Endocrinology Vol. 138, No. 9 3630-3637
Copyright © 1997 by The Endocrine Society
Effects of Nitric Oxide on Ovulation and Ovarian Steroidogenesis and Prostaglandin Production in the Rabbit1
Jun Yamauchi,
Toyohiko Miyazaki,
Shinya Iwasaki,
Ikuko Kishi,
Masako Kuroshima,
Chisei Tei and
Yasunori Yoshimura
Department of Obstetrics and Gynecology, Keio University School of
Medicine, Tokyo, Japan
Address all correspondence and requests for reprints to: Yasunori Yoshimura, M.D., Department of Obstetrics and Gynecology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160, Japan. E-mail: yasu{at}mc.med.keio.ac.jp
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Abstract
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Evidence supports the involvement of nitric oxide (NO) in ovarian
physiology. The present study was undertaken to investigate the role of
the NO/NO synthase (NOS) systems in ovulation, oocyte maturation,
ovarian steroidogenesis, and PG production using in
vitro perfused rabbit ovaries. The addition of the NOS
inhibitors, aminoguanidine hemisulfate salt (AG) and
N-omega-nitro-L-arginine methyl ester (L-NAME),
to the perfusate inhibited the ovulation induced by hCG in a
dose-dependent manner, whereas D-NAME had no significant effect.
Neither AG nor L-NAME affected the hCG-induced meiotic maturation of
the ovulated ova. The exogenous administration of the NO generator,
sodium nitroprusside (NP), induced follicle rupture in the absence of
gonadotropin, but did not induce oocyte maturation. Inhibition of
endogenous NOS by AG and L-NAME resulted in a significant elevation in
the production of estradiol (E2), but not of progesterone,
stimulated by hCG. The concomitant administration of NP significantly
reduced the AG-stimulated production of E2 by ovaries
perfused in the presence of hCG, which suggests that NO down-regulates
ovarian E2 synthesis. Ovarian production of
PGE2 and PGF2
in response to hCG was
significantly blocked by L-NAME, and exogenous administration of NP
stimulated the production of PGs in the absence of gonadotropin.
Significant correlations were observed between the ovulatory
efficiencies and the production of PGs by rabbit ovaries perfused with
or without L-NAME. In conclusion, the ovarian NO/NOS system is involved
in follicle rupture during the ovulatory process. NO may induce
follicle rupture in rabbit ovaries at least in part by the
stimulation of PG production.
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Introduction
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THE HIGHLY reactive free radical, nitric
oxide (NO), is synthesized from L-arginine by NO synthase
(NOS), which catalyzes the mixed functional oxidation of a guanidino
nitrogen atom of L-arginine to yield
L-citrulline and NO (1, 2). NO has emerged as an important
intracellular and intercellular messenger controlling many
physiological processes (2). Although tissue-specific differences are
observed in their distribution, two major isoforms of NOS have been
identified to date. One is an agonist-triggered constitutive form that
is present in endothelial cells and cerebellar neurons (2, 3, 4), and the
other is a cytokine-inducible isoform that is expressed in macrophages
and sensitive to glucocorticoid treatment (5, 6). The constitutive
isoform of NOS requires Ca/calmodulin for activity and produces small
amounts of NO that activate guanylate cyclase, resulting in the
formation of cGMP, which, in turn, mediates endothelium-dependent
relaxation (2) and neural transmission (7). Conversely, the inducible
isoform produces high levels of NO in various cells, including the
cytokine-stimulated cells of the immune system (8). The expression of
inducible NOS is correlated with cytotoxic/cytostatic events and
results in a sustained synthesis of NO over long time periods (2, 9).
This enzyme binds calmodulin tightly at normal intracellular Ca
concentration, and its activity is thus generally considered to be Ca
independent (2). A gene sequence comparison of the recently isolated
molecular clones for rat brain constitutive NOS (10) and murine
macrophage inducible NOS (8) suggests that these isoforms are the
products of distinct genes. The NO synthesized by NOS is involved in
the regulation of a wide range of biological functions, such as
vasodilation and the regulation of normal vascular tone, inhibition of
platelet aggregation, neuronal transmission, and cytostatis (2, 9).
