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1.
Cell Rep ; 43(2): 113710, 2024 Feb 27.
Article in English | MEDLINE | ID: mdl-38306272

ABSTRACT

Without new transcription, gene expression across the oocyte-to-embryo transition (OET) relies instead on regulation of mRNA poly(A) tails to control translation. However, how tail dynamics shape translation across the OET in mammals remains unclear. We perform long-read RNA sequencing to uncover poly(A) tail lengths across the mouse OET and, incorporating published ribosome profiling data, provide an integrated, transcriptome-wide analysis of poly(A) tails and translation across the entire transition. We uncover an extended wave of global deadenylation during fertilization in which short-tailed, oocyte-deposited mRNAs are translationally activated without polyadenylation through resistance to deadenylation. Subsequently, in the embryo, mRNAs are readenylated and translated in a surge of global polyadenylation. We further identify regulation of poly(A) tail length at the isoform level and stage-specific enrichment of mRNA sequence motifs among regulated transcripts. These data provide insight into the stage-specific mechanisms of poly(A) tail regulation that orchestrate gene expression from oocyte to embryo in mammals.


Subject(s)
Embryo, Mammalian , Gene Expression Profiling , Animals , Mice , Oocytes , RNA, Messenger/genetics , Mammals
2.
Cell Rep ; 43(2): 113701, 2024 Feb 27.
Article in English | MEDLINE | ID: mdl-38277271

ABSTRACT

Human embryo implantation is remarkably inefficient, and implantation failure remains among the greatest obstacles in treating infertility. Gene expression data from human embryos have accumulated rapidly in recent years; however, identification of the subset of genes that determine successful implantation remains a challenge. We leverage clinical morphologic grading-known for decades to correlate with implantation potential-and transcriptome analyses of matched embryonic and abembryonic samples to identify factors and pathways enriched and depleted in human blastocysts of good and poor morphology. Unexpectedly, we discovered that the greatest difference was in the state of extraembryonic primitive endoderm (PrE) development, with relative deficiencies in poor morphology blastocysts. Our results suggest that implantation success is most strongly influenced by the embryonic compartment and that deficient PrE development is common among embryos with decreased implantation potential. Our study provides a valuable resource for those investigating the markers and mechanisms of human embryo implantation.


Subject(s)
Embryonic Development , Endoderm , Humans , Embryonic Development/genetics , Embryo Implantation/genetics , Blastocyst/metabolism , Embryo, Mammalian
3.
Development ; 149(21)2022 11 01.
Article in English | MEDLINE | ID: mdl-36255229

ABSTRACT

Nonsense-mediated RNA decay (NMD) is a highly conserved RNA turnover pathway that degrades RNAs harboring in-frame stop codons in specific contexts. Loss of NMD factors leads to embryonic lethality in organisms spanning the phylogenetic scale, but the mechanism remains unknown. Here, we report that the core NMD factor, UPF2, is required for expansion of epiblast cells within the inner cell mass of mice in vivo. We identify NMD target mRNAs in mouse blastocysts - both canonical and alternatively processed mRNAs - including those encoding cell cycle arrest and apoptosis factors, raising the possibility that NMD is essential for embryonic cell proliferation and survival. In support, the inner cell mass of Upf2-null blastocysts rapidly regresses with outgrowth and is incompetent for embryonic stem cell derivation in vitro. In addition, we uncovered concordant temporal- and lineage-specific regulation of NMD factors and mRNA targets, indicative of a shift in NMD magnitude during peri-implantation development. Together, our results reveal developmental and molecular functions of the NMD pathway in the early embryo.


