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The Journal of Clinical Endocrinology & Metabolism Vol. 86, No. 3 1362-1369
Copyright © 2001 by The Endocrine Society


Original Studies

Urocortin and Corticotropin-Releasing Factor Receptor Expression in Normal Cycling Human Ovaries1

Yasunari Muramatsu, Norihiro Sugino, Takashi Suzuki, Kazuhito Totsune, Kazuhiro Takahashi, Atsushi Tashiro, Michio Hongo, Yutaka Oki and Hironobu Sasano

Departments of Pathology (Y.M., T.S., H.S.), Psychosomatic Medicine (Y.M., A.T., M.H.), Internal Medicine (K.To.), and Molecular Biology (K.Ta.), Tohoku University School of Medicine, Sendai 980-8575; Department of Obstetrics and Gynecology, Yamaguchi University School of Medicine (N.S.), Ube 755-8505; and Second Division, Department of Medicine, Hamamatsu University School of Medicine (Y.O.), Hamamatsu 431-3192, Japan

Address all correspondence and requests for reprints to: Yasunari Muramatsu, M.D., Department of Pathology, Tohoku University School of Medicine, 2–1 Seiryo-machi, Aoba-ku, Sendai 980-8575, Japan. E-mail: murayasu{at}patholo2.med.tohoku.ac.jp


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Urocortin is a member of the CRF neuropeptide family and has a 43% homology to CRF in amino acid sequence. Urocortin has been found to bind with high affinity to CRF receptors. CRF has been detected in the human ovary and has been demonstrated to suppress ovarian steroidogenesis in vitro. In this study we examined urocortin and CRF receptor expression in normal cycling human ovaries, using immunohistochemistry and RT-PCR. Normal cycling human ovaries were obtained at oophorectomy and hysterectomy from patients who underwent surgery for cervical cancer or myoma uteri. Intense urocortin immunoreactivity was detected in luteinized thecal cells of regressing corpora lutea, in which only luteinized thecal cells have the capacity for steroidogenesis. Immunoreactive urocortin was also detected in luteinized granulosa and thecal cells of functioning corpora lutea, in which both cell components are capable of producing steroids. RT-PCR analyses revealed that messenger ribonucleic acid levels for urocortin, CRF, and CRF receptor type 1 and type 2{alpha} were significantly higher in the regressing corpus luteum than in the functioning corpus luteum. The spatial and temporal immunolocalization patterns of CRF receptor were similar to those of urocortin. These results suggest that urocortin is locally synthesized in steroidogenic luteal cells and acts on them as an autocrine and/or paracrine regulator of ovarian steroidogenesis, especially during luteal regression.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
UROCORTIN (Ucn), a 40-amino acid peptide originally cloned from the rat midbrain, is a member of the CRF neuropeptide family (1). Ucn has been demonstrated to be involved in the modulation of a variety of biological activities, including prolonged hypotensive effects after peripheral injection (1, 2), mild hypertensive effects after central administration (2), suppression of appetite (2), inhibition of extravasation and subsequent inflammatory processes (3), suppression of encephalomyelitis (4), and regulation of cardiac contractility (5) in experimental animal models. All of these actions are currently considered to be mediated via CRF receptors. Ucn has been reported to bind with high affinity to CRF receptor type 1 (CRF-R1) and type 2 (CRF-R2) and has been proposed to be an endogenous ligand for CRF-R2 (1). Human (h) Ucn has 95% amino acid sequence homology to rat (r) Ucn and 43% homology to rat/human (r/h) CRF (6). In humans, the presence of immunoreactive Ucn and Ucn messenger ribonucleic acid (mRNA) have been demonstrated in the placenta (7), the pituitary gland and its neoplasm (8), the brain (8, 9, 10), the spinal cord (10), and lymphocytes (11).

