Cell Death in Mammalian Ovary
Gerardo H. Vázquez-Nin • María L. Escobar Massimo De Felici • Olga M. Echeverría Francesca G. Klinger
Cell Death in Mammalian Ovary
Prof. Gerardo H. Vázquez-Nin Department of Cell Biology Faculty of Sciences National Autonomous University of Mexico (UNAM) Avenida Universidad 3000 04510 Mexico, D.F. Mexico
[email protected] Dr. Massimo De Felici Department of Public Health and Cell Biology Section of Histology and Embryology University of Rome Tor Vergata Via Montpellier 1 00133 Rome Italy
Dr. María L. Escobar Department of Cell Biology Faculty of Sciences National Autonomous University of Mexico (UNAM) Avenida Universidad 3000 04510 Mexico, D.F. Mexico Dr. Olga M. Echeverría Department of Cell Biology Faculty of Sciences National Autonomous University of Mexico (UNAM) Avenida Universidad 3000 04510 Mexico, D.F. Mexico
Dr. Francesca G. Klinger Department of Public Health and Cell Biology Section of Histology and Embryology University of Rome Tor Vergata Via Montpellier 1 00133 Rome Italy
ISBN 978-94-007-1133-4 e-ISBN 978-94-007-1134-1 DOI 10.1007/978-94-007-1134-1 Springer Dordrecht Heidelberg London New York Library of Congress Control Number: 2011929630 © Springer Science+Business Media B.V. 2011 No part of this work may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilming, recording or otherwise, without written permission from the Publisher, with the exception of any material supplied specifically for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)
Contents
Part I Introduction 1 Brief Description of the Histological, Cytological and Functional Aspects of the Ovary..................................................... María Luisa Escobar, Gerardo H. Vázquez-Nin, and Olga M. Echeverría 2 Embryonic Development of the Ovary, Sexual Reproduction and Meiosis............................................................................................... Gerardo H. Vázquez-Nin, María Luisa Escobar, and Olga M. Echeverría 3 Development of the Ovary in the Embryo, Infancy, Childhood, Pre-puberty and Puberty.................................................... Gerardo H. Vázquez-Nin, María Luisa Escobar, Olga M. Echeverría, and Massimo De Felici
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Part II General Aspects of Cell Death 4 Apoptosis................................................................................................... María Luisa Escobar, Gerardo H. Vázquez-Nin, and Olga M. Echeverría
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5 Autophagy................................................................................................. María Luisa Escobar, Gerardo H. Vázquez-Nin, and Olga M. Echeverría
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6 Oncosis...................................................................................................... 103 María Luisa Escobar, Gerardo H. Vázquez-Nin, and Olga M. Echeverría
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Contents
7 Necrosis..................................................................................................... 111 Gerardo H. Vázquez-Nin, María Luisa Escobar, and Olga M. Echeverría Part III Process of Cell Death Embryonic Ovary 8 Programmed Cell Death in Fetal Oocytes............................................. 125 Francesca Gioia Klinger and Massimo De Felici 9 DNA Damage and Apoptosis in Fetal and Ovarian Reserve Oocytes....................................................................................... 143 Massimo De Felici and Francesca Gioia Klinger 10 Prefollicular Cells..................................................................................... 165 María Luisa Escobar, Gerardo H. Vázquez-Nin, and Olga M. Echeverría Part IV Process of Cell Death Prepubertal Ovary 11 Prepubertal Oocytes................................................................................ 173 Gerardo H. Vázquez-Nin, María Luisa Escobar, and Olga M. Echeverría 12 Follicular Cells......................................................................................... 185 María Luisa Escobar, Gerardo H. Vázquez-Nin, and Olga M. Echeverría Part V Process of Cell Death Adult Ovary 13 Follicular Atresia in Adult Animals....................................................... 203 Gerardo H. Vázquez-Nin, María Luisa Escobar, and Olga M. Echeverría 14 Luteolysis.................................................................................................. 221 Gerardo H. Vázquez-Nin, María Luisa Escobar, and Olga M. Echeverría Index.................................................................................................................. 233
Part I
Introduction
Chapter 1
Brief Description of the Histological, Cytological and Functional Aspects of the Ovary María Luisa Escobar, Gerardo H. Vázquez-Nin, and Olga M. Echeverría
Abstract The ovary is formed by three main compartments: superficial epithelium, cortex and medulla. The superficial epithelium is constituted by one layer of cubic cells. The cortex is a wide peripheral zone containing the follicles, the functional and structural unit of the ovary, and a stroma formed by compact connective tissue. Every follicle is formed by one oocyte surrounded by follicular cells, also called granulosa cells, and a basal lamina surrounding them. The medulla is the central region of the ovary formed by connective tissue with numerous blood vessels. As the follicles develop they change their size, morphology and physiology. Primordial follicles are formed by the oocyte surrounded by flat follicular cells. Primary follicles are characterized by the initiation of follicular growth. Secondary follicles are characterized by two or more layers of granulosa cells and no antrum. The early antral follicles are characterized by the formation and progressive growth of a cavity, due to the accumulation of a fluid. Once the antrum is formed the follicle goes through several stages: (a) basal growth, (b) selection and (c) dominance. The process of follicular growth is controlled by extra-ovarian and intra-ovarian factors and the importance of each of these factors depends on the stage of follicle development. Extra-ovarian factors regulate growth of antral and preovulatory follicles, while intra-ovarian factors regulate growth of preantral and early antral follicles. The ovary is not only involved in sexual reproduction, but also has great influence on the entire hormonal functioning during development of the organism. The ovary is the site of the highest synthesis and secretion of progesterone and estrogen in mammals and gives rise to cyclical fluctuations in the levels of these hormones in the blood. Before ovulation, granulosa cells mature to form the corpus luteum, which is responsible for the secretion of progesterone and estrogen.
M.L. Escobar (*), G.H. Vázquez-Nin, and O.M. Echeverría Laboratory of Electron Microscopy, Department of Cell Biology, Faculty of Sciences, National University of Mexico (UNAM), Mexico City, Mexico e-mail:
[email protected] G.H. Vázquez-Nin et al., Cell Death in Mammalian Ovary, DOI 10.1007/978-94-007-1134-1_1, © Springer Science+Business Media B.V. 2011
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List of Abbreviations LH FSH TGFb EGF
1.1
Luteinizing hormone Follicle stimulant hormone Transforming growth factor beta Epidermal growth factor
Morphological Characteristics of the Ovary
The primary reproductive organs of the female are the ovaries. Their main functions are the production of fertilizable oocytes and the secretion of steroid hormones (estrogen and progesterone), which are required for the correct function of the reproductive organs such as the Fallopian tubes, uterus and vagina. The ovary is formed by three main compartments: superficial epithelium, cortex and medulla (Fig. 1.1). The superficial epithelium is constituted by one layer of cubic cells, which are continuous with peritoneal epithelium at the periphery of the ovary. The cortex is a wide peripheral zone containing the follicles, the functional and structural unit of the ovary, and a stroma formed by compact connective tissue.
Fig. 1.1 Rat ovary 5 days old. The ovary is constituted by three regions: superficial epithelium, cortex and stroma. In the cortex zone diverse follicles are observed. Haematoxylin-eosin stain technique
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Fig. 1.2 Follicular classification according to McGee and Hsueh (2000). The classification of the authors includes six different development follicular phases
Every follicle is formed by one oocyte surrounded by follicular cells, also called granulosa cells, and a basal lamina surrounding them. The medulla is the central region of the ovary formed by connective tissue with numerous blood vessels. In some individuals there is a net of epithelial cords or tubules near the hilum, the rete ovarii. As the follicles develop they change their size, morphology and physiology. This development has been traditionally classified in several stages. However, there are differences in the name and the characterization of the stages. McGee and Hsueh (2000) described the following phases of development of the follicles as: primordial, primary, secondary, early antral, antral and pre-ovulatory stages (Fig. 1.2). These authors also characterized the hormonal factors involved in the survival and development of rodent follicles. Primordial follicles are formed by the oocyte surrounded by flat follicular cells (Fig. 1.3). The oocytes in these follicles are called quiescent because they remain unchanged for months in rodents or even years in ruminants and primates. There is a system of communication between the oocyte and the granulosa cells which is important in the coordination of the initial follicular development. Several studies carried out on various mammals demonstrate that primordial follicles may express leukemia inhibitory factor (LIF), which promotes follicular growth and
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Fig. 1.3 Primordial follicles. The oocytes are surrounded by a few flattened cells (arrows). Scale bar 50 mm. Haematoxylin-eosin stain technique
stimulates oocyte growth, proliferation of thecal cells and transition from primordial follicle to primary stage. LIF is mainly produced by granulosa and somatic cells (Nilsson et al. 2002). In this system of communication the Kit ligand (KitL) is also involved as an essential factor for the proliferation of the granulosa cells (Huang et al. 1993). KitL is segregated to intercellular space before reaching its receptor Kit. KitL stimulates oocyte growth via Kit (Montro and Bernstein 1993; Tisdall et al. 1999; Klinger and De Felici 2002). LIF interacts with KitL in the activation of primordial follicles (Nilsson et al. 2002). Mouse oocytes express the tyrosine kinase Kit receptor in all stages of follicular growth, including primordial follicles (Manova et al. 1990). Natural mutations in KitL or in Kit induce alterations of follicular development causing infertility (Manova et al. 1990; Driancourt et al. 2000). The gene nobox (newborn ovary homeobox) is also expressed in primordial follicles and helps in the transition to primary stage (Rajkovic et al. 2004). The pool of primordial follicles is now known to be maintained in a dormant state by various forms of inhibitory machinery, which are provided by several inhibitory signals and molecules. Several recently reported mutant mouse models have shown that a synergistic and coordinated suppression of follicular activation provided by multiple inhibitory molecules is necessary to preserve the dormant follicular pool. Loss of function of any of the inhibitory molecules for follicular activation, including PTEN (phosphatase and tensin homolog deleted on chromosome 10), Foxo3a, p27, and Foxl2, leads to premature and irreversible activation of the primordial follicle pool. Such global activation of the primordial follicle pool leads to the exhaustion of the resting follicle reserve, resulting in premature ovarian failure (POF) in mice (for a review, see Adhikari and Liu 2009). Primary follicles are characterized by the initiation of follicular growth, by a change in the shape of granulosa cells, from flat cells they become cubic, the increase in the size of the oocyte and the formation of the zona pellucida (Rankin et al. 1996). The image of primary follicles is characterized by an oocyte surrounded by one layer of cubic granulosa cells and the basal lamina. Blood vessels are present only in the surrounding connective tissue and do not penetrate through the basal lamina (Fig. 1.4). Granulosa cells are related by gap junctions, allowing the passage of some molecules between cells and thus forming a metabolic syncytium, which compensate the
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Fig. 1.4 Primary follicles. Oocytes surrounded by a single line of granulosa cells (arrows). The granulosa cells have acquired the cubic shape. Scale bar 50 mm. Haematoxylin-eosin stain technique
remoteness of the blood vessels for themselves as well as for the oocyte. The gap junctions allow for communication among granulosa cells and also between granulosa cells and the oocyte. The gap junctions allow the transference of nutrients and metabolic precursors such as amino acids and nucleotides, hormones, neutropins and growth factors, as well as regulatory signals of meiosis. As such, there are interchanges that may promote the growth and differentiation of the oocyte. These gap junctions contain different connexins as: −32, −43, −45 (Rankin et al. 1996). Secondary follicles are characterized by two or more layers of granulosa cells and no antrum. This is a period of intense oocyte growth and rapid proliferation of granulosa cells. During this stage the differentiation of thecal cells takes place. Some of the cells of the connective tissue become arranged parallel to the basal lamina. The cells located closer to the basal lamina give rise to the internal theca and the remaining cells form the external theca (Fig. 1.5). This differentiation begins when the follicle has three layers of granulosa cells. During development, these cells acquire important functions such as synthesis of androgens and paracrine secretions for granulosa cells, fundamental for follicular development and maturation (Magoffin 2005). The secondary follicles are close to a net of anastomosed capillaries originating in one or two arterioles, thus they are much better irrigated than smaller follicles (Bassett 1943). The oocytes in secondary follicles increase their volume and their cytoplasmic organization becomes more complex, due to the synthesis of new RNAs, proteins, glycogen and lipids, as swell as increase in the number of ribosomes, mitochondria and other organelles (Picton et al. 1998). One of the main changes during oocyte growth is the secretion of glycoproteins, mainly the proteins ZP1, ZP2 and ZP3, the
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Fig. 1.5 Secondary follicles. Oocyte (arrow head) surrounded by various lines of granulosa cells (arrows). The follicles in this phase is surrounded by flattened cells of the theca (dotted arrow). Scale bar 50 mm. Haematoxylin-eosin stain technique
Fig. 1.6 Secondary follicle stained with Periodic Acid Schiff (PAS) method for polysaccharides (red). The oocyte is surrounded by the PAS positive zona pellucida (arrow). Several granulosa cells (arrow head) are disposed around the oocyte. Basal lamina (B) is also PAS positive. The dotted arrow points to theca cells. N oocyte nucleus, C oocyte cytoplasm. Scale bar 10 mm
principal constituents of the zona pellucida (Fig. 1.6). The formation of the zona pellucida is essential for follicular development. The transcription factor germline alpha (Fig. a) is required for the expression of these three proteins (Soyal et al. 2000). Fig. a is expressed specifically in oocytes and is required for the formation of
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primordial follicles (Soyal et al. 2000). In Fig. a null mice the formation of the gonad takes place but there are no primordial follicles. Fig. a is required for the expression of the gene coding for ZP proteins. The protein Dazla, a germ cell specific RNA binding protein is also essential for differentiation and development of germ cells (Rugglu et al. 1997). The germ cell nuclear factor (GCNFd) is another specific factor needed for the development of germinal cells (Katz et al. 1997). The cytoplasmic prolongations of the granulosa cells surrounding the oocyte go through the zona pellucida and contact the cell membrane of the oocyte, as classical electron microscopical studies have demonstrated (Sotelo and Porter 1959; Franchi 1960; Albertini et al. 2001; Motta et al. 1994). These contacts are numerous in the preantral stage and during rapid growth of the oocyte (Fig. 1.7). These contacts are vital for metabolic interchange between the oocyte and the granulosa cells.
Fig. 1.7 Oocytes showing the zona pellucida (ZP), the granulosa cells (GC) are in contact with the cytoplasm of the oocyte (C) via cytoplasmatic prolongations (arrow heads). (a) Periodic Acid Schiff (PAS) method. (b) Electron micrograph contrasted with uranyl acetate-lead citrate staining method. Scale bars: a 10 mm; b 2 mm
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Fig. 1.8 Early antral follicles. In this phase the follicle begins to form the cavity that will c onstitute the antrum (arrows). Periodic Acid Schiff (PAS). Scale bar 50 mm
In spite of the limited vasculature of the secondary follicles, they develop to antral follicles under the stimulation of gonadotropic hormones as Follicle Stimulating Hormone (FSH) (van den Hurk et al. 2000; McGee and Hsueh 2000). The previous action of the Luteinizing Hormone (LH) seems to be important for the action of FSH because it acts through the LH receptors of the thecal cells initiating androgen biosynthesis. The androgens stimulate the formation of FSH receptors in granulosa cells allowing the action of FSH in the development of secondary follicles (van den Hurk et al. 2000; van den Hurk et al. 1999). The early antral follicles are characterized by the formation and progressive growth of a cavity, due to the accumulation of a fluid (Fig. 1.8). This antral fluid contains different substances derived from the blood and secretion of follicular cells as regulatory proteins, gonadotropins, steroids, growth factors, proteoglycans, lipoproteins and numerous small molecules. During follicular development the size of the follicle rises rapidly due to an increment in the production of the antral fluid which is caused by an increase in the vascularization of the theca interna and in the permeability of the capillaries surrounding the follicle. In this stage there are two types of granulosa cells, those which form the wall of the follicle and those surrounding the oocyte, forming the cumulus oophorus. During this phase of follicle development, there is an increase in the size of the oocyte and an increase in the number of the granulosa cells forming the cumulus oophorus. Once the antrum is formed the follicle goes through several stages: (a) basal growth; (b) selection and (c) dominance (Fig. 1.9). (a) Basal growth. The thecal cells increase the expression of enzymes involved in the synthesis of steroids and granulosa cells shut down the expression of aromatases. These changes probably mean that progesterone and androgens are the main steroid hormones produced by the growing follicle. (b) Selection. The selection of growing follicles begins in the presence of low levels of FSH and high LH secretion. In this process a number of dominant follicles are selected to continue their development, according to the size of the litter. During the selection phase, the follicles become more dependent on FSH
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Fig. 1.9 Low magnification image of rat ovary stained with haematoxylin-eosin technique. Antral follicles are in different phases of development (arrows)
and the proportion of atretic oocytes decreases if FSH is experimentally increased (Gougeon 1984). The non-selected oocytes undergo a process of atresia. The mechanism of selection of the dominant follicles involves intraovarian factors and endocrine signals. The dominant follicles have a higher expression of Luteinizing Hormone Receptor mRNA and of 3 b–hydroxysteroid dehydrogenase (3b HSD) than the follicles heading for atresia (Webb et al. 1999). During selection the ovulation bound oocytes change androgen production into estrogen production, expressing aromatase activity induced by FSH. (c) Dominancy. The EGF-like growth factors induced by LH causes the expansion of the cumulus oophorus and the maturation of the oocyte. The EGF-like growth factors are also paracrine signals mediating the action of LH during ovulation (Park et al. 2004). The differentiation of granulosa cells to cumulus cells (Fig. 1.10) involves the acquisition of additional regulatory mechanisms such as higher sensibility to cumulus expansion factors (CEEFs), and increased levels of transcripts related to cell proliferation, caused by the activation of MAPK3/1 and MAPK14. One of these transcripts is the product of the Tnfaip 6 gene. During the pre-ovulatory peak of gonadotrophins, the cells of the cumulus oophorus of the antral follicles begin to expand. This process is not present in the granulosa cells of the preantral follicles due to the lack of active CEEFs secreted by the oocytes, thus there is practically no activation of MAPKs and there is no Tnfaip6 mRNA (Park et al. 2004).
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Fig. 1.10 Antral follicles the oocyte is surrounded by cumulus cells (arrows). Haematoxylineosin technique. Scale bar 50 mm
Another characteristic of dominant follicles is the presence of at least two f actors, the insulin-like growth factor I (IGF-I) and the vascular endothelial growth factor (VEGF). Factor VEGF is a potent promoter of angiogenesis derived from thecal cells whose production is stimulated by LH (Garrido et al. 1993). Increased blood supply to the dominant follicle maximizes the influx of LH and FSH to the follicle. In addition to gonadotropins and the above mentioned intra- follicular factors, other factors may influence cell proliferation in the granulosa and the theca, as well as the differentiation and fate of an early antral follicle. Some of these factors are growth hormone (GH), IGF-I, insulin, metabolic factors and local factors such as fibroblast growth factors (FGFs) and BMPs (Knight and Glister 2003). At this stage the oocyte actively leads the somatic cell function, as in the antral stage, since the oocytes continue to form the zona pellucida proteins and connexin-37, which promotes the proliferation and differentiation of granulosa cells through the secretion of paracrine factors which may differentially affect cumulus cells and the mural granulosa cells. The dominant follicles exert the effect of dominance on subordinate follicles, limiting the development of gonadotropin-dependent follicles suppressing the FSH and inducing their atresia (Campbell et al. 1995). It has been shown that in the antral phase the viability of antral granulosa cells becomes a factor in the fate of the follicle, as are those which provide support to germ cells (Morita and Tilly 1999; Tilly 2001). At this stage of development apoptosis in a large number of granulosa cells is indicative of a follicle in the process of elimination. The pre-ovulatory follicles are characterized by high dynamics of growth and they develop a great capacity to respond to stimulation with FSH, they secrete large amounts of estradiol and inhibin and they are potentially capable of being ovulated. All follicle cells and especially pre-ovulatory granulosa cells begin to assume their endocrine function and to complete a highly regulated endocrine process that leads to a state of proliferation and differentiation. This process is the primary control of two pituitary hormones: FSH and LH.
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Fig. 1.11 Corpus luteum. Arrows show secondary follicles. Haematoxylin-eosin technique. Scale bar 50 mm
During the process of maturation of ovulatory follicles, the following changes take place at the same time: increase in follicular size; rapid proliferation of the granulosa cells and morphological changes in cells caused by marked esteroidogenic activity. The aromatase activity increases progressively during the preovulatory phase. Just before ovulation, granulosa cells are fully differentiated, proliferation stops and high levels of steroids are produced. The ability of follicles to respond to gonadotropins increases progressively according to the development of preantral follicle stage to preovulatory stage. The basic function of an ovulatory follicle is to produce an oocyte the can be fertilized, and function as endocrine gland during maturation, and after ovulation through the transformation of the ovulated follicle in a functional corpus luteum (Fig. 1.11). Once the luteal phase starts, after ovulation, the granulosa cells increase in size and initiate an accumulation of a yellow pigment called lutein (hence the name corpus luteum). Corpus luteum has the ability to produce estrogen and progesterone. The regulation of the secretion of these compounds is defined by the estral or menstrual cycle. When fertilization does not occur, the corpus luteum begins to degenerate and the levels of estrogen and progesterone diminish, stimulating the growth of new follicles. However, when fertilized, the corpus luteum increases progesterone production to inhibit the growth of new follicles. The continuity of the corpus luteum is maintained by human chorionic gonadotropin (hCG) at the start of pregnancy, then the placenta takes the function of producing the necessary estrogen and progesterone.
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In the early stages of follicular growth there is no significant increase in the size of the oocyte. Evidence in bovine oocytes indicates that this may be due to the association of growth with the relocation of cytoplasmic organelles and to the development of specific structures of the oocyte, such as the zona pellucida and cortical granules (Fair et al. 1997a). Fair et al. (1997b) showed that the nucleolar functions are activated gradually and that the transcription in the oocyte begins when the follicles reach secondary stage. On the other hand, the granulosa cells are in active proliferation when the oocyte is at a relatively low transcriptional activity. In mice, it was also observed that the synthetic activity is low in oocytes in primordial follicles and increases in the oocytes in primary follicles (Moore et al. 1974).
1.2
Molecular Factors Regulate the Function of the Ovary
The process of follicular growth is controlled by extra-ovarian and intra-ovarian factors and the importance of each of these factors depends on the stage of follicle development. Extra-ovarian factors regulate growth of antral and preovulatory follicles, while intra-ovarian factors regulate growth of preantral and early antral follicles (Hirshfield 1991). The transforming growth factor beta family (TGFb) has been implicated in various aspects of follicular development (Chang et al. 2002). This family consists of more than 35 members in vertebrates. The receptor consists of a TGFb receptor type I and a type II. TGFb receptor is coupled to a protein complex on the surface of the cell membrane (Massague et al. 1994; Brand and Schneider 1996). Both receptors contain an amino terminal signal sequence, an extracellular domain rich in cysteine ligand with sites of N-linked glycosylation, a single hydrophobic transmembrane domain and a cytoplasmic kinase domain (Massague 1992). The route of the TGFb signaling is mediated by Smad proteins through a cascade of phosphorylation induced by the ligand (reviewed in Zimmerman and Padgett 2000). The ligand-specific type II receptor phosphorylates the type I receptor, which subsequently activates the downstream cascade of Smad signaling proteins (Attisano and Wrana 1998). The role of each of the TGFb is regulated by the Smad, and the Downstream Smad signaling cascade is defined by the type of effect of the factor (Fig. 1.12). The TGFb exerts different stimuli on cells either in growth, differentiation, mobility, organization or cell death, depending on the environment and/or cell type (Massague 1992; Massague et al. 1994). In rat ovary the expression of TGFb receptor II mRNA has been found in cultured porcine cells and the expression of TGFb receptor-I and II mRNAs was also observed (Goddard et al. 1995). The ovary expresses several members of this family: in oocytes GDF-9, BMP-6 and BMP-15 occur; in granulosa cells: inhibins, activins, TGFb1, TGFb2 and TGFb3 are formed; and the thecal cells synthesize BMP-4 and BMP-7 (Chang et al. 2002; Drummond et al. 2003) (Fig. 1.13).
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Fig. 1.12 The TGFb signaling pathway
Fig. 1.13 TGFb members family expressed in the ovary. Specific factors are expressed in each cell type
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There are two growth factors produced by the oocyte that can impact initial f ollicle growth: the growth differentiation factor 9 (GDF-9) and bone morphogenetic protein 15 (BMP-15 or GDF-9B). Both factors are expressed exclusively in the oocyte (McGrath et al. 1995; Dube et al. 1998). GDF-9 is expressed in several species, including humans and mice, in all follicular stages except in primordial follicles of newborn and adult mice (McGrath et al. 1995). GDF-9 acts as a paracrine regulator in the proliferation and differentiation of granulosa cells in primordial follicles. GDF-9 and BMP15 promote proliferation of granulosa cells of early antral follicles (Hayashi et al. 1999; Otsuka et al. 2000; Vitt et al. 2000), so the GDF-9 allows primary follicles pass to the following stages of development. BMP15 is considered a luteinization inhibitor as it inhibits the FSH production stimulated by progesterone in granulosa cells of the rat (reviewed in Shimasaki et al. 2004). The Smad3 receptor of TGFb is highly expressed in the ovarian surface epithelium, in granulosa cells and in oocytes of various animal models (Symonds et al. 2003; Xu et al. 2002; Tomic et al. 2002). In Smad3-deficient mice, the genes that control cell cycle progression are affected, causing failure in folliculogenesis (Tomic et al. 2004). The inhibins are protein hormones that are produced primarily in the gonads. They down regulate the synthesis and secretion of FSH from the pituitary. The inhibins are composed of an a subunit and one or two b subunits (bA or bB), the b-dimers with a-bA and inhibin bB form the A and B respectively. Besides sharing the b subunits, the activins and inhibins are functional antagonists in many physiological contexts (Wang et al. 1996). These proteins, in addition to their role in modulating the release of FSH, may also serve as local regulators of folliculogenesis (Findlay 1993). Type I receptors for activins (ACVR1 and ACVR2B) are expressed in granulosa cells, meanwhile the ligands are expressed in the oocyte and in somatic cells. Once the primordial follicles begin folliculogenesis to form preantrales and antral follicles they begin to be sensitive to gonadotropins and the GCs surrounding the oocyte begin to synthesize predominantly B and also inhibin A (Jaatinen et al. 1994). In the late luteal phase and in early follicular phase of the menstrual cycle, FSH levels rise. Under the stimulation of FSH, inhibin levels in serum increase until a negative feedback occurs and FSH levels fall before ovulation. The dominant follicle which is now responsive to LH produces more inhibin A than B. After the LH peak, the corpus luteum produces inhibin bA. This shows that there is differential expression of inhibins during the menstrual cycle. The activins are homo or heterodimers of the subunits bA or bB. They are regulators of FSH and bind to the receptor type II. When activin binds to its receptor, signalling events leading to a specific biological response to activins are initiated. The activin response is blocked when the inhibins bind to the same receptor as the activin or to betaglycans, generating a nonfunctional receptor complex. The inhibins bind to inhibin binding protein (InhBP/p120), which is also known as the product of immunoglobulin superfamily gene 1 [IGSF1], which is expressed in the pituitary and testis. This binding activates a transduction pathway of inhibins,
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which causes a specific response for inhibin ligands (Massague and Chen 2000). In undifferentiated GCs, the activin increases response to FSH, but in differentiated cells it is an inhibitor (Miro et al. 1995). The inhibin regulates FSH at high concentrations, antagonizes the activin and is a potent stimulator of FSH secretion. In the ovary, FSH combined with activin causes a dose-dependent increase of DNA synthesis, suggesting that FSH in the presence of activin is mitogenic. It is believed that inhibin is a hormone that plays a key role in the regulation of FSH and it has been shown that it can have an important physiological role for embryonic development and survival in mink. The neutralization of inhibin increases the ovulation rate in many species, and probably increases the concentration of serum FSH; however, it has been shown that the inmunoneutralization of inhibin suppresses the embryonic development in mink (Ireland et al. 1992). It appears that the activin is an intrafollicular protein that controls the activation of primordial follicles and their effect depend on factors such as age and availability of follistatin. The follistatin is synthesized by granulosa cells and can bind to activin, contributing to a complex pattern of regulation of secretion of progesterone. Follistatin is a single chain polypeptide that was initially identified by its activity to suppress FSH (Robertson et al. 1987), but later it was discovered that it binds to activin and inhibin through the common b subunit and neutralizes the bioactivity of the activin (Shimonaka et al. 1991). Activin regulates progesterone production stimulated by FSH in granulosa cells of the rat (Miro et al. 1995). The connective tissue growth factor (CTGF) is a member of CTGF / cysteinerich over-express 61/nephoblastoma gene family that mediates the regulation of connective tissue synthesis induced by TGFb in various cell types. An abundant expression of CTGF mRNA was also detected in granulosa and theca cells of the ovaries of pigs (Wandji et al. 2000). CTGF gene expression in granulosa cells is inversely related to the state of granulosa cell differentiation, being directly inhibited by FSH signaling pathway mediated by AMP. The abundance of CTGF mRNA in undifferentiated granulosa cells in vitro is regulated by TGFb1, GDF-9 and activin, which may indicate paracrine functions of these growth and differentiation factors in the regulation of CTGF synthesis in ovaries of mammals (Harlow et al. 2002). The Müllerian inhibitory substance (MIS) is another member of the TGFb family of glycoprotein hormones that presents certain patterns of expression in follicles at various stages of development. This hormone was identified as a testicular product that induces regression of Müllerian ducts in males (Cate et al. 1986). Also known as anti-Müllerian Hormone (MIS), it is expressed in granulosa cells of small and early growing follicles (Ueno et al. 1989). Granulosa cells of pre-antral follicles and small antral express MIS type II receptor (Teixeira et al. 1996). The theca cells also have a marked expression of MIS in small antral and preantral follicles, but unlike the granulosa cells, theca cells continue to express the receptor in antral follicles and in early atresia (Ingraham et al. 2000). It was also noted that MIS inhibits the growth of follicles, as it is expressed in the granulosa cells of primary and early antral follicles (Durlinger et al. 1999). The transcription of MIS genes is
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r egulated by nuclear transcription steroidogenic factor-1 (SF-1), originally identified as a factor that regulates steroid hydroxylase genes (Ingraham et al. 2000). SF-1 also regulates LHB (Keri and Nilson 1996) and FSH receptor (Levallet et al. 2001). The transcription of MIS and SF-1 is also regulated by members of the family of GATA transcription factors. GATA-4 and GATA-6 are expressed in granulosa cells of developing follicles (Tremblay and Viger 2001). The previous results highlight the broad impact of the members of the TGFb superfamily in various functions and stages of ovarian development.
1.3
Hormonal Aspects of the Ovarian Functions
The ovary is not only involved in sexual reproduction, but also has great influence on the entire hormonal functioning during development of the organism. The ovary is the site of the highest synthesis and secretion of progesterone and estrogen in mammals and gives rise to cyclical fluctuations in the levels of these hormones in the blood (Norman and Litwack 1987). The follicles are responsible for the secretion of both hormones and the release of eggs during the normal cycle. According to the theory ‘two cell, two gonadotropin’ (Armstrong et al. 1979), the theca interna cells are stimulated by LH to produce androgens which are transported to the granulosa cells (Fig. 1.14). There they are converted to estrogen by
Fig. 1.14 Two cell-two gonadtrophin theory. LH induces androstenedione synthesis in theca cells. The FSH stimulus provokes granulose cells process androstenedione into estrone which is further converted into estradiol via 17hsd enzyme
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aromatizing enzymes, which are induced by FSH. The theca interna appears to be the major site of synthesis of androstenedione, whereas testosterone is produced in smaller quantities (Bergh et al. 1993). During the preovulatory maturation stage, acquisition of LH responsiveness transforms the ability of granulosa cells to respond to gonadotropins, because the aromatase can be stimulated by hCG (Dennefors et al. 1983). After mid-cycle gonadotropin peak granulosa cells change and, instead of mainly producing estrogen, they become a tissue producing progestin (Bomsel et al. 1979). The formation of primordial follicles and the onset of follicular growth may be independent of pituitary gonadotropins. However, small growing follicles and the preovulatory follicles are FSH dependent. The granulosa cells proliferation and the spatial separation of the cells of the cumulus from mural granulosa cells are also FSH dependent. This separation may require the regulation of mural granulosa cells and factors that are secreted by the oocyte-cumulus complex. As mentioned, the follicle in the early stages of development is not vascularized; it has been proposed that gradients of factors seem to settle in microenvironments within the follicle (reviewed in Richards 2001). If the follicle reaches the appropriate level of maturation when FSH is at high levels in the bloodstream, the follicle may continue and complete its growth. If the FSH is at basal levels, follicles cannot continue their growth. An unsuitable concentration of gonadotropins causes inhibition of follicle progress and no ovulation takes place. In this condition the number of follicles is reduced, though follicular growth is not completely eliminated, as some follicles may grow and mature to the selection phase, since the growth of follicles from the preantral stage to selectable follicle require low levels of gonadotropin. Before ovulation, granulosa cells mature to form the corpus luteum, which is responsible for the secretion of progesterone and estrogen at the end of the cycle. The release of progesterone from the corpus luteum is influenced mainly by LH, whose activity is mediated by intracellular cyclic adenosine 3’, 5’-monophosphate (cAMP) (Jordan et al. 1978). FSH, prolactin, prostaglandins, and b-adrenergic agents also have a role in the control of progesterone secretion (Norman and Litwack 1987). The activin stimulated by FSH inhibits progesterone secretion by granulosa cells and follistatin synthesized by granulosa cells can bind to activin, contributing to a complex pattern of progesterone secretion regulation. The effects of progesterone are mediated by their nuclear receptors. The progesterone receptor (PR) is a member of a large family of ligand-activated nuclear transcription regulators, which includes receptors for steroids, retinoids, thyroid hormones, and vitamin D. PR receptor is induced in granulosa cells of preovulatory follicles after the LH surge (Natraj and Richards 1993). There are two isoforms of PR, PR-A and PR-B, which are differentially expressed when required in various target tissues. Uterus cells of mammals, luteinizing granulosa cells and the cells of the corpus luteum express the PR. It was observed that in PR null mice there is no ovulation, although mature preovulatory follicles occur, therefore PR is required for ovulation (Lydon et al. 1995; Conneely et al. 2003). PR was detected in the primate corpus luteum, despite the high local concentrations of progesterone (reviewed in Graham and Clarke 1997).
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Circulating levels of FSH are determined by a feedback loop between the ovary and pituitary. Maturing follicles send a negative signal to the brain, suppressing the secretion of FSH. When there are no mature follicles, FSH levels increase. In this way there is a strict control of the number of follicles that will grow and mature to ovulation. The system is so regulated that it can quickly offset the loss of follicles that have reached advanced stage of maturation. This is because there is always a large number of young follicles that accelerates the ripening process (Hirshfield 1991). LH and FSH synergistically promote follicular development, as has been mentioned, and this is required for the production and secretion of follicular hormones, for ovulation and the hormone secretion of the corpus luteum. During infancy, the amount of LH is low and increases during puberty when the follicles have reached the antral stage. The presence of estrogen receptors (ER) has been detected in the ovary, mainly in granulosa cells, when follicle growth has advanced to the luteal phase. Several studies have been done to relate the modulation of rFSH and rLH (reviewed in Richards 1980). The ovary produces three estrogens: estradiol, estrone and estriol. During the process of folliculogenesis and follicular development, oocytes remain arrested in the diplotene stage of meiotic prophase I. In vivo, the resumption of meiosis occurs when the preovulatory peak of LH rises and takes place only in those oocytes competent of meiotic dominant follicles. Shortly before the LH surge, junctions that connect the cells of the cumulus to the oocyte break. During the period between the LH surge and ovulation, the oocyte undergoes a series of changes not only in its nucleus but also in its cytoplasm, a process known as oocyte maturation. Nuclear maturation involves several steps, including two consecutive M-phases in the absence of DNA replication (S phase). The oocytes stop their division in the MII stage until fertilization, when activation of the stimuli generated by sperm penetration triggers the completion of the meiotic cycle and initiates embryonic development. The maturation of the cytoplasm is required to obtain the condition for blocking polyspermia if fertilization takes place, to decondense the nucleus of the spermatozoon, to form a pro-nucleus after fertilization, and to redistribute cytoplasmic organelles. The whole system of growth, maturation and follicular elimination is finely regulated by various morphological and molecular events from the primordial stage until ovulation and corpus luteum formation. However this system may have some flaws that produce various types of functional anomalies in the number of follicles that pass through each stage of development. These changes can produce alterations in the reproduction.
References Adhikari D, Liu K (2009) Molecular mechanisms underlying the activation of mammalian primordial follicles. Endocr Rev 30:438–464 Albertini DF, Combelles CM, Benecchi E, Carabatsos MJ (2001) Cellular basis for paracrine regulation of ovarian follicle development. Reproduction 121:647–653
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Armstrong DT, Goff AK, Dorrington JH (1979) Regulation of follicular estrogen biosynthesis. In: Midgley AR Jr, Sadler WA Jr (eds) Ovarian Follicular Development and Function. Raven, New York Attisano L, Wrana JL (1998) Mads and Smads in TGF beta signalling. Curr Opin Cell Biol 10:188–194 Bassett DL (1943) The changes in the vascular pattern of the ovary of the albino rat during the estrous cycle. Am J Anat 73:252–292 Bergh C, Olsson JH, Selleskog U, Hillens ST (1993) Steroid production in cultured thecal cell obtained from human ovarian follicles. Hum Reprod 8:519–524 Bomsel H, Gougeon A, Thebault A et al (1979) Healthy and atretic human follicles in the preovulatory phase: differences in evolution of follicular morphology and steroid content of the follicular fluid. J Clin Endocrinol Metab 48:686–694 Brand T, Schneider MD (1996) Transforming growth factor-b signal transduction. Circ Res 78:173–179 Campbell BK, Scaramuzzi RJ, Webb R (1995) Control of follicle development and selection in sheep and cattle. J Reprod Fertil Suppl 49:335–350 Cate RL, Mattaliano RJ, Hession C et al (1986) Isolation of the bovine and human genes for Müllerian inhibiting substance and expression of the human gene in animal cells. Cell 45:685–698 Chang H, Brown CW, Matzuk MM (2002) Genetic analysis of the mammalian transforming growth factor-b superfamily. Endocr Rev 23:787–823 Conneely OM, Mulac-Jericevic B, Lydon JP (2003) Progesterone-dependent regulation of female reproductive activity by two distinct progesterone receptor isoforms. Steroids 68: 771–778 Dennefors BL, Hamberger L, Nilsson L (1983) Influence of human chorionic gonadotropin in vivo on steroid formation and gonadotropin responsiveness of isolated human preovulatory follicular cells. Fertil Sterll 39:56–61 Driancourt MA, Reynaud K, Cortvrindt R, Smitz J (2000) Roles of Kit and Kit Ligand in ovarian function. Rev Reprod 5:143–152 Drummond AE, Dyson M, Le Tan M et al (2003) Ovarian follicle populations of the rat express TGF-ß signaling pathways. Mol Cell Endocrinol 202:53–57 Dube JL, Wang P, Elvin J et al (1998) The bone morphogenic protein 15 gene is X-linked and expressed in oocytes. Mol Endocrinol 12:1809–1917 Durlinger A, Kramer P, Karels B et al (1999) Control of primordial follicle recruitment by antiMüllerian hormone in the mouse ovary. Endocrinol 140:5789–5796 Fair T, Hulshof SCJ, Hyttel P et al (1997a) Oocyte ultrastructure in bovine primordial to early tertiary follicles. Anat Embryol 195:327–336 Fair T, Hulshof SCJ, Hyttel P et al (1997b) Nucleus ultrastructure and transcriptional activity of bovine oocytes in preantral and early antral follicles. Mol Reprod Dev 46:208–215 Findlay JK (1993) An updata on the roles of inhibin, activin, and follistatin as local regulators of folliculogenesis. Boi Reprod 48:15–23 Franchi LL (1960) Electron microscopy of oocyte-follicle relationships in the rat ovary. J Biophys Biochem Cytol 7:397–398 Garrido C, Saule S, Gospodarowicz D (1993) Transcriptional regulation of vascular endothelial growth factor gene expression in bovine granulosa cells. Growth Factors 8:109–117 Goddard I, Hendrick JC, Bnahmed M, Morera AM (1995) Transforming growth factor b receptor expression in cultured porcine granulosa cells. Mol Cell Endocrinol 115:207–213 Gougeon A (1984) Influence of cyclic variations in gonadotrophin and steroid hormones on follicular growth in the human ovary. In: de Brux I. Gautrav JP (eds) Clinical Pathology of the Endocrine Ovary. MTP Press, Lancaster Graham JD, Clarke CL (1997) Physiological action of progesterone in target tissues. Endocr Rev 18(4):502–19 Harlow ChR, Davidson L, Burns KH et al (2002) FSH and TGF-b supefamily members regulate granulosa cell connective tissue growth factor gene expression in vitro and in vivo. Endocrinology 143(9):3316–3325
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Hayashi M, McGee EA, Min G et al (1999) Recombinant growth differentiation factor-9 (GDF9) enhances growth and differentiation of cultured early ovarian follicles. Endocrinology 140: 1236–1244 Hirshfield AN (1991) Development of follicles in the mammalian ovary. Int Rev Cytol 124:43–101 Huang EJ, Manova K, Packer AI et al (1993) The murine Steel Panda mutation affects kit ligand expression and growth of early ovarian follicles. Develop Biol 157:100–109 Ingraham HA, Hirokawa Y, Roberts LM et al (2000) Autocrine and paracrine hormone signaling in reproduction. Recent Prog Horm Res 55:30–38 Ireland JJ, Martin TL, Ireland JLH, Aulerich RJ (1992) Immunoneutralization of inhibin suppress reproduction in female mink. Biol Reprod 47:746–750 Jaatinen TA, Penttila TL, Kaipia A et al (1994) Expression of inhibin a, bA y bB Messenger ribonucleic acids in the normal ovary and in polycystic ovarian syndrome. J Endocrin 143: 127–137 Jordan AW III, Caffrey JL, Niswender GD (1978) Catecholamine induced stimulation of progesterone and adenosine 39, 59-monophosphate production by dispersed ovine luteal cells. Endocrinology 103:385–392 Katz D, Niederberger C, Slaughter GR, Cooney AJ (1997) Characterization of germ cell-specific expression of the orphan nuclear receptor, germ cell nuclear factor. Endocrinology 138:4364–4372 Keri RA, Nilson JH (1996) A steroidogenic factor-1 binding site is required for activity of the luteinizing hormone b subunit promoter in gonadotropes of transgenic mice. J Biol Chem 271:10782–10785 Klinger FG, De Felici M (2002) In vitro development of growing oocytes from fetal mouse oocytes: stage-specific regulation by stem cell factor and granulosa cells. Develop Biol 244:85–95 Knight PG, Glister C (2003) Local roles of TGFbeta superfamily members in the control of ovarian follicle development. Anim Reprod Sci 78:15–183 Levallet J, Koskimies P, Rahman N, Huhtaniemi I (2001) The promoter of murine follicle-stimulating hormone receptor: functional characterization and regulation by transcription factor steroidogenic factor 1. Mol Endocrinol 15:80–92 Lydon JP, DeMayo FJ, Funk CR et al (1995) Mice lacking progesterone receptor exhibit pleiotropic reproductive abnormalities. Genes Dev 9:2266–2278 Magoffin DA (2005) Ovarian theca cell. Int J Biochem Cel Biol 37:1344–1349 Manova K, Nocka K, Besmer P, Bachvarova RF (1990) Gonadal expression of c-kit encoded at the W locus of the mouse. Development 110:1057–1069 Massague J (1992) Receptors for the TGF-b family. Cell 69:1067–1070 Massague J, Chen YG (2000) Controling TGF-b signaling. Genes Dev 14:627–644 Massague J, Attisano L, Wrana JL (1994) The TGF-b family and its composite receptors. Trends Cell Biol 4:172–178 McGee EA, Hsueh AJW (2000) Initial and cyclic recruitment of ovarian follicles. Endocr Rev 21(2):200–214 McGrath SA, Esquela AF, Lee SJ (1995) Oocyte specific expression of growth/differentiation factor-9. Mol Endocrinol 9:131–136 Miro F, Smyth CD, Whitelaw PF et al (1995) Regulation of 3b-hydroxysteroid dehydrogenase5/4isomerase and cholesterol side-chain cleavage cytochrome P450 by activin in rat granulosa cells. Endocrinology 136:3247–3252 Montro B, Bernstein A (1993) Dynamic changes in ovarian c-kit and Steel expression during the estrous reproductive cycle. Dev Dyn 197:69–79 Moore GPM, Lintern-Moore S, Peters H, Faber M (1974) RNA synthesis in the mouse oocyte. J Cell Biol 60:416–422 Morita Y, Tilly JL (1999) Oocyte apoptosis: like sand through an hourglass. Dev Biol 213:1–17 Motta PM, Makabe S, Naguro T, Correr S (1994) Oocyte follicle cells association during development of human ovarian follicle. A study by high resolution scanning and transmission electron microscopy. Arch Histol Cytol 57:369–394
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Natraj U, Richards JS (1993) Hormonal regulation, localization, and functional activity of the progesterone receptor in granulosa cells of rat preovulatory follicles. Endocrinology 133: 761–769 Nilsson EE, Kezele P, Skinner MK (2002) Leukemia inhibitory factor (LIF) promotes the primordial to primary follicle transition in rat ovaries. Mol Cell Endocrinol 188:65–73 Norman A, Litwack G (1987) Hormones. Academy Press, Inc., London Otsuka F, Yao Z, Lee T et al (2000) Bone morphogenetic protein-15. Identification of target cells and biological functions. J Biol Chem 275:39523–39528 Park JY, Su YQ, Ariga M et al (2004) EGF-like growth factors as mediators of LH action in the ovulatory follicle. Science 303(5658):682–684 Picton H, Briggs D, Gosden R (1998) The molecular basis of oocyte growth and development. Mol Cell Endocrinol 145:27–37 Rajkovic A, Pangas SA, Ballow D et al (2004) Nobox deficiency disrupts early folliculogenesis and oocyte-specific gene expression. Science 305:1157–1159 Rankin T, Familari M, Lee E et al (1996) Mice homozygous for an insertional mutation in the Zp3 gene lack a zona pellucida and are infertile. Development 122:2903–2910 Richards JS (1980a) Maturation of ovarian follicles: actions and interactions of pituitary and ovarian hormones on follicular cell differentiation. Physiol Rev 60(1):51–89 Richards JS (2001) Perspective: the ovarian follicle: a perspective in 2001. Endocrinology 142(6):2184–2193 Robertson DM, Klein R, deVos FL et al (1987) The isolation of polypeptides with FSH suppressing activity from bovine follicular fluid which are structurally different to inhibin. Biochem Biophys Res Commun 149:744–749 Rugglu M, Speed R, Taggart M et al (1997) The mouse Dazla gene encodes a cytoplasmic protein essential for gametogenesis. Nature 389:73–77 Shimasaki S, Moore RK, Otsuka F, Erickson GF (2004) The bone morphogenetic protein system in mammalian reproduction. Endocr Rev 25:72–101 Shimonaka M, Inouye S, Shimasaki S, Ling N (1991) Follistatin binds to both activin and inhibin through the common subunit. Endocrinology 128(6):3313–15 Sotelo JR, Porter K (1959) An electron microscope study of rat ovum. J Biophys Biochem Cytol 5:327–342 Soyal SM, Amleh A, Dean J (2000) Fig a a germ cell-specific transcription factor required for ovarian follicle development. Development 127:4645–4655 Symonds D, Tomic D, Borgeest C et al (2003) Smad3 regulates proliferation of the mouse ovarian surface epithelium. Anat Rec 273A:681–686 Teixeira J, He WW, Shah PC et al (1996) Developmental expression of a candidate Müllerian inhibiting substance type II receptor. Endocrinology 137:160–165 Tilly JL (2001) Commuting the death sentence: how oocytes strive to survive. Nat Rev Mol Cell Biol 2:838–848 Tisdall DJ, Fidler AE, Smith P et al (1999) Stem cell factor and c-kit gene expression and protein localization in the sheep ovary during fetal development. J Reprod Fertil 116:277–291 Tomic D, Brodie SG, Deng C et al (2002a) Smad3 may regulate follicular growth in the mouse ovary. Biol Reprod 66:917–923 Tomic D, Miller KP, Kenny HA et al (2004a) Ovarian follicle development requires Smad3. Mol Endocrinol 18(9):2224–40 Tremblay JJ, Viger RS (2001) GATA factors differentially activate multiple gonadal promoters through conserved GATA regulatory elements. Endocrinology 142:977–986 Ueno S, Kuroda T, Maclaughlin DT et al (1989) Müllerian inhibiting substance in the adult rat ovary during various stages of the estrous cycle. Endocrinology 125:1060–1066 van den Hurk R, Bevers MM, Dieleman SJ (1999) Folliculogenesis and oocyte development in mammals (livestock animals). In: Joy KP, Krishna A, Haldar C (eds) Comparative endocrinology and reproduction. Narosa Publishing House, New Delhi van den Hurk R, Abir R, Telfer EE, Bevers MM (2000) Primate and bovine immature oocytes and follicles as sources of fertilizable oocytes. Hum Reprod 6:457–474
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Vitt UA, Hayashi M, Klein C, Hsueh AJ (2000) Growth differentiation factor-9 stimulates proliferation but suppresses the follicle stimulating hormone-induced differentiation of cultured granulosa cells from small antral and preovulatory rat follicles. Biol Reprod 62:370–377 Wandji SA, Gadsby JE, Barber JA, Hammond JM (2000) Messenger ribonucleic acids for MAC25 and connective tissue growth factor (CTGF) are inversely regulated during folliculogenesis and early luteogenesis. Endocrinology 141:2648–2657 Wang QF, Tilly KL, Tilly JL et al (1996) Activin inhibits basal an androgen-stimulated proliferation and induces apoptosis in the human prostatic cancer cell line, LNCaP. Endocrinology 137:5476–5483 Webb R, Campbell BK, Garverick HA et al (1999) Molecular mechanisms regulating follicular recruitment and selection. J Reprod Fertil Suppl 54:33–48 Xu J, Oakley J, McGee EA (2002) Stage-specific expression of Smad2 and Smad3 during folliculogenesis. Biol Reprod 66:1571–1578 Zimmerman CM, Padgett RW (2000) Transforming growth factor-b signalling mediators and modulators. Gene 249:17–30
Chapter 2
Embryonic Development of the Ovary, Sexual Reproduction and Meiosis Gerardo H. Vázquez-Nin, María Luisa Escobar, and Olga M. Echeverría
Abstract Sex first evolved in the common ancestor of all eukaryotes some two billons years ago. Fertilization is the union of two haploid gametes of different sex; the resulting diploid cell is the zygote. In mammalian species gametes are derived from precursors termed primordial germ cells (PGCs). Specification of the germline occurs through: (1) repression of somatic differentiation; (2) reacquisition of potential pluripotency; (3) genome wide epigenetic reprogramming. In several mammals the maintenance of germ cell linage is not due to a preformed “germ plasma”, but is induced by environmental signals. In mammals PGCs originate in extraembryonic region and eventually move to gonadal ridges, located in the medial part of the urogenital ridge. Observations and experimental evidence demonstrate that PGCs move actively from the hindgut to the gonadal ridges. However, some observations suggest that most displacements of these cells may be explained by global growth movements. In most mammals sex determination is genetically controlled by the presence or absence of Y chromosome and the expression of gene Sry. However, the ovary differentiation requires in addition the action of a precise gene cascade. The main process that marks PCGs/oogonia sex differentiation within fetal ovary is the beginning of meiosis. During the progression of the first meiotic prophase many germ cells are eliminated, around 70% in mice, rats and humans. Prenatal development of the follicles is regulated by a complex interplay of hormones produced by the hypophysis (FSH, LH), and paracrine regulatory factors produced by the oocytes and the surrounding somatic cells. Epigenetic signals are covalent modifications of histones or DNA that convey a specific “meaning” to the stretch of chromatin on which they are found. Frequently they induce changes in chromatin conformation and gene expression. Pluripotent embryonic germ cells are capable of giving rise to all tissues, thus they must be able to reorganize their mechanisms of gene regulation to allow multiple lines of cell differentiation. Besides epigenetic modifications regulate X inactivation/reactivation in the female
G.H. Vázquez-Nin (*), M.L. Escobar, and O.M. Echeverría Laboratory of Electron Microscopy, Department of Cell Biology, Faculty of Sciences, National University of Mexico (UNAM), Mexico City, Mexico e-mail:
[email protected] G.H. Vázquez-Nin et al., Cell Death in Mammalian Ovary, DOI 10.1007/978-94-007-1134-1_2, © Springer Science+Business Media B.V. 2011
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embryo and mark the paternal and maternal genome of germ cells, making the expression of a group of genes monoallelic, crucial for embryo development termed for modification such as “imprinted” genes.
2.1 Evolutionary Advantages of Sexual Reproduction In all mammalian species, gametes are derived from precursors termed the primordial germ cells (PGCs) which migrate into and colonize the gonadal ridges during embryonic development. PGCs and the cells originated from them, the oogonia in the female and the spermatogonia in the male, are diploid cells, as any somatic cell of the body of eukaryotes. This means that they have a pair of each chromosome formed by one chromatide (monochromatide chromosome) during interphase and two chromatides (bichromatide chromosome) when the cell is ready for division. The mature gametes (secondary oocytes or eggs and spermatozoa) are instead haploid cells since they have only one monochromatide chromosome of each pair. Meiosis is the germ cell exclusive cell division producing haploid cells. Meiosis involves two cell divisions with only one DNA duplication and results in four haploid spermatids in the male or one mature egg or ovum and two small cells called polar bodies in the female. Fertilization is the union of two haploid gametes of different sex resulting in a diploid cell termed zygote. Meiosis and fertilization are the two complementary processes of the sexual reproduction cycle, the reproductive process most favored by the evolution of eukaryotes. Sex first evolved in the common ancestor of all eukaryotes some two billion years ago (Zimmer 2008). To explain the rarity of asexual eukaryotes, even if they can rapidly spread a beneficial mutation in a population, they can pass mutation only to their direct offspring. Thus the beneficial mutation will be always inserted in the same genome. If another organism undergoes a different beneficial mutation in a different gene, both mutations cannot be combined in the one genome. Sexual reproduction recombines genes, joining beneficial mutation and possibly improving a population faster than asexual reproduction. Some examples testify the superiority of sexual reproduction over asexual. Genetically engineered yeast that could only reproduce sexually and others that could only reproduce asexually were raised on a near-starvation diet. Sexual yeast was able to adapt faster and as they evolved, their growth rate increased 94%, while asexual strain increased only 80%. This difference in growth allowed the sexual yeast to take over the population (Zimmer 2008). Asexual organisms may pick up slightly deleterious mutations that natural selection fails to eliminate. In this way slight deleterious mutations may replace undamaged genes in a population and permanently compromise fitness. Sexual organisms due to meiotic recombination may interchange a defective gene for a working one and keep healthy genomes (Zimmer 2008). A long term study (30 years) analyzed the relationship between two snail populations, Potamopyrgus antipodarum, one asexual
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and other sexual, with a parasitic trematode capable of sterilizing them. At the beginning the most common strains of asexual snails were resistant to the trematode. Over the years, however, the snails became progressively vulnerable to an adapting strain of trematode. Ten years later, the initial strain of asexual snails had almost disappeared and the population of sexual snails remained relatively stable (Zimmer 2008). In a study of sexual and asexual lineages of the microcrustacean Daphnia pulex it was found that deleterious amino acid substitutions in mitochondrial proteins are four time faster in asexual lineages than in sexual ones. These results demonstrate that sexual reproduction reduces the deleterious mutational burden in the mitochondrial genome as well (Paland and Lynch 2006).
