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<art>
   <ui>1757-2215-1-2</ui>
   <ji>1757-2215</ji>
   <fm>
      <dochead>Research</dochead>
      <bibl>
         <title>
            <p>Functional significance of the signal transduction pathways Akt and Erk in ovarian follicles: <it>in vitro</it> and <it>in vivo</it> studies in cattle and sheep</p>
         </title>
         <aug>
            <au id="A1">
               <snm>Ryan</snm>
               <mi>E</mi>
               <fnm>Kate</fnm>
               <insr iid="I1"/>
               <email>katie.ryan1@gmail.com</email>
            </au>
            <au id="A2">
               <snm>Glister</snm>
               <fnm>Claire</fnm>
               <insr iid="I3"/>
               <email>c.glister@reading.ac.uk</email>
            </au>
            <au id="A3">
               <snm>Lonergan</snm>
               <fnm>Pat</fnm>
               <insr iid="I1"/>
               <email>pat.lonergan@ucd.ie</email>
            </au>
            <au id="A4">
               <snm>Martin</snm>
               <fnm>Finian</fnm>
               <insr iid="I2"/>
               <email>finian.martin@ucd.ie</email>
            </au>
            <au id="A5">
               <snm>Knight</snm>
               <mi>G</mi>
               <fnm>Phil</fnm>
               <insr iid="I3"/>
               <email>p.g.knight@reading.ac.uk</email>
            </au>
            <au ca="yes" id="A6">
               <snm>Evans</snm>
               <mi>CO</mi>
               <fnm>Alexander</fnm>
               <insr iid="I1"/>
               <email>alex.evans@ucd.ie</email>
            </au>
         </aug>
         <insg>
            <ins id="I1">
               <p>School of Agriculture Food Science and Veterinary Medicine, Conway Institute, College of Life Science, University College Dublin, Belfield, Dublin 4, Ireland</p>
            </ins>
            <ins id="I2">
               <p>School of Biomolecular and Biomedical Science, Conway Institute, College of Life Science, University College Dublin, Belfield, Dublin 4, Ireland</p>
            </ins>
            <ins id="I3">
               <p>School of Biological Sciences, University of Reading, Whiteknights, Reading, RG6 6AJ, UK</p>
            </ins>
         </insg>
         <source>Journal of Ovarian Research</source>
         <issn>1757-2215</issn>
         <pubdate>2008</pubdate>
         <volume>1</volume>
         <issue>1</issue>
         <fpage>2</fpage>
         <url>http://www.ovarianresearch.com/content/1/1/2</url>
         <xrefbib>
            
         <pubidlist><pubid idtype="pmpid">19014654</pubid><pubid idtype="doi">10.1186/1757-2215-1-2</pubid></pubidlist></xrefbib>
      </bibl>
      <history>
         <rec>
            <date>
               <day>10</day>
               <month>7</month>
               <year>2008</year>
            </date>
         </rec>
         <acc>
            <date>
               <day>01</day>
               <month>10</month>
               <year>2008</year>
            </date>
         </acc>
         <pub>
            <date>
               <day>01</day>
               <month>10</month>
               <year>2008</year>
            </date>
         </pub>
      </history>
      <cpyrt>
         <year>2008</year>
         <collab>Ryan et al; licensee BioMed Central Ltd.</collab>
         <note>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<url>http://creativecommons.org/licenses/by/2.0</url>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</note>
      </cpyrt>
      <abs>
         <sec>
            <st>
               <p>Abstract</p>
            </st>
            <sec>
               <st>
                  <p>Background</p>
               </st>
               <p>The intracellular signalling mechanisms that regulate ovarian follicle development are unclear; however, we have recently shown differences in the Akt and Erk signalling pathways in dominant compared to subordinate follicles. The aim of this study was to investigate the effects of inhibiting Akt and Erk phosphorylation on IGF- and gonadotropin- stimulated granulosa and theca cell function <it>in vitro</it>, and on follicle development <it>in vivo</it>.</p>
            </sec>
            <sec>
               <st>
                  <p>Methods</p>
               </st>
               <p>Bovine granulosa and theca cells were cultured for six days and stimulated with FSH and/or IGF, or LH in combination with PD98059 (Erk inhibitor) and/or LY294002 (Akt inhibitor) and their effect on cell number and hormone secretion (estradiol, activin-A, inhibin-A, follistatin, progesterone and androstenedione) determined. In addition, ovarian follicles were treated <it>in vivo</it> with PD98059 and/or LY294002 in ewes on Day 3 of the cycle and follicles were recovered 48 hours later.</p>
            </sec>
            <sec>
               <st>
                  <p>Results</p>
               </st>
               <p>We have shown that gonadotropin- and IGF-stimulated hormone production by granulosa and theca cells is reduced by treatment with PD98059 and LY294002 <it>in vitro</it>. Furthermore, treatment with PD98059 and LY294002 reduced follicle growth and oestradiol production <it>in vivo</it>.</p>
            </sec>
            <sec>
               <st>
                  <p>Conclusion</p>
               </st>
               <p>These results demonstrate an important functional role for the Akt and Erk signalling pathways in follicle function, growth and development.</p>
            </sec>
         </sec>
      </abs>
   </fm>
   <bdy>
      <sec>
         <st>
            <p>Introduction</p>
         </st>
