help button home button Endocrine Society JCEM JCEM Call for Nominations for EIC
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS

This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Submit a related Letter to the Editor
Right arrow Purchase Article
Right arrow View Shopping Cart
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Copyright Permission
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Choi, K.-C.
Right arrow Articles by Leung, P. C. K.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Choi, K.-C.
Right arrow Articles by Leung, P. C. K.
The Journal of Clinical Endocrinology & Metabolism Vol. 86, No. 5 2125-2135
Copyright © 2001 by The Endocrine Society


Original Studies

The Regulation of Apoptosis by Activin and Transforming Growth Factor-ß in Early Neoplastic and Tumorigenic Ovarian Surface Epithelium1

Kyung-Chul Choi, Sung Keun Kang, Chen-Jei Tai, Nelly Auersperg and Peter C. K. Leung

Department of Obstetrics and Gynecology, British Columbia Women’s Hospital, University of British Columbia, Vancouver, British Columbia, Canada V6H 3V5

Address all correspondence and requests for reprints to: Peter C. K. Leung, Ph.D., Department of Obstetrics and Gynecology, University of British Columbia, 2H30-4490 Oak Street, British Columbia Women’s Hospital, Vancouver, British Columbia, Canada V6H 3V5. E-mail: peleung{at}interchange.ubc.ca


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Most ovarian neoplasms arise from the ovarian surface epithelium (OSE), and multiple growth factors have been implicated to influence the transformation from OSE. The present study was performed to investigate the role of activin and transforming growth factor-ß (TGFß) in normal and neoplastic OSE cells. An immortalized OSE cell line (IOSE-29) was generated from normal OSE by transfecting simian virus 40 large T antigen and was rendered tumorigenic after subsequent transfection with the E-cadherin gene (IOSE-29EC). The activin/inhibin subunits and activin receptors were expressed at both messenger ribonucleic acids and protein levels in these cells, suggesting that activin may have an autocrine role in neoplastic OSE cells. Treatments with activin (1–100 ng/mL) resulted in a significant decrease in cell proliferation in both IOSE-29 and IOSE-29EC cells, although we have shown that it stimulated the growth of ovarian cancer cells and had no effect on normal OSE. This inhibitory effect was attenuated with cotreatment with follistatin. Treatment with TGFß (0.1–10 ng/mL) also significantly decreased the proliferation of normal, IOSE-29, and IOSE-29EC cells in a dose-dependent manner. In addition, treatments with both activin and TGFß resulted in an increase in DNA fragmentation in IOSE-29EC cells in a dose-dependent manner. This apoptotic effect of activin was attenuated by cotreatment with follistatin. Treatment with TGFß (1 and 10 ng/mL) resulted in a significant decrease in Bcl-2 protein (up to 50%) in IOSE-29EC, whereas no difference was observed in Bax protein levels. Therefore, down-regulated Bcl-2 by TGFß may eventually induce apoptosis in IOSE-29EC cells. In contrast, no difference was observed in Bax and Bcl-2 protein expression after treatment with activin. In conclusion, the present study indicates that activin and TGFß inhibited growth and induced apoptosis in early neoplastic (IOSE-29) and tumorigenic OSE (IOSE-29EC) cells. Furthermore, antiapoptotic Bcl-2 protein was down-regulated by TGFß, whereas no difference was produced in Bax protein by activin or TGFß treatment or in Bcl-2 protein by activin. These results suggest that activin and TGFß may play a role in growth inhibition and induction of apoptosis in early neoplastic and tumorigenic stage of ovarian cancer.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
THE COMMON epithelial tumors of the ovary arise from the ovarian surface epithelium (OSE), which is a simple squamous to cuboidal mesothelium covering the ovary (1, 2, 3, 4). The incessant ovulation theory was suggested, in which repeated ovulation contributes to (pre)neoplastic change in OSE, suggesting that the wound-healing process of ruptured OSE may play a role in the disease in women (5). Therefore, endocrine and autocrine factors, including hormones and multiple growth factors, were suggested to influence the occurrence of ovarian tumors during the menstrual cycle (1, 6, 7, 8, 9, 10, 11). Recently, immortalized OSE (IOSE) cell lines, designated IOSE-29 and IOSE-29EC cell lines, were generated from normal OSE directly by transfection with simian virus 40 (SV40)-large T antigen and subsequent E-cadherin (12, 13). These IOSE-29EC cells were anchorage independent and formed invasive sc and ip adenocarcinomas in SCID mice. Thus, two additional cell lines, designated IOSE-29EC/T4 and IOSE-29EC/T5, were established from tumors that arose in IOSE-29EC-inoculated SCID mice (14). The characteristics of these cell lines resemble to those of ovarian cancer (13, 14).

Activin and transforming growth factor-ß (TGFß) are members of the TGFß superfamily. Activin is a dimeric protein composed of two ß-subunits, ßA-ßA (activin A), ßB-ßB (activin B), or ßA-ßB (activin AB) (15). Inhibin, another member of the TGFß superfamily, is composed of an {alpha}- and one of two ß-subunits, {alpha}-ßA (inhibin A) or {alpha}-ßB (inhibin B). The main function of these gonadal peptides is to regulate FSH secretion from the anterior pituitary gland (16, 17). However, as activin and inhibin are produced locally in the ovary (18), it has been hypothesized that they may act via an autocrine/paracrine mechanism to regulate ovarian function (19, 20). Activin mediates its cellular effects through heterodimeric complexes of type I and II activin serine/threonine kinase receptors (20). The importance of the activin in regulating cell proliferation and possibly ovarian tumor development has been suggested (21, 22, 23). In the previous studies we have shown that activin stimulated the growth of OVCAR-3, but not of normal OSE, and altered the expression of the activin/inhibin subunits (22 23A ). Therefore, activin appears to act as an autocrine/paracrine factor in epithelial ovarian tumors, but its role in tumorigenesis has yet to be defined (23).

TGFß is a growth regulator that affects multiple cellular functions through the TGFß type I and II receptors (TGFßRI and TGFßRII) serine/threonine kinases (reviewed in Refs. 24 and 25). A number of mammalian cells produce TGFß1, -2, and -3, and a significant amount of TGFß is also produced by normal OSE cells (26). In normal and neoplastic ovarian epithelial cells, TGFß has been demonstrated to inhibit cell growth (26, 27, 28, 29). These results indicate that several elements of potential autocrine loops involving TGFßs are present within ovarian cancer cells (30). It has been demonstrated that TGFß inhibits proliferation, but does not induce apoptosis in normal OSE cells. In contrast, TGFß induces apoptosis in some ovarian cancers that are growth inhibited by TGFß (27). In breast, ovarian, and prostate cancer cell lines, relatively low levels of TGFß receptor messenger ribonucleic acid (mRNA) and protein have been demonstrated, and TGFß treatment resulted in an inhibition of growth (31). Enhanced expression of TGFß1 and TGFß3 as well as the loss of expression of TGFßRI contribute to ovarian carcinogenesis and/or tumor progression (32).

The present study was performed to investigate the roles of activin and TGFß in normal, early neoplastic, and tumorigenic OSE cells. The expression of the activin/inhibin subunits and activin receptors was determined. In addition, the effects on cell number and induction of apoptosis by activin and TGFß were examined. Finally, the regulation of proapoptotic Bax and anti-apoptotic Bcl-2 was investigated after treatments with activin and TGFß.