CRF, a 41-amino acid peptide originally isolated from the ovine hypothalamus, is generally considered to be the principal neuroregulator of the hypothalamic-pituitary-adrenal axis (12, 13). The synthesis and release of CRF has also been demonstrated in several peripheral tissues (13, 14, 15, 16, 17). The presence of immunoreactive CRF has been reported in rat and human ovaries and in human follicular fluid (18, 19). CRF and CRF-R1 mRNAs have also been detected in the thecal cells of human ovarian follicles (20). The results of several in vitro studies have demonstrated that CRF can suppress ovarian steroidogenesis (21, 22, 23). Therefore, it is suggested that the CRF system, including CRF, Ucn, and CRF receptors, may play important roles in various biological functions in the human ovary. However, Ucn and CRF-R2 expression in the human ovary have not been examined.

We previously demonstrated that the immunolocalization pattern of steroidogenic enzymes in follicles and corpora lutea were closely associated with the growth and regression of these ovarian structures (24, 25). Therefore, in the present study we examined the distribution of immunoreactive Ucn in ovarian stages classified according to the temporal and spatial expression patterns of steroidogenic enzymes in normal human ovaries throughout the menstrual cycle. Furthermore, we studied Ucn, CRF, and CRF receptor mRNA expression in corpora lutea obtained from the midluteal phase (days 19–24) and the regression phase (days 3–7) of the menstrual cycle and from early pregnant patients (6–8 weeks of pregnancy) using RT-PCR. In addition, we examined the localization of CRF and CRF receptor in the human ovary using immunohistochemistry.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The protocol for this study was approved by the ethics committee of Tohoku University School of Medicine (Sendai, Japan) and the committee on investigations involving human subjects at Yamaguchi University School of Medicine (Ube, Japan). Informed consent from patients was obtained before the collection of any tissue specimens examined in this study.

Reagents

hUcn-(1–40) and r/hCRF-(1–41) were obtained from Peptide Institute (Osaka, Japan). Deoxyribonucleotide triphosphates and Moloney murine leukemia virus reverse transcriptase were purchased from Life Technologies, Inc. (Grand Island, NY). Random hexamer and Taq DNA polymerase were obtained from Perkin-Elmer Corp. (Foster City, CA). [{alpha}-32P]Deoxy-CTP ([{alpha}-32P]dCTP) was purchased from Amersham Pharmacia Biotech (Arlington Heights, IL). Other chemicals used in this study were obtained from Katayama Chemical, Inc. (Osaka, Japan) and Wako Pure Chemical Industries, Ltd. (Osaka, Japan).

Tissue collections for immunohistochemistry

Normal cycling human ovaries (n = 24) were obtained from patients who underwent oophorectomy and hysterectomy. All patients were diagnosed with squamous cell carcinoma of the uterine cervix. Oophorectomy was performed to rule out possible foci of metastasis in the ovary. Histopathological examination of these ovaries was performed in hematoxylin-eosin-stained tissue sections. No morphological abnormalities were observed in these sections, including metastasis of the carcinoma or polycystic changes. The age of the patients ranged from 26–45 yr, and the patients had regular menstrual cycles and no sex steroid abnormalities before surgery. Ovarian tissues were immediately fixed in 4% paraformaldehyde (pH 7.4) for 12 h at 4 C and were subsequently embedded in paraffin wax.

The phase of the menstrual cycle was determined in each case by taking a detailed patient history and performing endometrial dating based on the criteria of Silverberg (26). In addition, serum levels of estradiol and progesterone were determined using an enzyme-linked immunosorbent assay kit (Diagnostic Products, Los Angeles, CA) at the time of surgery. Ovarian follicles and corpora lutea for each specimen were classified according to the phase of the menstrual cycle, morphological features, and immunolocalization patterns of steroidogenic enzymes, as reported by Suzuki et al. (24, 25).

Seven follicular stages were classified in the present study as follows: primordial follicles (n = 54), primary follicles (n = 40), preantral follicles (n = 16), nondominant antral follicles in the follicular phase [P450 aromatase (P450arom)-negative, P450 cholesterol side-chain cleavage (P450scc)-positive, 3ß-hydroxysteroid dehydrogenase (3ßHSD)-positive, and P450 17{alpha}-hydroxylase (P450c17)-positive antral follicles in the follicular phase; n = 13], dominant follicles (all enzyme-positive antral follicles in the follicular phase; n = 7), nondominant antral follicles in the luteal phase (P450arom-negative, P450scc-positive, 3ßHSD-positive, and P450c17-positive antral follicles in the luteal phase; n = 12), atretic follicles (n = 24), and oocytes (n = 57).

