorylation in myocytes was circumstantial (32), raising the possibility that other P4-binding plasma membrane moieties could account for this effect. For instance, the components of a membrane progestin binding complex, PGRMC1 and PAIRBP1, have been found to be rather ubiquitously expressed in rat tissues, at least at the transcript level (23), and we found PAIRBP1 and PGRMC1 to be expressed in cultured human myometrial cells (our unpublished observations).

Finally, in contrast to previous reports (20, 32), we found no evidence that P4 induces G protein-dependent signaling of mPRs, irrespective of isoform or species of origin. Employing the highly promiscuous chimeric G{alpha}q5i protein in a Ca2+ reporter assay, we not only observed a lack of G protein activation upon P4 treatment but did also not detect Ca2+ mobilization mediated by any of the mPRs. This is remarkable because P4 is known to stimulate Ca2+ influx in spermatozoa in the process of capacitation and acrosome reaction (4, 49), and a study on sperm from the Atlantic croaker (Micropogonias undulatus) had suggested an involvement of mPR{alpha} (50). Recently, ovine mPR{alpha}, when overexpressed in CHO cells, was found to mediate Ca2+ mobilization in response to 1 nM P4 (51). It remains to be determined whether this discrepancy to our data reflects a species-specific difference, or is due to differences in methodology or the doses of steroid used.

The mPRs form a subgroup of the newly established PAQR family of multispan transmembrane proteins (21). It is still controversial if they are true classical GPCRs, not only based on functional analyses as discussed above, but also on structural criteria. For instance, although some of the family members are predicted to have seven putative TMs, they bear little sequence homology to well-characterized GPCRs and carry no obvious N-terminal signal peptide sequence (48). By Western blot analysis of N- and C-terminally tagged human mPR{alpha}, ß, or {gamma}, we also found no evidence of signal peptide cleavage.

To date, experimental confirmation of structural predictions is lacking for any of the vertebrate PAQR proteins (21). In contrast to the proposed model of the seatrout mPR{alpha} (20), the N terminus of the human homolog was predicted to be intracellular by TopPred II. Such reverse orientation has also been reported for two other members of the PAQR family, the adiponectin receptors AdipoR1 and AdipoR2 (PAQR1, PAQR2). In nonpermeabilized fixed cells, only the C-terminal tag of transfected receptors was detectable by immunofluorescence, whereas upon permeabilization, the N-terminal tag became accessible (52). These results, however, may need to be reevaluated in light of the fact that in this study a truncated form of AdipoR2 was used that lacked 87 residues at the N terminus (21). Of note, a yeast homolog of the PAQR family, the product of the YOL101c locus in Saccharomyces cerevisiae, was included in another study that combined prediction and experimental confirmation to determine the topology of 37 membrane proteins. The result suggested 7 TM regions and an extracellular C terminus for the YOL101c product, i.e. inside-out orientation as described above for the adiponectin receptors (53).

Our detailed immunofluorescent studies revealed that both the N and C terminus of hmPR{alpha} are intracellular. By dual staining with organelle markers, we demonstrated predominant localization of hmPR{alpha} to the endoplasmic reticulum. Likewise, ovine mPR{alpha} has been localized to the endoplasmic reticulum, at least when overexpressed in CHO cells (51). Of note, hmPRß has originally been cloned as the brain-specific lysosomal membrane protein C6orf33 (54), again pointing to an intracellular membranous localization of endogenous mPR.

Interestingly, a similar controversy on the subcellular localization and signal transduction coupling surrounds another recently identified putative membrane steroid receptor, GPR30 (55, 56, 57). Whereas one group characterized this molecule as a plasma membrane-bound estrogen receptor coupled to a stimulatory G protein, another study localized GPR30 to the endoplasmic reticulum and showed that it mediates estrogen-induced calcium mobilization and nuclear phosphatidyl inositol-3,4,5-triphosphate accumulation (58, 59). With regard to our own study, we are aware that overexpressed plasma membrane-spanning molecules may be artifactually retained in the endoplasmic reticulum if chaperones or heteromerization partners required for proper folding and/or trafficking are limiting or lacking in a particular cell type (39). However, like GPR30 in the latter study, hmPR{alpha} displayed predominant localization to the endoplasmic reticulum not only when transfected but also as an endogenous protein.

Another issue which has not been exhaustively resolved is the ligand-specificity of the mPRs. Zhu et al. (19, 20) had used bacterially expressed recombinant mPRs to determine the steroid binding characteristics. It is however unusual that the highly hydrophobic mPRs retained their structural features and binding abilities when extracted as recombinant proteins from Escherichia coli (48). Crude membrane preparations from CHO cells transfected with ovine mPR{alpha} have been reported to bind P4 and 17{alpha}-OHP, but not other steroids (51). The only, albeit indirect, evidence for P4 binding to human mPRs in a homologous cellular background was based on a single point radioreceptor assay using membrane preparations from human myocytes. Binding of tritiated P4 was reduced in the presence of excess cold P4 and upon transfection of short interfering RNAs to hmPR{alpha} and ß (32). We assessed the binding characteristics of mPRs more directly by performing radioligand assays and competition experiments on cells expressing specific receptor isoforms but failed to detect displaceable binding of P4 exceeding that seen in the corresponding wt cell lines. Notably, lack of specific mPR-mediated P4 binding was observed both in membrane preparations and in intact cells and was independent of the mPR isoform, the species of origin, or the presence of a protein tag.

Taken together, our data imply that the mPRs are intracellular orphan receptors at best, or taking it farther, that they may not be receptors at all. Yet we believe that they are important molecules, considering the striking conservation of the PAQR family from eubacteria, yeast and plants to Homo sapiens (21, 60). Their physiological role in fishes and mammals clearly needs further evaluation. In yeast, a PAQR homologous subgroup of four proteins has been identified that were designated IZH1–4 (implicated in zinc homeostasis) (61). IZH2 and IZH4 are encoded by the YOL002c and YOL101c loci, respectively (53). The IZH proteins are involved in zinc homeostasis and sterol metabolism, and IZH2 has also been implicated in lipid and phosphate metabolism (61, 62). Importantly, the IZH proteins share highly conserved metal-binding motifs with human AdipoR1 and mPR{alpha}, ß, and {gamma} (61). Furthermore, these conserved residues are also found in hemolysin III from Bacillus cereus, which is involved in formation of transmembrane oligomeric pores in erythrocytes and constitutes the founding member of the hemolysin III-related subgroup of PAQR proteins (22, 61). Meanwhile, the functions of the mPRs remain unknown, and elucidation of their true physiological roles may have to await the generation of mouse models carrying single or combined ablations of the encoding genes.


