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The Journal of Clinical Endocrinology & Metabolism Vol. 84, No. 2 743-750
Copyright © 1999 by The Endocrine Society


Original Studies

Human Peripheral Blood Mononuclear Cells Express Gonadotropin-Releasing Hormone (GnRH), GnRH Receptor, and Interleukin-2 Receptor {gamma}-Chain Messenger Ribonucleic Acids That Are Regulated by GnRH in Vitro1

Hsin-Fu Chen, Eui-Bae Jeung, Mary Stephenson and Peter C. K. Leung

Department of Obstetrics and Gynecology, National Taiwan University Hospital (H.-F.C.), Taipei, Taiwan; the Laboratory of Veterinary Biochemistry, Chungbuk National University (E.-B.J.), Cheong-ju, Korea; and the Department of Obstetrics and Gynecology, University of British Columbia (M.S., P.C.K.L.), Vancouver, British Columbia, Canada V6H 3V5

Address all correspondence and requests for reprints to: Dr. P. C. K. Leung, Department of Obstetrics and Gynecology, 4490 Oak Street, Vancouver, British Columbia, Canada V6H 3V5. E-mail: peleung{at}unixg.ubc.ca


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The hypothalamic decapeptide, GnRH, plays a critical role in human reproduction. In addition to the well known effects of GnRH on pituitary cells, there is evidence supporting the presence of GnRH-binding sites in tissues other than pituitary cells, including lymphocytes. In addition, a GnRH-like substance has been found to be secreted from lymphoid cells. However, the precise nature of GnRH secretion and binding in immune cells has not been fully established. In this study, we used the RT-PCR method to examine the expression and regulation of GnRH, GnRH receptor (GnRHR), and interleukin-2 receptor {gamma}-chain messenger ribonucleic acids (mRNAs) in human peripheral blood mononuclear cells. It was found that human mononuclear cells expressed GnRH and GnRHR mRNAs. Nucleotide sequences of these mRNAs are identical to their hypothalamic and pituitary counterparts, respectively. In addition, GnRH and GnRHR mRNA expressions in peripheral blood mononuclear cells are regulated by GnRH and its synthetic analogs in vitro. Treatment with various concentrations of GnRH (10-5-10-11 mol/L) increased GnRHR mRNA expression in a dose-dependent manner (maximal level is 158% of the untreated control value at 10-8 mol/L GnRH; P < 0.05), but reduced GnRH mRNA levels to 69% of the untreated control value at 10-9 mol/L GnRH (P < 0.05). Cotreatment of GnRH with a GnRH antagonist blocked these regulatory effects, indicating the receptor-mediated nature of the GnRH action. Both GnRH and GnRH agonist stimulated interleukin-2 receptor {gamma}-chain mRNA in a dose-dependent manner, indicating that GnRH may be involved in lymphocyte activation. In summary, these observations suggest that mRNAs encoding the pituitary form of GnRHR and the hypothalamic form of GnRH are also expressed in human peripheral blood mononuclear cells. The endogenous production of GnRH by lymphocytes may act as an autocrine or paracrine factor to regulate immune functions. Because of the presence of GnRHR on lymphocytes, exogenous GnRH analog therapy may have an impact on the immune system through these receptors.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
THE HYPOTHALAMIC decapeptide, GnRH, plays a central role in the regulation of human reproductive functions. Pulsatile release of GnRH from the hypothalamus modulates the differential release of LH and FSH from the pituitary gonadotropes via high affinity GnRH receptors (GnRHR) (1). Through the highly integrated secretion and action of the gonadotropins, normal gonadal functions are delicately modulated.

