help button home button Endocrine Society Endocrinology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS

This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Purchase Article
Right arrow View Shopping Cart
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Copyright Permission
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Kang, S. K.
Right arrow Articles by Leung, P. C. K.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Kang, S. K.
Right arrow Articles by Leung, P. C. K.
Right arrowPubmed/NCBI databases
*Compound via MeSH
*Substance via MeSH
Hazardous Substances DB
*ESTRADIOL
Medline Plus Health Information
*Ovarian Cancer
Endocrinology Vol. 142, No. 2 580-588
Copyright © 2001 by The Endocrine Society


ARTICLES

Estradiol Regulates Gonadotropin-Releasing Hormone (GnRH) and its Receptor Gene Expression and Antagonizes the Growth Inhibitory Effects of GnRH in Human Ovarian Surface Epithelial and Ovarian Cancer Cells1

Sung Keun Kang2, Kyung-Chul Choi, Chen-Jei Tai, Nelly Auersperg and Peter C. K. Leung3

Department of Obstetrics and Gynecology, University of British Columbia, Vancouver, British Columbia, Canada V6H 3V5

Address all correspondence and requests for reprints to: Peter C. K. Leung, Ph.D., Department of Obstetrics and Gynecology, University of British Columbia, 2H-30, 4490 Oak Street, Vancouver, British Columbia, Canada V6H 3V5. E-mail: peleung{at}interchange.ubc.ca


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In the present study, we investigated the expression of estrogen receptors (ER{alpha} and ERß) in human ovarian surface epithelial (hOSE) cells and the ovarian cancer cell line, OVCAR-3, and provided novel evidence that estrogen may have a growth regulatory effect in these cells. Expression levels of ER{alpha} messenger RNA (mRNA) were 1.5-fold higher in OVCAR-3 cells than in hOSE cells, as revealed by semiquantitative RT-PCR and Southern blot analysis. A significant increase (3.3-fold) in ERß mRNA levels was observed in OVCAR-3 cells compared with hOSE cells. In parallel with mRNA levels, expression levels of ER{alpha} and ERß proteins were also higher in OVCAR-3 cells compared with hOSE cells. We recently proposed that GnRH and its receptor may have an autocrine role in hOSE and ovarian cancer cells. To determine whether estrogen regulates GnRH and GnRH receptor (GnRHR), hOSE and OVCAR-3 cells were treated with various concentrations of 17ß-estradiol for 24 h. Expression levels of GnRH and GnRHR mRNA were examined using quantitative and competitive RT-PCR, respectively. Treatment with 17ß-estradiol induced a significant down-regulation of GnRH mRNA in OVCAR-3 cells, but not in hOSE cells and of GnRHR mRNA in both hOSE and OVCAR-3 cells. Tamoxifen, an estrogen antagonist, prevented the effects of 17ßestradiol, suggesting that estradiol action is mediated via the ER. Finally, the effect of estrogen on the growth of hOSE and OVCAR-3 cells was investigated. The cells were treated with various concentrations of 17ß-estradiol, and the proliferative index of cells was measured using [3H]thymidine incorporation and DNA fluorometric assays. 17ß-Estradiol stimulated the growth of OVCAR-3 cells in a dose- and time-dependent manner. In contrast, 17ß-estradiol failed to stimulate the growth of hOSE cells. As estrogen down-regulated GnRH and GnRHR mRNA, we investigated whether estrogen treatment blocks the growth inhibitory effect of a GnRH agonist in OVCAR-3 and hOSE cells. Cells were treated with 17ß-estradiol (10-7 M) together with (D-Ala6)-GnRH (10-7 M), and the proliferative index of cells was measured. Pre- or cotreatment of cells with 17ß-estradiol significantly attenuated the growth inhibitory effect of the GnRH agonist in OVCAR-3 cells, whereas no effect of 17ß-estradiol treatment was observed in hOSE cells. To our knowledge, these results provide the first demonstration of a potential interaction between the estradiol/ER and GnRH/GnRHR systems, which may be important in the growth regulation of normal and neoplastic hOSE cells.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
IN ADDITION TO its well documented role in the regulation of gonadotropin synthesis and secretion, GnRH has direct effects on the gonads (1, 2). In the ovary, GnRH modulates basal and gonadotropin-stimulated steroidogenesis (3, 4) and induces transcription of several genes involved in follicular maturation and ovulation (5, 6). Furthermore, GnRH and its synthetic analogs have direct growth inhibitory effects on hormone-sensitive tumors, including carcinomas of the ovary (7, 8, 9). Several hormones have been shown to regulate GnRH and its receptor levels (1, 10). These include its homologous ligand GnRH, gonadal steroids (estrogen, progesterone, and testosterone), and peptide hormones (activin and inhibin). Estrogen plays a critical role in the events leading to ovulation by regulating GnRH and its receptor levels at the hypothalamus-pituitary level (1, 10). Hypothalamic GnRH levels are inversely related to blood estradiol profiles during the estrous cycle of rats (11). Also, anterior pituitary GnRH receptor (GnRHR) numbers vary during the rat estrous cycle (12). Replacement therapy with estradiol in the ovariectomized rat resulted in a marked decrease in pituitary GnRHR messenger RNA (mRNA) levels (13). Additionally, other studies have demonstrated the presence of GnRH and its receptor system in the ovary, suggesting the possible regulatory role of estrogen on this system (2, 3, 14). However, the effect of estrogen on GnRH and GnRHR expression in the ovary remains to be elucidated.

Biological effects of estrogen are mediated through an interaction with its intracellular receptor, a member of the steroid/thyroid/retinoid receptor gene superfamily (reviewed in Ref. 15). Until recently, the classical estrogen receptor (ER; now referred to as ER{alpha}) was thought to be the only form of nuclear receptor able to bind estrogen and mediate its hormonal effects in their target tissues. However, the recent cloning of a gene encoding a second type of ER (ERß) in the rat (16), mouse (17), and human (18) has prompted further investigations on the estrogen signaling system. Recent studies have revealed different tissue distributions and expression levels of ER{alpha} and ERß in the ovary, suggesting different biological roles of ER{alpha} and ERß in these tissues (16, 17, 18, 19, 20, 21). In addition, the existence of ER{alpha} and ERß in normal ovarian epithelial (OSE) cells and ovarian cancers has been reported (22, 23). Other epidemiological and clinical observations have implicated estrogen in the pathogenesis and growth regulation of carcinomas arising from ovary (24, 25, 26, 27, 28). For instance, experimental ovarian tumors could be induced by diethylstilbestrol (25), and estrogen stimulated the growth of several ER-positive ovarian carcinoma cell lines in vitro (26, 27, 28). However, the precise relationship between estrogen and the regulation of OSE or ovarian cancer cell growth remains unknown.

