Doi:10.1016/j.ympev.2007.12.026
Available online at www.sciencedirect.com
Molecular Phylogenetics and Evolution 47 (2008) 637–649
The human progesterone receptor shows evidence of adaptive
evolution associated with its ability to act as a transcription factor
Caoyi Chen a,1, Juan C. Opazo a,2, Offer Erez b, Monica Uddin a, Joaquin Santolaya-Forgas b,c,Morris Goodman a,d, Lawrence I. Grossman a, Roberto Romero a,b,*, Derek E. Wildman a,b,e,*
a Center for Molecular Medicine and Genetics, Wayne State University School of Medicine, Detroit, MI 48201, USA
b Perinatology Research Branch, NICHD, NIH, DHHS, Bethesda, MD 20892, USA
c Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA
d Department of Anatomy and Cell Biology, Wayne State University School of Medicine, Detroit, MI 48201, USAe Department of Obstetrics and Gynecology, Wayne State University School of Medicine, Detroit, MI 48201, USA
Received 1 August 2007; revised 6 December 2007; accepted 11 December 2007
Available online 1 February 2008
The gene encoding the progesterone receptor (PGR) acts as a transcription factor, and participates in the regulation of reproductive
processes including menstruation, implantation, pregnancy maintenance, parturition, mammary development, and lactation. Unlike othermammals, primates do not exhibit progesterone withdrawal at the time of parturition. Because progesterone-mediated reproductive fea-tures vary among mammals, PGR is an attractive candidate gene for studies of adaptive evolution. Thus, we sequenced the progesteronereceptor coding regions in a diverse range of species including apes, Old World monkeys, New World monkeys, prosimian primates, andother mammals. Adaptive evolution occurred on the human and chimpanzee lineages as evidenced by statistically significant increases innonsynonymous substitution rates compared to synonymous substitution rates. Positive selection was rarely observed in other lineages. Inhumans, amino acid replacements occurred mostly in a region of the gene that has been shown to have an inhibitory function (IF) on theability of the progesterone receptor to act as a transcription factor. Moreover, many of the nonsynonymous substitutions in primatesoccurred in the N-terminus. This suggests that cofactor interaction surfaces might have been altered, resulting in altered progesterone-reg-ulated gene transcriptional effects. Further evidence that the changes conferred an adaptive advantage comes from SNP analysis indicatingonly one of the IF changes is polymorphic in humans. In chimpanzees, amino acid changes occurred in both the inhibitory and transac-tivation domains. Positive selection provides the basis for the hypothesis that changes in structure and function of the progesterone recep-tor during evolution contribute to the diversity of primate reproductive biology, especially in parturition.
Ó 2007 Elsevier Inc. All rights reserved.
Keywords: Primates; Positive selection; Hormone activity; Parturition; Chimpanzee
The steroid hormone progesterone is a vital regulator of
* Corresponding authors. Address: Perinatology Research Branch,
reproduction in mammals
NICHD, NIH, DHHS, Wayne State University/Hutzel Women's Hospi-
tal, Center for Molecular Medicine and Genetics, 3990 John R, Box 4,Detroit, MI 48201, USA. Fax: +1 313 993 2694.
The role of progesterone in mammalian
E-mail addresses: (R. Romero),
pregnancy maintenance is well established (
(D.E. Wildman).
1 Present address: Nantong University, 9 Seyuan Road, Nantong, JS
226019, PR China.
). In primates, progesterone partici-
Present address: Instituto de Ecologı´a y Evolucio´n, Facultad de
Ciencias, Universidad Austral de Chile, Casilla 567, Valdivia, Chile.
pates in the regulation of normal menstrual cycles, ovula-
1055-7903/$ - see front matter Ó 2007 Elsevier Inc. All rights reserved.
doi:10.1016/j.ympev.2007.12.026
C. Chen et al. / Molecular Phylogenetics and Evolution 47 (2008) 637–649
tion (and embryo implantation
1.1. Structure of progesterone receptor
). Many ofthe biological actions of progesterone are mediated
The gene encoding human PR has eight exons and is
through the progesterone receptor (PR; HUGO gene sym-
located on chromosome 11q22.1. PR is characterized by
bol = PGR), a member of the nuclear receptor superfamily
alternatively spliced isoforms (), as
of ligand-activated transcription factors
shown in . The two well-studied major isoforms of
PR are PR-B and PR-A. Another isoform, PR-C, has also
gene encoding this receptor arose early in vertebrate evolu-
been described ().