GnRHR is a member of the G protein-coupled receptor superfamily containing seven transmembrane domains. Previous studies of GnRHR were limited to ligand binding assays. Recently, both human and mouse pituitary GnRHR complementary DNA (cDNAs) have been cloned (2, 3, 4, 5, 6), and the human GnRHR gene has been mapped to chromosome 4 (7). There is evidence suggesting that GnRHR is not limited to pituitary gonadotropes (8); for example, GnRHR or GnRH-binding sites have been identified in tissues including the ovary, testis, breast, and prostate (2, 9, 10, 11, 12) as well as in breast ovarian and endometrial tumors (11, 13). In addition, GnRH-binding sites have been reported in lymphoid tissues such as mouse (14) and rat spleen (15), rat thymus (15, 16, 17), and porcine lymphocytes (18). The GnRHR or GnRH-binding sites in lymphocytes are probably functional, as previous studies have demonstrated that GnRH agonist (GnRH-a) caused a dose-dependent increase in LH production, whereas GnRHR antibodies blocked this action (14). It has also been shown that blockade of central and peripheral GnRHR with a potent GnRH antagonist (GnRH-ant) during a critical period of maturation can impair the morphological development of thymus and the cellular and humoral immune responses in rats (17) and monkeys (19). GnRH-like substances have been reported to be secreted from tissues outside the central nervous system of rats (20, 21, 22) and humans (23). GnRH messenger ribonucleic acid (mRNA) has been detected in rat lymphocytes (24) and human ovary (11, 25). The presence of both the ligand (GnRH-like substance) and the receptor (GnRH-binding site) in cells from the immune system indicates the potential function of GnRH in the immune system. To our knowledge, the expression and regulation of GnRH and its receptor at the mRNA level in human peripheral lymphocytes have not been studied. A comparison of the authenticity of these mRNAs with their pituitary and hypothalamus counterparts has not been reported. These issues are carefully examined in this study.

In recent years, GnRH analogs have become widely used in both benign and malignant disorders, such as precocious puberty, endometriosis, uterine leiomyoma, infertility, and certain hormone-dependent tumors. Relatively little is known about the side-effects of GnRH analogs in humans, especially in relation to the immune system. Thus, the present study was designed to identify the presence of GnRH and GnRHR in human peripheral blood mononuclear cells. Secondly, the regulation of GnRH and GnRHR expression by exogenous GnRH and its derivatives were examined. Finally, the effect of exogenous GnRH on the expression of interleukin-2 receptor (IL-2R) mRNA, one of the major markers of lymphocyte activation, was studied.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Isolation of peripheral mononuclear cells

The use of human mononuclear cells for research was approved by University of British Columbia clinical screening committee for research and other studies involving human subjects. Fresh human venous blood samples from female donors, aged 19–34 yr, were obtained. These blood samples were negative for cytomegalovirus antibody (Ab), human T-cell lymphoma virus and II Abs, human immunodeficiency virus I p24 antigen, hepatitis B surface antigen, hepatitis C Ab, and the Venereal Disease Research Laboratories test. The blood samples were processed between 1–3 days after donation. The Ficoll-Hypaque method was used to isolate mononuclear cells from the blood. Briefly, the blood was first diluted 1:1 with phosphate-buffered saline, and 10 mL diluted blood were carefully layered onto a 3-mL Ficoll-Haque Plus cushion (Pharmacia Biotech, Uppsala, Sweden) in a 15-mL centrifuge tube (Falcon 3033 Becton Dickinson, Franklin Lakes, NJ). The tube was centrifuged at 400 x g for 30 min at 18–20 C. The interface (containing mononuclear cells) was carefully collected and washed twice with phosphate-buffered saline and once with RPMI 1640 medium (Life Technologies, Grand Island, NY) with 1% FBS. The cell pellet was resuspended in 5 mL culture medium (RPMI 1640 medium containing 10% FBS, 100 U/mL penicillin G, 100 µg/mL streptomycin, 25 mmol/L HEPES, and 0.3 g/L L-glutamine. The viability of mononuclear cells was confirmed by the trypan blue exclusion test. The viable mononuclear cell numbers were counted with a hemocytometer. In several experiments, differential cell counts were obtained from smears of the mononuclear cell fraction treated with Wright’s stain. The viability of mononuclear cells was routinely more than 95%.

