FSH Human is a heterodimeric glycoprotein consisting of:
Alpha subunit: Shared with luteinizing hormone (LH), thyroid-stimulating hormone (TSH), and human chorionic gonadotropin (hCG) (96 amino acids) .
Beta subunit: Unique to FSH (111 amino acids), conferring receptor specificity .
Parameter | Value | Source |
---|---|---|
Molecular Mass | 30,000–35,500 Da | |
Subunits | α (common), β (FSH-specific) | |
Source (Native) | Urine of post-menopausal women | |
Purity (Contaminants) | <0.1% hCG, <0.5% TSH/LH/GH/Prl |
Recombinant FSH (e.g., SAFA-FSH) is engineered for extended half-life via albumin-binding technology .
Males:
Females:
Age Group | Normal FSH Levels (mIU/mL) | AMH Levels (ng/mL) |
---|---|---|
<33 years | <7.0 | ≥2.1 |
33–37 years | <7.9 | ≥1.7 |
38–40 years | <8.4 | ≥1.1 |
41+ years | <8.5 | – |
FSH levels measured on Day 3 of menstrual cycle; AMH measured any day . |
Recent studies highlight FSH’s extragonadal effects, mediated by FSH receptors (FSHR) in non-reproductive tissues:
Disease | Mechanism | Key Pathways |
---|---|---|
Osteoporosis | Promotes osteoclast activity, reducing bone density | FSHR-Gαs/cAMP/PKA |
Type 2 Diabetes | Inhibits insulin secretion via Gαi-cAMP suppression in pancreatic β-cells | FSHR-Gαi |
Cardiovascular Disease | Induces angiogenesis (PI3K/AKT) and endothelial adhesion (VCAM-1/ICAM-1) | FSHR-Gαs/PI3K/AKT |
Alzheimer’s Disease | Correlates with Aβ plaque accumulation; FSH antibodies reduce Aβ in models | FSHR-mediated neurotoxicity |
Ovarian Cancer | Enhances cell proliferation, migration, and angiogenesis in FSHR-positive tumors | FSHR-ERK/CREB |
Infertility:
Osteoporosis: FSH antibodies (e.g., MS-Hu6) reduce bone resorption without affecting estrogen levels .
Alzheimer’s Disease: Preclinical trials show FSH antibodies lower Aβ plaques and improve cognitive outcomes .
Parameter | Recombinant FSH | SAFA-FSH (Long-Acting) |
---|---|---|
Half-Life (Rats) | ~1–2 days | ~27–29 hours |
Dosing Frequency | Multiple times/week | Once every 10 days |
Clinical Use | Standard protocols | Hypogonadism/fertility |
Mechanistic Gaps: Downstream signaling of FSHR3 in ovarian cancer remains poorly characterized .
Precision Medicine: Age-, hormone-, and disease-state-specific FSH modulation is needed for optimal therapies .
Biomarker Development: Standardized reference ranges for FSH (e.g., age-adjusted charts) improve diagnostic accuracy .
Recombinant human FSH is a lab-made version of the hormone. It is produced in HEK-293 cells, a type of human cell line commonly used in biological research. This FSH product is a heterodimer, meaning it consists of two different protein chains (alpha and beta). It is also glycosylated, meaning it has sugar molecules attached to it. These modifications are important for the hormone's stability and function. The molecular weight of this recombinant FSH is approximately 25 kDa. The purification process utilizes specialized chromatographic techniques to ensure high purity.
The FSH powder is freeze-dried from a solution containing PBS with a pH of 7.4. The solution is filtered through a 0.2 µm filter before freeze-drying.
To reconstitute the freeze-dried FSH, it is recommended to dissolve it in sterile 18 megaohm-centimeter (MΩ·cm) H2O to a concentration of at least 100 µg/ml. Once reconstituted, the FSH solution can be further diluted in other aqueous solutions as needed.
The biological activity of this FSH product is determined by its ability to stimulate cAMP production in Chinese Hamster Ovary (CHO) cells that have been specially modified to express the human FSH receptor. The ED50, which represents the effective dose required to achieve 50% of the maximum response, is in the range of 80-450 pg/ml.
FSH subunit alpha: APDVQDCPECTLQENPFFSQPGAPILQCMGCCFSRAYPTPLR SKKTMLVQKNVTSESTCCVAKSYNRVTVMGGFKVENHTACHCSTCYYHKS.
