Endocrinology Vol. 141, No. 8 2735-2742
Copyright © 2000 by The Endocrine Society
Interactive Stimulation by Luteinizing Hormone and Insulin of the Steroidogenic Acute Regulatory (StAR) Protein and 17
-Hydroxylase/17, 20-Lyase (CYP17) Genes in Porcine Theca Cells1
Gongqiao Zhang,
James C. Garmey and
Johannes D. Veldhuis
Division of Endocrinology, Department of Internal Medicine,
Specialized Cooperative Center in Reproductive Research, University of
Virginia School of Medicine, Charlottesville, Virginia 22908
Address all correspondence and requests for reprints to: Johannes D. Veldhuis, Department of Internal Medicine, P.O. Box 800202, University of Virginia School of Medicine, Charlottesville, Virginia 22908. E-mail: jdv{at}virginia.edu
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Abstract
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LH and insulin are postulated to jointly stimulate theca-cell androgen
biosynthesis in patients with hyperthecosis or polycystic ovarian
syndrome. To explore the mechanisms of putative LH and insulin
steroidogenic synergy in primary culture of normal theca cells, we have
implemented an in vitro serum-free monolayer culture
system of Percoll-purified, porcine theca cells harvested from immature
ovaries. Initial dose and time course analyses revealed that a
maximally effective concentration of LH (100 ng/ml) or insulin (100
ng/ml) individually will drive androstenedione production (at 6 to
48 h) by 1.5- to 2.6- and 1.1- to 1.7-fold, respectively, while
combined agonists act synergistically over the interval 12 to 48 h
yielding a 3- to 4-fold joint effect. Coadministration of LH and
insulin can augment theca-cell concentrations of CYP17 and StAR
messenger RNA (mRNA) resulting in 3.4- to 3.9- and 3.8- to 4.1-fold
increases at 24 to 48 h, respectively (P
< 0.01). Combined LH and insulin stimulation also amplified the
nuclear content of intron-specific heterogeneous nuclear (hn)RNAs
encoding CYP17 and StAR. Insulin significantly enhanced LH-driven but
not basal cAMP accumulation (1418 vs. 35.5 pmol/µg
DNA/1248 h) (P < 0.01). A stable exogenous
analog of cAMP, 8 Br-cAMP, mimicked LHs effect on steroidogenesis and
StAR and CYP17 gene expression and with insulin stimulated StAR mRNA
and hnRNA accumulation synergistically. However, unlike LH, 8 Br-cAMP
did not synergize with insulin on theca-cell androstenedione
biosynthesis or CYP17 mRNA and hnRNA expression. In summary, the
present in vitro data identify molecular interactions of
LH and insulin on StAR and CYP17 gene expression, thus establishing
potent signaling interfaces between these distinct hormonal agonists in
regulating theca-cell steroidogenesis.
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Introduction
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SEVERAL CLINICAL studies have postulated
that dual stimulatory actions of LH and insulin on theca-cell
androstenedione and testosterone biosynthesis may contribute to the
anovulatory hyperandrogenism characteristic of the polycystic ovarian
syndrome (1, 2). In relation to LH, earlier analyses established a key
role for this gonadotropin in enhancing theca-cell steroidgenesis, in
major part through the second-messenger cAMP-protein kinase A (PKA)
pathway (3). Other studies have documented the expression of functional
insulin and insulin-like growth factor (IGF)-1 receptors on ovaries in
different species; e.g. insulin receptors on pig
granulosa cells can catalyze autophosphorylation of the
insulin-receptor 41-kDa ß subunit (4). The molecular mechanisms by
which insulin regulates steroidogenesis are less well understood,
although substantial evidence indicates that insulin, IGFs and other
intraovarian growth factors, such as epidermal growth factor and
fibroblast growth factor, modulate basal and gonadotropin-stimulated
steroidogenesis (5). For example, insulin and IGF-1 increase
gonadotropin-receptor density by elevating LH receptor messenger RNA
(mRNA) levels, and also enhance CYP11A and CYP17 mRNA accumulation.