    MATERIALS AND METHODS
 TOP
 ABSTRACT
 INTRODUCTION
 RESULTS
 DISCUSSION
 MATERIALS AND METHODS
 REFERENCES
 
Cell Lines
HEK293 cells (kindly provided by A. Loa, Cell Culture Systems, Hamburg, Germany) were maintained in phenol red-free DMEM supplemented with 10% FCS, 100 U/ml penicillin, and 100 µg/ml streptomycin. The MDA-MB-231 human breast adenocarcinoma cell line (kindly provided by S. Harendza, Department of Nephrology, University Hospital Hamburg-Eppendorf, Hamburg, Germany) was maintained in phenol red-free DMEM/Ham’s F12 supplemented with 10% FCS and antibiotics as above. The same medium was used for COS-1 and Ishikawa cells (a gift from J. White, Hammersmith Hospital, London, UK) and for CHO-K1 Ca2+ reporter cells, stably transfected with pG5A to express a calcium-sensitive bioluminescent fusion protein consisting of aequorin and green fluorescent protein (kindly provided by S. Tunaru, Emory University, Atlanta, GA) (37).

Generation of Expression Vectors
Human mPR{alpha}
The human mPR{alpha} cDNA (pos. –97/+1079 relative to the start ATG, GenBank accession no. AF313620) was amplified by RT-PCR from T47D human breast cancer cells and cloned into pCR-BluntII-TOPO (Invitrogen, Karlsruhe, Germany) to yield pCR-Blunt/hmPR{alpha}. The insert was excised with BamHI and XhoI and inserted into the respective sites of pcDNA3.1(+) (Invitrogen) to yield pcDNA/hmPR{alpha}. The hmPR{alpha} cDNA without start ATG was amplified from pCR-Blunt/hmPR{alpha} with a sense primer mutating the ATG codon and introducing an ApaI site, and an antisense primer anchored in the 3'-untranslated region (UTR). The PCR product was digested with ApaI and inserted into the ApaI/SmaI sites of a modified pDISPLAY vector (Invitrogen), pDISPLAY-TMD. This had been generated by removal of the transmembrane domain by BsmI/NotI digest, polishing and religation. Insertion of the PCR product into pDISPLAY-TMD yielded pSP-HA/hmPR{alpha}, carrying the Ig{kappa} signal peptide, followed by an HA tag and the hmPR{alpha} cDNA without start codon. By EcoRV/ApaI restriction, the Ig{kappa} signal peptide and the HA tag were removed and replaced by a double-stranded oligonucleotide encoding the HA tag only with an added start codon. This double-stranded oligonucleotide had a 5' blunt EcoRV half-site and a 3' ApaI sticky end. The resulting expression vector, pHA/hmPR{alpha}, encodes hmPR{alpha} with a 5' HA tag. This full-length insert was excised with EcoRI and BamHI and inserted into the respective sites of pEF-IRES-puro6 to yield pEFIRESp6/HA/hmPR{alpha}. The bicistronic vector pEF-IRES-puro6 (kindly provided by J. Wallace, University of Adelaide, Australia) is driven by the human EF1{alpha} promoter. The multiple cloning site for insertion of the cDNA of choice is followed by an internal ribosomal entry site (IRES) and the puromycin resistance gene for selection of stably transfected cells (63, 64). To generate pEFIRESp6/hmPR{alpha} for stable transfection of untagged hmPR{alpha}, the full-length insert was excised from pcDNA/hmPR{alpha} with BamHI/EcoRV and inserted into the respective sites of pEF-IRES-puro6. To generate an expression vector for hmPR{alpha} with a 3' V5 and 6xHis tag, PCR was performed on template pCR-Blunt/hmPR{alpha} with a sense SP6 primer, and an antisense primer mutating the stop codon and introducing a 3' XhoI site. The PCR product was digested with BamHI/XhoI and inserted into the respective sites in pcDNA3.1/V5-HisB (Invitrogen) to yield pcDNA/hmPR{alpha}/V5. The full-length insert including 3' V5 and 6xHis tags was excised with EcoRI/PmeI and inserted into the EcoRI/EcoRV sites of pEF-IRES-puro6, yielding pEFIRESp6/hmPR{alpha}/V5 for stable transfection of V5-tagged hmPR{alpha}.

Human mPRß
The cDNA for C6orf33, which is identical with hmPRß, in pBSSKII(–) was kindly provided by K. Yamakawa and T. Suzuki (RIKEN Brain Science Institute, Saitama, Japan) (54). The cDNA (pos. –164/+1772 relative to the start codon, GenBank accession no. NM_133367) was excised with XbaI/HindIII and inserted into the respective sites of pcDNA3.1(–) (Invitrogen) to yield pcDNA/hmPRß. The EST clone BC030664 in pBluescriptR (MRC Geneservice, Cambridge, UK) was used as template for PCR with a sense T7 primer and an antisense primer mutating the stop codon of hmPRß and introducing a 3' XhoI site. The PCR product was digested with EcoRI/XhoI and inserted into the respective sites in pcDNA3.1/V5-HisB. The resulting vector pcDNA/hmPRß/V5 contains 149 bp of 5'-UTR, full-length hmPRß coding region without stop codon, and 3' V5 and 6xHis tags. C6orf33 in pBSSKII(–) was used as the template for PCR with a sense primer mutating the start codon of hmPRß and introducing a 5' ApaI site, and an antisense primer anchored in the 3'-UTR. The PCR product was digested with ApaI and inserted into the ApaI/SmaI sites of pDISPLAY-TMD to yield pSP-HA/hmPRß. The Ig{kappa} signal peptide and HA tag were removed from this construct and replaced by an HA tag as described above for hmPR{alpha}, to yield pHA/hmPRß. The HA-tagged hmPRß cDNA was excised from this vector with EcoRI/BamHI and inserted into the respective sites of pEF-IRES-puro6 to yield pEFIRESp6/HA/hmPRß. The untagged insert from pcDNA/hmPRß was excised with BamHI/PmeI and inserted into the BamHI/EcoRV sites of pEF-IRES-puro6 to generate pEFIRESp6/hmPRß. The hmPRß cDNA with 3' V5 and 6xHis tag was excised from pcDNA/hmPRß/V5 with EcoRI/PmeI and inserted into the EcoRI/EcoRV sites of pEF-IRES-puro6 to yield pEFIRESp6/hmPRß/V5.

