Endocrinology Vol. 140, No. 8 3659-3665
Copyright © 1999 by The Endocrine Society
Hormone-Regulated and Glucose-Sensitive Transport of Dehydroascorbic Acid in Immature Rat Granulosa Cells1
Pinar H. Kodaman and
Harold R. Behrman
Reproductive Biology Section, Departments of Obstetrics/Gynecology
and Pharmacology, Yale University School of Medicine, New Haven,
Connecticut 06520-8063
Address all correspondence and requests for reprints to: Pinar H. Kodaman, Reproductive Biology Section, Department of Obstetrics and Gynecology, Yale University School of Medicine, P.O. Box 208063, New Haven, Connecticut 06520-8063. E-mail:
kodamaph{at}biomed.med.yale.edu
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Abstract
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Ascorbic acid is concentrated in granulosa cells of the follicle, and
ascorbate deficiency causes follicular atresia. Dehydroascorbic acid
(DHAA), the oxidized form of ascorbic acid, serves as an important
source for the recycling of ascorbate. As we previously demonstrated
endocrine up-regulation of ascorbic acid transport by granulosa cells,
we investigated DHAA as an alternate source of ascorbate in the
follicle. Granulosa cells were cultured for 24 h, and DHAA uptake
was initiated by the addition of 14C-labeled ascorbic acid
(300 µM) in the presence of ascorbic acid oxidase (2
U/ml), which catalyzes DHAA production. Almost 90% of accumulated DHAA
was present as ascorbic acid within 2 h. Preculture of cells for
24 h with FSH (50 ng/ml) and IGF-I (30 ng/ml) significantly
stimulated DHAA uptake compared with the control (158 ± 16
vs. 43 ± 8 pmol/106 cells,
respectively). DHAA uptake by granulosa cells was inhibited by
D-glucose (ID50, approximately 2.5
mM) and by the glucose transport inhibitors phloretin (200
µM) and cytochalasin B (10 µM), which
reduced uptake to 13 ± 2% and 8 ± 3% of the control,
respectively. Northern and Western analysis of GLUT1 in granulosa cells
following 24 h coincubation with FSH and IGF-I revealed
up-regulation of GLUT1 at both the messenger RNA and protein levels
(1.6- and 1.3-fold of control, respectively), suggesting that the
stimulatory effects of FSH and IGF-I on DHAA transport are mediated by
the induction of GLUT1. GLUT4 protein was not detectable by Western
analysis. Endocrine-regulated DHAA transport may represent an important
mechanism for maintaining adequate antioxidant tone within the
developing follicle.
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Introduction
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ASCORBIC ACID is the preeminent,
water-soluble antioxidant in the ovary, where it also serves as a
cofactor in collagen synthesis and peptide amidation and facilitates
follicular growth. (1, 2). Ascorbic acid deficiency results in
infertility as demonstrated in scorbutic guinea pigs, which were
anovulatory, showed marked follicular atresia, failure of implantation,
and an increased rate of spontaneous abortion (3). Granulosa cells
concentrate ascorbic acid in the follicle (3, 4, 5), and the antioxidant
effects of ascorbic acid have been shown to block apoptosis in
granulosa cells of cultured follicles (6).
The sequential two electron oxidation of ascorbic acid during radical
scavenging produces dehydroascorbic acid (DHAA). Although an unstable
compound under physiological conditions (t1/2 = 6
min), DHAA is the major transportable form of ascorbate for certain
cell types, including erythrocytes (7), neutrophils (8, 9), and
endothelial cells (10). Intracellular DHAA is reduced to ascorbate by a
glutathione-and NADH-dependent semidehydroreductase system (11, 12)
that allows for the recycling of ascorbic acid while simultaneously
clearing plasma of DHAA, which at high concentrations, is cytotoxic
(13, 14). In the absence of reduction to ascorbic acid, DHAA is
irreversibly degraded to 2,3-diketogulonic acid.
