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Departments of Pathology (Q.G., T.R.K., M.M.M.), Cell Biology
(L.A.H., F.J.D., M.M.M.), and Molecular and Human Genetics (M.M.M.)
Baylor College of Medicine Houston, Texas 77030
Departments of Medicine (T.W.) and Neurobiology and Physiology
and The Center for Reproductive Sciences Northwestern
University Chicago, Illinois 60611
| ABSTRACT |
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| INTRODUCTION |
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:ß inhibins.
Activins and inhibins were initially recognized as gonadal peptides
that stimulate or inhibit FSH production by the pituitary in adult
mammals (1, 2, 3). More recently, two related mammalian activin subunit
genes have been cloned: activin ßC and ßE (4, 5, 6). It is unclear
whether dimers of activin ßC or ßE can regulate FSH synthesis or
whether these subunits can dimerize with an inhibin
subunit.
Similar to inhibin, follistatin, a glycosylated monomeric protein,
suppresses pituitary FSH synthesis and secretion (7, 8, 9, 10). In 1990,
Sugino and colleagues (7) demonstrated that follistatin binds to the
ß-subunits of activin in a 1:1 molar ratio to form an inactive
complex (8). In humans, rats, and pigs, the mature follistatin protein
has two forms, follistatin-288 and follistatin-315, which are generated
by alternative splicing of the follistatin mRNA (9). Activins and follistatin are expressed in multiple tissues during mammalian development and are involved in diverse physiological and developmental processes (1, 2, 9, 11, 12, 13, 14). During rat development, activins can stimulate proliferation of Sertoli cells in the testis and regulate folliculogenesis in the ovary (3, 15, 16, 17). Studies in Xenopus laevis and Oryzias latipes have shown that activins are potent mesoderm-inducing factors (18, 19). Overexpression of follistatin in Xenopus laevis blocked activins effects on mesoderm formation and induced neural tissue directly (20). However, studies using knockout mice in our laboratory failed to demonstrate a role of activins, follistatin, or activin type II receptor in mesoderm formation or neural development. Mice deficient in activins can survive to birth but demonstrate craniofacial defects (21). Mice lacking follistatin have multiple defects, including musculoskeletal and dermatopathological abnormalities, and die within hours of birth (22). These defects are more widespread than those seen in activin- or activin receptor type II-deficient mice (21, 23).
In the liver, activin A has been reported to inhibit the initiation of
DNA synthesis in rat hepatocytes in vitro and in
vivo (24). Use of recombinant activin A in vitro or
in vivo induces cell death via apoptosis in rat and murine
hepatocytes (25, 26). Studies in our laboratory using mice deficient in
both inhibin and activin receptor II (ActRII) have demonstrated that
activins, secreted from gonadal tumors, signal through ActRII in
hepatocytes to directly cause the hepatocellular necrosis seen in
-inhibin-deficient mice (27, 28). Intraportal or intravenous
administration of follistatin can block the inhibitory effects of
activins on hepatocytes, thereby accelerating liver regeneration in
partially hepatectomized rats (29, 30).
The generation of mice lacking either inhibin or activin receptor type II has also confirmed that inhibins and activins are important regulators of pituitary FSH levels in vivo (23, 31). Mice lacking inhibin have elevated FSH levels (31) whereas mice lacking activin receptor type II (23) have suppressed FSH levels. Females lacking activin receptor type II are infertile due to a block at the antral follicle stage, whereas males lacking this activin receptor have small gonads and delayed fertility (23). However, since follistatin-deficient mice die at birth, similar analyses of the essential roles of follistatin in the regulation of FSH synthesis and secretion and its roles in adult reproductive physiology are impossible.
