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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 4

Abnormal embryo development and increased resorption in Wnk1d/d mice.

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Abnormal embryo development and increased resorption in Wnk1d/d mice.
(A...
(A and B) Number of implantation sites on GD 4.5 (A) and GD 5.5 (B) in Wnk1fl/fl and Wnk1d/d mice (n = 6). (C and E) Uterine gross morphology on GD 5.5 (C) and GD 8.5 (E), with implantation sites on GD 5.5 marked by Evans blue dye, and blue arrows indicate resorption and abnormal decidualization on GD 8.5. Scale bars: 1 cm. (D) Comparison of the standard deviation of interimplantation distance in Wnk1fl/fl and Wnk1d/d mice (n = ≥12 uterine horns, 7 mice per genotype). (F) Hematoxylin and eosin staining of cross section through the center of decidual mass on GD 8.5 from Wnk1fl/fl and Wnk1d/d mice, with black arrows and dashed line indicating decidual vessels and placental tissues, respectively. Scale bars: 1 mm. (G) Ultrasound scans of uterus and embryo during midpregnancy at GD 8.5, 10.5, and 12.5. Scale bars: 2 mm. (H and I) Quantification of gestational sac size by length and width on GD 8.5 (H), and embryo size by crown-rump length (CRL) on GD 8.5 and 10.5, as measured from ultrasound scans (I, n = 6). All quantitative results shown are mean ± SD, *P < 0.05. All t tests were 2-tailed, Student’s t test (B and D), and Mann-Whitney U test (A, H, and I).

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