title: Stretch activates human myometrium via ERK, caldesmon and focal adhesion signaling.
abstract: An incomplete understanding of the molecular mechanisms responsible for myometrial activation from the quiescent pregnant state to the active contractile state during labor has hindered the development of effective therapies for preterm labor. Myometrial stretch has been implicated clinically in the initiation of labor and the etiology of preterm labor, but the molecular mechanisms involved in the human have not been determined. We investigated the mechanisms by which gestation-dependent stretch contributes to myometrial activation, by using human uterine samples from gynecologic hysterectomies and Cesarean sections. Here we demonstrate that the Ca requirement for activation of the contractile filaments in human myometrium increases with caldesmon protein content during gestation and that an increase in caldesmon phosphorylation can reverse this inhibitory effect during labor. By using phosphotyrosine screening and mass spectrometry of stretched human myometrial samples, we identify 3 stretch-activated focal adhesion proteins, FAK, p130Cas, and alpha actinin. FAK-Y397, which signals integrin engagement, is constitutively phosphorylated in term human myometrium whereas FAK-Y925, which signals downstream ERK activation, is phosphorylated during stretch. We have recently identified smooth muscle Archvillin (SmAV) as an ERK regulator. A newly produced SmAV-specific antibody demonstrates gestation-specific increases in SmAV protein levels and stretch-specific increases in SmAV association with focal adhesion proteins. Thus, whereas increases in caldesmon levels suppress human myometrium contractility during pregnancy, stretch-dependent focal adhesion signaling, facilitated by the ERK activator SmAV, can contribute to myometrial activation. These results suggest that focal adhesion proteins may present new targets for drug discovery programs aimed at regulation of uterine contractility.
authors.affiliation: Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, United States of America. yli1@bidmc.harvard.edu
authors.forename: Yunping
authors.initials: Y
authors.lastname: Li
authors.forename: Maya
authors.initials: M
authors.lastname: Reznichenko
authors.forename: Rachel M
authors.initials: RM
authors.lastname: Tribe
authors.forename: Philip E
authors.initials: PE
authors.lastname: Hess
authors.forename: Michael
authors.initials: M
authors.lastname: Taggart
authors.forename: HakRim
authors.initials: H
authors.lastname: Kim
authors.forename: Jon P
authors.initials: JP
authors.lastname: DeGnore
authors.forename: Samudra
authors.initials: S
authors.lastname: Gangopadhyay
authors.forename: Kathleen G
authors.initials: KG
authors.lastname: Morgan
mesh_terms: D000818:Animals; D002118:Calcium / Q000378:metabolism; D002148:Calmodulin-Binding Proteins / Q000378:metabolism*; D048049:Extracellular Signal-Regulated MAP Kinases / Q000378:metabolism*; D005260:Female; D022001:Focal Adhesions / Q000378:metabolism*; D006801:Humans; D009215:Myometrium / Q000201:enzymology* / Q000378:metabolism; D010766:Phosphorylation; D011247:Pregnancy; D051381:Rats; D017207:Rats, Sprague-Dawley; D015398:Signal Transduction; D014590:Uterine Contraction; D014599:Uterus / Q000473:pathology
chemical_list: D002148:Calmodulin-Binding Proteins; D048049:Extracellular Signal-Regulated MAP Kinases; D002118:Calcium