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Biochemistry and Laboratory of Endocrinology (B.H., A.C., M.B., M.D., P.H., V.-H.N., J.C., G.H.), Institute of Pathology B23, University of Liège, B-4000 Liège, Belgium; Institut National de la Recherche Agronomique (INRA) (E.R.); Station de Physiologie de la Reproduction des Mammifères Domestiques, URA CNRS 1291, 37380 Nouzilly, France
Address all correspondence and requests for reprints to: Dr. J. Closset, Biochemistry and Laboratory of Endocrinology, Institute of Pathology B23, Avenue de lHôpital 3, University of Liège, B-4000 Liège, Belgium. E-mail: jclosset{at}ulg.ac.be
| Abstract |
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| Introduction |
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The MAGE gene sequences all show a main open reading frame in the last exon, encoding a putative protein of about 300 amino acids. The human MAGE genes are located in different regions of the X chromosome and are organized in three loci named MAGE-A (12 genes, Xq28 region), MAGE-B (4 genes, Xp21.3 region) and MAGE-C (1 gene, Xq26 region). Mouse MAGE genes homologous to their human counterpart were recently described with a similar organization on the mouse X chromosome (14).
Recently, a fourth human MAGE gene representing a new locus was isolated and named MAGE-D. This gene was located in the Xp11.23 region (15). The MAGE-D gene displays a very different structure from the other MAGE genes, with 13 exons and an ORF spread over exon 2 to 12. This ORF encodes a putative 574 amino acids MAGE-D protein. Unlike the other MAGE-family members, MAGE-D is expressed not only in several tumor cell lines but also ubiquituously in normal human tissues including testis (16).
The mammalian testis consists of seminiferous tubules containing the Sertoli cells providing structural and nutritional support for the developing germ cells. The interstitium between the tubules contains the Leydig cells responsible for steroidogenesis (17).
Most Leydig cell functions are controlled by lutropin (LH), which increases the production of androgens by this cell type. A second gonadotropin, FSH, acts on Sertoli cells by promoting stages I through VIII of spermatogenesis and by stimulating the production of several paracrine or autocrine regulatory factors targeting the germ cells, peritubular/myoid cells, and Leydig cells (18, 19). The responsiveness of Sertoli cells to FSH is maximal during postnatal development and the prepubertal period. It then decreases until adulthood, although it varies through the seminiferous epithelium cycle (20). It is well established that among these locally secreted Sertoli cell factors, lactate, activin/inhibin, androgen binding protein (ABP), transferrin, plasminogen activator (tPA), anti-Müllerian hormone (AMH), and insulin-like growth factor I (IGF-I) are responsible for some but not for all FSH mediated actions.
To discover new FSH-regulated Sertoli cell factors, we applied a recently described differential cloning method [suppression subtractive hybridization (SSH)] (21) to FSH-treated primary rat Sertoli cell cultures. This enabled us to isolate a new rat complementary DNA (cDNA) displaying FSH-down regulated expression and high homology with the human MAGE-D cDNA.
As the MAGE-A, -B, and -C gene expression in the testis seems to be restricted to germ cells, we examined rat MAGE-D expression in all testicular cell types. We also analyzed its regulation by FSH and other pituitary hormones. Our results suggest that MAGE-D could play a very different role from MAGE-A, -B, and -C, in the testis.
| Materials and Methods |
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Human LH (hLH) was purified according to Closset and Hennen (23) with additional chromatographies on immobilized purified antihuman thyroid-stimulating hormone (hTSH) and anti-hFSH coated columns. The biopotency of the hLH preparation was 8500 U/mg (International Standard 68/40) as measured in specific radioreceptor assays.
Human PRL (hPRL) was purified in our laboratory according to Hodgkinson and Lowry (24). The immunological potency of this preparation was 39 IU/mg, (International Standard 75/504). The biological activity of the hormone was assessed by means of a RRA using pregnant mammary gland receptor. It was found to equal 34 IU/mg in terms of International Standard 57/08. The specific biological activity of comparable hPRL preparations has been evaluated by studying their effects on testicular function in immature rats (25, 26).
Cross-contaminations of each pituitary hormone preparation were measured using specific RIAs and radio-receptor assays. On the basis of these analytical methods, they were found to be less than 0.001% by weight for each hormone.
