Regulation of Dynamic Changes and Remodeling Events During the Formation, Rescue and Regression of the Corpus Luteum

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Proposed pathways where Inflammation/Genetics or Environment may cause altered function of individual cells of the follicle (granulosa, oocyte and theca) to alter transcription or expression of genes by epigenetic mechanisms resulting in altered cell to cell communication, arrested follicle development, and anovulation, altered luteal function, and female infertility.
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09 July 2019
Cultured human GCs represent a model for the human CL, which comes into existence after ovulation and contains the GC-derived large luteal cells and other cell types: The upper part depicts the preovulatory follicle with its main cellular components, i.e., granulosa cells, the oocyte and theca cells (left), an active corpus luteum (middle), and a regressing corpus luteum (right). Mural GCs of the preovulatory follicle can be isolated and cultured from aspirated follicular fluid, which also contains cumulus cells and the oocyte. The active corpus luteum is a temporal organ, which is highly vascularized and produces progesterone. The inactive and regressing corpus luteum also contains immune cells. As shown in the second row, there is evidence for necroptosis in this structure, indicated by immunohistochemical detection of the necroptosis marker pMLKL in large luteal cells of a regressing corpus luteum (M. mulatta) (21). The third row schematically depicts isolated and cultured human GCs. This culture system recapitulates in a short period some of the main events occurring in the corpus luteum. In brief, isolated GCs luteinize in culture and produce progesterone but eventually die by apoptosis and necroptosis. These two cell death forms can be distinguished, albeit only if accompanied by other modes of detection (21), by morphological signs (two bottom rows). Apoptosis of GCs is typically characterized e.g., by a condensed cytoplasm and nucleus, whereas necroptotic cells show cellular ballooning.
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