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Endocrinology Vol. 139, No. 6 2944-2954
Copyright © 1998 by The Endocrine Society


ARTICLES

The Role of Nitric Oxide in Oocyte Meiotic Maturation and Ovulation: Meiotic Abnormalities of Endothelial Nitric Oxide Synthase Knock-Out Mouse Oocytes1

Albina Jablonka-Shariff and Lisa M. Olson

Department of Obstetrics and Gynecology, Washington University School of Medicine, St. Louis, Missouri 63110

Address all correspondence and requests for reprints to: Lisa M. Olson, Ph.D., Department of Obstetrics and Gynecology, Box 8064, Washington University School of Medicine, 4911 Barnes Hospital Plaza, St. Louis, Missouri 63110. E-mail: olson_l{at}kids.wustl.edu


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Evidence supports the involvement of nitric oxide (NO) in ovulation, steroidogenesis, and atresia-related apoptosis. This study was designed to investigate the role of endothelial nitric oxide synthase (eNOS)-derived NO in ovulation, oocyte meiotic maturation, and ovarian steroidogenesis using wild-type (WT) mice and mice in which the gene for eNOS had been deleted (eNOS knock-out). We observed that mature eNOS knock-out females have significantly fewer pups born in each litter and a higher mortality rate of pups than those born to heterozygote or WT females (P < 0.05). To determine the influence of eNOS deficiency on ovarian function, immature WT and eNOS knock-out mice were superovulated by injecting PMSG (5 IU) followed by an injection of hCG (5 IU, ip) 48 h later. To determine whether murine oocytes expressed eNOS before (0 and 8 h post-hCG) and after ovulation (16 h post-hCG), we performed immunofluorescent staining. Positive specific staining for eNOS was observed on the surface of ovarian and ovulated oocytes obtained from WT mice, but not on oocytes from eNOS knock-out mice. To determine the role of eNOS-derived NO in ovulation, ovulated oocytes were counted 16 h post-hCG. eNOS knock-out females showed a significant reduction (by 63%; P < 0.0001) in ovulatory efficiency compared with WT females. The reduction in the ovulation rate in eNOS-deficient mice compared with that in WT mice was also associated with a higher concentration of estradiol (P < 0.01) without significant changes in the plasma progesterone level. eNOS deficiency impaired not only ovulation, but also oocyte meiotic maturation. Ovulated oocytes were classified as being in one of the following stages of meiosis: metaphase I, metaphase II, or showing atypical (degenerative) morphology. We observed that fewer oocytes from eNOS knock-out mice had entered metaphase II of meiosis, and a greater percentage remained in metaphase I or were atypical (P < 0.002) relative to those in WT mice. Furthermore, many oocytes that showed either a delay in meiotic maturation or abnormal morphology were undergoing cell death. Our results support a role for NO in the ovulatory process. The ovarian defects observed in the eNOS knock-out mice suggest that eNOS-derived NO is a modulator of oocyte meiotic maturation.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
NITRIC oxide (NO) is a free radical gas that has been identified as one of several important intraovarian mediators (1, 2, 3, 4, 5, 6, 7). NO is synthesized from L-arginine in an oxidative reaction catalyzed by nitric oxide synthase (NOS) isoenzymes, yielding NO and L-citrulline (8, 9). To date, three isoforms of NOS have been identified, each of which is encoded by a separate gene. Two isoforms of NOS, first identified in the endothelium (eNOS) and brain NOS, require calcium and calmodulin for activity. A third, inducible NOS (iNOS), is expressed by a variety of cells and is correlated with cytostatic and cytotoxic events (8, 9, 10, 11).

NO has been shown to mediate its actions by binding to metal-containing centers of enzymes and regulating their activities in both positive and negative ways. For example, NO is a well recognized activator of guanylate cyclase, leading to an increase in cGMP levels in target cells (8, 9). In addition, NO has been shown to directly activate the mitogen-activated protein kinase family (12). In contrast, NO inhibits the actions of the P450 enzymes, including the P450 aromatase (13, 14, 15). NO is synthesized by rat (16, 17) and human (13, 18) ovarian cells and has been shown to influence ovulation, steroidogenesis, and apoptotic cell death of follicular cells (as a follicle survival factor) (2, 5, 6, 17, 19, 20). Recent studies have suggested that NO plays an important function during the periovulatory period. Ovarian nitrite levels increase during the periovulatory period in rodents, and inhibition of NOS with pharmacological inhibitors decreases the number of ovulated oocytes both in perfused ovaries and in vivo (1, 4, 5, 21).

Studies in our laboratory have demonstrated that the rat ovary expresses both eNOS and iNOS in a cell- and development stage-specific manner (6). Furthermore, we have shown specific eNOS staining on the surface of the oocytes in rat ovaries. We have also observed that rats treated with NOS inhibitors not only showed a lower ovulation rate, but also had abnormal oocyte meiotic maturation. Specifically, inhibition of NOS/NO resulted in a significantly lower percentage of mature oocytes in metaphase II and a greater percentage of atypical oocytes (21).

