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Endocrinology Vol. 138, No. 1 191-195
Copyright © 1997 by The Endocrine Society


ARTICLES

Regulation of Prostaglandin F2{alpha} Receptor Expression in Cultured Human Granulosa-Luteal Cells1

Ari Ristimäki, Risto Jaatinen and Olli Ritvos

Departments of Clinical Chemistry and Obstetrics and Gynecology (A.R.) and the Haartman Institute, Department of Bacteriology and Immunology (R.J., O.R.), University of Helsinki, Helsinki, Finland

Address all correspondence and requests for reprints to: Dr. Ari Ristimäki, Research Laboratory, Department of Obstetrics and Gynecology, University of Helsinki, Haartmaninkatu 2, SF-00290 Helsinki, Finland.


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
PGF2{alpha} is a metabolite of arachidonic acid that triggers regression of the corpus luteum. Recent animal studies have indicated that PGF2{alpha} (FP) receptor messenger ribonucleic acid (mRNA) is expressed in the corpus luteum. To understand the regulation of the FP receptor in the ovary we have cloned a partial complementary DNA (cDNA) sequence of the FP receptor from human granulosa cells obtained from women undergoing in vitro fertilization. The sequence of this cDNA is identical to the previously reported FP receptor sequences obtained from human uterine and placental cDNA libraries. Low levels of the FP receptor mRNA were observed in freshly isolated granulosa cells or in cultured granulosa-luteal (GL) cells, as detected by reverse transcriptase-PCR. hCG and 8-bromo-cAMP increased the steady state levels of the FP receptor mRNAs after incubation for 24–48 h, as detected by Northern blot hybridization. The stimulatory effect of hCG was concentration and culture stage dependent. Further, hCG and 8-bromo-cAMP increased binding of radiolabeled PGF2{alpha} to intact GL cells. In contrast, phorbol 12-myristate 13-acetate inhibited basal as well as hCG- and 8-bromo-cAMP-induced FP receptor mRNA expression and binding of the radiolabeled ligand. In summary, hCG, 8-bromo-cAMP, and phorbol 12-myristate 13-acetate modulate the expression of the FP receptor in human GL cells, which may represent a mechanism to regulate the responsiveness of the ovary to PGF2{alpha}.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
PROSTANOIDS are cyclooxygenase metabolites of polyunsaturated fatty acids (1). Increased production of prostanoids is important in many physiological and pathological conditions, such as inflammation and ovulation (1), which have been suggested to depend on the induction of cyclooxygenase-2 expression (2, 3). However, as most prostanoids exert their actions through specific cell surface receptors (4, 5), the response to them could potentially be modulated by regulation of expression of the respective receptor. Whether expression of prostanoid receptors is regulated has not been extensively studied.

PGF2{alpha} is a prostanoid that triggers the regression of the corpus luteum in various species, including nonhuman primates and humans (6, 7). PGF2{alpha} signals through an FP receptor that has been cloned from rodent (8, 9, 10) and ruminant (11, 12) ovarian and astrocyte complementary DNA (cDNA) libraries. Human FP receptor cDNAs were also recently cloned from uterine and placental tissues (9, 13). FP receptor contains putatively seven transmembrane domains, and it signals through G proteins that activate phospholipase C, which leads to formation of inositol trisphosphate and a subsequent increase in cytosolic free calcium ions (8, 9, 10, 11, 12, 13).

Human luteal cells bind radiolabeled PGF2{alpha} (reviewed in Refs. 6 and 7), and human ovaries express FP receptor messenger ribonucleic acid (mRNA) (9). However, the precise cellular localization of human ovarian FP receptor expression has not been established. The ovaries of mice and cows express high levels of the FP receptor mRNA, and expression of the receptor mRNA was localized to large luteal cells of the corpus luteum (8, 14, 15). Interestingly, levels of the FP receptor mRNA vary during estrous cycle in sheep and cows (12, 14, 16) and are high during pregnancy in mice and cows (8, 14). It is not known whether expression of the FP receptor is regulated in human ovaries.