Human mPR{gamma}
The hmPR{gamma} cDNA (pos. –79/+1061 relative to the start ATG, GenBank accession no. NM_017705) was amplified by RT-PCR from T47D breast cancer cells and cloned into pCR-BluntII-TOPO to yield pCR-Blunt/hmPR{gamma}. The insert was excised with BamHI/XhoI and inserted into the respective sites of pcDNA3.1(+) to generate pcDNA/hmPR{gamma}. Construct pCR-Blunt/hmPR{gamma} was used as the template for PCR with a sense primer mutating the hmPR{gamma} start codon and introducing a 5' ApaI site, and an antisense primer anchored in the 3'-UTR. The PCR product was digested with ApaI and ligated into the ApaI/SmaI sites of pDISPLAY-TMD to yield pSP-HA/hmPR{gamma}. From this vector, the Ig{kappa} signal peptide and HA tag were removed and replaced by an HA tag as described above for hmPR{alpha}, to generate pHA/hmPR{gamma}. The insert including the 5' HA tag was excised with EcoRI/BamHI and inserted into the respective sites in pEF-IRES-puro6 to yield pEFIRESp6/HA/hmPR{gamma}. The insert from pcDNA/hmPR{gamma} was excised with BamHI/EcoRV and inserted into the respective sites of pEF-IRES-puro6 to yield pEFIRESp6/hmPR{gamma}. The insert including 3' V5 and 6xHis tags was recovered from pcDNA/hmPR{gamma}/V5 with EcoRI/PmeI and ligated into the EcoRI/EcoRV sites of pEF-IRES-puro6 to generate pEFIRESp6/hmPR{gamma}/V5.

Seatrout mPR{alpha}
The mPR{alpha} cDNA from spotted seatrout (C. nebulosus) in pBK-CMV was kindly provided by P. Thomas (University of Texas, Austin, TX). The insert (stmPR{alpha}) was amplified by PCR with a sense primer mutating the start codon and introducing a 5' ApaI site, and an antisense primer to the 3'-end of the coding region including the stop codon, which introduced a 3' XhoI site. The PCR product was restricted with ApaI/XhoI and used to replace the hmPR{alpha} insert (ApaI/XhoI fragment) in pHA/hmPR{alpha}. This resulted in the construct pHA/stmPR{alpha}, which carries a 5' HA tag and the stmPR{alpha} coding region from the second amino acid to the stop codon (GenBank accession no. AF262028). The entire insert including HA tag was excised with EcoRI/XhoI, the XhoI site was polished, and the fragment inserted into the EcoRI/EcoRV sites of pEF-IRES-puro6 to yield pEFIRESp6/HA/stmPR{alpha}.

Fugu mPR{alpha}
Total RNA from kidney tissue of the Japanese pufferfish (F. rubripes) was obtained from MRC GeneService (Cambridge, UK). Fugu mPR{alpha} cDNA was amplified by RT-PCR with the following primers:

sense, 5'-GATCAACTGCCCGTCTCATTT-3'; antisense, 5'-TGTGTCTTTACTCCTTCTTCTC-3'. Primer sequences were based on genomic sequence retrieved from the Fugu Genome Project Web page (http://www.fugu-sg.org/), which had been searched for sequences with the closest similarity to stmPR{alpha}. The cDNA, including 54 bp of 5'-UTR, the full coding region, and 7 bp of 3'-UTR, was ligated into pCR-BluntII-TOPO to yield pCR/fmPR{alpha}. On this template, PCR was performed with a sense primer mutating the start codon and introducing a 5' ApaI site, and an antisense SP6 primer. The product was restricted with ApaI/NsiI and used to replace the hmPR{alpha} insert (excised with ApaI/PstI) in pHA/hmPR{alpha}. This resulted in the construct pHA/fmPR{alpha} that carries a 5' HA tag and the fmPR{alpha} coding region from the second amino acid on. This insert, including the HA tag, was retrieved by EcoRI digestion and inserted into the EcoRI site of pEF-IRES-puro6 to yield pEFIRESp6/HA/fmPR{alpha}. A partial sequence of the fugu mPR{alpha} mRNA can now also be found on the Fugu Genome Project Web page (Ensembl Transcript ID SINFRUT00000149401).

All inserts were verified by sequencing. Sequences of primers used for PCR cloning are available upon request

Generation of Clonal Cell Lines Stably Transfected with mPR Expression Constructs
For stable transfection, HEK293 cells were transfected with hmPR expression plasmids in pEF-IRES-puro6 (encoding hmPR{alpha}, hmPRß or hmPR{gamma} without tag, with 5' HA tag or with 3' V5 tag) using PolyFect reagent (QIAGEN, Hilden, Germany) according to the supplier’s instructions. Two days after transfection medium was changed and transfected cells were selected with 3 µg/ml puromycin. The resultant surviving clones were picked with cloning discs (Sigma, Deisenhofen, Germany) and expanded. MDA-MB-231 cells were transfected with mPR expression plasmids in pEF-IRES-puro6 (encoding hmPR{alpha}, stmPR{alpha}, or fmPR{alpha} with 5' HA tag) using PolyFect reagent (QIAGEN), and isolation of clones was done in the presence of puromycin at 1 µg/ml. Expression levels of tagged mPRs in selected HEK293 and MDA-MB-231 clones were monitored by Western blot analysis, and clonality of cell lines was verified by immunofluorescence with HA or V5 antibody, respectively (see Supplemental Materials and Methods, published as supplemental data on The Endocrine Society’s Journals Online web site at http://mend.endojournals.org). HEK293 cells stably expressing untagged hmPR{alpha} (HEK293-hmPR{alpha}) were examined by immunofluorescent analysis using a specific antipeptide antibody validated in our previous study (22). However, this antibody does not allow detection of tagged or untagged hmPR{alpha} in Western blot analysis. Furthermore, we purchased an antibody raised against the C terminus of hmPR{gamma} (C 20; Santa Cruz Biotechnology, Heidelberg, Germany), but immunoprobing of protein lysates from untransfected cells and cells stably expressing tagged or untagged hmPR{gamma} yielded only nonspecific bands (data not shown). We observed a remarkable efficiency of the pEF-IRES expression system because virtually all puromycin-selected clones were found to express the desired tagged protein both by Western and by immunofluorescent analysis. In contrast, initial attempts to establish stable cell lines with pcDNA3.1-based expression constructs (where the mPR cDNA is under the control of the CMV promoter, and antibiotic resistance is placed in a separate expression cassette), resulted in a high number of false positives expressing neomycin resistance only.

