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a Department of Animal Science, University of Wyoming, Laramie, Wyoming 82071
| ABSTRACT |
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| INTRODUCTION |
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Cell numbers within a tissue are dictated by relative rates of division and death. We hypothesized that proliferative and antiapoptotic effects of estradiol in preovulatory follicles are critical determinants of luteal adequacy; differentiated small and large steroidogenic cells of the corpus luteum are derived from the theca interna and membrana granulosa, respectively [2]. Estradiol can alter cellular functions by classical receptor-mediated transcriptional and nongenomic pathways [3, 4]. A novel receptor-independent mechanism of estradiol action is based on its antioxidant properties [5]. Oxidative cellular damage due to estradiol withdrawal is a putative cause of follicular apoptosis and atresia [6, 7].
An initial study was conducted to assess follicular morphology and function in proestrous ewes in which estradiol biosynthesis was attenuated by an aromatase inhibitor. Direct effects of estradiol-17ß on indices of granulosa cell proliferation and oxidative stress-induced apoptosis were then evaluated in vitro. A final experiment was performed to determine luteal outcomes after ovulation of estradiol-deficient follicles.
| MATERIALS AND METHODS |
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Experimental Model
Mature western-range ewes were penned with vasectomized rams and observed for estrous behavior. The first day of estrus was considered Day 0. Animals were treated on Day 14 with prostaglandin (PG) F2
(10 mg i.m. dinoprost tromethamine; Pharmacia and Upjohn Co., Kalamazoo, MI) to synchronize luteal regression. Dominant antral follicles (
6 mm diameter) present during proestrus will consistently ovulate approximately 24 h after injection of an agonistic analogue of GnRH (5 µg i.m. des Gly10-Ala6 ethylamide) [8].
Follicular Effects after In Vivo Administration of Arimidex
Ewes were assigned at random to be given Arimidex (anastrozole; 100 mg 2,2'[-5-(IH-1,2,4-triazol-1-ylmethyl)-1,3-phenylene]-bis(2-methylpropiononitrile); Zeneca Pharmaceutical, Wilmington, DE), a specific nonsteroidal aromatase inhibitor used for the treatment of advanced breast cancer [911], or injection vehicle (2 ml PBS i.m.) at 12 h post-PGF2
(n = 5). Blood samples for serum analysis of estradiol-17ß [12] were collected by jugular venipuncture at 0, 12, 24, and 36 h after PGF2
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Two preovulatory follicles were dissected from the ovaries of each ewe at 36 h post-PGF2
and their diameters determined. Fluid was gently aspirated from one follicle of each animal and assayed for concentrations of estradiol-17ß and testosterone [13]; follicular tissues were rinsed in ice-cold isotonic saline, frozen at -70°C, and analyzed for concentrations of malondialdehyde. Second follicles for morphometric analyses (number of theca/granulosa cells, nuclear pyknosis, DNA fragmentation, proliferating cell nuclear antigen) were fixed by immediate immersion in Histochoice (Amresco, Solon, OH), washed in PBS, dehydrated in a graded series of ethanol, cleared in xylene, infiltrated with paraffin, and serially sectioned at 5-µm thickness.
Malondialdehyde (MDA), a stable by-product of polyunsaturated fatty acid peroxide decomposition, was measured as an index of lipid peroxidation [14] in tissue extracts using a commercial diagnostic kit according to the manufacturer's instructions (Bioxytech LPO-586; Oxis International, Portland, OR). Briefly, supernatants of tissue homogenates (20 mM Tris buffer, pH 7.4, containing 5 mM butylated hydroxytoluene), MDA standards (2.520 µM 1,1,3,3-tetramethoxypropane), or sample blanks (0.2 ml) were mixed with chromogenic reagent (0.65 ml 10.3 mM N-methyl-2-phenylindole) and HCl (0.15 ml 12 N) for 1 h at 45°C. Chromophore was detected at 586 nm.
Numbers of theca interna and granulosa cells within one randomly selected area of eight different cross sections of follicular wall, stained with hematoxylin and eosin, were counted along a 200-µm length of basement membrane. Cells were classified (without knowledge of treatment) as pyknotic or not.
In situ immunofluorescence detection of internucleosomal DNA fragmentation [15] was used as an index of apoptosis [16]; images of individual theca and granulosa cells within three random fields (x1000) per sample were categorized using computer-assisted analysis (Optimas, Bothell, WA) as positively labeled (> 2 times luminance intensity of control cell background) or not reactive. Briefly, exposed 3'-OH ends of DNA were linked with digoxigenin-11-dUTP by terminal deoxynucleotidyl transferase (TdT) catalysis. Incorporated nucleotide heteropolymers were localized with antidigoxigenin Fab-fluorescein isothiocyanate. Conjugate or TdT was omitted in negative control reactions.