tion via a series of duplications of an ancestral estrogen
Exons 1 and 2 can be considered alternatively spliced
receptor The progesterone receptor has
and/or translated exons because all of exon 1 and most
been implicated in the initiation of human parturition as
of exon 2 are absent from PR-C and part of exon 1 is
the relative abundance of PR isoforms changes near the
absent from PR-A. The remaining exons are considered
end of gestation (
constitutively spliced since they are included in all major
The major isoforms vary in length but not in amino acid
Humans and their closest relatives, the chimpanzees, dif-
sequence (i.e., there is no frame-shift). PR-B is 933 amino
fer from each other in numerous ways that could be related
acids in length, while PR-A lacks 164 amino acids at the
to progesterone and its receptor. The duration of parturi-
amino terminus. In vitro, PR-B is a stronger transactivator
tion in humans is, on average, longer than the 40-minute
than PR-A, whereas PR-A acts as a transrepressor of PR-
to eight hour range observed in chimpanzees
B and some other steroid receptors (
). Chimpanzee mammary glands, like
). The domain architecture of PR
those of other mammals, are enlarged during lactation
is shown in C. Structurally, both isoforms consist of
whereas human mammaries are consistently evident
an amino-terminal region, a centrally located DNA-binding
beyond puberty. Conversely, unlike in humans, cyclic
domain (DBD), and a carboxy-terminal hinge region con-
swelling of the skin surrounding the anogenital region of
taining nuclear localization signals, as well as a ligand-bind-
chimpanzees is obvious.
ing domain (LBD, sometimes called HBD). There are three
In spite of these differences between humans and chim-
transcription activation function (AF) domains. AF-1 is
panzees, the hormonal profiles and length of the menstrual
located upstream of the DBD domain whereas AF-2 is
cycles of humans and chimpanzees are mostly similar. The
located in the LBD (The other activation
mean length of gestation in chimpanzees is 227 days com-
function domain (AF-3) is unique to the PR-B isoform, and
pared to 280 in humans
is located within the N-terminal region
This difference is actually less than it seems.
). There is also an inhibitory function
Human gestational length is measured from the first day of
(IF) region located between AF-3 and AF-1, which has been
the last menses about two weeks before conception. In con-
proposed as the region responsible for autoinhibition and
trast, chimpanzee gestations are measured to begin from the
transrepression of PR
last day of maximal sex skin tumescence during a cycle in
). The function of PR-C is still
which copulation was observed. Therefore, the actual differ-
ence in gestation length between human and chimpanzees is
It is translated from an in-frame translation start site,
between 20 and 30 days. In addition, the placental morphol-
Met595, at the end of the second exon of PGR. Presence of
ogy and serum progesterone concentrations of humans and
the PR-C isoform has been suggested in human (
chimpanzees are similar, while rhesus and baboon have
lower progesterone levels (
Among all of these features, the unique role of PGR in
), and cow Since PR-C lacks
human parturition is of considerable interest because of
the DBD, if bound to PR-B the resulting heterodimer would
the special challenges humans face during the birth process.
be unable to function as a transcription factor (
Natural selection during human evolution has resulted in
Moreover, the absence of the DBD in PR-C would
anatomical changes including the remodeling of the pelvis
also prevent PR-C homodimers from acting as a transcrip-
during the emergence of bipedalism and the expansion of
tion factor.
the cranium associated with encephalization that may haveaffected parturition
1.2. Adaptive evolution in progesterone receptor
). These anatomical innovations that resultedin a relatively smaller birth canal and larger head are likely
A recent genome-wide scan (of
to have required adjustments underlying the labor and
human and chimpanzee genes placed PGR among the 50
birth process (i.e., parturition has a longer duration in
genes showing the strongest statistical evidence of positive
humans than in chimpanzees). The current study examines
selection as measured by calculating the ratio of nonsyn-
the evolution of mammalian PGR within this broad con-
onymous to synonymous nucleotide substitution rates on
text of human evolution.
a per site basis. This ratio is called dN/dS or x. Generally,
C. Chen et al. / Molecular Phylogenetics and Evolution 47 (2008) 637–649
Chromosome Bands Localized by FISH Mapping Clones
Old UCSC Known Genes Based on UniProt, RefSeq, and GenBank mRNA
PGRB (1)
PGRA (495)
PGRC (1785)
Fig. 1. Location and structure of the human progesterone receptor. (A) Location and orientation of PGR in the human genome. The gene usually containseight exons and the full-length receptor spans 92 kb. (B) Gene structure of PGR. Translation initiation sites for PR isoforms are indicated with arrows.