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

Recombinant human activin A and follistatin were provided by Dr. A. F. Parlow, National Hormone and Pituitary Program of Harbor-University of California-Los Angeles Medical Center (Torrance, CA). Recombinant TGFß1 was purchased from Sigma-Aldrich Corp. (Oakville, Canada).

Cell culture

Normal OSE. OSE cells were scraped from the ovarian surface during laparoscopy for nonmalignant disorders and cultured as previously described (33) in medium 199/MCDB 105 (Life Technologies, Inc., Burlington, Canada; and Sigma-Aldrich Corp., respectively) containing 10% FBS, 100 U/mL penicillin G, and 100 µg/mL streptomycin (Life Technologies, Inc.) in a humidified atmosphere of 5% CO2-95% air and passaged with 0.06% trypsin (1:250)/0.01% ethylenediamine tetraacetate in Mg2+/Ca2+-free Hanks’ Balanced Salt Solution when confluent.

Immortalized ovarian surface epithelium cell lines. We recently developed a culture system with the cells representing several stages in the neoplastic progression of OSE. The IOSE-29 cell line (referred to as IOSE-Mar in some previous publications) was generated by transfection with the immortalizing SV40 early genes into normal human OSE at passage 5 (12). The IOSE-29EC cell line was made from IOSE-29 at passage 11 by transfecting the full-length mouse E-cadherin complementary DNA (cDNA) under control of the ß-actin promoter (13). IOSE-29EC/T4 and IOSE-29EC/T5 were established from tumors that arose in IOSE-29EC-inoculated SCID mice, and they formed tumors on mesenteries and omentum, invaded the liver and thigh musculature, and produced ascites (14). For monolayer culture, all cell lines were maintained on tissue culture dishes (Corning, Inc., Corning, NY) in a 1:1 mixture of medium 199/MCDB 105 medium supplemented with 10% FBS, 100 U/mL penicillin G, and 100 µg/mL streptomycin.

RNA extraction and RT-PCR procedures

Total RNA was prepared from cultured cells using the RNaid kit (Bio/Can Scientific, Mississauga, Canada) according to the manufacturer’s suggested procedure. RNA integrity was confirmed by agarose gel electrophoresis and ethidium bromide staining (34, 35). The total RNA concentration was determined from spectrophotometric analysis at A260/280. cDNA was synthesized from 2.5 µg total RNA by RT at 37 C for 2 h using a first strand cDNA synthesis kit (Pharmacia Biotech, Uppsala, Sweden). The synthesized cDNA was used as template for PCR amplification. Amplification was achieved using a thermal cycler (DNA Thermal Cycler, Perkin-Elmer Corp., Norwalk, CT). The amplification profile involves denaturation at 94 C for 60 s, primer annealing at 51–60 C for 30 s, and extension at 72 C for 90 s. Synthetic oligonucleotides used for PCR primers and PCR amplification cycle number were listed in Table 1Go based on the published sequences. The amplification profile for human glyceraldehyde phosphate dehydrogenase (GAPDH), which is a housekeeping gene, involves denaturation at 94 C for 60 s, primer annealing at 55 C for 30 s, and extension at 72 C for 90 s (36, 37). To avoid overamplification, the ranges of exponential increase in product formation with numbers of amplification cycles were determined. The PCR reactions were performed in 25 µL PCR mixture containing 1 x PCR buffer, 0.2 mmol/L of each dNTP, 1.6 mmol/L MgCl2, 50 pmol of specific primers, each cDNA template, and 0.25 U Taq polymerase. The PCR reaction was performed for two or three independent cDNA preparations of each RNA sample. Twelve microliters of PCR products were analyzed by agarose (1%) gel electrophoresis and visualized by ethidium bromide staining, and the sizes were estimated by comparison to DNA molecular weight markers.


View this table:
[in this window]
[in a new window]
 
Table 1. Oligonucleotide sequences of PCR primers

 
Southern blot analysis

After electrophoresis, PCR products were transferred to nylon membranes (Hybond-N, Amersham Pharmacia Biotech, Arlington Heights, IL) and fixed by UV irradiation. The blotted membrane was prehybridized for 3 h at 42 C in prehybridization solution containing 50% formamide, 5 x SSC (standard saline citrate, 0.1% N-lauroyl sarcosine, 0.02% SDS, and 2% blocking solution). The prehybridized membrane was hybridized overnight at 42 C with digoxigenin (DIG)-labeled probe. All cDNA probes were labeled with a DIG cDNA labeling kit (Roche Molecular Biochemicals, Laval, Canada). The cDNA clones for {alpha}-, ßA-, and ßB-subunits were subcloned from human granulosa cells and verified by sequencing. The cDNA clones for activin receptors IA and IB were provided by Dr. C. Peng (York University, Toronto, Canada). The cDNA clones for activin receptors IIA and IIB were provided by Dr. W. Vale (The Salk Institute, La Jolla, CA) and Dr. C. Peng, respectively. The cDNA clones for Bax and Bcl-2 were subcloned from ovarian cancer cell line (OVCAR-3) and verified by sequence analysis. The hybridized membranes were detected by the luminescence method (Roche Molecular Biochemicals) and exposed to x-ray film for 1–10 min at room temperature. The specific bands were scanned and quantified using a computerized visual light densitometer (model 620, Bio-Rad Laboratories, Inc., Richmond, CA).

Immunoblot analysis

The IOSE cells (IOSE-29, IOSE-29EC, IOSE-29EC/T4, and IOSE-29EC/T5) were seeded at a density of 2 x 105 cells in 35-mm culture dishes and cultured in a humidified atmosphere of 5% CO2-95% air at 37 C. Cells were washed twice with ice-cold PBS and lysed in ice-cold RIPA buffer (150 mmol/L NaCl, 1% Nonidet P-40, 0.5% deoxycholate, 0.1% SDS, 50 mmol/L Tris (pH, 7.5), and 1 mmol/L phenylmethylsulfonylfluoride, 10 µg/mL leupeptin, and 100 µg/mL aprotinin). The extracts were placed on ice for 15 min and centrifuged to remove cellular debris. The protein content of the supernatants was determined using a Bradford assay (Bio-Rad Laboratories, Inc.). Twenty-five micrograms of total protein were run on 10% SDS-PAGE gels and electrotransferred to a nitrocellulose membrane (Amersham Pharmacia Biotech) (38). The membrane was immunoblotted using rabbit polyclonal antibodies of activin receptors IA, IB, IIA, and IIB provided by Dr. W. Vale (The Salk Institute) or mouse monoclonal antibodies of Bax (BD PharMingen, Mississauga, Canada) and Bcl-2 (Santa Cruz Biotechnology, Inc., Santa Cruz, CA). The loaded amount of protein was normalized with actin protein in the same membrane. After washing, the signals were detected with horseradish peroxidase-conjugated secondary antibody and visualized using the enhanced chemiluminescence chemiluminescent system (Amersham Pharmacia Biotech).

