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The Journal of Clinical Endocrinology & Metabolism Vol. 82, No. 8 2720-2725
Copyright © 1997 by The Endocrine Society


Reproductive Endocrinology

Expression of Genes Encoding Corticotropin-Releasing Factor (CRF), Type 1 CRF Receptor, and CRF-Binding Protein and Localization of the Gene Products in the Human Ovary1

H. Asakura2, I. H. Zwain and S. S. C. Yen3

Department of Reproductive Medicine, University of California-San Diego School of Medicine, La Jolla, California 92093-0633

Address all correspondence and requests for reprints to: Dr. S. S. C. Yen, Department of Reproductive Medicine, University of California-San Diego School of Medicine, La Jolla, California 92093-0633. E-mail: dnye{at}ucsd.edu


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Recently, the presence of immunoreactive corticotropin-releasing factor (IrCRF) in the thecal-stromal cells of the human ovary and the ability of CRF to suppress estrogen production by human granulosa cells in vitro have been reported. To understand the functional role of ovarian CRF requires characterization of the human ovarian CRF system, which includes CRF, type 1 CRF receptor (CRF-R1), and the high affinity CRF-binding protein (CRF-BP). Accordingly, we have examined the ovarian CRF system and the cellular distribution of these proteins and their messenger ribonucleic acids (mRNAs) using immunohistochemistry and in situ hybridization, respectively. Normal ovaries from 10 premenopausal women undergoing hysterectomy with ovariectomy were used in the analyses.

IrCRF and its mRNA were localized in thecal cells of small antral and mature follicles. A low abundance of IrCRF and mRNA was also detected in stromal cells of both stages of follicles. Expression of the gene encoding CRF was more prominent in mature follicles than in small antral follicles. CRF-R1 mRNA signal was found exclusively in thecal cells of mature follicles and moderately in small antral follicles. Granulosa cells were devoid of CRF and CRF-R1 mRNAs and proteins. The IrCRF-BP, but not its transcript, was detected in thecal cells and lumen of capillary vessels of the thecal/stromal compartment of mature follicles. The absence of CRF-BP gene transcript in human ovarian follicles was confirmed by reverse transcription-PCR, indicating that the IrCRF-BP detected is not derived from the ovarian transcript and suggesting that the presence of IrCRF-BP and luman of capillary vessels in the thecal compartment originates from the peripheral circulation. Thecal cells of mature follicles, relative to those of small antral follicles, exhibited an intensive immunostaining and mRNA signal for 17{alpha}-hydroxylase (P450c17) indicative of androgen biosynthesis. We conclude that the thecal compartment of the human ovary contains a CRF system endowed with CRF and CRF-R1 and the blood-derived CRF-BP. Granulosa cells are devoid of the CRF system. The parallel increases in intensity of CRF, CRF-R1, and 17{alpha}-hydroxylase proteins and gene expression with follicular maturation suggest that the intraovarian CRF system may play an autocrine role in androgen biosynthesis with a downstream effect on estrogen production by the granulosa cells. The functionality of the ovarian CRF system may be conditioned by the relative presence of circulating CRF-BP by virtue of its ability to compete with CRF for the CRF receptor.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
CORTICOTROPIN-RELEASING factor (CRF), originally isolated from ovine hypothalamus, is the principal neuroregulator of the hypothalamic-pituitary-adrenal axis (1). In addition, CRF and its binding sites are widely distributed in the brain, where it coordinates the endocrine, behavioral, and autonomic adaptive responses to stress and may function as a key mediator among the immune, neuronal, and endocrine systems (2, 3, 4). CRF and its binding sites are also detected outside the brain in the adrenal, placenta (5), human lymphocytes (6, 7), and active inflammatory sites (8). In the reproductive axis, CRF inhibits GnRH neuronal activities (9, 10) and appears to involve the mediation of interleukin-1 (9). Women with stress-related ovarian dysfunction have evidence of increased CRF secretion (11, 12, 13, 14, 15). Immunoreactive CRF (IrCRF) and its binding sites were found in rat Leydig cells (16), and it inhibits testosterone production by Leydig cells in vitro (17, 18). IrCRF and its binding sites were detected in thecal and stromal cells of rat and human ovaries and in human follicular fluid (19, 20). Ovarian CRF was found to be identical to hypothalamic CRF-41 (19). In vitro, CRF has been shown to suppress estrogen production from rat and human granulosa cells (21). Recently, a 37-kDa high affinity CRF-binding protein (CRF-BP) was purified and cloned from human plasma (22, 23). It was shown that CRF-BP is capable of competing with ligand for binding to the CRF receptor and thus may function to modulate CRF action (24). In addition to its presence in human plasma, CRF-BP was found in human brain, liver, and placenta (see Ref. 24 for review). In the gonad, expression of the genes encoding for CRF and CRF-R1 and their gene products as well as the presence of CRF-BP have not been examined. Assessment of the functional role of ovarian CRF requires characterization of the CRF system, which includes ligand, receptor, and CRF-BP. Accordingly, we have simultaneously evaluated the gene expressions and gene products of the CRF system (CRF, type 1 CRF receptor, and CRF-BP) and the steroidogenic enzyme P450c17 in the human ovary by in situ hybridization and immunohistochemical analyses, respectively.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Specimens

