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The Journal of Clinical Endocrinology & Metabolism Vol. 82, No. 3 977-981
Copyright © 1997 by The Endocrine Society


Experimental Studies

Immunohistochemical Localization of Gonadotropin and Gonadal Steroid Receptors in Human Pineal Glands1

Rafael Luboshitzky, Muralee Dharan, Dalia Goldman, Yehuda Hiss, Paula Herer and Peretz Lavie

Departments of Endocrinology (R.L.) and Cytopathology (M.D., D.G.), Central Emek Hospital, Afula, The L. Grinberg Institute of Forensic Medicine, Tel-Aviv (Y.H.), and the B. Rappaport Faculty of Medicine (P.H., P.L.), Technion, Haifa, Israel

Address all correspondence and requests for reprints to: Dr. R. Luboshitzky, Endocrine Institute, Central Emek Hospital, Afula 18101, Israel.


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Recently, we demonstrated that melatonin secretion was increased in male patients with GnRH deficiency and decreased to normal levels during testosterone treatment. These data suggested that gonadal steroids modulate melatonin secretion, probably by activating specific receptors in the pineal gland. We used immunohistochemistry to localize gonadotropin (LH and FSH) and gonadal steroid (androgens and estrogens) receptors in human pineal glands. Tissues were obtained at autopsy from 25 males, aged 19–87 yr, and five prepubertal children, aged 0.2–10 yr. Positive staining for all four types of receptors (LH, FSH, androgen, and estrogen) in the pineal parenchymal cells, pinealocytes, was evident in all 30 glands examined. Double staining revealed that nuclear receptors (androgen or estrogen) coexisted with cytoplasmatic receptors (LH or FSH) in the same cells. The results demonstrate the presence of gonadotropin and gonadal steroid receptors in human pinealocytes from infancy to old age.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
IN SEASONALLY breeding mammals, the antigonadal effects of melatonin are well established (1, 2). There is increasing evidence that melatonin plays an important role in human reproduction (1). The demonstration of nocturnal hypersecretion of melatonin in women with hypogonadotropic amenorrhea and in hypogonadal men (3, 4, 5) and its normalization during testosterone administration (6), on the one hand, and the demonstration of melatonin receptors in human granulosa cell membranes (7) and prostate (8), on the other hand, indicate that in addition to a possible role of melatonin in steroidogenesis, gonadal steroids may modulate melatonin secretion (6). As testosterone is aromatized to estradiol (E2) in the brain (9), it can be hypothesized that in male subjects, both testosterone and E2 exert their modulatory effects on melatonin secretion through specific receptors in the pineal gland. Animal studies had demonstrated androgen and estrogen receptors (AR and ER, respectively) in rat pinealocytes (10). A direct effect of testosterone and E2 on pineal melatonin release was demonstrated in male rats (11). The presence of LHRH in the monkey pineal gland and the ability of LHRH to influence the activity of protein synthesis in rat pinealocytes (12) suggest that gonadotropins may also participate in the modulation of melatonin secretion.

We hypothesized that both gonadal steroids and gonadotropins modulate melatonin secretion via specific pineal receptors. Here, we used immunohistochemistry to localize gonadotropins and gonadal steroid receptors in human male pineal glands.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Tissues and fixation

We have studied human pineal glands obtained at autopsy in 25 males (all had normal pubertal secondary sex signs), aged 19–87 yr (mean ± SD, 44.2 ± 19.8 yr), and in 5 male children, aged 2 months to 10 yr. All pineal glands were obtained over a 4-month period (May–August) from subjects who had died in Tel-Aviv, Israel (32°N). Causes of death were road accidents, gunshots, stabbing, and suicide. The autopsy was performed after obtaining permission from the family. Tissues were frozen in liquid nitrogen immediately upon removal. The postmortem interval was 18.0 ± 4.1 h. Frozen specimens were stored at -70 C until sectioning. Prostate and testicular specimens were obtained at autopsy, and prostate specimens obtained at surgery were handled in the same fashion as the pineal glands and served as control tissues for the immunohistochemical staining.

