The obligatory role of follicle-stimulating hormone (FSH) in normal development and function of
ovarian antral follicles is well recognized, but its function in preantral growth is less clear. The
specific objective of this study was to investigate the response, in culture, to FSH of mouse preantral
follicles of increasing size, focusing particularly on growth rate and gene expression. Preantral
follicles were mechanically isolated from ovaries of C57BL/6 mice, 12 to 16 days postpartum, and
single follicles cultured for up to 96 hours in medium alone (n = 511) or with recombinant human FSH
10 ng/mL (n = 546). Data were grouped according to initial follicle diameter in 6 strata ranging
from ,100 to .140 mm. Follicles of all sizes grew in the absence of FSH (P , 0.01, paired t test). All
follicles grew at a faster rate (P , 0.0001) in the presence of 10 ng/mL FSH but larger follicles showed
the greatest change in response to FSH. Even the smallest follicles expressed FSH receptor messenger
RNA (mRNA). FSH-induced growth was inhibited by KT5720, an inhibitor of protein kinase A (PKA),
implicating the PKA pathway in FSH-induced follicle growth. In response to FSH in vitro, FSH receptor
mRNA (measured by quantitative polymerase chain reaction) was reduced (P , 0.01), as was
Amh (P , 0.01), whereas expression of StAR (P , 0.0001) and the steroidogenic enzymes Cyp11a1
(P , 0.01) and Cyp19 (P , 0.0001) was increased. These results show heterogeneous responses to FSH
according to initial follicle size, smaller follicles being less FSH dependent than larger preantral
follicles. These findings strongly suggest that FSH has a physiological role in preantral follicle growth
and function