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    <title>Durlinger, A.L.L.</title>
    <link>http://repub.eur.nl/res/aut/623/</link>
    <description>List of Publications</description>
    <language>en</language>
    <image>
      <url>http://repub.eur.nl/static-eur/img/logo.png</url>
      <title>RePub, Erasmus University Rotterdam</title>
      <link>http://repub.eur.nl</link>
    </image>
    <item>
      <title>Regulation of ovarian function: the role of anti-Mullerian hormone (Article)</title>
      <link>http://repub.eur.nl/res/pub/10008/</link>
      <pubDate>2002-01-01T00:00:00Z</pubDate>
      <description>Anti-Mullerian hormone (AMH), also known as Mullerian inhibiting
      substance, is a member of the transforming growth factor beta superfamily
      of growth and differentiation factors. In contrast to other members of the
      family, which exert a broad range of functions in multiple tissues, the
      principal function of AMH is to induce regression of the Mullerian ducts
      during male sex differentiation. However, the patterns of expression of
      AMH and its type II receptor in the postnatal ovary indicate that AMH may
      play an important role in ovarian folliculogenesis. This review describes
      several in vivo and in vitro studies showing that AMH participates in two
      critical selection points of follicle development: it inhibits the
      recruitment of primordial follicles into the pool of growing follicles and
      also decreases the responsiveness of growing follicles to FSH.</description>
    </item> <item>
      <title>Anti-Mullerian hormone inhibits initiation of primordial follicle growth in the mouse ovary (Article)</title>
      <link>http://repub.eur.nl/res/pub/9858/</link>
      <pubDate>2002-01-01T00:00:00Z</pubDate>
      <description>Recruitment of primordial follicles is essential for female fertility;
      however, the exact mechanisms regulating this process are largely unknown.
      Earlier studies using anti-Mullerian hormone (AMH)-deficient mice
      suggested that AMH is involved in the regulation of primordial follicle
      recruitment. We tested this hypothesis in a neonatal ovary culture system,
      in which ovaries from 2-d-old C57Bl/6J mice were cultured for 2 or 4 d in
      the absence or presence of AMH. Ovaries from 2-d-old mice contain multiple
      primordial follicles, some naked oocytes, and no follicles at later stages
      of development. We observed that in the cultured ovaries, either
      nontreated or AMH-treated, follicular development progressed to the same
      extent as in in vivo ovaries of comparable age, confirming the validity of
      our culture system. However, in the presence of AMH, cultured ovaries
      contained 40% fewer growing follicles compared with control ovaries. A
      similar reduction was found after 4 d of culture. Consistent with these
      findings, we noted lower inhibin alpha-subunit expression in AMH-treated
      ovaries compared with untreated ovaries. In contrast, expression of AMH
      ligand type II receptor and the expression of oocyte markers growth and
      differentiation factor 9 and zona pellucida protein 3 were not influenced
      by AMH. Based on the results, we suggest that AMH inhibits initiation of
      primordial follicle growth and therefore functions as an inhibitory growth
      factor in the ovary during these early stages of folliculogenesis.</description>
    </item> <item>
      <title>Anti-Mullerian hormone attenuates the effects of FSH on follicle development in the mouse ovary (Article)</title>
      <link>http://repub.eur.nl/res/pub/9773/</link>
      <pubDate>2001-01-01T00:00:00Z</pubDate>
      <description>Although ovarian follicle growth is under the influence of many growth
      factors and hormones of which FSH remains one of the most prominent
      regulators. Therefore, factors affecting the sensitivity of ovarian
      follicles to FSH are also important for follicle growth. The aim of the
      present study was to investigate whether anti-Mullerian hormone (AMH) has
      an inhibitory effect on follicle growth by decreasing the sensitivity of
      ovarian follicles to FSH. Furthermore, the combined action of AMH and FSH
      on ovarian follicle development was examined. Three different experiments
      were performed. Using an in vitro follicle culture system it was shown
      that FSH-stimulated preantral follicle growth is attenuated in the
      presence of AMH. This observation was confirmed by an in vivo experiment
      showing that in immature AMH-deficient females, more follicles start to
      grow under the influence of exogenous FSH than in their wild-type
      littermates. In a third experiment, examination of the follicle population
      of 4-month-old wild-type, FSH beta-, AMH-, and AMH-/FSH beta-deficient
      females revealed that loss of FSH expression has no impact on the number
      of primordial and preantral follicles, but the loss of inhibitory action
      of AMH on the recruitment of primordial follicles in AMH-deficient mice is
      increased in the absence of FSH. In conclusion, these studies show that
      AMH inhibits FSH-stimulated follicle growth in the mouse, suggesting that
      AMH is one of the factors determining the sensitivity of ovarian follicles
      for FSH and that AMH is a dominant regulator of early follicle growth.</description>
    </item> <item>
      <title>Ovarian follicle growth and development: role of anti-Müllerian hormone (Doctoral Thesis)</title>
      <link>http://repub.eur.nl/res/pub/20419/</link>
      <pubDate>2000-11-22T00:00:00Z</pubDate>
      <description>The central reproductive organ of the female is the ovary. In mammalian species, the
females have two ovaries, which are located in the abdomen near the kidneys. The ovary
has two lnajor functions. First of all, it produces the female gametes or oocytes, which can
develop inside the ovary until they reach the developmental stage at which they can be
fertilised by the male gametes. Second, the ovary produces steroid hormones, whicll are
important for the development of female characteristics and behaviour.