Selected in vitro experiments have demonstrated the
ability of combined LH and insulin (or IGF-I) to stimulate androgen
biosynthesis by interstitial-theca cells in a synergistic
(supraadditive) manner (6, 7). Because LH and insulin act
physiologically via distinct intracellular signaling mechanisms,
their synergistic enhancement of theca-cell steroidogenesis
likely entails important interactions between these two effector
pathways. For example, one could hypothesize that LH and insulin
jointly up-regulate the expression of one or more specific genes that
control the access and/or utilization of sterol substrate in the
androgen-biosynthetic pathway, and thereby augment androgen
biosynthesis. To explore this notion further and to test the
specificity of possible LH-insulin synergy on selected molecular
endpoints, we have investigated the single and dual actions of LH and
insulin on the theca-cell expression of genes that govern intracellular
sterol substrate delivery (steroidogenic acute regulatory protein,
StAR), and subsequent utilization in steroidogenesis [17-
hydroxylase/C1720 lyase (CYP17)] in serum-free primary cultures of
normal porcine theca cells.
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Materials and Methods
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Reagents and oligonucleotides
Ovine LH (NIDDK-oLH-25, 2.3 U/mg, 1 U = activity of
NIH-LH-S1) was provided by the National Hormone and Pituitary Program
of NIDDK. Insulin (from porcine pancreas) and 8 Br-cAMP were
obtained from Sigma (St. Louis, MO). Oligo
(dT)15 primer and dNTPs were purchased from
Roche Molecular Biochemicals (Indianapolis, IN), RNase
inhibitor, MuLV reverse transcriptase and Amplitaq Gold DNA polymerase
from Perkin-Elmer Corp. (Brandsberg, NJ), and PicoGreen
DNA assay reagents from Molecular Probes, Inc. (Eugene,
OR). All oligonucleotides used for primers were obtained from
Operon Technologies (Alameda, CA). The sequences selected
for forward and reverse oligonucleotide primers are given in Table 1
. Degenerate reverse primer sequences
were selected from the fourth and third introns of the pig StAR and
CYP17 genes, respectively, for RT-PCR of hnRNA (below). Porcine StAR
hnRNA and 18S ribosomal RNA (18S rRNA) sequences were not available in
GenBank. Thus, we identified fully conserved sequences as templates to
design primers among at least four species, including human, rat,
mouse, rabbit, and/or cow. For StAR, primers were first designed to
clone part of exon 4 and exon 5 including intron 4 from porcine
theca-cell genomic DNA. The PCR products were sequenced three times for
confirmation. Another pair of primers was then designed directed to pig
exon 4 and intron 4 to allow assay of theca-cell hnRNA accumulation.
Tables 2
and 3
show the PCR product sequences for
porcine StAR hnRNA and 18S rRNA, respectively.
Porcine theca-cell culture
Theca cells were isolated as described previously (14, 15). Briefly, combined theca-granulosa membranes were removed from
immature follicles (diameter < 5 mm) using forceps, and granulosa
cells were detached by mechanical agitation for 3 min. Residual
theca-basal lamina linings were allowed to settle at unit gravity, and
the supernatant containing granulosa cells was discarded. Follicle
linings were then digested with collagenase (1 mg/ml) and DNase (10
µg/ml), and filtered 0.2 µm Nylon screen using a Millipore Corp. filter unit. Theca cells were washed 3 times in F12/DMEM
Media (1:1) by centrifugation for 5 min at 1,000 RPM.
Theca cells were purified further using Percoll density gradient, as
described previously (14). Cells were then suspended in F-12/DMEM (1:1)
media and plated in 96-well plates (Costar, Cambridge, MA)
at a density of 105 cells/well in a humidified
95% air, 5% CO2 incubator at 37 C. After an
initial 40 h of culture in F-12/DMEM to allow anchorage, theca
cells were exposed to LH, insulin alone, or their combination. Culture
media were collected at the indicated times (0, 6, 12, 24, and 48
h) for later analysis of androstenedione, progesterone, and cAMP
concentrations. Androstenedione was analyzed by commercially
available RIA (ICN Pharmaceuticals, Inc. Costa Mesa, CA),
which has a sensitivity of 0.17 ng/ml and exhibits low cross-reactivity
with progesterone (0.02%) and testosterone (0.87%). Progesterone,
cAMP and DNA were measured as described previously (16). Data were
normalized per unit cellular DNA in the cultures.