Western Blot Analysis
Whole cell protein extracts were prepared in lysis buffer [25 mM HEPES (pH 7.5–7.9), 5 mM EDTA, 1 mM EGTA, 50 mM NaCl, 5% glycerin, 1% Nonidet P-40, and protease inhibitor mix (Complete protease inhibitor tablets; Roche Applied Science, Mannheim, Germany)]. Protein concentration was determined with a protein assay kit (Bio-Rad Laboratories, Munich, Germany). To assess the effect of the redox state on electrophoretic mobility of mPR isoforms, different sample pretreatments were performed: without any reducing agent, with preincubation for 1 h at 25 C with different ratios of glutathione disulfide/reduced glutathione (1 mM/10 mM; 5 mM/5 mM; 10 mM/1 mM) without boiling before loading or with addition of up to 100 mM dithiothreitol and boiling of the sample. For Western blot analysis, 10–15 µg of protein were resolved on 4–12% gradient gels [NuPAGE Bis-Tris sodium dodecyl sulfate (SDS) gels; Invitrogen] under denaturing conditions and transferred to polyvinylidene difluoride blotting membrane (Hybond P; Amersham Biosciences, Freiburg, Germany). The membrane was blocked with 1% blocking reagent (Roche) in TBST [50 mM Tris (pH 7.6), 100 mM NaCl, 0.1% Tween 20] for 1 h, incubated with monoclonal antibodies to HA (clone HA.11; 1:1000 dilution) (Covance, Berkeley, CA) or V5 (1:5000 dilution; Invitrogen) for 1 h, and washed three times with TBST for 5 min. Bound antibodies were reacted with horseradish peroxidase-conjugated goat antimouse antibody (1:10,000 dilution; Jackson ImmunoResearch Laboratories, West Grove, PA) for 1 h and detected with ECL reagent (Amersham) after three final washes with TBST for 5 min. Membranes were exposed to X-ray film (Fuji).

Detection of cAMP Formation, ERK1/2 and p38 MAPK Phosphorylation in Response to P4
For stimulation experiments, clonal HEK293 or MDA-MB-231 cell lines stably transfected with mPR expression constructs, or the respective parental wt cell lines, were plated on 24-well plates at a density of 2 x 105 cells/well in medium containing 10% dialyzed steroid-free FCS (PAA Laboratories, Colbe, Germany), followed by a change to serum-free medium (OptiMEM; Invitrogen) 24 h later and a subsequent incubation for an additional 24 h.

cAMP Assay
Intracellular cAMP concentrations were determined in cells that had been treated in triplicates with P4 (Sigma) (0.01–1 µM) for 5 min or with forskolin (1–100 µM) for 30 min at 37 C. After stimulation, medium was aspirated and the cell layer quickly covered with 150 µl buffer A (1.1 M HCl, 0.5 M H3PO4). Dishes were incubated for 30 min on a rocking platform, followed by neutralization with 150 µl buffer B (1.91 M NaOH). Extracts were centrifuged at 15,000 x g for 10 min at room temperature. Supernatants were collected for cAMP measurement with an ELISA according to the manufacturer’s instructions (BioEconomics, Hamburg, Germany). The protein concentrations in the samples were measured to normalize the cAMP concentrations.

ERK1/2 Phosphorylation Assay
The cells were stimulated with P4 (0.01–1 µM) for 5 min or with recombinant EGF (Biomol, Hamburg, Germany) (10–1000 pM) for 10 min at 37 C. The incubations were stopped by placing the 24-well plates on ice and replacing the media with 150 µl lysis buffer per well [25 mM HEPES (pH 7.5–7.9), 5 mM EDTA, 1 mM EGTA, 50 mM NaCl, 50 mM NaF, 30 mM sodium pyrophosphate, 5% glycerin, 1% Nonidet P-40, 1 mM Na3VO4, and protease inhibitor mix (Complete protease inhibitor tablets; Roche)] (modified after Ref. 65). The culture dishes were shaken on a rocking platform for 20 min at 4 C. The extracts were centrifuged at 15,000 x g for 10 min at 4 C, and the protein content of the resulting supernatant was determined. After separation of 15 µg protein on 4–12% gradient gels (NuPAGE Bis-Tris SDS gels; Invitrogen) the proteins were transferred to polyvinylidene difluoride membrane (Hybond P; Amersham). Total and phosphorylated ERK1/2 were detected with specific antibodies (1:1000; Cell Signaling Technology, Beverly, CA) and secondary horseradish peroxidase-conjugated goat antirabbit antibody (1:2000 dilution; Jackson ImmunoResearch Laboratories) and the ECL system as described above. Even loading was confirmed by stripping the membranes and reprobing with monoclonal glyceraldehyde-3-phosphate dehydrogenase (GAPDH) antibody clone 6C5 (1:10,000; HyTest, Turku, Finland).

p38 Phosphorylation Assay
Cells were stimulated with P4 (0.1, 1 µM) for 5, 15, or 30 min, or with anisomycin (50 µg/ml) (Sigma) for 15 min at 37 C. Final ethanol concentration in all wells was adjusted to 0.01%. Lysates were prepared as described above for ERK1/2 and analyzed by SDS-PAGE and Western blotting. Total and phosphorylated p38 MAPK were detected with specific polyclonal antibodies at 1:1000 dilution (Cell Signaling Technology) and the ECL system as described above.

Confocal Immunofluorescence Microscopy
Confocal microscopy was performed on transiently transfected COS-1 cells or stably transfected MDA-MB-231 cells overexpressing mPRs. To determine the subcellular localization of endogenous receptor, untransfected Ishikawa cells as well as MDA-MB-231 cells were double stained for mPR{alpha} and various organelle markers. Cells were cultured in chamber slides and fixed in either cold acetone/methanol (1:1) for 10 min or in 4% PFA at room temperature for 30 min. In some experiments, Triton X-100 (0.5%; Sigma, St. Louis, MO), digitonin (50 µM; Calbiochem, San Diego, CA) or saponin (0.1%; e-Bioscience, San Diego, CA) were used for 30 min at room temperature to permeabilize cells fixed in 4% PFA. Primary antibodies and dilutions were as follows: rabbit anti-hmPR{alpha} (1:100) (22), mouse anti-V5 (1:500; Invitrogen, Carlsbad, CA), mouse anti-HA (1:200; Covance), mouse anti-pan-cadherin plasma membrane marker (1:100; Abcam, Cambridge, UK), mouse anti-KDEL endoplasmic reticulum marker (1:100; Stressgen Bioreagents, Victoria, Canada). For mitochondrial staining, cells were first incubated with Mitotracker Red CMXRos (250 nM; Molecular Probes, Invitrogen) for 30 min before PFA fixation and saponin permeabilization. Secondary antibodies used were Alexa Fluor 488 goat antirabbit and Alexa Fluor 594 goat antimouse IgG (1:200; Molecular Probes, Invitrogen), and fluorescein isothiocyanate-conjugated antimouse IgG antiserum (1:20; Dako, Glostrup, Denmark). Nuclei were counterstained with 4',6-diamidino-2-phenylindole dihydrochloride (DAPI). Images were acquired on a Zeiss Meta 512 confocal microscope (Welwyn Garden City, Hertfordshire, UK).