Evidence supports the involvement of NO in ovarian physiology. NO is
synthesized by the rat ovary and is postulated to participate in
ovulation and atresia (11, 12, 13, 14, 15). The inhibition of NO generation in the
ovary by the administration of NOS inhibitors reduces the rate of
ovulation in rats both in vivo and in vitro (13, 15). The control of ovarian vessel relaxation to accommodate the
necessary changes in blood flow, blood volume, and plasma exudation
that accompany follicle rupture (15, 16, 17) is likely to be the most
important role of NO in ovulation. In addition, NO seems to contribute
to the regulation of ovarian steroidogenesis. NOS is present in rat
luteinized cells (18, 19) and human granulosa-luteal cells (20).
Endogenously produced NO and NO-releasing agents inhibit
steroidogenesis in granulosa and luteal cells (18, 20). In the present
study, we examined the actions of the NO/NOS system in ovulation,
oocyte maturation, and ovarian steroidogenesis and PG production using
the in vitro perfused rabbit ovary preparation. This system
of an isolated ovary has provided an opportunity to conduct detailed
studies of the intact organ under carefully regulated conditions that
are independent of systemic influences (17, 21). Using the well
characterized NOS inhibitors, aminoguanidine hemisulfate salt (AG) and
N-omega-nitro-L-arginine methyl ester (L-NAME),
we investigated the role of endogenous NO in the process of ovulation
induced by gonadotropin. In addition, we used sodium nitroprusside (NP)
as a NO generator to further explore the effects of NO in the ovulatory
process.
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Materials and Methods
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Animals
A total of 75 sexually mature female Japanese White rabbits,
weighing 3.54.5 kg (SEAS Co., Saitama, Japan), were used in the
present study. They were cared for according to the guidelines of the
animal care and use committee of Keio University School of Medicine
(Tokyo, Japan). The rabbits were isolated in individual cages for a
minimum of 3 weeks before the experimental procedure and fed water and
a diet of Purina rabbit chow (Clea Japan, Tokyo, Japan) ad
libitum under controlled light and temperature conditions. The
rabbits were anesthetized with an iv administration of sodium
pentobarbital (32 mg/kg). After iv heparin sulfate (120 U/kg) was
administered to prevent coagulation, laparotomy was performed. Six
rabbits were excluded from further study because they had fewer than
three mature follicles, or 50% or more of the surface follicles were
hemorrhagic.
Ovarian perfusion
Although the standard perfusion system has been modified over
the years, its basic components remain constant (22). The ovarian
artery was cannulated in situ after ligating the major
anastomotic connections, as previously described (21, 22). The ovary
was removed along with its artery, vein, and supporting adipose tissue
and immediately placed in a perfusion chamber. The perfusion fluid
consisted of 150 ml medium 199 (Life Technologies, Gaithersburg, MD)
containing 1% BSA (fraction V powder; Sigma Chemical Co., St. Louis,
MO), which was supplemented with heparin sulfate, insulin,
streptomycin, and penicillin G and adjusted to a pH of 7.4. BSA was
added to the basic perfusion fluid to increase the oncotic pressure and
reduce edema formation. The ovaries were observed every 15 min
throughout the 12 h of perfusion for evidence of follicle growth
and rupture. At the time of follicle rupture, the ovulated ovum
surrounded by its cumulus mass was recovered carefully from the ovarian
surface with a Pasteur pipette. The time interval between the
administration of hCG and the follicle rupture was recorded. The
ovulatory efficiency (percentage of follicles >1.5 mm in diameter that
ovulated) was calculated for each group. Both the ovulated ova and the
follicular oocytes were assessed for their stages of maturity and signs
of degeneration (21, 23). The oocytes were placed on a slide, fixed in
2.5% glutaraldehyde, and stained with 0.25% lacmoid in 45% acetic
acid for microscopic evaluation. The degree of ovum maturity was
expressed as the percentage of ova that achieved germinal vesicle
breakdown (GVBD). Ovulated ova were also assessed for degenerative
changes that included vacuolization, cytolysis, necrosis,
fragmentation, and loss of spherical shape.