Subject(s)
Nonsense Mediated mRNA Decay , RNA , Mice , Animals , RNA/metabolism , Phylogeny , Nonsense Mediated mRNA Decay/genetics , RNA, Messenger/genetics , RNA, Messenger/metabolism , Germ Layers/metabolism , RNA-Binding Proteins/metabolism
4.
Elife ; 92020 08 10.
Article in English | MEDLINE | ID: mdl-32773035

ABSTRACT

The UPF3B-dependent branch of the nonsense-mediated RNA decay (NMD) pathway is critical for human cognition. Here, we examined the role of UPF3B in the olfactory system. Single-cell RNA-sequencing (scRNA-seq) analysis demonstrated considerable heterogeneity of olfactory sensory neuron (OSN) cell populations in wild-type (WT) mice, and revealed that UPF3B loss influences specific subsets of these cell populations. UPF3B also regulates the expression of a large cadre of antimicrobial genes in OSNs, and promotes the selection of specific olfactory receptor (Olfr) genes for expression in mature OSNs (mOSNs). RNA-seq and Ribotag analyses identified classes of mRNAs expressed and translated at different levels in WT and Upf3b-null mOSNs. Integrating multiple computational approaches, UPF3B-dependent NMD target transcripts that are candidates to mediate the functions of NMD in mOSNs were identified in vivo. Together, our data provides a valuable resource for the olfactory field and insights into the roles of NMD in vivo.


Subject(s)
Nonsense Mediated mRNA Decay/physiology , Olfactory Receptor Neurons/physiology , RNA-Binding Proteins/genetics , RNA-Binding Proteins/physiology , Animals , Cells, Cultured , Male , Mice , Mice, Knockout , RNA, Messenger/genetics , RNA-Seq , Receptors, Odorant/genetics , Receptors, Odorant/physiology , Single-Cell Analysis
7.
EMBO Rep ; 20(2)2019 02.
Article in English | MEDLINE | ID: mdl-30573526

ABSTRACT

Testis-expressed X-linked genes typically evolve rapidly. Here, we report on a testis-expressed X-linked microRNA (miRNA) cluster that despite rapid alterations in sequence has retained its position in the Fragile-X region of the X chromosome in placental mammals. Surprisingly, the miRNAs encoded by this cluster (Fx-mir) have a predilection for targeting the immediately adjacent gene, Fmr1, an unexpected finding given that miRNAs usually act in trans, not in cis Robust repression of Fmr1 is conferred by combinations of Fx-mir miRNAs induced in Sertoli cells (SCs) during postnatal development when they terminate proliferation. Physiological significance is suggested by the finding that FMRP, the protein product of Fmr1, is downregulated when Fx-mir miRNAs are induced, and that FMRP loss causes SC hyperproliferation and spermatogenic defects. Fx-mir miRNAs not only regulate the expression of FMRP, but also regulate the expression of eIF4E and CYFIP1, which together with FMRP form a translational regulatory complex. Our results support a model in which Fx-mir family members act cooperatively to regulate the translation of batteries of mRNAs in a developmentally regulated manner in SCs.


Subject(s)
Fragile X Mental Retardation Protein/genetics , MicroRNAs/genetics , Multigene Family , RNA Interference , RNA, Messenger/genetics , Spermatogenesis/genetics , 3' Untranslated Regions , Animals , Gene Expression Regulation , Humans , Male , Mice , Testis/metabolism
8.
Dev Cell ; 44(3): 392-402.e7, 2018 02 05.
Article in English | MEDLINE | ID: mdl-29408237

ABSTRACT

Global transcriptional silencing is a highly conserved mechanism central to the oocyte-to-embryo transition. We report the unexpected discovery that global transcriptional silencing in oocytes depends on an mRNA decay activator. Oocyte-specific loss of ZFP36L2 an RNA-binding protein that promotes AU-rich element-dependent mRNA decay prevents global transcriptional silencing and causes oocyte maturation and fertilization defects, as well as complete female infertility in the mouse. Single-cell RNA sequencing revealed that ZFP36L2 downregulates mRNAs encoding transcription and chromatin modification regulators, including a large group of mRNAs for histone demethylases targeting H3K4 and H3K9, which we show are bound and degraded by ZFP36L2. Oocytes lacking Zfp36l2 fail to accumulate histone methylation at H3K4 and H3K9, marks associated with the transcriptionally silent, developmentally competent oocyte state. Our results uncover a ZFP36L2-dependent mRNA decay mechanism that acts as a developmental switch during oocyte growth, triggering wide-spread shifts in chromatin modification and global transcription.


