Endocrinology Vol. 138, No. 11 4748-4756
Copyright © 1997 by The Endocrine Society
Differential Hormonal Regulation of Vascular Endothelial Growth Factors VEGF, VEGF-B, and VEGF-C Messenger Ribonucleic Acid Levels in Cultured Human Granulosa-Luteal Cells1
Mika Laitinen,
Ari RistimÄki,
Mari Honkasalo,
Kirsi Narko,
Karri Paavonen and
Olli Ritvos
Departments of Bacteriology and Immunology (M.L., A.R., M.H., O.R.)
and Molecular/Cancer Biology Laboratory (K.P.), Haartman Institute, and
the Departments of Clinical Chemistry and Obstetrics and Gynecology
(A.R., K.N.), University of Helsinki, Helsinki, Finland
Address all correspondence and requests for reprints to: Dr. Mika Laitinen, Department of Bacteriology and Immunology, Haartman Institute, P.O. Box 21, University of Helsinki, FIN-00014 Helsinki, Finland. E-mail: mplaitin{at}cc.helsinki.fi
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Abstract
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The development of ovarian follicles and subsequent corpus luteum
formation is accompanied by very active angiogenesis. Ovarian granulosa
cells produce vascular endothelial growth factor (VEGF), which is a
potent endothelial cell mitogen and an angiogenic agent. The
complementary DNAs of two other factors structurally related to VEGF,
namely VEGF-B and VEGF-C, were recently cloned, but little is known of
their regulation in the ovary. We first studied the expression of the
messenger RNAs (mRNAs) of the three VEGF isotypes in freshly isolated
human granulosa-luteal (GL) cells obtained at oocyte retrieval for
in vitro fertilization. The hormonal regulation of these
mRNAs was subsequently studied in primary cultures of human GL cells.
Analysis of cultured GL cell RNA by reverse transcription-PCR revealed
that these cells express the alternatively spliced transcripts
representing 121-, 145-, and 165-amino acid VEGF isoforms. Northern
blot hybridization analyses indicated that transcripts of 4.5 and 3.7
kilobases for VEGF, and 1.4 and 2.4 kilobases for VEGF-B and VEGF-C,
respectively, are expressed in human GL cells. The basal VEGF mRNA
levels declined steadily, whereas VEGF-B mRNA levels were rather
invariant over a 10-day culture period of GL cells. In contrast, VEGF-C
mRNA levels increased toward the end of culture. For studying the
hormonal regulation of VEGF isotype mRNAs, GL cells were treated with
hCG, recombinant human FSH, PGE2, as well as 8-bromo-cAMP
and 12-O-tetradecanoylphorbol 13-acetate, which activate
protein kinase A- and protein kinase C-dependent signaling pathways,
respectively. All test agents stimulated the expression of VEGF mRNA
levels in a concentration-dependent manner. Time-course studies
indicated that all treatments induced VEGF mRNA levels as early as
incubation for 2 h, and the effect was sustained up to 48 h.
VEGF-B mRNA levels were not regulated by any of the test agents.
However, we found that hCG and 8-bromo-cAMP decreased VEGF-C mRNA
levels with a maximal response observed at 24 and 48 h after
cellular treatment. We conclude that the mRNAs of VEGF, VEGF-B, and
VEGF-C are expressed in human GL cells and that their mRNA steady state
levels are regulated in cultured human GL cells in an isotype-specific
manner. The differential regulation of VEGF, VEGF-B, and VEGF-C in
human GL cells suggests that distinct VEGF isotypes may play different
roles during the vascularization of the human ovarian follicle and
corpus luteum.
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Introduction
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NEW BLOOD vessels are formed by sprouting
from the established ones. This process, known as angiogenesis, takes
place under both physiological conditions, such as wound healing,
ovarian follicular development, corpus luteum (CL) formation, and
growth of endometrium during the menstrual cycle, as well as in
pathological processes, including solid tumor growth, rheumatoid
arthritis, and retinopathies (reviewed in Ref.1). Over 50 yr ago
Bassett described changes in the vasculature of the developing
follicles and CL in rat ovaries during the estrous cycle (2). More
recent studies have demonstrated the angiogenic potential of the CL
extracts and follicular fluid (3, 4, 5) as well as granulosa
cell-conditioned medium (6). Granulosa cells produce factors,
e.g. PGE2, transforming growth factor-ß1,
basic fibroblast growth factor, and vascular endothelial growth factor
(VEGF), that are known to have angiogenic activity (for a review, see
Ref.7).
