Gonadotropins are the major regulators of ovarian function and may be involved in the etiology of ovarian cancer. In this study, we report a new mechanism whereby gonadotropins regulate the survival of human ovarian surface epithelium (OSE), the tissue of origin of epithelial ovarian carcinomas. Our results indicate that disruption of N-cadherin-mediated cell-cell adhesion is an important molecular event in the apoptosis of human OSE. Treatment with surge serum concentrations of gonadotropins reduced the amount of N-cadherin with a concomitant induction of apoptosis, and this effect was mediated by a cAMP/protein kinase A pathway but not the ERK1/2 and protein kinase C cascades. We further demonstrated that activation of the gonadotropins/ cAMP signaling pathway in human OSE led to a rapid down-regulation of N-cadherin protein level followed by a reduction at the level of N-cadherin mRNA, indicating that expression of N-cadherin was regulated by posttranslational and transcriptional mechanisms. The former mechanism was mediated by increased turnover of N-cadherin protein and could be reversed by inhibition of proteasomal or matrix metalloproteinase (MMP-2) activity. On the other hand, at the transcriptional level, the addition of actinomycin D abolished the cAMP-mediated decrease in N-cadherin mRNA but did not change its stability. Inhibition of protein kinase A or expressing a dominant negative mutant of cAMP-response elementbinding protein blocked this decrease of N-cadherin mRNA. Together, the combined operation of post-translational and transcriptional mechanisms suggests that regulation of N-cadherin is a crucial event and emphasizes the important role that N-cadherin has in controlling the survival capability of human OSE.The surface of the human ovary is covered with a single layer of flat-to-cuboidal mesothelial cells, the ovarian surface epithelium (OSE).1 During each reproductive cycle, the OSE takes part in the cyclical ovulatory ruptures and repair. OSE on the preovulatory follicle undergoes apoptosis at the time of ovulation and then proliferates rapidly to repair the ruptured follicle and reconstitutes an intact mesothelium (1). However, factors regulating cell death and growth in human OSE are poorly understood. Because OSE is the source of epithelial ovarian carcinomas, which is the leading cause of death among all the human gynecological neoplasms, understanding the mechanisms that regulate OSE cell survival, apoptosis, and cell growth is of great clinical importance because an aberrant signaling of any of these pathways is likely to be involved in epithelial ovarian cancer. The cadherins are a family of cell surface glycoproteins that function in promoting calcium-dependent cell-cell adhesion and play crucial roles in the maintenance of structure, differentiation, and function of reproductive tissues (reviewed in Ref. 2). In general, cadherins are expressed in a cell-specific manner within specific compartments of the ovary, and their expression shows changes during different differentiation or...