To clarify the presence of the FP receptor in human ovaries, we cloned a partial cDNA sequence of the receptor from granulosa cells obtained from women undergoing in vitro fertilization. As primary cultures of human granulosa-luteal (GL) cells provide a well characterized model to study the hormonal regulation of luteal phase gene expression (17, 18, 19), we investigated the effects of hCG, 8-bromo-cAMP, and phorbol 12-myristate 13-acetate (PMA) on the steady state mRNA levels of the FP receptor and the binding of radiolabeled PGF2{alpha} in this cell culture system.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cell culture
Human granulosa cells were obtained as discard tissue in conjunction with oocyte aspirations performed on women undergoing hormone treatment for in vitro fertilization. With the approval of the committee of ethics of the Department of Obstetrics and Gynecology, cells from two to four patients were pooled, enzymatically dispersed, separated from red blood cells by centrifugation through Ficoll-Paque (Pharmacia, Uppsala, Sweden), and plated at a density of 2–5 x 105 cells/well on six-well dishes (Costar, Cambridge, MA) as previously described (20). Before initiation of the experiments, the cells were maintained in DMEM supplemented with 10% FCS, 2 mM L-glutamine, and antibiotics (Life Technologies, Grand Island, NY) at 37 C in 5% CO2 in air for 1–7 days. The culture medium was changed every other or third day. Experiments were conducted in DMEM containing 2.5% FCS without (control) or with hCG (lot CR-127; 1–100 ng/ml), which was obtained from the NIDDK, NICHHD, and USDA through the National Hormone and Pituitary Program (Rockville, MD), or with 8-bromo-cAMP (1 mM), PMA (10 ng/ml), or cycloheximide (CHX; 10 µg/ml; Sigma Chemical Co., St. Louis, MO) for the time periods indicated. Each experiment was repeated at least three times.

Reverse transcriptase-PCR (RT-PCR), subcloning, and sequencing
Cytoplasmic RNA (1–2 µg) from granulosa cells was converted to cDNA using random hexamers, amplified with PCR for 30 cycles of denaturation at 94 C for 1 min, annealing at 60 C for 1 min, and extension at 72 C for 1 min with specific primers for human FP receptor (sense, 5'-CAC AAC CTG CCA GAC GGA AAA C-3'; antisense, 5'-CGA CGC CTG AAT TTT ATA GTC TCG ATG-3') or human glyceraldehyde-3-phosphate dehydrogenase (GAPDH; sense, 5'-CCA CCC ATG GCA AAT TCC ATG GCA-3'; antisense, 5'-TCT AGA CGG CAG GTC AGG TCC ACC-3') as previously described (21). Amplified products were electrophoresed through an 1% agarose gel and visualized by ethidium bromide staining, and pGEM markers (Promega Corp., Madison, WI) were used as mol wt markers. A 490-bp PCR product amplified from reverse transcribed samples was subcloned into the pGEM-T vector (Promega). Sequencing was performed with fluorescence-labeled SP6 and T7 primers and the Catalyst 800 Molecular Biology Labstation (Applied Biosystems, Division of Perkin-Elmer, Foster City, CA). The products were analyzed on an Applied Biosystems automatic sequencer 373A, and sequences were compared to the known human FP receptor sequence (13) with MacMolly Tetra (Soft Gene, Berlin, Germany) on a Macintosh personal computer (Apple Computer, Cupertino, CA).

