Anti-Müllerian hormone (AMH), a glycoprotein member of the TGF-β family, regulates sexual differentiation and ovarian folliculogenesis. Recombinant AMH produced in HEK293 cells (human embryonic kidney cells) has become a critical tool for research and diagnostics due to its structural fidelity and functional activity. HEK293 cells are ideal for AMH production because they express Furin, a proprotein convertase that cleaves the precursor protein into active forms .
Transfection: HEK293 cells are transfected with AMH cDNA constructs containing the RAQR cleavage site for proper processing .
Culture Conditions: Serum-free medium to avoid contamination and improve purification efficiency .
Purification: Multi-step chromatography (e.g., affinity, ion-exchange) to achieve ≥90% purity .
AMH binds AMHR2 (a type II receptor) through an extensive interface distinct from other TGF-β ligands. Mutations in the knuckle region (e.g., L478A) or salt bridge residues (K534A) abolish signaling .
Ovarian Reserve: Stable across menstrual cycles; correlates with oocyte yield in IVF .
PCOS: Elevated AMH levels linked to ovarian follicular dysfunction and insulin resistance .
Diagnostic Assays:
This section provides a brief overview of Anti-Mullerian Hormone (AMH), highlighting its alternative name, family membership, function, and roles in various biological processes.
This section describes the recombinant human AMH protein, specifying its structure, composition, molecular weight, and the presence of a His tag for purification purposes.
This describes the physical appearance of the AMH protein product, indicating it is supplied as a white powder that has undergone lyophilization.
This part details the formulation of the lyophilized AMH protein, indicating it is prepared in a solution containing PBS and trehalose to ensure stability.
This section provides instructions on how to reconstitute the lyophilized AMH protein, recommending the use of deionized water and suggesting a working stock concentration.
This part outlines the recommended storage conditions for the lyophilized and reconstituted AMH protein, advising storage at -20°C and 4°C respectively, and emphasizing the need to minimize freeze-thaw cycles.
This section states the purity level of the AMH protein, confirmed through SDS-PAGE analysis, indicating that it is greater than 85% pure.
Anti-Muellerian hormone, AMH, Muellerian-inhibiting substance, MIS, MIF.
LLGTEALRAE EPAVGTSGLI FREDLDWPPG SPQEPLCLVA LGGDSNGSSS PLRVVGALSA YEQAFLGAVQ RARWGPRDLA TFGVCNTGDR QAALPSLRRL GAWLRDPGGQ RLVVLHLEEV TWEPTPSLRF QEPPPGGAGP PELALLVLYP GPGPEVTVTR AGLPGAQSLC PSRDTRYLVL AVDRPAGAWR GSGLALTLQP RGEDSRLSTA RLQALLFGDD HRCFTRMTPA LLLLPRSEPA PLPAHGQLDT VPFPPPRPSA ELEESPPSAD PFLETLTRLV RALRVPPARA SAPRLALDPD ALAGFPQGLV NLSDPAALER LLDGEEPLLL LLRPTAATTG DPAPLHDPTS APWATALARR VAAELQAAAA ELRSLPGLPP ATAPLLARLL ALCPGGPGGL GDPLRALLLL KALQGLRVEW RGRDPRGPGR AQRHHHHHH
HEK293 cells are widely utilized for recombinant human AMH production due to their high efficiency in producing recombinant proteins and expression of proprotein convertases (particularly Furin) necessary for AMH cleavage . Researchers typically generate stable transfections of HEK293 cells with AMH expression constructs, then collect cell lysates and supernatants under serum-free conditions for subsequent analysis .
Western blot analysis demonstrates that wild-type AMH undergoes proper processing in this system, with detection of both the AMH precursor protein (~75 kD) and the cleaved C-terminal mature protein (~15 kD) . The methodology has proven reliable for producing bioactive AMH and analyzing AMH variants.
Developing a reliable AMH-responsive assay requires several critical components:
BMP responsive luciferase promoter (BRE) as the reporter system
Co-transfection with AMHR2 (Anti-Müllerian Hormone Receptor Type 2)
Expression of appropriate type I receptors, particularly ACVR1
Internal control plasmid (such as pRL-SV40) to normalize for transfection efficiency
Research demonstrates that transfection of ACVR1 DNA, in addition to BRE and AMHR2, is essential for obtaining robust AMH signaling with 6- to 20-fold activation over background . In optimized systems, AMH typically shows an EC50 of approximately 0.4 nM, consistent with other TGF-β family ligands . HEK-293T cells provide an excellent platform for these assays due to their high transfection efficiency, though quantitative RT-PCR analysis shows relatively low native levels of ACVR1 and BMPR1B mRNA compared to BMPR1A and AMHR2 .
