Endocrinology Vol. 140, No. 11 5112-5119
Copyright © 1999 by The Endocrine Society
Hypertension Associated with Decreased Testosterone Levels in Natriuretic Peptide Receptor-A Gene-Knockout and Gene-Duplicated Mutant Mouse Models1
Kailash N. Pandey,
Paula M. Oliver,
Nobuyo Maeda and
Oliver Smithies
Department of Physiology, Tulane University School of Medicine
(K.N.P.), New Orleans, Louisiana 70112; and the Department of
Pathology, University of North Carolina (P.M.O., N.M., O.S.),
Chapel Hill, North Carolina 27599
Address all correspondence and requests for reprints to: Kailash N. Pandey, Ph.D., Department of Physiology, SL-39, Tulane University School of Medicine, 1430 Tulane Avenue, New Orleans, Louisiana 70112. E-mail: kpandey{at}mailhost.tcs.tulane.edu
 |
Abstract
|
|---|
Mice lacking the gene (Npr1) encoding the natriuretic
peptide receptor A (NPRA) have hypertension with elevated blood
pressure and cardiac hypertrophy. In particular, Npr1
gene-deficient male mice exhibit lethal vascular events similar to
those seen in untreated human hypertensive patients. Serum testosterone
levels tend to be lower in hypertensive male humans than in normal
males without hypertension, but the genetic basis for this tendency
remains unknown. To determine whether Npr1 gene function
affects the testosterone level, we measured serum testosterone in male
hypertensive mice lacking a functional Npr1 gene,
wild-type animals with two copies, and the gene-duplicated littermates
expressing four copies of the gene. In the Npr1
gene-knockout (zero-copy) mice, the serum testosterone level was 62%
lower than that in the two-copy control mice (80 ± 10
vs. 120 ± 14 ng/ml, respectively;
P < 0.005). Serum testosterone in the four-copy
mice was 144% (P < 0.005) of that in the two-copy
wild-type control mice. To investigate the role of NPRA in testicular
steroidogenesis, we analyzed atrial natriuretic peptide (ANP)-dependent
guanylyl cyclase activation, accumulation of intracellular cGMP, and
testosterone production in purified primary Leydig cells from animals
with zero, two, or four copies of the Npr1 gene. Leydig
cells lacking the Npr1 gene did not show ANP-stimulated
guanylyl cyclase activation or cGMP accumulation and had no
ANP-dependent testosterone production. ANP stimulation of Leydig cells
from the four-copy males elicited a 2-fold greater production of cGMP
compared to that in the two-copy wild-type counterparts (260 ± 12
vs. 126 ± 7 pmol/1 x 106 cells;
P < 0.001). Similarly, ANP-dependent testosterone
production in Leydig cells was nearly twice as high in four-copy mice
as in two-copy wild-type controls (561 ± 18 vs.
325 ± 11 ng/1 x 106 cells;
P < 0.001). ANP-dependent guanylyl cyclase
activation and production of cGMP in Leydig cells increased
progressively with the number of Npr1 gene copies. Our
results establish the existence of an alternate mechanism for
testicular steroidogenesis that is stimulated by NPRA-dependent cGMP
signaling, in addition to that mediated by gonadotropins, via a cAMP
pathway. These findings demonstrate the role of Npr1
gene function in the maintenance of serum testosterone levels and
testicular steroidogenesis and provide a genetic link between
hypertension associated with decreased NPRA and low testosterone
levels.
 |
Introduction
|
|---|
ATRIAL NATRIURETIC peptide (ANP) is a
hypotensive cardiac hormone involved in the regulation of renal and
cardiovascular functions mainly directed toward reducing blood pressure
and fluid volume (1, 2, 3). ANP is known to exert its effects on a variety
of physiological responses, such as diuresis, natriuresis,
vasorelaxation, steroidogenesis, and cell proliferation (4, 5, 6). The
discovery of structurally related brain natriuretic peptide (BNP) and
C-type natriuretic peptide (CNP) suggests that the role of natriuretic
peptides in the control of body fluid and blood pressure homeostasis is
complex. Although three natriuretic peptides have highly homologous
structures, they also have distinct sites of synthesis and probably
elicit discrete biological functions (7, 8). The functional complexity
of the natriuretic peptide system is increased by the existence of at
least three types of natriuretic peptide receptors: NPRA, NPRB, and a
clearance receptor, NPRC (9, 10, 11). Both NPRA and NPRB are members of the
receptor guanylyl cyclase (GC) family and produce their own second
messenger, cGMP, that mediates most of the biological effects of
natriuretic peptides. The production of cGMP in response to natriuretic
peptides results from their binding to the extracellular domain of NPRA
and NPRB, which probably allosterically regulates an increased activity
of the intracellular guanylyl cyclase catalytic domain. The
extracellular domains of NPRA and NPRB are homologous to the
extracellular domain of NPRC, which does not contain an intracellular
GC catalytic domain and is thought to clear natriuretic peptides (12).