In the ovary the gametes are found in special structures, the so-called ovarian follicles.
Normal developnlent of the ovary and the ovarian follicles is very iInportant for female
fertility. This cl,apter starts with a description of gonad formation in the mammalian
female, on basis of observations on the development in female nlice, and focuses on the
most iInportant factors involved in gonad formation. Fl1l1hernlore, the process of ovarian
follicle development is described, again on basis of data generated mainly from studies
in the mouse, and also rat. Ovarian follicle developnlent is under tight control by luan)
hormones and growth factors, and therefore the action of only the most important regulatory
factors will be mentioned. This thesis focuses on the role of anti-Mullerian hormone
(AM H), one of the ovarian growth factors, in ovarian follicle development.</description>
    </item> <item>
      <title>Apoptotic and proliferative changes during induced atresia of pre-ovulatory follicles in the rat (Article)</title>
      <link>http://repub.eur.nl/res/pub/9546/</link>
      <pubDate>2000-01-01T00:00:00Z</pubDate>
      <description>Atresia, a degenerative process through which many follicles are removed
          from the growing pool, involves apoptotic changes in the follicular
          granulosa cells. To identify histochemical markers of early stages of
          atresia, an in-vivo rat model was used which allowed the study of atresia
          of pre-ovulatory follicles in a synchronized and chronological order. By
          blocking the pre-ovulatory luteinizing hormone surge with a
          gonadotrophin-releasing hormone (GnRH) antagonist, ovulation of the
          pre-ovulatory follicles is prevented, after which these follicles became
          atretic. The first morphological sign of atresia (pyknotic granulosa cell
          nuclei) was found 27 h after injection of GnRH antagonist. Since the
          pre-ovulatory follicles gradually become atretic in a synchronous fashion,
          this model provided an opportunity to study and define markers of future
          atresia in pre-ovulatory follicles. Atresia involves apoptosis of
          granulosa cells, and therefore internucleosomal DNA fragmentation was
          examined. Using the terminal deoxynucleotidyltransferase-mediated
          dUTP-biotin nick end labelling (TUNEL) assay it was found that the first
          sign of internucleosomal DNA fragmentation in granulosa cells of
          pre-ovulatory follicles was detectable 24 h after GnRH antagonist
          treatment. In order to find an upstream marker of atresia, the
          5-bromo-deoxyuridine (BrdU) labelling index was used as a measure of
          proliferation. Already at 14 h after GnRH antagonist treatment, when
          morphological signs of atresia were not yet present, a clear decrease in
          BrdU labelling index was found in the granulosa cells.</description>
    </item> <item>
      <title>Control of primordial follicle recruitment by anti-Mullerian hormone in the mouse ovary (Article)</title>
      <link>http://repub.eur.nl/res/pub/9201/</link>
      <pubDate>1999-01-01T00:00:00Z</pubDate>
      <description>The dimeric glycoprotein anti-Mullerian hormone (AMH) is a member of the
          transforming growth factor-beta superfamily of growth and differentiation
          factors. During male fetal sex differentiation, AMH is produced by Sertoli
          cells and induces degeneration of the Mullerian ducts, which form the
          anlagen of part of the internal female genital system. In females, AMH is
          produced by the ovary, but only postnatally. The function of AMH in the
          ovary is, however, still unknown. Female AMH null mice were reported to be
          fertile, with normal litter size, but this does not exclude a more subtle
          function for ovarian AMH. To investigate the function of AMH in the ovary,
          the complete follicle population was determined in AMH null mice, in mice
          heterozygous for the AMH null mutation, and in wild-type mice of different
          ages: 25 days, 4 months, and 13 months. In the present study we found that
          ovaries of 25-day- and 4-month-old AMH null females, compared to those of
          wild-type females, contain more preantral and small antral follicles. In
          addition, in 4- and 13-month-old AMH null females, smaller numbers of
          primordial follicles were found. Actually, in 13-month-old AMH null
          females, almost no primordial follicles could be detected, coinciding with
          a reduced number of preantral and small antral follicles in these females.
