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The Clayton Foundation Laboratories for Peptide Biology, The Salk Institute, 10010 N. Torrey Pines Road, La Jolla, California 92037, USA
Correspondence should be addressed to L M Bilezikjian; Email: bilezikjian{at}salk.edu
| Abstract |
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| Introduction |
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Numerous in vitro and in vivo animal studies, as well as data from clinical settings have substantiated the importance of activins and inhibins as modulators of the reproductive axis and normal reproductive function (de Kretser et al. 2002, Welt et al. 2002, Tong et al. 2003, Muttukrishna et al. 2004, Luisi et al. 2005). Inhibins and, shortly thereafter, activins were identified as components of gonadal fluids that exhibit the ability to suppress or stimulate follicle-stimulating hormone (FSH) secretion from pituitary gonadotropes respectively (Vale et al. 1990). The characterization of these factors, as members of the TGF-ß superfamily, initiated a cascade of novel ideas regarding their role in the regulation of the reproductive axis and expanded our appreciation of the scope of their function. It is now clear that activins and inhibins regulate reproductive function by exerting effects at all levels of the reproductive axis (Welt et al. 2002). Thus, not surprisingly, genetic manipulations or mutations that either delete or alter the expression of the relevant ligands of the TGF-ß family, their binding proteins or components of their signaling pathways are associated with varying degrees of reproductive anomalies (Chang et al. 2002). In the pituitary, as in many other tissues, activins are produced and act locally to regulate the function of their targets, including gonadotropes and other cell types (Bilezikjian et al. 2004). Inhibins, on the other hand, have a more established role as endocrine feedback modulators of the pituitary, although several lines of evidence suggest that they also act locally as autocrine or paracrine factors (Welt et al. 2002, Kumar et al. 2003). In addition to activins and inhibins, some of the TGF-ß and BMP isoforms also exert cell-specific effects within the pituitary and are implicated in the regulation of the reproductive axis in some species (Welt et al. 2002). Beyond their reported actions on differentiated pituitary cells, the stage-specific opposing gradients of BMP4 and FGF-8 or BMP2 and Wnt4 (Wingless-type MMTV integration site family, member 4) are critical for the invagination and formation of Rathkes pouch and the normal development of the pituitary (Rosenfeld et al. 2000). The purification efforts that culminated in the discovery of gonadal activins and inhibins also led to the discovery of the FSH-suppressing activity of the follistatins, later shown to stem from their activin-binding function (Nakamura et al. 1990). Further investigations demonstrated the ubiquitous nature of follistatin distribution and established the importance of the local function of follistatins in the modulation of activin and BMP signaling (Nakamura et al. 1990). This review summarizes the evidence for the physiologic roles of activins and their two functional antagonists, inhibins and follistatin, in the modulation of gonadotropes.
| Signaling mechanisms of activin |
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| Modes of inhibin and follistatin action |
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-subunit (Vale et al. 1990, Welt et al. 2002). The molecular basis of inhibin antagonism of either activin or BMP was elucidated by the realization that the type-III TGF-ß receptor (TßRIII or betaglycan) has a dual function and serves as a high-affinity co-receptor for inhibin as well as TGF-ß (Lewis et al. 2000). Binding and functional studies support a model of antagonism in which the interaction of inhibin with betaglycan facilitates the recruitment of ActRII or ActRIIB into a complex and sequesters them away from activins. In a similar manner, inhibin-bound betaglycan is able to antagonize BMP actions that are dependent on ActRII or ActRIIB, as well as BMPRII (Wiater & Vale 2003). The dual co-receptor function of betaglycan, on the other hand, may allow TGF-ß to interfere with the suppressive actions of inhibin and, indirectly, promote activin bioactivity (Ethier et al. 2002). Although betaglycan displays high affinity for both inhibin and TGF-ß, recent studies have shown that a single mutation within the inhibin-binding extracellular domain of betaglycan disrupts inhibin and TGF-ß binding to this site, but does not affect TGF-ß binding to the second TGF-ß-binding domain, which does not bind inhibin (Wiater et al. 2006). Betaglycan mRNA and protein are present in inhibin-responsive cells throughout the hypothalamo-pituitarygonadal axis including gonadotropes (MacConell et al. 2002, Chapman & Woodruff 2003). The broader distribution of betaglycan beyond these known inhibin-responsive sites probably reflects its additional function as a co-receptor for promoting