Abstract

Angiogenesis is essential for normal mammalian development and is controlled by the local balance of pro- and antiangiogenic factors. Here we describe a novel mouse cDNA sequence encoding sFLT-1 that is a potent antagonist to vascular endothelial growth factor (VEGF) and show for the first time its in vivo production. In situ hybridization and Northern blot analysis with probes specific for sFLT-1 or FLT-1 showed that the relative abundance of their mRNAs changed markedly in spongiotrophoblast cells in the placenta as gestation progressed. On day 11 of pregnancy, sFLT-1 mRNA was undetectable but FLT-1 readily apparent, and by day 17 sFLT-1 mRNA was abundant but FLT-1 barely detectable. sFLT-1 was identified in conditioned medium of cultured placenta from day 17 pregnant mice and likely to be present in the circulation, as there is a substantial increase of VEGF-binding activity in the serum from day 13 of pregnancy, which coincides with the abundant sFLT-1 expression in placenta. Expression of sFLT-1 was also observed in adult lung, kidney, liver, and uterus. These data suggest a novel mechanism of regulation of angiogenesis by alternative splicing of FLT-1 pre-mRNA. Treatment of pregnant mice with exogenous VEGF from day 9 to 17 of pregnancy, which alters the ratio of VEGF to sFLT-1, resulted in an increase in the number of resorption sites and fibrin deposition in the placenta of ongoing pregnancies. These findings have important implications for understanding placental function and may be relevant in a range of disease states.

INTRODUCTION

Angiogenesis, the sprouting of new capillaries, is rare in the adult with exceptions in the female reproductive tract and in pathological conditions (13). Mammalian placentation requires extensive angiogenesis to establish a suitable vascular network for the supply of oxygen and nutrients to the fetus (4). A variety of angiogenic growth factors including fibroblast growth factors (57) and some of the vascular endothelial growth factor (VEGF) family (812) are expressed in placenta. However, rapid growth of placenta in early pregnancy is accomplished in an unusually hypoxic environment (13), suggesting that hypoxia-induced angiogenesis mediated by angiogenic activators such as VEGF and its receptors may be of particular importance (14, 15). In the placenta, VEGF transcripts were detected in maternal and labyrinthine layers and also in trophoblast giant cells (10, 11, 16). VEGFR1 (FLT-1) is found in the spongiotrophoblast layer and VEGFR2 (FLK) in labyrinthine layer (10, 11). In tissues where blood vessel growth is occurring, the net angiogenic effect is controlled by the balance between angiogenic inducers and inhibitors (17). Thus the identification of specific antiangiogenic agents in the placenta, such as PRP (18) and sFLT-1, described in this paper, is of considerable importance for understanding placental and fetal growth.

Vascular endothelial growth factor (VEGF), a potent and endothelial-specific mitogen, has been demonstrated to have a pivotal role in vasculogenesis and angiogenesis (1922). This protein was independently isolated as vascular permeability factor (23) and is a potent stimulator of this process (24, 25). Alternative splicing of the pre-mRNA encoding one of the VEGF receptors (FLT-1) results in the production of a soluble form comprising the ligand-binding domain of this receptor (sFLT-1), which is a potent antagonist of VEGF (26). In addition to inhibiting VEGF binding to cell surface receptors, sFLT-1 also forms heterodimers with the other VEGF receptor, KDR (27). This would account for the efficient inhibition of VEGF function by sFLT-1. Soluble FLT-1 chimeric proteins have also been shown to suppress retinal neovascularization (28) and corpus luteum angiogenesis (29). However, until now there are no data available showing whether sFLT-1 is present in vivo, or when and where it may be produced. We and others have previously shown the expression of FLT-1 by human trophoblast (30, 31) and mouse spongiotrophoblast (10, 11). In this study we cloned a 3′-end cDNA fragment of mouse sFLT-1 and showed stage-dependent expression of FLT-1 and sFLT-1 in placenta, suggesting a novel mechanism of regulation of angiogenesis by alternative splicing of FLT-1 pre-mRNA. We also explored the effect of exogenous VEGF on the developing placenta in mice, which showed that perturbation of the VEGF to sFLT-1 ratio by administration of exogenous VEGF led to fibrin deposition in the placenta and a reduction in embryo weight. Angiogenesis is currently the target for therapies in a wide range of diseases, including cancer, retinopathy, and heart disease. These findings have important implications for the regulation of angiogenesis in mammals.

RESULTS

Cloning of 3′-End of Mouse sFLT-1

The 3′-end of mouse sFLT-1 was cloned using 3′-RACE (rapid amplification of cDNA ends) and characterized by DNA sequencing. The cloned fragment includes 150 bp of coding sequence, an inframe stop codon, and 18 bp of noncoding sequence followed by a poly (A)+ tail (EMBL accession No. AJ001177). This 171-bp fragment shares 85.5% nucleotide sequence identity to the corresponding region of human sFLT-1 as determined by the alignment program GAP (GCG, Madison, WI). However, the 3′-noncoding sequence of mouse sFLT-1 is much shorter than that of human sFLT-1 (338 bp) (26). The nucleotides around the site of FLT-1 and sFLT-1 divergence are identical in human and mouse, suggesting that splice site skipping occurs in the mouse as well as in the human, as suggested by Kendall and Thomas (26). Alignment of the 3′-end cDNA (which is not present in FLT-1) and the deduced C-terminal amino acid sequence of mouse sFLT-1 with those of human sFLT-1 is shown in Fig. 1.

Figure 1.

Alignment of the 3′-End of cDNA and C-Terminal Amino Acid Sequence of Mouse sFLT-1 (m) with Those of Human sFLT-1 (h) The deduced C-terminal amino acid sequence of mouse and human sFLT-1 are above or below their cDNA sequence, respectively. Arrowhead, Divergent site of membrane-bound FLT-1 and sFLT-1.

sFLT-1 Expression Increased, but FLT-1 Decreased, in Placenta in Late Gestation

To investigate the sites and relative expression levels of FLT-1 and sFLT-1 in the placenta, in situ hybridization using probes specific for the two forms was performed on sections prepared from placentas at different stages of gestation. The specificity of the probes demonstrated by Northern blot is shown in Fig. 2. sFLT-1 transcripts were detected in the placental spongiotrophoblast cells of days 13 (Fig. 3E), 15 (Fig. 3H), and 17 (Fig. 3I). No hybridization signals were observed on day 11. Serial sections were also hybridized with the antisense FLT-1 probe. FLT-1 expression was observed in the spongiotrophoblast cells of days 11 (Fig. 3A), 13 (Fig. 3D), and 15 (Fig. 3G), but only weak signals were found on day 17. Serial sections hybridized with the sense sFLT-1 (Fig. 3B) and FLT-1 (data not shown) probes did not show signal above the background.

Figure 2.

Northern Blot Demonstrating the Specificity of the Probes for FLT-1 (A), or sFLT-1 (B) Transcripts

Figure 3.

In Situ Hybridization Analysis of FLT-1 and sFLT-1 Expression in Placenta at Different Stages of Pregnancy At each stage, serial sections of the same placenta were used for a comparative analysis using specific FLT-1 and sFLT-1 probes. FLT-1 expression was detected in the spongiotrophoblast cells of days 11 (A), 13 (D), and 15 (G). sFLT-1 transcripts were localized in the spongiotrophoblast cells of days 13 (E), 15 (H), and 17 (I). F, Bright field image of panel I; C, higher magnification of panel F. B, Hybridization of serial sections with sense sFLT-1 probe did not produce any signal above the background. la, Labyrinthine layer; arrowhead, spongiotrophoblast layer; m, maternal layer. White scale bar, 200 μm (A, B, D, E, F, G, H, and I); black scale bar, 60 μm (C).

Total RNA from days 13, 15, or 17 placenta was also analyzed by Northern blot using a cDNA probe detecting both sFLT-1 and FLT-1 transcripts, and two bands were detected in each sample (Fig. 4). The level of sFLT-1 transcripts was much higher than that of FLT-1, and the ratio of sFLT-1 to FLT-1 changed markedly as gestation progressed. This result is consistent with the observation from in situ hybridization.

Figure 4.

Northern Blot Analysis of Total RNAs from Placenta of Days 13 (lane 1), 15 (lane 2), and 17 (lane 3) Using a cDNA Probe for Detecting Both FLT-1 and sFLT-1 Transcripts Upper arrowhead, FLT-1 transcripts; lower arrowhead, sFLT-1 transcripts.

sFLT-1 Is Also Expressed in Adult Organs

Sections from adult lung, liver, kidney, and uterus were also analyzed by in situ hybridization, but no signals above background were detected. However, RT-PCR for 28 cycles using specific primers demonstrated that sFLT-1 transcripts could be detected in adult kidney, lung, and uterus (Fig. 5) and also in liver if 35 cycles were used (data not shown). The same amount of RNA without RT was used as control and no band was detected.

Figure 5.

RT-PCR to Specifically Detect sFLT-1 mRNA in Different Adult Tissues Lane 1, kidney; lane 2, liver; lane 3, lung; lane 4, uterus; lane 5, placenta; lane 6, negative control.

Characterization of the Placental VEGF-Binding Factor

Serum-free conditioned medium of mouse placenta contains VEGF-binding activity. To determine whether this VEGF-binding activity is related to sFLT-1, a fraction of heparin-Sepharose partially purified protein from placenta- conditioned medium was further analyzed by Western blot. A protein band, approximately 111 kDa, was detected by antihuman FLT-1 antibody (Fig. 6, lane 2) and also by anti-FLT-1 N-terminal antibody (data not shown). This is in good agreement with Kendall et al. (27), who found that endothelial cells produced a sFLT-1 of 110 kDa. These authors (26) also showed that baculovirus-expressed sFLT-1 had an approximate molecular mass of 90 kDa. This is consistent with our results (Fig. 6, lane 1). The size difference between the endogenously encoded and recombinant sFLT-1 is probably due to the differential glycosylation of protein in mammalian and insect cells. In control immunoblots, rabbit IgG instead of FLT-1 antibody was used, and no band was detected (data not shown).

