Skip to main content Accessibility help
×
Hostname: page-component-586b7cd67f-gb8f7 Total loading time: 0 Render date: 2024-11-26T04:24:51.819Z Has data issue: false hasContentIssue false

Chapter 5 - The Role of Estrogens in Pregnancy

from Section I - Hormones in the Physiology and Pharmacology of Pregnancy

Published online by Cambridge University Press:  09 November 2022

Felice Petraglia
Affiliation:
Università degli Studi, Florence
Mariarosaria Di Tommaso
Affiliation:
Università degli Studi, Florence
Federico Mecacci
Affiliation:
Università degli Studi, Florence
Get access

Summary

Estrogens are essential during pregnancy and their importance stems from their role in the development and maturation of trophoblast cells and remodeling of uterine arteries, through the spreading and migration of invasive cytotrophoblast, angiogenesis and the lowering of uterine vasculature resistance. Dysregulation of estrogen synthesis may lead to pathological conditions such as preeclampsia or pre-term labor.

Type
Chapter
Information
Hormones and Pregnancy
Basic Science and Clinical Implications
, pp. 42 - 49
Publisher: Cambridge University Press
Print publication year: 2022

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abbassi-Ghanavati, M, Greer, LG, and Cunningham, FG. Pregnancy and laboratory studies: A reference table for clinicians. Obstet Gynecol. 2009, 114(6):13261331.Google Scholar
Devroey, P, Camus, M, Palermo, G, et al. Placental production of estradiol and progesterone after oocyte donation in patients with primary ovarian failure. Am J Obstet Gynecol. 1990, 162(1): 6670.CrossRefGoogle ScholarPubMed
Berkane, N, Liere, P, Oudinet, JP, et al. From pregnancy to preeclampsia: A key role for estrogens. Endocr Rev. 2017, 38:123144.CrossRefGoogle ScholarPubMed
Osawa, N Y. Purification of human placental aromatase cytochrome P-450 with monoclonal antibody and its characterization. Biochemistry. 1991, 30(12):30033010.Google Scholar
Pepe, GJ, and Albrecht, ED. Actions of placental and fetal adrenal steroid hormones in primate pregnancy. Endocr Rev. 1995, 16(5): 608648.Google ScholarPubMed
Siiteri, PK. The continuing saga of dehydroepiandrosterone (DHEA). J Clin Endocrinol Metab. 2005, 90(6):37953796.Google Scholar
Kragie, L. Aromatase in primate pregnancy: A review. Endocr Res. 2002, 28(3):121128.Google Scholar
Fournet-Dulguerov, N, MacLusky, NJ, Leranth, CZ, et al. Immunohistochemical localization of aromatase cytochrome P-450 and estradiol dehydrogenase in the syncytiotrophoblast of the human placenta. J Clin Endocrinol Metab. 1987, 65(4):757764.Google Scholar
Kumar, P, Kamat, A, and Mendelson, CR. Estrogen receptor alpha (Eralpha) mediates stimulatory effects of estrogen on aromatase (CYP19) gene expression in human placenta. Mol Endocrinol. 2009, 23(6):784793.Google Scholar
Calzada-Mendoza, CC, Sa´nchez, EC, Campos, RR, et al. Differential aromatase (CYP19) expression in human arteries from normal and neoplasic uterus: An immuno-histochemical and in situ hybridization study. Front Biosci. 2006, 11:389393.Google Scholar
Zbella, EA, Ilekis, J, Scommegna, A, et al. Competitive studies with dehydroepiandrosterone sulfate and 16 alpha- hydroxydehydroepiandrosterone sulfate in cultured human cho- riocarcinoma JEG-3 cells: Effect on estrone, 17 beta-estradiol, and estriol secretion. J Clin Endocrinol Metab. 1986, 63(3):751757.Google Scholar
Milewich, L, MacDonald, PC, and Carr, BR. Estrogen 16 alpha-hydroxylase activity in human fetal tissues. J Clin Endocrinol Metab. 1986, 63(2):404406.Google Scholar
Jobe, SO, Tyler, CT, and Magness, RR. Aberrant synthesis, metabolism, and plasma accumulation of circulating estrogens and estrogen metabolites in preeclampsia implications for vascular dysfunction. Hypertension. 2013, 61(2):480487.Google Scholar
Holinka, CF, Diczfalusy, E, and Coelingh Bennink, HJT. Estetrol: A unique steroid in human pregnancy. J Steroid Biochem Mol Biol. 2008, 110(1–2):138143.Google Scholar
