BIOLOGY OF REPRODUCTION 62, 103–107 (2000) Ovarian Follicle Apoptosis in Bovine Growth Hormone Transgenic Mice 1 Natalia A. Danilovich,3 Andrzej Bartke,2,3 and Todd A. Winters4 Department of Physiology,3 Southern Illinois University School of Medicine, Carbondale, Illinois 62901-6512 Department of Animal Science, Food and Nutrition,4 Southern Illinois University, Carbondale, Illinois 62901-4417 ABSTRACT ovaries of transgenic metallothionein (MT) bovine GH (bGH) mice [7] suggests that GH, directly or indirectly, may interfere with mechanisms responsible for atresia and thus increase the number of ova shed during each ovulation [6]. In contrast to this evidence for stimulatory effects of GH on reproductive function, acromegaly, which is accompanied by pathological GH excess, is often associated with distinct reproductive dysfunction such as amenorrhea, menstrual irregularities, and impotence [8]. Female human GH transgenic mice are sterile [9]. Severe reproductive defects have been reported in transgenic pigs and sheep overexpressing GH [10,11]. In addition, GH administration to lactating goats had no positive effects on the ovaries [12]. Recent studies have suggested that apoptosis is the underlying mechanism of ovarian follicle degeneration during atresia [13–15]. Several hormones and factors have been reported to play key roles in GC apoptosis, with gonadotropins and estrogens preventing apoptosis and androgens antagonizing the effect of estrogens [16,17]. In the rat, treatment with gonadotropins or IGF-I suppressed apoptotic DNA fragmentation of preovulatory follicles in a dose-dependent manner [16]. In addition, GH inhibited preovulatory follicle apoptosis by stimulating the production of endogenous IGF-I [18]. We decided to use phosphoenolpyruvate carboxykinase (PEPCK) bovine GH (bGH) transgenic mice overexpressing GH to study the effects of prolonged elevation of peripheral GH levels on levels of apoptosis in ovaries. The presence of apoptosis was assessed by terminal deoxynucleotidyl transferase (TdT) dUTP nick end-label (TUNEL) staining, an in situ end-labeling method. Growth hormone directly or via insulin like-growth factor-I has been shown to inhibit preovulatory follicle apoptosis, which is the underlying mechanism of follicular atresia. We studied the levels of apoptosis in the ovaries of transgenic mice expressing bovine growth hormone. Female bovine growth hormone transgenic mice (n 5 10) and nontransgenic litter mates (n 5 8) were killed at early proestrus. Ovaries were collected, sectioned, and processed using a nonradioactive in situ method for apoptosis detection. Follicles were classified and counted on the basis of size and level of apoptosis. Our results demonstrate that the percentage of ovarian follicles containing apoptotic cells was lower in transgenic versus normal mice (30% vs. 46%; P , 0.05). The percentage of follicles undergoing heavy apoptosis was lower (P , 0.05) in transgenic versus control animals in preovulatory and early antral follicles, but it was not different in preantral follicles. The percentage of healthy preovulatory follicles was also higher in transgenic versus normal mice (7.4% vs. 4.3%; P , 0.05). These results indicate that growth hormone overexpression in transgenic mice significantly decreases follicle apoptosis, and thus atresia in the mouse ovary, therefore leading to increased propensity for ovulation in these animals. INTRODUCTION Although the involvement of growth hormone (GH) in the control of ovarian function has been well documented, the mechanisms of GH action on reproductive organs are poorly understood. It has been suggested that at least some of the actions of GH on the granulosa cells (GCs) may be mediated by liver-derived or locally produced insulin-like growth factor-I (IGF-I) and that GH also has direct, nonIGF-mediated effects on GC differentiation [1]. IGF-I synergizes with gonadotropins in the stimulation of a variety of GC functions, including estrogen and progesterone production [2], as well as the formation of LH and hCG receptors [3]. Studies in IGF-I null mutant mice have revealed significantly reduced serum concentrations of estradiol, which is accompanied by primary gonadal failure in females due to gonadotropin resistance at the level of the GC [4,5]. The numbers of implantation sites and corpora lutea in transgenic mice overexpressing GH and in normal mice injected with GH were significantly greater than the corresponding values in normal animals [6]. Significant reduction in the number of follicles with signs of atresia in the MATERIAL AND METHODS Animals Transgenic mice used in the present study were derived from a single male founder produced by