Six luteal stages were identified as follows: early corpus luteum (P450scc-positive, 3ßHSD-positive, P450arom-positive, and P450c17-positive functioning corpus luteum in the early luteal phase; n = 4), midcorpus luteum (all enzyme-positive functioning corpus luteum in the mid luteal phase; n = 6), late corpus luteum (all enzyme-positive functioning corpus luteum in the late luteal phase; n = 6), early degenerating corpus luteum (P450arom-negative, P450scc-positive, 3ßHSD-positive and P450c17-positive corpus luteum; n = 8), late degenerating corpus luteum (all enzyme-negative corpus luteum; n = 12), and corpus albicans (n = 34).

Corpora lutea of early pregnancy (6–8 weeks of pregnancy; n = 3) were also obtained from patients, aged 24–30 yr, with ectopic pregnancy. These specimens were immediately fixed in 4% paraformaldehyde (pH 7.4) for 12 h at 4 C and subsequently embedded in paraffin wax. The pregnant corpus luteum showed the same immunolocalization patterns of steroidogenic enzymes as the functioning corpus luteum (i.e. all enzymes were positive).

Antibodies

r/hUcn-(21–35) (ARTQSQRERAEQNRI) was obtained from Iwaki Glass Co. (Funabashi, Japan), and rUcn1–40 was purchased from Sawady Technology (Tokyo, Japan). A specific antiserum against Ucn was raised in a rabbit immunized with a peptide corresponding to r/hUcn-(21–35). Methods of immunization and characterization of the antiserum were previously reported (27). An antiserum against rUcn-(1–40) (no. 1381) was also raised in a rabbit (9). Neither of the two Ucn antisera cross-reacted with other peptides, including human CRF and urotensin I (9, 27).

A rabbit polyclonal antibody against r/hCRF was provided by Dr. Mouri (28). Cross-reacion of this antibody with human Ucn and urotensin I was less than 0.001% (9, 28).

An antiserum against CRF receptor (CRF-R1 C-20) was obtained from Santa Cruz Biotechnology, Inc. (Santa Cruz, CA). The CRF receptor antibody was raised in a goat against a peptide corresponding to amino acids 425–444 mapping at the carboxyl-terminus of hCRF-R1. This antibody reacts with both CRF-R1 and CRF-R2 (29).

To characterize ovarian function in detail, we used a polyclonal antibody for Ad4-binding protein (Ad4BP; provided by Dr. K. Morohashi, Kyushu University, Fukuoka, Japan). Ad4BP has been identified as a steroidogenic cell-specific transcription factor that activates transcription of steroidogenic P450 genes and has been suggested to have the potential to regulate the expression of steroidogenic enzymes in the human ovary (30).

Immunohistochemistry

Immunohistochemical analysis was performed employing the streptavidin-biotin amplification method using a Histofine Kit (Nichirei, Tokyo, Japan). After deparaffinization, slides were heated in an autoclave at 120 C for 5 min in citric acid buffer (2 mmol/L citric acid and 9 mmol/L trisodium citrate dehydrate, pH 6.0) for anti-r/hUcn-(21–35), anti-rUcn-(1–40), anti-r/hCRF, and Ad4BP immunostaining. The dilutions of the primary antibodies used in our study were as follows: anti-r/hUcn-(21–35), 1:2500; anti-rUcn-(1–40), 1:1000; anti-r/hCRF, 1:1000; anti-CRF-R, 1:20; and Ad4BP, 1:700. The antigen-antibody complex was visualized with 3,3'-diaminobenzidine solution [1 mmol/L 3,3'-diaminobenzidine, 50 mmol/L Tris-HCl buffer (pH 7.6), and 0.006% H2O2] and counterstained with hematoxylin. As a negative control, preabsorbed antiserum and/or 10 mmol/L PBS was used instead of primary antibodies.

