Placental uptake and metabolism of 25(OH)vitamin D determine its activity within the fetoplacental unit

  1. Brogan Ashley
  2. Claire Simner
  3. Antigoni Manousopoulou
  4. Carl Jenkinson
  5. Felicity Hey
  6. Jennifer M Frost
  7. Faisal I Rezwan
  8. Cory H White
  9. Emma M Lofthouse
  10. Emily Hyde
  11. Laura DF Cooke
  12. Sheila Barton
  13. Pamela Mahon
  14. Elizabeth M Curtis
  15. Rebecca J Moon
  16. Sarah R Crozier
  17. Hazel M Inskip
  18. Keith M Godfrey
  19. John W Holloway
  20. Cyrus Cooper
  21. Kerry S Jones
  22. Rohan M Lewis
  23. Martin Hewison
  24. Spiros DD Garbis
  25. Miguel R Branco
  26. Nicholas C Harvey
  27. Jane K Cleal  Is a corresponding author
  1. The Institute of Developmental Sciences, Human Development and Health, Faculty of Medicine University of Southampton, United Kingdom
  2. Beckman Research Institute, City of Hope National Medical Center, United States
  3. Proteas Bioanalytics Inc, BioLabs at the Lundquist Institute, United States
  4. Institute of Metabolism and Systems Research, The University of Birmingham, United Kingdom
  5. NIHR Cambridge Biomedical Research Centre, Nutritional Biomarker Laboratory. MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Clifford Allbutt Building, Cambridge Biomedical Campus, United Kingdom
  6. Formerly at MRC Elsie Widdowson Laboratory, Cambridge, CB1 9NL l Merck Exploratory Science Center, Merck Research Laboratories, United States
  7. Centre for Genomics and Child Health, Blizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, United Kingdom
  8. School of Water, Energy and Environment, Cranfield University, United Kingdom
  9. Merck Exploratory Science Center, Merck Research Laboratories, United States
  10. MRC Lifecourse Epidemiology Centre, University of Southampton, United Kingdom
  11. NIHR Applied Research Collaboration Wessex, Southampton Science Park, United Kingdom
  12. NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, United Kingdom
  13. NIHR Oxford Biomedical Research Center, University of Oxford, United Kingdom
6 figures, 2 tables and 3 additional files

Figures

Transfer and metabolism of 13C-25(OH)D3 by the term perfused human placenta over 5 hr.

(a) 13C-25(OH)D3 in maternal and fetal circulations as a % of maternal perfusate concentration. (b) Rate of maternal 13C-25(OH)D3 lost from the maternal circulation, accumulated in placental tissue, metabolized, or transferred to the fetal circulation. (c) 13C-24,25(OH)2D3 transfer into the maternal and fetal circulations as a % of 13C-24,25(OH)2D3 metabolized by the placenta. (d) Rate of placental production of 13C-25(OH)D3 and transfer rate into the maternal and fetal circulations. (e) 1,25(OH)2D3 transfer into the maternal and fetal circulations as a % of 1,25(OH)2D3 produced by the placenta. (f) Rate of placental production of 13C-1,25(OH)2D3 and 1,25(OH)2D3 transfer into the maternal and fetal circulations. (g) Pearson’s correlations between metabolites. (h) Placental CYP24A1 relative mRNA expression was significantly increased in 13C-25(OH)D3 perfused placental samples compared to non-perfused control placental tissue samples (*p<0.05). Data are presented as mean (SEM).

Summary of vitamin D transport and metabolism by the placenta.

