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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 3

Uterine WNK1 ablation compromised fertility and impaired implantation in mice.

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Uterine WNK1 ablation compromised fertility and impaired implantation in...
(A–D) Results from a 6-month breeding trial, showing (A) average number of litters produced per mouse, (B) average number of pups per litter, (C) time of last delivery from the onset of the breeding trial, and (D) average size of the first litters. n = 11 for Wnk1fl/fl and n = 9 for Wnk1d/d mice (A), n = 11 for Wnk1fl/fl and n = 7 for Wnk1d/d (B and C), and n = 13 for Wnk1fl/fl and n = 12 for Wnk1d/d (D). Results shown are mean ± SD, *P < 0.05. (E) Percentage of mated Wnk1fl/fl and Wnk1d/d mice with implantation (green), without implantation (pink), and without implantation but presenting embryos in the uterus (blue) on GD 4.5 and GD 5.5. n = 19 and 12 for Wnk1fl/fl mice on GD 4.5 and GD 5.5, respectively; and n = 17 and 13 for Wnk1d/d mice on GD 4.5 and GD 5.5, respectively. (F) Gross uterine morphology of Wnk1fl/fl and Wnk1d/d mice on GD 4.5, with the implantation sites marked by Evans blue dye; scale bars: 1 cm. Red arrows indicate position of implantation sites. (G) Hematoxylin and eosin staining of uterine cross sections at implantation site on GD 5.5 in Wnk1fl/fl and Wnk1d/d mice; arrow indicates presence of uterine epithelium. Scale bars: 100 μm. E, embryo. (H) Implantation marker Lif mRNA expression in the uteri as determined by qRT-PCR on GD 3.5 and PPD 4.5 for Wnk1fl/fl and Wnk1d/d mice. Results shown are mean ± SD, *P < 0.05, n = 4. (I) Expression of proliferative marker KI67 and implantation marker PGR on GD 4.5 in the stroma and epithelium of Wnk1fl/fl and Wnk1d/d mice. Scale bars: 25 μm. All t tests were 2-tailed, Student’s t test (B and H), Mann-Whitney U test (A, C, and D), and Fisher’s exact test (E). LE, luminal epithelium; S, stroma.

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