Endocrinology Vol. 140, No. 10 4732-4738
Copyright © 1999 by The Endocrine Society
Müllerian-Inhibiting Substance Regulates Androgen Synthesis at the Transcriptional Level1
Jose Teixeira,
Eric Fynn-Thompson,
Anita H. Payne and
Patricia K. Donahoe
Pediatric Surgical Research Laboratories, Massachusetts General
Hospital and Harvard Medical School (J.T., E.F.T., P.K.D.), Boston,
Massachusetts 02114; and the Division of Reproductive Biology,
Department of Gynecology/Obstetrics, Stanford University (A.H.P.), Palo
Alto, California 94305
Address all correspondence and requests for reprints to: Jose Teixeira, Ph.D., Pediatric Surgical Research Laboratories/WRN1024, Massachusetts General Hospital, 32 Fruit Street, Boston, Massachusetts 02114. E-mail:
teixeira{at}helix.mgh.harvard.edu
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Abstract
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Müllerian-inhibiting substance (MIS) is a hormone produced by
Sertoli cells of the fetal testes that causes regression of the
Müllerian ducts, the precursors to female reproductive tract
structures that are present in the bipotential urogenital ridge. MIS is
also produced in the adult gonads of both males and females, albeit at
much lower levels than those measured during the fetal and perinatal
periods. Adult transgenic mice chronically overexpressing MIS exhibit
severe gonadal abnormalities and, in males, dramatically reduced levels
of testosterone, which might lead to the incomplete virilization
observed in some of the males. To understand the roles played by MIS in
the adult gonad, we performed Northern analyses to show that the MIS
type II receptor is expressed in purified Leydig cells and in two
rodent Leydig cell lines, R2C and MA-10. Addition of purified
recombinant human MIS to cultures of both R2C and MA-10 cells reduced
steroid production. With MA-10 cells, the reduction of testosterone
secretion into the medium was reduced to 1/10th of that in the control
culture, which provided us with a means to study the molecular
mechanisms underlying MIS-mediated suppression of testosterone
synthesis. Northern analysis revealed that after stimulation with cAMP,
the expression of messenger RNA for P450c17 hydroxylase/lyase, the
enzyme that catalyzes the conversion of progesterone to
androstenedione, was reduced to background levels in the presence of
MIS. Addition of cycloheximide, a protein synthesis inhibitor, did not
prevent the effect of MIS, indicating a direct effect of MIS signal
transduction on the expression of P450c17. Analysis of the
transcriptional activity of Cyp17, the gene for murine P450c17, with
Cyp17 promoter/luciferase reporter constructs shows that MIS regulates
the transcription of Cyp17 in a concentration- and time-dependent
manner. From our results, we conclude that MIS might play a
physiological role in maintaining testosterone homeostasis. These
findings will allow us in the future to use the transcriptional
regulation of Cyp17 as a model to uncover the signal transduction
pathways of MIS and the molecular mechanisms of its suppression of
androgen synthesis.
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Introduction
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MÜLLERIAN-inhibiting substance (MIS)
is a member of the transforming growth factor-ß (TGFß) family of
growth and differentiation factors. After the sexually indifferent
gonad commits to testis development under the influence of the
testis-determining factor, SRY, Sertoli cells of the fetal testis begin
producing MIS, which is a phenotypic hallmark of testis development
(1). MIS, also known as anti-Müllerian hormone (2), is absolutely
required for normal male reproductive tract development because it
affects the regression of the Müllerian duct of the bipotential
urogenital ridge, which, if left undisturbed, would give rise to female
reproductive tract structures such as the uterus, fallopian tubes, and
upper vagina (3, 4, 5). Adult ovaries and testes also produce MIS, albeit
at much lower levels than in fetal males, and the functional roles
played by MIS in these settings have not been fully elucidated (6, 7).