The uptake of ascorbate in either reduced or oxidized form is requisite
for maintaining adequate intracellular antioxidant tone. While species
such as rodents produce ascorbic acid via hepatic synthesis (15),
primates, guinea pigs, and fruit-eating bats must acquire this vitamin
through dietary intake as they lack L-gulonolactone
oxidase, the terminal enzyme in the L-ascorbic acid
biosynthetic pathway. Regardless of its route of acquisition, ascorbic
acid is accumulated in ovarian cells by membrane transporters against a
large concentration gradient even in animals in which ascorbate is not
a dietary requirement as synthesis occurs only in the liver (16). The
ascorbic acid transporter has not been cloned, whereas GLUT1 has been
implicated as the putative DHAA transporter in certain cell types,
including neutrophils (8, 17, 18). Osteoclasts (19) and luteal cells
(20) also appear to accumulate DHAA via facilitative hexose
transporters.
Our recent studies demonstrated that granulosa cells transport ascorbic
acid in an endocrine-regulated manner (21); however, to our knowledge,
neither the follicle nor granulosa cells have been examined for their
ability to transport DHAA. The objective of the present studies was to
examine DHAA transport in granulosa cells as a potential mechanism for
the accumulation and conservation of cellular ascorbate. Furthermore,
it was of particular interest to determine whether DHAA transport in
granulosa cells is a constitutive or hormone-regulated process and
whether DHAA uptake occurs via facilitative hexose transporters in
granulosa cells.
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Materials and Methods
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Materials
Human insulin-like growth factor (IGF-I) was acquired from
Collaborative Biomedical Products (Bedford, MA), whereas hIGF-II and
insulin were purchased from Sigma Chemical Co. (St. Louis,
MO). Highly purified human FSH (FSH; AFP 4822-B; 3100 U/mg) was
obtained from the NIAMDD, Pituitary Hormone Distribution Program.
Penicillin, streptomycin, and FCS were purchased from Life Technologies, Inc. (Grand Island, NY), and ascorbate oxidase was
purchased from Calbiochem (La Jolla, CA).
L-[1-14C]ascorbic acid was acquired from
Amersham Pharmacia Biotech (Arlington Heights, IL), and
the lyophilized trace was dissolved in 10 mM sodium
phosphate buffer, pH 5.0, before storage under argon at -20 C.
[
-32P ]deoxy (d)-CTP (3000 Ci/mmol) and
[
-32P]-ATP (3000 Ci/mmol) were also purchased from
Amersham Pharmacia Biotech, and all other chemical
reagents were obtained from Sigma Chemical Co. (St. Louis,
MO).
A plasmid containing subcloned human Glut1 complementary DNA (1.8 kb)
was a gift from Graeme Bell (University of Chicago, Chicago, IL), while
polyclonal rabbit antibodies directed against GLUT1 and GLUT4 were
acquired from Dena Yver (NIH, Bethesda, MD).
Animals and preparation of granulosa cells
Immature (21- to 23-day-old) female rats (SD strain,
Taconic Farms, Inc., Germantown, NY) were pretreated for 4
days with diethylstilbestrol (DES) delivered by 1 cm SILASTIC brand
capsules (Dow Corning Corp., Midland, MI) implanted under
the skin of the upper back (22) after anesthesia with methoxyflurane
(Malinckrodt Veterinary, Mundelein, IL). Animals were housed and cared
for in the fully accredited facilities operated by the Animal Resource
Center (Yale University School of Medicine, New Haven, CT). All
treatments and procedures were in accordance with the NIH guide for the
Care and Use of Laboratory Animals and a protocol approved by the Yale
University Animal Care Committee.
Before they were killed, animals were anesthetized with a solution of
ketamine hydrochloride (Quad Pharmaceuticals, Indianapolis, IN),
xylazine hydrochloride (Rompun; Miles, Inc., West Haven, CT), and 0.9%
NaCl (0.5:0.11:1.39, vol/vol/vol; 0.25 ml/animal) and perfused with
saline to remove circulating blood cells, as erythrocytes and
leukocytes are known to transport substantial amounts of DHAA (17, 23).
The ovaries were removed, placed in ice-cold DMEM-F12 culture medium
(Life Technologies, Inc., Grand Island, NY) supplemented
with 0.1% BSA, 100 U/ml penicillin, and 100 µg/ml streptomycin.
Ovaries were trimmed of their bursae and surrounding fat tissue, and
follicles were punctured with a 27-gauge needle to release granulosa
cells, which were harvested as previously described (21, 24, 25). In
brief, released cells were kept on ice, transferred into a sterile
hood, filtered through a 70 µm Falcon nylon cell strainer
(Becton Dickson Labware, Lincoln Park, NJ), and washed
twice with sterile culture medium before overnight culture.
