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1.
Theriogenology ; 70(6): 968-77, 2008 Oct 01.
Article in English | MEDLINE | ID: mdl-18599114

ABSTRACT

Anti-Müllerian hormone (AMH), also known as Müllerian inhibiting substance (MIS), is expressed by granulosa cells in females of many mammalian species, and circulating AMH concentrations have been used to monitor granulosa-cell tumors (GCT) in women. The objective was to characterize expression of AMH in equine GCT, and in normal equine ovaries, based upon immunohistochemistry (IHC), using a polyclonal primary antibody directed against human AMH. Equine GCT (n=27) and normal equine ovaries (n=10) were examined by IHC. In addition, sera from four mares with GCT were characterized for AMH bioactivity, based upon suppression of Müllerian duct development in the fetal rat. Immunolabeling with alpha-AMH was localized to granulosa cells in equine GCT, as well as within antral follicles in normal ovaries. Expression of AMH first appeared in granulosa cells of small growing follicles and was most intense in small antral follicles; large antral or atretic follicles had reduced immunolabeling. Omission of the primary antibody or incubation of the primary antibody with the corresponding blocking peptide eliminated immunolabeling of granulosa cells in GCT and in normal antral follicles, confirming the specificity of the immunolabel. Sera from mares with GCT had increased AMH bioactivity compared to control sera. In conclusion, AMH was strongly expressed by granulosa cells in equine GCT and in normal antral follicles. Therefore, anti-Müllerian hormone may be a useful biomarker for detection of GCT in the horse.


Subject(s)
Anti-Mullerian Hormone/metabolism , Granulosa Cell Tumor/metabolism , Horses/metabolism , Ovarian Neoplasms/metabolism , Ovary/metabolism , Animals , Anti-Mullerian Hormone/blood , Female , Granulosa Cell Tumor/blood , Granulosa Cell Tumor/pathology , Horses/blood , Inhibins/blood , Inhibins/metabolism , Ovarian Neoplasms/blood , Ovarian Neoplasms/pathology , Ovary/pathology
2.
Hum Reprod ; 21(1): 159-63, 2006 Jan.
Article in English | MEDLINE | ID: mdl-16123085

ABSTRACT

BACKGROUND: Pre-antral and early antral follicles secrete Müllerian inhibiting substance (MIS), suggesting that MIS may directly reflect ovarian reserve. Since little is known about how ovarian reserve affects oocyte quality, we attempt here to assess the predictive value of MIS on embryo morphology and IVF outcome. To do so, we measured MIS at the time of HCG administration 36 h prior to oocyte retrieval. METHODS: A total of 257 patients undergoing IVF were prospectively recruited. We measured MIS levels by enzyme-linked immunosorbent assay at the time of HCG, and compared the MIS values to day 3 FSH levels in the prediction of embryo morphology and IVF outcome. RESULTS: The distribution of MIS levels was skewed, with a median of 2.7 ng/ml (range 0 to 28.5 ng/ml). MIS values at the time of HCG administration inversely correlated with basal FSH levels (P = 0.002), and both correlated significantly with patient age, number of mature follicles, number of oocytes retrieved and serum estradiol levels. MIS levels correlated significantly with a greater number of 6-cell embryos and better embryo morphology score, while basal FSH levels did not correlate with these outcome variables. MIS levels > or =2.7 ng/ml portended improved oocyte quality as reflected in a higher implantation rate (P = 0.001) and a trend toward a better clinical pregnancy rate (P = 0.084). CONCLUSIONS: MIS levels seem to predict not only ovarian reserve, but also embryo morphology. Measurement of MIS at the time of HCG administration may, therefore, in the future improve management of patients undergoing treatments with assisted reproductive technology.


Subject(s)
Chorionic Gonadotropin/administration & dosage , Embryo, Mammalian/cytology , Fertilization in Vitro , Glycoproteins/analysis , Ovary/chemistry , Testicular Hormones/analysis , Anti-Mullerian Hormone , Female , Humans , Prognosis , Treatment Outcome
3.
Proc Natl Acad Sci U S A ; 102(9): 3219-24, 2005 Mar 01.
Article in English | MEDLINE | ID: mdl-15728372

ABSTRACT

Mullerian inhibiting substance (MIS) inhibits breast cancer cell growth in vitro. To extend the use of MIS to treat breast cancer, it is essential to test the responsiveness of mammary tumor growth to MIS in vivo. Mammary tumors arising in the C3(1) T antigen mouse model expressed the MIS type II receptor, and MIS in vitro inhibited the growth of cells derived from tumors. Administration of MIS to mice was associated with a lower number of palpable mammary tumors compared with vehicle-treated mice (P=0.048), and the mean mammary tumor weight in the MIS-treated group was significantly lower compared with the control group (P=0.029). Analysis of proliferating cell nuclear antigen (PCNA) expression and caspase-3 cleavage in tumors revealed that exposure to MIS was associated with decreased proliferation and increased apoptosis, respectively, and was not caused by a decline in T antigen expression. The effect of MIS on tumor growth was also evaluated on xenografted human breast cancer cell line MDA-MB-468, which is estrogen receptor- and retinoblastoma-negative and expresses mutant p53, and thus complements the C3(1)Tag mouse mammary tumors that do not express estrogen receptor and have functional inactivation of retinoblastoma and p53. In agreement with results observed in the transgenic mice, MIS decreased the rate of MDA-MB-468 tumor growth and the gain in mean tumor volume in severe combined immunodeficient mice compared with vehicle-treated controls (P=0.004). These results suggest that MIS can suppress the growth of mammary tumors in vivo.