Exons 1 and 2 are alternatively spliced and shown in gray (not drawn to scale). (C) Schematic illustration of previously identified functional domains in thehuman progesterone receptor. Numbers indicate the amino acid positions that delineate the beginning and end of each domain while bent arrows point tothe translation initiation site of the three isoforms (PR-A, PR-B, and PR-C). AF, activation function region; IF, inhibitory function region; DBD, DNA-binding domain; NLS, nuclear localization signal; H, hinge region; HBD, hormone/ligand binding domain.
x = 1, >1, and <1, indicate neutral evolution, positive
2. Materials and methods
selection, and purifying selection, respectively Nielsen et al. identified 11
2.1. DNA samples and sequencing
nonsynonymous and 0 synonymous PGR substitutionsbetween human and chimpanzee. Therefore, changes in
Genomic DNA was used as a template for the polymer-
structure and function of the progesterone receptor during
ase chain reaction to obtain the entire coding region of pro-
gesterone receptor in Homo (Homo) sapiens (Human),
between humans and chimpanzees. As the Nielsen et al.
Homo (Pan) troglodytes (Common chimpanzee), Homo
study included only humans and chimpanzees, the authors
(Pan) paniscus (Bonobo), Gorilla gorilla (Gorilla), Pongo
could not determine whether the positive selection occurred
pygmaeus (Orangutan), Hylobates lar (White handed gib-
on the human, the chimpanzee, or both lineages. More-
bon), Macaca sylvanus (Barbary macaque), Papio anubis
over, the study did not explore whether positive selection
(Olive baboon), Chlorocebus aethiops (African green mon-
was limited to humans and chimpanzees or whether this
key), Colobus guereza (Black-and-white colobus monkey),
phenomenon occurred on other mammalian lineages as
Trachypithecus obscurus (Dusky leaf-eating monkey),
well. Finally, the study did not describe the locations of
Cebus apella (Tufted capuchin monkey), Pithecia irrorata
the nucleotide substitutions in terms of domains and/or
(Gray saki monkey), and Ateles paniscus (Black spider
monkey). For the following species, exon 1 was obtained:
Therefore, in order to determine if positive selection on
Tarsius bancanus (Western tarsier), Otolemur crassicauda-
PGR occurred only in humans, in chimpanzees, or among
tus (Thick-tailed bushbaby), Mirza coquereli (Giant
other mammals as well, we collected DNA sequence data
mouse-lemur), Dasypus novemcinctus (Nine-banded arma-
from all major primate and non-primate placental mammal
dillo), Bradypus sp. (Three-toed sloth), Loxodonta africana
lineages. With these nucleotide sequence data in hand,
(African elephant), Dugong dugon (Dugong). All sequences
using both probabilistic maximum likelihood and parsi-
have been deposited in GenBank under accession numbers
mony based approaches, we performed the following anal-
DQ234979–DQ234989 and DQ485133–DQ485143. Pub-
yses: (1) detection of the effects of natural selection on the
lished sequences from GenBank for PGR used in analyses
PGR during primate, and especially human and chimpan-
are Mus musculus (Mouse) (NM_008829), Rattus norvegi-
zee, evolution; (2) reconstructions of the evolutionary his-
cus (Rat) (NM_022847), Oryctolagus cuniculus (Rabbit)
tory of the PGR and determination of the specific
(M14547) and Canis familiaris (Dog) (NM_001003074).
lineages on which amino acids were replaced; and (3) local-
PCR reactions were performed in an Eppendorf (Ham-
ization of putatively functionally important amino acid
burg, Germany) thermal cycler under the following condi-
replacements in the gene.
tions: 5 min at 95 °C followed by 30–34 cycles of 94 °C for
C. Chen et al. / Molecular Phylogenetics and Evolution 47 (2008) 637–649
30 s, a variable annealing step of between 45 and 68 °C for
(and visually inspected to ensure that pro-
30–40 s, and 68/72 °C for 30 s–3 min, followed by a final
tein coding sequence indels preserved the correct reading
extension at 72 °C for 5 min. PGR exons 2–8 were ampli-
frame. The alignment files are available online as
fied using Taq DNA polymerase (Qiagen Inc., Valencia,
CA). The first exon was amplified with the Takara LAPCR Kit, Version 2.1 (Takara, Shiga, Japan). Amplifica-tion products were isolated by 1% agarose gel electropho-
2.3. Tests for selection
resis and purified with QIAquick Gel Extraction Kit(Qiagen Inc., Valencia, CA). Purified PCR products were
Aligned sequences were tested for evidence of positive
either sequenced directly with both sense and antisense
selection using codon-based models
PGR-specific primers or cloned into the pGEM-T easy vec-
as implemented in PAML
tor (Promega, Madison, WI) and sequenced with SP6 and
v.3.15 ). These tests are conducted from esti-
T7 primers. Primer sequences are available on request. For
mates of the dN/dS ratio (i.e. x) that compare the rates of
nonsynonymous (amino acid changing) substitution to syn-
sequencing primers were used. Sequencing was performed
onymous (amino acid maintaining) substitution on a per site
using the ABI BigDye terminator cycle sequencing kit
basis. We conducted three conventionally applied tests of
v3.1, and sequence electrophoresis was performed on an
selection: neutrality, nested lineage, and branch-sites tests
automated capillary ABI3700 sequencer (Applied Biosys-
tems, Foster City, CA).
