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Endocrinology Vol. 139, No. 7 3289-3295
Copyright © 1998 by The Endocrine Society


ARTICLES

Genetic Rescue of Follicle-Stimulating Hormone ß-Deficient Mice1

T. Rajendra Kumar, Malcolm J. Low and Martin M. Matzuk

Departments of Pathology (T.R.K., M.M.M.), Cell Biology (M.M.M.), and Molecular and Human Genetics (M.M.M.), Baylor College of Medicine, Houston, Texas 77030; Vollum Institute (M.J.L.), L474, Oregon Health Sciences University, Portland, Oregon 97201

Address all correspondence and requests for reprints to: Martin M. Matzuk, M.D., Ph.D., Baylor College of Medicine, Department of Pathology, One Baylor Plaza, Houston, Texas 77030.


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
FSH is an {alpha}:ß heterodimeric pituitary glycoprotein that shares a common {alpha}-subunit with LH and TSH. To study the role of FSH in mammalian reproduction, we have previously generated an FSH-deficient mouse model using embryonic stem (ES) cell technology by introducing a null mutation in the unique FSHß gene. Male mice deficient in FSH are fertile despite their small testes and reduced sperm number and motility. In contrast, FSH-deficient female mice are infertile due to a block in folliculogenesis at the preantral stage. In this set of experiments, we have rescued the mutant phenotypes of FSHß-deficient mice by two genetic strategies. In the type I rescue mice, we introduced into the FSHß-deficient background a 10-kb human FSHß transgene that is selectively expressed in pituitary gonadotropes. The presence of this transgene [and thus the interspecies hybrid (i.e. mouse {alpha}:human FSHß hormone)] in the background of mouse FSHß deficiency completely restored the testis size, sperm number, and motility defects to levels comparable to those seen in control male mice. All of the mouse FSHß-deficient female mice carrying this human FSHß transgene resumed normal folliculogenesis, were fertile and delivered normal size litters. In the type II rescue mice, human FSH (human {alpha}:human FSHß) was ectopically produced from multiple tissues in the mutant background using a mouse metallothionein-I promoter. Whereas ectopic production of human FSH completely rescued the mouse FSHß-deficient male mice, only 3 out of 10 mouse FSHß-deficient females bearing these human FSH transgenes were fertile and carried their pregnancies to term and parturition. We conclude that the resultant phenotypes due to a genetic deficiency of mouse FSHß can be corrected by appropriate expression of human FSH transgenes and that human FSHß gene regulation and function in the mouse pituitary are indistinguishable from the endogenous mouse FSHß gene.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
FSH IS A pituitary gonadotrope-derived heterodimeric glycoprotein hormone that shares a common {alpha}-subunit with the structurally similar members LH and TSH. The hormone-specific ß-subunit of each of these hormones is noncovalently linked to the {alpha}-subunit and confers the receptor specificity and hence the biological specificity. The nucleotide and corresponding amino acid sequences of {alpha}- and FSHß-subunits from phylogenetically distant species share significant homology (1, 2). In particular, mouse FSHß shares 96% similarity and 92% identity with human FSHß at the amino acid level. Pierce and colleagues first demonstrated that interspecies hybrids (i.e. the common {alpha}-subunit from one species and a unique ß-subunit from others) could be combined in vitro to yield a functional glycoprotein hormone (3). The biopotencies of such hybrids were typically measured in an ovarian ascorbic acid depletion assay (4) or a receptor binding assay (1) using gonadal membranes. Subsequent biophysical studies have demonstrated that the association of the gonadotropin subunits follows a very slow second order kinetics (5, 6). However, it is not known if an interspecies hybrid can assemble properly, bind the target cell receptors as efficiently as the corresponding endogenous hormone of a given species, and elicit similar biological responses in vivo.