Subject(s)
Antigens/physiology , Complement C3/physiology , Glycoproteins/physiology , Mammary Neoplasms, Experimental/pathology , Testicular Hormones/physiology , Animals , Anti-Mullerian Hormone , Antigens/immunology , Apoptosis/physiology , Cell Division/physiology , Mammary Neoplasms, Experimental/immunology , Mice , Mice, SCID , Mice, Transgenic
4.
J Androl ; 22(5): 750-8, 2001.
Article in English | MEDLINE | ID: mdl-11545286

ABSTRACT

Müllerian inhibiting substance (MIS) is a gonadal hormone that causes regression of the Müllerian ducts during male sexual differentiation. Postnatally, MIS inhibits the proliferation and differentiation of immature Leydig cells, and transgenic mice that overexpress MIS have decreased serum testosterone concentrations. To elucidate the effects of MIS on androgen regulation in the postnatal testis, we examined testosterone synthesis in adult Sprague-Dawley rats following intratesticular and intraperitoneal injections of MIS. Intratesticular MIS injection achieved high local concentrations of MIS (574.0 +/- 60.0 ng/mL) at 4 hours, with a corresponding decline in serum testosterone concentrations to 0.7 +/- 0.1 ng/mL, compared to 1.1 +/- 0.2 ng/mL with intraperitoneal MIS and 1.6 +/- 0.1 ng/mL with intratesticular vehicle (IT-Veh) (P < .001). Intratesticular administration of MIS (IT-MIS) resulted in much higher serum and testicular interstitial fluid MIS concentrations than the intraperitoneal route. To directly examine the testosterone production rate in MIS-treated animals, we isolated Leydig cells from MIS and vehicle-injected testes. Primary Leydig cells exposed to MIS had a lower testosterone production rate and decreased expression of p450c17 (hydroxylase/lyase) and luteinizing hormone (LH) receptor mRNAs than that of vehicle-injected controls or the noninjected contralateral testis. In conclusion, intratesticular administration of MIS caused a decline in serum testosterone concentrations by decreasing the rate of testosterone biosynthesis, confirming that MIS can regulate adult Leydig cell androgen production. The ability of MIS to down-regulate mRNA expression of the p450c17 and LH receptor genes suggests that this effect is mediated transcriptionally. These data indicate that, in addition to its role in embryonic differentiation of the male reproductive tract, MIS has a regulatory function in the postnatal testis. We conclude that one such function is for MIS to directly inhibit adult Leydig cell steroidogenesis.


Subject(s)
Glycoproteins , Growth Inhibitors/pharmacology , Testicular Hormones/pharmacology , Testosterone/antagonists & inhibitors , Animals , Anti-Mullerian Hormone , Base Sequence , Cytochrome P-450 Enzyme System/genetics , DNA Primers , Growth Inhibitors/blood , Humans , Male , Phosphoproteins/genetics , Rats , Rats, Sprague-Dawley , Receptors, LH/genetics , Recombinant Proteins/blood , Recombinant Proteins/pharmacology , Reverse Transcriptase Polymerase Chain Reaction , Testicular Hormones/blood , Testosterone/biosynthesis , Testosterone/blood
5.
J Biol Chem ; 276(29): 26799-806, 2001 Jul 20.
Article in English | MEDLINE | ID: mdl-11356848

ABSTRACT

Müllerian inhibiting substance (MIS) inhibits breast cancer cell growth in vitro through interference with cell cycle progression and induction of apoptosis, a process associated with NFkappaB activation and up-regulation of one of its important target genes, IEX-1S (Segev, D. L., Ha, T., Tran, T. T., Kenneally, M., Harkin, P., Jung, M., MacLaughlin, D. T., Donahoe, P. K., and Maheswaran, S. (2000) J. Biol. Chem. 275, 28371-28379). Here we demonstrate that MIS activates the NFkappaB signaling cascade, induces IEX-1S mRNA, and inhibits the growth of MCF10A, an immortalized human breast epithelial cell line with characteristics of normal cells. In vivo, an inverse correlation was found to exist between various stages of mammary growth and MIS type II receptor expression. Receptor mRNA significantly diminished during puberty, when the ductal system branches and invades the adipose stroma and during the expansive growth at lactation, but it was up-regulated during involution, a time of regression and apoptosis. Peripartum variations in MIS type II receptor expression correlated with NFkappaB activation and IEX-1S mRNA expression. Administration of MIS to female mice induced NFkappaB DNA binding and IEX-1S mRNA expression in the breast. Furthermore, exposure to MIS in vivo increased apoptosis in the mouse mammary ductal epithelium. Thus, MIS may function as an endogenous hormonal regulator of NFkappaB signaling and growth in the breast.