Cell culture protocol
Granulosa cells were plated (14 x
106/ml/well) in 24-well tissue culture dishes and incubated
overnight at 37 C under a humidified atmosphere of 95% air/5%
CO2 in the culture medium described above. Insulin (10
nM), IGF-I (30 ng/ml), IGF-II (30 ng/ml) and/or FSH (50
ng/ml) were added to certain wells for overnight incubation.
Analysis of viability, proliferation, and apoptosis
Cell viability was determined by exclusion of Trypan blue (26)
and by the ability of cells to metabolize
3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyltetrazolium bromide
(MTT) (27, 28). Mitochondrial metabolism of MTT results in the
formation of a tetrazolium precipitate that is dissolved with
isopropanol and quantified by colorimetry (27, 28). The MTT assay was
also used to assess treatment-induced proliferation.
After 24 h of culture in the presence and absence of various
treatments indicated in the text, cells were also assessed for
apoptosis by fixation in 3% paraformaldehyde, permeabilization with
1% Triton X-100 in PBS/10 mM glycine, and staining and
mounting with Vectashield Mounting Medium containing
4',6-diamidino-2-phenylindole (DAPI; Vector Laboratories, Inc., Burlingame, CA) (29). Nuclei in replicated experiments
were examined independently by two separate investigators using
fluorescence microscopy. Cells were also assessed for apoptosis by flow
cytometry following fixation in ethanol and staining with propidium
iodide as previously described (30).
Dehydroascorbic acid uptake
Before measurement of DHAA uptake, wells were washed once with
HBSS, pH 7.4, supplemented with 0.5 mM thiourea and 0.1%
BSA. Thiourea was used to stabilize ascorbic acid before the addition
of ascorbate oxidase, which catalyzes the conversion of ascorbic acid
to DHAA. All uptake experiments were carried out in this medium, which
was additionally supplemented with ascorbate oxidase (2.0 U/ml), and in
some cases, D-glucose (2.510 mM) and insulin,
IGF-I, IGF-II, or FSH at the concentrations indicated above.
Dehydroascorbic acid uptake was initiated by the addition of
[14C]-ascorbic acid (0.15 µCi; specific activity:
13.718.2 mCi/mmol). Our previous studies demonstrated the rapid
conversion (45 sec) of 300 µM ascorbic acid to DHAA by
ascorbate oxidase (2.0 U/ml) (20), and thus, preprepared DHAA was not
used because of its lack of purity in solution, which results from the
compounds inherent instability. In the presence of ascorbate oxidase,
there is essentially no ascorbic acid available for uptake as shown by
HPLC of media within 1 min of incubation, which revealed that 90.7% of
the radioactivity was DHAA and only 2.6% was in the form of ascorbic
acid (20).
Total DHAA concentration ranged from 30 to 3000 µM for
the kinetics experiments and was 300 µM for all other
experiments. DHAA concentration was adjusted by the addition of
unlabeled ascorbate. In certain experiments, uptake was assessed in the
presence and absence of the glucose transport inhibitors phloretin (200
µM) and cytochalasin B (10 nM), or the
Na+/K+ ATPase inhibitor ouabain (100
µM). Following labeling for 060 min, cells were lysed
with 1 N NaOH, and intracellular [14C]-DHAA
was quantified as previously described (20). Nonspecific background
radioactivity was assessed in identically treated but nonincubated
cells.
HPLC analysis
Following 2 h of labeling, cells were extracted on ice for
30 min with 200 µl extraction buffer (1.5% metaphosphoric acid, pH
3.5, 0.3 mM ascorbic acid, 0.1 mM EDTA, 0.5
mM thiourea). The extract was subsequently combined with
667 µl acetonitrile, centrifuged at 10,000 x g for
10 min (4 C), and the resulting supernatant was filtered twice through
a 0.2 µm filter. The filtrate (500 µl) was immediately analyzed by
HPLC. Dehydroascorbic acid and its metabolites were separated on a
Phase Sep S5 NH2 column (Waters Millipore Corp., Milford,
MA) with acetonitrile: 0.05 M
KH2PO4 (70:30; w/w) as the mobile phase and at
a flow rate of 1.5 ml/min, as previously described (31). Fractions were
collected at 1-min intervals for 20 min, and ascorbic acid was detected
at 268 nm, whereas DHAA and diketogulonic acid were identified based on
retention times relative to ascorbic acid (31). The external standard
was [14C]-ascorbic acid (10,000 cpm; 300
µM) in HBSS diluted with extraction buffer and
acetonitrile, as above.