Animals and treatments
Male Wistar rats were hypophysectomized at 19 day-old
(IFFA-Credo, Lyon, France). They were randomly divided into several
groups (n = 10), and they received the first injection 2 days
postoperatively. They were daily treated sc with saline 0.9% or with
5, 25, or 75 µg of pFSH, 30 µg of hLH, 30 µg, of hPRL or 4 mg/kg
of testosterone propionate for 7 days. Rats had free access to food and
water and they were maintained on a cycle of 12 h light, 12 h
dark. Twenty-four hours after the last injection, rats were killed, and
the testes were removed, decapsulated, and frozen in liquid nitrogen;
they were stored at -70 C until use. Tissues were randomly divided
into two independent groups for each experimental condition and
analyzed independently.
Cell culture
TM4 (testicular mouse) and MLTC-1 cell lines were purchased from
the ATCC. The TM4 cell line was cultured in a 1:1 mixture of Hams
F12K medium and DMEM supplemented with 4.5 g/liter glucose, 1.2 g/liter
sodium bicarbonate, and 15 mM HEPES, 5% horse serum, 2.5%
FBS, streptomycin sulfate 100 µg/ml, penicillin G 100 IU/ml. The
MLTC-1 cell line was cultured in RPMI-1640 medium (Life Technologies, Inc., Gent, Belgium) supplemented with 10% FBS,
streptomycin sulfate 100 µg/ml, and penicillin G 100 IU/ml. The cells
were treated as described in the legends.
Primary Sertoli cell culture
Sertoli cell-enriched cultures were prepared from 19 day-old
Wistar rats (Iffa-Credo, Lyon, France) following the method of Welsh
and Wiebe (27) with modifications (28).
Briefly, 40 testes were removed and decapsulated. They were transferred
to 20 ml of medium A (PBS Dulbeccos without
Ca2+ and Mg2+ and
containing streptomycin sulfate 100 µg/ml, penicillin G 100 IU/ml,
geomycine 25 µg/ml, and glucose 1.5 g/ml) supplemented with trypsin
(2 mg/ml) and DNase I (10 µg/ml). The mixture was incubated for 20
min at 32 C in a shaking water bath (120 osc/min). At the end of the
incubation, the mixture was transferred into a conical tube, 10 ml of
medium A was used to rinse the tube and pooled with the mixture. The
mixture was left to sediment for 5 min at unit gravity. The supernatant
containing interstitial cells was discarded and 20 ml of medium A were
added. These washing/sedimentation cycles were repeated three times.
Seminiferous tubules were next resuspended in 20 ml of medium A
supplemented with collagenase A (1 mg/ml) and incubated as described
above for 50 min. The mixture of tubular fragments was transferred into
a conical tube and the recipient was rinsed with 10 ml of medium A.
After sedimentation of the tubular fragments, the supernatant was
discarded and the washing/sedimentation cycle was repeated three times.
Next, tubular fragments were resuspended in medium A containing
hyaluronidase (1 mg/ml) and incubated for 30 min as described above.
Three cycles of washing sedimentation were carried out and finally, the
tubular fragments were resuspended in 20 ml of RPMI medium, which was
composed by RPMI-1640 supplemented with 22.5 mM HEPES pH
7.4, 5.5 mM L-glutamine, streptomycin sulfate
100 µg/ml, penicillin G 100 IU/ml, and gentamycin 25 µg/ml. The
tubular fragments were mechanically disrupted by 10 thorough strokes
through a syringe with a needle 18G1/2. Separated cells were recovered
by centrifugation at 250x g for 10 min and the pellet was resuspended
in 20 ml of RPMI medium. The cells were passed through a nylon screen
(pore size: 100 µm) which was rinsed with 10 ml of fresh RPMI medium.
The cells were counted and plated at a density of 3.5 x
105 cells/cm2 in culture
flasks (Nunc, Roskilde, Denmark). After 72 h of culture at 32 C in
a humidified incubator gassed with 5% CO2, the
medium was removed and the attached cells were washed twice with RPMI
medium. Cultured Sertoli cells were kept for an additional 24 h in
RPMI medium before treatment with or without FSH at 50 ng/ml for
6 h.
RNA isolation and Northern blotting
Total RNA was prepared from different sources following
the method of Chomczinski and Sacchi (29). Poly
(A)+ RNA was extracted with oligo deoxy-thymidine
coupled with magnetic particles [PolyA Tract messenger RNA (mRNA)
isolation system Iv) (Promega Corp., Madison, WI].
