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Endocrinology Vol. 140, No. 6 2685-2695
Copyright © 1999 by The Endocrine Society


ARTICLES

Anovulation in Cyclooxygenase-2-Deficient Mice Is Restored by Prostaglandin E2 and Interleukin-1ß1

Barbara J. Davis, David E. Lennard, Christopher A. Lee, Howard F. Tiano, Scott G. Morham, William C. Wetsel and Robert Langenbach

Laboratory of Experimental Pathology (B.J.D., D.E.L.) and Laboratory of Environmental Carcinogenesis/Mutagenesis (C.A.L., H.F.T., R.L.), National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina 27709; Myriad Genetics, Inc. (S.G.M.), Salt Lake City, Utah 84108; and the Department of Psychiatry and Behavioral Sciences, Duke University Medical Center (W.C.W.), Durham, North Carolina 27710

Address all correspondence and requests for reprints to: Dr. Barbara J. Davis, Laboratory of Experimental Pathology, National Institute of Environmental Health Sciences, Box 12233, Research Triangle Park, North Carolina 27709. E-mail: davis1{at}niehs.nih.gov


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Mice carrying a null mutation for either of the two cyclooxygenase (COX) isoenzymes, necessary for prostanoid production, exhibit several isotype-specific reproductive abnormalities. Mice deficient in COX-1 are fertile but have decreased pup viability, whereas mice deficient in COX-2 fail to ovulate and have abnormal implantation and decidualization responses. The present study identifies the specific contribution of each COX isoenzyme in hypothalamic, pituitary, and ovarian function and establishes the pathology and rescue of the anovulatory syndrome in the COX-2-deficient mouse. In both COX-1- and COX-2-deficient mice, pituitary gonadotropins were selectively increased, whereas hypothalamic LHRH and serum gonadotropin levels were similar to those in wild-type animals (+/+). No significant differences in serum estrogen or progesterone were noted among the three genotypes. Exogenous gonadotropin stimulation with PMSG and hCG produced a comparable 4-fold increase in ovarian PGE2 levels in wild-type and COX-1-/- mice. COX-2-/- mice had no increase in PGE2 over PMSG-stimulated levels. Wild-type and COX-1-/- mice ovulated in response to PMSG/hCG; very few COX-2-/- animals responded to this regimen. The defect in ovulation in COX-2 mutants was attributed to both an abnormal cumulus oophorum expansion and subsequent stigmata formation. Gonadotropin stimulation and concurrent treatment with PGE2 or interleukin-1ß resulted in ovulation of COX-2-/- mice comparable to that in COX-2+/+, whereas treatment with PGF2{alpha} was less effective. Collectively, these data demonstrate that COX-2, but not COX-1, is required for the gonadotropin induction of ovarian PG levels; that COX-2-related prostanoids are required for stabilization of the cumulus oophorum during ovulation; and that ovulation can be restored in the COX-2-/- animals by simultaneous treatment with gonadotropins and PGE2 or interleukin-1ß.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
OVULATION is the physical manifestation of molecular and biochemical cascades controlled by coordinate hormone responses among the hypothalamus, pituitary, and ovary. Among the many mediators of this process, PGs play a key role coordinating tissue responses at all levels, including the preovulatory hormonal surges and ovulation (1, 2, 3, 4). Cyclooxygenase (COX) catalyzes the conversion of arachidonic acid into PGH2 and various specific PG synthases, then converts this rate-limiting precursor into the full complement of prostanoids (5). As PGH2 is an obligatory intermediate in the formation of PGs, the COX enzymes exert a profound regulatory control over PG-initiated pathways such as ovulation.

Two distinct isoforms, COX-1 and COX-2, have been identified on different chromosomes (6, 7) with distinct tissue distribution and expression patterns (8, 9, 10, 11), providing evidence that these enzymes have unique biological actions despite having similar catalytic activities (5). COX-1 is a constitutively active isoenzyme in many cells (12); it is the only isoform present in platelets (13) and is an important intermediary in cellular homeostasis (8). By comparison, COX-2 is an inducible isoform responsive to many growth factors and cytokine stimuli.

Both the preovulatory LH surge and ovulation have been reported to be blocked by the COX inhibitor, indomethacin (4, 14, 15). This blockade appears to occur at the levels of the hypothalamus and ovary, but not at the pituitary level (4, 16, 17). In the hypothalamus, PGs have been shown to stimulate the secretion of LHRH (18), which leads to the release of the gonadotropins (17). Recent evidence indicates that immortalized LHRH neurons contain transcripts for both COX-1 and COX-2, they biosynthesize PGE2, and that this prostanoid stimulates the secretion of LHRH (19). Although additional studies have shown that PGE2 may affect maturation of the LHRH neuronal system during puberty and pulsatile secretion of LHRH (20), the selective contributions of COX-1 or COX-2 to neuroendocrine reproductive function remain to be investigated.

PGs also exert potent effects on ovarian function in all species. Low levels of COX are found in stromal/thecal cells, and it is most likely responsible for maintaining basal levels of ovarian PGs (1, 21, 22). COX-2 is induced in granulosa cells specifically in response to the gonadotropin-induced ovulatory surge, and the temporal correlation of COX-2 message and protein induction in cumulus granulosa cells of mature follicles with this surge provides compelling evidence that COX-2 is important in mediating ovulation (2, 22, 23, 24, 25). Inhibition of COX by nonsteroidal antiinflammatory drugs, such as indomethacin, partially or completely blocks the release of the ovum in all species (including human) studied to date under a variety of experimental conditions (4, 15, 26). However, both COX isoforms are inhibited by nonsteroidal antiinflammatory drugs, and thus, it has been difficult to distinguish whether COX-2 is essential for or associated with ovulation, or whether COX-1 is required for or ancillary to COX-2 during follicular maturation and ovulation. As mice carrying a null mutation for COX-2 fail to ovulate and have abnormal implantation and decidualization responses (27), whereas mice deficient in COX-1 are fertile (28), it appears that COX-2, but not COX-1, is required for ovulation.

COX-2 also appears central to the interaction of PGs and cytokines during ovulation. Specifically, interleukin-1ß (IL-1ß) activity has been linked to the regulation of COX-2 in numerous tissues and inflammatory responses (29), and it appears to be involved in ovulation (30, 31, 32). Most evidence suggests that the ovulatory action of IL-1ß is mediated through the induction of COX-2 and PG production (29, 31, 33, 34). However, in the perfused rat ovary, IL-1ß stimulated ovulation when COX enzyme activity was inhibited with indomethacin (32), providing some evidence that IL-1ß may act independently of PGs. IL-1ß appears to be a contributor to ovarian function and ovulation itself, as an intact functional IL-1ß system is present in the ovary of the mouse, rat, and human (30, 33, 34). In the mouse, IL-1ß is produced in thecal-interstitial cells and to a lesser extent in granulosa cells, whereas the IL-1 receptor is located in all oocytes and granulosa cells of mature antral follicles (33). In addition, IL-1ß is produced in the preovulatory follicle in response to the LH surge, and treatment with IL-1ß receptor antagonists can block ovulation in the mouse (35). However, IL-1ß receptor-deficient mice are fertile (36), suggesting that IL-1ß may not be critical to ovulation.

To assess the interactions of COX-2 and IL-1ß during ovulation and to further delineate the roles of COX-1 and COX-2 in reproductive function, we have examined levels of LHRH, gonadotropin, and sex steroids in mice that have the COX-1 or COX-2 genes functionally deleted. The results indicate that pituitary gonadotropin levels are affected by the COX mutations and establish that COX-2 is essential for the structural maintenance of the cumulus oophorum and for the formation of the stigmata to release the ovum. Furthermore, ovulation can be restored in COX-2-/- mice by treatment with PGs or IL-1ß.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Reagents and materials
The PMSG, hCG, PGF2{alpha}, PGE2, IL-1ß, 10% hydrogen peroxide, 3,3'-diaminobenzidine tetrahydrochloride, chloramine-T, and phenylmethylsulfonylfluoride were purchased from Sigma Chemical Co. (St. Louis, MO). The 10% neutral buffered formalin, hematoxylin, eosin, toluidine blue O (TB) and periodic acid-Schiff were purchased from Fisher Scientific (Pittsburgh, PA). The COX-2 polyclonal antiserum was obtained from Cayman Chemical Co. (Ann Arbor, MI), and the donkey antirabbit IgG biotin antiserum and the peroxidase-conjugated streptavidin were purchased from Jackson ImmunoResearch Laboratories, Inc. (West Grove, PA). RIA kits for estradiol and progesterone were purchased from Diagnostic Products (Los Angeles, CA), the PGE2 kit was purchased from Amersham (Arlington Heights, IL), and the mouse (m) LH and rat (r) FSH RIAs were developed and provided by Dr. A. Parlow at Harbor-University of California-Los Angeles. The A772 antiserum for the LHRH RIA was obtained from Dr. A. Arimura at Tulane University (New Orleans, LA). Sephadex G-100 resin was purchased from Pharmacia Biotech (Piscataway, NJ), and synthetic LHRH was obtained from Phoenix Pharmaceuticals, Inc. (Mountain View, CA).