However, studies in the rat suggest a role for MIS in oocyte maturation
(8) and in human ovary in blocking granulosa cell proliferation and
reducing steroidogenesis (9, 10). Also, phenotypes of genetically
altered adult mice have yielded several clues for a possible role for
MIS in the adult, including regulation of steroidogenesis. Mice
chronically overexpressing a human MIS transgene develop varying
degrees of gonadal abnormalities in the adult (11). Soon after birth,
ovaries become depleted of germ cells and organize into structures
resembling seminiferous tubules; later, the ovaries degenerate in the
adult. Male mice (25%) from the highest MIS-overexpressing animals
have undescended testes, which are also depleted of germ cells. These
males lacked seminal vesicles and had underdeveloped epididymides,
feminized external genitalia, and serum levels of testosterone 1/10th
those in normal male mice (11, 12). These results suggested that MIS
overexpression might interfere with androgen biosynthesis in Leydig
cells. Conversely, homologous recombination in mice so that they no
longer expressed either the MIS ligand (13) or the MIS type II receptor
(14) also resulted in gonadal abnormalities consisting of Leydig cell
hyperplasia and focal atrophy of the germinal epithelium. Thus, MIS
appears to have a role in maintaining steroid hormone balance in both
male and female gonads after birth.
Leydig cells or interstitial cells are found in the testes surrounding
the seminiferous tubules. Their major function is to produce
testosterone, which is essential for the normal male phenotype.
Testosterone is synthesized from cholesterol in five steps by the
activity of four enzymes (Fig. 1
), three
of which we have studied: P450scc, P450c17, and 3ß-hydroxysteroid
dehydrogenase/
5-
4-isomerase (3ßHSD)
(15). P450scc (cytochrome P450-side chain cleavage, also known as
CYP11A) is a member of the superfamily of cytochrome P450 hemeproteins
(16), is located on the inner mitochondrial membrane, and catalyzes the
committed step of cholesterol conversion to steroid hormones by
converting the 27-carbon cholesterol molecule to the 21-carbon
pregnenolone. Pregnenolone moves out of the mitochondria and is
converted to progesterone by the activity of 3ßHSD, a nonP450 enzyme.
Cytochrome P450c17
hydroxylase/C1720 lyase (P450c17,
CYP17) has dual activities; it hydroxylates progesterone at the 17
position and converts the 21-carbon 17
-hydroxyprogesterone to the
19-carbon androstenedione. Androstenedione is then converted to
testosterone by the activity of 17-ketosteroid reductase, a non-P450
enzyme that reduces the ketone at the carbon 17 position.

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Figure 1. Testosterone biosynthesis. 21-Carbon testosterone
is synthesized from the 27-carbon cholesterol molecule by the
activities of P450scc (cytochrome P450 side-chain cleavage), P450c17
(cytochrome P450c17 hydroxylase/lyase), 3ßHSD, and 17KSR
(17-ketosteroid reductase).
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Recent studies have shown that the steady state levels of messenger
RNAs (mRNAs) for steroidogenic enzymes P450scc, 3ßHSD and P450c17
appear down-regulated in the testes and in purified Leydig cells of the
MIS-overexpressing transgenic mice, as was the level of serum
testosterone and estradiol (17, 18). Correlative RT-PCR results showed
that the MIS type II receptor mRNA was present in purified Leydig
cells, suggesting that the MIS exerted its observed Leydig cell effects
directly via the MIS receptor (17).
Signal transduction by members of the TGFß family of glycoprotein
homodimers occurs when the ligand binds to a heteromeric complex of
single transmembrane, serine/threonine kinases. Ligand specificity
within the family is determined by the type II receptor, which, in
turn, recruits and phosphorylates the appropriate type I receptor for
subsequent downstream signaling via subsets of ligand-specific
Smads (19). Efforts to determine the molecular mechanisms of MIS
signal transduction have led us and others to the cloning of the MIS
ligand and its MIS type II receptor and their characterization (4, 20, 21, 22, 23). To understand the downstream pathways that are activated by
the MIS ligand binding to its receptor, we are dissecting the role that
MIS plays in Leydig cell function and steroidogenesis. Using the rodent
Leydig tumor cell lines R2C and MA-10, we have established a system for
studying MIS signal transduction and have been able to show that MIS
regulates steroidogenesis at the transcriptional level.