         <p>Folliculogenesis is a vigorously controlled process that involves both proliferation and differentiation of both granulosa and theca cells. These coordinated processes are controlled by local and systemic regulatory factors. The gonadotropins, FSH and LH, are essential for the development of follicles beyond the early antral stage. In both cattle and sheep, ovarian antral follicle growth occurs in a wave-like pattern with 2 to 3 waves per cycle in cattle and 3 to 4 waves in sheep <abbrgrp><abbr bid="B1">1</abbr></abbrgrp>. Wave emergence is triggered by a transient rise in circulating FSH concentrations <abbrgrp><abbr bid="B2">2</abbr><abbr bid="B3">3</abbr><abbr bid="B4">4</abbr></abbrgrp>, which promotes significant growth of granulosa cells by regulating cell cycle proteins and increasing oestradiol production and the expression of LH receptors <abbrgrp><abbr bid="B5">5</abbr></abbrgrp>.</p>
         <p>As follicles mature, the largest follicles in the cohort produce high levels of oestradiol and inhibins <abbrgrp><abbr bid="B6">6</abbr></abbrgrp>. This inhibits FSH secretion and the drop in FSH concentrations initiates atresia and regression of the small (subordinate) follicles, whilst the largest (dominant) follicle switches its dependence from FSH to LH and thus avoids regression <abbrgrp><abbr bid="B7">7</abbr></abbrgrp>. FSH and LH exert their stimulatory effect on proliferation and steroidogenesis by binding to specific G protein-coupled receptors which in turn causes an increase in cAMP production and activation of the PKA pathway <abbrgrp><abbr bid="B8">8</abbr></abbrgrp>. While the PKA/cAMP transduction pathway is generally considered to be the primary mediator of gonadotropin action, these hormones also activate other signalling pathways that include activation of the Erk pathway <abbrgrp><abbr bid="B9">9</abbr><abbr bid="B10">10</abbr></abbrgrp>, the Akt pathway <abbrgrp><abbr bid="B11">11</abbr><abbr bid="B12">12</abbr></abbrgrp> and the inositol triphosphate and diacylglycerol <abbrgrp><abbr bid="B13">13</abbr><abbr bid="B14">14</abbr></abbrgrp> pathways. These signal transduction pathways, when activated, induce changes in protein activity and gene expression <abbrgrp><abbr bid="B15">15</abbr></abbrgrp>. It is the differential regulation of these pathways and the potential for cross talk between the pathways that is important in mediating the effects of these hormones.</p>
         <p>In addition to the gonadotropins, there are numerous growth factors and intraovarian regulators of follicle development and function that include insulin-like growth factor (IGF) and members of the TGF-&#946; superfamily (eg. inhibin-A and activin-A). It has been established that IGF stimulates proliferation of granulosa and theca cells, and enhances the ability of gonadotropins to stimulate steroidogenesis in both granulosa and theca cells <abbrgrp><abbr bid="B16">16</abbr><abbr bid="B17">17</abbr><abbr bid="B18">18</abbr></abbrgrp>. In addition, it has been shown that IGF has a direct anti-apoptotic effect and is selectively expressed in healthy follicles compared with small atretic follicles <abbrgrp><abbr bid="B19">19</abbr></abbrgrp>. The Akt and Erk pathways are considered the principle signalling pathways that mediate the effects of IGF <abbrgrp><abbr bid="B20">20</abbr></abbrgrp>.</p>
         <p>We have previously shown higher levels of total and phosphorylated Akt and Erk in dominant follicles compared with subordinate follicles <abbrgrp><abbr bid="B21">21</abbr><abbr bid="B22">22</abbr></abbrgrp>. The objectives of the studies reported here were to examine the interactions of the gonadotrophins and IGF with the Akt and Erk signalling pathways in theca and granulosa cells <it>in vitro</it> and to describe their functional significance for ovarian follicle growth <it>in vivo</it>.</p>
      </sec>
      <sec>
         <st>
            <p>Materials and methods</p>
         </st>
         <sec>
            <st>
               <p>Experimental design</p>
            </st>
            <sec>
               <st>
                  <p>Experiment 1</p>
               </st>
               <p>The aim was to test the hypothesis that FSH and IGF activate Akt and Erk pathways in bovine granulosa cells cultured <it>in vitro</it>. This was done using granulosa cells collected from 4 to 6 mm follicles from animals after slaughter using a validated granulosa cell culture system that maintains FSH responsiveness, oestradiol secretion and minimizes luteinization <abbrgrp><abbr bid="B23">23</abbr></abbrgrp>. Granulosa cells were cultured (see below) in serum-free conditions for 144 h with conditioned medium collected and replaced with fresh media (McCoy's 5A modified medium supplemented with 1% (v/v) antibiotic/antimycotic solution, 10 ng/ml bovine insulin, 2 mM L-glutamine, 10 mM HEPES, 5 &#956;g/ml apotransferrin, 5 ng/ml sodium selenite, 0.1% BSA and 10<sup>-7</sup>M androstenedione (all purchased from Sigma)) +/- treatments every 48 hours as described by Glister et al <abbrgrp><abbr bid="B23">23</abbr></abbrgrp>. Cells were seeded at a density of 0.5 &#215; 10<sup>6 </sup>viable cells per well in 24 well plates and cultured in a 1 ml volume of media +/- treatments. Treatment groups were as follows (i) untreated controls, (ii) 0.33 ng/ml FSH (oFSH-19SIAPP, NIDDK), (iii) 10 ng/ml IGF (recombinant IGF-I analogue, LR3 IGF-I, Sigma, Dublin, Ireland), (iv) 0.33 ng/ml FSH and 10 ng/ml IGF. These treatments (and dose-levels) have been shown previously to stimulate cell proliferation/survival and hormone secretion by bovine granulosa cells over a 144 h treatment period <abbrgrp><abbr bid="B23">23</abbr></abbrgrp>. The more potent LR3 