In vertebrates, FSH binds to its cognate receptor on Sertoli cells in the testis and granulosa cells in the ovary (2). The regulation of both {alpha}- and FSHß-subunit gene expression is under stringent control of the hypothalamic peptide GnRH, gonadal steroids, and gonadal peptides, including inhibins and activins (7, 8). To directly assess the role of FSH in gonadal growth and differentiation during mammalian reproduction, we generated mice with a mutation in the FSHß gene and hence deficient in FSH using ES cell technology (9). Male mice deficient in FSH are fertile despite a decrease in testis size and reduced sperm number and motility. FSH-deficient female mice are infertile due to a block in the progression of ovarian folliculogenesis at the preantral stage (9). The FSH-deficient female mice phenocopy a recessive human genetic disease known as primary amenorrhea. In humans, a point mutation in the human FSH receptor prevents FSH signaling in the ovaries of affected female patients (10). Similar to FSH-deficient male mice, men with this receptor mutation have suppressed sperm number and decreased testis size but are fertile (11).

Introduction of desired mutations into ES cells and generation of knockout mice have now become a routine practice. The extent to which the resultant phenotypes are affected due to such mutations depends on the fact that no other alterations have occurred elsewhere in the manipulated mouse genome. To confirm that the reproductive defects in FSH-deficient mice are only due to an engineered mutation in the mouse FSHß locus and to determine whether interspecies FSH hybrids can function properly in vivo, we have now genetically rescued the FSH-deficient mice in two independent ways (Fig. 1Go): 1) by introducing a pituitary-targeted 10-kb human FSHß transgene, and 2) by ectopically expressing the human glycoprotein hormone-{alpha} and human FSHß-subunits from multiple tissues using 1.8 kb of mouse metallothionein I (mMT-I) promoter sequences.



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Figure 1. Genetic rescue of FSH-deficient mice. In the type I rescue mice, a 10-kb hFSHß gene is targeted to pituitary gonadotropes. The interspecies hybrid FSH (mouse {alpha} heterodimerized with hFSHß) completely rescued the phenotypes in FSH-deficient mice. In the type II rescue mice, MT{alpha} and MThFSHß transgenes are expressed from multiple tissues including liver. This ectopic expression of hFSH completely rescued the FSH-deficient phenotypes only in male mice but incompletely (3/10) in female mice.

 

    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Animals
FSH-deficient (fshbm1/fshbm1) mice were generated as described previously (9). Generation and characterization of mice expressing a 10-kb hFSHß transgene were reported earlier (12). This hFSHß transgene contains approximately 4 kb of 5' flanking, all exons and introns and approximately 2 kb of 3' flanking hFSHß sequences. Pituitary gonadotrope-specific expression and gonadal steroid hormone regulation of this transgene were confirmed (12). To generate mice that produce hFSH ectopically from multiple tissues, 1.8 kb of mMT-1 promoter sequences were placed upstream of a 2.4-kb human glycoprotein-{alpha} subunit minigene (13) or 5.2 kb of hFSHß (14) genomic sequences. The human FSHß sequences start at approximately 200 bp upstream of the transcription initiation site and include all exons, introns, and approximately 1 kb 3' flanking sequences. Independent lines of transgenic mice were produced that carry either the MT-hCG{alpha} or MT-hFSHß transgene. These were intercrossed to obtain mice that express both the subunits and hence hFSH. The serum values of hFSH were monitored (see below) and a transgenic line of mice expressing hFSH at low levels was chosen to rescue the fshbm1/fshbm1 mice. The lines of mice generated in the present study are referred to as type I rescue mice (FSH-deficient mice rescued with the pituitary targeted hFSHß transgene) or type II rescue mice (FSH-deficient mice rescued with hFSH expressed from the metallothionein promoter). In both cases, fshbm1/fshbm1 male mice were bred to transgene-bearing female mice to generate fshbm1/+ male and female mice carrying the transgenes. These were subsequently intercrossed to obtain homozygous mouse FSH-deficient (fshbm1/fshbm1) mice carrying the transgene(s). All mice were maintained and bred in animal facilities at Baylor College of Medicine under controlled temperature and humidity conditions. Mice were maintained under 12-h dark, 12-h light cycles with food and water supplied ad libitum. All studies were carried out in accordance with the Guide for the Care and Use of Laboratory Animals as per the NIH instructions as adopted by Baylor College of Medicine.

