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Original Studies |
Division of Reproductive Endocrinology, Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center at Dallas, Dallas, Texas 75235-9032
Address correspondence and requests for reprints to: Bruce R. Carr, M.D., Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, Texas 75235-9032.
| Abstract |
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-hydroxyprogesterone (17OHP) in
the incubation medium was measured by RIA. The expression of
17
-hydroxylase (CYP17), 3ß-hydroxysteroid dehydrogenase (3ßHSD),
cholesterol side-chain cleavage (CYP11A1), and steroidogenic acute
regulatory (StAR) protein was determined by protein immunoblotting
analysis using specific rabbit polyclonal antibodies. We also examined
the expression of BMP receptor subtypes in our HOTT cells using RT-PCR.
In cells treated with medium alone, steroid accumulation and steroid
enzyme expression was unchanged. In cells treated with BMP alone there
was a modest decrease in androstenedione secretion. In the presence of
forskolin, HOTT cell production of androstenedione, 17OHP, and
progesterone increased by approximately 4.5-, 35-, and 3-fold,
respectively. In contrast, BMP-4 decreased forskolin-stimulated HOTT
cell secretion of androstenedione and 17OHP by 50% but increased
progesterone production 3-fold above forskolin treatment alone.
Forskolin treatment led to an increase in CYP17, CYP11A1, 3ßHSD, and
StAR protein expression. BMP-4 markedly inhibited forskolin stimulation
of CYP17 expression but had little effect on 3ßHSD, CYP11A1, or StAR
protein levels. Similar results were observed with the cAMP analog
dbcAMP. In addition, BMP-4 inhibited basal and forskolin stimulation of
CYP17 messenger RNA expression as determined by RNase protection assay.
Other members of the transforming growth factor ß superfamily,
including activin and inhibin, had minimal effect on androstenedione
production in the absence of forskolin. In the presence of forskolin,
activin inhibited androstenedione production by 80%. Activin also
inhibited forskolin induction of CYP17 protein expression as determined
by Western analysis. We identified the presence of messenger RNA for
three BMP receptors (BMP-IA, BMP-IB, and BMP-II) in the HOTT cells
model. In conclusion, BMP-4 inhibits HOTT cell expression of CYP17,
leading to an alteration of steroidogenic pathway resulting in reduced
androstenedione accumulation and increased progesterone production.
These effects of BMP-4 seem similar to those caused by activin, another
member of the transforming growth factorß superfamily of proteins. | Introduction |
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-hydroxylase (CYP17)
in the theca and its absence in the granulosa. This allows follicular
thecal cells to secrete and provide 19 carbon (C19)
steroids to the adjacent granulosa cells, for conversion to estrogens
(1, 2). Thus, the regulation of C19 steroid
production in the thecal cell is a key component of estrogen
biosynthesis. There is growing evidence that locally produced growth factors play an important role in thecal cell steroid production, either alone or in combination with gonadotropins (3). Among these growth factors is the transforming growth factor-ß (TGF-ß) superfamily, which includes TGF-ß, mullerian-inhibiting substance, inhibin, activin, and the bone morphogenetic proteins (BMPs) (4, 5, 6).
BMPs comprise one of the largest subgroups in the TGF-ß superfamily. Fifteen BMPs have been described, and seven BMPs (2, 3, 3b, 4, 6, 7, 15) have been localized in mammalian ovaries (7, 8, 9, 10, 11, 12, 13). Additionally, in situ hybridization has demonstrated BMP-4 and BMP-7 messenger RNA (mRNA) in rat thecal cells (14).
Attempts to define the molecular and biochemical mechanisms controlling human thecal cell steroidogenesis have been hampered by the difficulty in obtaining and maintaining sufficient numbers of human thecal cells in monolayer culture. Our laboratory has developed a human ovarian thecal-like tumor (HOTT) cell culture model that seems to act as an appropriate model system for thecal cell steroidogenesis (15, 16). These cells continue to produce C19 steroids and express the enzymes involved in normal thecal cell steroidogeneisis. In the current study, the HOTT cell culture model system was used to investigate the effects of BMP-4 on androgen production.