microinjection of hybrid genes consisting of a promoter region of rat PEPCK gene and the coding region of the bGH gene into male pronuclei of recently fertilized mouse eggs [19]. The line was propagated by mating hemizygous transgenic males to normal C57 BL/63C3H F1 hybrid females purchased from the Jackson Laboratory (Bar Harbor, ME). Design of the Experiment Adult (2–4 mo of age) females were housed in litter mate groups (3–5 animals per cage) under standard laboratory conditions with controlled illumination (12L:12D) and temperature (228C) and had unrestricted access to food and water. Transgenic (Tg; n 5 10) and normal, nontransgenic (N; n 5 8) litter mates were distinguished on the basis of body weight, shape of the head, body proportions, and pelage characteristics. The estrous cycle pattern was assessed by daily examination of cellular composition of vaginal washings for at least five cycles. Only females having This work was supported by Illinois Council for Food and Agricultural Research, the SIU-C University Priorities and Interdisciplinary Initiative Program, and the National Institute of Child Health and Human Development (HD 20033 and HD 20001) 2 Correspondence. FAX: 618 453 1517; e-mail: [email protected] 1 Received: 11 September 1998. First decision: 1 October 1998. Accepted: 3 September 1999. Q 2000 by the Society for the Study of Reproduction, Inc. ISSN: 0006-3363. http://www.biolreprod.org 103 104 DANILOVICH ET AL. regular 4- to 6-day estrous cycles were included in the experiment. Mice were killed at early proestrus, and ovaries were collected. One ovary of each animal was processed for detection of apoptosis in situ. To evaluate atretic follicles, several histological characteristics were used: disruption of the granulosa cell layer, pyknotic GCs, and thinning of the GC layer with some degree of hypertrophy of the theca cell layer [21]. Detection of Apoptosis by TUNEL Statistical Evaluation of Data Histological tissue sections from both Tg and N ovaries were stained for apoptotic DNA (Oncor, Gaithersburg, MD). Each ovary was fixed in 4% buffered formaldehyde overnight, dehydrated, and embedded in paraffin. The ovaries embedded in paraffin were cut into 5-mm sections and mounted on silane-coated glass slides. Each seventh section was used for TUNEL staining. After deparaffinization in xylene, tissue sections were incubated with proteinase K (20 mg/ml) and then treated with 2% hydrogen peroxide (H2O2) in methanol to block endogenous peroxidase activity. The slides were subsequently pretreated with TdT buffer, incubated with anti-digoxigenin antibody conjugated to peroxidase, stained in a solution of diaminobenzidine, the substrate for peroxidase, and counterstained in methyl green (Oncor). After counterstaining, the slides were washed in 100% butanol, cleared in 3 changes of xylene, and mounted with Permount (Fisher Scientific Company, Fair Lawn, NJ). Negative controls were processed in an identical manner in each experimental run. For negative controls, the TdT buffer was substituted with the same volume of distilled water. Biological positive control slides were included with the kit. These control slides contained rat mammary glands obtained on the fourth day after weaning when extensive apoptosis occurs. In the present study, in order to distinguish between the specific and nonspecific staining of nuclei, the volume of terminal transferase enzyme was reduced. The diminished terminal transferase content, 11 ml instead of 16 ml, of the working strength TdT was used. The omitted volume of TdT was substituted by an equal volume of water. This resulted in slightly decreased staining of cells containing apoptotic bodies, whereas nonspecific staining of nuclei disappeared. The data were analyzed by one way ANOVA and a Fischer’s LSD post-hoc test using P , 0.05 as the level of significance. All results are presented as mean 6 SEM. Histological Assessment of Ovarian Follicles For classification of apoptosis in the follicles (details below), preantral, early antral, and preovulatory follicles were used, while primordial follicles were ignored [20]. We determined the number of preantral follicles (characterized by at least two layers of GCs), the number of early antral follicles with a confluent antrum, and the number of preovulatory follicles (characterized by a bigger antral cavity and displacement of the oocyte to eccentric position). Each follicle category was subdivided into three stages of apoptosis: 1) healthy follicles with undetected level of apoptosis (A0); 2) follicles containing less than 20 apoptotic cells in the granulosa compartment, classified as follicles with slight level of apoptosis (A1); and 