Considering that GnRH has recently been proposed to be a potential autocrine regulator in normal OSE and ovarian cancer cells (14, 29), we sought to investigate the relationship between estrogen/ER and the GnRH/GnRHR system in these cells. In the present study experiments were designed to investigate 1) the expression of ER{alpha} and ERß at the mRNA and protein levels in hOSE and ovarian cancer cells, 2), the regulation of GnRH and its receptor gene by estrogen, and 3) the growth regulatory effect of estrogen.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cell cultures and treatments
Human OSE (hOSE) cells (n = 3) were scraped from the ovarian surface during laparoscopies for nonmalignant disorders and were cultured as described previously (30) in medium 199/MCDB 105 (Life Technologies, Inc., Burlington, Canada) containing 10% FBS, 100 U/ml penicillin G, and 100 µg/ml streptomycin in a humidified atmosphere of 5% CO2-95% air. The human ovarian epithelial carcinoma cell line, OVCAR-3 (provided by Dr. T. C. Hamilton, Fox Chase Cancer Center, Philadelphia, PA), was cultured in medium 199 supplemented with 10% FBS, 100 U/ml penicillin G, and 100 µg/ml streptomycin. To study the regulation of GnRH and GnRHR mRNA by 17ß-estradiol (SigmaAldrich Corp., Oakville, Canada), 2 x 105 hOSE and OVCAR-3 cells were plated onto 35-mm culture dishes. After a preincubation of 48 h, the cells were treated with 17ß-estradiol at concentrations of 10-11, 10-9, or 10-7 M for 24 h. To investigate whether estradiol action is mediated via the ER, the cells were treated with 17ß-estradiol (10-7 M) plus tamoxifen (10-7 M; Sigma-Aldrich Corp.) for 24 h. Control cultures were treated with vehicle. The levels of GnRH and GnRHR mRNA were measured by quantitative and competitive RT-PCR, respectively, as previously described (14, 30). Amplified PCR products were quantified by densitometry (NIH image ß 3) after Southern blot analysis. Data are shown as the means of three experiments with duplicate samples and are presented as the mean ± SD.

RT-PCR amplification of ER{alpha} and ERß
Total RNA was prepared from cultured cells using the RNaid kit (Bio/Can Scientific, Mississauga, Canada) according to the manufacturer’s suggested procedure. The RNA concentration was measured based on absorbance at 260 nm, and its integrity was confirmed by agarose-formaldehyde gel electrophoresis. Total RNA (2.5 µg) was reverse transcribed into complementary DNA (cDNA) using first strand cDNA synthesis kit (Amersham Pharmacia Biotech, Oakville, Canada), following the manufacturer’s procedure. The primers were designed to amplify ER{alpha} and ERß based on the published sequences of human ER{alpha} and ERß (18, 31). Primers for ER{alpha} were: sense, 5'-ATGACCATGACCCTCAACACCAA-3' (F1); and antisense, 5'-CTTGGCAGATTCCATAGCCATAC-3' (R1). Primers for ERß were: sense, 5'-TACAGCATTCCCAGCAATGTCAC-3' (F2); and antisense, 5'-GAAGTGAGCATCC-CTCTTTGAAC-3' (R2). The cDNA was amplified in a 50-µl PCR reaction containing 2.5 U Taq polymerase (Life Technologies, Inc.) and its buffer, 1.5 mM MgCl2, 2 mM deoxy-NTP, and 50 pmol of specific primers. For semiquantitative PCR amplifications for ER{alpha} and ERß, the conditions under which PCR amplification was in the logarithmic phase were determined. Total RNA (2.5 µg) was reverse transcribed, and aliquots (2 µl) were amplified using different numbers of cycles. The semiquantitative RT-PCR amplification were carried out with denaturing for 1 min at 94 C, annealing for 35 sec at 50-60 C depending on the primers employed, extension for 90 sec at 72 C, and a final extension for 15 min at 72 C. Primers for ß-actin were designed based on published sequences (32), as previously described (33). PCR for ß-actin was carried out to rule out the possibility of RNA degradation and was used to control the variation in mRNA concentration in the RT reaction, as previously described (33). A linear relationship between PCR products and amplification cycles was observed in ER{alpha}, ERß, and ß-actin in OVCAR-3 cells (Fig. 1Go) and hOSE cells (data not shown). Thirty cycles for ER{alpha} and ERß and 18 cycles for ß-actin were employed for semiquantitative RT-PCR amplification. Amplified PCR products were subjected to Southern blot analysis. Ten microliters of PCR products were fractionated on a 1.5% agarose gel and stained with ethidium bromide. The PCR products were transferred to a nylon membrane and hybridized with digoxigenin-labeled cDNA probe for human GnRH, GnRHR, and ß-actin (3, 14, 33) following the manufacturer’s recommended procedure (Roche Molecular Biochemicals, Laval, Canada). After washing, the membranes were exposed to Kodak X-Omat x-ray film (Eastman Kodak Co., Rochester, NY). PCR products isolated from gel were cloned into pCRII vector using the TA Cloning Kit (Invitrogen, San Diego, CA) and were sequenced by the dideoxy nucleotide chain termination method using the T7 DNA polymerase sequencing kit (Amersham Pharmacia Biotech). Amplified PCR products were quantified by densitometry (NIH Image ß3) after Southern blot analysis. The expression levels of ER{alpha} and ERß were normalized against ß-actin levels. Data are presented as the mean ± SD.



View larger version (32K):
[in this window]
[in a new window]
 
Figure 1. Validation of semiquantitative RT-PCR for ß-actin (A), ER{alpha} (B), and ERß (C) in OVCAR-3 cells. Total RNA from OVCAR-3 cells was isolated and reverse transcribed, and aliquots were amplified using different number of PCR cycles as described in Materials and Methods. A linear relationship was observed between PCR products and amplification cycles when plotted.

 
Immunoblot analysis
Human OSE and OVCAR-3 cells were seeded at a density of 5 x 105 cells in 35-mm culture dishes and cultured in a humidified atmosphere of 5% CO2-95% air at 37 C. Cells were washed twice with ice-cold PBS and lysed in ice-cold RIPA buffer [150 mM NaCl, 1% Nonidet P-40, 0.5% deoxycholate, 0.1% SDS, 50 mM Tris (pH 7.5), 1 mM PMSF, 10 µg/ml leupeptin, and 100 µg/ml aprotinin]. The extracts were placed on ice for 15 min and centrifuged to remove cellular debris. The protein content of the supernatants was determined using a Bradford assay (Bio-Rad Laboratories, Inc.). Fifty micrograms of total protein were run on 10% SDS-PAGE gels and electrotransferred to a nitrocellulose membrane (Amersham Pharmacia Biotech) (34). The membrane was immunoblotted using a mouse monoclonal antibody for ER{alpha} (Santa Cruz Biotechnology, Inc., Santa Cruz, CA) and a goat polyclonal antibody for ERß (Santa Cruz Biotechnology, Inc.). After washing, the signals were detected with horseradish peroxidase-conjugated secondary antibody and visualized using the ECL chemiluminescent system (Amersham Pharmacia Biotech), followed by autoradiography. The levels of ER{alpha} and ERß protein were quantitated by densitometry (NIH Image ß3). Data are presented as the mean ± SD.

