Drug Metab Dispos. 2022 Jan 24. pii: DMD-AR-2021-000685. [Epub ahead of print]
Estrogen biosynthesis in human placental trophoblasts requires the hOAT4-mediated uptake of fetal derived precursors such as dehydroepiandrosterone-3-sulfate (DHEAS) and 16α-hydroxy-DHEA-S (16α-OH-DHEAS). Scant information is available concerning the contribution of fetal metabolites on the impact of placental estrogen precursor transport and the followed estrogen synthesis. This study substantiated the roles of bilirubin as well as bile acids (taurochenodeoxycholic acid, TCDCA; taurocholic acid, TCA; glycochenodeoxycholic acid, GCDCA; chenodeoxycholic acid, CDCA) on the inhibition of hOAT4-mediated uptake of probe substrate 6-carboxylfluorescein (6-CF) and DHEAS in stably transfected hOAT4-CHO cells, with the IC50 of 1.53 and 0.98 μM on 6-CF and DHEAS respectively for bilirubin, and 90.2, 129, 16.4 and 12.3 μM on 6-CF for TCDCA, GCDCA, TCA and CDCA. Bilirubin (2.5~10 μM) concentration-dependently inhibited the accumulation of estradiol precursor DHEAS in human choriocarcinoma JEG-3 cells (reduced by 60% at 10 μM) and primary human trophoblast cells (PHTCs, reduced by 80% at 10 μM). Further study confirmed that bilirubin (0.625~2.5 μM) concentration-dependently reduced the synthesis and secretion of estradiol in PHTCs, among which 2.5 μM bilirubin reduced the synthesis of estradiol by 30% and secretion by 35%. In addition, immunostaining and Western Blot results revealed a distinct down-regulation of hOAT4 protein expression in PHTCs pretreated with 2.5 μM bilirubin. In conclusion, this study demonstrated that bilirubin reduced the uptake of estrogen precursors and the followed synthesis of estradiol in human placenta via inhibition and down-regulation of OAT4. Significance Statement Fetal metabolites, especially bilirubin, was first identified with significant inhibitory effects on the hOAT4-mediated uptake of estrogen precursor DHEAS in hOAT4-CHO, JEG-3 and PHTCs. Bilirubin concentration-dependently suppressed the estradiol synthesis and secretion in PHTCs treated with DHEAS, which was synchronized with the decline of hOAT4 protein expression. Additionally, those identified bile acids exhibited a weaker inhibitory effect on the secretion of estradiol.
Keywords: bile acids; bilirubin; estrogens; placenta