In order to determine whether PGR dN/dS ratios were
variable among the different branches of the tree, we testedthe neutral prediction that x is the same on all lineages by
2.2. Sequence assembly and alignment
comparing a fixed ratio model (model 0) to the free ratiomodel (model 1). In addition, to test lineage-based hypothe-
The DNA sequence data were edited and contigs were
ses four nested models as well as model 0 were examined
assembled using Sequencher 4.5 (Gene Codes, Ann Arbor,
using the species with full coding region sequences ().
MI). Both the full-length coding region and exon 1
A two x model A) estimated one ratio for primates
sequences of all taxa were aligned using ClustalX 1.83.1
(as a total group) and another ratio for the outgroup species.
Oryctolagus cuniculus
Oryctolagus cuniculus
Rattus norvegicus
Rattus norvegicus
Oryctolagus cuniculus
Oryctolagus cuniculus
Rattus norvegicus
Rattus norvegicus
Fig. 2. Nested models of progesterone receptor evolution. In addition to the one x ratio (model 0) the maximum likelihood scores from alternativescenarios of nucleotide substitution rate variation were calculated using PAML and tested against one another using likelihood ratio tests. (A) Two x ratiomodel estimated separate ratios for non-primates and primates; (B) three x model estimated one ratio for non-primates, one ratio for the human–chimpanzee total group, and one for the other primates; (C) four x model estimated one ratio for non-primates, a ratio for the human–chimpanzee crowngroup, a ratio for the human–chimpanzee stem lineage, and a ratio for the other primates; (D) a five x model estimated a separate ratio for each of thefollowing five groups: non-primates, the human terminal branch, the chimpanzee clade, the human–chimpanzee stem, and the other primates. Hypothesistests were conducted using a nested procedure.
C. Chen et al. / Molecular Phylogenetics and Evolution 47 (2008) 637–649
A three x model (B) estimated one ratio for non-prima-
(70) to identify the specific lineages and sites where nucleo-
tes, and two ratios for primates, namely the human–chim-
tide substitutions and amino acid replacements occurred.
panzee total group (all descendant branches in the human–
With these data, we compared the alternatively spliced
chimpanzee clade including their stem lineage), and all the
exons (i.e. exons 1 and 2) to the exons found in all PGR iso-
other primates. A four x model (C) estimated one ratio
forms (i.e., the constitutively spliced exons 3–8). In partic-
for non-primates and three ratios for primates––the human–
ular, we assessed the number of nucleotide substitutions
chimpanzee crown group (the descendent lineages from the
per site in human descent from the last common ancestor
last common ancestor of humans and chimpanzees), the
of anthropoid primates for different exon classes: each
human–chimpanzee stem lineage, and all the other primates.
alternatively spliced exon (1 and 2), exons 3–8, and the full
A five x model D) estimated five different ratios as fol-
gene. The exon classes were compared to one another by
lows: (1) non-primates, (2) the human terminal branch, (3)
test or Fisher's exact test. Previously published
the chimpanzee clade, (4) the human–chimpanzee stem,
phylogenetic trees of primate and mammalian relationships
and (5) the other primate lineages. In every model tested,
were employed to describe the pattern of nucleotide substi-
the likelihood values were calculated three times, with differ-
tution during evolution
ent starting seed values for the x parameter (0.5, 1, and 2) to
increase the probability of reaching the optimal likelihoodscore.
Branch sites tests of were conducted
to detect individual PGR codons that had experienced posi-
3.1. Characterization of sequences and evolutionary changes
tive selection. These tests compare a priori determined fore-
in progesterone receptor
ground and background branches. In our test, branches inthe human and chimpanzee crown group were the fore-
The multiple sequence alignment of coding nucleotide
ground lineages. The remaining branches were the back-
sequences including indels spanned 2853 bp. Aligned exon
ground. Model A is the alternative hypothesis and
1 sequences are 1688 bp. Exons 2–8 have an alignment
assumes that on the foreground branch(es) some codons
length of 1165 bp. We obtained two slightly different clones
have undergone purifying selection while other codons
from Tarsius, suggesting that there is heterozygosity or a
are neutral or positively selected. Selection is not allowed
second copy of PGR in that sample.
on background branches. Model A was compared to the
All the taxa included in our analysis have alternative
null model which fixed x = 1 on the foreground in the
translation initiation sites (TIS) for the three major iso-
two site classes that allow selection. Bayes Empirical Bayes
forms, PR-B/PR-A/PR-C. PR-B/A TIS, Met1 and Met165
(BEB) posterior probabilities for site classes were examined
are inside the first exon region. PR-C uses an in-frame
to infer sites that likely were under positive selection.
translation start site, Met595, at the end of the second exon.
