Despite the progress made on functional characterization of TGFβ family ligands in female reproduction, the
in vivo roles of individual receptors in this pathway have remained elusive. Because conventional inactivation of
Tgfbr1 results in embryonic lethality
[44], the functional understanding of this receptor in female reproductive tissues was hampered. In the current study, conditional deletion of
Tgfbr1 in the female reproductive tract using
Amhr2-Cre expressed in granulosa cells and mesenchymal compartments of the oviduct and uterus
[51],
[55] led to female sterility. Histological analysis revealed that
Tgfbr1 cKO mice had minimal defects in their ovaries, which contain morphologically normal follicles at various developmental stages. To determine if the
Tgfbr1 cKO mice have normal ovarian function, we conducted superovulation and fertilization experiments. Our results showed that
Tgfbr1 cKO mice could ovulate, and the ovulated oocytes were fertilizable. These data suggest that TGFBR1 in mouse granulosa cells may not be essential for ovulation and oocyte fertilization.
TGFBR1 can mediate GDF9 signaling in granulosa cells
in vitro [35]. Since GDF9 regulates folliculogenesis and cumulus cell expansion
[12],
[36],
[42],
[67], we were interested to know if cumulus cell function was impaired in the
Tgfbr1 cKO mice. We found that
Tgfbr1 cKO cumulus cells could expand
in vivo and
in vitro. Moreover, TGFBR1 was predominantly localized to thecal cells and corpora lutea, but not granulosa cells of developing follicles at preantral stage, the known sites for GDF9 action. After PMSG-hCG injection, the mural granulosa cells but not cumulus cells of preovulatory follicles highly expressed β-galactosidase from the
Tgfbr1bgal knockin allele. Recombinant GDF9 or BMP15, another oocyte-derived factor implicated in follicular development
[68]–
[70], could markedly reduce
Tgfbr1 expression in mouse granulosa cells, which might explain the low intensity of TGFBR1 signals in cumulus cells adjacent to the oocyte. The data indicate that TGFBR1 might not be a physiological receptor for GDF9, or at least not the sole GDF9 type 1 receptor in mouse ovarian somatic cells. To further explore the potential GDF9 type 1 receptor(s) in mouse ovary, we utilized mouse granulosa cell culture and took advantage of
Alk6 null granulosa cells and small molecule inhibitors for ALK2/3/6
[71] and ALK4/5/7
[72]. Consistent with ALK6 as the BMP15 type 1 receptor
[73],
[74], the ability of recombinant BMP15 to induce cumulus expansion-related transcript expression is completely lost in mouse granulosa cells lacking ALK6 (data not shown). However, GDF9 signaling remains intact in
Alk6 null cells, excluding ALK6 as a GDF9 receptor. The small molecule inhibitor studies further helped to identify potential candidate receptors for GDF9 in mouse ovary (i.e., ALK4 and/or ALK7), although SB-505124 cannot precisely distinguish the type 1 receptor through which GDF9 signals. Despite these findings, future functional studies using conditional deletion of one or more type 1 receptors are needed to pinpoint the physiological receptor(s) for GDF9 in mouse ovary.
Because
Amhr2 is also expressed in mesenchyme-derived tissues in the oviduct and uterus
[75], we examined whether the observed sterility is a phenotypic consequence of conditional knockout of
Tgfbr1 in the oviduct and/or uterus. We found that the
Tgfbr1 cKO mice develop a striking oviductal phenotype marked by the formation of bilateral diverticula. Histologically, a well-formed diverticulum comprises a single layer of smooth muscle cells and epithelium. The presence of degenerating oocytes/embryos in the oviductal diverticula but absence of blastocysts in the uteri (3.5 dpc) of the
Tgfbr1 cKO mice strongly indicate that development of oviductal diverticula is sufficient to cause female infertility in the
Tgfbr1 cKO mice, though it is plausible that disruption of the uterine smooth muscle development might sequentially confound the pregnancy outcome if pregnancy could occur in these mice. It is known that the myometrium plays an important role in key pregnancy-associated reproductive events, although current knowledge of myometrial causes of reproductive disorders is limited
[76]. A successful labor is dependent on the synchronous myometrial contractions, which are regulated by a series of coordinated events at both hormonal and molecular levels during pregnancy
[77],
[78]. The disruption of uterine smooth muscle structure in the
Tgfbr1 cKO mice could potentially impede the contractility of the uterus or cause uterine rupture, with an adverse impact on pregnancy outcome. Emerging evidence suggests the involvement of the Wnt pathway in the maintenance of myometrium organization and integrity
[79],
[80]. Further investigations on the potential link between TGFBR1–mediated signaling and the Wnt pathway as well as the direct impact of the myometrial abnormalities resulting from loss of TGFβ/Wnt signaling components on reproductive potential may shed mechanistic light on reproductive disorders associated with smooth muscle pathology.
