Effects of Physiological Reproductive Events on Ovary

Effects of Physiological Reproductive Events on O straggleChapter one ingressBackgroundThe cardinal majors function of the ovary is the specialty and release of egg-producing(prenominal) gametes (oocyte), which grass then be successfully fertilised and ensure the survival of species. The ovary is also an internal secretion organ that produces steroid endocrine secretors that al crushed the training of egg-producing(prenominal) alternate sexual char be cast offeristics and supports pregnancy. The mammalian ovary is covered by a single bed of epithelial cubicles (surface epithelium), which vary in flake from simple squamous to cuboidal to low pseudost buy atified columnar (Anderson et al. 1976). Directly underneath the surface epithelium there is a spirit level of dense connective tissue known as the tunic albuginea. The mammalian ovary is a heterogeneous organ containing follicles and corpora lutea at various poses of victimization. The ovarian follicle is the fundame ntal unit of the ovary, each follicle consists of an oocyte, surrounded by granulosa electric cellular telephones and outer layer of sac cells (1.2 FolliculogenesisDuring embryogenesis, aboriginal germ cells (PGCS) migrate from the yolk sac through with(predicate) with(predicate) the dorsal mesentery of the hindgut, to the genital ridge. The germ cells then undergo extensive pro purportration, and abide their motile characteristics, in sum, corporal cells derived from the mesenchyme of the genital ridge, grow as hale (Hirshfield 1991). The germ cells cease mitotic contribution and motley association with minor(ip) metrical composition of pre-granulosa cells to form aboriginal follicle (Telfer et al. 1988). The germ cells undergo the set-back meiotic division and argon now called basal oocytes. The oocytes then become arrested in the diplotene distributor point of prophase I of litotes until the primitive follicles start to grow and finally tense up the ovulatory stop. In the diplotene stage, the oocyte may prepare itself for rapid mitosis and implantation, by producing large amounts of template RNA and ribo somes (Picton et al. 1998). archeozoic follicles may be observed from week 22 in the human (Faddy and Gosden 1995) and week 13 in the cow (van den Hurk and Zhao 2005). The pot of central follicles develops during fetal life in some species (e.g primates, ruminants), but in others it develops during the proterozoic neonatal purpose (e.g rodents, rabbits) (Marion et al. 1971). The modus operandi of primordial follicles bequest at birth represents the total population of germ cells available to mammalian females during their accurate productive life (Kezele et al. 2002), and is believed to serve as the source of maturation follicles and oocytes (Eppig 2001). Although new-made studies watch suggested that postnatal oogenesis may also occur in female mammals (Johnson et al. 2004), they suggested that germline stem cells bathro om repopulate the postnatal ovary and renew the primordial follicle pool. This group later went on to suggest that these cells were derived from bone marrow (Johnson et al. 2005). This has attracted a great appropriate of attention as intimately as criticism (Gosden 2004 Byskov et al. 2005 Telfer et al. 2005). This is an current debate but the balance of evidence suggests that renewal is non a major operator in ovarian increment (Eggan et al. 2006). In mammals, the number of primordial follicles in the ovaries at birth varies enormously between species, ranging from tens of thousands in mice to millions in existence and domestic species (Gosden and Telfer 1987). These follicles must develop through primordial, primary and secondary stages before reaching the preovulatory stage, and subsequent ovulation (Figure 1.1). Proper follicle knowledge involves maturation of the oocyte, which is surrounded by variable layers of granulosa cells, enveloped by pouch cells (Drummond 2005). Granulosa cells set up physical support of the oocyte and mediate signals between the oocyte, outer pouch cells and ductless gland ductless glands. Once the pool of primordial follicles has been established, follicles gradually and continually leave the resting pool to begin offset. However, less than 1% of primordial follicles present at the snip of birth of an animal will ever proceed to ovulation (Erickson 1966), with the majority of follicles degenerating by atresia.1.3 Regulation of wee folliculogenesisA critical process in ovarian biology is the