Animals
COX-1- or COX-2-deficient mice were obtained as previously described (28, 37). Genotype analyses were performed by PCR. The forward primer for identification of COX-1-/- mice was 5'-GCAGCCTCTGTTCCACATACAC-3', the forward primer for the COX-1 wild-type mice was 5'-AGGAGATGGCTGCTGAGTTGG-3', and the reverse primer for both reactions was 5'-AATCTGACTTTCTGAGTTGCC-3'. The forward primer for the COX-2-/- mice was 5'-ACGCGTCACCTTAATATGCG-3', the forward primer for the COX-2 wild-type mice was 5'-ACACACTCTATCACTGGCACC-3', and the reverse primer for both reactions was 5'-ATCCCTTCACTAAATGCCCTC-3'. The PCR reaction was run in the presence of 10% dimethylsulfoxide, where a cycle at 94 C for 1 min was followed by 30 cycles at 94 C for 30 sec, 55 C for 30 sec, and 72 C for 30 sec. The size of the PCR product for the COX-1+/+ was 601 bp, that for the COX-1-/- was 646 bp, that for the COX-2+/+ was 760 bp, and that for the COX-2-/- was 905 bp.

Mice were housed one to three animals per cage on a 12-h light, 12-h dark cycle. Food and water were provided ad libitum. Estrous cyclicity was determined by daily vaginal cytology in mice without knowledge of genotypes beginning 2 weeks after vaginal opening, which occurred when mice were 32–34 days old. Breeding experiments were instituted when the mice were 8–16 weeks of age, and stimulation studies were conducted when the mice were 4–12 weeks old. Mice were killed by carbon dioxide, except for mice used in the hypothalamic and pituitary studies, which were killed by cervical dislocation. For serum hormone analyses, blood was collected under CO2 asphyxiation by cardiac puncture. Serum was separated from red blood cells by centrifugation and stored at -70 C until RIA. All experiments were conducted in accordance with the Guidelines for the Care of Experimental Animals and under an approved protocol from the NIEHS animal care and use committee.

Induction of ovulation
Mice were administered 15 IU PMSG, sc, in sterile water followed 42–48 h later with a single injection of 15 IU hCG, ip, in sterile water. Mice were killed under CO2 gas 24 h after hCG treatment. Parenthetically, it should be noted that in our preliminary studies and in a previous report (27), superovulation attempted in the COX-2-/- mice with a regimen of 5 IU PMSG and 5 IU hCG was unsuccessful. For this reason, we selected a 15-IU protocol.

PGF2{alpha} and PGE2 were first dissolved in ethanol and then diluted in saline to a final concentration of 3% ethanol and were given at a dose of 40 µg/mouse, sc, concurrent with the hCG administration and followed by a second injection 4 h later. The IL-1ß was dissolved in sterile water, and mice received a 100-ng dose (38) concurrent with treatment by hCG. A second dose of IL-1ß was given 4 h later.

For breeding studies, females were housed overnight with proven fertile males after the hCG treatment. Mating was assessed by the presence of a vaginal plug.

Ovarian histology
Ovarian morphology and ovulation were assessed in COX-2+/+, COX-2+/-, COX-2-/-, and COX-1-/- mice by examining histological step-sections of one or both ovaries and oviducts. Ovaries and oviducts were fixed for 24 h in 10% neutral buffered formalin and processed for histopathology. Ovarian morphology and ovulation were assessed by examining step-sections taken every 25 µm through the entire tissue from one or both ovaries and oviducts. Every fifth section was saved unstained for immunohistochemistry or staining with TB (at pH 4.5) or periodic acid-Schiff. The immunohistochemistry for COX-2 was performed on deparaffinized sections that were trypsinized for 20 min at 37 C and blocked with a 3% hydrogen peroxide solution. Murine COX-2 antiserum (1:750) was applied for 60 min, sections were then incubated with donkey antirabbit IgG biotin-conjugated antibody (1:100) for 30 min, followed by peroxidase-conjugated streptavidin (1:400) for 30 min. Positive staining was visualized with 3,3'-diaminobenzidine tetrahydrochloride using hematoxylin as a counterstain. All incubations were performed at room temperature. Corresponding sections from each tissue were treated as described above, except for the deletion of the primary antiserum to serve as a negative control. Additionally, sections from COX-2-/- mice were used as controls. For illustrations, photomicrographs were taken using a Zeiss Axiophot photomicroscope (Carl Zeiss, New York, NY), and selected color slides were imported into Adobe Photoshop version 5.0 (Adobe, San Jose, CA) on a Macintosh 7600/132 PowerPC via a Polaroid SprintScan 35 (Cambridge, MA) and stored on an Iomgea 2GB JAZ drive (Roy, UT). The images were collected at a resolution of 675 pixels/in. Images were then processed into black and white figures using Photoshop, and letters, arrows, arrowheads, boxes, and scale bars were added. Once the images were finalized, they were printed using a Kodak DS 8650 dye sublimation printer (Eastman Kodak Co., Rochester, NY).

Ovulation was quantitated in wild-type and COX-2-/- mice by flushing oviducts separated from the ovaries and counting oocytes under a dissecting scope as previously described (39) in two to five mice per time point in at least two separate experiments. Ovaries were fixed in formalin or frozen at -70 C for further morphological or biochemical studies.

RIAs
The 17ß-estradiol and progesterone levels were determined using commercially available RIA kits. The minimal detectable doses were 1.4 pg/ml for estradiol and 0.03 ng/ml for progesterone; the intraassay variabilities were approximately 6% and 5%, respectively. The mouse LH and rat FSH RIA kits were obtained from Dr. A. Parlow (Harbor-University of California-Los Angeles). The mLH and rFSH were iodinated by chloramine-T and purified over Sephadex G-100 columns, and the RIAs were run as previously described (40). The minimal detectable doses were 2.6 pg and 3.4 ng, whereas the intraassay variabilities were approximately 6% and 7% for mLH and rFSH, respectively. Synthetic LHRH was iodinated by chloramine-T, purified, and used in the LHRH RIA as previously described (41). The A772 antiserum for LHRH recognizes the C-terminal region of the molecule (42). The minimal detectable dose was 0.8 pg, whereas the intraassay variability was approximately 6%.

Extraction of LHRH from the hypothalamus was performed as outlined previously (41). The LH and FSH were extracted from mouse anterior pituitaries with 1.0 N acetic acid and 200 µM phenylmethylsulfonylfluoride. Pituitary samples were sonicated in ice-cold buffer and centrifuged at 15,000 rpm for 15 min at 4 C, and the supernatant was removed. Samples were lyophilized and stored at -80 C until RIA. The pellet was reserved for later protein determination (43).

Basal and stimulated PGE2 levels in the wild-type and COX-deficient mice were measured and considered to be representative of total PG production (28, 37). Consequently, for the present studies PGE2 levels were also used to represent total PG production, and ovarian PGE2 was measured by RIA (Amersham). Briefly, one ovary per mouse was removed and homogenized, and the centrifuged supernatant was submitted to methyl oximation following the manufacturer’s instructions. The minimal detectable dose was 0.8 pg/tube, and the inter- and intraassay coefficients of variation were less than 12% and 10%, respectively.