Total RNA was separated by electrophoresis in 1% agarose-2% formaldehyde gels in MOPS buffer (pH 7.0) and blotted on reinforced nitrocellulose membrane (Schleicher & Schuell, Dassel, Germany) by means of the Vacugene apparatus (Amersham Pharmacia Biotech, Aylesbury, UK). 28S and 18S ribosomal RNAs were used as size indicators. After baking at 80 C in a vacuum oven for 2 h, filters were hybridized at 42 C with 32P-labeled cDNA probes in SSC 5x, Denhardts 1x, dextran sulfate 10%, formamide 50% containing 100 µg/ml of salmon sperm DNA for 16 h (30). Quantitations were performed with the ImageQuant software (Molecular Dynamics, Inc.).
The data presented are means of the results obtained from at least two different pools of tissues or cell culture experiments. One-way ANOVA was applied to the data. Simultaneous confidence intervals were estimated to determine possible differences between groups (by Scheffés test). Results were considered significant at the 5% level.
Suppression subtractive hybridization (SSH) and cloning of the
full-length of rat MAGE-D cDNA
The procedure derived from Diatchenko et al. without
modifications (21) was used. Briefly, 2 µg of
polyadenylated RNA from FSH-treated Sertoli cells were used to
synthesize "driver" cDNAs although 2 µg of polyadenylated RNA
from untreated cells were used to synthesize "tester" cDNAs.
Products from the second PCR after SSH reaction were inserted into pGEM-Z using a T/A cloning kit (Promega Corp.). Fragments of cDNAs were [32P]-labeled by random priming using the DNA labeling bead (-dCTP) kit (Amersham Pharmacia Biotech) and used as probes for Northern blots loaded with 10 µg of total RNA from FSH treated and untreated Sertoli cell culture. A fragment of 530 bp showing decreased expression after FSH treatment was isolated, sequenced, and used as probe to screen a commercially available testis cDNA library (Stratagene, La Jolla, CA). The clones containing the full-length cDNA were sequenced using the T7 and T3 primers, and a series of specific internal primers.
Database searching was performed using the FASTA and Blast programs at BEN (Belgian EMBNet Node) computers and at Blast server: http://www.ncbi.nlm.nih.gov/BLAST/.
RT-PCR amplification of rat MAGE-D
The sense primer (PR1) at position 1091
(5'-AAATGCTGAGAGATATCATCC-3') and antisense primer (PR2) at position
1701 (5'-TCAAACTCAATGTCATCCCAGC-3) were used. RT reaction (45 min at 41
C) was carried out using total RNAs extracted from Sertoli cells,
Leydig cells, round spermatids (RS), and pachytene spermatocytes (PS).
Leydig cells were prepared by Percoll gradient according to
(31), RS and PS were prepared by centrifugal elutriation
(32, 33). The RT-PCR reactions also contained (50 µl
final volume) 200 U of MMLV-RT, 10 nM of antisense primer,
8 mM DTT, 400 µM of each dNTP, 3.5
mM MgCl2, and 5 µl of 10x Taq PCR
buffer (500 mM KCl, 200 mM Tris-HCl, pH 8.3, 1
mg/ml gelatin). After completion of the RT reaction, the temperature
was raised to 95 C for 30 sec, then equilibrated to 80 C. PCR was
initiated by adding 50 µl of a mix containing 1.25 U of Taq
polymerase, 200 nM of sense and antisense primers, 1.5
mM MgCl2, and 5 µl of 10x Taq PCR
buffer. The samples were processed for 20, 25, or 30 cycles (95 C for
30 sec, 56 C for 30 sec, 72 C for 1 min) in the presence of 5 µCi of
(32)[P]-dCTP, the last of which had an elongation
time of 10 min. Samples were electrophoresed through a 2% low melting
point agarose gel, and autoradiographed.
In situ hybridization
In situ hybridization was performed according to the
protocol described by Arce et al. (34).
Ten-micrometer-thick sections prepared from adult rat testis were fixed
in Davidson reagent (33% methanol, 11% acetic acid, 22% formalin)
for 24 h. Testes were dehydrated by increased alcohol series
followed by 100% toluol, embedded in toluol-Paraplast
(1, 1) at 37 C and finally in Paraplast at 58 C for 16
h. Paraffin was removed from sections before use by successive
treatments with 100% xylol, with decreasing alcohol concentrations and
the sections were washed with water. The subsequent steps were
previously described (30).
