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The Hydroxysteroid (17β) Dehydrogenase Family Gene HSD17B12 Is Involved in the Prostaglandin Synthesis Pathway, the Ovarian Function, and Regulation of Fertility
The hydroxysteroid (17beta) dehydrogenase (HSD17B)12 gene belongs to the hydroxysteroid (17β) dehydrogenase superfamily, and it has been implicated in the conversion of estrone to estradiol as well as in the synthesis of arachidonic acid (AA). AA is a precursor of prostaglandins, which are involved...
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Published in: | Endocrinology (Philadelphia) 2016-10, Vol.157 (10), p.3719-3730 |
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creator | Kemiläinen, Heidi Adam, Marion Mäki-Jouppila, Jenni Damdimopoulou, Pauliina Damdimopoulos, Anastasios E Kere, Juha Hovatta, Outi Laajala, Teemu D Aittokallio, Tero Adamski, Jerzy Ryberg, Henrik Ohlsson, Claes Strauss, Leena Poutanen, Matti |
description | The hydroxysteroid (17beta) dehydrogenase (HSD17B)12 gene belongs to the hydroxysteroid (17β) dehydrogenase superfamily, and it has been implicated in the conversion of estrone to estradiol as well as in the synthesis of arachidonic acid (AA). AA is a precursor of prostaglandins, which are involved in the regulation of female reproduction, prompting us to study the role of HSD17B12 enzyme in the ovarian function. We found a broad expression of HSD17B12 enzyme in both human and mouse ovaries. The enzyme was localized in the theca interna, corpus luteum, granulosa cells, oocytes, and surface epithelium. Interestingly, haploinsufficiency of the HSD17B12 gene in female mice resulted in subfertility, indicating an important role for HSD17B12 enzyme in the ovarian function. In line with significantly increased length of the diestrous phase, the HSD17B+/− females gave birth less frequently than wild-type females, and the litter size of HSD17B12+/− females was significantly reduced. Interestingly, we observed meiotic spindle formation in immature follicles, suggesting defective meiotic arrest in HSD17B12+/− ovaries. The finding was further supported by transcriptome analysis showing differential expression of several genes related to the meiosis. In addition, polyovular follicles and oocytes trapped inside the corpus luteum were observed, indicating a failure in the oogenesis and ovulation, respectively. Intraovarian concentrations of steroid hormones were normal in HSD17B12+/− females, whereas the levels of AA and its metabolites (6-keto prostaglandin F1alpha, prostaglandin D2, prostaglandin E2, prostaglandin F2α, and thromboxane B2) were decreased. In conclusion, our study demonstrates that HSD17B12 enzyme plays an important role in female fertility through its role in AA metabolism. |
doi_str_mv | 10.1210/en.2016-1252 |
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AA is a precursor of prostaglandins, which are involved in the regulation of female reproduction, prompting us to study the role of HSD17B12 enzyme in the ovarian function. We found a broad expression of HSD17B12 enzyme in both human and mouse ovaries. The enzyme was localized in the theca interna, corpus luteum, granulosa cells, oocytes, and surface epithelium. Interestingly, haploinsufficiency of the HSD17B12 gene in female mice resulted in subfertility, indicating an important role for HSD17B12 enzyme in the ovarian function. In line with significantly increased length of the diestrous phase, the HSD17B+/− females gave birth less frequently than wild-type females, and the litter size of HSD17B12+/− females was significantly reduced. Interestingly, we observed meiotic spindle formation in immature follicles, suggesting defective meiotic arrest in HSD17B12+/− ovaries. The finding was further supported by transcriptome analysis showing differential expression of several genes related to the meiosis. In addition, polyovular follicles and oocytes trapped inside the corpus luteum were observed, indicating a failure in the oogenesis and ovulation, respectively. Intraovarian concentrations of steroid hormones were normal in HSD17B12+/− females, whereas the levels of AA and its metabolites (6-keto prostaglandin F1alpha, prostaglandin D2, prostaglandin E2, prostaglandin F2α, and thromboxane B2) were decreased. In conclusion, our study demonstrates that HSD17B12 enzyme plays an important role in female fertility through its role in AA metabolism.