The follicle-stimulating hormone receptor (FSHR) is found exclusively on gr
anulosa cells from as early as the two-layer or primary stage of folliculog
enesis. Up to four alternatively spliced transcripts have been described. A
n increase in steady-state levels of FSHR mRNA as well as a change in alter
native splicing appear to be important during early folliculogenesis. FSHRs
remain on the granulosa cells of healthy follicles until they become atret
ic or luteinize, with relatively little change in receptor number per cell.
Factors that increase expression are FSH itself, cAMP and its analogs, act
ivin and transforming growth factor beta (TGF-beta), whereas epidermal grow
th factor (EGF)/TGF-alpha decrease expression. The regulatory regions of th
e FSHR gene are more akin to 'housekeeping' genes than to a highly regulate
d gene, and there is an E box in the promoter region. Regulation of the ini
tial expression of FSHR mRNA at the two-granulosa cell layer stage of folli
culogenesis is not understood. It will also be important to understand whet
her the alternatively spliced FSHR transcripts and their prevalence in the
ovary during early folliculogenesis represent a biologically important phen
omenon.