IGF-I analogue was used rather than IGF-I or IGF-II because its action is not compromised by association with endogenous IGF-BPs produced by the cells <abbrgrp><abbr bid="B24">24</abbr></abbrgrp>. At the end of culture, conditioned media were collected and stored at -20&#176;C until assayed for oestradiol, progesterone, inhibin-A, activin-A and follistatin. Cells were scraped off the culture plates in 1 ml of phosphate-buffered saline and a small (50 &#956;l) aliquot of cell suspension was taken and processed for viable cell number by neutral red dye uptake as described previously <abbrgrp><abbr bid="B23">23</abbr></abbrgrp>. The remaining cell suspension was spun at 800 g and the cell pellet washed twice before snap freezing the cell pellet and storing at -80&#176;C until processed for Western blots. Western blot analysis was used to determine the levels of Akt and Erk and their phosphorylated proteins p-Akt and p-Erk in total protein extracted from cells at the end of culture (see below).</p>
               <p>The experiment was done on 4 separate occasions (replicates) with 6 wells included per treatment per replicate.</p>
            </sec>
            <sec>
               <st>
                  <p>Experiment 2</p>
               </st>
               <p>The aim was to test the hypothesis that pharmacological inhibition of the activation of the Akt and Erk pathways would inhibit the actions of FSH and IGF on bovine granulosa cells <it>in vitro</it>. Granulosa cells were cultured as described above with one of four possible culture media; control medium, FSH (0.33 ng/ml), IGF (10 ng/ml) or FSH plus IGF in combination. Additionally each of the above treatments was given in combination with either PD98059 (513000, Calbiochem, VWR International Ltd., Ashbourne, County Meath, Ireland), a specific inhibitor of the Erk activating enzyme MEK (APK/Erk kinase) <abbrgrp><abbr bid="B25">25</abbr></abbrgrp> or LY294002 (L9908, Sigma, Dublin, Ireland), a specific inhibitor of Akt activation <abbrgrp><abbr bid="B26">26</abbr></abbrgrp> or a combination of both inhibitors resulting in a total of 16 treatments. Both PD98059 and LY294002 were initially dissolved in DMSO and were diluted to a final concentration of 50 &#956;M <it>in vitro</it>. Control media also contained DMSO at a final concentration of 0.005% (v/v) in all treatment groups.</p>
            </sec>
            <sec>
               <st>
                  <p>Experiment 3</p>
               </st>
               <p>Theca interna cells were isolated from the same sets of follicles used in experiment 2 as described by Glister et al <abbrgrp><abbr bid="B26">26</abbr></abbrgrp>. Theca cells were plated out and cultured using the same serum-free conditions as described above for granulosa cells except that androstenedione was omitted from the culture medium. Cells were cultured for 144 h with control media, media with LH (160 ng/ml, oLH-S26, NIDDK) and the same treatments in combination with PD98059 (50 &#956;M) and/or LY294002 (50 &#956;M). The dose-level of LH used here was shown previously to promote optimal secretion of androstenedione by bovine theca cells cultured under these conditions <abbrgrp><abbr bid="B26">26</abbr></abbrgrp>. Media were changed and treatments replenished every 48 h. At the end of culture, conditioned media were collected and stored at -20&#176;C until assayed for androstenedione and progesterone. Viable cell number was determined by neutral red dye uptake. The experiment was done on 4 separate occasions (replicates) with 6 wells included per treatment per replicate.</p>
            </sec>
            <sec>
               <st>
                  <p>Experiment 4</p>
               </st>
               <p>The aim was to test the hypothesis that inhibition of the activation of the Akt and Erk pathways would decrease follicle growth and oestradiol production by ovine ovarian follicles <it>in vivo</it>. The oestrous cycles of eighteen ewes were synchronised using a progestagen sponge (Chronogest, Intervet, Boxmeer, The Netherlands) and on Day 3 of the oestrous cycle (oestrus was detected using a raddled vasectomised ram) the two largest follicles were identified (via laparotomy under local anaesthesia), measured, follicular fluid sampled (about 10% of the volume, 4 to 7 &#956;l using a 32G needle) and all other follicles ablated (aspirated and cauterized <abbrgrp><abbr bid="B27">27</abbr></abbrgrp>). This stage of the cycle was chosen as it is during the first follicle wave and at a time when the follicles are large enough to treat but also early enough that the follicles are still growing and producing oestradiol. In each animal the largest of the two remaining follicles was treated (below) and the second follicle served as an untreated control follicle. Ewes were assigned to one of four groups and the largest follicle treated with control medium (n = 4; follicle injected with culture medium plus DMSO), Akt inhibitor (n = 5; follicle injected with LY294002 in control medium), Erk inhibitor (n = 5; follicle injected with PD98059 in control medium) or Akt + Erk inhibitor (n = 4; follicle injected with LY294002 and PD98059 in control medium). The volume of each treatment injection was about 10% of follicle volume (4 to 7 &#956;l), which resulted in a final follicular fluid concentration of 50 &#956;M of the inhibitors, and 50 &#956;M (0.005%) of the DMSO. Concentrations of the inhibitors were based on the treatments used <it>in vitro</it> in Experiment 2.</p>