To further understand the function of follistatin in mammalian development and reproduction, we created transgenic mice overexpressing the wild-type mouse follistatin gene product using the mouse metallothionein (MT)-I promoter. In this report, we show that the follistatin transgene was expressed in multiple tissues leading to major defects in the reproductive tract and minor defects in hair formation. These studies demonstrate that follistatin plays an important role in reproductive physiology in vivo.
| RESULTS |
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Morphological and Histological Analyses
All of the MT-FS transgenic offspring from the five independent
lines were viable and developed to adults. In contrast to
overexpression of follistatin in Xenopus laevis, in which
mesoderm and neurulation defects are observed, overexpression of
follistatin during early mouse development did not result in any
deleterious effects. Activins have been shown to have an inhibitory
effect on GH production in vitro (1, 34), and therefore, the
MT-FS transgenic mice and littermates were weighed weekly. Similar to
activin ßB (35) or activin receptor type II knockout mice (23), adult
female and male MT-FS transgenic mice did not demonstrate any
statistically significant changes in body weight compared with controls
(data not shown). Since the MT-FS transgene is highly expressed in
liver, and since follistatin and activins are known to effect liver
apoptosis and regeneration (24, 25, 26, 27, 28, 29, 30), we examined the transgenic livers
morphologically and histologically. The liver weights of these
transgenic male and female mice are not statistically different
compared with the liver weights of wild-type littermate controls (data
not shown). Histological analysis of livers from these transgenic lines
also did not show any abnormalities (data not shown).
Newborn mice lacking follistatin (22) or activin ßA (23) have whisker
defects. Prepubertal and adult MT-FS transgenic mice also had gross
abnormalities in the hair. Mice from lines 4, 5, and 9 demonstrate
shiny, somewhat irregular, fur (Fig. 4A
)
and could be distinguished grossly from their littermates as early as 3
weeks of age. Histological analysis of the skin, however, revealed no
obvious cause for this phenotype (data not
shown).
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To determine the causes of the infertility in these follistatin
transgenic mice, morphological and histological analyses were
performed. Morphological studies showed that the follistatin transgenic
male mice had smaller testes than wild-type controls. Testes from lines
7 and 10 were slightly decreased in size compared with control mice,
whereas testes from line 4 were dramatically smaller compared with
controls (Fig. 4B
). Testes weights from all five transgenic lines of
mice and littermate control mice at 6 weeks of age are shown in Fig. 4C
. Testes weights inversely correlated with the follistatin transgene
mRNA expression in the testes; in lines 4, 9, and 5, which had the
highest expression of the MT-FS transgene mRNA in the testis (Fig. 3A
),
the testes were smaller compared with lines 7 and 10, which had the
lowest mRNA expression. Histological analysis demonstrated Leydig cell
hyperplasia and partial or total tubular degeneration in adult testes
from lines 5 and 9 after 4 months of age. In contrast to the testes of
wild-type mice (Fig. 4D
), spermatogenesis was absent in these tubules,
and only a few Sertoli cells remained (Fig. 4
, EG). Surprisingly,
sections of testes from line 4 show fairly normal stages of
spermatogenesis and normal levels of spermatozoa (data not shown)
despite being infertile. As might be expected and consistent with their
fertility, testes from lines 7 and 10 always show normal stages of
spermatogenesis despite having slightly decreased testis size. To
determine the testis cell type where the transgene was expressed,
in situ hybridization was performed using the SV40
3'-untranslated region (UTR) and poly A probe. The MT-FS transgene mRNA
signal appeared to be present at high levels in both spermatogonia and
Sertoli cells. The signal was not detected in Leydig cells, elongating
spermatids, round spermatids, and late pachytene and diplotene
spermatocytes. Consistent with these findings, endogenous expression of
MT-I mRNA is also expressed in Sertoli cells and spermatogonia in adult
mouse testis (36).
Similar to the males, the transgenic female mice also demonstrated
defects in the reproductive axis. Female mice from line 4 were
infertile, and many of the female mice from line 9 eventually became
infertile at 4 to 5 months of age. Figure 5A
shows the morphological appearance of
the ovaries and uteri of a line 4 female mouse (right) and
its wild-type littermate (left) analyzed at 4.5 months of
age. Compared with the wild-type controls, ovaries from the line 4
female were small, and the uterus was thin, similar to the
GnRH-deficient hypogonadal (hpg) mouse (37, 38).