Subject(s)
Breast/metabolism , Cell Division/physiology , Glycoproteins , Growth Inhibitors/physiology , NF-kappa B/metabolism , Neoplasm Proteins , Signal Transduction/physiology , Testicular Hormones/physiology , Animals , Anti-Mullerian Hormone , Apoptosis Regulatory Proteins , Base Sequence , Breast/cytology , DNA Primers , Epithelial Cells/metabolism , Humans , Immediate-Early Proteins/genetics , Membrane Glycoproteins/genetics , Membrane Proteins , Mice , RNA, Messenger/genetics , Rats , Rats, Sprague-Dawley
7.
Proc Natl Acad Sci U S A ; 98(6): 3214-9, 2001 Mar 13.
Article in English | MEDLINE | ID: mdl-11248058

ABSTRACT

Techniques of tissue engineering and cell and molecular biology were used to create a biodegradable scaffold for transfected cells to produce complex proteins. Mullerian Inhibiting Substance (MIS) causes regression of Mullerian ducts in the mammalian embryo. MIS also causes regression in vitro of ovarian tumor cell lines and primary cells from ovarian carcinomas, which derive from Mullerian structures. In a strategy to circumvent the complicated purification protocols for MIS, Chinese hamster ovary cells transfected with the human MIS gene were seeded onto biodegradable polymers of polyglycolic acid fibers and secretion of MIS confirmed. The polymer-cell graft was implanted into the right ovarian pedicle of severe combined immunodeficient mice. Serum MIS in the mice rose to supraphysiologic levels over time. One week after implantation of the polymer-cell graft, IGROV-1 human tumors were implanted under the renal capsule of the left kidney. Growth of the IGROV-1 tumors was significantly inhibited in the animals with a polymer-cell graft of MIS-producing cells, compared with controls. This novel MIS delivery system could have broader applications for other inhibitory agents not amenable to efficient purification and provides in vivo evidence for a role of MIS in the treatment of ovarian cancer.


Subject(s)
Cell Transplantation/methods , Glycoproteins , Growth Inhibitors/genetics , Ovarian Neoplasms/prevention & control , Testicular Hormones/genetics , Animals , Anti-Mullerian Hormone , CHO Cells , Cricetinae , Female , Growth Inhibitors/biosynthesis , Growth Inhibitors/physiology , Humans , Mice , Mice, SCID , Neoplasms, Experimental/prevention & control , Recombinant Fusion Proteins/biosynthesis , Recombinant Fusion Proteins/genetics , Recombinant Fusion Proteins/physiology , Testicular Hormones/biosynthesis , Testicular Hormones/physiology , Tumor Cells, Cultured
8.
Proc Natl Acad Sci U S A ; 98(6): 3393-7, 2001 Mar 13.
Article in English | MEDLINE | ID: mdl-11248089

ABSTRACT

Müllerian Inhibiting Substance (MIS) expression is inversely proportional to the serum concentration of testosterone in males after birth and in vitro studies have shown that MIS can lower testosterone production by Leydig cells. Also, mice overexpressing MIS exhibited Leydig cell hypoplasia and lower levels of serum testosterone, but it is not clear whether this is a result of MIS affecting the development of Leydig cells or their capacity to produce testosterone. To examine the hypothesis that MIS treatment will result in decreased testosterone production by mature Leydig cells in vivo, we treated luteinizing hormone (LH)-stimulated adult male rats and mice with MIS and demonstrated that it can lead to a several-fold reduction in testosterone in serum and in testicular extracts. There was also a slight decrease in 17-OH-progesterone compared to the more significant decrease in testosterone, suggesting that MIS might be regulating the lyase activity of cytochrome P450c17 hydroxylase/lyase (Cyp17), but not its hydroxylase activity. Northern analysis showed that, in both MIS-treated rats and mice, the mRNA for Cyp17, which catalyzes the committed step in androgen synthesis, was down-regulated. In rats, the mRNA for cytochrome P450 side-chain cleavage (P450scc) was also down-regulated by MIS. This was not observed in mice, indicating that there might be species-specific regulation by MIS of the enzymes involved in the testosterone biosynthetic pathway. Our results show that MIS can be used in vivo to lower testosterone production by mature rodent Leydig cells and suggest that MIS-mediated down-regulation of the expression of Cyp17, and perhaps P450scc, contributes to that effect.


