Preantral Folliculogenesis Flashcards

1
Q

What has to be achieved to reproduce?

A
  • differentiation into male or female
  • sexual maturation
    -production, storage and release of sufficient supply of eggs and sperms
  • correct number of chromosomes in eggs and sperm
  • eggs and sperm have to meet
    -creation of new individual with genes from both parents
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2
Q

Where do eggs come from?

A

3-4 weeks human embryo
Epiblast cell in yolk sac differentiate into PGC

5-6 weeks human embryo
Mitotically divinding PGC migrate to genital ridge , genital ridge releases chemotherapy factors such as KIT which guides the PGCs

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3
Q

Formation of oocytes and follicles

A

primary germ cells -> oogonia -> primary oocytes
germ cells become oogonia in ovary, oogonia are egg precursors, once mitosis stops they enter meiosis they are known as primary oocytes

  1. During migration, PGC undergoes epigenetic re-programming, including genome-wide DNA de methylation and ensures genomic imprinting ~ 5 weeks
  2. cytoplasmic bridges between mitotically -dividing oocytes to form syncytia or nests (role of nests may be to exchange organelles) ~ 11 weeks
  3. Retinoic acid (biologically active variant of vitamin A) derived from somatic cells drives germ cell into meiosis -> induces Stra8 gene expression in oogonia.
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4
Q

formation of primordial follicle

A
  • syncytia breakdown and somatic cells invade to surround oogonia to form primordial follicle (PF) .
  • PF formation is regulated through a complex network of molecular signals between oocytes and somatic cells, ie KIT, NOTCH and TGF beta all coordinate the signaling pathway.
  • numerous transcription factors in formation of primordial follicle identified in mice and human: FIGLA, Nobox, Activin beta A

KO mouse model = FIGLA knockout mice cannot form primordial follicles and loose oocyte rapidly after birth
++ 100 Chinese women study with POF , 4 had mutations in the gene coding for FIGLA , but 4/100 isn’t sufficient evidence other factors also involved, also the sample had only Chinese women so ethnicity bias ,finding less representative

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5
Q

Why do you get massive loss of oocytes and follicles?

A
  • if the follicle isnt formed properly the oocyte isnt relesed in ovulation,
    For an oocyte to develop properly and be able to get relesed into the menstrual cycle during ovulation it needs to be surrounded by granulosa and theca cells well, and be well vascularised in order to gain nutrients and oxygen to grow, the growing follicle enter the menstrual cycle but only the follicle at the right stage to become the dominant follicle releases oocyte into the menstrual cycle, the rest of the growing follicle are lost through apoptosis.

This process of losing primordial follicles occurs since birth till menopause.
From birth to puberty we lose a few.
Post puberty in each menstrual cycle we lose a lot more , as many growing follicles enter menstrual cycle but only the dominant one survives and releases its oocyte.
In this way our ovarian reserve is slowly and by menopause all the oocytes are depleted

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6
Q

What is ovarian reserve?

A
  • once formed primordial follicles represent the entire pool of germ cells available during reproductive life of female - known as ovarian reserve
  • predicted to be ranging between 35, 000 - 2,500,000 primordial follicles

+ mathmatical modelling and histological counting predicts the range but these methods of counting are prone to errors hence why there is such a large range

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7
Q

Where are primordial follicles primarily found?

A

ovarian cortex - edge of ovary so it can be picked up by fimbria into the fallopian tube

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8
Q

anatomy of ovary

A
  • fimbriae are free and flexible to allow the, to swing around and collect egg so it can enter the uterine tube easily, hence why any fibroids or adhesions or surgery causes infertility
    -blood vessels are in the centre of ovary and outer cortex region is avascular
  • primordial follicles are located in avascular ovarian cortex , as follicle grow they migrate inwards towards blood supply and once there is one dominant follicle , the DF has to move back outwards towards the ovarian cortex so it can get picked up by the fimbrae and ovulate.
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9
Q

What are stages of follicle growth?

A

1.resting (0.02mm) - gonadotrophin independent
2. preantral follicle(0.2mm) - gonadotrophin independent
3. antral follicle (2mm) - gonadotrophin dependent
4. ovulatory (20mm) -gonadotrophin dependent

Resting to preantral transition = initiation
preantral to antral = recruitment
antral to ovulatory = selection

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10
Q

What happens in the preantral stage- how do primordial follicles develop into secondary follicles?