VEGF/vascular permeability factor, is an endothelial cell mitogen that
has been cloned and extensively characterized by several groups (814;
reviewed in Ref.15). VEGF is a heparin-binding 40- to 46-kDa
disulfide-linked dimeric glycoprotein that dissociates upon reduction
into two 20- to 23-kDa subunits. (8, 10, 16). Analysis of the
complementary DNA (cDNA) clones revealed that alternative messenger RNA
(mRNA) splicing results in the generation of 121-, 165-, 189-, and
206-amino acid (aa)-encoding mRNA forms (17, 18). Moreover, placental
cells and various carcinoma cells of female reproductive tract express
a VEGF transcript giving rise to an additional 145-aa isoform (19, 20).
VEGF121, VEGF145, and VEGF165
proteins appear to be secreted, whereas the VEGF189 form is
not freely secreted but remains bound to heparan sulfate proteoglycans
on the cell surface and in the extracellular matrix (20, 21). VEGF has
significant homology with both platelet-derived growth factors A and B,
with eight conserved cysteins located at distinct positions in the
protein sequence (12, 13). Placenta growth factor was cloned from human
placenta, and it shares a 53% identity with VEGF in the
platelet-derived growth factor-like region (22). VEGF is also able to
heterodimerize with placenta growth factor (23). Recently, two receptor
tyrosine kinases, Flt-1 (VEGFR-1) and KDR/Flk-1 (VEGFR-2), were shown
to bind VEGF with high affinity and to transduce its cellular signal
(24, 25, 26). Multiple growth factors, cytokines, hormones, as well as
hypoxia regulate the expression of VEGF in various cell cultures
(27, 28, 29, 30, 31, 32, 33).
VEGF-B and VEGF-C are recently identified endothelial cell growth
factors (34, 35, 36). VEGF-B mRNA splicing results in transcripts encoding
a soluble VEGF-B167 form and a cell surface/extracellular
matrix-bound VEGF-B186 form (37). VEGF-B isoform monomers
are able to form disulfide-linked homodimers, but they are also able to
heterodimerize with VEGF (34, 37). VEGF-C is a secreted protein that
stimulates the migration of endothelial cells and is also able to
promote their mitogenesis (35, 36). Similar to VEGF, VEGF-C also
increases vascular permeability (38). VEGF-C exerts its effects via
VEGFR-2 and VEGFR-3 (35), whereas the cellular binding components for
VEGF-B remain to be elucidated. VEGFR-2 is expressed by vascular
endothelial cells, whereas VEGFR-3 is mainly found in the lymphatic
endothelium (25, 39). Interestingly, VEGF-C induced specifically
lymphatic, but not vascular, endothelial proliferation and vessel
enlargement when overexpressed in the skin of transgenic mice (40).
As VEGF has been shown to be expressed in primate as well as human
granulosa cells and CL (27, 41, 42), and VEGF-B and VEGF-C are
expressed in human ovaries (34, 35, 36), we have studied the expression of
VEGF, VEGF-B, and VEGF-C mRNAs in freshly isolated human
granulosa-luteal (GL) cells and the regulation of the steady state
levels of these transcripts in cultured GL cells. Our results provide
evidence that ovarian GL cells express VEGF, VEGF-B, and VEGF-C and
that the distinct VEGF isotypes are differentially regulated in
cultured GL cells.
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Materials and Methods
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Cell culture
Human GL cells were obtained by follicular aspiration from
regularly menstruating women undergoing oocyte retrieval for in
vitro fertilization (IVF) because of either tubal obstruction or
infertility of the spouse. Ovarian stimulation was induced by combining
a GnRH analog (Suprecur, Hoechst, Frankfurt am Main, Germany) and human
menopausal gonadotropin (Pergonal, Serono Nordic, Vantaa, Finland; or
Humegon, Organon, Oss, The Netherlands). Oocyte retrieval was carried
out 3637 h after hCG (Profasi, Serono; or Pregnyl, Organon)
administration at a total dose of 10,000 IU. For each experiment, the
cells obtained the same morning from two to four patients were pooled,
enzymatically dispersed, and separated from red blood cells by
centrifugation through Ficoll-Paque (Pharmacia, Uppsala, Sweden), as
previously described (43). Thereafter, the cells were directly
recovered for RNA extraction or plated at a density of 25 x
105 cells/well on 35-mm six-well dishes (Costar, Cambridge,
MA) and cultured in DMEM supplemented with 10% FCS, 2 mM
L-glutamine, and antibiotics (Life Technologies, Grand
Island, NY) at 37 C in 95% air-5% CO2 humidified
environment. Cell culture media were changed every other day, and
hormone treatments were performed between days 110 of culture for
different time periods. As human placenta and the human choriocarcinoma
cell line BeWo are known to express different VEGF isoforms (44), and
as VEGFR-1 is also expressed in JEG choriocarcinoma cells (45), we used
human JEG-3 choriocarcinoma cells as a control for the detection of
VEGF splicing variants. JEG-3 cells were obtained from American Type
Culture Collection (Rockville, MD).