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Materials and Methods
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Materials
Chemicals were obtained from Fisher Scientific
(Fairlawn, NJ) or Sigma Chemical Co. (St. Louis, MO)
unless otherwise noted. Waymouths MB 752/1 medium, gentamicin,
oligonucleotides, and trypsin-EDTA were obtained from Life Technologies, Inc. (Grand Island, NY). Restriction and modifying
enzymes, firefly luciferase and Renilla luciferase vectors,
and reagents were purchased from Promega Corp. (Madison,
WI). Radionucleotides were purchased from New England Nuclear (Boston,
MA). Rat P450scc complementary DNA (cDNA) was a gift from Dr. J.
S. Richards (Baylor College of Medicine, Houston, TX). Female FCS was
obtained from Aires Scientific/Biologos (Richardson, TX). Standard
recombinant DNA techniques were used (24). Advantage polymerase enzyme
was used in the PCR amplification (CLONTECH Laboratories, Inc., Palo Alto, CA). All animal studies were performed in
accordance with the NIH Guide for the Care and Use of Laboratory
Animals.
Cell culture
R2C, a rat Leydig tumor cell line (American Type Culture Collection, Manassas, VA), was maintained in F-10 medium
containing 15% horse serum and 2.5% female FCS (Aires
Scientific/Biologos). The mouse MA-10 Leydig tumor cell line, a gift
from Dr. Mario Ascoli (University of Iowa, Ames, IA), was maintained in
Waymouths MB 752/1 medium (Life Technologies, Inc.)
modified to contain 20 mM HEPES (pH 7.4), 50 µg/ml
gentamicin, and 15% horse serum. For these experiments, R2C and MA-10
cells were incubated in a humidified atmosphere with 5%
CO2 at 37 C and fed every other day until reaching 8090%
confluence.
Northern analyses
Total RNA was extracted using the guanidine
isothiocyanate-cesium chloride method (24). All RNA was extracted with
successive rounds of phenol, chloroform, and ether; ethanol
precipitated; and quantitated by absorbance at A260. Ten
micrograms of each RNA sample were denatured with dimethylsulfoxide and
glyoxal at 65 C, separated in a 1.5% agarose gel, blotted overnight
onto nylon membranes, and either baked at 80 C in a vacuum oven or UV
cross-linked. Testes were surgically extracted from 30-day postnatal
rats and homogenized, and RNA was extracted as before for use as a
positive control. RNA from isolated primary Leydig cells of 21-day-old
rats purified by Percoll density gradient centrifugation to 95%
homogeneity was provided by Dr. Mary Lee (25). Blots were prehybridized
with 100 µg/ml sonicated salmon sperm DNA in 50% formamide
hybridization solution for 3 h at 65 C for riboprobes and at 42 C
for random primed probes. The MIS type II receptor plasmid was
linearized with EcoRV and riboprobes made with SP6
polymerase using standard techniques. 32P-Labeled random
primed cDNA probes were made for P450scc and 3ßHSD. The P450c17
plasmid was linearized with EcoRI and the
32P-labeled riboprobe made with T7 RNA polymerase using
standard techniques. Blots were hybridized overnight with 2 x
106 cpm/ml probe with riboprobes at 65 C and washed at 72 C
or with random primed human probes at 42 C and washed at 60 C with
0.1 x SSC (1 x SSC = 150 mM sodium
chloride and 15 mM sodium citrate)-0.1% SDS and exposed to
radiographic film with intensifying screens at -70 C for 3 days. All
animal studies were performed in accordance with the NIH Guide for the
Care and Use of Laboratory Animals, with institutional approval on
819-98 under accession no. 974216.