               <p>The ewes recovered from surgery and 48 h after treatment (day 5 of the cycle) were euthanized, the two follicles were identified from drawings of the ovaries made at surgery and dissected out of the ovaries, measured and follicular fluid was aspirated. The follicles were cut open and the theca and adherent granulosa cells peeled from the stroma. The granulosa cells were then gently scraped from the theca and the granulosa and theca cells were snap frozen in liquid nitrogen and stored at -80&#176;C <abbrgrp><abbr bid="B28">28</abbr></abbrgrp>. All experimental procedures involving live animals were sanctioned by the UCD Animal Research Ethics Committee and licensed by the Department of Health and Children, Ireland, in accordance with the cruelty to animals act (Ireland, 1987) and European Community Directive 86/609/EC.</p>
            </sec>
         </sec>
         <sec>
            <st>
               <p>Immunoassays</p>
            </st>
            <p>Inhibin-A concentrations were measured by a two-site IRMA described by Knight and Muttukrishna (1994) <abbrgrp><abbr bid="B29">29</abbr></abbrgrp> which has a detection limit of 250 pg/ml. Oestradiol concentrations were determined by RIA as described previously <abbrgrp><abbr bid="B23">23</abbr></abbrgrp> with a detection limit of 1.5 pg/ml. Progesterone concentrations were determined using an ELISA <abbrgrp><abbr bid="B30">30</abbr></abbrgrp> with a detection limit of 20 pg/ml. Concentrations of both activin-A and follistatin were measured using ELISA <abbrgrp><abbr bid="B31">31</abbr></abbrgrp>. The inter- and intra- assay coefficients for all assays were under 11%.</p>
         </sec>
         <sec>
            <st>
               <p>Whole cell protein extract preparation</p>
            </st>
            <p>Tissue samples were thawed on ice, homogenised in cold RIPA (Radio-Immunoprecipitation Assay) buffer (50 mM Tris-HCl pH 7.4, 1% NP-40, 150 mM NaCl, 1 mM EDTA, 1 mM PMSF, 1 mM Na<sub>3</sub>VO<sub>4</sub>, 1 mM NaF, 1% protease inhibitor cocktail; P8340, Sigma, Tallaght, Dublin, Ireland) and agitated on a shaker for 15 mins at 4&#176;C. The homogenate was then centrifuged at 1400 rpm for 15 mins at 4&#176;C. The resultant supernatant was snap frozen in liquid nitrogen and stored at -80&#176;C. Protein concentrations of the sample extracts were determined by spectrophotometric assay using the Bio Rad protein assay dye reagent concentrate (Bio Rad Laboratories, #500-0006, Fannin Healthcare, Dublin, Ireland).</p>
         </sec>
         <sec>
            <st>
               <p>Immunoblotting</p>
            </st>
            <p>Levels of Akt and Erk and their phosphorylated forms were determined as we have previously described <abbrgrp><abbr bid="B22">22</abbr></abbrgrp>. Proteins from granulosa were resolved on 10% SDS polyacrylamide gels (5 &#956;g total protein per sample) and then electrophoretically transferred onto nitrocellulose (Protran<sup>&#174;</sup>, Whatman Schleicher &amp; Schuell Bioscience, Lennox Laboratory Supplies Ltd. Dublin 12, Ireland). The protein transfer was performed at 200 V for 1.5 h at 4&#176;C. Ponceau S (Sigma) stain solution was used to visually assess the equal transfer of the proteins from the gel to the membrane. TBS-Tween was used to destain the membrane, which was then blocked in 5% Marvel in TBS-Tween for 1&#8211;2 h. The blocking solution was removed with a brief rinse of TBS-Tween and the membrane was incubated overnight for 14&#8211;16 h with the appropriate antibody diluted in 5% BSA in TBS-Tween at 4&#176;C. The antibodies (anti-Akt, anti-phospho-Akt, anti-Erk and anti-phospho-Erk) were all rabbit anti-mouse IgG (New England BioLabs, ISIS, Boghall Road, Bray, Co. Wicklow, Ireland). After incubation with the primary antibody, the membrane was washed twice for 10 min in TBS-Tween and then incubated for a further 1.5 h at room temperature with a polyclonal goat anti-rabbit IgG-HRP conjugated immunoglobulin diluted in 5% Marvel in TBS-Tween (Dako, Cambridge, UK). The secondary antibody was removed and the blot was washed 5 times each for 7 min in TBS-Tween. Protein bands were detected using enhanced chemiluminescence (Supersignal West Femto Max Sensitivity Substrate, Pierce, -Medical Supply Company Ltd., Damastown, Mulhuddart, Dublin 15, Ireland) according to manufacturer's instructions and using autoradiography. Auto-radiographic images of the blots were scanned and the relative intensity (giving a value of 0 for white, no intensity and a value of 256 for black, maximum intensity) of the protein bands was measured using Scion Image software <url>http://www.scioncorp.com</url>. Background intensity, measured as intensity of area adjacent to selected band, was subtracted from individual values. Within experiments, samples from all treatments were included in each blot to prevent blot-to-blot bias.</p>
         </sec>
         <sec>
            <st>
               <p>Statistical analysis</p>
            </st>
            <p>In Experiments 1 and 2, hormone concentration and cell number data were analysed by analysis of variance using GLM procedures of SAS and differences between individual treatments were assessed using Tukey's HSD. All values are given as the mean &#177; SEM.</p>
            <p>In Experiment 3, follicular fluid oestradiol concentrations and diameters of treated follicles (largest follicles) and control follicles (second largest follicles) were compared from before treatment to after treatment using a paired Student's <it>t</it>-test. Analysis of variance using the GLM procedures of SAS was used to determine the effects of treatment on the levels of Akt, p-Akt, Erk and p-Erk in granulosa and theca cells. All values are given as the mean &#177; SEM.</p>
         </sec>
      </sec>
      <sec>
         <st>
            <p>Results</p>
         </st>
