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Henry Wellcome Laboratories for Integrative Neuroscience and Endocrinology, University of Bristol, Dorothy Hodgkin Building, Whitson Street, Bristol BS1 3NY, UK
(Correspondence should be addressed to A Levy; Email: a.levy{at}bris.ac.uk)
This is an Open Access article distributed under the terms of the Society for Endocrinology's Re-use Licence which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
| Abstract |
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230 mcg/kg per day). Despite continued exposure to high-dose oestrogen and persistence of the increase in pituitary wet weight, the increase in mitotic index was unexpectedly not sustained. After 28 days of high-dose oestrogen treatment, anterior pituitary mitotic index and BrdU-labelling index were not significantly different from baseline. Although a powerful pituitary mitogen in the short term, responsible, presumably, for increased trophic variability in oestrus cycling females, these data indicate that in keeping with other trophic stimuli to the pituitary and in contrast to a much established dogma, the mitotic response to longer-term high-dose oestrogen exposure is transient and is not the driver of persistent pituitary growth, at least in female Wistar rats. | Introduction |
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A peak in anterior pituitary lactotroph mitotic activity has frequently been shown to occur in oestrous, correlating with the preceding increase in oestrogen levels during the pro-oestrous phase of the female reproductive cycle (Takahashi et al. 1984, Oishi et al. 1993). Using bromodeoxyuridine (BrdU)-labelling, it has been reported that increased proliferation seen in the female rat pituitary at oestrous occurs in lactotrophs and requires central brain activity in the preceding pro-oestrous afternoon (Hashi et al. 1995). No statistically significant increase in the proportion of lactotrophs was observed, however, suggesting that either newly formed lactotrophs undergo early apoptosis, that other cell types were similarly influenced by oestrogen fluctuations leaving the proportion of lactotrophs unchanged, or that the overall lactotroph increase in each cycle was too small to quantify (Hashi et al. 1995). The latter would certainly be expected if sexually dimorphic differences in pituitary size after puberty result from the cumulative effects of small oestrogen-induced residual increases in cell number or size following each oestrous cycle. The assumption of a direct association between oestrogen exposure and pituitary size, however, and dismissal of a major contribution of oestrogen-responsive secretory cell types other than lactotrophs may be premature. Indeed, one of the most marked sexually dimorphic differences in lactotroph numbers is seen in female mice transgenic for high-level expression of bovine GH (Vidal et al. 1999).
Oestrogen receptors, both
and β, are present in subpopulations of rat pituitary cells, particularly lactotrophs (50% express ER
and 30% express ERβ) and a proportion of folliculostellate cells (Mitchner et al. 1998), but are also found in somatotrophs, thyrotrophs and gonadotrophs both during development (Nishihara et al. 2000) and in adulthood (González et al. 2008). Oestrogen is implicated in the stimulation of prolactin synthesis and secretion and proliferation of pituitary lactotrophs in humans and rodents. It has been suggested that paracrine interactions between lactotrophs and folliculostellate cells might regulate the mitogenic action of estradiol (Schwartz 2000, Oomizu et al. 2004), although the necessity for such interactions has been disputed (Ishida et al. 2007). In the longer-term oestrogen is thought to be ultimately responsible for the induction of prolactinomas in certain strains of rats such as male and female Fisher 344, but in general, despite the latter and a few case reports (Gooren et al. 1988, Garcia & Kapcala 1995), prolonged exposure to supraphysiological doses of exogenous oestrogens in humans does not inevitably result in either hyperprolactinaemia, pituitary hyperplasia or progression to prolactinoma (Melmed 2003, Ben-Jonathan et al. 2008).
The current study was designed to further define the short and longer term mitotic and apoptotic effects of continuous oestrogen exposure on the rat anterior pituitary. We have used both highly accurate direct histological assessment of mitotic index and BrdU incorporation in vivo to compare baseline anterior pituitary cell turnover and longer-term cumulative changes in the number of dividing cells, respectively, in male and female Wistar rats. Using an ovariectomized rat model, we then further investigated the ability of exogenous oestrogen to stimulate and/or sustain an increase in mitosis in both the short term and the longer term.
