Purinergic receptors in human placenta: evidence for functionally active P2X sub(4), P2X sub(7), P2Y sub(2), and P2Y sub(6)

Appropriate regulation of ion transport by the human placental syncytiotrophoblast is important for fetal growth throughout pregnancy. In nonplacental tissues, ion transport can be modulated by extracellular nucleotides that raise intracellular calcium ([Ca super(2+)] sub(i)) via activation of purinergic receptors. We tested the hypothesis that purinergic receptors are expressed by human placental cytotrophoblast cells and that their activation by extracellular nucleotides modulates ion (K super(+)) efflux and [Ca super(2+)] sub(i). P2X/P2Y receptor agonists 5-bromouridine 5'-triphosphate (5-BrUTP), ADP, ATP, 2',3'-O-(4-benzoyl-benzoyl)adenosine 5'-triphosphate (BzATP), and UTP stimulated super(86)Rb (K super(+) tracer) efflux from cultured cytotrophoblast cells at early (mononuclear) or later (multinucleate syncytiotrophoblast-like) stages of differentiation, with ATP and UTP particularly potent. 2-Methylthioadenosine 5'-triphosphate (2-MeS-ATP), and UDP elevated super(86)Rb efflux only from multinucleated cells. All agonists caused a significant peak and plateau increase in [Ca super(2+)] sub(i), although the magnitude of responses was variable. The effect of BzATP, UTP, and UDP in multinucleated cells was unaffected, and that of ATP partially inhibited, by removal of extracellular Ca super(2+), implicating P2Y receptor activation. mRNA encoding P2X sub(1,) P2X sub(2), P2X sub(4), and P2X sub(7) and P2Y sub(1), P2Y sub(2), P2Y sub(4), P2Y sub(6), and P2Y sub(11) were identified in mono- and multinucleated cells, whereas P2X sub(3) and P2X sub(5) mRNA were absent from all samples. Western blot analysis revealed P2X sub(4), P2X sub(7), P2Y sub(2), and P2Y sub(6) protein in cytotrophoblast cells, but P2Y sub(4) was not detected. On the basis of published agonist selectivity, the data indicate the presence of functionally active P2X sub(4), P2X sub(7), P2Y sub(2), and P2Y sub(6) receptors in cytotrophoblast cells. We propose that activation of these receptors, and subsequent elevation of [Ca super(2+)] sub(i), modulates syncytiotrophoblast homeostasis and/or maternofetal ion exchange in response to extracellular nucleotides.