During follicular development, granulosa cells surround the oocyte and differentiate into mural granulosa cells and cumulus granulosa cells[20]. The physiological function of granulosa cells depends on paracrine and autocrine cytokines in the ovarian microenvironment and reproductive hormones in peripheral blood[21]. Oocytes and granulosa cells grow and develop in a highly coordinated, interdependent manner. Granulosa cells provide nutrient and maturation-related factors to oocytes, ensuring oocyte development and maturation[22]. Apoptosis of granulosa cells is a physiological phenomenon in follicles. The decrease of the number of granulosa cells and the destruction of cell communication may cause oocytes in pre-ovulatory follicles lacking nutrients and survival factors, thus leading to oocyte apoptosis and follicular atresia[23], and eventually result in a decrease in the number of follicles[24]. The gradual decrease in the number of granulosa cells is a key factor in antral follicle atresia. Therefore, abnormality of ovarian granulosa cells is a key step leading to abnormal follicular development[25, 26].
In this study, we found that lnc-GULP1-2:1 was not only expressed low in the ovarian cortical tissues of POI patients, but also in luteinized granulosa cells of patients with DOR. It indicates that lnc-GULP1-2:1 may have a specific relationship in granulosa cell proliferation and ovarian reserve in vivo. In situ hybridization revealed that lnc-GULP1-2:1 mainly localized in the cytoplasm of luteinized granulosa cell, suggesting that it may act mainly through post-transcriptional regulation. However, we also found that lnc-GULP1-2:1 has a small amount of localization in the nucleus, indicating that it may also play a role in the nucleus.
By overexpressing lnc-GULP1-2:1 in KGN cells, we found that granulosa cell proliferation was significantly inhibited. Both CCND2 and cyclin-dependent kinase inhibitor p16 are genes that play an important regulator role in the progression of the cell cycle. CCND2 interacts with the regulatory subunits of CDK4 or CDK6, and its activity is required for the G1 to S phase transition of the cell cycle [27], and p16 affects the cell cycle progress by slowing the transition from G1 to S phase[28]. In this study, we found that upregulation of lnc-GULP1-2:1 significantly decreased the expression of cell cycle-associated gene CCND2, while p16 expression was significantly up-regulated, indicating that lnc-GULP1-2:1 inhibits cell cycle progression from G1 to S phase, thereby inhibiting cell proliferation.
Lnc-GULP1-2:1 is located at the 5' end of COL3A1 gene and overlaps partly with its transcripts, and our results found that lnc-GULP1-2:1 affects the gene expression and protein localization of COL3A1. COL3A1 gene encodes the pro-alpha1 chains of type III collagen, a fibrillar collagen that is found in extensible connective tissues, which is an important component of the extracellular matrix [29]. Studies have shown that several miRNAs can play a role in different diseases by down-regulating the expression of COL3A1 and inhibiting the proliferation of corresponding cells[30–33], indicating that the abnormal expression of COL3A1 plays an important role in the proliferation and development of various cells. There are also studies found that the expression of COL3A1 in cumulus cells is elevated under the stimulation of FSH[34], and FSH has the function of promoting granulosa cell proliferation[35, 36], indicating that COL3A1 may affect the proliferation of granulosa cells. Our study showed that COL3A1 expression levels were significantly different in granulosa cells from patients with different ovarian reserve, and down-regulation of COL3A1 significantly inhibited granulosa cell proliferation, suggesting that COL3A1 expression is associated with ovarian function, at least in part, by regulating granulosa cell proliferation.
Considering that granulosa cell proliferation was significantly inhibited after overexpression of lnc-GULP1-2:1, and both the expression and localization of COL3A1 can be regulated by lnc-GULP1-2:1, we propose that the inhibition of cell proliferation after overexpression of lnc-GULP1-2:1 may through the increased expression of COL3A1. But the results were not as we expected. When silencing the expression level of COL3A1, the proliferation of KGN was also inhibited. Down-regulation of COL3A1 significantly inhibited the expression of CCND2, while down-regulation of COL3A1 in lnc-GULP1-2:1 overexpressed KGN cell further inhibited the expression of CCND2, but down-regulation of COL3A1 did not affect the expression of p16 gene. These results indicate that lnc-GULP1-2:1 may increase the protein localization of COL3A1 in the nucleus, thus inhibit granulosa cell proliferation; and the total protein level of COL3A1 is also important in cell proliferation, with the silencing of COL3A1 also inhibit granulosa cell proliferation. These results also indicate that the expression and localization of COL3A1 is very important for granulosa cell proliferation.
However, there are also some limitations in this study. The normal group of patients included in this study was younger than 35 years old, while the DOR group included secondary infertility patients older than 40 years old. Therefore, our study cannot exclude that the decrease in the expression level of lnc-GULP1-2:1 in the DOR group is caused by age factor. In view of this, further studies should compare the expression of lnc-GULP1-2:1 between the two groups by including DOR patients younger than 35 years old and normal group patients.
In this study, overexpression of lnc-GULP1-2:1 up-regulated the expression of COL3A1 protein and promoted the entry of COL3A1 protein into the nucleus, but the specific mechanism of how lnc-GULP1-2:1 targets and regulates the expression and localization of COL3A1 is unclear. Therefore, subsequent research should focus on how lnc-GULP1-2:1 participates in the impact on granulosa cell function by regulating COL3A1, such as bioinformatics-based lnc-GULP1-2:1 sequence mutation study, sequencing analysis to analyze the downstream proteins regulated by lnc-GULP1-2:1, to explore the specific mechanism of action that affects the expression and localization of COL3A1.
In addition, we found that knocking down the expression of COL3A1 by siRNA transfection will cause a decrease in the cytoplasmic COL3A1 protein level, thereby affecting cell proliferation, which is consistent with the published reports [30–33]; but the cells overexpress lnc-GULP-2:1 not only up-regulated the protein level of COL3A1, but also promoted the entry of COL3A1 protein into the nucleus, leading to the reduced level of cell proliferation. As for how this change of COL3A1 protein in the cytoplasm and nucleus affects the proliferation of granulosa cells, we have no clear experimental conclusions. However, from the results of lnc-GULP-2:1 and COL3A1 affecting cell cycle related genes, the large number of COL3A1 into the nucleus may cause it to bind to some proteins in the nucleus and thus affect the expression of genes related to cell proliferation, such as CCND2 or p16 genes etc. These results indicate that the expression level of COL3A1 and its subcellular localization in granulosa cells have an important influence on cell function, especially the regulation of cell proliferation. Nevertheless, the specific mechanism of how the expression and localization of COL3A1 in the nucleus and cytoplasm regulate cell proliferation still needs further study.
In summary, this study shows that lnc-GULP1-2:1 can affect the expression level of COL3A1 in cells and increase the localization in the nucleus, thereby affecting the expression level of cell cycle-associated proteins, resulting in the inhibition of granulosa cell proliferation. This study describes its regulation in granulosa cell function from the perspective of lncRNA, provides new ideas and methods for understanding and exploring the mechanism of follicular development and follicular disease, and provides a new strategy for the early diagnosis and treatment of follicular development-related diseases.