RNA isolation
Total RNA was isolated from cells pooled from eight wells using
the Tri-Reagent total RNA isolation kit (Molecular Research Center, Inc., Cincinnati, OH) according to the manufactures
instruction, and quantified spectrophotometrically by absorbance at
260/280 nm (Spectronics Model 601; Milton Roy, Rochester NY). Total RNA
was used to examine the expression of mRNA and hnRNA.
RT-PCR
Semiquantitive RT-PCR was used to assess mRNA levels by
first reverse transcribing 4 µl (1 µg) of total RNA/sample in a
final volume of 40 microliters. Each reaction contained 1
mM of each dNTP, 2.5 µM of oligo
(dT)15, 40 U of RNase inhibitor, 5 mM
MgCl2, 4 µl of 10x RT-PCR buffer, 50 U of
murine leukemia virus reverse transcriptase (MuLV-RT). RT was performed
at 42 C for 15 min followed by 99 C for 5 min.
PCR reaction mixtures of 100 microliters final volume contained 2.5
mM MgCl2, 100 pmol each of forward
and reverse gene specific primers, 0.2 mM of each dNTP, 10
microliters of 10x RT-PCR buffer, one fifth of the total RT volume for
gene specific products, and 2.5 U of AmpliTaq Gold DNA polymerase. PCR
amplification was optimized for each gene as follows: 95 C for 12 min,
then 28 cycles at 94 C for 30 sec, 62 C for 2 min, followed by 62 C for
10 min.
To amplify hnRNA for StAR, CYP17, and 18S rRNA, a different RT-PCR
protocol was used. In the RT step, 2 pmol reverse gene-specific primer
instead of oligo (dT)15 was used to synthesize
complementary DNA that was primed by intron-specific reverse primers.
In the PCR step, a different thermal-cycling protocol was used: 30 sec
at 95 C, 35 sec at 62 C, and 1 min 30 sec at 67 C.
To control for potential DNA contamination, RT-PCR reactions were also
conducted using total RNA without reverse transcriptase. To control for
errors in input of complementary DNA used in PCR reactions,
amplification of porcine endogenous 18S ribosomal RNA was performed in
parallel and results were expressed as a ratio of specific gene product
amplified to that of 18S ribosomal RNA.
The identities of the mRNA- and hnRNA-derived RT-PCR products were
confirmed in multiple (at least 3 to 5) independent samples from
different batches of ovaries by automated gene sequencing (University
of Virginia Molecular Core Lab).
PicoGreen quantification of PCR products
The amount of amplified PCR product was quantified for
each sample using the PicoGreen ultrasensitive fluorometric assay
(Molecular Probes, Inc., Eugene, OR). Twenty microliters
of PCR product/sample were prepared in 1 x TE buffer in a final
volume 100 µl, and added in a 96-well microplate. One hundred
microliters of 1:200 PicoGreen in 1 x TE was then mixed with each
PCR sample. After incubation at room temperature for 25 min,
microtiter plates were scanned at excitation = 488 nm and
emission = 530 nm using a FluorImager 595 Optical Scanner, version
5.01. The image was analyzed using Imagequant version 5.0
(Molecular Dynamics, Inc., Sunnyvale, CA). The amount of
PCR product was quantitated by extrapolation from DNA standards as
previously reported (17). The assay has a sensitivity of 25 pg/ml with
a linear range from 250 pg/ml to 1000 ng/ml. Lambda dsDNA was used as
standard. Intra and interassay coefficients of variation were 5.1% and
8.3%, respectively.