When investigating AMH variants, researchers should implement several control strategies:
Wild-type AMH expression constructs (typically with the RAQR cleavage site)
Cleavage-optimized constructs (containing the RARR site) as positive controls for efficient processing
Cleavage-resistant constructs (such as RAGA) as negative controls for processing
Empty vector controls to establish baseline expression and signaling levels
Co-expression experiments with wild-type AMH to identify potential dominant-negative effects
These controls enable proper interpretation of experimental results, particularly when analyzing complex phenotypes such as reduced signaling that might result from multiple mechanisms (processing defects, secretion impairment, or receptor binding issues).
Research on PCOS-specific rare AMH variants reveals distinct mechanisms by which mutations affect AMH function:
| AMH Variant | Processing | Secretion | Signaling | Cellular Localization |
|---|---|---|---|---|
| hAMH-151S | Impaired | Severely reduced | ~90% decrease | ER retention |
| hAMH-506Q | Impaired | Not detected | ~90% decrease | ER retention |
| hAMH-362S | Normal | Altered immunoreactivity | Minor decrease | Normal |
| hAMH-519V | Normal | Altered immunoreactivity | Minor decrease | Normal |
The data demonstrate that hAMH-151S and hAMH-506Q proteins are detected in cell lysates but not in supernatants via Western blotting, indicating secretion defects . Confocal microscopy confirms these variants show elevated cellular AMH protein levels with endoplasmic reticulum retention compared to wild-type AMH . Importantly, co-expression studies show that hAMH-151S and hAMH-506Q dose-dependently inhibit wild-type AMH signaling, suggesting a potential dominant-negative mechanism .
Multiple complementary techniques are necessary to comprehensively characterize AMH processing:
Western blotting: Using the mature region-specific 5/6A antibody to detect the AMH precursor protein (~75 kD), cleaved C-terminal mature protein (~15 kD), and potential intermediates (~40 kDa) .
Confocal microscopy: Visualizing intracellular protein localization, particularly useful for identifying retention in specific cellular compartments like the endoplasmic reticulum .
Quantitative immunoassays: Measuring AMH concentrations in cell lysates and supernatants using different ELISA platforms.
Functional signaling assays: BRE-luciferase reporter assays in AMHR2-expressing cells (such as KK-1 granulosa cells) to measure downstream signaling capacity .
The combination of these approaches can detect various defects, from protein misfolding and intracellular retention to altered receptor binding or signaling activity.
Research demonstrates significant variability in AMH detection across different assay platforms:
| AMH Variant | picoAMH Assay (Ansh Labs) | Automated Lumipulse G1200 (Fujirebio) |
|---|---|---|
| wt-hAMH (RARR) | 70,714.87 (supernatant) / 178.34 (lysate) | 25,675 (supernatant) / 197.56 (lysate) |
| hAMH-151S | 17.03 (supernatant) / 322.08 (lysate) | 92.1 (supernatant) / 299.3 (lysate) |
| hAMH-506Q | Undetectable | Undetectable |
| hAMH-519V | 33.68 (supernatant) / Undetectable (lysate) | 9,186 (supernatant) / 59.31 (lysate) |
| hAMH-RAGA | 69,072.83 (supernatant) / 440.06 (lysate) | 35,935 (supernatant) / 305.5 (lysate) |
These discrepancies arise from several methodological factors:
Different antibody epitopes targeted by various assay platforms
Conformational changes in variant proteins affecting epitope accessibility
Differential detection of precursor versus mature AMH forms
Potential matrix effects in cell lysates versus supernatants
These findings underscore the importance of using multiple detection methodologies when characterizing AMH variants and interpreting results cautiously, particularly when discrepancies exist between assays.
AMH variants hold significant potential as experimental tools:
Signaling-deficient but binding-competent variants: Mutations like M76E that maintain ligand-receptor binding while preventing signaling could serve as competitive inhibitors to neutralize excess AMH signaling .
Cleavage site variants: Modified AMH constructs with optimized (RARR) or inactive (RAGA) cleavage sites enable investigation of processing mechanisms and the relationship between cleavage and bioactivity .