Figure 6.

The VEGF-Binding Activity from Conditioned Medium of Mouse Placenta (lane 2) and Baculovirus-Expressed Human Recombinant sFLT-1 (lane 1) Were Separated by 4–12% Bis-Tris NuPAGE and Analyzed by a Western Blot Probed with the Biotinylated anti-Human FLT-1 Antibody

The VEGF-Binding Activity Increases in the Serum of Mice in Late Gestation

Since sFLT-1 transcripts became much more abundant as gestation progressed, we investigated whether sFLT-1 protein was detectable in the maternal circulation at this time. After incubation of serum with[ 125I]VEGF, complexes between [125I]VEGF and the VEGF-binding activity were formed and separated using a Sephacryl S-200 gel filtration column. Fractions eluted in PBS were collected and the radioactivity in each was determined. Serum from nonpregnant and day 11 pregnant mice produced a similar pattern of peaks (Fig. 7), with one small peak at fraction 10 and two additional peaks around fractions 14 and 28. However, serum from days 13, 15, or 17 pregnant mice showed a different peak pattern, with a major peak at fraction 10 (Fig. 7). The peak around fraction 28 remained in all samples. When 100-fold excess of unlabeled recombinant human VEGF was coincubated with serum from day 17 pregnant mice and [125I]VEGF, the major peak at fraction 10 disappeared, indicating specific binding between VEGF and the VEGF-binding activity. When serum from a nonpregnant mouse, to which recombinant human sFLT-1 had been added, was coincubated with[ 125I]VEGF, a major peak appeared at fraction 10, indicating the chromatographic similarity between recombinant sFLT-1 and the serum VEGF-binding factor. Incubation of[ 125I]VEGF with PBS also produced two peaks, one at fraction 14 and the other at 28. These correspond to the complexes of[ 125I]VEGF and BSA and free [125I]VEGF.[ 125I]VEGF is supplied with BSA carrier, and ligand blots show VEGF interacts weakly with BSA (data not shown).

Figure 7.

Sephacryl S-200 Gel Filtration Chromatography The peak at fraction 10 is the complexes of [125I]VEGF and the VEGF-binding activity, and the peak around fraction 14 is[ 125I]VEGF and BSA complexes. Free VEGF produces a peak around fraction 28. np, Serum from nonpregnant mice.

Administration of Exogenous VEGF Led to Fibrin Deposition in the Placenta

The presence of a potent VEGF antagonist suggests that the action of this growth factor is regulated. We investigated this by perturbing the ratio of VEGF to sFLT-1 by administration of exogenous recombinant VEGF to pregnant mice. In animals treated with recombinant VEGF, there was an increase in the number of resorption sites. There were 18 resorption sites present in the treated mice (n = 5) and only 1 in the control mice (n = 4) (P < 0.05, Wilcoxon rank sum test). Embryos from these mice, which appeared macroscopically normal, weighed less than those from the control group (mean ± sd: control, 0.53 ± 0.05 g; treated, 0.46± 0.09 g P < 0.001, Student’s t test). There was no difference in the placental weight between these two groups. However, histological examination of placenta from these two groups did reveal differences. In the treated group there was an increase in fibrin deposition apparent within the labyrinthine layer (Fig. 8). The deposition was widespread as shown by the red/purple stain around many of the cells (Fig. 8, A and B). There were also occasional areas of intense staining (Fig. 8, C and D). Such staining was absent from the placentas of the vehicle-treated mice (Fig. 8, E and F).

Figure 8.

Histology of Mouse Placental Sections Stained with MSB to Reveal Fibrin Deposition Obtained from Mice Treated with VEGF (A, B, C, and D) or Vehicle (E and F) during Pregnancy Fibrin deposits are bright red, red blood cells are stained yellow, and other cells are stained blue. Scale bar, 50 μm in panels A, C, and E; 10 μm in panels B, D, and F.

DISCUSSION

In this study we have shown the stage-dependent expression of FLT-1 and sFLT-1 in placental spongiotrophoblast during pregnancy in the mouse. This suggests a novel mechanism for the regulation of VEGF activity by alternative splicing of FLT-1 pre-mRNA.

