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3. Umbruch 4.4..2005 - Online Pot

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Endocannabinoids and regulation of fertility 69<br />

It can be proposed that down-regulation of FAAH during early pregnancy<br />

might allow higher local levels of AEA, which indeed have been shown to<br />

increase with pregnancy in the mouse uterus [5]. In turn, AEA might play a<br />

role in the endometrial changes associated with pregnancy, for instance<br />

through the inhibition of gap junctions and intercellular calcium signalling<br />

[21, 22]. On the other hand, nanomolar concentrations of AEA inhibit embryo<br />

development and blastocysts hatching in vitro [5, 20, 23]. This suggests that<br />

the local concentration of AEA around the implanting embryos must be low,<br />

implying that the blastocysts have the biochemical tools to dispose AEA and<br />

to prevent its detrimental effects. Indeed, AMT and FAAH activity have been<br />

demonstrated and characterized in these cells [20]. Moreover, AEA-induced<br />

inhibition of embryo development and blastocyst hatching is prevented by a<br />

CB 1 receptor antagonist, in line with the hypothesis that this activity of AEA<br />

is mediated by CB 1 receptors [3].<br />

Collectively, these findings lead to a dual function of AEA in regulating fertility<br />

in mammals, a scenario that is schematically depicted in Figure 1. On one<br />

hand, a decreased FAAH activity in mouse uterus during early pregnancy<br />

might allow higher levels of AEA at the inter-implantation sites. Here,<br />

enhanced AEA can be instrumental in modifying endometrium by inhibiting<br />

gap junctions. On the other hand, a low level of AEA has to be granted at the<br />

implantation sites, in order to reduce the toxic effects of this lipid to the blastocysts.<br />

The reduction of AEA levels can be achieved by the active AMT and<br />

FAAH expressed by blastocysts, as well as by the uterine epithelial cells. It<br />

seems noteworthy that dual functions of AEA, depending upon its local concentration,<br />

have been already proposed to explain its anti-proliferative (high<br />

AEA) or pro-proliferative (low AEA) effects on trophoblast growth at the<br />

inter-implantation and implantation sites, respectively [18]. Consistently, AEA<br />

has been shown to regulate blastocyst function and implantation within a very<br />

narrow concentration range, by differentially modulating mitogen-activated<br />

protein kinase signalling and calcium channel activity via CB 1 receptors [24].<br />

The embryo–uterine interactions are further complicated by the recent finding<br />

that mouse blastocysts rapidly (within 30 min of culture) release a soluble<br />

compound that increases by approximately 2.5-fold the activity of FAAH<br />

present in the mouse uterus without affecting gene expression at the translational<br />

level [25]. This “FAAH activator” is not present in uterine fluid, is<br />

released by neither dead blastocysts nor mouse embryonic fibroblasts, and is<br />

produced by trophoblast and inner cell-mass cells. Moreover, its activity is<br />

fully neutralized by lipase and is further potentiated by trypsin, whereas other<br />

proteases, phospholipases A 2, C or D, DNase I or RNase A are ineffective.<br />

Interestingly, the blastocyst-derived activator does not affect PLD, CB receptors<br />

or AMT in mouse uterus, pointing to a selective action towards FAAH. As<br />

yet the FAAH activator, the first ever reported to our knowledge, has not been<br />

identified with any factor known to be released by blastocysts, like<br />

platelet-activating factor, leukotriene B 4 or prostaglandins E 2 and F 2α, and its<br />

molecular identity remains elusive [25]. However, the fact that a specific

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