Experimental design
The first experiment using 18 rabbits was undertaken to
determine the role of endogenous NO in the ovulation induced by
gonadotropin. One ovary from each rabbit was perfused with AG (Sigma
Chemical Co.) in a concentration of 10-5,
10-6, or 10-7 M. The
contralateral control ovary was simultaneously placed in a separate
chamber containing medium alone. Thirty minutes after the onset of
perfusion, 50 IU hCG (CH-446; biological activity, 3830 IU/mg; Organon,
Oss, The Netherlands) were added to the perfusate of both ovaries. The
ovaries were perfused for 12 h after the administration of hCG.
Six ovaries were treated with an individual concentration of AG.
In the second experiment, L-NAME was used as another NOS inhibitor. One
ovary was perfused with L-NAME (Sigma Chemical Co.) in a concentration
of 10-5, 10-6, 10-7, or
10-8 M. D-NAME (Sigma Chemical Co.) was used
as a control for the L-NAME perfusions. The contralateral ovary was
simultaneously placed in a separate chamber containing medium alone to
serve as a control. Thirty minutes after the onset of perfusion, 50 IU
hCG were added to the perfusate of both ovaries. Six ovaries were used
for an individual concentration of L-NAME or D-NAME. The ovarian
perfusion was performed for 12 h after hCG administration. Samples
of perfusate (2 ml) were withdrawn before and 1, 2, 4, 6, 8, and
12 h after the administration of hCG to determine the level in the
perfusate of progesterone (P), estradiol (E2),
PGE2, and PGF2
. The withdrawn perfusate was
immediately replaced with an equal volume of fresh medium. Samples were
stored at -80 C until the concentrations of steroids and PGs were
determined.
The third experiment was undertaken to determine whether the
administration of the NO generator, NP, would induce ovulation in
vitro in the absence of gonadotropin, or whether the inhibitory
action of AG on hCG-induced ovulation could be reversed by NP. One
ovary from each rabbit was perfused with NP (Sigma Chemical Co.) in a
concentration of 10-4 or 10-5 M.
The contralateral control ovary was simultaneously placed in a separate
chamber containing medium alone. Six ovaries were used at each dose of
NP, and ovarian perfusion was performed for 12 h. The ovaries of
another 15 rabbits were individually perfused with either
10-5 M of AG alone, 50 IU hCG alone,
10-4 M NP in the presence of 50 IU hCG,
10-5 M AG in the presence of 50 IU hCG, or
10-4 M NP plus 10-5 M
AG in the presence of 50 IU hCG. Ovaries was perfused for 12 h
after the administration of hCG. Samples of perfusate (2 ml) were
withdrawn before hCG administration and 1, 2, 4, 6, 8, and 12 h
thereafter to determine the concentrations of P, E2,
PGE2, and PGF2
in the perfusate. The
withdrawn perfusate was immediately replaced by an equal volume of
fresh medium. Samples were stored at -80 C until the concentrations of
steroids and PGs were determined.
RIA
The concentrations of P and E2 in the culture medium
was measured by a direct, solid phase 125I-labeled steroid
RIA kit (Diagnostic Products Corp., Los Angeles, CA). These samples
were assayed in duplicate. The intra- and interassay coefficients of
variation were 7.2% and 7.9%, respectively, for P and 5.3% and
6.4%, respectively, for E2.
The extraction of PG from each sample was performed as described
previously (24). The average recovery rates of PGF2
and
PGE2 were 79.4% and 84.8%, respectively. The
concentrations of PGF2
and PGE2 were
measured using RIA kits (Amersham International, Aylesbury, UK).
Cross-reactions of PGF2
and PGE2 antibodies
with other closely related PGs were less than 2%. The intra- and
interassay coefficients of variation were 8.2% and 9.8%,
respectively, for PGF2
and 7.6% and 9.2%,
respectively, for PGE2. The sensitivities of the assays for
PGF2
and PGE2 were 3 and 43 pg/tube,
respectively. All of these samples were also assayed in duplicate.