Statistical analyses
Data are presented in the figures as the mean ±
SEM of five independent experiments using separate batches
of ovaries to confirm reproducibility of results. Data were subjected
to the Students two-tailed t test or one-way ANOVA to
determine significant (P < 0.05) treatment effects. A
synergistic effect was assessed by testing for supraadditive
incremental (above control) effects using factorial ANOVA.
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Results
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LH and insulin synergy on theca-cell androstenedione and
progesterone biosynthesis
Initial studies were performed to optimize hormone dose and
time course effects on androstenedione and progesterone production.
These analyses showed that 100 ng/ml LH and 100 ng/ml insulin were
maximally effective (Fig. 1
, A and B).
Thus, further studies were done using these hormone concentrations. As
shown in the time course data of Fig. 1
, C and D, cotreatment with LH
and insulin synergistically increased both androstenedione and
progesterone accumulation normalized against DNA (P <
0.001). Synergism was evident statistically as early as 12 and 6 h
for androstenedione and progesterone, respectively. Maximal effects of
LH or insulin singly were apparent at 24 h. Androstenedione and
progesterone concentrations driven by LH or insulin alone decreased
slightly at 48 h, but continued to rise in response to the
combined actions of LH and insulin.

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Figure 1. A and B, C and D, Dose-response and time
course of LH and insulins individual and combined stimulation of
porcine theca-cell androstenedione and progesterone accumulation.
Serum-free primary monolayer cultures of theca cells (105
cells/0.25 ml medium/well) were stimulated with vehicle, LH (100
ng/ml), insulin (100 ng/ml) or their combination. At 0, 6, 12, 24, and
48 h, culture media were collected and the concentrations of
androstenedione and progesterone determined by specific RIAs. Values
are normalized for DNA content of the cultures. Data are the mean
± SEM of five different experiments each conducted with
triplicates. Each treatment effect was significant at
P < 0.05 (see text).
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Joint LH and insulin actions on theca-cell StAR and CYP17 mRNA
accumulation
Figure 2A
shows that LH alone
effectively stimulated StAR mRNA accumulation within 6 h
(P < 0.01). StAR message levels peaked at 12 h,
and decreased thereafter. Insulin alone also enhanced StAR mRNA
accumulation, but less rapidly than LH, and then maintained an
approximately constant amount of StAR message at 12 and 24 h
(P < 0.01). After 2448 h, combined LH and insulin
stimulated StAR mRNA expression significantly (P <
0.01). A generally similar time-course was observed for CYP17 mRNA
expression in response to these agonists alone and combined (Fig. 2B
).

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Figure 2. A and B, Time course of accumulation of porcine
theca-cell StAR and CYP17 mRNA basally and when stimulated by LH (100
ng/ml), insulin (100 ng/ml) or both. Total RNA was extracted from theca
cells and specific mRNA for StAR, CYP17, and 18S ribosomal RNA
quantitated by RT-PCR-PicoGreen assay (see Materials and
Methods). Data are normalized to 18S rRNA and given as the
mean ± SEM of triplicate samples from five
independent experiments. Each overall treatment effect was significant
at P < 0.05 (see text).
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Impact of LH and insulin on StAR and CYP17 hnRNA
accumulation
To monitor gene transcriptional activity indirectly, we used gene
intron-specific reverse primers for PCR-based quantitation of
(incompletely processed) heterogeneous nuclear (hn) RNA (see Table 1
).
The accumulation of hnRNA at a given time reflects a function of the
rate of transcription of the target gene and the rate of processing of
the immature hnRNA into mRNA (18). The differences in the hnRNA levels
among samples can be attributed to transcription.
Figure 3
(A and B) depicts the
time-course of StAR and CYP17 hnRNA accumulation basally and in
response to stimulation with LH, insulin and their combination. LH
maximally enhanced StAR and CYP17 hnRNA accumulation at 6 and 12
h, respectively. Then, hnRNA levels decreased gradually. In contrast,
insulin significantly increased StAR and P450 hnRNA after 12 to 24
h. Combined LH and insulin treatment consistently elevated
concentrations of hnRNAs for both StAR and CYP17 hnRNA expression
more than the corresponding values stimulated by either LH or insulin
alone (P < 0.05).