Bioluminescent Ca2+ Mobilization Assay
The CHO-K1 Ca2+ reporter cell line was used as described previously (30, 33, 66). Briefly, cells were seeded in 96-well plates and transfected with various combinations of expression vectors for mPRs, the nicotinic acid receptor GPR109a (PUMA-G) (30), and the promiscuous chimeric G{alpha}q5i protein (34). Transfections were carried out using FuGENE6 reagent (Roche Diagnostics, Indianapolis, IN). Two days after transfection, cells were loaded with 5 µM coelenterazine h (Biotium, Hayward, CA) in calcium-free Hanks’ balanced salt solution (HBSS) containing 10 mM HEPES, pH 7.4 and incubated for 3.5 h at 37 C. The buffer was replaced with HBSS containing 1.8 mM CaCl2 45 min before treatment with either 100 µM nicotinic acid (pyridine-3-carboxylic acid; Sigma) or various concentrations of P4 (Sigma). Bioluminescence was measured immediately for 20 sec using a luminometer (PerkinElmer, Wellesley, MA).

Detection of Cell Surface HA-Tagged Protein by ELISA
An ELISA was used to further examine cell surface expression of N-terminally HA-tagged human and seatrout mPR{alpha}. Briefly, MDA-MB-231 cells were plated into 96-well plates and either mock-transfected or transiently transfected with expression vectors that encode HA/hmPR{alpha}, HA/stmPR{alpha}, or HA-tagged plexin-B2 (a kind gift from Dr. Jakub M. Swiercz, University of Heidelberg, Germany). Cells were washed with HBSS and nonspecific binding sites blocked in 1% BSA/5% normal goat serum (NGS)/HBSS. Subsequently, these live cells were maintained at 37 C and first incubated, under constant agitation, with anti-HA antibody (Covance) diluted 1:1000 with 1% BSA/5% NGS/HBSS for 1 h, washed three times for 10 min with HBSS, and incubated again with horseradish peroxidase-conjugated antimouse secondary antibody (Dako), diluted 1:4000 with 1% BSA/5% NGS/HBSS, for another hour. Light generated upon incubation with chemiluminescent peroxidase substrate (Sigma) was measured using a luminometer (PerkinElmer).

Radioreceptor Assay on Membrane Preparations
Progesterone, 17{alpha}-hydroxyprogesterone and 17ß-estradiol were from Sigma, 4-pregnen-20ß-ol-3-one (20ß-hydroxyprogesterone) was from Steraloids (Newport, RI), and 1,2,6,7-[3H]-progesterone was obtained from Amersham. Cells were washed, harvested in lysis buffer [10 mM Tris, 1 mM MgCl2 (pH 7.5), containing 0.2 mM phenylmethylsulfonyl fluoride and protease inhibitors (Complete without EDTA; Roche)] and lysed by 10 consecutive passages through a 27-gauge needle. Debris was separated by 5 min centrifugation at 1000 x g, followed by recovering the crude total membrane fraction by a 1 h centrifugation at 100,000 x g. The total membrane pellets were resuspended and diluted in HA buffer [25 mM HEPES, 10 mM NaCl, 1 mM dithiothreitol (pH 7.8)]. Crude microsomal fractions were obtained using the supernatant from an additional 12,000 x g centrifugation for the 100,000 x g step. Protein was determined using the Bio-Rad DC assay (Bio-Rad, Munich, Germany). Binding tests were performed essentially as described by Meyer et al. (42). Binding assays contained, in a total of 250 µl, 10 nM [3H]-P4 and 100–200 µg of membrane protein in HA buffer. Nonspecific binding was determined by adding a 1000-fold excess (10 µM) of nonradioactive P4. For competition studies, the appropriate steroids diluted in HA buffer were added instead. Incubation was for 1 h at room temperature, followed by addition of 1.25 ml ice-cold 0.9% NaCl and vacuum filtration over a Whatman glass fibre filter (GF/C) previously soaked in 1% polethyleneimine for at least 1 h. Assay tubes were rinsed once more with 1.25 ml NaCl and filters finally washed with 10 ml 0.9% NaCl. Filters were submerged in scintillation cocktail (Quickszint; Zinsser Analytic, Frankfurt, Germany) and counted in a LS6500 counter (Beckman, Fullerton, CA).

Radioreceptor Assay on Whole Cells
COS-1 cells were plated in 12-well plates and transiently transfected with empty expression vector, expression vector for human PR-B (pSG/PR-B) or untagged hmPR{alpha} (pcDNA/hmPR{alpha}). A whole cell binding assay was performed as described previously (67) with minor modifications: Cells were washed three times with phenol red-free DMEM and incubated for 1 h at 37 C with 8 nM [3H]-P4 in phenol red-free DMEM with or without a 500-fold excess of unlabeled 17{alpha}-OHP. Monolayers were then washed four times with ice-cold PBS, lysed in 1 M NaOH for 1 h, and the retained radioligand was determined by scintillation counting.


    ACKNOWLEDGMENTS
 
We thank Prof. H. M. Schulte for his continuous support, M. Wehling (Astra Zeneca R&D, Molndal, Sweden) and K. Willey (Center for Bioinformatics, University of Hamburg, Hamburg, Germany) for stimulating discussions, and R. Kempf and K. Redlin for excellent technical assistance. We thank P. Thomas (University of Texas, Austin, TX) for providing the stmPR{alpha} cDNA and S. Tunaru (Emory University, Atlanta, GA) for the calcium reporter cell line. We are grateful to J. Wallace (University of Adelaide, Adelaide, Australia), K. Yamakawa, T. Suzuki (RIKEN Brain Science Institute, Saitama, Japan), and J. Swiercz (University of Heidelberg, Heidelberg, Germany) for plasmids and to A. Loa (Cell Culture Systems, Hamburg, Germany), J. White (Hammersmith Hospital, London, UK), and S. Harendza (University Hospital Hamburg-Eppendorf, Hamburg, Germany) for cell lines.


    FOOTNOTES
 
This work was supported by the Deutsche Forschungsgemeinschaft (DFG Ge 748/10-2; to B.G.), Fundação para a Ciência e para a Tecnologia (FCT), Portugal (Ph.D. Grant SFRH/BD/19418/2004 to M.S.F.), and The Wellcome Trust (063552, to I.H.).