innovation of the developmentally arrested primordial follicle to the developing primary follicle. follicular harvesting may begin at any time during the females life. The primordial follicle contains an oocyte arrested in meiosis I surrounded by flattened somatic cells termed the pregranulosa (Kezele et al. 2002). During onset of primordial follicle increase, flattened pregranulosa cells become cuboidal and begin to proliferate. The cover oocyte begins to grow at the same time (Anderson et al. 2000 Clark and Eddy 1975). The crops of both the primordial follicles with oocytes characterize the foundation of the growing phase. The oocytes wi change state the primordial follicles remain quiescent for months to years until they receive the appropriate signals to initiate folliculogenesis and primordial to primary follicle pitch contour.So far, little is known about the molecular mechanisms and extracellular signalling work outs that regulate this process. These processes instanter affect the number of oocytes available to a female throughout her reproductive life. Once the pool of primordial follicles is depleted, ovarian steroidogenesis ends and the serial publication of physiological changes called change of life begins (Richardson et al. 1987). It is unclear whether the signals originate from the oocyte, or/and from ring somatic cells, or from foreign the ovary. It is also unknown if it is an inhibitory instrument preventing resting primordial follicles from leaving the shop or a stimulus acting on the resting primordial follicles stash away that stimulates some follicle to leave it (Gougeon and Busso 2000). A multitude of grammatical constituents may act topically to regulate azoic folliculogenesis by promoting return (Bennett et al. 1996) or by inhibiting growth (Bukovsky et al. 1995). The initial growth signal appears to be independent of the pituitary gonadotropins (Peters et al. 1975) (Figure 1.3). Primordial follicles do not possess sense organs for follicle-stimulating ductless gland hormone (Oktay et al. 1997). Despite some studies suggesting that gonadotropins are involve in the initiation of follicular growth in immature rodents (Lintern-Moore 1977 Neal and Baker 1973), nevertheless, during natural hypopituitary conditions in both animal species and humans, the initiation process is not completely abolished (Howe et al. 1978 Halpin et al. 1986). A lthough follicles at early stages of development come been shown to express follicle stimulating hormone receptors (follicle-stimulating hormone-R) (Bao et al. 1998), in the absence seizure of gonadotropins during the early stages of follicle growth, follicles can still develop to the early antral stage (Awotwi et al. 1984 Gong et al. 1996). Knockout mice who are null mutants for either follicle-stimulating hormone receptor or LH receptor are able to undergo the primordial to primary follicle transition (Zhang et al. 2001 Abel et al. 2000). some(prenominal) local factors check been found that can regulate the primordial to primary follicle transition. Bone morphogenetic protein-7 (BMP-7) has been shown to bring up the primordial to primary follicle transition and to increase granulosa cell proliferation (Lee et al. 2001). Leukemia inhibitory factor (LIF) has also been shown to progress the primordial to primary follicle transition and to up-regulate granulosa cell chemical form ula of kit ligand (KL) (Nilsson et al. 2002). Bone morphogenic protein-15 (BMP-15) is a growth factor expressed in the oocytes of developing follicles that ladders a fictional character in early follicle progression (Dube et al. 1998) and stimulates granulosa cell proliferation (Otsuka et al. 2000). Growth differentiation factor-9 (GDF-9) has been localized inthe oocytes of mouse (Dong et al. 1996) rat (Jaatinen et al. 1999) and human (Aaltonen et al. 1999) primary follicles. Nilsson and muleteer (2002) have shown that GDF-9 rearsthe development of primary follicles in neonatal rat ovaries,but it has no effect on the growth of primordial follicles (Nilsson and Skinner 2002).Studies by Wang and Roy (2004) have provided the source evidence that GDF-9 can promote the validation of primordialfollicles and their subsequent growth in neonatal hamster ovaries (Wang and Roy 2004) .Anti-Mullerian hormone (AMH) is a member of the transforming growth factor- (TGF-) is considered as a ne gative regulator of the early stages of follicular development. AMH is produced by the granulosa cells of developing preantral and small antral follicles which