For all absorption tests of immunoreactivity, an antibody-antigen mixture containing an optimally diluted antiserum, which is equal to a peptide solution, including hUcn-(1–40) or r/hCRF-(1–41) in a volume of 20 µmol/L (final peptide concentration), was incubated at 4 C for 1 night. After centrifugation, the resultant supernatants were used as preabsorbed antibodies (8, 10).

Scoring of immunoreactivity

Immunohistochemical procedures were performed at least twice for each tissue section for confirmation of immunolocalization. Three of the authors (Y.M., T.S., and H.S.) independently graded the ovarian follicles and corpora lutea for each specimen and separated them into the following three groups: 2+, strongly positive; +, weakly positive; and -, negative. Disconcordant results among the observers were simultaneously reevaluated using multiheaded light microscopy.

Corpora lutea used for RT-PCR analysis

Corpora lutea used for RT-PCR analysis were obtained at hysterectomy from normal cycling women, aged 39–49 yr, who underwent surgery for myoma uteri or cervical cancer. Menstrual history and endometrial dating, diagnosed histologically according to the criteria of Silverberg (26), were used to determine the phase of the corpus luteum. Corpora lutea were obtained from the midluteal phase (days 19–24; n = 3) and the regression phase (days 3–7; n = 3) with day 1 being marked by the onset of menstruation. Corpora lutea of early pregnancy (6–8 weeks of pregnancy; n = 3) were obtained from patients, aged 24–30 yr, with ectopic pregnancy. Tissue samples were washed with saline to remove blood, immediately frozen in liquid nitrogen, and stored at -80 C until RNA isolation.

RT-PCR

Total RNA was isolated from corpora lutea with Isogen (Wako Pure Chemical Industries, Ltd.) using the method provided by the manufacturer. For mRNA analysis, RT-PCR was performed as previously reported (31). Sequences of the primers are summarized in Table 1Go. Direct sequence analyses of the PCR products were performed for sequence verification. Each reaction also included primers (5'-CTGAAGGTCAAAGGGAATGTG-3' and 5'-GGACAGAGTCTTGATGATCTC-3') to amplify ribosomal protein L19 or primers (5'-CGTTCACCTTGATGAGCCCATT-3' and 5'-TCCAAGGGTCCGCTGCAGTC-3') to amplify ribosomal protein S16. Both L19 and S16 were used as internal controls (36, 37). The predicted size of the PCR-amplified product was 194 bp for L19 and 100 bp for S16. In brief, 3 µg total RNA were reverse transcribed at 42 C in a reaction mixture (single strength PCR buffer, 2.5 mmol/L deoxynucleotide triphosphates, 5 µmol/L random hexamer primer, 1.5 mmol/L MgCl2, and 200 U Moloney murine leukemia virus reverse transcriptase). The RT product was aliquoted equally into two tubes for Ucn, CRF, CRF-R1, CRF-R2{alpha} or CRF-R2ß primers and internal control primers (L19 or S16). For PCR amplification, a mixture containing the oligonucleotide primers (50 pmol), [{alpha}-32P]deoxy-CTP (2 µCi at 3000 Ci/mmol), and Taq DNA polymerase (2.5 U) was added to each reaction. Amplification was carried out for 32 cycles at 94 C (1 min), 62 C (1 min), and 72 C (1 min) for Ucn; 32 cycles at 94 C (1 min), 70 C (1 min), and 72 C (1 min) for CRF; and 35 cycles at 94 C (1 min), 65 C (1 min), and 72 C (1 min) for CRF-R1, CRF-R2{alpha}, and CRF-R2ß, followed by 10 min of final extension at 72 C in a programmed temperature control system (PC-800, ASTEC, Fukuoka, Japan). Reaction products were electrophoresed on an 8% polyacrylamide nondenaturing gel. After autoradiography, band intensities were analyzed using a bioimaging analyzer BAS 2000 (Fuji Photo Film Co., Ltd., Tokyo, Japan). For quantification, the intensity of Ucn, CRF, CRF-R1, CRF-R2{alpha}, or CRF-R2ß was normalized to that of the internal control L19 or S16. All samples were subjected to RT-PCR at the same time.