Statistical analysis
Data for ovulatory efficiency, time of ovulation, percentage of
GVBD, percentage of degeneration, and concentrations of P,
E2, PGF2
, and PGE2 are presented
as the mean ± SEM. A normal distribution of the data
on the ovulatory efficiency, the percentage of GVBD, and the percentage
of degeneration was obtained by arcsine transformation and was assessed
by ANOVA. The differences in the concentrations of P, E2,
PGF2
, and PGE2 among the treatment groups
and during the perfusion were evaluated by two-way ANOVA, with the two
independent variables being the time of perfusion and the treatment
group. This analysis was followed by Scheffes test to determine the
significance of the differences between two groups. The correlation
between ovulatory efficiency and PG production in perfused rabbit
ovaries was also evaluated by a regression analysis. The regression
line for this correlation was estimated with the least squares methods
of curve fitting. P < 0.05 was considered
statistically significant.
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Results
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Role of endogenous NO in hCG-induced ovulation
In the first experiment, ovulation occurred in all 18 ovaries
treated with hCG alone and in all 6 ovaries treated with both hCG and
10-7 M AG (Table 1
). One of 6 ovaries treated with
10-6 M AG and 2 of 6 ovaries treated with
10-5 M AG failed to ovulate in response to hCG
administration. The addition of AG to the perfusate suppressed
ovulation in a dose-dependent manner, showing the maximal
inhibition (62.5%) of ovulatory efficiency in ovaries perfused with
hCG plus 10-5 M AG compared with that in the
contralateral hCG-treated control ovaries. However, exogenous AG
affected neither the maturation rate nor the degeneration rate of
ovulated ova in response to hCG administration.
In the second experiment, another NOS inhibitor, L-NAME, was used to
substantiate the effects of AG on the hCG-induced ovulatory process
(Table 2
). Three of six ovaries treated
with hCG plus 10-5 M L-NAME and two of six
ovaries treated with hCG plus 10-6 M L-NAME
failed to ovulate. The mean numbers of ovulations per ovary did not
differ significantly between the ovaries treated with hCG plus
10-5 M D-NAME and the contralateral
hCG-treated ovaries. However, the addition of L-NAME to the perfusate
in a concentration of 10-7, 10-6, or
10-5 M significantly reduced the mean numbers
of ovulations per ovary compared with those in the hCG-treated
controls. No significant difference was observed in the mean time of
ovulation between the L-NAME-treated ovaries and the hCG-treated
control ovaries. The ovulatory efficiency in ovaries treated with hCG
plus 10-5 M D-NAME was comparable to that in
the contralateral ovaries treated with hCG alone (Fig. 1
). However, the addition of L-NAME to
the perfusate inhibited the ovulation induced by hCG in a
dose-dependent manner, showing the maximal inhibition (71.1%) of
ovulatory efficiency in ovaries perfused with hCG plus
10-5 M L-NAME compared with that in the
contralateral hCG-treated control ovaries. The majority of ovulated ova
in the ovaries treated with L-NAME resumed the meiotic maturation in
response to hCG exposure (Fig. 2
). L-NAME
treatment did not increase the percentage of ovulated ova showing
degeneration in hCG-treated ovaries.

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Figure 1. Effects of NOS inhibitors on hCG-induced
ovulation. Rabbit ovaries were perfused with medium alone or with
L-NAME or D-NAME in a concentration of 10-5,
10-6, 10-7, or 10-8
M. Thirty minutes after the onset of perfusion, 50 IU hCG
were added to the perfusate. Ovulatory efficiency was determined as the
percentage of mature follicles that proceeded to rupture during the
12-h perfusion. Data represent the mean ± SEM of at
least six ovaries from six different rabbits. a, P
< 0.05; b, P < 0.01; c, P <
0.001.
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Figure 2. Effects of NOS inhibitors on hCG-induced oocyte
maturation and degeneration. Rabbit ovaries were perfused with medium
alone or with L-NAME or D-NAME in a concentration of 10-5,
10-6, 10-7, or 10-8
M. Thirty minutes after the onset of perfusion, 50 IU hCG
were added to the perfusate. The degree of meiotic maturation of
ovulated ova was expressed as the percentage of ova that achieved GVBD.
Data represent the mean ± SEM of at least 6 ovaries
from 6 different rabbits. At least 16 oocytes were analyzed in each
treatment.
