The Journal of Clinical Endocrinology & Metabolism Vol. 82, No. 6 1869-1873
Copyright © 1997 by The Endocrine Society
Triiodothyronine and Follicle-Stimulating Hormone, Alone and Additively Together, Stimulate Production of the Tissue Inhibitor of Metalloproteinases-1 in Cultured Human Luteinized Granulosa Cells
S. Goldman,
M. Dirnfeld,
H. Abramovici and
Z. Kraiem
Endocrine Research Unit (S.G., Z.K.) and Department of Obstetrics
and Gynecology (M.D., H.A.), Carmel Medical Center; and the Bruce
Rappaport Faculty of Medicine, Technion-Israel Institute of Technology
(H.A., Z.K.), Haifa, Israel
Address all correspondence and requests for reprints to: Z. Kraiem, Endocrine Research Unit, Carmel Medical Center, 7 Michal Street, Haifa 34362, Israel.
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Abstract
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Thyroid disorders have been frequently associated with menstrual
disturbances and impaired fertility. To characterize the nature of
thyroid hormone action in the ovary, the direct effects of
T3-gonadotropin interactions were investigated in
vitro using a culture system of human luteinized granulosa
cells in serum-free medium. Although FSH alone was devoid of any
significant effect on cell proliferation, it inhibited
T3-stimulated cell growth. The electrophoretic profiles of
the radiolabeled proteins induced by the different hormonal treatments
revealed similarity in overall protein patterns but differences in
intensity of labeling. Human CG, alone or combined with T3,
had no major influence on the total intensity of labeling compared with
control, whereas T3 or FSH alone reduced total labeling
intensity but a 30,000 Da protein band was increased. FSH combined with
T3 augmented the total intensity of labeling, including the
30,000-Da protein band. Western blot analysis revealed the presence of
the tissue inhibitor of metalloproteinases-1 (TIMP-1), mol wt 30,000,
known to play a key role in ovarian function. TIMP-1 was dose
dependently stimulated by T3 and FSH, and an additive
effect was obtained when both hormones were combined.
This is the first report of TIMP-1 modulation by FSH in ovarian cells
and of an effect by thyroid hormone on TIMP-1 levels. The study shows
TIMP-1 induction in human ovarian cells not only by FSH,
i.e. via a probable protein kinase A
mechanism, but also demonstrates an additional mode of TIMP-1 hormonal
induction: via thyroid hormone stimulation, acting by modulation of
gene transcription. The present study provides novel data on TIMP-1
hormonal modulation and of direct T3 in
vitro ovarian effects that may account for the in
vivo indications of a thyroid-ovarian connection.
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Introduction
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THYROID disorders have been frequently
associated with menstrual disturbances and impaired fertility (reviewed
in 1 . Moreover, a number of in vitro studies have also
shown a direct effect of T3 on ovarian cells (reviewed in
Refs. 2 and 3). In a previous study in cultured human luteinized
granulosa cells in serum-free medium (2), we demonstrated that such
cells indeed contain thyroid hormone binding sites, and that they serve
as target to T3 action, in particular T3
modulating human CG (hCG)-mediated ovarian cell proliferation and
function (cAMP formation and progesterone secretion).
Ovarian proteins, such as metalloproteinases and their inhibitors, are
believed to be involved in the ovarian processes of follicular rupture
and luteolysis (reviewed in 4 . Using the same serum-free system
of human luteinized granulosa cells cultured with the same agents at
the same doses and culture period as in our previous study (2), we
examined the profile of radiolabeled proteins synthesized by such cells
when challenged by T3, FSH, or hCG, alone and in
combination, as well as the effect of T3-FSH interactions
on cell growth.
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Materials and Methods
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Human luteinized granulosa cells were harvested from large (>17
mm diameter) dominant preovulatory follicles from women under the age
of 40 yr with tubal infertility undergoing oocyte retrieval for
in vitro fertilization. The protocol for ovarian stimulation
and cell preparation was as commonly used (e.g.
in Refs. 5 and 6) and was identical to that described in detail in our
previous study (2). Cells were cultured in triplicate at a density of
200,000 cells/well in 0.5 ml Hams F-10 medium containing 0.1%
heat-inactivated human serum plus antibiotics. After 24 h of
culture for cell attachment, the medium was removed and serum-free
Hams F-10 medium plus antibiotics with or without hormones (hCG
(Chorigon, Teva, Israel) and/or FSH (Metrodin, Ikapharm, Israel) and/or
T3 (Sigma Chemical Co., St. Louis, MO) was added to the
monolayer culture. Viability of cells, as assessed by trypan blue,
following treatment with hCG, FSH, T3, and combinations
thereof, ranged from 8691%. The protocol used by the in
vitro fertilization unit of the Carmel Medical Center where the
work was performed has been approved by the Israel Scientific Council
and Israel Ministry of Health.