inhibits the primordial to primary follicle transition (Durlinger et al. 1999). AMH is never found in primordial follicles, theca cells or oocytes (Ueno et al. 1989 Hirobe et al. 1994 Baarends et al. 1995). mental testing of ovarian follicles in AMH-deficient female mice revealed lower numbers of primordial follicles and much growing follicles compared with wild-type mice, these findings revealed that, in the absence of AMH, ovaries are depleted of their primordial follicles ahead than they are in control mice and these observations led to the propsal that AMH inhibits primordial follicle recruitment (Durlinger et al. 1999). Results were obtained from other in vitro experiments on the bovine ovarian cortex suggested that, at least in nonhuman species, the presence of AMH acts as a halt on the activation of primordial fol licles and the growth of preantral follicles (Gigli et al. 2005). It has been demonstrated that oocytes from early preantral, late preantral and preovulatory follicles up-regulate AMH in make-upal RNA levels in granulosa cells, in a fashion that is dependent upon the developmental stage of the oocyte (Salmon et al. 2004). These findings suggest that oocyte regulation of AMH expression may satisfy a section in intra- and interfollicular coordination of follicle development. kit ligand (KL) and sanctioned fibroblast growth factor (bFGF) secreted by pre-granulosa cells and oocyte respectively, have mutual stimulatory effects on oocytes and granulosa cells they also promote recruitment of theca cells from the surrounding stromal/interstitial cell population. Stromal/interstitial cells and theca cells secrete BMP-4 and BMP-7, which promote follicle activation and survival. GDF-9 and/or BMP-15 secreted by the oocyte of the activated follicle promote granulosa cell proliferation, KL ex pression and theca institution. Granulosa cells of growing follicles secrete AMH that appears to act as a brake on primordial follicle recruitment (Knight and Glister 2006).Foxo3a (FKHRL1), a member of the FOXO subfamily of forkhead transcription factors, has been implicated in the regulation of follicle activation. It has been indicated that Foxo3a functions at the earliest stages of follicular growth as a suppressor of follicular activation (Castrillon et al. 2003). It was suggested that Foxo3a serves an requirement role by suppressing the growth of primordial follicles, thereby preserving them until later in life (John et al. 2007). It was shown that Foxo3a -/-ovaries contained markedly elevated numbers of early growing follicles, and this extensive of follicular growth in Foxo3a -/- females resulted in the progression of increased numbers of follicles to more than advanced stages of follicular development and this misregulation of this process can lead to immature ovarian f ailure (Castrillon et al. 2003).Kit ligand (KL) is produced by the granulosa cells of developing ovaries (Manova et al. 1993 Ismail et al. 1996) and KL receptors (c-kit) are present on oocytes and theca cells (Manova et al. 1990). C-kit is expressed at the surface of mammalian oocytes at all stages of follicular development in postnatal ovaries of the mouse, the rat and humans (Driancourt et al. 2000 Horie et al. 1991 Manova et al. 1990 Orr-Urtreger et al. 1990) and its only if known ligand, Kit-ligand (KL), which is also referred to as stem cell factor (SCF). KL acts to recruit theca cells from surrounding ovarian stroma during folliculogenesis (Parrott and Skinner 2000). Therfore, KL is thought to act as a signal from the granulosa cells around primordial follicles to the oocyte and surrounding stroma to promote the events of the primordial to primary follicle transition (Parrott and Skinner 1999). In this study (Parrott and Skinner 1999), treatment of in vitro cultured follicles from postnatal ovaries from 4 day gray-haired rats, with KL dramatically cannonball alongd the development of primordial follicles, but was completely obturate by the Kit antibody ACK2.1.4 Follicle developmentFollicular development is regulated by both endocrine and intraovarin mechanisms which co-ordinate the processes of somatic cell proliferation and differentiation (Moley and Schreiber 1995). The basic functional unit in the ovary is the ovarian follicle that is composed of somatic cells and developing oocyte. The twain primary somatic cell types are the theca cells and granulosa cells. These two somatic cell types are the site of action mechanism and synthesis of a number of hormone that promote a complex regulation