Understanding the nature of pituitary mitotic and apoptotic responses to oestrogen is important as it is principally newly formed cells rather than mature pituitary cells that are sensitive to trophic stimuli (Nolan et al. 1999). By intermittently stimulating mitosis and accelerating apoptosis, fluctuating levels of oestrogen may be able to repopulate the nascent cell compartment and potentially sensitize the pituitary to a broad range of trophic stimuli (Aoki Mdel et al. 2003, Nunez et al. 2003, Pisera et al. 2004, Jaita et al. 2005, Candolfi et al. 2006). This mechanism is likely to be at least in part responsible for sexually dimorphic neuroendocrine responses such as the response to stress (Rhodes & Rubin 1999, Sandoval et al. 2003).
| Animals and treatments |
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In order to determine baseline cell turnover in intact, cycling female rats, groups of animals were given a single intraperitoneal injection of 0.5 mg/100 g body weight of colchicine (Sigma) at time 0 h and killed 1.5, 3, 4.5 or 6 h later. Control animals were given saline vehicle only and killed at time 0 h (Nolan et al. 1999).
To follow both short- and longer-term cumulative changes in the number of dividing anterior pituitary cells (i.e. cell proliferation minus apoptosis of BrdU-labelled cells), groups of intact male and female rats received either a single intraperitoneal injection of (BrdU; 10 mg/ml in 0.007 M NaOH/0.9% (w/v) NaCl; Roche) at a dose of 200 mg/kg body weight at 1.5, 3, 6, 12 or 24 h prior to killing or daily injections of BrdU for up to 14 days.
Further groups of female Wistar rats were either surgically ovariectomized or sham operated under fluorothane anaesthesia. For post-operative pain relief, anaesthetized rats were given a s.c. injection (4 mg/kg body weight in a total volume of 0.2 ml in saline) of the non-steroidal anti-inflammatory Carprofen (Pfizer, Kent, UK). Starting 4 days after surgery, groups of ovariectomized and sham-operated rats were given daily s.c. injections of either oestrogen (17β-oestradiol, E-8875 Sigma) or saline vehicle for 7 days. Oestrogen was either given at a dose designed to approximate physiological levels, 5 mcg/day (
23 mcg/kg per day; Sakemi et al. 1998, Zhang et al. 2000) or at a higher, pharmacological dose of 50 mcg/day (230 mcg/kg per day). On day 11 after surgery, groups of rats were given an intraperitoneal injection of 0.5 mg/100 g body weight of colchicine or saline vehicle and killed 0, 1.5, 3, 4.5 or 6 h later.
To examine the effects of longer-term high-dose oestrogen exposure in this model, additional groups of ovariectomized or sham-operated rats received the same physiological and high doses of oestrogen used above, but divided as twice weekly s.c. injections in sesame oil for 28 days before colchicine administration on day 32 after surgery. Vehicle-treated rats were given sesame oil alone. As an additional indicator of mitotic activity, 24 h before killing, some groups of rats were also given a single intraperitoneal injection of BrdU. Rats were weighed at this time point and pituitaries were weighed immediately after removal before being fixed in 4% formaldehyde in PBS.
Rats in the 7-day and 28-day study received the same equivalent daily dose of 17β-oestradiol divided into the same total number of boluses over the duration of each study. A similar number of oestrogen injections between groups (8 in total) was used to ensure that the effects of stresses associated with handling and with the injections themselves were kept as similar as possible. It was also felt to be important to minimize the impact of a potentially high total number of injections for animals in the 28-day study – bearing in mind the fact that animals were also receiving relatively large volume injections of BrdU. Our previous published (Nolan & Levy 2006) and unpublished experience indicates that intermittent injections of 17β-oestradiol in sesame oil vehicle provides a very secure route to high circulating levels of oestradiol and smooth mitotic response that does not differ if results are assessed on the day of injection or on the days between injections. A high pharmacological dose of oestrogen was used for the high-dose groups to minimize the possibility that a higher dose might result in more persistent changes.