Immunohistochemistry

Light microscope immunohistochemistry was performed for the demonstration of the following receptors in the pinealocytes: LH (LH-R), FSH (FSH-R), AR, and ER. To confirm the specificity of receptor localization in the pineal gland, the following procedures were performed. 1) As positive controls for the four types of receptors examined, we used prostate and testicular specimens, tissues known to be positively stained for these receptors (13). 2) Negative controls were used in two ways: 1) omission of the primary (receptor) antibody during the immunostaining and using phosphate-buffered saline (PBS) instead, and 2) substitution of the primary antibody with nonspecific IgG (normal mouse serum, Diagnostic Products Corp., Los Angeles, CA). Immunohistochemical reagents were obtained from Zymed Laboratories (San Francisco, CA). Staining was carried out using an avidin-biotin complex method (Histostatin-SP KI, Zymed Laboratories) (14). Briefly, the frozen tissues were cut in 5-µm sections in a cryostat and mounted onto polylysine-coated slides. Slides were treated with 3% hydrogen peroxide for 10 min to quench endogenous peroxidase activity and washed immediately. Serum blocking solution (goat serum) was added to each section and incubated for 10 min. Sections were incubated with the primary antibodies overnight at 4 C, a procedure that we have found in preliminary studies to be necessary for optimal results. Slides were subsequently washed three times in PBS (pH 7.4) and then incubated with secondary antibodies (goat antimouse IgG-IgA-IgM-biotin) for 10 min at 22 C. After washing in PBS, enzyme conjugate (streptavidin peroxidase) was applied to each slide for 10 min. After repeated washing in PBS, substrate-chromogen mixture (3-amino-9-ethylcarbazole) was applied to each slide and incubated for 10 min. Sections were counterstained with Mayer’s hematoxylin. We used mouse monoclonal antibodies for AR (clone 39.4.1, Euro-Diagnostica, The Netherlands) at a concentration of 5 µg/mL, mouse monoclonal antibodies for ER (clone 1D5, Zymed Laboratories) at a concentration of 5 µg/mL, mouse monoclonal antibodies for LH-R (clone ZSL11, Zymed Laboratories) at a concentration of 5 µg/mL, and mouse monoclonal antibodies for FSH-R (clone ZMFS1, Zymed Laboratories) at a concentration of 5 µg/mL. Positive staining was evident by a red-brown deposit, which demonstrated the location of the receptor in the nucleus or cytoplasm. Identification of the tissues was carried out on sections stained only with hematoxylin at a magnification of x200. Immunohistochemistry on formalin-fixed tissues was performed as follows. The formalin-fixed specimens were removed, dehydrated, and embedded in paraffin, and 4-µm tissue sections were cut and mounted on microscope slides. Before staining, the slides were deparaffinized in xylene and rehydrated, and endogenous peroxidase activity was blocked with 3% hydrogen peroxide and washed in distilled water and then in 0.01 mol/L sodium citrate buffer. The slides were then heated in a microwave at high power (780 watts) for 10 min. The microwave fixation was needed for better nuclear receptors staining (15). Staining was then performed as described for frozen tissue specimens. Prostate and testicular specimens were fixed in formalin and served as positive and negative controls. Double staining was performed using the following combinations: LH-R and AR, LH-R and ER, FSH-R and AR, FSH-R and ER, on testicular, prostate, and pineal gland specimens in frozen tissues and formalin-fixed specimens. As negative controls we used testicular and prostate specimens as described for single staining. As positive controls for the four combinations we used testicular and prostate specimens. Immunohistochemical reagents were obtained from Zymed Laboratories. Staining was carried out using the streptavidin-biotin amplification method (Histostatin-DS kit) (14). Briefly, slides were treated with peroxidase quenching solution for 10 min and washed with PBS. Serum blocking solution (goat serum) was added to each section and incubated for 10 min. Sections were incubated with the primary antibodies overnight at 4 C (for AR, we used clone 39.4.1 at a concentration of 5 µg/mL; for ER, we used clone 1D5 at a concentration of 5 µg/mL). Slides were washed in PBS and incubated with secondary antibodies (goat antimouse). Streptavidin-alkaline phosphatase was added to each section, incubated for 10 min, and rinsed in PBS. Substrate-chromogen mixture (5-bromo-4-chloro-3-indolyl-phosphate/nitro blue tetrazolium chloride; producing a black-purple stain) was applied to each slide and incubated for 10 min, and then a double staining enhancer was applied to each section and incubated for 30 min. Slides were washed with distilled water and then rinsed with PBS. Serum blocking solution (goat serum) was added and incubated for 10 min. The slides were then incubated with the primary antibodies overnight at 4 C (for LH-R, we used clone ZSL11 at a concentration of 5 µg/mL; for FSH-R, we used clone ZMFS1 at a concentration of 5 µg/mL). After incubation with biotinylated goat antimouse secondary antibodies for 10 min at 22 C, streptavidin-peroxidase was applied to each section and incubated for 10 min. Substrate-chromogen mixture (3-amino-9-ethylcarbazole; producing red-brown stain) was added to each section and incubated for 10 min. Sections were lightly counterstained with Mayer’s hematoxylin.