Southern blot analysis
All genotype data were generated using Southern blot analysis of tail DNA samples. The mouse FSHß mutation (fshbm1) was detected using a 3' probe as described (9). Human FSHß transgenes were detected using a specific 3' UTR probe (12, 14) and the common {alpha}-subunit [human CG {alpha}-minigene (13)] transgene was detected using a 700-bp HindIII-HindIII fragment that contains a portion of intron 3 and exon 4 sequences of the human {alpha} gene. The conditions for hybridization and washing were described previously (9, 15).

Histology
Ovaries from adult female mice of various genotypes were formalin-fixed for at least 48 h. Testes from adult male mice were fixed in Bouin’s solution for 15–20 h and washed extensively with LiCO3-saturated 70% ethanol several times. Both the testes and ovaries were paraffin embedded, and 4-µm sections were cut and stained with periodic acid Schiff’s reagent and hematoxylin as described previously (15). The PAS-stained testes sections were scanned with a Zeiss Axiophot (Carl Zeiss, Göttingen, Germany) microscope and the images were captured with Adobe Photoshop, version 4.0 graphics program (Adobe Systems, Inc., San Jose, CA). The cross-sectional areas of individual tubules were calculated by Digital Image Analysis using Silicon Graphics-Image Space/Data Manager, version 3.2 software system (Silicon Graphics, Inc., Mountain View, CA). For each genotype, multiple testis sections were scanned and measurements of more than 15 independent tubule sections from four different frames were recorded.

Sperm parameters
Epididymal sperm preparations (from both sides) were made in 1 ml M-2 medium at 37 C as per standard methods (16). Sperm counts and motility were measured using a hemocytometer, and the viability of sperm was determined using an eosin-Y method (17).

Serum analysis
Serum levels of human FSH were measured by a fluorometric enzyme immunoassay (FEIA) using Baxter’s FSH-FEIA kit (Baxter Diagnostics, Inc., Deerfield, IL) and an automated Stratus fluorometric analyzer according to the manufacturer’s instructions. The sensitivity of the assay was 0.3 mIU/ml. The cross-reactivity to LH, TSH, and hCG was below the 0.5% level.

Statistical analysis
Single factor ANOVA and Student’s t test were performed using the Microsoft Excel software (Version 4.1) program (Microsoft Corporation, Redford, WA). A P value of < 0.05 was considered significant.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Pituitary gonadotrope-specific expression of a 10-kb hFSHß transgene completely rescues the mouse FSHß deficiency
Initially, fshbm1/fshbm1 male mice were bred to female mice that carry the 10-kb hFSHß transgene. The fshbm1/+, human FSHß + progeny did not show any obvious or unique phenotypes. These resulting fshbm1/+ mice that carry the transgene were intercrossed to generate fshbm1/fshbm1, human FSHß+ (FR-I) mice (Fig. 1Go). fshbm1/fshbm1 male mice demonstrate reduced testis size and a decrease in sperm number and motility compared with age-matched fshbm1/+ control mice (Ref. 9 and Table 1Go). To analyze whether the 10-kb hFSHß transgene could rescue the fshbm1/fshbm1 mice, testes from adult FR-I male mice were observed morphologically and histologically (Fig. 2Go, A–C). The testis size was restored to that of wild-type or fshbm1/+ control male mice that carry the transgene. In addition, there was also a quantitative restoration of the sperm parameters including sperm number and motility (Table 1Go). We performed Digital Image Analysis and measured the cross-sectional area of tubules in the PAS-stained sections. This analysis, which represents the tubule volume, indicated that the area of tubules (average ± SEM area) in FR-I male was comparable with that of control male mice [71.5 ± 5.9 U (27 tubules) vs. 72.0 ± 2.4 U (19 tubules); P > 0.05]. In contrast, the average area of tubules in the testis of fshbm1/fshbm1 mice was found to be 62% that of FR-I mice [44.2 ± 1.7 U (28 tubules) vs. 71.5 ± 5.9 U (27 tubules); P < 0.05], consistent with an overall decrease in testis size. There were no additional differences in the testis histology between FR-I and control male mice, including Leydig cell number (data not shown).