Hormonal treatments of cultured human GL cells
Before hormone treatments, the cells were transferred to DMEM
supplemented with 2.5% FCS. To evaluate the effect of the culture age
of human GL cells, the cells were treated with 30 or 100 ng/ml purified
hCG (CR-127, obtained from the National Hormone and Pituitary
Distribution Program, NIDDK, NIH), 100 ng/ml recombinant human FSH
(rhFSH; Org 32489; Organon International BV, Oss, The Netherlands)
(46), 0.51 mM 8-bromo-cAMP (8-Br-cAMP; Sigma Chemical
Co., St. Louis, MO), 10 ng/ml 12-O-tetradecanoylphorbol
13-acetate (TPA; Sigma), or 1 µM PGE2 (Sigma)
for the indicated time periods on days 110 of culture. The time and
concentration dependence studies were performed on days 47 of
culture. Each experiment was performed at least three times, with
duplicate or triplicate cultures.
RNA extraction and Northern blotting
Total RNA from freshly isolated GL cells and cytoplasmic RNA
from cultured GL cells were extracted using the guanidine
isothiocyanate-cesium chloride method (47) and the modified Nonidet
P-40 lysis procedure (48), respectively. RNA was quantitated by
absorbance at 260 nm. For Northern blots 1720 µg RNA from freshly
isolated human GL cells and 1115 µg RNA from cultured GL cells were
size fractionated in 1.5% agarose gels and transferred to Hybond-N
nylon membranes (Amersham International, Aylesbury, UK). For dot blots,
12 µg cytoplasmic RNA were denatured in 7.5% formaldehyde and
6 x SSC (1 x SSC = 0.15 M NaCl and 0.015
M Na citrate, pH 7.0) at 50 C for 30 min and spotted onto
nylon membranes using a 96-well Minifold device (Schleicher and
Schuell, Keene, NH). The filters were baked for 1 h at 80 C and UV
cross-linked with a Reprostar II UV illuminator (Camag, Muttenz,
Switzerland) for 6 min before hybridizations.
Reverse transcription-PCR (RT-PCR), Southern blotting, cDNA
cloning, and analysis of cDNAs
VEGF cDNAs were synthesized by RT-PCR (49) from human GL and
JEG-3 cell RNA using oligonucleotides
5'-ATG-AAC-TTT-CTG-CTG-TCT-TGG-GT-3' (157179) and
5'-TCA-CCG-CCT-CGG-CTT-GTC-AC-3' (785>NOREF>804), designed according to
Sharkey et al. (44) with numbering according to Keck
et al. (13). RT reactions were performed as previously
described (43), and the cycling conditions for PCR were as follows:
denaturing at 95 C for 30 sec, annealing at 55 C for 30 sec, and
elongation at 72 C for 90 sec, with 45 cycles. The reagents for the PCR
were purchased from Perkin-Elmer/Cetus Corp. (Norwalk, CT) and used
according to the manufacturers instructions. Southern blots for
amplified VEGF cDNA fragments were prepared as previously described
(50). The cDNAs encoding VEGF121 and VEGF165
were ligated to the pGEM-T vector (Promega, Madison, WI) and verified
by sequencing the double stranded plasmid templates using cloned T7 DNA
polymerase (Sequenase 2.0, U.S. Biochemical Corp., Cleveland, OH).
Labeling of cDNA probes and hybridizations
As probes for filter hybridizations we used a human 581-bp VEGF
cDNA [nucleotides (nt) 57638) (13), VEGF-B cDNA (nt 1382) (34),
and VEGF-C cDNA (nt 495-1661) (35). Human cyclophilin (51) or rat
glyceraldehyde-6-phosphate dehydrogenase (GAPDH) (52) cDNAs were used
as controls for even loading in the filter hybridizations. All cDNA
inserts were labeled with [
-32P]deoxy-CTP (3000
Ci/mmol; Amersham) and a Prime-a-Gene kit (Promega). The probes were
purified with nick columns (Pharmacia, Uppsala, Sweden) and used at
13 x 106 dpm/ml in hybridization solution
containing 50% formamide, 6 x SSC, 0.1% Ficoll, 0.1%
polyvinylpyrrolidone, 0.1% BSA, 100 µg/ml salmon sperm DNA, 100
µg/ml yeast RNA, and 0.5% SDS. Dot, Northern, and Southern blots
were hybridized for 16 h at 42 C and washed three times for 20 min
each time with 1 x SSC-0.1% SDS at 50 C. Filters were exposed to
Fuji RX x-ray film (Fuji, Tokyo, Japan) with Trimax 16T intensifying
screens (3 M, Ferrania, Italy) at -70 C. The relative densities of dot
blot hybridization signals were determined using a transmission
densitometer (model 331, X-rite Co., Grand Rapids, MI). Alternatively,
Fujifilm IP-Reader Bio-Imaging Analyzer BAS 1500 (Fuji Photo Co.,
Tokyo, Japan) was used to analyze hybridization filters with the MacBas
software supplied by the manufacturer using a Macintosh (Apple
Computer, Cupertino, CA) personal computer.