After culturing the cells for 4 days in the presence and absence of
hormones, the cell DNA content was measured by fluorimetry as described
previously (7), and incorporation of [3H]-thymidine
(Amersham International, Amersham, Bucks, UK), added during the last
24 h of culture, was measured as described previously (8). To
determine the protein electrophoretic profile at the end of the culture
period (4 days), the monolayer was washed with methionine-free DMEM,
and 0.5 mL of the same medium containing 10 µCi
[35S]methionine (Amersham International) was added to
each well. After 6 h incubation, the medium was removed and the
cell monolayer washed with 100 µL Dulbeccos PBS, which was then
discarded. SDS sample buffer was added to each culture well to remove
the cells, which were then frozen. Electrophoresis was performed on
515% polyacrylamide gradient slab gels with the use of the Laemmli
SDS buffer system (9). All samples, except those undergoing Western
blot analysis, were reduced with ß-mercaptoethanol before
electrophoresis. Gels were autoradiographed and then quantitated by
densitometry using the BioImaging gel documentation system (Dinco &
Renium, Jerusalem, Israel) and the TINA software (Raytest,
Staubenhardt, Germany).
For Western blot analysis, the proteins (50 µg/lane) following
SDS-PAGE were blotted onto 0.45-µm nitrocellulose membranes
(Schleicher & Schuell, Dassel, Germany). Nonspecific binding sites were
blocked by incubating the nitrocellulose membranes overnight with 20%
nonfat milk and Tris-buffered saline containing 0.01% Tween-20. The
membranes were then washed twice with Tris-buffered saline containing
0.5% Tween-20, and incubated for 1 h with mouse antihuman tissue
inhibitor of metalloproteinases-1 (TIMP-1) monoclonal antibody
(Oncogene Science, Cambridge, MA) in 10% nonfat milk and Tris-buffered
saline containing 0.01% Tween-20. The membranes were subsequently
washed with Tris-buffered saline containing 0.5% Tween-20 and
incubated for 1 h with horseradish peroxidase-conjugated
antirabbit secondary antibody (Jackson ImmunoResearch, West Grove, PA)
in 10% nonfat milk and Tris-buffered saline containing 0.01%
Tween-20, then detected by enhanced chemiluminescence (Amersham
International) and quantitated by densitometry as specified above.
Each experiment was repeated at least three times using cell
preparations obtained from separate patients. Statistical analysis of
the data was performed using Students t test when two
treatments were compared and ANOVA test when more than two treatments
were evaluated (e.g. dose-dependent responses).
P < 0.05 was considered significant.
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Results
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Cell proliferation
T3 markedly increased DNA content, with maximum levels
reached at a concentration of 10-9 M (Fig. 1
). Whereas FSH alone had no significant effect on DNA
content, addition of the gonadotropin to 10-9
M T3 inhibited the thyroid hormone-induced
stimulation of DNA to levels below those reached by control (Fig. 1
).
These results on the effect of T3, FSH, and T3
combined with FSH, were corroborated by measurements of tritiated
thymidine incorporation (mean ± SEM cpm/well:
control, 8670 ± 430; FSH (20 ng/mL), 9020 ± 640;
T3 (10-9 M), 19775 ± 890;
T3 (10-9 M) + FSH (20 ng/mL),
3440 ± 290. T3 vs. control was
P < 0.01; T3 + FSH vs. control
was P < 0.01.

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Figure 1. DNA content measured following culture for 4
days of human luteinized granulosa cells in absence and presence of
T3 (10-1110-7 M) or
FSH (20 ng/mL) alone, or T3
(10-1110-7 M) combined with FSH
(20 ng/mL). Each bar represents mean ± SEM of four
experiments. *, P < 0.05; **,
P < 0.01; ***, P < 0.005
compared with control.
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Electrophoretic profiles of [35S]methionine-labeled
proteins
The electrophoretic profiles of the radiolabeled proteins (Fig. 2
) revealed a large number of protein bands with no
major apparent difference in overall pattern between the different
treatments (i.e. control, T3, hCG,
FSH, and combinations thereof). Densitometric analysis confirmed the
similarity in protein patterns but revealed differences in intensity of
labeling (Fig. 3
). T3 reduced the total
intensity of labeling of the sum of all the protein bands (total
optical absorbance of the sum total of all the protein bands compared
with control: 76%). hCG, alone or combined with T3, did
not induce any marked change in the total intensity of labeling of the
sum of all the protein bands. FSH diminished the total intensity of
labeling of the sum of all the protein bands (74% of total optical
absorbance compared with control). T3 combined with FSH
enhanced the total intensity of labeling of the sum of all the protein
bands (141% of total optical absorbance compared with control).