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Figure 3. A and B, Time course of accumulation of
intron-specific heterogeneous nuclear (hn) RNA for StAR and CYP17
basally and in response to stimulation by LH and/or insulin in porcine
theca-cell monolayer cultures. Theca cells were pretreated for the
indicated times with vehicle, LH (100 ng/ml), insulin (100 ng/ml) or
their combination. Heterogeneous nuclear RNA levels were quantified by
RT-PCR-PicoGreen assay using gene-specific primers complementary to
introns 4 and 3 of the swine StAR and CYP17 genes, respectively. Data
are normalized to 18S rRNA and presented as the mean ±
SEM of triplicate samples from five independent
experiments. Each overall treatment effect was significant at
P < 0.05 (see text).
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Effects of insulin on basal and LH-driven cAMP
accumulation
Insulin alone did not alter cAMP accumulation but significantly
enhanced LH-stimulated cAMP concentrations (Fig. 4
). LH-stimulated cAMP concentrations
were maximal at 6 h, and then declined slowly. In contrast, LH
plus insulin increased cAMP accumulation during the entire time course
of 48 h.

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Figure 4. Insulin significantly increases LH-driven cAMP
accumulation in porcine theca cells cultured as described in Fig. 1 .
Media were collected, diluted with HCl to 0.1 N, and cAMP
concentrations quantified by RIA. Data are presented as the mean
± SEM for five separate experiments each performed in
triplicate. Each overall treatment effect was significant at
P < 0.05 (see text).
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Actions of a stable cAMP analog, 8 Br-cAMP, on theca-cell
progesterone and androstenedione biosynthesis
Initial studies were performed to optimize 8 Br-cAMP dose and time
course effects on androstenedione and progesterone production. These
analyses showed that 1 mM 8 Br-cAMP and 100 ng/ml insulin
were maximally effective (Fig. 5
, A and
B). Thus, further studies were done using these concentrations. 8
Br-cAMP (1 mM) increased theca-cell androstenedione and
progesterone biosynthesis in a time-dependent manner (Fig. 5
, C and
D). However, in contrast to LH and insulin, coadministration of 8
Br-cAMP and insulin synergized only in stimulating progesterone
biosynthesis (20- to 31-fold within 6 to 48 h, P
< 0.001).

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Figure 5. A and B, C and D, Dose response and time course of
8 Br-cAMP and insulins individual and combined stimulation of porcine
theca-cell androstenedione and progesterone accumulation. Monolayer
cultures of porcine theca cells were stimulated with control solvent, 8
Br-cAMP (1 mM), insulin (100 ng/ml) or their combination
for 0, 6, 12, 24, and 48 h. Media were collected for the later
determination of androstenedione and progesterone concentrations by
specific RIAs. Data are normalized for DNA content of the cultures, and
reported as the mean ± SEM of five independent
experiments each done in triplicate. Each overall treatment effect was
significant at P < 0.05 (see text).
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Effect of 8 Br-cAMP on theca-cell StAR and CYP17 mRNA and hnRNA
expression
8 Br-cAMP alone significantly increased StAR at 24 h (Fig. 6A
) and CYP17 mRNA accumulation at 12 and
24 h (Fig. 6C
) as well as StAR hnRNA (Fig. 6B
) and CYP17 hnRNA
expression (Fig. 6D
). This analog combined with insulin also mimicked
the synergistic effect of LH and insulin on progesterone, and StAR mRNA
(12 h) accumulation. Combined 8 Br-cAMP and insulin treatment
consistently elevated concentrations of hnRNA for StAR expression more
than the corresponding values stimulated by either 8 Br-cAMP or insulin
alone (P < 0.05). The supraadditive effects on CYP17
mRNA (Fig. 6C
) or hnRNA (Fig. 6D
) concentrations over the full range of
culture time explored were not observed.