Analysis of RNA data
For single comparisons between untreated and hormone stimulated
cultures, the data were analyzed using Students t test.
For multiple comparisons, the data were first analyzed by one-way
ANOVA, and statistical significance was determined by Scheffes
multiple comparison test using the Exstatics program (Select Micro
Systems, Yorktown Heights, NY) on a Macintosh (Apple Computer) personal
computer. The figures represent the mean ± range or the mean
± SEM of the values of duplicate or triplicate cultures,
respectively, as expressed in arbitrary densitometric units and
adjusted to a value of 1.0 for the mean of the first control
culture.
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Results
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Expression of VEGF splicing variants in human GL cells
The expression of VEGF mRNAs in human GL cells was first studied
by Northern blot analysis of total RNA extracted from freshly isolated
human GL cells. Transcripts of approximately 4.5 and 3.7 kilobases (kb)
were detected for VEGF (Fig. 1A
). To
characterize the alternatively spliced VEGF transcripts in human GL
cells, we generated cDNA fragments by RT-PCR and analyzed the cDNAs by
Southern blotting using a 581-bp VEGF189 cDNA as a probe.
Figure 1B
schematically shows the locations of the exonic regions in
the cDNA that encode for the five different VEGF forms. Southern
blotting analyses indicated that in addition to the 121-, 145-, and
165-aa forms found in GL cells, the JEG-3 cells also expressed
VEGF189.

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Figure 1. Expression of VEGF mRNAs in freshly dissociated
human GL cells (A) and identification of VEGF cDNA transcripts obtained
by RT-PCR from human GL and JEG-3 cell RNAs (B). Seventeen micrograms
of RNA from GL cells of different cell pools were subjected to Northern
hybridization analysis with 32P-labeled VEGF and GAPDH cDNA
probes (A, lanes 1 and 2). B (left) depicts
schematically the locations of the exonic regions in the cDNA that
encodes VEGF products, full-length form VEGF206, and
alternatively spliced transcripts encoding 121-, 145-, 165-, and 189-aa
VEGF forms. The numbering of aa above exons indicates their sizes. For
detecting the alternative spliced VEGF transcripts, cDNA fragments
amplified with primers (marked by black bars) were
subjected to Southern blot analysis using the 581-bp
VEGF189 fragment as a probe. B (right)
represents an autoradiograph of a Southern blot showing fragments
amplified from human GL cell (GC) or JEG-3 cell RNA. The pGEM size
marker bands are shown.
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Hormonal regulation of VEGF mRNA levels in cultured GL cells
To investigate whether VEGF mRNAs are hormonally regulated, we
treated cultured GL cells with rhFSH, hCG, PGE2, 8-Br-cAMP,
or the active phorbol ester TPA and analyzed VEGF transcript levels by
Northern blot hybridization. Figure 2
, A
and B, show that all these effectors increased the expression levels of
the VEGF transcripts. Simultaneous treatment with TPA and hCG did not
increase VEGF levels compared with the effect of TPA treatment alone
(Fig. 2B
).

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Figure 2. Expression of VEGF mRNAs in stimulated human GL
cells. GL cells were first cultured for 6 (A) or 3 days (B) in medium
containing 10% FCS. In A, GL cells were treated with 30 ng/ml rhFSH,
30 ng/ml hCG, 1.0 µM PGE2, or 1.0
mM 8-Br-cAMP in 2.5% FCS-containing medium for 2 h;
thereafter, 11.5 µg total RNA were extracted for Northern analysis.
In B, GL cells were treated for 8 h with 10 ng/ml TPA, 100 ng/ml
hCG, or simultaneously with TPA and hCG. For the Northern blots, a
total of 11 µg cytoplasmic RNA/lane was extracted. The filters were
probed with 32P-labeled VEGF and cyclophilin cDNAs. The
migrations of 28S and 18S ribosomal RNAs are shown.
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Dot blot hybridization was used to characterize in more detail the
dependence of VEGF mRNA expression on the culture stage used as well as
the concentration and time dependence of the inductions. Figure 3
shows that basal VEGF mRNA levels
declined steadily in all individual experiments during the 2- to 10-day
culture period. An 8-h treatment with hCG, 8-Br-cAMP, or TPA induced
VEGF transcript levels significantly [P < 0.05; by
hCG on days 5, 7, and 10 of culture (Fig. 3A
) and by 8-Br-cAMP or TPA
on days 4, 7, and 9 of culture (Fig. 3B
)]. Treatment with
PGE2 for 2 h raised VEGF transcripts significantly on
days 2, 4, and 7 of culture (Fig. 3C
). Time-course studies indicated
that VEGF mRNA levels were induced only 2 or 3 h after treatment
(Figs. 4
, AC). Moreover, 2- and 6-h
treatments with 100 ng/ml rhFSH induced significantly VEGF mRNA levels
on day 7 of culture (data not shown). Figure 4
, DF, shows the
concentration dependence of the induction of VEGF mRNA levels by hCG,
8-Br-cAMP, and TPA. Maximal responses were observed with 10100 ng/ml
hCG, 0.31 mM 8-Br-cAMP, and 10100 ng/ml TPA. rhFSH and
PGE2 also induced VEGF mRNA levels in a dose-dependent
manner, with the maximal inductive effect for rhFSH at 30300 ng/ml
and that for PGE2 at 0.31 mM (data not
shown).