RNA isolation and Northern and dot blot analysis
Cytoplasmic RNA was isolated with the modified Nonidet P-40 lysis procedure (22) and quantitated by absorbance at 260 nm. For dot blots, 1–2 µg RNA were denatured in 7.5% formaldehyde and 6 x SSC (1 x SSC = 0.15 M NaCl and 0.015 M sodium citrate, pH 7.0) at 50 C for 30 min and spotted onto Hybond-N nylon membranes (Amersham International, Aylesbury, UK) with a 96-well Minifold device (Schleicher and Schuell, Keene, NH). For Northern blots, 10–20 µg RNA were denatured in 1 M glyoxal, 50% dimethylsulfoxide, and 10 mM phosphate buffer at 50 C for 60 min, electrophoresed through an 1.2% agarose gel, and transferred to nylon membranes, which were then UV irradiated for 6 min with a Reprostar II UV illuminator (Camag, Muttenz, Switzerland). Linear amplification labeling was performed as previously described (20) to obtain single stranded human FP receptor cDNA probe. The labeling mix (10 µl) contained 10 ng cDNA [either a purified 490-bp restriction enzyme fragment of the cloned human FP receptor cDNA or, alternatively, a purified 1.6-kilobase (kb) fragment of human FP receptor cDNA obtained from Merck Frosst Canada, Pointe Claire-Dorval, Quebec]; 1 µM FP receptor antisense primer; 50 µM each of deoxy (d)-ATP, dGTP, and dTTP; 1.6 µM [{alpha}-32P]dCTP (3000 Ci/mmol; DuPont-New England Nuclear, Boston, MA; or Amersham); 1 µl of 10 x PCR buffer (Perkin-Elmer, Norwalk, CT); and 0.25 U AmpliTaq (Perkin-Elmer). A purified 0.8-kb cDNA fragment of human GAPDH was labeled using [{alpha}-32P]dCTP and the Prime-a-Gene kit (Promega, Madison, WI). Probes were purified with nick columns (Pharmacia) and used at 1–3 x 106 cpm/ml in hybridization solution containing 50% formamide, 6 x SSC, 0.1% Ficoll, 0.1% polyvinylpyrrolidone, 0.1% BSA, 100 µg/ml herring sperm DNA, 100 µg/ml yeast RNA, and 0.5% SDS at 42 C for 16 h. Filters were washed three times with 0.1–1 x SSC and 0.1% SDS at 50 C. Dot blots were quantitated with Fujifilm IP-Reader Bio-Imaging Analyzer BAS 1500 (Fuji Photo Co., Tokyo, Japan) and the MacBas software supplied by the manufacturer. Northern blots were visualized by autoradiography.

Binding assays
GL cells were maintained in six-well dishes for 4–5 days and then treated with or without hCG (30 ng/ml), 8-bromo-cAMP (1 mM), or PMA (10 ng/ml) for 24 h and in the time-course experiment with hCG for 0, 3, 9, and 30 h. Binding assays were performed as described by Lake et al. (9) with slight modifications. Briefly, intact GL cells were incubated in 2 ml binding buffer [50 mM Tris-HCl (pH 5.8), 2.5 mM MnCl2, and 1 µM indomethacin (Sigma)] containing 5 nM [3H]PGF2{alpha} (170 Ci/mmol; DuPont-New England Nuclear) at room temperature for 45 min. Nonspecific binding was determined in the presence of 10 µM PGF2{alpha} (Sigma), and the displacement experiment was performed with 1 nM to 10 µM PGF2{alpha}. After the incubation, the cells were washed three times with ice-cold binding buffer and lysed with 0.5 ml ice-cold 0.5 M NaOH. Radioactivity of the lysate was then quantitated by liquid scintillation counting. Nonspecific binding was first subtracted from all values, and the difference between total and nonspecific binding to untreated cells is shown as 100%.

Statistical analysis
Statistical significance was calculated for a single comparison with Student’s t test. For multiple comparison, the t test was used only if one-way ANOVA indicated a significant difference. All results are shown as the mean ± SEM, and P < 0.05 was selected as the statistically significant value.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Detection of FP receptor mRNA by RT-PCR from human granulosa cells
FP receptor cDNA was amplified with PCR from reverse transcribed cytosolic RNA from two individual pools of freshly isolated (uncultured) granulosa cells. The expected 490-bp product was detected by agarose gel electrophoresis and ethidium bromide staining (Fig. 1AGo). The sequence of the RT-PCR product was (>99%) identical with the known human FP receptor sequence (13).



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Figure 1. Detection of the FP receptor mRNA from human granulosa cells. A, Cytoplasmic RNA from two individual pools of uncultured human granulosa cells was reverse transcribed and PCR amplified with primers for human FP receptor (see Materials and Methods for details). The expected 490-bp product was amplified (lanes 1 and 2). Respective negative controls of nonreverse transcribed RNA are shown in lanes 3 and 4. B, Human GL cells were cultured for 4 days and then incubated without (lanes 1–3) or with hCG (100 ng/ml; lanes 4–6) for 24 h. Human FP receptor and GAPDH (as a control) were detected by RT-PCR. Lane 7 is a water control. MW, Mol wt marker.