Sixteen normal ovaries were obtained from 10 normally cycling women (32–44 yr of age) undergoing benign gynecological surgery during the first 9 days of the follicular phase of the menstrual cycle. The phases of the menstrual cycle were determined by the recorded last menstrual period. Thirty-seven small antral follicles (0.5–5 mm in diameter) and 8 mature antral follicles (>6 mm in diameter) were identified. Those follicles found to be in the stages of atresia assessed by morphological criteria as previously described (25) were excluded. Four small antral follicles (2–3.5 mm) and two mature follicles (7 and 8 mm) were selected for analysis. None of the patients had received any hormone therapy within 3 months before surgery. After removal, ovarian specimens were snap-frozen on dry ice and stored at -70 C for ribonucleic acid (RNA) extraction. The procedures for immunohistochemistry and in situ hybridization were described in detail previously (25). Ovarian tissues were snap-frozen in O.C.T. mounting medium (Miles, Elkhart, IN), cryosectioned at 8 µm using a freezing microtome (International Equipment Co., Needham Heights, MA), and mounted on Vectabond (Vector Laboratories, Burlingame, CA)-coated slides. Sections were then air-dried and stored at -70 C with desiccant until used. The study was approved by the committee of investigations involving human subjects at the University of California-San Diego.

Immunohistochemistry

Frozen sections were thawed and fixed for 20 min in 10% neutral formalin buffer and processed for immunohistochemical staining using the Vectastatin Elite ABC alkaline phosphatase system (Vector Laboratories). Sections were washed twice with phosphate-buffered saline (PBS), pH 7.4, and treated with 0.1% Triton X-100 in PBS for 5 min at room temperature. To block the endogenous alkaline phosphatase, sections were treated with 33% acetic acid in ethanol for 5 min at room temperature. Avidin/biotin-blocking reagents (Vector Laboratories) were used to block the endogenous binding sites of avidin and biotin in the tissues. After blocking nonspecific binding of the antibody by incubation for 30 min with 10% goat serum in PBS, sections were incubated for 1 h at room temperature with specific polyclonal antibodies against rat/human CRF, human CRF-BP, or human P450c17 proteins prepared in PBS at a final dilution of 1:1000. Using a monospecific antibody to CRF that exhibits no cross-reactivity with urocortin (Biotechnology, Santa Cruz, CA), the presence of IrCRF in thecal cells was identical to that detected by the polyclonal antibodies. After extensive washing with PBS, sections were successively incubated for 30 min with biotinylated goat antirabbit IgG at 7.5 mg/mL in PBS. Thereafter, sections were washed and incubated for 45 min with avidin/biotinylated complex (Vector Laboratories) in PBS. IrCRF, CRF-BP, and P450c17 were identified by Vector Red Substrate reagents (Vector Laboratories) containing Levamisol (Zymed, South San Francisco, CA). Sections were then counterstained with hematoxylin, dehydrated, cleared with xylene, and permanently mounted with DPX mountant (Gallard Schlesinger, Long Island, NY). Negative control experiments were performed by incubating sections with nonimmune rabbit IgG instead of the primary antibodies.