Histological analysis of these transgenic mice demonstrated small
ovaries and a block in folliculogenesis. Ovaries from a severely
affected 4.5-month-old line 4 transgenic female demonstrated an early
block in folliculogenesis before antral follicle formation (Fig. 5
, C
and D). In the least affected line 4 and 9 transgenic females,
folliculogenesis progressed to the early secondary (antral) follicle
stage (Fig. 5E
); however, there were no tertiary follicles or corpora
lutea present in these ovaries as compared with ovaries from wild-type
mice (Fig. 5B
). In addition, follicular atresia was present (Fig. 5E
),
similar to ovaries from FSH-deficient female mice (39). Ovaries from
another line 4 female mouse demonstrated seminiferous tubule-like
structures in the ovary (Fig. 5
, F and G), similar to the ovaries from
inhibin-deficient mice that have gonadal sex cord-stromal tumors (Refs.
2, 31, and 40; see Discussion). Most of the line 5 female
mice had normal ovaries and were fertile even at later timepoints in
adult development. However, ovaries from some of the line 5 females
demonstrated abnormalities in folliculogenesis with one mouse having a
block in folliculogenesis at the early primary follicle stage. In
situ hybridization analysis of ovaries from line 4 female mice
showed that the transgene mRNA was expressed weakly in stromal
(interstitial) cells (data not shown).
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The MT-FS transgenic male mice that displayed reproductive defects were also analyzed to determine whether there were any secondary abnormalities in steroid production. Since androgen biosynthesis in males occurs mainly in the interstitial Leydig cells, the serum testosterone level of transgenic male mice that display Leydig cell hyperplasia in the testis was determined by RIA. The results showed no significant difference in serum testosterone levels in these transgenic mice (1.7 ± 1.1 ng/ml; n = 7) compared with adult wild-type mice (1.9 ± 1.7 ng/ml; n = 5) consistent with grossly normal secondary sex organs (i.e. seminal vesicles, prostate). This suggests that the androgen biosynthesis pathway in these hyperplastic Leydig cells might be functionally suppressed or abnormal.
| DISCUSSION |
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In adult rats, activin ßA and follistatin mRNA are expressed in Sertoli cells surrounding leptotene spermatocytes at stages IXXI, and activin is a potent stimulator of spermatogonial and Sertoli cell proliferation (3, 17). Since the role of follistatin in adult reproduction could not be addressed by our conventional knockout of follistatin because the mutant mice died soon after birth (22), the present gain-of-function studies allowed us to ascertain the function of follistatin in mammalian reproduction. Overexpression of follistatin resulted in decreased testis size, seminiferous tubular degeneration, and an arrest of spermatogenesis in MT-FS lines 5 and 9. Although a similar decrease in testis size was seen in FSH-deficient (39) and ActRII-deficient mice (23), which have absent and decreased FSH levels, respectively, these knockout male mice were still fertile. Interestingly, the serum FSH levels of MT-FS transgenic mice were only suppressed in line 4 male mice that had the broadest expression of the transgene. This suggests that the decrease in testes size in the MT-FS transgenic mice is caused by follistatin acting locally to block activin, consistent with a hypothetical testis-specific activin knockout. However, it is unclear why these follistatin overexpressor mice do not mimic the phenotype of ActRII-deficient mice (23). One possibility is that activins continue to signal via ActRIIB in the absence of ActRII. Alternatively, follistatin may regulate the function of other TGF-ß family members. For example, follistatin-deficient mice (22) have skeletal defects reminiscent of BMP5-deficient mice, and high concentrations of follistatin can block the effects of BMP7 and BMP4 in vitro (45, 46). Adult bone morphogenetic protein 8b (BMP8b) knockout male mice demonstrate increased apoptosis of spermatocytes leading to germ cell depletion, tubule degeneration, and infertility (47). Thus, overexpression of follistatin may also block BMP8b to cause the infertility, and under physiological conditions, follistatin may normally play a role in maintenance of spermatogenesis by modulating the function of BMP8b in the mouse. In addition, Leydig cell hyperplasia was present in the testis of line 5 and 9 male mice. In Müllerian inhibiting substance (MIS, a member of TGF-ß family) knockout male mice or MIS/inhibin double-mutant male mice, Leydig cell hyperplasia and Leydig cell neoplasia, respectively, were observed (48, 49). Some aspects of the Leydig cell hyperplasia in our follistatin transgenic mice may be due to antagonism of MIS (i.e. follistatin overexpression may act functionally like an MIS null mutation).