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Table 1. Restoration of testicular weights and sperm parameters in type I-rescue male mice

 


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Figure 2. Type I rescue of FSH-deficient male (A–C) and female (D–F) mice. A, Testes from 8-week-old male mice. L to R, fshbm1/fshbm1; fshbm1/fshbm1, hFSHß+; and fshbm1/+, hFSHß+. Note that testis size is restored to that of control. B and C, Histology of Bouin’s fixed testes from 56-day-old fshbm1/fshbm1 (B) and type I rescue (C) male mice. Note an increase in the tubule volume and the presence of abundant late (elongated) spermatids in the type I rescue male mouse testis. Leydig cells are indicated by arrows in "B" and "C". "B" and "C" were photographed at the same magnification. D, Morphology of ovaries and uteri from fshbm1/fshbm1 (top) and fshbm1/fshbm1, hFSHß+ (bottom) female mice at 63 days. Note the increase in size of uteri and ovaries in the type I rescue female mouse compared with the fshbm1/fshbm1 mouse. E and F, Histology of ovaries from fshbm1/fshbm1 (E) and fshbm1/fshbm1, hFSHß+ (F) female mice at 63 days of age. Note the block in folliculogenesis at the preantral stage in the fshbm1/fshbm1 mouse ovary. In "E", a primary follicle is shown by an asterisk. Black arrows indicate early antral follicles. The curved arrow indicates an atretic early antral follicle. A degenerating antral follicle is denoted by an open arrow. No corpora lutea are seen. In contrast, all the stages of folliculogenesis including multiple corpora lutea (arrows) are clearly seen in the type I rescue female mouse ovary. "E" and "F" were photographed at the same magnification.

 
Similar to male mice, FR-I female mice showed restoration of the uterine and ovarian sizes (Fig. 2Go, D–F). The ovarian histology of FSH-deficient mice demonstrates limited progression of folliculogenesis. No normal antral or later stage follicles are seen, but primordial and preantral follicles are observed with apparently normal theca, granulosa layers, and oocytes (9). In contrast, histological examination of the ovaries obtained from FR-I adult female mice showed normal stages of folliculogenesis including the presence of antral follicles and preovulatory follicles. In addition, there were obvious corpora lutea (Fig. 2FGo), suggesting that the presence of the human FSHß transgene restored the estrous cycle to normal. Furthermore, in contrast to the complete infertility of the fshbm1/fshbm1 female mice, 6 out of 6 breeding FR-I female mice produced normal size litters (9.6 ± 0.7 pups/litter; n = 18 litters) and viable offspring. Thus, these results demonstrate that gonadotrope-targeted expression of a 10-kb hFSHß gene in the fshbm1/fshbm1 mutant background results in the formation of an interspecies FSH hybrid (mouse {alpha}:human FSHß) that can completely restore the fertility and rescue the reproductive defects of mice deficient in the mouse FSHß subunit.

Complete restoration of the wild-type phenotype in male but not female type II rescue mice
Bi-transgenic (MT-human FSH) mice that harbor an mMT-1 driven hCG-{alpha} minigene and an mMT-1 driven human FSHß transgene were produced by mating of the independent lines of transgenic mice that express these subunits in multiple tissues (data not shown). The absence of gonadotrope-specific expression of the hFSHß subunit was confirmed by dual immunofluorescence (using a hFSHß-specific monoclonal antibody and rat LHß polyclonal antiserum), and by RT-PCR analysis of individual pituitary total RNA using hFSHß 3' UTR-oligonucleotides (data not shown). The production of dimeric hFSH in the serum of these mice was confirmed by a hFSH-specific fluoroimmunoassay. The serum hFSH values in adult males and females were 48.0 ± 5.3 (n = 5) and 115.9 ± 24.4 (n = 5), respectively, and would not be expected to be pulsatile (MT-1 promoter is constitutively active). These mice were fertile and did not show any overt phenotypes up to 1 yr of age. MT-hFSH+ (i.e. both MT-CG{alpha} and MT-hFSHß transgene bearing) female mice were bred to fshbm1/fshbm1 male mice; fshbm1/+, MT-hFSH+ mice were obtained and were intercrossed to generate fshbm1/fshbm1, MT-hFSH+ (FR-II) mice.