          In almost all females heterozygous for the AMH null mutation the number of
          follicles fell in between the numbers found in wild-type and AMH null
          females. In 4-month-old AMH null females serum inhibin levels were higher
          and FSH levels were lower compared to those in wild-type females. In
          contrast, inhibin levels were lower in 13-month-old AMH null females, and
          FSH levels were unchanged compared to those in wild-type females.
          Furthermore, the weight of the ovaries was twice as high in the
          4-month-old AMH null females as in age-matched wild-type females. We
          conclude that AMH plays an important role in primordial follicle
          recruitment, such that more primordial follicles are recruited in AMH null
          mice than in wild-type mice; the mice heterozygous for the AMH null
          mutation take an in-between position. Consequently, the ovaries of AMH
          null females and those of females heterozygous for the AMH null mutation
          will show a relatively early depletion of their stock of primordial
          follicles. The female AMH null mouse may thus provide a useful model to
          study regulation of primordial follicle recruitment and the relation
          between follicular dynamics and ovarian aging.</description>
    </item> <item>
      <title>Temporal changes in inhibin subunit mRNAs during atresia of preovulatory follicles in the rat (Article)</title>
      <link>http://repub.eur.nl/res/pub/8924/</link>
      <pubDate>1998-01-01T00:00:00Z</pubDate>
      <description>This study aimed to investigate the time course of disappearance of the
          mRNAs of the various subunits of inhibin in follicles which become
          atretic. An animal model was used in which atresia of preovulatory
          follicles could be studied in a chronological order. Injection of
          gonadotrophin-releasing hormone (GnRH) antagonist (20 microg) at the
          morning of pro-oestrus (P) blocked ovulation and the 10-12 preovulatory
          follicles became gradually atretic. A second injection was given the next
          day to prevent delayed ovulation. The rate of atresia could be delayed by
          simultaneous administration of a subovulatory dose of human chorionic
          gonadotrophin (hCG) (0.5 IU) and could be advanced by administration of a
          fivefold larger amount of GnRH antagonist. Functional activity of
          follicles becoming atretic was studied by measuring oestradiol production
          after incubation of individual follicles for 4 h. Follicles isolated 24 h
          after the first injection of GnRH antagonist (P+24) already secreted
          significantly less oestradiol in vitro than follicles isolated at
          pro-oestrus, although they were morphologically not different from
          pro-oestrous follicles. Follicles isolated at P+24 from hCG-treated rats
          secreted more oestradiol compared with follicles from rats not treated
          with hCG. In contrast, follicles isolated at P+24 from rats that were
          given a fivefold larger amount of GnRH antagonist secreted less
          oestradiol. Once this model was validated, temporal changes in inhibin
          subunit mRNAs in follicles undergoing atresia were measured by in situ
          hybridization and RNase protection assay. In situ hybridization showed
          abundant alpha- and betaA-subunit mRNA in the whole granulosa layer of
          preovulatory follicles at P and P+24, while betaB-subunit mRNA was
          restricted to the antral layer and cumulus. At P+48 the amount of alpha-
          and betaA-subunit mRNA had declined and was restricted to the cumulus,
          whereas betaB-subunit mRNA was absent. In the atretic follicles present at
          P+72 and P+96, mRNAs of all three inhibin subunits were absent.
          Administration of 0.5 IU hCG delayed the decline in the amount of alpha,
          betaA and betaB mRNA in preovulatory follicles at P+48. RNase protection
          assay of inhibin subunits in isolated follicles revealed no changes
          between P and P+24. However, at P+48, the mRNAs of alpha- and
          betaA-subunits were decreased. Expression of the mRNA of betaB-subunit
          declined gradually from P to P+48. The present study demonstrates that in
          follicles which are becoming atretic, mRNAs of alpha- and betaA-subunits
          decline simultaneously with the appearance of pycnotic cells in the
          granulosa layer, while betaB-subunit mRNA declines earlier, simultaneously
          with the decrease in the ability to secrete oestradiol in vitro.</description>
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