| BrdU immunohistochemistry |
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8 min in DAB substrate according to the manufacturer's instructions (SK-4100; Vector Labs). The resulting brown colour reaction was stopped in water and the sections lightly counterstained with hematoxylin. | Image analysis for mitotic activity |
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47 000 µm2 were scored for the presence of mitotic figures. By defining counting boundaries at low power and counting events at high power, selection bias and double scoring were eliminated, allowing the error in quantifying the number of normal cells surrounding these events to be limited to
2% and the overall error in estimating the prevalence of trophic events to be reduced to
0.001%. Results were expressed as a percentage of the total cell numbers counted for each animal. BrdU-immunopositive cell counts were performed at 1000x magnification. For each animal, three areas totalling 0.15 mm2 containing an average of 2000 cells were scored as positive or negative for the presence of immunoreactive BrdU. All slides were coded and counted by one blinded observer (LAN) and the results expressed as the mean ±S.E.M. with differences between groups evaluated using one-way ANOVA followed by Tukey–Kramer multiple comparison post-tests. P<0.05 was considered statistically significant.
| Results |
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In intact young (10 weeks) female rat pituitary glands, the mean prevalence of mitotic figures increased from 0.08±0.019% at baseline to 0.557±0.151% after 6 h colchicine exposure (Fig. 1A), indicating an average parenchymal cell turnover of 1.91% per day. Presented as a scatter plot of data derived from individual animals (Fig. 1B), the data reveal striking variability in pituitary trophic activity, greatly in excess of that seen in intact male rats at any age (an approximately three fold difference in S.E.M. at the 6-hour time point (Nolan et al. 1999)).
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Female rats were either ovariectomized or sham-operated and left to recover for 4 days before being treated with daily injections of oestrogen or vehicle for the next 7 days. Colchicine was then administered on the following day as described.
In sham-operated rats receiving vehicle only, i.e. exposed to endogenous oestrogen dictated by the normal oestrous cycle, the mean prevalence of mitotic figures increased from 0.121±0.028% at baseline to 0.699±0.272% after 6 h colchicine exposure representing a cell turnover of 2.31% per day (Fig. 3A). These data confirmed the variability in baseline cell turnover previously observed in cycling female rats.
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In ovariectomized rats receiving daily injections of oestrogen to approximate circulating physiological levels, the mean prevalence of mitotic figures increased from 0.172±0.031% at baseline to 0.945±0.119% after 6 h representing a small increase in cell turnover to 3.09% per day at the lower dose of exogenous oestrogen (Fig. 3C). The mean prevalence of mitotic figures increased from 0.21±0.033% at baseline to 1.145±0.19% after 6 h representing a greater increase in cell turnover to 3.74% per day when the rats received a pharmacological dose of exogenous oestrogen (Fig. 3D).
Using direct morphological identification of apoptotic bodies in H&E-stained tissue sections, there were no measurable differences in the very low apoptotic indices between any of the experimental groups at baseline, i.e. prior to colchicine exposure (Fig. 4). After 6 h of colchicine treatment however, there was a measurable increase in the mean apoptotic index in rats that had been exposed to oestrogen that reached statistical significance in the ovariectomized animals treated with the physiological dose of oestrogen (Fig. 4).
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The mean body weight of ovariectomized rats not supplemented with oestrogen was significantly higher than that of intact cycling animals after 28 days and significantly lower in ovariectomized rats given the highest dose of oestrogen (Fig. 5A; Bryzgalova et al. 2008). Pituitary wet weight was significantly increased in ovariectomized rats treated with the higher dose of oestrogen (Fig. 5B).
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| Discussion |
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In the present study, the observation of sexually dimorphic pituitary mitotic activity with increased individual variability of pituitary mitotic activity in intact female rats strongly implicates fluctuating oestrogen levels associated with the oestrous cycle in rapid changes in pituitary mitotic activity. However, administration of daily BrdU injections over a 14-day period, which permitted analysis of cumulative mitotic activity in Wistar rats, showed that there was absolutely no evidence of a sex difference in net mitotic activity after the first 24 h. This finding may contrast with the findings of one other group who examined Sprague–Dawley rats and found cumulative incorporation of BrdU in females to be consistently twice as high as in males but nevertheless concluded that cell renewal occurs at a doubled rate in the pituitary of female rats (Oishi et al. 1993), implying once again that there may be a relationship with cell turnover but without a net gain in comparison with males.