         <sec>
            <st>
               <p>Experiment 1</p>
            </st>
            <sec>
               <st>
                  <p>Effects of FSH and IGF on hormone secretion, cell number and levels of Akt and Erk in granulosa cells <it>in vitro</it></p>
               </st>
               <p>Cells treated with FSH or IGF alone showed an increase (P &lt; 0.0001) in the secretion of inhibin-A, activin-A, follistatin and oestradiol, and cell numbers over basal levels (Figure <figr fid="F1">1</figr>). Progesterone secretion was unaffected by FSH treatment alone but was increased (P &lt; 0.01) from cells treated with IGF alone (Figure <figr fid="F1">1</figr>). Co-treatment of granulosa cells with FSH and IGF resulted in enhanced (P &lt; 0.05) secretion of inhibin-A, activin-A, follistatin and progesterone and cell number over and above those from cells treated with either compound alone. In contrast, oestradiol secretion from granulosa cells treated with FSH and IGF in combination was similar (P &gt; 0.05) to that from cells treated with FSH or IGF alone (Figure <figr fid="F1">1</figr>).</p>
               <fig id="F1">
                  <title>
                     <p>Figure 1</p>
                  </title>
                  <caption>
                     <p>Effect of treating bovine granulosa cells in vitro with FSH (0.33 ng/ml), IGF-I (10 ng/ml) or FSH plus IGF-I on cell number and secretion of oestradiol, progesterone, inhibin-A, activin-A and follistatin</p>
                  </caption>
                  <text>
                     <p><b>Effect of treating bovine granulosa cells in vitro with FSH (0.33 ng/ml), IGF-I (10 ng/ml) or FSH plus IGF-I on cell number and secretion of oestradiol, progesterone, inhibin-A, activin-A and follistatin.</b> Treatment effects were highly significant (P &lt; 0.0001) in all cases (4 replicates with 6 wells included per treatment per replicate). Bars with no common superscript are different (P &lt; 0.05).</p>
                  </text>
                  <graphic file="1757-2215-1-2-1"/>
               </fig>
               <p>Only FSH plus IGF in combination stimulated an increase in the levels of total Akt (P &lt; 0.05) compared to the control (Figure <figr fid="F2">2</figr>). Treatment with FSH produced an increase in phospho-Akt compared to control but FSH plus IGF induced an even greater increase in phospho-Akt than FSH alone (P &lt; 0.05) (Figure <figr fid="F2">2</figr>). All treatments increased total Erk levels compared to the control (P &lt; 0.05) with no differences between treatments (Figure <figr fid="F2">2</figr>). Levels of phospho-Erk were similar among all groups except levels were lower in the IGF than the FSH+IGF treatment groups (P &lt; 0.05; Figure <figr fid="F2">2</figr>).</p>
               <fig id="F2">
                  <title>
                     <p>Figure 2</p>
                  </title>
                  <caption>
                     <p>Representative Western blots and mean levels (&#177; S.E.M) of (A) Akt, (B) p-Akt, (C) Erk and (D) p-Erk in granulosa cells (n = 4) treated with control medium, FSH (0.33 ng/ml), IGF (10 ng/ml) or FSH+IGF in combination in vitro</p>
                  </caption>
                  <text>
                     <p><b>Representative Western blots and mean levels (&#177; S.E.M) of (A) Akt, (B) p-Akt, (C) Erk and (D) p-Erk in granulosa cells (n = 4) treated with control medium, FSH (0.33 ng/ml), IGF (10 ng/ml) or FSH+IGF in combination in vitro.</b> Bars with no common superscript are different (P &lt; 0.05). The units represent the intensity of bands after background subtraction and are relative to white (value 0) and black (value 256). The blots each show a single band for Akt and p-Akt at about 60 kDa and each show a double band for Erk and p-Erk at about 44 and 42 kDa.</p>
                  </text>
                  <graphic file="1757-2215-1-2-2"/>
               </fig>
            </sec>
         </sec>
         <sec>
            <st>
               <p>Experiment 2</p>
            </st>
            <sec>
               <st>
                  <p>Effects of inhibition of the Akt and Erk signalling pathways on FSH and IGF action on granulosa cells</p>
               </st>
               <p>The stimulatory effects of FSH, IGF or their combination were similar to that seen in experiment 1 (Figure <figr fid="F3">3</figr>). Inhibition of the Erk pathway with PD98059 treatment suppressed (P &lt; 0.05) the FSH-induced increase in activin-A, oestradiol and progesterone secretion (Figure <figr fid="F3">3</figr>). Furthermore, PD98059 suppressed follistatin secretion from cells co-stimulated with FSH and IGF and progesterone secretion from cells treated with IGF alone or in combination with FSH. No effect of PD98059 was seen on either FSH or IGF stimulated inhibin-A secretion or viable cell number.</p>
               <fig id="F3">
                  <title>
                     <p>Figure 3</p>
                  </title>
                  <caption>
                     <p>Effect of treating granulosa cells in vitro with control medium, FSH (0.33 ng/ml), IGF (10 ng/ml) or FSH+IGF in combination with PD98059 (Erk inhibitor) and/or LY2924002 (Akt inhibitor) on cell number and the secretion of oestradiol, progesterone, inhibin-A activin-A and follistatin (N = 3 replicates with 6 wells included per treatment per replicate)</p>
                  </caption>
                  <text>