Statistics
The data are presented as the mean and SEM. The number of observations and replications are noted in the figure legends. All statistics were run using the SAS Institute, Inc. (Cary, NC), package of programs (JMP). Main effects of group (treatment) and time were assessed using two-way ANOVA. Due to the heterogeneity of variance for the serum estradiol and progesterone measurements, these values were log transformed and submitted to ANOVA. Serum and pituitary LH and FSH levels as well as hypothalamic LHRH contents were analyzed by one-way ANOVA. When statistical significance (P < 0.05) was achieved, Fisher’s least significant difference or Newman-Keuls test was used for the post-hoc comparisons. Oocyte numbers and treatment effects were compared using Wilcoxon/Kruskal-Wallis nonparametric rank sum test.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Assessment of estrous cyclicity, reproductive behavior, and fertility in COX-deficient mice
Estrous cyclicity was compared among female littermates of COX-2+/+, COX-2+/-, COX-2-/- mice, COX-1+/+, COX-1+/-, and COX-1-/- mice beginning 14 days after vaginal opening and continuing for 3 weeks. In general, all mice had cycles that included vaginal cytology characteristic of proestrus and estrus at least once during a 3-week period; however, cycle lengths varied from 6–9 days and were irregular in all genotypes, probably due to the young age of the mice (45–66 days old).

When sexually mature littermate pairs of COX-2-/- and COX-2+/- females were cohoused with proven fertile wild-type males (n = 3 pairs), all females copulated, as evidenced by vaginal plugs within 2 days after cohabitation. However, none of the COX-2-/- females demonstrated gestational weight gain or delivered pups, whereas COX-2+/- females delivered viable litters. COX-2-/- mice (n = 4) were also treated with PMSG (5 IU), then with hCG (5 IU) 48 h later, and were housed overnight with proven fertile males. Female mice copulated, as evidenced by vaginal plugs the following day, but did not impregnate.

Concentrations of hormones in hypothalamus, pituitary, and serum
Hypothalamic tissue levels of LHRH were not significantly different among the wild-type (564 ± 67.8 pg/mg protein; n = 9), COX-1-/- (635.2 ± 49.3 pg/mg protein; n = 6), and COX-2-/- (565.7 ± 58.4 pg/mg protein; n = 6) mice. However, pituitary FSH contents in COX-1-/- and COX-2-/- mice were significantly enhanced relative to those in wild-type animals (Fig. 1AGo). Additionally, there was a tendency for COX-2-/- mice to exhibit increased pituitary LH levels (Fig. 1BGo). Although FSH and LH levels were variable in sera from all three genotypes (Fig. 1Go, C and D), there was a tendency for serum FSH values to be higher in the COX-1- and COX-2-deficient mice.



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Figure 1. Comparison of pituitary and serum gonadotropin levels in wild-type, COX-1-/- and COX-2-/- mice. Mice were killed on the morning of metestrus, diestrus, and proestrus with approximately equal numbers of each genotype killed at each of these three stages of the estrous cycle. A and B, FSH and LH contents from pituitaries of all three genotypes. C and D, FSH and LH concentrations in sera from all three genotypes. Open bar, COX-2+/+; filled bar, COX-1-/-; crosshatched bar, COX-2-/-. The results are depicted as the mean and SEM with six to nine animals per data point. *, P < 0.05 vs. COX-2+/+ mice.

 
Regulation of PGE2 levels in the ovary
PGE2 levels were lower in both COX-1-/- and COX-2-/- mice compared with those in COX-2+/+ mice 48 h after PMSG (Fig. 2Go). However, 8 h after hCG treatment, COX-2+/+ and COX-1-/- mice ovaries showed a significant 4-fold increase in PGE2 contents, whereas PGE2 values were unchanged in COX-2-/- mice ovaries. Twenty-four hours after hCG treatment, ovarian PGE2 concentrations were reduced in the COX-2+/+ and COX-1-/- ovaries, although they were still elevated over the level after PMSG stimulation alone.



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Figure 2. Gonadotropin control of ovarian PGE2 levels in COX-2+/+, COX-1-/-, and COX-2-/- mice. Groups of four to six mice per time point in two experiments were stimulated with PMSG, and ovaries were removed and evaluated for PGE2 levels 8 h after saline, 8 h after hCG, or 24 h after hCG administration. Open bar, COX-2+/+; filled bar, COX-1-/-; crosshatched bar, COX-2-/-. The results are depicted as the mean and SEM. *, P < 0.05 vs. COX-2+/+ mice.

 
Assessment of ovarian status in COX-2 genotypes
Examination of ovarian morphology 48 h after administration of 15 IU PMSG, but before hCG treatment, revealed that follicular development was comparable among the three genotypes. Immunostaining for COX-2 at this stage in COX-2+/+ mice follicles was negligible (not shown). By 8 h after hCG treatment, at least 90% of the mature follicles from COX-2+/+ or COX-2+/- mice exhibited intense immunostaining for COX-2 within the cumulus oophorus and in most of the mural granulosa cells (Fig. 3Go, A and B). However, about 10% of the mature follicles in COX-2+/+ mice failed to undergo cumulus expansion and were minimally immunopositive for COX-2 protein (Fig. 3Go, A and C). In contrast, COX-2-/- mice had limited and unorganized cumulus expansion in their preovulatory follicles 8 h after hCG treatment (Fig. 3Go, D and E). Moreover, the granulosa cells of the corona radiata typically failed to enlarge and elongate. Immunostaining for COX-2 protein was negative in COX-2-/- ovaries (Fig. 3FGo).



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Figure 3. Comparison of follicular responses 6–8 h after hCG in PMSG-primed COX-2+/+ mice (A–C) and COX-2-/- mice (D–F). A, Immunohisto-chemistry for COX-2 in ovary from a COX-2+/+ mouse, demonstrating positive (black) staining for COX-2 protein in antral follicles (arrows). Note positive staining localized to expanded cumulus oophorus (small arrow) in one follicle compared with reduced staining in poorly expanded cumulus oophorus (arrowhead). Bar, 200 µM. B, Immunohistochemistry for COX-2 in ovary from COX-2+/+ mouse magnifying typical cumulus expansion, with granulosa cell elongation and polarization of the corona radiata. COX-2 immunohistochemical (black) cytoplasmic staining is abundant in the cytoplasm of cumulus granulosa cells (arrow). Bar, 50 µM. C, Immunohistochemistry for COX-2 in ovary from COX-2+/+ mouse with same magnification as B, demonstrating greatly reduced immunohistochemical staining for COX-2 in attenuated cumulus expansion (small arrow). Oocyte activation is indicated by resumption of meiosis (arrowhead). Bar, 50 µM. D, Follicular response in COX-2-/- stained with hematoxylin and eosin (HE). Numerous large antral follicles developed, but many have attenuated cumulus expansion (arrowheads) or evidence of unorganized expansion (small arrow). Bar, 250 µM. E, Magnification of ovarian follicle from COX-2-/- mouse stained with HE to demonstrate separation of mural granulosa cells (large arrowheads), but lack of organized cumulus granulosa cell polarization or expansion (long arrow) despite evidence of germinal vesicle breakdown and resumption of meiosis within oocyte (small arrowhead). Bar, 50 µM. F, Immunohistochemical staining for COX-2 in cumulus oophorus from COX-2-/- mouse, demonstrating negative staining and used as control for wild-type staining in A–C. Bar, 50 µM.

 
By about 24–30 h after hCG treatment, all COX-2+/+ and COX-2+/- mice (n = 3–5 mice/time point in three experiments), and COX-1-/- mice (n = 3/time point in two experiments) ovulated, as evidenced by the presence of oocytes and cumulus mass in oviducts. In contrast, by histological evaluation, no oocytes were found in oviducts of seven of nine COX-2-/- females. In the two mice that did ovulate, only two or three isolated oocytes without cumulus mass were present within the oviducts (not shown). At this time, corpora hemorrhagica from COX-2+/+ and COX-2 (COX-2+/-) mice were either confluent or had collapsed antral spaces (Fig. 4AGo). Corpora hemorrhagica exhibited focal exophytic protrusions adjacent to the stigmata (Fig. 4CGo). In contrast, corpora hemorrhagica of COX-2-/- mice were characterized by a large antral cavity circumferentially surrounded by multiple layers of luteal cells (Fig. 4BGo). The oocyte was detached from the cumulus mass and retained within the antral cavity. There was no evidence of cellular reorganization around the apex to form the stigmata. By 36–40 h after hCG administration, luteal cells were morphologically comparable among all genotypes; however, the oocyte could be identified within corpora lutea of the COX-2-/- mice (as in Fig. 4DGo).



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Figure 4. Evaluation of PMSG-primed mice ovaries 24–36 h after hCG treatment. A, Ovary from a COX-2+/+ mouse, demonstrating formation of corpora hemorrhagica, with the arrow indicating the ovulation site. Staining was performed using hematoxylin and eosin. Bar, 200 µM. B, Ovary from a COX-2-/- mouse with formation of corpora hemorrhagica but oocytes remaining in central cavity (arrows). Staining was performed using hematoxylin and eosin. Bar, 200 µM. C, COX-2+/+ mouse ovary, demonstrating exophytic, cellular ovulation site around stigmata. Staining was performed using hematoxylin and eosin. Bar, 80 µM. D, COX-2-/- mouse ovary, demonstrating ovum (long arrow) retained within corpora lutea and blunted apex (short arrow) 36 h after hCG treatment. Staining was performed using hematoxylin and eosin. Bar, 80 µM.

 
Serum steroid hormone level during gonadotropin stimulation
In contrast to the marked differences in structural morphologies among the genotypes in response to hCG, 8 h after hCG administration serum estradiol levels were comparable among all COX-2 genotypes [COX-2+/+, 23 ± 5 pg/ml (n = 5); COX-2+/-, 26 ± 6 pg/ml (n = 4); COX-2-/-, 20 ± 3 pg/ml (n = 3)]. Moreover, serum levels of progesterone were similar among these same genotypes 24 h after hCG injection [COX-2+/+, 25 ± 18 (n = 5); COX-2+/-, 19 ± 11 (n = 6); COX-2-/-, 18 ± 5 ng/ml (n = 6)].

Restoration of ovulation
When ova were flushed from oviducts 24–32 h after superovulation, 19 ± 4 ova contained within the cumulus mass were recovered from COX-2+/+ mice (Fig. 5Go). In marked contrast, only one of the five superovulated COX-2-/- mice released any ova, i.e. two, and there was no evidence of associated cumulus mass. However, treatment of COX-2-/- mice (n = 4) with PGE2 or IL-1ß restored the number of ova comparable to that in COX-2+/+ (Fig. 5Go). Fewer ova were released after PGF2{alpha} treatment, in part because two of the five mice failed to release any ova, although the ova that were released in the other three mice were contained within the cumulus mass.



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Figure 5. Recovery of ovulation in gonadotropin-stimulated COX-2-deficient mice. COX-2+/+ mice and COX-2-/- mice were stimulated with PMSG/hCG and/or PGF2{alpha}, PGE2, or IL-1ß. Ova were counted from oviduct flushings 24–28 h post-hCG. Open bar, COX-2+/+ (n = 9); filled bar, COX-2-/- (n = 5); diagonal bar, COX-2-/- with PGF2{alpha} (n = 5);crosshatched bar, COX-2-/- with PGE2 (n = 4); striped bar, COX-2-/- with IL-1ß (n = 4). The results are depicted as the mean number of ova per mouse ± SEM compared in two separate experiments. *, P < 0.05 vs. COX-2+/+ mice.

 
Histologically, all treatments (PGE2, PGF2{alpha}, or IL-1ß) resulted in the structural maintenance of the oocyte-cumulus mass complex within the oviducts 24–32 h after treatment (Fig. 6Go). Eight hours after superovulation and PGE2, PGF2{alpha}, or IL-1ß treatments, cumulus expansion was organized. There was reduced metachromatic staining for proteoglycans as determined by TB staining (44) in the cumulus oophorus of COX-2-/- mice compared with that in COX-2+/+ animals (Fig. 7Go, A–C). Treatment with PG or IL-1ß restored TB metachromasia in the COX-2-/- mouse ovary (Fig. 7DGo). PGE2 or IL-1ß also restored formation of the stigmata in COX-2-/- mice (not shown). However, IL-1ß also stimulated an extensive infiltrate of neutrophils into the perifollicular vessels and in the antral spaces. Additionally, neutrophils were found adherent to the oocyte and among the cumulus oophorum. IL-1ß treatment in COX-2+/+ mice similarly stimulated a marked perifollicular, intravascular accumulation of neutrophils, but without accumulation into the preovulatory follicles (not shown).



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Figure 6. Ovary from a PMSG/hCG-stimulated COX-2-/- mouse treated with PGE2, demonstrating the release of two ova with cumulus masses (arrows) 24 h posttreatment. Staining was performed using hematoxylin and eosin. Bar, 100 µM.

 


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Figure 7. Localization of proteoglycans in PMSG- and PMSG/hCG-stimulated mice ovaries. A, COX-2+/+ mouse ovary 48 h after PMSG treatment, demonstrating TB metachromatic (appears lilac to magenta) staining concentrated in antral fluid. Bar, 25 µM. B, COX-2+/+ mouse ovary 8 h after hCG treatment, demonstrating TB metachromasia as punctate granules and confluent staining within and between cumulus cells (arrow) and in the antral space. Bar, 25 µM. C, COX-2-/- mouse ovary 8 h post-hCG treatment, demonstrating reduced metachromatic granular staining within an unorganized cumulus mass (arrow). Bar, 25 µM. D, COX-2-/- mouse ovary 8 h after hCG and IL-1ß treatment, demonstrating marked metachromatic granular staining within and between granulosa cumulus and corona radiata cells. Bar, 25 µM.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Prostanoids and inhibitors of prostanoid production have long been known to affect reproductive functions. Mice genetically deficient in COX-1 have greatly reduced PG levels (28), and mice deficient in COX-2 do not show inducible PG production (37). However, because some cells and tissues contain both enzymes, PG production in either mutant COX-deficient mouse is not completely eliminated. Thus, the COX-1 and COX-2 mutant mice provide important models with which to compare and further define the roles of each isoenzyme and of PGs in reproduction. Previously, the absence of COX-2, but not COX-1, has been shown to affect ovulation and implantation (27). In the present studies we have examined the function of COX-1 and COX-2 in the events controlling ovulation at the hypothalamic, pituitary, and ovarian levels in these mice.

Neuroendocrine alterations in COX-1- and COX-2- deficient mice
PGs act to modulate the secretion of LH and, to some extent, FSH (17), primarily through modulation of hypothalamic LHRH, as PGE2 stimulates the release of LHRH in vivo (16), but does not directly influence the release of LH from the pituitary (16, 17). Moreover, PGE2 may be involved in the regulation of the LHRH pulse generator (17, 18, 20). As immortalized LHRH neurons contain transcripts for both COX-1 and COX-2 (18), it was expected that enzyme-deficient mice would exhibit perturbations in LHRH that would ultimately affect reproductive cycles and ovulation. However, analysis of hypothalamic LHRH demonstrated comparable levels among wild-type, COX-1-deficient, and COX-2-deficient mice. These results suggest that the absence of COX-1 or COX-2 enzyme is not rate limiting for LHRH synthesis, that prostanoid production by either enzyme is sufficient to maintain basal levels of LHRH in the hypothalamus, or that one isoform is able to compensate for the other. Given that the present studies measured LHRH content, it is still possible that pulsatile secretion of LHRH during the cycle could be altered, and this is currently under investigation.

Content analysis revealed that pituitary gonadotropin levels were slightly increased in COX-deficient mice. These results suggest that the lack of either COX isoenzyme may affect gonadotropin synthesis or release. Indomethacin was shown to potentiate LH secretion stimulated by arachidonic acid in vitro (23), and as deletion of either COX-1 or COX-2 isoenzyme should bear some similarity to inhibition by indomethacin, pituitary contents of the gonadotropins might be expected to be enhanced in these mice. However, serum gonadotropins and sex steroids had been comparable among the wild-type, COX-1-/-, and COX-2-/- mice. Further, the enzyme-deficient mice exhibit estrous cycles and mate upon introduction of the male. Thus, overall, the neuroendocrine axis appears to be intact in COX-1- and COX-2-deficient mice, although there may be subtle changes that affect the efficiency of its function.

