Glycodelin(GD) also known as human placental protein-14 (PP-14), progestogen-associated endometrial protein (PAEP), or pregnancy-associated endometrial alpha-2 globulin is a glycoprotein that inhibits cell immune function and plays an essential role in the pregnancy process. In humans is encoded by the PAEP gene.
Human endometrium synthesizes several proteins under the influence of progesterone. Of these proteins, glycodelin is of particular interest. It is synthesized by the endometrial glands in the luteal phase of menstrual cycle.
The temporal and spatial expression of GD in the female reproductive tract combined with its biological activities suggest that this glycoprotein probably plays an essential physiological role in the regulation of fertilization, implantation and maintenance of pregnancy.
Gene
This gene is a member of the kernel lipocalin superfamily whose members share relatively low sequence similarity but have highly conserved exon-intron structure and three-dimensional protein folding. The PAEP gene is clustered on the long arm of chromosome 9 and encodes for GD protein. It is mainly expressed in 60 organs, but reaches its highest expression level in the decidua.
Structure
22 N-terminal amino acid sequence
Glycodelin is codified by a 180 amino acid sequence but it is thought that 18 of these are signals peptides. The molecular weight of GD is 20,555 Da, while its mature form is estimated to weigh 18,787 Da. It is encoded by a 1-kilobase-pair mRNA that is expressed in human secretory endometrium and decidua but not in postmenopausal endometrium, placenta, liver, kidney, and adrenals.
The four cysteinyl residues (positions 66, 106, 119, and 160) responsible for intramolecular disulfide bridges in lactoglobulins are all conserved in GD. Southern blot analysis of human DNA suggested that GD gene sequences compass some 20 kilobase pairs of the human genomic DNA.
N-terminal amino acid sequence
PAEP gene structure
The N-terminal amino acid sequence of glycodelin is M D I P Q T K Q D L E L P K L A G T W H S M. This sequence can be compared with horse, sheep, goat, bovine and buffalo beta-lactoglobulin. For example, there are 13 identities out of 22 possible matches with horse beta-lactoglobulin.
Function
GD is the most important protein secreted in the endometrium during the mid-luteal phase of the menstrual cycle and during the first semester of pregnancy. Four distinct forms of glycoprotein, with identical protein backbones but different glycosylation profiles, are found in amniotic fluid, follicular fluid and seminal plasma of the reproductive system. These glycoproteins have distinct and essential roles in regulating a uterine environment suitable for pregnancy and in the timing and occurrence of the appropriate sequence of events in the fertilization process.
Glycodelin-a
In the female genital tract GD-A is mainly expressed in EECs (cultured endometrial epithelial cells) and secreted into the amniotic fluid, endometrium/decidua and maternal serum. Glycodelin-A has contraceptive and immunosuppressive functions, due to the fact that suppresses Natural Killer cells, achieving the prevention of the maternal rejection of the fetus at the fetromaternal interface. It has a molecular weight of 18.78 kDa determined from the cRNA sequence.
Glycodelin-s
Is secreted from seminal vesicles to the seminal fluid. A number of alternatively spliced transcript variants have been observed at this locus, but the full-length nature of only two, each encoding the same protein, has been determined. During the passage of the sperm through the cervix, glycodelin S is de-glycosylated and dissociates from the sperm, allowing the sperm to mature.
Glycodelin-f
Is secreted by granulosa cells into the follicular fluid. Glycodelin-F reduces the blinding of spermatozoa to the zona pellucida which is mainly expressed in the ovary, and synthesised in the granulosa cells, has a function in principle similar to that of Glycodelin-A. It also binds the sperm head, thereby inhibiting acrosome reaction and sperm-egg binding. Upon de-glycosilation, glycodelin F dissociates from the sperm and sperm-egg binding is possible. The de-glycosilation takes place during the passage of the sperm through the corona cell layer. Glycodelin F is thereby important to prevent a premature acrosome reaction.
Glycodelin-c
Found in Cumulus Oophorus, stimulates binding of the spermatozoa to the zona pellucida. First, cumulus cells reduce the spermatozoa-zona binding inhibitory activity of follicular fluid probably by taking up and converting glycodelin-A and glycodelin-F into glycodelin-C. Second, spermatozoa have enhanced zona bindig ability after penetrating through the cumulus oophorus. Glycodelin-C is responsible for the latter observation.
GLYCOFORM
SOURCE
GLYCOSYLATION
REPRODUCTIVE FUNCTIONS
GdA
Amniotic fluid, pregnancy decidua
High sialylation, more fucosylation
Immunoprotection for implantation and placentation, antifertilizing, inhibiting spermatozoa-zona pellucida binding
GdS
Seminal plasma, seminal vesicles
No sialylated glycans, rich in fucose and mannose
Preventing premature capacitation
GdF
Ovarian follicles, oviduct
Fucosylated Lewis-x and Lewis-y, more N-acetylglucosamine
Reacting with specific agglutinins in lectin-binding manner
Stimulating spermatozoa-zona pellucida binding
Level concentrations
PP-14 is found in the oocyte and in the sperm. In men, the concentration of this protein in seminal plasma is higher than those in serum. In women, the levels in follicular fluid exceed those of non-pregnant women.