                     <p><b>Effect of treating granulosa cells in vitro with control medium, FSH (0.33 ng/ml), IGF (10 ng/ml) or FSH+IGF in combination with PD98059 (Erk inhibitor) and/or LY2924002 (Akt inhibitor) on cell number and the secretion of oestradiol, progesterone, inhibin-A activin-A and follistatin (N = 3 replicates with 6 wells included per treatment per replicate).</b> Bars with no common superscript are different (P &lt; 0.05) within each treatment group.</p>
                  </text>
                  <graphic file="1757-2215-1-2-3"/>
               </fig>
               <p>Inhibition of the Akt pathway with LY294002 dramatically reduced (P &lt; 0.05) FSH, IGF or FSH and IGF stimulated inhibin-A, activin-A, oestradiol and progesterone secretion (Figure <figr fid="F3">3</figr>). Follistatin secretion was suppressed in cells treated with IGF alone or in combination with FSH by LY294002 compared to their respective control treatments without LY294002 (Figure <figr fid="F3">3</figr>).</p>
            </sec>
         </sec>
         <sec>
            <st>
               <p>Experiment 3</p>
            </st>
            <sec>
               <st>
                  <p>Effects of LH in combination with PD98059 and/or LY294002 on cell number and secretion of androstenedione and progesterone from theca cells</p>
               </st>
               <p>Theca cells stimulated with LH showed an 8-fold increase (P &lt; 0.01) in androstenedione secretion compared to the control treatment (Figure <figr fid="F4">4</figr>). Inhibition of the Erk pathway with PD98059 treatment and the Akt pathway with LY294002 reduced (P &lt; 0.05) both basal and LH-induced androstenedione secretion compared to controls (Figure <figr fid="F4">4</figr>). Progesterone concentrations in media were not affected (P &gt; 0.05) by LH stimulation but treatment with PD98059+LH stimulated an increase in progesterone concentrations compared to LH alone (Figure <figr fid="F4">4</figr>). Neither the Erk nor Akt inhibitors affected the number of viable theca cells at the end of culture (P &gt; 0.05).</p>
               <fig id="F4">
                  <title>
                     <p>Figure 4</p>
                  </title>
                  <caption>
                     <p>Effects of treating bovine theca cells in vitro with control medium or LH (160 pg/ml) in combination with PD98059 (Erk inhibitor) and/or LY294002 (Akt inhibitor) on cell number and secretion of androstenedione and progesterone (n = 4 replicates)</p>
                  </caption>
                  <text>
                     <p><b>Effects of treating bovine theca cells in vitro with control medium or LH (160 pg/ml) in combination with PD98059 (Erk inhibitor) and/or LY294002 (Akt inhibitor) on cell number and secretion of androstenedione and progesterone (n = 4 replicates).</b> Bars with no common superscript are different (P &lt; 0.05) within each treatment group.</p>
                  </text>
                  <graphic file="1757-2215-1-2-4"/>
               </fig>
            </sec>
         </sec>
         <sec>
            <st>
               <p>Experiment 4</p>
            </st>
            <p>Follicle diameters and follicular fluid oestradiol concentrations were not different (P &gt; 0.05) among groups for the largest (subsequently treated) follicles or the second largest (control) follicles before treatment (Figures. <figr fid="F5">5</figr> and <figr fid="F6">6</figr>). However, both the diameter (5.2 &#177; 0.2 vs 4.6 &#177; 0.2 mm; combined means; P = 0.0001) and follicular fluid oestradiol concentrations (51.3 &#177; 7.7 vs 29.4 &#177; 6.2 ng/ml; P = 0.018) where greater in the largest compared to the second largest follicles before treatment.</p>
            <fig id="F5">
               <title>
                  <p>Figure 5</p>
               </title>
               <caption>
                  <p>Follicle diameter (mean &#177; sem) in ewes in which the largest follicle was treated in vivo with control solution with DMSO (DMSO n = 5), PD98059 (PD, n = 5), LY294002 (LY, n = 4) or PD98059 plus LY294002 (PD+LY, n = 4)</p>
               </caption>
               <text>
                  <p><b>Follicle diameter (mean &#177; sem) in ewes in which the largest follicle was treated in vivo with control solution with DMSO (DMSO n = 5), PD98059 (PD, n = 5), LY294002 (LY, n = 4) or PD98059 plus LY294002 (PD+LY, n = 4).</b> The second follicle in each animal served as an untreated control control (n = 18). All other follicles were ablated via electrocautery. Follicle diameter was measured at the time of surgery (via laparotomy) and 48 h later after the ovaries were recovered. * indicates differences (P &lt; 0.05) between diameters at surgery and recovery.</p>
               </text>
               <graphic file="1757-2215-1-2-5"/>
            </fig>
            <fig id="F6">
               <title>
                  <p>Figure 6</p>
               </title>
               <caption>
                  <p>Follicular fluid oestradiol concentrations (mean &#177; sem) in ewes in which the largest follicle was treated in vivo with control solution with DMSO (DMSO n = 5), PD98059 (PD, n = 5), LY294002 (LY, n = 4) or PD98059 plus LY294002 (PD+LY, n = 4)</p>
               </caption>
               <text>
                  <p><b>Follicular fluid oestradiol concentrations (mean &#177; sem) in ewes in which the largest follicle was treated in vivo with control solution with DMSO (DMSO n = 5), PD98059 (PD, n = 5), LY294002 (LY, n = 4) or PD98059 plus LY294002 (PD+LY, n = 4).</b> The second follicle in each animal served as an untreated control (n = 18). All other follicles were ablated via electrocautery. Follicular fluid was sampled from follicles at the time of surgery (via laparotomy) and 48 h later after the ovaries were recovered. * indicates differences (P &lt; 0.05) between concentrations at surgery and recovery.</p>