Subject(s)
Glycoproteins , Growth Inhibitors/metabolism , Leydig Cells/metabolism , Testicular Hormones/metabolism , Testosterone/biosynthesis , 17-alpha-Hydroxyprogesterone/metabolism , Animals , Anti-Mullerian Hormone , Gene Expression Regulation, Enzymologic , Growth Inhibitors/administration & dosage , Growth Inhibitors/pharmacology , Humans , Leydig Cells/drug effects , Luteinizing Hormone/administration & dosage , Luteinizing Hormone/metabolism , Luteinizing Hormone/pharmacology , Male , Mice , Rats , Rats, Sprague-Dawley , Steroid 17-alpha-Hydroxylase/genetics , Testicular Hormones/administration & dosage , Testicular Hormones/pharmacology , Testis/drug effects , Testis/metabolism , Testosterone/genetics
9.
Nat Neurosci ; 3(8): 755-6, 2000 Aug.
Article in English | MEDLINE | ID: mdl-10903565

ABSTRACT

The timeless (tim) gene is essential for circadian clock function in Drosophila melanogaster. A putative mouse homolog, mTimeless (mTim), has been difficult to place in the circadian clock of mammals. Here we show that mTim is essential for embryonic development, but does not have substantiated circadian function.


Subject(s)
Suprachiasmatic Nucleus/physiology , Transcription Factors/genetics , Transcription Factors/metabolism , Transcription, Genetic , Animals , CLOCK Proteins , Cell Cycle Proteins , Chimera , Circadian Rhythm/genetics , Genes, Reporter , Heterozygote , Humans , Intracellular Signaling Peptides and Proteins , Luciferases/genetics , Mice , Mice, Inbred Strains , Mice, Knockout , Molecular Sequence Data , Mutagenesis, Site-Directed , Phylogeny , Recombinant Proteins/metabolism , Spodoptera , Trans-Activators/genetics , Transfection
10.
J Biol Chem ; 275(37): 28371-9, 2000 Sep 15.
Article in English | MEDLINE | ID: mdl-10874041

ABSTRACT

Müllerian inhibiting substance (MIS), a member of the transforming growth factor-beta superfamily, induces regression of the Müllerian duct in male embryos. In this report, we demonstrate MIS type II receptor expression in normal breast tissue and in human breast cancer cell lines, breast fibroadenoma, and ductal adenocarcinomas. MIS inhibited the growth of both estrogen receptor (ER)-positive T47D and ER-negative MDA-MB-231 breast cancer cell lines, suggesting a broader range of target tissues for MIS action. Inhibition of growth was manifested by an increase in the fraction of cells in the G(1) phase of the cell cycle and induction of apoptosis. Treatment of breast cancer cells with MIS activated the NFkappaB pathway and selectively up-regulated the immediate early gene IEX-1S, which, when overexpressed, inhibited breast cancer cell growth. Dominant negative IkappaBalpha expression ablated both MIS-mediated induction of IEX-1S and inhibition of growth, indicating that activation of the NFkappaB signaling pathway was required for these processes. These results identify the NFkappaB-mediated signaling pathway and a target gene for MIS action and suggest a putative role for the MIS ligand and its downstream interactors in the treatment of ER-positive as well as negative breast cancers.


Subject(s)
Antineoplastic Agents/pharmacology , Breast Neoplasms/drug therapy , Glycoproteins , Growth Inhibitors/pharmacology , NF-kappa B/physiology , Neoplasm Proteins , Testicular Hormones/pharmacology , Animals , Anti-Mullerian Hormone , Apoptosis Regulatory Proteins , Breast Neoplasms/chemistry , Breast Neoplasms/pathology , COS Cells , Female , Humans , Immediate-Early Proteins/genetics , Membrane Glycoproteins/genetics , Membrane Proteins , Receptors, Estrogen/analysis , Receptors, Peptide/analysis , Receptors, Transforming Growth Factor beta , Tumor Cells, Cultured
11.
Clin Cancer Res ; 5(11): 3488-99, 1999 Nov.
Article in English | MEDLINE | ID: mdl-10589763

ABSTRACT

Six human ovarian cancer cell lines and samples of ascites cells isolated from 27 patients with stage III or IV ovarian papillary serous cystadenocarcinoma were studied individually to test whether recombinant human Mullerian inhibiting substance (rhMIS) acts via its receptor. To do these experiments, we scaled up production of rhMIS and labeled it successfully with biotin for binding studies, cloned the human MIS type II receptor for mRNA detection, and raised antibodies to an extracellular domain peptide for protein detection. These probes were first tested on the human ovarian cancer cell lines and then applied to primary ovarian ascites cells. rhMIS inhibited colony growth of five of six cell lines that expressed the human MIS type II receptor mRNA by Northern analysis while not inhibiting receptor-negative COS cells. Flow cytometry performed on MIS-sensitive ovarian cancer cell lines demonstrated specific and saturable binding of rhMIS (Kd = 10.2 nM). Ascites cells from 15 of 27 or 56% of patients tested bound biotinylated MIS (MIS-biotin) and, of the 11 that grew in soft agarose, 9 of 11 or 82% showed statistically significant inhibition of colony formation. Of the 15 patients who bound biotinylated MIS, mRNA was available for analysis from 9, and 8 of 9 expressed MIS type II receptor mRNA by reverse transcription-PCR, showing a statistically significant correlation, compared with binding, by chi2 analysis (P = 0.025). Solid ovarian cancers were positive for the MIS type II receptor protein by immunohistochemical staining, which colocalized with staining for antibody to CA-125 (OC-125). Thus, the detection of the MIS type I receptor by flow cytometry may be a useful predictor of therapeutic response to MIS and may be a modality to rapidly choose patients with late-stage ovarian cancer for treatment with MIS.


