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The Journal of Clinical Endocrinology & Metabolism Vol. 85, No. 9 3352-3355
Copyright © 2000 by The Endocrine Society


Original Studies

Evidence for the Presence of Angiogenin in Human Follicular Fluid and the Up-Regulation of Its Production by Human Chorionic Gonadotropin and Hypoxia1

Kaori Koga, Yutaka Osuga, Osamu Tsutsumi, Mikio Momoeda, Akihiko Suenaga, Koji Kugu, Toshihiro Fujiwara, Yasushi Takai, Tetsu Yano and Yuji Taketani

Department of Obstetrics and Gynecology (K.Ko., Y.O., O.T., M.M., A.S., K.Ku., T.F., Ya.T., T.Y., Yu.T.), University of Tokyo, Tokyo, 113-8655; and Core Research for Evolutional Science and Technology (O.T.), Japan Science and Technology, Kawaguchi 332-0012, Japan

Address correspondence and requests for reprints to: Dr. Yuji Taketani, Department of Obstetrics and Gynecology, University of Tokyo, Tokyo 113-8655, Japan.


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Angiogenesis is an essential event during the development of the ovarian follicle and ensuing formation of the corpus luteum. We investigated the presence of angiogenin, a potent inducer of angiogenesis, and the regulatory mechanisms of its production in the human ovary. Follicular fluid (FF) and granulosa cells (GCs) were collected from women undergoing in vitro fertilization and embryo transfer. The presence of angiogenin in FF and GCs was demonstrated by Western blot analysis. The production of angiogenin by cultured GCs was stimulated with the addition of human CG or cAMP or under the hypoxic milieu. Concentrations of angiogenin in FF from an individual follicle were positively correlated with those of progesterone, but not estradiol and testosterone. Given the presence of angiogenin in FF and up-regulation of its production by human CG and hypoxia, it seems logical to assume that angiogenin may play a role as a local angiogenic factor in the human ovary.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Angiogenesis is an essential process during folliculogenesis, ovulation, and the formation of the corpus luteum. The development of the preovulatory ovarian follicles is associated with increased density of blood vessels within the theca cell layers. These vessels do not penetrate into the granulosa cell (GC) layers across the basement membrane until ovulation. After ovulation, massive angiogenesis occurs in association with the formation of the corpus luteum, sprouting endothelial cells invading the growing corpus luteum and proliferating therein in the early luteal phase.

Angiogenin, a 14.1-kD single-chain polypeptide, was initially isolated from supernatants of colon carcinoma cells and found to be a member of the pancreatic ribonuclease superfamily (1). Angiogenin is also present in sera of human (2) and other mammals (3), and in bovine milk (4) as well. There is persuasive evidence that angiogenin is a potent inducer of angiogenesis, thus playing a role in the pathogenesis of a variety of cancers (5, 6, 7, 8).

Recently, immunoreactivity and messenger RNA (mRNA) expression for angiogenin were shown in the early corpus luteum of the bovine ovary (9), highlighting angiogenin as an integral player involved in angiogenesis in the process of the formation of the corpus luteum. It may be worthwhile in investigating whether gonadotropin, an inducer of the formation of the corpus luteum, regulates the expression of angiogenin. In addition, it is reasonable to look at the effect of hypoxia on its expression in view of hypoxic milieu of the preovulatory follicle. In this study, we first investigated the presence of angiogenin in human ovarian follicles. Then, in pursuit of its regulatory mechanisms in human ovaries, the effects of human CG (hCG), cAMP, and hypoxia on the expression of angiogenin were studied using human luteinizing GC culture system.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
A total of 29 women, 26–40 years of age (mean, 34.9 y), who were undergoing ovulation induction for in vitro fertilization (IVF) for tubal factor and/or male factor were selected randomly for the study. The protocol for ovarian stimulation has been described previously (10). The experimental procedure was approved by the Institutional Review Board, and signed informed consent for use of the GCs was obtained from each woman. Following ovarian suppression by the GnRH analog (buserelin acetate, Suprecur; Aventis Pharma, Tokyo, Japan) from the midluteal phase of the preceding cycle, a dose of 150–300 IU human menopausal gonadotropin (Nikken, Tokyo, Japan) were given daily until the diameter of the leading follicle reached 17 mm or greater. Then, hCG at a dose of 10,000 IU (Mochida, Tokyo, Japan) was administered and transvaginal ultrasound-guided oocyte retrieval was performed 35 h later.

