H.-P. Hohn

Adhesion and invasion of three human choriocarcinoma cell lines into human endometrium in a three-dimensional organ culture system.

A novel in vitro model was developed to study attachment and invasion of choriocarcinoma cell spheroids using pre-cultured secretory phase human endometrium as a host tissue. During pre-culturing in shaker culture human endometrium had regenerated a complete epithelial covering and had shed cells damaged during explantation. Spheroids of three human choriocarcinoma cell lines (BeWo, Jeg-3, JAr) which displayed linear growth in culture and produced placental hormones were used in this study as models for trophoblast behaviour. Morphological differences were noted in the spheroids from the three choriocarcinoma cell lines; BeWo and Jeg-3 spheroids exposed flattened and more differentiated cells on their surfaces while superficial cells in JAr spheroids maintained their cytotrophoblast-like morphology. Spheroids from all three cell lines were proven to be invasive in a general invasion assay using embryonic chick heart fragments, with JAr spheroids being the most aggressive. When spheroids were confronted with pre-cultured re-epithelialized endometrial fragments, however, Jeg-3 spheroids showed the highest incidence of attachment (52%) and the greatest amount of invasion into the underlying stroma. BeWo spheroids also attached (37%) and penetrated the epithelium, but did not invade into the stroma. JAr spheroids showed a minor degree of attachment (12%) and little or no invasion into the stroma. These results show that the three choriocarcinoma cell lines, although all invasive in a general invasion assay, differ in adhesion to uterine epithelium and invasion into endometrial stroma. This model offers opportunities for studying mechanisms of trophoblast adhesion and invasion, using human endometrium as the natural host tissue.

Differential Expression and Localization of Integrins and CD44 in the Membrane Domains of Human Uterine Epithelial Cells During the Menstrual Cycle

Human uterine epithelium displays a distinctly polarized organization with basal, lateral, and apical plasma membrane domains. Although nonadhesive throughout most of the menstrual cycle, uterine epithelial cells allow attachment of trophoblast cells to their apical pole during embryo implantation. Development of the receptive state might involve expression of cell adhesion molecules and/or redistribution of such molecules with respect to their localization at the basal, lateral, and apical membrane domains of cells. Expression and distribution of alpha 1-, alpha 3-, alpha 5-, alpha 6-, beta one-, beta 3- and beta 4-integrin subunits as well as of CD44 were examined in the luminal epithelium of human endometrium by immunohistochemistry in different phases of the menstrual cycle. The luminal epithelium was found to express alpha 1-, alpha 3-, alpha 6-, beta 1-, beta 4-integrin subunits and CD44. alpha l6-Integrin subunits and CD44 displayed cycle dependency. The alpha 6-integrin subunits were detected in the basal membrane domains in all phases. However, in correlation with increasing expression during the secretory phase of cycle, these subunits newly appeared in the lateral membranes of epithelial cells. CD44 showed increased expression in the secretory phase but was always restricted to the lateral membranes. The conspicuous behavior of alpha 6-integrin subunits and CD44 is discussed with respect to its possible functional significance for embryo implantation, and in relation to a hypothesis postulating that steroid-controlled master genes direct the acquisition of the receptive state of the luminal uterine epithelium by changing elements of the apicobasal polarity of these cells.

Adhesion of trophoblast to uterine epithelium as related to the state of trophoblast differentiation: In vitro studies using cell lines

At the initial phase of embryo implantation, the trophoblast must have acquired competence for adhesion to the uterine epithelium, a condition whose cell biological basis is far from understood. In the present study, trophoblast‐type cells (BeWo, JAr, and Jeg‐3 choriocarcinoma cell lines) were treated with retinoic acid, methotrexate, dibutyryl‐cAMP, or phorbol‐12‐myristate‐13‐acetate in order to modulate their ability to adhere to uterine epithelial cells (RL95‐2). In an established model, multicellular spheroids of choriocarcinoma cells were transferred onto the surface of monolayer cultures of RL95‐2 cells followed by a centrifugal force‐based adhesion assay. In controls, about 45% of BeWo and JAr cell spheroids and 75% of Jeg‐3 spheroids adhered to uterine monolayers within 30 min. Pretreatment of spheroids with either of the agents stimulated differentiation as indicated by the rate of chorionic gonadotropin secretion, but consistently reduced the adhesion to the endometrial monolayer in all three choriocarcinoma cell lines. While previous investigations had shown that invasiveness of trophoblast cells (into extracellular matrix) does not seem to be linked to the differentiation program in a simple manner, the present data suggest that such an (inverse) link may indeed exist with respect to the ability to initiate an adhesive interaction with the uterine epithelium. These observations support the view that epithelial cell interactions as typical for the initial phase of embryo implantation are regulated in a way that is clearly different from cell–matrix interactions governing later phases of trophoblast invasion into the endometrial stroma Mol. Reprod. Dev. 57:135–145, 2000.