Pluchino, N, Santoro, AN, Casarosa, E, et al. Effect of estetrol administration on brain and serum allopregnanolone in intact and ovariectomized rats. J Steroid Biochem Mol Biol. 2014, 143: 285290.Google Scholar
Jobe, SO, Ramadoss, J, Koch, JM, et al. Estradiol-17beta and its cytochrome P450- and catechol-O-methyltransferase-derived metabolites stimulate proliferation in uterine artery endothelial cells: Role of estrogen receptor-alpha versus estrogen receptor-beta. Hypertension. 2010, 55(4): 10051011.Google Scholar
Aitio, A. UDPglucuronosyltransferase of the human placenta. Biochem Pharmacol. 1974, 23(15):22032205.Google Scholar
Gamage, N, Barnett, A, Hempel, N, et al. Human sulfotransferases and their role in chemical metabolism. Toxicol Sci. 2006, 90(1):522.Google Scholar
Falany, CN, Wheeler, J, Oh, TS, et al. Steroid sulfation by expressed human cytosolic sulfotransferases. J Steroid Biochem Mol Biol. 1994, 48(4):369375.Google Scholar
Tong, MH, Jiang, H, Liu, P, et al. Spontaneous fetal loss caused by placental thrombosis in estrogen sulfotransferase-deficient mice. Nat Med. 2005, 11(2):153159.Google Scholar
Pepe, GJ, Burch, MG,and Albrecht, E. Estroge regulates 11ß-hydroxysteroid dehydrogenase-1 and -2 localization in placental syncytiotrophoblast in the second half of primate pregnancy. Endocrinology. 2001, 142.44964503.CrossRefGoogle Scholar
Hu, W, Weng, X, Dong, M, et al. Alteration in methylation level at 11ß-hydroxysteroid dehydrogenase type 2 gene promoter in infants born to preeclamptic women. BMC Genetics. 2014, 15:96.Google Scholar
Dao, B, Vanageg, MA, Bardin, CW, et al. Anti-implantation activity of antiestrogens and mifepristone. Contraception. 1996, 54: 253258.Google Scholar
Bukovsky, A, Cekanova, M, Caudle, MR, et al. Expression and localization of estrogen receptor-alpha protein in normal and abnormal term placentae and stimulation of trophoblast differentiation by estradiol. Reprod Biol Endocrinol. 2003, 1:13.Google Scholar
Bukovsky, A, Caudle, MR, Cekanova, M, et al. Placental expression of estrogen receptor beta and its hormone binding variant – Comparison with estrogen receptor alpha and a role for estrogen receptors in asymmetric division and differentiation of estrogen-dependent cells. Reprod Biol Endocrinol. 2003, 1:36.Google Scholar
Pijnenborg, R, Vercruysse, L, and Hanssens, M. The uterine spiral arteries in human pregnancy: Facts and controversies. Placenta. 2006, 27(9–10):939958.Google Scholar
Liu, LX, Lu, H, Luo, Y, et al. Stabilization of vascular endothelial growth factor mRNA by hypoxia-inducible factor 1. Biochem Biophys Res Commun. 2002, 291(4):908914.Google Scholar
Losordo, DW, and Isner, JM. Estrogen and angiogenesis: A review. Arterioscler Thromb Vasc Biol. 2001, 21(1):612.CrossRefGoogle ScholarPubMed
Ce, ZM, Bucak, K, Chu, S, et al. 17Beta-estradiol up-regulates vascular endothelial growth factor receptor-2 expression in human myometrial microvascular endothelial cells: Role of estrogen receptor-alpha and -beta. J Clin Endocrinol Metab. 2002, 87(9):43414349.Google Scholar
Fotsis, T, Zhang, Y, Pepper, MS, et al. The endogenous oestrogen metabolite 2-methoxyoestradiol inhibits angiogenesis and suppresses tumour growth. Nature. 1994, 368(6468):237239.Google Scholar
Thaler, I, Manor, D, Itskovitz, J, et al. Changes in uterine blood flow during human pregnancy. Am J Obstet Gynecol. 1990, 162(1):121125.CrossRefGoogle ScholarPubMed
Mabie, WC, DiSessa, TG, Crocker, LG, et al. A longitudinal study of cardiac output in normal human pregnancy. Am J Obstet Gynecol. 1994, 170(3):849856.CrossRefGoogle ScholarPubMed
Dubey, RK, and Jackson, EK. Potential vascular actions of 2-methoxyestradiol. Trends Endocrinol Metab. 2009,20(8):374379.Google Scholar
Rupnow, HL, Phernetton, TM, Shaw, CE, et al. Endothelial vasodilator production by uterine and systemic arteries. VII. Estrogen and progesterone effects on eNOS. Am J Physiol Heart Circ Physiol. 2001, 280(4):H1699H1705.Google Scholar