Subject(s)
Cystadenocarcinoma/pathology , Glycoproteins , Growth Inhibitors/pharmacology , Ovarian Neoplasms/pathology , Receptors, Peptide/genetics , Receptors, Peptide/metabolism , Testicular Hormones/pharmacology , Adult , Aged , Aged, 80 and over , Amino Acid Sequence , Animals , Anti-Mullerian Hormone , Ascites/genetics , Ascites/pathology , COS Cells , Cell Division/drug effects , Cystadenocarcinoma/genetics , Female , Fetus , Growth Inhibitors/metabolism , Humans , Male , Middle Aged , Molecular Sequence Data , Mullerian Ducts , Ovarian Neoplasms/genetics , Peptide Fragments/chemistry , Peptide Fragments/immunology , Rats , Receptors, Transforming Growth Factor beta , Recombinant Proteins/metabolism , Testicular Hormones/metabolism , Testis/embryology , Testis/metabolism , Transfection , Tumor Cells, Cultured
12.
Endocrinology ; 140(6): 2819-27, 1999 Jun.
Article in English | MEDLINE | ID: mdl-10342873

ABSTRACT

Müllerian-inhibiting substance (MIS), a gonadal hormone in the transforming growth factor-beta superfamily, induces Müllerian duct involution during male sexual differentiation. Mice with null mutations of the MIS ligand or receptor develop Leydig cell hyperplasia and neoplasia in addition to retained Müllerian ducts, whereas MIS-overexpressing transgenic mice have decreased testosterone concentrations and Leydig cell numbers. We hypothesized that MIS directly modulates Leydig cell proliferation and differentiated function in the maturing testis. Therefore, highly purified rat Leydig and Sertoli cells were isolated to examine cell-specific expression, binding, and function of the MIS type II receptor. These studies revealed that this receptor is expressed abundantly in progenitor (21-day) and immature (35-day) Leydig cells as well as in Sertoli cells. Prepubertal progenitor Leydig cells exhibit high affinity (Kd = 15 nM), saturable binding of MIS. No binding, however, is detected with either peripubertal immature Leydig cells or Sertoli cells at either age. Moreover, progenitor, but not immature Leydig cells, respond to MIS by decreasing DNA synthesis. These data demonstrate that functional MIS type II receptors are expressed in progenitor Leydig cells and support the hypothesis that MIS has a direct role in the regulation of postnatal testicular development.


Subject(s)
Glycoproteins , Leydig Cells/chemistry , Receptors, Peptide/analysis , Animals , Anti-Mullerian Hormone , Cells, Cultured , DNA/biosynthesis , Growth Inhibitors/metabolism , Growth Inhibitors/pharmacology , Male , RNA, Messenger/analysis , Rats , Rats, Sprague-Dawley , Receptors, Peptide/genetics , Receptors, Peptide/physiology , Receptors, Transforming Growth Factor beta , Testicular Hormones/metabolism , Testicular Hormones/pharmacology
13.
Development ; 126(11): 2551-61, 1999 Jun.
Article in English | MEDLINE | ID: mdl-10226013

ABSTRACT

ActRIA (or ALK2), one of the type I receptors of the transforming growth factor-beta (TGF-beta) superfamily, can bind both activin and bone morphogenetic proteins (BMPs) in conjunction with the activin and BMP type II receptors, respectively. In mice, ActRIA is expressed primarily in the extraembryonic visceral endoderm before gastrulation and later in both embryonic and extraembryonic cells during gastrulation. To elucidate its function in mouse development, we disrupted the transmembrane domain of ActRIA by gene targeting. We showed that embryos homozygous for the mutation were arrested at the early gastrulation stage, displaying abnormal visceral endoderm morphology and severe disruption of mesoderm formation. To determine in which germ layer ActRIA functions during gastrulation, we performed reciprocal chimera analyses. (1) Homozygous mutant ES cells injected into wild-type blastocysts were able to contribute to all three definitive germ layers in chimeric embryos. However, a high contribution of mutant ES cells in chimeras disrupted normal development at the early somite stage. (2) Consistent with ActRIA expression in the extraembryonic cells, wild-type ES cells failed to rescue the gastrulation defect in chimeras in which the extraembryonic ectoderm and visceral endoderm were derived from homozygous mutant blastocysts. Furthermore, expression of HNF4, a key visceral endoderm-specific transcription regulatory factor, was significantly reduced in the mutant embryos. Together, our results indicate that ActRIA in extraembryonic cells plays a major role in early gastrulation, whereas ActRIA function is also required in embryonic tissues during later development in mice.