The cDNA sequence of mPR{alpha} from F. rubripes has been submitted to GenBank database under accession no. DQ400857.

Disclosure Statement: The authors have nothing to disclose.

First Published Online September 7, 2006

1 T.K. and M.S.F. contributed equally to this work. Back

Abbreviations: CHO, Chinese hamster ovary; DAPI, 4',6-diamidino-2-phenylindole dihydrochloride; EGF, epidermal growth factor; fmPR{alpha}, mPR{alpha} from fugu; GAPDH, glyceraldehyde-3-phosphate dehydrogenase; Gi, inhibitory G; GPCR, G protein-coupled receptor; HA, hemagglutinin; HBSS, Hanks’ balanced salt solution; HEK, human embryonic kidney; hmPR{alpha}, human mPR{alpha}; IRES, internal ribosomal entry site; KDEL, endoplasmic reticulum marker; mPR, membrane progestin receptor; NGS,normal goat serum; 17{alpha}-OHP, 17{alpha}-hydroxyprogesterone; 20ß-OHP, 20ß-hydroxyprogesterone; P4, progesterone; PAQR, progestin and adipoQ receptors; PFA, paraformaldehyde; PR-A and PR-B, nuclear P4 receptors; SDS, sodium dodecyl sulfate; SRC, steroid receptor coactivator; stmPR{alpha}, seatrout mPR{alpha}; TM, transmembrane domain; UTR, untranslated region; wt, wild type.

Received for publication March 22, 2006. Accepted for publication August 28, 2006.