| Materials and Methods |
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The descriptions of the in vitro HOTT cell culture model have been reported previously (15, 16, 17). Briefly, a portion of the tumor was dispersed into single cells using constant gentle agitation in 0.025% trypsin in Dulbeccos Modified Eagles (DME)/F-12 (Life Technologies, Inc., Grand Island, NY) and antibiotic (37 C, 30 min x 8). After each time point the cell suspension was collected, pooled, pelleted, and resuspended in DME/F-12 medium containing 5% FBS to inactivate the trypsin. Aliquots of these cells were frozen and used as needed for the study. For monolayer culture, HOTT cells were thawed and maintained in DME/F-12 medium supplemented with insulin (6.25 µg/mL), transferrin (6.25 µg/mL), selenious acid (6.25 ng/mL), BSA (1.25 mg/mL), and linoleic acid (5.35 µg/mL) added in the form of 1% ITS plus (Collaborative Research, Waltham, MA), 2% Ultroser G (BioSepra, Villeneuve, France), and antibiotics. Cells were maintained and grown on 75-cm2 flasks at 37 C under an atmosphere of 5% CO2/95% air. Cells were routinely subcultured using 0.05% trypsin and replated at a 1:4 split. All experiments described in this study were accomplished using cells in culture for 28 weeks. For the experiments, growth medium was removed and replaced with a low-serum medium (DME/F-12 medium containing antibiotics and 0.01% Ultroser G) for 24 h. Cells were then rinsed and experimentally treated in the same low-serum medium. At the end of the treatment period, the medium was removed and the cells and medium were stored at -20 C for subsequent assay.
Experimental treatments
Specifics of various treatments are detailed in the figure legends. Reagents included: forskolin (Sigma, St. Louis, MO), dbcAMP (Sigma), and recombinant human BMP-4 (Research Diagnostics Inc., Flanders, NJ). Human recombinant inhibin-A and human recombinant activin-A were graciously supplied by Dr. A. F. Parlow, the scientific director of the National Hormone and Pituitary Program (Torrance, CA).
Measurement of steroid content
The steroid contents of culture medium were assayed after 36 h. This time was chosen as optimal for inhibition of androstenedione by BMP on forskolin-stimulated cells. Steroid contents was measured using standard RIA kits [androstenedione, 17OHP, and progesterone from Diagnostic Systems Laboratory (Webster, TX)]. The amount of steroid measured was expressed as picomoles steroid per milligram of cellular protein.
Protein determination
Cells were solubilized in Tris-HCl (50 mM/pH 7.4) containing NaCl (150 mM), deoxycholic acid (0.1%), EGTA (5 mM), MgCl2 (0.5 mM), and phenylmethylsulfonylfluoride (0.2 mM) and stored frozen at -20 C. Subsequently, protein content was determined by bicinchonic acid protein assay, using the BCA assay kit (Pierce, Rockford, IL).
Western analysis
Using a Novex Xcell system (Novel Experimental Technology, San Diego, CA), one dimensional electrophoresis (200 V, 35 min) was performed in a 412% polyacrylamide pre-cast gel in a NuPAGE MES SDS running buffer [50 mM 2-(N-morpholino) ethane sulfonic acid, 50 mM Tris base, 3.5 mM SDS, and 1 mM EDTA (pH 7.2)] under reducing conditions. Proteins were transferred to nylon membrane (25 V, 1 h) in NuPAGE transfer buffer [25 mM Bicine, 25 mM Bis-tris, 1 mM EDTA, 0.05 mM chlorobutanol, and 20% methanol (pH 7.2)]. Immunoblotting was performed with rabbit polyclonal antibodies. Antibody sources were: human CYP17 antibody (M. Waterman, Vanderbilt University Medical Center, Nashville, TN), StAR antibody (D. Stucco, Texas Tech University Health Sciences Center, Lubbock, TX), human 3ßHSD antibody (J. Ian Mason, University of Edinburgh, Edinburgh, Scotland), and human CYP11A1 (Bon-Chu Chung, Institute of Molecular Biology Taiwan, Taiwan, China). The primary antibody incubation was followed by incubation with an antirabbit Ig, and horseradish peroxidase-linked F (ab')2 fragment from donkey (Amersham Life Sciences, Buckinghamshire, England). Proteins were detected with enhanced chemiluminescence reagents (Amersham Life Sciences) on X-Omat Blue XB-1 Scientific Imaging Film (Kodak, Rochester, NY).