(a) Schematic model of 13C-25(OH)D3 transfer and metabolism by the term perfused human placenta over 5 hr. (b) Electron microscopy image showing a cross section of the human placental barrier at term. The intervillous space is filled with maternal blood, the syncytiotrophoblast forms a continuous barrier across the surface of the villi, the microvilli on the apical plasma membrane are indicated by white arrows, and the syncytiotrophoblast basal membrane can be seen abutting the trophoblast basal lamina, which is indicated by black arrows. A small region of cytotrophoblast can be seen labeled ‘cyto’ between the syncytiotrophoblast and trophoblast basal lamina. The connective tissue of the villous stroma lies between the trophoblast and the fetal capillaries. The stroma also contains fibroblasts and macrophages that are not shown here. Pericyte fingers around the fetal capillary are labeled ‘P’. The fetal capillary endothelial cells form the fetal blood vessel.

Uptake of 25(OH)D3 in placental villous fragments is facilitated by albumin and mediated by endocytic processes.

(a) Relative CYP24A1 mRNA expression was increased in placental villous fragments incubated with 25(OH)D3 (n = 15) compared to control (ethanol plus albumin, n = 15; *p<0.001) and was increased further with 25(OH)D3 and albumin (n = 6) compared to 25(OH)D3 alone (#p<0.05).

Uptake of FITC-albumin to placental fragments is mediated by endocytic mechanisms. (b) Representative images showing FITC-albumin uptake into placental villous fragments at 5, 15, and 30 min. Green, FITC-albumin; red, villous stroma stained by rhodamine-PSA; blue, MVM stained by biotin-DSL. (c) FITC-albumin uptake increased with time (p=0.03) and temperature (p=0.03), n = 3. (d) CYP24A1 gene expression was reduced by addition of the blockers amiloride, cytochalasin D (CytoD), and receptor-associated protein (RAP) compared to 25(OH)D plus albumin-stimulated expression with no blocker (*p<0.05; n = 4–5). BSA, bovine serum albumin. Data are presented as mean (SEM).

Figure 4 with 1 supplement
RNA-seq-derived gene signatures of human placental samples following 8 hr 25(OH)D3 incubation.

(a) Principal component analysis indicated clustering of 25(OH)D3-treated samples (clear) compared with control samples (black). (b) Volcano plot showing 493 genes were differentially expressed (red) at a false discovery rate (FDR)-adjusted p-value<0.05 (gray line). (c) Differentially expressed genes with a fold change of 1.5 or above at FDR 0.05 are presented as heatmaps [log2(normalized expression)]. (d) Pathway analysis (ToppGene) of all differentially expressed genes (no fold change cutoff) reveals both up- and downregulation of molecular function and biological process gene pathways following 8 hr 25(OH)D3 incubation. For pathway analysis, significance was adjusted using the Benjamini–Hochberg correction depicted by –log(B&H q-value) with a significance threshold of 1% (dashed line).

Figure 4—figure supplement 1
Gene expression changes following vitamin D incubation.

(a) Gene expression changes observed in this study following 8 hr 25(OH)D3 exposure were compared with those in a published dataset from human placenta (GSE41331), which looked at longer-term vitamin D response (24 hr). Genes that were upregulated following 8 hr exposure also tended to have increased expression in the 24 hr dataset, whereas downregulated genes were unchanged. Differentially expressed genes in common between both placental datasets included CYP24A1 and SNX31. (b) Relative mRNA expression levels for selected genes that in the RNA-seq dataset had increased (CYP24A1, HIVEP2, AHDC1), decreased (CDRT1, PLEKHG2), or unaltered (CYP27B1, VDR) expression levels following 8 hr 25(OH)D3 incubation (*p<0.05). Data are presented as mean (SD).

Figure 5 with 1 supplement
Short-term vitamin D exposure has limited effects on placental methylation, but the pre-existing epigenetic landscape has a major effect on vitamin D-mediated transcription.