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Figure 6. A and B, C and D, The stable cAMP analog, 8
Br-cAMP, combined with insulin mimics the joint effect of LH and
insulin on StAR mRNA (A) and hnRNA (B), but not on CYP17 mRNA (C) and
hnRNA (D), accumulation. Theca cells were cultured as described in the
legend of Fig. 5 . At 0, 6, 12, 24, and 48 h, total cellular RNA
was extracted and the amounts of mRNA and hnRNA for StAR and CYP17
quantitated by the RT-PCR and PicoGreen assay (see Materials and
Methods). Data are the mean ± SEM of five
separate experiments each done in triplicate. Each overall treatment
effect was significant at P < 0.05 (see text).
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Discussion
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The present studies implement an in vitro serum-free
monolayer culture system of Percoll-purified porcine theca cells that
are responsive to LH and insulin singly and jointly. Thereby, we
explore the molecular mechanisms of the putative steroidogenic
interaction between these two pivotal but distinct signaling pathways.
Given the key role of StAR and CYP17 genes in controlling the
intracellular transport, and enzymatic processing of sterol substrate
(19, 20, 21), we investigated the regulation of these primary loci of
steroidogenic control by LH and insulin individually and in concert.
Time-course experiments first corroborated that LH and insulin
individually and synergistically (at a maximally effectively
concentration of each) drive theca-cell androstenedione biosynthesis
above control levels. The action of LH was more rapid in onset but less
sustained than that of insulin, whereas bihormonal stimulation evoked
both a rapid and a sustained increase in steroidogenesis. Based on the
consistent responses evident in primary theca-cell cultures, we could
examine LH and insulins interactive control of the foregoing critical
genes that govern cellular sterol economy and steroidogenic activity.
We found that bihormonal synergy is explicable by selective
supraadditive stimulation of mRNAs encoding CYP17 and StAR, which
points to novel LH and insulin-dependent effects on these genes and/or
their regulatory cofactors.
Detailed time-course analyses of CYP17 and StAR expression under LH
and/or insulin drive revealed several distinctions, which were agonist
specific. For example, the onset of LHs stimulation of StAR and CYP17
mRNA synthesis were more rapid than that for insulin. Conversely,
insulin action was more sustained. Combined LH and insulin augmented
CYP17 and StAR intron-specific transcript synthesis (hnRNA) and
accumulation (mRNA), more rapidly in a more persistent manner than LH
or insulin individually. The molecular bases for these hormone-specific
time-course distinctions are not known but likely reflect differences
in the proximal signaling elements and distal effector pathways used by
the two (LH and insulin) agonists, and/or unequal effects on protein or
mRNA turnover. For example, gonadotropins rapidly (within minutes)
activate G protein-linked receptor-mediated cAMP and PKA-dependent
signaling (22), whereas insulin initiates a complex cascade of tyrosine
phosphorylation-dependent reactions leading to altered gene
transcription (23). In this regard, the CYP17 and StAR genes are both
cAMP-PKA (24, 25, 26) and insulin/IGF-I (27, 28) responsive in various
endocrine cells. In the present studies, CYP17 and StAR gene expression
were increased by LH and insulin in theca cells. Bihormonal synergy
also is achieved by FSH (or cAMP) and IGF-I (or insulin) in stimulating
CYP11A gene expression in (porcine) granulosa cells (29, 30).
The 17
-hydroxylase and lyase activities of cytochrome CYP17 are
essential for male and female sex-hormone production (31). This enzyme
represents a single protein that catalyzes two biochemical reactions,
the 17
-hydroxylation of progesterone (and pregnenolone) and the
subsequent cleavage of the C1720 bond to yield androstenedione (and
DHEA). These precursors can be converted to potent
androgens, such as testosterone and 5
DHT (32), or undergo
aromatization to estrogens. Here, we show in vitro that LH
and insulin can jointly induce marked theca-cell androgen production
via molecular synergy at the level of steady-state expression of
specific steroidogenic genes.
