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WNK1 regulates uterine homeostasis and its ability to support pregnancy
Ru-pin Alicia Chi, Tianyuan Wang, Chou-Long Huang, San-pin Wu, Steven L. Young, John P. Lydon, Francesco J. DeMayo
Ru-pin Alicia Chi, Tianyuan Wang, Chou-Long Huang, San-pin Wu, Steven L. Young, John P. Lydon, Francesco J. DeMayo
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Research Article Reproductive biology

WNK1 regulates uterine homeostasis and its ability to support pregnancy

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Abstract

WNK1 (with no lysine [K] kinase 1) is an atypical kinase protein ubiquitously expressed in humans and mice. A mutation in its encoding gene causes hypertension in humans, which is associated with abnormal ion homeostasis. WNK1 is critical for in vitro decidualization in human endometrial stromal cells, thereby demonstrating its importance in female reproduction. Using a mouse model, WNK1 was ablated in the female reproductive tract to define its in vivo role in uterine biology. Loss of WNK1 altered uterine morphology, causing endometrial epithelial hyperplasia, adenomyotic features, and a delay in embryo implantation, ultimately resulting in compromised fertility. Combining transcriptomic, proteomic, and interactomic analyses revealed a potentially novel regulatory pathway whereby WNK1 represses AKT phosphorylation through protein phosphatase 2A (PP2A) in endometrial cells from both humans and mice. We show that WNK1 interacted with PPP2R1A, the alpha isoform of the PP2A scaffold subunit. This maintained the levels of PP2A subunits and stabilized its activity, which then dephosphorylated AKT. Therefore, loss of WNK1 reduced PP2A activity, causing AKT hypersignaling. Using FOXO1 as a readout of AKT activity, we demonstrate that there was escalated FOXO1 phosphorylation and nuclear exclusion, leading to a disruption in the expression of genes that are crucial for embryo implantation.

Authors

Ru-pin Alicia Chi, Tianyuan Wang, Chou-Long Huang, San-pin Wu, Steven L. Young, John P. Lydon, Francesco J. DeMayo

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Figure 2

WNK1 ablation altered uterine morphology and microenvironment.

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WNK1 ablation altered uterine morphology and microenvironment.
(A) 3D re...
(A) 3D reconstruction of Wnk1fl/fl (Wnk1f/f) and Wnk1d/d uteri on GD 4.5 using tissue clearing and confocal microscopy. The glands, myometrium and embryo were marked by FOXA2 (green), ACTA2 (red), and OCT4 (purple), respectively. Images were captured by tile-scanning and Z-stacking and reassembled in silico using Imaris software. White arrow indicates position of the embryo. Scale bars: 500 μm. The antimesometrial (AM) and mesometrial (M) sides of the tissue are indicated. FOXA2, forkhead box A2; ACTA2, actin alpha 2, smooth muscle; OCT4, POU class 5 homeobox 1 (POU5F1/OCT4). (B) Immunofluorescence of uterine cross section showing glands (FOXA2, green) and myometrium (ACTA2, red) from Wnk1fl/fl and Wnk1d/d uteri. White arrows indicate gland extension into myometrium. Scale bars: 50 μm. (C) Adenomyosis biomarker Msn mRNA expression as determined by quantitative real-time PCR (qRT-PCR) (n = 4). (D) Quantification of Foxa2 mRNA expression as determined by qRT-PCR (n = 6). (E) Number of glands per cross section for Wnk1fl/fl and Wnk1d/d mice (n = 6). (F) Expression of mitotic markers CCND1 and H3S10P in the uteri of 26-week-old Wnk1fl/fl and Wnk1d/d mice; scale bars: 100 μm. (G) Masson’s trichrome staining of uterine cross sections from 26- and 50-week-old Wnk1fl/fl and Wnk1d/d mice; scale bars: 100 μm. Yellow boxes indicate region shown at higher magnification in lower panels. All quantitative results shown are mean ± SD, *P < 0.05. All t tests were 2-tailed, Student’s t test (C and E), and Mann-Whitney U test (D).

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