The mRNA encoding full-length membrane-bound FLT-1 was detected in placental spongiotrophoblast cells on day 11 of pregnancy, but sFLT-1 mRNA was undetectable by in situ hybridization at this time. However, high levels of sFLT-1 transcripts were observed on day 13 and rose as gestation progressed. In contrast, FLT-1 transcripts declined in late gestation such that by day 17 they were almost undetectable by in situ hybridization. This suggests that there may be regulation of the splice site selection in these cells leading to a marked shift in the ratio of their mature mRNAs. The change of the sFLT-1 to FLT-1 ratio was further confirmed by Northern blot analysis (Fig. 4). sFLT-1 was identified in conditioned medium of cultured mouse placenta. These results indicate that sFLT-1 is produced in the placenta. Thus, it is likely that the VEGF-binding activity found in the serum of mice in late pregnancy is sFLT-1. VEGF-binding activity was also detected in the serum of pregnant women (data not shown), suggesting that sFLT-1 may have a systemic role in antagonizing increasing VEGF during pregnancy (32). Recent data have confirmed the role of sFLT-1 as an inhibitor of angiogenesis. Intravitreal injection of soluble VEGF-receptor chimeric proteins is able to suppress retinal neovascularization in a murine model of ischemic retinopathy (28). Furthermore, treatment of super-ovulated rats with truncated soluble FLT-1 receptors resulted in the complete suppression of corpus luteal angiogenesis and a failure of endometrial maturation (29). These studies show that sFLT-1 is a potent antagonist of VEGF in vivo. Thus, it is likely that the physiological alternative splicing of FLT-1 pre-mRNA to generate FLT-1 and/or sFLT-1, described in this paper, will be important for the regulation of placental angiogenesis.

RT-PCR analysis showed that sFLT-1 mRNA is also present in adult lung, liver, kidney, and uterus, suggesting that sFLT-1 may have a role in maintaining endothelial cells in a quiescent state in the adult. sFLT-1 is also produced by human umbilical vein endothelial cells in vitro (27). Thus, a similar alternative splicing mechanism for FLT-1 pre-mRNA also exists in endothelial cells. Whether the FLT-1/sFLT-1 switch is involved in the modulation of pathological angiogenesis remains to be investigated.

It has been shown that the migration of monocytes/macrophages in response to VEGF is mediated by FLT-1 (33, 34). Since FLT-1 mRNA was detected in the trophoblast before day 13, it is possible that FLT-1 may regulate the migration of trophoblast cells.

The spongiotrophoblast cell layer where sFLT-1 transcripts are localized is located between the maternal and labyrinthine layers where VEGF is expressed (10, 11). The balance of the locally expressed VEGF and sFLT-1 could be important in the regulation of placental endothelial cell function. Administration of exogenous VEGF to pregnant mice led to fibrin deposition in the placenta, an increase in resorption sites, and a reduction in embryonic weight. This suggests that the exogenous VEGF circumvents the regulatory control of the angiogenic events in the placenta, and that a balance of angiogenic inducers and inhibitors is critical for normal placental function. The enhanced vascular permeability and the induction of tissue factor synthesis by endothelium and monocytes in response to exogenous VEGF (24, 25, 35) may contribute to fibrin deposition in the placenta of VEGF-treated mice. The placental abnormalities may account for the significant reduction of the embryo weight in these mice.

However, no abnormalities were observed in other organs of VEGF-treated mice (data not shown). This may be a reflection of the presence of locally acting inhibitors or phenotypic differences in mature endothelium. It is not known whether the exogenous VEGF crossed the placenta to reach the developing fetus, but no vascular defects were observed in the embryos from VEGF-treated mice. However, direct injection of exogenous VEGF into Quail embryos induced malformed and hyperfused vessels during embryonic neovascularization (36). These data suggest that developing organs are more sensitive to the change of balance of angiogenic inducers and inhibitors.

The expression of FLT-1 and/or sFLT-1 by alternative splicing of FLT-1 pre-mRNA in the spongiotrophoblast cells provides a means by which they can regulate the local response to VEGF. How the switch between FLT-1 and sFLT-1 is regulated needs to be further elucidated. Understanding this will provide a fuller understanding of physiological angiogenesis and may lead to novel means for the modulation of pathological angiogenesis.

MATERIALS AND METHODS

Tissue and Serum Collection

All procedures and care of animals were in accordance with the regulations laid down by the UK Home Office. BALB/c females (20–25 g) were mated with males of the same stock, and the day the vaginal plug was detected was designated day 1 of pregnancy. Once pregnant, the mice were housed individually. Placentas were collected on days 11, 13, 15, and 17 of pregnancy. Organs from adult mice (10–12 weeks old), including lung, liver, kidney, and uterus, were also collected. Tissues were fixed overnight in 10% formalin in PBS and processed for routine histology or snap-frozen in liquid nitrogen and stored at −70 C.

Twenty placentas from day 17 pregnant mice were minced, washed three times in DMEM/nut mix F-12 medium (GIBCO/BRL), and cultured in the same medium at 37 C in 5% CO2. Conditioned medium was harvested 24 h later and stored at -20 C for further analysis.

VEGF treatment commenced on day 9 of gestation and continued until day 17. Recombinant human VEGF (Amgen, endotoxin <0.006 pg/μg VEGF) was dissolved in PBS and 1.5 μg were injected ip into the pregnant mice (n = 5) daily. Control mice (n = 4) were treated with vehicle alone. At autopsy on day 18, the number of resorption sites per mouse was determined and the embryo and placenta were weighed. Tissue was collected and processed as above and 5-μm sections were cut and stained for fibrin using the specific histological stain Martius Scarlet Blue (MSB) (37) in which fibrin is stained bright red.

