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mhrep$0210 Molecular Human Reproduction vol.3 no.3 pp. 233–240, 1997 The expression of transforming growth factor-βs and TGF-β receptor mRNA and protein and the effect of TGF-βs on human myometrial smooth muscle cells in vitro Xin-Min Tang, Qingchuan Dou, Yong Zhao, Frederick McLean, John Davis and Nasser Chegini1 Department of Obstetrics and Gynecology, University of Florida College of Medicine, Gainesville, FL 32610-0294, USA 1To whom correspondence should be addressed In this study we investigated the expression of transforming growth factor-β (TGF-β) isoform and TGF-β receptor mRNA and protein, and the effect of TGF-β1–3 on the rate of DNA synthesis and proliferation of human myometrial smooth muscle cells in vitro. To determine these, we utilized primary cultures of myometrial smooth muscle cells, standard and competitive quantitative reverse transcription–polymerase chain reaction (RT–PCR), immunocytochemistry, enzyme-linked immunoassay, radioreceptor assay, [3H] thymidine incorporation and cell proliferation assay. Standard RT–PCR and immunocytochemistry revealed that myometrial smooth muscle cells express TGFβ1–3 and TGF-β type I–III receptor (TGF-βR) mRNA and protein. Quantitative RT–PCR, using an external synthetic RNA standard, indicated that the cells express 10 copies/cell of TGF-β1 and TGF-β2, less than one copy/cell of TGF-β3 and TGF-β type IR, three copies/cell of type IIIR, and .200 copies/cell of TGF-β type IIR mRNA. The cells also synthesized and released TGF-β1 at the rate of 7.8 6 0.7 ng/106 cells, of which 1.4 6 0.2 ng/106 cells was in an active form. The rate of [3H] thymidine incorporation or proliferation of subconfluent quiescent smooth muscle cells was not altered by TGF-βs (0.1–10 ng/ml) under serum-free conditions, nor in the presence of 10% fetal bovine serum (FBS). TGF-β1–3 at 0.25–0.5 ng/ml in the presence of 2% FBS, which induces half maximal stimulation of these cells, stimulated the rate (P ,0.05), whereas at higher doses it reduced the rate of [3H]-thymidine incorporation compared to the controls. The effect of TGF-β was partially reversible using neutralizing antibodies specific to TGF-β1, TGF-β2 (10 µg/ml) or TGF-β3 (3–6 µg/ml). TGF-βs had no significant effect on cell proliferation determined by cell counting. The data indicate that human myometrial smooth muscle cells express the necessary components of the TGF-β system, suggesting an autocrine/paracrine role for TGF-βs in myometrium. Key words: expression/human/myometrium/TGF-β/TGF-β receptors Introduction In addition to the ovarian steroids, several autocrine/paracrine growth factors which are expressed by different uterine cell types appear to play an important role in a variety of uterine biological activities. Unlike endometrium which undergoes a rapid morphological and biochemical alteration during the menstrual cycle, myometrium is a quiescent tissue consisting of differentiated smooth muscle cells. These cells represent a state in which they are unable to enter the cell cycle; however, they undergo cellular enlargement or hypertrophy during pregnancy and in leiomyomata which are benign tumours originating from myometrial smooth muscle cells (Rein et al., 1995; Dou et al., 1996). This suggests that myometrial smooth muscle cells retain their ability to undergo the cell cycle if provided with appropriate stimuli such as growth factors. Myometrium, leiomyomata and isolated myometrial smooth muscle cells have been shown to express mRNA and protein for several growth factors such as epidermal growth factor (EGF), transforming growth factor (TGFs), platelet-derived growth factors (PDGFs), insulin-like growth factor (IGFs), and their receptors (Bohem et al., 1990; Mondoza et al., 1990; Rein et al., 1990; Yeh et al., 1990; Rossi et al., 1992; Giudice et al., 1993; Chegini et al., 1994, 1996; Harrison-Woolrych © European Society for Human Reproduction and Embryology et al., 1994; Tang et al., 1994a; Dou et al., 1996). These