Culture of mononuclear cells

After harvesting, the mononuclear cells were rapidly plated onto a 35-mm tissue culture dish (Falcon 3001) at a concentration of 3 x 106 cells/well and were incubated at 37 C incubator with 5% CO2 for 15–18 h. The culture medium used was described above. The cells were treated with human GnRH (pGlu-His-Trp-Ser-Tyr-Gly-Leu-Arg-Pro-Gly-NH2; Sigma Chemical Co., St. Louis, MO; 10-5–10-11 mol/L), GnRH-a ([D-Ala6]-LH-RH; Sigma Chemical Co.; 10-6–10-11 mol/L), or GnRH-ant (antide; acetyl-ß-[2-naphthyl]-D-Ala-D-p-chloro-Phe-ß-[3-pyridyl]-D-Ala-Ser-N{epsilon}-[nicotinoyl]-Lys-N{epsilon}-[nicotinoyl]-D-Lys-Leu-N{epsilon}-[isopropyl]-Lys-Pro-D-Ala-NH2; Sigma Chemical Co.; 10-6 mol/L) for the scheduled time interval. For cultures treated with GnRH, only a single dose of GnRH was added at the initiation of the experiment. For cultures involving GnRH-a and GnRH-ant, repeat doses of the analogs were added at 12-h intervals.

RNA extraction and RT-PCR

After incubation, cells were collected, and total RNA was determined using the RNaid Kit (Bio/Can Scientific, Mississauga, Canada). The integrity of the RNA sample was verified by electrophoresis in a formaldehyde-denaturing gel, by spectrophotometric analysis of the absorbance ratio at 260 nm/280 nm (DU-64 Spectrophotometer, Beckman Coulter, Inc., Hialeah, FL), and by examining the RT-PCR product of ß-actin mRNA. One microgram of total RNA, as estimated by spectrophotometry, was subjected to first strand cDNA synthesis in a 15-µL reaction mixture using an oligo(deoxythymidine)12–18 primer following the manufacturer’s instruction (First Strand cDNA Synthesis kit, Pharmacia Biotech, Morgan, Canada). One microliter of the 15-µL first strand cDNA reaction was used as the template for PCR. Two pairs of primers were used for examining GnRHR, one pair for the GnRH and one pair for the IL-2R {gamma}-subunit (IL-2R{gamma}; Table 1Go). According to their locations in human GnRHR cDNA (2, 4) (Fig. 1Go), the primer pair GnRHR F1/R1 was used to amplify a sequence within the coding region of GnRHR cDNA spanning the last 202 bp of exon 1 and the first 145 bp of exon 2 (Fig. 1AGo). The GnRHR F2/R2 primer set amplified another segment spanning the last 67 bp of exon 1, 220 bp of exon 2, and the first 10 bp of exon 3 (Fig. 1AGo). The spanning of two or three exons in these primer sets excludes the possibility of amplifying genomic DNA contamination during RNA extraction. The locations of the primers for examining GnRH mRNA, GnRH F1/R1 primers, are shown in Fig. 1BGo. These primers have been used to amplify the major portion of the cDNA encoding the precursor protein for the hypothalamic GnRH and PRL release-inhibiting factor (GnRH-PIF) (26). It amplifies the coding region of the signal peptide, the GnRH peptide, and the PIF plus part of the 3'-untranslated region (Fig. 1BGo). As an internal reference, we have also amplified the ß-actin mRNA from the same samples. In a 50-µL reaction mixture, PCR was performed in the presence of 20 mmol/L Tris-HCl, 50 mmol/L KCl, 1.5 mmol/L MgCl2, 2.5 U Taq DNA polymerase (Life Technologies), 0.2 mmol/L deoxy-NTPs, 0.5 µmol/L primers, and 1–2 µL first strand cDNA template. Several preliminary studies were performed to validate the conditions of PCR. It was found that when 1 µg total RNA was used for RT, subsequent GnRHR mRNA amplification resulted in a progressive increase in signal intensity up to 37 cycles. Similarly, the signals for the amplification of GnRH, IL-2R{gamma}, and ß-actin were linear up to 36, 32, and 26 cycles, respectively. Therefore, 23–35 cycles of PCR were performed according to the mRNA to be amplified. The PCR was carried out in a Perkin-Elmer/Cetus DNA Thermal Cycler (Palo Alto, CA) in the following sequence: denaturation at 94 C for 1 min, annealing at 56–64 C for 40 s, extension at 72 C for 1 min 30 s, and a final extension for 15 min at 72 C after the last cycle. PCR products (20 mL) were subsequently subjected to 0.9–1.5% agarose gel electrophoresis and stained with ethidium bromide. Several positive and negative controls were used in the PCR. Human granulosa-luteal cells were used as positive controls (10, 11, 27). A RT reaction was carried out without the addition of reverse transcriptase, and the resulting product was subjected to PCR to exclude the possibility of genomic DNA contamination. Secondly, PCR was performed without the presence of template DNA to test for cross-contamination of samples. To compare the mRNA levels under regulation, semiquantitation of the PCR product was obtained by concomitant examination of and comparison with the ß-actin control in the same sample.


