Mol. Hum. Reprod. Advance Access published online on June 30, 2008
Molecular Human Reproduction, doi:10.1093/molehr/gan040
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Human chorionic gonadotrophin up-regulates hypoxia inducible factor-1 alpha in luteinised granulosa cells: implications for the hormonal regulation of vascular endothelial growth factor A in the human corpus luteum

Obstetrics and Gynaecology, Department of Reproductive and Developmental Sciences, University of Edinburgh, Queen's Medical Research Institute, 47 Little France Crescent, Edinburgh EH16 4TJ, UK
* Corresponding author and reprints requests: Dr. Sander van den Driesche MRC Human Reproductive Sciences Unit Centre for Reproductive Biology Queen's Medical Research Institute 47 Little France Crescent Edinburgh EH16 4TJ Scotland, United Kingdom Tel: +44 (0) 131 242 9124 E-mail: s.vandendriesche{at}hrsu.mrc.ac.uk
VEGF-dependent angiogenesis is essential for normal luteal development. Although it is believed that hypoxia is the primary inducer of VEGF, in the corpus luteum it is up-regulated by hCG. As HIF1A has been shown to regulate VEGFA under ligand-stimulated conditions, we hypothesised that the effect of hCG on luteal VEGFA was mediated through HIF1A. We studied the effect of hCG on VEGFA and HIF1A expression in human luteinised granulosa cells in vitro and in human corpora lutea in vivo. HCG up-regulated VEGFA (P<0.05) and HIF1A (P<0.001) in vitro and VEGFA (P<0.05) and HIF1A (P<0.05) in vivo. There was a correlation between HIF1A and VEGFA in vivo (P<0.005) and in vitro (P<0.05). Nuclear HIF1A in granulosa-lutein cells was highest during luteal formation and absent from the fully functional corpus luteum (P<0.05). Both VEGFA (P<0.001) and HIF1A (P<0.01) were up-regulated by dibutyryl-cAMP, through a PKA pathway. Hypoxia increased VEGFA (P<0.001) and HIF1A (P<0.05) expression and hCG further augmented VEGFA (P<0.001) and HIF1A (P<0.01) under hypoxic conditions. However progesterone increased hCG-stimulated VEGFA but had no effect on HIF1A expression. The expression of HIF1A is therefore hormonally regulated in luteal cells in vitro and in vivo and may regulate VEGFA expression under normoxic and hypoxic conditions. However the differential effects of progesterone suggest that not all regulation of VEGFA is associated with an up-regulation of HIF1A.
Key Words: hCG/VEGFA/HIF1A/hypoxia/corpus luteum
Present address: MRC Human Reproductive Sciences Unit, Centre for Reproductive Biology, Queen's Medical Research Institute, 47 Little France Crescent, Edinburgh EH16 4TJ, UK # Present address: Department of Pathology, Baylor College of Medicine, One Baylor Plaza, Houston, Texas, USA
Submitted on June 6, 2008; resubmitted on June 26, 2008; accepted on June 27, 2008.
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