Semiquantification of single immunostaining

The percentage of positively stained cells was defined as the positivity index (PI) and was evaluated in a given microscopic area of 0.08 mm2 at a magnification of x200 (an average of 500 cells/field). Four fields were counted in each gland, and the mean value of the four readings was defined as the PI. As this study was carried out on pineal glands obtained at two different circadian phases from subjects who had died during the daytime (0800–2000 h) when pineal production of melatonin is low and from subjects who died at night (2000–0800 h) when pineal production of melatonin is at its peak (1), we compared the daytime with the nighttime PIs of these receptors (defined as the day-night differences).

Statistical analysis

PIs were compared using the two-independent sample Mann-Whitney test to determine differences between day and night values in adult subjects. Spearman’s correlations between the PI and age of the subjects were computed.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Positive staining for LH-R, FSH-R, AR, and ER was evident in the pineal glands of all 25 adults and 5 children in the pinealocytes (pineal parenchymal cells; Fig. 1Go). LH-R was located only in the cytoplasm, whereas FSH-R, ER, and AR were demonstrated in the nucleus and cytoplasm. The PI and the location of the receptors are given in Table 1Go. The PIs for LH-R and FSH-R (1.37 ± 0.88% and 1.26 ± 0.78%, respectively) were greater than those for cells positively stained for ER or AR (0.41 ± 0.46% and 0.19 ± 0.20%, respectively).



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Figure 1. Immunohistochemical localization of gonadotropin (LH and FSH) and gonadal steroid (androgen and estrogen) receptors in the human male pineal gland. A, Positive cytoplasmatic staining for LH-R is evident in the luminal cells (red-brown), with no staining in the prostate stroma (positive control). B, Is a negative control with no staining in the luminal or stromal cells of the prostate. C–F, Positive single staining in the pinealocytes. C, Positive cytoplasmatic staining for LH-R. D, Positive staining for AR. Positive nuclear (N) and cytoplasmatic (C) staining is indicated by black arrowheads. E, Positive staining for ER. The black arrowheads denote the nuclear (N) or cytoplasmatic (C) location of the receptor. In F, a double staining method demonstrated colocalization of nuclear AR (black-purple) and cytoplasmatic LH-R (brown) in the same cells. Magnification: A, B, C, x100; D and E, x200; F, x400. Tissue preservation: A and C are frozen sections; in B and D–F the tissues were fixed in formalin.

 

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Table 1. Characteristics of gonadotropin and gonadal steroid receptors in 30 human pineal glands

 
A significant day (0.79 ± 0.48%)-night (1.70 ± 0.75%) difference was observed only with FSH-R (P < 0.02). AR and LH-R showed higher values at night, albeit statistically not significant. LH-R and FSH-R were positively correlated with AR (r = 0.61; P < 0.02 and r = 0.63; P < 0.01, respectively). The PIs of the four receptors were not correlated with the ages of the subjects.

By double immunohistochemical staining, colocalization of nuclear AR or ER and cytoplasmatic LH-R or FSH-R was observed in the same cells. The formalin-fixed tissues showed the same LH-R, FSH-R, ER, and AR distribution pattern and the same PI as the frozen sections. However, the formalin-fixed specimens showed a diminished immunostaining intensity compared with corresponding frozen sections.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The current results here show for the first time the presence of gonadal steroid and gonadotropin receptors in human male pinealocytes. All four types of receptors examined were demonstrated in children and adult subjects. Double immunostaining revealed that LH-R- or FSH-R-positive cells were also positive for the nuclear AR or ER. We used immunohistochemistry on tissues obtained at autopsy, with staining patterns and intensity being similar in frozen and formalin-fixed sections. Using similar preservation techniques, other investigators demonstrated melatonin receptors in human hypothalamus (15) and ß-adrenergic receptors in human pineal glands (16) obtained at autopsy.