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Table 1. Primer pairs used in the PCR reactions

 


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Figure 1. Schematic structures of cDNAs for GnRHR and GnRH precursor protein, and the position and direction of the primers used in PCR. A, Human GnRHR cDNA. The black box indicates the coding region, and the thin lines represent the 5'- and 3'-untranslated regions. F1, F2, R1, and R2 are the GnRHR primers listed in Table 1Go. Vertical arrows indicate the locations of introns (introns 1 and 2). B, GnRH-cDNA. The white box indicates the coding region, and the thin lines represent the 5'- and 3'-untranslated regions. F1 and R1 are the GnRH primers listed in Table 1Go. Vertical arrows indicate the positions of introns (introns 1–3). S, Signal peptide; G, GnRH peptide.

 
Southern blot hybridization

The PCR products were transferred to a nylon membrane (Hybond-N, Amersham, Arlington Heights, IL) and hybridized with digoxigenin (DIG)-labeled cDNA probes that had been prepared by a random hexanucleotide-primed synthesis according to the protocol from the DIG DNA Labeling Kit (Boehringer Mannheim, Indianapolis, IN). Briefly, the nylon membranes were hybridized with the DIG-labeled probes overnight at 42 C in a solution containing 50% formamide, 5 x SSC (standard saline citrate), 0.1% (wt/vol) N-lauroylsarcosine, 0.02% (wt/vol) SDS, and 2% blocking reagent. The nylon membranes were then washed twice with 2 x SSC-0.1% SDS at room temperature for 5 min each time and twice with 0.1 x SSC-0.1% SDS at 68 C for 15 min each. The hybridization signals were detected by an enzyme immunoassay according to the DIG Luminescent Detection Kit (Boehringer Mannheim). Briefly, the hybridized probes were detected with anti-DIG Fab fragments conjugated to alkaline phosphatase and were then visualized with the chemiluminescence substrate CSPD. Enzymatic dephosphorylation of CSPD by alkaline phosphatase leads to a light emission that can be recorded on x-ray film. The signal intensity was quantified by a video densitometer (model 620, Bio-Rad Laboratories, Inc., Richmond, CA).

Cloning and sequencing of GnRHR and GnRH cDNA

The PCR products obtained from primer sets GnRHR F1/R1 and GnRH FR(R) were subcloned into a TA PCR 2.1 vector (Invitrogen, San Diego, CA). Three clones each were subsequently analyzed by the dideoxynucleotide chain termination method using either the T7 sequencing kit (Pharmacia Biotech) or the ABI Prism model 377 Automated DNA Sequencer. The sequencing results were matched with the available sequences using the BLAST (basic length alignment search tool) program provided by the National Center for Biotechnology Information.

Statistical analysis

The data obtained in this study were analyzed with one-way ANOVA and post-hoc comparisons with the Bonferroni test or the Student-Newman-Keuls test. P < 0.05 was considered statistically significant.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Expression of GnRHR, GnRH, and IL-2R genes in peripheral lymphocytes

RT-PCR coupled to Southern hybridization of total RNA obtained from mononuclear cells confirmed that the GnRHR and GnRH genes are expressed in human peripheral blood lymphocytes (Fig. 2Go).