Collection of follicular fluid (FF)

To evaluate the relationship between the concentrations of angiogenin and those of steroid hormones and hCG in FF, FF from each follicle was separately aspirated without flushes. After isolation of the oocyte, aspirated FF was immediately centrifuged (300 x g), and the supernatant was divided into several aliquots and stored at -80 C until use. Only follicles in which an oocyte was clearly identified were used for analysis. In total, 145 FF samples were obtained from 29 women.

Isolation of GCs

To obtain GCs for culture, FF was aspirated with repeated flushes. All the follicular aspirates and flush medium from each woman were mixed and centrifuged at 200 x g for 5 min to obtain a cell pellet, which was resuspended in phosphate-buffered saline with 0.1% hyaluronidase and incubated at 37 C in a shaking water bath for 30 min. Suspension was layered onto Ficoll-Paque (Pharmacia, Uppsala, Sweden) and centrifuged at 150 x g for 30 min. GCs recovered from the interface were washed with phosphate-buffered saline.

Western blotting

Isolated GCs were homogenized in lysis buffer containing 50 mM TrisHCl (pH7.4), 0.1% SDS, 1 mM ethylenediamine tetraacetic acid, 0.5% Igepal, and 50 mM dithiothreitol and diluted to 1 mg total protein/mL. FF was diluted with the lysis buffer in a 1:50 dilution. Samples were resolved by 10% SDS-PAGE under reducing conditions in the parallel lane with recombinant human angiogenin (Genzyme/Techne, Minneapolis, MN). Proteins were blotted onto nitrocellulose membranes and incubated with an antihuman angiogenin goat antibody (1:500; Genzyme/Techne) as a primary antibody and an antigoat horseradish peroxidase antibody (1:1000; Santa Cruz Biotechnology, Santa Cruz, CA) as a secondary antibody. Immune complexes were visualized by ECL Western blotting system (Amersham, Buckinghamshire, UK). For negative controls, the primary antibody was either replaced with a nonimmune goat IgG or preabsorbed with excessive amount of recombinant human angiogenin.

Cell culture and treatment with hCG, dibutyryl adenosine cyclic monophosphate (dbcAMP), and hypoxia

Isolated GCs, were resuspended in DMEM/Ham’s F-12 medium containing 10% FBS, 100 units/mL penicillin, 0.1 mg/mL streptomycin, and 0.25 µg/mL amphotericin B. The cells were plated at a density of 50,000 cells/35-mm plate and kept at 37 C in a humidified 5% CO2/95% air environment. After 24 h, media were replaced, and the cells were cultured for another 24–48 h before treatments. Then, cell preparations were cultured in replenished media without (control) or with hCG (150 ng/mL; Mochida) or dbcAMP (1 mM; Sigma, St. Louis, MO) for 24 h. In an experiment to examine the effect of hypoxia, the cells were incubated as stated above for initial 48–72 h, then further cultured under normoxic or hypoxic conditions for another 24 h. Hypoxic condition (around 0.2% O2, 18% CO2) was produced by placing culture plates in commercially available hypoxia chambers (Anaeocult P; Mikrobiologie, Darmstadt, Germany). The mean partial pressure of O2 in the medium achieved with the chamber was 84.3 mm Hg as measured with a blood gas analyzer (Stat Profile Ultra; Nova Biomedical, Boston, MA), whereas that under normoxic condition was 158.3 mm Hg. Conditioned medium was collected, centrifuged, and stored at -80 C for subsequent analysis. Total mRNA was isolated as described below.

Hormone measurement

Concentrations of progesterone, estradiol, and testosterone in FFs were measured using an SR1 analyzer (Biochem ImmunoSystems Italia, Rome, Italy). The intra-assay and interassay coefficients of variation were less than 10% for these assays.

Angiogenin concentrations in FF and conditioned media were measured using a specific enzyme-linked immunosorbent assay (Quantikine Human Angiogenin Immunoassay; Genzyme/Techne). The limit of sensitivity of this enzyme-linked immunosorbent assay was 6 pg/mL. The intra-assay and interassay coefficients of variation were 4.3% and 8.7%, respectively.