Numerous cell factors have been implicated in regulating meiosis in mammals. The resumption of meiosis, indicated by germinal vesicle (GV) breakdown (GVBD) and oocyte maturation, characterized by progression of the dictyate chromosomes through the first meiotic cycle, extrusion of the first polar body, and formation of metaphase II (22), are controlled by several categories of molecules. These include intracellular messengers, such as cAMP (23, 24, 25), calmodulin, calcium, and diacylglycerol (24) as well as peptides (22), steroids (26), purines (27), and a meiosis-arresting component in the oocyte membrane (24). Preceding ovulation, resumption of meiosis occurs in response to the preovulatory surge of gonadotropins (28). Entry and exit from metaphase are controlled by changes in the activity of maturation-promoting factor (29), which has been described in mitotic cells (30), as well as in oocytes from different species (29, 31). Results from our studies suggest that NO also plays an important role in oocyte meiosis. As the ovary expresses two isoforms of NOS, it is impossible to distinguish isoform-specific ovarian functions using pharmacological inhibitors, as these drugs are not isoform specific. The eNOS knock-out (eNOS-deficient) mice have provided an opportunity to further explore the role of NO in ovulation and oocyte meiotic maturation.

In the present study, we examined the specific role of eNOS-derived NO in ovarian function using eNOS knock-out mice. We found that eNOS knock-out breeding pairs had significantly fewer pups than heterozygote or wild-type (WT) breeding pairs. This lower fecundity supports the results of a superovulation study in which immature eNOS knock-out females had a reduced ovulatory efficiency relative to that of WT females. Furthermore, ovulated oocytes obtained from eNOS knock-out females had significant abnormalities in meiotic maturation and increased oocyte cell death relative to oocytes obtained from WT females. These studies indicate that follicular/oocyte NO is a key regulator of oocyte meiotic maturation.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Animal housing and breeding of eNOS knock-out mice
All procedures involving mice were conducted in accordance with NIH regulations concerning the use and care of experimental animals. Mice were maintained in a barrier facility at the Washington University School of Medicine under controlled conditions of light (12-h light, 14-h dark) and temperature (25 C). Animals were maintained under the supervision of a licensed veterinarian. eNOS knock-out mice on a 129Sv/C57BL6 genetic background were originally obtained from Drs. Paul Huang and Mark Fishman, Harvard Medical School (Boston, MA) (32). Wild-type (129Sv) females were used as controls. eNOS knock-out females were produced for experiments by breeding an eNOS knock-out female with an eNOS knock-out male. In addition, eNOS knock-out females were generated from heterozygote (eNOS+/-) matings.

Pups were weaned at 21 days of age, at which time all pups were sexed. Female and male pups from heterozygote matings were ear notched for identification purposes, and a 1-cm segment of the tail (not including the keratinized tip) was removed and prepared for isolation of genomic DNA. The genotype of the offspring was analyzed by Southern blotting. For studies of the reproductive capability of the eNOS knock-out mice, we compared the litter size and the percent mortality of pups born to WT, eNOS knock-out, and heterozygote females.

Southern blot analysis
Genomic DNA was isolated from tails using the QIAamp Tissue Kit (Qiagen, Santa Clarita, CA) and was digested with Spe1 (5 IU; Boehringer Mannheim, Indianapolis, IN). Equal amounts of DNA (15 µg) were electrophoresed on 1% agarose gels, denatured in 0.2 M HCl for 15 min, renatured by soaking in 0.4 N NaOH, and subsequently transferred overnight onto GeneScreen membranes (New England Nuclear, Boston, MA) using 0.4 N NaOH (33). The membranes were prehybridized at 42 C in a hybridization buffer containing 50% formamide (Boehringer Mannheim), 10% dextran sulfate (Fisher Scientific, Fairlawn, NJ), 50 mM sodium phosphate (Fisher), 5 x SSC (0.75 M sodium chloride and 0.075 M sodium citrate, pH 7.0; Fisher), 5 x Denhardt’s solution [1 g/ml Ficoll 400 (Sigma Chemical Co., St. Louis, MO), 1 g/ml polyvinylpyrrolidone (Fisher), 1 g/ml BSA (fraction V; Sigma), and 100 µg/ml denatured salmon sperm DNA (Sigma)]. After 4 h, the hybridization buffer was replaced with fresh hybridization buffer containing 106 cpm/ml 32P-labeled eNOS genomic DNA that had been previously labeled using [32P]deoxy (d)-CTP (Amersham Life Science, Arlington Heights, IL) and the High Prime DNA labeling kit (Boehringer Mannheim). After hybridization for 16 h at 42 C, membranes were washed sequentially twice at 42 C for 15 min each time with 2 x SSC and 0.1% SDS (Sigma) followed by twice at 42 C with 0.2 x SSC and 0.1% SDS, and lastly twice at 65 C with 0.1 x SSC and 0.1% SDS. The membranes were allowed to air-dry and then were wrapped with saran wrap, and the signals were visualized by exposure to a phosphorimager screen. Visual inspection of the phosphorimage determined which mice were wild-type, heterozygote, and homozygous knock-out mice. Wild-type and homozygous eNOS knock-out littermates were subsequently used for our experiments.

Superovulation and tissue collection
Immature (27 days old) wild-type (control) and eNOS knock-out female mice were superovulated by injecting 5 IU PMSG (Calbiochem, La Jolla, CA) ip followed 48 h later by an injection of 5 IU hCG (Profasi) (6).

To determine whether mouse ovarian oocytes express eNOS, mice were weighed and killed before PMSG injection (unstimulated, control) and at 0 h (48 h after PMSG; preovulatory ovaries) and 8 h (ovulatory ovaries) after hCG administration (n = 3/genotype·time point). For each mouse, both ovaries were removed and frozen in Tissue-Tek OCT embedding compound (Miles, Elkhart, IN) using liquid nitrogen. The ovaries were stored at -70 C until immunohistochemistry was performed. To determine the expression of eNOS on ovulated oocytes, WT and eNOS-deficient mice were weighed and killed 16 h after hCG injection (n = 3/genotype). For each mouse, both ovaries were weighed, and oocytes collected from each ampulla were stained using immunofluorescent methods.

To examine whether eNOS deficiency affects ovarian weight, ovulation, oocyte meiotic maturation, and steroid concentration, mice were weighed and killed 16 h after hCG administration. Blood samples were collected by cardiac puncture, and plasma from these samples was stored at -20 C until assayed for progesterone and estradiol concentrations. For each mouse, both ovaries with oviducts were removed into prewarmed (37 C) Dulbecco’s PBS (DPBS; Sigma). Ovaries were weighed, and ovulated oocytes were collected from each ampulla.

To determine whether the effect of eNOS deficiency on ovarian weight was specific, we also weighed spleen, liver, kidney, and adrenal gland. All animals were killed by CO2 asphyxiation, followed by cervical dislocation.

Immunofluorescent localization of eNOS in ovarian and ovulated oocytes
Staining of ovarian oocytes and ovulated oocytes was performed using a polyclonal antiserum and immunofluorescent detection methods, as previously described (6). Briefly, ovarian cryosections and ovulated oocytes (denuded from cumulus cells) from WT and eNOS knock-out mice were mounted on poly-L-lysine-coated slides and fixed in Carnoy’s solution (ethanol-chloroform-glacial acetic acid, 6:3:1). All slides were incubated with eNOS polyclonal antiserum (a gift from Monsanto/Searle, St. Louis, MO) at a 1:100 dilution. Negative control slides were incubated in normal rabbit serum (Vector Laboratories, Burlingame, CA) in place of the primary antibody. Ovarian sections and ovulated oocytes were counterstained with propidium iodide (PI; Boehringer Mannheim) to visualize all cellular nuclei or oocyte chromosomes, respectively.

For ovaries, the staining procedure was conducted on several sections for the primary antibody, and three sections were used for a negative control staining (with normal rabbit serum) from each ovary for each mouse. Ovarian sections from eNOS knock-out mice served as an additional negative control. For ovulated oocytes, 80 oocytes collected from WT mice and 30 oocytes from eNOS knock-out mice were stained with eNOS antiserum. Thirty oocytes collected from WT mice were incubated with normal rabbit serum.

For ovarian and ovulated oocytes, incident light fluorescence was monitored with a Nikon light microscope (Nikon Corp., Melville, NY) equipped with a mercury lamp and a dual wavelength filter (Boyce Scientific, St. Louis, MO) to permit the simultaneous detection of green and red fluorescence. In addition, cytoplasm of ovulated oocytes was analyzed with a laser scanning confocal fluorescent microscope (Carl Zeiss, Thornwood, NY). Oocytes were sampled by collecting serial images, spaced 2 µm apart, through the full thickness of the oocyte.

Ovulation efficiency and oocyte classification
The enlarged and translucent ampulla of each oviduct was excised and trimmed, and the ovulated oocyte-cumulus complexes were recovered into a petri dish with DPBS. Cumulus cells were removed with hyaluronidase (0.25 mg/ml; type III; Sigma) diluted in DPBS and by gently mouth-pipetting the oocytes through a glass micropipette. The denuded oocytes were pipetted through three wash drops (200 µl each) of DPBS supplemented with 5 mg/ml BSA (fraction V) covered with mineral oil (Sigma). After washes, oocytes from each mouse were pooled and placed in a final droplet of 200 µl DPBS with BSA covered with mineral oil. Oocytes were counted, and data are expressed as the mean number of ovulated oocytes per mouse/genotype.

To determine whether lack of NO synthesis influences oocyte meiotic maturation, all ovulated oocytes were carefully examined with an inverted microscope and classified as being at the following stages: 1) metaphase I, healthy oocytes showing GVBD or at metaphase I (the outline of the GV had disappeared, but no polar body had been released); 2) metaphase II, healthy oocytes with a polar body; and 3) atypical oocyte showing degenerative changes or atypical morphology: cytoplasmic fragmentation, loss of spherical shape, etc. The percentage of oocytes in each stage of meiosis was calculated by dividing the number of oocytes at each stage by the total number of ovulated oocytes for each animal.

To further confirm the nuclear maturation of oocytes, all oocytes were first examined for stage of meiosis and then incubated with Giemsa solution to stain chromosomes (34). Briefly, recovered oocytes were placed in 1% sodium citrate for 5–10 min at 25 C. With the help of a mouth-controlled pipette, a microdrop of sodium citrate together with an oocyte(s) was placed on the glass slide, spread by the dropwise addition of freshly prepared acetic alcohol (3 parts of absolute ethyl alcohol to 1 part of glacial acetic acid), and dried by gentle blowing. The dried spreads were fixed in acetic alcohol for 5 min and stained with 10% Giemsa stain (Sigma) diluted in PBS (pH 7.4) for 30 min. After staining, oocytes were gently rinsed with distilled water, allowed to air-dry, and mounted with Permount. Each oocyte was analyzed for the chromosome arrangement characteristic of each stage of meiosis.

Terminal Deoxynucleotidyl Transferase (TdT)-Mediated dUTP Nick End Labeling (TUNEL) staining of ovulated oocytes
To determine whether the abnormal ovulated oocytes were dying, TUNEL was performed using the In Situ Cell Death Detection Kit, POD (Boehringer Mannheim). Ovulated oocytes collected from WT and eNOS-deficient mice (n = 5 mice/genotype) were denuded from cumulus cells as described above, mounted on poly-L-lysine-coated slides, and fixed with 4% paraformaldehyde (in PBS, pH 7.4) for 30 min at 25 C. Slides were rinsed with PBS and treated for 30 min with 0.3% hydrogen peroxide in methanol (Fisher). After rinsing, the slides were incubated in permeabilization solution [0.1% Triton X-100 (Sigma) in 0.1% sodium citrate] for 2 min on ice. After washes in PBS, slides were incubated (60 min, 37 C) with TdT enzyme in the presence of fluorescein isothiocyanate-conjugated dUTP (TUNEL reaction mixture). Oocytes were counterstained with PI (1:400 in PBS) to visualize chromosomes. Negative controls, which were included in each staining replicate, consisted of incubating slides in TUNEL reaction mixture without TdT enzyme. For positive controls, oocytes were fixed and first permeabilized with deoxyribonuclease I (DNase I; 1 mg/ml; Boehringer Mannheim) for 10 min to induce DNA strand breaks followed by the TUNEL method.

Progesterone and estradiol RIAs
Progesterone and estradiol concentrations were determined in plasma using commercial RIA kits [Diagnostic Products Corp. (Los Angeles, CA) for progesterone and Abbott Laboratories (Abbott Park, IL) for estradiol]. Steroids were determined in plasma from WT and eNOS knock-out mice killed 16 h after hCG administration. Samples were analyzed singly or in duplicate when sufficient plasma was available. The inter- and intraassay coefficients of variation for the progesterone assay were 5.1% and 2.6%, and those for the estradiol assay were 4.5% and 4.1%, respectively.

Statistical analysis
All data are presented as the mean ± SEM. Significant differences between wild-type and eNOS knock-out mice were determined for various parameters using independent t test. For comparison of three groups (wild-type, heterozygous, and eNOS knock-out mice in the breeding studies), data were evaluated by ANOVA, and multiple comparisons were made with Fisher’s least significant procedures (35).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Determination of genotype
The genotype of offspring generated from heterozygote matings was determined by Southern blot analysis of tail genomic DNA (Fig. 1Go). The intact eNOS gene identified in WT mice shows a 7-kb hybridizing fragment, whereas the disrupted eNOS gene shows a 4-kb hybridizing fragment (Fig. 1Go). Analysis of the genotype (females and males) of offspring (n = 280 pups) from heterozygote breeding pairs revealed that 23.4% were WT, 59.3% were heterozygote, and 17.3% were eNOS knock-out mice. The overall distribution deviates somewhat (P < 0.05) from a 1:2:1 Mendelian distribution, with the major deviation due to the lack of eNOS knock-out pups.



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Figure 1. Representative Southern blot analysis of genomic DNA isolated from tails of wild-type, heterozygote, and eNOS knock-out mice. The native gene shows a 7-kb hybridizing fragment, whereas the disrupted eNOS gene shows a 4-kb hybridizing fragment, as indicated by the arrows. Wild-type (+/+), heterozygote (+/-), and homozygous eNOS knock-out (-/-) offspring are indicated.

 
Reproductive capability of eNOS knock-out mice
While breeding our mice, we observed that eNOS knock-out breeding pairs had significantly fewer (P < 0.05) pups in each litter (4.5 ± 0.4) than heterozygote or WT breeding pairs (7.5 ± 0.3 and 7.8 ± 0.4 pups, respectively; Table 1Go). Furthermore, eNOS knock-out females delivered not only fewer pups relative to WT females but these pups also had higher (P < 0.05) initial mortality rates (number of pups at birth vs. number of weaned pups) than pups born to either heterozygote or WT females (42%, 15%, and 5% mortality, respectively; Table 1Go). In addition, the sex distribution (ratio of females to males) within each litter of eNOS knock-out females was lower than that in heterozygote or WT females (Table 1Go). These results show that although eNOS-deficient females can reproduce, homozygous eNOS knock-out breeding pairs show a significant reduction (by 60%) in reproductive performance relative to either heterozygote or WT breeding pairs.


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Table 1. Effects of eNOS deficiency on litter size, mortality, and sex distribution (ratio of females to males)

 
Expression of eNOS in mouse oocytes
We have previously demonstrated that eNOS is expressed on the surface of rat oocytes (6). The expression of eNOS in murine ovarian oocytes was examined in preovulatory and ovulatory ovaries from WT and eNOS knock-out mice using polyclonal rabbit antiserum and immunofluorescent techniques. In WT female mice, we observed strong positive green immunofluorescent staining, indicating the presence of eNOS on the surface of the oocyte, in the thecal cell layers, and in stroma in all healthy follicles (Fig. 2AGo, for 48 h post-PMSG treatment). We also observed punctuate staining for eNOS in granulosa cells however, the intensity of staining was weaker than that in other follicular cells. PI counterstaining identified all cellular nuclei, as indicated by red fluorescence. This pattern of staining was observed in ovaries at all three time points tested: before PMSG injection (unstimulated; data not presented), 48 h after PMSG, and 8 h after hCG injection (data not presented). All negative control slides stained with normal rabbit serum instead of primary antiserum were negative (data not presented). Analysis of ovaries from eNOS knock-out mice, which should not be expressing any eNOS, showed a complete lack of immunofluorescent staining. Figure 2BGo shows representative staining for eNOS in an ovarian section obtained from an eNOS knock-out mouse 48 h after PMSG administration.



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Figure 2. Immunofluorescent localization of eNOS in mouse ovaries 48 h after PMSG injection (A and B) and in ovulated oocytes (C–F) using conventional and laser-scanning confocal fluorescence microscopy, respectively. Ovarian sections and ovulated oocytes were counterstained with propidium iodide (red fluorescence) to visualize all cellular nuclei or oocyte chromosomes (short arrow D). A, An ovarian section from a WT mouse showing strong positive staining for eNOS (green/yellowfluorescence) on the surface of the oocyte (arrow) and within the thecal cell layers (arrow). Slight punctate staining is also observed in granulosa cells. B, No staining was observed in the ovarian section obtained from an eNOS knock-out mouse. C, The phase contrast picture of a single ovulated oocyte. D, The same oocyte presented in C shows strong positive cytoplasmic staining for eNOS (long arrow). E, No staining was observed when normal rabbit serum was used instead of the primary antiserum. F, No staining was observed in an oocyte collected from an eNOS knock-out mouse. O, Oocyte; G, granulosa cell layer; T, thecal cell layer. Bar = 50 µm (A and B); bar = 25 µm (C–F).

 
To determine whether oocytes retain eNOS expression after ovulation, oocytes were collected from WT and eNOS knock-out mice 16 h after hCG injection. A phase contrast of a single oocyte collected from WT mouse is shown in Fig. 2CGo. This oocyte exhibits positive green immunofluorescent staining for eNOS in the cytoplasm (Fig. 2DGo). No positive staining was observed when the primary antibody was omitted (Fig. 2EGo) or with ovulated oocytes collected from eNOS knock-out mice (Fig. 2FGo).

These data demonstrate that eNOS is expressed on the surface of oocytes in ovaries from WT mice, but not on oocytes from eNOS knock-out mice. Furthermore, oocytes from WT mice retain their expression of eNOS following ovulation.

Effects of eNOS deficiency on ovarian weight, ovulation efficiency, and steroidogenesis
Ovarian function of eNOS knock-out female mice was assayed by determining the ovary’s response to superovulation with exogenous gonadotropins. Ovaries obtained from eNOS knock-out female mice were significantly smaller (P < 0.001) than those from WT females even though body weights were not different in the two groups (Table 2Go). Furthermore, the ratio of ovarian weight to body weight shows that ovaries from eNOS knock-out females were approximately half the size (P < 0.0001) of ovaries from WT females after superovulation (Table 2Go). There was no influence of eNOS deficiency on spleen, liver, kidney, and adrenal gland weights, indicating the specificity of the effect of eNOS deficiency on the ovary (Table 2Go).


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Table 2. Effects of eNOS deficiency on body and organ weights

 
Although eNOS-deficient females were able to ovulate oocytes in response to a dose of hCG, their ovulatory efficiency was significantly reduced (P < 0.0001) compared with that of WT females (Table 3Go). The mean number of ovulated oocytes per mouse was 16.70 ± 2.00 for eNOS knock-out females and 44.50 ± 2.10 for WT females (Table 3Go). Overall, the ovulation rate was reduced by 63% in eNOS-deficient mice relative to that in WT mice. These results indicate that NO is necessary for optimum ovulation in rodents.


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Table 3. Effects of eNOS deficiency on ovulation rate and steroidogenesis in mice

 
When the plasma of superovulated eNOS knock-out and WT mice (16 h after hCG injection) was assayed for progesterone, no significant differences (P = 0.08) were found between the eNOS-deficient mice (12.13 ± 1.65 ng/ml) and control WT mice (15.33 ± 0.93 ng/ml; Table 3Go). In contrast, the estradiol level was significantly higher (P < 0.01) in plasma collected from eNOS-deficient mice than in that from WT mice (47.41 ± 9.29 vs. 24.49 ± 1.79 pg/ml; Table 3Go). These data show that estradiol levels are elevated in eNOS knock-out mice during the ovulatory period and suggest that NO functions to negatively regulate estradiol synthesis and/or secretion.

Abnormal oocyte meiotic maturation in eNOS-deficient mice
After ovulation, the majority of oocytes in the ampulla have released their first polar body and are arrested at metaphase II (36). During the course of the studies examining the effect of eNOS deficiency on ovulation, we observed that the lack of eNOS affected not only the ovulation rate but also oocyte meiotic maturation. For this reason, freshly isolated unstained ovulated oocytes obtained from eNOS knock-out and WT mice were carefully examined and classified as being at the following stages of meiosis: GVBD/metaphase I, metaphase II, or atypical, showing evidence of degeneration (Fig. 3Go). We did not observe any ovulated oocytes at the GV stage of meiosis regardless of genotype, indicating that the resumption of meiosis involving GVBD was unaffected in eNOS-deficient mice. Although, oocytes collected from eNOS knock-out mice resumed meiosis normally, they showed a pattern of abnormal meiotic maturation at the later stages of meiosis. Namely, fewer oocytes (P < 0.001) from eNOS knock-out mice achieved metaphase II of meiosis (14.4 ± 1.1%) compared with those from WT mice (68.1 ± 0.6%; Fig. 3Go). Furthermore, a greater percentage (P < 0.002) of oocytes from eNOS knock-out mice remained in metaphase I (46.3 ± 0.3%) or were atypical (39.3 ± 0.8%) relative to those in WT mice (27.7 ± 0.7% and 4.2 ± 1.2%, respectively; Fig. 3Go).