RIAs
MA-10 cells were plated on day 0 in sextuplicate at 5 x
104/well in 12-well plates for each time point indicated.
Recombinant human MIS (rhMIS) was prepared from Chinese hamster ovary
(CHO) cells stably transfected with a linear construct of the human
MIS gene (4). Active, secreted protein in the growth medium
was then passed over an immunoaffinity column prepared with the
monoclonal MIS antibody, 6E11, conjugated to Affi-Gel-10 (26). Bound
MIS was then eluted off the column with 3 M ammonium
thiocyanate solution, pH 7.4, or 1 M acetic acid, pH 3.0;
protein concentrations were determined by Bradford assays after pH
neutralization and desalting by centrifugal filtration (27). The
bioactivity of the MIS was then verified using an established organ
culture assay, which grades the regression of the 14.5-day gestation
rat urogenital ridge (28). Vehicle control or 105 nM MIS in
the presence or absence of (Bu)2cAMP (50 µM)
was added to MA-10 cells 2 days after plating and incubated for the
indicated number of days. Culture medium was collected and assayed by
RIA for total accumulated progesterone and testosterone by the NICHHD
P30 Reproductive and Endocrine Sciences RIA Core Laboratory at the
Massachusetts General Hospital.
Luciferase reporter assays
The P450c17 promoter fragment of 1018 bp was amplified by PCR
from mouse genomic DNA using 5'-GAGCTCGAGTATTGGCATTGCGTCCC and
5'-CTCGAGGGCAGATGGCCAGCTGTGGA as primers with complimentary
SacI and XhoI sites (29). Advantage polymerase
enzyme was used in the PCR amplification (CLONTECH Laboratories, Inc., Palo Alto, CA). The PCR fragment was cloned into pCRII
(Invitrogen, San Diego, CA) for sequence analysis and cut
out with SacI/XhoI. pGL3B vector was digested
with SacI and XhoI and ligated to the P450c17
promoter fragment, generating P450c17-Luc. The constructs
were purified by cesium chloride ultracentrifugation. MA-10 cells were
plated at 2 x 105 in triplicate and were transfected
with P450c17
-Luc using the FuGene 6 lipid protocol
(Roche Molecular Biochemicals, Indianapolis, IN).
pGL3B, the promoterless parent plasmid was used as a negative control.
pRL-TK encoding Renilla luciferase (Promega Corp.) under the control of a HSV thymidine kinase
promoter was cotransfected as an internal control for transfection
efficiency and steroid pathway specificity. Cell lysates were made and
assayed for luciferase activity using a Berthold Automatic luminometer
(Wallac, Inc., Turku, Finland).
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Results
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The MIS type II receptor is expressed in Leydig cells
The MIS ligand binds to the MIS type II receptor to initiate
downstream signaling. Northern analysis (see Fig. 2
) was performed to determine whether
there was requisite expression of the MIS type II receptor in total RNA
isolated from rat testes, R2C cells, MA-10 cells, and purified primary
Leydig cells. These findings indicate that Leydig cells could respond
directly via the MIS type II receptor from paracrine production of MIS
in the nearby Sertoli cells. The bands observed under stringent
hybridization conditions in the cell lines and purified Leydig cells
migrated a distance equal to that seen with testis RNA, suggesting that
the MIS type II receptor probe hybridized to the same mRNA species.
MA-10 cells also show a faster migrating band that has been observed
with R2C cells in other Northern experiments. Attempts to clone
the faster migrating band by rapid amplification of cDNA 5'-ends have
resulted in the isolation of type II receptor cDNAs lacking the first
two exons whose functional physiological relevance has not yet been
tested (Teixeira, J., and P. K. Donahoe, unpublished).

