The changing pattern of granulosa cell expression of inhibin/activin subuni
ts and follistatin during follicle development and their differential regul
ation by extrinsic and intraovarian factors supports evidence from function
al studies, mostly in vitro, that these proteins have important roles in fo
lliculogenesis, oocyte maturation and corpus luteum function. Gonadal inhib
ins function as negative feedback hormones to regulate the synthesis and se
cretion of pituitary FSH, a key determinant of follicle development, but th
ere is little supportive evidence for a peripheral endocrine role for ovary
-derived activins or follistatin in this regard. However, activins and foll
istatin are expressed in numerous other tissues, including anterior pituita
ry, and they are firmly implicated as local intrapituitary regulators of FS
H secretion. Intraovarian actions of granulosa cell-derived activins includ
e the promotion of granulosa cell proliferation and upregulation of FSH rec
eptors, P450arom, oestrogen synthesis, granulosa cell LH receptors and enha
ncement of oocyte maturation. Through its activin-binding role, follistatin
can reverse each of these activin-induced responses. In addition to their
endocrine feedback role, granulosa-derived inhibins can sensitize theca cel
ls to LH, thereby enhancing the production of androgens, an essential requi
rement for follicular oestrogen synthesis. Activins can oppose this effect
and suppress thecal androgen production. Granulosa cells overproduce inhibi
n a subunit precursor relative to betaA/betaB subunit precursors and eviden
ce indicates that different parts of the inhibin a subunit precursor have i
ntrinsic biological activities distinct from inhibin alpha betaA/B dimer, a
nd serve as additional local modulators of follicle and corpus luteum funct
ion.