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The concentration of P in the effluent increased within 1 h after
exposure to hCG, reached a maximum at 6 h, and declined gradually
thereafter (Fig. 3
). Neither D-NAME nor
L-NAME significantly affected the concentration of P in the effluent of
the hCG-treated ovaries. The addition of hCG to the perfusate also
stimulated the production of E2 by the rabbit ovaries
perfused in vitro. L-NAME significantly increased
hCG-induced production of E2 by the perfused rabbit
ovaries, whereas D-NAME had no effect.

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Figure 3. Effects of NOS inhibitors on P and E2
production by hCG-treated ovaries. Rabbit ovaries were perfused with
medium alone (open circle); with L-NAME in a
concentration of 10-5 M (solid
square), 10-6 M (solid
triangle), or 10-7 M (solid
circle); or with D-NAME in a concentration of 10-5
M (open square). Thirty minutes after the
onset of perfusion, 50 IU hCG were added to the perfusate. Data
points represent the mean ± SEM of at least
six ovaries from six different rabbits. *, P <
0.05; **, P < 0.01 (vs. ovaries
perfused with medium alone).
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The concentrations of PGE2 and PGF2
in the
perfusate with or without L-NAME in the presence of hCG are illustrated
in Fig. 4
. The production of
PGE2 and PGF2
was significantly
(P < 0.05) increased at 4 and 6 h in response to
hCG administration, respectively. The hCG-stimulated production of
PGE2 and PGF2
was unaffected by adding
D-NAME to the perfusate (data not shown). However, 10-5
M L-NAME significantly inhibited the hCG-stimulated
production of PGE2 at 6, 8, and 12 h and that of
PGF2
at 4, 6, 8, and 12 h. When the levels of
PGE2 and PGF2
in the effluent in ovaries
treated with different concentrations of L-NAME were determined between
612 h after exposure to hCG, L-NAME resulted in a dose-dependent
inhibition of the hCG-stimulated production of PGs. The relationships
between the ovulatory efficiency and the PG production in rabbit
ovaries perfused with hCG alone or with hCG plus the different
concentrations of L-NAME are shown in Fig. 5
. The ovulatory efficiencies in
hCG-treated ovaries with or without L-NAME were significantly
correlated with the levels of PGE2 and PGF2
in the effluent 12 h after exposure to hCG.

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Figure 4. Effects of NOS inhibitors on PGE2 and
PGF2 production by hCG-treated ovaries. Rabbit ovaries
were perfused with medium alone (open circle) or with
L-NAME in a concentration of 10-5 M
(solid square), 10-6 M
(solid triangle), 10-7 M
(solid circle), or 10-8 M
(solid rhombus). Thirty minutes after the onset of
perfusion, 50 IU hCG were added to the perfusate. Data
points represent the mean ± SEM of at least
six ovaries from six different rabbits. *, P <
0.05; **, P < 0.01 (vs. ovaries
perfused with medium alone).
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Actions of NO generator in the ovulatory process
In the final experiment, we examined whether the NO generator, NP,
can induce ovulation in vitro in the absence of
gonadotropin. The addition of NP to the perfusate induced follicle
rupture in vitro, but the ovulatory efficiency in ovaries
treated with 10-4 or 10-5 M NP
was significantly lower than that in hCG-treated ovaries (Fig. 6
). The majority of ovulated ova in the
NP-treated ovaries did not progress beyond the germinal vesicle stage
(percent GVBD in medium alone, 8.2 ± 2.5%; percent GVBD in
10-4 M NP, 10.3 ± 2.8%). The ovulatory
efficiency in ovaries perfused with hCG plus 10-4
M NP did not differ significantly from that in ovaries
perfused with hCG alone. Exogenous AG did not induce follicle rupture
in vitro in the absence of gonadotropin, but did
significantly reduce the hCG-stimulated ovulation. The concomitant
addition of NP to the perfusate reversed the inhibitory effect of AG on
the hCG-induced ovulation. The ovulatory efficiency in the ovaries
perfused with 10-4 M NP plus 10-5
M AG in the presence of hCG did not differ significantly
from that in ovaries treated with hCG alone.