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Figure 2. MIS type II receptor mRNA expression in rodent
Leydig cells. Total RNA was isolated from the indicated sources,
denatured, electrophoresed, blotted to a nylon membrane, and probed
with a radiolabeled MIS type II receptor riboprobe as described in
Materials and Methods. The blot was exposed to x-ray
film to detect the migration of the hybridized mRNA. The mol wt marker
shown indicates the migration of the 2-kb band of a
/HindIII digest.
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MIS inhibits steroid production by Leydig cells
To determine whether MA-10 would serve as suitable cells in which
to study the down-regulation of steroid hormone production observed in
mice overexpressing MIS in vivo, we incubated MA-10 with MIS
and measured the levels of progesterone and testosterone secreted into
the medium (Fig. 3
). MA-10 cells are a
mouse Leydig cell tumor line that, in addition, have functional
gonadotropin receptors resulting in enhanced steroid production in
response to cAMP or LH/hCG, thus mimicking the physiological state of
Leydig cells in vivo (15, 30). Figure 3A
shows that
incubation of MA-10 cells with MIS for 2 days resulted in a modest, but
significant, 40% reduction in progesterone secretion in both the
cAMP-stimulated and unstimulated states. Figure 3B
shows the
concentration of testosterone secreted by MA-10 cells incubated with
MIS over a 2-day time course was 10-fold lower than that of cells not
treated with MIS. The level and time course of steroid hormone
reduction were similar to those seen when human follicular cells,
harvested at the time of in vitro fertilization, were
incubated with recombinant MIS (9) and when primary Leydig cells were
incubated with MIS (18).

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Figure 3. Analysis of steroid production in MA-10 cells.
Culture medium was collected and assayed by RIA for total accumulated
progesterone (A) and testosterone (B); shown are levels after 1 or 2
days of treatment with 105 nM MIS in the presence or
absence of 50 µM cAMP. Gross morphology was
indistinguishable between MIS-treated and untreated cells. There was no
significant difference between total protein content in MIS-treated and
untreated cells as measured previously (27 ). Error bars
represent the SEM. *, P < 0.05; **,
P < 0.001; ***, P < 0.0001.
Significance was measured using Students t test.
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MIS reduces steady state levels of c17 mRNA
To uncover the molecular mechanisms responsible for these
effects, we examined the effect of MIS on the steady state levels of
the mRNAs for the steroidogenic enzymes P450scc, 3ßHSD, and P450c17
(Fig. 4
). Northern analysis revealed that
the levels of mRNA, although marginally lower for P450scc and 3ßHSD
for both R2C after 3-h treatment and MA-10 cells after overnight
treatment with MIS (Fig. 4
, A and B, respectively), were dramatically
reduced for P450c17 to undetectable levels in cAMP-stimulated MA-10
cells.

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Figure 4. Northern analysis of the expression of RNAs for
steroidogenic enzymes. Northern analysis of the steady state levels of
mRNAs from the indicated cells for steroidogenic enzymes was performed
as described in Materials and Methods with the indicated
probes. Blots were reprobed with a human ß-actin to control for
sample loading. A, R2C cells were treated for 3 h with MIS (105
nM) or vehicle control as indicated. Total RNA was
extracted from the cell cultures after incubation, and Northern blots
were performed using 10 µg of each sample, with 30-day postnatal rat
testis RNA as a control. B, MA-10 cells were treated for 18 h with
MIS (105 nM) or vehicle control in the presence or absence
of (Bu)2cAMP (50 µM) as indicated. C, MA-10
cells were treated overnight with 5 µg/ml cycloheximide and MIS or
vehicle control, as indicated.
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We also tested whether the down-regulation of c17 mRNA by MIS required
protein synthesis, which would indicate whether the effect of MIS on
c17 mRNA was direct and found that overnight incubation of MA-10 cells
with MIS in the presence of cycloheximide, a protein synthesis
inhibitor, continued to cause a significant decrease in the steady
state level of c17 mRNA (Fig. 4C
). RNA was prepared from MA-10 cells,
incubated with MIS in the presence or absence of cycloheximide and
analyzed by Northern blot for c17 mRNA. Surprisingly, addition of
cycloheximide alone was sufficient to induce expression of c17 mRNA
above levels seen with cAMP induction.