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Figure 3. The effect of cell culture age on VEGF mRNA levels
in untreated and stimulated human GL cells. Treatments were performed
on the indicated culture days with 30 ng/ml hCG (A) or 0.5
mM 8-Br-cAMP or 10 ng/ml TPA (B) for 8 h, or with 1
µM PGE2 (C) for 2 h. Cytoplasmic RNA was
analyzed by dot blot hybridization with the probe for VEGF and
quantified as detailed in Materials and Methods. The
data were normalized to the values of cyclophilin or GAPDH that were
used as loading controls. Asterisks denote a significant
induction vs. control levels on respective culture days
(P < 0.05, by Students t test).
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Figure 4. Time course and concentration-dependent effects
of hCG, 8-Br-cAMP, TPA, and PGE2 on VEGF steady state mRNA
levels in human GL cells. For time dependence studies cells were
cultured for 7 days (A and C) or 5 days (B) and then stimulated with
100 ng/ml hCG (A), 1.0 mM cAMP or 10 ng/ml TPA (B), and 1.0
µM PGE2 (C) for the indicated time periods.
The samples were processed as detailed in Fig. 3 .
Asterisks denote a significant increase in VEGF mRNA
levels (P < 0.05, by Students t
test). For concentration dependence studies (DF), the cells were
first cultured for 6 days (D and F) or 7 days (E) and then treated for
8 h with increasing concentrations of hCG (1100 ng/ml),
8-Br-cAMP (0.011 mM), or TPA (0.1100 ng/ml). The
samples were processed as detailed in Fig. 3 . Asterisks
denote a significant induction vs. control levels
(P < 0.05, by Scheffes multiple comparisons test
after one-way ANOVA).
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VEGF-B and VEGF-C mRNAs are expressed in human GL cells
As recent studies indicated that the expression of VEGF-B and
VEGF-C is detected in human ovarian tissue Northern blots (34, 35, 36), we
studied whether human GL cells are able to express the mRNAs. We
detected 1.4- and 2.4-kb transcripts for VEGF-B and VEGF-C,
respectively, in freshly isolated GL cells using Northern blot
hybridization analysis (Fig. 5
, A and
B).

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Figure 5. Northern blot analyses of VEGF-B and VEGF-C mRNAs
in freshly isolated human GL cells and hCG-stimulated human GL cells
cultured for the indicated days. Total RNA from freshly isolated GL
cells was extracted, and thereafter, 17 µg (A) or 20 µg (B) RNA
from different cell pools (lanes 1 and 2) were used for preparing
Northern blots. In C, GL cells were cultured for the indicated days.
The cells were then stimulated with 100 ng/ml hCG for 24 h, and 15
µg total GL cell RNA were extracted and analyzed by Northern blot
hybridizations probed with a mixture of 32P-labeled VEGF,
VEGF-B, and VEGF-C cDNAs. GAPDH transcripts are shown as a control for
even loading.
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Regulation of VEGF-C mRNA levels by hCG and 8-Br-cAMP
in cultured GL cells
To study whether VEGF-B and VEGF-C mRNAs are hormonally regulated,
dot blot hybridization with specific probes was carried out to
determine whether any of the effectors regulating VEGF mRNA levels
would affect the transcript levels of these two genes in cultured GL
cells. VEGF-B mRNAs were not found to be regulated by any hormonal
treatment tested. By contrast, hCG treatment of the cells appeared to
decrease VEGF-C mRNA steady state levels. Figure 5C
shows that a 24-h
treatment with 100 ng/ml hCG decreased VEGF-C transcript levels
moderately on day 5 and more clearly on day 7 of culture, whereas the
steady state mRNA levels of VEGF were induced by hCG in the same
experiment. Dot blot data from the same experiment (Figs. 5C
and 6A
represent the Northern blot and dot blot data, respectively, from the
same experiment) and those from another experiment indicated that
VEGF-C mRNA levels were significantly inhibited (P <
0.05) by hCG between days 47 of culture (Fig. 6
, A and B). The basal VEGF-C mRNA levels
tend to rise during the culture. In the experiment represented in Fig. 6A
, there was a significant (P < 0.05) difference
between day 2 vs. day 5 as well as between day 5
vs. day 7 control values.