of follicular development. The prolifetation of these two cell types is in part responsible for the development of the antral ovarian follicle. At the same time, the oocyte is undergoing developmental changes necessary to allow the resumption of meiosis after the preovulatory surge of gonadotrophins (Montgomery et al. 2001). This regulation occurs according to endocrine principles, involving hormones such as pituitary gonadotropins , ovarian steroids and locally produced factors that act either on the cell that produces them (autocrine) or on neighbouring cells (paracrine) (Salha et al. 1998).Ovarian follicular development is a hanker process which can take around 6 months from the initiation of growth of primordial follicles until development of a preovulatory follicle in humans, cattle and sheep (Lussier et al. 1987 Cahill and Mauleon 1980) and around 4 months in pigs (Morbeck et al. 1992). The majority of this time is spent in the pre-antral stages of development. Already at this stage, a considerable proportion of growing follicles fail to survive and they miss through a process termed follicular atresia. Observations in humans and in animals suggest that programmed cell death is the mechanism of follicular atresia (Tilly 1996 Kaip ia and Hsueh 1997).In women, the dominant follicle orginates from primordial follicle that was recruited to grow al just about 1 year earlier Folliculogenesis can be divided into two stages the gonadotropin-independent (preantral) and gonadotropin-dependent (antral or Graafian) periods (Erickson and Shimasaki 2000). Locally produced growth factors are critically mingled in controlling preantral follicle development during the gonadotropin-independent period. After antraum brass, the follicle becomes dependent on FSH stimulation for pass offd growth and development. Interestingly, it was discovered that the process of folliculogenesis is controled by growth factors secreted by the oocyte (Matzuk 2000). Five growth factors have been identified in mamalian oocytes growth differentiation factor-9 (GDF-9) (McGrath et al. 1995), bone morphogenetic protein -15 (BMP-15) (Dube et al. 1998 Laitinen et al. 1998), bone morphogenetic protein -6 (BMP-6) (Knight and Glister 2006), transforming growth factor -2 (TGF-2) (Schmid et al. 1994), and fibroblast growth factor-8 (FGF-8) (Valve et al. 1997). Experiments with knockout mice have demonstrated that in the absence of GDF-9, folliculogenesis is blocked at the primary to preantral stage (Dong et al. 1996). Consequently, there are no Graafian follicles, no ovulations, and no pregnancies.1.4.1 Follicular cell types and follicle classificationThe two primary somatic cell types in the ovarian follicle are the theca cells and granulosa cells. These two somatic cell types are the site of action and synthesis of a number of hormones that are involved in the complete regulation of follicular development.1.4.1.1 Granulosa cellsGranulosa cells are the primary somatic cell type in the ovary that provides a physical support of the oocyte and mediated signals between the oocyte, outer theca cells and endocrine hormone. Regulation of granulosa cell differentiation during folliculogenesis requires the actions of a number of hormones and growth factors. circumstantial receptors have been demonstrated on granulosa cells for gonadotropins follicle stimulating hormone (FSH) and luteinizing hormone (LH) (Richards and Midgley, jr. 1976). In addition, receptors have been found for factors such as insulin-like growth factor (IGF) (Adashi 1998) cuticular growth factor (EGF) (Vlodavsky et al. 1978) and anti-Mullerian hormone (AMH) (Josso et al. 2001). Actions of these hormones and growth factors on granulosa cells vary with the stage of differentiation.Follicular growth and steroidogenesis are dependent on the unified actions of FSH and LH with their receptors on granulosa cells and thecal cells of ovarian follicles. Both granulosal and thecal cells are involved in issue of oestradiol-17 (two cell/two gonadotropin model which is well accepted for many species).1.4.1.2 sac cellsAnother of the essence(p) cell type in the ovary is the ovarian theca cell. These are differentiated stromal cells that surround the follicle a nd have also been termed theca interstitial cells (Erickson and Case 1983). The thecal cells can be rattling(a) as two distinct layers, the inner layer of cells, the theca interna has a basement membrane separating it from the outmost layer of granulosa cells. The theca interna is a extremely vascular