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Figure 6. Ovulatory efficiency of ovaries perfused with AG,
NP, and/or hCG. Rabbit ovaries were perfused with medium alone, NP in a
concentration of 10-4 or 10-5 M,
10-5 M AG, 50 IU hCG, 10-4
M NP in the presence of 50 IU hCG, 10-5
M AG in the presence of 50 IU hCG, or 10-4
M NP plus 10-5 M AG in the
presence of 50 IU hCG. Ovulatory efficiency was determined as the
percentage of mature follicles that proceeded to rupture during the
12-h perfusion. Data represent the mean ± SEM of at
least six ovaries from six different rabbits. a, P
< 0.01; b, P < 0.05.
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The concentrations of P and E2 in the effluent of ovaries
treated with hCG significantly increased within 1 h compared with
those in ovaries perfused with medium alone (Fig. 7
). Exposure to NP or AG did not affect
the basal production of P and E2. In contrast to its effect
on ovarian steroidogenesis, NP significantly stimulated the production
of PGE2 and PGF2
compared with that in
ovaries perfused with medium alone (Fig. 8
). In the hCG-treated ovaries, the
addition of AG to the perfusate significantly increased the
hCG-stimulated production of E2, but had no effect on P
production (Fig. 7
). The addition of NP significantly reduced the
AG-stimulated production of E2 in the presence of hCG. The
concentrations of E2 in the effluent of ovaries perfused
with 10-5 M AG plus 10-4
M NP did not differ significantly from those in hCG-treated
ovaries.

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Figure 7. Concentrations of P and E2 produced by
ovaries perfused with AG, NP, and/or hCG. Rabbit ovaries were perfused
with medium alone (open circle), 10-4
M NP (open triangle), 10-5
M AG (open square), 50 IU hCG (solid
circle), 10-5 M AG in the presence of
50 IU hCG (solid square), or 10-4
M NP plus 10-5 M AG in the
presence of 50 IU hCG (solid triangle). Data
points represent the mean ± SEM of at least
six ovaries from six different rabbits. *, P <
0.05; **, P < 0.01; ***, P <
0.001 (vs. ovaries perfused with medium alone). ,
P < 0.05 (vs.. ovaries perfused
with hCG alone). §, P < 0.05 (vs.
ovaries with perfused with 10-5 M AG in the
presence of hCG).
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Figure 8. Effects of NP on PGE2 and
PGF2 production by perfused rabbit ovaries. Ovaries were
perfused with medium alone (open circle) or with NP in a
concentration of 10-4 M (solid
circle) or 10-5 M (solid
square). Data points represent the mean ±
SEM of at least six ovaries from six different rabbits. *,
P < 0.05; ** P < 0.01
(vs. ovaries perfused with medium alone).
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Discussion
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The present study demonstrated that AG, an inhibitor of NOS,
suppressed the ovulatory process after the exposure to hCG in the
in vitro perfused rabbit ovary preparation. Another NOS
inhibitor, L-NAME, exhibited a similar effect on hCG-induced ovulation
in this preparation. When the inactive isomer, D-NAME, was used, the
ovulatory efficiency in the ovaries perfused with D-NAME plus hCG did
not differ significantly from that in ovaries perfused with hCG alone,
implying the specificity of the effect of L-NAME as an inhibitor of
NOS. These in vitro findings are consistent with in
vivo data showing that the ip or intrabursal injection of AG and
NG-methyl-L-arginine significantly
reduces the ovulation induced by hCG in the rat (13). In the present
study, the specificity of this effect by the NOS inhibitor was further
confirmed by the ability of the NO generator, NP, to reverse the
inhibitory action of AG on the ovulatory process induced by hCG. In
addition, the exogenous administration of NP induced ovulation in
vitro in the absence of gonadotropin, albeit with a significantly
lower ovulatory efficiency compared with that in hCG-treated ovaries.
Although the cellular source of the NO production was not determined in
the present study, inducible and constitutive isoforms of NOS are both
present in the rat ovary (18, 24). During ovarian follicular
development, these NOS isoforms respond to an ovulatory dose of hCG
with distinct and specific patterns of expression (24). Our data
suggest that the ovarian NO/NOS system may be required for follicle
rupture during ovulation.