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Figure 3. The effect of eNOS deficiency on oocyte meiotic maturation in vivo. Ovulated oocytes were collected from superovulated mice 16 h after hCG administration. Oocytes were carefully examined and classified as being at the following stages: a, metaphase I, b, metaphase II, or c, showing atypical morphology. The percentage of ovulated oocytes classified for each stage of meiosis for wild-type and eNOS knock-out (eNOS-KO) mice was calculated by dividing the number of oocytes in each stage of meiosis by the total number of ovulated oocytes per mouse. Data are the mean ± SEM (n = 10 mice/genotype). *, Significantly different from wild-type mice, P < 0.002.

 
A variety of morphological characteristics were noted with the atypical oocytes, such as an enlarged first polar body, cytoplasmic cleavage, and blebbing. In addition, we observed the premature release of the second polar body and cell division, which provide conditions for parthenogenesis (Fig. 4Go). The classification of ovulated oocytes presented above was confirmed by staining of oocytes obtained from eNOS knock-out mice with Giemsa solution to visualize chromosomes. Figure 5Go shows an oocyte at metaphase II with the first polar body (Fig. 5AGo), oocytes still remaining at metaphase I of meiosis (Fig. 5Go, B–D), and an oocyte at metaphase I but with disorganized chromosomes (Fig. 5CGo).



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Figure 4. Morphological characteristics of ovulated oocytes obtained from eNOS knock-out mice 16 h after hCG injection. A, A population of oocytes with varying degrees of atypical morphology. Some oocytes showed normal development (arrow), whereas most showed atypical morphology (*). B, Ovulated oocytes at metaphase II (with one polar body; arrow). C, Abnormal oocytes with two polar bodies (arrows). D, Example of abnormal maturation (oocytes extruding their second polar body; arrows). E, Abnormally dividing oocyte. Magnification: A, x200; B–E, x320.

 


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Figure 5. Photomicrographs of ovulated oocytes collected from eNOS knock-out mice stained with Giemsa solution for chromosomal analysis. A, Oocyte at metaphase II (arrowhead) with polar body chromosomes (arrow). B, Metaphase I (arrowhead) and an oocyte during condensation of dictyate chromatin (arrow). C, Oocyte at metaphase I with disorganized chromatin. D, Two oocytes at metaphase I (arrowhead) and an oocyte covered with cumulus cells (arrow). Magnification, x400.

 
These data strongly support a role for eNOS-derived NO in ovulation and oocyte maturation. The lack of eNOS inhibits progression of oocytes to metaphase II by 79% and increases the number of atypical oocytes by 9-fold compared with that of oocytes from WT mice.

Cell death in ovulated oocytes
As oocytes obtained from eNOS knock-out mice showed either delayed or abnormal meiotic maturation, we questioned the viability of these oocytes. To identify dying oocytes, we looked for the presence of fragmented DNA using the TUNEL method and fluorescent detection. All oocytes were counterstained with PI (red fluorescence) to visualize oocyte chromosomes. Initially we stained oocytes of both genotypes that were arrested at metaphase II and observed that although the maternal chromosomes were negative for TUNEL staining, the chromosomes of the first polar body showed strong positive staining. Figure 6AGo shows the positive (bright green/yellow fluorescence) staining of the polar body chromosomes and the negative staining (red fluorescence) of the maternal chromosomes of mature oocytes from an eNOS knock-out mouse (data not shown for WT).



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Figure 6. Detection of apoptosis in ovulated oocytes collected from eNOS knock-out mice. Oocytes were stained using the TUNEL method followed by fluorescent detection (bright green/yellow fluorescence). Oocytes were counterstained with propidium iodide (red fluorescence) to visualize all chromosomes. A, An oocyte at metaphase II showing polar body chromosomes that were undergoing cell death (arrow) and healthy maternal chromosomes (arrowhead). B, An abnormal metaphase II oocyte with two polar bodies (arrows) and maternal chromosomes (arrowhead) that show positive staining. C, Oocyte at metaphase II with two big polar bodies (arrows) stained positively with the TUNEL method. Maternal chromosomes (arrowhead) showing early stages of apoptosis. D, Metaphase I with chromosomes positively labeled for TUNEL (arrow). E, Positive control staining of maternal chromosomes (arrowhead) and chromosomes of two polar bodies (arrows) was observed when the oocyte was incubated with DNase I to induce apoptosis. F, No staining was observed in negative control slides in which an oocyte was incubated without TdT enzyme (arrowhead, maternal chromosomes; arrow, polar body chromosomes). Bar = 50 µm.

 
Positive staining was also observed in atypical oocytes obtained from eNOS knock-out mice (Fig. 6Go, B–F). Figure 6Go, B and C, represents oocytes with two polar bodies, both of which contain chromosomes showing strong positive staining for TUNEL. Furthermore, maternal chromosomes in these oocytes also show positive staining. In addition, we observed that many oocytes from eNOS knock-out mice that were arrested in metaphase I were also dying, and thus would never have progressed through meiosis (Fig. 6DGo). Positive controls included oocytes incubated with DNase I that showed strong positive staining in both maternal and polar body chromosomes (Fig. 6EGo). All negative control slides incubated without TdT showed no staining (Fig. 6FGo).

