Prostaglandin E2 (PGE2) function in pregnancy – New perspectives for the putatively pro‐quiescent downstream target RGS2
Authors: Urrego Daniela , Wood Stephen , Newton Robert , Slater Donna 
Published: June 2021

BackgroundThe prostaglandin pathway plays an important, but complex, role in human labour. Targeting this pathway to treat preterm labour is not wholly effective nor fully safe. Developing superior clinical approaches requires further understanding of the mechanisms that govern myometrial function in labour.While PGE2 is implicated as a pro‐labour mediator, we have previously shown that it can also promote myometrial smooth muscle (MSM) relaxation. Some of these pro‐quiescent effects may result from PGE2‐mediated upregulation of gene expression. Among the genes highly induced by PGE2 is the regulator of G‐protein signalling 2 (RGS2), which has been shown to selectively turn‐off, Gαq‐coupled, G‐protein coupled receptor (GPCR) signaling. In pregnancy, Gαq‐coupled GPCRs in the MSM, such as the oxytocin receptor, activate uterine contractions in labour in a calcium‐dependent manner. We hypothesize that in the uterus RGS2 can regulate the Gαq‐coupled GPCR signals, that promote contractility giving rise to active labour. By attenuating these signaling pathways, we anticipate that RGS2 promotes quiescence of the uterus and may represent a novel mechanism by which PGE2 regulates uterine function in pregnancy and labour. This mechanism may be clinically relevant in the management of labour.ObjectiveTo investigate the effect of PGE2 on RGS2 expression, and examine possible roles for RGS2 in attenuating Gαq‐coupled GPCR contractile functions in primary human MSM cells.MethodsPrimary myometrial smooth muscle cells were isolated from myometrial biopsies from term (37–40 weeks of gestation), non‐labour caesarean section deliveries. Cultured cells were treated with PGE2 (1 μM) to study effects on RGS2 mRNA and protein expression. The effect of RGS2 on calcium flux stimulated by oxytocin (100 nM) or histamine (1 μM) treatment was studied as a measure of contractility, using a Fluo‐4 calcium assay. Results were analyzed using a one‐way ANOVA (Bonferroni post‐hoc).ResultsIn MSM cells PGE2 treatment increased RGS2 mRNA and protein expression. PGE2 treatment of MSM cells also significantly attenuated Gαq‐coupled GPCR‐stimulated calcium flux response to subsequent treatment with maximally effective concentrations of either oxytocin or histamine. This effect was mimicked by adenoviral overexpression of RGS2, supporting the hypothesis that repression of contraction can be caused by RGS2. Knockdown of PGE2‐induced RGS2 with siRNA in MSM cells is underway to confirm whether RGS2 is indeed responsible for the attenuation of histamine and oxytocin calcium signals that is observed in cells pre‐treated with PGE2.ConclusionThese findings support a pro‐quiescent role of PGE2, in part by the protective function of RGS2 attenuating some Gαq‐protein coupled receptor contractile signals. Further investigation is underway to establish to what extent the other aspects of Gαq‐protein coupled receptor signaling that contribute to labour may also be attenuated by RGS2 signals.Support or Funding InformationThis work is supported by the Canadian Institues for Health Research (CIHR), and DU is funded by an Alberta Innovates Health Solutions (AIHS) MD‐PhD Studentship.This abstract is from the Experimental Biology 2018 Meeting. There is no full text article associated with this abstract published in The FASEB Journal.