[3H]Thymidine incorporation assay
To investigate the effect of 17ß-estradiol on the growth of hOSE and OVCAR-3 cells, a [3H]thymidine incorporation assay was performed as previously described with some modifications (14). hOSE cells (n = 3; passage 2) and OVCAR-3 cells were plated in 24-well plates at 2 x 104 cells/well in 0.5 ml medium 199 (phenol red free) supplemented with 2% charcoal-stripped FBS, 100 U/ml penicillin G, and 100 µg/ml streptomycin. After a preincubation period of 24 h, the cells were cultured for 18 h and incubated with medium containing 1 µCi [3H]thymidine (5.0 Ci/mmol; Amersham Pharmacia Biotech) for 6 h. The cells were then collected and served as day 0 controls. On the day of treatment, the cells were treated with various concentrations (10-8, 10-7, or 10-6 M) of 17ß-estradiol for 2, 4, and 6 days. To investigate the effect of 17ß-estradiol on the growth inhibitory effect of a GnRH agonist, OVCAR-3 cells were pretreated with 17ß-estradiol (10-7 M) and vehicle for 24 h and then treated with (D-Ala6)-GnRH (10-7 M), 17ß-estradiol (10-7 M), and (D-Ala6)-GnRH (10-7 M) for 2, 4, and 6 days. The same treatment was applied to hOSE cells for 6 days. Control cultures were treated with vehicle. Before the day of collection, the cells were treated with hormone for 18 h and incubated with medium containing 1 µCi [3H]thymidine for 6 h. After incubation, the culture medium was removed, and the cells were washed three times with PBS and precipitated with 0.5 ml 10% trichloroacetic acid for 15 min at 4 C. After a methanol wash, the precipitate was solubilized in 0.5 ml 0.1 N sodium hydroxide, and the incorporated radioactivity was measured in a 1217 Rackbeta liquid scintillation counter (LKB Wallac, Inc., Turku, Finland). Each experiment was repeated three times with triplicate samples. Values are expressed as the percentage of growth compared with the control value and are the mean ± SD of three experiments with triplicate samples.

DNA fluorometric assay
In addition to the [3H]thymidine incorporation assay, the effect of 17ß-estradiol on the growth of OVCAR-3 cells was determined by measuring the DNA content as described previously with some modifications using a 24-well plate (35). To validate the experimental conditions, serial dilutions of calf thymus DNA (Sigma-Aldrich Corp.) were prepared in TNE buffer (10 mM Tris, 1 mM EDTA, and 2 M NaCl, pH 7.4). A 125-µl sample of each dilution was pipetted into wells for a DNA content of 500, 2,000, 5,000, or 10,000 ng/well, and 125 µl TNE buffer and 250 µl (20 µg) Hoechst 33258 DNA dye (Sigma-Aldrich Corp.) were added to each well. DNA was measured using an automated microplate fluorescence reader (model FL600, Bio-Tek Instruments, Inc., Winooski, VA) at an excitation wavelength of 350 nm and an emission wavelength of 460 nm (sensitivity, 80). A linear relationship between the amount of DNA and fluorescence units was observed (Fig. 2AGo). Serial dilutions of OVCAR-3 cells (10,000–150,0000 cells/well) were prepared and seeded into 24-well in 0.5 ml medium 199 (phenol red free) supplemented with 2% charcoal-stripped FBS, 100 U/ml penicillin G, and 100 µg/ml streptomycin. The cells were cultured for 24 h, washed with TNE three times, and stored at -70 C. On the day of assay, 250 µl distilled water were added to the wells, and the plates were incubated for 1 h at room temperature. The plates were frozen for 1 h at -70 C and thawed until reaching room temperature. A 250-µl (20-µg) aliquot of Hoechst 33258 DNA dye (Sigma-Aldrich Corp.) was added, and fluorescence was measured as described above. A linear relationship between the number of cells and fluorescence units was observed (Fig. 2BGo). For estrogen treatments, OVCAR-3 cells were plated in 24-well plates at 2 x 104 cells/well in 0.5 ml medium 199 (phenol red free) supplemented with 2% charcoal-stripped FBS, 100 U/ml penicillin G, and 100 µg/ml streptomycin. After a preincubation period of 24 h, the cells were cultured for 24 h, collected, and served as day 0 controls. On the day of treatment, the cells were treated with various concentrations (10-8, 10-7, or 10-6 M) of 17ß-estradiol for 2, 4, and 6 days. To investigate the effect of 17ß-estradiol on the growth inhibitory effect of a GnRH agonist, OVCAR-3 cells were pretreated with 17ß-estradiol (10-7 M) and vehicle for 24 h and then treated with (D-Ala6)-GnRH (10-7 M), 17ß-estradiol (10-7 M), and (D-Ala6)-GnRH (10-7 M) for 2, 4, and 6 days. Control cultures were treated with vehicle. The amount of DNA was measured as described above. Each experiment was repeated three times with triplicate samples. The number of cells was calculated from inserting the fluorescence unit into a standard curve (Fig. 2BGo). Cell proliferation was expressed as the percentage of growth compared with the control value. The values are the mean ± SD of three experiments with triplicate samples.



View larger version (24K):
[in this window]
[in a new window]
 
Figure 2. Validation of DNA fluorometric assay. To validate experimental conditions, serial dilutions of calf thymus DNA (500–10,000 ng/well) was pipetted into wells, and Hoechst 33258 DNA dye was added to each well. Amount of DNA was measured using an automated microplate fluorescence reader at an excitation wavelength of 350 nm and an emission wavelength of 460 nm (sensitivity, 80). A linear relationship between the amount of DNA and fluorescence units was observed (A). To generate a standard curve, serial dilutions of OVCAR-3 cells (10,000–150,0000 cells/well) were seeded and cultured for 24 h. The cells were then washed with TNE three times, and the amount of DNA was measured. A linear relationship between the number of cells and fluorescence units was observed (B).

 
Data analysis
The data were analyzed by one-way ANOVA followed by Tukey’s multiple comparison test. P < 0.05 was considered statistically significant.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Expression of ER{alpha} and ERß mRNA
To investigate the expression of ER{alpha} and ERß mRNA in hOSE and OVCAR-3 cells, two sets of primers were designed, and semiquantitative RT-PCR was performed. As shown in Fig. 3AGo, a 540-bp DNA fragment for ER{alpha} and a 279-bp DNA fragment for ERß were obtained from hOSE cells and OVCAR-3 cells. These fragments were validated as ER{alpha} and ERß by hybridization with a specific probe for ER{alpha} and ERß cDNA (Fig. 3AGo) and sequence analysis (data not shown). The possibility of genomic DNA or cross-contamination was ruled out, because no PCR products were observed or detected in negative controls (without template and without reverse transcriptase in the RT reaction) by ethidium bromide staining and Southern blot analysis, respectively (data not shown). Quantitative analysis of the present study showed different expression levels of ER{alpha} and ERß mRNA. The expression levels of ER{alpha} mRNA were 1.5-fold higher in OVCAR-3 cells compared with hOSE cells (Fig. 3BGo). A significant increase (3.3-fold) in ERß mRNA was observed in OVCAR-3 cells compared with hOSE cells (Fig. 3BGo).



View larger version (42K):
[in this window]
[in a new window]
 
Figure 3. Detection of ER{alpha} and ERß mRNA by RT-PCR amplification. First strand cDNAs from hOSE and OVCAR-3 cells were amplified using two sets of PCR primers derived from human ER{alpha} and ERß cDNA. The PCR products were transferred onto a nylon membrane and hybridized with a digoxigenin-labeled human ER{alpha} and ERß cDNA probe (A). Amplified PCR products were quantified by densitometry after Southern blot analysis (B). The expression levels of ER{alpha} and ERß mRNA were normalized against ß-actin mRNA levels. Data are shown as the means of three experiments and are presented as the mean ± SD. a, P < 0.05 vs. hOSE cells.