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Table 1. Primers used for RT-PCR analysis of Ucn, CRF, CRF-R1, CRF-R2{alpha}, and CRF-R2ß

 
Statistical analysis

Data were examined by ANOVA and Duncan’s new multiple range test. Differences were considered significant at P < 0.05.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Ucn and Ad4BP immunolocalization

Immunoreactivity for Ucn was present in the cytoplasm, and that of Ad4BP was detected in the nuclei. There were no differences in the immunolocalization patterns between anti-r/hUcn-(21–35) and anti-rUcn-(1–40) antibodies. The distribution of Ad4BP in the ovaries was in good agreement with the report by Takayama et al. (30).

In dominant follicles, weak immunoreactive Ucn was detected in both granulosa and theca interna cells (Fig. 1AGo). Weak immunoreactivity was also detected in theca interna cells of nondominant follicles (in both the follicular and luteal phases) and in atretic follicles, but not in granulosa cells (Fig. 1CGo). No significant immunoreactivity for Ucn was detected in primordial, primary, or preantral follicles or oocytes.



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Figure 1. Immunohistochemistry for Ucn in ovarian follicles. Immunoreactive Ucn was weakly expressed in both granulosa and theca interna cells of the dominant follicle (A). Ucn immunoreactivity was prevented by preabsorption with hUcn peptide (B). Weak Ucn immunoreactivity was detected in theca interna cells of the nondominant follicles in the luteal phase (C). G, Granulosa cells; T, theca interna cells; S, stromal cells. Magnification, x300.

 
The results of immunohistochemical staining for Ucn and Ad4BP in the luteal stages of the human ovary are summarized in Table 2Go. After ovulation, immunoreactive Ucn was detected in luteinized granulosa and thecal cells in the midcorpus luteum (Fig. 2AGo) and late corpus luteum. In the early degenerating corpus luteum, intense Ucn immunoreactivity was detected in luteinized thecal cells, whereas no immunoreactivity for Ucn was detected in luteinized granulosa cells (Fig. 3AGo). Ad4BP was present only in luteinized thecal cells (Fig. 3CGo). Ucn immunoreactivity in luteinized thecal cells was relatively weak in the late degenerating corpus luteum and was negative in the corpus albicans. In the pregnant corpus luteum, weak Ucn immunoreactivity was detected in luteinized granulosa and thecal cells. All Ucn immunoreactivity described above was prevented by preabsorption with corresponding synthetic peptides hUcn-(1–40) (Figs. 1BGo, 2BGo, and 3BGo), but not with r/hCRF-(1–41).


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Table 2. Immunohistochemical localization of Ucn, CRF, CRF-R, and Ad4BP in the luteal stage of the human ovary

 


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Figure 2. Immunohistochemistry for Ucn and CRF in the midluteal phase corpus luteum. Immunoreactive Ucn was expressed weakly in both luteinized granulosa and thecal cells (A). Ucn immunoreactivity was prevented by preabsorption with hUcn peptide (B). Weak CRF immunoreactivity was detected in both luteinized granulosa and thecal cells (C). G, Luteinized granulosa cells; T, luteinized thecal cells; S, stromal cells. Magnification, x400.

 


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Figure 3. Immunohistochemistry of Ucn, Ad4BP, CRF, and CRF-R in the early degenerating corpus luteum. Intense Ucn immunoreactivity was detected in luteinized thecal cells (A). Ucn immunoreactivity was prevented by preabsorption with hUcn peptide (B). Ad4BP was present only in the nuclei of luteinized thecal cells (C). Intense CRF immunoreactivity was detected in luteinized thecal cells, and weak CRF immunoreactivity was detected in luteinized granulosa cells (D). CRF-R was observed in the luteinized granulosa layer, where intense Ucn and CRF immunoreactivity were localized (E). G, Luteinized granulosa cells; T, luteinized thecal cells; S, stromal cells. Magnification, x400.

 
CRF and CRF receptor immunolocalization

In dominant follicles, immunoreactive CRF was detected in theca interna cells. Weak CRF-R immunoreactivity was detected in both granulosa and theca interna cells of dominant follicles. No significant CRF or CRF-R immunoreactivity was detected in primordial, primary, preantral, nondominant, or atretic follicles or oocytes.