TGF-ß2 action, as well as its unexpected role in facilitating the antagonism of selective BMP actions by inhibin (MacConell et al. 2002, Chapman & Woodruff 2003, Wiater & Vale 2003). The functional versatility of betaglycan and the broader actions of inhibin are likely reflected in the phenotypes of mice that are deficient either in inhibin or its co-receptor, betaglycan. In the inhibin-deficient mice, cell-selective perturbations and dysregulated signaling by both activin and BMP may contribute to the formation of gonadal and adrenal tumors of inhibin-deficient mice (Chang et al. 2002). In the betaglycan-deficient mice, on the other hand, embryonic lethality due to heart and liver defects could reflect diminished TGF-ß2 and/or unrestrained BMP signaling (Stenvers et al. 2003). Follistatins are recognized as activin-binding proteins that can bio-neutralize and thereby modulate all actions of activins, and, at higher concentrations those of certain BMPs (Michel et al. 1993, Phillips & deKretser 1998, Balemans & Van Hul 2002, Shimasaki et al. 2004). Although first identified as FSH-suppressing components of gonadal fluids, numerous studies have documented the presence of follistatin in many tissues, including most cell types of the anterior pituitary (Bilezikjian et al. 2004). Mutagenesis studies had previously indicated that follistatin interferes with activin function by masking its type-II binding site (Fischer et al. 2003). The recent elucidation of the crystal structure of a follistatin:activin complex has extended this model and revealed the manner in which follistatin masks the binding sites on activin for both type-I and type-II receptors (Thompson et al. 2005). These structural studies have also provided a model that would explain the basis for the differential binding modes of follistatin to activin and BMP isoforms (Thompson et al. 2005). Two follistatin isoforms (FS315 and FS288) that differ in their abilities to associate with cell-surface proteoglycans are encoded by two alternatively spliced mRNA products of the follistatin gene (Michel et al. 1990, Schneyer et al. 2004). A third isoform (FS303) that has been identified in porcine follicular fluids is generated from the proteolytic cleavage of FS315 (Schneyer et al. 2004). The relative abundance of the various follistatin isoforms has been difficult to evaluate, but recent measurements confirm that FS315 is the form that circulates, while the C-terminally truncated FS288 form is presumed to act locally because of its greater affinity for cell-surface proteoglycans (Welt et al. 2002, Keutmann et al. 2004, Schneyer et al. 2004). Genetic models of altered follistatin expression have established the importance of this modulator in restraining the actions of activins, BMPs, and possibly other related ligands (Chang et al. 2002). Mice deficient in follistatin develop embryonic defects and die shortly after birth (Matzuk et al. 1995). Follistatin overexpression, on the other hand, is associated with infertility probably resulting from disrupted activin and BMP signaling at the level of both the gonads and the pituitary (Guo et al. 1998).
| Local pituitary actions of activin |
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The autocrine or paracrine function of activin in the pituitary became appreciated by the results of a series of studies that confirmed that inhibin/activin
- and ß-subunit mRNAs and proteins are expressed in the pituitary and that anterior pituitary cell preparations secrete activins A and B (Bilezikjian et al. 2004). Experiments with an immunoneutralizing MAB to activin B subsequently provided convincing evidence that activin B produced by rat pituitary cells serves as a positive signal and locally drives the expression of FSH-ß and the secretion of FSH, in vitro, and mediates the hypersecretory FSH response to ovariectomy, in vivo (Corrigan et al. 1991, DePaolo et al. 1992). The fact that pituitaries of ovariectomized rats, when grafted under the kidney capsule, continue to overproduce FSH is consistent with the existence of a local mechanism that operates independent of the hypothalamic and gonadal inputs (DePaolo et al. 1992). More recent studies with castrated ActRII null mice have provided additional support for not only a local activin tone, but also an inhibin tone (Kumar et al. 2003). Activin B originating from gonadotropes, the primary sites of inhibin/activin
- and ßB-subunit expression, works in concert with factors known to modulate this cell type, including gonadotrophin-releasing hormone (GnRH), gonadal steroids, inhibin, and local follistatin, and, in turn, is influenced by them (Bilezikjian et al. 2004). Through a paracrine mechanism, activin A originating from other pituitary cell types, including folliculostellate cells, may also participate in modulating the responses of gonadotropes (Bilezikjian et al. 2003). Activins are permissive for the actions of GnRH on FSH production and GnRH pulse frequency, in turn, can alter activin B production by modulating inhibin/activin ßB mRNA levels (Weiss et al. 1992, Burger et al. 2002). The availability of suitable cell lines (LßT2 and