layer. One of the major functions of theca cells in species such as the cow, human and rodent is the secretion of androgens (Fortune and Armstrong 1977). At the primordial stage, no theca cells are present however during the transition to the primary stage, theca cells at this stage of development are gonadotropin and steroid independent and non-steroidogenic (Braw-Tal and Roth 2005). Theca externa which is less vascularized layer and merges into the stromal tissue without clear boundaries.The two-gonadotrophin, two-cell model of follicular estradiol biosynthesisAccording to the two-cell-two-gonadotrophin theory, the ovary has two cellular compartments that are driven singly by LH a nd FSH to produce ovarian steroids. Androgen intersection by theca cells is a function of LH, whereas aromatization of these androgens to oestradiol by granulosa cells is controlled by FSH (Gougeon 1996) (Figure 1.5). Androgen synthesis occurs in the theca interna regulated by LH, by expressing P450c17, the rate-limiting steroidogenic enzyme in androgen synthesis (Sasano et al. 1989). Theca interna are resourceful of synthesizing all the steroids from cholesterol to testosterone and are the major source of follicular androstenedione. In contrast, granulosa cells are the major source of follicular estradiol. Granulosa cells are intrafollicular sites of androgen metabolic process (Ghersevich et al. 1994) and express aromatase P450arom (Whitelaw et al. 1992) this enzyme converts androgens to estrogens. FSH also induces granulosa cell LH receptors that are functionally coupled to aromatase. Thus, uniquely in the preovulatory follicle, both the synthesis of androgen (in theca cells) an d its aromatization to estradiol (in granulosa cells) are directly regulated by LH (Fortune and Armstrong 1977).. In the theca, under the mold of LH, cholesterol is converted to pregnenolone and metabolised through a series of substratums ending in androgen production. The two-cell, two-gonadotrophin model comes into play with androgens produced by the theca cells transported to the granulosa cells where they are aromatised to oestrogens (Drummond 2006).1.4.2 Classification of follicle stagesIn sheep, the stages of follicular development have been separate on the basis of the number of granulosa cells in the largest cross-section of follicles (McNatty et al. 1999),1.4.3 Follicular development in primates1.4.3.1 Oocyte growth and maturationOnce follicles have been initiated to grow, the granulosa cells proliferate to form the different stages of follicular development (Telfer et al. 2000). During follicular activation and early development in mice, for example, the oocyte growth oc curs rapidly with an approximatly 300-fold increase in rule book during the 2-3 week growth phase (Wassarman and Albertini 1994), which is also accompanied by a 300-fold increase in RNA content (Sternlicht and Schultz 1981) and a 38-fold increase in absolute rate of protein synthesis (Schultz et al. 1979). These events are indicative of a period of cell growth with proud metabolic activity (Wassarman and Albertini 1994). Oocytes complete most of their growth phase before the formation of a follicular antrum (Wassarman and Albertini 1994), and the increase in oocyte diameter and volume during antral follicular growth is relatively small (Eppig 2001 Wassarman and Albertini 1994). If the oocyte is to be capable of fertilization and subsequent embryonic development, it must grow the ability to total meiosis. Oocytes from immature follicles are unable to resume meiosis (Iwamatsu and Yanagimachi 1975) however, by the time the follicles have reached the antral stages the oocytes of mos t species have acquired the ability to resume meiosis (Mattioli and Barboni 2000 Telfer 1998).1.4.3.2 Follicular growthEarly in oocyte growth, a homogenous glycoprotein layer called the zona pellucida (ZP) is secreted shortly after initiation of follicular growth (Epifano and Dean 1994). It forms a translucent acellular layer separating the oocyte from the surrounding granulosa cells. However, contact between granulosa cells and the oocyte is maintained via cytoplasmic processes, which penetrate the zona and form gap junction at the oocyte surface. Progressively, follicles become secondary follicles.In addition to oocyte growth and granulosa cell proliferation, the preantral follicle also increases in size through formation and growth of ovarian stromal cells on the outer membrane of the follicle forming the theca layers of the follicle. The thecal cells