Activin stimulates granulosa cell proliferation and follicular
development in vitro (3, 16). Varying levels of infertility
were observed in line 4 and 9 female mice that demonstrated thin uteri,
small ovaries, and a block in folliculogenesis. Similar to the ovarian
findings in mice lacking FSH [i.e. only primary follicles
were observed (39)], folliculogenesis in many of the MT-FS transgenic
female mice from these two lines is halted between the primary and
secondary follicle stages, follicular atresia was present, and in most
ovaries, no corpora lutea were seen. Interestingly, one line 4 female
mouse exhibited Sertoli tubule-like structures (Fig. 5
, F and G),
similar to ovarian tumors from inhibin-deficient mice and
inhibin-deficient ovaries transferred to the bursa of wild-type control
mice (2, 31, 40). Since FSH levels were only suppressed in line 4
female mice, a local role of follistatin in the ovary may also be
responsible for the ovarian defects by blocking activins and/or other
TGF-ß family members. Mice deficient in the oocyte-specific protein
growth differentiation factor 9 (GDF-9), a member of the TGF-ß
family, demonstrate a block in folliculogenesis at the one-layer
primary follicle stage (50). High levels of follistatin in our MT-FS
transgenic mice may bind to GDF-9 and block its effects, thereby
resulting in folliculogenesis defects similar to the GDF-9-deficient
mice. Thus, if follistatin interacts with other members of the TGF-ß
superfamily, this would suggest further promiscuity in the TGF-ß
superfamily signaling pathways and give us important insight into human
infertility and potential treatments.
We have shown that activin signaling through activin receptor type II directly causes the cancer cachexia-like syndrome in inhibin-deficient mice (27, 28). Other studies have demonstrated that activin inhibits hepatocyte proliferation and that follistatin accelerates liver regeneration (24, 25, 26, 29, 30, 51). Since the MT-FS transgene is highly expressed in the liver of lines 4 and 5, we will breed these mice to our inhibin-deficient mice to determine whether overexpression of follistatin can block this activin-mediated cancer cachexia-like syndrome. These future studies will be important to further understand the roles of follistatin in vivo.
| MATERIALS AND METHODS |
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Generation of Transgenic Mice and Morphological and Histological
Analysis
The MT-FS transgene DNA (a 7.9-kb linearized fragment) was
microinjected into the pronucleus of fertilized eggs generated from
C57BL/6/C3H x ICR hybrids (52). Microinjected eggs were
transferred to the oviducts of foster mothers (ICR female mice, 67
weeks old). Twenty four mice were obtained from six foster mothers.
Genomic (tail) DNA (
5 µg) from the founder mice and offspring was
digested with XbaI, electrophoresed on 0.7% agarose gels,
and subjected to Southern blot analysis using the SV40 3'- UTR and
polyA probe as described above. All transgenic founder and F1 mice were
intercrossed with wild-type or transgenic littermates beginning at 6
weeks of age. Fourteen, eight, and six breeding pairs of transgenic
male or female mice from lines 4, 9, and 5, respectively, were set up
for up to 1 yr to test the fertility of these mice. The number of
offspring born and frequency of births were recorded. Transgenic mice
and littermate controls were weighed weekly on the same day until 26
weeks of age. Ten pairs of testes from all five transgenic lines of
mice and 11 pairs of testes from control mice were weighed at 6 weeks
of age, and serum from these mice were also collected at the same time.
Any mice that demonstrated infertility for
3 months were
analyzed morphologically and histologically. Testes were fixed in
Bouins solution overnight and then transferred to 70% ethanol in
saturated lithium carbonate, and rinsed daily for approximately 1 week.
Other tissues were dissected and immediately fixed by immersion
overnight in 10% neutral buffered formalin. The tissues were embedded
in paraffin, and 5-µm sections were cut. Sections from ovaries and
testes were stained with hematoxylin and periodic acid Schiff stain
reaction. Sections from other tissues were stained with hematoxylin and
eosin.
Serum and Pituitary Analysis
Serum and pituitary levels of LH and FSH in wild-type and MT-FS
transgenic mice were analyzed by RIA using kits obtained from the
National Hormone and Pituitary Distribution Program, National
Institutes of Diabetes, and Digestive and Kidney Diseases as described
previously by our group (23, 31, 35, 39, 50). Serum levels of
testosterone and estradiol from control and transgenic mice were
determined using Diagnostics Systems Laboratories, Inc. (Webster, TX)
RIA assay reagents as previously described (2). Serum activin levels
were determined by enzyme-linked immunosorbent assay (ELISA) (Serotec,
Ltd., Raleigh, NC) as described (42). Serum collected from
inhibin-deficient mice was used to validate the mouse activin assay.