T3-1), derived from the gonadotrope lineage of the mouse pituitary, has permitted direct examination of the mechanisms underlying the actions of activin in gonadotropes. Transcriptional studies of FSH-ß and GnRH receptor promoters in these cell lines have revealed that both are modulated by activin (Fernandez-Vazquez et al. 1996, Duval et al. 1999, Pernasetti et al. 2001, Norwitz et al. 2002, Suszko et al. 2003, Bernard 2004) and targets the Smad2/3 pathway used by activin (Pernasetti et al. 2001, Norwitz et al. 2002, Suszko et al. 2003, Bernard 2004). These studies have shown that activin modulates gonadotrope sensitivity to GnRH by facilitating the action of GnRH to promote the transcription of the FSH-ß and GnRH receptor genes (Pernasetti et al. 2001, Gregory et al. 2005). The precise cellular mechanisms used by activins to facilitate the expression of their multiple targets and coordinate gonadotrope responsiveness are not known at this time, but are likely to be achieved through differential partnerships between Smads and other transcription factors that are formed in response to different cellular inputs and sensitive to different thresholds of activin signaling.
| Pituitary actions of inhibin |
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-subunit mRNA and protein are expressed in the anterior pituitary, but the endocrine feedback function of gonadal inhibin seems to be its principal mode of action to differentially modulate FSH production (de Kretser et al. 2002, Welt et al. 2002). The importance of circulating inhibin has been substantiated by a number of in vivo studies using wild-type animals, as well as genetic models. Immunoneutralization of circulating inhibin with an antibody to the inhibin/ activin
-subunit was shown to increase plasma FSH levels and pituitary FSH-ß mRNA levels, while injections of recombinant inhibin A had the opposite effect (Vale et al. 1990). In inhibin/activin
-subunit knockout mice, liver-specific expression of exogenous inhibin A lowered circulating FSH levels and resulted in reproductive defects, demonstrating that circulating inhibin can reach the pituitary to regulate FSH production (Pierson et al. 2000). Gonadotropes are the main pituitary targets of inhibin and the majority of these cells express the inhibin co-receptor, betaglycan (Lewis et al. 2000, MacConell et al. 2002, Chapman & Woodruff 2003). Inhibins modulate the function of gonadotropes by antagonizing the actions of activins on FSH secretion and FSH-ß expression (Bilezikjian et al. 2004, Gray et al. 2004, Phillips & Woodruff 2004) and by modulating gonadotrope sensitivity to GnRH receptors (Wang et al. 1989, Braden et al. 1990, Sealfon et al. 1990, Gregg et al. 1991). Whether the local production of inhibin within the pituitary contributes to the feedback actions of circulating inhibin to modulate the function of gonadotropes or other pituitary cell types remains an open question for future studies (Kumar et al. 2003, Bilezikjian et al. 2004). | Local pituitary actions of follistatin |
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Activins are potent inducers of pituitary follistatin expression and the level of local follistatin expression, to some extent, is determined by the intrapituitary activin B tone, which also drives FSH-ß expression (Bilezikjian et al. 1993). These actions of activins, however, are self-limiting and sensitive to the intrinsic follistatin tone through a reciprocal feedback loop (Bilezikjian et al. 2004). A substantial portion of pituitary follistatin is likely to originate from gonadotropes and, therefore, is subject to regulation by factors that influence this cell type including GnRH, the autocrine action of activin B, inhibins, and gonadal steroids. Experimental data suggest that this may be an important feature underlying the ability of these factors to control follistatin production and thereby exert an indirect control on the actions of activin on gonadotropes. For example, a number of studies has suggested that GnRH and gonadal factors exert their effects on FSH production in part by modulating follistatin and inhibin/activin ßB subunit expression in the pituitary and thus altering the local availability and ratio of activin B and follistatin (DePaolo et al. 1993, Besecke et al. 1996, Dalkin et al. 1998). Moreover, differential FSH and LH production may be achieved, in part, through the differential effects of different patterns of GnRH pulses on inhibin/activin ßB and follistatin expression (Kirk et al. 1994, Dalkin et al. 1999). Rapid GnRH frequencies have been shown to support maximal follistatin expression with no change in FSH-ß, while slower frequencies produce a selective rise in FSH-ß, but no change in follistatin (Kirk et al. 1994). Moreover, the fluctuations in pituitary follistatin mRNA levels may partly account for the rise and fall in FSH production across the reproductive cycle (Halvorson et al. 1994, Bauer-Dantoin et al. 1996, Besecke et al. 1997).