The presence of the MT-hFSH transgenes both qualitatively (testis size) and quantitatively (sperm number and motility) restored the wild-type phenotype in male FR-II mice (Fig. 3Go, A–C and Table 2Go), similar to the FR-I male mice. Digital Image Analysis was performed to measure the cross-sectional area of tubules from PAS-stained sections of FR-II and control male mice. Similar to FR-I male mice, the average ± SEM cross-sectional area of tubules from FR-II male mice was comparable with that of control male mice and is significantly different when compared with that from the testis of fshbm1/fshbm1 mice (78.6 ± 8.2 U (22 tubules) vs. 44.2 ± 1.7 U (28 tubules); P < 0.05].



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Figure 3. Type II rescue of FSH-deficient male (A–C) and female (D–F) mice. A, Testes from 8-week-old male fshbm1/fshbm1 (left); fshbm1/+, MT-hFSH+ (center); and fshbm1/fshbm1, MT-hFSH+ (right) mice. B and C, Histology of Bouin’s fixed testes from 56-day-old fshbm1/fshbm1 (same as Fig. 2BGo) (B) and type II rescue (C) male mice. Note the restoration of testis size by the metallothionein-driven hFSH. Note an increase in tubule volume and the presence of late (elongated) spermatids in the type II rescue male mouse similar to type I rescue male mice. Leydig cells are indicated by arrows in panels B and C. B and C were photographed at the same magnification. D–F, Histological analysis of ovaries from adult female mice. D, Ovarian histology of an fshbm1/fshbm1, MT-hFSH+ mouse ovary showing that the preantral stage folliculogenesis block is not restored. In D, black arrows indicate preantral follicles, open arrow indicates an early antral follicle, and curved arrows indicate degenerating antral follicles. E and F, Ovarian histology of an fshbm1/fshbm1, MT-hFSH+ mouse demonstrating a rescue of folliculogenesis. Multiple stages of folliculogenesis are seen including some small antral follicles (open arrows) and one obvious corpus luteum (arrow) shown at low and high power magnification in E and F. D and E were photographed at the same magnification.

 

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Table 2. Restoration of testicular weights and sperm parameters in type II-rescue male mice

 
In contrast to the rescue of FR-II males, only 3 out of 10 female FR-II mice became pregnant when mated to male mice and delivered small size litters (5.2 ± 0.7 pups/litter; n = 4 litters). Southern blot analysis of tail DNA samples from these FR-II female mice reconfirmed the genotypes. Interestingly, two of these females died due to unknown reasons between 24–48 h after the delivery of the pups. Histological analyses of ovaries from the FR-II females that failed to become pregnant demonstrated a phenotype similar to ovaries from fshbm1/fshbm1 mice [i.e. there appeared to be a block in folliculogenesis before the antral stage (Fig. 3DGo)]. The majority of these nonrescued FR-II female mice also had thin uteri. However, histological analysis revealed that ovaries from one of the fertile FR-II female mice that became pregnant and delivered one litter had an obvious corpus luteum and also small antral follicles (Fig. 3Go, E and F). Therefore, these results suggest that ectopically produced hFSH can restore the phenotypes completely in male but only incompletely in female FR-II mice.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
We have rescued FSH-deficient mice by two different genetic strategies. In type I rescue mice, a 10-kb hFSHß transgene that contains gonadotrope-specific, steroid-responsive, and GnRH-responsive elements (12, 18, 19), completely restored both male and female wild-type phenotypes when introduced into the FSH-mutant background. We have previously shown that the hFSHß transgene expression is regulated similar to the endogenous mFSHß gene in the mouse pituitary (12, 18, 19). These data clearly indicate that the interspecies FSH hybrid (mouse {alpha}: human FSHß) is biologically equivalent to mouse FSH. In addition, these in vivo data also lend support to the notion from previous in vitro studies that receptor-specific epitopes on FSHß-subunits are conserved between mammalian species (20). Thus, by targeting species-specific FSHß transgenes to pituitary gonadotropes in the mouse FSH-deficient background (i.e. using FSHß knockout mice), one could estimate in vivo the differences in biopotency of FSHß subunits of different species heterodimerized with the endogenous mouse {alpha}-subunit.

