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Ovary |
Department of Pharmacology,3 Tokyo University of Pharmacy and Life Science, Hachioji, Horinouchi, Tokyo 192-0392, Japan
Tokyo Metropolitan Institute of Medical Science,4 Honkomagome, Bunkyo-ku, Tokyo 113-0032, Japan
| ABSTRACT |
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corpus luteum, corpus luteum function, female reproductive tract, ovary, progesterone
| INTRODUCTION |
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A large variety of eicosanoids, well known to be important for reproduction, are produced by the actions of cyclooxygenase (COX) enzymes I and II on arachidonic acid [11]. COX-I is constitutively expressed in a variety of cells, but the expression of COX-II requires induction, which can be accomplished by various agents including mitogens, cytokines, and tumor promoters. In the ovary, the expression of COX-II and the synthesis of the prostaglandin (PG) F2
and PGE2 needed for ovulation are induced after the ovulatory surge in gonadotropins. Both PGF and PGE are produced at higher rates than other PGs immediately after the ovulation of luteinizing follicles [12, 13]. Indomethacin (INDO) inhibits ovulation [14], and administration of INDO to rabbits suppressed corneal angiogenesis [15]. Recent attention has also been focused on the ability of COX-II to modulate the production of angiogenic factors in colon cancer [16]. Enhanced angiogenesis in vivo is particularly sensitive to the actions of E-type PGs (PGE1, PGE2) [17, 18].
The role of the expression of the COX enzymes and their metabolites in the process of CL formation has not been addressed. Therefore, we used the gonadotropin-induced pseudopregnant rat and mouse models to examine the effects of COX inhibitors on the secretion of progesterone in the developing CL and on luteal angiogenesis.
| MATERIALS AND METHODS |
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Immature Wistar-Imamichi rats (Imamichi Institute for Animal Reproduction, Ibaraki, Japan) were kept at constant temperature (24°C) and humidity (55% ± 5%) with free access to food and water. All procedures were performed in accordance with institutional guidelines for experimental animal care at the Tokyo University of Pharmacy and Life Science. Animals were injected subcutaneously (s.c.) at 0900 h on Day 23 with 50 IU eCG (Teikoku Hormone MFG Co., Tokyo, Japan). Fifty-four hours later (1500 h, Day 25) they were injected i.p. with 25 IU hCG (Teikoku) to induce superovulation and to produce highly luteinized ovaries. To obtain a normal rate of ovulation, some animals were treated with only 5 IU eCG.
INDO (2.5 mg/kg; Sigma Chemical Co., St Louis, MO), a nonselective COX inhibitor, SC-560 (SC: 5 mg/kg; Cayman Chemical, Ann Arbor, MI), a selective COX-I inhibitor, or NS-398 (NS: 5 mg/kg; Cayman), a selective COX-II inhibitor, was injected at 1000 h on the day of ovulation and the following day (Days 26 and 27). The dosages of SC and NS were determined based upon the work of Smith et al. [19] and of Masferrer et al. [20], respectively, and are sufficient to inhibit COX activity. Ether-anesthetized animals were decapitated at 1000 h on Day 28, and their ovaries were immediately removed for measurement of the hemoglobin content. Blood that was collected from the abdominal aorta was centrifuged. The serum was separated by centrifugation and stored at -80°C until assayed for progesterone. To evaluate the extent of angiogenesis, the numbers of cells positive for platelet-endothelial cell adhesion molecule 1 (PECAM-1, CD31) and the levels of CD34 in the luteinized ovary were analyzed using flow cytometry and immunoblotting, respectively. Some ether-anesthetized animals were infused with a heparin-saline solution followed by a Mercox solution (Okenshoji, Tokyo, Japan) to visualize ovarian vascular vessels. Immature female mice of the C57Br/6 strain were also used to corroborate the data obtained using rats. High doses of gonadotropins (50 IU eCG on Day 23 and 25 IU hCG on Day 25) were injected into immature mice to induce superovulation. The serum levels of progesterone were determined as they were in rats. After a dissociated-cell suspension was prepared from the ovary, the numbers of PECAM-1- and CD45-positive cells were counted with flow cytometry.
Progesterone Assay
The concentration of progesterone in the serum or culture medium was measured by RIA, as described previously [21]. Ovaries were homogenized in PBS at 4°C, and the supernatant was used for RIA after steroid extraction with diethyl ether.