RNA isolation
Total RNA was isolated from a 15-mm follicle obtained from a patient undergoing oophrecetomy for a benign gynecological condition, as well as from HOTT cells that were maintained in low-serum medium for 48 h. RNA was isolated using Ultraspec RNA reagent according to the manufacturers suggested protocol. Frozen follicle and HOTT cells were homogenized in Ultraspec RNA reagent. The homogenate was kept on ice for at least 5 min to permit the complete dissociation of nucleoprotein complexes. Chloroform (0.2 mL/1 mL Ultraspec RNA reagent) was added while vigorously shaking, incubated at 4 C for 5 min, and centrifuged at 12,000 x g for 15 min at 4 C. The aqueous phase was carefully transferred to a fresh tube without disturbing the interphase. An equal volume of isopropanol was added, and the tube was stored at 4C for 1 h or longer. RNA precipitate was formed as a pellet at the bottom of the tube after centrifugation for 10 min at 12,000 x g (4 C). The pellet was washed twice with 75% ethanol by vortexing and subsequent centrifugation for 5 min at 12,000 x g (4 C) and briefly dried. The pellet was then dissolved in 50 mL diethylprocarbonate-treated water.
RNase Protection Assay (RPA)
A 295-bp fragment was obtained from CYP17 cDNA using Sac1 and Xba 1. This fragment, containing the nucleotides between +6 and +300, was inserted in pBluescript KS vector and sequenced to confirm its identity and orientation. A 32P-labeled probe was prepared from the linearized plasmid using Maxiscript T7/T3 polymerase kit (Ambion, Inc., Austin, TX). A 125-bp 32P-labeled riboprobe for ß-actin was also prepared using Maxiscript T7/T3 polymerase kit and was used as internal control. Because ß-actin is more abundant than CYP17 mRNA, the 32P-labeled ß-actin probe was prepared at 100-fold lower specific activity. This ensured that the ß-actin probe could be used in molar excess to its target and a similar exposure time could be used for both probes. The labeled probes were purified on a 6% acrylamide gel. The labeled CYP17 and ß-actin probes were added to each of the RNA sample (10 µg). RPA was performed according to the manufacturer-suggested protocol (Ambion). Following hybridization and RNase digestion the protected fragments were separated on a 6% polyacrylamide gel. The gel was placed in a phosophoimager caste and left overnight. A phosphoimager counter was used to measure the density of each band.
RT-PCR
The first-strand cDNA synthesis from 4 µg total RNA was
catalyzed by superscript II RT using random hexamer primers according
to the manufacturers protocol. The 20-L of reaction mixture consisted
of 4 µg total RNA, extracted either from ovarian follicles or HOTT
cells, 125 ng random hexamers, 50 mM Mg Cl2,
0.5 mM dNTP, 10 mM dithiothreitol, and 200 U
Superscript II RT in 20 mM Tris-HCl buffer (pH 8.4). Two
microliters of the first-strand cDNA reaction was used for PCR reaction
to amplify the three different subtypes of BMP receptors. Primers used
for PCR reaction are listed in Table 1
.
The PCR condition was 94 C for 3 min to denature the RNA/cDNA hybrid,
then 30 cycles for 94 C for 1 min, 55 C for 1 min, and 72 C for 1 min.
PCR products were examined on a 1% agarose gel.
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Statistical comparison of means of three or more samples was accomplished by ANOVA with Newman-Keuls post hoc testing. Significance was accepted at the 0.05 level of P.
| Results |
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Medium accumulation of androstenedione,
17
hydroxyprogesterone (17OHP), and progesterone was evaluated
after 36 h of treatment. Treatment groups consisted of control
(basal), forskolin (10 µM), BMP-4 (50 ng/mL), and
forskolin (10 µM) plus BMP-4 (50 ng/mL). In cells treated
with control medium or BMP-4, steroid accumulation was unchanged. In
the presence of forskolin, HOTT cell production of androstenedione,
17OHP, and progesterone increased by approximately 4.5-, 35-, and
3-fold, respectively (Fig. 1
, A, B, and
C, respectively). In contrast, BMP-4 decreased forskolin-stimulated
HOTT cell secretion of androstenedione and 17OHP by 50% but increased
progesterone 3-fold above forskolin treatment alone (P
< 0.001).
