Context:In animal models, the luteinizing hormone surge increases progesterone (P4)
and progesterone receptor (PGR), prostaglandins (PTGs), and epidermal growth
factor (EGF)–like factors that play essential roles in ovulation.
However, little is known about the expression, regulation, and function of
these key ovulatory mediators in humans.Objective:To determine when and how these key ovulatory mediators are induced after the
luteinizing hormone surge in human ovaries.Design and Participants:Timed periovulatory follicles were obtained from cycling women.
Granulosa/lutein cells were collected from in vitro
fertilization patients.Main Outcome Measures:The in vivo and in vitro expression of PGR,
PTG synthases and transporters, and EGF-like factors were examined at the
level of messenger RNA and protein. PGR binding to specific genes was
assessed. P4 and PTGs in conditioned media were measured.Results:PGR, PTGS2, and AREG
expressions dramatically increased in ovulatory follicles at 12 to 18 hours
after human chorionic gonadotropin (hCG). In human granulosa/lutein cell
cultures, hCG increased P4 and PTG production and the expression of
PGR, specific PTG synthases and transporters, and
EGF-like factors, mimicking in vivo expression patterns.
Inhibitors for P4/PGR and EGF-signaling pathways reduced hCG-induced
increases in PTG production and the expression of EGF-like factors. PGR
bound to the PTGS2, PTGES, and
SLCO2A1 genes.Conclusions:This report demonstrated the time-dependent induction of
PGR, AREG, and PTGS2 in
human periovulatory follicles. In vitro studies indicated
that collaborative actions of P4/PGR and EGF signaling are required for
hCG-induced increases in PTG production and potentiation of EGF signaling in
human periovulatory granulosa cells.