</description><identifier>ISSN: 0013-7227</identifier><identifier>ISSN: 1945-7170</identifier><identifier>EISSN: 1945-7170</identifier><identifier>DOI: 10.1210/en.2016-1252</identifier><identifier>PMID: 27490311</identifier><language>eng</language><publisher>United States: Endocrine Society</publisher><subject>17-Hydroxysteroid Dehydrogenases - genetics ; 17-Hydroxysteroid Dehydrogenases - metabolism ; Animals ; Arachidonic acid ; Arachidonic Acid - metabolism ; Corpus luteum ; Dehydrogenase ; Dehydrogenases ; Endocrinology and Diabetes ; Endokrinologi och diabetes ; Enzymes ; Epithelium ; Estrone ; Estrous Cycle ; Female ; Females ; Fertility ; Follicles ; Gametocytes ; Gene expression ; Gonadal Steroid Hormones - metabolism ; Granulosa cells ; Haploinsufficiency ; Hormones ; Humans ; Hydroxysteroids ; Litter size ; Male ; Medicin och hälsovetenskap ; Meiosis ; Metabolites ; Mice, Inbred C57BL ; Oocytes ; Oogenesis ; Ovaries ; Ovary - physiology ; Ovulation ; Prostaglandin D2 ; Prostaglandin E2 ; Prostaglandin F2a ; Prostaglandins ; Prostaglandins - biosynthesis ; Random Allocation ; Reproductive status ; Sex hormones ; Steroid hormones ; Synthesis ; Theca ; Transcriptomes</subject><ispartof>Endocrinology (Philadelphia), 2016-10, Vol.157 (10), p.3719-3730</ispartof><rights>Copyright © 2016 by the Endocrine Society</rights><rights>Copyright © 2016 by the Endocrine Society 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c592t-d8907f48aa4e13956fb6f2c2aae26bec308d2faf2b982a81751d68b1c9c1855e3</citedby><cites>FETCH-LOGICAL-c592t-d8907f48aa4e13956fb6f2c2aae26bec308d2faf2b982a81751d68b1c9c1855e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27490311$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://gup.ub.gu.se/publication/248538$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:134450540$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Kemiläinen, Heidi</creatorcontrib><creatorcontrib>Adam, Marion</creatorcontrib><creatorcontrib>Mäki-Jouppila, Jenni</creatorcontrib><creatorcontrib>Damdimopoulou, Pauliina</creatorcontrib><creatorcontrib>Damdimopoulos, Anastasios E</creatorcontrib><creatorcontrib>Kere, Juha</creatorcontrib><creatorcontrib>Hovatta, Outi</creatorcontrib><creatorcontrib>Laajala, Teemu D</creatorcontrib><creatorcontrib>Aittokallio, Tero</creatorcontrib><creatorcontrib>Adamski, Jerzy</creatorcontrib><creatorcontrib>Ryberg, Henrik</creatorcontrib><creatorcontrib>Ohlsson, Claes</creatorcontrib><creatorcontrib>Strauss, Leena</creatorcontrib><creatorcontrib>Poutanen, Matti</creatorcontrib><title>The Hydroxysteroid (17β) Dehydrogenase Family Gene HSD17B12 Is Involved in the Prostaglandin Synthesis Pathway, the Ovarian Function, and Regulation of Fertility</title><title>Endocrinology (Philadelphia)</title><addtitle>Endocrinology</addtitle><description>The hydroxysteroid (17beta) dehydrogenase (HSD17B)12 gene belongs to the hydroxysteroid (17β) dehydrogenase superfamily, and it has been implicated in the conversion of estrone to estradiol as well as in the synthesis of arachidonic acid (AA). AA is a precursor of prostaglandins, which are involved in the regulation of female reproduction, prompting us to study the role of HSD17B12 enzyme in the ovarian function. We found a broad expression of HSD17B12 enzyme in both human and mouse ovaries. The enzyme was localized in the theca interna, corpus luteum, granulosa cells, oocytes, and surface epithelium. Interestingly, haploinsufficiency of the HSD17B12 gene in female mice resulted in subfertility, indicating an important role for HSD17B12 enzyme in the ovarian function. In line with significantly increased length of the diestrous phase, the HSD17B+/− females gave birth less frequently than wild-type females, and the litter size of HSD17B12+/− females