Subject(s)
DNA-Binding Proteins , Gastrula/metabolism , Protein Serine-Threonine Kinases/genetics , Receptors, Growth Factor/genetics , Activin Receptors, Type I , Animals , Basic Helix-Loop-Helix Leucine Zipper Transcription Factors , Cell Differentiation , Chimera , Embryo, Mammalian/abnormalities , Embryo, Mammalian/metabolism , Endoderm/metabolism , Gene Expression Regulation, Developmental , Gene Targeting , Genes, Lethal , Hepatocyte Nuclear Factor 4 , Mesoderm/metabolism , Mice , Microinjections , Mutation , Phenotype , Phosphoproteins/genetics , Protein Serine-Threonine Kinases/metabolism , Receptors, Growth Factor/metabolism , Signal Transduction , Stem Cells/metabolism , Transcription Factors/genetics
14.
Gynecol Oncol ; 73(1): 51-5, 1999 Apr.
Article in English | MEDLINE | ID: mdl-10094880

ABSTRACT

OBJECTIVES: In this study we evaluated changes in serum Müllerian inhibiting substance (MIS) concentration in a large number of patients with granulosa cell tumors (GCT) to determine whether MIS is elevated at the time of presentation and whether MIS is an index of successful surgical resection and management of recurrences. METHODS: We retrospectively reviewed MIS levels from 17 subjects prior to tumor resection and studied serial MIS samples from 56 subjects following initial tumor resection. Clinical follow-up information was available for 36 of those with postoperative MIS values. Serum MIS was measured by an ELISA. MIS values were compared to a combination of normative values previously established in our laboratory and from more recently obtained samples from older pre- and postmenopausal women, using this assay. RESULTS: Serum MIS was elevated pre-operatively in 6 of 8 (75%) subjects with juvenile GCTs and in 7 of 9 (78%) of those with adult GCTs relative to age-matched controls (76% for both types combined). Post-operative clinical correlation was available for 36 patients. There was no clinical recurrence in 21 subjects with normal or undetectable postoperative values, and incompletely resectable tumor or recurrence was identified in 6 of 15 patients with elevated postoperative values. CONCLUSIONS: The results of this study demonstrate that postoperative serum MIS concentrations may be used to evaluate the completeness of tumor removal following initial surgery and that serial MIS determinations may allow the detection of recurrences.


Subject(s)
Biomarkers, Tumor/analysis , Glycoproteins , Granulosa Cell Tumor/diagnosis , Growth Inhibitors/analysis , Mullerian Ducts , Neoplasm Recurrence, Local/diagnosis , Ovarian Neoplasms/diagnosis , Testicular Hormones/analysis , Adolescent , Adult , Aged , Anti-Mullerian Hormone , Child , Child, Preschool , Female , Granulosa Cell Tumor/chemistry , Granulosa Cell Tumor/surgery , Humans , Middle Aged , Neoplasm Recurrence, Local/chemistry , Ovarian Neoplasms/chemistry , Ovarian Neoplasms/surgery , Retrospective Studies
15.
J Urol ; 159(6): 2210-4, 1998 Jun.
Article in English | MEDLINE | ID: mdl-9598571

ABSTRACT

PURPOSE: The binding of Müllerian inhibiting substance (MIS) to human sperm was investigated using immunohistological techniques. MATERIALS AND METHODS: Sperm from 5 normal donors and 6 subfertile men were studied. Whole or thin-sectioned sperm were incubated without or with recombinant human MIS (0.5 microg./ml.). MIS binding was identified under light microscopy (LM) using rabbit anti-human MIS antibodies tagged with goat IgG-horseradish peroxidase and diaminobenzidine as substrate, or by scanning and transmission electron microscopy (SEM and TEM) using gold labeled goat IgG. Intracellular MIS binding in sperm sections was examined by TEM. Antibodies were omitted in the controls. RESULTS: Under LM, DAB staining was present on sperm incubated with or without MIS and absent on controls. Using SEM, gold particles were found primarily on the surfaces of the sperm head with less binding to the tail. With TEM, the clustering of gold particles around the head of sperm represents MIS binding, but very few or no gold particles could be found associated with the sperm tail. MIS binding was also found associated with intracellular structures, but only within the head of the sperm. Overall, less gold particle binding was present in subfertile compared with normal sperm. CONCLUSIONS: These results suggest that MIS is bound to the sperm surface and sperm from normally fertile men have increased MIS binding. The function of MIS in sperm is unknown, but the presence of MIS binding suggests a direct role(s) in sperm function.