Hemoglobin Assay
The ovarian hemoglobin content was determined with an assay kit that uses the SLS-hemoglobin method (Hemoglobin B test; Wako Pure Chemical Industries, Osaka, Japan). The assay was performed according to the instructions provided by the manufacturer. The hemoglobin was quantified with an absorbance curve at a wavelength of 540 nm using horse erythrocytes as the standard.
Western Blot Analysis
Luteinized ovaries were homogenized in a glass homogenizer in cold buffer containing 50 mM Tris-HCl (pH 7.5), 10 mM EDTA, 150 mM NaCl, 0.1 % Tween-20, 5 µg/ml leupeptin, 5 µg/ml aprotinin, 0.1 mM PMSF, and 0.1 % ß-mercaptoethanol. The insoluble tissue was removed by centrifugation. Samples (150 µg protein) were subjected to electrophoresis on 520% gradient SDS-polyacrylamide gels (Nikkyo Technos Co., Tokyo, Japan) and electrotransfered to polyvinylidene difluoride membranes (Immobilon; Millipore, Bedford, MA). The membranes were blocked in a solution of Tris (20 mM, pH 7.5)-buffered saline containing 0.1 % Tween-20 (TBST), 2.5% nonfat dry milk, and 2.5% BSA before being incubated with an anti-CD34 antibody (2 µg /ml) in TBST that contained 0.1 % BSA. After washing with TBST, the membranes were incubated with a horseradish peroxidase-conjugated goat anti-mouse IgG antibody (0.4 µg /ml in TBST; Vector Laboratories, Burlingame, CA) followed by a chemiluminescence reagent (NEN Life Science Products, Boston, MA). Signals were visualized by autoradiography on x-ray film (X-OMAT; Kodak, Rochester, NY).
Corrosion Casting
The procedure was basically performed according to the method of Macchiarelli [22]. Laparotomies and thoracotomies were performed in animals anesthetized with ether. The ovary was exposed, and a small hole was opened in the right atrium of the heart for drainage of fluid. Warmed heparin-saline solution (100 IU/ml) was injected into the left ventricle using a 10-ml syringe with a 26-ga needle. The perfusion was continued until all color was gone from the ovary. Mercox (2030 ml) was injected via the ventricle and abdominal aorta using a syringe with a 22-ga needle. To allow for complete polymerization, the animals were kept at 55°C for 30 min. The ovaries were carefully removed and placed in warm (60°C) water for 5 h followed by overnight digestion at room temperature in 10% NaOH. Digestion was continued for 2436 h in fresh 60°C NaOH. Samples were then left for 3 days in 60°C distilled water that was replaced with fresh water three times daily, examined microscopically, and photographed (DC 300 F; Leica Microsystems, Tokyo, Japan).
Flow Cytometry in Rats and Mice
Luteinized ovaries from rats were digested in Ca2+-free and Mg2+-free PBS supplemented with 0.2% collagenase (type I; Sigma) and 250 µg/ml DNase (Sigma) in a shaking water bath at 37°C for 60 min followed by vigorous agitation. Separated cells were incubated on ice for 30 min with monoclonal fluorescein isothiocyanate (FITC)-conjugated anti-PECAM-1 (Rat CD31-FITC, IM3079; Immunotech, Marseille, France) at a concentration of 10 µg/ml in 5% fetal calf serum (FCS). After washing with 20 volumes of 5% FCS-PBS, the cells were stained with biotinylated anti-mouse IgG as a secondary reagent, and the antibody was visualized using FITC-conjugated streptavidin (Pharmingen, San Diego, CA). The cells were resuspended in 0.5 ml of PBS containing propidium iodide (PI; Sigma) and subjected to cell sorting using FACSvantage (EPICS XL; Becton Dickinson, Bedford, MA) as previously described [23]. Mouse luteinized ovaries were also digested into a dissociated cell suspension using the procedure described above. Cells were stained with a biotin-conjugated anti-mouse PECAM-1 monoclonal antibody (1:50, MEC13.3; Pharmingen) followed by incubation with Quantum Red-conjugated streptavidin (1:5; Sigma) and a phycoerythrin-conjugated anti-CD45 monoclonal antibody (1:20, 30F11; Pharmingen). PI-negative viable cells were analyzed by flow cytometry.