The results of our CRF immunohistochemical study in the corpus luteum are summarized in Table 2Go. Immunolocalization patterns for CRF in the corpus luteum were almost the same as those for Ucn described above. Weak CRF immunoreactivity was observed in luteinized granulosa and thecal cells of the functioning corpus luteum (Fig. 2CGo) and pregnant corpus luteum. In the early degenerating corpus luteum, intense immunoreactivity for CRF was detected predominantly in luteinized thecal cells, and weak CRF immunoreactivity was also detected in luteinized granulosa cells (Fig. 3DGo).

The results of the immunohistochemical study for CRF-R in the corpus luteum are summarized in Table 2Go. Immunolocalization patterns for CRF-R were similar to those of CRF-R agonists (i.e. Ucn and CRF). In the early degenerating corpus luteum, where both Ucn and CRF immunoreactivities were predominantly detected in luteinized thecal cells, CRF-R immunoreactivity was detected in luteinized thecal cells (Fig. 3EGo).

RT-PCR analysis of corpora lutea

RT-PCR analyses were performed three times. Representative data are shown in Figs. 4–7GoGoGoGo. RT-PCR analyses revealed that mRNA levels for Ucn, CRF, CRF-R1, and CRF-R2{alpha} were significantly higher in the regressing corpus luteum than in the midluteal phase and pregnant corpus luteum, and that mRNA for CRF-R2ß was not detected. There was no significant difference between the expression of these genes in the midluteal phase of the menstrual cycle and early pregnancy.



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Figure 4. RT-PCR showing Ucn mRNA levels in the human corpus luteum obtained from the midluteal and regression phases of the menstrual cycle and early pregnancy. Samples were obtained from the midluteal (days 19–24; n = 3) and regression phases (days 3–7; n = 3), with day 1 being the day of menstrual onset and early pregnancy (6–8 weeks of pregnancy; n = 6). Total RNA was isolated and subjected to RT-PCR. The intensity of the Ucn signals was normalized to that of the internal control, L19. Quantification data (the ratio of Ucn to L19) are the mean ± SEM. a, P < 0.01 vs. midluteal phase and pregnancy.

 


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Figure 5. RT-PCR showing CRF mRNA levels in the human corpus luteum obtained from the midluteal phase, regression phase, and early pregnancy. Samples were obtained from the same patients as those described in Fig. 3Go. The intensity of CRF signals was normalized to that of the internal control, S16. Quantification data (the ratio of CRF to S16) are the mean ± SEM. a, P < 0.01 vs. midluteal phase and pregnancy.

 


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Figure 6. RT-PCR showing CRF-R1 mRNA levels in the human corpus luteum obtained from the midluteal phase, regression phase, and early pregnancy. Samples were obtained from the same patients as described in Fig. 3Go. The intensity of CRF-R1 signals was normalized to that of the internal control, S16. Quantification data (the ratio of CRF-R1 to S16) are the mean ± SEM. a, P < 0.01; b, P < 0.05 (vs. regression phase).

 


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Figure 7. RT-PCR showing CRF-R2{alpha} mRNA levels in the human corpus luteum obtained from the midluteal phase, regression phase, and early pregnancy. Samples were obtained from the same patients as those described in Fig. 3Go. The intensity of CRF-R2{alpha} signals was normalized to that of the internal control, S16. Quantification data (the ratio of CRF-R2{alpha} to S16) are the mean ± SEM. a, P < 0.01 vs. midluteal phase and pregnancy.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In this study we demonstrated that intense immunoreactive Ucn was detected in thecal cells of the early degenerating corpus luteum in the normal cycling human ovary. Ucn immunoreactivity was also detected in luteinized granulosa and thecal cells in the functioning corpus luteum (mid and late luteal phase) and pregnant corpus luteum. RT-PCR analyses revealed that mRNA levels for Ucn were significantly higher in the regressing corpus luteum (days 3–7, morphologically corresponding to the early degenerating corpus luteum) than in the midluteal phase and pregnant corpus luteum. The results from RT-PCR were consistent with those of immunohistochemical studies. These results suggest that Ucn is produced locally in the human corpus luteum and that the level of Ucn expression is relatively high in the regressing corpus luteum.