A
  1. primordial follicle stage
    resting follicle - comprises of flattened granulosa cells - oocyte in meiotic arrest
  2. transitional follicle stage
    as they start to grow we see a distinct change in morphology - granulosa cells go from flat to cuboidal and multiply in number, in this stage we see a mixture of cuboidal and flattened cells
  3. primary follicle stage
    - single layer of cuboidal granulosa cells
  4. secondary follicle stage
    -when you have two layers of cuboidal granulosa cells
    -oocyte is growing and increasing in size and it secretes proteins known as zona pellucida proteins which form zona pellucida (so ZP is a mark of growth of oocyte)
    -precursor theca cells in ovarian cortex condense around follicle
    -basement membrane separates granulosa from theca
  5. multilaminar follicle
    secondary follicle grows multiple layers of granulosa cells.
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11
Q

When talking about preantral and antral follicle its important to remember ….

A

pre- antral follicle include all primordial, transitional, primary, secondary and multilaminar follicles - all at different developmental stages

antral/ tertiary - no multiple different cells, anything with antrum is antral cell

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12
Q

primordial to primary transition - morphological changes

A
  1. change in granulosa cells (~ 15 cuboidal granulosa cells)
  2. massive increase in oocyte growth and activity (still in meiotic arrest)
  3. controlled and very slow process
    4 . as follicles grow they move from collagen-rich , avascular cortex to the medullary zone of the ovary where there is rich blood supply

(once they become secondary follicle - the follicle in the right stage will become DF and this will move back into the ovarian cortex to be taken up by the fimbriae in ovulation)

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13
Q

Zona pellucida formation

A
  • thick extra-cellular coat separating the egg from surrounding granulosa cell
  • ZP formation is a marker of follicle/oocyte growth
  • sperm binds to the zona pellucida(zp2) during fertilisation - prevents poly-spermia
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14
Q

What 4 proteins make up human follicles?

A

-ZP1, ZP2, ZP3 ZP4
- permeable to large macromolecules
- follicle extensions continue through it

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15
Q

What is the structure of preantral follicle?

A
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16
Q

How does communication occur between oocyte and granulosa and why is this important?

A
  1. intracellular communication between oocyte and GC via gap junctions that penetrate ZP
  2. communication via connexin37 between oocyte and GC
    (connexin43 allows communication between GCs)
    this communication is essential for the initiation and progression of oocyte and follicle growth
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17
Q

What is the consequence of no blood supply in ovarian cortex where primordial follicles are found?

A
  • not subject to any blood bourne influence so blood supply not needed = basal lamina around the follicle creates microenvironment for gc and oocyte- everything that is happening is within the follicle ie. not in contact with other cells in the ovary, so theca and surrounding cells important to maintain that microenvironment.
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18
Q

What stage of the cell cycle is oocyte arrested in?

A

prophase I of Meiosis

19
Q

What is the fate of the primordial follicle?

A
  1. to remain quiescent and die out directly at the dormant stage - atresia
  2. to begin development but arrest and later undergo atresia
  3. to develop, mature and ovulate
20
Q

What causes initiation of follicle growth?

A
  1. initiation is regulated by loss of an inhibitor
    - resting follicles under constant inhibitory influence (local paracrine/autocrine factors) to remain dormant - eg. AMH inhibits follicle but if we lose AMH follicle is not inhibited and grows
  2. initiation is regulated by stimulatory factors
    - from the microenvironment (other follicles, stromal cells) /or blood
    - gradient of diffusion from centre to periphery

=> combination of both - inhibition and stimulation = leads to initiation
- production line theory

21
Q

What is ‘production- line’ hypothesis?

A

those that enter meiotic arrest first in feotal ovary will initiate growth first
also dependent on size of PF pool and ratio at which enters the growing pool.

22
Q

Why is the extracellular matrix important?