Blood from normal pregnant and nonpregnant mice was also collected. Serum was recovered and stored at −70 C until required for analysis.

3′-RACE

Total RNA was isolated from placenta of day 17 pregnant mice using the method of Chomczynski and Sacchi (38). Poly (A)+ RNA was purified using oligo (dT) cellulose (Pharmacia, Piscataway, NJ) and cDNA was prepared using (dT) 17-adaptor primer and Super RT (HT Biotechnology Ltd, Cambridge, UK) following the manufacture’s instructions. The (dT)17-adaptor primer (GACTCGAGTCGACATCGATTTTTTTTTTTTTTTTT) was according to Frohman et al. (39). A portion of this cDNA was used to amplify the desired 3′-end sequence of mouse sFLT-1 using a gene-specific primer (GSP: GCCAGGAACATATACACAG) corresponding to bases 1941–1959 of mouse FLT-1 (40), and an adaptor primer (GACTCGAGTCGACATCGA), with a HYBAID Touchdown thermocycler in 20 μl of PCR cocktail comprising deoxynucleoside triphosphates (200 μm), 1× BioTaq polymerase buffer, Mg++ solution (1.5 mm), 1 U of BioTaq DNA polymerase (Bioline, London, UK). The reaction mixture was denatured at 95 C for 2 min, and then amplified for 35 cycles (95 C, 30 sec; 52 C, 1 min; 72 C, 40 sec), followed by a 3-min final extension at 72 C. After end repair, the PCR products were cloned in pCR-Script Amp SK (+) cloning vector (Stratagene, La Jolla, CA) and sequenced.

Probes

To generate probes for the specific detection of sFLT-1 or FLT-1 transcripts, or both, RT-PCR was performed to produce cDNA fragments using specific primers. A 105-bp long 3′-end cDNA fragment of mouse sFLT-1, which starts from the divergent site of FLT-1 and sFLT-1, was generated by RT-PCR using mRNA extracted from placenta of day 17 pregnant mice. The primers used were based on the unique 3′-end nucleotide sequence of mouse sFLT-1 obtained as described above. The 5′-primer was AGG TGA GCA CTG CGG CA (msflt-1), and the 3′-primer was ATG AGT CCT TTA ATG TTT GAC (msflt-2). A cDNA fragment corresponding to bases 3799–4011 of mouse FLT-1 nucleotide sequence (40), which showed little similarity to the other members of the receptor tyrosine kinase family, was also generated by RT-PCR as described above. The 5′-primer was (3799) TCA CCT GGA CTG AGA CCA AG (3819) and the 3′-primer was (3990) GTA CAA CAC CAC GGA GTT GTA (4011). Another cDNA fragment corresponding to bases 11–210 of mouse FLT-1 nucleotide sequence (40), which detects both sFLT-1 and FLT-1 transcripts, was also generated as described above. The 5′-primer was 11 CCG CGT CTT GCT CAC CAT G 29, and the 3′-primer was 210 ACC ATG AGT GGG CTG CCT C 192. cDNA fragments generated above were cloned in pCR-Script Amp SK(+) vector and sequenced.

In Situ Hybridization

In situ hybridization was carried out essentially as described by Clark et al. (31). Hybridization probes used were specific for detecting sFLT-1 or membrane-bound FLT-1 transcripts. This was confirmed by Northern blot analysis of total RNA from day 15 placenta (Fig. 2, A and B). To generate RNA probes for in situ hybridization, the constructs described above were linearized by digestion with the appropriate restriction endonuclease, and 33P-UTP (Amersham International PLC, Little Chalfont, U.K.)-labeled sense and antisense RNA probes were synthesized by in vitro transcription using T7- and T3-polymerases respectively (Ambion, Inc., Austin, TX).

Northern Blot Analysis

Total RNA (20 μg) was separated in a 1% (wt:vol) agarose/6% formaldehyde (wt:vol) gel prepared in 1× MEA buffer (20 mm 3-(N-morpholino)propane sulfonic acid, 5 mm NaAc, 1 mm EDTA, pH 7.O), transferred to nylon membrane (Amersham) by capillary blot, and fixed by UV cross-linking. The blot was then prehybridized in 50 ml of hybridization buffer comprising 50 mm Tris-HCl (pH 7.6), 0.1% (wt/vol) SDS, 10× Denhardts [0.2% (wt/vol) Ficoll, 0.2% (wt/vol) PVP, 0.2% (wt/vol) BSA], 0.1% sodium pyrophosphate (wt/vol), 6% polyethylene glycol (PEG 6000) (wt/vol), 6% NaCl (wt/vol), and 0.1 mg/ml salmon sperm DNA at 65 C for 2 h. Probes specific for sFLT-1 or FLT-1, or both transcripts, were prepared using cDNA fragments generated above and T7 QuickPrime Kit (Pharmacia Biotech) following the manufacturer’s instructions. Probe was labeled to a specific activity of 1–2 × 106 cpm/ng using [a32P] dCTP (Amersham). Before addition to the hybridization solution, the probe was denatured by boiling for 3 min. The incubation was continued at 65 C overnight. The blot was then washed in 1× SSC/0.1% (wt/vol) SDS at 65 C with three changes of washing buffer and wrapped in Saran wrap for autoradiography. The exposure was performed at −70 C overnight using double-coated x-ray film (Fuji Medical Systems, Stamford, CT) in conjunction with intensifying screens. The film was developed in an x-ograph automatic film developer.

