Androgens are essential for the normal function of mature antral follicles but also
have a role in the early stages of follicle development. Polycystic ovary syndrome
(PCOS), the most common cause of anovulatory infertility, is characterized by
androgen excess and aberrant follicle development that includes accelerated early
follicle growth. We have examined the effects of testosterone and dihydrotestosterone
(DHT) on development of isolated mouse preantral follicles in culture with the
specific aim of investigating interaction with follicle-stimulating hormone (FSH),
the steroidogenic pathway, and growth factors of the TGFβ
superfamily that are known to have a role in early follicle development. Both
testosterone and DHT stimulated follicle growth and augmented FSH-induced growth and
increased the incidence of antrum formation among the granulosa cell layers of these
preantral follicles after 72 hours in culture. Effects of both androgens were
reversed by the androgen receptor antagonist flutamide. FSH receptor expression was
increased in response to both testosterone and DHT, as was that of
Star, whereas Cyp11a1 was down-regulated. The
key androgen-induced changes in the TGFβ signaling pathway
were down-regulation of Amh, Bmp15, and their
receptors. Inhibition of Alk6 (Bmpr1b), a putative
partner for Amhr2 and Bmpr2, by dorsomorphin
resulted in augmentation of androgen-stimulated growth and modification of
androgen-induced gene expression. Our findings point to varied effects of androgen on
preantral follicle growth and function, including interaction with FSH-activated
growth and steroidogenesis, and, importantly, implicate the intrafollicular
TGFβ system as a key mediator of androgen action. These
findings provide insight into abnormal early follicle development in PCOS.