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家族性卵巣機能不全原因遺伝子FOXL2による核内受容体エストロゲンレセプターβの転写制御機構の解明

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1

FOXL2

β

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2 ... 4 1 ... 5 2 ... 13 1. ... 13 2. ... 13 3. ... 14 4. ... 15 5. ... 15 6. GST-pull down ... 16 7. ... 18 8. ... 18

9. short-interference RNA FOXL2 ... 20

10. RNA PCR ... 21 11. ... 22 3 ... 23 1. FOXL2 ... 23 2. FOXL2 ERβ ... 23 3. FOXL2 ERβ ... 24 4. ERβ FOXL2 ... 26 5. ERα FOXL2 ... 26 6. ERβ FOXL2

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3 ... 27 7. FOXL2 aromatase ... 27 4 ... 29 5 ... 33 ... 34 ... 35 ... 36 ... 47

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4 40 FOXL2 FOXL2 FOXL2 ER β FOXL2 FOXL2 ERβ FOXL2 ERβ

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5 1 22 26.1 22.9 24 30.8 29.2 4.7 6.3 1 Figure 1 World

Health Organization: WHO 1

1 10 5 1 2007 3 1.3% 26.4% 9% 700 30 4,5

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6 6 Figure 2 Figure 3 6 primary ovarian insufficiency: POI

40 7,8 POI 3-6 FSH 40 mIU/mL POI 9 20 0.01% 30 0.1% 40 1% 10 POI 9 POI

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7 10 15 10 POI 4 30 POI X FMR-1 Xq27.3 1 exon CGG repeat 60 200 POI 11 FMR-2 FMR-1 1Xq28 microdeletion 12 BMP15 Xp11.2 homodimer 13 FSH receptor 2p21-p16 7 exon 566 189 Ala Val 14 LHβ LHβ

mutation POI 15 NOGGIN NOGGIN

BMP4, 7 16 NOBOX 7q35

Homeobox 17 GALT 9q13

60 70 POI 18

POI

FOXL2 forkhead/hepatocyte nuclear factor 3 gene family of transcription factor L2 POI

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8

BPES type 1 type 2 20 BPES type 1

BPES type1

BPES type 2 19 Figure 4 BPES

3q23 FOXL2 2001 19 BPES type 1 FOXL2 Q129X, W204X type 2 FOXL2 A224_A234dup BPES type1 1 2 Figure 5 21 FOXL2 forkhead DNA forkhead 14 379

1 22 Figure 6 FOXL2 forkhead

44 110

DNA DNA forkhead 3 α-helix

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9 23,24 FoxA DNA DNA 23 forkhead forkhead FoxC2, -D2, -D3, -G1 23 MAP 23 FOXL2 19 FOXL2

FOXL2 12.5 dpc day post coitum 25

FOXL2 26 FOXL2

FOXL2

FOXL2

SOX9

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10

28 FOXL2 gonadotropin

releasing hormone receptor GnRHR steroidogenic acute regulatory protein StAR

aromatase 29-31 FOXL2 Q219X POI FOXL2

FOXL2 StAR aromatase

P450scc FOXL2 Q219X StAR aromatase

P450scc 26,31 FOXL2 aromatase

aromatase

29,32 FOXL2 aromatase

FOXL2 aromatase 29,33 FOXL2

aromatase FOXL2

aromatase 30,34 FOXL2 aromatase

FOXL2

FOXL2

95%

FOXL2 C134W 35 FOXL2

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11 FOXL2 Estrogen receptor: ER 43 ER α β 2 ERα ERβ 37 ERα 6q25 ERβ 14q23 ER 17β-estradiol: E2 38 ERα 595 ERβ 530 A/B C D E F 5

Figure 7 DNA C ERα ERβ 95%

E 55%

A/B activation function-1: AF-1

AF-2 37

ER ER 2 DNA

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12

ERE DNA ER

Figure 8 AP-1 activating protein-1 SP-1

stimulating protein-1 ERE

MAP ER 39 ER ERα ERβ 40 ER 41 ERα αERKO luteinizing hormone; LH ERβ βERKO 42,43 βERKO

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13

ERα AP-1 ERα

44 Cyclooxygenase-2 COX-2 AP-1

ERα ERα COX-2 FOXL2

44

ERβ FOXL2

FOXL2

FOXL2

ERα ERβ FOXL2

ERβ FOXL2 ERβ

FOXL2 ERβ ERβ

ER ERβ aromatase

FOXL2 ERβ

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14 2

1.