RT and real-time quantitative PCR

Total RNA was extracted from cultured human GCs, using RNeasy Mini Kit (QIAGEN, Hilden, Germany). RT was performed using TaKaRa RNA PCR Kit (Takara Shuzo, Tokyo, Japan), and real-time quantitative PCR and data analysis were carried out using a Light Cycler (Roche Diagnostic, Mannheim, Germany), according to the manufacturer’s instructions. Two hundred nanograms of total RNA were reverse-transcribed in a 20-µL volume. PCR primers for the angiogenin were 5'-CCTGGGCGTTTTGTTGTTGG-3', sense primer corresponding to nucleotides 1820–1839 of the published sequence (11), and 5'-TGTGGCTCGGTACTGGCATG-3', antisense primer corresponding to nucleotides 2152–2171. Amplification was performed in a total volume of 20 µL including 2.5 µL of each RT reaction, 2 µL LightCycler-FastStart Reaction Mix SYBR Green 1 (Roche Diagnostic), 0.5 µmol/L of each primer, 3 mmol/L MgCl2 with 40 cycles of denaturing (95 C, 15 sec), annealing (62 C 10 sec), and extension (72 C, 14 sec), followed by melting curve analysis.

Statistical analysis

Student’s t test was used for the analysis of concentrations of angiogenin in culture media. Correlations between concentrations of angiogenin and that of progesterone, estradiol, and testosterone were calculated by linear regression analysis. P less than 0.05 was accepted as statistically significant.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
As shown in Fig. 1Go, Western blotting analysis of the samples of both GC lysate and FF revealed a band of the same size as recombinant human angiogenin. The apparent molecular weight of the band was ~14 kD, which corresponds to the reported size of angiogenin (12). No corresponding band was detected when a nonimmune IgG or a preabsorbed antibody was used instead of a primary antibody for angiogenin (data not shown).



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Figure 1. Western blotting analysis of angiogenin in human follicular fluid and GCs. Recombinant human angiogenin (A), 50-fold diluted human follicular fluid (B), and a 20-µl human GC lysate (C) were separated on SDS-PAGE (10% gel) under reducing conditions.

 
Figure 2Go shows angiogenin concentrations in culture media of GCs treated with hCG or dbcAMP for 24 h. The addition of hCG or dbcAMP similarly increased angiogenin accumulation in culture media, an up to 3-fold increase being observed over the control (P < 0.0005 and P < 0.0001, respectively).



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Figure 2. Effects of hCG and dbcAMP on angiogenin production by cultured human GCs. GCs were incubated with either 150 ng/mL hCG, 1 mM dbcAMP, or none of them for 24 h. Then, concentrations of angiogenin in the incubated media were assayed. Each column represents the means ± SEM of hexaplicate cultures. *P < 0.0005; **P < 0.0001 compared with control.

 
Angiogenin release by cultured GCs under hypoxic conditions was shown in Fig. 3Go. GCs under hypoxic conditions released an increased amount of angiogenin, which was ~5.5-fold increase over that in the control culture (P < 0.05). Expression of angiogenin mRNA was detected in cultured GCs by RT-PCR. The sequence of the product was confirmed to coincide with the human angiogenin coding sequence (data not shown). Additional amplification cycles (3.64 ± 0.27, mean ± SEM) were required before fluorescence reached the threshold level for samples in control condition as compared with that in hypoxic conditions, which means the expression level of angiogenin mRNA in GCs under hypoxic conditions was 12.5-fold higher than that under control conditions.



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Figure 3. Effects of hypoxia on angiogenin protein levels in the culture media of human GCs. GCs were incubated under normoxic or hypoxic conditions for 24 h. Each column represents the mean ± SEM of angiogenin concentrations in the incubated media of hexaplicate cultures. *P < 0.05 compared with control.

 
As shown in Fig. 4Go, simple regression analysis showed that the concentrations of angiogenin in FFs were positively correlated with those of progesterone (r = 0.366, P < 0.0001). In contrast, there was no significant correlation between the concentrations of angiogenin and those of estradiol and testosterone.



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Figure 4. Correlation between concentrations of angiogenin and progesterone in FF (y = 7.75 x +252; r = 0.36; P < 0.0001).

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In the present study, we demonstrated the presence of angiogenin in the FF and cultured luteinized GCs in humans. In line with the previous study showing that human FF has the capacity to induce angiogenesis (13), the presence of angiogenic factors such as basic fibroblast growth factors (14) and vascular endothelial growth factor (VEGF) (15) has been demonstrated in FF. The present study added angiogenin to the list of angiogenic factors present in FF, which may contribute to angiogenesis in the follicle.