growth factors, either alone or synergistically, appear to regulate the growth of myometrial and leiomyomata smooth muscle cells in vitro (Fayed et al., 1989; Rossi et al., 1992; Tang et al., 1994b) and possibly influence their differentiation and hypertrophic activities during pregnancy and leiomyomata growth. Among these growth factors, TGF-βs are recognized for their bifunctional activities influencing stimulation/inhibition of cell growth, differentiation, synthesis and deposition of extracellular matrix, and cellular hypertrophy mediated through their specific receptors (Massague, 1990; Massague et al., 1990; Wang et al., 1991; Ebner et al., 1993; Bassing et al., 1994; ten Dijke et al., 1994; Wrana et al., 1994). We have demonstrated that human myometrium and leiomyomata express TGF-β1–3, TGF-β type I–III receptor mRNA and protein, and contain specific [125I]TGF-β1 binding sites (Chegini et al., 1994; Dou et al., 1996). The data suggest that TGF-βs may be key regulators of various biological activities of smooth muscle cells under both normal and tumour (leiomyoma) conditions. The present study provides evidence that myometrial smooth muscle cells in primary culture express the necessary TGF-β and receptor system components, and 233 X.-M.Tang et al. that exogenous TGF-βs modulate the rate of DNA synthesis in, but not proliferation of, these cells. Materials and methods The sources of materials and detailed description of methodologies such as isolation, culturing and characterization of myometrial smooth cells, reverse transcription–polymerase chain reaction (RT–PCR), immunocytochemistry and DNA synthesis, TGF-β and TGF-β receptor antibodies were similar to those previously described (Tang et al., 1994a; Dou et al., 1996). [125I]-TGF-β1 (specific activity 220 βCi/µg), methyl-[3H]-thymidine (83 Ci/mmol) and [14C]-valine (250 mCi/mmol) were purchased from Biomedical Technologies Inc. (Soughton, MA, USA) and Amersham Co. (Arlington Heights, IL, USA). Human uterine tissues from premenopausal women, ages ranging from 21–39 years, undergoing hysterectomy for medically indicated reasons (excluding endometrial cancer and leiomyomata) and who were not under any hormonal treatments at the time of surgery, were collected and used for cell culture. Institutional Review Board approval was obtained prior to collection and use of the tissues in this study. Expression of TGF-βs and receptor mRNA and protein Myometrial smooth muscle cells were isolated and grown as monolayers in Dulbecco’s modified Eagle’s medium (DMEM)/10% fetal bovine serum (FBS) and their purity was determined as previously described (Rossi et al., 1992; Tang et al., 1994b). The cells were grown to 80–90% confluence in the presence of 10% FBS, and total cellular RNA was isolated from three individual cultures and subjected to standard and quantitative RT–PCR as previously described (Dou et al., 1996). For standard RT–PCR, 2 µg of total cellular RNA from each individual preparation was subjected to PCR, with reaction conditions of 1 min at 94°C, 2 min at 58°C and 3 min at 72°C for 40 cycles (Tang et al., 1994a; Dou et al., 1996). Controls included total RNA amplified without the reverse transcription step to detect the presence of any contaminating genomic DNA, and tubes containing all the PCR components except the RT reaction mixture to check for the presence of DNA that may have been carried over from prior reactions. Competitive quantitative RT–PCR was carried out using external synthetic multiprimer RNA standard templates which were constructed to contain the complimentary sequences for human TGF-βs and TGFβ receptors as previously described (Dou et al., 1996). cDNA was synthesized in standard reactions each containing 2 µg of total RNA (from individual preparation), several dilutions of external RNA standard (13108–13104 copies/reaction), as well as 2.5 µM oligo (dT)16, 1.5 mM MgCl2, 200 µM dNTPs, 1 IU/µl human placental ribonuclease inhibitor, 10 mM Tris–HCl (pH 8.3), 50 mM KCl, and 200 IU/µg RNA Moloney