17β-estradiol (E2) Sigma Aldrich (St. Louis, MO, USA)

2.

KGN

293T BRC ( , )

COV434

Health Protection Agency Culture Collection (Salisbury, UK) 293T

COV434 10% fetal bovine serum FBS Dulbecco's

modified Eagle medium DMEM

45

3594 (2)

KGN 10% FBS

DMEM/F-12 FBS DMEM Sigma Aldrich E2

E2 10-9 M

E2 pH

phenol red 46 phenol

red-free

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15 3.

KGN COV434 FOXL2 ERβ

KGN DMEM/F12 10% FBS 100 mm dish

TNE 10 mM Tris-HCl, pH 7.8, 150 mM NaCl, 1 mM EDTA, 1% Nonidet P-40, protease inhibitor cocktail

, , 10 20

10 anti-ERβ Santa

Cruz, Dallas, TX, USA 2 µg 4 1

Protein G Sepharose 4 Fast Flow 25 µg GE Healthcare UK Ltd, Little Chalfont,

UK 4 16

COV434 pcMV-myc-FOXL2 (

100 mm dish 1.5 106 cells / dish plating pCMV-myc-FOXL2 2 µg Effectene (Qiagen, Duesseldorf, Germany)

) 2 anti-c-Myc

agarose affinity gel Sigma Aldrich 25 µg

10% SDS-PAGE Immobilon-P Millipore, Billerica, MA, USA

10% TBS-T 10 mM

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16

anti-FOXL2 MBL, , anti-ERβ Santa Cruz TBS-T

1 anti-rabbit IgG 1:3000 Cell Signaling Technology, Danvers,

MA, USA TBS-T 1 TBS-T 3

horseraddish peroxidase ECL advance

GE Healthcare UK Ltd ImageQuant LAS 4000

GE Healthcare UK Ltd 3

4.

pCMV-myc-FOXL2 Bae Department of Life

Science, College of Natural Science, Chung-Ang University,

pcDNA Flag ERβ pcDNA3 Invitrogen, Camarillo, CA, USA

pcDNA-Flag ERβ

48 GST ERβ AF-1/2 ERβ AF-1 1 149 AF-2

248 530 pGEX 4T-1 vector GE healthcare

49

ERE

GGTCAGAGTGACC 3 thymidine kinase

pGL3 basic

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17

AdMLP Luc 48

5.

324

32 42

15 gonadotropin releasing hormone

(GnRH) 10% 4 µm organosilane 10 mM pH 6.0 microwave 0.3%

0.1% NP-40 5% Bovine serum Albumin PBS FOXL2

4oC

preimmune IgG PBS EnVision Kit DAKO, Glostrup,

Denmark horseradish peroxidase Diaminobenzidine

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18 6. GST-pull down

GST-pull down ERβ FOXL2

GST GST ERβ AF-1

GST ERβ AF-2 BL 21 Codon Plus Stratagene, Santa Clara, CA,

USA 37 LB OD600 0.4~0.5 Isopropyl-β-D-thiogalactopyranoside 0.1 mM GST IPTG 30 2 PBS +10% Glycerol 10 mM EDTA Triton X-100 1% 4 Glutathione-Sepharose 4B GE Healthcare UK Ltd GST

4 SDS-PAGE Coomassie Brilliant

Blue

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19

E2 10-9M vehicle NET-N+ 20 mM Tris-HCl, pH

7.5, 200 mM NaCl, 1 mM EDTA, 0.5% Nonidet P-40, protease inhibitor cocktail

pCMV-myc-FOXL2 ( 100 mm

dish 1 106 cells / dish plating pCMV-myc-FOXL2 2 µg

Effectene (Qiagen) 2 ) 293T 4 60 NET-N+ buffer 6 10% SDS-PAGE Immobilon-P anti-FOXL2 3 7. DMEM/F12 10% FBS 6 well (35 mm ) TNE 10 mM Tris-HCl, pH 7.8, 150 mM NaCl, 1 mM EDTA, 1% Nonidet P-40, protease inhibitor cocktail

10 20 10

10%

SDS-PAGE Immobilon-P Millipore

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20

mM NaCl, 0.05% Tween 20 1 anti-FOXL2 MBL

anti-β-Actin Santa Cruz TBS-T 1 anti-rabbit IgG

1:3000 anti-mouse IgG : 1:3000 Cell Signaling TBS-T 1

TBS-T 3

horseraddish peroxidase ECL advance GE Healthcare UK Ltd ImageQuant LAS 4000 GE Healthcare UK Ltd

3

8.