Mastrakos et al. (19) also reported the presence of immunoreactive CRF in the human corpus luteum. In their study CRF immunoreactivity was detected in small theca-derived and large granulosa-derived luteinized cells of developing corpora lutea, but immunoreactive CRF was less prominent or was totally absent in regressing corpora lutea. Our RT-PCR analyses demonstrated that mRNA levels for CRF were significantly higher in the regressing corpus luteum than in the midluteal phase or pregnant corpus luteum. We also demonstrated that immunoreactive CRF was markedly present in luteinized thecal cells of the early degenerating corpus luteum and that weak CRF immunoreactivity was also detected in luteinized granulosa cells of the early degenerating corpus luteum. In the functioning corpus luteum (mid and late luteal phases) and pregnant corpus luteum, weak immunostaining for CRF was detected in luteinized granulosa and thecal cells. The results from our immunohistochemical studies were consistent with our RT-PCR findings. The differences between the present study and the report by Mastrakos et al. may be due to the differences in the antibodies employed or other factors. Further investigations are required to clarify these discrepancies.

Ucn has been demonstrated to bind with both CRF-R1 and CRF-R2. In CRF-R1-transfected cells, Ucn and CRF both function to induce cAMP levels in the same concentration range, with dissociation constants (Ki) of 0.41 and 0.95 nmol/L, respectively. Ucn is at least 10-fold more potent than CRF in stimulating cAMP accumulation in CRF-R2{alpha}-transfected cells (6). RT-PCR analyses in our study demonstrated that CRF-R1 and CRF-R2{alpha} mRNA levels were significantly higher in the regressing corpus luteum than in the midluteal phase and pregnant corpus luteum. CRF-R2ß mRNA was undetectable in all corpora lutea samples examined by RT-PCR analyses in the present study. The absence of CRF-R2ß is consistent with the fact that this subtype of CRF-R2 is generally considered to be a minor isoform in human tissues (34, 35). In the regressing corpus luteum, which was shown to express prominent levels of CRF-R1 and CRF-R2{alpha}, CRF-R was immunolocalized only to luteinized thecal cells, whereas no CRF-R immunoreactivity was detected in luteinized granulosa cells. In the functioning and pregnant corpus luteum, CRF-R immunoreactivity was detected in luteinized granulosa and thecal cells. The spatial and temporal colocalization of CRF receptors and their agonists (i.e. Ucn and CRF) suggests that Ucn and CRF may act as autocrine and/or paracrine regulators in the ovarian corpus luteum, most likely by inhibiting ovarian steroidogenesis in the process of luteal degeneration.

CRF and CRF-R1 expression in human ovarian follicles have been investigated by Mastrakos et al. (19) and Asakura et al. (20). CRF protein and mRNA have been shown to be localized in the thecal cells of follicles (19, 20). CRF-R1 mRNA signals have been reported in thecal cells of follicles. Granulosa cells were devoid of CRF and CRF-R1 mRNA and protein (20). In our immunohistochemical study, Ucn, CRF, and CRF-R were weakly detected in thecal cells of dominant follicles, but the presence of these immunoreactivities in thecal cells of ovarian follicles was consistent with previous investigations. Jacobs et al. (38) and Mastrakos et al. (19) reported that no immunoreactive CRF was present in oocytes of the human ovary. We also did not detect Ucn, CRF, or CRF-R immunoreactivity in oocytes, which was consistent with the findings of previous reports.