Likelihood scores for alternative models were compared
The PR-C in-frame TIS not only exists in the taxa included
by likelihood ratio tests, and a
test was used to deter-
in the full PGR gene analysis, but also in the publicly avail-
mine significance. A result was considered significant if
able whole genome assemblies and Ensembl gene builds for
p < 0.05. All tests were conducted using presumed phyloge-
armadillo (Dasypus novemcinctus), tenrec (Echinops telfair-
netic trees ().
i), elephant (Loxodonta africana), opossum (Monodelphisdomestica), chicken (Gallus gallus), frog (Xenopus tropical-
2.4. Evolutionary rates
is), spotted green pufferfish (Tetraodon nigrovirdis), Japa-nese pufferfish (Fugu rubripes), and zebrafish (Danio rerio)
In addition to maximum likelihood tests for selection,
(data not shown).
maximum parsimony ancestral sequences (ACCTRAN
In primates the first exon is more variable than the other
and DELTRAN) were inferred using the software PAUP*
exons. Human-specific amino acid changes are mostly in
Table 1Amino acid replacements in human since the divergence from chimpanzees
Amino acid position
Nonsynonymous SNPs
Multiple species alignment
AF, activation function region; IF, inhibitory function region.
C. Chen et al. / Molecular Phylogenetics and Evolution 47 (2008) 637–649
the first exon, specifically in the IF region (Accord-
revealed only one nonsynonymous SNP among the codons
ing to parsimony ancestral reconstructions, there were 17
changed on the human lineage There were eight
unambiguous amino acid replacements in the human and
amino acid replacements observed in chimpanzees (two on
chimpanzee clade Eight of these replacements
the chimpanzee stem, three on the bonobo terminal lineage,
occurred on the human lineage and eight in the chimpanzee
and three in the common chimpanzee terminal linage). Of
lineages. There was one replacement on the human–chim-
these eight replacements, four are in the IF region (one of
panzee stem lineage. Six of the eight inferred amino acid
the amino acid changes was on the chimpanzee stem and
replacements on the human terminal lineage were in the
three were on the terminal linage of the common chimpan-
inhibitory function region. The other two amino acid
zee). The remaining replacements are scattered among the
replacements were in AF3 and hinge region, respectively.
transactivation AF1 and AF3 domains, and the hinge region
All human replacements occurred in exon 1 with the excep-
tion of one replacement in the hinge region. Searches of the
Parsimony analysis inferred a range of three to five
NCBI single nucleotide polymorphism database (dbSNP)
amino acid replacements on the stem lineage leading to
171: G>R
535: N>S
265: A>T
184: A>V
545: A>T
267: A>V
204: S>A
691: T>S
348: A>V
213: G>E
228: P>A
359: S>C
83: D>N
444: P>T
312: V>M
679: I>V
182: G>R
Fig. 3. Amino acid replacements in PGR during human and chimpanzee evolution. A phylogram depicts the amino acid replacements that occurred inPGR during recent human and chimpanzee evolution. Numbers refer to the amino acid position in the multiple sequence alignment of the complete gene.
This alignment included all anthropoid primates sampled (see Section ), as well as mouse, rat, rabbit, and dog. Branch lengths are proportional to theamount of amino acid replacement.
C. Chen et al. / Molecular Phylogenetics and Evolution 47 (2008) 637–649
0.46 (225.2;200.1)
0.44 (8.2;7.5)
Pongo
1.22 (3.1;1.0)
Pan paniscus
Pan troglodytes
0.24 (3.1;5.2)
Gorilla
0.30 (17.7;24.1)
Hylobates
0.67 (10.4;6.3)
Colobus
0.35 (7.3;8.4)
Trachypithecus
0.77 (5.9;3.1)
Papio
0.32 (18.7;24.0)
Cebus
0.12 (41.2;141.8)
Oryctolagus
0.22 (61.1;111.8)
Mus
0.12 (107.7;376.9)
0.26 (79.7;107.8)
0.38 (186.4;171.0)
Pan paniscus
Pan troglodytes
0.14 (46.4;115.0)
0.38 (241.3;222.6)
0.20 (166.1;294.8)
0.25 (104.2;144.1)
0.26 (37.0;50.0)
Dugong
Fig. 4. Adaptive evolution in progesterone receptor. The free ratio model (model 1) of nucleotide substitution, which estimates a separate x value for eachbranch in the tree, is shown. The numbers shown along each branch are x, and the maximum-likelihood estimates of the numbers of nonsynonymous(N*dN) and synonymous (S*dS) substitutions along that branch. (A) Complete coding region, (B) first exon. Lineages showing evidence of adaptiveevolution are depicted in red.
