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Pediatric Surgical Research Laboratories, Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts 02114
Correspondence: Address all correspondence and requests for reprints to: Jose Teixeira, Pediatric Surgery/WRN1024, 32 Fruit Street, Boston, Massachusetts 02114. E-mail: teixeira{at}helix.mgh.harvard.edu
Dr. Alfred Jost pioneered the field of reproductive endocrinology
with his seminal observation that two hormones produced by the testes
are required for the male embryo to develop a normal internal
reproductive tract. T induces the Wolffian ducts to differentiate into
epididymides, vasa deferens, and seminal vesicles. Müllerian
inhibiting substance (MIS) causes regression of the Müllerian
ducts, which in its absence would normally develop into the Fallopian
tubes, uterus, and upper vagina as is observed in female embryos. This
review will summarize our current understanding of molecular mechanisms
underlying the function of MIS both as a fetal gonadal hormone that
causes Müllerian duct regression and as an adult hormone, the
roles for which are currently being investigated, i.e.,
inhibition of steroidogenesis, germ cell development, and cancer. We
will also address the regulation of MIS expression as one of the first
genes expressed after the commitment of the bipotential gonads to
differentiate into testes under the influence of SRY, the gene on the
sex-determining region of the Y chromosome. We will discuss what
is known regarding MIS signal transduction, which as with other members
of the TGFß family of growth and differentiation factors, occurs
through a heteromeric complex of single transmembrane serine/threonine
kinase receptors to effect downstream signaling events, including
Smad, nuclear factor-
B, ß-catenin, and p16 activation.
Finally, we will assess the clinical relevance of studying MIS in
patients with persistent Müllerian duct syndrome and our efforts
to determine the therapeutic value of MIS for patients with ovarian and
other MIS receptor-expressing cancers.
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V. M. Laurich, A. M. Trbovich, F. H. O'Neill, C. P. Houk, P. M. Sluss, A. H. Payne, P. K. Donahoe, and J. Teixeira Mullerian Inhibiting Substance Blocks the Protein Kinase A-Induced Expression of Cytochrome P450 17{alpha}-Hydroxylase/C17-20 Lyase mRNA in a Mouse Leydig Cell Line Independent of cAMP Responsive Element Binding Protein Phosphorylation Endocrinology, September 1, 2002; 143(9): 3351 - 3360. [Abstract] [Full Text] [PDF] |
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M. Misra, D. T. MacLaughlin, P. K. Donahoe, and M. M. Lee Measurement of Mullerian Inhibiting Substance Facilitates Management of Boys with Microphallus and Cryptorchidism J. Clin. Endocrinol. Metab., August 1, 2002; 87(8): 3598 - 3602. [Abstract] [Full Text] [PDF] |
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A. E. Stephen, L. A. Pearsall, B. P. Christian, P. K. Donahoe, J. P. Vacanti, and D. T. MacLaughlin Highly Purified Mullerian Inhibiting Substance Inhibits Human Ovarian Cancer in Vivo Clin. Cancer Res., August 1, 2002; 8(8): 2640 - 2646. [Abstract] [Full Text] [PDF] |
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