COX-1 and COX-2 in ovarian function
The control of COX-2 in response to the gonadotropin surge and its relation to the timing of ovulation have been eloquently described by Richards (2, 25) and others (22). It has been unclear, however, what are the contributing roles of either COX-1 or COX-2 in ovarian follicular development, ovulation, and luteal function. By comparing ovarian responses in COX-1 and COX-2 mutant mice, the present studies show that the COX-2 isoform alone, and independently of COX-1, is necessary for ovulation because COX-2-/- mice fail to produce ovarian PGs in response to exogenous gonadotropins and are anovulatory compared with COX-1-/- mice. Although COX-2 induction has been implicated as an important factor in granulosa cell differentiation factor (2), it appears that neither isoform is essential for granulosa cell differentiation and luteal formation, as ovarian morphology and steroid hormone production in the various genotypes were comparable by 24–30 h after a gonadotropin surge or in the naturally cycling mouse. Indeed, there was only a slight temporal delay in the formation of the corpus luteum (CL) in the COX-2-deficient mouse. However, ovarian PGE2 levels were slightly suppressed in COX-1 and COX-2 mutant mice compared with those in wild-type mice 24 h after hCG, suggesting that both isoenzymes contribute to PG production during CL formation. Additionally, higher levels of PGE2 in COX-2-/- mice (which have an intact COX-1 enzyme) compared with those in COX-1-/- mice (which have an intact COX-2 enzyme) suggest that COX-1 PGs may have a greater role in CL function than COX-2.

COX-2 required for maintenance of cumulus oophorum expansion
The major ovarian pathology attributed to the absence of COX-2 is a failed coordinated release of ova in response to gonadotropin stimulation. The release of the ovum requires both the activation and expansion of the cumulus oophorum and initiation of proteolytic cascades to lyse the follicle wall (3). Activation of the cumulus oophorum is characterized by polarization and separation (expansion) of the granulosa cells surrounding the oocyte with the production of proteoglycans enriched in hyaluronic acid (45, 46). This process is critical to successful ovulation and fertilization, as inhibition of hyaluronic acid synthesis both suppresses cumulus expansion in the mouse cumulus oocyte complex in vitro and decreases fertilization rates (47). Cumulus expansion is also temporally correlated with COX-2 induction and PG production in response to the ovulatory gonadotropin surge (1, 2, 48, 49).

The COX-2-deficient mice exhibited attenuated expansion of the cumulus oophorus in response to exogenous gonadotropins, although the oocyte itself was activated and exhibited germinal vesicle breakdown and resumption of meiosis. A few preovulatory follicles from gonadotropin-stimulated COX-2+/+ mice were also observed to be negative for COX-2 protein in cumulus cells that failed to completely polarize and expand. None of the COX-2-deficient mice could maintain the structural organization of the cumulus oophorum expansion over time. Further, the occasional ovum that was released in superovulated COX-2-/- mice in these studies and that reported by others (27) was devoid of the accompanying cumulus mass. Thus, COX-2-induced PGs appear necessary to both fully expand and then stabilize the cumulus oophorum complex. The failed cumulus stabilization may be in part attributed to altered hyaluronic acid production, as staining for hyaluronic acid was greatly reduced in the COX-2-/- mice, but was restored by PG treatment. Alternatively, COX-2 PGs may be necessary to stabilize the cumulus complex by recruiting other factors involved in cumulus stabilization as described by others (47, 50).

The fact that single ova without the cumulus are released from COX-2-deficient mice at least suggests that follicle lysis can occur without COX-2 PGs. However, gonadotropin-stimulated COX-2-deficient mice consistently fail to complete the typical cellular reorganization around the apex of a stimulated follicle. The stigmata is formed by localized cellular structural alterations and changes in both collagen and proteoglycan production (3, 51, 52). PGE2 specifically stimulates the incorporation of glucosamine into the apical wall of human follicles to facilitate follicle rupture (52). Thus, PGs appear to be important in initiating changes in proteoglycan content in the follicle wall as well as in the cumulus oophorum. It is reasonable, then, to propose that both cumulus expansion and follicle rupture may be altered in the COX-2-deficient mouse because of attenuated proteoglycan synthesis. Further studies are planned to measure proteoglycan synthesis in COX-2-deficient mice.

Roles of PGs and IL-1ß in ovulation
In the COX-2-/- mouse, cumulus activation, stigmata formation, and ovulation were restored by treatment with PGE2 or IL-1ß. PGF2{alpha} was only partially effective in this regard. These data suggest that the PGE receptor-mediated pathways are the primary prostanoid signaling pathways in cumulus expansion and ovulation, and that IL-1ß can trigger ovulation independently of COX-2, at least in the mouse. Based on our results, the PGF2{alpha} receptor-mediated pathways appear to play a minor role in ovulation, and their success may be due to the ability of PGF2{alpha} to bind to PGE2 receptors (53). Additionally, the PGF2{alpha} receptor-deficient mouse ovulates but has a parturition defect (54), providing further evidence that although PGF2{alpha} plays only a minor role in ovulation, it has a dominant role during luteolysis.

These data are consistent with other data that demonstrate the role of COX and particularly PGE2 in ovulation (3, 15, 32, 48). However, other studies have suggested that COX-mediated PGs are not critical to the process of ovulation (55, 56). Although such differences are usually difficult to explain, studies with COX-deficient mice provide a few possible explanations. First, our studies comparing COX-1- and COX-2-deficient mice demonstrate that it is critical that COX-2 is inhibited. The use of low doses of indomethacin to inhibit COX and PG production (55) may differentially inhibit COX-1, but not COX-2. Thus, ovulation could occur as it does in the COX-1-/- mouse. As the indomethacin dose may affect the response, so may differences in the dose and source of PGs. COX-2 is expressed in a specific population of cells within the follicle during ovulation. If COX-2 induction is not completely blocked in these cells, ovulation may still proceed. Finally, there appears to be a redundancy in the signaling systems that may stimulate or inhibit ovulation when initiated at different times. Redundancies may explain why other signals, such as IL-1ß, override the COX-2 deficiency.

Previous studies (31, 57) have shown an interaction between IL-1ß and COX-2 in ovarian tissue. The restoration of ovulation in the COX-2-deficient mouse by IL-1ß suggests that either IL-1ß is downstream of COX-2 or that the COX-2 and IL-1ß pathways are partially redundant during ovulation. Although the specific nature of the interaction of COX-2 and IL-1ß and its receptors in COX-2-/- mice will require further study at the molecular level, we suggest that COX-2 and IL-1ß and their respective receptors are the interdependent, intercellular factors necessary for mucification of the cumulus oocyte complex as proposed by Camaioni et al. (50).

Overall, our studies with the COX-deficient mice demonstrate that each isoenzyme has a predetermined, specified role in reproduction even though COX-1 and COX-2 participate in identical enzymatic reactions. Assessment of the hypothalamic and pituitary functions suggest that the anovulatory syndrome is primarily ovarian dependent, but alterations occur in pituitary hormone levels in both COX-1- and COX-2-deficient mice that may further contribute to the anovulation and infertility. In the ovary, regulation of COX-2 by the gonadotropins and the cell-specific expression of this enzyme play an indispensable role in ovulation and, thus, fertility. The described interaction among COX-2, PGE2, and IL-1ß in ovulation provides an important model to understand the cell signaling processes and mechanics of tissue remodeling in the ovary.


    Acknowledgments
 
We thank Dr. A. Parlow and the NIDDK for the generous gift of the mouse LH and rat FSH RIA kits. We are grateful to Dr. A. Arimura for providing us with the A772 antiserum for the LHRH RIA. We are grateful to Mr. Norris Flagler at NIEHS for his assistance with electronic conversions and lay-outs of photographs.