Native mouse activin A was diluted linearly and in parallel to the
recombinant human activin A standard curve. All samples were run within
one assay. The intraassay coefficient of variance for positively
detected samples was 5.2%. All samples from PMSG-induced mice, control
wild-type mice, and MT-FS transgenic mice were below the detection
limit of the assay (0.078 ng/ml). Free follistatin was measured in a
two-site ELISA assay format as described (41). The assay detects
recombinant human follistatin 288; however, activin A interferes with
the detection of follistatin in this assay. Follistatin was not
immunodetected using this assay format in the serum of follistatin
transgenic mice. The assay is sensitive and specific for human
follistatin but may not detect mouse follistatin. This possibility
cannot be tested without a mouse follistatin standard.
RNA Analysis
Total RNA was extracted from fresh tissues from both transgenic
and wild-type mice using RNA STAT-60 reagent (Leedo Medical
Laboratories, Houston, TX) according to the manufacturers protocol.
For Northern blot analysis, 15 µg of total RNA were loaded on a 7.6%
formaldehyde-1.2% agarose gel, and the RNA was transferred to Hybond-N
(Amersham, Arlington Heights, IL) nylon membrane as described (50). The
membrane was hybridized with the same SV40 UTR/poly A probe used for
Southern blot analysis as described (50). For the quantitative control,
the membrane was stripped and rehybridized with a mouse 18S ribosomal
RNA cDNA probe. To determine whether the MT-FS transgene was expressed
at early embryonic stages, total RNA from E6.5 or E7.5 embryos from
timed matings of carrier transgenics was processed using the RNA
STAT-60 reagent, and 10% of the total RNA was used for RT-PCR
analysis. RT-PCR was performed using the Titan One Tube RT-PCR system
(Boehringer Mannheim, Indianapolis, IN) according to the
manufacturers protocol.
In Situ Hybridization Analysis
In situ hybridization was performed as described by
Albrecht et al. (53). In brief, freshly dissected mouse
testes and ovaries were fixed in Bouins and freshly prepared 4%
paraformaldehyde-PBS, respectively. Testes samples were immersed for
3 h in Bouins and then transferred to 70% ethanol. After
fixation, the tissues were paraffin embedded and sectioned at 5 µm.
The SV40 3'-UTR and polyA riboprobe, labeled with
[
-35S]UTP, was used to detect the follistatin
transgene expression. Hybridization was carried out at 5055 C with
5 x 106 cpm/slide riboprobe for 16 h in 50%
deionized formamide, 0.3 M NaCl, 20 mM Tris HCl
(pH 8.0), 5 mM EDTA, 10 mM NaPO4
(pH 8.0), 10% Dextran sulfate, 1x Denhardts reagent, and 0.5
µg/ml yeast RNA. A high-stringency wash was carried out in 0.1x
sodium chloride-sodium citrate at 65 C. Dehydrated sections were
exposed to X-OMAT film for 13 days. After film exposure, slides were
dipped in NTB-2 Kodak emulsion and exposed for 110 days at 4 C. After
the slides were developed and fixed, they were stained with hematoxylin
or hematoxylin/eosin and mounted with permount for photography.
Sperm Parameters
Epididymides were dissected from 6- to 7-week-old male mice, and
the sperm were allowed to disperse into M-2 medium upon incubation at
37 C for 1530 min. A 1:10 dilution was used for hemocytometric counts
and for motility testing, while a 1:20 dilution was used for viability
testing using Eosin-Y (52, 54).
| ACKNOWLEDGMENTS |
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These studies were supported by NIH Grants HD-32067 and CA-60651 (to M.M.M) and Reproductive Center Grant HD-07495.
| FOOTNOTES |
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Received for publication May 30, 1997. Revision received October 2, 1997. Accepted for publication October 20, 1997.