Subject(s)
Chromatin Assembly and Disassembly/genetics , Gene Expression Regulation, Developmental , Gene Silencing , Infertility, Female/pathology , Oocytes/metabolism , Transcription, Genetic , Tristetraprolin/physiology , Animals , Female , High-Throughput Nucleotide Sequencing , Infertility, Female/genetics , Infertility, Female/metabolism , Mice , Mice, Inbred C57BL , Mice, Knockout , Oocytes/cytology , Oogenesis/genetics , RNA Stability/genetics , Single-Cell Analysis , Transcriptome
9.
J Endocr Soc ; 1(5): 538-552, 2017 May 01.
Article in English | MEDLINE | ID: mdl-29264508

ABSTRACT

CONTEXT: Peripubertal hyperandrogenemia-a precursor to polycystic ovary syndrome-is prominent in girls with obesity. OBJECTIVE: We examined sources of overnight testosterone (T) and progesterone (P4) and potential sources of obesity-associated hyperandrogenemia during puberty. DESIGN: Cross-sectional. SETTING: Research unit. PARTICIPANTS/INTERVENTIONS: Fifty girls ages 7 to 18 years-both normal weight (NW) and overweight (OW)-underwent dexamethasone (DEX) suppression (1 mg orally; 10 pm) and cosyntropin stimulation testing (0.25 mg intravenously; 8 am the following day), with blood sampled before and 30 and 60 minutes after cosyntropin. Thirty-nine subjects receiving DEX had frequent blood sampling overnight (every 10 minutes from 10 pm to 7 am) and were compared with 70 historical controls who did not receive DEX. OUTCOMES: Random coefficient regression modeling assessed changes in hormone concentrations after DEX and cosyntropin. RESULTS: NW early pubertal controls exhibited early morning increases in free T and P4 levels; NW and OW late pubertal controls exhibited early morning increases in P4. Such changes were not observed in subjects receiving DEX. Post-DEX morning free T levels were fourfold higher in OW vs NW late pubertal girls. Postcosyntropin changes in free T and androstenedione were both 2.3-fold higher in OW vs NW late pubertal girls. CONCLUSIONS: These data suggest that (1) overnight increases in free T and P4 concentrations in NW early pubertal girls and P4 concentrations in late pubertal girls are of adrenal origin and (2) OW late pubertal girls demonstrate elevated nonadrenal free T levels after DEX and exaggerated adrenal androgen (free T and androstenedione) responses to cosyntropin.

10.
Fertil Steril ; 106(5): 1252-1257, 2016 Oct.
Article in English | MEDLINE | ID: mdl-27473350

ABSTRACT

OBJECTIVE: To compare androgen responses during ACTH infusion among women with polycystic ovary syndrome (PCOS) and healthy women. DESIGN: Cross-sectional study. SETTING: Academic medical center. PATIENT(S): Women with PCOS (n = 13) and healthy controls (n = 15). INTERVENTION(S): Blood samples were obtained frequently during a 6-hour dose-response ACTH infusion. MAIN OUTCOME MEASURE(S): Comparison of basal and stimulated levels of 17α-hydroxyprogesterone (17-OHP), androgens, and cortisol (F) during ACTH infusion with those after hCG injection within individual subjects. RESULT(S): In women with PCOS increased 17-OHP, androstenedione (A), and DHEA responses during ACTH infusion were comparable to those observed in healthy controls. The magnitude of responses was highly variable among women with PCOS. Within individual women with PCOS adrenal responses to ACTH and ovarian responses to hCG were significantly correlated. Cortisol responses to ACTH were similar in women with PCOS and healthy controls. CONCLUSION(S): Within individual women with PCOS, enhanced androgen responses to ACTH are accompanied by comparable androgen responsiveness to hCG. These findings suggest that dysregulated steroidogenesis leading to hyperandrogenemia in this disorder is likely present in both adrenal and ovarian tissues. CLINICAL TRIAL REGISTRATION NUMBER: NCT00747617.