RNA extraction and Northern blotting
Total RNA was extracted from granulosa cells with Trizol reagent
(Life Technologies, Grand Island, NY). All RNA samples had
a 260/280 ratio greater than 1.8. For Glut1 analysis, equal amounts of
total RNA (10 µg) from each sample were electrophoresed in a 1%
agarose gel and capillary transferred overnight onto Zetabind membrane
(Cuno, Meriden, CT). The membranes were subsequently prehybridized for
4 h at 60 C in 0.5 M sodium phosphate, pH 6.8, 7%
SDS, 1% BSA, and 1 mM EDTA before hybridization overnight
with a 1.8 kb Glut1 complementary DNA probe (2 x 106
cpm/ml) labeled with [
-32P]dCTP by random
oligonucleotide priming using a kit obtained from Roche Molecular Biochemicals (Indianapolis, IN). The blots were subsequently
washed 3 times 30 min in 40 mM sodium phosphate, pH 6.8,
5% SDS, 0.5% BSA, and 1 mM EDTA at 60 C, followed by 3
times 30 min in 40 mM sodium phosphate, pH 6.8, 1% SDS, 1
mM EDTA at 60 C.
For all Northern analyses, loading was controlled for by hybridization
to 28S ribosomal RNA after stripping the blots with 0.1 x
SSC-0.5% SDS (3 times 30 min; 80 C). Blots were quantified by
densitometry after multiple exposures to ensure quantitation in the
linear response range.
Membrane protein extraction and Western blotting
Cultured granulosa cells exposed to the various treatments
described in the text were frozen (-20 C) in buffer containing 20
mM Tris-HCl, 1 mM EDTA, 225 mM
sucrose, 1 mM dithiothreitol, 0.1 mM
phenylmethylsulfonyl fluoride, and 25 µg/ml pepstatin, before
homogenization with a glass-Teflon homogenizer. Membrane proteins were
extracted as previously described (32), and protein concentration was
assessed using the Bio-Rad reagent (Bio-Rad Laboratories, Inc., Hercules, CA). Equal amounts of protein (25 µg/sample)
were fractionated by 10% SDS-PAGE under reducing conditions and
transferred onto Nytran membrane (Schleicher & Schuell, Inc., Keene, NH). For both GLUT1 and GLUT4 Western analyses,
blots were blocked for 2 h in blocking solution (Schleicher & Schuell, Inc.) before incubation with primary antibody
(1:1000) for 1 h at room temperature. Detection was achieved using
horseradish peroxidase-conjugated goat-antirabbit antibody and
Starlight substrate with Background Minimizer (Schleicher & Schuell, Inc.). The blots were exposed multiple times to ensure
that quantitation was within the linear response range, and visualized
bands were then quantified by densitometry. Prestained SDS-PAGE
standards (Bio-Rad Laboratories, Inc.) were used to
confirm the molecular weights of the detected bands, which were
approximately 45 kD for GLUT1 and GLUT4 and in concordance with those
previously reported (33).
Statistical analysis
Granulosa cells from several rats were pooled, and equal
aliquots were exposed to each treatment in triplicate. Each experiment
was repeated at least three times. Statistical significance between
treatments within an experiment was determined by one-way repeated
measures ANOVA. Post hoc comparisons of multiple treatments were made
by the Bonferroni t test method. Treatment differences
between experiments were determined by one-way ANOVA, and post hoc
comparisons were made with Dunnetts method. In all analyses,
P < 0.05 was considered statistically significant.