Generation of rat MAGE-D antibody and Western blotting
From the putative deduced amino acid sequence of rat MAGE-D, we
generated a synthetic peptide named Pep1
(NH2-PDWQNLRPSPNLRSS-COOH) corresponding to
residues 229243 (Neosystem, Strasbourg, France). The peptide (1 mg)
was coupled to 6 mg of human thyroglobulin and used to raise polyclonal
antirat MAGE-D rabbit antibody, as described by Staros and co-workers
(35). The antibody was immunopurified on an affinity
column of peptide coupled to activated Sepharose column (Amersham Pharmacia Biotech) according to the protocol of the
manufacturer.
Protein homogenates were extracted from about 3 x 107 Sertoli cells in culture. This was done by sonicating the samples for 30 sec in 1 ml of ice-cold 50 mM Tris, pH 7.4, in the presence of protease inhibitors (50 U Trasylol (Bayer Corp., Leverkusen, Germany) and 10 mg of phenylmethylsulfonyl fluoride). Proteins were denaturated by adding 100 µl of 10% SDS and ß-mercaptoethanol to a final concentration of 0.2 M. The homogenates were centrifuged at 15,000x g for 10 min at 4 C. Supernatants were collected and 90 µg of proteins were size-fractionated by electrophoresis on a homogenous 12% polyacrylamide gel. Western blotting was performed according to the standard protocol described by the manufacturer of the apparatus (Bio-Rad Laboratories, Inc. Hercules, CA). Immunochemical detection of rat MAGE-D gene product was carried out with a polyclonal goat antirabbit IgG coupled to horseradish peroxidase, and 4-chloro-1-naphtol as substrate following the suppliers instructions (Sigma-Aldrich Corp.).
Preparation of subcellular enriched fractions
The method was described previously according to Rickwood
et al. (36). Sertoli cell cultures were washed
twice with ice-cold buffer 0.25 M sucrose, 10
mM triethanolamine-acetate, pH 7.6. They were
scraped with a rubber-policeman and centrifuged 10 min at 250x g at 4
C. The cells were homogenized in the washing buffer supplemented with 1
mM EDTA pH 7.6, using a tight-fitting Dounce
apparatus and the homogenate was centrifuged at 600x g for 10 min at 4
C. The pellet was resuspended in the same medium, homogenized, and
centrifuged as described to obtain a crude nuclear fraction. The
supernatants were pooled and centrifuged for 20 min at 27, 000x g at 4
C to obtain the membrane-enriched fraction (pellet) and
cytoplasm-organelle-enriched fraction (supernatant). The pellet of
crude nuclei was resuspended in 9 vol of 2.2 M
sucrose, 1 mM MgCl2, 10
mM Tris-HCl pH 7.4, homogenized, and centrifuged
at 70, 000x g for 80 min at 4 C. The supernatant was discarded and the
pellet containing the nuclei-enriched fraction was conserved. The
enriched fractions were solubilized in denaturing medium containing
10% SDS and 0.2 M ß-mercaptoethanol for
Western blotting.
| Results |
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Sequence analysis (Fig. 1
) revealed an
open reading frame (ORF) starting at position 209, ending at position
1918, and encoding a putative 570-residue protein with a relative
molecular mass of 60.6 kDa. The 3' untranslated region was 232 bp long
with a polyadenylation site at position 2109. Two putative sites of
complex glycosylation were present, one at position 97, and one at
position 103. These were conserved in the human sequence. Cysteinyl
residues were present at positions 220, 309, and 493. Of these, only
cysteine 309 was conserved in the human sequence. As already observed
in human MAGE-D, the rat sequence showed several imperfect hexameric
repeats in the N-terminal half between residues 88 and 228; the
structural motif corresponding to these repeats is unknown.
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Northern analysis showed that MAGE-D was expressed to various degrees
in a broad range of rat organs brain, thymus, spleen, liver, kidney,
lung, heart, prostate, seminal vesicles, epididymis, and for the first
time in the ovary (Fig. 3
). Rat MAGE-D
expression was also detected in several rat and mouse cell lines:
lymphoma, mastocytoma, teratocarcinoma, melanoma, prostatic cell lines,
and Sertoli and Leydig cell lines (Table 1
).