It is noteworthy that the oviductal phenotype of the TGFBR1-deficient mice resembles that of the conditional deletion of
Dicer1, a key gene involved in miRNA and small interfering RNA (siRNA) biogenesis pathways
[81]. MicroRNAs are non-coding small RNAs that regulate gene expression by inducing translational repression or mRNA degradation of target genes
[81]. Recent studies in vascular smooth muscle cells suggest that TGFβ signaling can induce the maturation of a subset of miRNAs through the interactions between SMADs and the consensus RNA sequence of miRNAs within the DROSHA microprocessor complex
[56],
[82],
[83]. Based on these findings and the similarity of the oviductal phenotype between
Tgfbr1 and our previously described
Dicer1 cKO mice
[55], we proposed a potential link between the TGFβ signaling and miRNA pathways in the female reproductive tract. To test this hypothesis, we examined the expression of select genes/miRNAs in the oviducts of 3–4 week old
Tgfbr1 cKO and control mice. We found a global reduction of expression of smooth muscle genes, as well as two miRNAs,
miR-143 and
miR-145, in the
Tgfbr1 cKO oviducts compared with controls. These two miRNAs are expressed in smooth muscle cells and have debatable roles in specifying smooth muscle phenotype
[57]–
[60],
[84]. However,
miR-21, which is regulated by TGFβ signaling in vascular smooth muscle cells
[56], was not altered in the
Tgfbr1 cKO oviducts. The defective oviductal smooth muscle phenotype of the
Tgfbr1 cKO mice raised the possibility that the reductions of smooth muscle genes and smooth muscle associated miRNAs could be a consequence of reduced muscle components in the oviductal samples. To further address this question, we collected and analyzed oviductal samples from both control and
Tgfbr1 cKO mice at the age of 7 days prior to significant smooth muscle loss. We confirmed by quantitative PCR that
miR-143 was not significantly altered in the
Tgfbr1 cKO oviducts. Consistently, alteration of smooth muscle gene expression was not found in 7-day-old oviducts of
Tgfbr1 cKO mice. Therefore, the decreased expression of
miR-143/145 and smooth muscle genes in the 3–4 week old
Tgfbr1 cKO mice is likely caused by reduced smooth muscle components. Although
Dicer1 cKO mice develop oviductal diverticula
[55], they have distinct uterine phenotypes (i.e., small uteri but histologically normal smooth muscle layers) and oviductal gene expression patterns compared to the
Tgfbr1 cKO mice. Moreover, the phenotype of
Tgfbr1 cKO mice is distinct from that of conditional deletion of
Smad2 and
Smad3 [18], suggesting the involvement of SMAD-independent pathway(s) downstream of TGFBR1. Collectively, the oviductal phenotype observed in
Tgfbr1 cKO mice is likely not a direct consequence of miRNA dysregulation.
Molecular analysis of the postnatal day 7 oviducts from
Tgfbr1 cKO mice demonstrated dysregulation of genes associated with cell differentiation and migration. Keratins have recently been highlighted as vital regulators of diverse cellular properties and functions (e.g., apico-basal polarization, motility, etc.), rather than simple epithelial markers
[62]. KRT12 is a member of epithelial intermediate filament proteins which generally consist of two types of keratins (type 1 and type 2) as heterodimeric polymers
[61],
[62]. Dysregulation of epithelial genes in the oviducts of
Tgfbr1 cKO mice suggests that mesenchymal-epithelial interactions, which are potentially vital for smooth muscle development
[85], could be affected when TGFBR1–mediated signaling is disrupted in the smooth muscle compartment although potentially functional TGFBR1 might still be present in the epithelial compartment due to the lack of
Amhr2-Cre activity. As evidence of potentially altered smooth muscle cell differentiation, we found that MyoR/musculin was substantially up-regulated in the
Tgfbr1 cKO oviducts. Despite the fact that MyoR is also expressed in other cell types and can regulate their differentiation
[86], the significance of MyoR up-regulation in
Tgfbr1 cKO oviducts awaits further investigation as current understanding of MyoR-regulated cell differentiation has been confined to the skeletal muscle lineage
[87]. Beyond the aspects of cell differentiation, our data also point to the potential aberration of cell migration in the
Tgfbr1 cKO oviducts. It is well established that the renin-angiotensin system serves as a physiological system regulating blood pressure. Renin catalyzes the conversion of angiotensinogen to angiotensin I, which can be converted by ACE into angiotensin II. ACE2 is a newly described member of the renin-angiotensin system that can cleave angiotensin II into angiotensin 1–7, or angiotensin I into angiotensin 1–9
[66]. The renin-angiotensin system has been implicated in vascular smooth muscle cell proliferation and migration
[88],
[89], and ACE2 overexpression-induced alterations in cell migration have been documented
[88]. In further support of aberrant cell migrations in the
Tgfbr1 cKO oviducts, we found increased expression of
Vegfa and
Figf/
Vegfd. VEGFA and VEGFD are known regulators of smooth muscle cell migration
[90],
[91], and VEGF receptors are expressed in vascular smooth muscle cells
[92]. Interestingly,
Vegf is induced by TGFβ in mouse macrophages
[93]. However, given the highly context-dependent nature of gene regulation by TGFβ signaling
[94] as well as the diversity of ligands which signal via TGFBR1, it is not surprising that
Vegf is up-regulated in mouse oviducts lacking TGFBR1. Moreover, it is not clear if the dysregulation of the aforementioned genes in the oviducts are direct or indirect effects of the loss of TGFBR1. Thus, our results indicate that profound molecular changes may occur in the smooth muscle and/or epithelial compartments of the oviduct in the absence of TGFBR1–mediated signaling. These alterations may developmentally affect the structural, migratory, and differentiating properties of the smooth muscle/epithelial cells, ultimately leading to the formation of the deleterious oviductal diverticula.
In summary, this study provides genetic evidence that TGFBR1–mediated signaling controls the integrity and function of the female reproductive tract. Disruption of TGFBR1–mediated signaling leads to catastrophic structural and functional consequences. Further in-depth understanding of the functional and regulatory significance of TGFBR1–mediated signaling in female reproductive physiology and pathology may help to discover novel therapeutic approaches for infertility treatment.