[3H]Thymidine incorporation assay

[3H]Thymidine incorporation assay was performed to analyze the effect on cell number of activin and TGFß in normal and neoplastic OSE cells. The cells were plated in 24-well plates at 2 x 104 cells/well in 0.5 mL medium 199/MCDB 105 supplemented with 10% FBS and antibiotics for 48 h. For activin treatment, cells were treated with 1, 10, and 100 ng/mL recombinant human activin A daily for 6 days as previously described (21, 39). During last 6 h after treatment, the cells were cultured in the presence of the same concentration of activin A and 1 µCi [3H]thymidine (5.0 Ci/mmol; Amersham Pharmacia Biotech). For TGFß treatment, the cells were incubated with 0.1, 1, or 10 ng/mL TGFß and replaced daily for 72 h. During the last 6 h, 1 µCi [3H]thymidine and the same concentration of TGFß were added to each well as previously described (27). The culture medium was then removed and washed with three times with PBS, followed by precipitation with 0.5 mL 10% trichloroacetic acid for 20 min at 4 C (39). The precipitate was washed in methanol twice and solubilized in 0.5 mL 0.1 N sodium hydroxide, and the incorporated radioactivity was measured in a 1217 Rackbeta liquid scintillation counter (LKB Wallac, Inc., Turku, Finland).

Quantification of apoptotic cells

To quantify the induction of apoptosis by activin and TGFß in IOSE-29EC cells, DNA fragmentation was measured using the cell death detection enzyme-linked immunosorbent assay (ELISA; Roche Molecular Biochemicals) as previously described (40). Briefly, the cells (1 x 104) were plated in each well of 24-well plates. After treatments with activin (1, 10, and 100 ng/mL) for 6 days or TGFß (0.1, 1, and 10 ng/mL) for 72 h, the media were collected and stored during the treatments, the cells were washed with PBS, and 0.1 mL lysis buffer was added. After 15-min incubation on ice, apoptotic cells in cell lysates and medium were assayed for DNA fragments according to the manufacturer’s protocol. The same amount (1 µg) of cell lysate was used for the cell death ELISA. DNA fragmentation was measured at 405 nm against an untreated control.

Statistical analysis

Data are shown as the mean of three individual experiments and are presented as the mean ± SD. In the proliferation study, values are expressed as the percentage of growth compared with the control value and are the mean ± SD of three individual experiments with triplicate samples. For the quantification of apoptotic cells, values are expressed as the percentage of DNA fragmentation compared with the untreated control value and are the mean ± SD of three individual experiments with duplicate samples. The data were analyzed by one-way ANOVA, followed by Tukey’s multiple comparison or Dunnett’s test. P < 0.05 was considered statistically significant.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Expression of activin/inhibin subunit mRNAs

The mRNA levels of {alpha}-, ßA-, and ßB-subunits in IOSE-29 (passages 13–16), IOSE-29EC (passages 15–17), IOSE-29EC/T4 (T4), and IOSE-29EC/T5 (T5) were investigated by RT-PCR and Southern blot analysis. The possibility of cross-contamination was ruled out, because no PCR products were observed or detected in the negative control [TmA(-); without template in the PCR reaction] by ethidium bromide (data not shown) and Southern blot analysis (Fig. 1Go). A linear relationship between PCR products and amplification cycles was obtained for GAPDH and {alpha}-, ßA-, and ßB-subunits in all cell types (data not shown). The expected PCR products of GAPDH and {alpha}-, ßA-, and ßB-subunits were obtained at 373, 382, 377, and 424 bp, respectively, and were confirmed by Southern blot analysis (Fig. 1Go) and sequence analysis (data not shown). Semiquantitative analysis of the present study demonstrated that all types of activin/inhibin subunits are expressed in IOSE-29, IOSE-29EC, T4, and T5. Interestingly, ßB-subunit was less expressed in IOSE cell lines than in OVCAR-3 cells (Fig. 1Go).



View larger version (64K):
[in this window]
[in a new window]
 
Figure 1. The mRNA expressions of activin/inhibin subunits in IOSE cell lines. The mRNA levels of {alpha}-, ßA-, and ßB-subunits in IOSE-29 (passages 13–16), IOSE-29EC (passages 15–17), IOSE-29EC/T4 (T4), and IOSE-29ECT5 (T5) were investigated by RT-PCR and Southern blot analysis as described in Materials and Methods. The possibility of cross-contamination was ruled out, because no PCR products were observed or were detected in the negative control [TmA(-); without template in the PCR reaction] by ethidium bromide (data not shown) and Southern blot analysis. The expected sizes of PCR product for GAPDH and {alpha}-, ßA-, and ßB-subunits were obtained as 373, 382, 377, and 424 bp, respectively.

 
Expression of activin receptor mRNAs

The mRNA levels of activin receptors IA, IB, IIA, and IIB in IOSE-29 (passages 13–16), IOSE-29EC (passages 15–17), T4, and T5 were investigated by RT-PCR and Southern blot analysis (Fig. 2Go). The expected sizes of PCR products for activin receptors were obtained as 651, 684, 456, and 699 bp, respectively, using sense and antisense primers located within the intracellular kinase domains of each activin receptor. The PCR of GAPDH was amplified to rule out the possibility of RNA degradation and was used to control the variation in mRNA concentrations in the RT reaction. PCR products of the predicted sizes were obtained and confirmed by Southern blot analysis using DIG-labeled probes (Fig. 2Go) and sequence analysis (data not shown). Semiquantitative analysis of the present study demonstrated that all forms of activin receptors were observed in IOSE-29, IOSE-29EC, T4, and T5 cells.



View larger version (69K):
[in this window]
[in a new window]
 
Figure 2. mRNA expression of activin receptors in IOSE cell lines. The mRNA levels of activin receptor IA, IB, IIA, and IIB in IOSE-29 (passages 13–16), IOSE-29EC (passages 15–17), T4, and T5 were investigated by RT-PCR and Southern blot analysis. The expected sizes of PCR products for activin receptors were obtained as 651, 684, 456, and 699 bp, respectively, using sense and antisense primers located within the intracellular kinase domains of activin receptors. The PCR of GAPDH was amplified to rule out the possibility of RNA degradation and was used to control the variation in mRNA concentrations in the RT reaction. ED, Extracellular domain; TD, transmembrane domain; ID, intracellular domain of activin receptors.

 
Expression of activin receptor proteins

Immunoblot analysis was performed using the rabbit polyclonal antibodies against activin receptor IA (amino acids 474–494), IB (amino acids 493–505), IIA (amino acids 482–494), and IIB (amino acids 524–536) based on COOH-terminal amino acids in IOSE cell lines. As shown in Fig. 3Go, activin receptor IA protein (60 kDa) was observed in all cell types. The OVCAR-3 cell line was used for positive control of the expression of activin receptors (22). Similarly, activin receptor IB protein (55 kDa) was observed in all cell types (Fig. 3Go). In addition, activin receptors IIA and IIB were clearly detected at 80 and 60 kDa, respectively, in IOSE cell lines and OVCAR-3 cells (Fig. 3Go). Immunoblot analysis of the present study demonstrated that all forms of activin receptor protein were observed in IOSE-29, IOSE-29EC, T4, and T5.



View larger version (45K):
[in this window]
[in a new window]
 
Figure 3. The expression of activin receptor proteins in IOSE cell lines. Immunoblot analysis was performed using rabbit polyclonal antibodies against activin receptors IA, IB, IIA, and IIB as described in Materials and Methods. Activin receptors IA (60 kDa) and IB (55 kDa) were observed in all cell types. The OVCAR-3 cell line was used as a positive control of the expression of activin receptors (22 ). In addition, activin receptors IIA and IIB were clearly detected at 80 and 60 kDa, respectively, in IOSE cell lines and OVCAR-3 cells.

 
Effects of activin on cell number

To evaluate the role of recombinant human activin A (rh-activin A) in IOSE cell lines, IOSE-29 and IOSE29EC were treated with different concentrations (1, 10, and 100 ng/mL) of rh-activin A for 6 days. The proliferative index was measured by thymidine incorporation assay. Follistatin, which is an activin-binding protein, was used to block the action of activin in the cell proliferation study. As seen in Fig. 4Go, a dose-dependent decrease in cell number was observed after rh-activin A (1, 10, and 100 ng/mL) treatment in IOSE-29 (Fig. 4AGo; 100.0 ± 7.63 vs. 83.7 ± 6.06, 67.9 ± 4.10, or 59.9 ± 9.06) and IOSE-29EC (Fig. 4BGo; 100.0 ± 5.89 vs. 75.9 ± 9.11, 61.4 ± 8.11, or 52.9 ± 9.70) cells. Cotreatment with follistatin (100 ng/mL) and activin blocked the growth inhibitory effect of activin in both cell lines (Fig. 4Go). However, no significant difference was observed with follistatin treatment only.



View larger version (20K):
[in this window]
[in a new window]
 
Figure 4. Effect of activin on cell proliferation in IOSE cell lines. IOSE-29 and IOSE-29EC were treated with different concentrations (1, 10, and 100 ng/mL) of rh-activin A for 6 days. The proliferative index was determined using the thymidine incorporation assay as described in Materials and Methods. A dose-dependent decrease was observed after rh-activin A (1, 10, and 100 ng/mL) treatment in IOSE-29 (A) and IOSE-29EC (B) cells. Cotreatment with follistatin (100 ng/mL) with activin blocked the growth inhibitory of activin in both cell lines. Values are the mean ± SD for three individual experiments, each with triplicate samples. a, P < 0.05 vs. untreated control; b, P < 0.05 vs. 1 ng/mL activin treatment; c, P < 0.05 vs. treatment with 100 ng/mL activin.

 
Effects of TGFß on cell proliferation

To examine the role of TGFß, normal OSE, IOSE-29, and IOSE-29EC cells were treated with different concentrations (0.1, 1, and 10 ng/mL) of TGFß for 72 h. As shown in Fig. 5AGo, TGFß (1 and 10 ng/mL) induced a significant decrease in normal OSE cell proliferation in a dose-dependent manner (100.0 ± 15.62 vs. 58.6 ± 11.78 or 43.3 ± 12.03). Also, a significant decrease was observed after TGFß treatments (1–10 ng/mL) in IOSE-29 (Fig. 5BGo; 100.0 ± 5.03 vs. 81.1 ± 7.59 or 69.8 ± 4.08). Treatment with TGFß resulted in a decrease in the proliferative index in IOSE-29EC cells (Fig. 5CGo; 100.0 ± 11.70 vs. 74.2 ± 5.63, 67.1 ± 7.05, or 55.0 ± 6.75).



View larger version (15K):
[in this window]
[in a new window]
 
Figure 5. Effects of TGFß on cell proliferation in IOSE cell lines. Normal OSE, IOSE-29, and IOSE-29EC cells were treated with increasing concentrations (0.1, 1, and 10 ng/mL) of TGFß for 72 h. The proliferative index was determined using the thymidine incorporation assay as described in Materials and Methods. Treatment with TGFß (1 and 10 ng/mL) induced a significant decrease in growth in normal OSE (A), IOSE-29 (B), and IOSE-29EC (C) cells in a dose-dependent manner. Values are the mean ± SD for three individual experiments, each with triplicate samples. a, P < 0.05 vs. untreated control; b, P < 0.05 vs. 0.1 ng/mL TGFß treatment.

 
Effects of activin and TGFß on apoptosis

To examine the role of activin in the induction of apoptosis, DNA fragmentation was measured by cell death detection ELISA. To quantify the induction of apoptosis, IOSE-29EC cells were treated with rh-activin A for 6 days. As shown in Fig. 6AGo, treatments with 10 and 100 ng/mL activin increased DNA fragmentation in a dose-dependent manner (100.0 ± 8.06 vs. 190.6 ± 13.58 or 221.3 ± 15.72). Cotreatment with follistatin (100 ng/mL) and activin attenuated the effect of activin. No significant difference was observed with follistatin treatment only in IOSE-29EC cells. Similarly, IOSE-29EC cells were treated with different concentrations of TGFß for 72 h. Treatments with TGFß induced a significant increase in DNA fragmentation in a dose-dependent manner in IOSE-29EC cells (Fig. 6BGo; 100.0 ± 5.20 vs. 123.7 ± 10.03, 191.3 ± 16.94, or 201.9 ± 25.06).



View larger version (17K):
[in this window]
[in a new window]
 
Figure 6. Effect of activin and TGFß on the induction of apoptosis. To quantify the induction of apoptosis, IOSE-29EC cells were treated with rh-activin A for 6 days. Attached and detached cells were collected, and DNA fragmentation was measured by cell death detection ELISA as described in Materials and Methods. Treatment with 10 and 100 ng/mL activin increased DNA fragmentation in a dose-dependent manner (A). Cotreatment with follistatin (100 ng/mL) and activin attenuated the effect of activin. In addition, treatment with TGFß for 72 h induced DNA fragmentation of IOSE-29EC in a dose-dependent manner (B). Values are the mean ± SD for two individual experiments, each with triplicate samples. a, P < 0.05 vs. untreated control (A and B); b, P < 0.05 vs. treatment with 100 ng/mL activin (A) or 0.1 ng/mL TGFß treatment (B).

 
Expression of pro- and antiapoptotic gene mRNAs

The mRNA levels of Bax and Bcl-2 in IOSE-29 (passages 13–18) and IOSE-29EC (passages 13–18) were investigated by RT-PCR and Southern blot analysis (Fig. 7Go). A linear relationship between PCR products and amplification cycles was obtained for GAPDH, Bax, and Bcl-2 in all cell types (data not shown). PCR products of GAPDH, Bax, and Bcl-2 were determined to be 373, 323, and 459 bp, respectively, and this was confirmed by Southern blot analysis using DIG-labeled probes (Fig. 7Go) and sequence analysis (data not shown). No difference was observed in the expression level of Bax mRNA between IOSE-29 and IOSE-29EC cells. In contrast, the expression level of Bcl-2 mRNA was higher in IOSE-29EC cells than in IOSE-29 cells (Fig. 7Go).



View larger version (63K):
[in this window]
[in a new window]
 
Figure 7. The expression of Bax and Bcl-2 mRNAs in IOSE cell lines. The mRNA levels of Bax and Bcl-2 in IOSE-29 (passages 13–18) and IOSE-29EC (passages 15–20) were investigated by RT-PCR and Southern blot analysis. PCR products of GAPDH, Bax, and Bcl-2 were obtained as 373, 323, and 459 bp, respectively, and confirmed by Southern blot analysis using DIG-labeled probes. No difference was observed in the expression level of Bax mRNA between IOSE-29 and IOSE-29EC cells. In contrast, the expression level of Bcl-2 mRNA was higher in IOSE-29EC cells than in IOSE-29 cells.