ANP and BNP bind to NPRA, and CNP binds to NPRB; however, all three
natriuretic peptides bind to NPRC.
Among the three natriuretic peptides, ANP has been studied in greatest
detail and participates in multiple physiological responses. In
addition to its principal effects on sodium balance and fluid volume
regulation, ANP has also been shown to inhibit aldosterone secretion
from adrenal gland, renin from kidney, and vasopressin from posterior
pituitary and to stimulate androgen secretion from normal Leydig cells,
progesterone from granulosa cells, and LH from anterior pituitary (8, 13). Natriuretic peptide receptors are ubiquitously distributed in
diverse tissues and cell types; however, with respect to the
reproductive tissues, functional NPRA has been shown to be present in
both male (14, 15, 16, 17) and female (18, 19) gonads. Although earlier reports
have shown that ANP stimulates the synthesis of testosterone in
isolated Leydig cells (15, 16, 20, 21, 22), the exact mechanisms of
ANP-dependent Leydig cell steroidogenesis are not yet clearly
understood. Previous studies have shown that ANP receptor density was
drastically reduced in spontaneously hypertensive rats (SHR) compared
with that in normotensive Wistar-Kyoto counterparts, and ANP weakly
stimulated testosterone production in isolated Leydig cells of SHR
(23). These results correlate well with the finding that male patients
with hypertension show lower circulating testosterone levels and an
increased risk of erectile dysfunction (24, 25). Men with a family
history of hypertension have also been shown to have lower than normal
serum testosterone levels (26), suggesting a possible genetic link
between hypertension and low serum testosterone levels. However, the
precise relationship between hypertension and low testosterone levels
remains an enigma. Certain other peptide hormones known to be involved
in the regulation of blood pressure have also been shown to influence
fertility and steroidogenesis (27).
Our gene-targeting strategies, resulting in mice with either a gene
knockout or a gene duplication of Npr1, have shown that the
blood pressure-lowering effects of ANP are absent in Npr1
null mutant mice (28), whereas these ANP effects are increased linearly
in Npr1 gene-duplicated mice (29). Thus, we found that
animals lacking NPRA have elevated blood pressure (
15 mm Hg over
wild-type controls) and exhibit cardiac pathology similar to that
described in human patients with hypertensive heart disease. To address
whether Npr1 gene copy number affects testosterone
production in vivo and to study the direct effect of NPRA on
ANP-dependent steroidogenesis in hypertensive mouse models, we measured
serum testosterone levels and Leydig cell steroidogenesis in males with
zero, two, and four copies of the Npr1 gene.
 |
Materials and Methods
|
|---|
Materials
ANP (rat-28), BNP (rat-32), and CNP (porcine-22) were purchased
from Peninsula Laboratories, Inc. (Belmont, CA).
Na125I (17 mCi/µg) was obtained from Amersham Pharmacia Biotech (Arlington Heights, IL), and the RIA kit used
to measure testosterone was obtained from Pantex
(Santa Monica, CA). Succinimido-4-azidobenzoate was purchased from
Pierce Chemical Co. (Rockford, IL). Percoll was received
from Pharmacia (Piscataway, NJ), and the cGMP assay kit was obtained
from Biomedical Technology, Inc. (Stoughton, MA). The protein assay kit
was purchased from Bio-Rad Laboratories, Inc. (Hercules,
CA). Culture media and buffers were purchased from Life Technologies, Inc. (Grand Island, NY). All other chemicals were
molecular biology reagent grade.
Production of mice lacking the Npr1 gene
Targeted disruption of the Npr1 gene to produce mice
lacking functional NPRA has been reported previously (28). The
targeting vector was made using a 6.5-kb fragment of strain 129 genomic
DNA containing sequences upstream of the 5'-Npr1 coding
region as the 5'-region of homology, and a PCR-derived 1.5-kb fragment,
containing exon 2, intron 2, and part of exon 3 of the Npr1
gene as the 3'-homology arm. Animals were made from correctly targeted
embryonic stem cells as previously described (30, 31).