    Footnotes
 
1 This work was supported in part by funds from the Department of Psychiatry and Behavioral Sciences at Duke University Medical Center (to W.C.W.). Back

Received August 17, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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Low expression of COX-2, reduced cumulus expansion, and impaired ovulation in SULT1E1-deficient mice
FASEB J, June 1, 2007; 21(8): 1893 - 1901.
[Abstract] [Full Text] [PDF]


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Hum Reprod UpdateHome page
D. L. Russell and R. L. Robker
Molecular mechanisms of ovulation: co-ordination through the cumulus complex
Hum. Reprod. Update, May 1, 2007; 13(3): 289 - 312.
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Biol. Reprod.Home page
R. A. Dragovic, L. J. Ritter, S. J. Schulz, F. Amato, J. G. Thompson, D. T. Armstrong, and R. B. Gilchrist
Oocyte-Secreted Factor Activation of SMAD 2/3 Signaling Enables Initiation of Mouse Cumulus Cell Expansion
Biol Reprod, May 1, 2007; 76(5): 848 - 857.
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Am. J. Pathol.Home page
W.-L. Yang, K. Q. Cai, J. L. Smedberg, E. R. Smith, A. Klein-Szanto, T. C. Hamilton, and X.-X. Xu
A Reduction of Cyclooxygenase 2 Gene Dosage Counters the Ovarian Morphological Aging and Tumor Phenotype in Wv Mice
Am. J. Pathol., April 1, 2007; 170(4): 1325 - 1336.
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Mol. Cell. Biol.Home page
M. Hsieh, D. Lee, S. Panigone, K. Horner, R. Chen, A. Theologis, D. C. Lee, D. W. Threadgill, and M. Conti
Luteinizing Hormone-Dependent Activation of the Epidermal Growth Factor Network Is Essential for Ovulation
Mol. Cell. Biol., March 1, 2007; 27(5): 1914 - 1924.
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ReproductionHome page
K. Sayasith, N. Bouchard, M. Dore, and J. Sirois
Cloning of equine prostaglandin dehydrogenase and its gonadotropin-dependent regulation in theca and mural granulosa cells of equine preovulatory follicles during the ovulatory process
Reproduction, February 1, 2007; 133(2): 455 - 466.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
J. Inzunza, A. Morani, G. Cheng, M. Warner, J. Hreinsson, J.-A. Gustafsson, and O. Hovatta
Ovarian wedge resection restores fertility in estrogen receptor beta knockout (ERbeta-/-) mice
PNAS, January 9, 2007; 104(2): 600 - 605.
[Abstract] [Full Text] [PDF]


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ReproductionHome page
K. Sayasith, M. Dore, and J. Sirois
Molecular characterization of tumor necrosis {alpha}-induced protein 6 and its human chorionic gonadotropin-dependent induction in theca and mural granulosa cells of equine preovulatory follicles
Reproduction, January 1, 2007; 133(1): 135 - 145.
[Abstract] [Full Text] [PDF]


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Mol. Endocrinol.Home page
Y. L. Pon and A. S. T. Wong
Gonadotropin-Induced Apoptosis in Human Ovarian Surface Epithelial Cells Is Associated with Cyclooxygenase-2 Up-Regulation via the {beta}-Catenin/T-Cell Factor Signaling Pathway
Mol. Endocrinol., December 1, 2006; 20(12): 3336 - 3350.
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T. Takahashi, J. D. Morrow, H. Wang, and S. K. Dey
Cyclooxygenase-2-derived Prostaglandin E2 Directs Oocyte Maturation by Differentially Influencing Multiple Signaling Pathways
J. Biol. Chem., December 1, 2006; 281(48): 37117 - 37129.
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Biol. Reprod.Home page
N. Markosyan, B. L. Dozier, F. A. Lattanzio, and D. M. Duffy
Primate Granulosa Cell Response via Prostaglandin E2 Receptors Increases Late in the Periovulatory Interval
Biol Reprod, December 1, 2006; 75(6): 868 - 876.
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ReproductionHome page
M Gaytan, C Bellido, C Morales, J E Sanchez-Criado, and F Gaytan
Effects of selective inhibition of cyclooxygenase and lipooxygenase pathways in follicle rupture and ovulation in the rat.
Reproduction, October 1, 2006; 132(4): 571 - 577.
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Mol Hum ReprodHome page
I. Ben-Ami, S. Freimann, L. Armon, A. Dantes, D. Strassburger, S. Friedler, A. Raziel, R. Seger, R. Ron-El, and A. Amsterdam
PGE2 up-regulates EGF-like growth factor biosynthesis in human granulosa cells: new insights into the coordination between PGE2 and LH in ovulation
Mol. Hum. Reprod., October 1, 2006; 12(10): 593 - 599.
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EndocrinologyHome page
M. B. Frungieri, S. I. Gonzalez-Calvar, F. Parborell, M. Albrecht, A. Mayerhofer, and R. S. Calandra
Cyclooxygenase-2 and Prostaglandin F2{alpha} in Syrian Hamster Leydig Cells: Inhibitory Role on Luteinizing Hormone/Human Chorionic Gonadotropin-Stimulated Testosterone Production
Endocrinology, September 1, 2006; 147(9): 4476 - 4485.
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Endocr. Rev.Home page
H. Wang, S. K. Dey, and M. Maccarrone
Jekyll and Hyde: Two Faces of Cannabinoid Signaling in Male and Female Fertility
Endocr. Rev., August 1, 2006; 27(5): 427 - 448.
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Proc. Natl. Acad. Sci. USAHome page
O. Yoshino, H. E. McMahon, S. Sharma, and S. Shimasaki
A unique preovulatory expression pattern plays a key role in the physiological functions of BMP-15 in the mouse
PNAS, July 11, 2006; 103(28): 10678 - 10683.
[Abstract] [Full Text] [PDF]


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Hum ReprodHome page
S. Assou, T. Anahory, V. Pantesco, T. Le Carrour, F. Pellestor, B. Klein, L. Reyftmann, H. Dechaud, J. De Vos, and S. Hamamah
The human cumulus-oocyte complex gene-expression profile
Hum. Reprod., July 1, 2006; 21(7): 1705 - 1719.
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I. Hernandez-Gonzalez, I. Gonzalez-Robayna, M. Shimada, C. M. Wayne, S. A. Ochsner, L. White, and J. S. Richards
Gene Expression Profiles of Cumulus Cell Oocyte Complexes during Ovulation Reveal Cumulus Cells Express Neuronal and Immune-Related Genes: Does this Expand Their Role in the Ovulation Process?
Mol. Endocrinol., June 1, 2006; 20(6): 1300 - 1321.
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M. Shimada, I. Hernandez-Gonzalez, I. Gonzalez-Robayna, and J. S. Richards
Paracrine and Autocrine Regulation of Epidermal Growth Factor-Like Factors in Cumulus Oocyte Complexes and Granulosa Cells: Key Roles for Prostaglandin Synthase 2 and Progesterone Receptor
Mol. Endocrinol., June 1, 2006; 20(6): 1352 - 1365.
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J EndocrinolHome page
T. Sun, W.-B. Deng, H.-L. Diao, H. Ni, Y.-Y. Bai, X.-H. Ma, L.-B. Xu, and Z.-M. Yang
Differential expression and regulation of prostaglandin E synthases in the mouse ovary during sexual maturation and luteal development.
J. Endocrinol., April 1, 2006; 189(1): 89 - 101.
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M. Conti, M. Hsieh, J.-Y. Park, and Y.-Q. Su
Role of the Epidermal Growth Factor Network in Ovarian Follicles
Mol. Endocrinol., April 1, 2006; 20(4): 715 - 723.
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EndocrinologyHome page
C. Ko, M. C. Gieske, L. Al-Alem, Y. Hahn, W. Su, M. C. Gong, M. Iglarz, and Y. Koo
Endothelin-2 in Ovarian Follicle Rupture
Endocrinology, April 1, 2006; 147(4): 1770 - 1779.
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A Hourvitz, E Gershon, J D Hennebold, S Elizur, E Maman, C Brendle, E Y Adashi, and N Dekel
Ovulation-selective genes: the generation and characterization of an ovulatory-selective cDNA library.
J. Endocrinol., March 1, 2006; 188(3): 531 - 548.
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ReproductionHome page
Q. Li, F. Jimenez-Krassel, Y. Kobayashi, J. J Ireland, and G. W Smith
Effect of intrafollicular indomethacin injection on gonadotropin surge-induced expression of select extracellular matrix degrading enzymes and their inhibitors in bovine preovulatory follicles.
Reproduction, March 1, 2006; 131(3): 533 - 543.
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J Mol EndocrinolHome page
B Lohrke, T Viergutz, and B Kruger
Polar phospholipids from bovine endogenously oxidized low density lipoprotein interfere with follicular thecal function
J. Mol. Endocrinol., December 1, 2005; 35(3): 531 - 545.
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M Shozu, N Minami, H Yokoyama, M Inoue, H Kurihara, K Matsushima, and K Kuno
ADAMTS-1 is involved in normal follicular development, ovulatory process and organization of the medullary vascular network in the ovary
J. Mol. Endocrinol., October 1, 2005; 35(2): 343 - 355.
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Mol. Endocrinol.Home page
T. Pakarainen, F.-P. Zhang, L. Nurmi, M. Poutanen, and I. Huhtaniemi
Knockout of Luteinizing Hormone Receptor Abolishes the Effects of Follicle-Stimulating Hormone on Preovulatory Maturation and Ovulation of Mouse Graafian Follicles
Mol. Endocrinol., October 1, 2005; 19(10): 2591 - 2602.
[Abstract] [Full Text] [PDF]