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Figure 2. RT-PCR and Southern hybridization of RNA from fresh lymphocytes for GnRHR and GnRH mRNA. A, Detection of GnRHR mRNA using the GnRHR F1/R1 primer set listed in Table 1Go. The PCR product was resolved in 1.5% agarose gel electrophoresis and stained with ethidium bromide. A 347-bp PCR signal was detected and was further confirmed by Southern hybridization as shown here with specific DIG-labeled cDNA probe. L1–L2, Human lymphocytes; G1–G2, human ovarian granulosa-luteal cell; C1, RT-PCR of lymphocyte RNA without reverse transcriptase; C2, PCR without template; L3, human lymphocytes using GnRHR F2/R2 primer set (297-bp). B, GnRH mRNA using the GnRH F1/R1 primer set listed in Table 1Go. A 380-bp PCR product was detected with ethidium bromide stain and was further confirmed by Southern hybridization as shown here. L1–L2, Human lymphocytes; G1–G2, human ovarian granulosa-luteal cell; C1, RT-PCR of lymphocyte RNA without reverse transcriptase; C2, PCR without template.

 
To identify the presence of GnRHR mRNA in mononuclear cells, two sets of primers (GnRHR F1/R1 and GnRHR F2/R2) were used in the PCR (Table 1Go). The primer set GnRHR F1/R1 includes an upstream GnRHR F1 primer that is located in exon 1 and a downstream primer GnRHR R1 that is located in exon 2, which amplifies a 347-bp fragment from mononuclear cells (Fig. 2AGo). This DNA was subsequently found to have the same sequence as the published human pituitary GnRHR cDNA sequence (2, 13), and its identity was confirmed by Southern hybridization. Human ovarian granulosa-luteal cells also expressed this signal (Fig. 2AGo). An approximately 4.2-kb intron sequence between the two exons (exons 1 and 2) ensured that the amplified PCR product originated from the GnRHR mRNA rather than from the genomic DNA. This result was further confirmed by the use of the GnRHR F2/R2 primer set. The GnRHR F2 is located at exon 1, and the GnRHR R2 is located at the junction of exons 2 and 3 (crossing intron 2). A 297-bp PCR product was detected (Fig. 2AGo, L3 column) and was found to have the same sequence as the pituitary GnRHR cDNA. This primer set spans two introns (intron 1, 4.2 kb; intron 2, 5 kb) (7), and this further confirms the mRNA origin of amplification. None of the negative controls (RT without reverse transcriptase and PCR without template) showed visible signal, and this essentially excluded the possibilities of genomic DNA contamination and cross-contamination of samples.

The primers GnRH F1/R1 were used to detect of the presence of GnRH mRNA in mononuclear cells (Table 1Go), and a 380-bp PCR product was identified. This product has the same size as that found in granulosa-luteal cell (Fig. 2BGo), which was identified as GnRH hypothalamic GnRH cDNA sequence (26), and its authenticity was confirmed by Southern blot hybridization and DNA sequence analysis. Similarly, none of the negative controls showed any hybridization signal.

Homologous regulation of GnRHR, GnRH, and IL-2R mRNA by GnRH and GnRH-a

During in vitro cultures, different doses of GnRH were added to the medium, and the mononuclear cells were cultured for 24 h, at which time they were harvested. Total RNA was extracted for subsequent RT-PCR using the primer sets listed in Table 1Go. GnRHR, GnRH, and IL-2R{gamma} mRNA were semiquantitated using ß-actin mRNA as an internal control (Figs. 3Go-6). It was found that GnRH increased the expression of GnRHR mRNA in a dose-dependent manner, with a maximal increase of 158 ± 16% (mean ± SEM) of control at 10-8 mol/L GnRH (P < 0.05; Fig. 3Go, A and B). This stimulatory effect was antagonized by the concomitant addition of 10-6 mol/L GnRH-ant to the culture medium (Fig. 3CGo). In contrast, experiments using GnRH-a at 10-6-10-11 mol/L did not change the mRNA levels (Fig. 3DGo). According to the results of dose-dependent studies, a time-course study of the effect of GnRH on mononuclear cells was performed by culturing the cells either with or without 10-8 mol/L GnRH. At 3, 6, 12, and 24 h, the cells were collected for study. It was found that GnRHR mRNA increased gradually after in vitro culture, and this increase was further augmented by treatment with GnRH for up to 24 h (Fig. 4Go). This augmented increase in GnRHR mRNA was statistically significant after 12 h (P < 0.05 at 12 and 24 h).