 
Effects of activin and TGFß on apoptotic proteins

To investigate the mechanism of activin and TGFß in the induction of apoptosis, the regulation of apoptotic Bax and Bcl-2 was examined by immunoblot analysis. The IOSE-29EC cells were treated with increasing doses of rh-activin A and TGFß, respectively, for 24 h, and immunoblot analysis was performed as described in Materials and Methods. Bax and Bcl-2 protein were detected at 21 and 26 kDa, respectively. As shown in Fig. 8AGo, treatment with 10 and 100 ng/mL activin had no effect on Bax and Bcl-2 proteins in these cells. No significant difference in Bax protein was observed after TGFß treatment (Fig. 8BGo). In contrast, treatment with 1 and 10 ng/mL TGFß induced a significant decrease in Bcl-2 protein up to 50% (Fig. 8Go, B and C; 100.0 ± 5.17 vs. 58.2 ± 7.35 or 54.0 ± 5.39). The amount of loaded proteins in the treatment groups was normalized by actin protein (41 kDa).



View larger version (33K):
[in this window]
[in a new window]
 
Figure 8. Effects of activin and TGFß on Bax and Bcl-2 proteins. IOSE-29EC cells were treated with various doses of rh-activin A and TGFß, respectively, for 24 h, and immunoblot analysis was performed as described in Materials and Methods. Treatments with 10 and 100 ng/mL activin had no effect on Bax (21 kDa) and Bcl-2 (26 kDa) proteins in these cells (A). No significant difference in Bax protein was observed after TGFß treatment (B). In contrast, treatments with 1 and 10 ng/mL TGFß induced a significant decrease in Bcl-2 protein up to 50% (B and C). The amount of loaded protein in treatment groups was normalized by actin protein (41 kDa). Values are the mean ± SD for two individual experiments, each with duplicate samples. a, P < 0.05 vs. untreated control.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
IOSE cell lines may represent early neoplastic (IOSE-29), tumorigenic (IOSE-29EC), and late neoplastic (IOSE-29EC/T4 and T5) transformation stages from normal OSE, and the characteristics of IOSE-29EC resemble those of ovarian cancer (13, 14). Thus, these cell lines may be a useful in vitro model to understand ovarian tumorigenesis, because IOSE cell lines were generated by introducing only two genes (SV-40 large antigen and E-cadherin gene). The present study clearly demonstrates that mRNAs of activin/inhibin subunits are expressed in IOSE cell lines. Both mRNAs and proteins of activin receptors are also expressed in these cell lines, which suggests that activin may have an autocrine role in neoplastic OSE cells. Only the ßB-subunit in IOSE cell lines was less expressed; however, no difference was observed in the expression levels of activin receptors compared with those of OVCAR-3 cells. Activin/inhibin subunits are differentially expressed in normal OSE, epithelial ovarian cystadenomas, low malignant potential tumors, and ovarian carcinomas, suggesting that an imbalanced expression of activin/inhibin subunits in OSE may represent an early event that leads to epithelial proliferation (41). Our recent findings have demonstrated that activin/inhibin subunits and activin receptor IIB were differentially expressed in normal and neoplastic OSE cells (23A ).

It is well known that activin and TGFß play a role in growth-promoting, growth-inhibiting, or both activities depending on the particular cell type (42, 43). In particular, these factors are prime candidates as regulators of cell proliferation during morphological changes in the ovary as well as in abnormal proliferation and transformation of these tissues (44). The action of activin can be regulated by follistatin, which binds activin with high affinity and neutralizes its actions (45). Treatment with activin stimulated the growth of OVCAR-3 cells, but not that of normal OSE (23A ). Thus, the differential expression and production of activin/inhibin subunits, activin receptors, and follistatin suggest that activin may be involved in neoplastic OSE cell proliferation (21). Continuous treatments with activin (1–100 ng/mL) for 6 days resulted in a significant decrease in cell proliferation in both IOSE-29 and IOSE-29EC cell lines. These growth inhibitory effects of activin were attenuated after cotreatment with follistatin (100 ng/mL), which is a specific binding protein of activin, in these cells. These findings are unexpected, because activin has been thought to be a growth stimulatory factor in some ovarian cancer cell lines (21, 22 23A ). Di Simone et al. demonstrated that treatment with activin (1–100 ng/mL) resulted in an increase in the growth of four ovarian cancer cell lines, which are not synthesizing follistatin, whereas follistatin treatment (1–100 ng/mL) decreased cellular proliferation in these cell lines (21). Most primary epithelial ovarian tumors (96%) synthesize and secrete activin in vitro, and serum levels of activin are frequently elevated in women with epithelial ovarian cancer, but the majority of tumors in culture do not respond to activin or follistatin treatment in cell proliferation (23). The cause of the difference between previous studies and present results in terms of activin’s effect on cell proliferation is not known. A response to exogenous activin appears to be dependent on the production of endogenous activin and follistatin in epithelial ovarian tumors (21, 23). Thus, the amount of secreted activin or follistatin proteins in IOSE cell lines remains to be elucidated. Interestingly, treatment or overexpression of activin resulted in a decrease in cell proliferation, which was blocked by follistatin, in the human ovarian teratocarcinoma-derived cell line (46, 47). Similarly, it has been demonstrated that activin induced growth inhibition in prostate cancer cell lines (39, 48). However, no difference was observed in the growth of normal OSE, even though all forms of activin receptors are expressed in these cells (21). The mechanism of the growth inhibitory effect of activin in IOSE cell lines remains uncertain. It has been demonstrated that the mRNA level of Smad-2, a specific signaling protein for TGFß family, was increased after activin treatment, whereas no difference was observed in Smad-4 mRNA in OVCAR-3 cells (49).

Treatment with TGFß (0.1–10 ng/mL) induced a significant decrease in the proliferative index of normal and neoplastic OSE cells in a dose-dependent manner. The expressions of TGFß isoforms and its receptors have been demonstrated in ovarian tumors, suggesting an autocrine and/or paracrine role of TGFß (28, 30, 50). TGFß inhibited the proliferation of monolayers of normal human ovarian epithelial cells by 40–70% (26) and by 95% in primary epithelial ovarian cancer cell cultures obtained directly from ascites (51). In contrast, some epithelial ovarian cancer cell lines were found to be relatively resistant to the growth inhibition of exogenous TGFß treatment (26, 52). These data suggest that TGFß may act as a growth inhibitor that prevents inappropriate proliferation of normal OSE cells, whereas loss of this autocrine growth inhibitory pathway may lead to cancer development in vivo and/or immortalization of cell in vitro. The results in this study confirm that TGFß is a prime inhibitory regulator of cell proliferation in both normal and neoplastic ovarian cells and show that it effectively inhibits cell proliferation in early neoplastic and tumorigenic transformation stages.