Immunostaining of proliferating cell nuclear antigen (PCNA) was used as a mitogenic marker within theca interna and granulosa; quantifications were made as described for DNA fragmentation analysis. Tissue sections were incubated for 30 min with a PCNA mouse monoclonal antibody (Santa Cruz Biotechnology, Santa Cruz, CA; 2 µg/ml PBS with 1.5% normal goat serum) and washed in three changes of PBS. Immune complexes were detected with a secondary goat anti-mouse IgG-fluorescein isothiocyanate conjugate (F 4143; 1:80, 10 min). Negative control reactions were performed in the absence of primary antibody.
In Vitro Effect of Estradiol on Granulosa PCNA Expression
Preovulatory follicles were isolated at 12 h after PGF2
, hemisected, and incubated in 1 ml Medium (M)-199 containing 10% fetal calf serum with or without estradiol-17ß (0.1 µg) or the transcriptional inhibitor actinomycin D (0.2 µg) [17] for 8 h at 37°C (n = 6). Granulosa PCNA immunostaining was determined as indicated for the preceding experiment.
In Vitro Effect of Estradiol on Oxidative Stress-Induced Granulosa Apoptosis
Explants of preovulatory follicular wall (12 h post-PGF2
) were incubated (1 ml M-199 + 10% fetal calf serum; 37°C) in the presence or absence of estradiol-17ß (0.1 µg) ± actinomycin D (0.2 µg) for 2 h, for 30 min ± 100 µM H2O2 [17], and then for 5.5 h (without treatments; n = 5). Granulosa cells were assessed for DNA fragmentation.
Luteal Function Following Treatment with Arimidex during the Early Follicular Phase
Arimidex (100 mg) or injection vehicle was administered to ewes (n = 3) at 12 h after PGF2
. All animals were treated with GnRH at 36 h. Jugular blood samples for serum hormonal analyses were collected at 0, 12, and 36 h post-PGF2
(estradiol-17ß); at hourly intervals for 6 h post-GnRH (LH) [18]; and daily thereafter until Day 10 of the luteal phase (progesterone) [19].
On Day 10 corpora lutea were dissected from the ovaries, weighed, and hemisected. Segments of luteal tissues were assayed for progesterone [20] or fixed in Histochoice for light microscopic quantitative analysis (Optimas; % glandular area occupied by granulosa-derived large steroidogenic cells within six randomly selected hematoxylin/eosin-stained paraffin sections/animal; x400).
Statistics
Within-animal subsample data were averaged. Treatment mean comparisons were made by Student's t-test (two-sample: control vs. Arimidex) or ANOVA and protected least-significant difference (multiple contrasts for in vitro experiments). Percentage data were transformed (arcsin) for the purpose of statistical analyses. Hormonal profiles were contrasted using a split-plot procedure [21]. Differences were considered significant at p < 0.05.
| RESULTS |
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The linear increase in circulatory estradiol-17ß concentrations that occurred after injection of PGF2
(luteal regression) was terminated by treatment with Arimidex at 12 h; serum levels remained very low until follicular collections at 36 h (Fig. 1). No overt side effects of Arimidex were observed.
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Follicular diameters were not affected by exposure to Arimidex for the 24-h period preceding tissue collections. Follicular fluid estradiol-17ß and testosterone (aromatase substrate) concentrations were correspondingly lowered and elevated by Arimidex. Lipid peroxidation within follicular tissues was increased after Arimidex. Treatment with Arimidex reduced granulosa cell numbers and PCNA expression and increased the relative percentages of pyknosis and DNA fragmentation. Measures of theca cell functions were not altered by Arimidex (Table 1). There was no evidence of follicular leukocytic infiltration.
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Stimulation by Estradiol of Granulosa PCNA Expression
There was an increase in PCNA immunostaining of granulosa cells of follicular shells incubated with estradiol-17ß; the effect was negated by actinomycin D (Fig. 2).
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Protection by Estradiol of Oxidative Stress-Induced Granulosa Apoptosis
Fragmentation of DNA within granulosa cells of tissue explants incubated with H2O2 was suppressed by estradiol-17ß. Actinomycin D did not modify the apoptotic response to the peroxidative challenge or its reversal by estradiol-17ß (Fig. 3).