RT-PCR

Extraction of total RNA from lung, liver, kidney, and uterus and preparation of cDNA were performed as already described. Similar amounts of RNA from each sample were used for RT and amplification. The specific sFLT-1 primers were msflt-1 and msflt-2 described above. The PCR program was as follows: 95 C for 1 min; 28 cycles (95 C, 30 sec; 54 C, 30 sec; 72 C, 30 sec); followed by a 3-min final extension at 72 C. RNA without RT was used as negative control.

Western Blot Analysis

Human sFLT-1 has been shown to bind heparin Sepharose (26). We therefore used this affinity matrix to partially purify the VEGF-binding activity in mouse placenta-conditioned medium. Conditioned medium from 20 mouse placentas (15 ml) was centrifuged and then loaded onto a HiTrap heparin 1-ml column (Pharmacia) equilibrated in PBS. The column was washed with 5 ml of PBS and 5 ml of 0.6 m NaCl/20 mm phosphate buffer (pH 7.4), and the activity was eluted with 1.2 m NaCl in the same buffer. The elute was then concentrated using Centricon-30 (Amicon, Inc., Beverly, MA) and washed in PBS. A portion of this was electrophoretically separated by 4–12% Bis-Tris NuPAGE (Novex, San Diego, CA) and transferred to nitrocellulose membrane (Amersham). The membrane was blocked with 5% BSA in PBS/0.1% Tween 20/0.1 m NaCl and probed with biotinylated anti-human FLT-1 antibody (0.15 μg/ml) (R&D Systems, Minneapolis, MN) in the same buffer containing 1% BSA. Immunoreactive bands were detected using streptavidin-horseradish peroxidase (Amersham) and Supersignal substrate (Pierce, Rockford, IL).

S-200 Gel Filtration Chromatography

Serum (50 μl) from nonpregnant and pregnant mice on days 11, 13, 15, and 17 of gestation (n = 3 for each stage) was incubated with 0.7 ng of 125I-labeled human VEGF (2300 Ci/mmol, Amersham), respectively, at room temperature overnight. Day 17 pregnant mouse serum in the presence of 100-fold excess of unlabeled recombinant human VEGF, or nonpregnant mouse serum in the presence of baculovirus-expressed recombinant human sFLT-1 (1 ng), was also incubated with the same amount of [125I]VEGF. Samples were analyzed by loading onto a 12.5-ml Sephacryl S-200 (Sigma Chemical Co., St. Louis, MO) gel column preequilibrated in PBS as described by Hill et al. (41). Forty fractions eluted in PBS, each of 460μ l, were collected, and the radioactivity of each fraction was counted using a γ-counter (Packard Instruments, Meriden, CT).

Acknowledgments

We thank Dr. Andrew Sharkey for helpful discussion of this work and Ms. Amanda Evans for her assistance with DNA sequencing.

D.S.C.J. was supported in part by Biotechnology and Biological Sciences Research Council (Fellowship PDF/22).

1

Folkman
J
,
Shing
Y
1992
Angiogenesis.
J Biol Chem
267
:
10931
10934

2

Folkman
J
1995
Angiogenesis in cancer, vascular, rheumatoid and other disease.
Nat Med
1
:
27
31

3

Gordon
JD
,
Shifren
JL
,
Foulk
RA
,
Taylor
RN
,
Jaffe
RB
1995
Angiogenesis in the human female reproductive tract.
Obstet Gynecol Surv
50
:
688
697

4

King
BF
1987
Ultrastructural differentiation of stromal and vascular components in early macaque placental villi.
Am J Anat
136
:
190
203

5

Schulze-Osthoff
K
,
Risau
W
,
Vollmer
E
,
Sorg
C
1990
In situ detection of basic fibroblast growth factor by highly specific antibodies.
Am J Pathol
137
:
85
92

6

Hondermarck
H
,
Courty
J
,
Ledoux
D
,
Blanckaert
V
,
Barritault
D
,
Boilly
B
1990
Evidence of high and low affinity binding sites for basic fibroblast growth factor in mouse placenta.
Biochem Biophys Res Commun
169
:
272
281