FOXL2 ERα ERβ

293T phenol red-free

DMEM 5% FBS

12 well dish 1 105 cells / well plating Effectene Qiagen

Lane 1~4: E2 1: pcDNA3 2: pcDNA3 Flag ERβ 3: pCMV-myc-FOXL2 4:

pcDNA3 Flag ERβ + pCMV-myc-FOXL2 Lane 5~8: 10-9 M E2

5: pcDNA3 6: pcDNA3 Flag ERβ 7: pCMV-myc-FOXL2 8: pcDNA3 Flag ERβ +pCMV-myc-FOXL2

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21

Lane 1: E2 pcDNA3 Flag ERα Lane 2~4: 10-9 M E2 2:

pcDNA 3: pcDNA3 Flag ERβ 4: pcDNA3 Flag ERβ + pCMV-myc-FOXL2

Lane 1~3; E2 1: pM + pcDNA3 2: pM ERβ AF-2 + pcDNA3 3: pM ERβ AF-2 + pCMV--myc-FOXL2 Lane 4~6: 10-9 M E2 4: pM + pcDNA3

5: pM ERβ AF-2 + pcDNA3 6: pM ERβ AF-2 + pCMV-myc-FOXL2

well ERE tk Luc 250 ng

well 17m8 AdMLP Luc 250 ng

well internal control phRL CMV Luc 1 ng

pcDNA3 pcDNA3 Flag ERβ pCMV-myc- FOXL2 pM ERβ AF-1 pM ERβ AF-2 0.1 µg

24 Dual Luciferase Reporter System Promega firefly luciferase

Renilla luciferase 3

3

9. short-interference RNA siRNA FOXL2

6 FOXL2 siRNA

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22

254-272 84-91 283-301 94-101 773-791

257-264 808-826 269-276 FOXL2-RNAi Thermo Scientific ,

Lifetechnologies , , Sense

5’-UCGCGAAGUUCCCGUUCUA-3’ 5’-AAGAAGGGCUGGCAAAAUA-3’ 5’-ACACACGCGUGCAGAGCAU-3’ 5’-GUAGUGAACUCGUACAAUG-3’

siRNA All Stars Negative Control siRNA 1027281: Qiagen

siRNA Lipofectamine RNAimax Lifetechnologies

, , siRNA 10 nM

FOXL2 PCR

10. RNA PCR

FOXL2 ERβ ERβ

aromatase mRNA

10% FBS DMEM/F12 negative control

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23

5% FBS DMEM/F12

48 Isogen ,

, RNA RNA ReverTra Ace TOYOBO,

, cDNA PCR LightCycler

2.0 DX400 Roche Applied Science, Penzberg, Germany PCR 95oC 10

55 oC 10 72 oC 10 1 40

PCR PCR

glyceraldehyde-3-phosphate dehydrogenase

GAPDH mRNA mRNA

aromatase Forward 5'- GAGAATTCATGCGAGTCTGGA -3' Reverse 5'- CATTATGTGGAACATACTTGAGGACT -3' StAR Forward 5'- AAACTTACGTGGCTACTCAGCATC -3' Reverse 5'- GACCTGGTTGATGATGCTCTTG -3' GAPDH Forward 5'-GAAGGTGAAGGTCGGAGTC-3'

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24

Reverse 5'-GAAGATGGTGATGGGATTTC-3'

LightCycler 2.0 DX400 LightCycler FastStart DNA Master SXBR Green I Roche Applied Science

11.