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Figure 6. The effects of cell culture age on basal and
hCG-stimulated VEGF-C mRNA levels (A and B) and the effect of
increasing concentrations of hCG on VEGF-C mRNA levels (C and D) in
cultured human GL cells. Two parallel experiments are shown. In A and
B, the cells were first cultured for the indicated days and then
stimulated with 100 ng/ml hCG for 24 h (A represents dot blot data
of the same experiment as that in Fig. 5C ). Cytoplasmic RNA was
analyzed by dot blot hybridization with a 32P-labeled
VEGF-C cDNA probe, followed by densitometric scanning of
autoradiographs. In C and D, the cells were cultured for 4 (C) or 5 (D)
days and then treated with increasing concentrations of hCG (1100
ng/ml) for 24 h (C) or 8 h (D). The samples were processed as
indicated above. Asterisks denote a significant
(P < 0.05) decrease vs. control
levels.
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Figure 6
, C and D, shows that hCG clearly decreased VEGF-C mRNA levels
in a concentration-dependent manner. Time dependence studies performed
on days 47 of culture showed that although VEGF-C mRNA levels were
decreased in some experiments as early as 3 h after hCG treatment,
the effect was statistically significant (P < 0.05) in
all individual experiments at the 24 to 48 h points (Fig. 7
, AC). As hCG increases intracellular
cAMP levels in human GL cells, we tested whether a cell-permeable cAMP
analog, 8-Br-cAMP, is also able to decrease VEGF-C mRNA levels in these
cells. Figure 7
, DF, shows three parallel experiments indicating that
stimulation with 0.51.0 mmol/liter 8-Br-cAMP decreased VEGF-C mRNA
levels in GL cells with essentially similar kinetics as hCG.

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Figure 7. Kinetics of VEGF-C steady state mRNA levels
stimulated by hCG (AC) and 8-Br-cAMP (DF) in cultured human GL
cells. Three parallel experiments are shown. Cells were first cultured
for 7 days (A), 4 days (B), 6 days (C), or 5 days (DF) and then
treated with 100 ng/ml hCG (AC) and 1.0 mM (DE) or 0.5
mM (F) 8-Br-cAMP for the indicated periods. The samples
were processed as detailed in Fig. 6 . Asterisks denote a
significant (P < 0.05) difference between
stimulated vs. control levels at respective time
periods.
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Discussion
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In this study we examined the expression of VEGF, VEGF-B, and
VEGF-C mRNAs in human GL cells obtained from women undergoing IVF. The
present study identifies ovarian GL cells as a novel site of VEGF-B and
VEGF-C expression. We also investigated the regulation of the steady
state levels of their mRNAs in cultured GL cells and demonstrate that
VEGF and VEGF-C mRNAs are differentially regulated by hormones in these
cells.
The VEGF gene consists of eight exons, and as a result of alternative
splicing, different transcripts encoding VEGF forms have been
identified (17, 18, 19). We show that VEGF transcripts giving rise to
VEGF121, VEGF145, and VEGF165 are
produced in human GL cells. Furthermore, four alternatively spliced
VEGF transcripts were identified in JEG-3 choriocarcinoma cells. These
data are well in line with the earlier observations of others who
detected splicing variants representing 121-, 145-, 165-, and 189-aa
VEGF forms in human endometrium, myometrium, and endometrial carcinoma
cell lines (19, 44). As no information has been available on the
expression of VEGF145 other than in the endometrium and
choriocarcinoma cells (19, 44) or in human epithelial ovarian carcinoma
cells (20), the present study identifies the ovarian GL cell as a novel
site for the expression of this isoform. The expression of
alternatively spliced VEGF forms appear to be regulated in
tissue-specific manner (18, 19). As VEGF121 and
VEGF165 are known to have different receptor binding
abilities (53), other alternatively spliced VEGF forms may have
distinct, as yet unknown, biological effects.
The present study demonstrates that hCG and rhFSH induce VEGF mRNA
levels in human GL cells. The VEGF mRNAs were clearly enhanced by hCG
on day 5 of culture. At the beginning of the culture, human GL cells
may be desensitized to gonadotropins because they are derived from
hyperstimulated IVF patients (54). This is likely to explain why
gonadotropin treatment was not able to increase VEGF mRNA levels during
the early stages of culture. Using this cell culture model, we observed
the same phenomenon for several gonadotropin-regulated hormonal
parameters (51, 55, 56, 57). Our data on the stimulatory effect of hCG on
VEGF mRNA levels are in line with the observations of Ravindranath
et al. (27), suggesting that LH mediates the induction of
VEGF expression in primate CL. As hCG stimulates human GL cells through
the hCG/LH receptor, which binds both hCG and LH with high affinity
(58), it is likely that LH is acting in a similar manner as hCG in GL
cells. Similar to our results, Neulen et al. showed recently
that hCG induces VEGF mRNA levels in cultured human GL cells (28). In
contrast to their observations, we detected a clear increase in VEGF
mRNAs when the cells were treated with rhFSH on days 57 of culture.