The immunolocalization of receptor proteins does not directly imply that the entire receptor is present and functions. However, a direct effect of E2 and testosterone on melatonin release (11, 17) and the effect of LHRH on pinealocyte protein synthesis (12) have been shown in male rats. Moreover, the demonstrations of AR and ER in rat pinealocytes (18) and decreased 5-{alpha} dihydrotestosterone receptor density in male rats during growth and development (10) support our findings.

In our study, AR and ER immunostaining in all prepubertal children was confined to the cytoplasm, with no nuclear staining, which is in contrast to the widely accepted concept of the nuclear location of these receptors (19). In view of the positive nuclear staining of these receptors in adult subjects, it is likely that those differences are due to low circulating levels of androgens and estrogens in children and, hence, to the low availability of these hormones to their receptors in the pinealocytes. Recently, it was shown that AR-immunoreactive cells in prepubertal male ferrets were sensitive to circulating levels of androgens and demonstrated an increase in the number of AR during puberty (20). In addition, it was shown that circulating androgens regulate their own receptors and AR immunoreactivity became cytoplasmic 2–3 weeks after castration (19, 21). It is likely that as a result of low circulating levels of androgens and estrogens in our prepubertal children, AR and ER were ligand free and were associated in a complex with the abundant heat shock protein, hsp90 in the cytoplasm (22), thus accounting for the high percentage of positively stained cells in two of the prepubertal children.

The tendency for a nocturnal elevation of FSH-R in our study resembles the nocturnal rise of blood melatonin levels (1) and pineal melatonin content (23) observed in humans and the stimulating effects of testosterone and E2 on rat melatonin release (11).

Taken together, these data may suggest that in humans, the pituitary-gonadal hormones, via their receptors in the pineal gland, had evolved an adjustment to the rhythmicity of melatonin secretion. It is tempting to speculate that the function of this feedback mechanism is to inhibit the hypersecretion of melatonin.

In conclusion, the present findings support the idea that in humans, gonadal steroid and gonadotropin receptors are present in the pinealocytes from infancy to old age. The current observations do not permit drawing decisive conclusions as to the role of gonadotropins and gonadal steroids in the modulation of melatonin secretion from the pineal gland.


    Acknowledgments
 
We are indebted to Mrs. Frances Nachmani for her excellent secretarial assistance, and to Mr. Daniel Ben-Or and Mr. Eli Lipstein for their assistance with obtaining the tissues for this study.


    Footnotes
 
1 This work was supported by grants from the B. Rappaport Research Fund, The Maurice and Arlene King Fund (U.S.), and the Israel Ministry of Health (no. 181–645 and 181–792). Back

Received August 16, 1996.

Revised November 18, 1996.

