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RESEARCH |
Department of Cell Biology, Physiology and Immunology, 1 Department of Pathology and 2 Department of Comparative Pathology, University of Córdoba, Spain
Correspondence should be addressed to F Gaytán, Department of Cell Biology, Physiology and Immunology School of Medicine Avda Menendez-Pidal s/n, 14004-Cordoba, Spain; Email: bc1galuf{at}uco.es
| Abstract |
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(ER
) and progesterone receptor was also performed. The cycle of the OSE consists of a proliferative phase (that lasts for two consecutive estrous cycles) and a quiescent phase of variable duration. Cyclic changes in the OSE were related to the underlying ovarian structure. OSE areas covering growing follicles entered into the proliferative phase during the transition from proestrus to estrus, with the appearance of fast-growing class 1 follicles, destined to ovulate at the end of the current estrous cycle. A labeling index (after pulse-labeling BrdU treatment) of about 7% was maintained throughout the estrous cycle in parallel to follicle growth. Cumulative BrdU-labeling (after daily BrdU treatment) indicated that about 1/3 of the total OSE cell proliferation was related to follicle growth. Following ovulation, OSE cells covering newly-formed corpora lutea showed a labeling index of about 50% that decreased through metestrus and diestrus (about 13% and 3%, respectively), returning to basal levels by proestrus. Cumulative BrdU-labeling indicated that about 2/3 of the total proliferative activity was related to ovulation repair/luteinization. The remaining OSE covering ovarian stroma or structurally regressing corpora lutea of previous cycles showed negligible BrdU labeling. The equivalent proliferative activity found in the OSE covering newly-formed corpora lutea in indomethacin-treated rats lacking rupture of the OSE at the apex, demonstrated that ovulation-triggered proliferation was not dependent on the loss of integrity of the OSE at the ovulation site. OSE cells expressed ER
throughout the cycle, but no differential expression was found between proliferating and quiescent OSE areas. On the contrary, OSE cells did not express PR at any time of the cycle. These data indicate the existence of a cycle of the OSE, related to the cyclic changes in the underlying ovarian structure and strongly suggest that the proliferative activity of the OSE is regulated by local microenvironmental rather than by systemic factors. | Introduction |
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As OSE rupture is an obligate component of ovulation, proliferation of OSE cells plays a pivotal role during ovulatory wound repair. Reparative mitogenic activity of OSE cells is currently considered as a main factor favouring accumulation of mutagenic events leading to OSE cell transformation and ovarian cancer (Murdoch et al. 2001, Murdoch and McDonnel 2002). In this context, knowledge of the mechanisms regulating OSE cell proliferation is essential to the understanding of OSE biology either in physiological or pathophysiological conditions. In spite of its morphological simplicity, recent studies have pointed out the complexity of OSE cell biology and functional regulation (Auersperg et al. 2001). As the ovary is under the control of gonadotropins and steroids, these hormones are strong candidates to regulate the OSE. The potential for gonadotropins and steroids to regulate OSE cell proliferation is suggested by the demonstration of receptors for these hormones in the OSE of several species (Hild-Petito et al. 1988, Zheng et al. 1996, Pelletier et al. 2000, Kuroda et al. 2001, Okada et al. 2002), although interspecies variations have been reported (Hess et al. 1999, Pelletier et al. 2000). In general, in vivo studies have reported that gonadotropins (Davies et al. 1999, Hess et al. 1999, Stewart et al. 2004) and estrogens (Adams and Auersperg 1983, Bai et al. 2000) stimulate OSE cell proliferation. However, in vitro studies have provided variable results. Whereas some studies have reported that gonadotropins and estrogens stimulate the proliferative activity of OSE cells in culture (Bai et al. 2000, Murdoch and van Kirk 2002), other studies having found a lack of mitogenic effects of gonadotropins and steroids in isolated OSE cells (Karlan et al. 1995, Syed et al. 2001, Wright et al. 2002), suggested that the effects of gonadotropin and estrogens could be mediated by the local release of growth-promoting factors.