Subject(s)
Adrenal Cortex Function Tests/methods , Adrenal Cortex/drug effects , Adrenocorticotropic Hormone/administration & dosage , Androgens/blood , Chorionic Gonadotropin/administration & dosage , Ovarian Function Tests/methods , Ovary/drug effects , Polycystic Ovary Syndrome/blood , 17-alpha-Hydroxyprogesterone/blood , Academic Medical Centers , Adrenal Cortex/metabolism , Adrenal Cortex/physiopathology , Adult , Biomarkers/blood , Case-Control Studies , Cross-Sectional Studies , Female , Humans , Hydrocortisone/blood , Infusions, Intravenous , Ovary/metabolism , Ovary/physiopathology , Polycystic Ovary Syndrome/diagnosis , Polycystic Ovary Syndrome/physiopathology , Predictive Value of Tests , Time Factors , Treatment Outcome
11.
Stem Cell Reports ; 6(6): 844-857, 2016 06 14.
Article in English | MEDLINE | ID: mdl-27304915

ABSTRACT

Nonsense-mediated RNA decay (NMD) is a highly conserved pathway that selectively degrades specific subsets of RNA transcripts. Here, we provide evidence that NMD regulates early human developmental cell fate. We found that NMD factors tend to be expressed at higher levels in human pluripotent cells than in differentiated cells, raising the possibility that NMD must be downregulated to permit differentiation. Loss- and gain-of-function experiments in human embryonic stem cells (hESCs) demonstrated that, indeed, NMD downregulation is essential for efficient generation of definitive endoderm. RNA-seq analysis identified NMD target transcripts induced when NMD is suppressed in hESCs, including many encoding signaling components. This led us to test the role of TGF-ß and BMP signaling, which we found NMD acts through to influence definitive endoderm versus mesoderm fate. Our results suggest that selective RNA decay is critical for specifying the developmental fate of specific human embryonic cell lineages.


Subject(s)
Cell Lineage/genetics , Endoderm/metabolism , Human Embryonic Stem Cells/metabolism , Nonsense Mediated mRNA Decay , Pluripotent Stem Cells/metabolism , RNA, Messenger/genetics , Bone Morphogenetic Protein 4/genetics , Bone Morphogenetic Protein 4/metabolism , Cell Differentiation , Cell Line , Ectoderm/cytology , Ectoderm/metabolism , Endoderm/cytology , Gene Expression Profiling , Human Embryonic Stem Cells/cytology , Humans , Mesoderm/cytology , Mesoderm/metabolism , Pluripotent Stem Cells/cytology , RNA Helicases , RNA, Messenger/metabolism , Sequence Analysis, RNA , Signal Transduction , Trans-Activators , Transforming Growth Factor beta/genetics , Transforming Growth Factor beta/metabolism
12.
J Pediatr Endocrinol Metab ; 29(7): 835-40, 2016 Jul 01.
Article in English | MEDLINE | ID: mdl-27166718

ABSTRACT

BACKGROUND: In adult women with polycystic ovary syndrome (PCOS) 17-OHP responses to human chorionic gonadotropin (hCG) stimulation are highly variable and inversely correlated with serum anti-Mullerian hormone (AMH) levels. The objective of this study was to determine whether adolescents with PCOS exhibit similar variable 17-OHP responsiveness to hCG and whether these responses are correlated to AMH levels. METHODS: In a prospective study, adolescent PCOS (n=14) and normal controls (n=10) received 25 µg of hCG, intravenously. Blood samples were obtained before and 24 h afterwards for measurement of 17-OHP and basal AMH. RESULTS: Variable 17-OHP responses to hCG were observed among PCOS girls similar to that observed in adults. There was no correlation between AMH and 17-OHP responses to hCG. CONCLUSIONS: Among adult and adolescent individuals with PCOS variable 17-OHP production appears to be characteristic of the disorder. In adolescent PCOS, 17-OHP responsiveness to hCG is not correlated to AMH.