StatView Version 5

for Windows (SAS, Cary, NC, USA) One-factorial

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25 3 1. FOXL2 FOXL2 FOXL2 FOXL2 FOXL2 FOXL2 Figure 9 2. FOXL2 ERβ KGN FOXL2 C134W KGN anti-ERβ anti-FOXL2 ERβ FOXL2 Figure 10 COV434 FOXL2 COV434 pCMV-myc-FOXL2

anti-c-Myc agarose affinity gel anti-ERβ

FOXL2 ERβ COV434

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26 3. FOXL2 ERβ in vitro

Glutathione-Sepharose 4B GE Healthcare UK Ltd GST-ERβ AF-1

GST-ERβ AF-2 E2 10-9 M vehicle

pCMV-myc-FOXL2 293T

GST 10% SDS-PAGE

FOXL2 ERβ AF-1 FOXL2 ERβ AF-2

ERβ E2 10-9 M

Figure 12

4. ERβ FOXL2

293T ERE tk Luc phRL

CMV Luc FOXL2 ERβ E2

ERβ E2 10-9 M

FOXL2 ERβ

Figure 13

5. ERα FOXL2

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27

AP-1 44 FOXL2 ERβ

ERβ ERα 293T

ERE tk Luc phRL CMV

Luc FOXL2 ERα E2

ERα E2 10-9 M

FOXL2

Figure 14 Figure 13 FOXL2 ERβ E2

6. ERβ FOXL2

FOXL2 ERβ E2 E2

ERβ

293T ERβ AF-2

17m8 AdMLP Luc phRL CMV Luc

ERβ AF-2 E2 Figure 15 FOXL2

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28 FOXL2 ERβ ERβ aromatase 51,52 FOXL2 ERβ FOXL2 aromatase Lipofectamine

RNAimax Lifetechnologies All stars Negative Control siRNA FOXL2 siRNA

5% FBS 48 aromatase mRNA

PCR FOXL2 siRNA FOXL2

Figure 16 FOXL2 aromatase mRNA

Figure 17 Aromatase 51,52

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29 4 FOXL2 POI FOXL2 POI 19 FOXL2 POI FOXL2 FOXL2 FOXL2 26,52 FOXL2

FOXL2 ERα19 ERβ

FOXL2 ERβ

FOXL2 ERβ

ERβ aromatase FOXL2

FOXL2 ERβ aromatase

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30

FOXL2 aromatase

FOXL2 DNA

15-17 Forkhead 5’ [(G/A) (T/C) (C/A)

A A (C/T) A] 3’ 54 FOXL2

GTCAAGG (T/C) 55 aromatase

II39 FOXO aromatase

FOXO TGTTT FOXO

FOXL2 30

aromatase II ERE half site56 FOXL2

ERβ aromatase ERβ 37 ERβ ERα 2 ERβ ERα ERβ ERα 37 ERβ 43 aromatase

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31 LH mRNA mRNA 42 ERβ 57 ERα 43 ERα ERβ Figure 8 FOXL2 ERβ ERβ FOXL2 FOXL2 ERβ

Figure 18 FOXL2 ERβ

FOXL2 FOXL2 FOXL2 StAR FOXL2 Q219X StAR 26 FOXL2 FOXL2 ERβ 26 FOXL2 ERβ

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32 BPE type1 19,2158 BPE type1 FSH E2 BPE type1 E2 E2 ERβ FOXL2 FOXL2 FOXL2

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33 5

FOXL2

ERβ FOXL2

FOXL2 ERβ AF-1 AF-2

FOXL2 ERβ

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35 AF-1, AF-2; activation function-1, 2

AP-1; activating protein-1

BPE; blepharophimosis/ptosis/epicanthus inversus syndrome DMEM; Dulbecco's modified Eagle medium

E2; 17β-estradiol

ER; estrogen receptor

ERE; estrogen responsive element FBS; fetal bovine serum

FOXL2; forkhead/hepatocyte nuclear factor 3 gene family of transcription factor L2 FSH; follicle stimulating hormone

GST; glutathione S-transferase

GnRHR; gonadotropin releasing hormone receptor NLS; nuclear localization signal

NR; nuclear receptor LH; luteinizing hormone

POI; primary ovarian insufficiency StAR; steroidogenic acute regulatory

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50. Wada-Hiraike, O., Yano, T., Nei, T., Matsumoto, Y., Nagasaka, K., Takizawa, S., Oishi, H., Arimoto, T., Nakagawa, S., Yasugi, T., Kato, S., Taketani, Y. The DNA mismatch repair gene hMSH2 is a potent coactivator of oestrogen receptor α. Br J Cancer 92, 2286-2291 (2005).