    REFERENCES
 TOP
 ABSTRACT
 INTRODUCTION
 RESULTS
 DISCUSSION
 MATERIALS AND METHODS
 REFERENCES
 

  1. Graham JD, Clarke CL 1997 Physiological action of progesterone in target tissues. Endocr Rev 18:502–519[Abstract/Free Full Text]
  2. Oettel M, Mukhopadhyay AK 2004 Progesterone: the forgotten hormone in men? Aging Male 7:236–257[CrossRef][Medline]
  3. Mulac-Jericevic B, Conneely OM 2004 Reproductive tissue selective actions of progesterone receptors. Reproduction 128:139–146[Abstract/Free Full Text]
  4. Norman AW, Mizwicki MT, Norman DPG 2004 Steroid-hormone rapid actions, membrane receptors and a conformational ensemble model. Nat Rev Drug Discov 3:27–41[CrossRef][Medline]
  5. Lösel RM, Falkenstein E, Feuring M, Schultz A, Tillmann HC, Rossol-Haseroth K, Wehling M 2003 Nongenomic steroid action: controversies, questions, and answers. Physiol Rev 83:965–1016[Abstract/Free Full Text]
  6. Leonhardt SA, Boonyaratanakornkit V, Edwards DP 2003 Progesterone receptor transcription and non-transcription signaling mechanisms. Steroids 68:761–770[CrossRef][Medline]
  7. Edwards DP 2005 Regulation of signal transduction pathways by estrogen and progesterone. Annu Rev Physiol 67:335–376[CrossRef][Medline]
  8. Frye CA, Sumida K, Lydon JP, O’Malley BW, Pfaff DW 2006 Mid-aged and aged wild-type and progestin receptor knockout (PRKO) mice demonstrate rapid progesterone and 3{alpha},5{alpha}-THP-facilitated lordosis. Psychopharmacology 185:423–432[CrossRef][Medline]
  9. Ehring GR, Kerschbaum HH, Eder C, Neben AL, Fanger CM, Khoury RM, Negulescu PA, Cahalan MD 1998 A nongenomic mechanism for progesterone-mediated immunosuppression: inhibition of K+ channels, Ca2+ signaling, and gene expression in T lymphocytes. J Exp Med 188:1593–1602[Abstract/Free Full Text]
  10. Bar J, Lahav J, Hod M, Ben-Rafael Z, Weinberger I, Brosens J 2000 Regulation of platelet aggregation and adenosine triphosphate release in vitro by 17ß-estradiol and medroxyprogesterone acetate in postmenopausal women. Thromb Haemost 84:695–700[Medline]
  11. Park-Sarge OK, Parmer TG, Gu Y, Gibori G 1995 Does the rat corpus luteum express the progesterone receptor gene? Endocrinology 136:1537–1543[Abstract]
  12. Falkenstein E, Meyer C, Eisen C, Scriba PC, Wehling M 1996 Full-length cDNA sequence of a progesterone membrane-binding protein from porcine vascular smooth muscle cells. Biochem Biophys Res Commun 229:86–89[CrossRef][Medline]
  13. Gerdes D, Wehling M, Leube B, Falkenstein E 1998 Cloning and tissue expression of two putative steroid membrane receptors. Biol Chem 379:907–911[Medline]
  14. Falkenstein E, Schmieding K, Lange A, Meyer C, Gerdes D, Welsch U, Wehling M 1998 Localization of a putative progesterone membrane binding protein in porcine hepatocytes. Cell Mol Biol 44:571–578[Medline]
  15. Peluso JJ, Pappalardo A, Fernandez G, Wu CA 2004 Involvement of an unnamed protein, RDA288, in the mechanism through which progesterone mediates its antiapoptotic action in spontaneously immortalized granulosa cells. Endocrinology 145:3014–3022[Abstract/Free Full Text]
  16. Peluso J, Pappalardo A, Losel R, Wehling M 2005 Expression and function of PAIRBP1 within gonadotropin-primed immature rat ovaries: PAIRBP1 regulation of granulosa cell and luteal cell viability. Biol Reprod 73:261–270[Abstract/Free Full Text]
  17. Peluso JJ 2006 Multiplicity of progesterone’s actions and receptors in the mammalian ovary. Biol Reprod 75:2–8[Abstract/Free Full Text]
  18. Peluso JJ, Pappalardo A, Lösel R, Wehling M 2006 Progesterone membrane receptor component 1 expression in the immature rat ovary and its role in mediating progesterone’s anti-apoptotic action. Endocrinology 147:3133–3140[Abstract/Free Full Text]
  19. Zhu Y, Bond J, Thomas P 2003 Identification, classification, and partial characterization of genes in humans and other vertebrates homologous to a fish membrane progestin receptor. Proc Natl Acad Sci USA 100:2237–2242[Abstract/Free Full Text]
  20. Zhu Y, Rice CD, Pang Y, Pace M, Thomas P 2003 Cloning, expression, and characterization of a membrane progestin receptor and evidence it is an intermediary in meiotic maturation of fish oocytes. Proc Natl Acad Sci USA 100:2231–2236[Abstract/Free Full Text]
  21. Tang YT, Hu T, Arterburn M, Boyle B, Bright JM, Emtage PC, Funk WD 2005 PAQR proteins: a novel membrane receptor family defined by an ancient 7-transmembrane pass motif. J Mol Evol 61:372–380[CrossRef][Medline]
  22. Fernandes MS, Pierron V, Michalovich D, Astle S, Thornton S, Peltoketo H, Lam EWF, Gellersen B, Huhtaniemi I, Allen J, Brosens JJ 2005 Regulated expression of putative membrane progestin receptor homologues in human endometrium and gestational tissues. J Endocrinol 187:89–101[Abstract/Free Full Text]
  23. Cai Z, Stocco C 2005 Expression and regulation of progestin membrane receptors in the rat corpus luteum. Endocrinology 146:5522–5532[Abstract/Free Full Text]
  24. Tokumoto M, Nagahama Y, Thomas P, Tokumoto T 2006 Cloning and identification of a membrane progestin receptor in goldfish ovaries and evidence it is an intermediary in oocyte meiotic maturation. Gen Comp Endocrinol 145:101–108[CrossRef][Medline]
  25. Kazeto Y, Goto-Kazeto R, Thomas P, Trant JM 2005 Molecular characterization of three forms of putative membrane-bound progestin receptors and their tissue-distribution in channel catfish, Ictalurus punctatus. J Mol Endocrinol 34:781–791[Abstract/Free Full Text]
  26. Claros MG, Heijne G 1994 TopPred II: an improved software for membrane protein structure predictions. Comput Appl Biosci 10:685–686[Free Full Text]
  27. Gharagozlou P, Demirci H, Clark JD, Lameh J 2003 Activity of opioid ligands in cells expressing cloned µ opioid receptors. BMC Pharmacol 3:1[CrossRef][Medline]
  28. Roeder T, Görich D, Heyden D, Gewecke M 2004 A green-fluorescent-protein-based assay for the characterization of G-protein-coupled receptors. Anal Biochem 332:38–45[CrossRef][Medline]
  29. Herranen M, Battchikova N, Zhang P, Graf A, Sirpiö S, Paakkarinen V, Aro E-M 2004 Towards functional proteomics of membrane protein complexes in Synechocystis sp. PCC 6803. Plant Physiol 134:470–481[Abstract/Free Full Text]
  30. Tunaru S, Kero J, Schaub A, Wufka C, Blaukat A, Pfeffer K, Offermanns S 2003 PUMA-G and HM74 are receptors for nicotinic acid and mediate its anti-lipolytic effect. Nat Med 9:352–355[CrossRef][Medline]
  31. Zhang Y, Schmidt RJ, Foxworthy P, Emkey R, Oler JK, Large TH, Wang H, Su EW, Mosior MK, Eacho PI, Cao G 2005 Niacin mediates lipolysis in adipose tissue through its G-protein coupled receptor HM74A. Biochem Biophys Res Commun 334:729–732[CrossRef][Medline]
  32. Karteris E, Zervou S, Pang Y, Dong J, Hillhouse EW, Randeva HS, Thomas P 2006 Progesterone signaling in human myometrium through two novel membrane G protein coupled receptors: potential role in functional progesterone withdrawal at term. Mol Endocrinol 20:1519–1534[Abstract/Free Full Text]
  33. Taggart AK, Kero J, Gan X, Cai TQ, Cheng K, Ippolito M, Ren N, Kaplan R, Wu K, Wu TJ, Jin L, Liaw C, Chen R, Richman J, Connolly D, Offermanns S, Wright SD, Waters MG 2005 (D)-ß-Hydroxybutyrate inhibits adipocyte lipolysis via the nicotinic acid receptor PUMA-G. J Biol Chem 280:26649–26652[Abstract/Free Full Text]
  34. Kostenis E, Martini L, Ellis J, Waldhoer M, Heydorn A, Rosenkilde MM, Norregaard PK, Jorgensen R, Whistler JL, Milligan G 2005 A highly conserved glycine within linker I and the extreme C terminus of G protein {alpha} subunits interact cooperatively in switching G protein-coupled receptor-to-effector specificity. J Pharmacol Exp Ther 313:78–87[Abstract/Free Full Text]
