A. Kaipia et al., TUMOR-NECROSIS-FACTOR-ALPHA AND ITS 2ND MESSENGER, CERAMIDE, STIMULATE APOPTOSIS IN CULTURED OVARIAN FOLLICLES, Endocrinology, 137(11), 1996, pp. 4864-4870
In the mammalian ovary, only a small fraction of follicles fully matur
e and ovulate, while most of them die via apoptosis. Multiple factors
promoting follicle survival have been identified, but intraovarian med
iators of apoptosis are poorly known. Tumor necrosis factor-alpha (TNF
alpha) is a cytokine capable of inducing apoptosis in diverse cell ty
pes, and the apoptotic effect of TNF alpha is, partially, coupled to t
he sphingomyelin signaling pathway with ceramide as a second messenger
. Because TNF alpha has been localized in the rat ovary, and TNF alpha
treatment increases granulosa cell ceramide production, we studied th
e effect of treatment with TNF alpha and ceramide on follicle apoptosi
s. Immature rats were implanted with diethylstilbestrol to stimulate t
he development of early antral follicles. Follicles were isolated and
cultured in a serum-free medium for 24 h with or without hormone treat
ments. During culture, spontaneous follicle apoptosis occurred (10-fol
d increase in DNA fragmentation), which was partially blocked by 100 n
g/ml FSH (60% suppression). The effect of FSH was counteracted by TNF
alpha in a dose-dependent manner, with the maximal effect at 100 ng/ml
TNF alpha (90% reversal of FSH action). In. situ analysis indicated t
hat the granulosa cell is the follicle cell type undergoing DNA fragme
ntation. A membrane-permeable ceramide analog, C-2-ceramide N-acetyl s
phingosine, mimicked the effect of TNF alpha and was able to completel
y abolish the action of FSH at 50 mu M, In contrast, another ceramide
analog, C-2-dihydroceramide N-acetyl dihydrosphingosine, did not alter
the effect of FSH, verifying the specificity of ceramide action. To s
tudy the mechanism of TNF alpha and ceramide action, the effect of sod
ium aurathiomalate (ATM), an inhibitor of interleukin-1 beta-convertin
g enzyme/ced-9-related cysteine proteases known to be essential in the
execution of mammalian cell apoptosis, was studied. Treatment with AT
M (1 mM) prevented the apoptosis-inducing effect of both TNF alpha and
ceramide, suggesting a role for cysteine proteases in mediating folli
cle apoptosis. Treatment with either TNF alpha or ceramide increased b
oth basal and FSH-stimulated progesterone production by cultured folli
cles. Concomitant treatment by ATM did not alter the stimulatory effec
t of TNF alpha or ceramide on progesterone production, ruling out nons
pecific toxic effect of the inhibitor and indicating that the apoptoti
c and steroidogenic pathways are independent. In summary, treatment wi
th TNF alpha or its second messenger, ceramide, stimulates apoptosis o
f early antral follicles in culture, suggesting a potential role for T
NF alpha as an intraovarian regulator of follicle atresia by acting th
rough the ceramide signaling pathway.