2.2 Strategies for PGC Formation PGCs form outside the gonads during early stages of embryonic development and enter or are subsequently enclosed into the developing gonads (gonadal ridges) where they differentiate into primary oocytes in the female (Fig. 2.1) and prospermatogonia or gonocytes in the male. The specification of PGC precursors takes place very early in development in Chordata, Nematoda and several other Phyla. Specification and determination of the germline occur through the integration of three key events: repression of the somatic
Fig. 2.1 Primordial germ cells reach the gonadal ridges to colonize the gonad. A close-up is shown upper the panel
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differentiation program, reacquisition of potential differentiation pluripotency and ensuing genome-wide epigenetic reprogramming (Yamaji et al. 2008). Early studies in the mouse embryo showed that germ cell lineage is induced in cells of the proximal epiblast by the extra-embryonic ectoderm (reviewed in Buehr 1997). Thanks to very elegant, recent studies, crucial events of such a fascinating process have been revealed. The bone morphogenetic proteins (BMPs) have been shown to be central in PGC formation in the mouse. These proteins are members of the transforming growth factor b (TGFb) superfamily that includes TGFßs and BMPs, GDFs (Growth Differentiation Factors), activins, inhibins, MIS (Müllerian Inhibiting Substance), Nodal and Lleftys (Chang et al. 2002). The first indications of the crucial role of BMPs in PGC formation came from the observation that in Bmp4 or in Bmp8b knockout mice, PGCs were reduced or absent. Mice double heterozygous for Bmp4 and Bmp2, a close relative of BMP-4 also have a severe reduction of PGCs (Ying et al. 2001; Chang et al. 2002). Further investigations demonstrated that the induction of mouse PGCs actually depends on the synergistic action of BMP4, BMP8b and BMP2 produced by extraembryonic tissues surrounding the epiblast (Fig. 2.2). Transplantation of epiblast cells at different sites, gave rise to PGCs only if they were positioned in close proximity to the extraembryonic ectoderm, indicating that factors produced in this tissue are required for the generation of the PGC precursors (Ying et al. 2001). These factors were identified as BMP4 and BMP8b, while BMP2 was found to be secreted by the extraembryonic visceral endoderm (Ying and Zhao 2001; see also the reviews by Chang et al. 2002; De Felici et al. 2004; Van den Hurk and Zhao 2005). Although similar PGC specification events are likely to occur within the epiblast of the human embryo around the end of the second week of development before gastrulation, the different organization of the mouse and human embryo at this time
Fig. 2.2 Schematic representation of the hypothetic synergistic action of BMP4, BMP8b and BMP2 produced by extraembryonic tissues surrounding the epiblast to induce PGC precursors in the human embryo around the beginning of the gatrulation period
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makes difficult to identify the mouse equivalent extraembryonic tissues responsible of the inductive germline specification action in humans. We can speculate that the mouse extraembryonic ectoderm and visceral endoderm correspond to the roof of the proamniotic cavity and hypoblast (primitive endoderm) of the human embryo, respectively. As in the mouse, it is likely that from the epiblast, human PGC precursors around the beginning of the third week move together with the extraembryonic mesoderm cells through the forming primitive streak (Fig. 2.2) toward a region of the wall of the yolk sac adjacent to allantois where they are determined and have been identified around 20th day in very old studies (reviewed in Baker and Eastwood 1983). Since activation of intracellular signaling by BMPs occurs through SMAD proteins, it was not surprising to find that Smad5 and Smad1 knockout mice have defects in PGC development resembling that caused by the ablation of the BMP genes (Chang et al. 2002). These findings demonstrate that in mouse and other mammals, the maintenance of germ cell lineage is not due to the inheritance of a preformed “germ plasm”, but is induced by environmental signals acting on pluripotent somatic cells (Saitou et al. 2002). In other species, however, the germlineage is specified by a different strategy. For example, in the nematode Ascaris the germ cell linage is segregated during the first few cleavage divisions of the embryo in cells retaining their chromatin complement complete, while the somatic lineages suffered chromatin diminution for the loss of terminal regions of the chromosomes (see review by McLaren 2003). Similar mechanisms of intrinsic germline specification occur in Xenopus, Frog, Drosophila, Caenorhabditis elegans. In such species, a region of the cytoplasm of unfertilized egg near the vegetal pole contains contains aggregates of mitochondria, proteins and RNA. Cells that during the first mitotic division receive this special cytoplasm region, the “germ plasm” become PGCs. (see review by McLaren 2003).
2.3 Molecular Mechanisms of PGC Specification in Mouse To determine the molecular mechanisms of the PGC specification, Saitou and collaborators (2002) performed genetic screens between PGCs and their somatic neighbors that share a common ancestry. The expression of Fragilis, an interferoninducible transmembrane protein, marks the beginning of germ cell competence. Using single-cell gene expression profiles, these authors demonstrated that the cells, at 7.25 days post coitum (dpc), show the highest expression of Fragilis, subsequently expressed Stella. The function of Stella gene product is uncertain but it has domains characteristic of protein involved in RNA splicing. Actually, Stella represses homeobox genes in nascent germ cells, and as such maintains the pluripotency of PGCs during their migration to the gonadal ridge. The induction of Fragilis by extra-embryonic tissues is dependent on BMP4 (Saitou et al. 2002). Wnt3 (a secreted signaling protein transmitted via beta-catenin), provides epiblast cells with the ability to respond to BMP signals (Ohinata et al. 2009). Going further
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back, at 6.25 dpc, about six cells within the Fragilis-positive cells, at the posterior side of the embryo, begin to show expression of Blimp1/Prdm1and shortly after of Prdm14. The restricted expression of these two transcription factors in the PGC precursors is likely due to the inhibition of BMP4-2 action in the anterior region by antagonists produced by the anterior visceral endoderm (AVE) (Ohinata et al. 2009). Experiments tracing genetic lineage demonstrate that all Blimp1 positive cells are the lineage restricted PGC precursors (Ohinata et al. 2005; Vincent et al. 2005). The complex Blimp1/Prmt5 arginine methyltransferase mediates a change in the methylation of arginine 3 on histone H2A and H4 tails between 8.5 and 10.5 dpc. This change, accompanied by the Prdm14 action, causes other epigenetic changes necessary for repression of somatic program and ensures that PGCs retain or reacquire a pluripotent character. The Blimp1-positive PGC precursors while proliferating and moving into the extraembryonic mesoderm (exM) re-express key pluripotency-associated genes such as Sox2, Nanog and Oct-4. This latter belongs to the class V of the POU domain transcription factor family and has been the first transcription factor demonstrated to be lineage restricted in the developing PGCs (for a review, see Pesce et al. 1998). Oct-4, Sox2 and Nanog are transcription factors all essential for maintaining the pluripotent stem cell phenotype. Around 7. 25–7.5 dpc, the PGC precursors in the exM at the basis of allantois are determined in a cluster of about 40–50 PGCs by unknown factors, but likely still including BMP-4. The adhesion molecule, E-cadherin is involved in clustering such PGCs and appears to be crucial for these precursors to be definitively allocated to the germ cell lineage (Okamura et al. 2003). Determined PGCs, besides the classical PGC markers tissue not specific alkaline phosphatase (Tnap) and stage-specificantigen-1 (Ssea-1), express Kit receptor and germline-specific genes such as Nanos3 and Dead endI. What activates germline genes in PGCs? Paradoxically, recent evidence from mouse and C. elegans suggests that the same factors responsible for transcriptional repression may also be involved in such activation. Single-cell transcriptome profiling has shown that Blimp1 is required, not only for virtually all transcriptional repression, but also for the activation of ~50% of the genes that are upregulated in mouse PGCs. Genes that require Blimp1 for activation include those that show the highest specificity for PGC expression (e.g. Nanos3) (Kurimoto et al. 2008). The conclusion is that Blimp1 activity is required, directly or indirectly, to initiate part of the germline-specific transcriptional program. Being a Blimp1-expressing PGC precursors is not sufficient, however, to undergo specification to PGCs. It is likely that a second signal is needed locally to trigger specification, with another Blimp1-independent pathway also functioning in parallel (Kurimoto et al. 2008). This second pathway appears to be controlled by Prdm14 (Yamaji et al. 2008). Prdm14 expression in PGCs initially occurs independently of Blimp1, but becomes dependent on Blimp1 by E7.5. In the absence of Prdm14, presumptive PGCs fail to downregulate GLP (G9a-related protein), the H3K9 methyltransferase, and maintain H3K9me2 and do not upregulate H3K27me3. Prdm14-deficient PGCs also do not activate the pluripotency-related gene Sox2. How Prdm14 and Blimp1 contribute to both the upregulation of certain genes and the downregulation of others is not known.
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2.4 PGC Migration Since the nineteenth century, it was established that in mammals PGCs originate in extraembryonic region, and eventually move to the gonadal ridges (Nussbaum 1880 quoted by Merchant and Alvarez 1986). During this pregonadic phase PGCs can be identified by morphological criteria and surface markers, such as TNAP and SSEA-1, and the expression of genes typical of pluripotent cells (e.g. Oct-4, Sox2, Nanog) (Oktem and Oktay 2008). From the site of their determination, the wall of the yolk sac adjacent to the allantois, PGCs reenter into the embryo proper following the morphogenic movements incorporating the proximal part of the yolk sac into the hind gut. It is likely that at this stage PGCs acquire a motility phenotype and consequently after invading the hind gut endoderm move throughout the dorsal mesentery towards the gonadal ridges formed in the celomic epithelium. Ultrastructural observations favored the idea of preexisting pathways from the hind gut basal lamina to the celomic epithelium. Such pathways are formed by elongated mesenchymal cells and oriented elements of the extracellular matrix as collagen fibrils and fribronectin (Merchant and Alvarez 1986). Studies in vivo and in vitro demonstrated that at this stages mouse and human PGCs are able to emit filopodia (Fig. 2.3) by which they attach to different structures and retract pulling
Fig. 2.3 Migrating primordial germ cells present filopodia. Migrating cells advance in gradients of increasing chemoattractant concentration leading to polarized cell protrusions originating the filopodia. The chemorepellent are avoided for the migrating cells
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the cell to the point of attachment (Albrecht-Buechler 1976; Gustafson and Wolpert 1963). Therefore, locomotion may be atypical ameboidal (Zamboni and Merchant 1973; Merchant and Alvarez 1986). Taking into account these data, Merchant and Alvarez (1986) proposed: (1) the presence of short pathways containing fibronectin between the hind-gut and the celomic epithelium; (2) that fibronectin is required for PGC locomotion and (3) that mammalian PGCs emit filopodia which establish contact with surrounding substrata. Contact guidance migration of PGC might be mediated by KIT receptor expressed on the surface of these cells and its ligand, Kit ligand (also called Stem cell factor), which is expressed in somatic cells along the migratory pathway (Fleischman 1993; van den Hurk and Zhao 2005). Kit ligand also stimulates PGC migration, survival and proliferation in vitro (Dolci et al. 1993). Molyneaux et al. (2001) studied systematically the displacement of the PGCs in the mouse embryo, concluding that during some stages of the migration between the hind gut and the gonadal ridges PGCs move actively and directional to their final destination. More recently, in a time-lapse comparative analysis of the PGC migration between Drosophila, Zebrafish and mouse, these authors defined six distinct stages of mouse PGC behavior: (1) invasion of the endoderm; (2) passive or active migration into hindgut; (3) random migration within the hindgut; (4) migration from the gut to the gonadal ridges; (5) clustering at the ridges; (6) cell death within midline structures (Molyneaux and Wylie 2004). At stage 3 the PGCs are located in the hindgut epithelium moving actively around the epithelial cells. The epithelial cells express the Ca++ dependent adhesion molecule E-cadherin; whereas PGC do not. The lack of strong adhesive interactions allow PGCs to move freely within the gut. PGCs upregulate E-cadherin expression upon leaving the gut (Molyneaux and Wylie 2004; Di Carlo and De Felici 2000). Then PGCs exit from the gut, divide in two streams and migrate to the developing gonadal ridges. In organ culture of transverse slices of mice embryos, the addition of BMP4 elevates the PGC number. The addition of Noggin, a BMP-antagonist, reduced the PGC number and slowed and randomize their movements, resulting in failure of PGCs to colonize gonadal ridges (Dudley et al. 2007). The action of BMPs is mediated by the BMP-specific Smads (Smad1, Smad5 and Smad8). Immunolocalization of Smads1/5/8 demonstrates that migratory PGCs do not express detectable levels of these proteins. Instead the somatic cells of the gonadal ridges exhibit an intense Smads1/5/8 immunolabeling, thus suggesting that BMPs act on these cells (Dudley et al. 2007). Several growth factors contribute to enlarge the PGCs population. The migratory PGCs of mouse embryos express subunits of interleukin-2 receptor. The addition of Interleukine-2 to PGS in culture increased their number by a mitogenic effect. These data are indicative of a paracrine effect of Interleukine-2 on PGC proliferation (Eguizabal et al. 2007). When mouse PGCs were co-cultured with gonadal ridges they increased in number and moved towards the gonadal ridges. These effects were present at long distances and were absent when PGCs were co-cultured with other embryonic organs. Gonadal ridge conditioned medium attracts PGCs and TGFß may mimic these effects (Godin et al. 1990;Godin and Wylie 1991). These results strongly suggest that the cells of gonadal ridges secrete chemo-attractants (van den Hurk and Zhao 2005). More recently, some evidence that KL itself exerts chemiotactic effect on mouse PGCs in vitro was reported (Farini et al. 2007).
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In spite of the numerous observations and experimental evidence demonstrating that PGCs move actively, some observations in mouse and human embryos suggest that most of the displacements of these cells can be explained by the global growth movements of the embryo and that possibly no active migration exists at all (Freeman 2003). The same author concludes that the displacement the PGCs in vivo are unrelated to the “artefactual” movements of explanted germ cells.
2.5 Formation of the Ovary The gonads develop in the medial part of the urogenital ridge. The urogenital ridges are longitudinal thickenings located at both sides of the dorsal mesentery. The gonadal ridge is unique among all organ primordia because of its bipotential nature. A testis or an ovary can develop from a gonadal primordium. This first appears as thickenings of the celomic epithelium. As the epithelium invades the connective tissue the genital ridges protrude to the celomic cavity forming the gonadal ridge. This proliferation of the epithelium results in an internal epithelial mass and the stratified superficial epithelium of the gonadal ridge. In most mammals sex determination is genetically controlled by the presence or absence of a Y chromosome. The expression of the Y linked gene Sry in mice starts the rapid differentiation of testis specific cell types. In the absence of Sry even an XY mouse develops ovaries (Brennan and Capel 2004). The formation of other sexual organs and tissues is largely a consequence of the sex differentiation of the gonads and their hormone production. On the other hand, the targets of the molecular mechanisms of sex differentiation are the somatic cells of the gonads and not the germ cells. PGCs are actually sexually bipotent and differentiate in oogonia/oocytes or prospermatogonia under the influence of the somatic environment of the ovary and testis, respectively, and independently by their sex chromosomes (Fig. 2.4). Recent results indicate, however, that ovary differentiation does not simply occur for default in the absence of Sry but requires the action of a precise gene cascade. Actually, the “canonical” ß-catenin signaling pathway represents a central piece of the mechanisms controlling gonad differentiation into ovary. This signaling is initiated by WNT ligand binding to Frizzled and LRP5/6 co-receptors, leading to the inhibition of the ß-catenin destruction complex, containing glycogen synthase kinase-3-beta (GSK-3-beta), the adenomatous polyposis coli protein (APC), and the scaffolding protein axin, among others. This complex phosphorylates ß-catenin and targets it for degradation by the proteasome. Its inhibition leads to ß-catenin stabilization and entry to the nucleus. Nuclear ß-catenin binding to T-cell factor (TCF)/ lymphoid enhancer factors (LEF) leads to the activation of target gene expression. In the absence of ß-catenin, TCF/LEF proteins act as a transcriptional repressor. This ability to switch between repressor and activator states, probably tighten control over gene expression (see review by Tevosian and Manuylov 2008). Several Wnt family members are expressed in the developing
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Fig. 2.4 Schematic diagram showing that the targets of the molecular mechanisms of sex differentiation are the somatic cells of the gonads and not the germ cells
mammalian gonads. Initially there is a low level of expression of Wnt4 in both XX and XY gonadal primordial. This expression is down regulated in differentiating male gonad while it is increased the female. In mice, Wnt4-null females are masculinized as by the absence of Müllerian ducts, a dramatic decrease in the number of developing oocytes, production of ectopic steroids as testosterone and formation of male specific blood vessels. Markers of early ovarian development as Follistatin and Bmp2 are not expressed in the absence of Wnt4. The effects of the increase of Wnt4 dosage during embryogenesis in mice is relatively mild, mostly confined to the abnormal development of celomic blood vessels in the male. In summary, the absence of Wnt4 expression is insufficient by itself to program the testis differentiation of somatic cells. However, Wnt4 controls several elements of sexual development (see review by Tevosian and Manuylov 2008). Rspo is another gene family with a role in female sexual development which also targets the ß-catenin transduction pathway. A recessive mutation of the gene encoding RSPO1 results in a complete female to male sex reversal in humans. The Rspo1 mutation (XX Rspo1-/-) in mice results in a phenotypical female. However, the gonads undergo incomplete sex reversal and the masculinization occurs postnatally. The conclusion seems to be that Rsp1 plays a positive role in mammalian ovary development, but the genetic mechanism of the late sex reversal remains to be determined. It is well known that activating Sry or Sox9 in the female will override the ovarian pathway and activate the male program in a XX gonad. A human XY patient carrying a chromosome duplication which included the WNT4 and RSPO1 genes exhibited sex reversion. This suggested that the up-regulation of both of these
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ligands in mice may be enough to antagonize male development. Because both WNT4 and RSPO1 signaling converge in activating canonical ß-catenin pathway, the researchers produced an undegradable form of ß-catenin in somatic cells of the developing ovary. This was sufficient to block the male pathway in the XY gonads. The stabilization of ß-catenin blocked male-specific Sox9 and Amh expression, while genes normally found in the ovarian somatic cells as Foxl2, Bmp2, Wnt4 and Fst were increased. Testis cords did not form in these XY mutants (see review by Tevosian and Manuylov 2008). In summary we can conclude that sexual differentiation of the gonads in mammals is driven by two opposing antagonistic activities of the transcriptional regulatory proteins: SOX9 in males and ß-catenin and T-cell factor (TCF)/lymphoid enhancer factor (LEF) in females (see review by Tevosian and Manuylov 2008).
2.6 Germ Cell Sex For the colonization and development of the PGCs into the gonadal ridges the expression of a large number of genes is needed (van den Hurk and Zhao 2005). The proliferation of somatic and germ cells leads to the enlargement of the gonadal ridge. In the developing ovary, PGCs (in some species now called oogonia) interact with epithelial somatic cells of the ovary and give rise to ovarian or ovigerous cords, which are continuous with the surface epithelium. These cords are more clearly defined in some species that in others (Pepling 2006). Numerous epithelial cells surrounding the PGCs in the ovigerous cords originate in the mesonephros. These epithelial structures are delimited by a basal lamina and surrounded by mesenchymal cells (Guigon and Magre 2006). Other studies support the nonmesonephric origin of gonadal somatic cells. They are mainly based in the demonstration that mesonephric agenesis does not block the formation of the gonad. The cells in the origin of the mesonephros, the adrenal gland and the gonad correspond to a multivalent urogenital mesenchyme (Merchant-Larios 1985). Groups of oogonia that are surrounded by a layer of epithelial cells (granulosa cells) form cysts. In human and other mammals oogonia are connected by cytoplasmic bridges giving rise to a clonal proliferation (Pepling 2006). Mitotic activity of oogonia determine the maximum number germ cells in the life span, that is six to seven million at 20 weeks of gestation in the human (Oktem and Oktay 2008). Due to a high rate of programmed cell death, a girl has one million oocytes at birth and three to four hundred thousand at puberty. Of these only 300–400 will ovulate until menopause (Oktem and Oktay 2008). The main process that marks PGCs/oogonia sex differentiation within the fetal ovary is the beginning of meiosis. PGCs/oogonia entering into meiosis are termed primary oocytes. These pass through the stages of prophase I (leptotene, zygotene, pachytene and diplotene), and around the time of birth become arrested at dictyate stage, which is a pseudo-interphase stage corresponding to the last G2 stage of meiotic process. In contrast, the spermatogonia are not engaged in meiotic process until puberty.
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The debate whether the PGCs/oogonia enter into meiotic S phase autonomously following internal signals (Zamboni and Upadhyay 1998; McLaren and Southee 1997) or induced by external signals is still undergoing (reviewed in Bullejos and Koopman 2004). In any case, as reported in the previous section, entering into meiosis does not depend on sex chromosomes. Recent studies demonstrate that retinoic acid (RA), a derivate of vitamin A, induces oogonia to enter in meiosis during fetal life in the mouse ovary and that RA degradation in the fetal testis prevents spermatogonia to do the same at the same time (see review by Bowles and Koopman 2007). Stimulated by retinoic acid, gene 8 (Stra8) is involved in the initiation of the meiotic process. For the decision, it is required to enter in the S phase preceding meiosis (Baltus et al. 2006). Germ cells do not initiate meiosis in Stra8-null mice, so RA must trigger meiosis inducing the cytoplasmic protein STRA8, which is never expressed in gonadal somatic cells, possibly due to differences in the epigenetic configuration of the regulatory regions of the gene. Retinoic acid produced in the mesonephros, causes germ cell in the ovary to enter meiosis (Bowles et al. 2006), and is also the key to sex-specific timing of meiotic process (Bowles and Koopman 2007). It is likely that besides RA availability entering into meiosis in female PGCs or meiotic prevention in male PGCs require additional molecular control that is being to be identified. For example, epigenetic modification of chromatin in female PGCs and the action of FGF-9 in male PGCs are involved in favoring or preventing meiosis, respectively (Wang and Tilly 2010; Barrios et al. 2010). As reported above, oocytes ring into the last stage of prophase I become arrested in dictyate. The molecular mechanisms of such arrest, necessary for allowing the progressive recruitment of group of oocytes into the growing phase after birth, are unknown in mammals but are likely to involve players of cell cycle control such as cyclins, CDKs and CDKI (Western et al. 2008; Spiller et al. 2009; Miles et al. 2010). When the meiosis is arrested in diakinesis at the end of the prophase of the first meiotic division, a prolonged pseudo-interphase takes place. Around and early after birth, ovigerous cords brake down in follicles, the oocytes are progressively surrounded by a monolayer of flat epithelial cells, now called granulosa or follicular cells and a basal lamina, giving rise to the primordial follicles. This process begins in the central region of the ovary and proceeds to the periphery. These follicles are surrounded by a microvascular network of capillaries juxtaposed to basal lamina (Sato et al. 2006). The development of primordial follicles seems to be related to meiotic dyctiate stage block (Borum 1961). Experimental studies on the relation of a protein of the synaptonemal complex (SCP1), which is typical of pachytene stage and the formation of primordial follicles, demonstrate that the SCP1 deficient ovaries exhibited an increased number of newly formed follicles. These findings suggest that the completion of pachytene stage or probably an artificial finalization of meiotic prophase I endow the oocytes with the ability to orchestrate the follicular assembly (Paredes et al. 2005). Spontaneous primordial follicle development was completely inhibited by a Kit antibody that blocks kit-ligand/stem cell factor actions. Experiments in vitro with rat ovaries demonstrated that kit-ligand is necessary and sufficient to induce primordial follicle
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d evelopment. On the other hand, gonadotropins (FSH and hCG) do not induce follicle development (Parrot and Skinner 1999). During the progression of the first meiotic prophase and follicle formation many germ cells are eliminated, around 70% in mice, rats and humans. The reasons for this constitutive germ cell death are not clearly established and will be discussed in other chapters of this book. It is important to note that germ cells are necessary for the correct formation of the ovary. However, if PGCs are eliminated by busulphan treatment, a drug that selectively destroys them, (Merchant 1975) or by the pleiotropic mutation W/Wv (Merchant-Larios and Centeno 1981), in the rat and in the mouse, somatic cells undergo proliferation and form an undifferentiated gonad in both sexes. That is, a gonad consisting in packed cells that gradually become organized into two different tissues separated by a basal lamina: epithelial layers and/or epithelial cords and the stromal tissue (Merchant 1975). Similar results have been obtained in Amphibia (Bounoure 1950; Padoa 1964) and in chicks (Willier 1950). Fragmentation of the cords to form follicles takes place only when germ cells act as differentiating centers (Merchant 1975). Some PGCs survive in the gonad of mutant W/Wv mice and are able to transform in normal oocytes and organize follicles capable of inducing steroidogenic tissue (Merchant-Larios and Centeno 1981).
2.7 Endocrine and Paracrine Regulation of Folliculogenesis In order to understand the prenatal endocrine relation of the developing ovary it is necessary take into account the developmental relationships between the hypothalamus, the hypophysis and the gonad. Anterior pituitary is formed by an evagination of the oral ectoderm and the posterior lobe is formed by a ventral prolongation of the diencephalon. Autocrine and paracrine signaling are involved in the initial development of the gland. This system differentiates and acquires capability for endocrine function very early. In humans, luteinizing hormone and follicle stimulating hormone are produced in the pituitary as early as the fifth week of gestation. Gonadotropin releasing hormone and other releasing hormones are present in the hypothalamus at about the same time. The ensemble can function as a whole after the differentiation of the portal vessels between the hypothalamus and pituitary (Cummings and Kavlock 2004). When the gonads begin to produce hormones, interactions take place between the gonads and the hypothalamic-pituitary axis. In the female human fetus estrogen is present by the 10th–14th week, but the hormone peaks at about the 20th week, following increments in hypothalamic gonadotropin releasing hormone and pituitary gonadotropin concentrations. Near birth, the hypothalami of the female acquire the capability to respond to rising estrogen levels and the triggering of the surge of LH that is a requisite for ovulation. However, these events will not occur until puberty (Cummings and Kavlock 2004). The development of the follicles is regulated by a complex interplay of hormones produced by the hypophysis as follicle-stimulant hormone (FSH) and luteinizing
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Fig. 2.5 Folliculogenesis process. The preantral follicles are independent of gonadotropin. The development of the follicles is regulated by FSH and LH, and paracrine regulatory factors produced by the oocytes and the surrounding somatic cells
hormone (LH), and paracrine regulatory factors produced by the oocytes and the surrounding somatic cells. The latter are especially crucial for the formation of the primordial follicle population around and early after birth and likely for the selection of follicles from these populations to be driven through the subsequent maturation stages. Hormones begin to play a role from the primary follicle stage throughout the secondary, preantral and antral follicle stages up to ovulation (Fig. 2.5). FSH up regulates a number of genes in granulosa cells, such as cyclin D2 involved in proliferation, aromatase enzyme required for estrogen production, and LH receptor (Anttonen 2005). FSH receptor expression is restricted to granulosa cells, whereas LH receptor is expressed both in granulosa and theca cells. LH stimulates androgen synthesis in theca cells and FSH induces estrogen conversion from androgen, by means of aromatase enzyme, in granulosa cells (Gómez et al. 2001). The defects in folliculogenesis differ between FSH receptor- and LH receptordeficient mice. Both have no mature, preovulatory follicles or luteal glands, but in FSH receptor-null mice follicular growth arrests at the preantral stage, whereas in LH receptor-null mice the follicles arrest at the antral stage. These findings demonstrate the need for FSH action at the preantral stage and beyond, and both FSH and LH actions for the follicular maturation and ovulation stages (Anttonen 2005). Oocytes and somatic cells produce several paracrine factors, modifying gonadotropin actions. Oocyte supplies specific morphogens that preserves phenotype and gene expression in cumulus cells. On the other hand, the somatic cells provide the oocytes with nutrients and growth factors during folliculogenesis (Anttonen 2005). Members of the TGF-ß superfamily have essential roles in these paracrine interplays. Growth and differentiating factor 9 (GDF9), bone marrow-morphogenic
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protein 15 (BMP-15), and BMP6 are secreted by the oocyte, while activins, inhibins and anti-Müllerian hormone (AMH) are expressed and secreted by somatic cells. AMH, in addition to its role in the differentiation of male reproductive tract, is a granulosa cell product capable of suppressing follicular growth induced by FSH and epidermal growth factor. AMH-null mice have an increased number of growing follicles, resulting in loss of the primordial follicles at a premature age (Anttonen 2005). For a general physiology text book consult Peterson (2007).
2.8 The Meiotic Division The meiosis is composed of two cell divisions preceded by the only S phase of this process (Fig. 2.6). The result is four cells with half the number of chromosomes of the species and only one DNA double helix per chromosome. The haploid cells are the mature gametes, the oocytes and the spermatocytes. The first division is composed of an S phase followed by G2 or preleptotene stage, a long prophase compose of several stages: leptotene, zygotene, pachytene, diplotene, and diakinesis (dictyate). Several processes specific to meiosis take place during this prophase
Fig. 2.6 Schematic drawing of meiosis process (kindly provided by Abrahan HernándezHernández)
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such as homologous recognition, alignment of homologous chromosomes, pairing of homologues by means of a special structure, the synaptonemal complex, and chiasm formation. The oocyte remains in diakinesis until ovulation when it proceeds to the metaphase in which the homologous chromosomes are still associated by the chiasmata, and then to the anaphase of the first division, in which each member of homologous chromosome pairs migrates to a different pole of the spindle. Thus the diploid number of chromosomes is divided between the two products of the first telophase. The meiotic spindle is located at the periphery of the cytoplasm, near the cell membrane and it specifies the position of the cleavage furrow, thus the two new cells formed by the telophase are very different in size. The larger daughter cell corresponds to the secondary oocyte and the smaller is the first polar body. Each has the haploid number of chromosomes formed by two DNA double helices. The second meiotic division is when the sister chromatids of each chromosome separate and migrate to a different cell like in a mitotic division. In this cytokinesis, as in the first one, the cleavage furrow separates a small polar body and a large oocyte. The second meiotic division takes place only after fertilization. The biological role of meiosis is the production of gametes (haploid cells), which are cells with only one member of each pair of chromosomes formed by one DNA double helix, frequently formed by paternal and maternal segments. During meiotic process, genetic recombination takes place by two different processes: random distribution of maternal and paternal homologues, in the first anaphase, and recombination. The maternal and paternal homologous forming each bivalent chromosome distribute at random at the first metaphase, so each secondary oocyte may incorporate a different mixture of paternal and maternal chromosomes. The recombination is the exchange of segments of chromatid between homologous, maternal and paternal chromosomes, when they are paired at the pachytene stage of the first meiotic prophase. Each exchange is visualized as a connection called a chiasma between the chromosomes. The chiasmata are easily seen under a light or electron microscope in post-pachytene stages of meiotic prophase I. The ultrastructural and molecular aspects of meiosis are better studied in spermatocytes than in oocytes, but most processes taking place in the prophase of the first meiotic division are similar in both sexes. The phase G2 of the last interphase of the spermatogonia is characterized by small lampbrush structures of extended chromatin formed by an axis from which irradiates the loops. These micro-lampbrush chromosomes are not found in interphase nuclei of somatic cells. They persist during leptotene and zygotene stage. Immunolocalization and in situ localization DNA and RNAs using electron microscope demonstrate that these lampbrush structures are formed by extended chromatin transcribed mainly or exclusively by RNA polymerase II and that the product of transcription is still associated to the chromatin; they contain introns and ribonucleoproteic particles associated to splicing are scarce. The results of quantitative autoradiography after [3H]uridine labeling demonstrate that transcription of the extended chromatin of the micro-lampbrush is intense but the export of RNA to the cytoplasm is very slow. Then the newly synthesized RNA is probably involved in a nuclear function taking place within these cells: the process of homology searching and recognition,
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p revious to pairing (Vázquez-Nin et al. 2003). The searching of homologies is facilitated by a much conserved mechanism among eukaryotes, the bouquet. The bouquet involves the association of the telomeres of all chromosomes to the nuclear envelope and the subsequent displacement to a small zone of the envelope near the centrosome, a microtubule organizing center in the cytoplasm. This mechanism facilitates finding homologue regions of homologous chromosomes. The final pairing of homologous chromosomes takes place with the formation of another structure extremely conserved by evolution, the synaptonemal complex. This complex is formed by the parallel alignment of corresponding regions of homologous chromosomes from telomere to telomere, and is typical of the pachytene stage. The synaptonemal complex is formed by two lateral arms and a central space devoid of DNA except in the recombination nodules. The lateral arms are formed by DNA, RNA and proteins. Two filaments of chromatin formed by two DNA double helixes each are folded inside the lateral arms. These filaments are continuous with the long loops surrounding the complex. RNA of unknown origin is associated with the DNA filaments (Vázquez-Nin and Echeverría 1976; Ortiz et al. 2009). The complex is surrounded by long loops of extended chromatin associated to the lateral arms. Each lateral arm and the loops associated with it correspond to one of the paired homologous chromosomes. The DNA of the lateral arms of the synaptonemal complex is composed of non-coding repetitive sequences (Hernández-Hernández et al. 2008). For a recent review of epigenetic aspects of the synaptonemal complex and its formation (Hernández-Hernández et al. 2009). The alteration of the structural maturation of the central element of the synaptonemal complex abolishes the formation of crossovers, preventing recombination (Hamer et al. 2008). Many genes are involved in the process of recombination. Some of them, such as Spo11, are involved in double strand breaks and are conserved between yeast and mammal. In mammals, yeast and higher plants, recombination takes place more frequently in 1–2 kb long regions of the genome called hot spots (Parvanov et al. 2009). The frequency of recombination is low outside of hotspots. Recombination hot spots in humans are not associated with DNase I or microccocal nuclease-hypersensitive sites (Fan and Petes 1996); they are more influenced by base composition (DNA motif), coding context and DNA repeats (Myers et al. 2006). In human genome both repeat DNA and exonic sequences are negatively associated with recombination; indeed recombination rates reach a peak at distances of 10–50 kb from genes (Myers et al. 2006). On the contrary, regions of high GC content are strongly associated with hotspots, also the seven bases nucleotide motive CCTCCCT is five times enriched in the hot spots of the THE1A and THE1B retrotransposons. Mutation of one base of this motive strongly reduces the hotspot activity (Myers et al. 2006); protein-DNA complexes are essential for hotspot activity. The ade6-M26 hotspot (chromosomal region) of fission yeast is the most extensively characterized and best understood meiotic hotspot in eukaryotes (Gao et al. 2009). Atf1-Pcr1 protein heterodimer associates with ade6-M26 hotspot. The homologous recombination –activation domain resides exclusively in Atf1, which is a member of ATF/CREB family of transcription factors. The Atf1-Pcr1-M26 protein-DNA complex promotes locally the
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i nitiation of recombination from double strand breaks catalyzed by Rec12 (Spo11) recombinase, which is a conserved protein of the meiotic recombination machinery. The recombination-promoting domain resides in Atf1 protein and the hotspot activation requires the phosphorylation of ATF1 by Spc1, a protein kinase of the p38-family. The regulation of basal meiotic recombination is independent of this phosphorylation, whose function is to correct position of Atf-Pcr1 complex (Gao et al. 2009). In Saccharomyces cerevisiae double strand breaks occur within a few hundred base pairs of the transcriptional sites. However, only some hotspots are activated by transcription factors. The well characterized hotspot located within the promoter of the gene HIS4 is dependent on several transcription factors and ablation of the transcription factor binding sites abolishes recombination (Borts 2009). The study of a hot spot in the mouse genome, called Psmb9, showed that its activity is induced by a locus named Dsbc1, for double strand break control 1. This locus is located within a 6.7-Mb region on chromosome 17. Dsbc1 influences double strand breaks and crossovers, not only at Psmb9, but in several other regions of the chromosome 17. Dsbc1 influences the crossover distribution on chromosomes 15 and 18, and even the crossover activity in the Hlx1 hotspot in chromosome 1 (Grey et al. 2009). Recently it was found that the recombination activity of several hotspots on mouse chromosome 1 can be either activated or suppressed by the CAST allele(s) of distant trans-acting loci and that the activation of several hotspots is controlled by the locus Rcr1 that exert its action at the initiation of recombination (Parvanov et al. 2009). These interesting results on the positioning, the molecular mechanism and the regulation of meiotic recombination are probably just the beginning of a long line of future research. Failure to repair DNA damage caused by recombination triggers meiotic checkpoints and destruction of the germ cells by apoptosis can take place. However, there is an important sexual dimorphism; checkpoint requirements are much less stringent in females than in males. This provides an explanation for the ten-fold higher number of meiotic errors in females compared with males (Cohen et al. 2006).
2.9 Epigenetic Reprogramming of Germ Cells Epigenetic signals are covalent modifications of histones or DNA that convey a specific “meaning” to the stretch of chromatin on which they are found. Frequently they induce changes in chromatin conformation and gene expression. Pluripotent embryonic germ cells are capable of giving rise to all tissues derived from the three embryonic primary epithelial layers: ectoderm, mesoderm and endoderm. Thus they must be able to reorganize their mechanisms of gene regulation to allow multiple lines of cell differentiation. Besides determining genome plasticity, epigenetic modifications regulate X inactivation/reactivation in the female embryo and mark the paternal and maternal genome of germ cells during gametogenesis, making the expression of a group of
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genes monoallelic, crucial for embryo development termed for modification such as “imprinted” genes. As reported above, BLIMP1 (PRDM1), a transcriptional repressor, plays a critical role in the specification of PGCs in mice. BLIMP1 interacts with PRMT5, an arginine-specific methyltransferase, which mediates symmetrical dimethylation of arginine 3 in histone H2A and/or H4 tails. At E11.5, BLIMP1-PRMT5 translocates from the nucleus to the cytoplasm, resulting in the loss of H2a/H4 R3 methylation, thus determining an extensive epigenetic reprogramming of germ cells. At this stage, Dhx38, a putative target of the BLIMP1-PRMT5 complex, is also upregulated. The expression of Dhx38 is seen in pluripotent embryonic germ cells that are derived from PGCs when Blimp1 expression is lost. These observations demonstrate that in mice Blimp1 is involved in posttranscriptional regulatory actions mediated by methylation-demethylation of histone H2A and/or H4 arginine 3 (Ancelin et al. 2006). Postranscriptional modifications of the histones may be reprogrammed more easily than DNA methylation, which is a very stable modification that may be heritable. In mammals methylation of the DNA occurs almost exclusively on CpG dinucleotide, without preference for sequence context surrounding this target. About 60% of human genes are associated with CpG islands, of which the great majority are unmethylated at all stages of development, in all types of tissues (see review by Bird 2002). It is important to note that the DNA methylation does not silence active promoters, but affects genes already silenced, making the turn off permanently. DNA methylation is associated with a stable repression of transcription, frequently accompanied by conformational changes of the repressed loci. Examples of the modifications due to DNA methylation are monoallelic expression of some imprinted genes, repression of transcription of retrotransposons and inactivation of one X chromosome, and other examples quoted by Bird (2002). In all cases there is a compaction of the repressed chromatin and the modifications are for the lifespan (Lees-Murdock and Walsh 2008). DNA methylation is heritable through cell division by copying of the parental strand and can pass from one generation to the next via the gametes. The methylating enzyme DNMT1 methylates preferentially CpG whose partners on the parental strand are already methylated (see review by Bird 2002). It is interesting to note that also PRDM14, a PR domain-containing transcriptional regulator is expressed at the PGC specification. Its action is critical in two events: the reacquisition of pluripotency and successful genome wide epigenetic reprogramming. In mice Prdm14 mutants, the failure of these events manifests even in the presence of PRDM1 (BLIMP1), a key transcriptional regulator for PGC specification (Yamaji et al. 2008). De novo methyltransferases DNMT3A and DNMT3B are highly expressed during epigenetic reprogramming (see review by Bird 2002). Differentially methylated regions of imprinted genes are conserved in migrating PGCs (Hajkova et al. 2002). In females only one X chromosome is active in specified PGCs. The reactivation of one X occurs during PGC migration and is completed in all PGCs after their arrival in the developing ovary and before their entering into
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meiosis. Reversion of imprinted X chromosome inactivation in the inner cell mass of the female blastocyst is initiated by the repression of Xist from the paternal X chromosome. Three of the key factors supporting pluripotency, Nanog, Oct3/4 and Sox2, bind to Xist intron 1 in undifferentiated embryonic stem cells. The drastic release of all three factors triggers a rapid ectopic accumulation of Xist RNA and X inactivation in the epiblast. These three factors cooperate to repress Xist and thus couple X inactivation reprogramming to control of pluripotency during embryogenesis in mammals (Navarro et al. 2008). Studies carried out on mice showed that the differentially methylated regions of maternally or paternally imprinted genes are progressively and synchronously demethylated in PGCs. The repetitive DNA elements studied so far are coordinately demethylated in the male and female mice genomes. Imprinted sequences are completely demethylated and repeat sequences only lose some methylation, retaining a substantial degree of methylation (see review by Lees-Murdock and Walsh 2008). In mice, the female germline demethylation continues past e15.5 as the female PGC, now known as primary oocytes, progress through prophase of meiosis (LeesMurdock et al. 2003). The mechanisms of demethylation have not been clarified. There are at least two different procedures: active or enzymatic demethylation and slower replication-coupled demethylation. The relationships of demethylase complex to MBD2b remain unclear. Some works demonstrate that the 5-methylcytosine was replaced by cytosine during demethylation reaction. Other enzymatic complexes of hydrolyses 5-methylcytosine to cytosine and methanol (Wolffe and Wade 1999). However, biochemical data suggest this reversal of the methylation is energetically unfavorable (see review by Lees-Murdock and Walsh 2008). Replication-coupled demethylation propose that DNA replication can also contribute to eliminating 5-methylcytosine from DNA. If some factor prevents the access of the methyltrasnferase enzyme to these sites, progressive demethylation of selected sites can take place (Wolffe and Wade 1999). The mechanism of demethylation in mammals has not been confirmed and no reproducible demethylation activity has been identified (see review by Lees-Murdock and Walsh 2008). Recent results obtained in mouse support a role of the Activation-Induced cytidine Deaminase (AID), a member of the cytidine deaminase APOBEC family, and of Base Excision Repair (BER) pathway in genome-wide DNA demethylatioin occurring in PGCs after gonadal ridge colonization (Popp et al. 2010; Hajkova et al. 2010). Following erasure of imprints and partial erasure of methylation on repeats, these sequences must undergo de novo methylation during subsequent germ cell development to achieve the methylation patterns of the mature gametes (see review by Lees-Murdock and Walsh 2008). While in the male germ line resetting of methylation occurs before meiosis, in the female germ line the imprint control regions are hypomethylated until after the pachytene stage of meiosis I, which occurs in the postnatal growing oocyte (Lees-Murdock et al. 2005; see also the review by Lees-Murdock and Walsh 2008).
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References Albrecht-Buechler G (1976) Filopodia spreading 3 T3 cells: do they have a substrate-exploring function? J Cell Biol 69:275–286 Ancelin K, Lange U, Hajkova P et al (2006) Blimp1 associates with Prmt5 and directs histone arginine methylation in mouse germ cells. Nat Cell Biol 8:623–630 Anttonen M (2005) Ovarian development, function, and granulosa cell tumorigenesis: role of GATA transcription factors and anti-Müllerian hormone. Academic Dissertation. Medical Faculty of the University of Helsinki, Finland Baker TG, Eastwood J (1983) Origin and differentiation of germ cells in man. In: Hilsher W (ed) Problems of the Keimbahn. Bibliotheca Anatomica, No. 24, Karger, Basel Baltus AE, Menke D, Hu YCh et al (2006) In germ cells of mouse embryonic ovaries, the decision to enter meiosis precedes premeiotic DNA replication. Nat Genet 38:1430–1434 Barrios F, Filipponi D, Pellegrini M (2010) Opposing effects of retinoic acid and FGF9 on Nanos2 expression and meiotic entry of mouse germ cells. J Cell Sci 123:871–880 Bird A (2002) DNA methylation patterns and epigenetic memory. Genes Dev 16:6–21 Borts RH (2009) The New Yeast Is a Mouse. PLoS Biol 7(5):e1000106. doi:10.1371/journal. pbio.1000106 Borum K (1961) Oogenesis in the mouse. A study of the origin of the mature ova. Exp Cell Res 45:39–47 Bounoure L (1950) Sur le développement sexuel des glandes génital de la grenouille en l’absence des gonocytes. Arch Anat Microscop Morphol Exp 39:247–256 Bowles J, Koopman P (2007) Retinoic acid, meiosis and germ cells fate in mammals. Develop 134:3401–3411 Bowles J, Knight D, Smith Ch et al (2006) Retinoid signaling determines germ cell fate in mice. Science 312:596–600 Brennan J, Capel B (2004) One tissue, two fates: molecular genetic events that underlie testis versus ovary development. Nat Rev Genet 5:509–521 Buehr M (1997) The primordial germ cells of mammals: some current perspectives. Exp Cell Res 232:194–207 Bullejos M, Koopman P (2004) Germ cells enter meiosis in a rostro-caudal wave during development of the mouse ovary. Mol Reprod Dev 68(4):422–428 Chang H, Brown Ch, Matzuk M (2002) Genetic analysis of the mammalian transforming growth factor-ß superfamily. Endocr Rev 23:787–823 Cohen PE, Pollack SE, Pollard JW (2006) Genetic analysis of chromosome pairing, recombination, and cell cycle control during first meiotic prophase in mammals. Endocr Rev 27: 398–426 Cummings A, Kavlock R (2004) Function of sexual glands and mechanism of sex differentiation. J Toxicol Sci 29:167–178 De Felici M, Scaldaferri M, Lobascio M et al (2004) Experimental approaches to the study of primordial germ cell lineage and proliferation. Hum Reprod 10:197–206 Di Carlo A, De Felici M (2000) A role for E-cadherin in mouse primordial germ cell development. Dev Biol 226(2):209–219 Dolci S, Pesce M, De Felici M (1993) Combined action of stem cells factor, leukemia inhibitory factor and cAMP on in vitro production of mouse primordial germ cells. Mol Reprod Dev 35:35–139 Dudley B, Runyan Ch, Takeuchi Y et al (2007) BMP signaling regulates PGC numbers and motility in organ culture. Mech Develop 124:68–77 Eguizabal C, Boyano M, Díez-Torre A et al (2007) Interleukin-2 induces proliferation of mouse primordial germ cells in vitro. Int Dev Biol 51:731–738 Fan QQ, Petes TD (1996) Relationship between nuclease-hypersensitive sites and meiotic recombination hot spots activity at the HIS4 locus of Saccharomyces cerevisae. Mol Cell Biol 16:2037–2043
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Merchant-Larios H (1985) Germ and somatic cell interactions during morphogenesis. In: Van Blerkom J, Motta PM (eds) Ultrastructure of reproduction. Martinus Nijhoff Pub., Printed in Netherlands Merchant-Larios H, Centeno B (1981) Morphogenesis of the ovary from sterile W/Wv mouse. Prog Clin Biol Res 59B:383–392 Miles DC, van den Bergen JA, Sinclair AH et al (2010) Regulation oft he female mouse germ cell cycle during entry into meiosis. Cell Cycle 9:1–11 Molyneaux K, Wylie C (2004) Primordial germ cell migration. Int J Dev Biol 48:537–544 Molyneaux K, Stallock J, Schaible K, Wylie Ch (2001) Time-lapse analysis of living mouse germ cell migration. Devlop Biol 240:488–498 Myers S, Spencer C, Auton A et al. (2006) The distribution and causes of meiotic recombination in the human genome. Biochem Soc Transactions 34 part 4:526-530 Navarro P, Chambers I, Karwacki-Neisius V et al (2008) Molecular coupling of Xist regulation and pluripotency. Science 321:1693–1695 Nussbaum M (1880) Zur Differenzierung des Geschlechts im Tierreich. Arch Mikrosk Anat 80:1–121 Ohinata Y, Ohta H, Shigeta M et al (2009) A signaling principle for the specification of the germ cell lineage in mice. Cell 137(3):571–584 Okamura D, Kimura T, Nakano T et al (2003) Cadherin-mediated cell interaction regulates germ cell determination in mice. 130(26):6423–6430 Oktem O, Oktay K (2008) The Ovary. Anatomy and function throughout human life. Ann NY Acad Sci 1127:1–9 Ortiz R, Echeverría OM, Carlos A et al (2009) Cytochemical study of the distribution of DNA and RNA in the synaptonemal complex of guinea-pig and rat spermatocytes. Eur J Histochem 46:133–142 Padoa IJ (1964) I differenziamento sessualle delle gonadi di rans esculenta rese sterili dell’irradiamento con ultravioletto delle mova indivise. Boll Zool 31:811–824 Paland S, Lynch M (2006) Transition to asexuality in excess amino acid substitutions. Science 311:990–992 Paredes A, García-Rudaz C, Kerr B et al (2005) Loss of synaptonemal complex protein-1, a synaptonemal complex protein, contributes to the initiation of follicular assembly in the developing rat ovary. Endocrinology 146:5267–5277 Parrot J, Skinner M (1999) Kit-ligand/stem cell factor induces primordial follicle development and initiates folliculogenesis. Endocrinology 140:4262–4271 Parvanov ED, Ng SH, Petkov PM, Paigen K (2009) Trans-regulation of mouse meiotic recombination hotspots by Rcr1. PLoS Biol 7(2):e36 Pepling ME (2006) From primordial germ cell to primordial follicle: mammalian female germ cell development. Rev Genesis 44:622–632 Pesce M, Xiangyuan W, Wolgemuth D, Schöler H (1998) Differential expression of the Oct-4 transcription factor during cell differentiation. Mech Develop 71:89–98 Peterson O (2007) Lecture Notes. Human Physiology. 5th ed. Blackwell Publishing Ltd Popp C, Dean W, Feng S et al (2010) Genome-wide erasure of DNA methylation in mouse primordial germ cells is affected by AID deficiency. Nature 463:1101–1105 Saitou M, Barton S, Surani A (2002) A molecular programme for the specification of germ cell fate in mice. Nature 418:293–300 Sato E, Kimura N, Yokoo M et al (2006) Morphodynamics of ovarian follicles during oogenesis in mice. Microscop Res Tech 69:427–435 Spiller C, Wilhelm D, Koopman P (2009) Cell cycle analysis of fetal germ cells during sex differentiation in mice. Biol Cell. doi:10.1042/BC20090021 Tevosian S, Manuylov L (2008) To ß or not to ß: canonical ß-catenin signaling pathway and ovarian development. Dev Dyn 237:3672–3680 Van den Hurk R, Zhao J (2005) Formation of mammalian oocytes and their growth, differentiation and maturation within ovarian follicles. Theriogenology 63:1717–1751
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Chapter 3
Development of the Ovary in the Embryo, Infancy, Childhood, Pre-puberty and Puberty Gerardo H. Vázquez-Nin, María Luisa Escobar, Olga M. Echeverría, and Massimo De Felici
Abstract The hypothalamic-pituitary-gonadal system becomes activated in the human fetus. Negative feedback becomes operative towards term. During infancy gonadotropin concentration increases steroid secretion more in boys than in girls. The signification of this early hypothalamic-pituitary-gonadal activation is not known. During infancy serum concentration of gonadotropins appear to be sufficient to maintain growing follicles to small antral stage. In the absence of appropriated levels of LH, FSH or both, these follicles are unable to enter the preovulatory stage. In infantile rodents there is an accelerated loss of follicles from the resting pool during the initial waves of follicle growth. The presence of atretic processes during childhood was described in human and rat ovaries. Puberty involves the reactivation of GnRH pulse generator by removal of central system restrain. A large number of oocytes of rats from newborn to puberty are eliminated by means of different cell death processes: apoptosis, autophagy and a mixed process in which both routes participate in the same cell. List of Abbreviations ADP DAPI
Adenyl di-phosphate 4’, 6-Diamidino-2-phenylindole. Blue fluorescent dye that intercalates between DNA bases and stains it specifically FSH Follicle-stimulating hormone GnRH Gonadotropin releasing hormone LAMP-1 Lysosomal associated membrane protein 1
G.H. Vázquez-Nin (*), M.L. Escobar, and O.M. Echeverría Laboratory of Electron Microscopy, Department of Cell Biology, Faculty of Sciences, National University of Mexico (UNAM), Mexico City, Mexico e-mail:
[email protected] M. De Felici Department of Public Health and Cell Biology, University of Rome, Tor Vergata, Italy G.H. Vázquez-Nin et al., Cell Death in Mammalian Ovary, DOI 10.1007/978-94-007-1134-1_3, © Springer Science+Business Media B.V. 2011
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LH PCR RNA RT-PCR TUNEL
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Luteinizing hormone Polymerase chain reaction Ribonucleic acid Real time PCR Terminal Deoxy-UTP nick end labeling. Procedure that detects DNA breaks typical of apoptosis.
3.1 Infancy It is interesting to note that the hypothalamic-pituitary-gonadal system becomes activated in the human fetus. The negative feedback of steroids becomes operative towards term and with the removal of placental steroids gonadotropin secretion is activated during the first 4 months. This high gonadotropin concentration increases steroid secretion more in boys than in girls. The significance of this early hypothalamic-pituitary-gonadal activation is not known. In early postnatal heifer calves there is a gonadotrophin driven increase in ovarian antral follicle growth. This initial endocrine activity is controlled by negative feedback mechanisms until puberty (Rawlings et al. 2003). A pulse pattern of LH and FSH secretion was found in females of all ages. Serum LH and FSH concentration increases to concentrations even exceeding adult values during the first 4 months (Neely et al. 1995). A rise in serum levels of inhibin B and estradiol was also found in the first 3 months of life in girls, declining to prepubertal concentrations thereafter (Bergadá et al. 2001). The high gonadotropin concentrations cause gonadal activation and increase in steroid secretion. After 4–6 months of age, gonadotropin and steroid concentrations progressively decrease to very low levels by 1–2 years of age (Apter 1997). It is important notice that the atresia process occurs in neonate, in prepubertal and in adult organisms. Most follicles appear to undergo atresia at an early stage of growth. Therefore, conditions other than increased androgens production may explain failure of these follicles to continue growth. Serum concentrations of gonadotropins appear to be important. Basal concentrations of gonadotropins appear to be sufficient to maintain growing follicles to the small antral stage (Fig. 3.1). In the absence of an appropriate sustained increment of LH, FSH or both, these follicles are unable to enter the preovulatory stage. In infantile rodents there is an accelerated loss of follicles from the resting pool during the initial waves of follicle growth (Hage et al. 1978). This accelerated rate of loss of follicles has been attributed to a lack of mature follicles that might exert a negative effect on initial recruitment and to qualitative differences in the first groups (Edwards et al. 1977), reviewed in McGee and Hsueh (2000). Initial recruitment is believed to be a continuous process that starts just after follicle formation, long before pubertal onset. Studies on the ovary atresia have demonstrated that in the neonate and prior to puberty most atresia occurs in preantral follicles (reviewed in Richards 1980).
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Fig. 3.1 Schematic representation of growing follicles in gonadotropin independent stages. The follicles reach an early antral phase in an independent gonadotropin manner. These follicles reach an early antral phase in spite of the absence of gonadotropin
The localization and quantitative changes of estradiol receptor of uterine e pithelial cells, muscle cells and fibroblasts were studied in the interchromatin space, compact chromatin, nucleolus, cytoplasm and background. In the three types of cells the estradiol receptor was mainly associated to interchromatin space, and to nucleolus to a lower extent. It is interesting to note that in the immature chick ovary estrogen receptor is expressed in primary oocytes and in somatic cells including typical steroidogenic. At ultrastructural level the estrogen receptor was immunolocalized in extended chromatin. These data support the hypothesis that estrogens are involved in the function of somatic and germ cells in the immature ovary (Méndez et al. 1999). Using immunoelectron microscopic localization estradiol receptor was found in male and female reproductive organs and in cells of non-reproductive organs as hepatocytes, epithelial duodenal cells, striated muscle fibers, cells of the proximal convoluted tubules of the kidney, lymphocytes, neurons and adipose cells. In all of these cells a higher density of the estradiol receptor was found in the nucleus, especially in the space between the clumps of compact chromatin, where extended chromatin is abundant, as was previously found in epithelial endometrial cells (Méndez et al. 1999). It is interesting to note that in endometrial cells ovariectomy reduce the volume of the nucleolus to a third of its normal value, while the number of perichromatin granules (a nuclear RNP particle containing mRNA) increases. A single injection of 20 mg of estradiol produces a significant decrease of the number of perichromatin granules to a fourth of the value of castrate animals in 15–30 min and a significant increase of nucleolar volume in 2 h. The changes in nucleolar volume are due exclusively to the effects of estradiol on pre-rRNA transcription, while the variations of the number of perichromatin granules is the results of a combination of the effects on pre-mRNA synthesis and on its processing and transportation to the cytoplasm (Vázquez-Nin et al. 1978). Estradiol receptor was found not only in female reproductive organs but also in male reproductive organs and in non-reproductive organs as hepatocytes, epithelial duodenal cells, striated muscle
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fibers, cells of proximal convoluted tubules of the kidney, lymphocytes, neurons, and adipose cells (Echeverría et al. 1994). Immunolocalization of estrogen receptor in rat uterine epithelial cells, muscle cells and fibroblasts demonstrated that estradiol receptor is found in the nucleus mainly on extranucleolar ribonucleoprotein fibrils and probably on extended chromatin. In epithelial and muscle cells the nucleolus was labeled, but compact chromatin was not labeled. In epithelial cells was found a low but significant labeling of the cytoplasm. Ovariectomy did not change these distributions (Vázquez-Nin et al. 1991).
3.2 Childhood The lowest gonadotropin concentrations were found in 1–9 year old girls. The mean serum estradiol concentration in prepubertal girls was found to be 2.2 pmol/l. This finding implies that the ovaries secrete estradiol long before puberty (Apter 97 and references therein). Prior to puberty, in several mammals there is an initial recruitment of some primordial follicles to initiate growth, while most primordial follicles remain quiescent. Growing follicles are generally located in the inner part of the cortex, while non-growing primordial follicles lie in the external cortex. These follicles grow and develop an antrum; the oocytes remain in diakinesis of the first meiotic prophase and finally undergo atresia. In the ovary of 3-week-old mice, which is childhood for mice, there are simultaneously degenerating large follicles, together with medium-sized ones and some starting to grow (McGee and Hsueh 2000; Ortiz et al. 2006; Escobar et al. 2008). The presence of atretic processes in the ovaries during childhood was described in humans (Peters et al. 1976) and in rats (Ortiz et al. 2006; Escobar et al. 2008). Before puberty, blood concentrations of FSH are not sufficient to sustain development, thus all growing follicles become atretic. Inhibin B, produced by granulosa cells, is a heterodimeric glycoprotein that suppresses synthesis and the secretion of the follicle stimulating hormone (FSH) (Fig. 3.2). Prepubertal girls have irregular luteinizing hormone (LH) pulses of low amplitude during the day, while LH and FSH pulses increase amplitude within 1 h after the onset of sleep. Mechanisms underlying the atresia of follicles prior to puberty set the number of follicles available to the adult animal to ensure normal fertility and the hormones necessary to the overall health of the organism. The effects of estrogens on follicular development has been studied in aromatase knockout mice, in these organisms the follicles develop from primordial to antral, demonstrating that the estradiol deficiency is not critical for the follicular development. It is interesting that in knockout mice the number of primordial follicles is 40% less than in wild type organisms (Britt et al. 2001). In the newborns of pregnant baboons treated with aromatase inhibitors, the primordial follicles number was reduced (Zachos et al. 2002).