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MAGE genes share significant homology with the nuclear protein
necdin. To obtain information regarding the role of the MAGE-D protein
in Sertoli cells, we studied its subcellular localization by Western
blotting. A polyclonal antibody was raised against a synthetic peptide
matching the MAGE-D specific sequence (residues 229243). Rabbit
antiserum was prepared and used to probe Western blots of
subcellular-enriched fractions prepared from Sertoli cells. A major
protein was immunodetected around 60 kDa both in the nuclei- and
cytoplasm-enriched fractions (Fig. 5
),
this was consistent with the predicted molecular mass of MAGE-D
protein. Minor bands of lower molecular weight were also detected.
These bands might represent degradation products generated during the
subcellular fractionation or post translational modifications since
only one transcript of 2.5 kb was revealed by Northern blotting.
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Mammalian testicular development during puberty is characterized by
increasing concentrations of FSH in the bloodstream. To study the
regulation of rat MAGE-D expression during this physiological process,
whole testes from rats aged 5, 10, 20, and 60 days were collected and
analyzed by Northern blotting (Fig. 6D
). The signal intensity was found
to decrease markedly during the ontogenesis of the rat testis, a period
when there is a decrease in the Sertoli cell-germ cell ratio.
As we detected a slight expression by RT-PCR of MAGE-D in Leydig cells
and by Northern blotting in the MLTC-1 cell line, in addition as LH and
PRL were able to increase the expression of MAGE-D in the whole testis
of hypox rats, the direct effects of LH and PRL on MLTC-1 cells were
assessed. These two hormones stimulated the expression of MAGE-D and
the maximal increase was observed with LH at 100 ng/ml (4.8-fold) and
with PRL at 25 ng/ml (9.2-fold) after 6 h of treatment (Fig. 7
).
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| Discussion |
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The amino acid sequences of the rat and human MAGE-D proteins show a high degree of conservation. This is in agreement with the observations of Pold (15), who compared mouse ESTs available in databases with the corresponding human sequences and suggested that the MAGE proteins could be highly conserved among mammals. Our results confirm the presence in the N-terminal portion of the sequence of a repetitive region unlike any known motif, whose function is unknown and which is apparently characteristic of the MAGE-D protein. As already described for the human sequence, a portion of the rat protein also displays high homology with the other human MAGE-family proteins.
Expression of the rat MAGE-D gene, like that of its human counterpart, would appear to be ubiquitous. Indeed, we detected expression in all tissues studied, particularly those of the uro-genital tract (testis, epididymis, seminal vesicles, prostate). We also observed MAGE-D expression in the ovaries. This is the first time the expression of any MAGE gene has been detected in this organ. Neither MAGE-A nor MAGE-B nor MAGE-C were expressed there (4, 3, 37). We also found MAGE-D to be expressed in several rat and mouse tumor cell lines.
Expression of the MAGE-A, -B, and -C genes is not detected in healthy tissues except in the testis, where expression is restricted to the germinal cells (15). For MAGE-D, our RT-PCR and in situ hybridization data showed, on the contrary, that expression occurred mainly in the Sertoli cells, even if a weak signal was also detected also in the Leydig cells. These various results suggest that MAGE-D could have a function in both the male and female gonads, very different from the function of the other MAGE proteins.
Based on alignment of amino acid sequences, MAGE-D appears more closely related to necdin than MAGE-A, -B, and -C (16). Necdin is a nuclear protein with cell growth suppressing properties expressed in postmitotically differentiated neurons. It is possible that MAGE-D in Sertoli cells was implicated in the control of Sertoli cell proliferation arrest. Indeed, it is known that Sertoli cells stop dividing mitotically from 15 days postpartum even though circulating FSH levels continue to increase. As FSH decreases the expression of MAGE-D, a putative role of MAGE-D protein in Sertoli cells might be those of a growth promoting factor. If this is true, the MAGE-D function could oppose that of necdin. Nevertheless, the putative role of MAGE-D as a transcription factor or a growth promoter requires further investigation.