 
Effect of hCG and 8-bromo-cAMP on FP receptor mRNA expression in cultured human GL cells
The level of FP receptor mRNA was elevated in response to a 24-h incubation with hCG in human GL cells cultured for 4 days as detected by RT-PCR (Fig. 1BGo). To study more precisely regulation of FP receptor mRNA expression, we performed Northern and dot blot hybridization analyses with cytoplasmic RNA isolated from the GL cells. A 24-h treatment with hCG did not induce expression of the FP receptor mRNA during the first or second days of culture, but caused maximal stimulation after culture for 3–7 days (Fig. 2Go). In addition to the 5.2-kb major transcript, minor mRNA species of approximately 4.5 and 1.6 kb were also detected. Additional experiments were conducted with cultures grown for 4–6 days.



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Figure 2. Effect of culture stage on hCG-induced FP receptor mRNA expression. Human GL cells were cultured for 2, 5, and 7 days (A and B) or for 1–5 days (C) and incubated with or without hCG (100 ng/ml) for 24 h. A, Cytoplasmic RNA isolated from the cells was analyzed by Northern blot hybridization with the FP receptor probe and the GAPDH probe as a loading control. B and C, Dot blot hybridization analyses of two separate experiments are shown in the respective graphs. The values in the graph represent the ratio of FP receptor mRNA and GAPDH mRNA calculated from the arbitrary densitometric units and are shown as a percentage of the control value on day 2 (B) and day 1 (C; mean ± SEM of triplicate cultures). Asterisks indicate significant (P < 0.05) differences between hCG-treated cultures and controls at respective stages of the cell cultures.

 
The effect of hCG was concentration dependent, as shown in Fig. 3Go. In time-course experiments with hCG (Fig. 4AGo) and 8-bromo-cAMP (Fig. 4BGo), expression of the FP receptor mRNA was inhibited at early (2–8 h) time points and stimulated when incubated for longer (24–48 h) periods. The effect of hCG was suppressed by an inhibitor of protein synthesis (CHX; Fig. 5Go). Interestingly, CHX alone stimulated the expression of the FP receptor transcript (Fig. 5Go).



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Figure 3. Concentration dependence of hCG-stimulated FP receptor mRNA expression. Human GL cells were cultured for 4 days and incubated with or without hCG (1–100 ng/ml) for 24 h. The mRNAs were analyzed by Northern blot hybridization, as shown in the autoradiograph. Dot blot hybridization analyses are shown in the graph, which represent the ratio of FP receptor mRNA and GAPDH mRNA calculated from the arbitrary densitometric units and are shown as a percentage of the control value (mean ± SEM of nine replicate determinations from three separate experiments). Asterisks indicate significant (P < 0.05) differences between hCG-treated cultures and the control and the difference between hCG concentrations of 1 and 10 ng/ml.

 


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Figure 4. Time-dependent effect of hCG and 8-bromo-cAMP on FP receptor mRNA expression. A, Human GL cells were cultured for 4 days and incubated with or without hCG (100 ng/ml) for 2–48 h. Dot blot hybridization analyses are shown as the ratio of FP receptor mRNA and GAPDH mRNA calculated from the arbitrary densitometric units and are represented as a percentage of the control value at 2 h (mean ± SEM of five replicate determinations from two separate experiments). B, The cells were cultured for 4 days and incubated with or without 8-bromo-cAMP (1 mM) for 3–48 h. Dot blot hybridization analyses are shown as the mean ± SEM of triplicate cultures. Asterisks indicate significant (P < 0.05) differences between hCG- or 8-bromo-cAMP-treated cultures and controls at respective time points.

 


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Figure 5. Effect of CHX on FP receptor mRNA expression. Human GL cells were cultured for 6 days and incubated with or without hCG (100 ng/ml) and CHX (10 µg/ml) for 24 h. The mRNAs were analyzed by Northern blot hybridization as shown in the autoradiograph. Dot blot hybridization analyses are shown in the graph as the ratio of FP receptor mRNA and GAPDH mRNA calculated from the arbitrary densitometric units and represented as a percentage of the control value (mean ± SEM of four cultures). Asterisks indicate significant (P < 0.05) differences between the hCG- and/or CHX-treated cultures and the control.