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H. F. Escobar-Morreale, M. Luque-Ramirez, and J. L. San Millan The Molecular-Genetic Basis of Functional Hyperandrogenism and the Polycystic Ovary Syndrome Endocr. Rev., April 1, 2005; 26(2): 251 - 282. [Abstract] [Full Text] [PDF] |
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J. J. Buzzard, K. L. Loveland, M. K. O'Bryan, A. E. O'Connor, M. Bakker, T. Hayashi, N. G. Wreford, J. R. Morrison, and D. M. de Kretser Changes in Circulating and Testicular Levels of Inhibin A and B and Activin A During Postnatal Development in the Rat Endocrinology, July 1, 2004; 145(7): 3532 - 3541. [Abstract] [Full Text] [PDF] |
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C. J. Jorgez, M. Klysik, S. P. Jamin, R. R. Behringer, and M. M. Matzuk Granulosa Cell-Specific Inactivation of Follistatin Causes Female Fertility Defects Mol. Endocrinol., April 1, 2004; 18(4): 953 - 967. [Abstract] [Full Text] [PDF] |
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Y. Xia, Y. Sidis, and A. Schneyer Overexpression of Follistatin-Like 3 in Gonads Causes Defects in Gonadal Development and Function in Transgenic Mice Mol. Endocrinol., April 1, 2004; 18(4): 979 - 994. [Abstract] [Full Text] [PDF] |
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S. Shimasaki, R. K. Moore, F. Otsuka, and G. F. Erickson The Bone Morphogenetic Protein System In Mammalian Reproduction Endocr. Rev., February 1, 2004; 25(1): 72 - 101. [Abstract] [Full Text] [PDF] |
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N. de Roux, E. Genin, J.-C. Carel, F. Matsuda, J.-L. Chaussain, and E. Milgrom Hypogonadotropic hypogonadism due to loss of function of the KiSS1-derived peptide receptor GPR54 PNAS, September 16, 2003; 100(19): 10972 - 10976. [Abstract] [Full Text] [PDF] |
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M. M. Matzuk, F. J. DeMayo, L. A. Hadsell, and T. R. Kumar Overexpression of Human Chorionic Gonadotropin Causes Multiple Reproductive Defects in Transgenic Mice Biol Reprod, July 1, 2003; 69(1): 338 - 346. [Abstract] [Full Text] [PDF] |
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H. Chang, C. W. Brown, and M. M. Matzuk Genetic Analysis of the Mammalian Transforming Growth Factor-{beta} Superfamily Endocr. Rev., December 1, 2002; 23(6): 787 - 823. [Abstract] [Full Text] [PDF] |
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A. Narula, S. Kilen, E. Ma, J. Kroeger, E. Goldberg, and T. K. Woodruff Smad4 Overexpression Causes Germ Cell Ablation and Leydig Cell Hyperplasia in Transgenic Mice Am. J. Pathol., November 1, 2002; 161(5): 1723 - 1734. [Abstract] [Full Text] [PDF] |
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C. Welt, Y. Sidis, H. Keutmann, and A. Schneyer Activins, Inhibins, and Follistatins: From Endocrinology to Signaling. A Paradigm for the New Millennium Experimental Biology and Medicine, October 1, 2002; 227(9): 724 - 752. [Abstract] [Full Text] [PDF] |
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F. A. Adatia, L. L. Baggio, Q. Xiao, D. J. Drucker, and P. L. Brubaker Cellular Specificity of Proexendin-4 Processing in Mammalian Cells in Vitro and in Vivo Endocrinology, September 1, 2002; 143(9): 3464 - 3471. [Abstract] [Full Text] [PDF] |
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K. H. Burns and M. M. Matzuk Minireview: Genetic Models for the Study of Gonadotropin Actions Endocrinology, August 1, 2002; 143(8): 2823 - 2835. [Abstract] [Full Text] [PDF] |
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R. L. Jones, L. A. Salamonsen, Y. C. Zhao, J.-F. Ethier, A. E. Drummond, and J. K. Findlay Expression of activin receptors, follistatin and betaglycan by human endometrial stromal cells; consistent with a role for activins during decidualization Mol. Hum. Reprod., April 1, 2002; 8(4): 363 - 374. [Abstract] [Full Text] [PDF] |