7

Ferriani
RA
,
Ahmed
A
,
Sharkey
A
,
Smith
SK
1994
Colocalization of acidic and basic fibroblast growth factor in human placenta and the cellular effects of bFGF in trophoblast cell.
Growth Factors
10
:
259
268

8

Park
JE
,
Chen
HH
,
Winer
J
,
Houck
KA
,
Ferrara
N
1994
Placenta growth factor: potentiation of vascular endothelial growth factor bioactivity, in vitro and in vivo, an high affinity binding to Flt-1 but not to Flk-1/KDR.
J Biol Chem
269
:
25646
25654

9

Cooper
JC
,
Sharkey
AM
,
McLaren
J
,
Charnock-Jones
DS
,
Smith
SK
1995
Localization of vascular endothelial growth factor and its receptor, flt, in human placenta and decidua by immunohistochemistry.
J Reprod Fertil
105
:
205
213

10

Breier
G
,
Clauss
M
,
Risau
W
1995
Coordinate expression of vascular endothelial growth factor receptor-1 (flt-1) and its ligand suggests a paracrine regulation of murine vascular development.
Dev Dyn
204
:
228
239

11

Dumont
DJ
,
Fong
GH
,
Puri
MC
,
Gradwohl
G
,
Alitalo
K
,
Breitman
ML
1995
Vascularization of the mouse embryo: a study of flk-1,tek, tie, and vascular endothelial growth factor expression during development.
Dev Dyn
203
:
80
92

12

Vuckoviv
M
,
Ponting
J
,
Teman
BI
,
Niketic
V
,
Seif
MW
,
Kumar
S
1996
Expression of the vascular endothelial grwoth factor receptor, KDR, in human placenta.
J Anat
188
:
361
366

13

Rodesch
F
,
Simon
P
,
Donner
C
,
Jauniaux
E
1992
Oxygen measurements in endometrial and trophoblastic tissues during early pregnancy.
Obstet Gynecol
80
:
283
285

14

Wheeler
T
,
Elcock
CL
,
Anthony
FW
1995
Angiogenesis and the placental environment.
Placenta
16
:
289
296

15

Gerber
HP
,
Condorelli
F
,
Park
J
,
Ferrara
N
1997
Differential transcriptional regulation of the two vascular endothelial growth factor receptor genes. Flt-1, but not Flk-1/KDR, is up- regulated by hypoxia.
J Biol Chem
272
:
23659
23667

16

Chakraborty
I
,
Das
SK
,
Dey
SK
1995
Differential expression of vascular endothelial growth factor and its receptor mRNAs in the mouse uterus around the time of implantation.
J Endocrinol
147
:
339
352

17

Hanahan
D
,
Folkman
J
1996
Patterns and emerging mechanisms of the angiogenic switch during tumorigenesis.
Cell
86
:
353
364

18

Jackson
D
,
Volpert
OV
,
Bouck
N
,
Linzer
DIH
1994
Stimulation and inhibition of angiogenesis by placental proliferin and proliferin-related protein.
Science
266
:
1581
1584

19

Shalaby
F
,
Rossant
J
,
Yamaguchi
TP
,
Gertenstein
M
,
Wu
X-F
,
Breitman
ML
,
Schuh
AC
1995
Failure of blood-island formation and vasculogenesis in Flk-1-deficient mice.
Nature
376
:
62
66

20

Fong
GH
,
Rossant
J
,
Gertsenstein
M
,
Breitman
ML
1995
Role of the Flt-1 receptor tyrosine kinase in regulating the assembly of vascular endothelium.
Nature
376
:
66
70

21

Carmeliet
P
,
Ferreira
V
,
Breier
G
,
Pollefeyt
S
,
Kieckens
L
,
Gertenstein
M
,
Fahring
M
,
Vandenhoeck
A
,
Harpal
K
,
Eberhardt
C
,
Decleucq
C
,
Pawling
J
,
Moons
L
,
Collen
D
,
Risau
W
,
Nagy
A
1996
Abnormal blood vessel development and lethality in embryos lacking a single VEGF allele.
Nature
380
:
435
439

22

Ferrara
N
,
Carver-Moore
K
,
Chen
H
,
Dowd
M
,
Lu
L
,
O’Shea
HS
,
Powell-Braxton
L
,
Hillan
KJ
,
Moore
MW
1996
Heterozygous embryonic lethality induced by targeted inactivation of the VEGF gene.
Nature
380
:
439
442

23

Keck
PJ
,
Hauser
SD
,
Krivei
G
,
Sanzo
K
,
Warren
T
,
Feder
J
,
Connolly
DT
1989
Vascular permeability factor, an endothelial cell mitogen related to PDGF.
Science
246
:
1309
1312

24

Senger
DR
,
Galli
SJ
,
Dvorak
AM
,
Perruzzi
CA
,
Harvey
VS
,
Dvorak
HF
1983
Tumor cells secrete a vascular permeability factor that promotes accumulation of ascites fluid.
Science
219
:
983
985