(a) Placental fragments were exposed for 8 hr to 25(OH)D3, which led to limited alterations in DNA methylation compared to incubation with control buffer. Shown are two examples of clusters of hypermethylated CpGs (highlighted in yellow), where the blue bars represent the array’s beta value for individual CpGs. (b) The promoters of the upregulated genes identified in the RNA-seq data displayed lower methylation than those of downregulated genes in both control and 25(OH)D3-treated conditions. To extend these observations, we performed ChIP-seq on syncytialized cytotrophoblast cells incubated with 20 μM 25(OH)D3 or control cell culture medium for 24 hr (n = 2 placentas). (c) Representative confocal microscopy image of cytotrophoblast cells cultured for 90 hr and stained with DAPI (blue; nuclei) and desmoplakin (green), present on the cell surface. Multiple nuclei within a single-cell demonstrate syncytialization has occurred. (d) The promoters of upregulated genes (identified in the RNA-seq data) displayed higher levels of both H3K4me3 and H3K27ac than those seen at downregulated genes. (e) Examples of specific upregulated (KLHL11) and downregulated (ACOD1) genes, showing no changes in the enrichment of H3K4me3 or H3K27ac at the promoter (highlighted in yellow) when comparing control and vitamin D conditions.

Figure 5—figure supplement 1
The effects of the pre-existing epigenetic landscape on vitamin D mediated transcription.

(a) Promoters of upregulated genes displayed higher levels of both H3K4me3 and H3K27ac than those seen at downregulated genes: this pattern was also seen when focusing only on CpG island promoters. (b) Although our ChIP-seq data is from isolated cytotrophoblast, very similar patterns were observed in ENCODE data from 16-week placenta. (c) Open chromatin (FAIRE-seq) data from THP1 cells treated with 1,25(OH)2D3 for 4 hr. The promoters of both placenta- and THP1-upregulated genes displayed open chromatin in THP1 cells. (d) H3K4me3 levels in the placenta were higher for promoters of placenta-upregulated genes than for THP1-upregulated ones.

Pathways with (a) altered protein and (b) methylated protein expression in response to 25(OH)D3 treatment.

Significantly altered pathways from genes mapped to sites of altered protein expression. Pathways identified using ToppGene and displayed as –log q-value. (c) Alignment of RNA and protein expression data. Nine genes were altered at both the RNA and protein level. M, methylated protein; Ac, acetylated protein; P, phosphorylated protein.

Tables

Table 1
Associations of offspring size and vitamin D receptor relative mRNA expression in the Southampton Women’s Survey.

VDR mRNA expression

rpn
Size z-scores


19-week HC–0.200.2558
19-week AC–0.030.8358
19-week FL–0.050.7458
34-week HC–0.330.00159
34-week AC–0.320.0259
34-week FL–0.280.0459
Birth data


Placenta weight (g)–0.220.03101
Birth weight (g)–0.190.06102
CHL (cm)–0.220.03102
DXA lean mass (g)–0.240.02102
DXA fat mass (g)–0.220.03102
4-year data


DXA lean mass (kg)–0.420.00546
DXA fat mass (kg)–0.350.0246
Weight (kg)–0.320.0256
  1. AC: abdominal circumference; CHL: crown-heel length; DXA: dual-energy X-ray absorptiometry measurements; FL: femur length; HC: head circumference; VDR: vitamin D receptor.