Luteal Cell Preparation and Culture
Rats were treated with gonadotropins on Days 23 and 25 as described above, and their ovaries were isolated on Day 26, followed by digestion in collagenase (type I). Highly purified luteal cells were collected from this collagenase-digested suspension using the Percoll gradient method of Luborsky and Behrman [24]. Cell viability was 89% ± 1.7% when tested for the ability of cells to exclude trypan blue. Cultures were started in 24-well plates at a density of 106 cells/ml and maintained for 24 h in Dulbecco modified Eagle medium (DMEM; Gibco, Invitrogen, Carlsbad, CA) supplemented with 10% FBS, 100 µg/ml penicillin-streptomycin, and 100 µg/ml gentamicin in a CO2 incubator. After incubation for 24 h in serum-free DMEM, the cells were treated with INDO (3 µM), NS (3 µM), or LH (100 ng/ml) for 6 h, and the culture media were collected for the progesterone assay. Progesterone produced by cells exposed to ovine LH (NIDDK, oLH26: AFP-5551B; obtained from Dr. A.F. Parlow, National Hormone and Pituitary Program, Harbor/UCLA Medical Center, Torrance, CA) was used to establish that the cells were steroidogenically responsive. There were no differences in cell viability among the groups after culture.
Statistical Analysis
All experiments were carried out on at least four animals, and values are given as mean ± SEM. The significance of the results was tested using a Dunnett test for multiple comparisons. Differences were considered significant at P < 0.05.
| RESULTS |
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We examined the effects of INDO and NS on the serum levels of progesterone 2 days after ovulation. Progesterone concentrations in COX-II inhibitor-treated animals were significantly reduced compared with those in controls (the value for the control: 227 ± 18.8 ng/ml) (Fig. 1A). Inhibition by NS, a COX-II-specific inhibitor, was greater than that seen with INDO, which inhibits both COXs. Neither INDO nor NS significantly altered the body or ovarian weights of immature rats treated with gonadotropins to induce superovulation (Table 1). Injection of the COX-I-specific inhibitor SC had no effect on serum progesterone concentrations (Fig. 1A).
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In animals in which ovulation was induced by small doses of gonadotropins, similar but not identical results were obtained. Control animals (n = 10) had 74 ± 3.8 ng/ml progesterone, those given INDO (n = 10) had 38 ± 3.8 ng/ml progesterone, and those given NS (n = 8) had 28 ± 2.5 ng/ml progesterone, i.e., about a 50% reduction with either compound. A similar inhibitory effect of NS on progesterone levels was also observed in mice (Fig. 5A). There were no significant differences in CL weight among the groups in this model of normal ovulation, although the weights tended to decrease in NS-treated animals (Table 2). To further evaluate the effect of NS on ovarian progesterone synthesis, we measured the progesterone content in ovaries (Fig. 1B). The progesterone contents of ovaries of NS-treated animals were no different from those of control ovaries. The results indicate that the action of the COX enzymes, particularly COX-II, is needed for progesterone secretion by the CL.
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Effects of COX Inhibitors on Vascular Markers in the Luteinized Ovary
We measured ovarian CD34-positive cells and hemoglobin content to evaluate the effect of COX inhibitors on the blood vessels of ovaries in which ovulation was induced by gonadotropins. The expression of CD34 in the ovaries of rats exposed to INDO or NS but not those exposed to SC was lower than that found in control ovaries (Fig. 2A). Administration of either INDO or NS significantly decreased the ovarian hemoglobin content (Fig. 2B). Decreases in the relative number of capillaries in the ovary were verified by histological examination of vascular plexuses using the corrosion cast method (Fig. 3). The development of capillaries seen in highly luteinized ovaries was missing in ovaries exposed to NS for the inhibition of COX-II. We also examined the levels of another marker of vascularization in the ovary, the proportion of PECAM-1-positive cells, by flow cytometry (Fig. 4). Administration of either INDO or NS decreased the number of PECAM-1-positive cells. In mice, NS (2.5 and 5.0 mg/kg) significantly reduced the number of PECAM-1-positive/CD45-negative cells (Fig. 5, BD). NS (1.255 mg/kg) also tended to reduce the number of PECAM-1-negative/CD45-positive cells in a dose-dependent manner, but this reduction was not significant.
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Effects of COX Inhibitors on the Production of Progesterone from Highly Purified Luteal Cells In Vitro
We examined the effects of COX inhibitors on progesterone secretion in the absence or presence of LH using an in vitro culture system of ovarian luteal cells. Neither INDO nor NS at 3 µM affected the basal level of progesterone (Fig. 6). Progesterone production was significantly stimulated by the addition of LH (100 ng/ml). However, neither inhibitor had an effect on the elevation of progesterone levels induced by LH. Thus, COX inhibitors do not directly influence progesterone production in steroidogenic luteal cells.