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Figure 3. Demonstration of the effects of GnRH and GnRH-a on GnRHR mRNA in lymphocytes. Human lymphocytes were precultured for 15–18 h and subsequently treated with different doses of GnRH, GnRH-a, and/or GnRH-ant for up to 24 h. For treatment with GnRH, a single dose was administered at the initiation of experiment. For treatment with GnRH-a and/or GnRH-ant, the peptide was added at both the beginning and again after 12 h of treatment. Total RNA was extracted, and RT-PCR and Southern hybridization were performed as detailed in Materials and Methods. The mRNA levels were semiquantitated using the ß-actin mRNA level to control the total amount of mRNA. A, Treatment with GnRH from 10-11-10-5 mol/L or with control medium only (without GnRH). B, Autoradiograph of Southern hybridization from the experiment shown in A. C, Treatment with various doses of GnRH plus GnRH-ant (10-6 mol/L) or control medium as indicated. D, Treatment with GnRH-a from 10-11-10-6 mol/L or control medium. Levels of mRNA are expressed as a percentage (mean ± SEM) of the level in cells cultured in control medium. *, P < 0.05, significantly different from culture in control medium. The bars represent the mean ± SEM for three or four separate experiment.

 


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Figure 4. Time course of changes in lymphocyte GnRHR mRNA levels after treatment with GnRH (10-8 mol/L) in vitro. Human lymphocytes were precultured for 15–18 h and were subsequently treated with or without GnRH (10-8 mol/L) for various times as indicated. Cells were then collected at 3, 6, 12, and 24 h after treatment, and total RNA was extracted for subsequent RT-PCR and Southern hybridization. Levels of GnRHR mRNA normalized to the ß-actin mRNA level are expressed as a percentage (mean ± SEM) of the level at the initiation of culture (0 h). *, P < 0.05, significantly different from culture without treatment at the same time point.

 
In contrast, the expression of GnRH mRNA was decreased by GnRH treatment in a dose-dependent manner, and the maximal response was at 69 ± 5% (mean ± SEM) of the control value with 10-7 mol/L GnRH at 24 h (Fig. 5Go).



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Figure 5. Demonstration of the effect of GnRH on GnRH mRNA levels in lymphocytes. Human lymphocytes were precultured for 15–18 h and subsequently treated with GnRH (10-11-10-5 mol/L) for 24 h (A). Total RNA was extracted, and RT-PCR and Southern hybridization were performed as detailed in Materials and Methods. The mRNA levels were semiquantitated and normalized by the ß-actin mRNA level. Levels of mRNA are expressed as a percentage (mean ± SEM) of the level in controls (without GnRH treatment). B, Autoradiograph of Southern hybridization from the experiment shown in A. *, P < 0.05, significantly different from culture in control medium.

 
As expected, the IL-2R{gamma} subunit gene was highly expressed in mononuclear cells. At 24 h, its baseline mRNA was stimulated by both GnRH and GnRH-a (Fig. 6Go). GnRH stimulated IL-2R {gamma} mRNA expression significantly in a dose-dependent manner up to approximately 150% of the control value at 10-5-10-6 mol/L at 24 h (Fig. 6Go, A and B). Similarly, GnRH-a stimulated this expression, but only significantly at the 10-10-10-11 mol/L level (Fig. 6CGo).



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Figure 6. Demonstration of the effect of GnRH and GnRH-a on IL-2 R mRNA levels in lymphocytes. Human lymphocytes were precultured for 15–18 h and subsequently treated with GnRH or GnRH-a for 24 h. GnRH was given as a single dose at the initiation of the experiment, whereas GnRH-a was added at both the beginning and again after 12 h of treatment. Total RNA was extracted, and RT-PCR and Southern hybridization were performed as detailed in Materials and Methods. A, 10-11-10-5 mol/L GnRH; B, ethidium bromide staining of the experiment shown in A. C, 10-11-10-6 mol/L GnRh-a. The mRNA levels were semiquantitated and normalized by the ß-actin mRNA level. Levels of mRNA are expressed as a percentage (mean ± SEM) of the level in controls (without GnRH or GnRH-a treatment). *, P < 0.05, significantly different from culture in control medium.