This difference may be explained by the delayed responsiveness to
rhFSH, compared with that to hCG, which is characteristic of this cell
culture system (59). Our data clearly indicate that stimulation of both
the FSH and LH/hCG receptor-activated pathways is able to induce VEGF
mRNA levels in human GL cells.
The time-course studies indicated that hCG, 8-Br-cAMP, TPA, and
PGE2 induced VEGF mRNA levels rapidly in cultured human GL
cells, which is consistent with the results obtained with granulosa
cells of human origin (28) and from other species (29, 60) as well as
with other types of cells (30, 61) demonstrating that VEGF transcript
levels are regulated as early as 1 h after treatment. Our results
also show that the basal levels of VEGF mRNAs decreased during the
culture period. Interestingly, in human ovarian sections,
immunoreactivity for VEGF was found in highly vascularized CL, but not
in degenerating CL (62).
A recent study has demonstrated that there are several potential
activating protein-1- and -2-binding sites in the human VEGF gene
promoter sequence, suggesting that both cAMP and TPA could induce
transcription of the VEGF gene (17). The present data are consistent
with these findings. We show that both 8-Br-cAMP and TPA are potent
inducers of VEGF mRNA levels in cultured human GL cells. In bovine
granulosa cell cultures, forskolin, an adenylate cyclase activator, and
TPA have also been shown to induce VEGF mRNA levels (29).
PGE2 has been found to be effective in enhancing VEGF mRNA
levels in rat osteoblast and human synovial fibroblast cell cultures
(30, 61). We show here that PGE2 increases VEGF mRNAs also
in cultured human GL cells. Although the receptor isotypes binding
PGE2 in these cells have not been characterized, it is
possible that PGE2 may mediate this effect through a
protein kinase A-dependent signaling pathway, as PGE2
increases cAMP levels in human granulosa cells (63).
VEGF-B is widely expressed in various tissues, most prominently in
heart, skeletal muscle, and the pancreas (34). A recent study has
further indicated that VEGF-B and VEGF-C might be important regulators
of the reproductive system, as VEGF-B and VEGF-C mRNAs are highly
expressed in human placenta (64). We show here that VEGF-B is expressed
in human GL cells, and its expression level is rather stable in primary
cultures of these cells. However, in contrast to VEGF and VEGF-C,
VEGF-B mRNA levels were not found to be regulated by any hormonal
treatment in vitro. As VEGF-B heterodimerized with VEGF when
coexpressed in human embryo kidney, 293EBNA, cells (34), the
overlapping expression of VEGF and VEGF-B in human GL cells suggests
that these cells may produce natural VEGF-VEGF-B heterodimers. As
VEGF165-VEGF-B heterodimers, in the absence of heparin,
remain cell associated, VEGF-B may affect the bioavailability of
VEGF.
VEGF-C transcripts are readily expressed in freshly isolated human GL
cells, and hCG appears to decrease their steady state levels. In
contrast to VEGF, the basal steady state expression of VEGF-C mRNAs is
enhanced in GL cells during culture. During early stages of culture,
the low levels of VEGF-C and the increased levels of VEGF may reflect
the fact that these cells have been exposed in vivo to large
doses of gonadotropins before oocyte harvest. As the cells regain their
responsiveness to hCG by days 45 of culture, VEGF-C levels
spontaneously increase, whereas VEGF mRNA levels continuously decrease.
Interestingly, the expression pattern of basal VEGF-C mRNA resembles
that of another granulosa cell-derived growth factor, bone
morphogenetic protein-3, which is regulated in a similar manner by hCG
(57). Our data indicate that after day 4 of culture, VEGF-C mRNA steady
state levels are suppressed by hCG in a concentration- and
time-dependent manner. We further show that 8-Br-cAMP decreases VEGF-C
mRNAs in GL cells in a similar manner as hCG. Thus, we conclude that
VEGF and VEGF-C transcript levels are differentially regulated and
suggest that the protein kinase A signaling pathway may be responsible
for these effects of hCG.
It is possible that VEGF, VEGF-B, and VEGF-C regulate angiogenesis in
the CL. The present study shows that human GL cells express VEGF,
VEGF-B, and VEGF-C mRNAs and that their expression is regulated
differentially in vitro. Further studies are required to
clarify the biological roles and cellular targets of these three growth
factors in the ovary.
 |
Acknowledgments
|
|---|
VEGF cDNA was a generous gift from Dr. Connolly. Ms. Ritva
Javanainen, Ms. Tuula Kallioinen, and Ms. Sirpa
Räsänen are warmly thanked for their excellent technical
assistance. We also thank Ms. Anja Mäki for the primer synthesis.