An increase in proliferation and/or a decrease in apoptosis play critical roles in tumorigenesis. Treatments with increasing concentrations of activin and TGFß resulted in an increase in DNA fragmentation of IOSE-29EC cells in dose-dependent manner. The effect of activin on induction of apoptosis was attenuated after 100 ng/mL follistatin treatment. Previous reports have demonstrated that activin has been shown to induce apoptosis in B cell lymphoma (53, 54), hepatoma (55), and androgen-dependent prostate cancer cells (39). The exact mechanism by which TGFß induced growth inhibition in ovarian tumor cells remains unknown. However, previous studies suggested that binding of TGFß to its receptors initiates a cascade of molecular events that are thought to decrease the activity of cyclin-dependent kinase, resulting in arrest of the cell cycle from G1 into the S phase of DNA synthesis in normal and neoplastic ovarian cells (56). In addition to cell cycle inhibition, TGFß induced apoptosis in epithelial ovarian cancer, but not in normal OSE, suggesting that neoplastic cells are more susceptible to apoptosis than their normal counterparts (27, 57). The present study indicates that both exogenous activin and TGFß induced apoptosis in neoplastic OSE cells that were growth inhibited in vitro. It is hypothesized that growth inhibition by activin or TGFß may be derived from the induction of apoptosis in this model, suggesting that apoptosis may be one of the important phenomena in growth-inhibited ovarian cancer cells. In addition, it can be postulated that IOSE cell lines represent an early transformation stage, because these cell lines are responsive to TGFß treatment in both inhibition of cell growth and induction of apoptosis.

The Bcl-2 gene family has been widely considered to be regulators of cell death (reviewed in Refs. 58 and 59). Among pro- and antiapoptotic genes in the Bcl-2 family, Bax and Bcl-2 genes are dominant regulators for apoptosis. The ratio of Bcl-2 to Bax is important in determining susceptibility to apoptosis (58). It has been shown that steroid hormones and growth factors may regulate pro- or antiapoptotic genes in ovarian and breast cancer cells (40, 57, 60). The present study has demonstrated that mRNAs of Bax and Bcl-2 are expressed in IOSE cell lines. No difference was observed in the expression level of Bax mRNA between IOSE-29 and IOSE-29EC cells. In contrast, the expression level of Bcl-2 mRNA is higher in IOSE-29EC cells than in IOSE-29 cells, suggesting that IOSE-29EC cells may be more resistant to apoptosis. In fact, relatively high expression level of Bcl-2 in IOSE-29EC cells suggests that this cell line is more resistant to serum deprivation than IOSE-29 cells (data not shown). To examine the exact mechanism by which activin and TGFß regulate apoptosis in neoplastic OSE cells, the regulation of proapoptotic Bax and antiapoptotic Bcl-2 protein was investigated after treatment with activin and TGFß, respectively. Treatment with TGFß (1 and 10 ng/mL) resulted in a significant decrease in Bcl-2 protein (up to 50%), whereas no difference was observed in Bax protein level. These findings are in agreement with a previous report that TGFß1 down-regulated the endogenous expression of the antiapoptotic Bcl-2 gene (57). Thus, down-regulated Bcl-2 may elicit apoptosis in IOSE-29EC cells, suggesting that antiapoptotic Bcl-2 is a dominant regulator of apoptosis in these cells. However, no difference was observed in Bax and Bcl-2 protein expression after treatment with increasing doses of activin. It has been reported that the expression of the proapoptotic Bax was unchanged after activin treatment in B cell lymphoma (53); however, overexpression of Bcl-2 suppressed activin-induced apoptosis. Thus, different pro- and/or antiapoptotic genes or another apoptotic pathway may be related to activin-induced apoptosis in this culture system (54, 58).

In conclusion, the present study indicates that both activin and TGFß induced growth inhibition and apoptosis in experimentally produced early neoplastic and tumorigenic OSE cells. Furthermore, antiapoptotic Bcl-2 protein was down-regulated by TGFß, whereas no difference was observed in Bax protein by activin or TGFß or in Bcl-2 protein by activin. These results suggest that activin and TGFß may play a role in growth inhibition and induction of apoptosis in early neoplastic and tumorigenic transformation stages of ovarian cancer.


    Acknowledgments
 
We are thankful to Clara Salamanca for providing human normal OSE cells and to Dr. A. F. Parlow in National Hormone and Pituitary Program of Harbor-University of California-Los Angeles Medical Center for recombinant human activin A and follistatin. We also appreciate to Drs. C. Peng and W. Vale for providing cDNA clones and rabbit polyclonal antibodies for activin receptors.


    Footnotes
 
1 This work was supported by grants from the Canadian Institutes of Health Research and the National Cancer Institute of Canada. Back

Received September 26, 2000.

Revised December 12, 2000.