 
GnRH and GnRHR mRNA sequences in peripheral mononuclear cells

Truncated GnRHR cDNA was produced by RT-PCR by the use of primer set GnRHR F1/R1; it consisted of 347 bp, was subsequently sequenced, and was found to be identical to the published sequence of pituitary GnRHR cDNA (4, 13). It was thus confirmed that the GnRHR transcript expressed in mononuclear cells has an identical nucleotide sequence as the pituitary GnRHR cDNA, at least within this 347 bp. This sequence composes approximately 35% of a complete pituitary GnRHR cDNA-coding region. Subsequently, the full-length cDNA for GnRHR from mononuclear cells was cloned by means of PCR. The primers used were as follows: sense primer, 5'-GAA AAT ATG GCA AAC AGT GCC TCT-3'; and antisense primer, 5'-ATC AAT CAC AGA GAA AAA TAT CCA-3'. The size of the amplified PCR product was 998 bp. After PCR, the product was cloned into pUC19 vector by blunt end ligation. The cDNA sequence from the mononuclear cells was identical to the published sequence for pituitary GnRHR.

Similarly, the 380-bp cDNA by RT-PCR encoding the GnRH was sequenced. The GnRH transcripts in mononuclear cells were identical to the hypothalamic GnRH-PIF cDNA, at least within this 380-bp fragment, those from 34 bp downstream of start codon ATG to 134 downstream from the stop codon TAA.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
This study demonstrates that expression of GnRH and GnRHR mRNAs can be detected in human peripheral mononuclear cells using the RT-PCR method. The nucleotide sequences of the cDNA encoding truncated portions of the GnRHR-coding region and the GnRH-PIF were identical to their hypothalamus and pituitary counterparts, respectively. Expression of these mRNAs appeared to be regulated by GnRH. A single dose of GnRH stimulated GnRHR mRNA, but suppressed GnRH mRNA levels after 24 h in in vitro cultures. These GnRH actions appeared to be receptor mediated, as cotreatment with GnRH-ant essentially blocked the effect of GnRH. In contrast, treatment of the cells with GnRH-a did not change the GnRHR mRNA levels at 24 h. In addition, both GnRH and GnRH-a stimulated IL-2R{gamma} mRNA expression at 24 h.

Recent evidence suggests that GnRH-binding sites are also present in extrapituitary tissues, such as the ovary, testis, prostate, breast, spleen, and thymus, and in lymphocytes (2, 9, 10, 11, 13) and lymphoid tissues (14, 15, 16, 18, 27). There was no prior report describing GnRHR gene expression at the transcriptional level, except one study showing that GnRHR mRNA cannot be amplified from human mononuclear cells (12). The present study shows that GnRHR is expressed in mononuclear cells, and the identity of this transcript is confirmed by DNA sequence analysis. The results in this study showed that in addition to its expression in mononuclear cells, GnRHR mRNA is homologously regulated, although there may be certain differences compared to the regulation of pituitary GnRHR mRNA (28, 29, 30, 31, 32). In conjunction with the observation of positive effects of GnRH on cell surface GnRHR (15, 21, 28, 33, 34, 35, 36, 37), these results suggest that GnRHR may play an active role in regulating lymphocyte function. However, the present study cannot identify exactly which regulating lymphocyte subpopulation(s) contains this mRNA. Future studies are warranted to answer this question.

In this study, we observed that there is difference between the effects of GnRH and GnRH-a on the steady state GnRHR mRNA level. This difference may be explained by the fundamental differences in the biological activities of GnRH and GnRH-a. It was reported that native GnRH has a relatively short half-life of 87 min in medium 199 with 10% horse serum (28). Analogs of GnRH, however, have been designed to resist degradation and to increase biological potency. Therefore, most GnRH analogs have potencies 20- to 200-fold greater than the native or synthetic GnRH and have much longer half-lives both in in vivo and in vitro. The difference between GnRH and GnRH-a in this study may thus be explained by the relative potencies and half-lives of these two agents in culture. Due to its short half-life and lower potency, the use of single doses of GnRH in culture mimics the action of a single pulse of GnRH, thus bypassing the possible desensitization of the GnRHR (and probably GnRHR mRNA).