Accepted November 25, 1996.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Arendt J. 1995 Melatonin and the mammalian pineal gland. London: Chapman and Hall; 201–246.
  2. Ojeda SR, Urbanski HF. 1994 Puberty in the rat. In: Knobil E, Neil JD, eds. The physiology of reproduction. New York: Raven Press; 363–409.
  3. Brzezniski A, Lynch JHJ, Seibel HM, Deng MH, Dader TM, Wurtman RJ. 1988 The circadian rhythm of plasma melatonin during the normal menstrual cycle and in amenorrheic women. J Clin Endocrinol Metab. 66:891–895.[Abstract/Free Full Text]
  4. Okatani Y, Sagara Y. 1994 Amplification of nocturnal melatonin secretion in women with functional secondary amenorrhea: relation to endogenous estrogen concentration. Clin Endocrinol (Oxf). 41:763–770.[Medline]
  5. Luboshitzky R, Lavi S, Thuma I, Lavie P. 1995 Increased nocturnal melatonin secretion in male patients with hypogonadotropic hypogonadism and delayed puberty. J Clin Endocrinol Metab. 80:2144–2148.[Abstract]
  6. Luboshitzky R, Lavi S, Thuma I, Lavie P. 1996 Testosterone treatment alters melatonin concentrations in male patients with gonadotropin-releasing hormone deficiency. J Clin Endocrinol Metab. 81:770–774.[Abstract]
  7. Yie SK, Niles LP, Younglai EV. 1995 Melatonin receptors on human granulosa cell membranes. J Clin Endocrinol Metab. 80:1747–1749.[Abstract/Free Full Text]
  8. Gilad E, Laudon M, Matzkin H, et al. 1996 Functional melatonin receptors in human prostate epithelial cells. Endocrinology. 137:1412–1417.[Abstract]
  9. Bagatell CJ, Dahl KD, Bremner WJ. 1994 The direct pituitary effect of testosterone to inhibit gonadotropin secretion in men is partially mediated by aromatization to estradiol. J Androl. 15:15–21.[Abstract/Free Full Text]
  10. Gupta D, Halder C, Coelevald M, Roth J. 1993 Ontogeny, circadian rhythmpattern and hormonal modulation of 5-alpha-dihydrotestosterone receptors in the rat pineal. Neuroendocrinology. 57:45–53.[Medline]
  11. San Martin M, Bogdan A, Touitou Y. 1996 Day-night differences in the effects of gonadal hormones on melatonin release from perifused rat pineals. Evidence of a circadian control. Steroids. 61:27–32.[CrossRef][Medline]
  12. Halder-Misra C, Pevet P. 1983 The influence of luteinizing-hormone releasing hormone (LHRH) on the process of protein and/or peptide secretion characterized by the formation of granulose vesicles in mammalian pinealocytes. Cell Tissue Res. 232:529–538.[CrossRef][Medline]
  13. Janssen PJ, Brinkmann A[undot]iO, Boepma WJ, Van Der Kwast TH. 1994 Immunohistochemical detection of the androgen receptor with monoclonal antibody F39.4 in routinely processed paraffin-embedded human tissue after microwave pre-treatment. J Histochem Cytochem. 42:1169–1175.[Abstract]
  14. Elias JM, Margiotta M, Gabore D. 1989 Sensitivity and detection efficiency of the peroxidase antiperoxidase (PAP) avidin-biotin peroxidase complex (ABC) and peroxidase-labelled avidin biotin (LAB) methods. Am J Clin Pathol. 92:62–67.[Medline]
  15. Weaver DR, Stehle JH, Stopa EG, Reppert SM. 1993 Melatonin receptors in human hypothalamus and pituitary: Implications for circadian and reproductive responses to melatonin. J Clin Endocrinol Metab. 76:295–301.[Abstract]
  16. Little KY, Kirkman JA, Duncan GE. 1996 ß-Adrenergic receptor subtypes in human pineal gland. J Pineal Res. 20:15–20.[Medline]
  17. Cardinali DP, Vacas MI, Keller Sarmiento MI, Etchegogen GS, Pereyra EN, Chulugan HE. 1987 Neuroendocrine integrative mechanisms in mammalian pineal gland: effect of steroid and adenohypophyseal hormones on melatonin synthesis in vitro. J Steroid Biochem. 27:565–571.[CrossRef][Medline]
  18. Cardinali DP, Nagle CA, Rosner JM. 1975 Control of estrogen and androgen receptors in the rat pineal gland by catecholamine transmitter. Life Sci. 16:93–106.[CrossRef][Medline]
  19. Prins GS, Birch L. 1993 Immunocytochemical analysis of androgen receptor along the ducts of the separate rat prostate lobes after androgen withdrawl and replacement. Endocrinology. 132:169–178.[Abstract/Free Full Text]
  20. Kashon ML, Hayes MJ, Shek PP, Sisk CL. 1995 Regulation of brain androgen receptor in immunoreactivity by androgen in prepubertal male ferrets. Biol Reprod. 52:1198–1205.[Abstract]
  21. Iqbal J, Swanson JJ, Prins GS, Jacobson CD. 1995 Androgen receptor-like immunoreactivity in the Brazialian opossum brain and pituitary: distribution and effects of castration and testosterone replacement in the adult male. Brain Res. 703:1–18.[CrossRef][Medline]
  22. Koshiyama M, Konishi I, Nanbu K, et al. 1995 Immunohistochemical localization of heat shock proteins HSP70 and HSP90 in the human endometrium: correlation with sex steroid receptors and Ki-67 antigen expression. J Clin Endocrinol Metab. 80:1106–1112.[Abstract]
  23. Hofman MA, Skene DJ, Swaab DF. 1995 Effect of photoperiod on the diurnal melatonin and 5-methoxytryptophol rhythms in the human pineal gland. Brain Res. 671:254–260.[CrossRef][Medline]



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