In the functioning corpus luteum, which is actively involved in the production and secretion of sex steroids, both P450scc and 3ßHSD are highly expressed in luteinized thecal and granulosa cells. Almost all cells also express Ad4BP. P450arom is expressed in luteinized granulosa cells, and P450c17 is present in luteinized thecal cells. After menstruation, the functioning corpus luteum starts to degenerate. Degenerating corpora lutea can be classified into early (steroid-producing) degenerating corpora lutea and late (nonsteroid-producing) degenerating corpora lutea. Corpora lutea in the early degenerating phase have been demonstrated to express P450scc, 3ßHSD, P450c17, and Ad4BP only in luteinized thecal cells. Luteinized granulosa cells are senescent and thus lose their steroidogenic function or Ad4BP expression. Subsequently, luteinized thecal cells in the late degenerating corpus luteum become quiescent in both the process of steroidogenesis and cell proliferation (24, 30, 39, 40). Macrophages and/or T lymphocytes have been shown to participate in luteal regression. The numbers of macrophages and T lymphocytes are highest in the late degenerating corpus luteum (41, 42). The peak of Ucn, CRF, and CRF receptor expression occurred during the stage of regression, earlier than the appearance of leukocytes. The spatial and temporal localization of Ucn, CRF, and CRF receptors correlated well with that of Ad4BP. In the functioning and pregnant corpus luteum, Ucn, CRF, CRF-R, and Ad4BP were all detected in luteinized granulosa and thecal cells. In the early degenerating corpus luteum, they were detected only in luteinized thecal cells, whereas no significant immunoreactivity was present in luteinized granulosa cells. Ad4BP is a steroidogenic cell-specific transcription factor that activates the transcription of steroidogenic P450 genes, including P450scc, P450c17, and P450arom (30). Therefore, our results suggest that Ucn and CRF are produced in steroidogenic luteal cells and act on them in a paracrine/autocrine/intracrine fashion. Locally synthesized Ucn and CRF may be involved in ovarian steroidogenesis. Furthermore, marked expression of Ucn, CRF, and CRF receptors in the regressing corpus luteum suggests that Ucn and CRF play important roles in luteal regression rather than in the maintenance of the functioning or pregnant corpus luteum.

Several studies have reported that CRF can suppress ovarian steroidogenesis in vitro (21, 22, 23). Both Calogero et al. (21) and Ghizzoni et al. (22) have isolated human granulosa-luteal cells from the follicular fluid upon oocyte retrieval. These patients were undergoing in vitro fertilization and had received a GnRH analog and FSH therapy before oocyte retrieval. These two groups of investigators demonstrated that CRF exerts an inhibitory effect on estrogen and progesterone production in cultured human granulosa-luteal cells. This effect was mediated via CRF and interleukin-1 receptor, and was independent of adenylate cyclase-cAMP generation (21, 22). Erden et al. (23) isolated follicular thecal cells from patients undergoing benign gynecological surgery during the follicular phase and demonstrated that CRF inhibited LH-stimulated dehydroepiandrosterone and androstenedione production in isolated thecal cells. In addition, they found that CRF reduced LH-stimulated P450c17 mRNA levels. CRF and CRF receptors in the present investigation were demonstrated to be predominantly expressed in luteinized thecal cells of the early degenerating corpus luteum, which were losing their steroidogenic function. This finding may be one of the pieces of evidence that suggests that CRF has the capacity to suppress ovarian steroidogenesis in vivo as it does in vitro. Moreover, Ucn, like CRF, may also suppress ovarian steroidogenesis. However, to date there have been no in vitro studies looking at Ucn regulation of ovarian steroidogenesis. Furthermore, studies concerning CRF regulation have been limited to the use of follicular cells or cell components within the follicular fluid. There have also been no studies on CRF or Ucn using corpus luteum components. Further studies are necessary to clarify the biological roles of Ucn and CRF in the human ovarian corpus luteum.


    Acknowledgments
 
We thank Mr. Andrew D. Darnel for critical review of this manuscript, and Mrs. Fumiko Date for technical advice.


    Footnotes
 
1 This work was supported in part by Grant-in-Aid for Cancer Research 7–1 from the Ministry of Health and Welfare, Japan; Grant-in-Aid for Scientific Research on Priority Area A-11137301 from the Ministry of Education, Science, and Culture, Japan; Grant-in-Aid for Scientific Research B-11470047 from the Japan Society for the Promotion of Science; and a grant from the Naitou Foundation and the Suzukenn Memorial Foundation. Back

Received June 27, 2000.

Revised October 16, 2000.

Accepted November 8, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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