was significantly reduced. Interestingly, we observed meiotic spindle formation in immature follicles, suggesting defective meiotic arrest in HSD17B12+/− ovaries. The finding was further supported by transcriptome analysis showing differential expression of several genes related to the meiosis. In addition, polyovular follicles and oocytes trapped inside the corpus luteum were observed, indicating a failure in the oogenesis and ovulation, respectively. Intraovarian concentrations of steroid hormones were normal in HSD17B12+/− females, whereas the levels of AA and its metabolites (6-keto prostaglandin F1alpha, prostaglandin D2, prostaglandin E2, prostaglandin F2α, and thromboxane B2) were decreased. In conclusion, our study demonstrates that HSD17B12 enzyme plays an important role in female fertility through its role in AA metabolism.</description><subject>17-Hydroxysteroid Dehydrogenases - genetics</subject><subject>17-Hydroxysteroid Dehydrogenases - metabolism</subject><subject>Animals</subject><subject>Arachidonic acid</subject><subject>Arachidonic Acid - metabolism</subject><subject>Corpus luteum</subject><subject>Dehydrogenase</subject><subject>Dehydrogenases</subject><subject>Endocrinology and Diabetes</subject><subject>Endokrinologi och diabetes</subject><subject>Enzymes</subject><subject>Epithelium</subject><subject>Estrone</subject><subject>Estrous Cycle</subject><subject>Female</subject><subject>Females</subject><subject>Fertility</subject><subject>Follicles</subject><subject>Gametocytes</subject><subject>Gene expression</subject><subject>Gonadal Steroid Hormones - metabolism</subject><subject>Granulosa cells</subject><subject>Haploinsufficiency</subject><subject>Hormones</subject><subject>Humans</subject><subject>Hydroxysteroids</subject><subject>Litter size</subject><subject>Male</subject><subject>Medicin och hälsovetenskap</subject><subject>Meiosis</subject><subject>Metabolites</subject><subject>Mice, Inbred C57BL</subject><subject>Oocytes</subject><subject>Oogenesis</subject><subject>Ovaries</subject><subject>Ovary - physiology</subject><subject>Ovulation</subject><subject>Prostaglandin D2</subject><subject>Prostaglandin E2</subject><subject>Prostaglandin F2a</subject><subject>Prostaglandins</subject><subject>Prostaglandins - biosynthesis</subject><subject>Random Allocation</subject><subject>Reproductive status</subject><subject>Sex hormones</subject><subject>Steroid hormones</subject><subject>Synthesis</subject><subject>Theca</subject><subject>Transcriptomes</subject><issn>0013-7227</issn><issn>1945-7170</issn><issn>1945-7170</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNp9ks9u1DAQxiMEokvhxhlZ4kCRNsVj549zhJZtV6rUipaz5SSTXZesvbWTLXkdHoEH4Zlw2G0rIcrJnk-_-fxpPFH0GughMKAf0BwyClkMLGVPogkUSRrnkNOn0YRS4HHOWL4XvfD-OpRJkvDn0R7Lk4JygEn042qJ5HSonf0--A6d1TU5gPzXz_fkGJejvkCjPJKZWul2ICdoAn95DPknYGTuydxsbLvBmmhDuuB14azv1KJVpg7K5WCC6LUnF6pb3qph-gc63yinlSGz3lSdtmZKAk6-4KJv1VgT25AZuk63uhteRs8a1Xp8tTv3o6-zz1dHp_HZ-cn86ONZXKUF6-JaFDRvEqFUgsCLNGvKrGEVUwpZVmLFqahZoxpWFoIpAXkKdSZKqIoKRJoi34_ira-_xXVfyrXTK-UGaZWWO-lbuKFMKecJC3zxKL92tn5oumsEniQpTRP637cW_VoGadGPLSwRKReBP9jywfimR9_JlfYVtmHMaHsvQRQgBAOeB_TtX-i17Z0Jk5McOM2YoMUYfrqlqvBf3mFzHwGoHPdKopHjXslxrwL-Zmfalyus7-G7RQrAuy1gQ_pHrOKdFd-SaGpbOW1w7dD7h5T_DPAbwUfn-Q</recordid><startdate>20161001</startdate><enddate>20161001</enddate><creator>Kemiläinen, Heidi</creator><creator>Adam, Marion</creator><creator>Mäki-Jouppila, Jenni</creator><creator>Damdimopoulou, Pauliina</creator><creator>Damdimopoulos, Anastasios E</creator><creator>Kere, Juha</creator><creator>Hovatta, Outi</creator><creator>Laajala, Teemu D</creator><creator>Aittokallio, Tero</creator><creator>Adamski, Jerzy</creator><creator>Ryberg, Henrik</creator><creator>Ohlsson, Claes</creator><creator>Strauss, Leena</creator><creator>Poutanen, Matti</creator><general>Endocrine Society</general><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QG</scope><scope>7QP</scope><scope>7QR</scope><scope>7T5</scope><scope>7TM</scope><scope>7TO</scope><scope>7U7</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>P64</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>F1U</scope></search><sort><creationdate>20161001</creationdate><title>The