Accepted January 29, 2001.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Risch HA. 1998 Hormonal etiology of epithelial ovarian cancer, with a hypothesis concerning the role of androgens and progesterone. J Natl Cancer Inst. 90:1774–1786.[Abstract/Free Full Text]
  2. Auersperg N, Maines-Bandiera SL, Kruk PA. 1995 Human ovarian surface epithelium: growth patterns and differentiation. In: Sharp F, Mason P, Blacket T, Berek J, eds. Ovarian cancer 3. London: Chapman & Hall; 157–169.
  3. Berchuck A, Kohler MF, Boente MP, Rodriguez GC, Whitaker RS, Bast RC. 1993 Growth regulation and transformation of ovarian epithelium. Cancer. 71:545–551.[Medline]
  4. Nicosia SV, Saunders BO, Acevedo-Duncan ME, Setrakian S, Degregorio R. 1991 Biopathology of Ovarian Mesothelium. In: Familiari G, Makabe S, Motta PM eds. Ultrastructure of the ovary. New York: Kluwer; 287–310.
  5. Fathalla MF. 1971 Incessant ovulation: a factor in ovarian neoplasia? Lancet. 2:163.[CrossRef][Medline]
  6. Godwin AK, Testa JR, Hamilton TC. 1993 The biology of ovarian cancer development. Cancer. 71:530–536.[Medline]
  7. Piver MS, Baker TR, Piedmonte M, Sandecki AM. 1991 Epidemiology and etiology of ovarian cancer. Semin Oncol. 18:177–185.
  8. Hamilton TC. 1992 Ovarian cancer. I. Biology. Curr Prob Cancer. 16:1–57.[Medline]
  9. Rao BR, Slotman BJ. 1991 Endocrine factors in common epithelial ovarian cancer. Endocr Rev. 12:14–26.[Medline]
  10. Westerman AM, Beijnen JH, Moolenaar WH, Rodenhuis S. 1997 Growth factors in human ovarian cancer. Cancer Treat Rev. 23:113–131.[CrossRef][Medline]
  11. Shoham Z. 1994 Epidemiology, etiology, and fertility drugs in ovarian epithelial carcinoma: where are we today? Fertil Steril. 62:433–448.[Medline]
  12. Maines-Bandiera S, Kruk PA, Auersperg N. 1992 Simian virus 40-transformed human ovarian surface epithelial cells escape normal growth controls but retain morphogenetic responses to extracellular matrix. Am J Obstet Gynecol. 167:729–735.[Medline]
  13. Auersperg N, Pan J, Grove BD, et al. 1999 E-cadherin induces mesenchymal-to-epithelial transition in human ovarian surface epithelium. Proc Natl Acad Sci USA. 96:6249–6254.[Abstract/Free Full Text]
  14. Ong A, Maines-Bandiera S, Roskelley CD, Auersperg N. 2000 An ovarian adenocarcinoma line derived from SV40/E-cadherin-transfected normal ovarian surface epithelium. Int J Cancer. 85:430–437.[CrossRef][Medline]
  15. Vale W, Rivier C, Hsueh A, et al. 1988 Chemical and biological characterization of the inhibin family of protein hormones. Recent Prog Horm Res. 44:1–34.
  16. Ling N, Ying SY, Ueno N, et al. 1986 Pituitary FSH is released by a heterodimer of the ß-subunits from the two forms of inhibin. Nature. 321:779–782.[CrossRef][Medline]
  17. Vale W, Rivier J, Vaughan J, et al. 1986 Purification and characterization of an FSH releasing protein from porcine ovarian follicular fluid. Nature. 321:776–778.[CrossRef][Medline]
  18. Eramaa M, Heikinheimo K, Tuuri T, Hilden K, Ritvos O. 1993 Inhibin/activin subunit mRNA expression in human granulosa-luteal cells. Mol Cell Endocrinol. 92:R15–R20.
  19. Tuuri T, Eramaa M, Van Schaik RHN, Ritvos O. 1996 Differential regulation of inhibin/activin {alpha}- and ßA-subunit and follistatin mRNAs by cyclic AMP and phorbol ester in cultured human granulosa-luteal cells. Mol Cell Endocrinol. 121:1–10.[CrossRef][Medline]
  20. Eramaa M, Hilden K, Tuuri T, Ritvos O. 1995 Regulation of inhibin/activin subunit messenger ribonucleic acids (mRNAs) by activin A and expression of activin receptor mRNAs in cultured human granulosa-luteal cells. Endocrinology. 136:4382–4389.[Abstract]
  21. Di Simone N, Crowley WF, Wang QF, Sluss PM, Schneyer AL. 1996 Characterization of inhibin/activin subunit, follistatin, and activin type II receptors in human ovarian cancer cell lines: a potential role in autocrine growth regulation. Endocrinology. 137:486–494.[Abstract]
  22. Fukuda J, Ito I, Tanaka T, Leung PCK. 1998 Cell survival effect of activin against heat shock stress on OVCAR-3. Life Sci. 63:2209–2220.[CrossRef][Medline]
  23. Welt CK, Lambert-Messerlian G, Zheng W, Crowley WF, Schneyer AL. 1997 Presence of activin, inhibin, and follistatin in epithelial ovarian carcinoma. J Clin Endocrinol Metab. 82:3720–3727.[Abstract/Free Full Text]
  24. Choi KC, Kang SK, Nathwani PS, Cheng KW, Auersperg N, Leung PCK. Differential expression of activin/inhibin subunit and activin receptor mRNAs in normal and neoplastic ovarian surface epithelium (OSE). Mol Cell Endocrinol. In press.
  25. Barrack ER. 1997 TGFß in prostate cancer: a growth inhibitor that can enhance tumorigenicity. Prostate. 31:61–70.[CrossRef][Medline]
  26. Hu PP, Datto MB, Wang XF. 1998 Molecular mechanisms of transforming growth factor-ß signaling. Endocr Rev. 19:349–363.[Abstract/Free Full Text]
  27. Berchuck A, Rodriguez G, Olt G, et al. 1992 Regulation of growth of normal ovarian epithelial cells and ovarian cancer cell lines by transforming growth factor-ß. Am J Obstet Gynecol. 166:676–684.[Medline]
  28. Havrilesky LJ, Hurteau JA, Whitaker RS, et al. 1995 Regulation of apoptosis in normal and malignant ovarian epithelial cells by transforming growth factor ß. Cancer Res. 55:944–948.[Abstract/Free Full Text]
  29. Marth C, Lang T, Koza A, Mayer I, Daxenbichler G. 1990 Transforming growth factor-ß and ovarian carcinoma cells: regulation of proliferation and surface antigen expression. Cancer Lett. 51:221–225.[CrossRef][Medline]
  30. Zhou L, Leung BS. 1992 Growth regulation of ovarian cancer cells by epidermal growth factor and transforming growth factors {alpha} and ß1. Biochim Biophys Acta. 1180:130–136.[Medline]
  31. Bartlett JM, Rabiasz GJ, Scott WN, Langdon SP, Smyth JF, Miller WR. 1992 Transforming growth factor-ß mRNA expression and growth control of human ovarian carcinoma cells. Br J Cancer. 65:655–660.[Medline]
  32. Jakowlew SB, Moody TW, Mariano JM. 1997 Transforming growth factor-ß receptors in human cancer cell lines: analysis of transcript, protein and proliferation. Anticancer Res. 17:1849–1860.[Medline]
  33. Bristow RE, Baldwin RL, Yamada SD, Korc M, Karlan BY. 1999 Altered expression of transforming growth factor-ß ligands and receptors in primary and recurrent ovarian carcinoma. Cancer. 85:658–668.[CrossRef][Medline]
  34. Kruk PA, Maines-Bandiera SL, Auersperg N. 1990 A simplified method to culture human ovarian surface epithelium. Lab Invest. 63:132–136.[Medline]
  35. Li W, Olofsson JI, Jeung EB, Krisinger J, Yuen BH, Leung PCK. 1994 Gonadotropin-releasing hormone and cyclic AMP positively regulate inhibin subunit messenger RNA levels in human placental cells. Life Sci. 55:1717–1724.[CrossRef][Medline]
  36. Peng C, Ohno T, Koh LY, Chen VTS, Leung PCK. 1999 Human ovary and placenta express messenger RNA for multiple activin receptors. Life Sci. 64:983–994.[CrossRef][Medline]
  37. Bargou RC, Daniel PT, Mapara MY, et al. 1995 Expression of the bcl-2 gene family in normal and malignant breast tissue: low bax-{alpha} expression in tumor cells correlates with resistance towards apoptosis. Int J Cancer. 60:854–859.[Medline]
  38. Tokunaga K, Nakamura Y, Sakata K, et al. 1987 Enhanced expression of a glyceraldehyde-3-phosphate dehydrogenase gene in human lung cancers. Cancer Res. 47:5616–5619.
  39. Sambrook J, Fritsch EF, Maniatis T. 1989 Molecular cloning; a laboratory manual. Cold Spring Harbor: Cold Spring Harbor Laboratory: 18.47–18.66.
  40. Wang QF, Tilly KI, Tilly JL, et al. 1996 Activin inhibits basal and androgen-stimulated proliferation and induces apoptosis in the human prostatic cancer cell line, LNCaP. Endocrinology. 137:5476–5483.
  41. Wang TTY, Phang JM. 1995 Effects of estrogen on apoptotic pathways in human breast cancer cell line MCF-7. Cancer Res. 55:2487–2489.[Abstract/Free Full Text]
  42. Zheng W, Luo MP, Welt C, et al. 1998 Imbalanced expression of inhibin and activin subunits in primary epithelial ovarian cancer. Gynecol Oncol. 69:23–31.[CrossRef][Medline]
  43. Mathews LS. 1994 Activin receptors and cellular signaling by the receptor serine kinase family. Endocr Rev. 15:310–325.[CrossRef][Medline]
  44. Woodruff TK. 1998 Regulation of cellular and system function by activin. Biochem Pharmacol. 55:953–963.[CrossRef][Medline]
  45. Mather JP, Moore A, Li RH. 1997 Activins, inhibins, and follistatins: further thoughts on a growing family of regulators. Proc Soc Exp Biol Med. 215:209–222.[Abstract]
  46. Schneyer AL, Rzucidlo DA, Sluss PM, Crowley Jr WF. 1994 Characterization of unique binding kinetics of follistatin and activin or inhibin in serum. Endocrinology. 135:667–674.[Abstract]
  47. Wang QF, Khoury RH, Smith PC, et al. 1996 A two-site monoclonal antibody immunoradiometric assay for human follistatin: secretion by a human ovarian teratocarcinoma-derived cell line (PA-1). J Clin Endocrinol Metab. 81:1434–1441.[Abstract]
  48. Delbaere A, Sidis Y, Schneyer AL. 1999 Differential response to exogenous and endogenous activin in a human ovarian teratocarcinoma-derived cell line (PA-1): regulation by cell surface follistatin. Endocrinology. 140:2463–2470.[Abstract/Free Full Text]
  49. McPherson SJ, Thomas TZ, Wang H, Gurusinghe CJ, Risbridger GP. 1997 Growth inhibitory response to activin A and B by human prostate tumor cell lines, LNCaP and DU145. J Endocrinol. 154:535–545.[Abstract]
  50. Ito I, Minegishi T, Fukuda J, Shinozaki H, Auersperg N, Leung PCK. 2000 Presence of activin signal transduction in normal ovarian cells and epithelial ovarian carcinoma. Br J Cancer. 82:1415–1420.[Medline]
  51. Bartlett JM, Landon SP, Scott WN, et al. 1997 Transforming growth factor-ß isoform expression in human ovarian tumors. Eur J Cancer 33:2397–2403.
  52. Hurteau J, Rodriguez GC, Whitaker RS, et al. 1994 Transforming growth factor-ß inhibits proliferation of human ovarian cancer cells obtained from ascites. Cancer. 74:93–99.
  53. Berchuck A, Olt GJ, Everitt L, Soisson AP, Bast Jr RC, Boyer CM. 1990 The role of peptide growth factors in epithelial ovarian cancer. Obstet Gynecol. 75:255–262.[Abstract/Free Full Text]
  54. Koseki T, Yamato K, Krajewski S, Reed JC, Tsujimoto Y, Nishihara T. 1995 Activin A-induced apoptosis is suppressed by BCL-2. FEBS Lett. 376:247–250.[CrossRef][Medline]
  55. Koseki T, Yamato K, Ishisaki A, Hashimoto O, Sugino H, Nishihara T. 1998 Correlation between Bcl-X expression and B-cell hybridoma apoptosis induced by activin A. Cell Signal. 10:517–521.[CrossRef][Medline]
  56. Chen W, Woodruff TK, Mayo KE. 2000 Activin A-induced HepG2 liver cell apoptosis: Involvement of activin receptors and Smad proteins. Endocrinology. 141:1263–1272.[Abstract/Free Full Text]
  57. Massague J. 1992 Receptors for the TGF-ß family. Cell. 69:1067–1070.[CrossRef][Medline]
  58. Lafon C, Mathieu C, Guerrin M, Pierre O, Vidal S, Valette A. 1996 Transforming growth factor ß1-induced apoptosis in human ovarian carcinoma cells: protection by the antioxidant N-acetylcysteine and bcl-2. Cell Growth Differ. 7:1095–1104.[Abstract]
  59. Chao DT, Korsmeyer S. 1998 Bcl-2 family: regulators of cell death. Annu Rev Immunol. 16:395–419.[CrossRef][Medline]
  60. Minn AJ, Swain RE, Ma A, Thompson CB. 1998 Recent progress on the regulation of apoptosis by bcl-2 family members. Adv Immunol. 70:245–279.[Medline]
  61. Lapointe J, Fournier A, Richard V, Labrie C. 1999 Androgens down-regulate bcl-2 protooncogene expression in ZR-75–1 human breast cancer cells. Endocrinology. 140:416–421.[Abstract/Free Full Text]