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Results
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Time-course and kinetics of DHAA transport
Granulosa cells precultured for 24 h accumulated
[14C]-labeled DHAA in a time-dependent manner that was
linear for 30 min, and uptake was proportional to cell number (Fig. 1
). All subsequent uptake experiments
were conducted with 12 x 106 cells and for 30 min
of incubation, unless otherwise indicated. Kinetics studies
demonstrated that transport of DHAA was a substrate-dependent and
saturable process with an estimated Michaelis constant (Km)
of 500 µM and a maximum velocity of 19
pmol/106/min. Due to the inherent instability of DHAA,
these kinetics values are broad estimates; however, the fact that
uptake was linear for 30 min and cell number-dependent serves as the
basis for the semiquantitative analysis of DHAA transport. HPLC
analysis of cellular contents following a 2 h period of
[14C]-labeled DHAA uptake revealed that 89.4 ±
0.5% of intracellular radioactivity was in the form of ascorbic acid,
while 4.5 ± 0.1% was DHAA.

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Figure 1. Time- and cell number- dependent uptake of DHAA by
granulosa cells. Cells (2 x 106/well) were
precultured for 24 h and washed before incubation with
14C-labeled ascorbic acid (0.15 µCi; 300
µM) and ascorbate oxidase (2.0 U/ml) for the indicated
time periods. For the inset, cells (16 x 106/well)
were labeled for 30 min. Uptake was assessed as described inMaterials and Methods. Each point represents the mean ±
SEM of three experiments performed in triplicate.
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Effect of FSH and IGF-I on DHAA uptake
Figure 2
shows that 24 h
preincubation of granulosa cells in the presence of FSH (50 ng/ml) and
IGF-I (30 ng/ml) together stimulated DHAA uptake (158 ± 16
pmol/106 cells) compared with the control (43 ± 8
pmol/106 cells). Each agent alone produced small, but not
significant effects on DHAA transport (60 ± 12 and 54
pmol/106 cells, respectively). Both insulin (10
nM) and IGF-II (30 ng/ml) were without significant effect
alone and in combination with FSH as was LH (1 µg/ml) (data not
shown).

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Figure 2. Stimulation of DHAA uptake by FSH and IGF-I in
granulosa cells. FSH (50 ng/ml) and IGF-I (30 ng/ml) were added alone
or in combination immediately after isolation and culture of the cells.
The medium was changed after 24 h and replaced with identical
medium and hormones. DHAA uptake was determined after 30 min of
labeling as described in Materials and Methods. Each
data point represents the mean ± SEM of at least
seven independent experiments performed in triplicate.
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Our previous studies demonstrated that neither FSH nor IGF-I, at the
concentrations described above, affected cellular proliferation (21),
and MTT assay of cells revealed no significant differences in viability
following treatments (data not shown). DAPI staining of cells for
assessment of apoptosis also showed no significant differences between
treatment groups with the incidence of apoptosis ranging from 750%
for all groups depending on whether only fragmented nuclei or all
morphological nuclear changes were counted, respectively. Flow
cytometry of propidium iodide-stained cells revealed no detectable
subG1 apoptotic peaks in any of the treatment groups,
although the fractions of cells in the various phases of the cell cycle
were comparable between groups with greater than 90% of cells in the
G0-G1 phase. Despite the absence of apoptotic
peaks, the percentage of cells in the apoptotic region of each flow
cytometry histogram was estimated and found to be comparable between
treatment groups at approximately 5%.
Effects of glucose and inhibitors of glucose transport on DHAA
uptake
Figure 3
illustrates that following
24 h preincubation with FSH and IGF-I, uptake of DHAA was
significantly reduced in the presence of the glucose transport
inhibitors phloretin and cytochalasin B (19.2 ± 2.6 and 12.6
± 4.0 pmoles/106 cells, respectively) compared with the
control (153 ± 17 pmol/106 cells). DHAA uptake was
not significantly affected by preincubation with ouabain, an inhibitor
of Na+/K+ ATPase, and no significant
cytotoxicity was observed following incubation with ouabain, phloretin,
or cytochalasin B as assessed by the MTT assay (data not shown). The
relationship between facilitative hexose transporters and DHAA uptake
in granulosa cells was further examined by assessing DHAA transport in
the presence of increasing concentrations of D-glucose. As
shown in Fig. 4
, DHAA uptake was
significantly inhibited by glucose in a dose-dependent manner with an
IC50 of approximately 2.5 mM.