Despite the reduction of total intensity of labeling by T3
or FSH, the intensity of labeling of a 30,000-Da protein band,
expressed as percent of sum total of labeling intensity of all the
bands in the same lane (i.e. treatment), was
higher than the intensity of labeling of this band (30,000 Da protein)
expressed as percent of labeling intensity of all the bands in the
control lane (i.e. treatment): 38% and 45%
higher than control for T3 and FSH, respectively. When
T3 and FSH were combined, the 30,000-Da protein band was
enhanced even more: 3.4-fold higher than control.

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Figure 2. Autoradiograph representative of four
experiments of electrophoretic profiles of
[35S]methionine-labeled proteins (50 µg protein/lane)
in human luteinized granulosa cells following 4 days culture in absence
(control, lane 1) and presence of hCG (1 IU/mL, lane 2), FSH (20 ng/mL,
lane 3), T3 (10-9 M, lane 4),
T3 (10-9 M) + hCG 1 IU/mL, lane
5), and T3 (10-9 M) + FSH 20
ng/mL, lane 6).
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Figure 3. Densitometric scans of autoradiograph of
human luteinized granulosa cell proteins shown in Fig. 2 . Lanes were
scanned vertically so that intensity of labeling of each band is
relative to that of other bands in same lane,
i.e. treatment.
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Western blot analysis
Western blot analysis revealed that the TIMP-1 antibody recognized
a 30,000-Da protein (Fig. 4
), thus providing evidence
that the radiolabeled protein band at 30,000 Da described earlier was
composed, at least in part, of this protein. As shown in Fig. 4
, hCG
slightly stimulated TIMP-1, whereas T3 and FSH markedly
augmented levels of the protein; T3 in combination with FSH
had an additive effect on TIMP-1. Figures 5
, 6
, and 7
show the dose-dependent
stimulation of TIMP-1 by T3, FSH, and hCG,
respectively.

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Figure 4. Western blot analysis following culture of
human luteinized granulosa cells for 4 days in absence (control) and
presence of hCG (1 IU/mL), T3 (10-9
M), FSH (20 ng/mL), hCG (1 IU/mL) + T3
(10-9 M), FSH (20 ng/ml) + T3
(10-9 M). Std. on
autoradiograph represents TIMP-1 standard (kindly donated by Dr. H.
Nagase). Histograms represent densitometric values (mean ±
SEM) of three experiments. The autoradiograph shown is that
of a representative experiment. *, P < 0.05; **,
P < 0.01; ***, P < 0.005
compared with control.
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Figure 5. Western blot analysis following culture of
human luteinized granulosa cells for 4 days in absence and presence of
various concentrations of T3. Densitometric values are
mean ± SEM of three experiments. The autoradiograph
shown is that of a representative experiment. *, P
< 0.05; **, P < 0.01; ***, P
< 0.005 compared with control. ANOVA of T3 stimulation of
TIMP-1 was P < 0.05.
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Figure 6. Western blot analysis following culture of
human luteinized granulosa cells for 4 days in absence and presence of
various concentrations of FSH. Densitometric values are mean ±
SEM of three experiments. The autoradiograph shown is that
of a representative experiment. *, P < 0.05; **,
P < 0.01 compared with control. ANOVA of FSH
stimulation of TIMP-1 was P < 0.05.
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Figure 7. Western blot analysis following culture of
human luteinized granulosa cells for 4 days in absence and presence of
various concentrations of hCG. Densitometric values are mean ±
SEM of three experiments. The autoradiograph shown is that
of a representative experiment. *, P < 0.05; **,
P < 0.01 compared with control. ANOVA of hCG
stimulation of TIMP-1 was P < 0.05.
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Discussion
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In cultured human luteinized granulosa cells, the salient findings
of the present study are as follows. 1) Although FSH alone was devoid
of any significant effect on cell proliferation, it inhibited, similar
to what was observed regarding hCG in our previous study (2),
T3-stimulated cell growth. 2) The electrophoretic profiles
of the radiolabeled proteins induced by the different hormonal
treatments revealed similarity in overall protein patterns but
differences in intensity of labeling because hCG, alone or combined
with T3, had no major influence on the total intensity of
labeling compared with control, whereas T3 or FSH alone
reduced total labeling intensity, but a 30,000-Da protein band was
increased. More-over, FSH combined with T3 augmented
the intensity of total labeling, including the 30,000-Da protein band.