This article has been cited by other articles:


Home page
EndocrinologyHome page
J. E. Burdette, R. M. Oliver, V. Ulyanov, S. M. Kilen, K. E. Mayo, and T. K. Woodruff
Ovarian Epithelial Inclusion Cysts in Chronically Superovulated CD1 and Smad2 Dominant-Negative Mice
Endocrinology, August 1, 2007; 148(8): 3595 - 3604.
[Abstract] [Full Text] [PDF]


Home page
Hum Reprod UpdateHome page
P. C.K. Leung and J.-H. Choi
Endocrine signaling in ovarian surface epithelium and cancer
Hum. Reprod. Update, March 1, 2007; 13(2): 143 - 162.
[Abstract] [Full Text] [PDF]


Home page
Mol Cancer ResHome page
G. Xu, H. Zhou, Q. Wang, N. Auersperg, and C. Peng
Activin Receptor-Like Kinase 7 Induces Apoptosis through Up-Regulation of Bax and Down-Regulation of Xiap in Normal and Malignant Ovarian Epithelial Cell Lines
Mol. Cancer Res., April 1, 2006; 4(4): 235 - 246.
[Abstract] [Full Text] [PDF]


Home page
J. Clin. Endocrinol. Metab.Home page
K.-Y. Kim, K.-C. Choi, S.-H. Park, N. Auersperg, and P. C. K. Leung
Extracellular Signal-Regulated Protein Kinase, But Not c-Jun N-Terminal Kinase, Is Activated by Type II Gonadotropin-Releasing Hormone Involved in the Inhibition of Ovarian Cancer Cell Proliferation
J. Clin. Endocrinol. Metab., March 1, 2005; 90(3): 1670 - 1677.
[Abstract] [Full Text] [PDF]


Home page
Mol Cancer ResHome page
M. D. Steller, T. J. Shaw, B. C. Vanderhyden, and J.-F. Ethier
Inhibin Resistance Is Associated with Aggressive Tumorigenicity of Ovarian Cancer Cells
Mol. Cancer Res., January 1, 2005; 3(1): 50 - 61.
[Abstract] [Full Text] [PDF]


Home page
J EndocrinolHome page
J R V Silva, R van den Hurk, H T A van Tol, B A J Roelen, and J R Figueiredo
Gene expression and protein localisation for activin-A, follistatin and activin receptors in goat ovaries
J. Endocrinol., November 1, 2004; 183(2): 405 - 415.
[Abstract] [Full Text] [PDF]


Home page
Mol. Endocrinol.Home page
D. Tomic, K. P. Miller, H. A. Kenny, T. K. Woodruff, P. Hoyer, and J. A. Flaws
Ovarian Follicle Development Requires Smad3
Mol. Endocrinol., September 1, 2004; 18(9): 2224 - 2240.
[Abstract] [Full Text] [PDF]


Home page
J. Clin. Endocrinol. Metab.Home page
K.-Y. Kim, K.-C. Choi, S.-H. Park, C.-S. Chou, N. Auersperg, and P. C. K. Leung
Type II Gonadotropin-Releasing Hormone Stimulates p38 Mitogen-Activated Protein Kinase and Apoptosis in Ovarian Cancer Cells
J. Clin. Endocrinol. Metab., June 1, 2004; 89(6): 3020 - 3026.
[Abstract] [Full Text] [PDF]


Home page
Mol. Endocrinol.Home page
C. J. Jorgez, M. Klysik, S. P. Jamin, R. R. Behringer, and M. M. Matzuk
Granulosa Cell-Specific Inactivation of Follistatin Causes Female Fertility Defects
Mol. Endocrinol., April 1, 2004; 18(4): 953 - 967.
[Abstract] [Full Text] [PDF]


Home page