51. Akatsuka, N., Komatsuzaki, E., Ishikawa, A., Suzuki, I., Yamane, N., Miyata, S. Expression of the gonadal p450 aromatase gene of Xenopus and characterization of the 5'-flanking region of the aromatase gene. J Steroid Biochem Mol Biol 96, 45-50 (2005).

52. Silva, J. M., Hamel, M., Sahmi, M., Price, C. A. Control of oestradiol secretion and of cytochrome P450 aromatase messenger ribonucleic acid accumulation by FSH

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45

involves different intracellular pathways in oestrogenic bovine granulosa cells in vitro. Reproduction 132, 909-917 (2006).

53. BPES database. http://users.ugent.be/~dbeysen/foxl2/Tables/tableall.htm.

54. Kaufmann, E., Knochel, W. Five years on the wings of fork head. Mech Dev 57, 3-20 (1996).

55. Benayoun, B. A., Caburet, S., Dipietromaria, A., Bailly-Bechet, M., Batista, F., Fellous, M., Vaiman, D., Veitia, R. A. The identification and characterization of a FOXL2 response element provides insights into the pathogenesis of mutant alleles. Hum Mol Genet 17, 3118-3127 (2008).

56. Driscoll, M. D., Sathya, G., Muyan, M., Klinge, C. M., Hilf, R., Bambara, R. A. Sequence requirements for estrogen receptor binding to estrogen response elements. J Biol Chem 273, 29321-29330 (1998).

57. Emmen, J. M., Couse, J. F., Elmore, S. A., Yates, M. M., Kissling, G. E., Korach, K. S. In vitro growth and ovulation of follicles from ovaries of estrogen receptor (ER)α and ERβ null mice indicate a role for ERβ in follicular maturation. Endocrinology 146, 2817-2826 (2005).

58. Fan, J. Y., Wang, Y. F., Han, B., Ji, Y. R., Song, H. D., Fan, X. Q. FOXL2 mutations in Chinese families with Blepharophimosis syndrome (BPES). Transl

(46)

46 Res 157, 48-52 (2011).

(47)

47 Figure 1

(48)

48

Figure 2 ART

1978 1992

ART; assisted reproductive technology

(49)

49

Figure 3 2012 ART

ART; assisted reproductive technology

(50)

50 Figure 4 BPE

(51)

51 Figure 5 BPE

BPE

(52)

52

Figure 6 FOXL2 forkhead/hepatocyte nuclear factor 3 gene family of transcription factor L2

379 1 forkhead

(53)

53

Figure 7 ER α β

ER α β 2 ERα 595 ERβ 530

activation function -1 (AF-1)

activation function -2 (AF-2) AF-1 AF-2

DNA ERα ERβ 95%

(54)

54 Figure 8 ERβ genomic function

ER genomic function

ER ERβ

DNA ERα E2; 17β-estradiol

ER; estrogen receptor

(55)

55 Figure 9 FOXL2 (n=15) anti-FOXL2 (1:100) FOXL2 FOXL2 (FOXL2 / ) primordial follicle 43% (73/169)

intermediatry follicle 68%(96/141) primarymordial follicle 81% (52/64) secondary follicle 84% (38/45) antral follicle 68% (42/62) corpus luteum 40% (7/17)

(56)

56

Figure 10 FOXL2 ERβ

KGN FOXL2 C134W

KGN FOXL2 ERβ

KGN

anti-ERβ 2 µg Protein G Sepharose 4 Fast Flow anti-FOXL2 (1:500)

anti-rabbit IgG (1:3000) ECL advance anti-ERβ

3 FOXL2; forkhead/hepatocyte nuclear factor 3 gene family of transcription factor L2 ERβ; estrogen receptor β

(57)