MIS regulates c17 expression at the transcriptional level
Changes in mRNA for the steroidogenic enzymes could be
reflected in, among others, differences in message stability, nuclear
export, or transcription, all of which could be potential points for
regulation by MIS. To study transcriptional regulation of the
Cyp17gene by MIS, we made DNA constructs containing
approximately 1 kb of the Cyp17 promoter fused with the
firefly luciferase gene, transfected them into MA-10 cells,
and assayed for luciferase activity (Fig. 5
). In the first set of experiments, on
the day after transfection with the reporter construct, MA-10 cells
were incubated with varying concentrations of MIS and harvested either
18 or 29 h later to permit induction of luciferase activity, which
was measured and compared (Fig. 5A
). MIS appears to exert its effect on
the exogenous Cyp17 promoter/luciferase reporter after only
18 h with 70 nM MIS. By 29 h, 35 nM
MIS was able to markedly lower luciferase activity and, with 105
nM MIS, luciferase activity was reduced to background
levels. These concentrations, which are high compared with those
required for transcriptional activation by other members of the TGFß
family, are similar to those required for an MIS effect in other assays
and with the 35-nM MIS concentration required for complete
regression of the Müllerian duct in the organ culture bioassay
used to test the potency of MIS preparations (17, 31). Also, firefly
luciferase activation is normalized to a cotransfected
Renilla reporter to rule out nonspecific effects on the cell
by MIS. It is also important to note that the MIS preparations were
tested and were found to be free of activin and TGFß by enzyme-linked
immunosorbent assay, and that when TGFß was added to MA-10, the
Cyp17-driven luciferase activity was not significantly
different from that of untreated cells (not shown).

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Figure 5. MIS regulation of the P450c17 promoter. A
promoter/reporter minigene system employing the luciferase reporter
gene was used to characterize the promoter of the P450c17 gene. A,
MA-10 cells were incubated, 24 h posttransfection, with vehicle
control or 1.4, 7, 35, 70, 105, and 175 nM MIS for 18 or
29 h. Cell extracts were assayed for firefly luciferase and
renilla luciferase activity, and the results are shown as
firefly/renilla values normalized to vehicle control values at 1000
relative light units. B, Cells were incubated with vehicle control or
105 nM MIS for the indicated periods of time starting
24 h after transfection. Cells were also incubated with an
inactive L9 noncleavable mutant MIS for 18 h (shown with an
asterisk). Cell extracts were assayed for luciferase
activity, and the results are shown as firefly/renilla values
normalized to the 18 h vehicle control values at 1000 relative
light units. C, Cells were treated with 105 nM MIS at the
start of transfection and incubated for the indicated periods of time.
Cell extracts were assayed for luciferase activity, and the results are
shown as firefly/renilla values normalized to 18 h vehicle control
values at 1000 relative light units. Error bars
represent the SEM.
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Figure 5B
shows that MIS incubation on the day after transfection has a
slight, but significant, effect on luciferase after 3 h and
becomes pronounced after 18 h. In another experiment, MA-10 cells
when incubated with L9, an inactive form of the MIS ligand that has
been mutated so that pro-MIS could not be cleaved to generate the
bioactive C-terminal portion of the hormone (32), did not affect
luciferase activity as did bioactive, cleavable MIS at the same
concentration and time (shown with an asterisk in Fig. 5
).
As L9 is produced in CHO cells and purified in the same manner as
wild-type MIS, we can conclude that the effect on P450c17 transcription
is due to MIS and not to a possible copurified contaminant.