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A. M. O. Leal, K. Takabe, L. Wang, C. J. Donaldson, L. A. MacConell, L. M. Bilezikjian, I. M. Verma, and W. Vale Effect of Adenovirus-Mediated Overexpression of Follistatin and Extracellular Domain of Activin Receptor Type II on Gonadotropin Secretion in Vitro and in Vivo Endocrinology, March 1, 2002; 143(3): 964 - 969. [Abstract] [Full Text] [PDF] |
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A. Fragale, R. Puglisi, A. R. Morena, M. Stefanini, and C. Boitani Age-dependent activin receptor expression pinpoints activin A as a physiological regulator of rat Sertoli cell proliferation Mol. Hum. Reprod., December 1, 2001; 7(12): 1107 - 1114. [Abstract] [Full Text] [PDF] |
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T. Eldar-Geva, I.M. Spitz, N.P. Groome, E.J. Margalioth, and R. Homburg Follistatin and activin A serum concentrations in obese and non-obese patients with polycystic ovary syndrome Hum. Reprod., December 1, 2001; 16(12): 2552 - 2556. [Abstract] [Full Text] [PDF] |
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M. L. McMullen, B.-N. Cho, C. J. Yates, and K. E. Mayo Gonadal Pathologies in Transgenic Mice Expressing the Rat Inhibin {alpha}-Subunit Endocrinology, November 1, 2001; 142(11): 5005 - 5014. [Abstract] [Full Text] [PDF] |
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R. J. Norman, C. R. Milner, N. P. Groome, and D. M. Robertson Circulating follistatin concentrations are higher and activin concentrations are lower in polycystic ovarian syndrome Hum. Reprod., April 1, 2001; 16(4): 668 - 672. [Abstract] [Full Text] [PDF] |
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M. Urbanek, X. Wu, K. R. Vickery, L.-C. Kao, L. K. Christenson, A. Schneyer, R. S. Legro, D. A. Driscoll, J. F. Strauss III, A. Dunaif, et al. Allelic Variants of the Follistatin Gene in Polycystic Ovary Syndrome J. Clin. Endocrinol. Metab., December 1, 2000; 85(12): 4455 - 4461. [Abstract] [Full Text] |
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W.X. Liao, A.C. Roy, and S.C. Ng Preliminary investigation of follistatin gene mutations in women with polycystic ovary syndrome Mol. Hum. Reprod., July 1, 2000; 6(7): 587 - 590. [Abstract] [Full Text] [PDF] |
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S. C. Cipriano, L. Chen, T. R. Kumar, and M. M. Matzuk Follistatin Is a Modulator of Gonadal Tumor Progression and the Activin-Induced Wasting Syndrome in Inhibin-Deficient Mice Endocrinology, July 1, 2000; 141(7): 2319 - 2327. [Abstract] [Full Text] [PDF] |
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M. Urbanek, R. S. Legro, D. A. Driscoll, R. Azziz, D. A. Ehrmann, R. J. Norman, J. F. Strauss III, R. S. Spielman, and A. Dunaif Thirty-seven candidate genes for polycystic ovary syndrome: Strongest evidence for linkage is with follistatin PNAS, July 20, 1999; 96(15): 8573 - 8578. [Abstract] [Full Text] [PDF] |
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J. C. Achermann and J. L. Jameson Fertility and Infertility: Genetic Contributions from the Hypothalamic-Pituitary- Gonadal Axis Mol. Endocrinol., June 1, 1999; 13(6): 812 - 818. [Full Text] |
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D. W. Schomberg, J. F. Couse, A. Mukherjee, D. B. Lubahn, M. Sar, K. E. Mayo, and K. S. Korach Targeted Disruption of the Estrogen Receptor-{alpha} Gene in Female Mice: Characterization of Ovarian Responses and Phenotype in the Adult Endocrinology, June 1, 1999; 140(6): 2733 - 2744. [Abstract] [Full Text] |
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K. Tsuchida, K. Y. Arai, Y. Kuramoto, N. Yamakawa, Y. Hasegawa, and H. Sugino Identification and Characterization of a Novel Follistatin-like Protein as a Binding Protein for the TGF-beta Family J. Biol. Chem., December 22, 2000; 275(52): 40788 - 40796. [Abstract] [Full Text] [PDF] |
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