 
Effect of PMA on FP receptor mRNA expression
PMA inhibited the expression of FP receptor mRNA time dependently (Fig. 6AGo). Further, it blocked the stimulatory effect of hCG (Fig. 6BGo) and 8-bromo-cAMP (Fig. 6CGo). The effect of PMA as an inhibitor of 8-bromo-cAMP-induced FP receptor expression was evident at all time points tested (3, 8, 24, and 48 h; not shown).



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Figure 6. Effect of PMA on FP receptor mRNA expression. A, Human GL cells were cultured for 6 days and incubated with or without PMA (10 ng/ml) for 3–48 h. B, The cells were cultured for 6 days and incubated with or without hCG (100 ng/ml) and PMA (10 ng/ml) for 24 h. B, The cells were cultured for 5 days and incubated with or without 8-bromo-cAMP (1 mM) and PMA (10 ng/ml) for 24 h. Dot blot hybridization analyses are shown as the ratio of FP receptor mRNA and GAPDH mRNA calculated from the arbitrary densitometric units and represented as a percentage of the control value (mean ± SEM of triplicate cultures). Asterisks indicate significant (P < 0.05) differences between hCG-, 8-bromo-cAMP-, and/or PMA-treated cultures and controls.

 
Effect of hCG, 8-bromo-cAMP, and PMA on [3H]PGF2{alpha} binding to intact human GL cells
Finally, we investigated whether the GL cells bind PGF2{alpha} and whether this binding can be regulated. Competition for [3H]PGF2{alpha} binding by nonlabeled PGF2{alpha} showed that these cells contain specific binding sites for PGF2{alpha} (Fig. 7AGo). The effect of hCG was time dependent (Fig. 7BGo), and 8-bromo-cAMP increased the binding of [3H]PGF2{alpha} (Fig. 7CGo). In contrast, PMA blocked the stimulatory effect of hCG (Fig. 7DGo).



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Figure 7. Effect of hCG, 8-bromo-cAMP, and PMA on binding of PGF2{alpha} to intact human GL cells. A, For the competitive binding assay the cells were incubated with or without hCG (30 ng/ml) for 24 h, after which [3H]PGF2{alpha} (5 nM) was added with PGF2{alpha} (0–10 µM) as described in Materials and Methods. Results are shown as a percentage of specific binding of [3H]PGF2{alpha} to untreated cells (mean ± SEM of quadruplicate cultures). B, To study the time-dependent effect of hCG, the cells were incubated with or without hCG (30 ng/ml) for 0–30 h, after which binding of the radiolabeled ligand was performed. C, Cells were incubated with or without hCG (30 ng/ml) or 8-bromo-cAMP (1 mM) for 24 h, after which binding of the radiolabeled ligand was performed. D, Cells were incubated with or without hCG (30 ng/ml) and PMA (10 ng/ml) for 24 h, after which binding of the radiolabeled ligand was performed. Results (B–D) are shown as a percentage of specific binding of [3H]PGF2{alpha} to untreated cells (mean ± SEM of triplicate cultures). Asterisks indicate significant (P < 0.05) differences between hCG-, 8-bromo-cAMP-, or PMA-treated cultures and respective controls.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In this report we show that human granulosa cells express FP receptor mRNA. The major transcript isoform is approximately 5.2 kb in size, as detected by Northern blot analysis. This is well within the range (4.7–6.1 kb) of previously detected FP receptor transcripts (8, 9, 10, 11, 12, 14). We also found two minor transcript isoforms (~4.5 and 1.6 kb), and other investigators have shown the presence of minor FP receptor mRNAs of various sizes (8, 9, 12, 14). The nature or biological significance of these transcript isoforms is presently unknown.

As expression of the FP receptor mRNA may be regulated in a cycle- and pregnancy-dependent manner (12, 14, 16), we investigated the effect of hCG on FP receptor mRNA expression. In cultured human GL cells, hCG did not initially regulate FP receptor mRNA expression, but after several days of culture, hCG produced a concentration-dependent stimulatory response. A similar lag period in the responsiveness of several other hormonal parameters to hCG treatment has been observed in previous studies using this cell culture model (17, 18, 19, 20). The initial unresponsiveness of the GL cells may reflect the down-regulation of LH/hCG receptors or its signaling pathways in response to hormone treatment received by the granulosa cell donors. Another possibility is that the granulosa cells luteinize in cell cultures, and the induction of FP receptor expression is present only in luteinized cells. The effect of hCG did not, however, appear until after incubation for 24 h, and it was inhibited by CHX, which suggests that the stimulation of FP receptor expression is at least partially dependent on de novo protein synthesis. However, regulation of FP receptor expression is complex, as CHX alone increased steady state levels of the FP receptor mRNA. This may indicate that the regulatory mechanism is transcriptional activation (23) or posttranscriptional stabilization of the mRNA (24), or both (21).