murine leukaemia virus reverse transcriptase (MMLV–RT) in a final volume of 100 µl. The reactions were incubated at 25°C for 10 min, 37°C for 60 min, and 92°C for 5 min, and DNA amplification was carried out as previously described (Dou et al., 1996). The PCR products were separated by electrophoresis on 2% agarose gel containing 2 ng/ml of ethidium bromide and photographed. The photographs were scanned and band intensities were determined using NIH-Image version 1.54; (National Institute of Health, Bethesda, MA, USA) their intensity values were normalized for their molecular weight (Dou et al., 1996). The ratio of band intensities within each lane was plotted against the copy number of added RNA standard/reaction and quantity of the target messages was determined where the ratio of template/target band intensities was equal to one (Dou et al., 1996). The final quantification of the 234 number of molecules per cell was derived from the constant that there is ~26 pg of mRNA per cell (Brandhorst and McConkey, 1974). The data are expressed as mean 6 SEM of the band intensities. Each corresponding point of the curves was analysed by Student’s t-test and all points on the curves by analysis of variance. A value of P ,0.05 was considered to be significant. For immunocytochemistry and light microscope autoradiography, smooth muscle cells were grown on Lab-Tek (Nunc. Inc. Naperville, IL, USA) 8-well slides in the presence of 10% FBS for 48 h (Rossi et al., 1992). The slides were washed with PBS, fixed and processed for immunolocalization of TGF-βs and TGF-β type I–II receptors using their respective antibodies, or incubated with 1 nM [125I]-TGFβ1 in the presence and absence of 100-fold excess of unlabelled TGF-β1 for 2 h at 37°C for autoradiographic study after exposure to autoradiographic emulsion (Rossi et al., 1992; Tang et al., 1994a; Zhao et al., 1994). Effect of TGF-βs on [3H]-thymidine incorporation and cell proliferation The smooth muscle cells were cultured either in 24- or 96-well dishes at an approximate density of 2.53104 and 2.53103 cells/well respectively, in the presence of 10% FBS for 48 h. The cells were made quiescent under serum-free conditions for 48 h (Tang et al., 1994b) and then incubated in either serum-free or 2% FBS-supplemented medium, in the presence of various doses of TGF-βs and 2 µCi/ml [3H]-thymidine. Cell proliferation was determined by cell counting using a Coulter counter ZM (Coulter Electronics, Hialeah, FL, USA), as previously described (Rossi et al., 1992). The specificity of TGF-β actions on [3H]-thymidine incorporation was determined using specific neutralizing antibodies to TGF-β1 and TGF-β2 (5–10 µg/ml), and TGF-β3 (3–6 µg/ml). The antibodies were added to the culture medium in the presence of corresponding TGF-βs at the initial concentrations of 3–5 µg/ml, which induce half maximal inhibition of [3H]-thymidine incorporation into fibroblasts (R&D information, R&D System Inc., Minneapolis, MN, USA) and endometrial stromal cells (Tang et al., 1994a). Radioreceptor assay (RRA) The smooth muscle cells were cultured in 24-well dishes in the presence of 10% FBS for 48 h, washed and further incubated in the presence of 0.5% FBS for an additional 24 h. The culture medium was collected and assayed for TGF-β1 using a competitive RRA measuring the binding of [125I]-TGF-β1 to CCL64 cells, as previously described (Tang et al., 1994a). Culture media and 0.5% FBS used for culturing were assayed before and after acidification which resulted in the activation of latent TGF-βs (Tang et al., 1994a; Chegini et al., 1996). The levels of TGF-β1 in the conditioned media were compared with known concentrations of TGF-β1 standard. Protein degradation assay The effect of TGF-β1 on degradation of long-lived proteins in myometrial smooth muscle cells was determined by measuring the rate of [14C]-valine incorporation into newly synthesized proteins as previously described (Tang et al., 1994a). Smooth muscle cells were grown to confluence, then incubated in valine-free