Regulation of human trophoblast cell syncytialization by transcription factors STAT5B and NR4A3

<jats:title>Abstract</jats:title><jats:sec><jats:label /><jats:p>In human trophoblast cells, cyclic AMP or its inducer forskolin (FSK) activates two downstream signaling molecules, protein kinase A (PKA) and exchange protein directly activated by cAMP (EPAC), both of which induce syncytialization, cell fusion, and the production of human chorionic gonadotropin (hCG) and progesterone. However, a transcription factor other than GCM1 and molecular mechanisms associated with these events have not been well characterized. To identify novel transcription factors involved in syncytialization of cAMP‐stimulated human choriocarcinoma BeWo cells, the microarray analysis was performed with RNAs extracted from PKA‐ or EPAC‐selective cAMP analog‐stimulated BeWo cells, from which two up‐regulated transcription factors, STAT5 and NR4A3, were found. The knockdown of <jats:italic>STAT5B</jats:italic> decreased FSK‐induced cell fusion and the expression of syncytialization markers, <jats:italic>CGB</jats:italic>, <jats:italic>syncytin1</jats:italic>, <jats:italic>syncytin2</jats:italic>, <jats:italic>GCM1</jats:italic>, and <jats:italic>OVOL1</jats:italic>, but <jats:italic>NR4A3</jats:italic> knockdown increased FSK‐induced cell fusion and the expression of <jats:italic>CGB</jats:italic> and <jats:italic>syncytin2</jats:italic>. These findings indicated that cAMP‐PKA up‐regulated STAT5B, followed by increase in syncytin2 expression through GCM1 and OVOL1, resulting in cell fusion and hCG production, while cAMP‐PKA‐up‐regulated NR4A3 could decrease syncytin2 expression, and suggested that both positive and negative effects of STAT5B and NR4A3, respectively, are required to control the degree of syncytialization in human trophoblast cells.</jats:p></jats:sec>