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Fig. 3.2 Hypothalamic-pituitary-gonadal system in chilhood. In absence of GnRH low levels of LH are present. The granulosa cells secrete inhibins which suppress the LH levels. The absence of LH and FSH source provokes the selectable antral follicles become atretic
The reduced number of primordial follicles demonstrates that the steroids play a role in early folliculogenesis. Primordial follicles are cleared from the ovary at an extremely high rate, but they were not positively associated with nuclear condensation, cell shrinkage, activation of caspase 3, cleavage of poly (ADP ribose) polymerase 1(PARP1), or fragmentation of DNA. These data are consistent with a non-apoptotic death of primordial follicles in prepubertal mice (Tingen et al. 2009). The transforming growth factor beta (TGFb) family of proteins consists of multifunctional cytokines that modulate a wide variety of cellular functions. Smad proteins mediate TGFb (and activin) signaling through a cascade of ligand-induced phosphorylation. Smad3 is a receptor highly expressed in the ovarian surface epithelium, granulosa cells, and oocytes in several animals (Tomic et al. 2002). Smad3-/- mice have reduced fertility compared with wild type, does not affect the size of primordial follicles pool, but is important for the normal growth of primordial follicles to the antral stage (Tomic et al. 2002). Posterior studies demonstrate that Smad3 deficiency also causes atretic follicles, increased apoptosis, and degenerated oocytes (Tomic et al. 2004). Ultrastructural alterations of oocytes and granulosa cells were described in atretic follicles of prepubertal and young adult rats long time ago (Vázquez-Nin and Sotelo 1967; Ortiz et al. 2006). Oocytes present lamellar alteration of the cytoplasm, probably due to changes in the cytoplasmic matrix and changes in the distribution of the organelles. Regions of the cytoplasm become devoid of vesicles,
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mitochondria, endoplasmic reticulum, Golgi cisternae, ribosomes and are occupied by fibrils and lamellae. When the process has fully developed the lamellae form groups of multiple parallel lamellae. The multivesicular bodies and other lysosomal vesicles containing cytoplasmic structures increase in number. Final stage of follicular atresia is characterized by loss of contact between follicular cells and the oocytes, corona cells become extensively vacuolated retract their prolongations to the oocytes and detach from the zona pellucida. Atretic anomalous segmentation of the oocytes frequently takes place (Vázquez-Nin and Sotelo 1967). The structural features of the process of rat oocytes death are similar in infancy, childhood and prepubertal periods. The structural features are mainly characterized by the presence of abundant clear vacuoles, autophagosomes, as well as by the absence of large clumps of compact chromatin associated to the nuclear envelope and apoptotic bodies. Cytochemical features as positive reaction to TUNEL method, active caspase-3 and lamp1 immunolocalizations are common to cell death of oocytes in all types of follicles in rats from 1 to 28 days (Ortiz et al. 2006). Recent studies of the alterations of dying oocytes in prepubertal rats employed TUNEL method, immunolocalization of active caspase 3, lamp1, localization of acid phosphatase, and DAPI staining (Fig. 3.3). All procedures were performed in adjacent sections of each oocyte. This procedure allowed demonstrating that in most dying
Fig. 3.3 Oocytes of different ages. In (a) and (a’) 1 day old oocytes are shown. In (b) and (b’) 25 days old oocytes. The oocytes are simultaneously positive to different markers as lamp1 and to the TUNEL technique. Scale bars 10 mm
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oocytes exist simultaneous features of apoptosis as active caspase 3 and DNA breaks characteristic of apoptosis and increased lamp1 and acid phosphatase characteristics of autophagy. Large clumps of compact chromatin and membrane blebbing were absent. Electron microscope observations demonstrated the presence of large number of small clear vesicles and autophagolysosomes. All these features indicate that a large number of oocytes are eliminated by a process sharing features of apoptosis and autophagy. In dying oocytes of newborn rats the markers of apopotosis predominate over those of autophagy. However, fragmentation and apoptotic bodies were not found. These features suggest that in different cytophysiological conditions the process of cell death may be differently modulated (Escobar et al. 2008). The processes of cell death were also studied in vitro in populations of oocytes isolated from prepubertal rats. In order to identify apoptosis, the externalized phosphatidylserine was recognized with Annexin-V coupled to FITC and fragmentation of DNA was demonstrated by means of electrophoresis. Oocytes were tested for autophagy by means of incorporation of mondansylcadaverine and monitoring Lc3-I/Lc3-II by western blot. The expression of mRNA marker genes of autophagy and of apoptosis was studied by means of RT-PCR in pure populations of oocytes. Some oocytes expressed at least one of the following markers: caspase-3, lamp1 and Lc3. Some oocytes were positive to Annexin-V or to monodansylcadaverine. However, most of them were simultaneously positive to both markers. The relative frequency of oocytes simultaneously present to markers of apoptosis and autophagy did not change in rats of different ages studied. The mRNAs of caspase-3, lamp1 and Lc3 were present in all populations of oocytes. These results demonstrate that oocytes of rats from new born to prepubertal age are eliminated by means of different cell death processes: apoptosis, autophagy, and a mixed process in which both routes to cell death participate in the same cell (Escobar et al. 2010). The LH and FSH source allow the selectable antral follicles progress to ovulation. In prepubertal organisms antral follicles undergo atresia. In granulosa cell layer scattered pyknotic nuclei can be seen as well as cells detached of the basal membrane, fragmentation of the basal membrane and cell debris in the antral cavity. Frequently macrophages invade the stromal area adjacent to the atretic follicle.
3.2.1 Puberty Puberty involves the reactivation of the GnRH pulse generator by the removal of central nervous system restraint (Apter 1997). In this process the diminution of the sensibility of the hypothalamus and hypophysis to the inhibitory effects of estrogens is probably also involved (Villavicencio-Macías 1991). At the beginning of puberty an increase in LH and particularly in FSH concentrations takes place in girls, both while asleep and awake (Apter 1997). At the beginning of pubertal period, the percentage of pituitary cells producing estradiol receptor a increases significantly. Simultaneously the plasma concentrations of LH increases while GH concentration decreases. These changes reflect an escalating
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Fig. 3.4 Hypothalamic-pituitary-gonadal system during puberty. The GnRH pulse triggers an increase in LH and FSH concentrations. The LH and FSH source allow the selectable antral follicles progress to ovulation
regulatory role of estrogens in the physiology of pituitary cells at the end of the prepubertal period (Polkowska et al. 2008). During puberty a rise in serum levels of inhibin B, FSH, LH, and estradiol takes place (Chada et al. 2003). It is initiated independent of gonadal activity and can be activated by exogenous pulses of GnRH (Apter 97 and references therein). The mechanism activating puberty is still largely unknown. It seems to be a process initiated in the central nervous system which results in the production and liberation of gonadotropin releasing hormone (GnRH). This factor transported to the hypophysis by the hypothalamus – pituitary portal vessels stimulate gonadotropin secretion (Fig. 3.4). Experimentally the onset of puberty may be initiated independently of gonadal activity, by exogenous pulses of GnRH in infantile monkeys and girls with delayed puberty (Apter 1997) or by the administration of prolactin, which increases the sensibility of the ovary to the low concentrations of circulating gonadotropins existing in prepubertal rats. This treatment increases the number of receptors to LH in granulosa cells, producing an augment in the liberation of progesterone and estrogen. (Villavicencio-Macías 1991). The ovaries of immature cattle, sheep and pigs respond to the injection of exogenous gonadotropin producing fertilizable oocytes, showing that the ovary is prepared for its adult function long before puberty (González-Padilla 1978). Several studies report the birth of live offspring from bovine and ovine using in vitro fertilization of oocytes from prepubertal animals. However, the developmental
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competence of in vitro-matured oocytes from prepubertal animals is lower than that of oocytes derived from adult animals (Ledda et al. 2001). Prepubertal swine oocytes were also found to be less competent than their adult counterparts, but are also able to develop to term (Marchal et al. 2001). The lesser competence of prepubertal oocytes may be due to morphological differences, as fewer transzonal projections or a lower level of maturation-promoting factor, a universal cell cycle regulator of both mitosis and meiosis (Ledda et al. 2001). The innervation of the mammalian ovary has been described several times. Earlier studies showed that the extrinsic innervation of the ovary consists of sympathetic, parasympathetic and sensory fibers. The presence of ganglionar polygonal neurons was also described in several mammals (D’Albora et al. 2002). Neurons identified by the expression of a neuron-specific nuclear protein (NeuN), were detected at all postnatal intervals in rat ovary. About 20% are catecholaminergic, as determined by their content in tyrosine hydroxylase and others showed neuropeptide Y immunoreactivity (D’Albora et al. 2000; D’Albora et al. 2002). Neurons are also present in the human ovary (Anesetti et al. 2001). In the rat, the complexity of these neurons increases during prepubertal development. However, the number of neurons decreases after 60 days of postnatal age, and most of the remaining neurons present morphological anomalies. In rhesus monkey the total number of ovarian neurons decreases gradually between 2 months and 12 years of age. Conversely the number of tyrosine hydroxylase positive neurons increases significantly at puberty and declines with loss of reproductive capacity. (Les Dees et al. 2006). The ovarian neurons originate from the neural crest (Les Dees et al. 2006). In rat ovaries, catecholaminergic nerves are present in prefollicular stages in fetal (19 day) and newborn (15 h after birth) animals, as revealed by tyrosine hydroxylase immunodetection. As prefollicular ovaries are insensitive to gonadotropins; the developing ovary is probably subject to direct neurogenic influences before it acquires responsiveness to gonadotropins (Malamed et al. 1992). On the same token, the absence of nerve growth factor, a protein of the neurotrophin family, required for survival and differentiation of neurons, is also necessary for the growth of ovarian primordial follicles, a process known to occur independently of gonadotropins in immature mice. The ovaries from homozygote nerve growth factor null (-/-) mutant animals, exhibited a reduced population of primary and secondary follicles in the presence of normal gonadotropin levels, and an increased number of oocytes that failed to be incorporated into a follicular structure (Dissen et al. 2009). Experiments ex-vivo using the celiac ganglion-superior ovarian nerve-ovary system of prepubertal rats showed that celiac ganglion participates on the regulation of the prepubertal rat ovary in one of two ways: either increasing nitric oxide, a gaseous neurotransmitter with cytostatic characteristics that causes immature follicles to remain dormant or by increasing the liberation of androstendione and estradiol, the steroids necessary to begin the first estral cycle (Delgado et al. 2006). The ensemble of these results shows that the prepubertal development of the ovary is mainly controlled by neural signals, while after puberty there is a gradual decrease in the number of intrinsic ovarian neurons, possibly due to programmed cell death (D’Albora et al. 2002).
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References Anesetti G, Lombide P, D’Albora H et al (2001) Intrinsic neurons in the human ovary. Cell Tissue Res 306:231–237 Apter D (1997) Development of the hypothalamic-pituitary-ovarian axis. Ann NY Acad Sci 816:9–21 Bergadá I, Bergadá C, Campo S (2001) Role of inhibins in childhood and puberty. J Pediatr Endocrinol Metab 14:343–353 Britt KL, Drummond AE, Dyson M et al (2001) The ovarian phenotype of the aromatase knockout (ArKO) mouse. J Steroid Biochem Mol Biol 79:181–185 Chada M, Průša R, Bronsky J et al (2003) Inhibin B, stimulating hormone, luteinizing hormone, and estradiol and their relationships to the regulation of follicle development in girls during childhood and puberty. Physiol Res 52:341–346 D’Albora H, Lombide P, Ojeda S (2000) Intrinsic neurons in the rat ovary: an immunohisto chemical study. Cell Tissue Res 300:47–56 D’Albora H, Anesetti G, Lombide P et al (2002) Intrinsic neurons in the mammalian ovary. Microscop Res Tech 59:484–489 Delgado S, Casais M, Sosa Z, Rastrilla A (2006) Ganglionic adrenergic action modulates ovarian steroids and nitric oxide in prepubertal rat. Endocr J 53:547–554 Dissen G, Romero C, Hirshfield A, Ojeda S (2009) Nerve growth factor is required for early follicular development in the mammalian ovary. Endocrinology 142:2078–2086 Echeverría OM, González-Maciel A, Traish AM et al (1994) Immuno-electron microscopic localization of estradiol receptor in cells of male and female reproductive and non-reproductive organs. Biol Cell 81:257–265 Edwards RG, Fowler RE, Gore-Langton RE et al (1977) Normal and abnormal follicular growth in mouse, rat and human ovaries. J Reprod Fertil 51:237–263 Escobar ML, Echeverría O, Ortiz R et al (2008) Combined apoptosis and autophagy, the process that eliminates the oocytes of atretic follicles in immature rats. Apoptosis 13:1253–1266 Escobar ML, Echeverría OM, Sánchez-Sánchez L et al (2010) Analysis of different cell death processes of prepubertal rat oocytes in vitro. Apoptosis 15:511–526 González-Padilla E (1978) La aparición de la pubertad en vaquillas. Cienc Vet 2:293–325 Hage AJ, Groen-Klevant AC, Welschen R (1978) Follicle growth in the immature rat ovary. Acta Endocrinol (Copnh) 88:375–382 Ledda S, Bogliolo L, Leoni G, Naitana S (2001) Cell coupling and maturation-promoting factor activity in in vitro-matured prepubertal and adult sheep oocytes. Biol Reprod 65:247–252 Les Dees JK, Hiney NH, McArthur GA et al (2006) Origin and ontogeny of mammalian ovarian neurons. Endocrinology 147:3789–3796 Malamed S, Gibney J, Ojeda S (1992) Ovarian innervation develops before initiation of folliculogenesis in the rat. Cell Tissue Res 270:87–93 Marchal R, Feugang J, Perrau C et al (2001) Meiotic and development competence of prepubertal and adult swine oocytes. Theriol Int J Anim Reprod 56:17–29 McGee E, Hsueh A (2000) Initial recruitment of ovarian follicles. Endocr Rev 21:200–214 Méndez MC, Chávez B, Echeverría OM et al (1999) Evidence for estrogen receptor expression in germ cell and somatic cell subpopulations in the ovary of the new hatched chicken. Cell Tissue Res 298:145–152 Neely E, Hintz R, Wilson D et al (1995) Normal ranges for immunochemiluminometric gonadotropin assays. J Pedriatr 127:40–46 Ortiz R, Echeverría OM, Salgado R et al (2006) Fine structural and cytochemical analysis of the processes of the cell death of oocytes in atretic follicles in new born and prepubertal rats. Apoptosis 11:25–37 Peters H, Himelstein-Braw R, Faber M (1976) The normal development of the ovary in childhood. Acta Endocrinol 82:617–630
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Polkowska J, Wójcik-Gładysz A, Wańkowska M et al (2008) Prepubertal changes in the synthesis, storage and release of growth hormone and in the immunoreactivity of oestrogen receptor-a in lamb pituitary cells. J Chem Neuroanat 36(1):53–58 Rawlings NC, Evans AC, Honaramooz A et al (2003) Antral follicle growth and endocrine changes in prepubertal cattle, sheep and goats. Anim Reprod Sci 78(3–4):259–270 Richards JS (1980b) Maturation of ovarian follicles: actions and interactions of pituitary and ovarian hormones on follicular cell differentiation. Physiol Rev 60:51–89 Tingen CM, Bristol-Gould SK, Diesewetter SE (2009) Prepubertal primordial follicle loss in mice is not due to classical apoptotic pathways. Biol Reprod 81:16–25 Tomic D, Brodie SG, Deng C et al (2002b) Smad3 may regulate follicular growth in the mouse ovary. Biol Reprod 66:917–923 Tomic D, Miller KP, Kenny HA et al (2004b) Ovarian follicle development requires Smad3. Mol Endocrinol 18:2224–2240 Vázquez-Nin GH, Sotelo JR (1967) Electron microscope study of the atretic oocytes of the rat. Z Zellforsch 80:518–533 Vázquez-Nin GH, Echeverría OM, Molina E et al (1978) Effects of ovariectomy and estradiol injection on nuclear structures of endometrial epithelial cells. Acta Anat 102:308–318 Vázquez-Nin GH, Echeverría OM, Fakan S et al (1991) Immunolocalization of estrogen receptor on pre-mRNA containing constituents of rat uterine cell nuclei. Exp Cell Res 192:396–404 Villavicencio-Macías M (1991) Un estudio de los mecanismos que regulan el crecimiento y la diferenciación folicular en la rata prepúber: el papel de la hormona estimulante del folículo y sus isohormonas. Thesis for Master degree. ENEP Zaragoza, Universidad Nacional Autónoma de México Zachos NC, Billiar RB, Albrecht ED et al (2002) Developmental regulation of baboon fetal ovarian maturation by estrogen. Biol Reprod 67:1148–1156
Part II
General Aspects of Cell Death
Chapter 4
Apoptosis María Luisa Escobar, Gerardo H. Vázquez-Nin, and Olga M. Echeverría
Abstract Cell death is a fundamental physiological process involved in controlling the balance between proliferation and differentiation during embryonic development, and in the renewal of cellular tissue throughout adulthood. It is presently known that some alterations in this process modify the cellular behavior and can lead to different pathologies, such as certain cancers and neurodegeneration processes. Apoptosis is the best studied cell death, and it is considered as programmed type I cell death. This process is characterized by several morphological cellular changes where cellular shrinkage, chromatin condensation, nuclear fragmentation are included. The apoptosis is executed by a group of proteases, denominated caspases, which lead to the cellular characteristics of the process. List of Abbreviations APAF1 Bak Bax BH3 Bid CARD ced-3 DED DISC FADD ICE Mcl-1 MOMP
Apoptotic protease activating factor 1 Bcl-2 antagonist/killer Bcl-2-associated X protein Bcl-2-homology domain-3 BH3-interacting-domain Caspases recruitment domain Caenorhabditis elegans cell-death abnormality-3 Death effector domain Death-inducing signaling complex Fas associated death domain-containing protein Interleukin-1 converting enzyme Myeloid cell leukemia-1 Mitochondrial outer-membrane permeabilization
M.L. Escobar (*), G.H. Vázquez-Nin, and O.M. Echeverría Laboratory of Electron Microscopy, Department of Cell Biology, Faculty of Sciences, National University of Mexico (UNAM), Mexico, USA e-mail:
[email protected] G.H. Vázquez-Nin et al., Cell Death in Mammalian Ovary, DOI 10.1007/978-94-007-1134-1_4, © Springer Science+Business Media B.V. 2011
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PIDD p53-Indicible death domain PUMA p53-Upregulated modulator of apoptosis Smac/DIABLO Second mitochondrial activator of caspase/direct IAP-binding protein with low pI tBID Truncated BID TNFR TNF receptor TNF Tumor necrosis factor TRADD TNFR1-associated death domain TRAIL TNF-related apoptosis-inducing ligand XIAP X-linked inhibitor of apoptosis protein
4.1 General Characteristics of the Apoptosis Cell death is essential for the elimination of defective or out of use cells. This process is necessary during development for the removal of unnecessary cells and to maintain the homeostasis in several organs during adulthood life. The term apoptosis was introduced by Kerr and cols. (1972), they described a series of morphological cellular characteristics defining a type of cell death that is different from necrosis. The morphological features of apoptosis include cytoplasmic shrinkage, membrane blebbing, chromatin condensation (pyknosis), nuclear fragmentation (karyorrhexis), intranucleosomal DNA fragmentation (endonucleolysis), and the formation of apoptotic bodies with cytoplasmic content. During apoptosis the organelles are preserved and basically there is no autophagic degradation. Diverse characteristics of apoptosis are easily visible in light microscopy, such as the cell shrinkage and pyknosis during the early process of apoptosis (Kerr et al. 1972). Pyknosis is the result of chromatin condensation whereas cell shrinkage makes the cells smaller, the organelles strongly packed and the cytoplasm denser. As a consequence of the plasma membrane blebbing, the cell is fragmented into pieces named apoptotic bodies; this process is called “budding.” The apoptotic bodies contain cytoplasm with tightly packed organelles, which may or may not have nuclear material surrounded by an intact cytoplasm. These apoptotic bodies are phagocytosed by macrophages or neighboring cells (Kerr et al. 1972). An important and fundamental aspect of apoptosis is that the plasma membrane is conserved until the final process, a characteristic that confers to apoptosis the attribute that no inflammatory event takes place during the cellular death process (Savill and Fadok 2000; Kurosaka et al. 2003) (Fig. 4.1). Recently, several studies have provided important information concerning the proteins participating in the apoptotic process of cell death. Biochemically, apoptosis is associated with the proteases named caspases, the apoptosis is known as a caspase-dependent process. Two important features of the biochemical alterations are the loss of the cytoplasmic membrane asymmetry, which provokes the phosphatidylserine externalization, and the permeabilization of mitochondria, which is an important organelle in the apoptosis execution.
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Fig. 4.1 Morphological characteristic of the apoptosis process. At the left a schematic representation of different cellular alterations during apoptosis. The micrography shows the chromatin of nuclei of cultured cells labeled with DAPI. The arrow heads point to highly compacted nuclei. The arrow shows apoptotic bodies. Scale bar 50 mm
4.2 Caspases Apoptosis is executed by a series of proteases called caspases which are cysteinedependant aspartic acid-specific proteases. Their function is to cleave vital cellular substrates after aspartic acid. These proteases were first identified in Caenorhabditis elegans (Ellis and Horvitz 1986), and were known as cell-death abnormality-3 (ced-3) gene product. The first CED identified was CED-3, which shares sequences with the mammalian protease inlerleukin-1 (IL-1)-converting enzyme. Later this enzyme was renamed as caspase-1 (Alnemri et al. 1996). Now 14 caspases are known, 11 of which are present in human (caspase-1 to -10, and caspase-14). Although the members of caspase family share some characteristics, such as amino acid sequence and molecular structure, they have different functions; some of them are involved in the inflammatory process (caspase-1, caspase-4, caspase-5, caspase-11, caspase-13 and caspase-12), and others are involved in apoptosis cell death (caspase-2, caspase-3, caspase-6, caspase-7, caspase-8, caspase-9, and caspase-10). Caspase-14 is involved in the differentiation of keratinocytes. The caspases can be found in inactive form in the cytoplasm. They are synthesized as inactive precursors (zymogens) that become active proteases after their cleavage at specific sites within the molecule (Stegh and Peter 2001) via internal proteolysis or by induced proximity. Initiator caspases are activated through their
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Fig. 4.2 Graphic representation of the caspases activation. The inactive precursors (procaspases) become active proteases after their cleavage or dimerization
oligomerization, mediated by adaptor molecules; the proximity of protein-protein interaction domains of both the adaptor and the caspase allows the process. This oligomerization leads to autoproteolytic cleavage of the initiator caspases (Muzio et al. 1998; Salvesen and Dixit 1999). The initiator caspases are activated by dimerization, and the executioner caspases are activated by cleavage (Fig. 4.2). The molecular structure of the caspases is remarkably conserved; they contain a prodomain at the N-terminus, followed by a catalytic protease domain at the C-terminus, which consists of a prodomain p20 large (of 20 kDa), and two identical p17 small subunits (10 kDa) (Chang and Yang 2000; Prior and Salvesen 2004). The activation of the zymogen precursor is mediated by a series of cleavage events, first separating the large and small subunits, followed by the removal of the prodomain (Ramage et al. 1995; Yamin et al. 1996). The active form of the caspases comprises a heterotetramer of two units, each of which is composed by one large-a and smallb subunits (Shiozaki et al. 2003). All caspases have a catalytic site consisting of a Cys285 and His237 (Stennicke and Salvesen 1999). These enzymes recognize tetrapeptide motifs and cleave their substrates on the carboxyl side of an aspartate residue. To catalyze the hydrolysis of the peptide substrate the caspases utilize a cysteine thiolate residue. The nucleophilic attack by the cysteine thiolate initially forms a tetrahedral intermediate that is stabilized by the enzyme active site. This is followed by elimination of the C-terminal portion of the peptide, leaving a thioester in the active site. Subsequent hydrolysis of the thioester releases the N-terminal portion of the substrate peptide and regenerates an available active site to reenter the catalytic cycle (reviewed in Fricker 2010). The apoptotic caspases have been divided into two groups: initiator caspases with long prodomains of over 100 amino acids, and executer caspases with short prodomains of usually less than 30 amino acids. The initiator caspases are responsible for the activation of the executor caspases; this group is composed of caspase-8, caspase-10, and caspase-9. The executer caspases have diverse cellular targets which are cleaved during apoptosis, inducing the morphological changes
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Fig. 4.3 Graphic characteristics of caspases zymogens. The caspases have been classified according their function and structure
during this process (Earnshaw et al. 1999; Stegh and Peter 2001), this group is constituted by caspase-7, caspase-6, and caspase-3. The caspase-8 and caspase-10 possess long prodomains containing the characteristic protein-protein interaction motif, the death effector domain (DED). On the other hand, caspase-1, caspase-2, caspase-4, caspase-5, caspase-9, caspase-11 and caspase-12, have the caspase activation and recruitment domain (CARD), which provides the source for interaction with upstream adaptor molecules mediating the homophilic interaction between procaspase and their adapters (Fig. 4.3).
4.3 Bcl2 Proteins The B-cell lymphoma/leukemia-2 (Bcl-2) family, are proteins regulators of the mitochondrial pathway of apoptosis. The Bcl2 family is constituted by more than 30 members and is divided into three groups on the basis of their functions and the composition of their Bcl-2 homology (BH) domains (Adams and Cory 1998). All the Bcl-2 family members share at least one of four relatively conserved BH domains. The proteins of Bcl-2 family have been classified as: pro-apoptotic, Bcl2- homology domain-3 (BH3)-only (BH3-only), and anti-apoptotic. The BH3-only belong to the pro-apoptotic type (Fig. 4.4).
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Fig. 4.4 Bcl-2 family proteins. The Bcl-2 family members share at least one of four BH domains. This family has the pro-apoptotic, BH3-only, and anti-apoptotic proteins
The pro-apoptotic members are Bcl-2-associated X protein (Bax), Bcl-2 antagonist/ killer (Bak), and Bcl-2-related ovarian killer (Bok). All of them share three domains (BH1, BH2, and BH3). They also have a similar 3D structure, namely a globular bundle of a-helices with a hydrophobic surface groove (Fesik 2005; Suzuki et al. 2000). The multi-domain proteins Bax and Bak promote the formation of pores in the mitochondrial external membrane, which enables the release of apoptogenic factors such as cytochrome-c. The BH3-only proteins are a subgroup of the Bcl-2 family, comprising at least 12 members: Bcl-xL/Bcl-2 associated death promoter (Bad), Bcl-2-interacting mediator of cell death (Bim), Bik/Nbk/Blk, BH3-interacting domain death agonist (Bid), Bcl2-modifying factor (Bmf), p53 upregulated modulator of apoptosis (Puma), Noxa, Spike, BNIP3, Nix, Hrk/DP5 and Beclin-1 (Giam et al. 2008). These BH3-only proteins contain only one homology domain. The BH3-only promote activation of these multi-domain family members upon an apoptotic insult which is sufficient for their killing action. This amphipathic a-helix of 16 residues binds to the hydrophobic surface groove of anti-apoptotic members to inhibit apoptosis (Sattler et al. 1997; Liu et al. 2003). Both types of pro-apoptotic
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proteins are necessary to exert the cell death, because the BH3-only firstly antagonize the Bcl-2-like protein (Huang and Strasser 2000), and Bax or Bax is necessary for organelle permeation (Cheng et al. 2003; Wei et al. 2001). BH3-only proteins serve to sequester the antiapoptotic proteins or to bypass them and directly activate Bak/Bak proteins (Willis et al. 2007; Kroemer et al. 2007). The inactive form of Bax exists as a soluble protein in the cytosol, associated with cytosolic retention factors; Bak is a resident protein of the mitochondria outer membrane forming an inactive complex with voltage-dependent anion-selective channel protein 2 (VDAC2) (Lucken-Ardjomande and Martinou 2005). The proapoptotic Bcl-2 members Bax and Bak are activated when they are released of their sequestration by anti-apoptotic Bcl-2. These proteins have a direct interaction with a subset of BH3-only proteins Bim, truncated Bid (tBid) and Puma. During apoptosis, Bax undergoes a number of changes, including translocation to mitochondria, a conformational change exposing hidden epitopes within the N-terminus, and its assembly into high molecular weight complexes (Valentijn et al. 2003). The proapoptotic Bcl-2 proteins directly impact on mitochondrial outer-membrane permeabilization (MOMP), through the Bax and Bak conversion from inactive monomers to oligomeric transmembrane structures (Upton et al. 2007); these proteins oligomerize through direct or indirect activation by the domain BH3-only members. The anti-apoptotic Bcl-2 family members, Bcl-2, BclxLong (Bcl-xL), Bcl-w, Bf1/ A1, and myeloid cell leukemia-1 (Mcl-1), contain up to four Bcl-2-homology (BH)domains and localize mainly to intracellular membranes such as endoplasmic reticulum and mitochondria; these proteins promote the cell survival (Cuconati and White 2002). These proteins are capable of preventing the release of apoptogenic factors, because they contain a hydrophobic cleft that enable them to bind to BH3only proteins and to the pro-apoptotic Bcl-2 family members Bad, Bak, and Bax to inhibit apoptosis (Liang and Fesik 1997).
4.4 Extrinsic Route of Caspases Activation In mammals, two different routes of apoptosis activation have been described: the extrinsic mediated, via a death receptor; and the intrinsic where the mitochondria are a key player. The extrinsic route implies the participation of death receptors (DR) located in the cytoplasm membrane and the caspase-8 and/or the caspase-10. The caspase-8 is the most upstream caspase in the death receptor signaling pathway and its activation is brought about as a result of the adaptor-mediated multimerization. The DRs are activated by extracellular ligands; the most common of these ligands are the tumor necrosis factor-a (TNF-a), Fas ligand (FasL or CD95L/Apo1), TNF-like WEAK inducer of apoptosis (TWEAK), and TNF-related apoptosis-inducing ligand (TRAIL). The DRs belong to the TNF receptor (TNF-R) super-family, as Fas/CD95, TNF-R1 (p55/CD120a), TRAMP/Apo-3/DR3/WSL-1/LARD/, the TRAIL receptors DR4/TRAIL-R1 and DR5/TRAIL-R2/TRICK2/KILLER (Ashkenazi and Dixit 1998).
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These receptors are localized in the lipid rafts (Nagata and Goldstein 1995; Nagata 1997; Kramer 2000) and contain death domains (DD) and death effector domains (DED) capable of homophilic protein-protein interactions. The death receptors share multiple cysteine-rich repeats in their extracellular ligand-binding domain, a type I (single pass) transmembrane domain, and a cytoplasmic death domain required for intracellular signaling (Schneider and Tschopp 2000). The DD acts as the recruitment site for adaptor proteins whose role is to initiate the various downstream signaling pathways governed by these receptors. The binding on the cell surface of the death receptor with their specific ligand recruits the adaptor proteins as TNF receptor-1-associated protein (TRADD) and Fas associated via death domain (FADD or MORT1). This complex is able to recruit caspase-8 and caspase-10 through their death effector domain (DED) forming a high molecular weight multiprotein complex known as the death-inducing signaling complex (DISC) (Muzio et al. 1996; Sandu et al. 2006). DISC is a signaling complex that contains multiple adaptor molecules as well as FADD and TRADD, as DAXX, receptor interacting protein kinase (RIP), RIP associated protein with a DD (RAIDD) and FLICE-like inhibitory protein (FLIP). Receptor assembly into oligomers is triggered by ligand binding, resulting in the formation of the DISC through conformational alterations. DISC constitutes a subset of cell surface receptors of the TNF-R superfamily. DISC acts as a cellular controller and in presence of stimulus it begins the oligomerization of its constituents to form the active oligomeric platform, in which the ligand binding occurs. The entire process of recruitment and oligomerization of caspase-8 in the DISC results in the autocatalytic activation of caspase-8 and/or caspase-10, which subsequently activate downstream caspases directly (Fig. 4.5).
Fig. 4.5 Extrinsic route of activation of apoptosis. The cellular receptor of death is activated by its ligand in the cytoplasmic membrane. This event activates the intracellular upstream signalization of caspases conducing to the apoptosis
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4.5 Intrinsic Apoptosis Activation Intrinsic apoptotic signaling can be activated by several stimuli, such as DNA damage and cytotoxic drugs, provoking mitochondrial damage. Mitochondria are comprised of a matrix surrounded by the inner membrane, the intermembrane space and the outer membrane. The inner membrane contains molecules such as ATP synthase, electron transport chain, and adenine nucleotide translocator. Under normal physiological conditions these molecules allow the respiratory chain to create an electrochemical gradient and thus a membrane potential (reviewed in Rupinder et al. 2007). In the intrinsic apoptosis route, the mitochondria play an essential function. Several signals arrive to the mitochondria which respond by releasing diverse proteins. In this route the Bcl-2 family members have an important function. The pro-apoptotic Bcl-2 as Bax and Bak, promote the permeabilization of the mitochondrial outer membrane, and the subsequent release of apoptogenic factors, as cytochrome-c, Smac/DIABLO, high temperature requirement protein A2 (Omi/HtrA2), and apoptosis-inducing factor (AIF) into the cytosol (Gross et al. 1999) (Fig. 4.6). Cytochrome-c is released from the mitochondrial intermembrane space, causing apoptotic protease activating factor 1 (Apaf-1) oligomerization resulting in apoptosome formation. This complex, in turn, recruits and activates procaspase-9, which then activates executioner caspase-3 and caspase-7. When the cytochrome-c leaves the mitochondria its free form in the cytoplasm can interact with Apaf-1. Apaf-1 preexists in the cytosol as a monomer of 130-kDa consisting of a multidomain protein that is formed of three functional regions: an
Fig. 4.6 Intrinsic route of activation of apoptosis. When the cell recipes the pro-apoptotic insult, the mitochondria responds releasing cytochrome-c, to form the apoptosome complex
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N-terminal caspase-recruitment domain (CARD), a nucleotide-binding domain and an oligomerization domain (NOD/NB-ARC). The C-terminal domain is composed of 12–13 WD40 repeats (from different spliced forms), a motif that mediates protein-protein interactions (Ried et al. 2005). Apaf-1 CARD functions to recruit pro-caspase-9 via its CARD, and to oligomerize into a heptameric scaffold (Acehan et al. 2009). The WD40 repeats are organized into two domains and are responsible for the binding of cytochrome-c. Between the CARD and the WD40 repeats, there is a region constituted by three domains denominated NOD/NB-ARC domains, which is at the centre of oligomerization and thus, of the site of apoptosome formation (Ried et al. 2005). In the Apaf-1 monomeric form the WD40-repeat domains maintain to Apaf-1 in an autoinhibited state. Once free, the cytochrome-c binds to the WD40-repeat region of Apaf-1 and it induces a conformational change in Apaf1, provoking that the lock in the autoinhibited form of Apaf-1 is released, thus allowing the apoptosome formation. The entire process previously described results in the formation of the apoptosome, a heptamer comprised of seven Apaf-1 adaptor molecules, each bound to one molecule of cytochrome c and a dimer of the initiator caspase-9, with a size of nearly 1 megadalton. The apoptosome form a symmetrical wheel-like structure; in this complex Apaf-1 interacts with the adjacent Apaf-1 molecules via their N-terminal CARD domains to form a central hub region, and the C-terminal WD40 repeats are extended to form the outside ring. Unlike the others caspases, the caspase-9 is activated primarily by allosteric change and dimerization rather than cleavage (Rodriguez and Lazebnik 1999; Boatright et al. 2003). The formation of the apoptosome is a multistep process that requires the presence of either 2¢-deoxy ATP (dATP) or ATP and it is simultaneous with major conformational changes in Apaf-1 (reviewed in Ried and Salvesen 2007). Finally the apoptosome activates the executer caspases -3 and -7, which initiate their proteolytic activity. Caspase-2 also is activated sequentially. To active this caspase, the assembly of a large protein complex, which has 670 kDa molecular weight, is necessary (Tinel and Tschopp 2004; Read et al. 2002). In this complex an adaptor protein RAIDD, and the p43-induced protein with a death domain (PIDD) are present. Caspase-2activating complex is named PIDDosome (Tinel and Tschopp 2004). The pro-caspase-2 has a CARD that facilitates the dimerization of procaspase-2. The interaction of the protein RAIDD with CARD is an event that triggers the pro-caspase-2 activation. Caspase-2 is recruited into a protein complex similar to the Apaf-1/caspase-9 apoptosome (Tinel and Tschopp 2004).
4.6 Crosslinking Between Extrinsic and Intrinsic Activation The caspase-8 was originally called FADD-like Interleukin-1b-converting enzyme (FLICE) (Enari et al. 1995). It has the singular characteristic that once activated can initiate the mitochondrial signaling pathway, cleaving the cytosolic BH3interacting domain death agonist (Bid). Active caspase-8 cleaves Bid at Asp59, yielding a p15 C-terminal truncated fragment, generating a truncated Bid (tBid).
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Fig. 4.7 Crosslinking between extrinsic and intrinsic apoptosis activation processes
tBid is then able to directly activate pro-apoptotic multi-domain proteins to induce mitochondrial outer-membrane permeabilization (MOMP), inducing a conformational change of the multi-domain Bcl-2 family proteins Bax and Bak, which allows their insertion into the outer mitochondrial membrane. The permeabilization of the outer membrane provokes the release of apoptogenic factors, including cytochrome-c, Smac/DIABLO, OMI/HTR2A, and apoptosis-inducing factor (AIF) into the cytosol (Gross et al. 1999) (Fig. 4.7).
4.7 Apoptosis-Inducing Factor (AIF) The mitochondrial membrane permeabilization promotes the release of caspase independent death effectors like apoptosis-inducing factor (AIF) (Susin et al. 1999), endonuclease G (EndoG), as well as HtrA2, which also possesses a serine protease activity (Ravagnan et al. 2002), establishing the pathway “caspaseindependent death”. AIF is a mitochondrial flavoprotein, which in healthy cells is confined to the mitochondrial intermembrane space with its N-terminal region oriented towards the matrix and the C-terminal to the intermembrane space (Otera et al. 2005). It is a mitochondrial flavin adenine dinucleotide (FAD)-dependent oxidoreductase that plays roles in oxidative phosphorylation and redox control (Modjtahedi et al. 2006).
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AIF displays NAD(P)H oxidase as well as monodehydroascorbate reductase activities (Miramar et al. 2001). AIF is synthesized as a 613 amino acid (67 kDa) precursor; the mammalian AIF precursor contains an N-terminal mitochondrial localization sequence (MLS, residues 1–100) and a large C-terminal part (residues 121–610) (Susin et al. 1999). The precursor is imported into mitochondria via its N-terminal prodomain and then processed to a 62 kDa mature protein (Susin et al. 1999; Otera et al. 2005). The mature form of AIF (57 kDa) is generated by cleaving of the MLS, after import into the mitochondrial intermembrane space; this activation is made by calpains and/or cathepsins (Otera et al. 2005). Once AIF is cleaved by calpains and/or cathepsins the pro-apoptotic truncated AIF (tAIF) is formed, becoming soluble and then released. The AIF activation by cathepsins is a calcium dependent process; unlike the activation via calpains which is calcium independent. After an apoptotic insult, the mitochondrial outer membrane is permeabilized and AIF translocates to the cytosol and the nucleus, via its C-terminal domain nuclear localization sequence (NLS). In the nucleus AIF is associated to peripheral chromatin condensation, as well as high-molecular-weight (50 kbp) DNA fragmentation (reviewed in Candé et al. 2002) is a hallmark of caspase-independent apoptosis. AIF cytosolic/nuclear transit is regulated by Heat Shock Protein-70 and cyclophilin A (CypA) (Gurbuxani et al. 2003; Zhu et al. 2007). Cyp A is a peptidylprolyl cis-trans isomerase that has been implicated in the DNA degradation during apoptosis cell death (Montague et al. 1997). Five isoforms of AIF have been characterized: AIF, AIF2/AIF-exB, AIFsh (AIF short), AIFsh2 (AIF short 2), and AIFsh3 (AIF short 3). AIF2/AIF-exB has a regulation and sub cellular distribution similar to AIF (Loeffler et al. 2001). Other isoforms are restricted to different spaces: AIFsh1 is in the cytoplasm and AIFsh2 located to the mitochondria. During the cell death process only AIF and AIFsh participate in large-scale DNA fragmentation (Delettre et al. 2006). AIF becomes activated in response to different insults that induce its release from the mitochondria. AIF activation provokes nuclear DNA degradation, as has been reported, under treatment with nitrosoureas, AIF interacts with the histone H2AX (Artus et al. 2010)
4.8 Inhibitor of Apoptosis Proteins (IAPs) The IAP family of proteins has the ability to protect cells from death. Highly conserved baculoviral IAP repeat (BIR) is a zinc-binding fold of approximately 70 amino acid residues that mediates protein-protein interactions (Sun et al. 1999). BIR is found in 1–3 copies in every IAP. It is the domain that mediates apoptosis inhibition, through direct binding of caspases. In addition, mammalian IAPs as X-chromosome-linked inhibitor of apoptosis protein (XIAP), cIAP1 and cIAP2, possess a C-terminal RING domain. This structural motif confers E3-ubiquitin ligase activity to IAPs (Yang et al. 2000), allowing them to target numerous substrates, including IAPs themselves, caspases, IAP antagonists, and other cellular proteins, for poly-ubiquitylation. Moreover the previous characteristics, cIAP1 and
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Fig. 4.8 Graphic representation of IAP proteins family
cIAP2 contain a CARD. The BIR domains can be grouped into type I domains, with presence of a deep peptide-binding groove, and type II domains, without this groove (Lu et al. 2007) (Fig. 4.8). The XIAP structure is comprised of three baculoviral IAP repeat domains (BIR1-3), and a zinc-finger RING domain. This caspase inhibitor exerts its function at physiological concentrations. The active caspase-3 and caspase-7 are inhibited by XIAP via its adjacent BIR2 region (Vaux and Silke 2005). In contrast, the XIAP BIR3 domain is required for inhibiting caspase-9 (Vaux and Silke 2005). The XIAP BIR3 binds to the homodimerization surface of caspase-9; in this manner XIAP interferes with caspase-9 dimerization. Mitochondrial permeabilization, through pores formed by activated Bax or Bak, allows the release of factors that antagonizes the IAPs function. In mammals, the IAPs antagonists, as the second mitochondria derived activator of caspases (Smac)/ direct IAP binding protein with low PI (DIABLO), Omi/HTRA2, or GSPT1/eRF3, are constitutively expressed and are sequestered into their site of expression until they receive a death stimulus. Both Smac and Omi contain IAP-binding motifs (IBMs) through which they interact with IAPs, thereby sequestering them and ensuring that cells in fact undergo apoptosis (Eckelman et al. 2006). These antagonists are binding to the IAP BIR domains, blocking their access to caspases (reviewed in Gyrd-Hansen and Meier 2010). Smac/DIABLO is the principal antagonist of XIAP; this antagonist may occlude the binding sites of XIAP in the caspase-3, caspase-7 and caspase-9 (Scott et al. 2005). Survivin (16.5 kDa) is the smallest member of the IAP family, containing a single baculovirus IAP repeat motif. When the Survivin is activated, it is exported into the cytoplasm where it inhibits the caspases.
4.9 Execution Phase All of the proteolytic activation described above leads to the different morphological changes produced during apoptosis. The proteolytic cleavage of cellular substrates by effector caspases is responsible for the apoptotic hallmarks, such as chromatin condensation, plasma membrane asymmetry and cellular blebbing.
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The hallmark of apoptosis is DNA fragmentation into pieces with lengths c orresponding to multiple integers of approximately 180 base pairs (Wyllie 1980). This characteristic is generated by the activation of nucleases as caspase-activated DNase (CAD/DFF40). This nuclease is present in living cells, bound to its inhibitor of CAD (ICAD/DFF-45). CAD is activated by caspase-3 and caspase-7 via cleavage of ICAD, resulting in the release of CAD (Enari et al. 1998). Activated CAD translocates to the nucleus where it exerts its DNase function. The lamins and cytoskeletal proteins, such as fodrin and gelsolin, are cleaved by executer caspases, leading to morphological changes in apoptotic cell as nuclear shrinkage and fragmentation (Buendia et al. 1999). The cytoskeleton cleavage causes the loss of overall cell shape; the cleavage of the components of the focal adhesion complex leads to detachment of apoptotic cells from their neighbors and from the basement membrane (Wen et al. 1997). Plasma membrane blebbing results from the caspase-mediated activation of gelsolin, an actin depolymerizing enzyme (Kothakota et al. 1997). Caspase mediated cleavage of PAK2, a member of the p21activated kinase family, participates in the formation of apoptotic bodies (Rudel and Bokoch 1997). Actin undergoes several modifications that lead to cell detachment (Levee et al. 1996; Celeste Morley et al. 2003). The cellular contractility has also been related to RHO-associated coiled-coil containing protein kinase (ROCK) (Tosello-Trampont et al. 2003). The kinase activity of ROCK influences the status of myosin light chain (ML C) phosphorylation; this kinase activation is RHO-GTP dependent (Riento and Ridley 2003). The apoptotic cell death process is accompanied by a change in plasma membrane structure which leads to the exposure of phosphatidylserine (PS) on its external surface, while the membrane integrity remains unchallenged. Surface exposed PS can be detected by its affinity for Annexin-V. Annexin-V belongs to a family of phospholipid-binding proteins that include 12 members in vertebrates. The Annexin family has the ability to bind phospholipids in a reversible and calcium dependent manner. Annexin-V has a high affinity to bind to the negatively charged phospholipid PS. The PS is actively localized on the inner leaflet of the plasma membrane in healthy cells. The cell apoptosis initiation induces the rapid externalization of PS on the outer leaflet of the plasma membrane as a response to increased intracellular calcium. PS exposure on the outer leaflet of the plasma membrane can also be recognized by phagocytes as a signal for engulfment.
4.10 Other Routes of Apoptosis Activation The T-lymphocytes under cytotoxic environment activate a Fas mediated route to activate the apoptosis via Fas-FasL binding. This binding provokes the target cell membrane to become perforated by perforins, and subsequently the protease granzyme B is released in the cytoplasm. Granzyme B is an enzyme that splices proteins after the amino acid aspartate in the same way as caspases, resulting in a caspasecascade with the characteristic morphological changes (Martin and Green 1995).
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The endoplasmic reticulum stress pathway has been attributed to the activation of caspase-12 (Nakagawa et al. 2000), and in this sense it has been proposed that Bcl-2 functions on the endoplasmic reticulum as well as on mitochondria under cytotoxic stimuli, activating Bax and Bak to permeabilize the outer membrane of the mitochondria and the endoplasmic reticulum. As caspase 12 resides on the cytoplasmic face of the endoplasmic reticulum (Nakagawa and Yuan 2000; Nakagawa et al. 2000), it is possible that the activation of the caspase-12 is triggered at the level of the endoplasmic reticulum. Poly(ADP-ribose) polymerase (PARP) is an abundant nuclear protein that catalyses poly(ADP-ribose) ligation to acceptor proteins, including itself, in response to DNA strand breaks. The Poly(ADP-ribosylation) is a posttranslational modification that plays a relevant role in DNA repair. PARP-1 is a nuclear enzyme that rapidly binds to DNA strand breaks leading to the formation of long, branched poly(ADP-ribose) polymers using NAD+ as substrate. The resulting negatively charged PARP-1 is subsequently dissociated from DNA ends, facilitating the DNA repair process (Kim et al. 2005). PARP-1 is a caspase-3 and caspase-7 substrate that is converted from the 116-kDa form to fragments of 89 and 24 kDa (Kaufmann et al. 1993). PARP-1 is constituted by three functional domains: (a) the N-terminus a DNA binding domain (DBD, 46 kDa), which contains a bipartite nuclear localization sequence (NLS) and two zinc fingers (DBD is responsible for DNA strand breaks recognition); (b) the central region of the protein is the auto modification domain (22 kDa), which mediates the PARP-1 autoribosylation; (c) the C-terminus, contains the NAD-binding domain (54 kDa), which is essential for the conversion of NAD1 into ADP-ribose. Caspases 3 and 7 cleave PARP-1 in Asp-Glu-Val-Aspaldehyde (DEVD) site within the DBD, thus splitting the NLS. Apoptosis cell death is a highly regulated process and its morphological and biochemical characteristics are strongly related, since the pro-apoptotic stimulus lead the molecular machinery activation to eliminate damaged or altered cells.
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Chapter 5
Autophagy María Luisa Escobar, Gerardo H. Vázquez-Nin, and Olga M. Echeverría
Abstract Autophagy is a physiological process conserved by evolution for the recycling of cell constituents, as organelles or fragments of cytoplasm. Autophagy does not cause loss of cell chemical components as the cell reutilizes them. The lysosomes are acidic vesicles delimited by a single membrane formed in the Golgi apparatus. They contain acid hydrolases for degradation of proteins; lipids, nucleic acids and glucids, and they fuse with diverse types of phagocytic vesicles. Autophagosomes contain undegraded cytoplasmic ground substance and recognizable organelles. The transformation of an autophagosome in an autolysosome occurs by the acquisition of lysosomal membrane proteins and the delivery of acid hydrolases. The autophagy mechanism is considered as a protective system; organisms in starving conditions, autophagy is a procedure to reduce metabolic demand by the cell and thus avoid death. On the other hand, autophagic cell death is a form of programmed cell death morphological and metabolic different from apoptosis. Autophagic cell death is accompanied by cytoplasmic vacuolization and activation of lysosomal enzymes. Due to the absence of a rupture of cell membrane and leak of cytoplasmic content, this cell death program is characterized by the lack of a tissue inflammatory response.
List of Abbreviations TOR TSC TOR TSC RER Atg
Target of rapamycin Tuberous sclerosis complex Target of rapamycin Tuberous sclerosis complex Endoplasmic reticulum AuTophaGy-related
M.L. Escobar (*), G.H. Vázquez-Nin, and O.M. Echeverría Laboratory of Electron Microscopy, Department of Cell Biology, Faculty of Sciences, National University of Mexico (UNAM), Mexico, USA e-mail:
[email protected] G.H. Vázquez-Nin et al., Cell Death in Mammalian Ovary, DOI 10.1007/978-94-007-1134-1_5, © Springer Science+Business Media B.V. 2011
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PI3K Vps34 PE LC3 MPT AMPK PAS PtdIns4P PtdIns(4,5)P2 PDK1
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Phosphatidylinositol 3-OH kinase Vacuolar protein sorting 34 Phosphatidylethanolamine Light chain 3 microtubule-associated protein 1 Mitochondrial permeability transition AMP-activated protein kinase Preautophagosomal structure (or phagophore assembly site) Phosphatidylinositol-4phosphate Phosphatidylinositol-4, 5-bisphosphate Phosphoinositide-dependent kinase-1
5.1 Autophagy Process Autophagy is a physiological process conserved by evolution for the recycling of cell constituents, as organelles or other cell constituents or fragments of cytoplasm. Actually, autophagy is the main route for degradation of cell constituents by proteasomes. This process is especially significant during development and under certain conditions of stress (Klionsky and Emr 2000). Autophagy does not cause loss of cell chemical components as they are reutilized by the cell. For instance, the breakdown of proteins by autophagy produces amino acids and other elements needed for intermediary metabolism and for biosynthetic pathways. In this way eukaryotic cells degrade parts of their cytoplasm and organelles (Dunn 1994). Defective proteins are also eliminated in this way. Moreover, autophagy is the primary intracellular catabolic mechanism for degrading and recycling long-lived proteins and organelles. Autophagy is involved in different events of physiological processes such as: tissue remodeling during development and differentiation, production of amino acids when nutrients fall short and elimination of unwanted and damaged organelles and molecules. These processes are likely to be an important function during the span of adult life (Meijer and Codogno 2004). In mammals, autophagy has been proposed as an anti-ageing mechanism for eliminating organelles damaged by the age-dependent peroxidation of molecules (Bergamini et al. 2003). As autophagy and most of the lysosome-mediated degrading processes decline during ageing, keeping autophagy active would be important to delay ageing (Cuervo and Dice 2000). The deregulation of autophagy has been proposed to play a role in certain diseases, including cancer, cardiomyopathy, muscular diseases, and neurodegenerative disorders (reviewed in Levine and Klionsky 2004). These pathological processes are mainly due to the accumulation of autophagic vacuoles in the cytoplasm of the cells because of autophagic processes lacking the fusion of autophagosomes with lysosomes. In cancer, autophagy may function as an adaptive mechanism allowing cancer cells to overcome limitation in nutrient supply. In this way the process of autophagy may function as a promotor of tumorigenesis. However, the stimulation of autophagy in cancer cells was observed in response to anti-cancer
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Fig. 5.1 Dual roles for autophagy in cancer disease. The function of autophagy depends on the stimulus, environment and cellular response
treatments (Bursch et al. 2000; Inbal et al. 2002). It remains to be firmly established whether autophagy is a protective mechanism or if it is directly involved in cell death mechanisms to substitute the apoptotic programme that is frequently altered in cancer cells (Fig. 5.1). In insects one of the principal functions of autophagy is its participation in the development of the insect removing larval muscles and salivary glands during the metamorphosis process (reviewed in Lockshin and Zakeri 2004). The morphological traits of autophagy were described for the first time in mammals. Cells in the early stages of autophagy contain several autophagic vacuoli, and both the nucleoplasm and the cytoplasm appear slightly darkened, although nuclear structure still appears normal. Mitochondria and the endoplasmic reticulum are sometimes dilated, and the Golgi apparatus is often enlarged. The plasma membrane loses specializations such as microvilli and junctional complexes. In several cases an intense endocytosis is observed. During late stages, both the number and size of vacuoli increase, and many of them contain myelin figures or are filled with lipids, appearing as pale gray inclusions in the cytoplasm (Clarke 1990) (Fig. 5.2). The nucleus of a cell undergoing autophagic cell death can become pyknotic, identifiable by light microscopy either in early or in late stages of the degenerative process. This nuclear condensation is neither as common nor as remarkable as that of apoptosis. The late autophagic cell debris are frequently removed by heterophagy, but this tends to occur in very late stages and seems to be less conspicuous than the clearance of apoptotic bodies (Clarke 1990). A reorganization of intracellular membranes and high lysosomal activity was also observed. Like other lysosomal compartments, autophagic vacuoles possess an acidic pH which is generated by a V-type H+-ATPase (Al-Awqati 1986). Autophagy process includes at least four steps: the induction and the formation of the autophagosome, fusion of the autophagosome with the lysosome or vacuole, and autophagic vacuole breakdown (Klionsky and Emr 2000) (Fig. 5.3). The process of autophagy involves the participation of lysosomes to degrade the content of autophagy vesicles. In most eukaryotic cells the lysosomes and in yeast the vacuoles are the main degrading organelle. The lysosomes are vesicles formed in the Golgi apparatus. They
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Fig. 5.2 Ultrastructural features of autophagic cell death of an oocyte of a 28 days old rat. The cytoplasm contents numerous autophagic vacuoles with cytoplasmic contents in different degree of degeneration
Fig. 5.3 The autophagosomal pathway
contain acid hydrolases and fuse with diverse types of phagocytic vesicles in meeting points where different intracellular currents converge (González-Noriega 2003). The hydrolases are formed in the rough endoplasmic reticulum (RER) and they pass through the Golgi apparatus. Lysosomes are acidic organelles delimited by a single membrane, containing a characteristic set of acid hydrolases for degradation of proteins, lipids, nucleic acids and glucids arriving through endocytosis, autophagy and phagocytosis (Novikoff 1961). During endocytosis, molecules are incorporated in early endosomes and some of these molecules are recycled to the cell membrane, while others are incorporated in late endosomes. The lumen of these endosomes is at pH 6 and contains lysosomal hydrolases originated in the Golgi complex. They receive lysosome enzymes from the biosynthetic pathway and become lysosomes. The optimum pH for the catalysis of these enzymes is about 4.6. The low pH is maintained by a proton transporter (a H+-ATPase) located in the membrane of the organelle. Lysosomes are responsible for the degradation of internalized material from the endocytic and autophagic pathways.