RPMI-based selectamine containing 2% FBS and [14C]-valine (1β) for 18 h, washed and incubated in serum-free medium containing 0.1% bovine serum albumin (BSA), 15 mM valine and 1 ng/ml of TGF-β1, and compared with 10 ng/ml of EGF, 10 ng/ml of PDGF-BB or 2% FBS. The amount of radioactive protein present in the media 1 and 4 h after the incubation was compared with the total radioactivity added to the media (cells 1 1 h and 4 h media) to determine the level of TGF-βs in human myometrium Figure 1. The reverse transcription–polymerase chain reaction (RT–PCR) products and anticipated bp fragments for transfroming growth factor (TGF)-β1 (4 bp lane A), TGF-β2 (310 bp, lane C), TGF-β3 (524 bp, lane E), TGF-β type IIR (431 bp, lane G), TGF-β type IR (545 bp, lane I) and TGF-β type IIIR (1104 bp, lane K) using total RNA isolated from myometrial smooth muscle cell primary cultures initially isolated from myometrium at the mid-secretory phase of the menstrual cycle. Digestion of the PCR products with SmaI (TGF-β1), HindIII (TGF-β2), EcoR V (TGF-β3), HincII (TGF-β type IIR), PvuII (TGF-β type IR) and BamHI (TGF-β type IIIR) resulted in the anticipated 360, 83 bp fragments for TGF-β1 (lane B), 164, 146 bp fragments for TGF-β2 (lane D), 332, 192 bp fragments for TGF-β3 (lane F), 261, 170 bp fragment for TGF-β type IIR (lane H), 179, 366 bp fragments for TGF-β type IR (lane J) and 183, 325, 596 bp fragments for TGF-β type IIIR (lane L). The 83 bp in lane B, 146 bp in lane D, 192 bp in lane F and 183 bp fragments in lane L are only faintly visible due to the reduced capacity to bind to ethidium bromide. M: DNA marker. cellular protein degradation, as previously described (Tang et al., 1994a). Statistical analysis Data presented in Figures 2–5 are reported as the mean 6 SEM and analysed using paired Student’s t-test or analysis of variance. All of the experiments, with the exception of immunocytochemistry and autoradiography, were repeated either two or three times, in triplicate, using myometrial cells isolated from the indicated number of uteri. Results Expression of TGF-βs and receptor mRNA and protein Initially, the expression of TGF-β1–3 and TGF-β type I–III receptor mRNA in isolated myometrial smooth muscle cells in primary culture was examined qualitatively by standard RT–PCR. As shown in Figure 1, the standard RT–PCR revealed that these cells express TGF-β1 (lane A), TGF-β2 (lane C) and TGF-β3 (lane E) as well as TGF-β type IIR (lane G), type IR (lane I) and type IIIR (lane K) receptor mRNA in a representative experiment. Digestion of the PCR products with SmaI, HindIII, EcoR V, HincII, PvuII, or BamHI for TGF-β13 and TGF-β type II, I and III receptors respectively, resulted in anticipated smaller fragments for TGF-β1 (lane B), TGF- β2 (lane D), TGF-β3 (lane F), and TGF-β type IIR (lane H), type IR (Lane J), and type IIIR (Lane L) receptors. To determine precisely the levels of TGF-βs and TGF-β receptor mRNA expression by myometrial smooth muscle cells, we used quantitative RT–PCR. The results indicated that the smooth muscle cells express 10 copies/cell of TGF-β1 and TGF-β2, less than one copy/cell of TGF-β3 and TGF-β type IR, three copies/cell of type IIIR, and .200 copies/cell of TGF-β type IIR mRNA (Figures 2A,B). The myometrial smooth muscle cells also contain immunoreactive TGF-β1–3 and TGF-β type I and type II receptor protein (Figures 3A–E). In controls, using normal immunoglobulin (Ig)G and/or non-immune rabbit serum instead of the primary antibodies resulted in substantial reduction of immunostaining intensity (Figure 3F). Competitive RRA further indicated that the smooth muscle cells synthesized and released 7.8 6 0.7 ng/106 cells of total TGF-β1 into their culture-conditioned media, of which 1.4 6 0.2 ng/106 cells were in an active form. The level of total TGF-β1 present in 0.5% serum unexposed to cells was ~187 6 14 pg/ml, of which 80 6 11 pg/ml were in an active form. Light microscope autoradiography revealed that the smooth muscle cells also contain specific [125I]-TGF-β1 binding sites as indicated by 235 X.