A recent study has demonstrated that endogenous or exogenous NO plays a
critical role in the release of PGE2 in the mouse
macrophage cell line RAW 264.7 by the direct activation of
cyclooxygenase (25). Many effectors of NO production promote the
stimulatory release of PGE2 and prostacyclin from the
cyclooxgenase pathway. This is true for rapidly acting agonists such as
bradykinin (26) and for the longer acting agents such as
lipopolysaccharide or interleukin-1ß (IL-1ß) (27, 28). When both
the NOS and cyclooxygenase systems are present, an NO-mediated increase
in the production of PGs may exacerbate the inflammatory response (25).
Ovulation, the process by which a mature oocyte is generated and
released, has been described as an orderly sequence of events that
resembles the acute inflammatory response (29, 30, 31). Evidence indicates
that PGs are involved in the ovulatory process via local actions at the
level of the ovary (17, 29, 30, 31, 32). In the present study, the in
vitro ovarian production of PGE2 and
PGF2
in response to hCG was inhibited by L-NAME, and the
exogenous administration of NP induced ovulation and also stimulated
the production of PGs by the perfused rabbit ovaries in the absence of
gonadotropin. The effect of NO on PG release occurred during the time
that the first ovulation occurred in this preparation. In addition,
significant correlations were observed between the ovulatory efficiency
and the production of PGs by rabbit ovaries perfused with or without
L-NAME. This suggests that NO induces ovulation in the rabbit ovary at
least in part by stimulating the production of PGs. The NOS and
cyclooxygenase enzymes may thus be key regulators that enhance the
initial inflammatory response during follicle rupture. However, several
studies raise questions about the specific roles of PGs in the process
of ovulation (33, 34). Data on the response to graded doses of
indomethacin demonstrate no significant correlation between the
ovulation rate and PG levels at the expected time of ovulation (33).
This implies that there may be other mediators of inflammations that
are produced independent of PG biosynthesis. Further studies are needed
to evaluate the relative contribution of the NO-stimulated PGs in the
ovulatory process.
An overproduction of NO appears to contribute to the pathology of the
inflammatory process (2, 35, 36). Inhibition of the inducible isoform
of NOS effectively reduces tissue damage in several models of
inflammation (37, 38, 39). The differential effects of AG and L-NAME on NO
production by the inducible and constitutive isoforms of NOS have been
demonstrated in intact cells and tissues (38, 39). Corbett et
al. (38) demonstrated that AG, a bifunctional molecule containing
the guanido group of L-arginine linked to hydrazine, is at
least equipotent to L-NAME as an inhibitor of inducible NOS, but is 10-
to 100-fold less potent as an inhibitor of the constitutive isoform,
which suggests that AG selectively inhibits the inducible NOS. Because
the constitutive enzyme plays an important role in physiological
processes such as neuromodulation, the inhibition of platelet
aggregation and adhesion, and the maintenance of vascular tone (2),
selectivity for the inducible isoform of NOS is an essential
characteristic of any agent that is used to explore the precise
mechanism of action of NOS on ovulation. The inhibitory effect of AG on
hCG-induced ovulation in the present study was equipotent to that of
L-NAME. The blockade of ovulation by AG was significantly reversed by
the addition of the NO generator, NP. These findings suggest that
ovulation may in part be the consequence of NO production by the
inducible isoform of NOS after exposure to hCG. NO induces relaxation
and vasodilation of vascular smooth muscle (2, 40). The ability of NO
has been implicated as an important mediator in ovarian function,
including the regulation of the blood-follicle barrier and ovulation
(41, 42). The blood-follicle barrier exists at the level of the
ovarian microvasculature and is regulated by a gonadotropin-mediated
vasodilatory factor (41). Preovulatory events include such
morphological changes in the microvasculature of the preovulatory
follicles as vasodilation, increased blood flow, and hyperpermeability
(16, 43, 44). The potent vasodilatory activity of NO (2, 4, 40) is
thus relevant to these preovulatory events.
We also investigated the effect of NO on ovarian steroidogenesis.