Using RT-PCR, we could show that LH and insulin augment accumulation of
CYP17 and StAR hnRNAs in theca cells in an agonist- and time-specific
manner. Assuming the rate of processing of the hnRNA is constant under
the conditions of studies, then the actions of these two agonists
points to enhanced CYP17 and StAR gene transcription. As importantly,
combined stimulation with LH and insulin achieved a consistently
greater effect on the accumulation of both hnRNAs than either stimulus
alone. Heightened transcription of these genes by combined actions of
LH and insulin, if confirmed by transcriptional run-on assays, could
explicate the synergistic rise in StAR and CYP17 mRNA content and
steroidgenesis in theca cells.
An unexpected finding in the case of the CYP17 gene was that an
exogenous cAMP analog failed to mimic fully LHs enhancement of insulin
action under our specific culture conditions. This allows for the
possibility of greater regulatory complexity of the LH-insulin
interaction. For example, some of the effects of combined LH and
insulin to stimulate CYP17 gene expression synergistically may be
exerted in part independently of cAMP accumulation. Alternatively,
endogenous and exogenous cAMP may activate nonidentical cellular
reactions. The latter consideration was also raised in Sertoli cell
studies, whereas the former notion is consistent with the well
established ability of LH to stimulate not only the cAMP/PKA but also
the Ca2+/phospholipase C signaling pathway (33).
In addition, LH may modify one or more critical steps in insulins
signaling pathway. For example, the interaction between LH and insulin
in mediating the synergistic stimulation of androstenedione production
might be exerted via non-cAMP-dependent actions of LH via MAP-kinase
dependent pathways (34).
Theca-cell cytodifferentiation and steroidogenesis appear to depend on
LHs trophic actions via its cell membrane receptor (24, 35). The
theca cells used here were harvested from developing Grafian follicles
(diameter < 5 mm), which express LH receptors (36). In addition
to LH, insulin and various intragonadal insulin-like growth factors,
such as IGF-I and IGF-II, can participate in the regulation of
steroidogenesis by granulosa or theca cells (5, 37). Thus, one cellular
mechanism of synergy between LH and insulin or its analog IGF-I could
involve heightened gonadotropin-receptor expression in response to
insulinomimetic peptides, as well as increased expression of specific
mRNAs for CYP17 and StAR. Insulins trophic effects on ovarian
steroidogenesis likewise are exerted via IGF-I/and or insulin receptors
(4), and possibly in part via the inositalglycan pathway (38). For
example, functional insulin receptors are expressed on granulosa cells
in the rat, fish, pig, and human (4, 5), and insulin induces receptor
autophosphorylation in pig granulosa cells (4). Here, we show that
stimulation with insulin and LH synergistically increases ovarian
theca-cell cAMP accumulation, which would be consistent with enhanced
LH receptor expression, facilitated LH-receptor G protein coupling to
adenylyl cyclase, and/or suppression of cAMP degradation. The
last-mentioned consideration is suggested (but not proven) by
insulins ability to oppose the decline in theca-cell cAMP
accumulation over the 48 h time course of LH action. Independently
of the mechanism involved, these loci of LH-insulin synergy could be
bypassed experimentally by coadministration of a stable
(phosphodiesterase-resistant) analog of cAMP, 8 Br-cAMP.
In summary, the present experiments delineate specific and
time-dependently synergistic interactions between LH and insulin on
theca-cell androstenedione biosynthesis and StAR and CYP17 gene
expression. These actions in primary cultures of normal theca cells
point to a possible physiological interplay of gonadotropic and
insulinotropic stimuli to govern sterol economy and steroidogenesis
in vivo. Interactions of LH and insulin on CYP17 and StAR
hnRNA accumulation would further suggest that hormone-specific
mechanisms of transcriptional control may mediate these bihormonal
effects. The detailed nature of such molecular mechanisms will be
important to clarify in future studies.
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Footnotes
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1 This work was supported in part by NIH Grants HD-16393 and
HD-16806 (to J.D.V.), NIH P30-HD-28934 (Center for Cellular and
Molecular Reproduction), and the NIH U-54 Specialized Cooperative
Centers Program in Reproductive Research (NICHD HD-96008; U542HD
28934). 
Received December 16, 1999.
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