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Updated: Feb 18, 2026

A Modified Co-Culture System for Understanding Granulosa-Theca Cell Interactions in the Bovine Ovary
Published on: September 19, 2025
Opiate receptor blockade on human granulosa cells inhibits VEGF release
Fabian Lunger1, Anni P Vehmas2, Barbara G Fürnrohr3
1Department of Gynecologic Endocrinology and Reproductive Medicine, Medical University of Innsbruck, Innsbruck, Austria.
Abstract:
The objectives of this study were to determine whether the main opioid receptor (OPRM1) is present on human granulosa cells and if exogenous opiates and their antagonists can influence granulosa cell vascular endothelial growth factor (VEGF) production via OPRM1. Granulosa cells were isolated from women undergoing oocyte retrieval for IVF. Complementary to the primary cells, experiments were conducted using COV434, a well-characterized human granulosa cell line. Identification and localization of opiate receptor subtypes was carried out using Western blot and flow cytometry. The effect of opiate antagonist on granulosa cell VEGF secretion was assessed by enzyme-linked immunosorbent assay. For the first time, the presence of OPRM1 on human granulosa cells is reported. Blocking of opiate signalling using naloxone, a specific OPRM1 antagonist, significantly reduced granulosa cell-derived VEGF levels in both COV434 and granulosa-luteal cells (P < 0.01). The presence of opiate receptors and opiate signalling in granulosa cells suggest a possible role in VEGF production. Targeting this signalling pathway could prove promising as a new clinical option in the prevention and treatment of ovarian hyperstimulation syndrome.
Insights
Human granulosa cells express the main opioid receptor (OPRM1). Blocking OPRM1 signaling with naloxone significantly reduced vascular endothelial growth factor (VEGF) production, suggesting a therapeutic target for ovarian hyperstimulation syndrome.
Area of Science:
- Reproductive Biology
- Endocrinology
- Cell Biology
Background:
- Granulosa cells play a crucial role in ovarian function and follicle development.
- Vascular Endothelial Growth Factor (VEGF) is vital for angiogenesis and is implicated in ovarian physiology.
- The role of opioid signaling in human granulosa cells is not well understood.
Purpose of the Study:
- To determine the presence of the main opioid receptor (OPRM1) on human granulosa cells.
- To investigate the influence of exogenous opiates and antagonists on granulosa cell VEGF production via OPRM1.
Main Methods:
- Human granulosa cells were isolated from women undergoing oocyte retrieval for IVF.
- Experiments utilized the human granulosa cell line COV434.
- OPRM1 presence was confirmed using Western blot and flow cytometry.
- VEGF secretion was measured by ELISA after opiate antagonist treatment.
Main Results:
- The study confirmed the presence of OPRM1 on human granulosa cells for the first time.
- Naloxone, a specific OPRM1 antagonist, significantly reduced VEGF levels in both COV434 and granulosa-luteal cells (P < 0.01).
Conclusions:
- Human granulosa cells express OPRM1, indicating a functional opioid signaling pathway.
- Opioid signaling significantly influences granulosa cell VEGF production.
- Targeting the OPRM1 pathway may offer novel therapeutic strategies for ovarian hyperstimulation syndrome.
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