An in vitro experiment showed that hCG and cAMP treatment increased the angiogenin secretion by GCs. Treatment with hCG is known to enhance luteinization of GCs. Considering that luteinization of GCs occurs in synchrony with angiogenesis during the process of corpus luteum formation, it makes teleological sense that hCG stimulates luteinization of GCs, on one hand, and accelerates the production of angiogenin, on the other hand.

Exogenous administration of hCG in combination with FSH preparations is well known to pose an increased risk of developing ovarian hyperstimulation syndrome (OHSS) (16). Intriguingly, angiogenin concentrations in serum and ascitic fluid are increased in patients with OHSS (17). Our findings that hCG stimulates the production of angiogenin by GCs might explain increased angiogenin levels in patients with OHSS.

cAMP is an important mediator of gonadotropins in both folliculogenesis and luteogenesis. Although regulatory mechanisms for gene transcription of angiogenin are, at present, poorly understood, our findings suggest cAMP as a possible mediator of the production of angiogenin in the follicle.

Hypoxia-induced up-regulation of angiogenin is hitherto known only in human malignant melanoma cells (18). In this study, hypoxia stimulated the release of angiogenin from GCs, thus providing the first evidence for the stimulatory effect of hypoxia in nonmalignant cells. Hypoxia is a well known inducer of angiogenesis. The preovulatory ovarian follicle is a relatively large avascular multicellular structure (19) and, therefore, assumed to be underoxygenated based on mathematical models (20). Indeed, the oxygen contents of FF in mature follicles have been documented to range from less than 1% to ~5.5% (21). Given the angiogenic activity of angiogenin, it is tempting to speculate that hypoxia induces angiogenesis in the follicle possibly by stimulating the expression of angiogenin.

Regarding angiogenin levels in FF, we demonstrated that they positively correlated with progesterone levels in FF obtained from patients undergoing an IVF-embryo transfer program. In view of the finding that hCG stimulates the angiogenin production in cultured GCs, an observed positive correlation of angiogenin levels with those of progesterone in FF is understandable because both substances are locally produced by hCG. Interestingly, the concentrations of VEGF, another angiogenic protein, have been shown to correlate positively with those of progesterone in FF (22). VEGF is also considered to be produced in the ovarian follicles under the stimulation of gonadotropins (23). Collectively, angiogenin and VEGF may play a role in a coordinated manner in angiogenesis occurring in the corpus luteum formation.

It might be argued whether we can generalize data presented here since FF and GCs used in this study derive from IVF patients who receive pharmacological doses of gonadotropins. However, development of each follicle and its subsequent luteinization in association with angiogenesis seem to proceed through essentially the same mechanisms as are seen in natural cycles, even though the number of follicles are increased in IVF settings. Thus, the observed findings may provide a framework for understanding of a physiological role of angiogenin in human ovaries.

In summary, the present study demonstrated the presence of angiogenin in human ovarian follicles and the up-regulation of its production by hCG, cAMP, and hypoxia, thus highlighting angiogenin as a possible local regulator of angiogenesis in the human ovary.


    Acknowledgments
 
We thank Yuko Kai, Keiko Tomita, and Ayako Ogasawara for technical assistance.


    Footnotes
 
1 Supported in part by the Special Coordination Funds for Promoting Science and Technology of the Science and Technology Agency of the Japanese Government. Back

Received February 10, 2000.

Revised May 31, 2000.