3) follicles with 20 or more apoptotic cells in the granulosa compartment, classified as follicles with marked level of apoptosis (A2). Follicles in each seventh section were counted. Thus, a total of 7 of 50 sections per ovary were evaluated. Follicles were only counted when they contained the nucleus of the oocyte. In each ovary, the follicles were counted three times, on three different days, to avoid mistakes. The results were expressed as the percentages of preantral, early antral, and preovulatory follicles with different (A0, A1, and A2) stages of apoptosis of total counted follicles (sum of preantral, early antral, and antral). RESULTS The total number of follicles (preantral and antral) per mouse was not different between Tg (22 6 0.8) and N (21 6 1.2) groups of mice. More early antral and preovulatory follicles were present in the ovaries of Tg females in comparison to ovaries from N females, whereas the number of preantral follicles was greater in N mice compared to Tg animals. However, the differences were not significant since the values of each follicular category displayed high ranges. As shown in Figure 1B, positive staining was observed most abundantly in large follicles. Mouse ovaries in both groups displayed staining of unhealthy atretic follicles (Fig. 1C). Positive staining was also noted in early antral follicles of N and Tg animals. No labeling was noted among primordial follicles or in the interstitial tissue in either group. As shown in Figure 1G, in Tg mice there was negligible incorporation of digoxigenin-deoxy-UTP in any of the follicles with small antra. In N mice, there were early antral follicles in advanced atresia with heavy staining suggestive of high level of apoptosis (Fig. 1H), and many antral follicles were present in different stages of atresia. In both groups studied, there was minimal staining of preantral follicles of any size. In contrast, early antral follicles in N mice (29.8%) as well as in Tg mice (17.1%) demonstrated maximal positive staining compared to preantral and preovulatory follicles in both groups (Fig. 1H). Healthy preantral or antral follicles were consistently negative (Fig. 1, D, A, and F). Although the nuclear staining involved mainly GCs in the positive follicles, scattered cells in the theca interna layer were also involved (Fig. 1E). No staining was seen in the negative control group when terminal transferase was deleted from the reaction (data not shown). In contrast, the biological positive control (rat mammary glands obtained on the fourth day after weaning) demonstrated positive staining cells containing DNA fragmentation (data not shown). Histological analysis of ovarian sections showed that some antral follicles (sum of early antral and preovulatory) in Tg (29.8%) and in N (39.4%) animals were atretic, with pyknotic nuclei formation, cell shrinkage, detached or thin layers of GCs, and a hypertrophy of the theca interna (Fig. 1, B and C). The percentage of follicles demonstrating apoptosis in the ovaries from the Tg and N mice was 30% and 46%, respectively (P , 0.05). The percentage of preantral follicles with an undetected level of apoptosis (A0) was not different between two groups of mice. A slight level of apoptosis (A1) was observed in , 0.6% of preantral follicles in the Tg mice compared to the ovaries of N mice that demonstrated 6.2% (P , 0.05) (Fig. 2). In contrast, preantral follicles did not show heavy staining for apoptosis (A2) in either group of mice. The percentage of early antral follicles with undetected level of apoptosis (A0) was significantly larger in Tg (29%) compared with the N mice (15.9%) (P , 0.05) (Fig. 2). The percentages of early antral GH AND OVARIAN APOPTOSIS 105 FIG. 1. Immunohistochemical detection of DNA fragmentation by the TUNEL method in ovaries of PEPCK-bGH transgenic and normal mice: preovulatory follicle with A) undetected level of apoptosis (Ao), B) slight level of apoptosis (A1), and C) marked level of apoptosis (A2); preantral follicle with D) undetected level of apoptosis (Ao) and E) slight level of apoptosis (A1); early antral follicle with F) undetected level of apoptosis (Ao), G) slight level of apoptosis (A1), and H) marked level of apoptosis (A2). 