In situ hybridization

Frozen sections were thawed and fixed in 4% paraformaldehyde in PBS for 10 min at room temperature. After three washes with PBS, sections were treated with 0.1% Triton X-100 for 10 min at room temperature. To block the positive charges in tissues, sections were acetylated for 10 min in 0.25% acetic anhydride in 0.1 mol/L triethanolamine, pH 8.0. Sections were then rinsed in 2 x standard sodium citrate (SSC), dehydrated in ascending ethanol concentration solutions, and dried under vacuum with desiccant. Hybridization was performed by incubating sections in humidified chamber for 18 h at 42 C in hybridization buffer containing 50% formamide, 0.3 mol/L NaCl, 10 mmol/L Tris (pH 8.0), 1 mmol/L ethylenediamine tetraacetate, 0.1% SDS, 1 x Denhardt’s solution, 200 mg ribosomal RNA, 200 mg/mL denatured salmon sperm DNA, 10 mmol/L dithiothreitol, 10% (wt/vol) dextran sulfate, and 1 x 106 cpm/mL [35S]UTP-labeled CRF, CRF-BP, and type 1 CRF receptor antisense complementary RNA (cRNA) probes. Negative control experiments were performed by hybridization of sections with [35S]UTP-labeled cRNA sense probes. Both antisense and sense cRNA probes were generated by linearization of plasmid constructs with the appropriate restriction enzymes and by transcription with SP6, T7, or T3 polymerases in the presence of cold ATP, CTP, GTP, and [35S]UTP (Amersham, Arlington Heights, IL) using a riboprobe in vitro transcription system (Promega, Madison, WI). The nonincorporated isotope was removed by chromatography on Sephadex G-50 columns. After hybridization, sections were washed four times for 5 min each time with 4 x SSC and treated for 30 min at 37 C with 50 mg/mL ribonuclease A in 10 mmol/L Tris (pH 8.0) containing 0.5 mol/L NaCl and 1 mmol/L ethylenediamine tetraacetate. Slides were then washed twice in 2 x SSC for 5 min each time at room temperature, once in 1 x SSC for 10 min at room temperature, once in 0.5 x SSC for 10 min at room temperature, and once in 0.1 x SSC for 30 min at 60 C. To stabilize the 35S attachment in the riboprobes and reduce nonspecific probe binding, 1 mmol/L dithiothreitol was included in the washing buffer. Slides were dehydrated, dried, dipped in autoradiography emulsion (NTB-2, Eastman Kodak, Rochester, NY), and exposed for 5–10 days at 4 C. After developing (Kodak D19) and fixation (Kodak Fixer), sections were counterstained with hematoxylin and permanently mounted. The in situ hybridization for P450c17 was performed using oligonucleotide probes as previously described (26).

Reverse transcription-PCR (RT-PCR)

Total RNA from a 5-mm ovarian follicle was extracted with RNA Stat-60 reagents using a procedure provided by the manufacturer (Tel-Test B, Friendswood, TX). Total RNA of human term placenta was obtained from Clontech (Palo Alto, CA) and used as positive experimental control. The total RNA was reverse transcribed by AMV reverse transcriptase using antisense primers. Briefly, 10 mg total RNA were incubated for 30 min at 42 C with 5 mmol/L MgCl2 solution; one-strength PCR buffer; 1 mmol/L each of deoxy (d)-GTP, dATP, dTTP, and dCTP; and 1 U/mL murine leukemia virus reverse transcriptase in a final volume of 20 mL. Half of the RT reaction product was used as a template and amplified by PCR using 2 mmol/L MgCl2 solution, one-strength PCR buffer, 0.15 mmol/L of the sense and antisense primers, and 2.5 U AmpliTaq DNA polymerase in a final reaction volume of 100 mL along with three drops of mineral oil to prevent sample evaporation. Thirty-five cycles of PCR were performed in a Perkin-Elmer DNA thermal cycler (Norwalk, CT) with the following cycling parameters: denaturation for 1 min at 95 C, annealing for 1 min at 60 C, and extension for 1 min at 72 C. The oligonucleotides primers were designed and synthesized according to the published nucleotide sequence of complementary DNA for rat/human CRF (27), human CRF-R1 (28), and CRF-BP (22). The primers used for amplification are summarized in Table 1Go. The amplified PCR products were fractionated by 2% agarose gel and detected by ethidium bromide staining.


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Table 1. Primers used for RT-PCR analysis of CRF, CRF-R1, and CRF-BP in ovarian follicle and placental tissues

 

    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Immunohistochemical and in situ hybridization analyses of CRF, CRF-R1, and CRF-BP in human ovaries are shown in Fig. 1Go. The gene expression and protein localization of a 2-mm small antral follicle are compared with those of an 8-mm mature follicle.



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Figure 1. Localization of CRF, CRF-R1, CRF-BP, and P450c17 protein and mRNA in frozen sections of human small antral follicles (A) and maturing follicles (B) using immunohistochemical analysis (upper columns) and in situ hybridization analysis (lower columns). The positive immunoreactivity of proteins and mRNA signals are depicted by red color and white grains, respectively. Control sections for immunocytochemical studies were performed using nonimmune rabbit serum or purified rabbit IgG instead of primary antibodies. Control sections for in situ hybridization studies used appropriate sense probes. G, Granulosa cells; T, thecal cells; S, stromal cells. Bars = 100 mm.