Prof. Kari Alitalo is thanked for his critical review of the
manuscript. The personnel of the Felicitas IVF Clinic is kindly
acknowledged for their cooperation throughout this work.
 |
Footnotes
|
|---|
1 This work was supported by the Finnish Cancer Organizations, the
Academy of Finland, the Sigfrid Juselius Foundation, the Novo Nordisk
Foundation, and Helsinki University Hospital research funds. 
Received May 16, 1997.
 |
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Hum. Reprod.,
April 1, 2001;
16(4):
621 - 626.
[Abstract]
[Full Text]
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S. P. Gunningham, M. J. Currie, C. Han, B. A. Robinson, P. A. E. Scott, A. L. Harris, and S. B. Fox
The Short Form of the Alternatively Spliced flt-4 but not Its Ligand Vascular Endothelial Growth Factor C Is Related to Lymph Node Metastasis in Human Breast Cancers
Clin. Cancer Res.,
November 1, 2000;
6(11):
4278 - 4286.
[Abstract]
[Full Text]
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N. Sugino, S. Kashida, S. Takiguchi, A. Karube, and H. Kato
Expression of Vascular Endothelial Growth Factor and Its Receptors in the Human Corpus Luteum during the Menstrual Cycle and in Early Pregnancy
J. Clin. Endocrinol. Metab.,
October 1, 2000;
85(10):
3919 - 3924.
[Abstract]
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B. Berisha, D. Schams, M. Kosmann, W. Amselgruber, and R. Einspanier
Expression and Tissue Concentration of Vascular Endothelial Growth Factor, Its Receptors, and Localization in the Bovine Corpus Luteum During Estrous Cycle and Pregnancy
Biol Reprod,
October 1, 2000;
63(4):
1106 - 1114.
[Abstract]
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N. A. Cataldo, D. A. Dumesic, P. C. Goldsmith, and R. B. Jaffe
Immunolocalization of Fas and Fas ligand in the ovaries of women with polycystic ovary syndrome: relationship to apoptosis
Hum. Reprod.,
September 1, 2000;
15(9):
1889 - 1897.
[Abstract]
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B. Barboni, M. Turriani, G. Galeati, M. Spinaci, M. L. Bacci, M. Forni, and M. Mattioli
Vascular Endothelial Growth Factor Production in Growing Pig Antral Follicles
Biol Reprod,
September 1, 2000;
63(3):
858 - 864.
[Abstract]
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J. M. Fredriksson, J. M. Lindquist, G. E. Bronnikov, and J. Nedergaard
Norepinephrine Induces Vascular Endothelial Growth Factor Gene Expression in Brown Adipocytes through a beta -Adrenoreceptor/cAMP/Protein Kinase A Pathway Involving Src but Independently of Erk1/2
J. Biol. Chem.,
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275(18):
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[Abstract]
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E. Levitas, D. Chamoun, L. C. Udoff, M. Ando, C. E. Resnick, and E. Y. Adashi
Periovulatory and Interleukin-1{beta}-Dependent Up-Regulation of Intraovarian Vascular Endothelial Growth Factor (VEGF) in the Rat: Potential Role for VEGF in the Promotion of Periovulatory Angiogenesis and Vascular Permeability
Reproductive Sciences,
January 1, 2000;
7(1):
51 - 60.
[Abstract]
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J. Aaltonen, M. P. Laitinen, K. Vuojolainen, R. Jaatinen, N. Horelli-Kuitunen, L. Seppä, H. Louhio, T. Tuuri, J. Sjöberg, R. Bützow, et al.
Human Growth Differentiation Factor 9 (GDF-9) and Its Novel Homolog GDF-9B Are Expressed in Oocytes during Early Folliculogenesis
J. Clin. Endocrinol. Metab.,
August 1, 1999;
84(8):
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[Abstract]
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F. Gaytán, C. Morales, L. García-Pardo, C. Reymundo, C. Bellido, and J.E. Sánchez-Criado
A Quantitative Study of Changes in the Human Corpus Luteum Microvasculature during the Menstrual Cycle
Biol Reprod,
April 1, 1999;
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[Abstract]
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R. F. Nicosia
What Is the Role of Vascular Endothelial Growth Factor-Related Molecules in Tumor Angiogenesis?
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M. Stoner, F. Wang, M. Wormke, T. Nguyen, I. Samudio, C. Vyhlidal, D. Marme, G. Finkenzeller, and S. Safe
Inhibition of Vascular Endothelial Growth Factor Expression in HEC1A Endometrial Cancer Cells through Interactions of Estrogen Receptor alpha and Sp3 Proteins
J. Biol. Chem.,
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[Abstract]
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