Luciferase expression appears maximal after overnight transfection, as
luciferase activity was not significantly different in the control
MA-10 cells with 3- to 18-h additional incubation (Fig. 5B
). To take
advantage of an earlier MIS effect, we transfected the Cyp17 reporter
construct and added MIS at the same time. As shown in Fig. 5C
, 18
h after transfection, we observed a 4-fold decrease in luciferase
activity with added MIS, which is considerably greater than that
observed when MIS was added 1 day later. This observation suggests that
MIS can more effectively repress expression of the Cyp17
promoter-driven reporter before it is fully activated.
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Discussion
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A role for MIS in regulating steroidogenesis has been postulated
for some time. In human males, after the first year of life there is a
reciprocal relationship between expression of MIS and serum
testosterone concentrations that remains throughout life (33, 34, 35).
During fetal life and again after the testosterone nadir in the
immediate perinatal period, however, both MIS and testosterone levels
are high. At birth, the levels of MIS in males are slightly lower, but
still 10-fold higher than those in females. During the first 6 months
of life (minipuberty), there is a sharp peak in serum testosterone and
a gradual increase in MIS concentration to its highest level, which is
reached by the first 12 months of age when the concentration of serum
testosterone in males is again at a low point. In precocious puberty
syndromes, such as occurs with testotoxicosis or in the McCune-Albright
syndrome, testosterone levels are elevated at an early age.
Testotoxicosis is caused by activating mutations in the LH receptor,
whereas activating mutations in the stimulatory G protein-coupled
receptor (that are usually due to somatic mutations during early
embryonic development) are responsible for the McCune-Albright
syndrome (36). As serum MIS and testosterone concentrations are
inversely related during normal and precocious puberty, others have
speculated that androgens regulate MIS expression (37). However,
attempts to simulate androgen-regulated MIS expression in tissue
culture (Haqq, C. M., and P. K. Donahoe, unpublished) have
not been fruitful, and thus the hypothesis remains speculative.
Conversely, our results demonstrating both reduction of steroids and
Cyp17 transcription indicate that MIS inhibits androgen production or
at least imply that both androgen production and MIS expression are
coordinately regulated by an as yet unknown mechanism.
We have also observed an effect of MIS on progesterone secretion by
MA-10 cells that was reflected in a decrease in steady state mRNA
levels for both P450scc and 3ßHSD. Although the effect was modest
compared with that of MIS on testosterone and Cyp17 mRNA, it suggests
strongly that MIS might also regulate the expression or activity of
other enzymes in the steroid biosynthetic pathway.
The MIS regulation of steroidogenesis in Leydig cells by
transcriptional control of Cyp17 exposes a conundrum in MIS-mediated
suppression of testosterone synthesis that may indicate it is
developmentally regulated. Fetal Leydig cells proliferate and show
increased androgen synthesis, which is required for male phenotypic
development, independent of gonadotropin stimulation in the rodent (38, 39). We would have expected that these fetal Leydig cells must be
refractory to MIS-mediated inhibition of androgen synthesis, because
the level of MIS is also high at this time. However, in
MIS-overexpressing mice (11) impairment of the testosterone-regulated
differentiation of the fetal Wolffian duct, which is the precursor of
the vas deferens, epididymides, and seminal vesicles, was observed.
Also, incubation of fetal rat Leydig cells with MIS in vitro
results in suppression of testosterone synthesis (18). After birth,
when MIS levels remain high, fetal-derived Leydig cells begin
regressing, and lower levels of androgens ensue. The adult Leydig cells
arise and proliferate from mesenchyme precursors at puberty, when MIS
levels reach their nadir (35, 40), and begin producing androgens after
stimulation with LH (41). The MIS-regulated cell lines used in our
studies were originally derived from this adult Leydig cell population.
This distinction is important when attempting to understand why fetal
Leydig cells, which are in an environment with high levels of MIS,
continue to produce androgens. Study of these different Leydig cell
populations for type II receptor expression and MIS signal transduction
could address the role of MIS-mediated inhibition of steroidogenesis in
fetal Leydig cells (25).