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Biol. Reprod.Home page
S. A. Pangas and M. M. Matzuk
The Art and Artifact of GDF9 Activity: Cumulus Expansion and the Cumulus Expansion-Enabling Factor
Biol Reprod, October 1, 2005; 73(4): 582 - 585.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
J. M. A. Tullet, V. Pocock, J. H. Steel, R. White, S. Milligan, and M. G. Parker
Multiple Signaling Defects in the Absence of RIP140 Impair Both Cumulus Expansion and Follicle Rupture
Endocrinology, September 1, 2005; 146(9): 4127 - 4137.
[Abstract] [Full Text] [PDF]


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K. Sayasith, J. G. Lussier, and J. Sirois
Role of Upstream Stimulatory Factor Phosphorylation in the Regulation of the Prostaglandin G/H Synthase-2 Promoter in Granulosa Cells
J. Biol. Chem., August 12, 2005; 280(32): 28885 - 28893.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
J. F. Couse, M. M. Yates, B. J. Deroo, and K. S. Korach
Estrogen Receptor-{beta} Is Critical to Granulosa Cell Differentiation and the Ovulatory Response to Gonadotropins
Endocrinology, August 1, 2005; 146(8): 3247 - 3262.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
J. M. A. Emmen, J. F. Couse, S. A. Elmore, M. M. Yates, G. E. Kissling, and K. S. Korach
In Vitro Growth and Ovulation of Follicles from Ovaries of Estrogen Receptor (ER){alpha} and ER{beta} Null Mice Indicate a Role for ER{beta} in Follicular Maturation
Endocrinology, June 1, 2005; 146(6): 2817 - 2826.
[Abstract] [Full Text] [PDF]


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Eur J EndocrinolHome page
N. El-Nefiawy, K. Abdel-Hakim, and N. Kanayama
The selective prostaglandin EP4 agonist, APS-999 Na, induces follicular growth and maturation in the rat ovary
Eur. J. Endocrinol., February 1, 2005; 152(2): 315 - 323.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
H. Ashkenazi, X. Cao, S. Motola, M. Popliker, M. Conti, and A. Tsafriri
Epidermal Growth Factor Family Members: Endogenous Mediators of the Ovulatory Response
Endocrinology, January 1, 2005; 146(1): 77 - 84.
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Biol. Reprod.Home page
L.-M. Gui and I. M. Joyce
RNA Interference Evidence That Growth Differentiation Factor-9 Mediates Oocyte Regulation of Cumulus Expansion in Mice
Biol Reprod, January 1, 2005; 72(1): 195 - 199.
[Abstract] [Full Text] [PDF]


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Hum ReprodHome page
L.J. McKenzie, S.A. Pangas, S.A. Carson, E. Kovanci, P. Cisneros, J.E. Buster, P. Amato, and M.M. Matzuk
Human cumulus granulosa cell gene expression: a predictor of fertilization and embryo selection in women undergoing IVF
Hum. Reprod., December 1, 2004; 19(12): 2869 - 2874.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
J. W. Newman, J. E. Stok, J. D. Vidal, C. J. Corbin, Q. Huang, B. D. Hammock, and A. J. Conley
Cytochrome P450-Dependent Lipid Metabolism in Preovulatory Follicles
Endocrinology, November 1, 2004; 145(11): 5097 - 5105.
[Abstract] [Full Text] [PDF]


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Pharmacol. Rev.Home page
D. L. Simmons, R. M. Botting, and T. Hla
Cyclooxygenase Isozymes: The Biology of Prostaglandin Synthesis and Inhibition
Pharmacol. Rev., September 1, 2004; 56(3): 387 - 437.
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Hum Reprod UpdateHome page
J. Sirois, K. Sayasith, K. A. Brown, A. E. Stock, N. Bouchard, and M. Dore
Cyclooxygenase-2 and its role in ovulation: a 2004 account
Hum. Reprod. Update, September 1, 2004; 10(5): 373 - 385.
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J. Immunol.Home page
J. L. Goulet, A. J. Pace, M. L. Key, R. S. Byrum, M. Nguyen, S. L. Tilley, S. G. Morham, R. Langenbach, J. L. Stock, J. D. McNeish, et al.
E-Prostanoid-3 Receptors Mediate the Proinflammatory Actions of Prostaglandin E2 in Acute Cutaneous Inflammation
J. Immunol., July 15, 2004; 173(2): 1321 - 1326.
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DevelopmentHome page
A. Salustri, C. Garlanda, E. Hirsch, M. De Acetis, A. Maccagno, B. Bottazzi, A. Doni, A. Bastone, G. Mantovani, P. B. Peccoz, et al.
PTX3 plays a key role in the organization of the cumulus oophorus extracellular matrix and in in vivo fertilization
Development, April 1, 2004; 131(7): 1577 - 1586.
[Abstract] [Full Text] [PDF]


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Biol. Reprod.Home page
L. Mittaz, D.L. Russell, T. Wilson, M. Brasted, J. Tkalcevic, L.A. Salamonsen, P.J. Hertzog, and M.A. Pritchard
Adamts-1 Is Essential for the Development and Function of the Urogenital System
Biol Reprod, April 1, 2004; 70(4): 1096 - 1105.
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J. Biol. Chem.Home page
K. Sayasith, N. Bouchard, M. Sawadogo, J. G. Lussier, and J. Sirois
Molecular Characterization and Role of Bovine Upstream Stimulatory Factor 1 and 2 in the Regulation of the Prostaglandin G/H Synthase-2 Promoter in Granulosa Cells
J. Biol. Chem., February 20, 2004; 279(8): 6327 - 6336.
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FASEB J.Home page
T. KUWANO, S. NAKAO, H. YAMAMOTO, M. TSUNEYOSHI, T. YAMAMOTO, M. KUWANO, and M. ONO
Cyclooxygenase 2 is a key enzyme for inflammatory cytokine-induced angiogenesis
FASEB J, February 1, 2004; 18(2): 300 - 310.
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D. L. Russell, K. M. H. Doyle, S. A. Ochsner, J. D. Sandy, and J. S. Richards
Processing and Localization of ADAMTS-1 and Proteolytic Cleavage of Versican during Cumulus Matrix Expansion and Ovulation
J. Biol. Chem., October 24, 2003; 278(43): 42330 - 42339.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
S. A. Ochsner, A. J. Day, M. S. Rugg, R. M. Breyer, R. H. Gomer, and J. S. Richards
Disrupted Function of Tumor Necrosis Factor-{alpha}-Stimulated Gene 6 Blocks Cumulus Cell-Oocyte Complex Expansion
Endocrinology, October 1, 2003; 144(10): 4376 - 4384.
[Abstract] [Full Text] [PDF]