C. Chen et al. / Molecular Phylogenetics and Evolution 47 (2008) 637–649
Table 2Likelihood ratio scores and x values of the different nested models
macaque and baboon: (1) a minimum of three changes, all
lihood = 11500.53; Similar results are observed
in the IF region; or (2) a maximum of five amino acid
in the analysis of the first exon B). These results indi-
changes, of which four are in the IF region and one is in
cate that the dN/dS ratios are indeed different among lin-
the AF1 domain. Additionally, there were four unambigu-
ous amino acid replacements on the haplorhine (anthro-
purifying selection; the background x value (i.e., one ratio
poid and tarsier) stem (two in the IF region and two in
or Model 0) is 0.25. In contrast to the low background x
the AF3 domain).
value, a few branches do show evidence of positive selec-
Functionally important conserved amino acid sites,
tion. The branch with the highest ratio for the full gene is
including 5K, 7K, 55LxxLL(L1), 115LxxLL(L2), 140W,
the human terminal branch (dN/dS = 1.63; N*dN = 8.3,
387IKEE, and 531K (amino acid numbers are from the human
S*dS = 2.1). Most of this change occurred in exon 1
protein sequence) have been identified in PR (
(In addition to the human terminal branch, accel-
erations occur in the chimpanzee clade (for both the full
to our data, three of these sites (7K, 387IKEE, and 531K)
gene and for exon 1), the stem papionan (macaque and
are uniformly conserved. The others have experienced amino
baboon) lineage for the full gene, and the stem papionan
acid replacements during mammalian evolution. 5K is
and stem haplorhine lineages for exon 1.
replaced by Q in mouse and rat and T in dog. 140W is replaced
The dN/dS ratios estimated from the various nested
by 140R in dog. L1 is replaced by LxxLV in Otolemur, SxxLL
models and likelihood ratio tests are shown in .
in dog and LxxLF in Bradypus. L2 is replaced by LxxLW in
The best-fit model (p = 0.021; C) for PGR
NWMs and PxxAL in dog.
evolution is the 4 x model that estimated one ratio fornon-primates and three rates for primates: (1) the
3.2. Tests for selection-variable dN/dS rates among lineages
human–chimpanzee crown group (the descendent lineages
from the last common ancestor of humans and chimpan-zees); (2) the human–chimpanzee stem lineage; and (3)
The x values estimated on lineages are shown in
the other primates. In this statistical model PGR has a
For the full gene (the free ratio model (model 1,
>7 fold higher dN/dS in the human and chimpanzee crown
log likelihood = 11440.52) fits the data significantly bet-
group (2.1682) compared with all other lineages, thus pro-
ter (p < 0.001) than the one ratio model (model 0, log like-
viding strong evidence for positive selection. The branchsites tests identified a proportion of sites as potentiallybeing positively selected (17%, x = 5.5) although the null
hypothesis could not be rejected (p = 0.22).
Significance tests of the nested models
3.3. Evolutionary rates
Our data demonstrate that the 50 region of PGR con-
taining the sites associated with the transactivation and
Table 4Parsimony inferred rates of nucleotide substitutions in PGR during human descent from the most recent common ancestor of anthropoids
The significance of the comparisons between exon 1 and the other exons are labeled as follows: *p < 0.05; **p < 0.005. The comparisons between exon 2and exons 3–8 were not statistically significant. Sub = substitution.
C. Chen et al. / Molecular Phylogenetics and Evolution 47 (2008) 637–649
transrepression function is highly variable, whereas other
preserved these sites, at which point no further changes
coding regions are well conserved. The number of substitu-
tions per site on the anthropoid lineages leading to human
Among all sampled taxa, the first exon includes a CpG
between alternatively and constitutively spliced exons is
island. CpG dinucleotides have high mutation rates and
presented in Exon 1 evolves much more rapidly
increased frequency of transitions relative to transversions
than exon 2, even though both are alternatively spliced.
because they are prone to be mutated by cytosine deamina-
During human descent from the last common anthropoid
tion (). As such, one
ancestor, exon 1 had significantly more substitutions per
possible interpretation of the results is that the observed
site in comparison to both the other alternatively spliced
amino acid replacements are due solely to CpG status
exon 2 and to the constitutively spliced exons 3–8. Most
rather than adaptive evolution. However, CpG islands dif-
of this acceleration is due to nonsynonymous substitution.