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Cells were treated for 36 h with control media, forskolin (10
µM), BMP-4 (50 ng/mL), inhibin-A (50 ng/mL), activin-A
(50 ng/mL), or forskolin (10 µM) plus BMP-4 (50 ng/mL),
inhibin-A (50 ng/mL), or activin-A (50 ng/mL) (Fig. 3
). Androstenedione levels were evaluated
using RIA. In cells treated with medium only, BMP-4 modestly inhibited
steroid accumulation. In the presence of forskolin, HOTT cell
production of androstenedione, increased by approximately 4-fold and
was not affected by the presence of inhibin. In contrast, BMP-4 and
activin significantly decreased forskolin-stimulated HOTT cell
secretion of androstenedione (BMP-4, P < 0.001;
activin-A, P < 0.001).
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We sought to elucidate the effect of BMP-4 on HOTT cell expression
of immuno-detectable steroidogenic enzymes using Western analysis.
Cells were treated for 36 h with medium only, forskolin (10
µM), BMP-4 (50 ng/mL), or forskolin (10 µM)
plus BMP-4 (50 ng/mL). Additionally, cells were treated for 36 h
with dbcAMP (1 mM) or dbcAMP (1 mM) plus BMP-4
(50 ng/mL). Western analysis was performed as described in
Materials and Methods. The results are presented in Fig. 4
. In cells treated with medium alone or
BMP-4, steroidogenic enzyme expression was unchanged. Forskolin
treatment increased CYP17, CYP11A1, and StAR protein expression. In
contrast, BMP-4 markedly inhibited forskolin-stimulated CYP17
expression but had little effect on 3ßHSD, CYP11A1, or StAR protein.
Similar results were observed with the cAMP analog dbcAMP.
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To better define the mechanism for BMP-4 inhibition of CYP17
protein expression, we sought to evaluate CYP17 mRNA using a RPA for
CYP17 as discussed in Materials and Methods. Cells were
incubated for 24 h in basal media, BMP-4 (10 ng/mL), forskolin (10
µM) or forskolin (10 µM) plus BMP-4 (10
ng/mL). The results of the experiment are shown in Fig. 6
, A and B. Compared with basal levels,
BMP-4 alone inhibited CYP17 mRNA expression by 60%. Forskolin
treatment caused a 20-fold increase in CYP17 mRNA levels, but BMP-4
inhibited forskolin stimulated CYP17 mRNA expression by 40%. These
data suggest BMP-4 action on CYP17 protein expression occurs through
alterations in mRNA levels.
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To better define the molecular action of BMP-4 on steroidogensis,
we examined for the presence of BMP receptors subtypes in HOTT cells
maintained in low serum medium as described in Materials and
Methods. As seen in Fig. 7
, the
expression of BMP-IA, BMP-IB, and BMP-II was observed in a human
ovarian follicle and in HOTT cells.
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| Discussion |
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BMPs are multifunctional cytokines that regulate cellular proliferation, differentiation, and apoptosis of various cell types, including osteoblasts and chondroblasts (7, 8, 9, 10, 11, 12, 13). These functions are related to various biological functions in vivo (e.g. formation of bone and cartilage, embryogenesis, and organogenesis). There are at least 15 structurally related BMPs, all of which have structural similarities that place them in the TGFß superfamily of proteins. Recently, the expression of BMPs was demonstrated in rat ovarian tissues, and predominantly in thecal cells (14). Thecal cells expressed both BMP-4 and BMP-7 mRNA as determined by in situ hybridization. BMP type IA, IB, and II receptors were also studied and shown to be predominantly expressed in the granulosa cells (14). Granulosa cell steroidogenesis was also influenced by BMP-4 and BMP-7 treatment. In addition, human granulosa cells obtained from in vitro fertilization cycles seem to express BMP-3, and its expression was regulated negatively by human chorionic gonadotropin (hCG) (11). The production of BMPs in granulosa cells suggests the possibility of an autocrine role on granulosa cells or a paracrine effect on thecal cells.