Most in vivo studies have explored the proliferative activity of the OSE at the follicle apex, in relation to ovulation wound repair (Osterholzer et al. 1985, Beller et al. 1995), or after gonadotropin stimulation (Beller et al. 1995, Davies et al. 1999, Stewart et al. 2004). However, the proliferative activity of the OSE throughout the estrous cycle has received little attention, and a comprehensive view of the cyclic changes in the OSE is lacking. In order to examine further the regulation of the OSE cell proliferation, we analysed the proliferative activity of the OSE in adult cycling rats, in relation to the main ovarian reproductive events, such as follicle growth, ovulation, luteogenesis and luteolysis. We describe herein cyclic changes in the proliferative activity of OSE cells, related to the cyclic changes in the underlying ovarian structure, by using immunohistochemical detection of DNA-incorporated bromodeoxyuridine, as a marker of OSE cell proliferation, as well as the expression of ER
and progesterone receptor (PR) in OSE cells throughout the estrous cycle.
| Materials and Methods |
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(Dakocytomation, Glostrup, Denmark) and PR (Immunotech, Marseille, France) were used.
Experimental designs
BrdU pulse-labeling during the estrous cycle and pregnancy
Cycling rats in the different stages of the estrous cycle (five animals per group) were used. One hour before death, the animals were injected ip with 0.5 mg/Kg bw of BrdU in 0.1 M Tris-HCl buffer (pH 7.2). Animals were killed by decapitation at 02:00, 07:00 and 12:00 h in estrus, at 09:00 h in metestrus and diestrus, and at 09:00, 18:30 and 21:00 h in proestrus. The ovaries, including ovarian bursa and periovarian fat pad were removed and fixed for at least 24 h in Bouin-Hollandes fluid before being processed for paraffin embedding. Some additional rats (3 per time point) were injected with BrdU as in the previous experiment on days 6, 12, 15, and 21 of pregnancy (the first day in which sperm was found in vaginal smears was considered as day 1 of pregnancy), and the ovaries were processed as described above.
Indomethacin-treated cycling rats
Adult cycling rats were injected with 1 mg/Kg bw of indomethacin or vehicle (olive oil) at 12:00 h on the morning of proestrus, and killed at 09:00 h on the day of estrus. This dosage and time schedule have been previously reported to induce aberrant ovulations, and several types of newly-formed corpora lutea showing ruptured or unruptured OSE can be found (Gaytán et al. 2003). One hour before death, the animals received an ip injection of BrdU as in previous experiments. The ovaries of five animals per group were processed as described above.
Cumulative BrdU-labeling
In order to analyse the cumulative proliferative activity related to follicle growth and ovulation repair/luteinization, cycling rats (5 animals) were injected daily with 0.5 mg/Kg bw of BrdU at 11:00 h from estrus to proestrus. To avoid repetitive ip injections, BrdU was administered subcutaneously. The animals were killed at 12:00 h in proestrus, and the ovaries processed for paraffin embedding.
Histological procedures and determination of the labeling index
The ovaries were serially sectioned (5 µm thick) and placed on poly-L-lysine-coated slides. Unstained slides showing growing follicles, preovulatory follicles, or corpora lutea of the current cycle were selected for inmunohistochemistry. The OSE was divided into three areas: i) OSE covering growing follicles from class 1 onward (>275 µm in diameter), ii) OSE covering corpora lutea of the current cycle, and iii) OSE covering ovarian stroma, including regressing corpora lutea of previous cycles and follicles smaller than class 1. Additionally, the epithelium of the inner aspect of the ovarian bursa, representing extraovarian mesothelium was also scored. In each day of the cycle five different follicles or corpora lutea per rat, and at least five sections per follicle/corpora lutea were immunostained and used for labeling index determination. In pregnant rats, OSE covering corpora lutea of pregnancy (five corpora lutea per rat and five sections per corpus luteum) where analysed. In indomethacin-treated rats, two types of newly formed corpora lutea were found; corpora lutea showing rupture at the apex, and corpora lutea lacking rupture or ruptured at the basolateral sides. Both of these types of corpus lutea showed unruptured OSE (Gaytán et al. 2003) . At least 3 different corpora lutea of each type per rat and five sections per corpus lutea were inmmunostained and used for labeling index determination. The integrity of the OSE in unruptured or abnormally ruptured follicles was confirmed by exhaustive examination of the remaining serial sections stained with hematoxylin and eosin. In rats injected daily with BrdU (cumulative BrdU-labeling), the OSE covering preovulatory follicles (showing cumulative labeling related to follicle growth during the cycle) and the OSE covering carpora lutea of the current cyle (showing cumulative labeling related to ovulation repairing during luteinization) were considered. Five preovulatory follicles and corpora lutea per rat and five sections per follicle or corpus luteum were immunostained. The labeling index was determined by counting the number of OSE cells (labeled and unlabeled) in each OSE area, with the x 100 objective, and expressed as the percentage of labeled OSE cells. Statistical analysis was performed by the Student-t-test or ANOVA followed by the Student-Newman-Keuls method for multiple comparison among means. Significance was considered at the P
0.05 level.