FSH subunit beta: NSCELTNITIAIEKEECRFCISINTTWCAGYCYTRDLVYKDP ARPKIQKTCTFKELVYETVRVPGCAHHADSLYTYPVATQCHCGKCDSDSTDCTVRGLGPSYCSFGEMKE.
Human FSH is a heterodimeric glycoprotein hormone consisting of noncovalently linked α and β subunits that plays a crucial role in the regulation of reproduction . It stimulates the growth of immature follicles in ovaries and primary spermatocytes in testes .
The human FSH receptor demonstrates species-specific ligand recognition that differs from rodent receptors. Research has shown that while human, rat, and ovine FSH can compete for rat testicular FSH receptor binding, only human FSH (hFSH) and rat FSH (rFSH) interact effectively with the recombinant human FSH receptor . This specificity must be considered when designing cross-species experiments or interpreting results from animal models.
Additionally, expression studies have revealed that human FSH receptor mRNA transcripts exist in multiple sizes (7.0, 4.2, and 2.5 kilobases) specifically in human follicular phase ovary tissue, but not in corpus luteum or placenta .
FSH blood tests measure the level of this hormone in the bloodstream and are valuable for evaluating sexual maturation, fertility issues, and menstrual problems . In research contexts, FSH is rarely studied in isolation, as human sex hormones work closely with one another. A comprehensive experimental design should include testing FSH along with luteinizing hormone (LH), estradiol, and testosterone to provide a more complete picture of reproductive hormone status .
When studying FSH action in experimental models, researchers should monitor:
Serum FSH and related hormone levels
Receptor binding parameters (Kd values)
Downstream cyclic AMP (cAMP) accumulation
Expression of specific marker genes like PTGS2, which has been shown to be significantly downregulated in follicular fluid sediment cells of non-conception patients
Human FSH receptors demonstrate high affinity binding with a Kd value of approximately 1.7 × 10⁻⁹ M . After transfection of human FSH receptor cDNA into cell lines, radioligand receptor analysis reveals these high-affinity binding sites on the plasma membrane .
When designing binding experiments, researchers should note that:
Both recombinant and wild-type hFSH can displace [¹²⁵I]hFSH binding, with ED₅₀ values of 25 and 70 ng/ml, respectively
Human LH, human chorionic gonadotropin (hCG), and human thyroid-stimulating hormone (hTSH) do not compete effectively with FSH binding
Functional coupling of the expressed human receptor with adenyl cyclase can be demonstrated by measuring extracellular cAMP accumulation, with an ED₅₀ of approximately 10 ng/ml
After ligand/receptor cross-linking and sodium dodecyl sulfate-polyacrylamide gel electrophoresis analysis, two FSH-binding sites of 76 and 112 kilodaltons can be detected in transfected cells .
Several gain-of-function (GOF) genetic models have been developed to study FSH action in physiological contexts. These models provide powerful tools for understanding FSH biology and developing new therapeutic approaches.
The first GOF mouse model for FSH was generated more than 25 years ago using a 10 kb human FSHB transgene . Since then, researchers have used various promoters to achieve both gonadotrope-specific and ectopic expression of FSH ligand .
Key FSH GOF models include:
Transgenic hFSHB Expression Model: This model exhibits pituitary-specific transgene expression with no ectopic expression in non-pituitary tissues. FSH dimer secretion and pituitary HFSHB mRNA expression were higher in males than females, demonstrating conservation of regulatory elements across mice and humans .
Constitutively Active FSHR Models: Mouse models harboring mutant versions of Fshr (D580H and D580Y) have been developed to identify phenotypic consequences of activating mutations. These models showed that ovary-specific expression of mutant FSHR resulted in multiple ovarian abnormalities, including hemorrhagic cysts, accelerated loss of immature follicles, and increased granulosa cell proliferation .
FSHR Overexpression Model (TgFSHRwt): A comparative study using transgenic mice overexpressing wild-type human FSH receptor demonstrated that physiological responses to constitutively active mutant FSH receptors were due to the mutation itself and not receptor overexpression .
Combined Models: FSH GOF models combined with Fshb null mice provide an efficient genetic rescue platform that can be used as an in vivo functional assay for testing bioactivities of FSH and FSH analogs .
Distinguishing between effects caused by mutant receptor activity versus those resulting from receptor overexpression requires careful comparative studies. Research has demonstrated that this differentiation can be achieved by comparing transgenic mice expressing a constitutively active mutant FSH receptor (FSHR+) with those overexpressing wild-type human FSH receptor (TgFSHRwt) .