Hydroxysteroid (17β) Dehydrogenase Family Gene HSD17B12 Is Involved in the Prostaglandin Synthesis Pathway, the Ovarian Function, and Regulation of Fertility</title><author>Kemiläinen, Heidi ; Adam, Marion ; Mäki-Jouppila, Jenni ; Damdimopoulou, Pauliina ; Damdimopoulos, Anastasios E ; Kere, Juha ; Hovatta, Outi ; Laajala, Teemu D ; Aittokallio, Tero ; Adamski, Jerzy ; Ryberg, Henrik ; Ohlsson, Claes ; Strauss, Leena ; Poutanen, Matti</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c592t-d8907f48aa4e13956fb6f2c2aae26bec308d2faf2b982a81751d68b1c9c1855e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>17-Hydroxysteroid Dehydrogenases - genetics</topic><topic>17-Hydroxysteroid Dehydrogenases - metabolism</topic><topic>Animals</topic><topic>Arachidonic acid</topic><topic>Arachidonic Acid - metabolism</topic><topic>Corpus luteum</topic><topic>Dehydrogenase</topic><topic>Dehydrogenases</topic><topic>Endocrinology and Diabetes</topic><topic>Endokrinologi och diabetes</topic><topic>Enzymes</topic><topic>Epithelium</topic><topic>Estrone</topic><topic>Estrous Cycle</topic><topic>Female</topic><topic>Females</topic><topic>Fertility</topic><topic>Follicles</topic><topic>Gametocytes</topic><topic>Gene expression</topic><topic>Gonadal Steroid Hormones - metabolism</topic><topic>Granulosa cells</topic><topic>Haploinsufficiency</topic><topic>Hormones</topic><topic>Humans</topic><topic>Hydroxysteroids</topic><topic>Litter size</topic><topic>Male</topic><topic>Medicin och hälsovetenskap</topic><topic>Meiosis</topic><topic>Metabolites</topic><topic>Mice, Inbred C57BL</topic><topic>Oocytes</topic><topic>Oogenesis</topic><topic>Ovaries</topic><topic>Ovary - physiology</topic><topic>Ovulation</topic><topic>Prostaglandin D2</topic><topic>Prostaglandin E2</topic><topic>Prostaglandin F2a</topic><topic>Prostaglandins</topic><topic>Prostaglandins - biosynthesis</topic><topic>Random Allocation</topic><topic>Reproductive status</topic><topic>Sex hormones</topic><topic>Steroid hormones</topic><topic>Synthesis</topic><topic>Theca</topic><topic>Transcriptomes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kemiläinen, Heidi</creatorcontrib><creatorcontrib>Adam, Marion</creatorcontrib><creatorcontrib>Mäki-Jouppila, Jenni</creatorcontrib><creatorcontrib>Damdimopoulou, Pauliina</creatorcontrib><creatorcontrib>Damdimopoulos, Anastasios E</creatorcontrib><creatorcontrib>Kere, Juha</creatorcontrib><creatorcontrib>Hovatta, Outi</creatorcontrib><creatorcontrib>Laajala, Teemu D</creatorcontrib><creatorcontrib>Aittokallio, Tero</creatorcontrib><creatorcontrib>Adamski, Jerzy</creatorcontrib><creatorcontrib>Ryberg, Henrik</creatorcontrib><creatorcontrib>Ohlsson, Claes</creatorcontrib><creatorcontrib>Strauss, Leena</creatorcontrib><creatorcontrib>Poutanen, Matti</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Animal Behavior Abstracts</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Immunology Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Göteborgs universitet</collection><jtitle>Endocrinology (Philadelphia)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kemiläinen, Heidi</au><au>Adam, Marion</au><au>Mäki-Jouppila, Jenni</au><au>Damdimopoulou, Pauliina</au><au>Damdimopoulos, Anastasios E</au><au>Kere, Juha</au><au>Hovatta, Outi</au><au>Laajala, Teemu D</au><au>Aittokallio, Tero</au><au>Adamski, Jerzy</au><au>Ryberg, Henrik</au><au>Ohlsson, Claes</au><au>Strauss, Leena</au><au>Poutanen, Matti</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Hydroxysteroid (17β) Dehydrogenase Family Gene HSD17B12 Is Involved in the Prostaglandin Synthesis Pathway, the Ovarian Function, and Regulation of Fertility</atitle><jtitle>Endocrinology (Philadelphia)</jtitle><addtitle>Endocrinology</addtitle><date>2016-10-01</date><risdate>2016</risdate><volume>157</volume><issue>10</issue><spage>3719</spage><epage>3730</epage><pages>3719-3730</pages><issn>0013-7227</issn><issn>1945-7170</issn><eissn>1945-7170</eissn><abstract>The hydroxysteroid (17beta) dehydrogenase (HSD17B)12 gene belongs to the hydroxysteroid (17β) dehydrogenase superfamily, and it has been implicated in the conversion of estrone to estradiol as well as in the synthesis of arachidonic acid (AA). AA is a precursor of prostaglandins, which are involved in the regulation of female reproduction, prompting us to study the role of HSD17B12 enzyme in the ovarian function. We found a broad expression of HSD17B12 enzyme in both human and mouse ovaries. The enzyme was localized in the theca interna, corpus luteum, granulosa cells, oocytes, and surface epithelium. Interestingly, haploinsufficiency of the HSD17B12 gene in female mice resulted in subfertility, indicating an important role for HSD17B12 enzyme in the ovarian function. In line with significantly increased length of the diestrous phase, the HSD17B+/− females gave birth less frequently than wild-type females, and the litter size of HSD17B12+/− females was significantly reduced. Interestingly, we observed meiotic spindle formation in immature follicles, suggesting defective meiotic arrest in HSD17B12+/− ovaries. The finding was further supported by transcriptome analysis showing differential expression of several genes related to the meiosis. In addition, polyovular follicles and oocytes trapped inside the corpus luteum were observed, indicating a failure in the oogenesis and ovulation, respectively. Intraovarian concentrations of steroid hormones were normal in HSD17B12+/− females, whereas the levels of AA and its metabolites (6-keto prostaglandin F1alpha, prostaglandin D2, prostaglandin E2, prostaglandin F2α, and thromboxane B2) were decreased. In conclusion, our study demonstrates that HSD17B12 enzyme plays an important role in female fertility through its role in AA metabolism.</abstract><cop>United States</cop><pub>Endocrine Society</pub><pmid>27490311</pmid><doi>10.1210/en.2016-1252</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
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ispartof | Endocrinology (Philadelphia), 2016-10, Vol.157 (10), p.3719-3730 |
issn | 0013-7227 1945-7170 1945-7170 |
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source | Oxford Journals Online |
subjects | 17-Hydroxysteroid Dehydrogenases - genetics 17-Hydroxysteroid Dehydrogenases - metabolism Animals Arachidonic acid Arachidonic Acid - metabolism Corpus luteum Dehydrogenase Dehydrogenases Endocrinology and Diabetes Endokrinologi och diabetes Enzymes Epithelium Estrone Estrous Cycle Female Females Fertility Follicles Gametocytes Gene expression Gonadal Steroid Hormones - metabolism Granulosa cells Haploinsufficiency Hormones Humans Hydroxysteroids Litter size Male Medicin och hälsovetenskap Meiosis Metabolites Mice, Inbred C57BL Oocytes Oogenesis Ovaries Ovary - physiology Ovulation Prostaglandin D2 Prostaglandin E2 Prostaglandin F2a Prostaglandins Prostaglandins - biosynthesis Random Allocation Reproductive status Sex hormones Steroid hormones Synthesis Theca Transcriptomes |
title | The Hydroxysteroid (17β) Dehydrogenase Family Gene HSD17B12 Is Involved in the Prostaglandin Synthesis Pathway, the Ovarian Function, and Regulation of Fertility |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-04T18%3A00%3A41IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_swepu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20Hydroxysteroid%20(17%CE%B2)%20Dehydrogenase%20Family%20Gene%20HSD17B12%20Is%20Involved%20in%20the%20Prostaglandin%20Synthesis%20Pathway,%20the%20Ovarian%20Function,%20and%20Regulation%20of%20Fertility&rft.jtitle=Endocrinology%20(Philadelphia)&rft.au=Kemil%C3%A4inen,%20Heidi&rft.date=2016-10-01&rft.volume=157&rft.issue=10&rft.spage=3719&rft.epage=3730&rft.pages=3719-3730&rft.issn=0013-7227&rft.eissn=1945-7170&rft_id=info:doi/10.1210/en.2016-1252&rft_dat=%3Cproquest_swepu%3E1891882137%3C/proquest_swepu%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c592t-d8907f48aa4e13956fb6f2c2aae26bec308d2faf2b982a81751d68b1c9c1855e3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=3130628092&rft_id=info:pmid/27490311&rft_oup_id=10.1210/en.2016-1252&rfr_iscdi=true |