57

Figure 11 FOXL2 ERβ

COV434 FOXL2

COV434 FOXL2 ERβ

COV434 pCMV-myc-FOXL2

anti-c-Myc agarose affinity gel (beads 25µg) anti-ERβ (1:250)

anti-rabbit IgG (1:3000) ECL advance

anti-ERβ

3

FOXL2; forkhead/hepatocyte nuclear factor 3 gene family of transcription factor L2 ERβ; estrogen receptor β

(58)

58 Figure 12 FOXL2 ERβ in vitro

GST FOXL2 ERβ in vitro

GST Glutathione-Sepharose 4B

GST ERβ AF-1 AF-2 GST GST

ERβ AF-2 E2 10-9 M vehicle

pCMV-myc-FOXL2 293T

GST 300µg 10% SDS-PAGE

(anti-FOXL2 : 1:500, anti-rabbit IgG : 1:3000)

GST ERβ AF-1 / AF-2 FOXL2

GST ERβ AF-2 FOXL2

3 GST; glutathione S-transferase

FOXL2; forkhead/hepatocyte nuclear factor 3 gene family of transcription factor L2 ERβ; estrogen receptor β

(59)

59

Figure 13 ERβ E2 FOXL2

ERβ E2 FOXL2

293T 100 ng, ERE

tk Luc 250 ng internal control phRL CMV Luc 1 ng

Effectene vehicle E2 10-9 M

24 Dual Luciferase Reporter System Promega

firefly luciferase

Renilla luciferase 3

3

one-factorial ANOVA Bonferroni/Dunn

post hoc test FOXL2 ERβ E2

* p < 0.05

FOXL2; forkhead/hepatocyte nuclear factor 3 gene family of transcription factor L2 ERβ; estrogen receptor β

(60)

60

Figure 14 ERα E2 FOXL2

ERα E2 FOXL2

293T 100 ng, ERE

tk Luc 250 ng internal control phRL CMV Luc 1 ng

Effectene vehicle E2 10-9 M

24 Dual Luciferase Reporter System Promega

firefly luciferase

Renilla luciferase 3

3

one-factorial ANOVA Bonferroni/Dunn

post hoc test FOXL2 ERα E2

(N.S. ; not significant)

FOXL2; forkhead/hepatocyte nuclear factor 3 gene family of transcription factor L2 ERα; estrogen receptor α

(61)

61

Figure 15 ERβ AF-2 FOXL2

ERβ FOXL2

293T 100 ng,

17m8 AdMLP Luc 250 ng internal control phRL CMV Luc 1 ng

Effectene vehicle

E2 10-9 M 24 Dual Luciferase Reporter System

Promega firefly luciferase

Renilla luciferase

3 3

one-factorial ANOVA

Bonferroni/Dunn post hoc test FOXL2

ERβ AF-2 **p < 0.01

FOXL2; forkhead/hepatocyte nuclear factor 3 gene family of transcription factor L2 ERβ; estrogen receptor β

(62)

62

Figure 16 siRNA FOXL2

FOXL2 siRNA FOXL2

FOXL2-RNAi

siRNA Lipofectamine RNAimax siRNA

10 nM 48

FOXL2 (anti-FOXL2 1:500, anti-rabbit IgG : 1:3000)

β-Actin (anti-β-Actin : 1:500, anti-mouse IgG : 1:3000)

15 µg SDS PAGE FOXL2-RNAi

FOXL2 3

(63)

63

Figure 17 FOXL2 aromatase

FOXL2 ERβ

aromatase mRNA

PCR aromatase

FOXL2-RNAi siRNA Lipofectamine

RNAimax 48 RNA

aromatase mRNA PCR

Mann- Whitney U test

FOXL2 aromatase

mRNA FOXL2 ERβ

(n=6, * p<0.05)

FOXL2; forkhead/hepatocyte nuclear factor 3 gene family of transcription factor L2 ERβ; estrogen receptor β

(64)

64 Figure 18 FOXL2 ERβ

FOXL2 ERβ ER

ERβ

FOXL2; forkhead/hepatocyte nuclear factor 3 gene family of transcription factor L2 E2; 17β-estradiol

ER; estrogen receptor

Figure 2 ART
Figure 3 2012 ART
Figure  6 FOXL2 forkhead/hepatocyte  nuclear  factor  3  gene  family  of  transcription  factor L2
Figure 7 ER α β
+7

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