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| DISCUSSION |
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The acquisition of CL function is dependent upon the growth of new capillary vessels [14], angiogenesis. This process, which is associated with normal physiology, occurs in the ovarian CL and is believed to play a role in the growth of luteal cells and the supply of large amounts of cholesterol needed for progesterone synthesis and delivery to the circulation. In the present study, the inhibition of progesterone production by COX-II inhibitors was accompanied by reduction in the formation of ovarian vasculature. Administration of COX-II inhibitors, either selective or nonselective, decreased the ovarian content of hemoglobin and CD34 when compared with vehicle-treated animals. Hemoglobin and CD34 concentrations are indirect indicators of angiogenesis because the concentrations of these proteins can be correlated with the extent of vascular development. Further evidence for reduced angiogenesis in CL exposed to COX-II inhibitors was found using histological analyses of ovarian corrosion casts and the number of PECAM-1-positive cells. COX-II inhibitors significantly decreased the number of PECAM-1-positive cells and the density of vascular vessels in the luteinized ovary. PGs produced in response to COX-II expression probably act on the vasculature of the CL, and without this action there may be insufficient blood perfusion for normal progesterone secretion. Our results are consistent with recent reports that COX-II is related to angiogenesis induced by pharmacological methods in a wide variety of tissues [30, 31]. Administration of rofecoxib, a selective COX-II inhibitor, decreased the number of microvessels and FGF-2 protein expression in the ulcer base during gastric ulcer healing [32]. FGF-2-induced neovascularization of cornea was inhibited by treatment with COX-II inhibitor, which was associated with induction of apoptosis and a decrease in proliferation of endothelial cells [33]. COX-II modulates the production of an undefined angiogenic factor in colon cancer cells [16]. However, the mechanism by which COX-II enhances angiogenic activity remains unknown. INDO and NS-398 have inhibitory effects on in vitro angiogenesis in the rat aortic endothelial cells and human dermal microvascular endothelial cells [34]. Both inhibitors inhibited the activity of the VEGF-induced mitogen-activated protein kinase (ERK2), which is involved in angiogenesis in vitro. Addition of PGE2 alone or PGE2 in combination with prostacyclin reversed the inhibition of in vitro angiogenesis caused by NS-398. Daniel et al. [35] recently suggested that thromboxane A2 is a possible mediator of COX-II-dependent endothelial cell migration and angiogenesis. VEGF stimulated COX-II expression in human umbilical vein endothelial cells and induced COX-dependent proliferation of endothelial cells [36]. PGE2 reportedly stimulates VEGF expression with increased ERK2 and c-Jun N-terminal Kinase1 (JNK1) activation in rat gastric microvascular endothelial cells [37]. However, in this study VEGF expression, as determined by reverse transcription polymerase chain reaction analysis, did not differ between COX-II inhibitor-treated animals and controls (data not shown). In support of the previous reports, we suggest that COX-II expression in the CL is partially associated with angiogenesis in the process of luteinization. Angiogenesis in CL after follicular rupture may be partly modulated by arachidonic acid metabolites, which are abundant in newly formed CLs.
The results of the present study demonstrated that the nonselective COX enzyme inhibitor INDO reduces progesterone production by ovaries superovulated by exogenous eCG and hCG treatment. The specific COX-II inhibitor NS-398 was even more effective at reducing the serum levels of progesterone, but the specific COX-I inhibitor SC-560 had no effect. Lack of effect of inhibitors on in vitro progesterone synthesis by isolated luteal cells further confirmed this finding. However, reduced ovarian content of hemoglobin in combination with reduced capillary development as indicated by corrosion casts and endothelial cell markers indicated that lack of stimulation by factors controlling angiogenesis was the basis for loss of progesterone secretion that accompanied COX-II inhibition. Several agents, including VEGF, bFGF, and the angiopoietins [38] must be considered in future investigations evaluating ovarian PG control systems.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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2 Correspondence: Kazuhiro Tamura, Department of Pharmacology, Tokyo University of Pharmacy and Life Science, Hachioji, Horinouchi 1432-1, Tokyo 192-0392, Japan. FAX: 81 426 76 4529; hiro{at}ps.toyaku.ac.jp ![]()
Received: 1 September 2002.
First decision: 25 September 2002.
Accepted: 23 April 2003.
| REFERENCES |
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