fer from methylated CpG dinucleotides. They usually
The background dN/dS value as calculated by PAML in
escape methylation in the germline and remain consistently
alternatively spliced exons (exons 1 and 2) is more than
nonmethylated in normal tissues, with the exception of
four times higher than in other constitutive exons (dN/
some imprinted genes and inactivated X chromosomes
dS = 0.27 vs. 0.06). The absolute value of dN is also
increased when the alternatively spliced exons are com-
pared to the constitutively spliced exons (dN = 0.53 vs.
set, the ratio of transitions over transversions (ts/tv) in the
CpG island region (2.88) is lower than in the non-CpGisland region (exon 2–8) (3.09). This suggests that theisland escapes the effects of rapid mutation due to CpG sta-
tus. More importantly, none of the nonsynonymous substi-tutions in the human–chimpanzee clade took place at CpG
This study investigated three aspects of PGR evolution:
dinucleotides. Finally, progesterone receptors are unme-
(1) the strength of positive selection (i.e., adaptive evolu-
thylated in normal human tissues such as uterine endome-
tion) in human and chimpanzee lineages; (2) the prevalence
trium, breast tissues, and bone marrow (
of positive selection within primates; and (3) the specific
isoforms and domains at which amino acids were replaced.
do not attribute the increase in nonsynonymous substitu-
Positive selection occurred on both the human and chim-
tion rate observed in human and chimpanzees to CpG
panzee lineages. Exon 1 (particularly the IF region) was
the region of the gene that showed the most amino acidreplacements during human evolution after the split from
4.1. Conservation in PGR
the chimpanzee lineage. The chimpanzees also showedchanges in the IF region but fewer than in the human line-
The pattern of selection observed among humans and
age. In primates, positive selection occurred rarely and was
chimpanzees is fairly rare in the context of primate and
mostly limited to the human and chimpanzee clade
even mammalian PGR evolution. Of 33 mammalian lin-
although the papionan (macaque and baboon) and haplo-
eages examined for exon 1 (only six had dN/dS
rhine stem lineages also showed evidence of selection.
ratios greater than 1, and four of these fall within the
Comparatively, humans and chimpanzees showed a sig-
human–chimpanzee clade. Throughout the majority of pri-
nificantly higher nonsynonymous than synonymous substi-
mate evolution, purifying selection has acted strongly on
tution rate. This result is in general accord with the finding
PGR, even in the most variable region of the gene, exon
of , who showed evidence for positive
1. As mentioned before, some key sites for PR autoinhibi-
selection in human and chimpanzee PGR. However, with
tory and transrepression function in the exon 1 IF region
the addition of data from other species we demonstrate
are 7K, 387IKEE, and 531K. These residues are uniformly
that positive selection occurred on both the human and
conserved among all the species in our study as well as in
chimpanzee lineages. Furthermore, among chimpanzees
the chicken (This implies that the
there is evidence for positive selection in both common
inhibitory function of the IF region is highly conserved.
and bonobo chimpanzees as well as on their stem lineage.
PGR is characterized by several alternatively spliced iso-
An alternative interpretation to the finding of adaptive
forms, and alternative splicing is a powerful and economi-
evolution is that the human and chimpanzee changes have
cal way to increase protein diversity from a single gene
no functional consequences and have evolved neutrally
locus in the course of evolution. The three major alterna-
under relaxed selection. This is unlikely because in humans
tive N-terminal isoforms PR-A/B/C have some overlap-
there is only one reported nonsynonymous SNP in the
ping and some unique functions (
codons encoding the amino acids that changed on the
human lineage, which suggests that substitutions were fixed
before the last common ancestor of modern humans (
Our study provides
). We propose that natural selection first spread these
evidence for the existence of these three PGR isoforms in
amino acid replacements through the human lineage then
all species studied (as measured by conservation of the
C. Chen et al. / Molecular Phylogenetics and Evolution 47 (2008) 637–649
three alternative TIS). Until the transcripts of the different
ductive tract malignancies such as endometrial (
PGR isoforms of the study species are available, a definitive
and ovarian tumors () as
description of the effects of alternative splicing in PGR evo-
well as in breast cancer (Possible clin-
lution will be lacking. Finally, the DBD and LBD are
ical implications of the rapid evolutionary divergence in the
highly conserved among all the mammals we sequenced
progesterone receptors of humans and chimpanzees should
as part of this study, and we found no evidence of rapid
therefore be considered.
evolution in either the DBD or LBD.