A

-ECM consists of collagen, laminin, fibronectin, proteoglycans and polysaccharides
-ECM turns over and remodelled during folliculogenesis to accomodate for growing follicle.
- important for communication , may regulate follicle growth especially interactions between gc and oocyte.
-3D models in growing oocytes invitro provide evidence for the environment to allow follicle growth

23
Q

nest breakdown needed to form a primordial follicle

A
  1. FIGLA - human and mice
    KO mouse study by removing gene that encodes FIGLA resulted in no primordial follicle formation and loss of oocyte rapidly after birth in mice.
  2. no AMH receptor on primordial follicle in mouse studies - AMH is an inhibitor factor so lack of AMH allows primordial follicle formation
  3. zona pellucida 1-4 (human and mice) communication and Connexins being in nutrients and communication for growth
  4. oestrogen (baboon and humans) - oestrogen important in nest breakdown and forming primordial follicles, oestrogen inhibitor prevents nest breakdown and prevent primordial follicle formation- endocrine disruptors BPA found in plastic containers , have oestrogen like properties so bind to oestrogen receptors inhibiting oestrogen binding and prevent nest breakdown = less primordial follicle formation = anovulatory women.
    bPA also linked to fetal abnormalities.
24
Q

Primordial Follicle maintenance/repression factors

A

-FOXO3
-AMH
-SDF-1

25
Q

primordial follicle activation

A

LIT ligand and KIT receptor
FOXL2
NOBOX
SOHLH 1 and 2

26
Q

primordial follicle to primary follicle - follicle activation

A

Primordial follicle (unactivated)=
-Oocytes = lots of FOXO3 (involved in maintaining pool of primordial cell) suggest oocyte is at rest
-Granulosa cell = likey AMH binds to AMH receptor activating SMAD3 which binds to DNA increasing Ccnd2 which keeps primordial follicle in cells cycle arrest
Hippo signaling phosphorylates YAP inhibiting it

Activated primary follicle
-TGF beta binds to TGF receptors , activates mTOR pathway which inhibits SMAD3 by phosphorylating it , this enables activation of cell cycle and removes cell cycle arrest
-Hippo signaling is also turned off so YAP desphosphorylated and translocate to the nucleus to aid the process
Ooctye = KIT ligand protein is also produced and binds to cKIT receptor on oocyte and activates PI3K pathway and AKT phosphorylates FOXO3 and removes it, allowing cell cycle to be activated.

27
Q

Primodial Follicle repression

A

this is important because you dont want to deplete follicles.

  1. oocyte derived factors (inhibitory)
    -PTEN (tumour supressor gene - inhibit signaling to PIP3 = loss of PTEN = global activation of primordials
  2. FOXO3a (transcription factors) - also part of PI3K and restrains follicle activation
    -FOXO3 K/O have global activation of primordials
  3. SDF-1 (stromal - derived factor ) chemokine - inhibits follicle activation in autocrine / paracrine fashion
  4. Granulosa derived factors (inhibitory )
    AMH (antimullerian hormone) - act in paracrine fashion to inhibit primordial follicle initation
    k/o have less stock of primordial follicles and more growing follicles.
28
Q

Primordial follicle activation

A

granulosa derived factors stimulatory
KL (KIT ligand aka stem cell factor SCF) secreted from granulosa cells - evidence that KL may inactivate Foxo3a

oocyte derived factors (stimulatory)
cKIT (KIT ligand tyrosine kinase receptor ) in oocytes - necessary for follicle activation
- newborn mice injected with antibody to cKIT , that blocks interaction with KL do not progress beyond primordial follicle stage

29
Q

primary to preantral growth- mutation in FOXL2

A

FOXL2 - involved in granulosa cell proliferation and progression

mutation in FOXL2 have type 1 BPES and POF - no progression of follicles to the secondary stage
BPES - affects development of eyelids
B-lepharophimos = narrow eyelids opening
P-tosis = droopy eyelids
E-picanthus Inversus S-yndrome = upward fold of skin of lower eyelid near inner corner

30
Q

Other mutations impeding primary follicle to pre-antral follicle progression = infertility

A
  • GDF9 K/O = no progression beyond primary = infertility
    -BMP - 15 K/O = sub fertile , but in sheep infertility
    -Cx37 gap junction protein mutation = (disruption of GC and oocyte) = failed folliculogenesis in ko = infertility

Extra- follicular factors :
- factors from blood = insulin and IGF-1 and IGF-II : increases primary stage follicles in cultured human ovarian cortex
Nerve Growth factor :
K/O have no growing follicles - no correlation in domestic animals/humans

31
Q

Do androgens play a part in early follicle growth?

A

testosterone rapidly increases intra-occyte PI3K /Akt/FOXO3 pathway in mouse follicles -< increasing -> 2 folds ratio of primary : primordial follicle
Monkeys treated with androgens have more primary follicles and increased FSH receptors
inhibiting AR in bovine ovaries prevents primary-to secondary-follicle transition- can we apply this to humans?

