Luteinization is the differentiation and reorganization of follicular cells into the steroid-secreting cells of the corpus luteum. Granulosa cells and theca cells change their endocrine activity, with increased capacity for progesterone production. In the normal ovarian cycle, the luteinizing hormone surge coordinates this process with ovulation. Release of the oocyte and transformation of the remaining follicular tissue are nevertheless distinct events.[ref]
Anatomy and Physiology 2e by J. Gordon Betts and others. Section27.2: ovulation,corpus-luteum formation and steroid secretion
A functional experiment examines what the differentiated cells actually make. In a 1991 study, human luteinized granulosa cells were cultured for 48 hours with or without human chorionic gonadotropin or follicle-stimulating hormone. The investigators measured several steroids and assayed aromatase activity separately. Progesterone production was prominent and responsive to stimulation, demonstrating endocrine activity in the luteinized preparation.[ref]
This motivates a useful distinction between cell state and one of its outputs. Increased progesterone is evidence of altered steroid production, but one concentration measurement does not by itself prove that a whole follicle has ruptured, that an oocyte was released, or that every structural step of luteinization occurred. Comparing histology with biochemical measurements makes the interpretation more precise.
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