-M.Tang et al. the presence of many silver grains over these cells, which were significantly reduced after incubation with 100-fold excess of unlabelled TGF-β1, but not TGF-I or PDGF-BB (data not shown). Effect of TGF-βs on [3H]-thymidine incorporation, cell proliferation and protein degradation TGF-βs at 0.01–10 ng/ml appeared not to have a significant effect on the rate of [3H]-thymidine incorporation and proliferation of the smooth muscle cells incubated under serum-free conditions or in the presence of 10% FBS (data not shown). However, incubation of quiescent smooth muscle cells with 2% FBS induced half the maximal stimulation of [3H]thymidine incorporation and proliferation compared with lower (0.5–1%) or higher (5–10%) FBS concentrations as previously described (Tang et al., 1994b). Treatment of the quiescent smooth muscle cells with TGF-β1, TGF-β2 or TGF-β3 at doses ranging from 0.25–1 ng/ml in the presence of 2% FBS resulted in a significant stimulation of [3H]-thymidine incorporation with maximal effect occurring at 0.5 ng/ml compared with 2% FBS control (P ,0.05, Figures 4A, C and E). At higher doses, TGF-β1 and TGF-β2, but not TGF-β3 were found to inhibit the rate of [3H]-thymidine incorporation with maximal effect occurring at 5 ng/ml (P ,0.05). TGFβ1–3 at all the concentrations tested had no significant effect on cell proliferation determined by cell counting (data not shown) compared with 2% FBS. Specific neutralizing antibodies to TGF-β1 (10 µg/ml), TGF-β2 (10 µg/ml) or TGF-β3 (6 to 10 µg/ml) partially reversed the effect of TGF-β1 and TGF-β2 (0.5 ng/ml) on [3H]-thymidine incorporation (Figures 4B, D and F), reaching the control values induced by 2% FBS. TGF-β1, but not EGF or PDGF-BB, significantly increased the rate of protein degradation (P ,0.05) measured by [14C]valine incorporation into newly synthesized proteins compared with untreated control (Figure 5). Discussion We have previously shown that human myometrium (smooth muscle cells) throughout the menstrual cycle expresses TGFβ1–3 mRNA and protein, with TGF-β3 being the least expressed (Chegini et al., 1994). The present study confirms and further demonstrates that isolated myometrial smooth cells in primary culture express a significantly higher level of TGFβ1 and TGF-β2 mRNA than TGF-β3. These smooth muscle cells also contain TGF-β1–3 immunoreactive proteins which are synthesized and released into the culture medium as demonstrated for TGF-β1. A major portion of TGF-β1 released into the culture-conditioned medium was in latent or biologically inactive form which was significantly less than that produced by endometrial glandular epithelial or stromal cells (Tang et al., 1994b). Factors which regulate the expression of Figure 2. (A) Competitive quantitative reverse transcription– polymerase chain reaction (RT–PCR) of total RNA isolated from myometrial smooth muscle cells in primary culture. Total RNA as well as the external synthetic RNA standard at serial dilutions of 104– 10–1 molecules were mixed, reverse transcribed and co-amplified by standard PCR using TGF-β1–3, TGF-β type IR–IIIR receptor primers for 40 cycles. The cDNAs were separated on 2% agarose gels, stained with ethidium bromide and photographed. Top bands represent products generated from specific messages in the total RNA, and lower bands are the products generated from serial dilutions of external RNA standard shown from right to left at dilutions of 104– 10–1 copies/cell. The copy number is determined where the intensity of input external standard RNA is equal to intensity of the sample RNA. The far left lanes are the DNA markers. (B) The ratio of external synthetic RNA standard template (T) to sample (S) band intensities was calculated by digitally scanning photographs similar to that shown in Figure 2A. Ethidium bromide stained gels were photographed, scanned and the band intensities determined as described the text. The intensity values were then normalized for their molecular