The molecular events that lead to the onset of labor in humans and in other mammalian species remain unclear. We propose that a decline in coactivators containing histone acetylase activity in myometrium may contribute to the onset of labor by impairing the function of the progesterone-progesterone receptor (PR) complex. As assessed by semiquantitative and real-time RT-PCR, immunohistochemistry, and immunoblotting, expression of the PR coactivators cAMP-response element-binding protein (CREB)-binding protein and steroid receptor coactivators 2 and 3 was decreased in fundal uterine tissue of women in labor. Using the mouse as an animal model, we also found decreased coactivator levels in uterine tissues at term. In both human and mouse, the levels of acetylated histone H3 were also decreased in uterine tissues at term. Administration of trichostatin A, a specific and potent histone deacetylase inhibitor, to pregnant mice late in gestation increased histone acetylation and delayed the initiation of parturition by 24 -48 h, suggesting the functional importance of the decline in histone acetylation in the initiation of labor. These findings suggest that the decline in PR coactivator expression and in histone acetylation in the uterus near term may impair PR function by causing a functional progesterone withdrawal. The resulting decrease in expression of PR-responsive genes should increase sensitivity of the uterus to contractile stimuli.pregnancy ͉ labor ͉ histone acetylation ͉ human ͉ mouse I n many species, progesterone withdrawal appears to be a critical event in the initiation of parturition, which is evidenced by the fact that a decline in progesterone levels precedes the onset of parturition and that progesterone administration delays the process (1). However, a role for progesterone withdrawal in the control of human labor has not been identified, because plasma progesterone levels do not decline before or during labor (2). Nevertheless, the fact that the progesterone receptor (PR) antagonist mifepristone can enhance cervical ripening and initiate labor (3) suggests some form of functional progesterone deprivation might be involved in the initiation of labor in women. Functional progesterone withdrawal could be mediated by a variety of mechanisms, including accelerated inactivation͞ metabolism of progesterone within target cells, formation of metabolites that antagonize binding of progesterone to its receptor, reduction in the amount of PR, and͞or impairment of the transcriptional activity of the progesterone-PR complex by alterations in the levels of essential coregulators. Because levels of uterine PR do not decline prior to or during labor (4), in the present study we analyzed the potential role of changes in coregulator levels in the initiation of labor.Nuclear receptors such as the PR interact with coregulators, coactivators, and corepressors, which increase and decrease their transcriptional activities, respectively. Coactivators likely function by bridging sequence-specific activators, such as ligandbo...