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The lysosomal membrane has several functions: the acidification of the interior of the lysosome, the uptake of lysosome enzymes (Mellmann et al. 1986), the transport of degradation products from the lumen to the cytosol and the fusion between lysosomes and between lysosomes and other organelles (Fukuda 1991; Peters and von Figura 1994). The lysosomal membrane contains several N-glycosylated proteins, among which the better characterized are lamp1 and lamp2, which are structurally related and evolved from a common ancestral gene (Granger et al. 1990). They are the major components, constituting nearly 50% of the proteins of lysosomal membrane, according to estimations based on immuno-purification (Chen et al. 1985; Marsh et al. 1987). These are transmembrane proteins type I, with a large luminal domain, a transmembrane domain and a cytoplasmic domain containing the carboxy terminus. The cytosolic polypeptide chain conserved in both proteins is composed by 11 amino acids and contains the information for the cytosolic location of the lysosome (Hunziker et al. 1996) (Fig. 5.4). In spite of the homology, 37% of aminoacids lamp1 and lamp2 are distinct proteins that diverged early in the evolution as suggested by the localization of their genes in different chromosomes (Fukuda 1991). Autophagocytosis begins with formation of autophagosomes, which then mature into autolysosomes by acquiring degradative activity. The process of autophagy has different routes for the elimination of cytoplasmic components: macroautophagy, microautofagia and ubiquitin-proteosomal system (Mizushima 2007). These processes differ in the mechanisms for transportation of substrates into the lysosome, in their regulation and in their selectivity. The macroautophagy, shortly autophagy, and the microautophagy are processes conserved from yeast to mammals, while the ubiquitin-proteosomal system is present only in mammals.
Fig. 5.4 Immunolocalization of lamp1 in adult rat oocytes. Note the abundant signal in the cytoplasmic region of the oocyte (arrows)
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5.2 Macroautophagy The sequestration of organelles and cytosol for subsequent degradation within the lysosomal vacuolar system occurs by macroautophagy. Degradation of bulky cell constituents by the lysosome/vacuole system occurs via macroautophagy; in the initial step of macroautophagy, a membrane structure known as the ‘isolation membrane’ is formed. This structure grows to form a double-membraned vesicle containing various cytosolic proteins, as well as cytoplasmic organelles in the lumen of double-membrane autophagosomes. These autophagosomes then mature, perhaps fusing with endosomes, before fusing with lysosomes. Autophagosomes then fuse with endosomes or lysosomes to become mature, single-membraned autolysosomes (Fig. 5.5a). Acidification of the lumen and acquisition of lysosomal hydrolytic enzymes enable this specialized membrane system to degrade sequestered cytoplasmic components (Ueno et al. 1999). The acidic hydrolases of the lysosome then effect degradation of the contents of the autophagosome, resulting in amino acids and fatty acids that can then be either metabolized for energy production or recycled into biosynthetic pathways (Eskelinen 2005).
Fig. 5.5 Schematic drawing of different autophagic pathways. (a) macroautophagy, (b) microautophagy, (c) chaperone-mediated autophagy system
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5.3 Microautophagy In microautophagy relatively small portions of cytoplasm (e.g. glycogen and ribosomes) are sequestered by an invagination of the lysosome membrane, by the wrapping of a flap-like protrusion, and/or septation of the lysosomal limiting membrane. This process results in membrane bound intralysosomal vesicles whose contents are degraded by lysosomal hidrolases (Fig. 5.5b), and is regulated by environmental factors (reviewed in Dunn 1994).
5.4 Chaperone-Mediated Autophagy System Autophagy mediated by chaperones is activated by different agents causing stress, such as starvation, exposition to toxins and oxidative stress. In chaperone-mediated autophagy, proteins with a specific sequence signal are transported from the cytoplasm through the lysosomal membrane to the lysosomal lumen (Cuervo and Dice 1996). These proteins are selectively transported after interacting with chaperone hsc70, which is a 70 kDa member of the thermal shock proteins family (Fig. 5.5c). The interaction of hsc70 with the substrate takes place by means of pentapeptide KFERQ, which is present in all substrates that take this route (Dice 1990). The complex substrate-chaperone binds a lysosome membrane receptor, lamp2A or a similar protein associated to the lysosomal membrane. After unfolding, the substrate goes through the lysosomal membrane assisted by a chaperone lying in the lumen of the lysosome (Cuervo and Dice 1996).
5.5 Atg Genes The molecular components of autophagy were initially described in yeast. Different approaches led to the identification of the autophagy genes and the nomenclature of these genes has been unified, beening termed Atg genes (AuTophaGy-related). The Atg genes were identified first in the yeasts Saccharomyces cerevisiae, Hansenula polymorpha, and Pichia pastoris and many of these genes have their candidate orthologs in higher eukaryotes. Among these Atg genes, one subset is required for autophagosome formation in all subtypes. Atg genes were discovered using yeast mutants defective in autophagy. Atg genes are required for the activation of the signalization complex that initiates the formation of the autophagosome. The first mammalian autophagy genes Atg5 and Atg12 were identified by Mizushima et al. (1998a, b). Another critical step for autophagy analysis in higher eukaryotes was the identification of the mammalian Atg8 homologue MAP1LC3 (LC3), and the subsequent development of LC3-based assays for monitoring autophagy in mammals and other higher eukaryotic systems.
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Beclin 1 is the mammalian orthologue of yeast Atg6. Beclin 1 localizes to the trans-Golgi network, it belongs to the class III phosphatidylinositol 3-kinase complex and participates in the early stages of autophagosome formation, promoting the nucleation of autophagic vesicles (Kihara et al. 2001). This complex plays a key role in increasing the size of pre-autophagosomal membranes and in their biogenesis by recruiting proteins from the cytosol. Beclin 1 was originally discovered as a Bcl-2-interacting protein (Liang et al. 1998) and was the first human protein shown to be indispensable for autophagy (Liang et al. 1999). The overall structure of Atg6/Beclin 1, as well as its essential role in autophagosome formation, is evolutionarily conserved throughout all eukaryotic phyla. The autophagy function of the Beclin 1-class III PI3K complex is activated by UVRAG, Ambra1, and Bif-1, and inhibited by Bcl-2 and Bcl-xL (Levine and Kroemer 2008). The core machinery of autophagy is composed of three major functional groups: –– Atg9 and its cycling system, which includes Atg9, the Atg1 kinase complex (Atg1 and Atg13), Atg2 and Atg18. –– The phosphatidylinositol 3-OH kinase (PI3K) associated with the membrane anchored p150 adapter, which tethers the enzyme to cytoplasmic membranes, forming a complex with the vacuolar protein sorting 34 (Vps34). The resulting complex is Vps34 (PI3K)/Vps15 (p150). –– The ubiquitin-like protein system includes different proteins with specific functions. The ubiquitination process involves three sequential reactions catalyzed by the E1 (ubiquitin activating), E2 (ubiquitin conjugating/carrier), and E3 (ubiquitin ligase) enzymes of the ubiquitin system (Hershko and Ciechanover 1998). In autophagy the ubiquitin system is composed of two ubiquitin-like proteins (Atg8 and Atg12); one activating enzyme (Atg7); two analogues of ubiquitin-conjugating enzymes (Atg10 and Atg3); one Atg8 modifying protease (Atg4); the Atg5 one protein target of Atg12 attachment; and the Atg16. In this system the Atg7 and the Atg10 proteins function as the E1 and E2 enzymes in the ubiquitin pathway.
5.6 Atg9 Cycling System Atg9 is an integral membrane protein located in the preautophagosomal membrane. It has a role prior to the closure of the double-bilayer vesicle but is absent in mature autophagosomes. The interaction of Atg2 with Atg9 is indispensable for autophagosome formation. Atg1 and Atg18 are required for the correct localization of Atg2 in the pre-autophagosomal membrane.
5.7 Class-III PI3K Class-III PI3K (and its adaptor p150) was also found to be necessary for autophagy in yeast. These organisms contain Vps34, a homolog of the class-III PI3K, which is part of a complex which includes Vps15 (the homolog of p150 in mammalian cells), Vps30,
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and Atg14 (Hutchins et al. 1999). This complex is required to recruit the Atg12–Atg5 conjugate to the preautophagosomal structure (Suzuki et al. 2001). The autophagy effector Beclin 1, the mammalian ortholog of yeast Atg6/Vps30, is part of a Class III PI3K complex which is involved in both vacuolar protein sorting and autophagy.
5.7.1 Ubiquitin-Like Protein System Analyses of the Atg proteins allowed the identification of two ubiquitination-like conjugation systems required for autophagosome formation (Ohsumi 2001) and one of these systems mediates the conjugation of Atg12–Atg5 (Mizushima et al. 1998a, b). This Atg12–Atg5 conjugation system is conserved from yeast to human. The Atg12–Atg5 system associates non-covalently with the coiled-coil protein Atg16. The other system mediates a covalent linkage between Atg8 and phosphatidylethanolamine (PE) (Ichimura et al. 2000). Atg8 was the first molecule found to localize to the intermediate structures of the autophagosome, necessary for autophagosome formation (Kirisako et al. 1999; Huang et al. 2000). Atg12–Atg5 conjugate is present on the outer side of the isolation membrane and is required for elongation of the isolation membrane (Mizushima et al. 2001). The conversion of Atg8 to Atg8-PE requires Atg7. The latter is an enzyme which has a function similar to E1 enzyme in the ubiquitin pathway in the Atg12 conjugation system (Mizushima et al. 1998a, b; Tanida et al. 1999; Kim et al. 1999). Atg8 conjugates with Atg3 through a thioester bond between the C-terminal glycine of Atg8 and Cys234 of Atg3. This system is dependent upon the activity of Atg3 which functions as an E2 enzyme (Ichimura et al. 2000). Light chain 3 (LC3) of neuronal microtubule-associated protein 1A/B, is a mammalian homolog of yeast Atg8 that is required for autophagosome formation (Kabeya et al. 2000). Immediately after the synthesis of LC3, the protein is converted to the cytoplasmic form, LC3-I, by cleavage at the C-terminal region (Kabeya et al. 2000). LC3-I is further converted into LC-II a membrane-bound form, by Atg7 and Atg3, when autophagy is induced (Ohsumi 2001). LC3-II is localized mainly in the membranes of autophagosomes and, to a lesser extent, within autophagolysosomes (Kabeya et al. 2000). A PE-conjugated form of LC3 localizes on the isolation membrane and the autophagosome membrane (Kabeya et al. 2000; Kabeya et al. 2004). LC3 is required in the formation process of autophagomes, and colocalizes to the nascent and early autophagic vacuole membranes; LC3 is thus the first specific marker protein for autophagic vacuoles.
5.8 Autophagosomes Formation Autophagosomes are usually bound by two or more membranes and contain undegraded cytoplasmic ground substance and recognizable cellular organelles. Autophagosomes sequester peroxisomes, mitochondria, ER, ribosomes and cytosolic ground substance for degradation (Dunn 1990). The autophagy starts when a flat
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Fig. 5.6 Schematic representation of autophagosomes formation. The conjugation system Atg12–Atg15 associates non-covalently to Atg16. The autophagosome formation besides requires the participation of the conjugation system LC3-PE. LC3-II form is released to the cytosol
membrane cistern wraps around a portion of cytosol and/or organelles, forming a closed double-membrane bound vacuole that contains cytoplasm and cytoplasmic components called autophagosome. The autophagosomes can be classified as early or initial autophagic vacuoles, when they contain cytosol or organelles, and as late or degradative autophagic vacuoles, when they contain partially degraded cytoplasmic material (Dunn 1994; Dunn 1990). The isolation membrane, which is thought to be formed as a result of the activity of the Beclin 1–Vps34 complex, is elongated with the help of an ubiquitin-like conjugation system. Atg12 is first activated by Atg7, then transferred to Atg10 and finally covalently attached to Atg5: this process requires ATP. The Atg12–Atg5 conjugate is localizated in autophagosome precursors and is dissociated around the completion of autophagic vacuole formation (Mizushima et al. 2001; Mizushima et al. 2003). An ubiquitin-like modification of LC3 protein is required for completion of autophagosome formation. The cytosolic precursor of LC3 is cleaved at its C terminus by Atg4 to form LC3-I (Kirisako et al. 2000). The LC3-I is covalently conjugated to phosphatidylethanolamine to form LC3-II (as previously mentionated). LC3-II is specifically targeted to the complex Atg12–Atg5 autophagosome precursors and remains associated with autophagosomes even after fusion with lysosomes, subsequent to which LC3-II is delipidated and recycled (Kirisako et al. 1999) (Fig. 5.6).
5.9 Maturation of Autophagosomes to Autolysosomes The maturation of a newly formed (early) autophagosome into an autolysosome appears to occur in two steps: the formation of a late autophagosome upon acquisition of lysosomal membrane proteins including the acidifying H+-ATPase, and the
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delivery of acid hydrolases by either transfer from endosomes mediated by the mannose-6-phosphate receptor or fusion with pre-existing lysosomes, thereby transforming the late autophagosome into an autolysosome (Dunn 1994). The autophagosome fuses with endosomal and/or lysosomal vesicles, and the content is delivered to the endo/lysosomal lumen. Autophagosomes fused with endosomes are called amphisomes (Berg et al. 1998), an autophagosome or amphisome that has fused with a lysosome is called autolysosome, at this stage, autophagosomes acquire lysosome-associated membrane protein 1 (Lamp1) and Lamp2 (Eskelinen et al. 2003). In S. cerevisiae the autophagosomes fuse with the vacuole. The mechanism of fusion has similarities with homotypic vacuole fusion, and the SNAREs Vam3 and Vti1 (mammalian orthologues are syntaxin-7 and VTI1B, respectively) have both been implicated in the fusion of autophagosomes with the yeast vacuole (Darsow et al. 1997). Members of the homotypic fusion and vacuole protein sorting complex (HOPS complex), have also been shown to be important in autophagosome/vacuole fusion in S. cerevisiae and autophagosome–lysosome fusion in Drosophila melanogaster (Rieder and Emr 1997). In mammalian cells, RAB7 has been implicated in the fusion of autophagosomes with lysosomes (Jäger et al. 2004).
5.10 Autophagy as a Process of Cell Death Autophagy is generally accepted as a normal catabolic pathway for lysosomal degradation of intracellular membranes, cytosolic organelles and secretory products. The autophagy mechanism is considered as a protective system, attempting to reduce metabolic demand by the cell to avoid death; many organisms in starving conditions will consume first labile and then less labile muscle proteins. Autophagy is also involved in removing damaged mitochondria and other organelles, in degrading intracellular pathogens, and protein aggregates too large to be removed by the ubiquitin-proteasomal system. These functions of autophagy could promote cellular survival during aging, infectious diseases, and neurodegenerative processes. In addition to a cell-autonomous role for autophagy in promoting survival, autophagy is involved in programmed cell death during physiologic processes in vivo (reviewed in Levine and Yuan 2005). The function of autophagy as a death process is debated; however diverse reports indicate that the autophagic cell death occurs primarily when the developmental program (e.g., insect metamorphosis) or homeostatic processes in adulthood require massive cell elimination. Despite its predominant role as a survival pathway, progressive autophagy can result in cell death if allowed to proceed to completion under persistent stress and during development. In Drosophila, autophagic cell death plays an important role during salivary gland development (Baehrecke 2000). Diverse studies have also described autophagic cell death in diseased mammalian tissues and in tumour cell lines treated with chemotherapeutic agents (Levine and Yuan 2005). In most situations, such as starvation, autophagy can be increased and
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provoke an oxidative stress or mitochondrial dysfunction (Aubert et al. 1996). Under these circumstances the autophagy probably functions initially as a cytoprotective mechanism, but if cellular damage is too extensive, or if apoptosis is compromised, excessive autophagy may be used to kill the cell (Gorski et al. 2003; Kissova et al. 2004) (Fig. 5.7). The term “autophagic cell death” describes a form of programmed cell death morphologically distinct from apoptosis and presumed to result from excessive levels of cellular autophagy (Schweichel and Merker 1973). Autophagic cell death is not only accompanied by the accumulation of autophagic vacuoles, but also involves an increase in cytoplasmic degradation that contributes to cell death. Autophagic degeneration is always accompanied by cytoplasmic vacuolization and activation of lysosomal enzymes (Afford and Randhawa 2000). This cell death program is characterized by the lack of a tissue inflammatory response due to the absence of a rupture of the cell membrane and the leak of cytoplasmic content to the extracellular space. Autophagy is characterized by the accumulation of autophagic vesicles (autophagosomes and autophagolysosomes), which occurs in the absence of chromatin condensation but is accompanied by large-scale autophagic vacuolization of the cytoplasm. Autophagic cell death is often observed when massive cell elimination is needed or when phagocytes do not have easy access to the dying cells, as in some forms of developmental programmed cell death (e.g., mammalian embryogenesis, insect metamorphosis), in which the availability of macrophagic cells may be insufficient for clearance of dead cells. In such cases, dying cells may activate
Fig. 5.7 Graphic representation of different pathway of autophagy. An excessive vacuolization lead to different molecular mechanisms that lead to autophagic cell death
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autophagy to target its contents for degradation by its own lysosomes (reviewed in Levine and Yuan 2005). During autophagic cell death, the cytoskeleton is largely preserved, even beyond the stage of nuclear destruction; presumably the cytoskeletal network is required for the initiation and progression of autophagocytosis, serving to eliminate cytoplasmic constituents such as endoplasmic reticulum, Golgi apparatus etc. (Bursch et al. 2000). During the sequestration of cytoplasmic structures, the initial step in formation of autophagosomes depends on intermediate filaments such as cytokeratin and vimentin (Aplin et al. 1992), whereas their subsequent fusion with lysosomes depends on microtubule (reviewed in Blommaart et al. 1997). All steps including the degradation of cytoplasmic material in autophagic vesicles are ATP-dependent (Luiken et al. 1996). Studies indicate that autophagy selectively degrades specific proteins (Onodera and Ohsumi 2004) lending support to the idea that the autophagy may kill cells through selective degradation of regulatory molecules or organelles that are essential for cell survival (Yu et al. 2004a, b), such as mitochondria. It has been suggested that autophagy may be initiated by the mitochondria depolarisation and permeability transition (MPT) (Lemasters et al. 1998). It has been suggested that the overall autophagic activity in a cell doomed to die is far more extensive than that associated with the normal cytoplasmic and organelle turnover occurring in healthy cells. The physiological and pathological role of autophagic cell death is emphasized with various evidences giving a therapeutic value to autophagic cell death. Autophagic cell death was proposed as the action mechanism of some anticancer agents. When the human mammary carcinoma is treated with the anti-estrogen tamoxifen, MCF-7 cells have a high accumulation of autophagic vacuoles (Gozuacik and Kimchi 2004). Treatment of L929 fibroblasts with the caspase inhibitor zVAD causes a form of cell death that is characterized by autophagosome formation. RNA interference of Atg7 or beclin-1 attenuates this reduction in cell number, indicating that autophagy is a key mediator of cell death in response to zVAD (Yu et al. 2004a, b). Autophagic cell death is also extensively observed in steroid-triggered cell death during development of Drosophila (Lee et al. 2003). In Drosophila, a marked increase in autophagy is observed at the end of the larval stage (Baehrecke 2005). This developmental programmed autophagy is hormonally controlled by ecdysone and is responsible for the elimination of organs, such as the fat body, during metamorphosis. The increase in autophagy of the fat body is caused by the inhibition of the class-I PI3K pathway by ecdysone (Rusten et al. 2004). This inhibitory effect is observed when the ecdysone receptor is expressed. Also, beclin 1 and Atg7 were reported to be associated with autophagic cell death (Ogier-Denis and Codogno 2003; Yu et al. 2004a, b). Danon disease, cardiomyopathies, and skeletal myopathies with different genetic origins are characterized by the accumulation of autophagic vacuoles (Nishino et al. 2000; Tanaka et al. 2000). In Alzheimer disease, Huntington disease, and Parkinson disease, affected neurons have an increase in the number of autophagic vacuoles (Kegel et al. 2000; Nixon et al. 2000; Anglade et al. 1997).
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5.11 Autophagy Induction In yeast, flies, plants, and worms, autophagy is primarily an adaptive survival response to food deprivation. Humans, as other mammals, have molecular mechanism to maintain homeostasis during cellular metabolic stress. Autophagy is induced by metabolic energetic stresses and by catabolic hormones (Wang and Klionsky 2003). One of the more frequently used models to induce autophagy is starvation, which induces kinases as Gcn2 and its downstream target eIF2a. Starvation also activates the Gcn4 a transcriptional transactivator (Talloczy et al. 2002), as well as Tor, which is a negative regulator of autophagy. Tor acts in a signal transduction cascade through various downstream effectors to control both translation and transcription. Tor is a good candidate as a keeper of the autophagic pathway, because it is a sensor for amino acids and ATP (Marygold and Leevers 2002). Tor appears to cause the hyperphosphorylation of Atg13, which binds to and activates Atg1. The Atg1–Atg13 association is required for autophagy; when Atg13 is hyper-phosphorylated it has a lower affinity for the Atg1 kinase and autophagy is inhibited (Kamada et al. 2000). The initial sensor of cellular bioenergetics crisis is AMPK. Its downstream target, TOR integrates signals from nutrients as well as growth factors to control cell growth (Wullschleger et al. 2006; Inoki et al. 2003). Thus, TOR acts as a metabolic rheostat controlling protein synthesis during cellular stress. Autophagy mediating catabolism of intracellular contents can maintain cellular bioenergetics during metabolic stress (Xu et al. 2007). Under nutrient-rich conditions, TOR blocks the initiation step of autophagy by facilitating dissociation of Atg13–Atg1 complex, an essential factor required for the formation of an autophagic vesicle (autophagosome) in budding yeast (Kamada et al. 2000).
5.12 Autophagy and Cancer Several studies established that autophagy may have different effects on cancer. At the early stage of tumor development, autophagy functions as a tumor suppressor. Autophagy may protect against cancer by sequestering damaged organelles, permitting cellular differentiation, increasing protein catabolism, and/or promoting autophagic death. Expression of Beclin 1 reduces tumorigenic capacity through induction of autophagy. Mice Beclin 1+/– display a remarkable increase in the incidence of lung cancer, hepatocellular carcinoma, and lymphoma. At advanced stages of tumor development, autophagy promotes tumor progression. The tumor cells that are located in the central area of the tumor mass undergo autophagy to survive low-oxygen and low-nutrient conditions and the autophagy may contribute to cancer by promoting the survival of nutrient starved cells. Autophagy protects some cancer cells against anticancer treatments by blocking the apoptotic pathway (‘protective autophagy’). By contrast, other cancer cells undergo autophagic cell death
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after cancer therapies. Autophagy is induced mainly through the phosphatidylinositol 3-phosphate kinase (PI3K)–AKT–mTOR (mammalian target of rapamycin) signalling pathway (reviewed in Kondo and Kanzawa 2005).
5.13 Inhibition of Autophagy Autophagy may be inhibited at various stages of the process (Fig. 5.8). There are several physiological inhibitors found in experimental models, such as media rich in serum, aminoacids, which cooperate at different levels in the suppression of autophagy. The pharmacologic inhibitor of autophagy 3-methyladenine (3-MA), a nucleotide derivative that can inhibit class III PI3K kinases (Xue et al. 1999), delays or partially inhibits death in different cells. Okadaic acid and related toxins suppress autophagy. The effects of these toxins are mediated by the over phosphorylation of the AMP-activated-protein kinase (AMPK); these properties are shared by the AMPK activator AICAR (Yue et al. 2003). They inhibit autophagy producing extensive fragmentation of the cellular keratin and plectin cytoskeleton networks (Stefanis et al. 2001), which are required for the initiation and progression of autophagocytosis.
Fig. 5.8 The autophagy process may be induced or inhibited by different pathways
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Rapamycin is the most specific kinase inhibitor known and its target, mTOR, controls many processes independent of autophagy (Wullschleger et al. 2006). TOR (mTOR in mammals) is an important protein in the signaling pathways of the autophagy. TOR is a serine/threonine kinase which inhibits autophagy through two general mechanisms: by controlling both translation and transcription, and by modifying (directly or indirectly) Atg proteins, thus interfering with the formation of autophagosomes. Under nutrient-rich conditions, active TOR causes hyperphosphorylation of Atg13, preventing its association with Atg1. The inhibition of TOR signaling (which causes Atg13 dephosphorylation) is therefore required to stimulate Atg1–Atg13 association and Atg1 kinase activity, needed for the formation of the autophagosomal membrane. The inhibition of TOR is also required to enhance the expression of specific genes, such as Atg8 and Atg14, involved in the autophagosome formation (reviewed in Ferraro and Cecconi 2007). AKT is a serine-threonine kinase, located downstream of class I PI3K. It activates the kinase mTOR (Schmelzle and Hall 2000; Gingras et al. 2001), leading to suppression of autophagy. A role for this signalling pathway in the negative regulation of autophagy has been observed in non-mammalian cells (Wang and Klionsky 2003). Class I and class III PI3K regulate autophagy differently: the class I PI3KAKT-mTOR signal, which is activated in cancer cells through the growth factor receptor, inhibits autophagy and, by contrast, class III PI3K promotes the sequestration of cytoplasmic material that occurs during autophagy. Ras is a protein that belongs to a large super-family of proteins known as G-proteins. The oncogenic forms of Ras are also implicated in the negative control of autophagy, through activation of class I PI3K. The RNA interference (RNAi) technique for blocking protein expression in mammalian cells has allowed efficient suppression of autophagy in cultured mammalian cells by targeting Atg8/LC3; Atg6/Beclin 1, and other Atg genes, proving successful results. There is a flow from the preautophagosomal structure (PAS or phagophore assembly site) to the autophagosome. The PAS seems to play a crucial role just before or during formation of the autophagosome (Noda et al. 2002). Class I PI3K enzymes phosphorylate phosphatidylinositol-4phosphate (PtdIns4P) and phosphatidylinositol-4, 5-bisphosphate (PtdIns(4,5)P2) to produce PtdIns (3,4) P2 and PtdIns(3,4,5)P3, which, via Pleckstrin Homology (PH) domains bind to protein kinase B (Akt/PKB) and its activator phosphoinositide-dependent kinase-1 (PDK1) (Brazil and Hemmings 2001; Katso et al. 2001). PDK1 phosphorylates other kinases, including p70S6 kinase (Vanhaesebroeck and Alessi 2000). Activation of this pathway by challenging receptors that recruit class I PI3K or by expressing a constitutive active form of PKB has an inhibitory effect on autophagy (Arico et al. 2001; Petiot et al. 2000). eIF2 kinases (GCN2 and PKR), which regulate stress-induced translation arrest by phosphorylating the translation factor eIF2, positively controlled autophagic sequestration in yeast and mammalian cells in response to nutrient deprivation (Talloczy et al. 2002). It is therefore possible that functions of Beclin 1 independent of autophagy may be involved in its tumor suppressor activity.
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5.14 Autophagy Activation Autophagy initiation is stimulated by many different intracellular or extracellular stress stimuli (Jin and White 2007) (Fig. 5.8). The classical autophagy inducer is represented by amino-acid deprivation and this stimulus can increase the activity and phosphorylation of mTOR a protein kinase central to nutrient sensing signal transduction, regulation of translation and cell cycle progression control (Lum et al. 2005) which leads to inhibition of mTOR. Autophagy can also be induced by a mTOR-independent route by lowering myo-inositol-1,4,5-triphosphate (IP3) levels (Rubinsztein et al. 2007). The antiestrogen tamoxifen induces autophagy and cell death in MCF-7 cells (Bursch et al. 1996). Tamoxifen stimulates autophagy by increasing the intracellular level of ceramide and abolishing the inhibitory effect of the class-I PI3K pathway on autophagy. In a rat cardiomyocyte-derived cell line, the activation of class-I PI3K during glucose deprivation induces the accumulation of autophagic vacuoles and causes cell death (Aki et al. 2003). During tamoxifeninduced autophagic cell death of MCF-7 cells, intermediate and microfilaments are redistributed, but largely preserved even beyond the stage of nuclear collapse (Bursch et al. 2000). These data support the concept that autophagic cell death is a separate form of programmed cell death that is distinctly different from apoptosis. The regulation of the phosphorylation state of some Atg proteins is one of the mechanisms through which autophagy is regulated. Autophagy regulation is a highly complex process involving many signaling complexes and pathways. Under nutrient starvation, Atg13 which is a regulatory protein that forms a complex with Atg1 (serine/threonine-kinase), and becomes partially dephosphorylated leading to an Atg1– Atg13 interaction and subsequent generation of autophagosomes (Yang et al. 2005).
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Chapter 6
Oncosis
María Luisa Escobar, Gerardo H. Vázquez-Nin, and Olga M. Echeverría
Abstract Morphological features of oncosis are characterized by cell and organelle swelling and disruption; nucleus is initially preserved and later undergoes karyolysis and caspase-independent DNA fragmentation. The mitochondrial generation of ATP requires the presence of an electrochemical gradient; a reduction in mitochondrial membrane potential frequently precedes the morphological changes seen in oncotic cells. Oncotic cell death is characterized by early plasma membrane rupture and disruption of organelles including mitochondria. The plasma membrane breakdown allows the outflow of cell components, which affects near or distant organs. List of Abbreviations ATP Adenosine triphosphate DNA Deoxyribonucleic acid ROS Reactive oxygen species
6.1 Molecular Mechanisms of Oncosis Process In addition to the processes of programmed cell death type I and type II, previously described in this book, there is another type of cell death called oncosis. This process is different to necrosis, in which has sometimes been included as initial necrosis. For several authors necrosis is a process involving postmortem biochemical and morphologic changes. The term oncosis is derived from the Greek word onkos, meaning swelling. It was introduced one century ago by von Recklinghausen (1910) to describe the
M.L. Escobar (*), G.H. Vázquez-Nin, and O.M. Echeverría Laboratory of Electron Microscopy, Department of Cell Biology, Faculty of Sciences, National University of Mexico (UNAM), Mexico, USA e-mail:
[email protected] G.H. Vázquez-Nin et al., Cell Death in Mammalian Ovary, DOI 10.1007/978-94-007-1134-1_6, © Springer Science+Business Media B.V. 2011
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Fig. 6.1 Morphological characteristics of the oncotic cell death
death process of osteocytes in patients with rickets and osteomalacia and human hypertrophic chondrocytes during the growth of cartilage. Majno and Joris (1995) proposed using the term oncosis to designate any cell death characterized by a marked cell swelling. The morphological features of oncosis include cell and organelle swelling, membrane blebbing, increased membrane permeability, nuclear chromatin clumping in the absence of evident dense chromatin bodies, cytoplasmic vacuolation, dilation of the endoplasmic reticulum and Golgi, lysosomal disruption and leakage, as well as mitochondrial swelling and disruption. Oncotic cell death is characterized by early plasma membrane rupture and disruption of cellular organelles, including mitochondria (Fig. 6.1). During oncotic cell death the nucleus is initially preserved, and later undergoes karyolysis rather than karyorhexis and caspaseindependent DNA fragmentation, which does not involve internucleosomal fragmentation. In oncotic myocytes, DNA fragmentation was reported to be caused by the activation of a Ca++ and Mg++-dependent nuclease, which is indistinguishable from DNase I (Giannakis et al. 1991; Peitsch et al. 1993). In an oncotic cell, the chromatin is initially condensed and then dispersed and ruptured into pieces. This process is different from lytic necrosis, in which the cells are dissolved without chronic swelling. Oncotic death may culminate in the release of intracellular contents, which can produce inflammation, especially if the cellular corpses are not efficiently phagocytised. The process of oncosis ultimately leads to depletion of cellular energy stores and failure of the ionic pumps in the plasma membrane (Fig. 6.2). The cytoplasmic swelling observed in oncosis has been attributed to primary changes in the plasma membrane, resulting in altered ionic fluxes and loss of cell volume regulation. An increased intracellular calcium concentration initiates the translocation of cytosolic phospholipase A2s to cellular membranes, where the hydrolysis of membrane phospholipids decreases membrane integrity (Sapirstein et al. 1996; Cummings et al. 2000). At the biochemical level, oncosis is a form of cell death induced by energy depletion, which produces dramatic reductions in mitochondrial respiration and ATP synthesis (Majno and Joris 1995). Diverse data suggest a central role for mitochondria in regulating oncotic cell death. Changes in mitochondrial membrane
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Fig. 6.2 The oncotic cell death is a mechanism based in the failure of the ionic pumps of the plasma membrane; this provokes an increased cytosolic Ca2+ and a drastic decrease of the ATP levels
trigger several events, such as alterations in the ATP production. The mitochondrial generation of ATP requires the presence of an electrochemical gradient; a reduction in mitochondrial membrane potential frequently precedes the morphologic changes seen in oncotic cell death (Petit et al. 1996). The increased entry of Ca2+ into the mitochondria can activate specific phospholipases and proteases which disrupt mitochondrial permeability, resulting in arrest of ATP production, and activation of the generation of reactive oxygen species, which provoke an oxidative stress that consequently leads to open the mitochondrial permeability transition pores, which also contributes to the collapse of mitochondrial membrane potential and loss of mitochondrial function (Nayler and Elz 1986). The sequence of ischemia reperfusion, through increased oxygen free radicals, causes deletions in several areas of the mitochondrial genome. This cumulative mitochondrial DNA damage is associated with induction of nuclear oxidative phosphorylation of mRNA (Ferrari 1996). The process of oncosis often leads to nonspecific DNA fragmentation with impaired ATP generation, early mitochondrial damage, ionic pump dysfunction resulting in an escape of lysosomal enzymes to the cytoplasm, which increase plasma membrane permeability and leakage of intracellular structural proteins. Oncosis occurs when ATP generation is attenuated or when cellular energy consumption becomes unregulated (Majno and Joris 1995). Poly(ADP-ribose) polymerase (PARP) is a nuclear enzyme that is activated by DNA strand breaks to
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catalyze the addition of poly(ADP-ribose) to a variety of nuclear proteins. The inhibition of PARP in oxidant-stressed endothelial cells attenuates oncosis and induces caspase activation, shifting the oncotic cell death program to apoptosis (Walisser and Thies 1999). During the repair process of massive DNA destruction, the cellular energy depletion by PARP results in oncosis (Fink and Cookson 2005), because the massive DNA destruction causes an excessive PARP activity which depletes its substrate nicotinamide adenine dinucleotide (NAD), and the resynthesis of NAD depletes ATP. The eventual loss of energy stores leads to oncotic cell death (Walisser and Thies 1999). In this way, energy depletion and oncosis occur as a regulated response to severe DNA injury (Berger 1985). In constrast, during apoptosis caspases cleave and inactivate PARP preserving cellular ATP, despite significant DNA damage (Pieper et al. 1999). The changes accompanying oncosis result from active enzyme-catalyzed biochemical processes. Calpains, a family of calcium-activated neutral cysteine proteases, have been shown to play a role in oncotic cell death (Liu et al. 2004). The involvement of this particular cysteine protease family suggests that oncosis is carefully regulated. On the basis of their tissue expression patterns, calpains are classified as either ubiquitous or tissue specific (Sorimachi et al. 1997). Two ubiquitous isoforms have been identified: (calpain I) and m-calpain (calpain II). Physiologically, calpains play critical roles in embryogenesis, cell cycle progression, cell proliferation, differentiation, and migration (Liu et al. 2004). Mitochondrial release of Ca++, together with the inhibition of the Ca++-Mg++-ATPase in the plasma membrane (Tsokos-Kuhn et al. 1988), may lead to an increase of cytosolic Ca++ levels sufficient to activate Ca++-dependent intracellular calpains. In renal proximal tubules, extensive ATP depletion through endoplasmic reticulum Ca++ release result in a sustained increase in Ca++ concentration and calpain activation, which leads to cell swelling and loss of plasma membrane integrity (Harriman et al. 2002). It has been shown that the rise in the concentration of intracellular free Ca++ promotes the activation calpains via TNF (Chang et al. 2004) (Fig. 6.3). Increased calpain activity provokes a lack of caspase activity, the calpain cleaves Bid and other molecules regulating mitochondrial potential (Chen et al. 2001). Oncosis may result from toxic agents that interfere with ATP generation or processes that cause uncontrolled cellular energy consumption (Majno and Joris 1995). The cytotoxic agent 8-Iso-Prostaglandin F2 and its mediator TXA2 provoke oncotic cell death via an increase in intracellular calcium concentration (Brault et al. 2003). Maitotoxin is a cytolytic agent isolated from the dinoflagellate Gambierdiscus toxicus. The maitotoxin initiates the oncotic cell death in a variety of cell types, causing a graded increase in cytosolic free Ca++ concentration, which is followed by the opening of cytolytic/oncotic pores that allow the exchange of organic molecules of molecular weight less than ~800 Daltons across the plasma membrane (Estacion and Schilling 2002). Marine palytoxin is a non-protein toxin first isolated from the soft coral of the genus Palythoa. This protein can join with its receptor in the plasmalemmal Na+-K+-ATPase pump and this conjunction converts the pump into a monovalent cation channel that exhibits a slight permeability
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Fig. 6.3 Calpains activation during oncotic cell death
to Ca++, causing a small but significant increase in intracellular Ca++ in vascular endothelial cells. This Ca++ increase leads to the activation of large dye-permeable pores, causing rapid oncotic cell death via a Ca++ overload mechanism (Schilling et al. 2006). The oncotic cell death has been associated to the histone H3 phosphorylation by ERK and p38MAPK (both MAPK family members). This phosphorylation leads to a premature chromatin condensation (Jia et al. 2004). Assays in vitro have shown that in renal cells induced by 2,3,5-Tris-(glutathion-S-yl)hydroquinone (TGHQ), a reactive metabolite of the nephrotoxic hydroquinone, the ROS-dependent activation of MAPKs is activated, followed by histone H3 phosphorylation and oncotic cell death in renal proximal tubule epithelial cells (LLC-PK1) (Dong et al. 2004).
6.2 Oncosis in Human Pathology Oncosis has typically been regarded as passive, and in many physiological and pathological processes, oncosis might play an important role. Oncosis is usually induced by pathological stimuli such as ischemia or ischemia and reperfusion, the same as toxic agents. Oncotic cell death is known to follow tissue ischemia and it is often observed in bone and cartilage that have little or no blood supply (Majno and Joris 1995). Cell death by oncosis has been recognized, and reported in diverse pathologies, such as acute lung injury, liver failure, stroke, smooth muscle cells in atherosclerotic lesions, myocytes in ischemic heart disease in humans and rabbits, human macrophages infected with Shigella flexneri, and in the rat pancreatitis model. Mura et al. (2007) have evidenced signs of oncosis in different cells including the lung airway epithelial cells, type II pneumocytes, microvascular endothelial cells, and heart and kidney cells in a study with animals which were subjected to
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echanical ventilation with oxygen and to the ischemia-reperfusion process. m Oncosis induced by pathogen infection has been identified in a number of experimental models, such as infection by Salmonella. This pathogen has developed a strategy to survive and escape from macrophages. Salmonella infection triggers swelling of macrophages; the oncotic macrophages are packed with motile Salmonella bacilli and later the flagellated Salmonella bacilli escape from oncotic macrophages (Sano et al. 2007). A local oncotic process may cause important consequences in other organs or systems. The outflow of cell contents occurring during an oncotic process may recruit and activate inflammatory cells, such as macrophages, inducing them to secrete excessive inflammatory factors into the blood, which may cause damage in near or distant organs. In acute pancreatitis disease, the oncosis is the primordial cell death process. The pancreatic acinar cells contain a variety of digestive enzymes, and when the oncotic cell death occurs the leaking of these enzymes may directly damage adjacent cells and even lead to pancreas autodigestion (Castejón and Arismendi 2006). The plasma membrane breakdown of the oncotic cells, allows the outflow of cell components as cytokines, which affect neighboring cells. The initiation of cytokine network in patients with diverse pathologies promotes the occurrence of systemic inflammatory response syndrome and multiple organ dysfunction syndromes. Due to the complexity of the cytokine network it is impossible to block all the pathways. A possible way to avoid the activation of the cytokine chain reaction may be the induction of apoptosis, which reduces the process of oncosis and the release of endocellular enzyme. The development of clinical strategies has been focused on the design of a route to avoid the progression of ischemic cellular damage, to make the oncotic process reversible and promote the apoptotic process before the cytoplasmic rupture. One of the strategies designed to avoid oncosis cell death is the use of the 11-Deoxy-16,16-dimethyl PGE2 (DDM-PGE2), which selectively induces a group of proteins, including RBP, cytoskeletal proteins, and molecular chaperones such as Grp78 and Hsp27 in pkNEO cells. These proteins may act in concert to mediated cytoprotection against oncotic/necrotic cell death, but not against apoptosis, when the toxic 2,3,5-tris(glutathion-S-yl) hydroquinone (TGHQ), a potent nephrotoxic and nephrocarcinogenic metabolite of hydroquinone, is employed (Jia et al. 2004). Another strategy utilized to reduce oncosis on pancreatic acinar cells has been inducing apoptosis. This induction brings about a decreased infiltration and activation of macrophages and a decrease of the generation of inflammatory cytokines (Zhao et al. 2007b). Myocytes become oncotic without reperfusion when the period of ischemia is prolonged. When the mechanical stress is weak enough to maintain sarcolemmal integrity during reperfusion, the myocytes undergo an apoptotic process of death; whereas the introduction of mechanical stress at the time of reperfusion induces myocyte oncosis by disrupting the sarcolemma. This treatment overrules mitochondrial function and inhibits the apoptotic process during the subsequent period of reperfusion, giving rise only to oncotic myocyte death (Otani et al. 2006). In a simulated ischemic injury in cultured myocytes the cardioprotective protein AKT
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is activated, protecting myocytes from oncotic and apoptotic death. The activation of AKT suggests that myocardial stress activates a cytoskeleton-based survival pathway that may play an important role in protection against acute ischemia- reperfusion injury in ventricular myocardium (Wei and Vander Heide 2008). A deeper understanding of this important biological process will provide the framework for new therapies directed at protecting tissues and organs from severe metabolic and ischemic insults, preventing the increase in the number of cells undergoing oncosis which may result in disorders in the function of tissues and organs. Several authors have differentiated oncosis from necrosis. Oncosis and apoptosis are active processes of cell death, whereas necrosis refers to those processes of cellular degradation that follow cell death (Majno and Joris 1995). Oncosis and apoptosis represent different outcomes of the same pathway induced by MPT pore opening so that in the absence of ATP oncosis prevails, whereas the presence of ATP favors and promotes apoptosis. It has been suggested that in human oesophageal squamous cell carcinoma with sufficient blood supply cells die by apoptosis, while in those with poor blood supply most cells undergo oncosis. These results suggest that the selection of an oncotic or an apoptotic pattern of cell death depends on the energy supply (Zhao et al. 2007a). It has been proposed that in the absence of Fas pathway, activated T cells may die by at least by two different pathways: a TNF-independent oncotic pathway or an apoptotic pathway mediated by TNF that takes several days (Davidson et al. 2002). When the activity of caspases is inhibited, the process of cell death is mainly oncosis, leading some authors to name this process of cell death as primary necrosis.
References Berger NA (1985) Poly(ADP-ribose) in the cellular response to DNA damage. Radiat Res 101:4–15 Brault S et al (2003) Selective Neuromicrovascular Endothelial Cell Death by 8-Iso-Prostaglandin F2a. Stroke 34:776–782 Castejón OJ, Arismendi GJ (2006) Nerve cell death types in the edematous human cerebral cortex. J Submicrosc Cytol Pathol 38:21–36 Chang I et al (2004) Role of calcium in pancreatic islet cell death by IFN-gamma/TNFalpha. J Immunol 172:7008–7014 Chen M et al (2001) Bid is cleaved by calpain to an active fragment in vitro and during myocardial ischemia/reperfusion. J Biol Chem 276:30724–30728 Cummings BS, McHowat J, Schnellmann RG (2000) Phospholipase A2s in cell injury and death. J Pharmacol Exp Ther 294:793–799 Davidson WF, Haudenschild Ch, Kwon J, Williams MS (2002) T Cell Receptor Ligation Triggers Novel Nonapoptotic Cell Death Pathways That Are Fas-Independent or Fas-Dependent. J Immunol 169:6218–6230 Dong J et al (2004) EGFR-independent activation of p38 MAPK and EGFR-dependent activation of ERK1/2 are required for ROS-induced renal cell death. Am J Physiol Ren Physiol 287:F1049–F1058 Estacion M, Schilling WP (2002) Blockade of maitotoxin-induced oncotic cell death reveals zeiosis. BMC Physiol 2:2–14
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Ferrari R (1996) The role of mitochondria in ischemic heart disease. J Cardiovasc Pharmacol 28(Suppl 1):S1–S10 Fink SL, Cookson BT (2005a) Apoptosis, pyroptosis, and necrosis: mechanistic description of dead and dying eukaryotic cells. Infect Immun 73:1907–1916 Giannakis C, Forbes IJ, Zalewski PD (1991) Ca21/Mg(21)-dependent nuclease: tissue distribution, relationship to inter-nucleosomal DNA fragmentation and inhibition by Zn21. Biochem Biophys Res Commun 181:915–920 Harriman JF et al (2002) Endoplasmic reticulum Ca2+ signaling and calpains mediate renal cell death. Cell Death Differ 9:734–741 Jia Z et al (2004) Grp78 is essential for 11-deoxy-16, 16-dimethyl PGE2-mediated cytoprotection in renal epithelial cells. Am J Physiol Ren Physiol 287:F1113–F1122 Liu X, Van Vleet T, Schnellmann RG (2004) The role of calpain in oncotic cell death. Annu Rev Pharmacol Toxicol 44:349–370 Majno G, Joris I (1995) Apoptosis, oncosis, necrosis An overview of cell death. Am J Pathol 146:3–15 Mura M, Andrade CF, Han B et al (2007) Intestinal ischemia-reperfusion induced acute lung injury and oncotic cell death in multiple organs. Shock 28:227–238 Nayler WG, Elz JS (1986) Reperfusion injury: Laboratory artifact or clinical dilemma? Circulation 74:215–221 Otani H, Matsuhisa S, Akita Y et al (2006) Role of Mechanical Stress in the Form of Cardiomyocyte Death During the Early Phase of Reperfusion. Circ J 70:1344–1355 Peitsch MC, Polzar B, Stephan H et al (1993) Characterization of the endogenous deoxyribonuclease involved in nuclear DNA degradation during apoptosis (programmed cell death). EMBO J 12:371–377 Petit PX, Susin SA, Zamazami N et al (1996) Mitochondria and programmed cell death: back to the future. FEBS Lett 396(1):7–13 Pieper AA, Verma A, Zhang J, Snyder SH (1999) Poly (ADPribose) polymerase, nitric oxide and cell death. Trends Pharmacol Sci 20:171–181 Sano G, Takada Y, Goto S et al (2007) Flagella Facilitate Escape of Salmonella from Oncotic Macrophages. J Bacteriol 189(22):8224–32 Sapirstein A, Spech RA, Witzgall R, Bonventre JV (1996) Cytosolic phospholipase A2 (PLA2), but not secretory PLA2, potentiates hydrogen peroxide cytotoxicity in kidney epithelial cells. J Biol Chem 271:21505–21513 Schilling WP, Snyder D, Sinkins WG, Estacion M (2006) Palytoxin induced cell death cascade bovine aortic endothelial cells. Am J Physiol Cell Physiol 291:C657–C667 Sorimachi H, Ishiura S, Suzuki K (1997) Structure and physiological function of calpains. Biochem J 328:721–732 Tsokos-Kuhn JO, Hughes H, Smith CV, Mitchell JR (1988) Alkylation of the liver plasma membrane and inhibition of the Ca2+ ATPase by acetaminophen. Biochem Pharmacol 37:2125–2131 Walisser JA, Thies RL (1999a) Poly(ADP-ribose) polymerase inhibition in oxidant-stressed endothelial cells prevents oncosis and permits caspase activation and apoptosis. Exp Cell Res 251:401–413 Wei H, Vander Heide RS (2008) Heat stress activates AKT via focal adhesion kinase-mediated pathway in neonatal rat ventricular myocytes. Am J Physiol Heart Circ Physiol 295:H561–H568 Zhao GF, Seng JJ, Zhao S et al (2007a) Oncosis in human esophageal squamous cell carcinoma and its relationship with apoptosis and microvessel density. Chin Med J 120(22):1999–2001 Zhao M, Xue DB, Zheng B et al (2007b) Induction of apoptosis by artemisinin relieving the severity of inflammation in caerulein-induced acute pancreatitis. World J Gastroenterol 13(42):5612–5617
Chapter 7
Necrosis
Gerardo H. Vázquez-Nin, María Luisa Escobar, and Olga M. Echeverría
Abstract The term necrosis was used for accidental, not programmed death of cells or tissues with uncontrolled release of cellular content resulting in inflammation. Necrosis is a term used by pathologists to designate the sum of changes that occurred in cell and tissues after they have died. Different experiments carried out in different cell types, species and cell death inducers show several traits that delineate a sequence of intracellular events specific to necrotic cell death. Morphological necrosis is characterized by cellular swelling including dilation of the endoplasmic reticulum, cellular lysis and subsequent inflammation. Core events of necrosis are bioenergetic failure and rapid loss of plasma membrane integrity. These failures results from defined molecular events including increased mitochondrial reactive oxygen species production, channel-mediated calcium uptake, activation of non-apoptotic proteases, swelling of mitochondria, perinuclear clustering of organelles and enzymatic destruction of cofactors required for ATP production, cell lysis and inflammation. The default occurrence of necrosis and its unmasking by inhibition of autophagy and/or apoptosis might reflect its early emergency in evolution.
List of Abbreviations NAD ATP ADP
Nicotinamide adenine dinucleotide Adenosine triphosphate Adenosine diphosphate
G.H. Vázquez-Nin (*), M.L. Escobar, and O.M. Echeverría Laboratory of Electron Microscopy, Department of Cell Biology, Faculty of Sciences, National University of Mexico (UNAM), Mexico, USA e-mail:
[email protected] G.H. Vázquez-Nin et al., Cell Death in Mammalian Ovary, DOI 10.1007/978-94-007-1134-1_7, © Springer Science+Business Media B.V. 2011
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7.1 Processes Leading to Cell Death Various processes of cell death are characterized as active or programmed mechanisms of cell death such as apoptosis, autophagy, oncosis, pyroptosis and a form of necrosis different from accidental death and post-mortem alterations, frequently also called necrosis (Fig. 7.1). The best studied programmed cell death is apoptosis, a term proposed by Kerr and colleagues (1972) to describe a process of cell death with specific morphological pattern (Fig. 7.2). This process was characterized as an active, programmed process of autonomous dismantling that avoids inflammation. Various pathogens are known to cause host cell death with features of apoptosis (Fink and Cookson 2005). Numerous studies revealed that caspases, a group of cystein-dependent aspartate specific proteases, are the main actors in apoptotic process. All members of the caspase family are similar in their amino acids sequence, but they differ in their roles. Those related to apoptosis are divided into two subgroups: initiator caspases (caspase-2, -8, -9, and -10) and effector caspases (caspase-3, -6, and -7). Activated effector caspases selectively cleave a restricted set of target proteins (Fink and Cookson 2005). Morphological the cell shrinks and becomes denser, the
Fig. 7.1 Schematic representation of diverse processes of cell death, in this case the necrosis death is considered as a post-mortem condition
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Fig. 7.2 Different processes cell death. Morphological characteristics are indicators of diverse cell death events
chromatin becomes pyknotic and packed into masses applied against the nuclear membrane, the nucleus breaks and the cell emits processes that often contain pyknotic nuclear fragments. These processes break off and become apoptotic bodies which may be phagocytized by macrophages, neighboring cells or remain free (Majno and Joris 1995). Autophagy is an evolutionarily conserved mechanism for cell survival in starving cells which also functions in cell death (Baehrecke 2005). Autophagy involves the sequestration of cytosol and cytoplasmic organelles within vesicles limited by double membranes, thus creating autophagosomes or autophagic vacuoles (Fig. 7.2). Autophagosomes subsequently fuse with lysosomes, thereby forming autophagolysosomes also called autolysosomes. The limiting membranes of lysosomes and of autophagolysosomes are enriched in proteins called lysosomal associated proteins (lamps). These proteins are the most abundant lysosomal membrane glycoproteins, they may play a role in creating a barrier to lysosomal hydrolases protecting the membranes from hydrolytic destruction. The content of these vesicles is degraded by lysosomal hydrolases (Escobar et al. 2008). In spite of the extensive cytoplasmic destruction, the cell membrane does not break and the remains of the cell may be phagocytized by macrophages or neighboring cells. This process of cell death does not trigger inflammation. The oncosis is a process involving cellular and organelle swelling that may result from toxic agents that interfere with ATP generation or processes that cause
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uncontrolled energy consumption (Majno and Joris 1995) (Fig. 7.2). Massive DNA destruction promotes poly(ADP-ribose) polymerase activity that depletes its substrate (NAD) and the resynthesis of NAD depletes ATP. The loss of energetic stores leads to oncotic cell death. It is interesting to note that the inhibition of poly(ADPribose) polymerase prevents oncosis and permits caspase activation and apoptosis (Walisser and Thies 1999). Altered intracellular calcium levels may also regulate oncotic cell death. Pyroptosis is a form of cell death proinflammatory, dependent on caspase-1, frequently induced by infection with Salmonella and Shigella species. A function of Caspase-1, a cysteine protease, not involved in apoptotic cell death, is to process the proforms of the inflammatory cytokines IL-1b and IL-18 to their active forms in macrophages infected with those parasites resulting in cell membrane breakdown and release of the inflammatory cellular content (Fink and Cookson 2005).
7.2 Accidental Cell Death and Necrosis According to Majno and Joris (1995) and Fink and Cookson (2005), cell death and necrosis are two very different things. Cell death is a process that leads to a point of no return after which the cell dies and necrosis is the post-mortal decay changes of cells. However, these post mortem processes depend on the previous alterations of the leaving cell, thus there are several types of post-mortal processes frequently called apoptotic necrosis, ischemic necrosis or massive necrosis when the mechanism is not known (Fink and Cookson 2005). They use the term necrosis for accidental, not programmed death of cell or tissues with uncontrolled release of cellular contents resulting in inflammation. By the same token Goldstein and Kroemer (2006) also call necrotic process to the cell death in harsh conditions, such as detergent stress or freeze-thawing, resulting in a non-regulated, poorly defined process. Necrosis is a term used by pathologists to designate the sum of changes that occurred in cells or tissue after they have died. Used in this way several types of necroses are described according to the catabolism and post-mortem morphological traits. For instance the term apoptotic necrosis describes dead cells that have reached this state via the apoptotic program (Majno and Joris 1995; Fink and Cookson 2005).
7.3 Does Programmed Necrotic Cell Death Exist? Goldstein and Kroemer (2006) propose two types of necrotic processes, one nonregulated, poorly defined, taking place in harsh conditions such as detergent stress and other programmed processes in terms of both its course and its occurrence. Different experiments carried out by various authors in heterogeneous systems in terms of cell types, species (mammalian, nematode and slime mold) and death
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Fig. 7.3 Electron microscopy images showing necrotic cell death in mammal testis. In A normal cells, B-F altered cells in different phases of necrosis. Arrows show the altered cells. In E several neighboring cells are damaged, a classical morphological characteristic from necrosis. In F cellular remains are evidenced. General stained uranyl acetate and lead citrate. Scale bars 200 mm
inducers (ischemia, ligands of cell-surface receptors and so on) show several traits that delineate a sequence of intracellular events specific to necrotic cell death. Morphological necrosis is characterized by cellular swelling including dilation of the endoplasmic reticulum, Golgi apparatus, with or without chromatin condensation, leading to nuclear and cellular lysis and subsequent inflammation (Yuan et al 2003) (Fig. 7.3). Several studies demonstrate various resemblances between apoptosis, typical programmed cell death, and necrosis, suggesting that both processes are related: (1) diverse pathological stress such as heat, ionizing radiation, pathogens, cytokines cause both forms of cell death in the same population; (2) anti-apoptotic mechanisms, as Bcl-2, can protect cells from both necrotic and apoptotic destruction; (3) biochemical interventions (e.g. inhibitors of poly-(ADP-ribose)-polymerase) into the signal and executive mechanisms of programmed cell death can change the choice of the cell death form; (4) during both necrosis and epigenetic programs of apoptotic cell death that need no macromolecular synthesis (e.g. CD95-dependent death), the nucleus plays a passive role. These similarities allow the conclusion that necrosis, as apoptosis, is a form of programmed cell death (Proskuryakov et al. 2002). The distinction between the two types of cell death is obvious in some systems, while in other cells necrotic and apoptotic features coexist.
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The resemblance between the process of apoptotic and necrotic processes of cell death and the coexistence of features of both processes in the same cell strongly suggest that necrosis is in fact, a programmed, active process of cell death. The extensive relationships between both processes strengthen this idea.