Experimental Modulation of Cell-Cell Adhesion, Invasiveness and Differentiation in Trophoblast Cells

The establishment of pregnancy in the human decisively depends on the competence of the early trophoblast to interact during implantation with (1) the uterine epithelium and subsequently (2) with the endometrial stroma and blood vessels. In the interaction with uterine epithelium cell-to-cell adhesion appears to be a critical element, involving initially (and astonishingly) apical cell poles of both epithelia. The subsequent invasion of the stroma includes both adhesive interactions with and degradation of extracellular matrix. How these different processes are regulated in detail remains largely unknown. While the invasiveness of the trophoblast is known to be regulated in local and temporal terms it has remained unclear so far whether trophoblast adhesiveness to cells and/or matrix is subject to a coupled regulation or whether both properties involve different, maybe sequentially effective, control mechanisms. It is also not known how the regulation of these activities is related to the differentiation pathways leading to the formation of noninvasive villous trophoblast serving endocrine as well as nutritive functions. This communication reviews experiments using normal cytotrophoblast cells isolated from first trimester or term placentae as well as malignant trophoblast (choriocarcinoma) cells treated with a panel of compounds known to modulate cell differentiation [retinoic acid, methotrexate, dibutyryl-cAMP, phorbol-(12-myristoyl-13-acetyl)-diester]. Parameters indicative of trophoblast differentiation [in particular chorionic gonadotrophin (hCG) secretion] as well as adhesion to uterine epithelial cells and invasion into extracellular matrix in vitro were monitored. While expression of differentiation parameters was increased by all drug treatments, adhesion to uterine epithelial cells in vitro was reduced. Modulation of invasiveness, however, followed a different pattern: while it was reduced in normal trophoblast cells it was even increased in choriocarcinoma cells with various substances. The response of cells with respect to production of extracellular matrix proteins or matrix-degrading proteinases showed a complex pattern that again lacked a stringent correlation with hCG production and adhesion, and in addition also with invasive behavior. These results suggest that adhesiveness of trophoblast to uterine epithelial cells and invasiveness into the uterine stroma (extracellular matrix) are subject to different control mechanisms. They support the view that trophoblast-endometrium interactions involve a cascade of various adhesion and migration processes whose cellular and molecular basis is complex but accessible to experimental investigation using a variety of available in vitro systems.

Choriocarcinoma Cell Spheroids: An In Vitro Model for the Human Trophoblast

Cell differentiation and cell behavior are known to be strongly influenced by cell-cell and cell-matrix interactions (Grover et al., 1983; Landry and Freyer, 1984). Accordingly, among in vitro models proposed for studies of invasion, multicellular three-dimensional systems have been found to give more reliable data than two-dimensional (monolayer) systems (Mareel et al., 1979). Spheroids offer many tissue characteristics that cannot be obtained in monolayer or suspension culture (Sutherland and Durand, 1976; Yuhas et al., 1977). They represent tissue-like structures with various types of cell-to-cell contacts and can form an organized extracellular matrix (Nederman et al., 1984).

Advanced core decompression, a new treatment option of avascular necrosis of the femoral head--a first follow-up.

Aseptic necrosis of the femoral head (AVN) leads to destruction of the affected hip joint, predominantly in younger patients. Advanced core decompression (ACD) is a new technique that may allow better removal of the necrotic tissue by using a new percutaneous expandable reamer. A further modification is the refilling of the drill hole and the defect with an injectable, hard‐setting, composite calcium sulphate (CaSO4)–calcium phosphate (CaPO4) bone graft substitute. Compression tests were performed on seven pairs of femoral cadaver bones. One femur of each pair was treated with ACD, while the opposite side remained untreated. Clinically, the postoperative outcome of 27 hips in 23 patients was performed by physical examination 6 weeks after ACD and at average follow‐up of 9.69 months, and compared with the preoperative results. MRI was used to assess the removal of the necrotic tissue, any possible progression of AVN and evaluation of collapse. In the biomechanical analysis, the applied maximum compression force that caused the fracture did not significantly differ from the untreated opposite side. The overall results of postoperative physical examinations were significantly better than preoperatively. Five hips (18.5%) were converted to a total hip replacement. The follow‐up MRIs of the other patients showed no progression of the necrotic area. The first follow‐up results of ACD have been encouraging for the early stages of aseptic necrosis of the femoral head. In our opinion, an assured advantage is the high stability of the femoral neck after ACD, which allows quick rehabilitation. Copyright

A novel artificial substrate for cell culture: effects of substrate flexibility/malleability on cell growth and morphology.