Although TUNEL staining does not distinguish between apoptotic and necrotic cell death, these data indicate that a lack of NO during meiotic maturation results in abnormal oocyte development and premature oocyte cell death, possibly due to apoptosis.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
There is now compelling evidence that NO is one of several important intraovarian mediators (1, 2, 3, 4, 5, 13, 37) that affect the ovulatory process (6, 7, 21) and oocyte meiotic maturation (21). The purpose of this study was to examine the specific role of eNOS-derived NO on ovulation and oocyte meiotic maturation. We used mice in which the gene for eNOS had been deleted through homologous recombination (32, 38) and studied the reproductive performance of adult cycling females as well as the response of immature females to a superovulation regimen. We observed that mature eNOS-deficient females had significantly fewer pups born per litter and a higher mortality rate of pups than those born to heterozygote or WT females. A recent study in our laboratory has shown that adult eNOS knock-out females have an extended estrous cycle (7–8 days) and become stalled in diestrus compared with wild-type females, which reached estrus every 4–5 days (unpublished data). Results of our superovulation studies showed that eNOS-deficient immature mice ovulated significantly fewer oocytes in response to exogenous gonadotropins, suggesting possible defects in either follicular development and/or tissue remodeling and physical rupture of the follicular wall.

Supporting a role for eNOS-derived NO in oocyte and thus follicular development is the oocyte-specific expression of eNOS both within the follicle as well as after ovulation. The positive staining for eNOS was observed not only in oocytes, but also in somatic cells in the follicles. Furthermore, a recent study in patients undergoing in vitro fertilization demonstrated that circulating nitrite/nitrate levels increase with follicular development (18, 39) and are correlated with follicular size (18). We have also reported previously that rats treated with NOS inhibitors during the periovulatory period show distinct abnormalities in oocyte development (21). Studies on oocyte growth have shown that the interactions between granulosa cells associated with the oocyte (cumulus cells) and the oocyte are essential for normal development of GV stage oocytes (40). For example, stage-specific patterns of protein phosphorylation in oocytes depend on interactions with granulosa cells, and the state of differentiation of granulosa cells affects patterns of kinase activity in oocytes (41). Conversely, oocytes have a paracrine influence on granulosa cell development by producing a factor that enables cumulus granulosa cells to undergo mucification, or expansion, in response to FSH (42). Thus, the relationship between the NO pathway and follicular growth could be necessary for both oocyte and follicle development.

Several lines of evidence also support the role of NO in the ovulatory process. Recent studies demonstrated that inhibition of NOS with nonselective competitive inhibitors led to fewer ovulations in vivo and in vitro in rats and rabbits (1, 4, 7, 21, 37). In the present investigation, we demonstrated that deleting the gene for eNOS lowers ovarian weight and the number of ovulated oocytes compared with those in WT mice. The abundance of eNOS in thecal cell layers and stroma reported for rat ovaries (6, 20) and in the present study for mouse ovaries suggests that NO may function as a vasodilator promoting the increased ovarian blood flow that is important for ovulation (4, 43). In addition, ovarian NO is important for optimum PG synthesis during the periovulatory period (7, 44). It is also likely that oocyte NO may function as a signal for somatic cells to properly modulate the theca and tunica albuginea of the follicle wall necessary for the oocyte to exit the ovary at ovulation.

The reduction in ovulation rate in eNOS-deficient mice compared with that in WT mice was also associated with a higher concentration of estradiol without significant changes in the plasma progesterone level. NO has been shown to inhibit aromatase activity directly in both human granulosa/lutein cells (14) and mature porcine granulosa cells (15), and has been suggested to function as a local modulator of follicular development. Similarly, a recent study demonstrated that inhibition of NOS in perfused rabbit ovaries resulted in an elevation of estradiol with no change in the progesterone level (7). It has also been demonstrated that NO negatively regulates steroidogenesis in human granulosa/lutein cells (13, 14), rat ovaries in vitro (4, 5), rodent testes (45), and cultured Leydig cells (46). Although the specific importance of estradiol to the rupture process is not currently understood, it is possible that estradiol functions to control blood pressure during the dramatic changes that occur in the ovulating ovary (47).

In addition to reduced ovulations, our study on meiotic maturation of oocytes from eNOS knock-out mice has shown that eNOS deficiency results in at least three obvious defects: fewer oocytes entered metaphase II, a greater percentage of oocytes remained in metaphase I, and significantly more oocytes showed dramatic atypical morphological changes. Furthermore, many oocytes that remained in metaphase I were found to die, possibly through apoptosis, which indicates that these oocytes would never have progressed through meiosis. The present report extends our previous study in rats in which inhibition of NOS/NO with pharmacological inhibitors impaired oocyte meiotic maturation (21). There are many mechanisms through which NO may affect oocyte meiotic maturation. Several studies have indicated that NO binds to and activates soluble guanylyl cyclase, and increases cGMP levels in target cells (48). cGMP has been localized in granulosa cells of the rat ovary and is involved in the resumption of meiosis in rat and hamster oocytes (49, 50, 51). It has been suggested that cGMP lowers the cAMP level by activating oocyte cAMP-phosphodiesterase (cAMP-PDE) and thus permitting oocyte maturation to continue (52). The evidence implicating cAMP, cGMP, and cAMP-PDE in meiotic maturation combined with the effect of NO on oocyte maturation raise the possibility that NO regulates oocyte cAMP level either by increasing cGMP synthesis and/or by stimulating cAMP-PDE activity during the transition from metaphase I to metaphase II of meiosis.