 
Expression of ER{alpha} and ERß protein
To investigate the expression of ER{alpha} and ERß protein in hOSE and OVCAR-3 cells, immunoblot analysis was performed using a mouse monoclonal antibody for ER{alpha} and a goat polyclonal antibody for ERß. As shown in Fig. 4AGo, ER{alpha} protein (68 kDa) and ERß (55 kDa) were observed in both cell types. Quantitative analysis of the present study showed a slight, but significant, increase in ER{alpha} protein in OVCAR-3 cells compared with hOSE cells (Fig. 4BGo). In contrast, a highly significant increase (2.5-fold) in ERß protein was observed in OVCAR-3 cells (Fig. 4BGo).



View larger version (42K):
[in this window]
[in a new window]
 
Figure 4. Detection of ER{alpha} and ERß protein by immunoblot analysis. hOSE and OVCAR-3 cells were seeded at a density of 5 x 105 cells in 35-mm culture dishes and cultured in a humidified atmosphere of 5% CO2-95% air at 37 C. Fifty micrograms of total protein were run on 10% SDS-PAGE gels and electrotransferred to a nitrocellulose membrane. The membrane was immunoblotted using a mouse monoclonal antibody for ER{alpha} and a goat polyclonal antibody for ERß. After washing, the signals were detected with horseradish peroxidase-conjugated secondary antibody and visualized using the enhanced chemiluminescent system, followed by autoradiography (A) and quantification (B). Data are shown as the means of three experiments and are presented as the mean ± SD. a, P < 0.05 vs. hOSE cells.

 
Regulation of GnRH and GnRHR mRNA by 17ß-estradiol
Treatment with 17ß-estradiol (10-7 M) induced a 38% decrease in GnRH mRNA in OVCAR-3 cells (Fig. 5AGo). In contrast, no significant down-regulation of GnRH mRNA was observed in hOSE cells (Fig. 5AGo). Treatment with 17ß-estradiol (10-9 and 10-7 M) resulted in a significant down-regulation of GnRHR mRNA in OVCAR-3 cells. Maximum down-regulation (to 43% of control levels) was observed at 10-7 M (Fig. 5BGo). In hOSE cells, 17ß-estradiol induced a downregulation of GnRHR mRNA in a dose-dependent manner, with maximum down-regulation (to 60% of control levels) at 10-9 M (Fig. 5BGo). To determine whether estradiol action is mediated through the estrogen receptor, the cells were treated with 17ß-estradiol together with tamoxifen, an estrogen antagonist. Cotreatment with tamoxifen abolished the down-regulation of GnRH in OVCAR-3 cells and GnRH and GnRHR mRNA in both cells (Fig. 6Go).



View larger version (31K):
[in this window]
[in a new window]
 
Figure 5. Effect of 17ß-estradiol on GnRH (A) and GnRHR mRNA (B) in hOSE and OVCAR-3 cells. hOSE and OVCAR-3 cells (2 x 105/dish) were plated and cultured for 48 h. The cells were then treated with various concentrations of 17ß-estradiol for 24 h. Control cultures were treated with vehicle. Total RNA was extracted and reverse transcribed into first cDNA. The levels of GnRH and GnRHR mRNA were measured by quantitative and competitive RT-PCR, respectively, as previously described (14 30 ). Amplified PCR products were quantified by densitometry after Southern blot analysis. Data are shown as the means of three experiments with duplicate samples and are presented as the mean ± SD. a, P < 0.05 vs. control; b, P < 0.05 vs. 10-11 M 17ß-estradiol.

 


View larger version (24K):
[in this window]
[in a new window]
 
Figure 6. Effects of 17ß-estradiol and tamoxifen cotreatment on GnRH and GnRHR mRNA OVCAR-3 (A and B) and hOSE cells (C). The OVCAR-3 and hOSE cells (2 x 105/dish) were plated and cultured for 48 h. The cells were then treated with 17ß-estradiol (E2; 10-7 M), tamoxifen (Txf; 10-7 M), or 17ß-estradiol (10-7 M) plus tamoxifen (10-7 M) for 24 h. Control cultures were treated with vehicle. Total RNA was extracted and reverse transcribed into first cDNA. The expression levels of GnRH and GnRHR mRNA were measured by quantitative and competitive RT-PCR, respectively, as previously described (14 30 ). Amplified PCR products were quantified by densitometry after Southern blot analysis. Data are shown as the means of three experiments with duplicate samples and are presented as the mean ± SD. a, P < 0.05 vs. control.

 
Effect of 17ß-estradiol on the growth of OVCAR-3 and hOSE cells
Estrogen is known to stimulate the growth of several ER-positive ovarian cells (26, 27, 28). To evaluate the functional role of 17ß-estradiol in OVCAR-3 and hOSE cells, the cells were treated with different concentrations (10-8, 10-7, or 10-6 M) of 17ß-estradiol for 2, 4, and 6 days, and [3H]thymidine incorporation and DNA fluorometric assays were performed. As shown in Fig. 7AGo, 17ß-estradiol stimulated the growth of OVCAR-3 cells in a dose-dependent manner when measured by a [3H]thymidine incorporation assay. A significant increase in proliferation was detected as early as the second day of treatment at concentrations of 10-8 and 10-7 M. At a higher concentration (10-6 M), stimulation of cell growth was significant on days 4 and 6. The growth effect of 17ß-estradiol was also time dependent, as the stimulatory effect increased with time of treatment (Fig. 7AGo). Stimulation of growth continued to the fourth day and was further evident on the sixth day of treatment. On day 6, 17ß-estradiol (10-7 M) induced cell proliferation to 195% of the control value, and 10-8 and 10-6 M 17ß-estradiol stimulated cell growth to 148% and 139% of the control level, respectively. The growth stimulatory effect of 17ß-estradiol in OVCAR-3 cells was also observed when assessed by DNA fluorometric assay (Fig. 7BGo). In contrast, 17ß-estradiol failed to significantly affect the growth of hOSE cells (Fig. 7CGo), as measured by a [3H]thymidine incorporation assay.



View larger version (20K):
[in this window]
[in a new window]
 
Figure 7. Effect of 17ß-estradiol on the growth of OVCAR-3 (A and B) and hOSE cells (C). The OVCAR-3 and hOSE cells were plated at 2 x 104 cells/well in 0.5 ml medium 199 (phenol red free) supplemented with 2% charcoal-stripped FBS, 100 U/ml penicillin G, and 100 µg/ml streptomycin. On the day of treatments, the cells were treated with different concentrations of the 17ß-estradiol (10-8, 10-7, or 10-6 M) for 2, 4, and 6 days. Control cultures were treated with vehicle. The synthesis and amount of DNA were measured a [3H]thymidine incorporation assay (A and C) and a DNA fluorometric assay (B), respectively. Data are shown as the means of three experiments with triplicate samples and are presented as the mean ± SD. a, P < 0.05 vs. control; b, P < 0.05 vs. (D-Ala6)-GnRH (Ga).