Although the amount of testosterone secreted by MA-10 cells is much
lower than that secreted by purified Leydig cells (18) and
significantly lower than the level of progesterone, prevailing opinion
is that MA-10 cells do not produce testosterone. Our results clearly
indicate not only that MA-10 cells secrete measurable amounts of
testosterone into the medium, but that it can be enhanced 3-fold by
cAMP addition. The original report detailing the cloning and
characterization of the MA-10 cell line also shows low levels of
testosterone secretion, which was induced with hCG (30). MA-10 cells
have proven enormously valuable to understand MIS-mediated inhibition
of Cyp17 expression and will be very useful in our future efforts to
understand the molecular mechanisms of that inhibition.
In our studies to determine whether the MIS signal transduction
directly mediated suppression of Cyp17 mRNA expression in the absence
of protein synthesis, we observed that cycloheximide alone was able to
induce expression of Cyp17 mRNA. The increase in Cyp17 mRNA with
cycloheximide treatment is probably not artifactual and is commonly
observed with labile mRNAs (42); it could indicate the presence of a
protein that inactivates or turns over a crucial component of Cyp17
expression. In the case of c-myc mRNA, mRNA stability has
been linked to translation of the c-myc mRNA itself,
i.e. c-myc mRNA decay is accelerated by its
translation. Cycloheximide blocks c-myc translation and
therefore prolongs the c-myc mRNA half-life (43).
Many advances in understanding TGFß signal transduction mechanisms
have been made because of the availability of both a cell line that
responds to TGFß and a reporter gene with which to measure that
response. Until now such a model system for studying MIS signal
transduction has been lacking. Evidence of transcriptional regulation
of steroidogenic enzymes in rodent Leydig cells by MIS is a significant
advance in our understanding of MIS signal transduction. This first
example of transcriptional regulation of a gene by MIS can be used to
advantage to dissect and define the relevant MIS-specific
cis-elements and trans-acting factors and the
upstream pathways that are responsible for MIS receptor-mediated
molecular events.
There are a number of potential clinical implications that could
emanate from the study of this MIS signal transduction pathway. For
example, MIS-specific checkpoints in the MIS-mediated down-regulation
of testosterone synthesis could be activated and used to lower
endogenous testosterone in such clinical settings as prostatic cancer
and benign prostatic hypertrophy or to lower elevated steroids in
precocious puberty syndromes. Current treatments with GnRH long acting
analogs to down-regulate the GnRH receptor have been successful in the
treatment of central precocious puberty (44), but it is the downstream
variants for which treatment is not yet optimal and could be augmented
by MIS-related treatments. Over 60% of McCune-Albright patients, who
for unknown reasons have a 3:1 ratio of females to males, have elevated
sex steroids in the absence of elevated gonadotropins due to activating
mutations in the
-subunit of the G protein-regulating adenylyl
cyclase (45). In these patients with gonadotropin-independent
precocious puberty, suppression of multiple enzymes in the steroid
production pathway by MIS might, for example, be used to augment the
currently used aromatase inhibitors, which has been helpful over the
short term, but less effective over the long term (13 yr) (46, 47).
 |
Acknowledgments
|
|---|
We thank Drs. Mary M. Lee, David T. MacLaughlin, Mario Ascoli,
Joanne S. Richards, and Trent Clarke for important reagents and/or many
helpful suggestions, and William F. Crowley and Lizabeth A. Perkins for
critically reviewing the manuscript.
 |
Footnotes
|
|---|
1 This work was supported by research grants from the NICHHD
(R01-HD-32112 and P30-HD-28138) and the March of Dimes Birth Defects
Foundation (to P.K.D.), by NICHHD Grant F32-HD-07954 and NCI Grant
R29CA79459 (to J.T.), by NICHHD Grant U54HD31398 (to A.H.P.), and by
the W. G. Austen Fund, Department of Surgery (to E.F.T.). 
Received April 26, 1999.
 |
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