Accepted June 14, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Fett JW, Strydom DJ, Lobb RR, et al. 1985 Isolation and characterization of angiogenin, an angiogenic protein from human carcinoma cells. Biochemistry. 24:5480–5486.[CrossRef][Medline]
  2. Shapiro R, Strydom DJ, Olson KA, Vallee BL. 1987 Isolation of angiogenin from normal human plasma. Biochemistry. 26:5141–5146.[CrossRef][Medline]
  3. Bond MD, Strydom DJ, Vallee BL. 1993 Characterization and sequencing of rabbit, pig and mouse angiogenins: discernment of functionally important residues and regions. Biochim Biophys Acta. 1162:177–186.[CrossRef][Medline]
  4. Maes P, Damart D, Rommens C, Montreuil J, Spik G, Tartar A. 1988 The complete amino acid sequence of bovine milk angiogenin. FEBS Lett. 241:41–45.[CrossRef][Medline]
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  6. Shimoyama S, Yamasaki K, Kawahara M, Kaminishi M. 1999 Increased serum angiogenin concentration in colorectal cancer is correlated with cancer progression. Clin Cancer Res. 5:1125–1130.[Abstract/Free Full Text]
  7. Shimoyama S, Gansauge F, Gansauge S, Oohara T, Kaminishi M, Beger HG. 1999 Increased angiogenin expression in obstructive chronic pancreatitis surrounding pancreatic cancer but not in pure chronic pancreatitis. Pancreas. 18:225–230.[Medline]
  8. Chopra V, Dinh TV, Hannigan EV. 1998 Circulating serum levels of cytokines and angiogenic factors in patients with cervical cancer. Cancer Invest. 16:152–159.[Medline]
  9. Lee HS, Lee IS, Kang TC, Jeong GB, Chang SI. 1999 Angiogenin is involved in morphological changes and angiogenesis in the ovary. Biochem Biophys Res Commun. 257:182–186.[CrossRef][Medline]
  10. Osuga Y, Tsutsumi O, Momoeda M, et al. 1999 Evidence for the presence of hepatocyte growth factor expression in human ovarian follicles. Mol Hum Reprod. 5:703–707.[Abstract/Free Full Text]
  11. Kurachi K, Davie EW, Strydom DJ, Riordan JF, Vallee BL. 1985 Sequence of the cDNA and gene for angiogenin, a human angiogenesis factor. Biochemistry. 24:5494–5499.[CrossRef][Medline]
  12. Strydom DJ, Fett JW, Lobb RR, et al. 1985 Amino acid sequence of human tumor derived angiogenin. Biochemistry. 24:5486–5494.[CrossRef][Medline]
  13. Frederick JL, Shimanuki T, diZerega GS. 1984 Initiation of angiogenesis by human follicular fluid. Science. 224:389–390.[Abstract/Free Full Text]
  14. Seli E, Zeyneloglu HB, Senturk LM, Bahtiyar OM, Olive DL, Arici A. 1998 Basic fibroblast growth factor: peritoneal and follicular fluid levels and its effect on early embryonic development. Fertil Steril. 69:1145–1148.[CrossRef][Medline]
  15. Krasnow JS, Berga SL, Guzick DS, Zeleznik AJ, Yeo KT. 1996 Vascular permeability factor and vascular endothelial growth factor in ovarian hyperstimulation syndrome: a preliminary report. Fertil Steril. 65:552–555.[Medline]
  16. Elchalal U, Schenker JG. 1997 The pathophysiology of ovarian hyperstimulation syndrome—views and ideas [see comments]. Hum Reprod. 12:1129–1137.
  17. Aboulghar MA, Mansour RT, Serour GI, Elhelw BA, Shaarawy M. 1998 Elevated concentrations of angiogenin in serum and ascitic fluid from patients with severe ovarian hyperstimulation syndrome. Hum Reprod. 13:2068–2071.[Abstract/Free Full Text]
  18. Hartmann A, Kunz M, Kostlin S, et al. 1999 Hypoxia-induced up-regulation of angiogenin in human malignant melanoma. Cancer Res. 59:1578–1583.[Abstract/Free Full Text]
  19. Neeman M, Abramovitch R, Schiffenbauer YS, Tempel C. 1997 Regulation of angiogenesis by hypoxic stress: from solid tumours to the ovarian follicle. Int J Exp Pathol. 78:57–70.[CrossRef][Medline]
  20. Gosden RG, Byatt-Smith JG. 1986 Oxygen concentration gradient across the ovarian follicular epithelium: model, predictions and implications. Hum Reprod. 1:65–68.[Abstract/Free Full Text]
  21. Van Blerkom J, Antczak M, Schrader R. 1997 The developmental potential of the human oocyte is related to the dissolved oxygen content of follicular fluid: association with vascular endothelial growth factor levels and perifollicular blood flow characteristics. Hum Reprod. 12:1047–1055.
  22. Lee A, Christenson LK, Stouffer RL, Burry KA, Patton PE. 1997 Vascular endothelial growth factor levels in serum and follicular fluid of patients undergoing in vitro fertilization. Fertil Steril. 68:305–311.[CrossRef][Medline]
  23. Dissen GA, Lara HE, Fahrenbach WH, Costa ME, Ojeda SR. 1994 Immature rat ovaries become revascularized rapidly after autotransplantation and show a gonadotropin-dependent increase in angiogenic factor gene expression. Endocrinology. 134:1146–1154.[Abstract]




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