7.4 Relationships of Apoptosis and Necrosis Treatments with a pro-oxidant (2,3-dimethoxy-1,4-naphtoquinone) produce three different effects: stimulated growth of pancreatic cells in culture, triggered apoptosis or caused necrosis, depending on the dose and duration of exposure. The higher dose, which produced necrosis, caused a rapid intracellular Ca++ overload, ATP, NAD+, and glutathione depletion, and extensive DNA single strand breakage, which result in necrotic death (Dypbukt et al. 1994). The critical factor deciding the type of death is probably the energy level of the cell. Cells depleted of ATP and with a marked ion imbalance swell and rapidly lyses, whereas apoptotic features such as cell shrinkage and chromatin compaction would require preserved energy metabolism (Dypbukt et al. 1994). A similar result was obtained by exposing cultured cerebellar granule cells to different glutamate concentrations (1 mM to 3 mM) for 30 min and subsequently reincubating in culture medium lacking glutamate. The changes in mitochondrial membrane potential were monitored in individual neurons by determining the shift in wavelength and intensity of the fluorescence emission of the dye. By measuring ATP, ADP and AMP levels in the neuron cultures, the levels of cell energy were also detected. The cerebellar granule cells exposed to neurotoxic concentrations of glutamate undergo two distinct fates: a subpopulation succumbs to acute necrosis during and immediately after the exposure. In these cells, mitochondrial membrane potential collapses and their ability to metabolize methyl trazolium to formazan decreases, nuclei swell and intracellular debris are scattered in the incubation medium. These neurons undergo a typical necrotic cell death. Neurons surviving this early necrotic phase recovered mitochondrial potential and energy levels. Later these granular neurons undergo apoptosis. These results suggest that mitochondrial functions determine the mode of neuronal death. During the initial phase, when mitochondria were altered and energy scarce, cerebellar granule cells underwent a necrotic cell death and when energy levels were at least partially recovered the neurons underwent apoptosis. Relatively intact, mitochondrial activity and energy levels of neurons appears to be necessary for the apoptosis program to proceed (Ankarcrona et al. 1995). Cell death by hypoxia has been believed to be represented as necrosis based in ultrastructural findings. However, biochemical observations demonstrate that hypoxia also induce apoptosis. So once again, both necrosis and apoptosis are induced by the same agent (Shimizu et al. 1996). Furthermore, in cultures of cortical neurons exposed to different doses of neurotoxic N-Methyl-D-aspartate, it could also be observed that low doses mainly induce apoptosis and higher doses produce necrotic cell damage, characterized by swelling and lysis (Bonfoco et al. 1995). Recent studies have
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demonstrated that in response to a given stimulus, there is a continuum of apoptosis and necrosis. Many insults induce apoptosis at lower doses and necrosis at higher doses. Even in response to a certain dose of a death-inducing agent, features of both apoptosis and necrosis may coexist in the same cell (Zong and Thompson 2006). All these observations taken together leave no doubt that necrosis is a programmed and active process of cell death initiated in precise metabolic conditions in which apoptosis can not take place and that mitochondrial events control the selection of these processes (Zamzami et al. 1997). It is interesting to note that, in spite of the at least partial conservation of energy production in cells undergoing apoptotic process, the caspase dependent breakdown of translation initiation factors as elF4G produce a drastic drop of translation (Saelens et al. 2005).
7.5 Relationships Between Autophagy and Necrosis In Dictyostelum autophagic or necrotic cell death can be triggered by distinct motifs of the same differentiation factor DIF-1. Distinct motifs of DIF-1 are required to trigger autophagy or necrosis. These motifs are separately recognized at the onset of autophagic or necrotic cell death. The metabolic state of the cell seems to guide the choice of the signaling pathway to cell death, which in turn imposes the cell death type and the recognition pattern of the differentiation factor (Luciani et al. 2009). Evolution may have modified a primitive dedicated programmed cell death mechanism, such as the one found in C. elegans, into multiple more flexible and adaptive cell death pathways (Yuan 2006). Under oxidative stress, poly(ADP-ribose)polymerase-1 (PARP-1) is activated and contributes to necrotic cell death through ATP depletion. On the other hand, oxidative stress is known to stimulate autophagy, and autophagy may act as either a cell death or a cell survival mechanism in cells under oxidative stress. It was demonstrated that autophagy plays a cytoprotective role in H2O2-induced cell death. Recently a novel autophagy signaling mechanism was identified that links PARP-1 to the serine/threonine protein kinase LKB1-AMP-activated protein kinase (AMPK)-mammalian target of rapamycin (mTOR) pathway, leading to stimulation of autophagy. (Huang et al. 2009). These authors also demonstrated that autophagy plays a cytoprotective role in H2O2-induced cell death, and that PARP-1 may function by promoting autophagy through LKB1-AMPK-mTOR pathway to enhance cell survival in cells under oxidative stress (Fig. 7.4). BNIP3 and NIX are two proteins involved in inducing an atypical process of cell death and also autophagy. The process of cell death is independent of apaf-1, caspase-9, caspase-3, and without cytochrome c release. The mechanism of cell death is similar but not identical in different cell types. They share certain features with the BH3-only protein subgroup of the BCL2 family, such as sequence homology in the BH3 domain, residence in the mitochondrial outer membrane, and the ability to interact with BCL2 and BCL-XL. However, both proteins are weak inducers of cell death that cause loss of mitochondrial Dym, opening of the mitochondrial
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Fig. 7.4 Relationship between autophagy and necrosis
permeability transition pores, and variable release of cytochrome c. In addition, the transmembrane domains, but not the BH3 domains of BNIP3 and NIX, play a major role in the induction of cell death mediated by mitochondrial depolarization, which may also serve as the event that initiates autophagy. BNIP3 or NIX induces autophagy under different conditions, which suggests that the ability to induce autophagy is an intrinsic property of these proteins. They are not homologous of any of the canonical autophagy proteins identified in yeast, but may recruit components of autophagy machinery to mitochondria. NIX induces autophagocytosis of mitochondria, mitophagy. Autophagy generates membranes which serve to compartmentalize destructive enzymes and perform a protective function. The relationships of these two functions are not clearly established (Zhang and Ney 2009).
7.6 Molecular Mechanisms of Necrosis Necrosis can be defined morphological by electron-lucent cytoplasm, swelling of cellular organelles, and loss of plasma membrane integrity. These events can be reproduced experimentally by impairing the ATP production of the cell because the core events of necrosis are bioenergetic failure and rapid loss of plasma membrane integrity. These failures results from defined molecular events that occur in the dying cell, including increased mitochondrial reactive oxygen species (ROS) production, channel-mediated calcium uptake, activation of non-apoptotic
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Fig. 7.5 Molecular events carried out during necrosis process
proteases in particular calpains and cathepsins, swelling of mitochondria, perinuclear clustering of organelles and/or enzymatic destruction of cofactors required for ATP production leading to ATP depletion (and ultimately plasma membrane rupture), cell lysis, and inflammatory response that may facilitate wound healing (Zong and Thompson 2006; Goldstein and Kroemer 2006; Degenhardt et al. 2006) (Fig. 7.5). The most studied systems are heterogeneous in terms of cell types and species: several mammalian cell types, the nematode Caenorhabditis elegans and the slime mold Dictyostelium discoideum. Various death conditions were used in experimental induction of necrosis; some of them were ischemia, cyanides, ligands of cell surface receptors, suppression of glucose, depletion of ATP, exposure to glutamate, etc. Most of these systems are similar in that they manifest early plasma membrane rupture, but no sign of apoptosis or autophagy. The chronological and molecular order of the events remains elusive. Taken alone each of these events is not specific to necrosis, and indeed some are shared with apoptosis; it is the accumulation of these events in an organized, programmed cascade of self-destruction that might define necrosis (Goldstein and Kroemer 2006). The concept of both programmed course and programmed occurrence is supported by several data. First, necrosis normally occurs in precise places and
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times during development and in adult tissue homeostasis, e.g. intestinal epithelial cells. Second, necrosis can be triggered by the occupation of specific plasma membrane receptors through their physiological ligands. This observation implies that specific signal transduction pathways are connected to the induction of necrosis rather than to the induction of other types of cell death. Third, susceptibility to necrotic cell death can be regulated by genetic and epigenetic factors. Fourth, the inhibition of some enzymes and processes can prevent necrosis, meaning that these factors have an active, decisive role in the lethal process. Fifth, inhibition of caspases can change the morphological appearance of cell death from apoptosis to autophagy or to necrosis. Thus, the same upstream signal can produce different types of cell death as a function of the activation or inhibition of catabolic enzymes in the cell (Goldstein and Kroemer 2006). Epithelial tumor cells incubated in hypoxic conditions undergo apoptosis cell death as the main process of death. BAX-/-, BAK-/- cells in the presence of BCL-2 go through autophagy. Autophagy may sustain viability in the short term and lead to cell death without inflammation in the long term. The combination of the inactivation of apoptosis and inhibition of autophagy by AKT activation and the reduction of the expression of the essential autophagy gene beclin1 (beclin1+/-), results in a necrotic cell death process (Degenhardt et al. 2006). In other models the depletion of ATP or the inhibition of caspases induce necrotic cell death (Goldstein and Kroemer 2006; Zong and Thompson 2006). Another process of inhibition of apoptosis and autophagy using zVAD also demonstrated that this double inhibition is responsible for induction of necrotic cell death (White 2008). Disruption of endoplasmic reticulum (ER) function leads to the initiation of a stress response known as the unfolded protein response, which goal is to resolve the ensuing stress; however, when this goal cannot be attained it induces cell death, which is primarily apoptosis. As in the previously described model, when normal cells or cells defective in apoptosis were used autophagy is induced. Prolonged ER stress on cells defective in apoptosis still results in cell death in a fashion resembling necrosis. This necrosis-like cell death is associated with autophagy. In response to ER stress, while autophagy serves as a survival response to delay apoptosis, it promotes cell death by necrosis in cells with impaired apoptosis (Ullman et al. 2008). These results strongly sustain the view that necrosis, in this context, is a programmed process of cell death. The default occurrence of necrotic cell death and its unmasking by inhibition of autophagy and/or apoptosis might reflect its early emergence in evolution, perhaps as the primordial eukaryotic cell death pathway (Goldstein and Kroemer 2006).
References Ankarcrona M, Dybukt JM, Bonfoco M et al (1995) Glutamate-induced neuronal death: a succession of necrosis or apoptosis depending on mitochondrial function. Neuron 15:961–973 Baehrecke EH (2005b) Autophagy: dual roles in life and death? Nat Rev Mol Cell Biol 6:505–510
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Bonfoco E, Krainc D, Ankarcrona M et al (1995) Apoptosis and necrosis: two distinct events induced, respectively, by mild and intense insults with N-methyl-D-aspartate or nitric oxide/ superoxide in cortical cell cultures. Proc Nat Acad Sci USA 92:7162–7166 Degenhardt K, Mathew R, Beaudoin B et al (2006) Autophagy promotes tumor cell survival and restricts necrosis, inflammation, and tumorigenesis. Cancer Cell 10:51–64 Dypbukt JM, Ankarcrona M, Burkitt M et al (1994) Different prooxidant levels stimulate growth, trigger apoptosis, or produce necrosis of insulin-secreting RINm5F cells. J Biol Chem 269:30553–30560 Escobar ML, Echeverría OM, Ortiz R, Vázquez-Nin GH (2008) Combined apoptosis and autophagy, the process that eliminates the oocyte of atretic follicles in immature rats. Apoptosis 13:1253–1266 Fink SL, Cookson BT (2005b) Apoptosis, pyroptosis, and necrosis: mechanistic description of dead and dying eukaryotic cells. Infect Immun 73:1907–1916 Goldstein P, Kroemer G (2006) Cell death by necrosis: towards a molecular definition. Trends Biochem Sci 32:37–43 Huang Q, Wu YT, Tan HL et al (2009) A novel function of poly(ADP-ribose) polymerase-1 in modulation of autophagy and necrosis under oxidative stress. Cell Death Different 16:264–277 Kerr JFR, Wyllie AH, Currie AR (1972) Apoptosis: a basic phenomenon with wide-ranging implications in tissue kinetics. Br J Cancer 26:239–257 Luciani MF, Kubohara Y, Kikuchi H et al (2009) Autophagic or necrotic cell death triggered by distinct motifs of the differentiation factor DIF-1. Cell Death Differ 16:564–570 Majno G, Joris I (1995) Apoptosis, oncosis, and necrosis. An overview of cell death. Am J Pathol 146:3–15 Proskuryakov SY, Gabai AG, Konoplyannikov AG (2002) Necrosis is an active and controlled form of programmed cell death. Biochem Mosc 67:387–408 Saelens X, Festjens N, Parthoens E et al (2005) Protein synthesis persists during necrotic cell death. J Cell Biol 168:545–551 Shimizu S, Eguchi Y, Kamiike W et al (1996) Induction of apoptosis as well as necrosis by hypoxia and predominant prevention of apoptosis by Bcl-2 and Bcl-XL. Cancer Res 56:2161–2166 Ullman E, Fan Y, Stawowczyk M et al (2008) Autophagy promotes necrosis in apoptosis-deficient cells in response to ER stress. Cell Death Diff 15:422–425 Walisser JA, Thies RL (1999) Poly(ADP-ribose) polymerase inhibition in oxidant-stressed endothelial cells prevents oncosis and permits caspase activation and apoptosis. Exp Cell Res 251:401–413 White E (2008) Autophagic cell death unraveled: pharmacological inhibition of apoptosis and autophagy enables necrosis. Autophagy 16:399–401 Yuan J (2006) Divergence from a dedicated cellular suicide mechanism: exploring the evolution of cell death. Mol Cell 23:1–12 Yuan J, Lipinski M, Degterev A (2003) Diversity in the mechanisms of neuronal cell death. Neuron 40:401–413 Zamzami N, Hirsch T, Dallaporta B et al (1997) Mitochondrial implication in accidental and programmed cell death: apoptosis and necrosis. J Bionerg Biomembr 29:185–193 Zhang J, Ney PA (2009) Role of BNIP3 and NIX in cell death, autophagy, and mithophagy. Cell Death Diff 16:939–946 Zong WX, Thompson CB (2006) Necrotic death as a cell fate. Cell Develop 20:1–15
Part III
Process of Cell Death Embryonic Ovary
Chapter 8
Programmed Cell Death in Fetal Oocytes Francesca Gioia Klinger and Massimo De Felici
Abstract In all mammalian species studied, a marked oocyte loss occurs during the fetal life before their enclosure within the primordial follicle. The concept that female mammals are born with all of the oocytes they will ever posses and the consequent notion that the age-related ovarian failure and menopause occur when the oocyte ovarian reserve is exhausted, render particular relevant to understand the reasons and the mechanisms of oocyte demise in the fetal ovary. Over the years, three main hypotheses to explain the cause of fetal oocyte death have been proposed: (1) the number of oocytes formed in the ovary is in excess respect to the supporting cell, (2) the process of cross over central in prophase I, requires critical molecular processes subjected to frequent errors leading to oocyte death and (3) most oocytes could sacrify themselves donating their cytoplasm content to a subset of surviving oocytes. Mainly during the last three decades, researchers have reported evidence favoring each of these hypotheses; thus suggesting that the survival or death of fetal oocytes depends on several conditions and mechanisms. The concept that cell death is a carefully controlled process both at genomic and molecular level termed apoptosis or programmed cell death (PCD) affirming at the beginning of 80 years, stimulated researchers to analyze in more details the morphological and molecular characteristics as well as the kinetics of the fetal oocyte elimination. In the next sections of the present chapter, we will critically review the principal studies carried out, mainly in the mouse, in our and other laboratories that are slowly disclosing the complexity of the fetal oocyte elimination.
8.1 Introduction The formation of germ cells in the female is a long complicated process called oogenesis, that begins with the formation of the germ cell precursors, the primordial germ cells (PGCs). Following migration into the gonadal ridges, PGCs differentiate F.G. Klinger (*) and M. De Felici Department of Public Health and Cell Biology, University of Rome, Tor Vergata, Italy e-mail:
[email protected] G.H. Vázquez-Nin et al., Cell Death in Mammalian Ovary, DOI 10.1007/978-94-007-1134-1_8, © Springer Science+Business Media B.V. 2011
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into oogonia which, after a period of intense proliferation, enter into meiosis becoming primary oocytes. Entering meiosis does not occur synchronously and oogonia and oocytes may coexist within the fetal ovary for a certain period depending on the species. Prophase of meiosis I (MPI) can be divided into four distinct sub stages, leptotene, zygotene, pachytene and diplotene, defined by the chromosomal events occurring during each stage as well as the assembly of the synaptonemal complex (SC) needed for cross over. In the mouse, the entire population of PGCs/ oogonia enter meiosis between 13.5 and 14.5 days post coitum (dpc). During the subsequent 5–6 days, the oocytes progress through the MPI stages and around birth they progressively undergo meiotic arrest at a stage known as dyakinesis or dictyate. At this time, oocytes are individually enclosed by a specialized lineage of ovarian somatic cells, the pre-granulosa cells, to form primordial follicles. Within the primordial follicle, the oocyte remains arrested, resuming and completing meiosis only after ovulation and fertilization, respectively, at some point in adult life. The apparent disappearance in the fetal ovaries of PGCs/oogonia able to mitotic proliferation results in a fixed number of oocytes that if lost cannot be renewed. In mammals, actually, the oocyte number undergo a continuous physiological decline so that the oocyte stockpile (ovarian reserve) is exhausted about half to two-thirds of the way through the lifespan of the animal which leads to ovarian failure or, in other words, to menopause. In all mammalian species studied, a marked oocyte loss occurs during the fetal life before their enclosure within the primordial follicle. In fact, it has been reported that over two-thirds of the female germ cell pool is lost by the time of birth in rats (Beaumont and Mandl 1961), mice (Borum 1961; Baker 1963; Bakken and McClanahan 1978) monkeys (Nichols et al. 2005) and humans (Baker 1963; Forabosco et al. 1991; Faddy et al. 1992; Hansen et al. 2008). It has been estimated that in mice, the number of oocytes decreases from around 20,000 at 13.5 dpc to about 6,000–10,000 after 6 days, at birth (Burgoyne and Baker 1985; Tam and Snow 1981); in humans, 7 millions of germ cells in the fetal ovaries at around week 20 of gestation are decimated to 1–2 millions oocytes in early neonatal life (Gondos 1978). The concept that female mammals are born with all of the oocytes they will ever posses and the consequent notion that the age-related ovarian failure and menopause occur when the oocyte ovarian reserve is exhausted, render particular relevant to understand the reasons and the mechanisms of oocyte demise in the fetal ovary. Over the years, three main hypotheses to explain the cause of fetal oocyte elimination have been proposed: (1) the number of oocytes formed in the ovary is in excess respect to the supporting ovarian cells; surplus oocytes dye for shortness of nutrients/growth factors so that others have the resources to develop properly, (2) many fetal oocytes are defective for incomplete DNA repair or errors in chromosome synapses occurring during homologous recombination and (3) most oocytes sacrifice themselves donating their cytoplasm content to a subset of surviving oocytes. In all these circumstances, oocyte death could occur by either extracellular or intracellular inducers.
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8.2 Defining the Form/s of Fetal Oocyte Death The first observation in studying the degeneration of fetal oocytes is that it occurs with the characteristics of PCD: it takes place in a predictable place (fetal ovary) and time (during MPI) and results in rapid elimination of a large number of cells (oocytes) without any inflammatory reaction. As largely described in other chapters of this book, at morphological level, two types of PCD have been described: apoptotic cell death, which includes the morphological changes of cell shrinkage, membrane blebbing and extensive chromatin condensation followed by nucleus fragmentation and autophagic cell death, characterized by the formation of autophagic vacuoles in the cytoplasm of dying cells. Early studies carried out by light and electron microscope (TEM) in several mammalian species in vivo (reviewed in Gondos 1978) and more recent in vivo and in vitro researches on mouse (Coucouvanis et al. 1993; Pepling and Spradling 2001; Lobascio et al. 2007a, b), report morphological description of degenerating fetal oocytes compatible with both forms of PCD. It is to be pointed out, however, that in such studies, condensation rather than margination of chromatin and absence of nuclear fragmentation typical of classical apoptosis were reported. Since on the basis of biochemical aspects various types of PCD and mixed forms of apoptosis/autophagy can be distinguished (Kroemer et al. 2009), several methods for detecting fetal oocyte death have been employed in attempting to more precisely define the type and the molecular mechanisms of cell death in such cells. In this regard, distinction between in vivo and in vitro studies must be performed because under diverse conditions stimuli and mechanisms of PCD can be different.
8.2.1 In Vivo Studies Cleavage of DNA into oligonucleosomal size fragments is an integral part of typical apoptosis. This DNA fragmentation is often analyzed using agarose gel electrophoresis to demonstrate a “ladder” pattern at about 200-base pairs (bp) intervals. Atypical apoptotic DNA ladders were actually detectable by autoradiographic analysis of DNA extract form 15.5 dpc to day 0 mouse ovary likely due to fragmented DNA in the nucleus of degenerating oocytes (Ratts et al. 1995; Greenfeld et al. 2007). Fluorescent activated cell sorter (FACS) analyses confirmed the presence of degradated DNA in a subset of small size oocytes showing reduced DNA content (hypodiploid cells) obtained from mouse ovaries at 13.5 dpc and increased on 15.5 and 17.5 dpc (Coucouvanis et al. 1993; our unpublished observations). Moreover, several authors using the deoxynucleotidyltransferase-mediated dUTP nick-end labelling (TUNEL) histochemistry to detect exposed 3-’OH end of DNA fragments in single cells were able to identify fetal oocytes positive to this staining scattered throughout ovary tissue sections (Pesce et al. 1997; Pepling and Spradling 2001; Greenfeld et al. 2007; Rodrigues et al. 2009; Fig. 8.1a–c) or in cytospreads (Ghafari et al. 2007). TUNEL staining has been also applied coupled with other apoptosis markers such as cleaved poly(ADP ribose) polymerase (PARP) and active
Fig. 8.1 Detection of oocyte apoptosis by morphology and TUNEL assay in ovary tissue sections. Top panels: (a) Paraffin section of a 16.5 dpc ovary stained by TUNEL histochemistry. Note several TUNEL positive oocytes (arrowheads). Bar 150 mm; (b) and (c) subsequent paraffin sections of 16.5–17.5 dpc ovary showing: (b) TUNEL-positive oocytes and (c) Hematoxilin stained oocytes. Note that most of TUNEL-positive oocytes show apoptotic morphologies (arrowheads) and that some oocytes with degenerating features are TUNEL-negative (arrows). Bar = 50 mm. Bottom: Percentage of oocyte showing TUNEL staining in tissue sections of fetal ovaries of different developmental ages; (d) The percentage of apoptotic germ cells in tissue sections are plotted from 13.5 dpc to 7 dpp. All apoptotic cells in the ovaries were detected by using the TUNEL method
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caspases 3 and in association with fetal oocyte markers (GCNA1, VASA or SCP3) for more precise immunoidentification of degenerating oocytes (Pepling and Spradling 2001; Ghafari et al. 2007; Rodrigues et al. 2009). A quantitative evaluation of the number of TUNEL positive oocytes in ovary tissue sections showed small percent of positive cells at midgestation ages ranging from 0.5% to 2% and increasing (8–10%) around or early post birth (Pesce et al. 1997; Pepling and Spradling 2001; Fig. 8.1d); most of these oocytes resulted also positive to cleaved PARP (Pepling and Spradling 2001). Notably, in these studies, fragmented oocytes and TUNEL-positive somatic cells were never observed. On the other hand in some instances, we observed oocytes in advanced stages of degeneration, showing necrotic (low cytosolic density and chromatin residues) rather than apoptotic features which resulted generally TUNEL-negative (Pesce et al. 1997). TUNEL on tissue sections was used successfully to correlate cell death in human fetal oocytes by Modi et al. (2003), who found that 3–7% of oocytes were TUNEL positive between weeks 13 and 23 in normal ovaries, rising to more than 50% in Turner’s syndrome ovaries, where extensive prenatal loss of oocytes occurs. Like Modi, Albamonte et al. (2008) observed low levels (less than 10%) of TUNEL-positive oocytes throughout the second trimester, but they found a higher incidence (about 20%) at 18–20 weeks. It is to be pointed out that a small percentage of cells found in apoptosis at a single time may signify a large accumulated effect of apoptosis over time. In fact, it has been calculated that apoptotic cells are cleared within 1–2 h by neighbouring phagocytic cells, making the total amount of apoptosis in a tissue difficult to assess. Assuming a constant rate of apoptosis and a window of detection of dying cells of 3 h, a finding of 1% apoptosis at a single time would equate to a 56% loss of cells over 7 days (the standard period of MPI in the mouse). It is to be also noted that in cytospreads the number of TUNEL positive oocytes may result much higher, up to 30–40%, than in tissue sections (mouse: Ghafari et al. 2007; human: Hartshorne et al. 2009). This finding, that not necessarily concerns all cytospread preparations (our unpublished observations, see below), is likely due to increased accessibility of reagents to DNA and TUNEL staining of physiological DNA double strand breaks (DSBs) generated by SPO11 in germ cells entering into meiosis (see the review by Keeney and Neale 2006 and the companion Chap. 9), and complicates the interpretation of certain results. Taken together, these observations identify apoptosis as the likely mechanism of PCD in fetal oocytes. However, such process seems, perhaps for the distinctive meiotic status of the oocyte, to differ from classical apoptosis for several features (i.e. absence of chromatin margination and nuclear fragmentation, atypical DNA ladder, in some case absence of TUNEL staining). A marked amplification of the lysosome compartment recently described by Rodrigues et al. (2009) in mouse oocytes around birth, supports the notion that mechanisms distinct from classical apoptosis are involved in oocyte loss at least at the perinatal period. In the aim to further characterize this process and identify causes and molecular pathways involved, we devised an in vitro culture system of isolated oocytes that, with the limits of the culture methods, allowed to obtain some useful information and rose new questions.
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8.2.2 In Vitro Studies Under our culture system, we observed that 15.5 dpc mouse oocytes were able to progress into MPI stages and underwent a peak of TUNEL positivity ranging from 50% to 70% after 3–4 days of culture. Since a similar pattern for Annexin V staining and pancaspase activity was observed, this confirmed apoptosis as the major form of cell death in fetal oocytes at least under our culture conditions (Lobascio et al. 2007a, b). This was also supported by the finding that DNA ladders and cleaved PARP were detectable in cultured oocyte at later times of culture and that caspase 2, a major effector of cell death in oocytes (Bergeron et al. 1998), was expressed in its activated form in cultured oocytes (Lobascio et al. 2007b). As for in vivo studies, however, some results of the in vitro oocyte culture were not entirely consistent with the oocyte apoptosis paradigm. For example, TEM observations of oocytes cultured for 3–4 days revealed recurrent atypical apoptotic morphologies characterized by the absence of chromatin margination and nuclear fragmentation; oocytes with autophagic and necrotic features were often observed. Moreover, pancaspase and caspase 2 inhibitors were able to slow down, but not to abolish, oocyte cell death. This prompted us to investigate the possibility that fetal oocytes undergo forms of cell death alternative or parallel to apoptosis eventually converging in DNA fragmentation revealed by TUNEL. The significant reduction of the number of TUNEL positive oocytes by the calpain inhibitor I, evidenced after 4 days of culture and the increased number of such oocytes both at day 3 and 4 caused by incubation in rapamycin (mTOR inhibitor) supported activation of a caspase-independent and autophagic pathways in the oocyte cell death. Furthermore, we observed in cultured oocytes that a progressive reduction of the expression and cytoplasmic staining of the apoptosis inducing factor (AIF), a caspase-independent mitochondrial death effector responsible for partial chromatinolysis (Daugas et al. 2000), occasionally parallel to AIF and TUNEL nuclear staining. Finally, cytoplasmic staining for Beclin1, a protein part of the PI(3) kinase class III (PI(3)KC3) lipid-kinase complex that induces autophagy, was markedly increased from the beginning to day 3 of the culture (De Felici et al. 2008). Other in vitro culture results reported in the recent paper by Rodrigues et al. (2009) also support a role for autophagy in oocyte degeneration around the perinatal period. These authors found that starvation of newborn mouse ovaries in culture medium without serum caused a marked increase of the number of oocytes stained for acidified lysosomes, a feature typical of autophagy. Moreover, inhibitors of autophagy, but not of apoptosis, reduced oocyte acidification induced by serum starvation and expression of protein mediators of both autophagy (LC3B and beclin1) and apoptosis (caspase3 and cathepsinD) in the cultured ovaries.
8.3 Growth Factor-Regulated Oocyte Death PGCs/oogonia are known to be dependent for their survival and proliferation on several growth factors (for a review see De Felici 2000). The notion that also the survival/death of fetal oocytes is dependent on growth factors came from recent
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in vitro culture studies of whole ovary or isolated oocytes showing that SCF (stem cell factor) also known as Kit Ligand (KL), LIF (leukemia inhibitory factor) or IGF-1 (insulin growth factor-1), were able to prevent mouse oocyte degeneration and favours their meiotic progression (Pesce et al. 1993; Morita et al. 1999; Lyrakou et al. 2002; Lobascio et al. 2007b). In line with these results, it has been found that fetal oocytes express during late stages of MPI the SCF receptor KIT and constant levels of the IGF-1 receptor-1 (IGFR-1) throughout MPI (Manova et al. 1990; Klinger and De Felici 2002; Doneda et al. 2002). Although the oocyte pro survival growth factors are likely to be produced by the ovarian somatic cells, Doneda et al. (2002) have also found that just before birth oocytes express either SCF and KIT suggesting also a paracrine role for this system. According to Morita et al. (2001), fetal oocytes express also type 1 interleukin receptor-1 (ILR-1) and the addition of IL-1a/b to the culture medium significantly increases the oocyte survival in fetal ovaries cultured in vitro. An unexpected role for neurotrophins, growth factors originally discovered in the nervous system, namely neurotrophin 4/5 (NT4/5) and brain-derived neurotrophic factor (BDNF), in favouring the survival of fetal mouse and human oocytes, has been also reported (Anderson et al. 2002; Spears et al. 2003; Paredes et al. 2004). NT4/5 and BDNF are present in the fetal ovary and oogonia and oocytes express their favourite receptor TrkB, preferentially a truncated isoform. Ablation of such receptor result in severe depletion of primordial follicle at birth (Spears et al. 2003; Paredes et al. 2004). All together these results gain strong support to the view that limited amount of growth factors in the microenvironment is one of the cause of the fetal oocyte dismiss and consequently that growth factors withdrawal can trigger apoptosis in such cells. Unfortunately proves of such process in vivo are still lacking. Some results support an opposite extrinsic way through which fetal oocyte could be eliminated: growth factors or compounds produced by ovarian somatic cells could exert a proapoptotic action on oocytes. Sakata et al. (2003) showed that the absence of Kit signalling activates Fas cell death pathways within oocytes of adult mice. Fas has been also implicated in the loss of postnatal oocytes in MRL+/+ mice, a strain that exhibits remarkable regenerative abilities (Guo et al. 2002). Moreover, rat and mouse oocytes of primordial follicles at birth can be induced to undergo apoptosis by TNFa, likely produced by the granulosa cells (Morrison and Marcinkiewicz 2002; Greenfeld et al. 2007). Liu et al. (2010) on the basis of the depletion of fetal oocytes observed as a consequence of ablation of Wnt4 and b-catenin genes, proposed that the balance between somatic cell signalling (Wnt4/ b-Catenin) and activin B is critical for the maintenance of female germ cells during embryonic stage and that fetal oocyte elimination results from a shifted balance toward the proapoptotic action of activin B on the oocytes. It has been recently shown that in the Drosophila ovaries, somatic granulosa-like cells can be induced by rapamycin simulating cell starvation to destroy intact oocytes without a requirement for earlier oocyte compromise. The response to rapamycin was found to be conserved in mammals, as mouse ovarian follicles cultured in vitro in the presence of this drug showed a rapid destruction of the oocyte by adjacent granulosa cells (Thomson and Johnson 2010).
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It is unknown, however, how such mechanisms of active oocyte elimination might be normally activated during MPI and on which basis oocyte are selectively eliminated. This way of cell elimination could imply some sort of recognition of oocytes to be eliminated by the somatic cells as it occurs in the immune system and be part of the oocyte quality control process discussed below.
8.3.1 Apoptotic and Autophagic Pathways It has been shown by many studies that withdrawal of a variety of growth factors in several cell systems results in mitochondrial-dependent activation of apoptosis involving cytochrome c release from mitochondria, the formation of the apoptosome and activation of effector caspase. It has been demonstrated that the binding of a growth factors to its receptor results in phosphorylation events involving many different kinase pathways, including the PI3K/AKT, MAPK and GSK-3 pathways that eventually converge on Bcl-2 family members and other players of the machinery of the intrinsic apoptotic pathway (Kennedy et al. 1997; Songyang et al. 1997; Maurer et al. 2006) (Fig. 8.2).
Fig. 8.2 A schematic drawing of the possible molecular pathways involved in the apoptotic and autophagic forms of mouse fetal oocyte programmed cell death supported by the in vivo and in vitro studies reviewed in the present chapter. For details, see text. GC granulosa cell
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Little is currently known about the intracellular effectors utilized by the ligand-activated receptors providing anti apoptotic signals in fetal oocytes. In particular nothing is still known about mitochondria and apoptosome involvement in fetal oocyte apoptosis. In oocytes of primordial follicles of rat and mouse, it has been found that SCF promotes survival by upregulating Bcl-2 and Bcl-xl and downregulating Bax proteins through the PI3K-AKT signaling pathway (Jin et al. 2005; Reddy et al. 2005). The only information available in fetal oocytes is that in cultured mouse ovaries, pharmacological inhibition of PI3K abolish the antiapoptotic actions exerted by SCF, LIF and IGF-1 on these cells (Morita et al. 1999). In this regard, preliminary results obtained in our laboratory have shown that stimulation of enriched population of mouse fetal oocytes by SCF and IGF-1 resulted in a robust increase of AKT and S6 but not of ERK 1-2 kinase phosphorylation (Klinger 2002). It is reasonable to think that a limited amount of growth factors can be sensed by the cells by the same players involved in detecting nutrient shortness. In this regard, autophagy is a major mechanism by which a starving cell reallocates nutrients from unnecessary processes to more-essential processes. Interestingly, mTOR (mammalian target of rapamycin) kinase, a key player of autophagy appears to be a downstream target for the cell prosurvival growth factor action. Under normal conditions, in the presence of growth factors and nutrients, mTOR is constitutively activated. This activation is generally partly maintained through the insulin receptor or insulin-like growth factor receptor pathways, via a cascade that involves the activation of phosphatidylinositide-3kinase (PI3K), then phosphatidyl inositol-3,4,5 phosphate-mediated activation of AKT/PKB-mediated phosphorylation of mTOR. In turn, mTOR phosphorylates S6-kinase and 4E-BP1 to enhance the translation of selected mRNA transcripts involved in multiple metabolic pathways. Another target of mTOR implicated in the regulation of protein translation is PP2A which dephosphorylates the mTOR substrates S6-kinase and 4E-BP1(reviewed in Castedo et al. 2002). When mTOR is reduced or inhibited, autophagy and/or apoptosis is activated. It is likely that autophagy is first activated as a survival strategy to provide nutrients to the cell and then evolves in cell death if nutrients and growth factors depletion continue. Growing evidence supports the notion that apoptotic pathways are downstream mTOR activation. As a possibility, its downstream target S6-kinase, which can bind to mitochondrial membranes, can phosphorylate the pro-apoptotic molecule Bad on serine 136, a reaction which disrupts Bad binding to the mitochondrial death inhibitors Bcl-xl and Bcl-2 and thus inactivates Bad (Harada et al. 2001). In our culture system, we found that rapamycin was able to increase oocyte apoptosis evaluated by the TUNEL staining. Interestingly, the SCF anti-apoptotic action on oocytes did not appeared dependent on the downstream activation of mTOR since it was not affected by the presence of rapamycin in the culture medium. On the other hand, SCF was able to abolish the proapoptotic effect of rapamycin suggesting cross-talk between these pathways (Lobascio et al. 2007b).
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8.3.2 Bcl-x Family Members and Caspases In the companion chap. 9, we discuss the involvement of Bcl-x family genes and caspases in the possible DNA-damage depended cell death of the fetal oocytes; in the present section, we report evidence about their role in the growth factor- regulated oocyte death. The demonstration that Bcl-2 is able to prevent apoptosis following growth factor withdrawal was one of the seminal experiments elucidating the anti apoptotic function of Bcl-2 (Vaux et al. 1988). Yet there has been an incomplete understanding of the signalling events linking growth factor withdrawal to Bcl-2 family members and other players of the machinery of the intrinsic apoptotic pathway. In this regard, in the previous section we reported that Bcl-2 family members are also involved in authopagy since the mTOR-S6-kinase-Bad pathways can trigger autophagic cell death. As also reported in the previous section, in oocytes of primordial follicles of rat and mouse, SCF promotes survival by upregulating Bcl-2 and Bcl-xl and downregulating Bax through the PI3K-Akt signaling pathway (Jin et al. 2005; Reddy et al. 2005). Studies of the functions of members of the Bcl-2 gene family suggested that apoptosis was controlled by a rheostat in which anti-apoptotic proteins like Bcl-2 bound and sequestered proapoptotic proteins like Bax. Fetal oocyte express Bcl-X (mostly Bcl-xl) and Bax (De Felici et al. 1999; Rucker et al. 2000; Klinger 2002). Bax expression has been also detected in oocytes of the human fetal ovary from the 14th week until term (Vaskivuo et al. 2001). Although mouse fetal oocytes seem less sensitive than male germ cells to the haplo-sufficiency of Bcl-x (Kasai et al. 2003), in some instance the rheostat Bcl-x/Bax appears to regulate fetal oocyte apoptosis. Actually, Rucker et al. (2000) showed that in bcl-x hypomorph mice a marked demise of fetal oocytes occurred around 15.5 dpc and the ablation of bax restored the oocyte number. We found, however, that SCF and IGF-1 do not exert their oocyte prosurvival action on the Bcl-xl/Bax rheostat. In fact, both factors were unable to consistently influence the expression of Bcl-xl in cultured oocytes and, although the oocytes with apoptotic features accumulated Bax protein, neither SCF nor IGF-1 influenced this occurrence (De Felici et al. 1999; Klinger 2002). The existence of Bax-independent mechanisms of fetal oocyte elimination is supported by two papers showing that between 14.5 dpc and birth oocytes are eliminated at the same rate either in wild type and bax-/- ovaries (Alton and Taketo 2007; Greenfeld et al. 2007). These papers, in contrast to Perez et al. (1999), also observed that at birth the number of the primordial follicles was significantly higher in Bax null than in wild type ovaries. In accord with our previous results (De Felici et al. 1999), the authors concluded that the regulatory activity of Bax occurs during PGC development. Other studies in mouse fetal oocytes indicate that Bcl-2 protein was barely immunodetectable in oocytes entering into meiosis and its expression did not change during the stage of MPI (De Felici et al. 1999). However, others reported that in Bcl-2-/- females the ovarian reserve oocytes was reduced (Ratts et al. 1995) and over expression of Bcl-2 enhanced follicular endowment (Flaws et al. 2001),
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leaving open the possibility that Bcl-2 can play perhaps an indirect role in oocyte dismiss likely by sustaining granulosa cell survival. As reported in other chapters of this book, the caspase family of cysteine protease comprises a group of apoptosis-inducing enzymes that are sub typed by differences in their pro-domain, substrate specificity and their position in the caspases cascade. In this regard the caspases can be divided in initiator (caspases 2, 8, 9 or 10) and effector (caspases 3, 6 or 7) caspases. The only caspase whose activity appears to be involved in the growth factor-regulated oocyte death is caspase 2. Caspase 2 has a unique position in the apoptotic pathways, it has the molecular characteristics of initiator caspases and at the same time it can be activated by effector caspases (Slee et al. 1999). Higher numbers of primordial follicle are endowed in the ovaries of neonatal caspase 2 deficient female mice and caspase 2 deficiency prevents fetal oocyte degeneration resulting from cytokines, namely Interleukin-1a and 1b, insufficiency (Bergeron et al. 1998; Morita et al. 2001). Moreover, the active forms of caspases 2 is detectable in mouse oocyte undergoing apoptosis in culture (Lobascio et al. 2007b). On the other hand, the dismiss of fetal oocytes does not appear to require caspase 3 (Matikainen et al. 2001). It is to be noted that if growth factor-dependent oocyte degeneration occurs or involves at some points autophagy, caspase activation can be dispensable in such process. This explains the absence of detectable caspase activity in a subset of cultured TUNEL positive oocytes and the partial and temporary protective effects of caspase inhibitors on the oocyte degeneration in culture (Lobascio et al. 2007b).
8.4 Quality Control-Dependent Oocyte Death Two models could explain how germ cell death maintain oocyte quality. In the first, apoptosis eliminates defective oocytes from the germ line. In the second, apoptosis modulates the number of developing oocytes to help allocate resources properly.
8.4.1 Crossover Defects as Possible Cause of Oocyte Elimination The complexity of the processes occurring during crossover has led to the idea that fetal oocytes could undergo apoptosis as a consequence of unrepaired DNA DSBs or defects in synapses (asynapses) detected by meiotic checkpoints. Alternatively, as reported in a previous section, the quality of oocytes could depend on other factors such as the number of mitochondria or the capability to express adequate number of receptors for growth factors or paracrine/autocrine factors. While the existence of these last two quality oocyte mark is only hypothetical, evidence supporting the notion of genomic defects as cause of oocyte death comes from studies of impaired germline development either in male and female mice with genetic
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mutations causing abnormalities in cross over. These studies and possible molecular pathways involved are discussed at length in the companion chap. 9. Although there is little doubt that in some instances cross over defects are able to trigger meiotic arrest and elimination of fetal oocytes, the efficiency of these checkpoints appears quite lower in female than in male meiotic cells and little evidence exists that such mechanisms are actually responsible for the physiological prenatal massive oocyte death. Moreover, the form of PCD elicited by the meiotic checkpoints remained to be clearly determined. In the present section, we limit the discussion to a few studies that have tried to directly correlate the presence of unrepaired DNA and asynapses in fetal oocytes in vivo and in vitro to expression of apoptotic markers. In one of these studies, mouse oocyte synaptonemal axial elements were labeled in cytospreads by SCP3 antibodies and immunocytochemistry for TUNEL and/or cleaved PARP was used as apoptotic markers (Ghafari et al. 2007). These authors found that while at the beginning of every MPI stages (mainly at leptotene and zygotene), TUNEL was able to stain a subset of oocytes freshly collected from the fetal ovary with physiological DNA DSBs or in apoptosis, later the labeling was progressively restricted to apoptotic oocytes. They concluded that PARP or double PARP-TUNEL positivity, ranging from 20% to 40% of the scored oocytes, identified early and late apoptotic oocytes, respectively. However, fragmentation of axial elements indicative of SC assembly defects was not consistently associated to PARP-TUNEL positivity. Similar results as regard TUNEL, were obtained by the same group in human oocytes (Hartshorne et al. 2009), which show high frequency of SC fragmentation, synaptic anomalies or both (zygotene: up to 70%; pachytene around 18–30%) (Tease et al. 2006). We also investigated the association of TUNEL staining with the presence of DNA DSBs and asynapses evaluated by immunocytochemical labeling of the phosphorylated histone H2AX (gH2AX) in mouse fetal oocytes (unpublished observations). Previous studies either in mouse and humans have shown that gH2AX labeling appears at leptotene in large, cloudlike chromatin regions corresponding to DNA DSBs throughout the oocyte nucleus. Subsequently, the repair of DSBs results in the disappearance of most of the gH2AX signal at the pachytene stage. However, a second and independent wave of gH2AX staining appears in late zygotene and pachytene oocytes; this second labelling appears in spots distinct from that large cloud-like staining of leptotene/ zygotene and is associated with the asynapsed axial core of meiotic chromosomes (de Vries et al. 1999; Turner et al. 2005; Garcia-Cruz et al. 2009). In line with these observations, we observed that virtually all leptotene and zygotene oocytes freshly isolated from mouse fetal ovaries showed gH2AX cloud-like staining due to DNA DSBs. At pachytene and diplotene, around 40% of the oocytes were gH2AX positive, mostly (>90%) with spot labelling (asynapsis) and a few with cloud-like DSB labelling. At all stages examined, only a few oocytes (0.5–3%) showed TUNEL positivity that appeared unrelated to any distinguishable MPI stages and gH2AX labelling pattern. Since we knew that the most part of isolated leptotene/zygotene oocytes cultured for 3–5 days are able to reach pachytene and diplotene stages or undergo apoptosis as evaluated by increased frequency of TUNEL positive oocytes
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(Lobascio et al. 2007a, b), we reasoned that a correlation between TUNEL staining with MPI stages and gH2AX labelling pattern should be more easily achieved in oocytes in culture where apoptotic cells are more easily captured. Although it was often difficult to determine the MPI stage of the TUNEL positive oocytes by SC labelling, in most cases they appeared in pachytene and diplotene. Moreover, TUNEL positivity was coupled mostly to gH2AX diffuse throughout the nucleus with variable number of patches underlying indicative of widespread DNA fragmentation (Pelzel et al. 2010) and rarely (<5%) with gH2AX cloud-like staining typical of DNA DSBs; interestingly, around 20% of the TUNEL positive oocytes did not show any gH2AX staining. On the other hand, virtually all oocytes showing gH2AX with spot labelling (about 18%) did not result TUNEL positive. A possible interpretation of these results is that, at least in culture, oocyte apoptosis rarely occurs as a consequence of unrepaired DNA DSBs or asynapses. The nature of the TUNEL positive but gH2AX negative oocytes remain undetermined (Fig. 8.3).
8.4.2 Oocyte Cysts and Self Sacrifice In light with the observation that oocyte clusters termed cysts are present in the mouse fetal ovary and undergo breakdown in concomitance with high wave of oocyte apoptosis around birth, it has been speculated that in analogy to similar findings in Drosophila and C. elegans, within a cyst only one oocyte is fated to survive by receiving transfer of nutrients, metabolic or otherwise (for example mitochondria), from the other oocytes which like a sort of “altruistic” cells, sacrifice themselves by apoptosis after completed their nursing role (Pepling and Spradling 2001). This hypothesis implies that factors affecting the onset of cyst breakdown should be important modulators of the oocyte apoptosis. Actually, steroid hormones (e. g. estradiol and progesterone) and several proteins, including Foxl2, Nobox, members of the Notch signalling family and TGF-b super family (namely activin), can affect this process (reviewed by Tingen et al. 2009). In particular, relatively high levels of estradiol and progesterone or ablation of Foxl2, Nobox and members of the Notch signalling prevent cyst breakdown whereas activin stimulates the process. However, although these conditions markedly affect the number of the primordial follicular pool none of them appear to influence the survival of oocytes. Thus it could be that the process of cyst breakdown is crucial for the formation of the primordial follicles rather that for oocyte apoptosis.
8.5 Conclusions The three main hypotheses proposed to explain the cause of oocyte elimination before birth have been proposed such as the excess number of oocytes respect to the supporting ovarian cells, defective oocytes for incomplete DNA repair or
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Fig. 8.3 Examples of γH2AX and TUNEL cytospread staining in mouse fetal oocytes in culture. (a, b) and (d–f) TUNEL positivity associated to diffuse and patched γH2AX likely marking oocytes undergoing apoptosis with heavily fragmented DNA; (g–i) TUNEL negative oocyte showing cloud-like γH2AX labeling; (j–l) TUNEL positivity oocyte without γH2AX staining
errors in chromosome synapses and oocytes self sacrifice, are not mutually exclusive; fetal oocytes might die for any one or a combination of these reasons. Actually, in vivo and in vitro studies indicate that fetal oocytes posses and are able to activate several players of various forms of PCD including atypical forms of apoptosis and autophagy. Likely the best marker of cell death in such cells is cleaved PARP while TUNEL labelling, although common to various forms of
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oocyte death, in some instance stains oocytes with physiological DSBs not necessary fated to death. In this various paradigm of PCD, the maintenance of critical level of anti apoptotic proteins of the Bcl2 family and mTOR activity are likely crucial while increased ceramide level and caspase 2 activation are almost certainly associated to fetal oocyte death. We favour the possibility that during the fetal period the survival or death of fetal oocytes is mostly dependent on positive or negative signals from the surrounding somatic cells and rarely occurs as a consequence of intrinsic apoptotic pathways triggered by unrepaired DNA DSBs or asynapses. In this contest, while availability of nutrients including growth factors represent positive signals for oocyte survival less clear is on which basis oocytes might be actively eliminated.
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Chapter 9
DNA Damage and Apoptosis in Fetal and Ovarian Reserve Oocytes Massimo De Felici and Francesca Gioia Klinger
Abstract The integrity of the nuclear DNA is constantly being challenged by environmental agents but also by several processes physiologically occurring within the cell such as free radical formation and DNA replication and recombination. It has been estimated that as many as 10,000 DNA lesions may occur each day in a metabolically active mammalian cell. The web of control mechanisms of the nuclear DNA damage has been called genome surveillance system. Various types of DNA damage may occur and are repaired by a variety of DNA repair systems, each of which is dedicated to a particular class of lesions. In humans, for examples 130 DNA repair genes have been reported (Wood et al. 2001). In general, the activation of DNA repair mechanisms awakes parallel cell death pathways leading to various types of apoptosis, if the DNA repair fails. In mammals, the oocyte genome is challenged by two unique processes such as the meiotic recombination of homologous chromosomes during the fetal life and a long post natal period of meiotic arrest (dictyate stage) preceding the completion of the meiotic divisions. Meiotic recombination imposes hundreds of DNA double strand breaks (DSBs) that are usually repaired by the oocyte at the end of the meiotic prophase I. The dictyate stage represents a period in which the DNA of the oocytes is subjected to a variety of potential damages whose effects can be highly detrimental for female fertility. In the present chapter, we have attempted to review what it is known about the capability of the fetal and ovarian reserve oocytes, mainly of the mouse, on which most of the studies in mammals have been performed, to repair DNA damages, namely DSBs, produced by meiotic recombination or by external agents, and the relationship between this process and the activation of cell death in such cells.
M. De Felici (*) and F.G. Klinger Department of Public Health and Cell Biology, University of Rome, Tor Vergata, Italy e-mail:
[email protected] G.H. Vázquez-Nin et al., Cell Death in Mammalian Ovary, DOI 10.1007/978-94-007-1134-1_9, © Springer Science+Business Media B.V. 2011
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9.1 Synopsis of Oocyte Development and Establishment of the Oocyte Reserve In mammals, the primordial germ cells (PGCs)/oogonia give rise to primary oocytes (although with large strain and individual variations around 104/ovary in mouse and 2.5 × 106/ovary in humans). Within the fetal ovaries, these oocytes pass through the four stages of the meiotic prophase I (MPI), leptotene, zygotene, pachytene and diplotene, and around or after birth enter a period of meiotic block termed dictyate. Shortly before the beginning of prophase I, the oocyte DNA is subjected to natural DSBs that are necessary for the subsequent chromosome recombination and that are normally repaired around the end of the pachytene stage by a mechanism called homologous recombination (HR, see below). At the diplotene stage, oocytes begin to be individually surrounded by a monolayer of a few flatted pre follicular cells forming a primordial follicle. The oocytes within the primordial follicles present at birth (around 5 × 103/ovary in mouse and 5 × 105 / ovary in human) constitute the so called ovarian reserve. Such oocytes are still largely believed to represent the only pool of oocytes available for ovulation in mammalian females during their entire reproductive life. As reported above, oocytes within the primordial follicle enter into a period of meiotic arrest called dictyate; only the oocytes matured within pre ovulatory follicles exit from such arrest prior ovulation to complete the first meiotic division (around 800 in the entire life span in mouse and 400 in humans). During the long period of the dictyate arrest (more than 1 year in mouse, several years in the humans), oocytes are subjected to physiological aging processes and to the action of environmental factors that can damage DNA. If left unrepaired, DNA damages may lead to genomic abnormalities (e. g. mutations and chromosome breakages) and eventually to cell death. For example, ovarian failure and infertility are routine side effects of anti-cancer therapy, due to the extreme sensitivity of the ovarian reserve oocytes to the lethal effects of radiation and chemotherapeutic drugs (for a review, see Meirow and Nugent 2001).
9.2 Evidence for DNA Repair Capability in Mammalian Oocytes Mammalian cells have evolved a number of DNA repair systems to deal with various types of DNA damage. Schematically, damage to individual bases and single strand breaks (SSB) can be repaired by base excision repair (BER), bulky adducts and photoproducts by nucleotide excision repair (NER) and DNA double strand breaks (DSBs) can be repaired by homologous recombination (HRR) or non homologous end joining (NHEJ) (for a review, see Ohnishi et al. 2009). Defects in one of these DNA repair mechanisms can result in genomic instability and cell apoptosis. Besides the type of DNA injure, the strategies for DNA damage detection and repair and the possible consequences of unrepaired DNA damage depend
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on a number of variables among which the cell type, the stage of the cell cycle and the cell DNA transcription activity are particularly important. While most of the studies have investigated the response of proliferating cells to DNA damage, less information exists on the DNA repair activity in differentiated cells with rare or absent cell cycle rounds like meiotic oocytes. As described in the previous section, during their life cycle the oocytes pass through two unique stages of cell cycle, the meiotic prophase I (MPI) and a prolonged G2/M-like arrest period (the dictyate stage) in which they face different types of DNA damage requiring diverse strategies for damage detection and repair. Since oocytes are the guardians of the maternal genome they should in principle have developed an efficient machinery to deal with DNA damage. Evidence from a number of in vivo and in vitro studies indicates that the mammalian oocytes are capable of repairing DNA damage (reviewed in AshwoodSmith and Edwards 1996). Fully grown oocytes isolated from adult mice were found to carry out base excision repair (BER) of DNA damaged by ultraviolet (UV) irradiation, as evidenced by the observation of unscheduled DNA synthesis following exposure of the irradiated oocytes to tritiated thymidine (Masui and Pedersen 1975). Pedersen and Mangia (1978) also demonstrated increased, dose-dependent unscheduled DNA synthesis after UV irradiation in resting small oocytes (from 2to 3-day-old mice) and growing oocytes (12–13 days). Pedersen and Brandriff (1980) reviewed studies showing UV-or drug-induced unscheduled DNA synthesis in mammalian oocytes, suggesting that oocytes posses BER capacity from the earliest stages of growth. Such capability seems to decrease, however, at the time of meiotic maturation for unknown reasons, but the fully mature oocyte maintains a repair capacity. Quite surprisingly, Guli and Smyth (1988) detected no UV-induced response of mouse oocytes at leptotene, zygotene or pachytene meiotic stages. Concerning dictyate stage oocytes, they found a similar repair capacity between oocytes from young (8–14 weeks) and old mice (12–15 months). More recently, microarrays have been used to investigate the expression of genes encoding DNA repair proteins in oocytes of various mammalian species. Pan et al. (2005) performed global gene expression studies using mouse oocytes obtained from day 2 primordial follicles to day 22. They found an over-representation of genes involved in DNA repair and response to DNA damage throughout oocyte development. Su et al. (2007) compared the transcript profiles between fully grown and MII mouse oocytes and reported that many of the transcripts of DNA repair genes were degraded during oocyte maturation. In another recent study, the expression profile of genes coding for DNA repair was investigated in human oocytes (Menezo et al. 2007). The authors found that DNA repair pathways for oxidized bases are redundant in fully grown oocytes. One step repair procedure (OSR), base excisions repair (BER), mismatch repair (MMR) and nucleotide excision repair (NER) genes are all expressed and all encoded proteins are also present. The chromatin assembly factors necessary for the maintenance of genomic stability are also highly expressed. In Rhesus monkey oocytes (fully grown and MII stage), Zheng et al. (2005) examined the expression patterns of 48 mRNAs related to proteins detecting different kinds of DNA damage during the cell cycle. All of the examined mRNAs encoding
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MMR, BER and NER proteins were expressed in the oocytes. All but one (RAD9A) mRNAs encoding proteins related to SSB repair were expressed in the oocytes, and their levels were higher in fully grown rather than in MII oocytes. Similarly, most mRNAs encoding proteins for DSB repair were expressed in the oocytes and decreased in abundance during oocyte maturation. In order to repair damaged DNA, a cell must first detect the damage and activate the appropriate machinery to mediate repair. Important genes in that respect are ATM, ATR, PCNA, CHK1 and CHK2. All of them were expressed in the Rhesus monkey oocytes, with differences in their respective levels (high for PCNA and ATM, moderate for CHK1 and low for ATR and CHK2). Other genes involved in cell cycle checkpoints, like CDKN1B, MDM2, MTBP and P53 (G1/S checkpoint) or PLK1 and PLK3 (G2/M checkpoint), were also expressed at a low level. All these results give plenty evidence that mammalian oocytes can repair various kinds of DNA damage occurring either spontaneously or as a consequence of exposure to external agents. However, the efficiency of DNA repair varies in function of the species and oocyte developmental stages. In particular, it appears that both before and after MPI, the oocytes have less repair capacity and/or are more sensitive to DNA damaging agents. Such capability seems to be even lower at the time of meiotic maturation in the adult ovary; however, the fully mature oocyte maintains a certain repair capacity.