·Seminal plasma:
PP-14 is a significant protein constituent in most seminal plasma samples of men; sometimes comprising over 2.5% of the total protein content. The concentration of PP-14 in seminal plasma from men with oligospermia is in the reference range of this protein derived from values measured in normal men. However, vasectomized men concentrations are less than normal.
·Women's tissues and body fluids:
In serum of non-pregnant women, the concentration of PP-14 is approximately 15-40μg/L.
In normal pregnancy:
Location (tissues and body fluids)
PP-14 concentrations (approximately)
Time
Serum
Up to 2200μg/L (highest)
6–12 weeks
---
Decreasing concentrations
After 16 weeks
---
200μg/L approx.
24 weeks (plateaued)
Amniotic fluid
232mg/L (highest) (higher than those in maternal serum throughout pregnancy)
12–20 weeks
Cord blood
15-22μg or undetectable
------------
Early pregnancy decidua
41–160mg/g total protein
------------
Late pregnancy decidua
60-2700μg/g total protein
------------
Amnion and chorion laeve
From 50 to 750μg/g protein
------------
From 50 to 1000μg/g protein
------------
Early pregnancy placenta
0.25–15mg/g
------------
Late pregnancy placenta
3-430μg/g protein
------------
The concentrations of PP-14 in pregnancy serum are comparable with hCG (Human Chorionic Gonadotropin). Among all the placental proteins, the amniotic fluid PP-14 concentration is the most outstanding as decidua is a source of this protein.
Future clinical applications
Placental Protein 14 has some clinical applications:
Biomarker of premature rupture of membranes
Premature rupture of membranes is a common pregnancy complication, taking into account that the current method does not satisfy the medical community, some researches have determined a new method: the analysis of placental protein in the maternal plasma and vaginal fluid. The results of these studies have shown that PP-14's concentration increased in the case of premature rupture of membranes. So this study conclude that PP-14 is an excellent biomarker with a sensibility of 100% and a specificity of 87,5%.
Biomarker in in vitro fertilization process
PP-14 is known to be a great marker to predict the outcome of in vitro fertilization and the embryo transfer cycle. Some studies have shown that the serum concentration of Placental Protein 14 was highly increased after the embryo transfer cycle, and they conclude that PP-14 might be an excellent marker to predict the endometrial receptivity.
↑Dutta B, Mukhopadhyay D, Roy N, Das G, Karande AA (December 1998). "Cloning, expression, purification, and immunocharacterization of placental protein-14". Protein Expression and Purification. 14 (3): 327–334. doi:10.1006/prep.1998.0961. PMID9882566.
↑Julkunen M, Koistinen R, Sjöberg J, Rutanen EM, Wahlström T, Seppälä M (May 1986). "Secretory endometrium synthesizes placental protein 14". Endocrinology. 118 (5): 1782–1786. doi:10.1210/endo-118-5-1782. PMID3516653.
↑Kao LC, Tulac S, Lobo S, Imani B, Yang JP, Germeyer A, etal. (June 2002). "Global gene profiling in human endometrium during the window of implantation". Endocrinology. 143 (6): 2119–2138. doi:10.1210/endo.143.6.8885. PMID12021176.
↑Alok A, Mukhopadhyay D, Karande AA (May 2009). "Glycodelin A, an immunomodulatory protein in the endometrium, inhibits proliferation and induces apoptosis in monocytic cells". The International Journal of Biochemistry & Cell Biology. 41 (5): 1138–1147. doi:10.1016/j.biocel.2008.10.009. PMID18996219.
↑Koistinen H, Koistinen R, Dell A, Morris HR, Easton RL, Patankar MS, etal. (October 1996). "Glycodelin from seminal plasma is a differentially glycosylated form of contraceptive glycodelin-A". Molecular Human Reproduction. 2 (10): 759–765. doi:10.1093/molehr/2.10.759. PMID9239694.
↑Yeung WS, Lee KF, Koistinen R, Koistinen H, Seppälä M, Chiu PC (December 2009). "Effects of glycodelins on functional competence of spermatozoa". Journal of Reproductive Immunology. 83 (1–2): 26–30. doi:10.1016/j.jri.2009.04.012. PMID19857900.
↑Seppälä M, Koskimies AI, Tenhunen A, Rutanen EM, Sjöberg J, Koistinen R, etal. (1985). "Pregnancy proteins in seminal plasma, seminal vesicles, preovulatory follicular fluid, and ovary". Annals of the New York Academy of Sciences. 442 (1 In Vitro Fert): 212–226. Bibcode:1985NYASA.442..212S. doi:10.1111/j.1749-6632.1985.tb37522.x. PMID3893267. S2CID11729995.
↑Bolton AE, Pinto-Furtado LG, Andrew CE, Chapman MG (June 1986). "Measurement of the pregnancy-associated proteins, placental protein 14 and pregnancy-associated plasma protein A in human seminal plasma". Clinical Reproduction and Fertility. 4 (3): 233–240. PMID2427179.