 
Effect of 17ß-estradiol on the growth inhibitory effect of GnRH agonist
GnRH agonist (GnRHa) treatment induced significant growth inhibition in both OVCAR-3 and hOSE cells (14, 30). As estrogen down-regulated GnRH and GnRHR mRNA levels, we investigated whether estrogen treatment antagonizes the growth inhibitory effect of GnRHa in OVCAR-3 and hOSE cells. The dose and time of GnRHa treatment were determined as described previously (14, 30). As shown in Fig. 8AGo, GnRHa induced a significant growth inhibition of OVCAR-3 cells as early as the second day of treatment when measured by a [3H]thymidine incorporation assay. Inhibition of growth continued through the fourth day and was further evident on the sixth day of treatment (to 50% of the control level). Pretreatment with 17ß-estradiol for 24 h partially blocked the growth inhibitory effect of GnRHa on day 2, but failed to block the effect of GnRHa on days 4 and 6 of treatment. Pretreatment for 24 h and cotreatment with 17ß-estradiol on a daily basis induced a significant attenuation of growth inhibitory effect of GnRHa throughout the treatment. The effect of 17ß-estradiol on the growth inhibitory effect of GnRHa in OVCAR-3 cells was also observed when determined by the amount of DNA (Fig. 8BGo). In contrast, neither pre- nor cotreatment with 17ß-estradiol blocked the growth inhibitory effect of GnRHa in hOSE cells in a [3H]thymidine incorporation assay (Fig. 8CGo).



View larger version (25K):
[in this window]
[in a new window]
 
Figure 8. Effect of 17ß-estradiol treatment on the growth inhibitory effect of GnRH agonist in OVCAR-3 (A and B) and hOSE cells (C). OVCAR-3 and hOSE cells were plated at 2 x 104 cells/well in 0.5 ml medium 199 (phenol red free) supplemented with 2% charcoal-stripped FBS, 100 U/ml penicillin G, and 100 µg/ml streptomycin. OVCAR-3 cells were pretreated with 17ß-estradiol (E2; 10-7 M) and vehicle for 24 h, and then treated with (D-Ala6)-GnRH (Ga; 10-7 M), or 17ß-estradiol (10-7 M) plus (D-Ala6)-GnRH (10-7 M) for 2, 4, and 6 days. The same treatment was applied to hOSE cells for 6 days. Control cultures were treated with vehicle. The synthesis and amount of DNA were measured a [3H]thymidine incorporation assay (A and C) and a DNA fluorometric assay (B), respectively. Data are shown as the means of three experiments with triplicate samples and are presented as the mean ± SD. a, P < 0.05 vs. control; b, P < 0.05 vs. Ga.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In addition to its role in the hypothalamus, pituitary, and many other organs, estrogen plays a critical role in regulating ovarian cell functions (1, 36, 37). In the present study, we demonstrated that 17ß-estradiol, through its specific receptors, regulates GnRH and GnRHR mRNA expression in hOSE and OVCAR-3 cells. In addition, estrogen not only stimulates the growth of ovarian cancer cells, but also antagonizes the growth inhibitory effect of GnRH in OVCAR-3 cells.

Biological effects of estrogens are mediated through an interaction with its intracellular receptor (reviewed in Ref. 15). Recent studies have revealed different tissue distributions and expression levels of ER{alpha} and ERß in the ovary (16, 17, 18, 19, 20, 21). It has been demonstrated that ER{alpha} is localized primarily in the ovarian stromal and thecal cells, whereas ERß is predominantly detected in the granulosa cells of small, developing, and preovulatory follicles (18, 19, 20). In the present study, we demonstrated the expression of ER{alpha} and ERß mRNA in normal hOSE cells and epithelial cancers of the ovary, i.e. OVCAR-3 cells. Quantitative analysis showed different expression levels of ER{alpha} and ERß mRNA. Expression levels of ER{alpha} and ERß mRNA were higher in OVCAR-3 cells than in hOSE cells. Our data are in agreement with recently demonstrated ER{alpha} and ERß expression in cultured hOSE cells and primary cultures of ovarian cancer cells (22, 23). Despite the abundance of information on ERs mRNA, there is little characterization of the ER protein in the ovary. The open reading frame predicted from the ERß cDNAs encodes a protein of approximately 54 kDa, which contrasts with the size of ER{alpha} (~67 kDa) detected by Western blotting (16, 31). In the present study, we demonstrated the predicted size of ER{alpha} and ERß protein in hOSE and OVCAR-3 cells using immunoblot analysis. Our results are consistent with previous reports that demonstrated the existence of ER in normal OSE and ovarian cancer cells using ligand binding and immunocytochemical studies (38, 39). In parallel with mRNA levels, different expression levels of ER{alpha} and ERß protein were observed in hOSE and OVCAR-3 cells. The different expression levels of ER{alpha} and ERß suggest that these receptors may have different biological roles in regulating the functions of normal hOSE and OVCAR-3 cells.

In addition to its well documented role in the regulation of gonadotropin synthesis and secretion, GnRH has direct effects on the gonads. At the hypothalamus-pituitary levels (1, 2), estrogen is thought to be a key regulator of GnRH and its receptor system (1, 10). During the rat estrous cycle, GnRH mRNA levels in the hypothalamus were inversely correlated to plasma estrogen levels (11). However, other groups have documented that estrogen increases GnRH gene expression in the rat (40), which may lead to the gonadotropin surge before ovulation. Like GnRH, estrogen regulates GnRHR in the pituitary. In the rat pituitary, estradiol negatively regulates GnRHR mRNA (13). However, other groups have shown that estrogen increased GnRHR mRNA levels (41, 42, 43). Differences in steroid-induced regulation of GnRH and GnRHR may be explained by different effects of estrogen on the hypothalamus and pituitary depending on the duration and dosage of hormone exposure, time points of measurement, differences in sensitivity of techniques, and perhaps species differences. Recently, we proposed that GnRH may be an autocrine/paracrine regulator in normal hOSE and ovarian cancer cells (14, 30). However, no information is available on the role of 17ß-estradiol in regulating GnRH and GnRHR in these cells. In the present study, we demonstrated that estrogen significantly decreased the GnRH mRNA level in OVCAR-3 cells and GnRHR mRNA levels in hOSE and OVCAR-3 cells. The exact mechanism by which estrogen regulates GnRH and its receptor mRNAs in the ovary and in ovarian cancer remains unclear. After binding to its nuclear receptor, estrogen may modulate GnRH and GnRHR directly or indirectly. Even though no consensus sequence for an estrogen response element is found in the promoter region of the human GnRH and GnRHR gene (44, 45), estrogen can directly modulate transcription of the GnRH gene (44) and GnRHR promoter activity (our unpublished data). Alternatively, estrogen may act through indirect pathways to regulate GnRH and its receptor. It has been demonstrated that estrogen can mobilize intracellular Ca2+ (46), which may lead to activation of the protein kinase C pathway. Phorbol ester-induced activation of protein kinase C has been shown to modulate GnRHR gene expression (47). In the present study, the effect of estrogen appears to be a receptor-mediated event, as cotreatment with a competitive estrogen antagonist, tamoxifen, abolished the effect of estradiol. It remains to be determined which type of receptor mediates the effect of estrogen in these cells. Other studies have demonstrated that homodimers ER{alpha}/ER{alpha} and ERß/ERß or heterodimers ER{alpha}/ERß can be formed in vitro, bind to the estrogen response elements, and stimulate the transcription of a reporter gene (48, 49). Therefore, the relative expression of ER{alpha} and ERß and the difference in DNA-binding activity between heterodimers and homodimers could determine the tissuespecific effects of estrogen action.