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Figure 3. Effects of ouabain and inhibitors of glucose
transport on DHAA uptake in granulosa cells. Cells (12 x
106/well) precultured overnight in the presence of both FSH
(50 ng/ml) and IGF-1 (30 ng/ml) were washed and subsequently pretreated
for 75 min with ouabain (100 µM) or for 10 min with
phloretin (200 µM) or cytochalasin B (10
µM). DHAA uptake was then assessed after 30 min of
labeling as described in Materials and Methods. Each
data point represents the mean ± SEM of three
experiments performed in triplicate.
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Figure 4. Dose-dependent inhibition of DHAA transport by
D-glucose. Granulosa cells (12 x
106/well) precultured overnight in the presence of FSH (50
ng/ml) and IGF-I (30 ng/ml) were washed and DHAA uptake was initiated
by the addition of 14C-labeled ascorbate (0.15 µCi; 300
µM) and ascorbate oxidase (2.0 U/ml) in the presence of
increasing concentrations of D-glucose (010
mM). Uptake was quantified after 30 min of labeling as
described in Materials and Methods, and each data point
represents the mean ± SEM of three experiments
performed in triplicate.
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Northern and Western analysis of GLUT1 in granulosa cells
Northern analysis of granulosa cells for Glut1 following overnight
treatment with FSH and/or IGF-I demonstrated that, while each hormone
alone did not have a significant effect on Glut1 message, coincubation
with both FSH and IGF-I resulted in an induction of Glut1 to 1.61
± 0.05 fold of the control (Fig. 5
).
Western analysis of membrane proteins extracted from granulosa cells
revealed that GLUT1 protein levels were also significantly increased
(1.31 ± 0.04 fold of control) following incubation with FSH and
IGF-I together as illustrated in Fig. 6
.
IGF-I alone also had a small, but significant effect on protein levels
of GLUT1 (Fig. 6
). GLUT4 was undetectable in the same granulosa cells
by Western analysis (data not shown).

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Figure 5. Northern blot analysis of Glut1 expression in rat
granulosa cells. Cells were treated overnight with control media, FSH
(50 ng/ml), IGF-I (30 ng/ml) or a combination of FSH and IGF-I
overnight before extraction of total RNA and electrophoresis (10
µg/sample) and hybridization as described in Materials and
Methods. A, Autoradiogram from a representative, replicated
experiment. B, Signals were normalized to 28S RNA and are expressed as
the integrated band area relative to the control. Data represent the
mean ± SEM of three experiments.
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Figure 6. Western blot analysis of GLUT1 levels in rat
granulosa cells. Cells were treated overnight with FSH and IGF-I as
described in the legend for Fig. 5 before extraction of membrane
proteins and Western analysis (25 µg/sample) with a polyclonal
antibody directed against GLUT1 as described in Materials and
Methods. A, Autoradiogram from a representative, replicated
experiment. B, Data are expressed as the integrated band area relative
to the control and represent the mean ± SEM of three
experiments.
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Discussion
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The present studies demonstrate that granulosa cells transport
DHAA in a time- and cell number-dependent manner that is very rapid
compared with the transport of ascorbic acid (Vmax =
19 vs. 3.3 pmol/106 cells/min, respectively).
Although the Km for DHAA transport by granulosa cells (500
µM) is relatively high compared with that of ascorbic
acid (50.8 µM), it is nevertheless consistent with a
physiologically effective transport system because extracellular
concentrations of DHAA can reach millimolar levels under conditions of
local oxidation (34). Under nonoxidizing conditions, DHAA represents
about 5% of the total serum ascorbate content which is normally around
50100 µM (16). Due to the short half-life of DHAA, the
kinetic parameters determined for DHAA uptake in the present studies
are broad estimates; nevertheless, they underscore the marked
differences between ascorbic acid and DHAA transport in granulosa
cells.
Analysis of granulosa cell extracts following 2 h of DHAA uptake
revealed that essentially all (ca 90%) of the transported DHAA was
reduced to ascorbic acid. The intracellular reduction of DHAA to
ascorbic acid allows for the conservation of ascorbate, and the reduced
form of ascorbic acid is preferentially retained within oocytes (18).
It is well known that other cell types, including neutrophils (9) and
luteal cells (20), also accumulate ascorbate by the transport of DHAA.