↑Julkunen M, Rutanen EM, Koskimies A, Ranta T, Bohn H, Seppälä M (November 1985). "Distribution of placental protein 14 in tissues and body fluids during pregnancy". British Journal of Obstetrics and Gynaecology. 92 (11): 1145–1151. doi:10.1111/j.1471-0528.1985.tb03027.x. PMID4063232. S2CID40266453.
↑Suzuki Y, Sugiyama R, Fukumine N, Usuda S, Itoh H, Isaka K, etal. (August 2000). "Clinical applications of serum placental protein 14 (PP14) measurement in the IVF-ET cycle". The Journal of Obstetrics and Gynaecology Research. 26 (4): 295–302. doi:10.1111/j.1447-0756.2000.tb01325.x. PMID11049241. S2CID22904564.
Salier JP (October 2000). "Chromosomal location, exon/intron organization and evolution of lipocalin genes". Biochimica et Biophysica Acta (BBA) - Protein Structure and Molecular Enzymology. 1482 (1–2): 25–34. doi:10.1016/S0167-4838(00)00144-8. PMID11058744.
Halttunen M, Kämäräinen M, Koistinen H (October 2000). "Glycodelin: a reproduction-related lipocalin". Biochimica et Biophysica Acta (BBA) - Protein Structure and Molecular Enzymology. 1482 (1–2): 149–156. doi:10.1016/S0167-4838(00)00158-8. PMID11058757.
Seppälä M, Taylor RN, Koistinen H, Koistinen R, Milgrom E (August 2002). "Glycodelin: a major lipocalin protein of the reproductive axis with diverse actions in cell recognition and differentiation". Endocrine Reviews. 23 (4): 401–430. doi:10.1210/er.2001-0026. PMID12202458.
Wood PL, Iffland CA, Allen E, Bentick B, Burton P, Shaw RW, etal. (May 1990). "Serum levels of pregnancy-associated endometrial alpha 2-globulin (alpha 2-PEG), a glycosylated beta-lactoglobulin homologue, in successful and unsuccessful assisted conception". Human Reproduction. 5 (4). Oxford, England: 421–426. doi:10.1093/oxfordjournals.humrep.a137115. PMID2113930.
Vaisse C, Atger M, Potier B, Milgrom E (1990). "Human placental protein 14 gene: sequence and characterization of a short duplication". DNA and Cell Biology. 9 (6): 401–413. doi:10.1089/dna.1990.9.401. PMID2206398.
Check JH, Nowroozi K, Chase JS, Vaze M, Joshi S, Baker AF (June 1990). "Serum progestagen-associated endometrial protein (PEP) levels in conception versus nonconception cycles following in vitro fertilization-embryo transfer". Journal of in Vitro Fertilization and Embryo Transfer. 7 (3): 134–136. doi:10.1007/BF01135675. PMID2380618. S2CID12383913.
Wood PL, Waites GT, MacVicar J, Davidson AC, Walker RA, Bell SC (December 1988). "Immunohistological localization of pregnancy-associated endometrial alpha 2-globulin (alpha 2-PEG) in endometrial adenocarcinoma and effect of medroxyprogesterone acetate". British Journal of Obstetrics and Gynaecology. 95 (12): 1292–1298. doi:10.1111/j.1471-0528.1988.tb06820.x. PMID2975952. S2CID71096539.
Joshi SG (1987). "Progestin-Dependent Human Endometrial Protein: A Marker for Monitoring Human Endometrial Function". Cell and Molecular Biology of the Uterus. Advances in Experimental Medicine and Biology. Vol.230. pp.167–186. doi:10.1007/978-1-4684-1297-0_10. ISBN978-1-4684-1299-4. PMID3135704.
Huhtala ML, Seppälä M, Närvänen A, Palomäki P, Julkunen M, Bohn H (June 1987). "Amino acid sequence homology between human placental protein 14 and beta-lactoglobulins from various species". Endocrinology. 120 (6): 2620–2622. doi:10.1210/endo-120-6-2620. PMID3569148.
Bell SC, Keyte JW, Waites GT (November 1987). "Pregnancy-associated endometrial alpha 2-globulin, the major secretory protein of the luteal phase and first trimester pregnancy endometrium, is not glycosylated prolactin but related to beta-lactoglobulins". The Journal of Clinical Endocrinology and Metabolism. 65 (5): 1067–1071. doi:10.1210/jcem-65-5-1067. PMID3667877.
Bell SC, Hales MW, Patel SR, Kirwan PH, Drife JO, Milford-Ward A (September 1986). "Amniotic fluid concentrations of secreted pregnancy-associated endometrial alpha 1- and alpha 2-globulins (alpha 1- and alpha 2-PEG)". British Journal of Obstetrics and Gynaecology. 93 (9): 909–915. doi:10.1111/j.1471-0528.1986.tb08007.x. PMID3768286. S2CID70522186.