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Endocrinology Vol. 140, No. 10 4732-4738
Copyright © 1999 by The Endocrine Society


ARTICLES

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


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
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.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
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. 1Go), three of which we have studied: P450scc, P450c17, and 3ß-hydroxysteroid dehydrogenase/{Delta}5-{Delta}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{alpha} hydroxylase/C17–20 lyase (P450c17, CYP17) has dual activities; it hydroxylates progesterone at the 17{alpha} position and converts the 21-carbon 17{alpha}-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).

 
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.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Materials
Chemicals were obtained from Fisher Scientific (Fairlawn, NJ) or Sigma Chemical Co. (St. Louis, MO) unless otherwise noted. Waymouth’s 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 Waymouth’s 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 80–90% 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 8–19-98 under accession no. 97–4216.

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{alpha}-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).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
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. 2Go) 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 {lambda}/HindIII digest.

 
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. 3Go). 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 3AGo 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 3BGo 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 Student’s t test.

 
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. 4Go). 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. 4Go, 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.

 
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. 4CGo). 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. 5Go). 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. 5AGo). 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{alpha} promoter. A promoter/reporter minigene system employing the luciferase reporter gene was used to characterize the promoter of the P450c17{alpha} 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.

 
Figure 5BGo 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. 5Go). 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. 5BGo). 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. 5CGo, 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.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
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 {alpha}-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 (1–3 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.). Back

Received April 26, 1999.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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