The clinical significance of GnRH mRNA expression in lymphocytes is not clear. Previously, it has been known that the GnRH concentration is low in the human portal system (16) and is further diluted and metabolized in the general circulation. This makes it unlikely that hypothalamic GnRH could exert a significant action on extrapituitary sites, including peripheral lymphocytes. This suggests that an alternative source of endogenous GnRH may play a physiological role in extrapituitary sites in an autocrine or paracrine manner. For example, human placenta has been shown to express GnRH transcript identical to that in the hypothalamus (GnRH-PIF) (26, 38). The presence of GnRH-PIF mRNA in lymphocytes with a nucleotide sequence identical to that in the hypothalamus is consistent with the genomic analysis that only a single GnRH gene is present in the human (26). In addition, this result indicates that lymphocytes may secrete an authentic GnRH that is able to act on both lymphocytes themselves and on other tissues or cells. For example, GnRH has been demonstrated to regulate folliculogenesis and steroidogenesis in the ovary (39). It is therefore speculated that resident ovarian lymphocytes may play a role in these regulations through the production of GnRH.

Due to the presence of GnRHR and GnRH gene expressions in lymphocytes, the potential direct effect of GnRH on the human lymphocyte was also assessed, and it was found that GnRH and GnRH-a stimulated IL-2R{gamma} chain mRNA. IL-2 plays a pivotal role in the activation and proliferation of lymphocytes through a receptor complex (IL-2R) composed of at least of three distinct chains, i.e. {alpha}-, ß-, and {gamma}-chains (24, 40). The noncovalent combination of these three chains constitutes the high affinity receptor with a Kd at the 10-11 mol/L level. There has been a report showing that GnRH induction of rat thymus lymphocyte activation in vitro is accompanied by a specific increase in the IL-R{alpha}-positive T cell (15). In in vivo studies, we have shown that the proportion of CD25-positive (IL-2R-positive) T cell in peripheral mononuclear cells is down-regulated after 2-week treatment with GnRH-a (41, 42). However, IL-2R{alpha} itself is not able to process lymphocyte activation and proliferation due to the lack of a cytoplasmic domain, which is needed for signal transduction (40). In this study, we chose IL-2R{gamma} mRNA as another indirect indicator of lymphocyte activation. We observed that IL-2R{gamma} mRNA is stimulated by relatively short term (24-h) GnRH and GnRH-a stimulation. This may indicate that either endogenous or exogenous GnRH or GnRH-a may be able to modulate the expression of the IL-2R{gamma} gene, which subsequently may affect lymphocyte activation and proliferation. However, the clinical significance of this short term effect on the lymphocyte function is not yet clear. It is expected that a long term in vivo study will be able to address this question.

In summary, the present study indicates that GnRH and GnRHR mRNAs are expressed in human peripheral lymphocytes and these mRNAs are identical to their pituitary and hypothalamus counterparts, at least in the major portion of the coding regions. The importance of GnRH as a physiological regulator of these mRNAs was also demonstrated by an increase in GnRHR mRNA and a decrease in GnRH mRNA after short term culture with GnRH. In addition, GnRH and GnRH-a are also shown to regulate IL-2R{gamma} mRNA expression; this suggests an important role of GnRH in lymphocyte function. The above results thus identified a close interaction between the immune and endocrine systems through certain mediators, including the classical neuropeptide hormone, GnRH, and its receptor. Because of the active roles that lymphocytes play in most if not all aspects of human physiology, it is speculated that lymphocytes may participate in various human reproductive functions through the secretion of GnRH and through the action of the latter on its own GnRHR or on other cells in an autocrine or paracrine manner. In addition, the exogenous administration of GnRH and its analogs (GnRH-a and GnRH-ant), as is common in clinical practice, may theoretically exert a certain impact on the immune system.


    Footnotes
 
1 This work was supported by grants from the Medical Research Council of Canada (to P.C..K.L.) and the Korea Research Foundation (to E.-B.J.). Back

Received May 14, 1998.

Revised September 23, 1998.

Accepted October 20, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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