Methodologically, researchers should:
Confirm similar levels of receptor expression by measuring radioactive ligand binding (e.g., ¹²⁵I-FSH binding to testicular membranes)
Compare physiological parameters across both models and controls:
Testis weights and hormone levels (e.g., testosterone)
cAMP activity in target cells (basal and stimulated)
Receptor ligand-specificity using various hormones (e.g., hCG, TSH)
Expression of steroidogenic enzyme-encoding mRNAs (e.g., Cyp11a1, Star)
Cellular maturation status
In one comparative study, TgFSHRwt mice showed no difference in testis weights or serum testosterone levels compared to controls, while FSHR+ mice exhibited larger average testis weights and elevated testosterone concentrations. Although TgFSHRwt Sertoli cells showed higher cAMP activity in vitro, they did not display the increased basal activity observed in FSHR+ cells .
Research on human follicular fluid (FF) stromal cells has revealed that FSH treatment influences these cells in several ways that may be relevant to fertility outcomes. When characterizing FF-derived stromal cells treated with FSH, researchers found that:
The expression of vimentin and cadherin in FF stromal cells may be somewhat promoted by FSH treatment in both conceived and not-conceived patients . Mass spectrometry analysis identified 97 proteins secreted by FF stromal cells, related to stress response, positive regulation of apoptotic cell clearance, and embryo implantation .
These findings have practical applications in research on fertility mechanisms and potential therapeutic interventions.
Several methodological approaches have proven effective for studying FSH receptor expression and function:
cDNA Library Screening: Using fragments of known FSH receptor cDNA (e.g., rat FSH receptor) to screen human testicular cDNA libraries to obtain full-length receptor cDNA .
Transfection Studies: Transfecting human cell lines (e.g., human fetal kidney cell line 293) with FSH receptor cDNA to study receptor properties .
Radioligand Receptor Analysis: This approach identifies high-affinity FSH-binding sites on the plasma membrane and allows for determination of binding constants such as Kd values .
Competition Binding Assays: Using labeled FSH (e.g., [¹²⁵I]hFSH) and various unlabeled hormones to assess receptor specificity .
cAMP Accumulation Assays: Measuring extracellular cAMP levels after hormone treatment to assess functional coupling with adenyl cyclase .
Reporter Gene Assays: Co-transfecting cells with FSH receptor expression plasmid and a luciferase reporter gene driven by a cAMP-responsive promoter to measure downstream signaling .
Northern Blot Analysis: Using cRNA probes derived from receptor cDNA to detect FSH receptor mRNA transcripts in tissues .
Ligand/Receptor Cross-Linking: Followed by SDS-PAGE analysis to detect FSH-binding protein complexes .
Characterization of follicular fluid-derived stromal cells should include:
Surface Marker Expression: FF stromal cells are typically positive for mesenchymal stromal cell markers (CD90+, CD44+, CD166+) and HLA-ABC+. Additional markers to assess include CD73, CD13, CD146, CD105, CD56, and BMSC. There should be little to no expression of SUSD2, CD338, CD140b, and hematopoietic cell markers CD34 and CD45 .
Morphological Assessment: Evaluate cell morphology with and without FSH treatment, although research suggests FSH has minimal impact on morphology .
Proliferation Analysis: Measure proliferation rates, as FSH has been shown to lower proliferation in these cells .
Gene Expression Analysis: Use real-time PCR to analyze the expression of ovarian follicle development and FSH response-related genes, including ovulatory cascade genes that may differ between conceived and not-conceived patients' FF stromal cells .
Protein Expression: Assess the expression of structural proteins like vimentin and cadherin, which may be promoted by FSH treatment .
Secretome Analysis: Mass spectrometry can identify proteins secreted by FF stromal cells, which relate to stress response, apoptotic cell clearance, and embryo implantation .
Production of high-quality recombinant human FSH (rh-FSH) for research applications has evolved from traditional stainless steel vessel systems with serum-containing media to more modern approaches:
Expression System Selection: Many biopharmaceutical companies are switching from traditional production systems to single-use (SU) bioreactors due to numerous advantages .
Single-Use Bioreactors: These provide manufacturing advantages including fewer validation requirements, lower contamination risks, elimination of cleaning and sterilization steps, and rapid turn-around between batches .