9.3 Formation, Detection and Repair of DNA DSBs in Fetal Oocytes During MPI, fetal oocytes must deal with DNA double-strand breaks (DSBs) (about 200 per mouse oocyte) produced in one sister chromatid of each homolog by the enzyme Spo11, a member of the type II-like topoisomerase family of proteins. These DNA breaks are necessary for the homologous recombination occurring during the pachytene stage and are normally resolved at the end of MPI. Of the various type of DNA damage, DSBs are considered as the most lethal form, which, if left unrepaired will lead to cell death. In fact, in somatic cell even a single DNA DSB is sufficient to cause apoptosis (Rich et al. 2000), or can directly inactivate key genes, lead to chromosomal translocations or generate unstable chromosomal abnormalities (van Gent et al. 2001). Mammalian cells have evolved two main mechanisms for DSB repair termed homologous recombination (HRR) and nonhomologous end joining (NHEJ) (reviewed in West 2003; Wyman and Kanaar 2006). The first, employed by the fetal oocytes utilises a matching intact DNA molecule as a template and is a relatively error-free process. Extensive studies on yeast meiosis and mouse oocytes and spermatocytes have allowed identifying important players of this complicated process although several aspects remain to be clarified. In this regard, the development of immunocytological methods (cytospreads) for localization in single cells of HRR proteins in the context of the proteinaceous axes of the homologous chromosomes and of the synaptonemal
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Fig. 9.1 A scheme of some stages and players involved in DNA DSBs (double strand breaks) and homologous recombination in mouse oocytes during meiotic prophase I. For details see text
c omplex (SC), has make possible a detailed description of the time course for the appearance and disappearance of HRR proteins in mouse oocytes during MPI stages. These observations have been complemented by studies of the consequences of the loss of specific HRR protein functions through gene targeting (for reviews see Cohen and Pollard 2001; Richardson et al. 2004; Cohen et al. 2006; Burgoyne et al. 2007). Although a detailed account of such processes is beyond the aim of the present article, a concise description of the main players identified in the mouse is necessary to understand possible relationships between HRR and activation of cell death pathways in fetal oocytes (Fig. 9.1). Homologous recombination in mouse oocytes starts with the formation of Spo11-induced DNA DSBs. Active Atm (Ataxia Telangiectasia Mutated) is then recruited to the DSBs (likely by the Mnr11 complex).
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The removal of bases from the 5’DNA strand on either side of the break produces a 3’ single stranded (ss) DNA tail that is covered by replication protein A (Rpa) and serves to engage Atr (Ataxia-Telangiectasia- and Rad3-related) and probably other complexes (Rfc- and Pcna-like complexes). Atm/Atr–dependent phosphorylation of a number of other proteins (e.g. H2AX, Mdc1, Brca1 and 53Bp1) amplifies the accumulation of HRR proteins at DSBs. The recombinases Rad51 and Dmc1 are then loaded to promote pairing and synapsis of homologous axial element to form the lateral element of the SC. In addition to proteins of lateral (Scp2 and Scp3) and central (Scp1) elements of SC, the coesin (Smc1-Smc2 and Rec8) complex and the mismatch repair MutS homolog MSH4, MSH5 are involved in such processes. The Rad51/Dmc1 nucleoprotein filament interacts with the undamaged DNA molecule of the homologous chromosome and when a homologous region has been located, the damaged molecule invades the other DNA duplex, displacing one strand as a D-loop. Rpa, Brca2 and the Bloom elicase (Blm) are also involved in such processes. The 3’ terminus of the damaged DNA molecule is extended by a DNA polymerase that copies information from the undamaged partner, and the ends are ligated by DNA ligase I. Finally, the DNA crossovers (Holliday junctions) are resolved by cleavage and ligation to yield two intact DNA molecules. At the sites of recombination, the homologous chromosomes are maintained attached by regions termed chiasmata, a process involving Blm and the mismatch repair MutL homolog Mlh1, Mlh3 and Pms2. The presence of immunoreactive nuclear foci of Rad51/Dmc1 from leptotene/ zygotene to late pachytene stages represents DSBs and/or processing DSBs. These proteins together with Msh4 /Msh5 (and likely Rpa) are components of proteinaceous structures detectable by transmission electron microscopy present on the SC termed early meiotic nodules (MNs). From late pachytene to diplotene a subset of the early MNs are converted in late MNs in which Rad51/Dmc1 are progressively substituted by Mlh1/Mlh3 and that lead to the formation of chiasmata (Plug et al. 1998). At this stage oocytes undergo the dictyate arrest. The Atm/Atr-dependent phosphorylation of the histone H2AX (generating a modified form termed gH2AX) is typically associated to the DSB formation and its immunodetection is usually used to monitor such type of DNA damage. In mouse fetal oocyte, gH2AX appears at leptotene in large, cloud-like chromatin regions throughout the nucleus. Subsequently, the repair of DSBs results in the disappearance of most of the gH2AX signal at the pachytene stage. A second and independent wave of gH2AX staining appears in late zygotene and pachytene oocytes, which is associated with the asynapsed axial core of the meiotic chromosomes (de Vries et al. 1999; Turner et al. 2005) (Fig. 9.2).
9.4 Meiotic Checkpoints and Induced Cell Death in Fetal and Ovarian Reserve Oocytes On the basis of studies analysing the immunolocalization pattern and dynamics of HRR proteins during MPI and the consequences of their ablation in the establishment of the oocyte reserve, two main conclusions can be drawn: (1) the formation
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Fig. 9.2 Morphologies of gH2AX staining in freshly collected mouse fetal oocytes at leptotene, zygotene and pachytene stages. For details see text
of DNA DSBs, pairing/synapsis and recombination of meiotic chromosomes are highly entwined processes and (2) meiotic MPI checkpoints are relatively inefficient in eliminating defective oocytes.
9.4.1 The Formation of DNA DSBs, Pairing/Synapsis and Recombination of Meiotic Chromosomes Are Highly Entwined Processes Proper pairing follows the DSB-dependent initiation of recombination and the development of cross over depend in turn on proper pairing and synapsis. In fact, severe defects in DSB repair, exemplified in mouse oocytes lacking Dmc1, Atm,
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Atr, Msh4 or Msh5, result in absence of proper pairing/synapsis, pre-or pachytene loss of oocytes and virtually complete oocyte deficiency at birth (for a review, see Cohen et al. 2006). Reduced DNA repair capability causes synapsis defects, compatible, however, with meiotic progression of oocytes to the diplotene stage (e.g. ablation of Brca2 and Scp2) (Sharan et al. 2004; Wang and Höög 2006). Defects in the pairing/synapsis process alone may cause oocyte degeneration during the first days/weeks after birth (e. g. ablation of Spo11, Scp3 or Brca2) or result in ovulated oocytes with altered chromosome disjunction at metaphase I but with possibility to be fertilized (e. g. ablation of Scp3, Mlh1, Mlh3 or Pms2) (for a review, see Cohen et al. 2006). In human fetal oocyte, SC fragmentation and errors in synapsis have been directly associated with recombination deficiency evaluated by significant reduction of Mlh1 foci at zygotene/pachytene (Tease et al. 2006).
9.4.2 Meiotic MPI Checkpoints are Relatively Inefficient in Eliminating Defective Oocytes There is no doubt that as in the mitotic cell cycle, checkpoint machinery operates in meiosis to ensure that one event does not occur until the preceding event has been completed. Actually, a plausible interpretation of the observations reported in the previous section is that also in fetal or early postnatal oocytes meiotic checkpoints are activated. A first checkpoint seems to be DSB activated between zygotene and pachytene and able to block or slow down meiosis progression and trigger oocyte death in the presence of unrepaired DNA breaks. In several instances, this checkpoint seems, however, poor effective. In fact, oocytes with residual DSBs may escape elimination and progress to the diplotene stage. Similarly little effective appears the checkpoint monitoring asynapses in oocytes at pachytene (for a review, see Cohen et al. 2006). Mutant mice with X-chromosome defects have also been used to investigate the consequence of defective homologous pairing/synapsis. Female mice that lack a second X chromosome (X0) show ovogenesis failure presumably due to failed-chromosome pairing, which leads to increased oocyte degeneration during the development of the fetal ovaries (Burgoyne and Baker 1985). A similar situation occurs in the Turner (X0) syndrome in humans which is associated with massive oocyte apoptosis in the fetal ovary (Zinn and Ross 1998; Modi et al. 2003). In this regard, unlike the results reported above, Alton et al. (2008) reported that there was no difference in the number of oocytes between XO and XX ovaries shortly after birth. It is to be noted that in Burgoyne and Baker (1985) XO females carried the paternal X chromosome, whereas in the later the X chromosome had a maternal origin. The same authors studying XY females found fewer oocytes in XY ovaries that in the XX ovaries and absence of oocytes at diplotene stages (Alton et al. 2008). Comparison of the results obtained in the XO and XY ovaries suggests that the loss of the XY oocytes is likely due to the presence of the Y-chromosome and not to the paring defects. If and at which extent meiotic checkpoints are activated during normal MPI within the fetal ovary and are responsible for the massive oocyte death occurring in
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fetal and around birth periods is not known (see the companion Chap. 8). It is to be pointed out that in spermatocytes, although with some exceptions (e.g. ablation of Mlh1, Mlh3 or Pms2), the pachytene checkpoint is able to efficiently eliminate by apoptosis germ cells with cross over defects independently by DNA damage (for a review and references, see Cohen et al. 2006). Another meiotic checkpoint able to detect abnormal synapses seems activated in dictyate oocytes after birth. Evidence for this checkpoint came from the observation that Spo11-/- oocytes in which no DNA DSBs are produced, are eliminated during the first 2 weeks after birth for defective cross over defects (Baudat et al. 2000; Romanienko and Camerini-Otero 2000; Di Giacomo et al. 2005). Since at this stage, as it will be discussed in the next section, DNA damage–dependent apoptosis can operate in mouse oocytes, it is possible that this latter represents an additional postnatal DNA DSB checkpoint. The relationships if any between these two DNAdependent and independent checkpoints able to eliminate oocytes after birth is an interesting topic for future investigations. Like in fetal oocytes, the synapsis checkpoint in postnatal oocytes seems relatively inefficient since, oocytes with defects in chromosomes pairing may still undergo full maturation and ovulate.
9.5 Components of Meiotic Checkpoints and Forms of Cell Death in Fetal and Ovarian Reserve Oocytes The nature of the mechanisms and players of the DNA damage and/or synaptic checkpoints involved in the meiotic arrest and elimination of defective oocytes before and after birth remains elusive. In mitotic mammalian cells DNA DSBs, often present following DNA replication, are repaired by a G2/M checkpoint that uses HRR and many players common to the HRR meiotic machine. In the G2/M checkpoint Atm and Atr prevent transition to M-phase via the kinases Chk2 and Chk1 that arrest the cell cycle until DSB processing is completed by maintaining Cdk1 in an inactive state; this prevents activation of the Cdk1/CyclinB1 complex necessary for the G2/M transition. Activation of Cdk1 requires the removal of the inhibitory phosphates by the phosphatase Cdc25, which is inhibited by Chk2/ Chk1-dependent phosphorylation. If the same mechanisms are active in mouse oocytes to prevent exit from pachytene before DSB repair it is not known. The only information is the immunolocalization of Chk2 and Chk1 on the axial elements or synapsed regions, respectively, in spermatocytes (Flaggs et al. 1997; Ashley et al. 2004). In addition, Cdk1 and/ or Cdk2 activation is required in spermatocytes to exit pachytene and progress into metaphase I (Wiltshire et al. 1995; Dix et al. 1997; Zhu et al. 1997; Inselman and Handel 2004), while Cdk2 has some important meiotic function since Cdk2 null males and female mice show meiotic failure (Ashley et al. 2001; Ortega et al. 2003). Meiotic silencing of unsynapsed chromatin (MSUC) has been recently proposed to contribute to the elimination of pachytene oocytes suffering of small number (two or three pairs) of asynapsed chromosomes. In mammals, the unsynapsed
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regions of the XY bivalent and autosomes results in transcriptional silencing of the linked genes depending on the accumulation of the Brca1 protein (Kouznetsova et al. 2009). We can postulate that inactivation of the affected genes is directly or indirectly involved in the activation of apoptotic pathways. Concerning the forms of cell death induced by DNA damage, it has been shown that, at least in somatic cell lines, it can elicit all three modalities of cell death such as apoptosis, autophagy and necrosis, defined both on morphological and biochemical/functional criteria (for a review, see Borges et al. 2008). Quite surprisingly most of the works reporting reduction of the oocyte number as a consequence of HRR protein ablation lack morphological description of the dying or death oocyte. Oocytes seem to rapidly disappear during the fetal period or a few days after birth. Likewise hystochemistry and molecular markers usually employed to identify different types of cell death were rarely used on such mutated oocytes. Only Wang and Hoog (2006) reported an increase almost double the number of oocytes positive for the terminal deoxynucleotidyl transferase-mediated dUTP nick-end labelling (TUNEL, a marker of oligonucleosomal DNA fragmentation typical of late apoptosis) in the cortex of the Scp3-/- ovaries at 1 and 2 days post partum (dpp). This number was, however, low relative to the total number of oocytes lost at these stages in the mutant ovary (about 34%). Such discrepancy could be due to the rapid elimination of dying oocytes associated to the transient nature of the TUNEL staining and/or to a form of cell death occurring in such oocytes different from classical apoptosis (see the companion Chap. 8). In an in vitro system, however, we found that induction of DNA DSBs in mouse fetal oocyte by adriamicyn and bleomicyn treatment, two widely used chemotherapeutic agents, detected by gH2AX staining, caused oocyte degeneration associated to TUNEL and annexin V staining characteristic of typical apoptosis, but we also observed dying oocytes lacking typical apoptotic chromatin margination and cell fragmentation (Klinger 2002). Thus suggesting that unrepaired DNA damage could elicit various forms of cell death in fetal oocytes (see the companion Chap. 8). In ovarian reserve oocytes undergoing degeneration after DNA damage caused by irradiation or chemotherapeutic compound exposure some morphological changes characteristics of apoptosis, such as progressive chromatin condensation and increase in lipid droplets, have been observed (Lee et al. 2000; Hanoux et al. 2006; Desmeules and Devine 2006). In addition, these oocytes showed apoptotic markers such as TUNEL staining and caspases-2 activity but not caspase-3 (Hanoux et al. 2006; Desmeules and Devine 2006; Gonfloni et al. 2009).
9.6 Molecular Mechanisms of DNA-Damage Induced Cell Death in Fetal and Ovarian Reserve Oocytes The molecular mechanisms controlling the DNA damage-induced cell death in various cell types are becoming to be elucidated (for reviews see Borges et al. 2008; Bitomsky and Hofmann 2009). In the present chapter, we will limit the discussion
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to DNA DSB-induced cell death involving p53 (p53/p73 and p63) and Bcl-2 (Bax, Bclx-L) family members, caspase 2 and ceramide. Actually, several evidences indicate that some of these players are involved in the elimination of fetal and ovarian reserve oocytes as a consequence of HRR defects or after induction of DNA DSBs by irradiation or genotoxic treatments.
9.6.1 p53/p73/p63 p63, p73 and p53 compose a family of transcription factors involved in cell response to stress and DNA damage (for reviews see Levrero et al. 2000; MurrayZmijewski et al. 2006; Bitomsky and Hofmann 2009). The tumour suppressor and transcription factor p53 is a major regulator of the DNA damage cell response including DNA DSBs in somatic cells. Upon DNA damage p53 is stabilized and activated by various mechanisms involving Atm/Atr and Chk2/Chk1. Presumably the most prominent mark in priming the apoptotic activity of p53 is its phosphorylation at Ser46 that has been shown to drive the expression of apoptotic p53 target genes, such as Puma, Noxa and Bax. In addition to its nuclear function, p53 is shuttled into the cytoplasm where it targets the mitochondria by activation of Bax and Bak, resulting in the release of pro-apoptotic factors and apoptotic cell death (for a review, see Bitomsky and Hofmann 2009). In male germ cells, p53 appears to be required for radiation-induced apoptosis of spermatogonia (for a review, see Beumer et al. 1998). It has been suspected to have also a role in meiotic recombination since it was shown to tightly bind to Dmc1 (Habu et al. 2004) and to Holliday junctions and to facilitate their resolution (Lee et al. 1997). Moreover, the highest level of p53 is expressed in pachytene spermatocytes (Rotter et al. 1993; Sjoblom and Lähdetie 1996), whereas staining for the active form of p53 phosphorylated at Ser15 peaks between the leptotene and the zygotene stages and disappears after the early pachytene (Lu et al. 2010). Although loss of Atm resulted in elevated levels of p53 in mouse spermatocytes, their elimination was, however, only partially attenuated by additional mutations in the p53 gene (Barlow et al. 1997). Similarly, spermatocyte apoptosis triggered by loss of Brca1 was only partly mediated by p53-dependent pathways (Xu et al. 2003). Therefore, p53 can be considered only in part responsible for the meiotic arrest and subsequent apoptotic elimination of spermatocytes with DNA damage. Finally, failed synapsis appears to induce spermatocyte apoptosis through a p53independent process (Odorisio et al. 1998). In female germ cells, the role of p53 during meiosis is controversial. In a recent paper, Lu et al. (2010) reported that in Drosophila meiotic recombination provokes functional activation of p53 in oocytes, which was prolonged in cells defective for meiotic DNA repair. Flies lacking p53 are, however, viable and fertile, but showed significant reduced crossover rates. In the mouse, the expression level of p53 in fetal oocytes has been reported to be very low or undetectable and no difference in the number of oocytes at birth between wild type and p53-/- females was detected
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(Matsui et al. 2000). However, significant transient expression of p53 and Sr15P-p53 in 13.5 dpc mouse oocytes entering into meiosis has been reported (Takeuchi et al. 2003) and in the absence of the gene fetal oocytes appear to progress more rapidly throughout MPI stages (Ghafari et al. 2007). Apoptosis induced by ionizing radiations in PGCs/oogonia and in the oocytes of the ovarian reserve, does not require p53 since it occurs at the same extent both in wild type and p53 null females (Suh et al. 2006; Guerquin et al. 2009). p63 appears to be expressed in PGCs/oogonia and in oocyte at the diplotene stage, but not at the previous stages of MPI (Suh et al. 2006; Livera et al. 2008), whereas no information is available about p73 expression in the fetal oocytes. Overall these observations suggest that in the mouse fetal oocytes the only member of the p53 family that can be activated in a narrow window of MPI, just after the formation of DNA DSBs, is p53 itself. It is likely that such activation operates to slow down the meiotic progression and allow HRR-dependent DNA repair rather to stimulate apoptotic pathways. This fact associated to the presence of a robust HRR DNA repair machinery in oocytes between leptotene and pachytene may explain also their high resistance to irradiation in comparison to PGC/oogonia and the ovarian reserve oocytes documented by early (Pedersen and Brandriff 1980) and more recent papers (Hanoux et al. 2006; Guerquin et al. 2009). On this basis, we favour the possibility that the physiological elimination of fetal oocytes rarely occurs by DNA-damage-depending signals. In fact, it is reasonable to think that fetal oocytes subjected to hundreds of DNA DSBs must hold down the p53 family-dependent pro- apoptotic mechanisms that in other cells lead to cell death in the presence of only one unrepaired DSB. Mutations in HRR proteins leading to defects in synapsis/DNA repair could represent situations evoking a DNA checkpoint rarely activated in fetal oocytes during normal MPI. Strong evidences are accumulating that p63, namely the TPA63 isoform, is the p53 family member responsible for the genome surveillance in oocytes of the ovarian reserve (Suh et al. 2006; Livera et al. 2008; Gonfloni et al. 2009). As reported in a previous section, such oocytes remain arrested at the dictyate stage for a prolonged period and are subjected to the action of a variety of possible DNA damage agents. The picture emerging from these recent studies is that in such oocytes, DNA damage caused in the form of DSBs by irradiation or chemotherapeutic compounds leads to p63 phosphorylation followed by activation of pro apoptotic pathways. Intriguing, we found that in the presence of a potent inhibitor of the kinase activity of c-Abl, a phosphorylation substrate for Atm/Atr, the pro apoptotic pathway activated in oocytes by the chemotherapy drug cisplatin is efficiently blocked and females conserve fertility (Gonfloni et al. 2009). The percentage of oocytes expressing TAp63 increases progressively after birth until day 5, when virtually all of the oocytes are in dictyate arrest and all stain positive. Thereafter, expression is constant throughout primordial and primary follicle development and is lost when the more advanced follicles are recruited for ovulation (Suh et al. 2006; Livera et al. 2008; Gonfloni et al. 2009).
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Concerning p73, expression of TAp73 in the nucleus of oocytes of the primordial follicles and in the cytoplasm of growing oocytes has been reported (Livera et al. 2008; Tomasini et al. 2008). The pool of ovarian reserve oocytes in juvenile TAp73 -/- females was significantly reduced and the surviving oocytes showed alteration of gene expression resulting in defect in oocyte ovulation and metaphase II spindle assembly resembling that of aging oocytes (Tomasini et al. 2008). Taken together, these results suggest that p63 and p73 play crucial but distinct roles in post natal oocyte life; p63 is activated to eliminate oocytes carrying DNA damages whereas p73 is involved in the maintenance of the ovarian reserve and in monitoring the spindle checkpoint machinery in mature oocytes.
9.6.2 Bcl-2 Gene Family Members of the Bcl-2 (B-cell lymphoma/leukemia-2) gene family are considered principal players in the cascade of events that activate (Bax, Bad, Bclx-S) or inhibit (Bcl-2, Bclx-L) apoptosis. Bax and Bclx-L genes are known to be expressed in fetal and ovarian reserve mammalian oocytes, including humans (for a review, see Tilly et al. 1997; Tilly 2001; Kim and Tilly 2004). In particular, we found that in the fetal mouse ovary, Bcl-2 protein was barely detectable in oocytes entering into meiosis and its expression did not change during the stage of meiotic prophase I. On the contrary, high levels of Bax was expressed in degenerating oocytes whereas low levels of the protein was present in many apparently healthy oocytes between 15.5 dpc and birth, when Bax was down regulated. Oocytes isolated from 15.5 dpc ovaries progressing through prophase I and undergoing a wave of apoptosis at the stage of pachytene/diplotene in vitro, showed a pattern of Bax expression similar to the in vivo condition (De Felici et al. 1999). Bax expression has been also detected in oocytes of the human fetal ovary from the 14th week until term (Vaskivuo et al. 2001). Despite these circumstantial observations, the role of these key genes of apoptosis in controlling fetal oocyte death and in particular their possible DNAdamage-dependent degeneration is doubtful. In this regard, Rucker and colleagues (2000) have shown that loss of Bax in mice can rescue fetal oocytes from death resulting from hypomorphic expression of the Bclx gene. Moreover, activation of the aromatic hydrocarbon receptor (AHR)-transcription factor by polycyclic aromatic hydrocarbons (PAH) found in cigarette and air pollution, drives Baxdependent apoptosis in fetal oocytes (Matikainen et al. 2001). On the other hand, results from Perez et al. (1999) did not show any difference in the number of primordial and primary follicles between wild type and Bax-/- female at 4 days after birth, whereas in Bcl-2-/- females the ovarian reserve oocytes was reduced (Ratts et al. 1995) and over expression of Bcl-2 enhances follicular endowment (Flaws et al. 2001). On the contrary, Greenfeld et al. (2007) and Alton and Taketo (2007) reported that deletion of Bax yields increased oocyte numbers in mouse embryonic ovaries and increased follicle numbers in neonatal ovaries when compared with
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wild-type ovaries. Both papers concluded that Bax regulatory role likely takes place prior to PGC colonization of the gonad and is dispensable for the demise of fetal oocytes. In line with a role of Bax in PGC survival were also the results by De Felici et al. (1999) and Stallock et al. (2003). As a matter of fact, Bax appears not implicated in a number of modes of fetal oocyte apoptosis. Morita et al. (2001) showed that loss of Bax was unable to override fetal oocyte depletion in Atm mutant females. Similarly, fetal oocytes in the progression of meiotic prophase were eliminated despite Bax deficiency (Alton and Taketo 2007). We found that increased apoptosis of fetal oocytes evaluated by TUNEL staining caused by their in vitro treatment with the DNA damage agents adriamycin or bleomycin, was associated to decreased Bcl-xl but not increased expression of Bax proteins (Klinger 2002). Under such conditions, the addition to the culture medium of SCF (Stem Cell Factor also known as Kit Ligand (KL), a growth factor known to be essential for Bax-dependent, primordial germ cell survival (De Felici et al. 1999), did not affect the extent of the oocyte apoptosis. On the contrary, IGF-1 was able to significantly reduce the number of TUNEL positive oocytes without influence Bax level. All these results indicate that in fetal oocytes various forms of cell death can occur and Bax appears to be dispensable for most of them as those depending on DNA damage. On the other hand, the maintenance of appropriate level of the antiapoptotic BCL2/BCLX-L seems in general more crucial than increased BAX level to determine the survival of fetal oocytes. After birth when the oocytes are found enclosed within the primordial/primary follicles, members of the Bcl-2 gene family are certainly involved in controlling apoptosis likely both in granulosa cells and in oocytes. It has been shown that Bcl2-null female mice possess a significantly smaller pool of primordial follicles (Ratts et al. 1995), while Bax gene disruption prevents atresia of primordial and primary follicles leading to a striking prolongation of the ovarian life span into advanced chronological age (Perez et al. 1999). Moreover, several Bcl-2 family members have been identified as potential modulators of the atresia of these follicle type induced by the industrial chemical 4-vinylcyclohexene diepoxide (VCD) (Hu et al. 2001, 2002) and Bax gene is necessary for this paradigm of follicle atresia (Takai et al. 2003). Studies in rat have determined that VCD causes ovotoxicity by accelerating the natural process of atresia selectively in primordial and primary follicles (Springer et al. 1996; Borman et al. 1999). As a result, chronic exposure in women to low levels of VCD may represent a risk for early menopause (Hoyer and Sipes 2007). Several evidence indicate that in rodents and probably in humans, SCF directly is able to regulate the level of Bcl-2 genes in oocytes of the primordial follicles (Abir et al. 2004; Hutt et al. 2006; Carlsson et al. 2006). In general, ovarian epithelial and granulosa cells produce SCF while oocytes express its receptor c-Kit. In rat, it has also been demonstrated that SCF up regulates the expression of Bcl2 and Bcl-xl and down regulates that of Bax (Jin et al. 2005). Others have demonstrated that inhibition of the SCF/c-Kit interaction with antibody to c-Kit promotes the death of oocytes of preantral follicles in vitro (Reynaud et al. 2000), although no effect on primordial follicle survival was observed when the SCF/c-Kit interaction was inhibited (Yoshida et al. 1997). If and how SCF and
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other growth factors may have a role in the capability to repair DNA damage possibly occurring in ovarian reserve oocytes is not known but it should be worthy to investigate.
9.6.3 Caspase 2 As reported in other chapters of this book, caspases are cysteine proteases able to cleavage multiple proteins during apoptosis allowing ordered dismantling of cells that are undergoing death. Despite being one of the first mammalian caspases to be discovered, the function of caspase 2 has remained mysterious. It has been clearly shown that in the mouse caspase 2 is necessary for the physiological demise of fetal oocytes since caspase 2-/- females are born with significant higher number of primordial follicles (Bergeron et al. 1998). Other works indicate that caspase 2 might be involved in the apoptosis of fetal oocytes occurring for shortage of growth factors (Morita et al. 2001; Lobascio et al. 2007). Hanoux et al. (2006) showed that caspase 2 constitutes an early step in triggering the mitochondrial apoptotic pathway in irradiated oocytes of the ovarian reserve. Moreover, these authors demonstrated that in such oocytes early activation of caspase 2 precedes the activation of caspase 9 and 3, and pre treatment of ovaries with a selective caspase 2 inhibitor (z-VDVAD-fmk) prevents the cleavage of caspase 9 and 3 in primordial oocytes and ultimately rescues some oocytes. Moreover, caspase 2 is necessary for the Bax-dependent loss of primordial and primary follicles caused by 4-vinylcyclohexene diepoxide (VCD) in female mice (Takai et al. 2003). A number of mechanisms could be involved in caspase 2 activation during oocyte apoptosis. Interestingly, recent data indicate that caspase 2 activation may occur after DSB formation and is mediated by a novel caspase activation complex that consists of the DNA-dependent protein kinase catalytic subunit (DNA-PKCs), p53-induced protein with death domain (PIDD) and caspase 2 itself (Tinel and Tschopp 2004) Interestingly, in cells in which Chk1 is inhibited and in the absence of p53, activated caspase 2 is able to induce a Bcl2 or Bcl-xl-insensitive apoptosis (for a review, Kumar 2009). The generation of reactive oxygen species (ROS), which occurs after irradiation, has also recently been demonstrated to lead to the activation of caspase 2 (Prasad et al. 2006).
9.6.4 Ceramide Ceramide belongs to the group of sphingosine-based, lipid second messenger molecules involved in regulating diverse cellular responses to exogenous stimuli including apoptosis. Ceramide is generated by either the hydrolysis of sphingomyelin
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by sphingomyelinase-1 (SMPD-1) or de novo synthesis by ceramide synthase (CS). DNA damage can result in generation of ceramide (Kolesnick and Fuks 2003) once generated, ceramide may serve as a second messenger in initiating apoptosis, while some of its metabolites block apoptosis (i.e. sphingosine 1 phosphate, S1P). Regulated ceramide metabolism may determine the balance between pro- and anti-apoptotic signals, and hence, the intensity of the apoptotic response, thus constituting a mechanism of radiation sensitivity or resistance. Interestingly, ceramide may induce the mitochondrial apoptotic pathway (Fig. 9.3) via activation of caspase 2 and Bax (Perez et al. 1997; von Haefen et al. 2002; Lin et al. 2004; Perez et al. 2005). The first evidence that ceramide is involved in generating death signals in oocytes, was provided by the observation that in the ovaries of neonatal female mice lacking SMPD1 about 40% more oocytes than in wild type were present and the treatment with S1P, which is known to block the sphingomyelin cell-death pathway, attenuates the lost of fetal oocytes in cultured ovaries (Morita et al. 2000). Moreover, adult oocytes from SMPD-1knockout mice were resistant to cell death caused by the cancer drug adriamicyn (Perez et al. 1997). Other works also reinforced this notion showing that in vivo injection of S1P was able to prevent depletion of ovarian reserve oocytes induced by radio- and chemotherapy and to preserve female mice fertility (Perez et al. 1997; Paris et al. 2002).
Fig. 9.3 A schematic drawing of some hypothetic apoptotic pathways activated in oocytes of the ovarian reserve by DNA-damage. For details see text
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9.7 Conclusions It is still unclear how much of the massive oocyte demise occurring in mammals during the fetal period must be attributed to defects in repairing the hundreds of DNA DSBs imposed to their genome before homologous recombination. The evidence available so far, however, allow us to postulate that during the meiotic prophase I, fetal oocytes posses a robust machinery of HRR and little responsive or temporarily inhibited DNA-damage-dependent apoptosis pathways. The relative inefficiency of the meiotic checkpoints in eliminating defective oocytes that can be activated during this period also supports this notion. In any case, when DNAdamage-dependent apoptosis is activated in such oocytes by certain mutation of the HRR machinery or exogenous agents it does not appear to involve Bax or require activation of caspase 2. On the other hand, it is likely that a DNA-DSB-dependent p53 activation operates to slow down the meiotic progression and allow HRRdependent DNA repair, rather than to stimulate apoptotic pathways. At later stages, ovarian reserve oocytes included within primordial follicles and blocked in the G2-like dictyate stage, seem to be more subjected to apoptosis triggered by DSBs and other types of DNA damage. In such oocytes, p63 and perhaps p73, ceramide, caspase 2 and Bax are all players of these processes, but their relative importance and the relationship among them remain object for future studies.
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Chapter 10
Prefollicular Cells María Luisa Escobar, Gerardo H. Vázquez-Nin, and Olga M. Echeverría
Abstract Initially the ovarian cords are formed by pre-granulosa somatic cells and oogonia, which are become oocytes at the meiotic S phase. Pre-granulosa-oocyte interactions, through cell contacts and/or by means of paracrine factors, promote oocyte survival. During prefollicular phase the somatic cell death is infrequent, this has been shown in diverse studies involving different animal models. For instance, in sheep pre-granulosa cells present in ovigerous cords do not appear to be affected by apoptosis. However, recent studies demonstrated the expression of Bok, BclX(L), TNF and full length and cleaved caspase-3 in fetal ovaries, with specific patterns in oocytes and in pre-granulosa cells. However, recent studies demonstrated the expression of Bok, Bcl-X(L), TNF and full length and cleaved caspase-3 in fetal ovaries, with specific patterns in oocytes and in pre-granulosa cells. Bok markedly reduces vulnerability to apoptosis, conversely, loss of Bcl-X(L) increases apoptosis. These results suggest important roles for Bok and Bcl-X(L) in human ovarian development. List of Abbreviations Smad4 Notch Wnt b-catenin RSPO1
Tumor suppressor gene A receptor protein and the signaling pathway mediated by this protein. Protein that are secreted as signal molecules Protein that functions as cell-cell adhesion and as a gen regulatory protein R Spondin 1
M.L. Escobar (*), G.H. Vázquez-Nin, and O.M. Echeverría Laboratory of Electron Microscopy, Department of Cell Biology, Faculty of Sciences, National University of Mexico (UNAM), Mexico, USA e-mail:
[email protected] G.H. Vázquez-Nin et al., Cell Death in Mammalian Ovary, DOI 10.1007/978-94-007-1134-1_10, © Springer Science+Business Media B.V. 2011
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10.1 Folliculogenesis The development of the fetal mammalian ovary includes colonization of the undifferentiated gonad by primordial germ cells and mesonephric cells, interaction of primordial germ cells with somatic cells, and formation of ovigerous cords (see Chap. 2). Initially the ovarian cords are comprised of pre-granulosa somatic cells, and oogonia, which become oocytes at meiotic S phase. Pre-granulosa-oocyte interactions, through cell contact and/or by means of paracrine factors, promote oocyte survival (Kidder and Mhawi 2002). In this sense the somatic cells constitute the prefollicular cells or pre-granulosa cells. During embryonic development, after the proliferation of germ cells and surface epithelial cells, the germ cells initiate meiotic prophase. Then the destiny of the oocytes is determined and they can either degenerate or complete meiosis, but they cannot return to mitotic proliferation. The germ cell precursors of several species have been observed to develop in cysts (Pepling et al. 1999); this germline cyst formation occurs by incomplete cytokinesis during mitosis, resulting in the connection of daughter cells by intercellular bridges (Fig. 10.1). During mammalian oogenesis the somatic cells originate projections that make contact with the oocyte plasma membrane and these projections provide a polarized means to orient the secretory organelles of somatic cells. In domestic mammals, humans, and in rodents, oocyte cyst breakdown progressively into follicular units delimited by a continuous basement membrane and a monolayer of granulosa cells surrounding a solitary oocyte arrested at the diakinesis stage of meiotic prophase. This process
Fig. 10.1 The pregranulosa cells and the germ cells are organized in structures named cysts. The cysts progressively will suffer a rearrange to lead to the formation of primordial follicles
10 Prefollicular Cells Table 10.1 Different factors expressed in pre-granulosa cells Factor Function Ereg Supports the cellular expansion Cyr61 Promotes the cell proliferation, chemotaxis, angiogenesis and cell adhesion ERb Participates in the transition of surface epithelial cells to pre-granulosa cells Kit Ligand (KL) and LIF Participates in the transition of primordial to primary follicles Smad 2 and Smad 3 Promotes the cellular proliferation Notch 2 Supports the proliferation of pregranulosa cells DMRT1 Factor associated to sex reversal Rspo1 Support somatic and germ cell development
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Reference Boumaa et al. (2007) Kim et al. (2005)
Burkharta et al. (2010)
Nilsson et al. (2002), Nilsson and Skinner (2003) Billiar et al. (2004) Trombly et al. (2009) Pask et al. (2003) Kocer et al. (2008)
is called initial folliculogenesis and marks the last step of ovarian differentiation (McGee and Hsueh 2002). In humans, the somatic cells involved in folliculogenesis have two different origins: from the surface epithelium and from the mesonephros (Wartenberg 1982). In primates the follicle formation is initiated at midgestation (Baker 1963; Rabinovici and Jaffe 1990), and within the first week of postnatal life in rodents (McGee and Hsueh 2002). During folliculogenesis, oocytes grow surrounded by an increasing number of granulosa cell layers and, from the preantral stage onward, thecal cells differentiate outside the basal membrane of the follicle. Improper ovarian differentiation or folliculogenesis due to intra- or extraovarian regulation defects often results in premature ovarian failure, leading to infertility. The pre-follicular cells, express different genes which are responsible for the fate and function of the follicles in the ovary (Table 10.1). Some of these factors are related to the cellular expansion and they have been identified in adults as in prepubertal organisms. One of this factors is Ereg, a member of the epidermal growth factor family which is expressed in the granulosa cells of preovulatory follicles in the rat ovary (Sekiguchi et al. 2004); this factor mediates the action of luteinizing hormone and plays a role in cumulus expansion and oocyte maturation in the mouse ovary (Park et al. 2004). Boumaa et al. (2007) demonstrated that Ereg is also expressed in pre-granulosa cells before primordial follicle formation. The cysteinerich angiogenic inducer 61 (Cyr61) is a promoter of cell proliferation, chemotaxis, angiogenesis and cell adhesion, and its protein expression has been identified in the pre-granulosa cells in mouse ovaries (Kim et al. 2005). In fetal ovaries of cattle, the estradiol receptor protein (ERa) and ERb protein were localized to germ cells and pre-granulosa cells within ovigerous cords. Based on these findings the authors suggest that the processes of ovigerous cord disintegration and formation of primordial follicles could be responsive to estradiol-17b. They also propose that ERb protein could have a role in promoting the transition of surface epithelial cells
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to pre-granulosa cells and that the reduction in ERb protein can affect the closure of ovigerous cords (Burkharta et al. 2010). Smad2 and Smad3 expression has been demonstrated in the oocytes and pre-granulosa cells of the mid-trimester baboon fetal ovary (Billiar et al. 2004). The pre-granulosa cells express kit ligand (KL), which is known as stem cell factor, and the oocyte express c-kit, which is the receptor for KL; this association promotes the transition of primordial follicles into primary follicles (see Chaps. 1 and 2). The leukemia inhibitory factor (LIF) is expressed by the pre-granulosa cells and has been shown, in the same way that KL, to promote the transition of primordial follicles, stimulated oocyte growth and the recruitment and proliferation of theca cells from the surrounding stromal tissue (Nilsson et al. 2002; Nilsson and Skinner 2003). The expression of KL in pregranulosa cells is up regulated by the participation of the keratinocyte growth factor 7 (FGF-7) which is produced by the precursor-theca (mesenchymal) cells (Kezele et al. 2005) (Fig. 10.2). Notch transmembrane receptors are important regulators of cell fate determination in numerous cell types; the Notch proteins are highly conserved transmembrane receptors that they are required for normal embryonic development. Trombly et al. (2009) showed that the pre-granulosa cells express Notch2 and that Notch activation impacts pre-granulosa cells and may promote the proliferation of pregranulosa cells during follicle assembly in mice ovaries. The follicle formation process is a crucial step toward ovary function, and pre-granulosa cell proliferation is directed by different factors that lead to the initial primordial follicles and to the subsequent follicular development process.
Fig. 10.2 The pre-granulosa cells express different factors that allow them to continue the cellular expansion, and the cellular transition of pre-granulosa cells to granulosa cells
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In the fetal mouse ovary, the double sex and mab3 related transcript (DMRT1) protein was detected in pre-granulosa cells, and DMRT1 has been identified as a candidate gene for human 9p24.3 gene associated to sex reversal (Pask et al. 2003). R-Spondin1 (Rspo1) is a regulator of the Wnt/b-catenin signalling pathway. Lossof-function mutations in human RSPO1 cause testicular differentiation in 46, XX females, pointing to a role in ovarian development (see Chap. 2). RSPO1 secreted from somatic (pre-follicular) cells has a role in both somatic and germ cell development. This is in agreement with a study of embryonic goat gonads, showing somatic and germ cell surface localization of RSPO1 in the cortical region of the developing ovary (Kocer et al. 2008). The factors expressed in prefollicular cells promote the cellular proliferation of somatic cells, indicating that in this development phase, in the beginning of the folliculogenesis, the principal activity of the somatic cells is to increase the cellular population to avoid that the germinal cells will be nude, because the interaction with somatic pre-granulosa cells is believed to be essential for germ cell survival at this time. It has been proposed that each oocyte needs to associate with a sufficient number of pre-granulosa cells to ensure its progression (Sawyer et al. 2002). In the prenatal phase, the oocytes are eliminated by a regulated process (see Chap. 8), and during postnatal life the degeneration of follicles continues; this event is named follicular atresia. The follicular atresia refers to antral follicles undergoing degenerative changes before rupture during ovulation. Nowadays this term is used in a broader sense, to describe degenerative changes taking place during ovarian follicular development. During the prefollicular phase, the process of cell death in somatic cells has a limited participation; this has been indicated by diverse studies involving different animal models. For example, in sheep pre-granulosa cells present in the ovigerous cord do not appear to be affected by apoptosis. It is thought that the surviving germ cells recruit pre-granulosa cells previously associated with germ cells lost through atresia and thus additional pre-granulosa cells are gained (Sawyer et al. 2002; Juengel et al. 2002). This results in a wide variability in size, number and morphology of granulosa cells of primordial follicles. In cattle, numerous germ cells degenerate without associated alteration of pre-granulosa cells in the ovigerous cords. Thus the follicles form with considerable heterogeneity in size and morphology, as in sheep (Sawyer et al. 2002). It is interesting to observe that in the prefollicular stage in mammal ovaries, somatic cells are not the principal targets of cell death; contrarily, proliferation is the fundamental function of the somatic cells. This view is supported by the large number of factors favoring the cellular progression expressed in the prefollicular cells. However, recent studies demonstrated the expression of Bok, Bcl-X(L), TNF and full length and cleaved caspase-3 in fetal ovaries, with specific patterns in oocytes and in pre-granulosa cells. Bok markedly reduces vulnerability to apoptosis, conversely, loss of Bcl-X(L) increases apoptosis. These results suggest important roles for Bok and Bcl-X(L) in human ovarian development (Jääskeläinen et al. 2010).
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References Albrecht KH, Eicher EM (2001) Evidence that Sry is expressed in pre-Sertoli cells and Sertoli and granulosa cells have a common precursor. Dev Biol 240:92–107 Baker TG (1963) A quantitative and cytological study of germ cells in human ovaries. Proc Roy Soc B 158:417–433 Billiar RB, St. Clair JB, Zachos NC, Burch MG, Albrecht ED, Pepe GJ (2004) Localization and developmental expression of the activin signal transduction proteins smads 2, 3, and 4 in the baboon fetal ovary. Biol Reprod 70:586–592 Boumaa GJ, Affourtita JP, Bulta CJ, Eicher EM (2007) Transcriptional profile of mouse pre-granulosa and Sertoli cells isolated from early-differentiated fetal gonads. Gene Expres Patt 7(1–2):113–123 Burkharta MN, Juengelb JL, Smithb PR, Heathb DA, Perryc GA, Smitha MF, Garverick HA (2010) Morphological development and characterization of aromatase and estrogen receptors alpha and beta in fetal ovaries of cattle from days 110 to 250. Anim Reprod Sci 117(1–2):43–54 Jääskeläinen M, Nieminen A, Pökkylä RM et al. (2010) Regulation of cell death in human fetal and adult ovaries – role of Bock and Bcl-X(L). Mol Cell Endocrinol Jul 28 [Epub ahead of print] PMID 20673843 Juengel JL, Sawyer HR, Smith PR, Quirke LD, Heath DA, Lun S, Wakefield SJ, McNatty KP (2002) Origins of follicular cells and ontogeny of steroidogenesis in ovine fetal ovaries. Mol Cell Endocrinol 191:1–10 Kezele P, Nilsson EE, Skinner MK (2005) Keratinocyte growth factor acts as a mesenchymal factor that promotes ovarian primordial to primary follicle transition. Biol Reprod 73:967–973 Kidder GM, Mhawi AA (2002) Gap junctions and ovarian folliculogenesis. Reproduction 123: 613–20 Kim KH, Park CE, Yoon SJ, Lee KA (2005) Characterization of genes related to the cell size growth and CCN family according to the early folliculogenesis in the mouse. Kor J Fertil Steril 32(3):269–278 Kocer A, Pinheiro I, Pannetier M et al (2008) R-spondin1 and FOXL2 act into two distinct cellular types during goat ovarian differentiation. BMC Dev Biol 8:36 McGee EA, Hsueh AJ (2002) Initial and cyclic recruitment of ovarian follicles. Endocr Rev 21:200–214 Nilsson EE, Kezele P, Skinner MK (2002) Leukemia inhibitory factor (LIF) promotes the primordial to primary follicle transition in rat ovaries. Mol Cell Endocrin 188(1–2):65–73 Nilsson EE, Skinner MK (2003) Bone morphogenetic protein-4 acts as an ovarian follicle survival factor and promotes primordial follicle development. Biol Reprod 69:1265–1272 Park JY, Su YQ, Ariga M, Law E, Jin SL, Conti M (2004) EGF-like growth factors as mediators of LH action in the ovulatory follicle. Science 303:682–684 Pask AJ, Behringer RR, Renfree MB (2003) Expression of DMRT1 in the mammalian ovary and testis from marsupials to mice. Cytogenet Genome Res 101(3–4):229–36 Pepling ME, de Cuevas M, Spradling AC (1999) Germline cysts: a conserved phase of germ cell development? Trends Cell Biol 9:257–62 Rabinovici J, Jaffe RB (1990) Development and regulation of growth and differentiated function in human and subhuman primate fetal gonads. Endocrine Rev 11:532–557 Sawyer HR, Smith P, Heath DA, Juengel JL, Wakefield SJ, McNatty KP (2002) Formation of ovarian follicles during fetal development in sheep. Biol Reprod 66:1134–1150 Sekiguchi T, Mizutani T, Yamada K, Kajitani T, Yazawa T, Yoshino M, Miyamoto K (2004) Expression of epiregulin and amphiregulin in the rat ovary. J Mol Endocrinol 33(1):281–91 Trombly DJ, Woodruff TK, Mayo KE (2009) Suppression of notch signaling in the neonatal mouse ovary decreases primordial follicle formation. Endocrinol 150(2):1014–1024 Wartenberg H (1982) Development of the early human ovary and role of the mesonephros in the differentiation of the cortex. Anat Embryol (Berl) 165:253–280
Part IV
Process of Cell Death Prepubertal Ovary
Chapter 11
Prepubertal Oocytes Gerardo H. Vázquez-Nin, María Luisa Escobar, and Olga M. Echeverría
Abstract Numerous studies of the processes of cell death in newborn to prepubertal mammals has been carried out mainly I rodents. In these animals this period was divided in three ranges of age: 1–10 days, 10–15 days and 15–28 days. One day old rats two structural patterns of oocyte dying in the first meiotic prophase can be distinguished: one with nuclear elongated parallel structures corresponding two synaptonemal complexes of oocytes dying in pachytene stage and the second pattern corresponding to diakinesis, a pseudo interphase, the last stage of the first meiotic prophase. In ovaries of 10–15 days old rats a large proportion of preantral and small antral follicles undergo atresia. Most these oocytes located in these follicles are simultaneously positive to active caspase-3, TUNEL markers of apoptosis and also to lamp1 and acid phosphatase markers of autophagy. In ovaries of 15–28 days old rats the simultaneous presence in the same oocyte of the four markers is frequent in atretic follicles. As in the previous groups, a small number of primary follicles are in process of atresia. The most frequent double association of markers is active caspase-3 (apoptotic marker) with lamp1 (autophagic marker). This association is five times more frequent than caspase-3 with TUNEL, both apoptotic markers. These data suggest that very early in the process of cell death, some features of apoptosis and autophagy are simultaneously present. The presence of one or several typical features of apoptosis as DNA fragmentation or caspase-3 are not per se a definitive sign that this cell is dying by an apoptotic pathway, at least until the presence of other processes of cell death as autophagy are determined in this cell. The same is valid for all processes of cell death. List of Abbreviations UCH-L1 Ubiquitin carboxyl-terminal hydrolase L1 BAX Bcl-2-associated X protein G.H. Vázquez-Nin (*), M.L. Escobar, and O.M. Echeverría Laboratory of Electron Microscopy, Department of Cell Biology, Faculty of Sciences, National University of Mexico (UNAM), Mexico City, Mexico e-mail:
[email protected] G.H. Vázquez-Nin et al., Cell Death in Mammalian Ovary, DOI 10.1007/978-94-007-1134-1_11, © Springer Science+Business Media B.V. 2011
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B-cell lymphoma 2 4’,6-Diamidino-2-phenylindole Light chain 3 microtubule-associated protein 1 Terminal Deoxy-UTP nick end labeling
The study of cell death in newborn to prepubertal mammals has been carried out mainly in rodents. In these animals this period was divided in three ranges of age: one extending from 1 to 10 days after birth, the second from 10 to 15 days and the third from 15 to 28 days. The first period is characterized by the formation of primary follicles from a pre-follicular structure and the beginning of growth of follicles without antrum. During the second period follicles develop small antral. In the third period primary follicles, growing pre-antral and large antral follicles, are simultaneously present (Ortiz et al. 2006) (Fig. 11.1). Follicular growth is a continuum; it goes on at all times, at all ages during infancy, pregnancy or other periods of non-ovulation (Peters et al. 1975).
11.1 One to Ten Day Old Rats In the ovaries of 1 day old rats most oocytes are either incompletely surrounded by granulosa cells, or they are in a pre-follicular stage. Two structural patterns of oocyte death can be distinguished, mainly by their nuclear morphology (Fig. 11.2). One is characterized by elongated parallel chromosomal structures corresponding to altered lateral elements of synaptonemal complexes of oocytes in pachytene stage of meiotic prophase 1. The other pattern of cell death is characterized by clumps of compact chromatin associated to the nuclear envelope as a typical interphase nucleus. These correspond to oocytes in diakinesis stage. Lamp1 and active acid phosphatase are present in normal cells as a small number of lysosomes existing in the cytoplasm of numerous cell types, including oocytes. In order to know whether there is an abnormal concentration of lamp1 and/
Fig. 11.1 Light microscopic images of rat ovary showing different stages of follicle development in prepubertal rats of different ages. (a) Primordial and primary follicles of a 5 days old rat. (b) Small antral follicles are present in 15 days old rats. (c) Follicles of 28 days old rat that have reached the pre-ovulatory phase. Haematoxylin-eosin staining technique. Scale bars 10 mm
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Fig. 11.2 Electron micrographs of one day rat oocytes. The granulosa cells (arrows head) begin to surround the oocytes (oc). In micrograph (a) two oocytes are shown, one of them is normal, the other is altered (arrow). The decaying oocyte shows numerous large clumps of compact chromatin and cytoplasmic vacuolization. In (b) a decaying oocyte shows altered lateral elements of synaptonemal complex (arrow). The cytoplasm is highly altered and the cytoplasmic membrane is almost completely destroyed. Inset. higher magnification of the synaptonemal complex pointed by the arrow. Uranyl acetate-lead citrate staining method. Scale bars (a) 2 mm; (b) 500 nm
or acid phosphatase activity, it is necessary to compare the activities of the structurally altered cell with the structurally normal cells and evaluate the significance of the difference. Acid phosphatase activity is scarce in decaying oocytes of 1 day old rats, but lamp1, active caspase-3, TUNEL are frequently found. Some of the granulosa cells present in these forming follicles are positive to lamp 1 (Escobar et al. 2008). Electron microscope observations show that most granulosa cells of 1 day old rats are normal and altered ones are far less frequent than decaying oocytes (Ortiz et al. 2006). In vitro analyses of the cell death processes demonstrated that the apoptosis markers, such as DNA fragmentation and binding of Annexin-V to phosphatidylserine located in the external side of the cell membrane of isolated oocytes, are most frequent in oocytes of 1 day old rats and minimal in those of 5 day old rats. These results indicate that apoptosis is most frequent in oocytes in diplotene stage and minimal in oocytes in diakinesis (Escobar et al. 2010) (Fig. 11.3). In the ovary of 5 days old rats there are follicles in initial stages of growth in addition to primordial and primary follicles. Active caspase-3 occur in numerous decaying oocytes as well as lamp1, which was found in high concentrations in the cytoplasm of oocytes in primordial and primary follicles and in developing follicles without antrum (Fig. 11.4). Electron microscopic observations demonstrate the initial increments of the number of lysosomes and clear vacuoles, as well as the presence of autophagosomes containing cytoplasmic organelles, clearly showing an autophagic process of cell death in oocytes of primordial follicles of 5 days old rats (Ortiz et al. 2006). Decaying oocytes in the same ovary, and in follicles of the same
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Fig. 11.3 Isolated oocytes of 1 day and 5 days old rats. Some oocytes are positive to annexin-V, a marker to apoptosis. Propidium iodide penetrates only in a dying oocyte with altered permeability of the cell membrane (arrow)
Fig. 11.4 Serial sections of primary follicle of a 5 days old rat ovary. The oocyte is simultaneously positive to active caspase-3 and to Lamp1. The phase contrast image shows numerous cytoplasmic clear vesicles. Scale bars 10 mm
degree of development, express different combinations of apoptosis and autophagy markers. However, large clumps of compact chromatin, a feature typical of apoptosis, are always absent (Escobar et al. 2008). In follicles in the process of atresia of 5 day old rats, dying granulose cells are negative to TUNEL reaction, anti-lamp 1, and acid phosphatase localization. To a low extent they are positive to anti-active caspase-3 and anti-lamp 1 antibodies (Ortiz et al. 2006; Escobar et al. 2008).
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Fig. 11.5 Oocytes of 10 days old rat. Adjacent sections of oocytes labeled with anti-Lamp1 and with an acid phosphatase localization procedure; both markers are presents in the same cell. Scale bars 10 mm
TUNEL positive reaction is not present in decaying oocytes of 5 and 10 days old rats in which autophagic markers acid phosphatase and lamp1 are the two most frequent markers (Fig. 11.5). However, active caspase-3 is found in a variable number of oocytes. Most oocytes are not involved in any process of cell death (Escobar et al. 2008). Primordial follicles are eliminated by a process of cell death not involving active caspase-3 cleavage of PARP1 or fragmentation of DNA; they die by a nonapoptotic pathway (Tingen et al. 2009). The number of primordial follicles is the most significantly reduced from day 6 to day 45. Their frequency declines gradually resulting in an important loss of primordial follicles in the mouse and human between birth and puberty (Bristol-Gould et al. 2006). The number of primary follicles fluctuates during the first 50 days and then increases for approximately 6 months (Bristol-Gould et al. 2006; Faddy et al. 2008).
11.2 Ten to Fifteen Day Old Rats Electron microscopic observation revealed that a small number of primary follicles undergo atresia, while a few begin to grow and develop an antrum. The oocytes located in atretic primary and in growing pre-antral follicles show clear vesicles and
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Fig. 11.6 Electron micrograph of ovary of 11 days old rat. The arrows point to decaying oocytes. There are numerous clear vesicles in the cytoplasm of these oocytes. However, their nuclei do not show altered structural feature. The granulosa cells are morphologically normal. Uranyl acetate-lead citrate staining method. Scale bar 10 mm
autophagic vacuoles, which increase in size and number as the cell death process progresses (Ortiz et al. 2006). A large proportion of growing pre-antral and small antral follicles undergo atresia. Dying oocytes are deformed, detached from granulosa cells and they are frequently positive to TUNEL method, active caspase-3 and lamp1. Electron microscopy demonstrates that a few primary follicles also undergo atresia. In these follicles the oocyte is in the process of cell death, but granulosa cells are morphologically normal. Very frequently the cytoplasm of oocytes located in follicles in process of atresia show clear vesicles and autophagic vacuoles (Fig. 11.6). It is interesting to note that most oocytes undergo a process of cell death involving positive TUNEL signal and small clumps of compact chromatin. Electron microscopic studies in which chromatin was contrasted with osmium ammine method for DNA (Vázquez-Nin et al. 1995) show that chromatin is progressively fragmented during the process of cell death. In advanced stages only short stretches of DNA of less than 100 nm long could be found dispersed in the nucleoplasm (Ortiz et al. 2006). Oocytes in an advanced death process are deformed and have loose contacts with granulose cells (Fig. 11.7). Autophagic vacuoles and zones of the cytoplasm encircled by cisternae of the endoplasmic reticulum occur frequently in these oocytes (Ortiz et al. 2006). Most dying oocytes are simultaneously positive to active caspase-3 and TUNEL, markers of apoptosis and also heavily labeled by lamp1 and active acid phosphatase, markers of autophagy (Escobar et al. 2008).
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Fig. 11.7 Electron micrographs showing altered oocytes. Numerous granulosa cells are detached of the oocytes, which have an altered shape. The cytoplasms of the oocytes have numerous clear vesicles. The micrograph (b) is a high magnification of the dotted square in (a); regression of the granulose cells cytoplasmic prolongations can be observed. Numerous oocyte microvilli are longer than normal and occupy an abnormal space of the membrane-pellucid-membrane (arrow head). (a), (b) and (c) ovaries of 11 days old rat; (d) 15 days old rat. Uranyl acetate-lead citrate staining method. Scale bars (a), (c) and (d) 10 mm; (b) 2 mm
In follicles in the process of atresia numerous granulosa cells are altered. Frequently they are labeled by TUNEL procedure and to a lesser extent by lamp1 or caspase-3 antibodies. However, none are acid phosphatase positive (Ortiz et al. 2006; Escobar et al. 2008). It is interesting to note that the nucleus of decaying granulosa cells may acquire the typical apoptotic configuration, including large dense clumps of compact chromatin in the periphery of the nucleus and budding (Ortiz et al. 2006).