can be distinguished as two distinct layers highly vascular theca interna, surrounded by a fibrous capsule, the theca externa. The granulosa cells continue to proliferate, resulting in a further increase in follicular size.The formation of the follicular antrum marks the beginning of the antral phase of development. The appearance of an antral stone starts with the development of small fluid-filled cavities that aggregate to form the antrum. As the follicular antrum grows, the oocyte, surrounded by a dense mass of granulosa cells called the cumulus oophorus which become suspended in fluid. It is connected to the rim of peripheral granulosa cells only by a thin stalk of cells. Attached to the zona pellucida, which surrounds the oocyte, is a small ring of granulosa cells called the glory radiata, these cells will be expelled with the oocyte during ovulation. In humans and monkeys, follicles pass from the preantral to the early antral stage at a follicular diameter between 180 and 250 m (Koering 1983 Bomsel-Helmreich et al. 1979). Further, growth of the follicle is under the influence of follicle stimulating ho rmone (Gougeon 1996). The follicle is then termed a Graafian follicle. When the proper hormonal balance is present, normally one Graafian follicle in mono-ovulatory mammals (e.g. primates, ruminants, equine) and some(prenominal) ones in poly-ovulatory animals (e.g. rodent, porcine) fully develop and the oocyte matures and ovulate (Hafez 1993).1.4.4 Regulation of follicular development1.4.4.1 Oocytes somatic cell communicationOocyte growth is dependent on signals, growth factors and nutrients from granulosa cells at the same time oocytes play an important role in the proliferation and differentiation of granulosa cells. Communication between oocytes and somatic cells have a pivotal role in ovarian follicular development (Albertini and Barrett 2003 Eppig 2001). Several studies have shown the importance of oocyte-derived factors such as growth and differentiation factor-9 (GDF-9) and bone morphogenetic protein-15 (BMP-15) in female reproduction. GDF-9 and BMP-15 promote the prolifer ation of granulosa cells from small antral follicles (Hayashi et al. 1999 Vitt et al. 2000 Otsuka et al. 2000). Mutation of the GDF-9 gene in mice prevented the development of somatic cells beyond the primary follicle stages (Dong et al. 1996). C-kit receptor or (Kit) is expressed at the surface of mammalian oocytes at all stages of follicular development in postnatal ovaries of the mouse, the rat and humans (Driancourt et al. 2000b Horie et al. 1991 Manova et al. 1993). An in vivo study by (Yoshida et al. 1997) has indicated the necessary for C-kit in development of the ovarian follicle in mice. In this study, postnatal mice were injected with Kit-blocking antibody ACK2, and the first wave of follicular development was studied. The blockade of Kit signalling was found to dumbfound the onset of primordial follicle development, primary follicle growth and follicular fluid formation of preantral follicles (Yoshida et al. 1997). On the other hand, primordial follicle formation, ovula tion and luteinization of the ovulated follicle were not affected by ACK2 (Yoshida et al. 1997).1.4.4.2 Gonadotropins sooner the onset of puberty, the normal fate of growing follicles is atresia. After puberty, stimulation by cyclic gonadotropins allows the survival and continued growth with only a contain number of antral follicles that will reach the preovulatory stage. Activation and maintenance of normal follicular function is dependent on gonadotropins secreted by the pituitary. Follicle stimulating hormone (FSH) and Luteinizing hormone (LH) are glycoprotein, secreted by gonadotrophs in the anterior pituitary under the influence of hypothalamic GnRH (Gonadotrophin releasing hormone) neurones, which regulate the synthesis and secretion of those hormones). Gonadotropins are plausibly not involved in the initiation of follicle growth (Wandji et al. 1992 Fortune et al. 2000 McNatty et al. 1999). Whilst there may not be an absolute requirement for FSH at these early stages the pr esence of FSH receptor (FSHr) in granulosa cells of immature follicles in cow (Wandji et al. 1992), human (Zheng et al. 1996) and sheep (Eckery et al. 1997) suggests an involvement. A role for LH in the early stages of development has not been described, although expression of LH receptor (LHr) mRNA is first detected when the theca interna forms around the granulosa cells (Bao et al. 1998 Bao and Garverick 1998). FSH and LH are