Subject(s)
17-alpha-Hydroxyprogesterone/blood , Anti-Mullerian Hormone/blood , Chorionic Gonadotropin/therapeutic use , Fertility Agents, Female/therapeutic use , Polycystic Ovary Syndrome/drug therapy , Adolescent , Androstenedione/blood , California , Child , Chorionic Gonadotropin/administration & dosage , Chorionic Gonadotropin/genetics , Dehydroepiandrosterone/blood , Female , Fertility Agents, Female/administration & dosage , Humans , Injections, Intravenous , Polycystic Ovary Syndrome/blood , Recombinant Proteins/therapeutic use , Reproducibility of Results , Testosterone/blood , Virginia
13.
J Assist Reprod Genet ; 33(8): 1067-77, 2016 Aug.
Article in English | MEDLINE | ID: mdl-27155601

ABSTRACT

PURPOSE: Factors that differentially regulate oocyte and granulosa cell growth within the early preantral follicle and how these factors differ at each stage of follicle growth remain poorly understood. The aim of this study was to isolate and evaluate the effect of recombinant growth and differentiation factor 9 (GDF9) on oocyte and granulosa cell growth at the primary and early secondary stages of preantral follicle growth during in vitro culture. METHODS: Primary stage follicles (diameters of 50-89 µm) and early secondary stage follicles (diameters of 90-120 µm) were isolated from immature mice, and individual, intact follicles were cultured in vitro in the presence and absence of recombinant GDF9. The effects of GDF9 on follicle growth were determined by the assessment of changes in the follicle volume during culture. The growth of the granulosa cell and oocyte compartments of the follicles was evaluated separately at each stage. RESULTS: GDF9 significantly increased the growth of isolated follicles at both the primary and early secondary follicle stages. Independent evaluation of the granulosa cell and oocyte compartments revealed that, while GDF9 promoted granulosa cell growth at both stages of folliculogenesis, oocyte growth was stage specific. GDF9 promoted growth of the oocyte at the primary, but not the early secondary, follicle stage. CONCLUSIONS: These findings demonstrate a stage-specific role for GDF9 in the regulation of oocyte and granulosa cell growth at the primary and early secondary stages of preantral follicle development.


Subject(s)
Granulosa Cells/metabolism , Growth Differentiation Factor 9/pharmacology , Oocytes/growth & development , Oogenesis/drug effects , Ovarian Follicle/growth & development , Animals , Female , Granulosa Cells/cytology , Mice , Mice, Inbred C57BL , Oocytes/cytology , Oogenesis/physiology , Organ Culture Techniques , Ovarian Follicle/cytology
14.
Cell ; 165(2): 382-95, 2016 04 07.
Article in English | MEDLINE | ID: mdl-27040500

ABSTRACT

Gene duplication is a major evolutionary force driving adaptation and speciation, as it allows for the acquisition of new functions and can augment or diversify existing functions. Here, we report a gene duplication event that yielded another outcome--the generation of antagonistic functions. One product of this duplication event--UPF3B--is critical for the nonsense-mediated RNA decay (NMD) pathway, while its autosomal counterpart--UPF3A--encodes an enigmatic protein previously shown to have trace NMD activity. Using loss-of-function approaches in vitro and in vivo, we discovered that UPF3A acts primarily as a potent NMD inhibitor that stabilizes hundreds of transcripts. Evidence suggests that UPF3A acquired repressor activity through simple impairment of a critical domain, a rapid mechanism that may have been widely used in evolution. Mice conditionally lacking UPF3A exhibit "hyper" NMD and display defects in embryogenesis and gametogenesis. Our results support a model in which UPF3A serves as a molecular rheostat that directs developmental events.


Subject(s)
Embryonic Development , Genes, Duplicate , Nonsense Mediated mRNA Decay , RNA-Binding Proteins/metabolism , Animals , Cell Line, Tumor , Evolution, Molecular , Gametogenesis , HeLa Cells , Humans , Mice
15.
J Lab Autom ; 21(4): 557-67, 2016 08.
Article in English | MEDLINE | ID: mdl-26891732

ABSTRACT

As the cost of next-generation sequencing has decreased, library preparation costs have become a more significant proportion of the total cost, especially for high-throughput applications such as single-cell RNA profiling. Here, we have applied novel technologies to scale down reaction volumes for library preparation. Our system consisted of in vitro differentiated human embryonic stem cells representing two stages of pancreatic differentiation, for which we prepared multiple biological and technical replicates. We used the Fluidigm (San Francisco, CA) C1 single-cell Autoprep System for single-cell complementary DNA (cDNA) generation and an enzyme-based tagmentation system (Nextera XT; Illumina, San Diego, CA) with a nanoliter liquid handler (mosquito HTS; TTP Labtech, Royston, UK) for library preparation, reducing the reaction volume down to 2 µL and using as little as 20 pg of input cDNA. The resulting sequencing data were bioinformatically analyzed and correlated among the different library reaction volumes. Our results showed that decreasing the reaction volume did not interfere with the quality or the reproducibility of the sequencing data, and the transcriptional data from the scaled-down libraries allowed us to distinguish between single cells. Thus, we have developed a process to enable efficient and cost-effective high-throughput single-cell transcriptome sequencing.