 
CRF

IrCRF and its messenger RNA (mRNA) were both localized in thecal cells of small antral (Fig. 1AGo) and mature (Fig. 1BGo) follicles. However, the relative abundance of CRF and mRNA was higher in the mature follicle than in the small antral follicle. Low levels of the protein and mRNA were also observed in stromal cells of the mature follicle, but not in the small antral follicle. Granulosa cells of both types of follicle exhibited negative immunostaining and no mRNA signal for CRF.

CRF-R1

A moderate CRF-R1 mRNA signal was detected in both thecal and stromal cells, but not in granulosa cells of small antral follicles (Fig. 1AGo), whereas in the mature follicle abundant signal restricted to thecal cells was found (Fig. 1BGo). Thus, in the mature follicle both stromal cells and granulosa cells were devoid of CRF-R1 transcript. Immunohistochemical analysis of CRF-R1 was not performed in this study due to the unavailability of specific antibody against CRF-R1.

CRF-BP

In the small antral follicle, both IrCRF-BP and its mRNA were absent (Fig. 1AGo). In contrast, abundant immunostaining, but not mRNA, for IrCRF-BP was detected in the mature follicles of thecal and stromal cells (Fig. 1BGo) and in the lumen of capillary vessels in the thecal/stromal compartments (data not shown). The presence of IrCRF-BP unaccompanied by mRNA signal in thecal-stromal cells of mature follicles suggested that IrCRF-BP may not be derived from the ovarian transcript and could be delivered to the thecal compartment from the peripheral circulation (see below).

P450c17

As thecal cells have been shown to contain CRF and CRF-R1, parallel studies of the gene expression and immunolocalization of P450c17 were conducted. Thecal cells, but not stromal cells, of the small antral follicle showed weak immunostaining and mRNA signal for P450c17 (Fig. 1AGo). By comparison, the mature follicle exhibited strong immunostaining and mRNA signal for P450c17 in the theca interna and in a subset of cells in the stromal compartment (Fig. 1BGo).

PCR analysis

To further evaluate the absence of CRF-BP transcript by in situ hybridization, RT-PCR was used to amplify the mRNA signal in tissue obtained from the wall of mature follicles. Placental RNA was used as a positive control for PCR amplification. As shown in Fig. 2Go, using specific primers for CRF, CRF-R1, CRF-BP, and amplified products for CRF and CRF-R1 were evident in both follicular and placental tissues, PCR amplification of RNA encoding CRF-BP was not observed in the follicular tissues, whereas the expected placental PCR amplification product was evident. When the RT-PCR proceeded in the absence of reverse transcriptase, there were no amplification products for CRF, CRF-R1, or CRF-BP in both tissues. Thus, CRF-BP localized in the thecal layer of the follicles represents an extraovarian source.



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Figure 2. RT-PCR analysis of CRF, CRF-R1, and CRF-BP in human ovarian follicle and term placental tissues. PCR products were resolved on 2% agarose gel and DNA stained with ethidium bromide. Lane M, DNA ladder marker; lane 1, negative control (the RT reaction was performed in the absence of the enzyme); lane 2, RNA from ovarian follicular tissue; lane 3, RNA from placental tissue.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In the present study we have demonstrated the anatomical selectivity of gene expression of CRF and CRF-R1 in the thecal-stromal compartments of the human ovary. The presence of gene transcripts was affirmed by detecting RT-PCR products specific for CRF and CRF-R1 in tissue obtained from ovarian follicular wall. The abundant expression of the gene encoding CRF and CRF-R1 in parallel to the P450c17 and proteins in mature follicles compared to that in small antral follicles suggests that the CRF-CRF-R1 system in the thecal cells may play autocrine and paracrine roles in androgenesis and follicular maturation. However, the functionality of the CRF-CRF-R1 may be conditioned by the presence of the high affinity CRF-BP by virtue of its ability to compete with CRF for the CRF receptor (24).