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Biol. Reprod.Home page
T. Sakurai, K. Tamura, S. Okamoto, T. Hara, and H. Kogo
Possible Role of Cyclooxygenase II in the Acquisition of Ovarian Luteal Function in Rodents
Biol Reprod, September 1, 2003; 69(3): 835 - 842.
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Endocr. Rev.Home page
T. E. Curry Jr. and K. G. Osteen
The Matrix Metalloproteinase System: Changes, Regulation, and Impact throughout the Ovarian and Uterine Reproductive Cycle
Endocr. Rev., August 1, 2003; 24(4): 428 - 465.
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Biol. Reprod.Home page
F. Gaytan, C. Bellido, M. Gaytan, C. Morales, and J. E. Sanchez-Criado
Differential Effects of RU486 and Indomethacin on Follicle Rupture During the Ovulatory Process in the Rat
Biol Reprod, July 1, 2003; 69(1): 99 - 105.
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Mol. Endocrinol.Home page
J.-Y. Park, F. Richard, S.-Y. Chun, J.-H. Park, E. Law, K. Horner, S-L C. Jin, and M. Conti
Phosphodiesterase Regulation Is Critical for the Differentiation and Pattern of Gene Expression in Granulosa Cells of the Ovarian Follicle
Mol. Endocrinol., June 1, 2003; 17(6): 1117 - 1130.
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Ann Rheum DisHome page
J Martel-Pelletier, D Lajeunesse, P Reboul, and J-P Pelletier
Therapeutic role of dual inhibitors of 5-LOX and COX, selective and non-selective non-steroidal anti-inflammatory drugs
Ann Rheum Dis, June 1, 2003; 62(6): 501 - 509.
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C. M. Milner and A. J. Day
TSG-6: a multifunctional protein associated with inflammation
J. Cell Sci., May 15, 2003; 116(10): 1863 - 1873.
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EndocrinologyHome page
S. A. Ochsner, D. L. Russell, A. J. Day, R. M. Breyer, and J. S. Richards
Decreased Expression of Tumor Necrosis Factor-{alpha}-Stimulated Gene 6 in Cumulus Cells of the Cyclooxygenase-2 and EP2 Null Mice
Endocrinology, March 1, 2003; 144(3): 1008 - 1019.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
D. L. Russell, S. A. Ochsner, M. Hsieh, S. Mulders, and J. S. Richards
Hormone-Regulated Expression and Localization of Versican in the Rodent Ovary
Endocrinology, March 1, 2003; 144(3): 1020 - 1031.
[Abstract] [Full Text] [PDF]


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Biol. Reprod.Home page
E. Segi, K. Haraguchi, Y. Sugimoto, M. Tsuji, H. Tsunekawa, S. Tamba, K. Tsuboi, S. Tanaka, and A. Ichikawa
Expression of Messenger RNA for Prostaglandin E Receptor Subtypes EP4/EP2 and Cyclooxygenase Isozymes in Mouse Periovulatory Follicles and Oviducts During Superovulation
Biol Reprod, March 1, 2003; 68(3): 804 - 811.
[Abstract] [Full Text] [PDF]


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Biol. Reprod.Home page
J.-G. Cheng and C. L. Stewart
Loss of Cyclooxygenase-2 Retards Decidual Growth but Does Not Inhibit Embryo Implantation or Development to Term
Biol Reprod, February 1, 2003; 68(2): 401 - 404.
[Abstract] [Full Text] [PDF]


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Biol. Reprod.Home page
L. L. Espey and J. S. Richards
Temporal and Spatial Patterns of Ovarian Gene Transcription Following an Ovulatory Dose of Gonadotropin in the Rat
Biol Reprod, December 1, 2002; 67(6): 1662 - 1670.
[Abstract] [Full Text] [PDF]


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Hum ReprodHome page
D. M. Duffy and R. L. Stouffer
Follicular administration of a cyclooxygenase inhibitor can prevent oocyte release without alteration of normal luteal function in rhesus monkeys
Hum. Reprod., November 1, 2002; 17(11): 2825 - 2831.
[Abstract] [Full Text] [PDF]


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Biol. Reprod.Home page
F. Gaytan, E. Tarradas, C. Bellido, C. Morales, and J. E. Sanchez-Criado
Prostaglandin E1 Inhibits Abnormal Follicle Rupture and Restores Ovulation in Indomethacin-Treated Rats
Biol Reprod, October 1, 2002; 67(4): 1140 - 1147.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Cell Physiol.Home page
L. Koumas and R. P. Phipps
Differential COX localization and PG release in Thy-1+ and Thy-1- human female reproductive tract fibroblasts
Am J Physiol Cell Physiol, August 1, 2002; 283(2): C599 - C608.
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Mol. Endocrinol.Home page
S. Varani, J. A. Elvin, C. Yan, J. DeMayo, F. J. DeMayo, H. F. Horton, M. C. Byrne, and M. M. Matzuk
Knockout of Pentraxin 3, a Downstream Target of Growth Differentiation Factor-9, Causes Female Subfertility
Mol. Endocrinol., June 1, 2002; 16(6): 1154 - 1167.
[Abstract] [Full Text] [PDF]


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Biol. Reprod.Home page
Y.-L. Wu and M. C. Wiltbank
Transcriptional Regulation of the Cyclooxygenase-2 Gene Changes from Protein Kinase (PK) A- to PKC-Dependence after Luteinization of Granulosa Cells
Biol Reprod, May 1, 2002; 66(5): 1505 - 1514.
[Abstract] [Full Text]


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J. Physiol.Home page
C. G Egan, J. C Lockhart, W. R Ferrell, S. M Day, and J. S McLean
Pathophysiological basis of acute inflammatory hyperaemia in the rat knee: roles of cyclo-oxygenase-1 and -2
J. Physiol., March 1, 2002; 539(2): 579 - 587.
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J. Pharmacol. Exp. Ther.Home page
B. Hinz and K. Brune
Cyclooxygenase-2---10 Years Later
J. Pharmacol. Exp. Ther., February 1, 2002; 300(2): 367 - 375.
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Recent Prog Horm ResHome page
J. S. Richards, D. L. Russell, S. Ochsner, M. Hsieh, K. H. Doyle, A. E. Falender, Y. K. Lo, and S. C. Sharma
Novel Signaling Pathways That Control Ovarian Follicular Development, Ovulation, and Luteinization
Recent Prog. Horm. Res., January 1, 2002; 57(1): 195 - 220.
[Abstract] [Full Text] [PDF]


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Mol Hum ReprodHome page
D. M. Duffy and R. L. Stouffer
The ovulatory gonadotrophin surge stimulates cyclooxygenase expression and prostaglandin production by the monkey follicle
Mol. Hum. Reprod., August 1, 2001; 7(8): 731 - 739.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
I. M. Joyce, F. L. Pendola, M. O'Brien, and J. J. Eppig
Regulation of Prostaglandin-Endoperoxide Synthase 2 Messenger Ribonucleic Acid Expression in Mouse Granulosa Cells during Ovulation
Endocrinology, July 1, 2001; 142(7): 3187 - 3197.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
J. Reese, X. Zhao, W.-G. Ma, N. Brown, T. J. Maziasz, and S. K. Dey
Comparative Analysis of Pharmacologic and/or Genetic Disruption of Cyclooxygenase-1 and Cyclooxygenase-2 Function in Female Reproduction in Mice
Endocrinology, July 1, 2001; 142(7): 3198 - 3206.
[Abstract] [Full Text] [PDF]


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Biol. Reprod.Home page
M. D. Calder, A. N. Caveney, M. E. Westhusin, and A. J. Watson
Cyclooxygenase-2 and Prostaglandin E2(PGE2) Receptor Messenger RNAs Are Affected by Bovine Oocyte Maturation Time and Cumulus-Oocyte Complex Quality, and PGE2 Induces Moderate Expansion of the Bovine Cumulus In Vitro
Biol Reprod, July 1, 2001; 65(1): 135 - 140.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
J. S. Richards
Perspective: The Ovarian Follicle--A Perspective in 2001
Endocrinology, June 1, 2001; 142(6): 2184 - 2193.
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H. Matsumoto, W.-g. Ma, W. Smalley, J. Trzaskos, R. M. Breyer, and S. K. Dey
Diversification of Cyclooxygenase-2-Derived Prostaglandins in Ovulation and Implantation
Biol Reprod, May 1, 2001; 64(5): 1557 - 1565.
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Proc. Natl. Acad. Sci. USAHome page
C. D. Loftin, D. B. Trivedi, H. F. Tiano, J. A. Clark, C. A. Lee, J. A. Epstein, S. G. Morham, M. D. Breyer, M. Nguyen, B. M. Hawkins, et al.
Failure of ductus arteriosus closure and remodeling in neonatal mice deficient in cyclooxygenase-1 and cyclooxygenase-2
PNAS, January 23, 2001; (2001) 31573498.
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EndocrinologyHome page
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