Estrogen has been implicated in the pathogenesis and growth regulation of carcinomas arising from the ovary (24, 25, 26, 27, 28). In this study, 17ß-estradiol stimulated the growth of an ovarian cancer cell line, OVCAR-3, in a time- and dose-dependent manner. The growth stimulation was detected after 2 days of estradiol treatment and was further evident at 6 days. The requirement for a long-term treatment suggests that the growth stimulatory effect of estrogen may be indirect. This idea is supported by findings that estrogen has been shown to stimulate the growth of other ovarian cancer cells through stimulating expression of transforming growth factor-{alpha} (50) and epidermal growth factor (51). In contrast to OVCAR-3 cells, estrogen had no effect on the growth of hOSE cells. Our data are in agreement with the previous finding that estrogen has no effect on the growth of hOSE cells (38). The exact mechanisms of estrogen insensitivity in ER-positive hOSE cells are not known. The responses to estrogen may be dependent on the expression levels of ERs in the target tissues. This idea is supported by findings that only ovarian cancer cell lines with high levels of ER expression were responsive to estrogen treatment (26, 28). The different levels of ER{alpha} and ERß expression between hOSE and OVCAR-3 cells observed in the present study corroborate this view. Alternatively, the regulation of epithelial cell growth by estrogen in reproductive organs may occur through common paracrine mechanisms mediated by stromal hormone receptors. This possibility is well demonstrated in uterine and vaginal epithelium, where their growth is dependent on stromal ER that may induce epithelial cell proliferation by producing a variety of growth factors (reviewed in Ref. 52). In this regard, it is likely that the OVCAR-3 cells have acquired the capacity to respond mitogenically to estrogen, a capacity not expressed by normal hOSE cells. Furthermore, it is possible that normal OSE may express splice variant forms of ER{alpha} and ERß, which negatively affect normal ER signaling. This suggestion is supported by the finding of a mutation in the exon of ER{alpha}, which may explain why an ovarian cancer cell line, SKOV3, was reported to be ER positive but estrogen insensitive (22, 53).

It has been demonstrated that GnRH agonists and antagonists inhibited the growth of GnRHR-bearing tumors (7, 8, 9). Our previous studies have demonstrated that long-term treatment of GnRHa induced significant growth inhibition in hOSE and OVCAR-3 cells (14, 30). As GnRH actions are mediated through a G protein-coupled receptor, and estrogen down-regulates GnRH and GnRHR levels, we further explored the possibility that estrogen may block the growth inhibitory effect of GnRHa in OVCAR-3 and hOSE cells. Our data demonstrate that pre- or cotreatment with 17ß-estradiol induced a significant attenuation of the growth inhibitory effect of GnRHa in OVCAR-3 cells. These results suggest that estrogen may function as a growth regulatory factor as well as a mitogen in OVCAR-3 cells. However, we cannot rule out the possibility that the mitogenic activity of estrogen may override the growth inhibitory activity of GnRHa independent of down-regulation of GnRHR in OVCAR-3 cells. Despite down-regulation of GnRHR mRNA levels, neither pre- nor cotreatment with 17ß-estradiol blocked the growth inhibitory effect of GnRHa in hOSE cells. These results suggest that estrogen may have no growth regulatory effect in hOSE cells, but may mediate other functions in hOSE cells. Considering that hOSE cells are reported to produce cytokines, cell adhesion molecules, and proteolytic enzymes (30, 54, 55), it is possible that estrogen may play a role in regulating these factors in hOSE cells.

In summary, we have demonstrated that 1) OVCAR-3 and hOSE cells express ER{alpha} and ERß at the mRNA and protein levels; 2) estrogen through its receptors down-regulates the GnRH mRNA level in OVCAR-3 cells and GnRHR mRNA levels in OVCAR-3 and hOSE cells; 3) GnRH has an inhibitory effect on OVCAR-3 and hOSE cell proliferation; 4) estradiol has a stimulatory effect on proliferation of OVCAR-3, but not hOSE, cells; and 5) concomitant treatment of estradiol and GnRHa antagonizes the growth inhibitory effect of GnRHa on OVCAR-3, but not on hOSE cells.


    Acknowledgments
 
We express our gratitude to Clara Salamanca for providing hOSE cells.


    Footnotes
 
1 This work was supported by grants from Medical Research Council of Canada. Back

2 Recipient of a studentship award from the British Columbia Research Institute of Children’s and Women’s Health. Back

3 Recipient of a career investigatorship from the British Columbia Research Institute of Children’s and Women’s Health. Back