106 DANILOVICH ET AL. FIG. 2. Percentage of ovarian preantral (Pa), early antral (Ea); and preovulatory (Po) follicles with undetected (Ao), slight (A1), and marked (A2) levels of apoptosis in the adult normal and PEPCK-bGH transgenic mice. Values are expressed as mean 6 SEM. Asterisks denote statistical significance between groups (P , 0.05). follicles with a slight level of apoptosis (A1) were not different between groups. However, the percentage of early antral follicles with a marked level of apoptosis (A2) appeared to be reduced in the Tg animals (1.5%) compared with N mice (3.6%) (Fig. 2). The percentages of preovulatory follicles with undetected and slight levels of apoptosis did not differ between the two groups. The apparent difference in the proportion of preovulatory follicles with a marked level of apoptosis (A2) between Tg and the N group of animals, 3.3% and 6.6%, respectively, was not statistically significant. (Fig. 2). DISCUSSION There is a plethora of evidence that GH, directly or via IGF-I, regulates the reproductive system in females and influences several ovarian functions including stimulation of folliculogenesis, increase in ovulation rate, and enhancement of steroidogenesis, including estrogen and progesterone production. In the present study we investigated the hypothesis that GH (or IGF-I) inhibits apoptotic cell death in the ovary of Tg mice with chronic exposure to excessive bGH levels. Histologically, the present study demonstrates that apoptosis in the mouse ovary is associated with atretic follicles. These results are consistent with findings in rats [13,15,22]. The cells involved are for the most part GCs; however, occasional theca cells also undergo apoptosis. The results presented here are in agreement with reports that apoptosis is a mechanism responsible for the demise of GCs during follicular atresia [13,14,21]. The total numbers of preantral as well as antral follicles were not different between groups, which is in agreement with the report that GH does not increase the number of follicles in Tg mice overexpressing GH [7]. Our observation that GH significantly reduces the number of apoptotic cells in preantral follicles in Tg mice compared to N animals is in agreement with reports of a reduction of the percentages of preantral follicles with signs of atresia in MT-bGH Tg mice [7]. Moreover, preantral follicles did not show heavy staining for apoptosis (A2) in either group of mice. This finding is correlated with reports that apoptosis is minimal in preantral follicles [23]. In addition, previous histological investigations revealed mini- mal atresia or apoptosis of granulosa cells within preantral follicles in vivo [21]. Results obtained in the present study indicate that more early antral follicles display stained nuclei compared to preantral and preovulatory follicles in both groups of mice. Such observations are consistent with the conclusion that the majority of follicles undergo degeneration at the early antral follicle stage [23,24]. In the present study, overexpression of GH was unable to completely suppress apoptosis in early antral follicles. However, the Tg mice showed significantly reduced apoptosis of these follicles compared to the N animals. It has been previously shown that GH markedly increases levels of IGF-I mRNA transcripts in early antral follicles, but the production of local IGF-I induced by GH is insufficient to suppress apoptosis in follicles at this stage of development [25]. Our findings suggesting that apoptosis of preovulatory follicles was also reduced in Tg mice compared with the N animals are consistent with the previous observations that GH inhibits apoptosis of preovulatory follicles via the production of endogenous IGF-I [18]. In addition, it has been shown that apoptosis of preovulatory follicles is prevented by treatment with IGF-I [16]. The levels of IGF-I receptor are higher in GCs from large rather than small antral follicles in rat, human, and bovine ovaries and are up-regulated by gonadotropins [26,27]. Several locally produced intraovarian regulators such as growth factors including IGF-I, epidermal growth factor (EGF), and basic fibroblast growth factor (bFGF) have been shown to suppress follicle apoptosis in cultured preovulatory follicles [16,22]. The number of EGF receptors in preovulatory follicles is much higher than in early antral follicles [22], which also may explain the higher level of suppression of apoptosis in preovulatory as compared with early antral follicles (13% vs. 26.2% in N animals; 12.6% vs. 17% in Tg mice). The mechanism by which GH leads to an increase in cell survival is unknown. Some investigators have reported that GH exerts its action directly on granulosa and thecainterstitial cells in the ovary independent of IGF-I [1,28]. On the other hand, there is a growing body of evidence that GH may not act directly on follicles but acts via enhanced production of IGF-I in the ovary [5,29] or via increased concentrations of IGF-I/insulin in the serum [30] that is due to GH positive regulation of the IGF synthesis by the liver and other tissues [31]. 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