               </text>
               <graphic file="1757-2215-1-2-6"/>
            </fig>
            <p>Of the treated follicles, only the control follicles that were treated with DMSO increased in diameter (P = 0.029) between the time of injection and 48 h later when recovered (Figure <figr fid="F5">5</figr>). The other follicles treated with PD98059, LY294002 or PD98059 plus LY294002 showed no increase (P &gt; 0.05) in diameter over the same period (Figure <figr fid="F5">5</figr>). The untreated, second largest, control follicles also increased in diameter (P = 0.03; Figure <figr fid="F5">5</figr>). Follicular fluid oestradiol concentrations were similar between the time of injection (at surgery) and recovery of the ovaries 48 h later in the control follicles treated with DMSO (P &gt; 0.05) but decreased in follicles treated with PD98059 (P = 0.02), LY294002 (P = 0.01) and PD98059+LY294002 (P = 0.05). Follicular fluid oestradiol concentrations also decreased (P &lt; 0.05) in the second largest (control) follicles over the 48 h period (Figure <figr fid="F6">6</figr>).</p>
         </sec>
      </sec>
      <sec>
         <st>
            <p>Discussion</p>
         </st>
         <p>Findings from the present study indicate that inhibition of the Akt and Erk pathways inhibit the stimulatory actions of FSH and IGF on cultured bovine granulosa cells and LH on theca cells <it>in vitro</it>. Furthermore, inhibition of the Akt and Erk pathways <it>in vivo</it> had a negative effect on follicular fluid oestradiol production and follicle growth in sheep. Taken together, these results suggest an important role for Akt and Erk signalling pathways in mediating the effects of the gonadotropins and IGF on follicle cell function and on follicular development.</p>
         <p>The stimulation of inhibin-A, activin-A, follistatin, oestradiol, progesterone and cell number by FSH and IGF in granulosa cells <it>in vitro</it> agrees with earlier findings <abbrgrp><abbr bid="B23">23</abbr></abbrgrp>. However, the regulation of the Akt and Erk pathways in relation to these hormonal and proliferative changes has not been studied previously in the bovine model. Increases in Akt and Erk signalling proteins in response to FSH and IGF stimulation suggest a role for Akt and Erk signal transduction pathways in FSH and IGF mediated granulosa cell development as reflected by cell proliferation/survival and production of inhibin-A, activin-A, follistatin, oestradiol, and progesterone (Figure <figr fid="F1">1</figr>). The significant reductions in hormonal output as a result of inhibition of the Akt and Erk pathways further support a role for Akt and Erk in FSH- and IGF- mediated action in granulosa cells. However, there appear to be differences in the relative importance of each pathway with respect to the endpoints measured. Our findings suggest that Akt is important in mediating the effects of FSH on inhibin-A, activin-A, oestradiol and progesterone secretion and also important in mediating IGF-I stimulated inhibin-A, activin-A, follistatin, oestradiol and progesterone secretion by granulosa cells. In addition, the results also suggest that the Erk pathway is involved in mediating FSH-induced activin-A and oestradiol production, and progesterone secretion induced by both FSH and IGF-I stimulation of granulosa cells <it>in vitro</it>.</p>
         <p>The regulation of activin-A secretion by FSH and IGF displayed a similar pattern to that of oestradiol with the Erk pathway only involved in FSH-stimulated production and the Akt pathway involved in both FSH- and IGF-stimulated production. Inhibition of the Erk pathway had no effect on inhibin-A concentrations. Only the Akt pathway was indicated in regulating the production of inhibin-A. However, this might be a simplistic view of what is happening. Activin is known to upregulate FSH receptors and aromatase gene expression, thus promoting production of oestradiol <abbrgrp><abbr bid="B32">32</abbr></abbrgrp>. Additionally, expression of the inhibin &#945;-subunit is increased in response to activin-A <abbrgrp><abbr bid="B33">33</abbr></abbrgrp>. Previous work suggests that activin-A may mediate the effects of FSH stimulation on oestradiol and inhibin-A production <abbrgrp><abbr bid="B23">23</abbr></abbrgrp> but this explanation remains to be proved. The observed differences in oestradiol and inhibin-A production in this present study might not relate directly to inhibition of the Akt and Erk pathways but rather the indirect effect of inhibition of these pathways on regulation of activin-A production/secretion.</p>
         <p>Granulosa cell proliferation is a critical step in follicular development and both FSH and IGF are required for successful follicle development. Our results (Figure <figr fid="F1">1</figr>) confirmed other research showing that FSH and IGF promote proliferation/survival of granulosa cells <abbrgrp><abbr bid="B5">5</abbr><abbr bid="B34">34</abbr></abbrgrp>. Despite the fact that FSH and IGF stimulated the Akt and Erk pathways (Figure <figr fid="F2">2</figr>) and that inhibition of these pathways markedly influenced hormone secretion, neither inhibitor affected FSH and IGF stimulated increases in cell number (Figure <figr fid="F3">3</figr>). It may be that additional signalling pathways activated by FSH and IGF, such as PKA <abbrgrp><abbr bid="B15">15</abbr></abbrgrp>, compensated for the block in Akt and Erk signalling. Our findings are not in agreement with others that found that FSH-stimulated porcine granulosa cell proliferation/survival was significantly reduced by treatment with PD98059 through a negative effect on cell cycle proteins and DNA synthesis <abbrgrp><abbr bid="B9">9</abbr><abbr bid="B35">35</abbr><abbr bid="B36">36</abbr></abbrgrp>.</p>