It is known that mMT-1 the promoter is active in multiple tissues (21). In the type II rescue mice, we have targeted the human {alpha}-glycoprotein hormone and human FSHß-subunit genes to multiple tissues using a mMT-1 promoter and introduced these transgenes into the mouse FSH-deficient background. This ectopic expression of human FSH also restored the normal testicular phenotypes both qualitatively and quantitatively in male FR-II mice. Although at low frequency (30%), the FR-II female mice could also be rescued because three of these females became pregnant and delivered their litters. However, we do not know if the sustained and constitutive ectopic (nonpulsatile) expression of human FSH in some way caused the lethality of the FR-II female mice (2 of the 3) that became pregnant and successfully delivered their litters. The reason for the differences in fertility between individual FR-II female mice is unclear. It may perhaps be due to individual differences in gonadal response(s) to prolonged exposure to hFSH. Along with the type I rescue data, these results suggest that for normal progression of ovarian folliculogenesis, FSH released from the pituitary in a pulsatile manner appears to be more efficient than ectopically produced FSH in a nonpulsatile manner. The genetic rescue of FR-I and FR-II female mice is consistent with our previous hCG/PMSG-induced superovulation data confirming that the ovulatory competence is unaffected in the complete absence of FSH in fshbm1/fshbm1 mice (9). The genetic rescue experiments provided the final formal proof that the reproductive abnormalities of fshbm1/fshbm1 mice are caused by the purposefully engineered mutation in the mouse FSHß gene.

Several types of in vitro bioassays have been developed to test different FSH analogs and isoforms. These include measurement of steroids (22, 23) or cAMP (24) or reporter gene expression using cells or cell lines from different species (25, 26). Our present results based on a genetic rescue suggest that FSHß-deficient mice can be successfully used as an in vivo bioassay to test the bioactivity of various human FSH isoforms and analogs. By injecting various FSH analogs, increments in testicular size, and quantitative analysis of sperm parameters (such as sperm number and motility) or scoring the progression of ovarian folliculogenesis beyond antrum formation can be reliably monitored in a homogeneous (i.e. FSHß-deficient) genetic background.

Mammalian reproduction is a complex physiological process involving interactions between diverse factors secreted from the hypothalamic-pituitary-gonadal axis (27, 28). The fact that the reproductive defects in FSH-deficient mice could be successfully rescued by FSH transgenes further emphasizes the power of introducing mutations by a gene-targeting approach into specific loci without any global-perturbations in the mouse genome.


    Acknowledgments
 
We thank Ms. Yan Wang for aid in genotyping of the mice and Ms. Shirley Baker for preparing the manuscript. We thank Dr. J. L. Jameson and Dr. Irving Boime for providing the hFSHß genomic clones, Dr. Irving Boime for providing the human CG {alpha} minigene, and Dr. Richard Palmiter for the gift of the mouse metallothionein I promoter sequences. We thank Dr. Mike A. Mancini for helping us with the Digital Image Analysis.


    Footnotes
 
1 These studies were supported by National Institutes of Health Grants CA-60651 (to M.M.M.) and HD-28367 (to M.J.L.). Back

Received December 4, 1997.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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