  35. Heydorn A, Ward RJ, Jorgensen R, Rosenkilde MM, Frimurer TM, Milligan G, Kostenis E 2004 Identification of a novel site within G protein {alpha} subunits important for specificity of receptor-G protein interaction. Mol Pharmacol 66:250–259[Abstract/Free Full Text]
  36. Kostenis E, Waelbroeck M, Milligan G 2005 Techniques: promiscuous G{alpha} proteins in basic research and drug discovery. Trends Pharmacol Sci 26:595–602[CrossRef][Medline]
  37. Baubet V, Le Mouellic H, Campbell AK, Lucas-Meunier E, Fossier P, Brulet P 2000 Chimeric green fluorescent protein-aequorin as bioluminescent Ca2+ reporters at the single-cell level. Proc Natl Acad Sci USA 97:7260–7265[Abstract/Free Full Text]
  38. Tamagnone L, Artigiani S, Chen H, He Z, Ming GI, Song H, Chedotal A, Winberg ML, Goodman CS, Poo M, Tessier-Lavigne M, Comoglio PM 1999 Plexins are a large family of receptors for transmembrane, secreted, and GPI-anchored semaphorins in vertebrates. Cell 99:71–80[CrossRef][Medline]
  39. Tan CM, Brady AE, Nickols HH, Wang Q, Limbird LE 2004 Membrane trafficking of G protein-coupled receptors. Annu Rev Pharmacol Toxicol 44:559–609[CrossRef][Medline]
  40. Couve A, Filippov AK, Connolly CN, Bettler B, Brown DA, Moss SJ 1998 Intracellular retention of recombinant GABAB receptors. J Biol Chem 273:26361–26367[Abstract/Free Full Text]
  41. Bermak JC, Zhou Q-Y 2001 Accessory proteins in the biogenesis of G protein-coupled receptors. Mol Intervent 1:282–287[Abstract/Free Full Text]
  42. Meyer C, Schmid R, Scriba PC, Wehling M 1996 Purification and partial sequencing of high-affinity progesterone-binding site(s) from porcine liver membranes. Eur J Biochem 239:726–731[Medline]
  43. McDonnell DP, Goldman ME 1994 RU486 exerts antiestrogenic activities through a novel progesterone receptor A form-mediated mechanism. J Biol Chem 269:11945–11949[Abstract/Free Full Text]
  44. Meis PJ, Klebanoff M, Thom E, Dombrowski MP, Sibai B, Moawad AH, Spong CY, Hauth JC, Miodovnik M, Varner MW, Leveno KJ, Caritis SN, Iams JD, Wapner RJ, Conway D, O’Sullivan MJ, Carpenter M, Mercer B, Ramin SM, Thorp JM, Peaceman AM, Gabbe S 2003 Prevention of recurrent preterm delivery by 17{alpha}-hydroxyprogesterone caproate. N Engl J Med 348:2379–2385[Abstract/Free Full Text]
  45. Maller JL 2003 Fishing at the cell surface. Science 300:594–595[Abstract/Free Full Text]
  46. Brown AG, Leite RS, Strauss 3rd JF 2004 Mechanisms underlying "functional" progesterone withdrawal at parturition. Ann NY Acad Sci 1034:36–49[CrossRef][Medline]
  47. Condon JC, Hardy DB, Kovaric K, Mendelson CR 2006 Up-regulation of the progesterone receptor (PR)-C isoform in laboring myometrium by activation of NF-{kappa}B may contribute to the onset of labor through inhibition of PR function. Mol Endocrinol 20:764–775[Abstract/Free Full Text]
  48. Hammes SR 2003 The further redefining of steroid-mediated signaling. Proc Natl Acad Sci USA 100:2168–2170[Free Full Text]
  49. Blackmore PF, Neulen J, Lattanzio F, Beebe SJ 1991 Cell surface-binding sites for progesterone mediate calcium uptake in human sperm. J Biol Chem 266:18655–18659[Abstract/Free Full Text]
  50. Thomas P, Tubbs C, Detweiler C, Das S, Ford L, Breckenridge-Miller D 2005 Binding characteristics, hormonal regulation and identity of the sperm membrane progestin receptor in Atlantic croaker. Steroids 70:427–433[CrossRef][Medline]
  51. Ashley RL, Clay CM, Farmerie TA, Niswender GD, Nett TM 2006 Cloning and characterization of an ovine intracellular seven transmembrane receptor for progesterone that mediates calcium mobilization. Endocrinology 147:4151–4159[Abstract/Free Full Text]
  52. Yamauchi T, Kamon J, Ito Y, Tsuchida A, Yokomizo T, Kita S, Sugiyama T, Miyagishi M, Hara K, Tsunoda M, Murakami K, Ohteki T, Uchida S, Takekawa S, Waki H, Tsuno NH, Shibata Y, Terauchi Y, Froguel P, Tobe K, Koyasu S, Taira K, Kitamura T, Shimizu T, Nagal R, Kadowaki T 2003 Cloning of adiponectin receptors that mediate antidiabetic metabolic effects. Nature 423:762–769[CrossRef][Medline]
  53. Kim H, Melén K, von Heijne G 2003 Topology models for 37 Saccharomyces cerevisiae membrane proteins based on C-terminal reporter fusions and predictions. J Biol Chem 278:10208–10213[Abstract/Free Full Text]
  54. Suzuki T, Ganesh S, Agarwala KL, Morita R, Sugimoto Y, Inazawa J, Delgado-Escueta AV, Yamakawa K 2001 A novel gene in the chromosomal region for juvenile myoclonic epilepsy on 6p12 encodes a brain-specific lysosomal membrane protein. Biochem Biophys Res Commun 288:626–636[CrossRef][Medline]
  55. Levin ER 2005 Integration of the extra-nuclear and nuclear actions of estrogen. Mol Endocrinol 19:1951–1959[Abstract/Free Full Text]
  56. Pietras RJ, Levin ER, Szego CM 2005 Estrogen receptors and cell signaling. Science 310:51–53; author reply 51–53[Free Full Text]
  57. Pedram A, Razandi M, Levin ER 2006 Nature of functional estrogen receptors at the plasma membrane. Mol Endocrinol 20:1996–2009[Abstract/Free Full Text]
  58. Thomas P, Pang Y, Filardo EJ, Dong J 2004 Identity of an estrogen membrane receptor coupled to a G-protein in human breast cancer cells. Endocrinology 146:624–632[CrossRef][Medline]
  59. Revankar CM, Cimino DF, Sklar LA, Arterburn JB, Prossnitz ER 2005 A transmembrane intracellular estrogen receptor mediates rapid cell signaling. Science 307:1625–1630[Abstract/Free Full Text]
  60. Hsieh M-H, Goodman HM 2005 A novel gene family in Arabidopsis encoding putative heptahelical transmembrane proteins homologous to human adiponectin receptors and progestin receptors. J Exp Bot 56:3137–3147[Abstract/Free Full Text]
  61. Lyons TJ, Villa NY, Regalla LM, Kupchak BR, Vagstad A, Eide DJ 2004 Metalloregulation of yeast membrane steroid receptor homologs. Proc Natl Acad Sci USA 101:5506–5511[Abstract/Free Full Text]
  62. Karpichev IV, Cornivelli L, Small GM 2002 Multiple regulatory roles of a novel Saccharomyces cerevisiae protein, encoded by YOL002c, in lipid and phosphate metabolism. J Biol Chem 277:19609–19617[Abstract/Free Full Text]
  63. Hobbs S, Jitrapakdee S, Wallace JC 1998 Development of a bicistronic vector driven by the human polypeptide chain elongation factor 1{alpha} promoter for creation of stable mammalian cell lines that express very high levels of recombinant proteins. Biochem Biophys Res Commun 252:368–372[CrossRef][Medline]
  64. Jitrapakdee S, Walker ME, Wallace JC 1999 Functional expression, purification, and characterization of recombinant human pyruvate carboxylase. Biochem Biophys Res Commun 266:512–517[CrossRef][Medline]
  65. Anderson NG 1999 Signal Transduction. In: Hames BD, ed. The practical approach Series. 2nd ed. New York: Oxford University Press Inc.; 341–342
  66. Tunaru S, Lattig J, Kero J, Krause G, Offermanns S 2005 Characterization of determinants of ligand binding to the nicotinic acid receptor GPR109A (HM74A/PUMA-G). Mol Pharmacol 68:1271–1280[Abstract/Free Full Text]
  67. Danielian PS, White R, Lees JA, Parker MG 1992 Identification of a conserved region required for hormone-dependent transcriptional activation by steroid hormone receptors. EMBO J 11:1025–1033[Medline]
  68. Brodsky LI, Drachev AL, Gorbalenya AE, Leontovich AM, Feranchuk SI 1993 A novel method of multiple alignment of bio-polymers (MA-Tools module of GeneBee package). Biosystems 30:65–79[CrossRef][Medline]

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Ligands:   Progesterone



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