Rz. Spaczynski et al., Tumour necrosis factor-alpha stimulates proliferation of rat ovarian theca-interstitial cells, BIOL REPROD, 61(4), 1999, pp. 993-998
Tumor necrosis factor-alpha (TNF-alpha) is a potent modulator of ovarian fu
nction, affecting steroidogenesis of both granulosa and theca-interstitial
(T-I) cells. Women with polycystic ovary syndrome (PCOS) have increased lev
els of serum TNF-alpha. The present study evaluated the effects of TNF-alph
a on T-I cell proliferation. Purified rat T-I cells were cultured for 48 h
with or without TNF-alpha (0.001-1 nM), insulin-like growth factor I (IGF-I
; 10 nM), and/or insulin (10 nM). Proliferation was measured by [H-3]thymid
ine incorporation assay and by counting the steroidogenically active (stain
ed positive for 3 beta-hydroxysteroid dehydrogenase; 3 beta-HSD) and inacti
ve (3 beta-HSD negative) cells. TNF-alpha stimulated thymidine incorporatio
n in a dose-dependent fashion (up to 3.2-fold; P < 0.0z1). Insulin and IGF-
I stimulated T-I proliferation (respectively, by up to 2.4- and 3.1-fold; P
< 0.001). TNF-alpha potentiated effects of insulin and IGF-I in a dose-dep
endent and additive fashion (up to 6.7-fold; P < 0.001). TNF-alpha (1 nM) i
ncreased total cell count (by 80%, P < 0.05) and the proportion of 3 beta-H
SD-positive cells (by 19%, P < 0.05). Flow cytometry DNA analysis revealed
that TNF-alpha (1 nM) increased the proliferative index by up to 16% (P = 0
.05). The present findings demonstrate that TNF-alpha stimulates mitotic ac
tivity of T-I cells by increasing the proportion of actively dividing cells
and preferentially increasing the number of steroidogenically active cells
. The effects of TNF-alpha appear to be independent of those induced by ins
ulin and IGF-I. We postulate that TNF-alpha may play a pathophysiologic rol
e in disorders of the T-I compartment, such as PCOS.