The purpose of this study was to investigate the role of one of the BMP family members, BMP-4, on the regulation of steroidogenesis as well as evaluating protein and mRNA expression of the principal enzymes involved in human ovarian thecal cell steroidogenesis. The difficulty in obtaining human thecal cell in sufficient quantities has slowed progress directed at defining the mechanism regulating of steroidogenesis. Our laboratory has isolated cells from ovarian tumors and place them in monolayer cell culture (15, 16). These HOTT cells have retained many of the characteristics of normal human thecal cells maintained in primary culture. These include the production of C19 steroids and expression of steroid-metabolizing enzymes, each of which is under the control of cAMP. In addition, we have demonstrated that the HOTT cell model responds to TGFß, activin, and inhibin with similar responses to those seen in primary cultures of human thecal cells (5, 6, 21, 22).
Treatment of HOTT cells with BMP-4 caused a concentration-dependent inhibition of forskolin-stimulated androstenedione production. This effect was also observed on the stimulation of androstenedione by dbcAMP, an analog of cAMP. The effect was not due to an overall inhibition of steroid hormone biosynthesis because the level of progesterone production actually increased following BMP-4 treatment. This effect (decreased androgen production and increased progestin formation) is similar to that we reported previously for activin treatment of HOTT cells (6). In vivo such a shift in thecal cell androgen production is observed at ovulation when the cells start to luteinize. Thus, one interpretation of the effects of BMP and activin would be that they act to promote a luteinized phenotype or alternatively that they act as a negative regulator of androgen production to prevent excessive androstenedione production by thecal cells.
BMPs transduce signals through binding to specific BMP receptors that have been grouped as type IA, type IB, and type II BMP receptors, each of which has serine/threonine kinase activity (7, 8, 9, 10). The BMPs can also bind and activate acitivin receptors (24, 25, 26). Therefore, the effects on thecal cell androgen production could result from BMP-4 activation of specific BMP receptors or through activin receptors. The observation that activin and BMP-4 have the similar effects on enzyme expression and androgen production support this hypothesis. However, we observed that the HOTT cells model expresses receptors for BMP; therefore, we suggest that the effect of BMP could be mediated through its BMP receptors or to a lesser degree through activin receptors.
The production of thecal cell androstenedione relies on the activities
of CYP11A1, 17
-hydroxylase; CYP17, and 3ßHSD (27). In
addition, the production of androstenedione can be regulated by the
expression of StAR protein that is needed for cholesterol to enter the
mitochondria (28). As mentioned above, BMP-4 inhibited
androstenedione production but increased the production of
progesterone, suggesting that the enzymes involved in progesterone
biosynthesis are not effected. Indeed, Western analysis revealed that
BMP-4 exhibited specific effects on CYP17 without an inhibition of
StAR, CYP11A1, or 3ßHSD. Human CYP17 and 3ßHSD represent key
regulatory enzymes at branchpoints in the production of C21
steroids (progesterone and 17
-OHP) vs. the production of
C19 steroids (dehydroepiandrosterone and androstenedione).
CYP17, through its 17
-hydroxylase activity, will readily bind and
metabolize pregnenolone or progesterone to 17
-hydroxypregnenolone or
17
-OHP, respectively. By virtue of its broad substrate specificity
3ßHSD will complete with CYP17 for the metabolism of pregnenolone and
17
-hydroxypregnenolone (29, 30). Therefore, the
relative expression of CYP17 and 3ßHSD will have direct effects on
the amount of androstenedione produced by thecal tissue. Activin
inhibited CYP17 in a similar manner and had little effect on StAR,
CYP11A1, or 3ßHSD. Taken together, these data suggest that activin
and BMP-4 decrease thecal cell androgen production by modifying the
ratio of CYP17 to 3ßHSD within the cell. This results in the
production of more progesterone and less androstenedione.
It could be hypothesized that such an effect could inhibit overall estrogen production in vivo by decreasing production of C19 steroids in the thecal cells. Such an effect could be considered luteotropic because the production of estrogen does decrease following ovulation as the thecal cells luteinize. We have previously observed similar effects using activin, another member of the TGFß family of proteins (6). Activin also lead to an increase in progesterone production and an inhibition of androstenedione production. Activin and BMP-4 may well share signaling pathways and, therefore, act through a similar manner to regulate thecal cell steroidogenesis.
Received March 13, 2000.
Revised June 8, 2000.
Accepted June 15, 2000.
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