Among the important structural alterations that occur during maturation are the microtubule reorganizations, including organelle aggregation during GVBD (53), meiotic spindle assembly (54, 55), and chromosome segregation (56). A variety of morphological atypical characteristics were noted with oocytes from eNOS-deficient mice. We observed oocytes with an unusually large first polar body, suggesting abnormal cell division, which may be due to a failure of the metaphase spindle to properly translocate to the cell surface. Another difference we observed was the presence of two polar bodies, which could be derived from cleavage of the first polar body or from premature release of the second polar body. Mature mouse oocytes remain in metaphase II until fertilization due to an elevated level of maturation-promoting factor, which is now identified as the protooncogene c-mos protein (Mos) (29, 31, 57, 58). Some of the abnormalities in meiotic maturation in eNOS knock-out mice are very similar to those observed in mice deficient of Mos (58, 59). For example, oocytes from Mos-deficient females produce an abnormally large polar body, which persists instead of degrading and sometimes undergoes an additional cleavage. Furthermore, these oocytes often fail to arrest at metaphase II and undergo parthenogenetic activation (59). Therefore, the evidence suggests that NO may be a key regulator of the signal transduction cascade that controls progression between metaphase I and metaphase II as well as the secondary arrest at metaphase II.

The major findings of the present study were the absence of oocyte-specific eNOS expression, the reduced number of ovulated oocytes, and the abnormal oocyte meiotic maturation observed in eNOS-deficient mice in vivo. These data suggest that ovarian/oocyte NO production plays an important role in ovulation and oocyte meiotic maturation. When oocyte eNOS is lacking as in eNOS knock-out mice, ovulation and oocyte maturation are impaired. Further studies using an in vitro system of oocyte maturation will be necessary to understand more fully the mechanism underlying defects in ovulation and meiotic maturation in mice lacking the eNOS gene.


    Acknowledgments
 
The authors thank Drs. Paul Huang and Mark Fishman (Harvard Medical School, Boston, MA) for providing the initial eNOS knock-out breeding pairs. We acknowledge Dr. David G. Beebe for his generous assistance with the confocal microscope, and Janet Willand for her help with the steroid assays (Washington University Medical School, St. Louis, MO). We are grateful Dr. Tom Misko for his gift of polyclonal eNOS antibody.


    Footnotes
 
1 This work was supported by a research grant (to A.J.-S.) from the Lalor Foundation. Back

Received December 29, 1997.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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W. J. Murdoch, R. S. Townsend, and A. C. McDonnel
Ovulation-Induced DNA Damage in Ovarian Surface Epithelial Cells of Ewes: Prospective Regulatory Mechanisms of Repair/Survival and Apoptosis
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F. J. Richard, A. Tsafriri, and M. Conti
Role of Phosphodiesterase Type 3A in Rat Oocyte Maturation
Biol Reprod, November 1, 2001; 65(5): 1444 - 1451.
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EndocrinologyHome page
C. Knauf, S. Ferreira, M. Hamdane, C. Mailliot, V. Prevot, J.-C. Beauvillain, and D. Croix
Variation of Endothelial Nitric Oxide Synthase Synthesis in the Median Eminence during the Rat Estrous Cycle: An Additional Argument for the Implication of Vascular Blood Vessel in the Control of GnRH Release
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Hum ReprodHome page
E. Ekerhovd, A. Enskog, K. Caidahl, N. Klintland, L. Nilsson, M. Brannstrom, and A. Norstrom
Plasma concentrations of nitrate during the menstrual cycle, ovarian stimulation and ovarian hyperstimulation syndrome
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C. Knauf, V. Prevot, G. B. Stefano, G. Mortreux, J.-C. Beauvillain, and D. Croix
Evidence for a Spontaneous Nitric Oxide Release from the Rat Median Eminence: Influence on Gonadotropin-Releasing Hormone Release
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M.-A. Ledingham, A. J. Thomson, A. Young, L. M. Macara, I. A. Greer, and J. E. Norman
Changes in the expression of nitric oxide synthase in the human uterine cervix during pregnancy and parturition
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H. Matsumi, T. Yano, Y. Osuga, K. Kugu, X. Tang, J. P. Xu, N. Yano, Y. Kurashima, T. Ogura, O. Tsutsumi, et al.
Regulation of Nitric Oxide Synthase to Promote Cytostasis in Ovarian Follicular Development
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K. Mitsube, M. Mikuni, M. Matousek, and M. Brannstrom
Effects of a nitric oxide donor and nitric oxide synthase inhibitors on luteinizing hormone-induced ovulation in the ex-vivo perfused rat ovary
Hum. Reprod., October 1, 1999; 14(10): 2537 - 2543.
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A. Jablonka-Shariff, S. Ravi, A. N. Beltsos, L. L. Murphy, and L. M. Olson
Abnormal Estrous Cyclicity after Disruption of Endothelial and Inducible Nitric Oxide Synthase in Mice
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G. I. Perez, X.-J. Tao, and J. L. Tilly
Fragmentation and death (a.k.a. apoptosis) of ovulated oocytes
Mol. Hum. Reprod., May 1, 1999; 5(5): 414 - 420.
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Reproductive SciencesHome page
A. Jablonka-Shariff, R. Basuray, and L. M. Olson
Inhibitors of Nitric Oxide Synthase Influence Oocyte Maturation in Rats
Reproductive Sciences, March 1, 1999; 6(2): 95 - 101.
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