weight, and the ratio of T/S was calculated. The log ratio was plotted against the log input copy number of the template (serial dilutions corresponding to 104–10–1 molecules), and copy number determined where the intensity of input RNA was equal to intensity of the unknown sample. The level of TGF-β1 (d), TGF-β2 (,), TGFβ3 (.) and TGF-β type IIR (u) TGF-β type IIIR (u) mRNA expression are shown. Equations of best fit lines as follows; TGF-β1: y 5 0.482 (x) – 0.015 with r2 5 0.999; TGF-β2: y 5 0.604 (x) – 0.022 with r2 5 0.942; TGF-β3: y 5 0.520 (x) – 0.707 with r2 5 0.999; TGF-β IIR: y 5 0.548 (x) – 0.001 with r2 5 0.942; and TGF-β IIIR: y 5 0.612 (x) – 0.129 with r2 5 0.996. 236 TGF-βs in human myometrium TGF-βs in human uterus have not yet been investigated; however, due to the higher levels of expression of TGF-βs during the secretory phase of the menstrual cycle, progesterone is believed to influence TGF-β expression (Chegini et al., 1996; Dou et al., 1996). Due to distinct differences in TGF-β promoters, as well as 59 and 39 untranslated regions, each isoform can be regulated differently in response to various stimuli (Romeo et al., 1993; Roberts, 1995). Furthermore, our preliminary data suggest that TGF-β1 up-regulates its own expression in isolated myometrial smooth muscle cells (Tang et al., 1996). At the protein level, TGF-β is released by a variety of cells in culture either as a small latent complex, consisting of TGFβ non-covalently binding to latency-associated protein, or, as a large complex, formed by covalent addition of latent TGFβ binding protein to latency-associated protein (Olofsson et al., 1992; Roberts 1995). The latent TGF-βs, after being released by the cells, become sequestered by extracellular matrix; therefore, disassociation from these complexes is essential for bioavailability of TGF-βs and binding to their receptors (Olofsson et al., 1992; Roberts 1995). The mechanisms which regulate TGF-β activation in vivo are unknown; however in vitro, plasmin, transglutamase, mannose-6-phosphate receptor, binding to thrombospondin, steroids such as retinoic acid, tamoxifen and 1,25-dihydroxy vitamin D3 have been shown to result in TGF-β activation (Laiho et al., 1986; Lyons et al., 1990; Sato et al., 1990; Roberts 1995). We have recently shown that 17β oestradiol medroxyprogesterone acetate (MPA) up-regulates the synthesis of total (active 1 latent) TGFβ1 production by myometrial smooth muscle cells, while gonadotrophin-releasing hormone (GnRH) agonist and GnRH antagonist inhibit the proportion of TGF-β1 released as an active form (Chegini et al., 1996). GnRH analogues also inhibit the effect of 17β oestradiol with MPA on total and active TGF-β1 production (Chegini et al., 1996). Like myometrium (Chegini et al., 1994), myometrial smooth muscle cells also express TGF-β type I–III receptor mRNA and protein, and contain specific [125I]-TGF-β1 binding sites, Figure 3. Immunocytochemical localization of transforming growth factor (TGF)-β1 (A), TGF-β2 (B), TGF-β3 (C), TGF-β type IR (D) and IIR (E) in myometrial smooth muscle cells maintained in primary culture and incubated in the presence of 10% fetal bovine serum for 48h. Controls using normal immunoglobulin (Ig)G instead of the primary antibodies resulted in a considerable reduction in immunostaining of the cells (F). Original magnification 3160. 237 X.-M.Tang et al. Figure 4. The dose response effect of transforming growth factor (TGF)-β1 (A), TGF-β2 (C) and TGF-β3 (E) on [3H]-thymidine incorporation (s-s, n-n and u-u), and isoform specific neutralizing antibodies (AB) to TGF-β1 (B), TGF-β2 (D) and TGF-β3 (F) on [3H]-thymidine incorporation induced by TGF-β1–3 (0.5 ng/ml), by quiescent myometrial smooth muscle cells incubated in the presence of 2% FBS (control) for 48 h. The antibodies were added individually at 10 µg/ml (AB10) in assays involving TGF-β1 and TGF-β2, and 3 µg/ml (AB3) or 6 µ g/ml (AB6) in the case of TGF-β3. The data are expressed as mean 6 SEM of percentage change from triplicate