Key resources table
Reagent type (species) or resourceDesignationSource or referenceIdentifiersAdditional information
Sequence-
based reagent
CYP24A1_FThis paperPCR primersGAAAGAATTGTA
TGCTGCTGTCA
Sequence-
based reagent
CYP24A1_RThis paperPCR primersCACATTAGACTG
TTTGCTGTCGT
Sequence-
based reagent
CYP24A1_ProbeUniversal ProbeLibrary
(human): https://lifescience.roche.com/global_en/brands/universal-probe-library.html
PCR probeUPL# 78
Sequence-
based reagent
CDRT1_FThis paperPCR primersTGCAACCCC
AAATTACTGCT
Sequence-
based reagent
CDRT1_RThis paperPCR primersGATGTCTTGA
TTGAGCCCTGA
Sequence-
based reagent
CDRT1_ProbeUniversal ProbeLibraryPCR probeUPL# 74
Sequence-
based reagent
CYP27B1_FThis paperPCR primersCGCAGCTGT
ATGGGGAGA
Sequence-
based reagent
CYP27B1_RThis paperPCR primersCACCTCAAAAT
GTGTTAGGATCTG
Sequence-
based reagent
CYP27B1_ProbeUniversal ProbeLibraryPCR probeUPL# 53
Sequence-
based reagent
HIVEP2_FThis paperPCR primersCGGCAAGCT
TACATCATCAA
Sequence-
based reagent
HIVEP2_RThis paperPCR primersAGGACGCATC
AGGTTTCATC
Sequence-
based reagent
HIVEP2_ProbeUniversal ProbeLibraryPCR probeUPL# 38
Sequence-
based reagent
PLEKHG2_FThis paperPCR primersTCCCCTAGGA
TTCTCTGAAGC
Sequence-
based reagent
PLEKHG2_RThis paperPCR primersGGAGGACCCA
CACCAAATAA
Sequence-
based reagent
PLEKHG2_ProbeUniversal ProbeLibraryPCR probeUPL# 76
Sequence-
based reagent
VDR_FThis paperPCR primersTCTGTGACCC
TAGAGCTGTCC
Sequence-
based reagent
VDR_RThis paperPCR primersTCCTCAGAGGT
GAGGTCTCTG
Sequence-
based reagent
VDR_ProbeUniversal ProbeLibraryPCR probeUPL# 43
Sequence-
based reagent
AHDC1_FThis paperPCR primersCCCCAGGACA
CCTCTCTACC
Sequence-
based reagent
AHDC1_RThis paperPCR primersCATTTAATTCTT
CATACCAATCCTTG
Sequence-
based reagent
AHDC1_ProbeUniversal ProbeLibraryPCR probeUPL# 38
Sequence-
based reagent
CUBN_FThis paperPCR primersGGACAATGT
CAGAATAG
CTTCGT
Sequence-
based reagent
CUBN_RThis paperPCR primersCAGTGGCT
AGCAGGGCTTT
Sequence-
based reagent
CUBN_ProbeUniversal ProbeLibraryPCR probeUPL# 10
Sequence-
based reagent
LRP2_FThis paperPCR primersTTGTTTTGAT
GCCTCTGATGA
Sequence-
based reagent
LRP2_RThis paperPCR primersAGCTAGGCA
TGTTCGCTCAG
Sequence-
based reagent
LRP2_ProbeUniversal ProbeLibraryPCR probeUPL# 34
Sequence-
based reagent
RXRα_FThis paperPCR primersACATGCAGAT
GGACAAGACG
Sequence-
based reagent
RXRα_RThis paperPCR primersTCGAGAGCC
CCTTGGAGT
Sequence-
based reagent
RXRα_ProbeUniversal ProbeLibraryPCR probeUPL# 26

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  1. Brogan Ashley
  2. Claire Simner
  3. Antigoni Manousopoulou
  4. Carl Jenkinson
  5. Felicity Hey
  6. Jennifer M Frost
  7. Faisal I Rezwan
  8. Cory H White
  9. Emma M Lofthouse
  10. Emily Hyde
  11. Laura DF Cooke
  12. Sheila Barton
  13. Pamela Mahon
  14. Elizabeth M Curtis
  15. Rebecca J Moon
  16. Sarah R Crozier
  17. Hazel M Inskip
  18. Keith M Godfrey
  19. John W Holloway
  20. Cyrus Cooper
  21. Kerry S Jones
  22. Rohan M Lewis
  23. Martin Hewison
  24. Spiros DD Garbis
  25. Miguel R Branco
  26. Nicholas C Harvey
  27. Jane K Cleal
(2022)
Placental uptake and metabolism of 25(OH)vitamin D determine its activity within the fetoplacental unit
eLife 11:e71094.
https://doi.org/10.7554/eLife.71094