         <p>In addition to FSH and IGF, LH is also important for follicle development and it has been shown that LH increases activation of Erk Akt in porcine and rat theca cells <abbrgrp><abbr bid="B10">10</abbr><abbr bid="B12">12</abbr></abbrgrp>. As expected from previous studies on bovine theca cells <abbrgrp><abbr bid="B37">37</abbr></abbrgrp>, our results demonstrated a marked increase in androstenedione production by theca cells in response to LH (Figure <figr fid="F4">4</figr>). Moreover, this LH-induced increase was attenuated by inhibition of Erk and completely blocked by inhibition of the Akt pathway. Conversely, progesterone production increased in response to inhibition of the Erk pathway. This is in agreement with other recent findings that demonstrated that LH-induced Erk activation differentially regulates production of progesterone and androstenedione in bovine theca cells <it>in vitro</it><abbrgrp><abbr bid="B38">38</abbr></abbrgrp>.</p>
         <p>The results from Experiment 4 clearly indicate that treatment of follicles <it>in vivo</it> with inhibiters of the Akt and Erk pathways in the largest follicle in sheep had a negative effect on follicular oestradiol production and follicle growth, two key markers of follicle health and dominant follicle development. There was a difference between the largest and second largest follicles at the start of treatment with respect to diameter and oestradiol concentration, which agrees with previous findings that showed that ovine follicles exist in a hierarchy in relation to follicle diameter and oestradiol concentrations <abbrgrp><abbr bid="B27">27</abbr></abbrgrp>. Day 3 of the cycle was chosen as the day of treatment in the present study as follicles would be large enough to treat, be producing relatively high amounts of oestradiol and still be growing. Previous research indicated that between Days 1 and 3 of the cycle oestradiol concentrations increase; however, that they then start to decline on Day 4 <abbrgrp><abbr bid="B39">39</abbr></abbrgrp>. None-the-less, despite treating follicles relatively late in the follicle wave we still demonstrated an inhibitory effect on follicle growth and oestradiol production through blocking the activation of Akt and Erk pathways.</p>
         <p>The significant decrease in oestradiol concentrations in follicles treated <it>in vivo</it> with Akt and Erk inhibitors agrees with the results from Experiments 1 and 2 where inhibition of the Erk pathway inhibited FSH-induced oestradiol production and inhibition of the Akt pathways inhibited both FSH- and IGF-induced oestradiol production in granulosa cells <it>in vitro </it>(Figure <figr fid="F3">3</figr>). Androstenedione secretion in cultured theca cells was also abrogated by inhibition of both the Akt and Erk pathways (Figure <figr fid="F4">4</figr>). In Experiment 3, the inhibitors were injected directly into the antral cavity and it is reasonable to suggest that granulosa cells would be first to be exposed to and affected by the inhibitors. However, it is possible that the inhibitors might have diffused through the granulosa layer of cells into the theca layer and affect signalling pathways there. Thus the significant reductions in follicular fluid oestradiol concentrations may be due to the effect of the Akt and Erk inhibitors on both granulosa and theca cells in combination.</p>
         <p>In summary, this study demonstrates a role for the Akt and Erk pathways in mediating the actions of FSH and IGF on granulosa cells and LH on theca cells <it>in vitro</it> and their role in follicle growth and oestradiol secretion <it>in vivo</it>. While both pathways appear to be important for the actions of these hormones in both cell types, we conclude that the actions of the Akt pathway are more pronounced than the Erk pathway in granulosa cells and vice versa in the in theca cells. None the less, administration of inhibitors of these pathways <it>in vivo</it> inhibited follicle growth and reduced follicular fluid oestradiol concentrations. We suggest that the successful functioning of healthy follicles requires the activation of the Akt and Erk signal transduction pathways, and that these pathways are necessary for ovarian follicle growth and development.</p>
      </sec>
      <sec>
         <st>
            <p>Competing interests</p>
         </st>
         <p>The authors declare that they have no competing interests.</p>
      </sec>
      <sec>
         <st>
            <p>Authors' contributions</p>
         </st>
         <p>KR was responsible for coordinating and conducting all the tasks for the study in collaboration with co-authors. CG and PK participated in cell culture, and immunoassays. AE and PL participated in the <it>in vivo</it> parts of the project. All authors contributed to experimental design, data analysis and interpretation, and have read and approved the final manuscript.</p>
      </sec>
   </bdy>
   <bm>
      <ack>
         <sec>
            <st>
               <p>Acknowledgements</p>
            </st>
            <p>We thank P Duffy and MP Boland for assistance with the animals, and N Hynes for assistance with the radioimmunoassays. Supported by grants from Enterprise Ireland to AE (SC/2001/410) Science Foundation Ireland to AE and PL (02/IN1/B78) and the BBSRC to PK (BBS/B/10439). The opinions, findings and conclusions or recommendations expressed in this material are those of the authors and do not necessarily reflect the views of the funding agencies.</p>
         </sec>
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