Subject(s)
Glycoproteins , Growth Inhibitors/metabolism , Mullerian Ducts/metabolism , Spermatozoa/metabolism , Testicular Hormones/metabolism , Anti-Mullerian Hormone , Antibodies, Monoclonal , Binding Sites , Growth Inhibitors/isolation & purification , Humans , Immunohistochemistry , Infertility, Male/metabolism , Male , Sperm Capacitation , Testicular Hormones/isolation & purification
16.
N Engl J Med ; 336(21): 1480-6, 1997 May 22.
Article in English | MEDLINE | ID: mdl-9154766

ABSTRACT

BACKGROUND: Müllerian inhibiting substance, produced constitutively by the prepubertal testes, promotes involution of the müllerian ducts during normal male sexual differentiation. In children with virilization and nonpalpable gonads, only those with testicular tissue should have detectable serum concentrations of müllerian inhibiting substance. METHODS: We measured serum mullerian inhibiting substance in 65 children with virilization at birth and nonpalpable gonads (age at diagnosis, 2 days to 11 years) and serum testosterone in 54 of them either after the administration of human chorionic gonadotropin or during the physiologic rise in testosterone that occurs in normal infants. RESULTS: The mean (+/-SD) serum mullerian inhibiting substance concentration in the 17 children with no testicular tissue was 0.7+/-0.5 ng per milliliter, as compared with 37.5+/-39.6 ng per milliliter in the 48 children with testes (P<0.001). In the latter group, the mean values in the 14 children with abnormal testes and the 34 with normal testes were 11.5+/-11.8 and 48.2+/-42.1 ng per milliliter, respectively (P< 0.001). The sensitivity and specificity of the serum müllerian inhibiting substance assay for detecting the absence of testicular tissue were 92 percent and 98 percent, respectively, as compared with 69 percent and 83 percent for the measurement of serum testosterone. Furthermore, measurement of serum mullerian inhibiting substance was more sensitive than serum testosterone measurement for the identification of children with abnormal testes (67 percent vs. 25 percent), whereas the specificity of the two tests was similar. CONCLUSIONS: Measurements of serum mullerian inhibiting substance can be used to determine testicular status in prepubertal children with nonpalpable gonads, thus differentiating anorchia from undescended testes in boys with bilateral cryptorchidism and serving as a measure of testicular integrity in children with intersexual anomalies.


Subject(s)
Cryptorchidism/diagnosis , Glycoproteins , Growth Inhibitors/blood , Testicular Hormones/blood , Virilism/blood , Anti-Mullerian Hormone , Child , Child, Preschool , Cryptorchidism/blood , Diagnosis, Differential , Disorders of Sex Development/blood , Disorders of Sex Development/diagnosis , Female , Humans , Infant , Infant, Newborn , Male , Mullerian Ducts , Sensitivity and Specificity , Testis/abnormalities , Testosterone/blood
17.
Hum Reprod ; 11(10): 2165-9, 1996 Oct.
Article in English | MEDLINE | ID: mdl-8943523

ABSTRACT

Müllerian inhibiting substance (MIS), produced by testicular Sertoli cells, is present in adult male serum. The first aim of this study was to determine if MIS is present in seminal plasma. Using an enzyme-linked immunosorbent assay (ELISA), we measured MIS concentrations in seminal plasma from 23 donors exhibiting normal (WHO criteria) sperm qualities, and 169 patients with subnormal sperm parameters. The second aim of this study was to examine a potential relationship between MIS and sperm motility. MIS concentrations in seminal plasma ranged from 0.5 to 3.6 ng/ml in donors and from 0.5 to 17.8 ng/ml in patients. Motility index (MI, mean +/- SEM) for all patient samples was lower compared with donors (113.3 +/- 3.2 and 198.3 +/- 13.5, P < 0.00001), while mean MIS concentration +/- SEM) was higher (4.2 +/- 0.3 and 1.4 +/- 0.2, P < 0.0003). When the patients were stratified into Groups I (motility < 50%, n = 42) and II (motility > 50%, n = 127), the MI (mean +/- SEM) values were 62.3 +/- 3.8 and 130.2 +/- 2.7 respectively (P < 0.0001 for both compared with donors) and mean MIS concentrations (+/- SEM) were 5.4 +/- 0.6 and 3.9 +/- 0.3, respectively (P < 0.0001 and P < 0.001 compared with donors). The inverse relationship between MIS concentration in seminal plasma and motility index suggests that MIS may have a function in modulating motility.