Follistatin production from the folliculostellate cells provides another level of control on the actions of activins in the pituitary. The exact function of these S100 positive non-endocrine cells of the pituitary is not fully appreciated yet. They have been reported to be a major source of several paracrine factors of the pituitary to form a network that facilitates the synchronization of the pituitary gland or to represent a group of progenitor cells with the potential to differentiate into specialized endocrine cells (Allaerts et al. 1990, Renner et al. 1996, Stojilkovic 2001, Inoue et al. 2002). Folliculo-stellate cell lines derived from rat, mouse, and human anterior pituitaries have been characterized in recent years and experiments with these cells are beginning to shed some light into the function of this cell type (Inoue et al. 1992, Danila et al. 2000b, Bilezikjian et al. 2003). As a major source of intrapituitary follistatin, they have an important function to exert local control on the pituitary actions of activin (Gospodarowicz & Lau 1989, Bilezikjian et al. 2003). Follistatin production from folliculostellate cells is negatively correlated with FSH-ß expression and a paracrine modulator of FSH secretion (Fujii et al. 2002, Kawakami et al. 2002, Bilezikjian et al. 2003). Recently, characterized rat anterior pituitary folliculostellate cells (FS/D1h) have provided some useful and surprising information. These cells produce substantial amounts of follistatin (Bilezikjian et al. 2003). They express activin receptors and are responsive to activin as measured by the induction of Smad7 mRNA levels and inhibition of proliferation (Bilezikjian et al. 2003). Surprisingly, activin has no effect on follistatin mRNA levels in FS/D1h, unlike its effects on gonadotropes (Bilezikjian et al. 1999, 2003). The FS/D1h cells, however, respond to interleukin-1ß (IL-1ß) and dexamethasone by a dramatic increase in follistatin production both at the mRNA and protein level (Bilezikjian et al. 2003). Both activin A and follistatin have been implicated as participants of the systemic inflammatory response and the evidence suggests that the dramatic rise in circulating follistatin may be secondary to cytokine-induced increases in activin A (Phillips et al. 2001). Because FS/D1h cells also express inhibin/activin ßA mRNA and, therefore, might secrete some activin A, the effect of IL-1ß on follistatin production could have also been indirectly mediated by an autocrine action of activin A. An inhibitor of ALK4,5,7 (a generous gift from John Saunders; Neurocrine Biosciences, Inc., La Jolla, CA, USA), which suppresses signaling in response to activins and other ligands that utilize these type-I receptors, was used to address this possibility (Inman et al. 2002). These experiments indicated that unlike the case seen in systemic inflammation, cytokine-induced follistatin production from FS/D1h cells was probably not mediated by activins (Fig. 1
). Both IL-1ß and glucocorticoids have been reported to modulate FSH production from gonadotropes (Bohnsack et al. 2000, Leal et al. 2003). The observations that both these agents can modulate follistatin production from FS/D1h cells suggest that their actions on FSH may, in part, be mediated by the paracrine action of follistatin derived primarily from folliculostellate cells. Interestingly, recent observations raise the possibility that folliculostellate cells may also be targets of BMPs, as indicated by the dose-dependent effects of BMP4 on follistatin secretion from FS/D1h cells (Fig. 2
). The significance of this BMP4 effect remains to be evaluated, but could reflect another mode of paracrine control of the pituitary. Altogether, these observations have revealed the existence of diverse mechanisms through which cell-selective inputs influence the intrapituitary follistatin tone and modify activin signaling within the pituitary by autocrine or paracrine mechanisms (Fig. 3
).
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| Conclusions |
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| Acknowledgements |
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| Footnotes |
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