Exogenous oestrogen given to intact, young male rats results in an increase in mitotic activity that peaks after 3 days and appears to drift back towards baseline by 7 days despite continuing exposure without any evidence of a concurrent increase in apoptotic activity detectable by direct observation of apoptotic bodies (Nolan & Levy 2006). In the present study, 7 days after the start of oestrogen treatment in ovariectomized rats, we observed a significant, dose-dependent increase in cell proliferation measured by colchicine-induced metaphase arrest. After 28 days of continuous exogenous oestrogen exposure at physiological or supra-physiological levels, anterior pituitary mitotic rate was indistinguishable from that found in either sham-operated cycling rats or ovariectomized rats receiving vehicle alone, despite an increase in pituitary wet weight over that period. The exact timing of oestrogen injection did not affect the mitotic or apoptotic indices measured as no differences were found when the last dose of oestrogen was given either 3 days or 1 day prior to the administration of colchicine (data not shown).
The self-limiting nature of longer term mitotic and apoptotic responses to persistent stimuli is a consistent characteristic of pituitary trophic activity and may be related to receptor down-regulation (Shupnik 2002) or differential modulation of downstream co-activators or repressors and/or autocrine/paracrine growth factors such as galanin, transforming growth factor
(TGF
) and TGFβ (Chun et al. 1998, Denef 2003). Sudden changes rather than persistent hormonal abnormalities appear to be the key to induction of pituitary trophic activity. Certainly, exposure to oestrogen for 28 days results in a significant increase in pituitary wet weight in both female (Fig. 5B) and male Wistar rats (our own unpublished data). This does not, however, correlate necessarily with an increase in total pituitary cell number, which might be accounted for by increased cell size, increased vascularity and decreased apoptosis of post-mitotic cells.
It has been suggested that peaks of circulating oestrogen might sensitize pituitary cells to pro-apoptotic signals such as lipopolysaccharide, FasL and dopamine (Pisera et al. 2004, Jaita et al. 2005, Radl et al. 2008). Induction of apoptosis is frequently mediated through the Fas/FasL system during physiological cell turnover in cycling hormone-dependent tissues. Both the Fas receptor and ligand are expressed in lactotrophs and although apoptosis in these cells has been shown in some studies to be enhanced by oestrogen (Jaita et al. 2005), others have suggested that the cells that undergo cyclical apoptotic changes during the oestrous cycle are mainly gonadotrophs and that there is no direct effect of oestrogen involved (Yin & Arita 2002).
After 6 h of colchicine treatment, there was an increase in the mean prevalence of apoptotic cells in both sham-operated intact rats and ovariectomized rats treated with oestrogen at both endpoints. In the absence of oestrogen, there was no measurable increase in apoptosis, suggesting that oestrogen can sensitize a small population of anterior pituitary cells to the pro-apoptotic effects of colchicine. The significance of this finding is unclear. We did not detect any significant differences in the very low baseline prevalence of apoptotic events following oestrogen treatment for either 7 or 28 days, but it is important to point out that at these very low levels small changes, with potentially very considerable biological significance, are likely to have been undetectable. Unfortunately, in our experience, histological methods with potentially greater sensitivity than direct morphological identification but relatively low specificity such as TUNEL and caspase-3 immunocytochemistry are non-contributory in these circumstances.
In summary, oestrogen is believed to exert powerful trophic effects on the pituitary. It is thought to be responsible for the increase in pituitary size during pregnancy in humans, and to lead to dramatic pituitary hyperplasia and adenoma formation in some strains of rat. This study was designed to quantify these potent and persistent trophic effects of oestrogen. In complete contrast to expectations, continuous exposure to high-dose oestrogen for 28 days resulted in a return of anterior pituitary mitotic activity to baseline. In female Wistar rats at least, high-dose oestrogen is not sufficient to induce persistent pituitary mitotic activity.
| Declaration of interest |
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| Funding |
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Received in final form 12 December 2008
Accepted 22 December 2008
Made available online as an Accepted Preprint 23 December 2008
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