3) Western blotting revealed the presence of TIMP-1, mol wt 30,000,
which was increased in the presence of T3 and FSH, alone
and additively, when both hormones were combined. It should be kept in
mind that the response of differentiated luteinized granulosa cells to
treatment in vitro may not represent the response of
follicular phase granulosa cells in vivo.
FSH in bovine (10) and hCG in rat (11) cultured granulosa cells has
been reported to increase the synthesis of a number of specific
radiolabeled proteins, unlike the lack of effect with hCG or inhibitory
effect with FSH we observed in human luteinized granulosa cells. Also
unlike our observations, a 220,000-Da protein, identified as
fibronectin, has been reported to be induced in rat (12), bovine (13),
and human (14) cultured granulosa cells. The explanation for the
discrepancy in data could be because of species differences. It could
also be because the latter study (14), the only other report to the
best of our knowledge that examined the electrophoretic profiles of
radiolabeled proteins from granulosa cells of human origin, used cells
from before the LH surge, compared with our study, which used cells
obtained from hCG-treated patients.
Of particular interest is the presence of TIMP-1 that we detected and
its modulation by T3 and FSH. Metalloproteinases, such as
collagenase and stromelysin, are metal-dependent enzymes that degrade
protein components of the extracellular matrix. These enzymes, together
with their inhibitors, the TIMPs, are believed to play key roles in
extracellular matrix remodeling, and therefore have been implicated in
tissue resorption and degradation in a range of normal and abnormal
processes (reviewed in Refs. 15 and 16). Although the role of TIMP-1 in
ovarian function is not yet completely understood, it has been
postulated to regulate proteolytic activity, and therefore to be
crucial to the ovulatory process, luteal development, and regression,
as well as trophoblast invasion (15, 17, 18, 19, 20, 21). As we have observed,
T3 and FSH modulate TIMP-1 levels, therefore any change in
the level of these hormones, such as may occur in certain disease
states, could influence TIMP-1 levels and consequently affect ovarian
processes and eventually lead to disturbed reproductive function.
TIMP-1, or TIMP-1 messenger RNA (mRNA), has been identified in rat,
ovine, and porcine granulosa and luteal cells (17, 18, 19, 20, 22, 23, 24, 25) and
bovine luteal cells (18), as well as during pseudopregnancy in the rat
(21). Moreover, the presence of TIMP-1 has been reported in human
granulosa cells (26) and follicular fluid (27) and TIMP-1 mRNA has been
reported in human granulosa cells (28). LH/hCG treatment increased
TIMP-1 mRNA in rat ovarian (17), granulosa (22, 24), and thecal (29)
cells, and in porcine granulosa cells (20). FSH stimulated TIMP-1
expression in rat Sertoli cells (30). Our study is the first report,
however, of TIMP-1 modulation by FSH in ovarian cells and of an effect
by thyroid hormone on TIMP-1 levels, with the results showing a
dose-dependent stimulation of TIMP-1 by FSH and T3 in
cultured human luteinized granulosa cells in serum-free medium. It is
relevant to note in this context that T3 has been shown
previously to increase the expression of matrix metalloproteinases in a
mammary cell line (31).
Our findings that the combination of FSH and T3 stimulated
TIMP-1 more than either alone at maximal doses indicates a different
mechanism of action by the two hormones, as would be expected of
hormones belonging to different classes. TIMP-1 has been shown to be
induced in rat granulosa cells by two separate pathways: an
LH-cAMP-dependent protein kinase A pathway and a cAMP-independent
protein kinase C pathway (17). The present study shows TIMP-1 induction
in human ovarian cells not only by FSH, i.e. via
a probable protein kinase A mechanism, but it is also the first to
demonstrate an additional mode of TIMP-1 hormonal induction: via
thyroid hormone stimulation acting by modulation of gene transcription
(32). It is noteworthy that steroid hormones, which as thyroid hormones
are members of the steroid-thyroid hormone superfamily with similar
mechanisms of action, have also been reported to stimulate TIMP-1
(reviewed in 15 .
In conclusion, the present study provides novel data on TIMP-1 hormonal
modulation and of direct T3 in vitro ovarian
effects, which may account for the in vivo indications of a
thyroid-ovarian connection.
Received August 22, 1996.
Revised January 30, 1997.
Accepted February 25, 1997.
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