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11.3 Fifteen to Twenty-Eight Day Old Rats As in the previous group, a small number of primary follicles are in the process of cell death. In pre-antral and antral follicles caspase-3, oocytes are found TUNEL reaction and lamp1 are found in oocytes dying in all types of follicles (Fig. 11.8). Autophagic vacuoles frequently contain mitochondria and debris of membranes or other cytoplasmic structures. As the process of death advances, autophagosomes become numerous and are sometimes crowded into reduced cytoplasmic spaces
Fig. 11.8 19 days old rat ovary. Secondary follicle with an oocyte simultaneously positive to active caspase-3, TUNEL, and Lamp1. DAPI is evidencing the DNA distribution. It is interesting to note that active caspase-3 is present in the cytoplasm and also inside the nucleus. Dotted circle correspond to the oocyte limit. Scale bars 20 mm
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(Ortiz et al. 2006). The simultaneous presence in the same oocyte of active caspase-3, TUNEL reaction, lamp1 and acid phosphatase localizations is frequently found in growing follicles of 25 day old rats. Oocytes positive to only some of these markers are also frequent. In oocytes in early stages of cell death process, lamp1 and acid phosphatase signals may be present in the same zones of the cytoplasm. In oocytes in advanced stages of degradation, two types of alterations are present simultaneously in different regions of the cytoplasm: one is characterized by large clear zones positive to acid phosphatase in which no normal cytoplasmic structures can be found and the other in more conserved regions with numerous small clear vesicles in which caspase-3 and lamp1 are localized (Escobar et al. 2008). In oocytes in advanced stages of the process of cell death, DNA is extensively fragmented; remains of extended chromatin can be found in high magnification electron micrographs using osmium ammine method for DNA (Escobar et al. 2008). Very altered nucleoli were found in decaying oocytes frequently in large antral follicles. Most of these nucleoli resemble hollow spheres and they are positive to active caspase-3, lamp1, acid phosphatase and TUNEL (Fig. 11.9). The presence of cytoplasmic proteins such as active caspase-3, lamp 1, acid phosphatase involves the alteration of two processes of regulating the distribution of macromolecules in cell compartments. One is the transport of proteins from the cytoplasm to the nucleus through the nuclear pore and the other is the capture of these cytoplasmic proteins by the altered nucleoli. Ag-NOR reaction ascertains that these dense spherical bodies are nucleoli (Escobar et al. 2008).
Fig. 11.9 Twenty-five days (25 days) old rat ovary. Highly altered oocyte in an antral follicle. The oocyte is simultaneously positive to active caspase-3, TUNEL, Lamp1, and acid phosphatase. DAPI is evidencing the DNA distribution. Arrows indicate the nucleus; dotted arrows are showing a region positive to Lamp1 which also contains numerous small clear vesicles. Arrow heads are pointing a large degraded region highly positive to acid phosphatase. Scale bars 20 mm
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The most frequent double association of markers is active caspase-3 with lamp1, which is the association of a protease typical of apoptosis with a protein of the lysosome membrane characteristic of autophagy. This association is five times more frequent than that of caspase-3 with TUNEL, which are both markers of apoptosis. These data suggest that very frequently early in the process of oocyte death, some features of apoptosis and autophagy are simultaneously present. Almost half of the oocytes in the process of cell death are simultaneously positive to three markers. The association of active caspase-3 with increased acid phosphatase and lamp1 is the most frequent triple association in dying oocytes in all kinds of follicles (Escobar et al. 2008). That is one apoptosis marker and two autophagy markers. An abnormal segmentation at electron microscopic level was described as a process that takes place in the ovary of young animals. Light microscopic observation showed the general morphology of segmented oocytes; the number of pseudoblastomeres resulting from this process was estimated between two and ten. The segments are of unequal size, some of them are nucleated others are devoid of a nucleus. Nuclei in apparent process of amitotic division are frequently found, and mitotic divisions are rare (Vazquez-Nin and Sotelo 1967). Active caspase-3 and lamp1 are frequently present in pseudo-blastomeres which are of irregular shapes and different sizes. The cytoplasm contains numerous clear vacuoles and autophagosomes containing mitochondria and other organelles. Most of the nuclei are small and deformed, the nucleoli are dense, the chromatin is not condensed and it is frequently positive to TUNEL reaction (Ortiz et al. 2006). As in the preceding developmental stages of mouse and rat, granulosa cells surrounding the oocyte are frequently TUNEL positive and less frequently lamp1 or caspase-3 positive, but none are acid phosphatase positive (Ortiz et al. 2006; Escobar et al. 2008). It is interesting to note that caspase-3 is present in human granulose cells during atresia of antral follicles; TUNEL is present to a lower extent. These cells are morphological altered and they contain a single condensed nucleus or multiple nuclear fragments. Also granulose cells may be fragmented in apoptotic bodies (Glamoclija et al. 2005).
11.4 A Few Hints About the Mechanisms of Prepubertal Cells Death in Mammalian Ovary In an in vitro study of pure populations of oocytes from normal rats, apoptosis was tested by externalized phosphatidylserine recognized by Annexin-V and by fragmentation of DNA, demonstrated by electrophoresis. Autophagy was determine by the incorporation of monodansylcadaverine and by monitoring the conversion of protein Light chain 3 (Lc3) from its form I to form II (Lc3-I/Lc3-II) by western blot. The results demonstrate that autophagy is a widespread process of oocyte disposal in rats of different ages from newborn to puberty. Apoptosis is also present in rats of different ages except for 5 day old rats. The simultaneous presence on one
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Fig. 11.10 Isolated rat oocytes were labeled with two markers, one for apoptosis (Annexin-V), and the other for autophagy (monodansylcadaverine). The oocytes were simultaneously positive to both markers. Scale bars 1 day 20 mm; 5 days 50 mm; 19 and 28 days 100 mm
oocyte of a marker of apoptosis as monodansylcadaverine and Annexin-V a marker of autophagy in the same oocyte was found in rats of all ages studied (Escobar et al. 2010) (Fig. 11.10). The ubiquitin system regulates apoptosis by means of degradation of specific proteins. Ubiquitin carboxyl-terminal hydrolase L1 (UCH-L1) is a component of the ubiquitin system. An increase in UCH-L1 expression that takes place in the mouse between 21 and 28 days of age is accompanied by a decrease in the number of follicles. UCH-L1 associates with Jun activation domain-binding protein 1 (Jab1) and with cyclin-dependent kinase inhibitor p27Kipl. The increased UCH-L1, together with the corresponding changes in Jab1, was found in morphological abnormal oocytes of prepubertal ovaries. All these data suggest that UCH-L1, in association with Jab1 and p27Kipl, plays a role in selective elimination of abnormal oocytes in the prepubertal mouse (Gu et al. 2009). Bcl-2-associated X protein (BAX) is a protein of the Bcl-2 family which promotes apoptosis and is expressed both in granulosa cells and oocytes. The young female mouse Bax-/- possess threefold more primordial follicles than wild-type females. This excess of follicles is maintained in advanced age. Thus ovarian lifespan can be extended by disrupting Bax function (Perez et al. 1999).
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An important conclusion that can be drawn from these studies is that the absence, and to a lower extent the presence, of one or several typical features of apoptosis as fragmentation of DNA or active caspase-3 are not per se a definitive sign that this cell is dying by an apoptotic pathway, at least until the presence of markers of other process of cell death as autophagy are determined in this cell. The same is valid for all processes of cell death. The actual process of death of each cell is the result of interweaved metabolic pathways that may be slightly different from cell to cell. Furthermore, all oocytes of the same ovary, in follicles of the same degree of development, at the same moment, are not dying along the same metabolic pathway.
References Bristol-Gould SK, Kreeger PK, Selkirk ChG et al (2006) Fate of the initial pool: empirical and mathematical evidence supporting its sufficiency for adult fertility. Develop Biol 298:149–154. doi:10.1016/j.ydbio.2006.06.023 Escobar ML, Echeverría OM, Ortiz R et al (2008) Combined apoptosis and autophagy, the process that eliminates the oocytes of atretic follicles in immature rats. Apoptosis 13:1253–1266 Escobar ML, Echeverría OM, Sánchez-Sánchez L (2010) Analysis of different cell death processes of prepubertal rat oocytes in vitro. Apoptosis 15:511–526 Faddy MJ, Telfer E, Gosden RG (2008) The kinetics of pre-antral follicle development in ovaries of CBA/Ca mice during the first 14 weeks of life. Cell Prolif 20:551–560 Glamoclija V, Vilović K, Saraga-Barbić A (2005) Apoptosis and active caspase-3 expression in human granulosa cells. Fert Steril 83:426–431 Gu Y-Q, Chen Q-J, Gu Z et al (2009) Ubiquitin carboxyl-terminal hydrolase L1 contributes to the oocyte selective elimination in prepubertal mouse ovaries. Acta Physiol Sin 61:175–184 Ortiz R, Echeverría OM, Salgado R et al (2006) Fine structural and cytochemical analysis of the process of cell death of oocytes in atretic follicles in new born and prepubertal rats. Apoptosis 11:25–37 Perez GI, Robles R, Knudson CM (1999) Prolongation of ovarian lifespan into advanced chronological age by Bax-deficiency. Nature 21:200–203 Peters H, Byskov AG, Himelstein-Braw R et al (1975) Follicular growth: the basic event in the mouse and human ovary. J Reprod Fert 45:559–566 Tingen CM, Bristol-Gould S, Kiesewetter S (2009a) Prepubertal primordial follicle loss in mice is not due to classical apoptotic pathway. Biol Reprod. doi:10.1095/biolreprod.108.074898 Vazquez-Nin GH, Sotelo JR (1967) Electron microscope study of the atretic oocytes of the rat. Z Zellforsch 80:518–533 Vázquez-Nin GH, Biggiogera M, Echeverria OM (1995) Activation of osmium ammine by SO2generating chemicals for EM Feulgen-type staining of DNA. Eur J Histochem 39:101–106
Chapter 12
Follicular Cells María Luisa Escobar, Gerardo H. Vázquez-Nin, and Olga M. Echeverría
Abstract Atresia occurs in neonate, as well as in prepubertal organisms, the follicles that reach the antral follicular phase will inevitably be eliminated as a consequence of diverse causes as the absence of the hormone source present once the organism reach puberty. Most follicles appear to undergo atresia at an earlier stage of growth. Basal concentration of gonadotropins appears sufficient to maintain follicle growth to small antral stage only. Prepubertal mice ovaries possess a mixture of late preantral and early antral follicles destined to atresia due to inadequate gonadotropin support prior to puberty. Therefore, before the onset of puberty, the normal fate of growing follicles is atretic demise. Observations of the ovary atresia demonstrated that in neonate and prior to puberty most atresia occurs in preantral follicles. List of Abbreviations LH Luteinizing hormone FSH Follicle stimulant hormone TGFb Transforming growth factor beta EGF Epidermal growth factor TUNEL Terminal Deoxy-UTP nick end labeling. Procedure that detects DNA breaks Apaf-1 Apoptotic protease activating factor 1 ALK7 Activin receptor-like kinase 7 bFGF Basic fibroblast growth factor Bcl-2 B-cell lymphoma 2 Bok Bcl-2-related ovarian killer cAMP Cyclic adenosine monophosphate DAPI 4’,6-Diamidino-2-phenylindole
M.L. Escobar (*), G.H. Vázquez-Nin, and O.M. Echeverría Laboratory of Electron Microscopy, Department of Cell Biology, Faculty of Sciences, National University of Mexico (UNAM), Mexico, USA e-mail:
[email protected] G.H. Vázquez-Nin et al., Cell Death in Mammalian Ovary, DOI 10.1007/978-94-007-1134-1_12, © Springer Science+Business Media B.V. 2011
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DES Diethylstilbestrol eGC Equine chorionic gonadotropin Fas-L Fas ligand FLIPs Flice-like inhibitory protein isoform FSHR Follicle stimulant hormone-receptor Hiap-2 Human inhibitor of apoptosis protein-2 IAPs Inhibitor of apoptosis proteins IGF-1 Insulin-like growth factor-I IL-1b Interleukin-1b NO Nitric oxide NFkB Nuclear factor kB PMSG Pregnant mare serum gonadotropin ROS Reactive oxygen species TNFa Tumor necrosis factor-alpha Xiap X-link inhibitor of apoptosis protein
12.1 General Aspects of Follicular Atresia The mammal ovary is constituted by follicles, which are considered the functional structure within the organ. It is known that the follicles are lost over the lifespan of the female mammals, this process is called follicular atresia and several studies in this area have demonstrated the cellular elimination via apoptosis. The atretic follicles can be identified by the presence of pyknotic, very dark and shrunken granulosa cells, and oocytes altered in shape. Granulosa cell apoptosis is biochemically characterized by internucleosomal DNA fragmentation and morphologically by cell shrinkage; plasma membrane blebbing and apoptotic bodies (Fig. 12.1). Initial atresia is characterized by a small number of granulosa cells with pyknotic nuclei, in advanced stages the basement membrane is disintegrated and
Fig. 12.1 Twenty-five days (25 days) old rat ovary. The classical TUNEL technique identify internucleosomal DNA in red color. Numerous positive granulosa cells are present in atretic follicles (arrows). DAPI blue staining shows the DNA distribution. Scale bars 200 mm
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Fig. 12.2 Electron micrograph of prepubertal rat antral atretic follicule showing apoptotic granulosa cells in the antral space. Some picnotic nuclei are located between the normal granulosa cells (arrows). Figure (b) is an enlarged view of the cells in the dotted square in Fig. (a). The arrow heads are pointing to dying cells with highly compacted chromatin. These granulosa cells are probably in apoptotic process of cells death. Uranyl acetate-lead citrate staining. Scale bars (a) 10 mm; (b) 2 mm
Fig. 12.3 Histological sections of ovaries of prepubertal rat. The follicular atresia is present in different stages of follicular development (arrow heads). Haematoxylin-eosin stain technique. Scale bars 200 mm
an infiltration of leukocytes in the granulosa layer takes place; finally the atretic follicles are collapsed (Fig. 12.2). It is important to note that atresia occurs in neonate, as well as in prepubertal organisms, the follicles that reach the antral follicular phase will inevitably be eliminated as a consequence of diverse causes (Fig. 12.3), including the absence of the hormone source present only once the organisms reach puberty. Most follicles, however, appear to undergo atresia at an earlier stage of growth. Therefore, conditions may explain the failure of these follicles to continue growth. Serum concentrations of gonadotropins appear to be particularly important. Basal concentrations of gonadotropins appear sufficient to maintain follicle growth
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to the small antral stage only. In the absence of an appropriate level of LH, FSH, or both, these follicles are unable to enter the preovulatory stage and thus they degenerate. Therefore, before the onset of puberty, the normal fate of growing follicles is atretic demise. The process of follicular growth is controlled by both extraovarian and intraovarian factors, and the importance of each of these factors depends on the developmental stage of the follicle. Extraovarian factors regulate antral and preovulatory follicle growth, whereas intraovarian factors regulate preantral and early antral growth (see Chap. 1 in this book).
12.2 Primordial Follicles The primordial follicles constitute the follicular reserve in the ovary and, after an undetermined period, some of them are recruited to initiate the growing process, including in the prepubertal organisms. During initial recruitment of primordial follicles, intraovarian and/or other unknown factors stimulate some primordial follicles to initiate growth, whereas the rest of the follicles remain quiescent for months or years. Alternately, initial recruitment may be due to a release from inhibitory stimuli that maintain the resting follicles in stasis. In infantile rodents there is an accelerated loss of follicles from the resting pool during the initial waves of follicle growth (Hage et al. 1978). This accelerated rate of follicle loss has been attributed to a lack of mature follicles that might exert a negative effect on initial recruitment and to qualitative differences in the first groups (Edwards et al. 1977), reviewed in McGee and Hsueh (2000). The initial recruitment is believed to be a continuous process that starts just after follicle formation, long before pubertal onset. Observations in the ovary atresia demonstrated that in neonate and prior to puberty most atresia occurs in preantral follicles (reviewed in Richards 1980). During the prepubertal period the ovary undergoes a significant loss of primordial follicles from the initial follicle pool that is formed after nest breakdown. The mechanisms underlying the loss of follicles prior to puberty establish the follicles available to the adult animal to ensure normal fertility and the endocrine hormones necessary to the overall health of the organism. Loss of too many or too few follicles would change the ovarian dynamics of the adult. Indeed, premature loss of ovarian follicles is associated with premature ovarian insufficiency, and the mechanisms governing prepubertal follicle loss may provide a window of understanding on this largely idiopathic disease. In mammals, the follicle formation begins in different phases of the life; in humans it begins from uterine life, in rodents it occurs perinatally, when a precipitous drop of estrogen and progesterone occurs. The effects of estrogen on follicular development have been studied in aromatase knockout prepubertal mice. In these organisms the follicles develop to the primordial, primary, secondary and antral follicles, showing that estrogen deficiency is not critical for the development of the initial follicular phases. It is interesting that in knockout mice the number
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Fig. 12.4 Primordial atretic follicles. The granulosa cells seem to be lesser altered than the oocytes. The germinal cells determinate the fate of the granulosa cells in the primordial follicles. Arrows point to the altered primordial follicles. Phases contrast. Scale bar 10 mm
of primordial follicles is 40% less than in the wild-type organisms (Britt et al. 2001). In this sense, the newborns of pregnant baboons treated with aromatase inhibitor, the primordial follicle number was reduced (Zachos et al. 2002). The reduced quantity of primordial follicles demonstrates that steroids may play a role in early folliculogenesis during prepubertal life. In the primordial follicles the follicular elimination fundamentally depends on the germinal cells. The analyses performed on primordial follicles showed that the germ cell death promotes the granulosa fate. Tingen et al. (2009) described that the lost of follicles depends on the developmental stage or local follicular environment of the cell, and that apoptosis is a mechanism of cell death that is limited by cell type within each follicle, during the prepubertal period. Tingen et al. (2009) found that the granulosa cells of primordial follicles exhibit negligible amounts of apoptotic death (see Fig. 12.4). In this book (see Chap. 1), the participation of TGFb superfamily members in different functions of the ovary has been mentioned. TGFb activity is mediated by the Smad proteins, downstream Smad signaling proteins might be the essential determinants of the different actions of TGFb superfamily members. Smad3 is a receptor highly expressed in the ovarian surface epithelium, granulosa cells, and oocytes of several animal models (Tomic et al. 2002). Smad3 mediates intracellular signaling pathways of TGFb and activin, each of which has been found to be an important factor in ovarian development and function. Smad3 deletion provokes a reduced number of antral follicles, which is likely due to diminished follicle growth and decreased granulosa cell proliferation. This decreased cell proliferation has
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been attributed to altered expression of genes such as cdk4 and cyclin D2, which regulate the G1 stage of cell cycle progression. In Smad3-/- follicles, the FSH signaling pathway downstream of FSHR is affected, because the follicular growth is impaired, there is an increased apoptosis, and an altered differentiation in the presence of high FSH levels, but normal expression of FSHR in the prepubertal ovary (Tomic et al. 2004)
12.3 Growing Follicles Without Antrum Most of the accumulated knowledge about follicular atresia has been obtained from observations and experiments performed in the mouse and rat. Billig et al. (1993) identified the estrogens as potent anti-apoptotic hormones in early antral follicles; they studied the regulation of follicle cell apoptosis by sex steroids in an immature rat model. In this assay the rats were hypophysectomized and were implanted with diethylstilbestrol (DES) capsules. It was found that the sex steroids regulate the ovarian apoptotic cell death, estrogens prevent apoptosis, and androgens antagonize the effect of estrogens. Follicular atresia may occur in all stages of follicle development, but the early antral follicles are most vulnerable to atretic degeneration under in vivo physiological conditions (Chun et al. 1996) (Fig. 12.5). In this sense, in prepubertal organisms, preovulatory follicles have been studied using in vitro culture of early antral follicles which were stimulated to continue the follicular development. This model allowed the authors to evaluate the hormonal regulation of apoptosis and to demonstrate a stage-dependent difference in the hormonal regulation of follicular
Fig. 12.5 Atretic growing follicles without antrum of prepubertal rats. The follicular cells exhibit altered characteristics, coincident with apoptosis as: highly compacted chromatin, cytoplasm shrinking and loss of contact with the oocyte. Haematoxylin-eosin stain technique. Scale bars 200 mm
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a poptosis, where the FSH is a major survival factor for early antral follicles, and the follicular stage in which apoptosis is most frequent (Chun et al. 1996). Apoptosis cell death can be initiated via the activation of the mitochondrial pathway, leading to the release of proapoptotic molecules such as cytochrome-C into the cytoplasm, which, in the presence of dATP, induces the formation of the (apoptotic protease activating factor 1) Apaf-1-containing macromolecular complex called the apoptosome. This complex binds to and activates caspase-9, which in turn activates caspase-3. Apaf-1 protein begins to accumulate in granulosa cells of maturing follicles prior to any signs of morphological demise, possibly serving to provide the intracellular machinery needed to execute the process of apoptosis leading to the follicular atresia in immature mice. Tilly et al. (1995) demonstrated an increased Bax expression in immature rat granulosa cells during follicular atresia. Bax belongs to the Bcl-2 family of proteins that are involved in the regulation of apoptosis, and act to promote or suppress cell death. An overexpression of Bax promotes cell death. As a strategy to characterize the ovarian expression patterns of Apaf-1 involved the in vivo gonadotropin stimulation, this process is an effective way to inhibit the granulosa cell apoptosis and follicular atresia in the prepubertal rodent ovary (Tilly et al. 1995). The unprimed prepubertal mice ovaries possessed a mixture of follicles (late preantral and early antral) destined to atresia due to inadequate gonadotropin support prior to puberty. The Apaf-1 expression was high in granulosa cells of some late preantral and early antral follicles, demonstrating that Apaf-1 participates in the granulosa cell death via its ability to trigger activation of the caspase cascade (Robles et al. 1999). In rodents the aromatase expression is restricted to the gonads and the brain. The levels of aromatase mRNA progressively increases in preantral and small antral follicles in infantile ovaries. In prepubertal rats aromatase is no longer expressed by growing follicles; it is confined to healthy large antral follicles (Guigon et al. 2003). In neonatal rat ovaries the appearance of aromatase mRNA and aromatase activity is correlated with the development of primary and secondary follicles. In prepubertal rats, aromatase activity is present in preantral follicles, but estrogen production at this stage of development must be limited as the follicles are not capable of this function, because they do not have all the necessary components. Although aromatase activity is present in preantral follicles of prepubertal ovaries, estrogen production at this stage of development must be limited since these follicles do not have all the components of the ‘two cell, two gonadotropins’ model (Stocco 2008).
12.4 Antral Follicles Diverse studies of prepubertal organisms during the antral follicle stage have shown to present some morphological characteristics: pyknotic nuclei (apoptotic bodies) scattered among granulosa cells, some of these cells are detached from the follicular basement membrane; and fragmentation of the basal membrane during the late
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Fig. 12.6 Electron micrograph of atretic follicles of prepubertal rat ovary. (a) Granulosa cells surrounding the oocyte are detached from the other follicular cells attached to the basement membrane. In the antral cavity one macrophage that has invaded the follicle can be seen (arrow). (b) The cytoplasm of a granulosa cell (gc) is surrounding damaged the neighboring damaged cells (asterisk in b). oc: oocyte; zp zona pellucida. Uranyl acetate-lead citrate method of contrast. Scale bars (a) 10 mm; (b) 2 mm
atresia. Cell debris in the antral cavity and sometimes macrophages that invade the stromal area of the ovary can be seen (Fig. 12.6). In early antral follicles, FSH is the major survival factor and its action is mimicked by cAMP analogues. The apoptosis-suppressing effects of insulin-like growth factor-I (IGF-1), Interleukin-1b (IL-1b, a cytokine initially identified as a regulator of immune reactions), nitric oxide (NO), and cGMP (the second messenger for NO analogues), are less pronounced than those of FSH. Likewise, LH, epidermal growth factor (EGF), basic fibroblast growth factor (bFGF), and activin have a weak apoptosis-suppressing effect. At this developmental stage, the follicles are most prone to atresia, and sufficient exposure to FSH appears to be the most critical survival signal for their further development (Kaipia and Hsue 1997). Possibly the early antral follicles become more responsive to those growth factors through the acquisition of increasing numbers of receptors, thus conferring them a major possibility of success during the final stage of maturation. Chun et al. (1996) demonstrated that the number of EGF receptors in preovulatory follicles is much higher than that of early antral follicles in prepubertal rats. One of the major pathways in apoptosis is the Fas-Fas ligand (Fas-L) pathway. Fas-L is a type II integral membrane protein homologous to tumor necrosis factor and is known to be a potent cell death factor. Fas-L binds to Fas membrane receptor to activate a further cascade of events leading to apoptosis. Findings of Kim et al. (1998) in immature rats, show that on the granulosa cell Fas and Fas-L expression at the penultimate state of follicular development. Later the same authors demonstrated that TUNEL-positive granulosa cells in atretic early and medium antral
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Fig. 12.7 Graphic representation of different pro-apoptotic factors expressed in antral follicles, during follicular atresia. In small antral follicles, the granulosa cells express FasL and Fas, while in large antral follicles the granulosa express Fas and ALK7 receptor. In both types of follicles, the Nodal protein is expressed by thecal cells. All the factors mentioned promote the apoptotic cell death in granulosa cells
follicles also exhibited intense and associated signal of Fas and Fas-L. Fas, but not Fas-L, was expressed at significant levels in granulosa cells of apoptotic large antral atretic follicles, suggesting that at this stage of follicular development is potentially less susceptible to apoptotic insults (Kim et al. 1999) (Fig. 12.7). Nodal, a member of the TGFb superfamily exerts its biological action by binding to a cell surface receptor complex of type II and type I receptors. ALK7 is one putative type I receptor of Nodal. Both Nodal and ALK7 are expressed in a specific cell type and in a specific follicular stage during folliculogenesis in the ovary of equine chorionic gonadotropin (eCG)-primed immature rats (Wang et al. 2006). The theca cell layer of antral follicles shows Nodal and granulose cells present ALK7 receptor; ALK7 suffers a constant dismissal through the follicular development. The presence of ALK7 permits granulose cells to acquire their ability to undergo apoptosis and initiate atresia, but their success depends on the increased level of Nodal in the granulosa cells (Wang et al. 2006). The increased granulosa cell Nodal expression may be a physiological signal for the induction of atresia in the prepubertal rat.
12.5 Diverse Factors Can Begin the Follicular Atresia Several findings have evidenced the presence of different proapoptotic proteins in the ovary during the atresia process (Fig. 12.8). Regulating factors in apoptosis process are involved in granulosa cell death in prepubertal organisms. Tilly et al. (1995)
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Fig. 12.8 Micrographs of atretic follicles of prepubertal rat ovary. (a) phases contrast; (b) electron micrograph with uranyl acetate-lead citrate staining. The granulosa cells in atretic follicles express different factors that promote the apoptosis cell death in prepubertal age. Scale bars (a) 10 mm; (b) 2 mm
postulate that in granulosa cells the ratio of Bcl-2 to bax expression is determinant of cell fate, and demonstrate that the inhibition of granulosa cell apoptosis and follicular atresia mediated by gonadotropin treatment is related to the ability of gonadotropins to reduce the expression of bax in granulosa cells, producing as a consequence a change in the ratio between bax and the constitutive levels of Bcl-2 and Bcl-xlong. Bcl2 and related factors are involved in the fate of rat granulosa cells during follicular development. The increased expression of the bax death susceptibility gene coincides with the induction of apoptosis in granulosa cells during atresia in vivo and in vitro (Tilly et al. 1995). Mcl-1 and Bok (Bcl-2-related ovarian killer) regulate cytochrome-C release, and, together with Diva/Boo, control downstream Apaf-1 homologues and caspases (Tilly et al. 1995). Boone and Tsang (1998) proposed that the presence of caspase-3 in granulosa cells of atretic, but not healthy, follicles of immature female Sprague-Dawley rats suggests that the expression of this enzyme is regulated by gonadotropin and may be up-regulated as part of the apoptotic process in granulosa cells. Fas-L-Fas is the best characterized apoptotic signaling machinery in the granulosa cells of many species, including infant humans (Kondo et al. 1996). Experiments have confirmed that in immature pregnant mare serum gonadotropin
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(PMSG)-treated rats, the secondary and tertiary follicles at an early stage of atresia were positive to anti-Fas antibodies. The activation of the Fas-Fas-L system demonstrates that it is capable of initiating apoptosis in the ovary, as a number of other stimuli, outside the immune system (Hakuno et al. 1996). Fas and Fas-L have been localized to the granulosa layer in immature rat ovarian follicles that have been induced to undergo atresia in vivo by gonadotropin withdrawal (Kim et al. 1998). Granulosa cells from immature rats treated with equine chorionic gonadotropin (eGC) show reduced Fas and Fas-L content (Kim et al. 1998), whereas Fas content is increased in granulosa cells from immature atretic mouse follicles (Dharma et al. 2003). Nitric oxide, by suppressing activation of the caspases, inhibits the apoptosis induced by the Fas/Fas-L system in immature rat granulosa cells. These results suggest a cross-talk between the Fas/Fas-L system-induced apoptosis and nitric oxide-mediated antiapoptotic pathway in ovarian follicle atresia (Chen et al. 2005). These findings strongly indicate that Fas/Fas-L is a key regulator of granulosa cell apoptosis and follicle atresia (reviewed in Krysko et al. 2008). Estrogens are indispensable for the growth and maturation of follicles. Long ago it was shown that treatment with estrogen increases the rate of division of granulosa cells, and also ovarian weight (Williams 1940). Taking into account the anabolic participation of estrogens in the ovary, it is logical that the atretic follicles exhibit decreased estrogen production and a lower estrogen/androgen ratio in the follicular fluid (Carson et al. 1981). These results emphasize the importance of local estrogens in the maintenance of healthy follicles. When immature hypophysectomized rats are treated with an estrogen for 2 days, followed by estrogen removal, the ovarian follicles undergo massive apoptosis (Billig et al. 1993). The apoptotic DNA fragmentation is confined to granulosa cells, indicating that it is the major cell type undergoing apoptosis. The effects of androgens inside the granulosa cells in preantral follicles activate the cell death pathways, impede follicular development, and enhance follicular atresia in immature rats primed with Pregnant Mare Serum Gonadotropin (PMSG) (Conway et al. 1990). In estrogen-treated immature hypophysectomised rats, the atretic action of androgen represents its primary effect on estrogen-stimulated preantral follicles in the absence of gonadotropic support (Hillier and Ross 1979). Clusterin is a protein associated to apoptosis that has a strong link with apoptotic cell death in the ovary. This protein is detected in granulosa cells undergoing apoptosis in atretic follicles of immature rats. The expression of clusterin is null in theca and stroma cells of follicles with no signs of apoptosis. Prohibitin is an evolutionarily conserved protein involved in the regulation of cell death and survival. It is localized in the mitochondrial membrane and thus its expression is related to mitochondrial destabilization. In the ovary, different cellular types express prohibitin such as oocytes, granulosa cells, luteal cells (cells of the corpus luteum), and cells of atretic follicles. In infant and juvenile rat ovaries, before and after gonadotropin stimulation, it was observed that during initial apoptosis events the levels of prohibitin increases. Prohibitin is phosphorylated by estrogen induction, and in atretic follicles the phohibitin is translocated from the cytoplasm to the nucleus (Thompson et al. 1999).
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Integrins are transmembrane molecules that link the cell to the cytoskeleton and can influence cell survival and death. In addition to their adhesion properties, integrins also participate in signal transduction. They may, however, lose their signaling functions resulting in apoptosis. Integrins are expressed on the surface of primordial follicles and can mediate their adhesive interactions with the extracellular matrix, somatic cells and neighboring cells (De Felici 2000). Tumor necrosis factor-alpha (TNFa) is a cytokine capable of inducing apoptosis in diverse cell types, and the apoptotic effect of TNFa is, partially, coupled to the sphingomyelin signaling pathway with ceramide as a second messenger. TNFa also induces proliferation and differentiation of many cell types (Terranova 1997). In the prepubertal mammal ovary, TNFa is produced in granulosa cells and in the oocyte. It has been demonstrated that TNFa is an important regulator of follicular development and atresia in follicles in vitro of immature rats. The treatment with TNFa or with ceramide stimulates apoptosis of early antral follicles in culture, suggesting a potential role for TNFa as an intraovarian regulator of follicle atresia by acting through the ceramide signaling pathway (Kaipia et al. 1996). Xiao et al. (2002) established that in immature rats TNFa induces Flice-like inhibitory protein isoform (FLIPs) expression, and that this response prevents TNFa receptor death signaling. FLIP prevents the recruitment of caspase-8 and its activation, inhibiting apoptosis (Scaffidi et al. 1999). It has been demonstrated that TNFa is capable of inducing granulosa cell apoptosis in the presence and absence of cycloheximide (Xiao et al. 2002). Xiao et al. also showed that the nuclear factor kB (NFkB) is involved in FLIP expression induced by TNF-a in the presence of SN50 (a specific inhibitor of NFkB translocation), and that FLIP antisense cDNA expression vector leads to the survival of granulosa cells isolated from follicles in the antral stage of development. The members of the TNF-a receptor family, Fas (and their ligands) and TRAIL have critical roles in the ovarian atresia. The Fas protein has been demonstrated in granulosa cells, suggesting an involvement of Fas as a mediator in rat granulosa cell apoptosis during follicular atresia. Using an alternate equine chorionic gonadotropin-primed rat model in which atresia is induced in follicles at a wide range of development, Kim et al. (1999) demonstrated that in prepubertal rats the Fas/Fas-L system may also be involved in the regulation of granulosa cell apoptosis during the late stage of follicular maturation. In addition to lethal physiological stimuli, apoptosis can be initiated by pathological stimuli such as cancer therapies or depletion of survival/growth factors. When cells proceed to apoptosis, the death cascade leads to activation of caspases, such as caspase 3, which break down the cell (Morita and Tilly 1999). It is known that during cancer treatment diverse toxic substances are used. Cyclophosphamide is a chemotherapy drug used as a treatment for many types of cancer. The ovaries are sensitive to cyclophosphamide metabolites such as phosphoramida mustard. Assays in vitro systems have demonstrated that phosphoramida mustard induces significant follicle loss in postnatal mouse ovaries; the cellular targets were oocytes in the smallest follicles, and in the large primary follicules the granulosa cells were affected. This demonstrates that phosphoramida,
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a cyclophosphamide metabolite, induces permanent follicle loss in ovaries, and it is likely toxic to the ovary (Desmeules and Devine 2006). The mammalian ovary is a dynamic organ, whose function involves the elimination of follicles via the atresia process. During this elimination process is evident that some follicles survive to continue follicular growth. In the ovary there are different factors that inhibit apoptosis, FSH and LH are the primary survival factors for ovarian follicles, and their effects are probably mediated by the production of ovarian growth factors. FSH is an important endocrine hormone that binds to its granulosa cell receptors and this junction can promote follicular survival and growth via stimulation for proliferation and the estradiol secretion of these cells. Studies indicate the existence of membrane bound progesterone receptors in granulosa cells that may mediate progesterone action in the ovary by signaling through protein kinase G and inhibit granulosa cell mitosis and apoptosis (Peluso 2006). The inhibitor of apoptosis proteins (IAPs) constitute a family of highly conserved apoptosis suppressor proteins that was originally identified in baculoviruses. In immature rats, the X-link inhibitor of apoptosis protein (Xiap) and human inhibitor of apoptosis protein-2 (Hiap-2), two members of the IAP family, are involved in the suppression of granulosa cell apoptosis by gonadotropin in small to medium-sized antral follicles. Xiap and Hiap-2 play an important role in determining the fate of the cells, and thus also in the eventual follicular destiny (Li et al. 1998). In presence of FSH the granulosa cells synthesizes estradiol-17 beta, this stimulates thecal expression of TGFb provoking an increase of Xiap expression in granulosa cells as a cellular proliferation. It has been demonstrated that IAP contents in granulose cells are increased during follicular growth in response to gonadotropin stimulation in vivo. Gonadotropin withdrawal resulted in decreased granulose cell IAP expression and apoptosis (Li et al. 1998). In immature rats the gonadotropin treatment increases granulose cell Xiap and phospho-Akt protein contents. These increments suppress the apoptosis, demonstrating that the PI 3-K/Akt pathway has an important regulatory function in granulosa cells during follicular development. The activation of this survival pathway in granulosa cells is dependent on gonadotropin support and may involve a Xiap-mediated increase in phospho-Akt content. Prolonged oxidative stress may be one factor to granulosa cell demise (Tilly and Tilly 1995), experiments with cultured cells have demonstrated that addition of exogenous catalase to the culture medium increases the intracellular levels of catalase activity (Sundaresan et al. 1995), and this detoxifies hydrogen peroxide preventing the ROS-mediated injuries. The immature rat ovary stimulated by exogenous gonadotropin treatment in vivo increases the expression of factors such as superoxide dismutase (secreted and mitochondrial) (Tilly and Tilly 1995). These results suggest that the gonadotropins enhance the expression of anti-oxidant genes in the ovary; as well, the enzymes encoded by anti-oxidant genes (superoxide dismutase, catalase) are as effective as gonadotropins in the suppression of granulosa cell apoptosis (Fig. 12.9). In prepubertal mammals the atresia is a continuous event. Its principal function is to eliminate the follicles that will not be selected for ovulation; in this sense is interesting to note the convergence of different signals and molecules intervening
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Fig. 12.9 Graphic representation of apoptosis inhibition in granulosa cells, in prepubertal age. Inhibition of the prolonged oxidative stress via the catalase and gonadotropin addition to the granulosa cells, in vitro and in vivo environments
in this process and how all of them have specific actions. Granulosa cell death is the principal indication of the process of atresia when the follicles reach the secondary phase. After this stage the apoptotic process of granulosa cell death is the principal feature characterizing an atretic follicle.
References Asselin E, Wang Y, Tsang BK (2001) X-linked inhibitor of apoptosis protein activates the phosphatidylinositol 3-kinase/Akt pathway in rat granulosa cells during follicular development. Endocrinology 142(6):2451–2457 Billig H, Furuta I, Hsueh AJW (1993) Estrogens inhibit and androgens enhance ovarian granulosa cell apoptosis. Endocrinology 133:2204–2212 Boone DL, Tsang BK (1998) Caspase-3 in the rat ovary: localization and possible role in follicular atresia and luteal regression. Biol Reprod 58:1533–1539 Britt KL, Drummond AE, Dyson M, Wreford NG, Jones ME, Simpson ER et al (2001) The ovarian phenotype of the aromatase knockout (ArKO) mouse. J Steroid Biochem Mol Biol 79:181–185 Carson RS, Findlay JK, Clarke IJ, Burger HG (1981) Estradiol, testosterone, and androstenedione in ovine follicular fluid during growth and atresia of ovarian follicles. Biol Reprod 24: 105–13 Chen Q, Yano T, Matsumi H, Osuga Y, Yano N, Xu J et al (2005) Cross-talk between Fas/Fas ligand system and nitric oxide in the pathway subserving granulosa cell apoptosis: a possible regulatory mechanism for ovarian follicle atresia. Endocrinology 146:808–815 Chun SY, Eisenhauer KM, Minami S et al (1996) Hormonal regulation of apoptosis in early antral follicles: follicle-stimulating hormone as a major survival factor. Endocrinology 137(4):1447–1456 Conway BA, Mahesh VB, Mills TM (1990) Effect of dihydrotestosterone on the growth and function of ovarian follicles in intact immature females primed with PMSG. J Reprod Fert 90:267–277
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De Felici M (2000) Regulation of primordial germ cell development in the mouse. Int J Dev Biol 44:575–580 Desmeules P, Devine PJ (2006) Characterizing the ovotoxicity of cyclophosphamide metabolites on cultured mouse ovaries. Toxicol Sci 90(2):500–509 Dharma SJ, Kelkar RL, Nandedkar TD (2003) Fas and Fas ligand protein and mRNA in normal and atretic mouse ovarian follicles. Reproduction 126:783–789 Edwards RG, Fowler RE, Gore-Langton RE, Gosden RG, Jones EC, Readhead C, Steptoe PC (1977) Normal and abnormal follicular growth in mouse, rat and human ovaries. J Reprod Fertil 51:237–263 Eisenhauer KM, Chun SY, Billig H, Hsueh AJ (1995) Growth hormone suppression of apoptosis in preovulatory rat follicles and partial neutralization by insulin-like growth factor binding protein. Biol Reprod 53(1):13–20 Guigon CJ, Mazaud S, Forest MG, Brailly-Tabard S, Coudouel N, Magre S (2003) Unaltered development of the initial follicular waves and normal pubertal onset in female rats after neonatal deletion of the follicular reserve. Endocrinology 144:3651–62 Hage AJ, Groen-Klevant AC, Welschen R (1978) Follicle growth in the immature rat ovary. Acta Endocrinol Copenh 88:375–382 Hakuno N, Koji T, Yano T, Kobayashi N, Tsutsumi O, Taketani Y et al (1996) Fas/APO-1/CD95 system as a mediator of granulosa cell apoptosis in ovarian follicle atresia. Endocrinology 137:1938–1948 Hillier SG, Ross GT (1979) Effects of exogenous testosterone on ovarian weight, follicular morphology and intraovarian progesterone concentration in oestrogen-primed hypophysectomized immature female rats. Biol Reprod 20:261–268 Kaipia A, Hsue AJW (1997) Regulation of ovarian follicle atresia. Annu Rev Physiol 59:349–363 Kaipia A, Chun SY, Eisenhauer K, Hsueh AJ (1996) Tumor necrosis factor-alpha and its second messenger, ceramide, stimulate apoptosis in cultured ovarian follicles. Endocrinology 137:4864–4870 Kim JM, Boone DL, Auyeung A, Tsang BK (1998) Granulosa cell apoptosis induced at the penultimate stage of follicular development is associated with increased levels of Fas and Fas ligand in the rat ovary. Biol Reprod 58:1170–1176 Kim JM, Yoon YD, Tsang BK (1999) Involvement of the Fas/Fas ligand system in p53-mediated granulosa cell apoptosis during follicular development and atresia. Endocrinology 140(5):2307–2317 Kondo H, Maruo T, Peng X, Mochizuki M (1996) Immunological evidence for the expression of the Fas antigen in the infant and adult human ovary during follicular regression and atresia. J Clin Endocrinol Metab 81:2702–2710 Krysko DV, Diez-Fraile A, Criel G, Svistonov AA, Vandenabeele P, D’Herde K (2008) Life and death of female gametes during oogenesis and folliculogenesis. Apoptosis 13:1065–1087 Li J, Kim JM, Liston P, Li M, Miyazaki T, Mackenzie AE, Korneluk RG, Tsang BK (1998) Expression of inhibitor of apoptosis proteins (IAPs) in rat granulosa cells during ovarian follicular development and atresia. Endocrinology 139:1321–1328 McGee EA, Hsueh AJ (2000) Initial and cyclic recruitment of ovarian follicles. Endocr Rev 21(2):200–214 Morita Y, Tilly JL (1999) Oocyte apoptosis: like sand through an hourglass. Dev Biol Orlando 214:1–17 Peluso JJ (2006) Multiplicity of progesterone’s actions and receptors in the mammalian ovary. Biol Reprod 75:2–8 Richards JS (1980) Maturation of ovarian follicles: actions and interactions of pituitary and ovarian hormones on follicular cell differentiation. Physiol Rev 60(1):51–89 Robles R, Tao XJ, Trbovich AM, Maravei DV, Nhum R, Perez GI, Tilly KI, Tilly JL (1999) Localization, regulation and possible consequences of apoptotic protease-activating factor-1 (Apaf-1) expression in granulosa cells of the mouse ovary. Endocrinology 140(6):2641–4
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Scaffidi C, Schmitz I, Krammer PH, Peter ME (1999) The role of c-FLIP in modulation of CD95-induced apoptosis. J Biol Chem 274:1541–1548 Stocco C (2008) Aromatase expression in the ovary: hormonal and molecular regulation. Steroids 7 3:473–487 Sundaresan M, Yu ZX, Ferrans VJ, Irani K, Finkel T (1995) Requirement for generation of H2O2 for platelet-derived growth factor signal transduction. Science 270:296–299 Terranova PF (1997) Potential roles of tumor necrosis factor-alpha in follicular development, ovulation, and the life span of the corpus luteum. Domest Anim Endocrinol 14:1–15 Thompson WE, Powell JM, Whittaker JA, Sridaran R, Thomas KH (1999) Immunolocalization and expression of prohibitin, a mitochondrial associated protein within the rat ovaries. Anat Rec 256:40–48 Tilly JL, Tilly KI (1995) Inhibitors of oxidative stress mimic the ability of follicle-stimulating hormone to suppress apoptosis in cultured rat ovarian follicles. Endocrinology 136:242–252 Tilly JL, Tilly KL, Kenton ML, Johnson AL (1995) Expression of members of the bcl-2 gene family in the immature rat ovary: equine chorionic gonadotropin-mediated inhibition of granulosa cell apoptosis in associated with decreased bax and constitutive bcl-2 and bcl-xlong messenger RNA levels. Endocrinology 136:232–241 Tingen CM, Bristol-Gould SK, Diesewetter SE, Wellington JT, Shea L, Woodruf T (2009b) Prepubertal primordial follicle loss in mice is not due to classical apoptotic pathways. Biol Reprod 81:16–29 Tomic D, Brodie SG, Deng C, Hickey RJ, Babus JK, Malkas LH, Flaws JA (2002) Smad3 may regulate follicular growth in the mouse ovary. Biol Reprod 66:917–923 Tomic D, Miller KP, Kenny HA, Woodruff TK, Hoyer P, Flaws JA (2004) Ovarian follicle development requires Smad3. Mol Endocrinol 18(9):2224–2240 Wang H, Jiang JY, Zhu C, Peng C, Tsang BK (2006) Role and regulation of nodal/activin receptorlike kinase 7 signaling pathway in the control of ovarian follicular atresia. Mol Endocrinol 20:2469–2482 Williams PC (1940) Effect of stilbestrol on ovaries of hypophysectomized rats. Nature 145:388–389 Xiao CW, Asselin E, Tsang BK (2002) Nuclear factor kappaBmediated induction of Flice-like inhibitory protein prevents tumor necrosis factor alpha-induced apoptosis in rat granulosa cells. Biol Reprod 67:436–441 Zachos NC, Billiar RB, Albrecht ED, Pepe GJ (2002) Developmental regulation of baboon fetal ovarian maturation by estrogen. Biol Reprod 67:1148–1156 Zwain I, Amato P (2000) Clusterin protects granulosa cells from apoptotic cell death during follicular atresia. Exp Cell Res 257:101–110
Part V
Process of Cell Death Adult Ovary
Chapter 13
Follicular Atresia in Adult Animals Gerardo H. Vázquez-Nin, María Luisa Escobar, and Olga M. Echeverría
Abstract Atresia is a hormonally controlled process in which the oocytes, granulosa cells and theca cells are involved in processes of cell death. Follicle development or atresia is regulated by the interplay of cell death and survival factors as gonadal steroids, cytokines and growth factors. Main families of molecules cell death or surviving are: caspases (cystein aspartate-specific proteases), all of them cleave substrates exclusively after asparagines residues. Kit gene encodes a receptor protein (KIT) a type III transmembrane tyrosine kinase receptor, which is involved in one of the ways of initiation of apoptotic process. Members of BCL-2 family are important regulators of apoptosis in the ovary. The ratio BCL-2 to BAX determines survival or death following an apoptotic stimulus. Members of TNF family have been implicated in follicular atresia in mammals. The oncosuppresive nuclear protein p53 is related to experimentally induced follicular atresia and granulosa cells apoptosis. Members of the insulin-like growth factor (IGF) system play a role in follicle development and a lower molecular weight member, IGFBP-5, is expressed during atresia. The main mechanism of follicular atresia is apoptosis, but also are present autophagy, necrosis, and a process with mixed features of apoptosis and autophagy in the same oocyte; all of them are programmed processes of cell death. List of Abbreviation FSH Follicle stimulant hormone
G.H. Vázquez-Nin (*), M.L. Escobar, and O.M. Echeverría Laboratory of Electron Microscopy, Department of Cell Biology, Faculty of Sciences, National University of Mexico (UNAM), Mexico, USA e-mail:
[email protected] G.H. Vázquez-Nin et al., Cell Death in Mammalian Ovary, DOI 10.1007/978-94-007-1134-1_13, © Springer Science+Business Media B.V. 2011
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13.1 General Aspects of Follicular Atresia In tissues with limited proliferation capacity, such as nervous system, heart and kidney, cell death is almost unobserved in physiological conditions (Flores-Pérez et al. 2005). Classical studies estimated that the number of oocyte in the human ovary of newborn infants is around two million, of which 50% are atretic. This number diminishes to about 300 000 in 7 year old girls (Baker 1963). Atresia is a hormonally controlled process in which the oocytes, granulosa cells and theca cells are involved in processes of cell death. Thus, most oocytes die by means of some kind of programmed cell death as a part of the follicular atresia. During adult human life about 400 oocytes eventually reach maturation and are ovulated (Vaskivuo et al. 2001). The follicle is a structural and physiological unit; it is formed by the theca (when present), granulosa cells and an oocyte. The follicle may grow or stay quiescent, may be healthy or in process of atresia and always functions as a unit (Fig. 13.1). The initiation of the process of atresia may be different in small follicles such as primordial, primary and small preantral follicles; in all of them the oocytes begin a process of cell death which is followed by the death of the follicular cells, while the atresia of late preantral, antral and preovulatory follicles begins with the apoptosis of granulosa cells (Matikainen et al. 2001). The pool of primordial follicles is the complete supply of oocytes for the reproductive life of a mammalian female. Each primordial follicle may initiate
Fig. 13.1 Follicular atresia can occur in different follicular phases. The follicles that are not eliminated during this process, continue growing until reach the ovulation phase
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Fig. 13.2 During the follicular atresia different factors are activated to carry out the cellular elimination
development, may stay as such or may undergo atresia. Ovarian follicle development or atresia is regulated by the interplay of cell death and survival factors such as hypophyseal gonadotropins and local ovarian factors such as gonadal steroids, cytokines and growth factors (Jiang et al. 2003). The initial stages of follicular growth are characterized by a series of granulosa cell generations. Little atresia occurs during the first seven generations, most follicles become atretic during eighth and ninth generation (Fortune 1994). Primordial follicles are independent of gonadotrophin and their engagement in a cell death pathway may be a cell intrinsic process. Also, as in slowgrowing follicles, FSH is not a survival factor; local conditions initiate the program of cell death of the oocyte (Markström et al. 2002; Depalo et al. 2003). In ovaries of women in reproductive age, about 23% of primordial and primary follicles are in the process of atresia. It is interesting to note that all secondary follicles are normal, indicating a specific atresia of primordial and primary follicles. The increase of FSH at the beginning of the menstrual cycle causes one or more follicles, according to the species, to increase the secretion of estradiol and to grow to antral selectable follicle/s. Estradiol inhibits FSH secretion and other follicles undergo atresia (Tilly et al. 1991). The exact factors, receptors and intracellular pathways leading to oocyte or granulosa cell death are not known, though it is likely that multiple molecules are involved, such as Fas, caspases, tumor necrosis factor (TNF), Par-4, p53, prohibitin, c-Myc, interferon, endothelins, among pro-apoptotic factors (Hussein 2005) (Fig. 13.2). Before dealing with the processes of atresia, it would be interesting to briefly tackle the main families of molecules related to cell death as receptors, regulators, inductors, and signaling proteins.
13.2 Caspases Apoptosis is the major mechanism used by eukaryotes to remove superfluous, damaged and potentially dangerous cells; in this process a number of proteases have been found to play a central role. The core component of the apoptotic machinery is the proteolytic system involving a family of proteases known as caspases (cysteine aspartate-specific proteases).
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Fig. 13.3 Caspases classification according to their functional characteristics
In genetic studies on worms, C elegans permitted identification of three genes involved in programmed cell death. Two genes (ced-3 and ced-4) that are each required for the execution of cell death, and one (ced-9) that inhibits cell death (Hengartner 2000; Yuan et al. 1993). These ced genes have their counterpart in mammals that play similar roles in mammalian cell death, these proteins are the caspases (CASP). There are 14 caspases described, and 11 of them are in humans. As well, they are known to be specific, cleaving their substrates exclusively after Asp residues (Salvesen and Dixit 1999). The caspases family has members that are not implied in apoptosis cell death; they are involved in the pro-inflammatory response, so these have permitted classification of the caspases in two large groups: pro-inflammatory and pro-apoptotic caspases (Fig. 13.3). Pro-inflammatory caspases include caspase-1 (ICE; Interleukin-1b Converting Enzyme), -4, -5 and -12 (Lamkanfi et al. 2002). The caspases implicated in apoptosis are the caspases-2, -3, -6, -7, -8, -9, and -10. The caspase 14 is implicated in keratinocyte differentiation. Caspase 1, initially called interleukin 1b converting enzyme (ICE), was identified because it is responsible for cleaving and thereby activating interleukin 1b, a pro-inflammatory cytokine (Thornberry et al. 1992). All caspases are produced in cells as catalytically inactive zymogens named procaspases, which consist of an N-terminal prodomain followed by a 20 kDa (p20) and a 10 kDa (p10) subunit. In most pro-caspases these subunits are separated by a small linker sequence (Thornberry et al 1997). The prodomain cleavage results in the release of the catalytical active caspase. Caspases recognize four amino acids comprising motif of their respective substrate, named P4–P3–P2–P1. The caspases mediate the cleavage after the C-terminal residue in the P1 position of substrates (P1), which is usually an aspartate, a characteristic that gives origin the name caspase. Upon receiving an apoptotic signal, the caspase zymogens undergo proteolytic processing to generate two subunits that comprise the active enzyme. The mature caspase is a heterotetramer, composed of two heterodimers derived from two precursor molecules.