Subject(s)
DNA, Complementary/isolation & purification , High-Throughput Nucleotide Sequencing/methods , Miniaturization/methods , Single-Cell Analysis/methods , Computational Biology/methods , Embryonic Stem Cells , Humans
16.
Nature ; 521(7552): 300-1, 2015 May 21.
Article in English | MEDLINE | ID: mdl-25970243
17.
J Clin Endocrinol Metab ; 100(1): 251-7, 2015 Jan.
Article in English | MEDLINE | ID: mdl-25303490

ABSTRACT

CONTEXT: Polycystic ovary syndrome (PCOS) is an anovulatory disorder characterized by excess androgen production and increased LH secretion. Serum anti-Mullerian hormone (AMH) is also elevated in this disorder. Women with PCOS exhibit a positive correlation between AMH and LH levels and recent in vitro data demonstrate that LH can directly stimulate AMH production by granulosa cells from women with PCOS. OBJECTIVE: The objective of the study was to directly test whether LH increases AMH production in women with PCOS in vivo by assessing responses after recombinant human chorionic gonadotropin (r-hCG) stimulation. DESIGN: This was a prospective study. SETTING: The study was conducted at a research center at an academic medical center. PARTICIPANTS: Women with PCOS (n = 28) and normal controls (n = 29) participated in the study. INTERVENTIONS: Blood samples were obtained before and 24 hours after iv administration of 25 µg r-hCG. MAIN OUTCOME MEASURES: Basal and stimulated serum AMH, androstenedione, T, and 17-hydroxyprogesterone levels were measured. RESULTS: Baseline AMH levels in women with PCOS were greater than in normal controls and correlated with levels of LH as well as androstenedione, T, and 17-hydroxyprogesterone. A rise of serum AMH levels was not observed after r-hCG administration in women with PCOS or normal ovaries. CONCLUSION: These findings are in contrast to in vitro evidence demonstrating that AMH secretion by granulosa cells of PCOS women in response to LH stimulation and suggest AMH regulation in vivo is complex and that the elevated serum AMH in women with PCOS is not a direct effect of the excess LH production characteristic of PCOS.


Subject(s)
Anti-Mullerian Hormone/blood , Chorionic Gonadotropin/pharmacology , Polycystic Ovary Syndrome/blood , 17-alpha-Hydroxyprogesterone/blood , Adult , Androstenedione/blood , Female , Humans , Prospective Studies , Testosterone/blood
18.
J Clin Endocrinol Metab ; 100(1): 293-300, 2015 Jan.
Article in English | MEDLINE | ID: mdl-25313914

ABSTRACT

CONTEXT: Women with polycystic ovary syndrome (PCOS) have increased 17-hydroxyprogesterone (17-OHP) responses to gonadotropin stimulation although individual variability is substantial, as reflected by exaggerated as well as normal responses. The relationship between 17-OHP responses to gonadotropin stimulation and markers of ovarian function has not been assessed. OBJECTIVE: To determine whether 17-OHP responses are associated with antral follicle count (AFC), anti-Mullerian hormone (AMH), or inhibin B (Inh B) levels in PCOS and normal women. DESIGN: Prospective study. SETTING: Research center at an academic medical center. PARTICIPANTS: Women with PCOS (n = 18) and normal controls (n = 18). INTERVENTIONS: Blood samples were obtained before and 24 hours after administration of 25 µg recombinant-human chorionic gonadotropin. Ovarian imaging was conducted with three-dimensional pelvic ultrasound. MAIN OUTCOME MEASURES: Basal and stimulated levels of 17-OHP, androgens, estrogen, AMH, Inh B, and AFC. RESULTS: In women with PCOS, 17-OHP responses were heterogeneous and inversely correlated with AMH and Inh B levels, but not AFC. In a subgroup of PCOS women with exaggerated 17-OHP responses, AMH levels were equivalent to that of normal women. In PCOS women with normal 17-OHP responses, AMH levels were markedly elevated. CONCLUSION: Based on heterogeneous 17-OHP responses to human chorionic gonadotropin in women with PCOS, AMH levels are inversely linked to ovarian androgen production while positively correlated with AFC. These findings suggest that in PCOS, AMH production may reflect redistribution of the follicle population or regulation by intraovarian mechanisms.


Subject(s)
17-alpha-Hydroxyprogesterone/blood , Chorionic Gonadotropin/pharmacology , Ovarian Follicle/diagnostic imaging , Polycystic Ovary Syndrome/blood , Adult , Androgens/blood , Anti-Mullerian Hormone/blood , Biomarkers/blood , Estradiol/blood , Female , Follicle Stimulating Hormone/blood , Humans , Inhibins/blood , Luteinizing Hormone/blood , Polycystic Ovary Syndrome/diagnostic imaging , Prospective Studies , Ultrasonography
19.
Fertil Steril ; 101(1): 275-9, 2014 Jan.
Article in English | MEDLINE | ID: mdl-24188875

ABSTRACT

OBJECTIVE: To determine whether granulosa cells contribute to excess androgen production, by assessing inhibin B (Inh B) responses to hCG in women with polycystic ovary syndrome (PCOS) and in normal women. DESIGN: Prospective study. SETTING: Academic medical center. PATIENT(S): Twenty women with PCOS and 16 normal women. INTERVENTION(S): Blood samples obtained before and 24 hours after injection of 25 µg recombinant hCG (r-hCG). MAIN OUTCOME MEASURE(S): Basal and stimulated Inh B, E2, androstenedione (A), and T responses after r-hCG administration. RESULT(S): In normal and PCOS women, r-hCG induced a significant reduction of Inh B levels. Lowered Inh B responses were not related to body mass index, PCOS status, or age by multivariate regression. Recombinant hCG significantly increased serum A and E2 in both normal and PCOS women. CONCLUSION(S): In normal and PCOS women, Inh B production was decreased following r-hCG administration. These findings strongly suggest that in PCOS women androgen excess is not enhanced by LH-stimulated Inh B production. CLINICAL TRIAL REGISTRATION NUMBER: NCT00747617.


Subject(s)
Chorionic Gonadotropin/therapeutic use , Inhibins/blood , Polycystic Ovary Syndrome/blood , Polycystic Ovary Syndrome/drug therapy , Adult , Biomarkers/blood , Female , Humans , Prospective Studies , Recombinant Proteins/therapeutic use , Treatment Outcome
20.
Mol Cell Endocrinol ; 373(1-2): 51-60, 2013 Jul 05.
Article in English | MEDLINE | ID: mdl-22874072

ABSTRACT

Alterations of ovarian follicle morphology and function have been well documented in women with PCOS. These include increased numbers of growing preantral follicles, failure of follicle growth beyond the mid-antral stage, evidence of granulosa call degeneration, and theca cell hyperplasia. Functional abnormalities include paradoxical granulosa cell hyperresponsiveness to FSH which is clinically linked to ovarian hyperstimulation during ovulation induction. In addition, there is likely a primary theca cell defect that accounts for the majority of excess androgen production in this disorder. The precise mechanisms responsible for altered follicle function are not completely clear. However, several factors appear to influence normal advancement of follicle development as well as impair ovarian steroidogenesis. These include intra- as well as extraovarian influences that distort normal ovarian growth and disrupt steroid production by follicle cells.


Subject(s)
Ovarian Follicle/physiopathology , Polycystic Ovary Syndrome/metabolism , Androgens/physiology , Animals , Anti-Mullerian Hormone/physiology , Estrogens/physiology , Female , Follicle Stimulating Hormone/metabolism , Granulosa Cells/metabolism , Humans , Insulin/physiology , Luteinizing Hormone/metabolism , Ovulation/metabolism , Polycystic Ovary Syndrome/pathology , Polycystic Ovary Syndrome/physiopathology
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