The observed amino acid replacements may represent
species-specific changes in the biologic inhibitory/repressor
4.2. Functional consequences of rapid evolution in PGR
activity of the PR in human and chimpanzees. The sixhuman amino acid replacements found in the IF region
PGR, and particularly the inhibitory function region,
combined with the lack of nonsynonymous human SNPs
have evolved rapidly during recent human evolution.
at five of the six codons raise the possibility that the
Indeed, 75% (6/8) of the amino acid changes on the human
changes on the human lineage were fixed before the most
lineage since the human–chimpanzee most recent common
recent common ancestor of modern humans. This finding
ancestor (MRCA) were in the first exon in the IF region
strengthens the evidence for adaptive evolution in human
and in chimpanzees the amino acid changes were
PGR and the conclusion that observed amino acid replace-
in both the IF region and transactivation domains
ments have functional importance. The IF is essential for
Although the exact functional consequences of the
PR-A function, and researchers have suggested that one
observed amino acid replacements are unclear, we can
of the functions of the AF3 domain in the PR-B isoform
speculate about their effects based on their location in the
is to block the inhibitory effect of the IF
protein. The AF3, IF, and AF1 regions provide surfaces
for transcriptional activation and repression of progester-
A possible implication of the evolutionary changes in the
one-modulated genes, and also are involved in PGR
IF region can be related to the mechanism of human labor,
autoinhibitory function. Additional functional conse-
many aspects of which are unique among mammals
quences that could be implicated from changes in these
For example, it has been proposed that primates have
regions include cofactor recruitment, cofactor-binding
a functional progesterone withdrawal leading to labor
affinity, the conformation of the protein complexes of PR
and its coregulators, and the transcriptional activity of
PR-B. In this last example it is important to note that
AF3 is unique to PR-B. Nonsynonymous substitutions
proposed mechanisms that effectively causes functional pro-
took place in AF3 domain in humans and chimpanzees,
gesterone withdrawal during parturition is the change in the
and this region might directly influence the intramolecular
relative expression of PR-A, PR-B, and PR-C in myome-
communication between the PR-B N terminus and down-
trium, fetal membranes, and placenta during the onset of
stream domains The two highly
conserved L1 boxes and 140W that define the AF3-related
It is possible that the expression
and interaction among the different PR isoforms in func-
amino acid replacements in New World monkeys, Otole-
tional progesterone withdrawal during human and chimpan-
mur, dog, and Bradypus. These observed amino acid
zee parturition are uniquely modulated via changes in the IF
replacements might also affect coactivator recruitment
region. Human parturition is different from that of chimpan-
and direct N-/C-terminal interaction. Coactivators known
zees and other mammals because in the past 6 million years
to act on progesterone receptor include c-AMP responsive
human anatomy has been modified by the emergence of
element binding protein 1 (CREB1) and members of the
bipedalism (resulting in the remodeling of the pelvis) as well
steroid receptor coactivator (SRC) family
as encephalization (resulting in an increased cranial size rel-
). An additional interpretation is that the observed
ative to body mass) ). These
amino acid replacements are compensatory substitutions
anatomical changes were certainly adaptive, and the mecha-
for replacement in protein cofactors, which are recruited
nism of human parturition may have undergone modifica-
by the activated PGR to the promoters of target genes in
each species.
Chimpanzees have also been subject to evolutionary pres-sures on their reproductive biology as evidenced by the pres-
4.3. Implications of this study
ence of sex skin swelling and extreme differences in sexualbehavior observed between common and bonobo chimpan-
PGR is an important factor in the normal development
zees (). Positively
and function of the reproductive tract (
selected changes in PGR, particularly in its IF region, might
well have participated in the emergence of these adaptations.
glands (and even reproductive behav-
However, elucidating the exact functional consequences of
ior (Changes in the
expression of PR-B and PR-A have been reported in repro-
C. Chen et al. / Molecular Phylogenetics and Evolution 47 (2008) 637–649
Condon, J.C., Jeyasuria, P., Faust, J.M., Wilson, J.W., Mendelson, C.R.,
2003. A decline in the levels of progesterone receptor coactivators inthe pregnant uterus at term may antagonize progesterone receptor
This research was funded by the Intramural Research
function and contribute to the initiation of parturition. Proc. Natl.
Program of the Eunice Kennedy Shriver National Institute
Acad. Sci. USA 100, 9518–9523.
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Office gynaecology Medication management of chronic pelvic pain Women look to gynaecologists when they have pelvic pain and appreciate a complete care approach. By improving our own skills, the majority of cases can be managed without the need for pain specialist referral. Chronic pain is pain that has involvement in activities with ‘high motivational value' for her will
12870 NMB Journal March 08 Cover 19/2/08 5:03 PM Page 3 Cover photo: Anita Sandstrom, Clinical Nurse Educator Paediatric Recovery, Sydney Children's Hospital Nurses and Midwives Board of New South WalesPO Box K599, Haymarket NSW 1238 AustraliaLevel 6, North Wing, 477 Pitt Street, Sydney, NSW 2000Telephone: +61 2 9219 0222 Facsimile: +61 2 9281 2030 Rural: 1800 241 220 Email: [email protected] Online: www.nmb.nsw.gov.auISSN: 1832-4800