involved in endocrine control of follicle development, FSH stimulates granulosa cell division and the formation of glycosaminoglycans that are essential components of antral fluid (Hillier 1991). FSH is vital for the formation of the antral cavity (Nayudu and Osborn 1992) in mouse ovarian follicles cultured in vitro. Granulosa cells are the only cells in the female body possess FSH receptors, and binding of FSH to its receptor on the cell surface altered expression of multiplex genes crucial to cytoproliferation and differentiation (Richards 1994). Granulosa cell genes that are responsive to FSH intromit aromatase (P450arom) the steroidogenic cytochrome P450 crucial to estrogen synthesis (Simpson et al. 1994) cholesterol side-chain cleavage (P450scc) (Richards 1994) and LH receptors (Segaloff and Ascoli 1993). FSH and LH are important factors for the proliferation and survival of follicular somatic cells and the cyclic recruitment of antral follicles. Suppression of serum gonadotropins after hypophysectomy leads to atresia and apoptosis of developing follicles (Nahum et al. 1996). Whereas FSH treatment of cultured early antral follicles prevents the spontaneous onset of follicular apoptosis (Chun et al. 1996). Although FSH is the central regulator of dominant follicle survival and development, LH signalling pathways play fundamental physiological roles. LH-dependent signal pathways in the theca interstitial cells induce changes in gene expression that are critical for estrogen production (Erickson et al. 1985). Activation of the LH re ceptors in theca cells leads directly to the stimulation of high levels of androstenedione production. The major physiological significance of this LH response is to provide aromatase substrate to the granulosa cells where it is metabolized by P450 aromatase to E2. Additionally, the preovulatory surge of LH is responsible for ovulation and corpus luteum formation. Also, LH is essential for P4 and E2 production by the CL during the early and midluteal phase of the menstrual cycle.The hypothalamus produces and secretes luteinizing hormone-releasing hormone (LHRH) into a system of blood vessels that link the hypothalamus and the pituitary gland. LHRH stimulates the pituitary gland by attaching to specific molecules (i.e., receptors). After the coupling of LHRH with these receptors, a cascade of biochemical events causes the pituitary gland to produce and secrete two hormones, luteinizing hormone (LH) and follicle-stimulating hormone (FSH). LH and FSH are two of a class of hormones ord inarily known as gonadotropins. They are secreted into the general circulation and attach to receptors on the ovary, where they start out ovulation and stimulate ovarian production of the hormones estrogen and progesterone. Adapted from (Kanis 1994)1.4.4.3 Growth factorsA number of locally produced growth factors are known to be important for follicle development, they exert paracrine communication within follicles. During preantral follicle development, growth factors such as epidermal growth factor (EGF), transforming growth factors (TGF) may influence folliculogenesis (van den and Zhao 2005). vascular endothelial growth factor (VEGF) (Danforth et al. 2003) and mullerian inhibitory substance (MIS) (McGee et al. 2001) have been report to stimulate preantral follicle growth. It has been demonstrated that bone morphogenetic proteins (BMP) can alter bovine granulosa cell steroidogenesis and proliferation in vitro (Glister et al. 2004). Transforming growth factor- (TGF-) superfamily c ontains a range of proteins, including inhibins and activins. The precise roles of these factors are not known, but it is likely that they are involved in follicular differentiation by enhancing the action of gonadotropins (Campbell and Baird 2001 Knight and Glister 2001 Montgomery et al. 2001). Insulin growth factors (IGF) and their receptors play important role in follicle growth and development (Poretsky et al. 1999). The IGF family comprises of IGF peptides, IGF receptors which are family of proteins called insulin-like growth factor binding proteins (IGFBP) that regulate the availability of the IGF to their target cells, and IGFBP proteases (Giudice 1992). The IGFs affect biosynthetic processes in granulosa and theca cells and have an influence on mitotic activity in the granulosa cells (Giudice 1992 Poretsky et al. 1999). Additionally, a functional link between the IGF system and FSH action has been demonstrated by the finding that IGFBP-4 is a potent inhibitor of FSH