Received September 6, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Conn PM 1994 The molecular mechanism of gonadotropin-releasing hormone action in the pituitary. In: Knobil E, Neill JD (eds) The Physiology of Reproduction. Raven Press, New York, pp 1815–1826
  2. Leung PC, Steele GL 1992 Intracellular signaling in the gonads. Endocr Rev 13:476–498[Abstract]
  3. Peng C, Fan NC, Ligier M, Vännänen J, Leung PC 1994 Expression and regulation of gonadotropin-releasing hormone (GnRH) and GnRH receptor messenger ribonucleic acids in human granulosa-luteal cells. Endocrinology 135:1740–1746[Abstract]
  4. Väännänen J, Tong BLP, Väännänen CCM, Chan IHY, Yuen BH, Leung PCK 1997 Interaction of prostaglandin F2{alpha} and gonadotropin-releasing hormone on progesterone and estradiol production in human granulosa-luteal cells. Biol Reprod 57:1346–1353[Abstract]
  5. Ny T, Liu YX, Ohlsson M, Jones PB, Hsueh AJW 1987 Regulation of tissue-type plasminogen activator activity and messenger RNA levels by gonadotropin-releasing hormone gene in cultured rat granulosa cells and cumulus-oocyte complexes. J Biol Chem 262:11790–11793[Abstract/Free Full Text]
  6. Wong WY, Richards JS 1992 Induction of prostaglandin H synthase in rat preovulatory follicles by gonadotropin-releasing hormone. Endocrinology 130:3512–3521[Abstract]
  7. Emons G, Ortmann O, Becker M, Irmer G, Springer B, Laun R, Holzel F, Schultz KD, Schally AV 1993 High affinity binding and direct antiproliferative effects of LHRH analogues in human ovarian cancer cell lines. Cancer Res 53:5439–5446[Abstract/Free Full Text]
  8. Harris NC, Dutlow C, Eiden KA, Dong KW, Roberts JL, Millar RP 1991 Gonadotropin-releasing hormone gene expression in MDA-MB-231 and ZR-75–1 breast carcinoma cell lines. Cancer Res 51:2577–2581[Abstract/Free Full Text]
  9. Emons G, Schroder B, Ortmann O, Westphalen W, Schulz KD, Schally AV 1993 High affinity binding and direct antiproliferative effects of luteinizing hormone-releasing hormone analogs in human endometrial cancer cell lines. J Clin Endocrinol Metab 77:1458–1464[Abstract]
  10. Braden TD, Conn PM 1993 GnRH and its mechanism of action. In: Leung PCK, Hsueh AJW, Friesen HG (eds) Molecular Basis of Reproductive Endocrinology. Springer-Verlag, New York, pp 12–38
  11. Zoeller RT, Young WS 1988 Changes is cellular levels of messenger ribonucleic acid encoding gonadotropin-releasing hormone in the anterior hypothalamus of female rats during the estrous cycle. Endocrinology 123:1688–1689[Abstract]
  12. Bauer-Dantoin AC, Hollenberg AN, Jameson JL 1993 Dynamic regulation of gonadotropin-releasing hormone receptor mRNA levels in the anterior pituitary gland during rat estrous cycle. Endocrinology 133:1911–1914[Abstract]
  13. Kaiser UB, Jakubowiak A, Steinberger A, Chin WW 1993 Regulation of rat pituitary gonadotropin-releasing hormone receptor mRNA levels in vivo and in vitro. Endocrinology 133:931–934[Abstract]
  14. Kang SK, Choi K-C, Cheng KW, Nathwani PS, Auersperg N, Leung PCK 2000 Role of gonadotropin-releasing hormone as an autocrine growth factor in human ovarian surface epithelium. Endocrinology 141:72–80[Abstract/Free Full Text]
  15. Tsai MJ, O’Malley BW 1994 Molecular mechanisms of action of steroid/thyroid receptor superfamily. Annu Rev Biochem 63:451–486[CrossRef][Medline]
  16. Kuiper GGJM, Enmark E, Pelto-Huikko M, Nilsson S, Gustafsson J 1996 Cloning of a novel estrogen receptor expressed in rat prostate and ovary. Proc Natl Acad Sci USA 93:5925–5930[Abstract/Free Full Text]
  17. Tremblay GB, Tremblay A, Copeland NG, Gilbert DJ, Jenkins NA, Labrie F, Giguere V 1997 Cloning, chromosomal localization, and functional analysis of the murine estrogen receptor ß. Mol Endocrinol 11:353–365[Abstract/Free Full Text]
  18. Mosselman S, Polman J, Dijkema R 1996 ERß: identification and characterization of a novel human estrogen receptor. FEBS Lett 392:49–53[CrossRef][Medline]
  19. Telleria CM, Zhong L, Deb S, Srivastava RK, Park KS, Sugino N, Park-Sarge O-K, Gibori G 1998 Differential expression of the estrogen receptors {alpha} and ß in the rat corpus luteum of pregnancy: regulation by prolactin and placental lactogens. Endocrinology 139:2432–2442[Abstract/Free Full Text]
  20. Saunders PTK 1998 Oestrogen receptor ß (ERß). Rev Reprod 3:164–171[Abstract]
  21. Sar M, Welsch F 1999 Differential expression of estrogen receptor-ß and estrogen receptor-{alpha} in the rat ovary. Endocrinology 140:963–971[Abstract/Free Full Text]
  22. Lau K, Mok SC, Ho S 1999 Expression of human estrogen receptor-{alpha} and -ß, progesterone receptor, and androgen receptor mRNA in normal and malignant ovarian epithelial cells. Proc Natl Acad Sci USA 96:5722–5727[Abstract/Free Full Text]
  23. Brandenberger AW, Tee MK, Jaffe RB 1998 Estrogen receptor {alpha} (ER-{alpha}) and beta (ER-ß) mRNAs in normal ovary, ovarian serous cystadenocarcinoma and ovarian cancer cell lines: down-regulation of ER-ß in neoplastic tissues. J Clin Endocrinol Metab 83:1025–1028[Abstract/Free Full Text]
  24. Young RC, Knapp RC, Fuks Z, DiSaia PJ 1985 Principles and practice of oncology. In: Devita Jr VT, Hellman S, Rosenberg SA (eds) Cancer. Lippincott, Philadelphia, pp 1083–1076
  25. Hoover R, Gray LA, Fraumeni JF 1977 Stilboestrol (diethylstilbestrol) and the risk of ovarian cancer. Lancet 2:533–534[Medline]
  26. Chien C, Wang F, Hamilton TC 1994 Transcriptional activation of c-myc proto-oncogene by estrogen in human ovarian cancer cells. Mol Cell Endocrinol 99:11–19[CrossRef][Medline]
  27. Galtier-Dercure F, Capony F, Maudelonde T 1992 Estradiol stimulates cell growth and secretion of procathepsin D and a 120-kilodalton protein in the human ovarian cancer cell line bG-1. J Clin Endocrinol Metab 75:1497–1502[Abstract]
  28. Langon SP, Hirst GI, Miller EP, Hawkins RA, Tesdale AI, Smyth JF, Miller WR 1994 The regulation of growth and protein expression by estrogen in vitro: a study of eight human ovarian carcinoma cell lines. J Steroid Biochem Mol Biol 50:131–135[CrossRef][Medline]
  29. Kang SK, Cheng KW, Nathwani PS, Choi K-C, Leung PCK Autocrine role of gonadotropin-releasing hormone (GnRH) and its receptor in ovarian cancer cell growth. Endocrine, in press
  30. Kruk PA, Auersperg N 1992 Human ovarian surface epithelial cells are capable of physically restructuring extracellular matrix. Am J Obstet Gynecol 167:1437–1443[Medline]
  31. Green S, Walter P, Kumar V, Krust A, Bornert J, Argos P, Chambon P 1986 Human oestrogen receptor cDNA: sequence, expression and homology to v-erb-A. Nature 320:134–139[CrossRef][Medline]
  32. Ng SY, Gunning P, Eddy R, Ponte P, Leavitt J, Shows T, Kedes L 1985 Evolution of the functional human ß-actin gene and its multi-pseudogene family: conservation of noncoding regions and chromosomal dispersion of pseudogenes. Mol Cell Biol 5:2720–2732[Abstract/Free Full Text]
  33. Peng C, Huang J, Jeung EB, Donaldson CJ, Vale WW, Leung PC 1993 Expression of the type II activin receptor gene in the human placenta. Endocrinology 133:3046–3049[Abstract]
  34. Sambrook J, Fritsch EF, Maniatis T 1989 Molecular Cloning: A Laboratory Manual. Cold Spring Harbor Laboratory Press, Cold Spring Harbor, vol 18:47–18.66
  35. Rago R, Mitchen J, Wilding G 1990 DNA fluorometric assay in 96-well tissue culture plates using Hoechst 33258 after cell lysis by freezing in distilled water. Anal Biochem 191:31–34[CrossRef][Medline]
  36. Hsueh AJ, Adashi EY, Jones PB, Welsh Jr TH 1984 Hormonal regulation of the differentiation of cultured ovarian granulosa cells. Endocr Rev 5:76–127[Medline]
  37. Richards JS 1994 Hormonal control of gene expression in the ovary. Endocr Rev 15:725–751[CrossRef][Medline]
  38. Karlan BY, Jones J, Greenwald M, Lagasse LD 1995 Steroid hormone effects on the proliferation of human ovarian surface epithelium in vitro. Am J Obstet Gynecol 173:97–104[CrossRef][Medline]
  39. Shiohara S, Shiozawa T, Shimizu M, Toki T, Ishii K, Nikaido T, Fujii S 1997 Histochemical analysis of estrogen and progesterone receptors and gastrin-type mucin in mucinous ovarian tumours with reference to their pathogenesis. Cancer 80:908–916
  40. Park OK, Gugneja S, Mayo KE 1990 Gonadotropin-releasing hormone gene expression during the rat estrous cycle: effect of pentobarbital and ovarian steroids. Endocrinology 127:365–372[Abstract]
  41. Gregg DW, Allen MC, Nett T 1990 Estradiol-induced increase in number of gonadotropin-releasing hormone receptors in cultured ovine pituitary cells. Biol Reprod 43:1032–1036[Abstract]
  42. Quinones-Jenab V, Jenab S, Ogawa S, Funabashi T, Weesner GD, Pfaff DW 1996 Estrogen regulation of gonadotropin-releasing hormone receptor messenger RNA in female rat pituitary tissue. Mol Brain Res 38:243–250[Medline]
  43. McArdle CA, Schomerus E, Groner I, Poch A 1992 Estradiol regulates gonadotropin-releasing hormone receptor number, growth and inositol phosphate production in {alpha}T3–1 cells. Mol Cell Endocrinol 87:95–103[CrossRef][Medline]
  44. Radovick S, Ticknor CM, Nakayama Y, Notides AC, Rahman A, Weintrraub BD, Cutler GB Jr, Wondisford FE 1991 Evidence for direct estrogen regulation of the human gonadotropin-releasing hormone gene. J Clin Invest 88:1649–1655
  45. Fan NC, Peng C, Krisinger J, Leung PCK 1995 The human gonadotropin-releasing hormone receptor gene: complete structure including multiple promoters, transcription initiation sites and polyadenylation signal. Mol Cell Endocrinol 107:R1–R8
  46. Morley P, Whitfield JF, Vanderhyden BC, Tsang BK, Schwartz JL 1992 A new, nongenomic estrogen action: the rapid release of intracellular calcium. Endocrinology 131:1305–1312[Abstract]
  47. Conn PM, Rogers DC, Seay SG 1984 Biphasic regulation of the gonadotropin-releasing hormone receptor by receptor microaggregation and intracellular Ca2+ levels. Mol Pharmacol 25:51–55[Abstract]
  48. Pettersson K, Grandien K, Kuiper GGJM, Gustafsson J-A 1997 Mouse estrogen receptor ß forms estrogen response element-binding heterodimers with estrogen receptor {alpha}. Mol Endocrinol 11:1486–1496[Abstract/Free Full Text]
  49. Crowley AM, Hoare S, Mosselman S, Parker MG 1997 Estrogen receptors {alpha} and ß form heterodimers on DNA. J Biol Chem 272:19858–19862[Abstract/Free Full Text]
  50. Simpson BJB, Langdon SP, Rabiasz GJ, Macleod KG, Hirst GL, Bartlett JMS, Crew AJ, Hawkins RA, Macineira-Perez PP, Smyth JF, Miller WR 1998 Estrogen regulation of transforming growth factor-a in ovarian cancer. J Steroid Biochem Mol Biol 64:137–145[CrossRef][Medline]
  51. Wimalasena J, Meehan D, Dostal R, Foster JS, Cameron M, Smith M 1993 Growth factors interact with estradiol and gonadotropins in the regulation of ovarian cancer cell growth and growth factor receptors. Oncol Res 5:325–337[Medline]
  52. Cooke PS, Buchanan DL, Lubahn DB, Cunha GR 1998 Mechanism of estrogen action: lessons from the estrogen receptor-{alpha} knockout mouse. Biol Reprod 59:470–475[Free Full Text]
  53. Hua W, Christianson T, Rougeot C, Rochefort H, Clinton GM 1995 SKOV3 ovarian carcinoma cells have functional estrogen receptor but are growth-resistant to estrogen and antiestrogens. J Steroid Biochem Mol Biol 55:279–289[CrossRef][Medline]
  54. Ziltener HJ, Maines-Bandiera S, Scharder JW, Auersperg N 1993 Secretion of bioactive interlukin-1, interleukin-6, and colony-stimulating factors by human ovarian surface epithelium. Biol Reprod 49:635–641[Abstract]
  55. Auersperg N, Maines-Bandiera SL, Kruk PA 1995 Human ovarian surface epithelium: growth patterns and differentiation. In: Sharp F, Mason P, Blacket T, Berek J (eds) Ovarian Cancer 3. Chapman and Hall, London, pp 157–169