experiments repeated twice on myometrial smooth muscle cells from three uteri of early secretory phase of the menstrual cycle. *Significantly different from the control analysed by analysis of variance and/or Student’s t-test (P ,0.05–0.005). Figure 5. Protein degradation induced by transforming growth factor (TGF)-β1 (1 ng/ml) and compared with epidermal growth factor (EGF) (10 ng/ml), platelet-derived growth factor (PDGF)-BB (10 ng/ml) and 2% fetal bovine serum (FBS; control) in smooth muscle cells from secretory phase of the menstrual cycle. The data are expressed as mean 6 SEM of percentage change from triplicate experiments repeated twice on myometrial smooth muscle cells from two different uteri. The effect of TGF-β1 was significantly different from the control value analysed by Student’s t-test (P ,0.05). 238 with a significantly higher level of type II than I or III mRNA expression. Presence and interactions of TGF-β type I and II receptors are required for TGF-β binding and signal transduction (Wang et al., 1991; Ebner et al., 1993; Bassing et al., 1994; ten Dijke et al., 1994; Wrana et al., 1994). This suggests an autocrine/paracrine role for TGF-βs in the myometrial micro-environment. It has been shown that TGF-β1 and TGF-β3 bind type I and II receptors with higher affinity than TGF-β2, whereas they bind type III receptor with a similar affinity (Chen et al., 1993; Ebner et al., 1993; Lopez-Casillas et al., 1993; Moustakas et al., 1993). In myometrial smooth muscle cells the maximal stimulatory effect of TGF-β1 and TGF-β3 on DNA synthesis occurred at lower doses than TGF-β2. Furthermore, TGF-β1 and TGF-β2 at higher doses inhibited, while TGF-β3 retained, the rate of DNA synthesis induced by 2% FBS. A similar phenomenon has also been reported for vascular smooth muscle cells, in which TGF-β1 at 0.01–0.1 ng/ml elicited maximal effect on DNA synthesis and proliferation, whereas at higher doses was less potent (Battegay et al., 1990). TGF-βs appear not to have any effect on myometrial smooth muscle cell proliferation. TGF-βs in human myometrium Stimulation of DNA synthesis, but not proliferation (cell number), of myometrial smooth muscle cells by TGF-βs suggests that the cells receive signals for cell mass and DNA synthesis associated with cell cycle progression, but not cell division. Such a phenomenon often occurs during cellular hypertrophy resulting from incomplete growth stimulation, and is regulated to some extent by growth factors such as TGF-β with the ability to arrest cells in the G1/S phase of the cell cycle (Brodsky and Uryvaeva, 1977; Baserga, 1984; Geisterfer et al., 1988; Owens et al., 1988; Turner et al., 1988; Battegay et al., 1990). Cellular hypertrophy occurs in terminally differentiated cells such as smooth muscle cells, and in the uterus during pregnancy (uterine enlargement) and in leiomyomata, which is characterized by enlargement of existing smooth muscle cells with little or no change in cell number (Rein et al. 1995). In addition, TGF-β may be involved not only in regulating cell growth and proliferation, but also in controlling the production of prostaglandins, and hence, controlling myometrial contractility (Faber et al., 1996). The rate of degradation of newly synthesized long-lived protein in myometrial smooth muscle cells was significantly increased by TGF-β1 but not EGF or PDGF-BB in our experiment, which was different from the observations in endometrial stromal cells by Tang et al. (1994a). The identity and role of these proteins in myometrial smooth muscle cells are unknown; however, they may be involved in cell cycle progression. In summary, the results provide further evidence that human myometrial smooth muscle cells express all the necessary components of TGF-β, suggesting that TGF-βs through an autocrine/paracrine manner modulate various biological activities of myometrial smooth muscle cells. References Baserga, R. (1984) Growth in cell size and DNA synthesis. Exp. Cell. 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