Miller, SL, Jenkin, G, and Walker, DW. Effect of nitric oxide synthase inhibition on the uterine vasculature of the late-pregnant ewe. Am J Obstet Gynecol. 1999, 180(5):11381145.Google Scholar
Baggia, S, Albrecht, ED, and Pepe, GJ. Regulation of 11 beta-hydroxysteroid dehydrogenase activity in the baboon placenta by estrogen. Endocrinology. 1990, 126(5):27422748.CrossRefGoogle ScholarPubMed
Almey, A, Milner, TA, and Brake, W. Estrogen receptors in the central nervous system and their implication for dopamine-dependent cognition in females. Horm Behav. 2015, 74:125138.CrossRefGoogle ScholarPubMed
Baud, O, Berkane, N. Hormonal changes associated with intra-uterine growth restriction: Impact on the developing brain and future neurodevelopment. Front Endocrinol. 2019, 10:179.Google Scholar
Hertig, A, Liere, P, Chabbert-Buffet, N, et al. Steroid profiling in preeclamptic women: Evidence for aromatase deficiency. Am J Obstet Gynecol. 2010, 203(5):477.e1–477.e9.Google Scholar
Perez-Sepulveda, A, Monteiro, LJ, Dobierzewska, A, et al. Placental aromatase is deficient in placental ischemia and preeclampsia. PLoS ONE. 2015, 10(10):e0139682.CrossRefGoogle ScholarPubMed
Kumar, P, Luo, Y, Tudela, C, et al. The c-Myc-regulated microRNA-17~92 (miR-17~92) and miR- 106a~363 clusters target hCYP19A1 and hGCM1 to inhibit human trophoblast differentiation. Mol Cell Biol. 2013, 33(9): 17821796.Google Scholar
Ma, CX, Adjei, AA, Salavaggione, OE, et al. Human aromatase: Gene resequencing and functional genomics. Cancer Res. 2005, 65(23):1107111082.Google Scholar
Charles, SM, Julian, CG, Vargas, E, et al. Higher estrogen levels during pregnancy in Andean than European residents of high altitude suggest differences in aromatase activity. J Clin Endocrinol Metab. 2014, 99(8):29082916.Google Scholar
Berkane, N, Liere, P, Lefevre, G, et al. Abnormal steroidogenesis and aromatase activity and the risk of preeclampsia. Placenta. 2018, 69:4049.CrossRefGoogle Scholar
Kanasaki, K, Palmsten, K, Sugimoto, H, et al. Deficiency in catechol-O-methyltransferase and 2-methoxyoestradiol is associated with pre-eclampsia. Nature. 2008, 453(7198):11171121.Google Scholar
Ishibashi, O, Ohkuchi, A, Ali, MM, et al. Hydroxysteroid (17-b) dehydrogenase 1 is dysregulated by miR-210 and miR-518c that are aberrantly expressed in preeclamptic placentas: a novel marker for predicting pre-eclampsia. Hypertension. 2012, 59(2):265273.CrossRefGoogle Scholar
Ohkuchi, A, Ishibashi, O, Hirashima, C, et al. Plasma level of hydroxysteroid (17-b) dehydrogenase 1 in the second trimester is an independent risk factor for predicting preeclampsia after adjusting for the effects of mean blood pressure, bilateral notching and plasma level of soluble fms-like tyrosine kinase 1/placental growth factor ratio. Hypertens Res. 2012, 35(12):11521158.Google Scholar
Ludwikowski, B, Heger, S, Datz, N, et al. Aromatase deficiency: Rare cause of virilization. Eur J Pediatr Surg. 2013, 23(5):418422.Google Scholar
Maliqueo, M, Echiburú, B, and Crisosto, N. Sex steroids modulate uterine-placental vasculature: Implications for obstetrics and neonatal outcomes. Front Physiol. 2016, 7:152.CrossRefGoogle ScholarPubMed
Salih, SM, Salama, SA, Fadl, AA, et al. Expression and cyclic variations of catechol-O-methyl transferase in human endometrial stroma. Fertil Steril. 2008, 90(3):789797.Google Scholar
Rabe, T, Hösch, R, and Runnebaum, B. Sulfatase deficiency in the human placenta: Clinical findings. Biol Res Pregnancy Perinatol. 1983, 4(3):95102.Google Scholar
Young, I, Renfree, M, Mesiano, S, et al. The comparative physiology of parturition in mammals: Hormones and parturition in mammals. 2011, 5:95116.Google Scholar
Renthal, NE, Williams, KC, Montalbano, AP, et al. Molecular regulation of parturition: A myometrial perspective. Cold Spring Harb Perspect Med. 2015, 5:a023069.Google Scholar
Weiss, G. Clinical review 118. Endocrinology of parturition. J Clin Endocrinol Metab. 2000, 85:44214425.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×