The testis is under the control of both pituitary and steroid hormones. There are no published data concerning the regulation of the MAGE genes in the testis by these hormones. In our experiments, we have shown that FSH decreased MAGE-D expression in primary Sertoli-cell cultures, but it was seen that the effect of FSH on MAGE-D expression decreased as the FSH dose increased. This could be due to various signaling regulatory processes occurring at high doses of FSH during the 6 h of treatment (38, 39, 40, 41). However, because dbcAMP likewise decreases MAGE-D expression in a dose-dependent manner in Sertoli cell cultures, the FSH dose-effects should be preferentially attributable to molecular mechanisms occurring after cAMP production and involving cAMP responsive element binding protein system (CREB, CREM, ICER) (42, 43). Such negative effects of dbcAMP and forskolin on MAGE-D expression were also confirmed in the TM4 cell line. Our results thus suggest that MAGE-D is involved in a cascade of events responding quickly to FSH stimulation. FSH-decreased MAGE-D gene expression was also confirmed in hypox rats treated for 7 days with different concentrations of pFSH. That the effect is not dose-dependent in this case is surprising. This could reflect the fact that hypox rats are a model where testicular regression is the main phenomenon (44). Although the number of Sertoli cells remains quite constant during the treatment, regression of the other cell lines may imply paracrine regulations within the organ, modifying the action of FSH on its target cells (45).
In mammals, bloodstream levels of FSH increase during puberty. During this process, the decreased MAGE-D expression reflects rather the decreasing Sertoli cells to germ cells ratio than a negative regulatory effect of FSH on the MAGE-D expression in the seminiferous tubules. Indeed, it is well established that the increase in testicular weight observed at puberty is due mainly to an increase in the number of germinal cells (46, 47). Taken together, these results are consistent with the view that MAGE-D expression is restricted to the Sertoli cells in the seminiferous tubules.
Comparing the magnitude of MAGE-D gene expression with those of other negatively regulated genes was difficult because only a few genes have been reported to display decreased expression after FSH treatment (48, 39). However, the inhibition factor observed for MAGE-D is of the same order as the stimulation factors observed for other genes with this hormone (49, 50).
We detected slight expression of MAGE-D in Leydig cells and in the MLTC-1 cell line where we studied the direct effects of LH and PRL on MAGE-D expression. It is interesting to note that these hormones, well known to trigger different second messenger pathways, are both able to stimulate the expression of MAGE-D in MLTC-1 cells. These results would suggest that the MAGE-D promoter contains regulatory elements specific for these two hormones.
In hypophysectomized rats treated with LH or PRL, accordingly, the MAGE-D level rises in the whole testis, possibly due to regulation in the Leydig cells. Yet given the preferential expression of MAGE-D in Sertoli cells, we cannot exclude a paracrine action of Leydig-cell factors on the Sertoli cells, causing increased MAGE-D expression by the latter. Moreover, we cannot totally exclude a direct action of PRL on Sertoli cells because the presence of PRL receptor in Sertoli cells has been recently reported (51). Because the main action of LH and PRL on MLTC-1 cells is to stimulate steroidogenesis, we have checked that neither testosterone (1 and 0.1 µM) nor estradiol (1 and 0.1 µM) can stimulate MAGE-D expression in cultured Sertoli cells during 6 h of treatment. Moreover, the lack of effect of testosterone on MAGE-D expression was confirmed by treatment of hypox rats with this hormone. The effect might be caused by other LH- and PRL-dependent paracrine factors. This hypothesis was checked by treatments of Sertoli cells with culture medium conditioned by LH- and PRL-stimulated MLTC-1 cells. In our experimental conditions, we did not observe any variation of MAGE-D expression in Sertoli cells (data not shown). These results clearly indicated that MAGE-D expression in Sertoli cells was not indirectly regulated by protein paracrine factors produced in the interstitium after LH or PRL stimulation. The increased expression of MAGE-D in the testes of hypox rats treated by these hormones appeared essentially due either to the direct effect of LH and PRL on interstitial cells or to regulatory factors involving germ cells or peritubular cells.
In conclusion, it is probable that MAGE-D plays different biological roles during the differentiation and the development of the testis and serves to maintain function in the mature organ. MAGE-D belongs to a family of genes for which the other members are expressed only in the germinal cells. Therefore, it would be interesting to study the roles of all the members of the family in the reproductive function of the male. In addition, similar studies should be carried out in females as we have shown significant expression of MAGE-D in the ovary.
| Acknowledgments |
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| Footnotes |
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Received February 15, 2000.
| References |
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