Compared to hCG, 8-bromo-cAMP stimulated FP receptor mRNA expression with similar kinetics, which suggests that the effect of hCG is mediated via adenylyl cyclase. As the LH/hCG receptor couples to both adenylyl cyclase and phospholipase C, and thus hCG could stimulate protein kinase C (3), we investigated the effect of PMA, a known modulator of protein kinase C activity, on FP receptor expression. PMA inhibited basal FP receptor mRNA expression and blocked the effects of hCG and 8-bromo-cAMP at all time points tested. However, PMA both stimulates and, during prolonged treatments, down-regulates certain protein kinase C isoforms (25). As the effect of PMA was evident as early as after 3 h of incubation, at a point when there should be minimal down-regulation, this may suggest that activation of protein kinase C down-regulates expression of the FP receptor. Further, the stimulation of mRNA expression by hCG and 8-bromo-cAMP and its inhibition by PMA correlated with binding of the radiolabeled ligand. This suggests that the FP receptor mRNA was translated to a functional FP receptor protein.

FP receptor transcript levels are high in the midluteal phase, variable during the late luteal phase, and low during both natural and PGF2{alpha}-induced luteolysis in sheep (12, 26). Similarly, bovine FP receptor transcripts were expressed at increasing levels from the early phase to the late phase of the estrous cycle and were reduced during luteolysis (14). Also, large amounts of the transcript were found in the corpus luteum during early and middle pregnancy, but the levels were reduced in late pregnancy (14). Recently, it was reported that bovine preovulatory follicles contain low concentrations of the FP receptor transcripts, which were maximally induced 48 h after ovulation, and these high amounts were maintained in the midluteal phase (16). Consistent with our observations, the level of expression of FP receptor mRNA was elevated in response to hCG and forskolin in bovine GL cell cultures as detected by competitive RT-PCR (16). However, phorbol didecanoate was without an effect in this model (16). Similar to our results, ewes injected with PMA showed decreased levels of the FP receptor mRNA in the corpus luteum, as assessed by slot blot hybridization (15). It was also reported that LH increased and PGF2{alpha} decreased expression of the receptor (15). Fluprostenol, a selective FP receptor agonist, also decreased expression of FP receptor mRNA in rodent osteoblastic cells, as detected by RT-PCR (27).

These findings suggest that factors released during and after ovulation and agents produced during the first half of pregnancy induce the expression of FP receptor mRNA. In contrast, factors associated with luteolysis may down-regulate expression of the transcript. Our results suggest that signals transduced through the LH/hCG receptor and subsequent activation of adenylyl cyclase stimulate FP receptor expression. It is possible that the cycle-dependent expression is induced by LH and, during pregnancy, by hCG. As PMA down-regulated FP receptor mRNA expression, in vivo this down-regulatory signal could possibly be PGF2{alpha} itself, because PGF2{alpha} and PMA share partly similar signal transduction pathways (4, 5).

The regulation of prostanoid production plays an important role in several physiological and pathological conditions. Our data suggest that modulation of FP receptor expression may regulate ovarian responsiveness to PGF2{alpha}. To better understand the biological significance of the present findings, additional studies are in progress to determine the mechanisms involved in the regulation of expression of FP receptor mRNA.


    Acknowledgments
 
We thank Dr. Staffan Lake for his help with the FP receptor PCR primers, Dr. Anthony W. Ford-Hutchinson for the human FP receptor cDNA, the Felicitas IVF Clinic for their cooperation, Drs. Ulf-Håkan Stenman, and Lasse Viinikka, and Prof. Olavi Ylikorkala for their support and critical review of the manuscript, and Ritva Javanainen for excellent technical assistance.


    Footnotes
 
1 This work was supported by the Academy of Finland and the Novo Nordisk Foundation. Back

Received June 11, 1997.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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