Inhibition of endogenous NOS by AG and L-NAME led to a significant
elevation of the production of E2, but not of P, stimulated
by hCG. Addition of the NO generator, NP, significantly reduced the
AG-stimulated production of E2. These data suggest that NO
functions as an antisteroidogenic agent, especially in the synthesis of
E2. NO has also been shown to negatively regulate
steroidogenesis in the rodent testes (45), cultured rat Leydig cells
(46), human granulosa-luteal cells (20), and rat luteinized ovarian
cells (18). NO inhibits aromatase activity directly in human
granulosa-luteal cells and is postulated to be an autocrine regulator
of E2 synthesis (20). As the cellular localization of the
two isoforms of NOS in the rabbit ovary remains to be clarified, it is
not known whether NO acts to control steroidogenesis in an autocrine
manner similar to that seen in the human granulosa-luteal cell (20) or
whether NO is synthesized by nonsteroidogenic cells and operates in a
paracrine manner to depress E2 synthesis. In the present
study, the stimulatory effect of AG on hCG-induced E2
production was equipotent to that of L-NAME, which suggests that
E2 synthesis may be stimulated by the inhibition of
inducible NOS. A high production of NO is characteristic of its
synthesis by inducible NOS, whereas a much greater proportion of cells
express the constitutive form of NOS (2, 9). Thus, the possibility that
the constitutive form of NOS functions to regulate E2
synthesis in the ovary cannot be ruled out.
In contrast to the significant effects of manipulation of the NO/NOS
system on follicle rupture, neither NOS inhibitor affected the
hCG-induced meiotic maturation of the ovulated ova. The administration
of the NO generator, NP, induced follicle rupture, but did not induce
oocyte maturation in the absence of gonadotropin. It is thus unlikely
that the NO/NOS system in the ovary is involved in the process of
oocyte maturation. Nevertheless, these findings provide additional
evidence that the normally simultaneous processes of follicle rupture
and oocyte maturation are two independent phenomena (17, 21, 30).
Evidence suggests that the biological effects of IL-1ß in the
ovulatory process are mediated by NO (11, 12, 14, 15). The addition of
L-NAME to the rat ovarian follicle reduces the IL-1ß-induced
suppression of follicular apoptosis, suggesting that NO has an
intermediary role in regulating such apoptosis (14). NO and IL-1ß act
as follicle survival factors by suppressing the apoptotic fragmentation
of DNA (14). In contrast, 1L-1ß leads to apoptotic cell death by
generating NO in pancreatic ß-cells (47). NO induces the death of
macrophages by apoptosis (48). Conversely, NO inhibits apop-tosis
in B lymphocytes (49). These discrepant findings suggest that NO can be
either toxic or protective depending on the type of cell involved (49).
Although in the present study, neither NOS inhibitor increased the
degeneration rate of the hCG-induced ovulated ova, additional studies
are required to evaluate the effects of the NO/NOS system on follicle
apoptosis, including the degeneration of oocytes.
A recent study in patients who underwent in vitro
fertilization demonstrated that the circulating nitrite/nitrate levels
increase with follicular development (50). Follicular
nitrite/nitrate concentrations are also correlated with follicular
size in human ovaries (51), suggesting that a functional relationship
exists between the NO pathway and folliculogenesis. In addition to its
stimulatory effects on follicle rupture, NO may be responsible for
regulating the volume of intrafollicular fluid by inducing a shift in
fluid from the extracellular compartment into the follicle. It is also
possible that NO participates in the preovulatory modulation of ovarian
blood flow via its potent vasodilatory activity (52).
In conclusion, the exogenous administration of NOS inhibitors
significantly blocked hCG-induced ovulation and hCG-induced production
of PGs by perfused rabbit ovaries. The significant correlations between
the ovulatory efficiencies and the production of PGs by rabbit ovaries
perfused with or without L-NAME suggest that NO may induce ovulation at
least in part by stimulating the production of PGs in rabbit ovaries.
The inhibition of endogenous NOS by AG and L-NAME led to a significant
elevation in the production of E2, but not of P, stimulated
by hCG, suggesting that NO negatively regulates the ovarian synthesis
of E2. As neither NO nor the NOS inhibitors affect oocyte
maturation, the ovarian NO/NOS system appears to be involved in
follicle rupture during the ovulatory process.
 |
Footnotes
|
|---|
1 This work was supported by Grant-in-Aid for Scientific Research
(B)(2 )09470365 (to Y.Y.) from the Ministry of Education, Science, and
Culture (Tokyo, Japan). 
Received March 31, 1997.
 |
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