Although an intense immunostaining for CRF-BP in the thecal-stromal compartment of mature follicles and in the lumen of capillary vessels was evident, mRNA encoding CRF-BP was not detected in the human ovary by either in situ hybridization or RT-PCR. Thus, the IrCRF-BP found in the thecal-stromal layer is not derived from the ovarian transcript, and in all probability, it originated from peripheral circulation. CRF-BP was initially isolated from human plasma (23), and its complementary DNA was subsequently cloned from a liver DNA library (22). The binding affinity of CRF-BP to CRF exhibited a Kd an order of magnitude lower than that displayed by the CRF receptors (24). CRF-BP was shown to inhibit CRF-induced ACTH secretion from the pituitary (22) and placental tissue (29) in vitro. Although CRF-BP is expressed in many areas of the rat brain, CRF-BP has not been found in the peripheral plasma of several species studied (24). Thus, CRF-BP in plasma appears to be unique to humans, and women have higher concentrations than men (139 ± 10.2 vs. 101 ± 9.3 ng/mL) (30). It is likely, therefore, that the circulating CRF-BP may play an endocrine role in the modulation of the ovarian CRF system by controlling the amount of free CRF to interact with CRF receptors in the thecal compartment. This quenching effect of circulating CRF-BP on the ovarian CRF system is consistent with the higher binding affinity of CRF-BP than the CRF receptor for CRF and the localization of CRF-BP at the same cellular site and surrounding capillaries.

The regulation and functional role of the human ovarian CRF system are unclear. Previous studies in rodents have demonstrated the presence of IrCRF and CRF mRNA in the Leydig cells of the rat testis (16, 17). Whereas CRF inhibits testosterone production by rat Leydig cells (17), it stimulates steroidogenesis in mouse Leydig cells in vitro (18). The reason for this disparity is not known. In the rat ovary, IrCRF has been localized in thecal-stromal cells, and it has been proposed that CRF may participate in the regulation of ovarian steroidogenesis (19). In the human ovary, IrCRF was also localized in thecal-stromal cells of the follicles and was detectable in follicular fluid (20). Thus, these earlier studies have uniformly localized CRF immunoreactivity in the androgen-producing cells. Recently, an inhibitory effect of CRF in FSH-stimulated estradiol production by human luteinized granulosa-luteal cells in vitro has been reported (21). This finding is inconsistent with the absence of CRF receptor on granulosa cells of maturing follicles in vivo. However, the possibility that acquisition of CRF receptor after luteinization of granulosa-luteal cells may occur cannot be excluded. As the site(s) of CRF gene expression was not determined, and the cellular localization of protein and transcript of CRF receptors were not conducted, these findings offer limited information in the context of function and regulation. Based on our present findings, it is highly probable that the regulation of ovarian CRF bioactivity differs between human and rodents by virtue of the presence of an extraovarian modulator, the CRF-BP, in women, but not in rodents (see review in 24 .

In conclusion, the present study has established the presence of a CRF system replete with ligand and receptor in the thecal-stromal cell compartment with enhanced expression of both proteins and transcripts in parallel with the steroidogenic enzyme, 17{alpha}-hydroxylase in the maturing follicle. Moreover, the localization of IrCRF-BP (but not its transcript) at the same cellular sites and surrounding capillaries implicates an extraovarian modulator that determines the net effect of intraovarian CRF bioactivities. Thus, the ovarian CRF system may be viewed as an autocrine and paracrine regulator of steroidogenesis with an endocrine component of modulation. As CRF is expressed as a proinflammatory regulator in vivo (8), the possibility that the ovarian CRF system may participate in the aseptic inflammatory processes of ovulatory events should be considered (31). Additional studies are required to further characterize its functionality.


    Acknowledgments
 
The authors thank Dr. Wylie W. Vale (The Salk Institute, La Jolla, CA) for generously providing human CRF-BP antibody and plasmids expressing CRF-BP and CRF-R1; Dr. George P. Chrousos (Developmental Endocrinology Branch, NIH, Bethesda, MD) for plasmid expressing CRF and CRF antibody; Dr. Michael R. Waterman (Department of Biochemistry, Vanderbilt University, Nashville, TN) for P450c17 antibody; Dr. Gregory F. Erickson for morphological assessment of ovarian follicles, Dr. Veronica Roberts for assistance in preparing photomicrographs; Gail Laughlin for editorial assistance; and Dawn Nye for manuscript preparation.


    Footnotes
 
1 This work was supported in part by NICHHD Center Grant HD-12303–19 and NIH Grant R01-HD-21198–05. Presented in part at the 10th International Congress of Endocrinology, San Francisco, CA, June 12–15, 1996. Back

2 Former Fellow in Reproductive Endocrinology and Infertility. Back

3 Investigator with the Clayton Foundation. Back

Received March 10, 1997.

Revised April 21, 1997.

Accepted April 29, 1997.


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 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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