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Induction by Arimidex of Luteal Dysfunction
The marked inhibitory action of Arimidex administration during proestrus on follicular estradiol output was confirmed (data not shown). There were no differences in preovulatory patterns of GnRH-induced LH release due to treatments (Fig. 4). Jugular serum progesterone concentrations were depressed following exposure to Arimidex (Fig. 5).
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Two or three corpora lutea were obtained from each ewe on Day 10; an ovulation papilla at the ovarian apex indicated that follicular rupture had occurred in every instance. Corpora lutea of Arimidex-treated animals were smaller, were deficient in large steroidogenic cells, and contained less progesterone than their control counterparts (Fig. 6). There was no evidence of phagocyte influx into luteal tissues.
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| DISCUSSION |
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Granulosa cells are the progenitors of large lutein cells, the principal source of circulatory progesterone [2, 24]. Results of this investigation indicate that attenuation of estradiol production by preovulatory ovine follicles compromises the succession of granulosa cell proliferative and antiapoptotic events that necessitate the formation of a fully competent corpus luteum. A similar (granulosa lutein) defect was observed after induction of ovulation during the early follicular phase of ewes [25]. Follicular rupture was apparently not averted by a shortage of granulosa cells (a presumptive resource of biochemical ovulatory mediators) [26] or by an atretogenic milieu (e.g., elevated testosterone:estradiol ratio and apoptosis) [6]. The incidence of short-lived corpora lutea in postpartum cows was reduced by estradiol pretreatment [27]. Benoit et al. [28] reported that inhibition in ewes of preovulatory estradiol production with the aromatase inhibitor CGS16949A delayed the onset of luteinization but did not significantly alter subsequent circulatory profiles of progesterone.
That granulosa cell mitosis is up-regulated by estradiol is well established [2933]. A potent antioxidant effect of estradiol-17ß (e.g., exceeding that of
-tocopherol) has only recently been realized. Reactive oxygen molecules such as H2O2, hydroxyl radicals, and superoxide anions generated during normal metabolic reactions, if not sufficiently neutralized, pose a serious threat to cellular viability [34, 35]; the transduction pathways that link toxic oxidant accumulation to apoptosis include peroxidative perturbations in membrane phospholipid dynamics, cytosolic calcium accretion, microskeletal disruption, DNA damage, and endonuclease activation [3638]. The seminal observation that estradiol-17ß safeguarded neurons from oxidant death [39] has stimulated an interest in the potential therapeutic benefits of estrogens in the management of dementia associated with the postmenopause and Alzheimer's disease [40]. Furthermore, estradiol is a candidate inhibitor of endothelial cell apoptosis and atherosclerosis [41]. A recent study indicated that estradiol-17ß protected porcine follicular and luteal cells against an H2O2 insult primarily by a nongenomic receptor-independent mechanism [17]. Estradiol-17ß can serve directly (at high concentrations) as an oxidant scavenger [5] or as an activator of antiapoptotic (e.g., bcl-2) gene products [42].
Although estradiol enhances pituitary sensitivity to GnRH [1], preovulatory surges in secretion of LH were not affected by treatment with Arimidex; perhaps this was related to use of a potent GnRH agonist, and/or a brief exposure to estradiol upon luteal regression was sufficient to prime a full surge. Therefore, the reduction in glandular function during the consequent luteal phase was not due to diminutive preovulatory follicular gonadotropic stimulation. It also seems unlikely that a lack of postovulatory luteotropin was rate limiting to progesterone production. Indeed, small (LH responsive) theca lutein cells [2, 24] were evidently carrying the functional load of the luteal gland (i.e., complete collapse would otherwise have been expected). Apparently, theca cells of preovulatory follicles are comparatively resistant to an abrupt estradiol depletion; constitutive defenses to oxidative injury can be imparted by endogenous antioxidant enzymes (glutathione peroxidase, superoxide dismutase, catalase) [43] or efficient DNA repair processes [44, 45].
Divergent intrafollicular transcriptional/mitogenic and antioxidant roles of estradiol that influence granulosa lutein function have been defined. An understanding of the temporal cellular and hormonal interactions regulating the folliculo-luteal transformation is relevant to the design of ovulatory protocols that assure assisted reproductive success. Finally, our results lend indirect credence to the concept that antioxidants can enhance fertility [46].
| FOOTNOTES |
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2 Correspondence: W.J. Murdoch, Department of Animal Science, P.O. Box 3684, 16th and Gibbon St., University of Wyoming, Laramie, WY 82071. FAX: 307 766 2355; wmurdoch{at}uwyo.edu ![]()
Accepted: March 11, 1999.
Received: December 23, 1998.
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