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Extragonadal FSHR Expression and Function-Is It Real?
Marcin Chrusciel1, Donata Ponikwicka-Tyszko2, Slawomir Wolczynski2,3
1Institute of Biomedicine, Research Centre for Integrative Physiology and Pharmacology, University of Turku, Turku, Finland.
Abstract:
Expression of the follicle-stimulating hormone receptor (FSHR), besides gonadal tissues, has recently been detected in several extragonadal normal and tumorous tissues, including different types of primary and metastatic cancer and tumor vessel endothelial cells (TVEC). The suggested FSH actions in extragonadal tissues include promotion of angiogenesis, myometrial contractility, skeletal integrity, and adipose tissue accumulation. Non-malignant cells within cancer tissue have been shown to be devoid of FSHR expression, which implies a potential role of FSHR as a diagnostic, prognostic, or even a therapeutic tool. There are shared issues between several of the published reports questioning the validity of some of the conclusion. Firstly, protein expression of FSHR was performed solely with immunohistochemistry (IHC) using either an unavailable "in house" FSHR323 monoclonal antibody or poorly validated polyclonal antibodies, usually without additional methodological quality control and confirmations. Secondly, there is discrepancy between the hardly traceable or absent FSHR gene amplification/transcript data and non-reciprocal strong FSHR protein immunoreactivity. Thirdly, the pharmacological high doses of recombinant FSH used in in vitro studies also jeopardizes the physiological or pathophysiological meaning of the findings. We performed in this review a critical analysis of the results presenting extragonadal expression of FSHR and FSH action, and provide a rationale for the validation of the reported results using additional more accurate and sensitive supplemental methods, including in vivo models and proper positive and negative controls.
Insights
Follicle-stimulating hormone receptor (FSHR) expression is reported in extragonadal tissues, but findings require validation. This review critically analyzes evidence and proposes methods for confirming FSHR
Area of Science:
- Endocrinology
- Oncology
- Molecular Biology
Background:
- Follicle-stimulating hormone receptor (FSHR) expression is increasingly reported in extragonadal tissues, including cancers.
- Suggested extragonadal FSH actions include promoting angiogenesis and adipose tissue accumulation.
- Potential roles for FSHR in cancer diagnostics, prognostics, and therapeutics are proposed.
Purpose of the Study:
- To critically analyze existing literature on extragonadal FSHR expression and FSH actions.
- To identify methodological limitations and discrepancies in current research.
- To propose a rationale for validating reported findings using rigorous methods.
Main Methods:
- Critical review of published studies on extragonadal FSHR expression.
- Analysis of immunohistochemistry (IHC) validation and antibody usage.
- Assessment of gene expression data versus protein expression findings.
- Evaluation of in vitro study limitations regarding FSH dosage.
Main Results:
- Concerns exist regarding the validity of FSHR detection methods, particularly antibody usage and validation.
- Discrepancies noted between gene/transcript data and protein expression levels.
- High-dose recombinant FSH used in in vitro studies may limit physiological relevance.
Conclusions:
- Current evidence for extragonadal FSHR expression and function requires critical re-evaluation.
- Methodological rigor, including proper controls and validation, is essential.
- Further research using validated methods and in vivo models is needed to confirm findings.
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