32
Q

importance of gonadotrophins during basal follicular growth?

A

physiological and pathological states

33
Q

What are some methods of investigating folliculogenesis?

A
  • animal models
    -KO murine models
    -culture ovarian tissue
34
Q

What are limitations of animal models in reproductive system studies?

A
  • the animal monthly cycle is different to humans
    -humans reproductive system is more complex, mice heat for 4-5 days alot shorter than humans
35
Q

Genotypic /phenotypes association from KO mice is very useful

A

early folliculogenesis and primordial follicles different but in terms of preantral growth and antral growth they are similar so very useful

36
Q

Limitation of using ovaries biopsies

A
  • difficult in human because of limited supply of tissue , we cant take out tissue from pre- menopausal women without putting them into menopause which is not desired however due to new technologies in cancer research here ovarian cryoperservation is done more, more ovarian tissue is available now.
  • primary cells from human follicle is very difficult to obtain , we have immortalised granulosa cell lines (mutation induced to increase proliferation so we have a large sample to work with invitro) but no theca immortalised cell lines
37
Q

Reproductive characteristics of humans ewes, cows and rodent are all different - vary in ovulatory cycle, ovulations per cycle, length of follicular and luteal phase and gestation duration.

A
  • when picking an animal model need to chose according to what you are studying .
    if looking at menstrual cycle women 24-30 days and cows 17-24 days are much more similar than rodents 4-6 days making cows a more comparable model.
    so depending on what is investigated you can pick a suitable model.

Mice have very little similarity in reproductive charcateristics, eg. duration of gestation is 21 days but this is an advantage when looking at environmental factors or K/O effects so we can see the whole process quickly unlike other animal models which take longer.
Also mouse ovary culture survive very well in vitro unlike human ovary culture so better for studying.

38
Q

follicle isolation from human ovarian cortical tissue

A

pre- antral follicles are always present in the ovarian cortex even through pregnancy so if a woman agrees to donate a tiny pea- sized piece of ovarian cortex, surgeons can collect this during C- section for research purposes.

In the lab the piece of cortex is minced up into very small pieces and digested in collagenase + DNAse for <1 hour ( human ovarian tissue is tough and needs to be digested before you can see preantral follicle, then places individually in drops of media , checked and staged under a microscope

39
Q

follicular fluid is aspirated from each follicle in IVF and discarded

A

goal in IVF is to get multiple pre- ovulatory follicle so you can harvest and collect many eggs
During IVF multiple follciles are stimulated to grow using recombinant FSH and GnRH analogues
hCG is used to mature oocytes and luteinise cells with the follicles
follicles punctured -> follicular fluid aspirated from each follicle > 15 mm -> COC retrieved for IVF -> FF normally discarded
(only interested in COC retrival)

However we can collect discarded FF and take it to the lab and harvest out the luteinised granulosa cells from the fluid
centrifuge the FF and cells are in the pellet
FF discarded leaving pellet
Cells are layered onto a percoll gradient and centrifuged to separate out cells from the blood. The cells are then washed gently and plated out in media with serum and allowed to bed down onto a cell culture dish.
Granulosa - lutein cells which adhere to the cell plate and put out projections

40
Q

Development of 3D culture system

A

unlike mouse follicle culture,
human follicle are hard to culture invitro; when follicles are taken out of the ovary they die off.

so we realized we need to mimic what is happening in the ovary and create an environment that is able to support the follicle which led to the development of 3D culture systems.

Hydrogen matrix to support follicle so that contact is maintained between oocyte and GC.
also the matrix needs to be permeable to media.
modifiable in terms of rigidity - bc it can not accommodate the growing follicle if it is rigid.
Examples of 3D culture systems :
collagen and alginate (product of seaweed)
- they have grown antral follicles from using these primordial follicles
- labour-intensive method but good progress

41
Q

3D - printed ovary

A

3D printer makes ovary from microporous hydrogel scaffolds
follicles seeded throughout to create mouse bio-prosthetic ovary
scaffold provide 3D support to follicles - allowing for vascularisation and ovulation
ovarian function restored when implanted in surgically sterilized mice

42
Q

primary to preantral growth

A

FOXL2 - granulosa cell proliferation and progression

43
Q

Do androgens play a part in early follicle growth?

A

testosterone rapidly increases intra-occyte PI3K /Akt/FOXO3 pathway in mouse follicles -< increasing -> 2 folds ratio of primary : primordial follicle