Subject(s)
Glycoproteins , Growth Inhibitors/metabolism , Semen/metabolism , Testicular Hormones/metabolism , Adult , Anti-Mullerian Hormone , Centrifugation , Cryopreservation , Enzyme-Linked Immunosorbent Assay , Humans , Infertility, Male/metabolism , Infertility, Male/physiopathology , Male , Recombinant Proteins , Reference Values , Sperm Motility
18.
Metabolism ; 45(2): 190-5, 1996 Feb.
Article in English | MEDLINE | ID: mdl-8596488

ABSTRACT

The carboxy-terminal domain of recombinant human Mullerian inhibiting substance (MIS) inhibits cellular proliferation in vitro and decreases epidermal growth factor (EGF)-dependent phosphorylation of the EGF receptor. Proteolytically cleaved and undissociated MIS is more potent than carboxy-terminal MIS alone, supporting a functional role for the amino-terminal region of the molecule. MIS does not block EGF binding to the EGF receptor, thus, MIS reduction of EGF receptor phosphorylation must occur distal to receptor ligand binding. The effect of proteolytically cleaved MIS on reduction of EGF receptor phosphorylation in membrane preparations is decreased by a specific phosphatase inhibitor, vanadate, thus implicating a membrane phosphatase in this MIS action at the EGF receptor.


Subject(s)
Cell Membrane/enzymology , ErbB Receptors/drug effects , Glycoproteins , Growth Inhibitors/pharmacology , Mullerian Ducts/physiology , Protein Tyrosine Phosphatases/metabolism , Testicular Hormones/pharmacology , Anti-Mullerian Hormone , Cell Count , Cell Cycle , ErbB Receptors/metabolism , Fibrinolysin/metabolism , Humans , Phosphorylation , Phosphotransferases/metabolism , Tumor Cells, Cultured
19.
J Clin Endocrinol Metab ; 81(2): 571-6, 1996 Feb.
Article in English | MEDLINE | ID: mdl-8636269

ABSTRACT

Mullerian-inhibiting substance (MIS) is a gonadal hormone synthesized by Sertoli cells of the testis and granulosa cells of the ovary. To facilitate the use of MIS for the evaluation of intersex disorders and as a tumor marker in women with MIS-expressing ovarian tumors, we measured MIS in 600 serum samples from males and females. These data show that mean MIS values for males rise rapidly during the first year of life and are highest during late infancy, then gradually decline until puberty. In contrast, MIS values in females are lowest at birth and exhibit a minimal increase throughout the prepubertal years. Whereas MIS is uniformly measurable in all prepubertal boys studied, it is undetectable in most prepubertal female subjects. These data reveal an easily discernible sexually dimorphic pattern of expression and confirm that MIS can be used as a testis-specific marker during infancy and early childhood. MIS values that are above the upper limits for females are discriminatory for the presence of testicular tissue or ovarian tumor, and those below the lower limits for males are consistent with dysgenetic or absent testes or the presence of ovarian tissue. These data will enable normal and abnormal levels of MIS to be differentiated with higher precision and will facilitate the use of MIS in the management of gonadal disorders.


Subject(s)
Glycoproteins , Growth Inhibitors/blood , Testicular Hormones/blood , Adolescent , Adult , Anti-Mullerian Hormone , Biomarkers, Tumor/blood , Child , Child, Preschool , Cryopreservation , Disorders of Sex Development/blood , Enzyme-Linked Immunosorbent Assay , Female , Granulosa Cells/metabolism , Humans , Infant , Infant, Newborn , Male , Ovarian Neoplasms/blood , Puberty , Reference Values , Testis/metabolism
20.
Endocrinology ; 137(1): 160-5, 1996 Jan.
Article in English | MEDLINE | ID: mdl-8536608

ABSTRACT

We have isolated a candidate Müllerian inhibiting substance (MIS) type II receptor complementary DNA from an embryonic rat urogenital ridge library and have studied its binding to MIS, its developmental pattern of expression and tissue distribution. By in situ hybridization with a full-length riboprobe, the receptor is expressed in the mesenchymal cells surrounding the Müllerian duct at embryonic days 14, 15, and 16 and in tubular and follicular structures of the rat fetal gonads. Expression of the messenger RNA was also seen in the granules cells and seminiferous tubules of pubertal gonads. Northern analysis revealed that the MIS type II receptor messenger RNA is highly expressed in embryonic, pubertal, and adult testes and ovaries, as well as in the gravid uterus. The timing of expression in the gonads of both sexes was also analyzed by Northern analyses that showed high levels of expression at the time of Müllerian duct regression, much lower levels neonatally and prepubertally and then increased expression again with sexual maturation. The tissue and developmental specificity of expression of this receptor, which make it likely that this is the functional MIS type II receptor, can be used to advantage in therapeutic targeting strategies and to decipher the function of MIS in the gonads.


Subject(s)
Aging/metabolism , Animals, Newborn/metabolism , Embryonic and Fetal Development , Fetus/metabolism , Receptors, Peptide/metabolism , Amino Acid Sequence , Animals , Animals, Newborn/growth & development , Base Sequence , Blotting, Northern , Female , In Situ Hybridization , Male , Molecular Probes/genetics , Molecular Sequence Data , Rats/embryology , Receptors, Peptide/genetics , Receptors, Transforming Growth Factor beta
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