Process Optimization: Pure recombinant human gonadotropin processes (e.g., Gonapure) provide consistently high hormone production in upstream fed-batch processes .
Scale Considerations: Upstream rh-FSH processes can be designed with different scales of single-use bioreactor systems to accommodate various research needs .
When comparing to earlier methods, researchers should note that treatments with urinary FSH have been largely replaced by rh-FSH, which offers several advantages including absence of luteinizing hormone activity, higher specific activity, and lower risk of infection .
When designing experiments to study FSH receptor mutations, researchers should consider the following methodological approach:
Mutation Selection: Identify specific mutations of interest, such as activating mutations like D580H and D580Y in the FSH receptor .
Expression Strategy: Consider different expression approaches:
Functional Characterization: Assess:
Phenotypic Analysis: Evaluate tissue-specific and systemic effects:
Comparative Analysis: Compare mutant phenotypes with receptor overexpression controls to distinguish mutation-specific effects from general overexpression effects .
Genetic Background Considerations: Consider testing mutations on different genetic backgrounds, including receptor knockout backgrounds for rescue experiments .
This approach has been successfully used to identify phenotypic consequences of FSH receptor mutations, providing insights that can guide the search for similar phenotypes in patients carrying analogous mutations .
FSH research has several potential applications in addressing clinical reproductive challenges:
Improved Infertility Treatments: Understanding FSH action at the molecular and cellular levels can lead to more effective and personalized fertility treatments . Research has shown that treatments with recombinant human FSH provide several advantages over urinary FSH, including absence of luteinizing hormone activity, higher specific activity, and lower risk of infection .
Diagnostic Markers: Identification of differential gene expression patterns, such as the downregulation of PTGS2 in follicular fluid sediment cells of patients who did not conceive, could lead to new diagnostic markers for fertility outcomes .
Novel Therapeutic Approaches: Insights from gain-of-function genetic models and their physiological consequences can potentially be used to develop new approaches for treating clinical conditions involving FSH .
Precision Medicine: Understanding the variability in FSH response based on genetic factors could enable more tailored approaches to reproductive medicine.
Researchers can leverage FSH genetic models to develop new therapeutic strategies through several approaches:
Genetic Rescue Platforms: Combining FSH gain-of-function models with Fshb null mice provides a powerful genetic rescue platform that can be used as an efficient in vivo functional assay for testing bioactivities of FSH and FSH analogs .
Constitutively Active Receptor Models: These models can be used to understand the physiological consequences of receptor activation independent of ligand binding, which may inform the development of small molecule activators of FSH signaling .
Cell-Specific Expression Models: Models with tissue-specific expression of FSH or its receptor can help identify the direct effects of FSH on target tissues versus indirect systemic effects, enabling more targeted therapeutic approaches .
Comparative Analysis: Studying species-specific differences in FSH regulation and action can help identify conserved mechanisms that are most likely to translate to human applications .
Protein Engineering: Understanding the structure-function relationships of FSH and its receptor can guide the engineering of FSH variants with enhanced or selective activities .
Follicle Stimulating Hormone (FSH) is a critical hormone in the regulation of reproductive processes in both men and women. It is produced by the anterior pituitary gland and plays a key role in the maturation of ovarian follicles in women and spermatogenesis in men . The development of recombinant DNA technology has allowed for the production of human recombinant FSH (rFSH), which has become a cornerstone in the treatment of infertility.
Recombinant FSH is produced using Chinese hamster ovary (CHO) cells that have been transfected with the genes encoding the two subunits of human FSH . This method ensures a high purity product, devoid of luteinizing hormone (LH) activity, and very similar to natural FSH . The recombinant form of FSH includes follitropin alfa, beta, and delta, which are used in various clinical applications .
Recombinant FSH is primarily used in assisted reproductive technology (ART) to stimulate follicular growth. It is administered to women undergoing controlled ovarian stimulation (COS) for in vitro fertilization (IVF) or intrauterine insemination (IUI) . The hormone helps in the development of multiple follicles, increasing the chances of retrieving multiple oocytes for fertilization .
Clinical studies have shown that recombinant FSH is effective in inducing ovulation and achieving pregnancy in women with anovulatory cycles . It has also been found to be safe, with a similar side effect profile to that of urinary-derived FSH . The introduction of biosimilars of recombinant FSH has further expanded the options available for patients, offering similar efficacy and safety at a potentially lower cost .