Immunohistochemistry of DNA-incorporated BrdU
DNA-incorporated BrdU was detected by immunohistochemistry with monoclonal anti-BrdU antibodies, following previously described methods (Gaytán et al. 1996). Briefly, DNA denaturation was carried out by incubating the sections with 0.5N HCl in 0.05 M PBS for 10 min at 4 °C and with 2N HCl in 0.05 M PBS for 10 min at room temperature. After washing and rehydration, the sections were incubated overnight with the anti-BrdU antibody (1:800) and thereafter, processed by the avidin-biotin-peroxidase complex method (Vector, Burlingame, CA, USA) following manufacturers intructions.
Immunohistochemistry of estrogen receptor
(ER
) and progesterone receptor
Two cycling rats per day of the estrous cycle were killed at 10:00 h. Two additional rats were killed at 21:00 h on the evening of proestrus, after the preovulatory luteinising hormone surge, to study transient expression of PR in pre-ovulatory follicles (Park and Mayo 1991). The ovaries were fixed in 4% buffered formaldehyde and embedded in paraffin. Immunostainings were performed in dewaxed and hydrated 3 µm-thick sections. Previous immunocytochemical and in situ hybridization studies have reported that the rat ovarian surface epithelium express ER
, but not ERß (Sar and Welsch 1999, Pelletier et al. 2000). For the study of ER
expression, the monoclonal mouse anti-human ER
, clone 1D5 (Dakocytomation, Glostrup, Denmark) diluted 1:50, and the LSAB + technique (Dakocytomation, Glostrup, Denmark) were used, following manufacturers instructions. For the study of PR expression, the monoclonal mouse anti-human PR clone PR10A9 (Immunotech, Marseille, France) diluted 1:8000, and the Avidin Biotin Peroxidase complex (ABC) technique (Vector, Burlingame, CA, USA) were used. This PR antibody reacts with both PRA and B subtypes (Szekeres et al. 1994). Following previously established criteria (Sánchez-Criado et al. 2004), several dilutions of the PR10A9 monoclonal antibody were tested in the ovary and in simultaneously processed tissue samples of the rat uterus, these were used as positive controls (data not shown). The optimal dilution was established at 1:8000 because it gave the highest intensity of nuclear staining with the lowest background and cytoplasmic staining, since only nuclear immunostaining was considered as specific. Substitution of the specific primary antibodies by mouse ascitic fluid at the same dilution as the specific primary antibodies, where used as a negative control. Counter-staining was performed with Mayers hematoxylin.
| Results |
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and PR
immunoreactivity was observed in the nuclei of the theca of growing follicles, interstitial gland and OSE (Fig. 7a
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| Discussion |
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was not regionalized, and the expression of ER
was equivalent (at least qualitatively) in both proliferating and quiescent areas. This suggests that the proposed effects of estrogens on OSE cell proliferation are mediated by local microenvironmental factors. Similarly, the absence of PR expression in the rat OSE strongly suggests that the proposed progesterone effects on OSE cell proliferation are indirect. However, the possibility of non-genomic responses to steroid hormones, independent of classic genomic steroid receptors (Bramley 2003) cannot be discarded. Some previous studies have analysed the proliferative activity of the OSE in immature gonadotropin-primed rats and mice (Beller et al. 1995, Hess et al. 1999). It is worthy to note that in immature animals, the development of a large cohort of follicles (about 50) and subsequent corpora lutea is stimulated by equine chorionic gonadotrophin (eCG) and human chorionic gonadotrophin (hCG) treatment. In addition, the ovary considerably enlarges as a consequence of superovulation. Accordingly, large areas of the OSE should enter into the proliferative phase in immature gonadotropin-primed rats. This would likely lead to overestimation of the proliferative response of the OSE to gonadotropin treatment when compared with adult cycling rats, and could mask the existence of quiescent, non-proliferating areas. In adult animals, the increasing volume of growing follicles and newly formed corpora lutea is compensated by the loss of volume of several generations of regressing corpora lutea of previous cycles, this occurs at each transition from proestrus to estrus, triggered by the preovulatory PRL surge. In this way, the ovarian volume, and hence the ovarian surface, does not undergo significant changes throughout the estrous cycle.
The data of this study question the fate of OSE cells throughout the estrous cycle. As the ovarian surface did not show relevant changes throughout the cycle, a mechanism responsible for the elimination of OSE cells should exist to compensate for the abundant OSE cell proliferation. The only obvious mechanism for OSE cell deletion, the demise of cells at the rupture site during ovulation (affecting a small area with respect to the preovulatory follicle protrusion) is likely outnumbered by the proliferative activity of OSE cells before and after OSE rupture, involving the whole follicle/corpus luteum contour facing the ovarian surface. In this study, the presence of apoptotic cells was estimated by morphological criteria. We have previously reported (Gaytán et al. 1998) that no significant differences exist for counts of apoptotic cells between morphological evaluation and immunostained cells with the TdT-mediated dUTP digoxigenin nick end labelling (TUNEL) method in the ovary. In the present study, apoptotic figs were extremely scarce on histological examination. Possibly, apoptotic cells are exfoliated to the bursal cavity and phagocytosed by resident peritoneal macrophages. Although definitive conclusions cannot be achieved from the present data, we propose herein that cell loss by low rate apoptosis during the quiescent phase should be the mechanism compensating OSE cell proliferation. Progesterone and estradiol have been reported to modulate OSE cell apoptosis (Murdoch & van Kirk 2002, Ho 2003), although the in vivo regulation of OSE cell apoptosis is not fully understood.
As rupture of the OSE at the apex is an obligate component of ovulation, most attention on the OSE proliferative activity has been devoted to ovulatory wound repair. However, the data of this study indicate that a substantial part of the total OSE proliferation was previous to ovulation rupture, and related to follicle growth. Although not mutually exclusive, the incesant ovulation (Fathalla 1971) and gonadotropin stimulation (Cramer and Welch 1983) hypotheses (considering ovulatory wound repair and gonadotropin stimulation, respectively, as the main factors favouring mutagenic events) have been independently considered. The data of this study are consistent with both hypotheses. Data from cumulative BrdU-labeling indicate that about 1/3 of the total OSE cell proliferation was related to follicle growth (therefore indirectly related to gonadotropin-dependent follicle growth), and about 2/3 to ovulation repair/luteinization.
Prostaglandins are essential factors during the ovulatory process (Tsafriri et al. 1993) and some of the changes that happen in the OSE during ovulation have been reported to be mediated by prostaglandins (Ackerman and Murdoch 1993, Gaytán et al. 2002). In this context, we analysed the proliferative response of the OSE after ovulation in rats treated with indomethacin. The equivalent proliferative activity of OSE cells in vehicle or indomethacin-treated rats indicates that post-ovulatory proliferative activity of OSE cells was neither mediated by prostaglandins, nor affeted by indomethacin treatment through prostaglandin-independent routes. Data from indomethacin-treated rats also provided information on the mechanism of OSE cell proliferation at the site of ovulation. Although rupture of the integrity of the OSE has been considered as the main factor determining OSE cell proliferation after ovulation, the data of this study indicate that ovulation-triggered OSE cell proliferation was not directly due to the occurrence of rupture of the OSE but to ovulation-related events, as indicated by the similar proliferative activity in newly-formed corpora lutea, in which rupture at the apex did not occur. It is also supported by the extent of the proliferative activity that was not limited to the edges of the rupture sites, but affected the whole corpus luteum contour.
In summary, the existence of local changes in the morphology and proliferative activity of the OSE, related to cyclic changes in the underlying ovarian structure, demonstrates the existence of a cycle of the OSE, and suggest that the functional status of OSE cells is regulated by local microenviromental, rather than by systemic factors.
| Footnotes |
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