25

Connolly
DT
,
Olander
JV
,
Heuvelman
D
,
Nelson
R
,
Monsell
R
,
Haymore
BL
,
Leimgruber
R
,
Feder
J
1989
Human vascular permeability factor. Isolation from U937 cells.
J Biol Chem
264
:
20017
20024

26

Kendall
RL
,
Thomas
KA
1993
Inhibition of vascular endothelial cell growth factor activity by an endogenously encoded soluble receptor.
Proc Natl Acad Sci USA
90
:
10705
10709

27

Kendall
RL
,
Wang
G
,
Thomas
KA
1996
Identification of natural soluble form of the vascular endothelial growth factor receptor, FLT-1, and its heterodimerization with KDR.
Biochem Biophys Res Commun
226
:
324
328

28

Aiello
LP
,
Pierce
EA
,
Foley
ED
,
Takagi
H
,
Riddle
L
,
Chen
H
,
Ferrara
N
,
King
GL
,
Smith
LE
1995
Suppression of retinal neovascularization in vivo by inhibition of vascular endothelial growth factor (VEGF) using soluble VEGF-receptor chimeric proteins.
Proc Natl Acad Sci USA
92
:
10457
10461

29

Ferrara
N
,
Chen
H
,
Davis-Smyth
T
,
Gerber
H-P
,
Nguyen
T-N
,
Peers
D
,
Chisholm
V
,
Hillan
KJ
,
Schwall
RH
1998
Vascular endothelial growth factor is essential for corpus luteum angiogenesis.
Nat Med
4
:
336
340

30

Charnock-Jones
DS
,
Sharkey
AM
,
Boocock
CA
,
Ahmed
A
,
Plevin
R
,
Ferrara
N
,
Smith
SK
1994
Vascular endothelial growth factor receptor localisation and activation in human trophoblast and choriocarcinoma cells.
Biol Reprod
51
:
524
530

31

Clark
DE
,
Smith
SK
,
Sharkey
AM
,
Charnock-Jones
DS
1996
Localization of VEGF and expression of its receptors flt and KDR in human placenta throughout pregnancy.
Hum Reprod
11
:
1090
1098

32

Anthony
FW
,
Evans
PW
,
Wheeler
T
,
Wood
PJ
1997
Variation in detection of VEGF in maternal serum by immunoassay and the possible influence of binding proteins.
Ann Clin Biochem
34
:
276
280

33

Barleon
B
,
Sozzani
S
,
Zhou
D
,
Weich
HA
,
Mantovani
A
,
Marme
D
1996
Migration of human monocytes in response to vascular endothelial growth factor (VEGF) is mediated via the VEGF receptor flt-1.
Blood
87
:
3336
3343

34

Clauss
M
,
Weich
H
,
Breir
G
,
Knies
U
,
Rockl
W
,
Waltenberger
J
, Risau W al
1996
The vascular endothelial growth factor receptor Flt-1 mediates biological activities. Implications for a functional role of placental growth factor in monocyte activation and chemotaxis.
J Biol Chem
271
:
17629
17634

35

Clauss
M
,
Gerlach
M
,
Gerlach
H
,
Brett
J
,
Wang
F
,
Familletti
PC
,
Pan
Y-C
, Olander
1990
Vascular permeability factor: a tumor-derived polypeptide that induces endothelial cell and monocyte procoagulant activity, and promotes monocyte migration.
J Exp Med
172
:
1535
1545

36

Drake
CJ
,
Little
CD
1995
Exogenous vascular endothelial growth factor induces malformed and hyperfused vessels during embryonic neovascularization.
Proc Natl Acad Sci USA
92
:
7657
7661

37

Lendrum
AC
,
Fraser
DS
,
Slidders
W
, Henderson
1962
Studies on the character and staining of fibrin.
J Clin Pathol
15
:
401

38

Chomczynski
P
,
Sacchi
E
1987
Single step method of RNA isolation by guanidine thiocyanate-phenol-chloroform extraction.
Anal Biochem
162
:
156
159

39

Frohman
MA
,
Dush
MK
,
Martin
GR
1988
Rapid production of full-length cDNAs from rare transcripts: Amplification using a single gene-specific oligonucleotide primer.
Proc Natl Acad Sci USA
85
:
8998
9002

40

Finnerty
H
,
Kelleher
K
,
Morris
GE
,
Bean
K
,
Merberg
DM
,
Kriz
R
,
Morris
JC
,
Sookdeo
H
,
Turner
KJ
,
Wood
CR
1993
Molecular cloning of murine FLT and FLT4.
Oncogene
8
:
2293
2298

41

Hill
DJ
,
Tevaarwerk
GJM
,
Arany
E
,
Kilkenny
D
,
Gregory
M
,
Langford
KS
,
Miell
J
1995
Fibroblast growth factor-2 (FGF-2) is present in maternal and cord serum, and in the mother is associated with a binding protein immunologically related to the FGF receptor-1.
J Clin Endocrinol Metab
80
:
1822
1831