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Fig. 13.4 Schematic representation of the interactions between the initiator caspases and the executioner caspases in the process of apoptosis
The caspases can be classified according the selected substrates to produce a catalytic reaction cascade as initiator caspases and executioner caspases (Fig. 13.4). In mammals the initiator caspases are the -8, -10, -2 and -9. Initiator caspases contain a caspase recruitment domain (CARD), as in caspase-2, -9; or a death effector domain (DED), as in caspase-8 and -10. The mechanism of activation of these initiator caspases depends critically on the death inducing. The signaling complex for caspase-8 and caspase-10 includes a receptor-ligand system. Caspase-2 participates in stress-induced apoptosis (Lassus et al. 2002), to activate this caspase-2 in cells, the assembly of a large protein complex with a molecular weight in excess of 670 kDa is required (Tinel and Tschopp 2004; Read et al. 2002). This complex has an adaptor protein RAIDD and the p53-induced protein with a death domain (PIDD) and is named PIDDosome (Tinel and Tschopp 2004). The domain of RAIDD is required for binding the CARD domain of caspase-2. To caspase-2 the PIDDosome is necessary to activate it; and to activate the caspase-9, the apoptosome formation is necessary (Jiang and Wang 2004). The executioner caspases in mammals are the caspase-3, caspase-6 and caspase-7, and in most instances, executive apoptotic caspases are activated by the initiator caspases. The executioner caspases 3 and 7 do not contain a large prodomain. The activation of these caspases is initiated mainly by proteolytic cleavage through the initiator caspases-8, -10 or -9. Activation of the effector caspases is responsible for the majority of the limited proteolysis occurring upon execution of programmed cell death. This results in the cleavage of critical cellular substrates, thereby precipitating the morphological and biochemical hallmarks of apoptosis, such as phosphatidylserine exposure, nuclear condensation and genomic DNA fragmentation. The caspase substrates have been solved. In this sense, Bid is a caspase-8 substrate; DFF45/inhibitor of caspase-activated DNAse (ICAD) is a caspase-3 substrate; the procaspase-7 is a caspase-8 and -9 substrate (Otomo et al. 2000; Woo et al. 2004). Poly(ADP-ribose) polymerase (PARP), an abundant nuclear protein that catalyses poly/ADP-ribose ligation to acceptor protein in response to DNA strand breaks, is cleaved by caspase-3 and -7, provoking that the response to
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d amaged DNA is not made. Caspase 3 has a high affinity by the majority of the cellular substrates in apoptotic cells, it can be activated by the caspase-8 and -9. The caspase 7 has similar substrate specificity that caspase-3; however very recent research has provided biochemical information that indicates the ability of caspase-7 to play roles in apoptosis and inflammation (reviewed in Lamkanfi and Kanneganti 2010). The caspases are regulated by diverse proteins, including the inhibitor of apoptosis protein (IAP)-like, like XIAP, cIAP-1, cIAP-2, NAIP, ML-IAP, ILP2. The proteins XIAP, cIAP-1 and cIAP-2 interact physically with caspases, inhibiting the mature caspase-3, -7 and -9 (Vaux and Silke 2003). Of all of the IAPs known, XIAP inhibits caspases at physiological concentrations. The IAPs can be inhibited during apoptotic cell death via the mitochondrial release of Smac/Diablo and HtrA2 which bind to the XIAP proteins, preventing the caspases inhibition (Vaux and Silke 2003). In the apoptotic process regulation, mostly the Bcl-2 family members participate. These proteins regulate the release of pro-apoptotic factors such as cytochrome c, Smac/Diablo, Omi/HtrA2, etc. from the mitochondria and they can be blocked via the anti-apoptotic Bcl-2 homologues such as Bcl-2, Bcl-XL, Mcl-1, A1, Bcl-w. By the same means, the pro-apoptotic BH3-only, like Bid, Bad, Bim, Noxa, Puma, Hrk and Bmf can sequester the anti-apoptotic proteins or bypass them and directly activate Bak/Bak proteins (Kroemer et al. 2007; Willis et al. 2007). The best characterized routes of caspases activation are called the extrinsic and intrinsic pathways (Fig. 13.5). The extrinsic pathway apoptosis is triggered by the ligand-induced activation of death receptors at the cell surface. These receptors include the tumor necrosis factor receptor-1, CD95/Fas (the receptor of CD95L/ FasL), and the TNF-related apoptosis inducing ligand (TRAIL) receptors-1 and -2. In this pathway diverse ligands participate to activate the death receptors, such as FasL (also known as CD95L). The death receptors belong to the TNF family that contains a single death domain (DD) in the intracellular region. The ligand-receptor association,
Fig. 13.5 The apoptosis has two routes to activation: the extrinsic and the intrinsic route. At the beginning of the apoptosis process a caspases cascade that leads to the cellular death is activated
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causes the recruitment and oligomerization of the adapter molecule FADD (Fas-associating death domain-containing protein), this adapter protein FADD contains a death effector domain (DED) at its amino-terminus and a DD at its carboxyterminus; whereas caspase-8 has two copies of DED at its amino-terminus. FADD binds to Fas and to the procaspase-8 through homotypic interactions, thus bringing at least three molecules of procaspase-8 into close proximity of one another and facilitating their auto-activation. FADD induce the death-inducing signaling complex (DISC). The function of DISC is to activate the initiator caspase-8, and perhaps caspase-10 (Peter and Krammer 2003). Oligomerized FADD binds to the initiator caspases-8 and -10, causing their dimerization and activation (Scaffidi et al. 1998). The intrinsic or mitochondrial pathway apoptosis is triggered by cell stress, which originates an intracellular series of events in which mitochondrial permeabilization plays a crucial role (Scaffidi et al. 1998). The intrinsic pathway leads to the activation of pro-apoptotic BH3 (Bcl-2 homology domain-3)-only members of the Bcl-2 family, such as Bim (Bcl-2-interacting mediator of cell death), Noxa, Puma (p53 upregulated modulator of apoptosis), Bid (BH3-interacting domain death agonist) and Bad (Bcl-xL/Bcl-2 associated death promoter). This is followed by sequestration of anti-apoptotic Bcl proteins including Bcl-2 (B-cell lymphoma-2), Mcl-1 (myeloid cell leukemia-1), Bcl-XL (BclxLong), thereby enabling Bax (Bcl2-associated protein) and/ or Bak (Bcl-2 homologous antagonist/killer) oligomerization and activation. BH3-only proteins exert their pro-apoptotic role through their physical interaction with and functional inactivation of Bcl-2 proteins (Bcl-2, Bcl-XL, Mcl-1) at mitochondria. The BH3-only domains promote cell death through their capacity to translocate to mitochondria and to favor their permeabilization. The activated Bax and Bak make pores in the mitochondrial membrane, promoting mitochondrial permeation. It has been attributed a crucial role in the control of pro-apoptotic proteins Bax/Bak activation to the BH3-only members, proponing to BH3-only members as an therapeutic strategy option (reviewed in Ghiotto et al. 2010). The membrane permeabilization leads the release of proapoptotic factors such as cytochrome c, AIF (apoptosis-inducing factor), the serine protease Omi/HtrA2 (High temperature requirement protein A2), endonuclease G, and Smac/Diablo. The Smac/Diablo is a second mitochondria-derived activator of caspase-direct IAP associated binding protein (Kroemer et al. 2007). Caspase-9 is a key component of the intrinsic pathway, that is regulated primarily by the Bcl-2 family and the BH3-only proteins (Fuentes-Prior and Salvesen 2004; Degterev et al. 2003). In the intrinsic pathway, cell death signals lead to cytochrome-c release from the mitochondria, which binds and facilitates the formation of the septameric apoptosome that recruits and activates caspase-9. The apoptosome is composed by cytochrome c, the adapter protein Apaf-1 and caspase-9. The cytochrome c binds to Apaf-1, resulting in a conformational change in the latter, leading to oligomerization of Apaf-1 and formation of the apoptosome. The apoptosome serves as an activation platform for caspase-9; when the apoptosome is conformed, the caspase-9 cleaves and activates caspase-3. The component of the apoptosome Apaf-1 has three distinct domains, an N-terminal CARD, an expanded nucleotide-binding domain, and 12–13 WD40 repeats at its carboxy-terminal half. The CARD is an
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important domain because this region is where the prodomain of caspase-9 interact with Apaf1; this CARD and the nucleotide-binding domains permit the oligomerization of Apaf-1 in the presence of cytochrome c and dATP. The cytochrome c interact con the WD-40 repeats, removing them from this domain in Apaf-1, leading a binding and activating the caspase-9 (reviewed in Bao and Shi 2007). What is interesting is the cross-talk between the extrinsic and intrinsic pathway where a complex signaling cascade induces the cell death. This way the active caspase-8 cleavage to the proapoptotic BH3-only protein Bid, truncated Bid (tBid) mediate Bax activation of mitochondrial membrane permeation, and the cytochrome c-dependent caspase-3 activation (Krammer 2000). During the apoptotic cell death, the caspases cleave a variety of proteins including those involved in DNA synthesis, PARP, ICAD, cytoskeleton proteins, adhesion proteins, protein kinases, and the like, leading to the cell dysfunction an in the cell death
13.3 KIT One of the mechanisms of initiation of the apoptotic process is its induction by external signal involving cell membrane receptors. The Kit gene encodes a receptor protein (KIT) of the family of the type III transmembrane tyrosine kinase receptor, which is involved in one of the ways of initiation of apoptotic process. The Mgf cDNA encodes Kit Ligand (KL), which is a protein of 248 aminoacids with a signal, an extracellular domain of 189 aminoacids, a 23 amino acids membrane spanning segment and a cytoplasmic domain of 36 amino acids. There are two splice variants of KL mRNA, KL-1 and KL-2. KL-1 exists principally in soluble form generated by proteolytic cleavage from a transmembrane bound precursor. While KL-2 lacks the major proteolytic cleavage site and is mainly found associated to the membrane, but it also exists in a biological active soluble form (Joyce et al. 1999). The relative abundance of KL-1 and KL-2 changes in different tissues. This shows that the processing of both mRNAs is regulated differently in various tissues, suggesting a tissue-specific control of the posttranscriptional processing (Huang et al. 1992). Most KitW and MgfSl female homozygous mutants are sterile due to the absence of germ cells. Kit expression in the oocyte seems to be continuous throughout most of oogenesis and folliculogenesis (Driancourt et al. 2000). KL expression is low in granulosa cells of small growing follicles and increases to high levels in three-layered follicles during late oocyte growth. Large amounts of the ligand are found within growing oocytes. After oocyte growth ceases, expression continues only in the outer layers of multilayered follicles (Manova et al. 1993). Two pieces of evidence indicate that the oocyte is able to adjust the granulosa cell steady-state KL messenger RNA expression to a level that is dependent on the developmental stage of the oocyte. First, partially grown oocytes increase, while fully-grown oocytes decrease KL mRNA levels in preantral granulosa cells. Second, partially grown oocytes may decrease the steady state of KL mRNA expression of co-cultured preantral granulosa cells; KL mRNA expression is
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e levated by FSH treatment. Thus, oocytes at different stages of development are able to both positively and negatively control KL mRNA levels in granulosa cells of the same stage of development. These results clearly demonstrate that oocytes promote a steady-state level of KL mRNA expression by granulosa cells according to the stage of development of the oocyte (Joyce et al. 1999).
13.4 BCL-2 Family Members of BCL-2 family are important regulators of apoptosis in many cell types, including in ovary. The ratio of pro-apoptotic to anti-apoptotic factors should determine the induction of apoptosis (Tilly et al. 1997). By the same token, Oltvai and co-workers (1993) proposed that the ratio BCL-2 to BAX determines survival or death following an apoptotic stimulus. This view was extended to involve BCL-2 and BCL-XL as antiapoptotic proteins and BAX and BAK as pro-apoptotic factors. BAX, which is expressed in granulose cells and in oocytes, may be central to ovarian cell death (Greenfeld et al. 2007). Atretic follicles showed stronger Bax mRNA signal than normal follicles in the rat ovary (Koh et al. 1999). Members of the BCL-2 family serve as central checkpoints for cell death regulation and overexpression of Bcl-2 inhibits apoptosis. Transgenic female mice expressing a human bcl-2 complementary DNA only in growing oocytes possessed significantly fewer atretic small preantral follicles compared with the wild type, resulting in a population with a larger number of healthy maturing follicles per ovary. The oocytes obtained from these transgenic mice when cultured in vitro are resistant to spontaneous and drug induced apoptosis (Morita et al. 1999). Young adult female Bax−/−mice possess threefold more primordial follicles than their wild type sisters (Perez et al. 1999; Greenfeld et al. 2007). Bax deletion results in delayed vaginal opening and altered follicular growth. Young adult Bax-deficient ovaries contain increased numbers of primordial follicles and a tendency of a reduced number of growing follicles. However, in vivo the Bax appears to be an important regulator of follicle growth, but its deficiency does not alter antral follicle atresia in mice (Greenfeld et al. 2007).
13.5 TNF Family Pathways for induction of apoptosis in mammalian cells are mediated by cell- surface receptors, death domain-containing receptors, which are members of the tumor necrosis factors family. Members of this family such as Fas receptor, TNF receptor and tumor necrosis factor-related apoptosis inducing ligand (TRAIL), have been implicated in follicular atresia in mammals (Krysko et al. 2008). Fas is a 45 k-Da transmembrane receptor that when bound to FasL (FasLigand) trimerizes and transduces a death signal resulting in apoptosis (Jiang et al. 2003). They are coupled to caspase activation by adaptor proteins such as Fas-associated death
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domain (FADD) and TNF receptor-associated death domain (TRADD) (Park et al. 2005; Krysko et al. 2008). FasL (FasLigand) and Fas are the best-characterized apoptotic signaling machinery in granulose cells of humans and other mammals (Krysko et al. 2008). Mice that contain a mutation in the gene encoding the Fas antigen have morphologically normal ovaries, but they have a significant higher number of growing follicles than the wild type (Sakamaki et al. 1997; Krysko et al. 2008). Fas protein is involved in follicular atresia and luteolysis; it is expressed in granulosa and luteal cells but not in oocytes (Sakamaki et al. 1997). Decoy receptor 3 (DcR3) competes with Fas to bind FasL but lacks death domains, thus inhibiting induction of apoptosis by the FasL/Fas system. In porcine ovaries, DcR3 mRNA expression was confirmed in granulosa and thecal layers, both in healthy and atretic follicles. Quantitative real time PCR (RT-PCR) analysis showed that the expression of DcR3 mRNA was weaker in granulosa cells of atretic follicles than those of healthy follicles. No notable changes were seen in the thecal cells. These results suggest that DcR3 plays a significant role in the regulation of apoptosis in granulosa cells, but not in thecal cells, during atresia (Sugimoto et al. 2010). The induction of caspase-mediated apoptosis by Fas/FasL system is coupled with a decrease inducible nitric oxide synthase expression. Nitric oxide suppresses the activation of the caspases and inhibits apoptosis induced by Fas/FasL in granulosa cells of the rat. These results point to a cross talking of both pathways: one apoptotic and the other anti-apoptotic (Chen et al. 2005).
13.6 p53 The 53 kDa oncosuppresive nuclear protein p53 activates 20 promoters and represses 26 (see review by Hussein 2005). Increased expression of p53 is coincidental and probably related to experimentally induced follicular atresia and granulose cells apoptosis (Kim et al. 1999). However, p53 was negative in atretic quiescent follicles with apoptotic alterations in ovaries of women of reproductive age (Depalo et al. 2003). Experimental studies showed that: (1) inhibition of p53 expression is associated with a reduction in the number of apoptotic granulose cells; (2) overexpression of p53 induces apoptosis in cAMP-stimulated cells. These results as a whole suggest that that p53 has a pro-apoptotic action (Hussein 2005 and references therein).
13.7 TGF-b Superfamily The TGF-b superfamily is a large group of extra-cellular growth factors controlling many normal functions, most of them related with development. This superfamily consists of more than 35 members in vertebrates, including TGF-bs, BMPs (bone morphogenetic proteins), activins, inhibins, MIS (Müllerian inhibiting substance),
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Nodal, and leftys. TGF-bs are secreted as biological latent forms. The activity of the mature domain of the TGF-b ligand is masked by the propeptide LAP (latency associated peptide), which is cleaved from the mature domain, but remains associated with it via noncovalent interactions. Dissociation from LAP activates the TGF-b subfamily ligands. The TGF-Homo- or hetero-dimers of the TGF-b family ligands bind to and activate transmembrane serine/threonine kinase receptors, which stimulate downstream regulatory SMAD proteins to localize from cytoplasm to the nucleus where they can function as transcriptional regulators. TGF-b superfamily ligands signal through a family of transmembrane serine/threonine kinases known as the receptors for the TGF-b superfamily. These receptors are glycoproteins and are divided into two subfamilies: type I and type II (Chang et al. 2002 and references therein).
13.8 IGF In order to understand follicular atresia and luteal regression it is necessary to refer to the insulin-like growth factor (IGF) system. This system includes ligands IGF-I and IGF-II and IGF binding proteins (IGFBP-1 – IGFBP-6), receptors type 1 and 2 and a large number of proteases that regulate the binding of IGFBs to ligands (Rosales-Torres and Guzmán-Sánchez 2008). IGFs play an essential role in follicle development, as they stimulate follicular cell proliferation, and increase estradiol secretion and cell response to gonadotrophins in granulosa cells. IGF ligands regulate granulosa and theca cell growth and differentiation. There are differences between dominant and subordinate follicles in bovines regarding the presence of IGFBP; those of lower molecular weight (BP2, BP4 and BP5) are present in subordinate follicles but not in dominant ones. Among the isoforms of lower molecular weight, IGFBP-5 may be a good marker of follicular atresia, since it is the only one expressed during this process (Rosales-Torres and Guzmán-Sánchez 2008, and references therein).
13.9 Follicular Atresia The main mechanism of follicular atresia is programmed cell death, which is a major feature of ovarian physiology. Programmed cell death is a genetically regulated process of cell suicide that is indispensable to numerous normal functions of the organism. There are several procedures of programmed cell death, such as the classical apoptosis, autophagy and necrosis, as well as processes sharing features of more than one process. Multiple studies using molecular biological approaches and classical histological studies suggested that apoptosis is involved in follicular atresia and luteolysis (Tilly 1996). The most frequent process of cell death found in cells involved in follicular atresia in mammals is apoptosis; numerous pro-apoptotic
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and survival factors were identified (Hsueh et al. 1994, interesting historical review). In numerous species the earliest sign of the follicular atresia is the initiation of the apoptosis of granulosa cells (Tilly 1993). Dying granulosa cells display typical morphological traits of apoptosis as condensed nuclei with marginated chromatin, nuclear fragmentation and apoptotic bodies. All cells with these morphological characteristics are TUNEL positive (Yang and Rajamahendran 2000). The sphingomyelin hydrolysis is an essential event to induce apoptosis of oocytes in primordial, primary and preantral follicles in fetal and adult animals. Alteration of the mechanisms controlling cell death plays a role in pathogenesis of multiple diseases. For instance, oocytes lacking sphingomyelinase or wild type oocytes treated with sphingosine-1-phosphate resist developmental apoptosis or that induced by anti-cancer therapy. These ovaries retain a completely normal distribution of oocyte-containing follicles at all stages of development (Morita et al. 2000). Programmed cell death has been found in all multicellular animals studied: cnidaria, nematodes, insects, amphibia, birds and mammals. Evolutionary conservation does not only involve its existence and role, but extends to some central aspects of genetic control and to important aspects of its most frequent phenotype, apoptosis (Amelsen 2002). The first evidence of genetic information specific for the control of cell death was provided by experiments on the nematode Caenorhabditis elegans. In this animal survival or death of most cells depends on the expression of only four genes and seven more that allow rapid ingestion of the dying cells. In contrast with this simple paradigm, mammalian cell death can proceed along multiple intracellular molecular pathways. Caspases are present in all above-mentioned animal species, although their requirements for the execution of apoptosis do not seem to be the same in nematodes, insects and mammals (Amelsen 2002). Most of the general traits of these processes are conserved from worms to humans (Hussein 2005). While the conservation of programmed cell death in species of multicellular animals, that diverged hundred million years ago, has led to the idea that genetic programs of cell suicide have played an ancient and central role in development, functioning and survival of multicellular animals. However, the question of the existence and role of programmed cell death in plants has long remained neglected. Programmed cell death also occurs in plants and it is involved in the generation of the xylem, and the phloem, and participates in the senescence of leaves and flowers and in the formation of bark (Amelsen 2002). Various forms of regulated programmed cell death have been described in various species of unicellular eukaryotes belonging to four different branches whose phylogenic divergence was about one billon years ago. These include kinetoplastid as Trypanosoma and Leishmania, which are believed to be among the earliest diverging eukaryotes. The slime mold Dictyostelium discoideum is a single-celled eukaryote that can transiently form multicellular aggregates and is considered as one of the evolutionary attempts of single celled organisms at multicellularity. The cell death phenotype of the kinetoplastid, slime mold, ciliate and dinoflagellate share several features with apoptosis, including DNA fragmentation. The presence of a programmed cell death inducing an apoptotic phenotype in nine different single-celled eukaryotes that belongs to four different branches of the eukaryotes phylogenic tree, demonstrates
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the widespread role of programmed cell death, and raises the question of the origin of the genes that are involved in the execution and regulation of this process (Amelsen 2002). Stimulation of cell death receptors leads to alternative cell fates by either activating NF-kB to promote cell survival or inducing one of the different programmed processes of cell death, apoptosis or programmed necrosis (Christofferson and Yuan 2010). However, frequently the process of apoptosis co-exits in the same oocytes with signs of autophagy as significant increments in Lamp1, acid phosphatase (Escobar et al. 2008). In vitro studies also showed the co-existence of Annexin-V and Lc3-II in the same oocytes (Escobar et al. 2010), suggesting that in addition to the classical processes of apoptosis and autophagy there is a mixed event in which both routes participate in the same cell (Escobar et al. 2010). A regulated cellular necrosis mechanism, different from apoptosis, was described as “necroptosis” by Degterev et al. (2005). Necroptosis, as necrosis, is characterized by rapid loss of plasma membrane integrity, organelle swelling and mitochondria dysfunction and does not share typical apoptotic features such as internucleosomal DNA cleavage and nuclear condensation (Hitomi et al. 2008). It is interesting to note that stimulations of death receptors by agonists as TRAIL, FasL and TNFa involved in apoptotic cell death activation, may initiate necroptotic cell death in apoptoticdeficient conditions (Hitomi et al. 2008). Autophagy vesicles are frequently observed in necroptotic cells suggesting that autophagy is an execution mechanism for necroptosis. However, necroptotic signaling may activate autophagy in some cell types, probably as a clean up mechanism (Christofferson and Yuan 2010). Lysosomal membrane permeabilization occurs in response to a large variety of cell death stimuli causing release of cathepsins from lysosomes into cytosol where they participate in cell death. A limited release results in cell death by apoptosis or necroptosis while massive lysosomal breakdown leads to necrosis. It is interesting to note that the release of hydrolases contained in lysosomes also takes place at the final stages of autophagic cell death (Escobar et al. 2008). Cathepsin release may result in caspase dependent or independent cell death, with or without involvement of mitochondria (Johansson et al. 2010). Follicular atresia is characterized by a rapid loss of granulosa cells and to a lesser extent, theca cells, via apoptosis (Maillet et al. 2003). Apoptosis had been found to be the underlying event associated with the granulosa cell death several years ago (Hughes and Gorospe 1991). Whether theca cells undergo apoptosis was controversial. It was previously understood that theca cells persisted in the atretic follicles and were incorporated to the interstitium, however, numerous studies have demonstrated that theca cells are eliminated from the ovary in the same manner as the granulosa cells (Maillet et al. 2003 and references therein). Ultrastructural studies showed that deletion of theca interna cells is a typical apoptotic process (O’Shea et al. 1978). The preantral–early antral transition corresponds to the formation of the theca cell layer and is a most susceptible to follicular atresia. The oocyte-derived growth differentiation factor-9 (GDF-9) is involved in the differentiation of theca cells
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d uring preantral-early antral follicles transition, which is most susceptible to follicular atresia (Orisaka et al. 2006; Orisaka et al. 2009). Intra-oocyte injection of GDF-9 antisense oligos in preantral follicle cultures suppressed basal and FSHinduced follicle growth, activated caspase-3 and induced apoptosis. GDF-9 protects granulosa cells from undergoing apoptosis via activation of the phosphatidylinositol 3-kinase/Akt pathway. These data suggest that GDF-9 is antiapoptotic in preantral follicles (Orisaka et al. 2006). GDF-9 also enhances preantral stage follicle growth by up-regulating theca cell androgen production. Thecal factor, or factors, promotes granulosa cell proliferation and suppresses granulosa cell apoptosis (Orisaka et al. 2009). Granulosa cells are dependent upon growth factors for survival during the period of proliferation in the developing follicle. Stimulation of the phosphoinositide 3¢-OH kinase PI3K/Akt pathway by insulin-like growth factor I (IGF-I) may promote cell survival by suppression of apoptotic pathways and by concomitant maintaining appropriate progression through the cell cycle (Hu et al. 2004). Follicle fate is also regulated by other proapoptotic factors as Nodal, which is secreted by the theca and promotes apoptosis of differentiated granulosa cells through a mechanism involving Smad2 signaling and suppression of the PI3K/Akt pathway, and the protein prohibitin (PHB) which appears to have a dual role; acting as a cell survival factor in undifferentiated cells, and as a pro-apoptotic factor following differentiation (Craig et al. 2007).
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Escobar ML, Echeverría OM, Ortiz R et al (2008) Combined apoptosis and autophagy, the process that eliminates the oocytes of atretic follicles in immature rats. Apoptosis 13:1253–1266 Escobar ML, Echeverría OM, Sánchez-Sánchez L (2010) Análisis of different cell death processes of prepubertal rat oocytes in vitro. Apoptosis 15:511–526 Flores-Pérez F, Rosas-Velazco C, Romano-Pardo MC et al (2005) Apoptosis y atresia folicular: un binomio esencial en el desarrollo ovárico. Veterinaria México 36:87–103 Fortune JE (1994) Ovarian growth and development in mammals. Biol Reprod 50:225–232 Fuentes-Prior P, Salvesen GS (2004) The protein structures that shape caspase activity, specificity, activation and inhibition. Biochem J 384:201–232 Ghiotto F, Fais F, Bruno S (2010) BH3-only proteins: the death-puppeteer’s wires. Cytometry 77:11–21 Greenfeld ChR, Babus JK, Furth PA et al (2007) BAX is involved in regulating follicular growth, but is dispensable for follicle atresia in adult mouse ovaries. Reproduction 133:107–116 Hengartner MO (2000) The biochemistry of apoptosis. Nature 407:770–776 Hitomi J, Christofferson DE, Ng A et al (2008) Identification of a molecular signaling network that regulates a cellular necrotic cell death pathway. Cell 135:1311–1323 Hsueh AJ, Billig H, Tsafriri A (1994) Ovarian follicle atresia: a hormonally controlled apoptotic process. Endocr Rev 15:707–724 Hu C-L, Cowan RG, Harman RM et al (2004) Cell cycle progression and activation of Akt kinase are required for insulin-like growth factor I-mediated suppression of apoptosis in granulose cells. Mol Endocrinol 18:326–338 Huang EJ, Nocka KH, Buck J et al (1992) Differential expression and processing of two associated forms of the kit-ligand: KL-1 and KL-2. Mol Biol Cell 3:349–362 Hughes FM, Gorospe WC (1991) Biochemical identification of apoptosis (programmed cell death) in granulosa cells: evidence for a potential mechanism underlying follicular atresia. Endocrinology 129:2415–2422 Hussein MR (2005) Apoptosis in the ovary: molecular mechanisms. Hum Reprod Update 11:162–178 Jiang J-Y, Cheung CKM, Wang Y et al (2003) Regulation of cell death and cell survival gene expression during ovarian follicular development and atresia. Front Biosci 8:222–237 Jiang X, Wang X (2004) Cytochrome C-mediated apoptosis. Annu Rev Biochem 73:87–106 Johansson A, Appelqvist H, Nilsson C et al (2010) Regulation of apopotosis-associated lysosomal membrane permeabilization. Apoptosis 15:527–540 Joyce IM, Pendola FL, Wigglesworth K et al (1999) Oocyte regulation of kit ligand expression in mouse ovarian follicles. Develop Biol 214:342–353 Kim J-M, Yoon Y-D, Tsang B (1999) Involvement of the Fas/Fas ligand system in p53-mediated granulose cells apoptosis during follicular development and atresia. Endocrinology 140:2307–2317 Koh PO, Kang SS, Choi WS et al (1999) Expression of Bcl-2 and Bax mRNAs during follicular development and atresia in the rat ovary. Kor J Anat 32:43–52 Krammer PH (2000) CD95’s deadly mission in the immune system. Nature 407:789–795 Kroemer G, Galluzzi L, Brenner C (2007) Mitochondrial membrane permeabilization in cell death. Physiol Rev 87:99–163 Krysko DV, Diez-Fraile A, Criel G et al (2008) Life and death of female gametes during oogenesis and folliculogenesis. Apoptosis 13:1065–1087 Lamkanfi M, Declercq W, Kalai M et al (2002) Alice in caspase land. A phylogenetic analysis of caspases from worm to man. Cell Death Differ 9:358–361 Lamkanfi M, Kanneganti TD (2010) Caspase-7: a protease involved in apoptosis and inflammation. Int J Biochem Cell Biol 42:21–24 Lassus P, Opitz-Araya X, Lazebnik Y (2002) Requirement for caspase-2 in stress-induced apoptosis before mitochondrial permeabilization. Science 297:1352–1354 Maillet G, Benhaïm A, Mittre H et al (2003) Involvement of theca cells and steroids in the regulation of granulosa cell apoptosis in rabbit preovulatory follicles. Reproduction 125:709–716 Manova K, Huang EJ, Angeles M et al (1993) The expression pattern of the c-kit ligand in gonads of mice supports a role for the c-kit receptor in oocyte growth and in proliferation of spermatogonia. Develop Biol 157:85–99
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Markström E, Svensson ECh, Shao R et al (2002) Survival factors regulating ovarian apoptosisdependence on follicle differentiation. Reproduction 123:23–30 Matikainen T, Perez GI, Zheng TS et al (2001) Caspase-3 gene knockout defines cell lineage specificity for programmed cell death signaling in the ovary. Endocrinology 142:2468–2480 Morita Y, Perez GI, Maravei DV et al (1999) Targeted expression of Bcl-2 in mouse oocytes inhibits ovarian follicle atresia and prevents spontaneous and chemotherapy-induced oocytes apoptosis in vitro. Mol Endocrinol 13:841–850 Morita Y, Perez GI, Paris F et al (2000) Oocyte apoptosis is suppressed by disruption of the acid sphingomyelinase gene or shingosine-1-phosphate therapy. Nat Med 6:1109–1114 Oltvai ZN, Milliman CL, Kormeyer SJ (1993) Bcl-2 heterodimerizes in vivo with a conserved homolog, Bax, that accelerates programmed cell death. Cell 27:609–619 O’Shea JD, Hay MF, Cran DG (1978) Ultrastructural changes in the theca interna during follicular atresia in sheep. J Reprod Fert 54:183–187 Orisaka M, Orisaka O, Jiang J-Y et al (2006) Growth and differentiation factor 9 is antiapoptotic during follicular development from preantral to early antral stage. Mol Endocrinol 20: 2456–2468 Orisaka M, Tajima K, Tsang BK et al (2009) Oocyte-granulosa-theca cell interactions during preantral follicular development. J Ovarian Res. doi:10.1186/1757-2215-2-9 Otomo T, Sakahira H, Uegaki K et al (2000) Structure of the heterodimeric complex between CAD domains of CAD and ICAD. Nat Struct Biol 7:658–662 Park SM, Schickel R, Peter ME (2005) Nonapoptotic functions of FADD-binding death receptors and their signaling molecules. Curr Opin Cell Biol 17:610–616 Perez GI, Robles R, Knudson CM et al (1999) Prolongation of ovarian lifespan into advanced chronological age by Bax-deficiency. Nat Genet 21:200–203 Peter ME, Krammer PH (2003) The CD95 (APO-1/Fas) DISC and beyond. Cell Death Differ 10:26–35 Read SH, Baliga BC, Ekert PG et al (2002) A novel Apaf-1-independent putative caspase-2 activation complex. J Cell Biol 159:739–745 Rosales-Torres AM, Guzmán-Sánchez A (2008) Apoptosis in follicular atresia and luteal regresion. Téc Pecu Méx 46:159–182 Sakamaki K, Yoshida H, Nishimura Y et al (1997) Involvement of fas antigen in ovarian follicular atresia and luteolysis. Mol Reprod Dev 47:11–18 Salvesen GS, Dixit VM (1999) Caspase activation: the induced-proximity model. Proc Natl Acad Sci USA 96:10964–10967 Scaffidi C, Fulda S, Srinivasan A et al (1998) Two CD95 (APO-1/Fas) signaling pathways. EMBO J 17:1675–1687 Sugimoto M, Kagawa N, Morita M et al (2010) Changes in the expression of decoy receptor 3 in granulosa cells during follicular atresia in porcine ovaries. J Reproduct Dev [Epub ahead of print] PMID: 20519830 Thornberry NA, Bull HG, Calacay JR et al (1992) A novel heterodimeric cysteine protease is required for interleukin-1 beta processing in monocytes. Nature 356:768–774 Thornberry NA, Rano TA, Peterson EP et al (1997) A combinatorial approach defines specificities of members of the caspase family and granzyme B. Functional relationships established for key mediators of apoptosis. J Biol Chem 272:17907–17911 Tilly JL (1993) Ovarian follicular atresia: a model to study the mechanisms of physiological cell death. Endocrin J (Endocrine) 1:67–72 Tilly JL (1996) The molecular basis of ovarian cell death during germ cell attrition, follicular atresia, and luteolysis. Front Biosci 1:d1–11 Tilly JL, Kowalski KI, Johnson AL et al (1991) Involvement of apoptosis in ovarian follicular atresia and postovulatory regression. Endocrinology 129:2799–2801 Tilly JL, Tilly KI, Perez GI (1997) The genes of cell death and cellular susceptibility to apoptosis in the ovary: a hypothesis. Cell Death Differ 4:180–187 Tinel A, Tschopp J (2004) The PIDDosome, a protein complex implicated in activation of caspase-2 in response to genotoxic stress. Science 304:843–846
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Vaskivuo TE, Anttonen M, Herva R et al (2001) Survival of human ovarian follicles from fetal to adult life: apoptosis-related proteins, and transcription factor GATA-4. J Clin Endocrinol Metab 86:3421–3429 Vaux DL, Silke J (2003) Mammalian mitochondrial IAP binding proteins. Biochem Biophys Res Commun 304:499–504 Willis SN, Fletcher JI, Kaufmann T et al (2007) Apoptosis initiated when BH3 ligands engage multiple Bcl-2 homologs, not Bax or Bak. Science 315:856–859 Woo EJ, Kim YG, Kim MS et al (2004) Structural mechanism for inactivation and activation of CAD/DFF40 in the apoptotic pathway. Mol Cell 14:531–539 Yang MY, Rajamahendran R (2000) Morphological and biochemical identification of apoptosis in small, medium, and large bovine follicles and the effects of follicle-stimulating hormone and insulin-like growth factor-I on spontaneous apoptosis in cultured bovine granulosa cells. Biol Reprod 62:1209–1217 Yuan J, Shaham S, Ledoux S et al (1993) The C. elegans cell death gene Ced-3 encodes a protein similar to mammalian interleukin-1 beta-converting enzyme. Cell 75:641–652
Chapter 14
Luteolysis Gerardo H. Vázquez-Nin, María Luisa Escobar, and Olga M. Echeverría
Abstract In most mammals the corpus luteum (CL) remains functional for a period related to the length of the estral cycle. In the absence of the luteotrophic signal, the CL undergoes spontaneous loss of cell function (functional luteolysis) and structural regression (structural luteolysis), allowing the development of a new ovulatory cycle. Apoptosis occurs during spontaneous and experimental CL regression. Ovaries collected from caspase-3 deficient mice retained many corpora lutea at any point of time recorded post ovulation. In the marmoset, a primate, the CL showed numerous features of autophagic cell death as vacuolated cytoplasm, vacuoles containing cytoplasmic debris, and autophagosomes. On the other hand, typical morphological features were absent. These observations suggest that luteolytic cell death might be a combination of apoptosis and autophagy. The vasculature is an important regulator of CL functions. The capillaries disappear earlier than the large vessels during structural luteolysis. The endocrine mechanisms of the cyclical regression of the CL are slightly different in primates and other mammals. Physiological levels progesterone produced in the corpus luteum protect cells against death. The decline in progesterone preceding structural luteolysis is a prerequisite for initiation of apoptosis induced by tumor necrosis factor alpha (TNFa) involved in apoptotic cell death activation, affecting primarily endothelial cells. Numerous findings suggest that progesterone has a role in regulating luteal and endothelial cell function in bovine corpus luteum, especially at the early luteal stage as autocrine/paracrine regulator. List of Abbreviations TNF-a Tumor necrosis factor a Caspase Cystein protease that cleave their target protein at specific aspartic acid LH Luteinizing hormone TUNEL Terminal Deoxy-UTP nick end labeling. Procedure that detects DNA breaks typical of apoptosis. G.H. Vázquez-Nin (*), M.L. Escobar, and O.M. Echeverría Laboratory of Electron Microscopy, Dept. of Cell Biology, Faculty of Sciences, National University of Mexico (UNAM), Mexico City, Mexico e-mail:
[email protected] G.H. Vázquez-Nin et al., Cell Death in Mammalian Ovary, DOI 10.1007/978-94-007-1134-1_14, © Springer Science+Business Media B.V. 2011
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14.1 Overview of the Physiological Role of the Corpus Luteum In most mammals there is a cyclical dismissing of atretic corpora lutea. Thus, the corpus luteum remains functional for a period related to the length of the estral cycle. In the absence of the luteotrophic signal, the corpus luteum undergoes spontaneous loss of cell function (functional luteolysis) and structural regression (structural luteolysis), allowing the development of a new ovulatory cycle (Nishimura et al. 2008) (Fig. 14.1). An acute increase of luteal blood flow is one of the earliest physiological signals for the luteolytic cascade. As the process of luteolysis advances, the structural components of the corpus luteum as luteal cells, capillaries, supporting connective tissue, degenerate and disappear. The final stage of the regression of the corpus luteum is a connective tissue scar called corpus albicans. The distribution and cell density of macrophages and T lymphocytes was investigated by means of histochemical methods. No macrophages or T lymphocytes were found in functional, healthy corpora lutea. However, abundant macrophages and lymphocytes were demonstrated in corpora lutea at early regression stage. At late stage of regression T lymphocytes, but no macrophage, were found. These findings support the hypothesis that macrophages initiates T lymphocyte aggregation at the early stage of luteal regression, and subsequently T lymphocytes induce apoptosis on luteal cells, which in turn develop sensitivity against FasL-a and IFN-gamma (Komatsu et al. 2003a). The corpus luteum in the pregnancy of the rat decreases about 40% in weight during the last 4 days of pregnancy in parallel to the fall of the concentration of plasmatic progesterone. In the postpartum in normal lactating rat, the corpus
Fig. 14.1 Corpus luteum of adult rat ovary with signals of structural regression. HaematoxilinEosin technique. Scale bar 200 mm
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Fig. 14.2 Immunoassay to detect in situ DNA fragmentation in a corpus luteum of rat ovary. Several cells are positive to the TUNEL technique (red), indicating the apoptotic cells with fragmented DNA. The phase contrast allows to identify the corpus luteus. DAPI shows the distribution of the nuclei. The merged images of TUNEL and DAPI the correspondence of both stainings. The dotted square is magnified in the bottom images. Scale bars 200 mm
luteum experiences an additional small gradual decrease. This process is promoted by suckling stimulus, presumably through the effects of prolactin, and involves a small incidence of TUNEL-reactive apoptosis (Kuruso et al. 2009). The addition of prolactin to a culture medium of a luteal cell line that expresses prolactin receptor but does not produce progesterone, results in a significant reduction of DNA fragmentation. These results indicate an important role for lactation in preventing apoptosis mediated by the antiapoptotic activity of prolactin on luteal cells (Goyeneche et al. 2003a) (Fig. 14.2).
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14.2 Processes of Cell Death Involved in Luteolysis Most studies reported that the main mechanism of luteolysis is apoptosis (Tilly 1996; Yuan and Giudice 1997). Apoptosis occurs during spontaneous and experimental luteal regression in cattle, as indicated by oligonucleosome formation, which is apparent when serum progesterone concentration has begun to decrease (Juengel et al. 1993). In situ analysis of DNA fragmentation in human ovary showed that apoptotic luteal cells are present in early and mid-luteal phases. The rate of apoptosis increases clearly in the late luteal phase. This increase is preceded by a decreased Bcl-2/Bax ratio. A peak in the number of apoptotic cells occurs 10–12 days after the LH surge. This peak in apoptosis is preceded by an increase in 17-Hydroxysteroid dehydrogenase (17-HSD) and TNF-a expression. Immunohistochemical analysis indicates that Caspase-3 is uniformly expressed in the corpus luteum throughout the luteal phase. These observations indicate that apoptosis is the mechanism behind the of corpus luteum regression (Rueda et al 1999; Vaskivuo 2002). A more convincing demonstration of the role of caspase-3 in the regression of corpora lutea was obtained by the comparison of corpora lutea derived from caspase-3-null mice and those derived from wild-type mice. In ex-vivo culture experiments, whereas ovaries of the wild type had only residual luteal tissue, ovaries collected from caspase-3 deficient mice retained many corpora lutea; both were collected at 6 days post ovulation. There was no important increase in apoptosis in corpora lutea of caspase-3-deficient mice at any point of time examined post ovulation (Carambula et al. 2002). However, a light and electron microscopic study of the luteolysis in the marmoset showed the presence of numerous ultrastructural features of autophagic process of cell death such as vacuolated cytoplasm, vacuoles containing cytoplasmic debris, and autophagosomes. On the other hand, typical morphological features of apoptosis such as peripheral heterochromatin in a crescent shape and cytoplasmic blebs with nuclear fragments were absent. These observations suggest that luteolytic cell death might be a combination of apoptosis and necrotic-type degeneration (Fraser et al. 1999) (Fig. 14.3). There are species-related differences in the mechanisms of luteal cell apoptotic pathways in various mammals such as rodents, cattle and primates (Sugino and Okuda 2007). There is probably an apoptotic pathway common to all mammals, namely the Fas/Fas-ligand system followed by caspase-8 and caspase-3, and cytokines, such as TNF-a and IFN-g produced by macrophages. Also T-lymphocytes modify apoptotic activities by activating the Fas pathway (Sugino and Okuda 2007). There seems to be several different mechanisms involved in triggering and modification of apoptosis between these species. In cycling rats, preovulatory prolactin surges are a trigger and progesterone works as a suppressor of apoptosis. The role of the vasculature in the local regulation of corpus luteum function during estrous cycle and luteolysis was studied to determine the density of large blood vessel and of capillaries during estrous cycle and luteolysis. The overall results demonstrate that the capillaries disappear earlier than the large blood vessels during structural
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Fig. 14.3 Corpus luteum of rat. Immunodetection of Lamp1 to identify the cellular autophagic process. The phase contrast shows the general morphology of a region of the corpus luteum (dotted square in the upper panel). DAPI is evidencing the DNA distribution. Lamp1 is abundant in the cytoplasm of a group of dying cells. Merge of Lamp1 and DAPI allows verify the cytoplasmic distribution of the mark of Lamp1. Scale bar 50 mm
luteolysis. This finding suggests that the loss of capillaries results in a reduced supply of nutrients and oxygen to luteal cells, followed by cell death (Hojo et al. 2009). The vasculature is an important component of the corpus luteum and a regulator of its functions. The density of capillaries and large blood vessels in the center of the corpus luteum may be a useful parameter to estimate the role of vasculature in the corpus luteum function, including luteolysis.
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14.3 Factors Involved in Luteolytic Process Physiological levels of progesterone produced in the corpus luteum protect cells against death. The decline in progesterone preceding structural luteolysis is a pre requisite for the initiation of apoptosis induced by tumor necrosis factor alpha (TNFa) involved in apoptotic cell death activation, affecting primarily endothelial cells (Friedman et al. 2000). Cell viability is further decreased by a treatment with TNFa and interferon gamma suggesting that they synergistically affect the cell death of luteal endothelial cells, resulting in acute luteolysis (Hojo et al. 2010a, b). In murine ovaries, luteal cell apoptosis is induced by the Fas ligand (FasL)/Fas system. In these ovaries the expression of mRNA of the soluble form of Fas (FasB), which binds to FasL and prevents apoptosis induction, was also found. In order to test if estradiol from ovarian follicles controls timing of luteolysis, repeated follicle ablation was carried out to reduce circulating estradiol. This reduction in circulating estradiol caused a delayed luteolysis. On the other hand, treatment with estradiol hastened luteolysis in heifers with ablated follicles. These results indicated that estradiol plays an essential role in timing luteolysis (Araujo et al. 2009) (Fig. 14.4). Immunocytochemical localization revealed that Fas and TNFa were localized in both normal and regressing luteal bodies, but the cytokine interferon g (IFN-g) was only localized in regressing luteal bodies. Thus, FasB inhibits the apoptosis induction in luteal cells of normal luteal bodies, and decreased FasB production induced by TNFa and IFN-g made possible the apoptosis induction in luteal cells of regressing luteal bodies (Komatsu et al. 2003b). Posterior studies showed that
Fig. 14.4 TNFa is involved in luteolytic process. TNFa diminishes the progesterone levels, promoting the apoptosis during the luteolytic process
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low concentrations TNF induce luteolysis and high doses prolong the life span of the corpus luteum and prevent luteolysis in vivo. The varying effects of TNF may be caused by its action exerted on corpus luteum via multiple signaling pathways involving two receptors: TNRF-I, responsible for induction of cell death and TNRF-II, implicated in cell proliferation (Korzekwa et al. 2008). Cellular FLICElike inhibitory protein (cFLIP), an anti-apoptotic factor is expressed in luteal and non-luteal cells, including endothelial cells of the bovine corpus luteum. In regressing corpus luteum cFLIP is only immunolocalized to macrophage-like cells, indicating a down-regulation of cFLIP during structural luteal regression, thus suggesting that cFLIP plays a survival role in bovine corpus luteum (Hojo et al. 2010a, b). In cattle, prostaglandin F2 alpha (PGF2 alpha) is a trigger and progesterone is a suppressor of apoptosis. Nitric oxide (NO) works as a stimulator of apoptosis by activating the Fas pathway. During PGF2 alpha-induced luteolysis, acute changes in circulating concentrations of progesterone, nitric oxide and partial pressure of oxygen take place in cattle (Acosta et al. 2009). In humans, chorionic gonadotropin plays central roles in the regulation of apoptosis related molecules including Fas, Bcl-2/Bax and survivin, suggesting that absence of human chorionic gonadotropin could be a signal for the initiation of luteal cell apoptosis when pregnancy does not occur (Sugino and Okuda 2007). In ruminants, PGF2 alpha is a luteolytic hormone synthesized and released from the endometrium in a pulsate pattern. It is responsible for the loss of progesterone secretion at the end of the estrous cycle. The unique structure of the vascular uteroovarian plexus allows transport of PGF2 alpha pulses directly from the uterus to the ovary, thus bypassing the systemic circulation. This passage involves transference of PGF2 alpha from the uterine vein to the ovarian artery in the utero-ovarian plexus, thus bypassing the systemic circulation. Prostaglandin transporter protein is a key protein for this transport and it is expressed in tunica intima, tunica media and tunica adventitia of the utero-ovarian vein and the ovarian artery of the uteroovarian plexus. The expression levels of the prostaglandin transporter protein change with estrous cycle. Inhibition of prostaglandin transporter protein prevents the transport of exogenous or endogenous PGF2 alpha up to 80% from uterine venous blood to ovarian arterial blood (Lee et al. 2010). Prostaglandin transporter protein was also found in ovine endometrium where it is responsible for influx and efflux of PGF2 alpha in endometrial luminal and glandular epithelia (Banu et al. 2008) (Fig. 14.5). It is interesting to note that uterine PGF2 alpha is not decreased during early pregnancy in ewes to prevent luteolysis. Instead the embryo imparts resistance to PGF2 alpha-induced luteolysis, via 2-fold increase in prostaglandins E(1) and E(2) in endometrium during early pregnancy. Chronic intrauterine infusion of prostaglandins E(1) of E(2) prevents spontaneous or induced luteolysis. Prostaglandin receptors EP(3) and FP receptor may be involved in luteolysis. EP(2) receptor may mediate prevention of luteolysis via regulation of luteal mRNA for LH receptors to prevent loss of LH receptors, and therefore sustain luteal function (Weems et al. 2010a). Prostaglandins PGE(1) and PGE(2) share common mechanisms to prevent luteolysis. However, only PGE(1) increase luteal and endometrial mRNA for LH
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Fig. 14.5 PGF2 alpha is transported from the uterus to the ovary, to induce the luteolysis
receptors. PGE(2) prevents a decrease in luteal mRNA for LH receptors without altering endometrial mRNA for LH receptors (Weems et al. 2010b). The nitric oxide synthases (NOS) exists in three isoforms. Neuronal NOS (nNos; type 1) and endothelial NOS (eNOS; type III) are responsible for the continuous basal release of NO and require calcium/calmodulin for activation. On the other hand, inducible NOS (iNOS; type II) is a calcium-independent enzyme (Shirasuna 2010 and references therein). NO is a strong vasorelaxant that plays roles in a variety of physiological processes. NO system regulates luteal blood flow and it has been suggested to be an important mediator of luteolysis in the cow and probably other mammals. NO directly inhibits progesterone secretion in the bovine, human, rat, and rabbit (Shirasuna 2010 and references therein). The bovine corpus luteum has two types of NOS (eNOS and iNOS) that are immunolocalized to endothelial and luteal cells. The intensity of the reactions for both types of NOS increase from early to mid luteal phase of the estrous cycle and then decreases in late luteal phase. Moreover, the inhibition of ovarian NOS in vivo prolongs the duration of the estrous cycle in the cow (Shirasuna 2010 and references therein). A three dimensional regulation of vasoactive factors, vascular structure in the mature corpus luteum and interactions among several different cell types appear to be required for maximal responsiveness to PGF2 alpha to achieve a rapid luteolysis (Shirasuna 2010 and references therein). Galectin-1 and galectin-3 are beta-galactoside-binding lectins that are predominantly expressed in regressing corpus luteum of the mouse. Galectin-1 mRNA expression temporarily increased in active corpus luteum preceding the expression of progesterone degradation enzyme 20alpha-hydroxysteroid
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d ehydrogenase (20alpha-HSD), which represents functional luteolysis. The expression of both galectin-1 and galectin-3 increase in the structurally regressing corpus luteum, which express abundantly 20alpha-HSD and contain numerous apoptotic luteal cells. Galectin- and galectin-3-immunoreactive cells were identified as fibroblasts and infiltrating macrophages, respectively. Ovary of adult mice with repeated estrus cycles contain corpora lutea of three different generations; the old corpora lutea formed during previous estrus cycles consisted of galectin-3 positive luteal cells. These corpora lutea are resistant to apoptosis and seem to be eliminated by a mechanism different from apoptosis (Nio-Kobayashi and Iwanaga 2010).
14.4 Endocrine Interplay Involved in Luteolysis Prevention or Induction The expression of classical progesterone receptor has been reported in the corpus luteum of several mammalian species including in human, nonhuman primates, sheep and cows. In the rat, expression of progesterone receptor mRNA has been found in the granulosa cells of preovulatory follicles, yet no expression was found in the corpus luteum during estral cycle or during pregnancy (Goyeneche et al. 2003a). In this animal, 1 day after parturition, a small increase in the number of luteal cells undergoing cell death was observed. This increase in apoptotic cells continued postpartum, reaching dramatic levels by day 4 postpartum. The exogenous administration of progesterone significantly reduces the decline in luteal weight observed during structural luteal regression postpartum. This effect was associated with a decrease in the number of cells undergoing apoptosis. In vivo administration of progesterone delayed the occurrence of DNA fragmentation in postpartum corpora lutea incubated in serum-free conditions. These results support a protective action of progesterone on the function and survival of the corpus luteum through inhibition of apoptosis and stimulation of androstenedione production in the absence of classic progesterone receptors (Goyeneche et al. 2003b). Before the functional regression of the corpus luteum, the expression of genes involved in cholesterol uptake decreases, while those involved in cholesterol efflux (reverse cholesterol transport) increased in expression during spontaneous functional regression of the rhesus macaque corpus luteum. These changes in the intensity of cholesterol fluxes are probably critical for the initiation of primate luteolysis by limiting intracellular cholesterol pools required for steroidogenesis (Boggan and Henneblod 2010). It is interesting to note that progesterone receptor mRNA and progesterone receptor protein are expressed in the bovine corpus luteum during estrous cycle. Progesterone receptor is expressed in both small and large luteal cells and in vascular endothelial cells throughout the estrous cycle. These findings suggest that progesterone has a role in regulating luteal and endothelial cell function in bovine corpus luteum, especially at the early luteal stage as autocrine/paracrine regulator (Sakumoto et al. 2010).
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The endocrine mechanisms that control the cyclical regression of the corpus luteum are slightly different in primates and other mammals. In both cases the PGF2 alpha is involved in the stimulation of the luteolysis (Silvia et al. 1991; McCracken et al. 1999). In non-primate mammals luteolysis is caused by the episodic pulsatile secretion of PGF alpha via systemic circulation. Hysterectomy in non-primate species results in the maintenance of the corpus luteum, whereas in primates it does not influence the cyclical regression of the corpus luteum. In bovines, cortisol is a suppressor of apoptosis in corpus luteum; it reduces the mRNA expression of caspase 8 and caspase 3 and reduces the enzymatic activity of caspase 3 and cell death induced by tumor necrosis factor and interferon gamma in cultured luteal cells (Komiyama et al. 2008). In primates, oxytocin and its receptor and F alpha and its receptor have been identified in the corpus luteum and/or in the ovary. In primates, progesterone withdrawal appears to be the primary stimulus for the subsequent production of endometrial prostaglandins associated with menstruation (McCracken et al. 1999). An endocrine type of voltage-activated sodium channel (eNaCh) was identified in human and nonhuman primate ovary in luteinized granulosa cells. Activation of eNaChs in luteal cells, due to the loss of gonadotropin support, may initiate a cascade of events leading to decreased corpus luteum function, a process involving lysosomal activation and autophagy. These results suggest that eNaChs are involved in the physiological demise of the corpus luteum in the primate ovary during menstrual cycle (Bulling et al. 2000). The human LH receptor (LHR) plays a key role in luteal function and the establishment of pregnancy through its interaction with the gonadotropins LH and human chorionic gonadotropin. Four splice variants of the LHR were identified in human luteinized granulosa cells and corpora lutea. The expression of full-length LHR (LHRa) and the shortest form changed (LHRd) significantly in corpora lutea harvested at different stages of ovarian cycle. The expression of LHRa was reduced and that of LHRd was increased in the late luteal phase corpora lutea. COS-7 cells expressing LHRd were unable to produce cAMP in response to LH stimulation. COS-7 cells co-expressing LHRd and LHRa also failed to generate cAMP in response to LH, suggesting that this truncated form has a negative effect on the signaling of LHRa. Overall, these data imply that the expression of LHR splice variants is regulated in the human corpus luteum. Furthermore, during functional luteolysis a truncated variant could modulate the cell surface expression and activity of full-length LHR (Dickinson et al. 2009).
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Index
A Activins, 16 Annexin-V, 76 Apoptosis biochemical alteration, 63 execution phase, 75–76 extrinsic route, 69 Fas-FasL binding, 76 inducing factor (AIF), 73–74 intrinsic route, 69 morphological characteristics, 112 morphological features, 63 Apoptosis inducing factor (AIF), 73–74, 131 Apoptosome, 72 Atg9, 88 Atg genes, 87–88 Atresia, 169, 188, 213–216 general aspects, 204–205 Autophagosomes formation, 89–90 maturation, 90–91 Autophagy, 81, 113 activation, 97 AKT, 96 and cancer, 94–95 chaperone, 87 class-III PI3K, 88–89 deregulation of, 82 induction, 94 inhibition, 95–96 3-methyladenine (3-MA), 95 morphological traits, 83 okadaic acid, 95 physiological processes, 82 as programmed cell death, 91–93 rapamycin, 96 steps, 83 TOR, 96
B B-cell lymphoma/leukemia–2 (Bcl–2), 211 anti-apoptotic, 67 BH3-only, 67 pro-apoptotic, 67 Beclin 1, 88 C Calpains, 106 Caspase 2, 136 Caspase–8, 72 Caspases activation, 66–70 effector/executioner caspases, 207 executer, 67 initiator, 65, 67 initiator caspases, 207 molecular structure, 66–67 routes of activation, 208 substrates, 207–208 Cell death, 63 Class-III PI3K, 88–89 Corpus luteum, 13, 221 regression, 230 Cysts, 138, 166 D DNA fragmentation, 127 unrepaired DSBs, 136 E Epidermal growth factor (EGF), 11 Estradiol receptor, 51 Estrogen receptor, 51 Estrogens, 190
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234 F Fertilization, 25 Fetal oocytes DNA double-strand breaks (DSBs), 146 DSB repair, 146 Follicles, 204 activation, 6 antral, 191–193 atretic, 186 early antral, 10, 190 pre-ovulatory, 5 primary, 6 primordial, 5, 188 secondary, 7 Follicle stimulant hormone (FSH), 10 receptor, 38 Follicular atresia, 186 Follicular cells, 36 Folliculogenesis, 167 G Galectin–1 and galectin–3, 228 Granulosa cells. See follicular cells antral follicle, 197 Apaf–1, 194 bax, 194 Bcl–2, 194 clusterin, 195 cyclophosphamide, 196 Fas-L-Fas, 194–195 inhibitor of apoptosis proteins (IAPs), 197 oxidative stress, 197 pregnant mare serum gonadotropin (PMSG), 195 prohibitin, 195 tumor necrosis factor-alpha (TNFa), 196 I Inhibin B, 52 Inhibins, 16 Inhibitor of apoptosis proteins (IAPs), 74–75, 208 Initial recruitment, 188 Insulin-like growth factor (IGF), 213 K Kit-ligand (KitL), 6, 36, 131, 156, 210–211
Index L Leukemia inhibitory factor (LIF), 5 LH receptor (LHR), 230 LH surge, 20 Light chain 3 (LC3), 89 Luteal cell, 224 Luteinizing hormone (LH), 10, 52 receptor, 38 Luteolysis, 224–225 Lysosomes, 83 M Macroautophagy, 86 Meiosis, 26, 39, 126 biological role of, 40 dictyate stage, 35 synaptonemal complex Meiotic checkpoints, 148 G2/M, 151 Meiotic silencing of unsynapsed chromatin (MSUC), 151 Microautophagy, 87 Müllerian inhibitory substance (MIS), 17, 28 N Necrosis, 215 accidental cell death and, 114 apoptosis and, 116–117 autophagy and, 117–118 morphological characteristics, 118–119 Nitric oxide synthases (NOS), 228 O Oncosis, 113–114 biochemical level, 104–105 in human pathology, 107–109 morphological features, 104 Oocyte loss apoptotic pathway, 132 autophagic pathway, 134 Bax, 135 Bcl-X, 134–136 caspases, 134–136 fetal, 126 Oocytes B-cell lymphoma/leukemia–2 (Bcl–2), 155 caspase 2, 157 ceramide, 157–158 DNA repair systems, 144 efficiency of DNA repair, 146 meiotic prophase I (MPI), 144
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Oogenesis, 125 Oogonia. See Primordial germ cells (PGC) Ovarian reserve, 144 Ovary chilhood, 52–55 compartments, 4 formation, 33–35 functions, 4 infancy, 50 innervation, 57 puberty, 55–57 Ovary atresia, prepubertal, 188 Ovary death fifteen to twenty eight day old rat, 179–182 one to ten day old rats, 174–177 ten to fifteen day old rats, 177–179
migration, 32 origin, 31 specification, 28, 29 Progesterone receptor (PR), 19, 229 Prostaglandin F2 alpha (PGF2 alpha), 227 Pyroptosis, 114
P p53, 153, 212 p63, 154 p73, 154 Phosphorylated histone H2AX (gH2AX), 137 Poly(ADP-ribose) polymerase (PARP), 77 Prefollicular cells, 166 Pre-granulosa cells. See Prefollicular cells Primordial germ cells (PGCs), 25, 26, 125, 144 bone morphogenetic proteins (BMPs), 28 epigenetic reprogramming, 42–44
T Transforming growth factor b (TGFb), 28, 53, 212–213 bone morphogenetic protein 15 (BMP–15 or GDF–9B), 16 growth differentiation factor 9 (GDF–9), 16 signalling, 14 Tumor necrosis factor-alpha (TNFa), 211–212, 226
R Recombination, 41 Retinoic acid (RA), 36 S Sex, determination, 33 Sexual, reproduction, 26
Z Zona pellucida, 8