{"title":"Letrozole Reduces Ovulatory Responsiveness in In Vitro-Grown Mouse Follicles.","authors":"Tatsuya Kobayashi, Hiroshi Ishikawa, Hirokazu Tanaka, Kumiko Ishii, Akira Mitsuhashi, Hirokazu Usui, Makio Shozu, Kaori Koga","doi":"10.1002/rmb2.70047","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to determine whether continuous aromatase inhibition with letrozole reduces peri-ovulatory responsiveness to ovulatory stimulation in in vitro-grown mouse follicles.</p><p><strong>Methods: </strong>Early antral follicles were isolated from 21 to 24-day-old C57BL/6jjcl mice and cultured individually for 5 days with letrozole (0.01, 0.1, or 1 μM) or vehicle. Follicle survival and growth were assessed by measuring follicle diameter. Ovulatory responsiveness was evaluated by hCG/EGF stimulation. Expression of ovulation-related genes (<i>Lhcgr</i>, <i>Ptgs2</i>, and <i>Runx1</i>) and a luteinization-related gene (<i>Foxo1</i>) was analyzed using RT-qPCR. The effect of estradiol supplementation was also examined.</p><p><strong>Results: </strong>Letrozole did not affect follicle survival or growth. However, ovulation rates were reduced in a dose-dependent manner (<i>p</i> < 0.0001). At 0.1 μM, letrozole significantly decreased mRNA levels of <i>Lhcgr</i>, <i>Runx1</i>, and <i>Ptgs2</i> compared with vehicle-treated follicles. Estradiol supplementation restored the expression of these genes and partially rescued ovulatory capacity. In contrast, <i>Foxo1</i> expression increased in letrozole-treated follicles and was attenuated by estradiol.</p><p><strong>Conclusions: </strong>Continuous letrozole exposure reduces ovulatory responsiveness in in vitro-grown mouse follicles and is associated with decreased Lhcgr expression after hCG stimulation, likely due to estrogen deficiency. These findings suggest that prolonged aromatase inhibition during follicular growth may impair acquisition of peri-ovulatory competence.</p>","PeriodicalId":21116,"journal":{"name":"Reproductive Medicine and Biology","volume":"25 1","pages":"e70047"},"PeriodicalIF":3.3000,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13081686/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Reproductive Medicine and Biology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/rmb2.70047","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: This study aimed to determine whether continuous aromatase inhibition with letrozole reduces peri-ovulatory responsiveness to ovulatory stimulation in in vitro-grown mouse follicles.
Methods: Early antral follicles were isolated from 21 to 24-day-old C57BL/6jjcl mice and cultured individually for 5 days with letrozole (0.01, 0.1, or 1 μM) or vehicle. Follicle survival and growth were assessed by measuring follicle diameter. Ovulatory responsiveness was evaluated by hCG/EGF stimulation. Expression of ovulation-related genes (Lhcgr, Ptgs2, and Runx1) and a luteinization-related gene (Foxo1) was analyzed using RT-qPCR. The effect of estradiol supplementation was also examined.
Results: Letrozole did not affect follicle survival or growth. However, ovulation rates were reduced in a dose-dependent manner (p < 0.0001). At 0.1 μM, letrozole significantly decreased mRNA levels of Lhcgr, Runx1, and Ptgs2 compared with vehicle-treated follicles. Estradiol supplementation restored the expression of these genes and partially rescued ovulatory capacity. In contrast, Foxo1 expression increased in letrozole-treated follicles and was attenuated by estradiol.
Conclusions: Continuous letrozole exposure reduces ovulatory responsiveness in in vitro-grown mouse follicles and is associated with decreased Lhcgr expression after hCG stimulation, likely due to estrogen deficiency. These findings suggest that prolonged aromatase inhibition during follicular growth may impair acquisition of peri-ovulatory competence.
期刊介绍:
Reproductive Medicine and Biology (RMB) is the official English journal of the Japan Society for Reproductive Medicine, the Japan Society of Fertilization and Implantation, the Japan Society of Andrology, and publishes original research articles that report new findings or concepts in all aspects of reproductive phenomena in all kinds of mammals. Papers in any of the following fields will be considered: andrology, endocrinology, oncology, immunology, genetics, function of gonads and genital tracts, erectile dysfunction, gametogenesis, function of accessory sex organs, fertilization, embryogenesis, embryo manipulation, pregnancy, implantation, ontogenesis, infectious disease, contraception, etc.