SummaryGels of glyoxyl agarose (GA) are evaluated as a novel flexible substrate for cell culture with physical properties comparable to extracellular matrix (ECM) gels. We show here that cells adhere well to pure GA gels; in addition, specific interactions involving matrix receptors can be studied when individual matrix molecules are bound to the gel covalently. When cells are grown on such substrates, morphology is comparable to that observed on “natural” matrix gels (reconstituted gels of collagen type I or of Matrigel): rather than being flattened as in monolayer cultures on tissue culture plastic the cells assume a rounded morphology and tend to form tissue-like aggregates. The effects of the artificial matrix gels are discussed in the context of previous publications on cell interactions with the extracellular matrix, suggesting that in addition to specific recognition of matrix molecules the physical properties of ECM by themselves can be decisive for cell differentiation. We conclude that gels of glycoxyl agarose a) provide a useful model to mimic the physical properties of matrix gels without the presence of specific adhesion factors; b) may be useful as a general, non-specific ECM allowing cells to be cultured in vitro under conditions favorable for differentiation; and c) allow to design a variety of “synthetic” ECM models composed of a chemically defined gel matrix, which can be supplemented with covalently bound molecules to be recognized by cell surface receptors.

Differential expression of CD44 in rabbit uterine epithelium during early pregnancy.

The expression of the cell surface glycoprotein CD44 was monitored in rabbit endometrium during early pregnancy and pseudopregnancy by immunohistochemistry. The epitope was not detected in the uterine epithelium of nonpregnant doses; in pseudopregnant animals it was expressed only weakly and late, most clearly detectable at the last stage investigated, i.e. on day 10. During pregnancy, however, CD44 was expressed more strongly in the epithelium starting on day 6, i.e. shortly before embryo implantation (day 7). Northern blot analysis confirmed this increase in expression. Immunohistochemically, CD44 expression peaked around days 8 and 9 of pregnancy and was generally localized on the lateral cell membranes of uterine epithelium, but not on basal or apical membranes. The staining pattern was similar on all major mucosal folds in that the signal was most intense in the luminalmost parts and slightly less in the middle of these folds. The intensity was gradually reduced towards the depth of the crypts with their deepest parts being negative. At day 10 of pregnancy the intensity of staining was clearly reduced in all parts of the epithelium that had been positive before. Fusion of epithelial cells, a characteristic phenomenon in pregnant rabbit uteri, which is particularly widespread in the implantation chamber, was accompanied with abolishment of CD44 expression. While stromal cells in general showed only a weak reaction, some individual cells in the stroma were always strongly positive (numbers increased after implantation). The trophoblast only occasionally exhibited some faint cellular staining in cytotrophoblast as well as in syncytiotrophoblast. These data show that CD44 is expressed in rabbit uterine epithelium during the periimplantation phase, and that its expression appears to be triggered by embryonic signalling and may be relevant for implantation.

A Three-Dimensional Organ Culture Model for the Study of Implantation of Rabbit Blastocyst In Vitro

Implantation of the mammalian embryo in the uterine wall involves the attachment of the trophoblast to the uterine epithelial cells followed, in most species, by invasion of the trophoblast. The present state of knowledge about implantation results from morphological and histochemical examinations of embryos in situ and from limited experimental studies performed predominantly in vivo (c.f. Denker, 1977, 1983; Schlafke and Enders, 1975). Implantation is thought to start when the invasive phase of the trophoblast coincides with a “receptive state” of the endometrium (Psychoyos and Casimiri, 1980). While there is good evidence that endometrial receptivity is controlled by estrogens and progesterone (Psychoyos, 1976), the molecular interactions of the trophoblast and the endometrium as well as the changes in their cell physiological state that are required, remain largely unknown.

Rabbit endometrium in organ culture: morphological evidence for progestational differentiation in vitro.

SummaryThis communication describes conditions for long-term organotypic culture of rabbit endometrium allowing progesterone-induced transformation, as typcial for early pregnancy, to continue in vitro. This system appears to compare favorably with in vitro models so far proposed for the study of hormonal control of uterine function or for the investigation of cell-biological aspects of embryo implantation. The specific aim in the presented system is to provide approximate normal epithelium-stroma interrelationships. Fragments of endometrium consisting of epithelium and stroma were obtained during early pseudopregnancy and cultured on a gyratory shaker. Morphology was investigated by light microscopy, transmission and scanning electron microscopy. During the first two days the epithelium grows over the exposed stroma regenerating a complete epithelial lining. No central necrosis is found in the stroma for up to 6 days, and the tissue keeps its organotypic architecture although certain morphological differences can be observed between regenerated versus original epithelium. In the regenerating portion a stage-specific cell differentiation and the reformation of a basal lamina are missing. Progesterone substitution preserves cell morphology and allows to maintain, in vitro, the stage-specific pattern of cell organelles. Most characteristic is the induction of extensive fusion of epithelial cells. These large symplasms are comparable in size and structure to those formed in pregnancy in the implantation chamber in vivo. Only the superficial parts of the original (not the regenerated) epithelium are capable of progesterone-induced large-scale fusion. This organotypical culture system appears to be of potential value for in vitro studies on hormone action and on endometrial receptivity for embryo implantation.