Dominant-negative variants: hAMH-151S and hAMH-506Q demonstrate dose-dependent inhibition of wild-type AMH signaling, potentially useful for modulating AMH activity in experimental settings .
Immunodetection-variant proteins: Variants with altered immunoreactivity across different assay platforms (like hAMH-362S and hAMH-519V) can help validate and optimize detection methodologies .
These variants provide valuable tools for dissecting AMH biology, including processing mechanisms, receptor interactions, and signaling pathways.
Several AMH variants demonstrate contradictory behavior between experimental systems and clinical observations. For example, research on PMDS-associated mutations (M76V and D81E) revealed that conservative changes had no effect on AMH signaling in vitro, despite their association with clinical disease .
This discrepancy suggests several interpretive frameworks:
Development may be highly sensitive to small changes in AMH signaling activity that aren't detectable in standard assays
Mutations might affect receptor localization or stability in vivo in ways not captured by in vitro systems
Cell-type specific effects may not be adequately modeled in heterologous expression systems
Temporal aspects of development may introduce sensitivity not reflected in acute signaling assays
Further investigation using in vivo models is necessary to understand these contradictions fully. Researchers should design experiments that examine not only acute signaling but also long-term effects on receptor dynamics and tissue-specific responses.
Understanding AMH immunoassay variability is critical for research applications:
Antibody specificity: Different assays target various epitopes within the AMH protein, leading to differential detection of precursor versus mature forms
Protein processing: Variants affecting AMH cleavage can dramatically impact detectability in assays targeting specific regions
Matrix effects: Measurements in cell lysates versus supernatants can be influenced by cellular components
Protein conformation: Structural alterations in variants can mask epitopes recognized by specific antibodies
In research applications using the picoAMH assay (Ansh Labs) and automated Lumipulse G1200 (Fujirebio) platforms, wild-type AMH with the RARR optimized cleavage site showed approximately 70,714 units in supernatant via the picoAMH assay but only 25,675 units with Lumipulse . This nearly 3-fold difference highlights the importance of consistent assay selection when comparing experimental conditions.
Researchers should consider using multiple detection methods when possible and maintain consistent assay platforms throughout a study to enable valid comparisons.
Mutational analysis reveals that AMH engages AMHR2 at an interface similar to how activin and BMP class ligands bind the type II receptor ACVR2B . This structural insight suggests several research avenues:
Structure-guided design of AMH variants with enhanced receptor binding or signaling properties
Development of small molecules or peptides that can modulate AMH-AMHR2 interactions
Engineering of signaling-deficient AMH variants as potential antagonists
Creation of chimeric molecules combining AMH domains with other TGF-β family ligands to achieve novel signaling properties
The naturally occurring M76E variant, which maintains receptor binding but lacks signaling capacity, provides a template for developing AMH-based molecular tools or therapeutic strategies to neutralize excess AMH signaling .
Current research limitations could be addressed through innovative experimental approaches:
Three-dimensional organoid cultures: Better recapitulation of tissue architecture and cell-cell interactions compared to monolayer cultures
Patient-derived iPSCs: Generation of relevant cell types carrying patient-specific AMH pathway mutations
CRISPR-engineered reporter cell lines: Endogenous tagging of AMH pathway components to monitor expression and trafficking under physiological conditions
Tissue-specific conditional knockout models: Precise temporal and spatial control of AMH signaling disruption in vivo
Humanized mouse models: Introduction of human AMH variants into mice to study phenotypic consequences
These approaches would complement existing HEK293-based systems and potentially resolve discrepancies between in vitro findings and clinical observations.
The research on AMH variants demonstrates critical principles for interpreting genetic variants in clinical settings:
Not all disease-associated variants display obvious functional defects in standard assays
Some variants may exhibit dominant-negative effects when co-expressed with wild-type protein
Variants can affect multiple aspects of protein biology (folding, processing, secretion, receptor binding, signaling)
Different detection methods may yield contradictory results for the same variant
These insights suggest that comprehensive functional characterization should include multiple methodologies before classifying variants as benign or pathogenic. For conditions like PCOS, where AMH levels are elevated, and PMDS, where AMH signaling is impaired, functional studies provide essential context for genetic findings and may guide personalized therapeutic approaches .
Sexual Differentiation:
Reproductive Function:
Human Recombinant AMH (HEK) is produced using Human Embryonic Kidney (HEK) cells. This recombinant form is used in various research and clinical applications due to its high purity and biological activity .
Production:
Applications:
Fertility Assessment:
Cancer Research:
Endocrinology: