Inhibin was first identified as a gonadal hormone that potently inhibits pi
tuitary follicle-stimulating hormone (FSH) synthesis and secretion. Althoug
h the notion of a nonsteroidal, gonadally derived inhibitory substance was
realized in the early 1930s (McCullagh, 1932), identification of the hormon
e was not accomplished until more than 50 years later. At that time, inhibi
n was purified from bovine and porcine follicular fluid and was shown to be
produced in two forms through dimeric assembly of an a subunit (18 kDa) an
d one of two closely related beta subunits (PA and PB, approximately 14 kDa
) (Ling er al., 1985; Miyamoto el al., 1985; Rivier et al, 1985; Robertson
et al., 1985). Dimers of alpha and betaA and alpha and betaB subunits form
inhibin A and inhibin B, respectively. In the process of purifying inhibin,
two groups also identified homo- and heterodimers of the inhibin beta subu
nits (Ling er al., 1986; Vale et al., 1986). These hormones, the activins,
were shown to potently stimulate FSH secretion from primary pituitary cultu
res and are now known to play important roles in growth and development (Wo
odruff, 1998; Pangas and Woodruff, 2000). Inhibins and activins are conside
red members of the transforming growth factor-beta (TGF-beta) superfamily o
f growth and differentiation factors, based on a pattern of conserved cyste
ine residues in the alpha and beta subunits, similar to other ligands in th
e family.
Identification of the subunit proteins led to the cloning of their cDNAs an
d subsequently to their chromosomal mapping in several species (Mason et al
., 1985,1986; Forage et al, 1986; Mayo et at, 1986; Esch el al., 1987; Wood
ruff el al., 1987; Barton et al., 1989; Hiendleder et at, 2000). Three addi
tional activin-related beta subunits (betaC and betaE in mammals and PD in
Xenopus laevis) also have been identified but do not appear to play a role
in FSH regulation (Hotten el al., 1995; Oda et al., 1995; Fang et al., 1996
,1997; Loveland el at, 1996; Schmitt et al., 1996; O'Bryan et at, 2000; Lau
et al., 2000). To date, only one a subunit has been reported. The inhibin
subunits are expressed in various tissues (Meunier ei at., 1988a,1988b) but
the gonads are clearly the primary source of circulating inhibins (Woodruf
f el at, 1996). While inhibins act in a paracrine role in some tissues (Hsu
eh et al., 1987), their best-understood roles are as endocrine regulators o
f pituitary FSH. Activins also were purified from follicular fluid but beca
use circulating activin levels generally are low, most actions of the hormo
nes are likely to be paracrine in nature (Woodruff, 1998). Several reviews
in the past decade have clearly and thoroughly addressed the characterizati
on acid regulation of the inhibins and activins and their roles in reproduc
tive function (Vale el al., 1988; Ying, 1988; Woodruff and Mayo, 1990; Mayo
, 1994; Woodruff and Mather, 1995).
In this chapter, we focus our attention on more-recent developments in inhi
bin research. First, we discuss differential regulation of inhibin isoforms
. Specifically, we describe patterns of inhibin A and B secretion in the co
ntext of the female reproductive cycle. Second, we review molecular mechani
sms of inhibin subunit regulation. Third, while inhibins are best known for
their role in pituitary FSH regulation, other functions of the ligands are
becoming better understood. We review the animal and human literature addr
essing the possible role of inhibins in gonadal cancers. While we know "wha
t" inhibins do in various contexts, we have a very limited understanding of
"how" the ligands have their effects on target cells. Recently, candidate
inhibin receptor molecules have been identified (Draper et al, 1998; Hertan
el at, 1999; Lewis et at, 2000; Chung et al., 2000). Next we detail our cu
rrent understanding of inhibin signal transduction. Finally, in light of th
e data reviewed here, we pose questions and outline future directions for i
nhibin research. While this review is concerned primarily with expression a
nd function of inhibin, activin function and mechanisms of action are descr
ibed where necessary to shed light on inhibin function. Several reviews of
activin's role in reproductive and other processes can be found elsewhere (
Woodruff, 1998; Pangas and Woodruff, 2000).