Recycling of DHAA may also serve to circumvent the potentially toxic
effects of high local concentrations of DHAA or its breakdown products,
such as 2,3-diketogulonic acid (35).
Dehydroascorbic acid uptake by granulosa cells appears to occur in an
endocrine-regulated manner as FSH and IGF-I significantly stimulated
increased transport. The cooperative effect of FSH and IGF-I on DHAA
transport is similar to that seen with ascorbic acid transport by rat
granulosa cells (21) and also agrees with the cooperative effects of
FSH and IGF-I on granulosa cell differentiation (36, 37, 38, 39) and
steroidogenesis (40) and on the inhibition of granulosa cell apoptosis
(41) Recent studies have demonstrated that FSH responsiveness is
essential for the prevention of follicular atresia and for selection of
the dominant follicle (42), and it appears that this effect may be
mediated by IGF-I (41, 43), which is produced locally by granulosa
cells (44, 45). Tilly et al. (6) have suggested that the
mechanism by which FSH prevents follicular atresia may be through the
inhibition of granulosa cell apoptosis, and interestingly, ascorbic
acid and other inhibitors of oxidative stress were able to mimic the
FSH-induced blockade of apoptosis in granulosa cells of cultured
follicles (6). These data, in conjunction with the findings of the
present study, further underscore the importance of endocrine-regulated
ascorbate transport and maintenance of adequate intracellular
antioxidant tone for successful follicular development.
The present studies demonstrate that DHAA uptake in granulosa
cells occurs via hexose transporters as DHAA transport was dose
dependently inhibited by D-glucose and inhibitors of
glucose transport. Uptake was not significantly affected by inhibition
of Na+/K+ ATPase by ouabain, indicating that
the glucose transporter used for DHAA uptake is not sodium-coupled
unlike that for ascorbic acid uptake (21). Facilitative glucose
transporters characterized to date include GLUTs 1 through 5 and GLUT7
(46). GLUT1 was chosen for further study, as it is widely expressed and
has been implicated as a possible candidate for the DHAA transporter in
neutrophils (8, 17, 18). Furthermore, Vera et al. (18) have
shown that Xenopus laevis oocytes expressing Glut-1 were
able to accumulate ascorbate by transport of DHAA.
It appears that GLUT1 may mediate DHAA transport in granulosa
cells, as Northern analysis revealed cooperative induction of Glut1
expression by FSH and IGF-I that mirrored the cooperative increase in
DHAA uptake stimulated by these hormones. Western analysis showed that
protein levels of GLUT1 were similarly increased following treatment
with both FSH and IGF-I. While GLUT4 has also been implicated as a DHAA
transporter (18), we were unable to detect GLUT4 in rat granulosa cells
by Western analysis; however, the possibility remains that other GLUT
transporters may also mediate DHAA transport in granulosa cells.
The uptake of DHAA via glucose transporters has implications for
ascorbate accumulation under hyperglycemic conditions. Nearly one-third
of women with insulin-dependent diabetes mellitus have some form of
menstrual dysfunction (47, 48, 49), and there is evidence that plasma
levels of ascorbic acid are decreased (50, 51), while those of DHAA are
abnormally increased (52, 53) in certain diabetic patients. The
elevation of circulating DHAA may be secondary to both increased
oxidation of ascorbic acid and elevated glucose levels, which
competitively inhibit the cellular uptake of DHAA, and thus may further
compromise antioxidant tone and contribute to the oxidative
stress-related complications of diabetes.
In summary, the present studies demonstrate that rat granulosa
cells accumulate ascorbic acid via the transport of DHAA through an
insulin-insensitive, facilitative glucose transporter. GLUT1 is a
candidate for the DHAA transporter in rat granulosa cells, where it is
regulated by the cooperative actions of FSH and IGF-1 as is the uptake
of DHAA. The ability of granulosa cells to transport DHAA in an
endocrine-regulated manner may be invaluable in the maintenance of
adequate antioxidant tone within the developing follicle.
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Acknowledgments
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The authors gratefully acknowledge Raymond F. Aten, Sandra L.
Preston, and Shiping Gao for excellent technical assistance.
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Footnotes
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1 Supported by NIH Grants HD-10718 and HD-35663. 
Received September 16, 1998.
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