This article has been cited by other articles:


Home page
Clin. Cancer Res.Home page
K. Chochi, T. Ichikura, M. Kinoshita, T. Majima, N. Shinomiya, H. Tsujimoto, T. Kawabata, H. Sugasawa, S. Ono, S. Seki, et al.
Helicobacter pylori Augments Growth of Gastric Cancers via the Lipopolysaccharide-Toll-like Receptor 4 Pathway whereas Its Lipopolysaccharide Attenuates Antitumor Activities of Human Mononuclear Cells
Clin. Cancer Res., May 15, 2008; 14(10): 2909 - 2917.
[Abstract] [Full Text] [PDF]


Home page
Reproductive SciencesHome page
C. Metallinou, B. Asimakopoulos, A. Schroer, and N. Nikolettos
Gonadotropin-Releasing Hormone in the Ovary
Reproductive Sciences, December 1, 2007; 14(8): 737 - 749.
[Abstract] [PDF]


Home page
Hum Reprod UpdateHome page
P. C.K. Leung and J.-H. Choi
Endocrine signaling in ovarian surface epithelium and cancer
Hum. Reprod. Update, March 1, 2007; 13(2): 143 - 162.
[Abstract] [Full Text] [PDF]


Home page
J. Clin. Endocrinol. Metab.Home page
J.-H. Choi, C. B. Gilks, N. Auersperg, and P. C. K. Leung
Immunolocalization of Gonadotropin-Releasing Hormone (GnRH)-I, GnRH-II, and Type I GnRH Receptor during Follicular Development in the Human Ovary
J. Clin. Endocrinol. Metab., November 1, 2006; 91(11): 4562 - 4570.
[Abstract] [Full Text] [PDF]


Home page
Hum ReprodHome page
Y. S. Choi, S.-Y. Ku, B.-C. Jee, C.-S. Suh, Y. M. Choi, J. G. Kim, S. Y. Moon, and S. H. Kim
Comparison of follicular fluid IGF-I, IGF-II, IGFBP-3, IGFBP-4 and PAPP-A concentrations and their ratios between GnRH agonist and GnRH antagonist protocols for controlled ovarian stimulation in IVF-embryo transfer patients
Hum. Reprod., August 1, 2006; 21(8): 2015 - 2021.
[Abstract] [Full Text] [PDF]


Home page
Endocr Relat CancerHome page
J.-H. Choi, K.-C. Choi, N. Auersperg, and P. C K Leung
Differential regulation of two forms of gonadotropin-releasing hormone messenger ribonucleic acid by gonadotropins in human immortalized ovarian surface epithelium and ovarian cancer cells.
Endocr. Relat. Cancer, June 1, 2006; 13(2): 641 - 651.
[Abstract] [Full Text] [PDF]


Home page
Endocr Relat CancerHome page
K.-Y. Kim, K.-C. Choi, N. Auersperg, and P. C K Leung
Mechanism of gonadotropin-releasing hormone (GnRH)-I and -II-induced cell growth inhibition in ovarian cancer cells: role of the GnRH-I receptor and protein kinase C pathway.
Endocr. Relat. Cancer, March 1, 2006; 13(1): 211 - 220.
[Abstract] [Full Text]