iScience (Dec 2020)

Membrane Estrogen Receptor (GPER) and Follicle-Stimulating Hormone Receptor (FSHR) Heteromeric Complexes Promote Human Ovarian Follicle Survival

  • Livio Casarini,
  • Clara Lazzaretti,
  • Elia Paradiso,
  • Silvia Limoncella,
  • Laura Riccetti,
  • Samantha Sperduti,
  • Beatrice Melli,
  • Serena Marcozzi,
  • Claudia Anzivino,
  • Niamh S. Sayers,
  • Jakub Czapinski,
  • Giulia Brigante,
  • Francesco Potì,
  • Antonio La Marca,
  • Francesco De Pascali,
  • Eric Reiter,
  • Angela Falbo,
  • Jessica Daolio,
  • Maria Teresa Villani,
  • Monica Lispi,
  • Giovanna Orlando,
  • Francesca G. Klinger,
  • Francesca Fanelli,
  • Adolfo Rivero-Müller,
  • Aylin C. Hanyaloglu,
  • Manuela Simoni

Journal volume & issue
Vol. 23, no. 12
p. 101812

Abstract

Read online

Summary: Classically, follicle-stimulating hormone receptor (FSHR)-driven cAMP-mediated signaling boosts human ovarian follicle growth and oocyte maturation. However, contradicting in vitro data suggest a different view on physiological significance of FSHR-mediated cAMP signaling. We found that the G-protein-coupled estrogen receptor (GPER) heteromerizes with FSHR, reprogramming cAMP/death signals into proliferative stimuli fundamental for sustaining oocyte survival. In human granulosa cells, survival signals are missing at high FSHR:GPER ratio, which negatively impacts follicle maturation and strongly correlates with preferential Gαs protein/cAMP-pathway coupling and FSH responsiveness of patients undergoing controlled ovarian stimulation. In contrast, FSHR/GPER heteromers triggered anti-apoptotic/proliferative FSH signaling delivered via the Gβγ dimer, whereas impairment of heteromer formation or GPER knockdown enhanced the FSH-dependent cell death and steroidogenesis. Therefore, our findings indicate how oocyte maturation depends on the capability of GPER to shape FSHR selective signals, indicating hormone receptor heteromers may be a marker of cell proliferation.

Keywords