F1 heterozygous animals were determined by Southern blot
analysis of DNA extracted from tail biopsies with BamHI and
hybridizing with a PCR derived probe for exon 4 or a probe that
hybridizes to the neomycin resistance gene. F1
heterozygotes were interbred to produce mutant mice homozygous for
disruption of the Npr1 gene. Animals were handled under
protocols approved by the institutional animal care and use
committee.
Production of mice with a duplication of the Npr1 gene
Targeted gene duplication of Npr1 has been previously
described (29). The duplication-targeting construct was made by
inserting the same 6.5-kb fragment in the opposite orientation in the
targeting vector and replacing the 1.5-kb fragment with a 1.3-kb
HindIII fragment containing sequence 6.0-kb downstream of
the last Npr1-encoding exon. Electroporation and cell
culture were performed as previously described (29). Correctly targeted
clones were identified by Southern blot, digesting the embryonic
stem cell DNA with BamHI, and hybridizing the blot
with an exon 1 probe. F1 heterozygotes were crossed to
produce mice homozygous for duplication of the Npr1 gene.
Homozygous animals were identified by the Massachusetts Institute of
Technology (MIT) marker analysis, using primers D3MIT40 and
D3MIT101 (32). Animals were handled under protocols approved by the
institutional animal care and use committee.
Serum testosterone assay
Blood samples were collected from age-matched male mice with
zero, two, and four copies of the Npr1 gene under
CO2 anesthesia using noncoated glass pipette into ice-cold
tubes and immediately centrifuged to isolate the plasma. Serum
testosterone concentrations were determined using a direct RIA kit.
Leydig cell isolation and stimulation of testosterone
Mice were killed by cervical dislocation, and testis were
removed, decapsulated, and placed in Waymouth medium containing 10
mM HEPES (pH 7.4) and 0.1% BSA. Testes from zero-, two-,
and four-copy mice were dispersed mechanically using a 50-cc syringe,
essentially as previously described (15, 22). Tubules were allowed to
settle for 10 min, and supernatants were centrifuged at 100 x
g for 10 min at 4 C to pellet the Leydig cells, which were
then further purified on Percoll gradients. The viability of cells was
determined by the trypan blue exclusion test. Leydig cells were treated
with appropriate concentrations of ANP, BNP, CNP, or LH incubated at 37
C for 3 h in an atmosphere of 5% CO2 and 95%
O2 in a shaking water bath. The reaction was stopped by the
addition of 1 ml ice-cold Waymouth medium and centrifugation at
100 x g for 10 min. The release of testosterone in the
medium and intracellular accumulation of cGMP were determined by the
direct RIA kits.
Photoaffinity labeling of NPRA
The photoaffinity ligand azidobenzoyl-[125I]ANP
was prepared as previously described (14). Isolated Leydig cells from
Npr1 gene-knockout and wild-type mice were washed with assay
medium and then incubated at 4 C in fresh medium containing
azidobenzoyl-[125I]ANP for 10 min in the dark as
described previously (33). After binding, cells were washed three times
with cold assay medium and photolysed in fresh medium. Cells were
rewashed four times with assay medium and lysed in a solution
containing SDS (0.5%), Triton X-100 (1%),
phenylmethylsulfonylfluoride (1 mM),
N-ethylmalemide (2 mM), and leupeptin
and aprotinin (10 µg/ml each). The aliquots of the cell lysates were
boiled for 5 min with an equal volume of sample buffer and analyzed by
SDS-PAGE using 7.5% gels under reduced conditions. Electrophoresis was
carried out at a constant current of 25 mA until the bromophenol blue
front reached the bottom of the gel. Proteins in the gel were stained
with Coomassie brilliant blue R-250. After destaining, the gels were
dried and autoradiographed at -70 C using Kodak X-Omat
film (Eastman Kodak Co., Rochester, NY) and a Cronex
Lightning Plus (DuPont, Wilmington, DE) intensifying screen. The
proteins used for standard molecular mass calibration were as follows:
myosin (Mr 205,000), ß-galactosidase (Mr
116,000), phosphorylase b (Mr 97,000), BSA (Mr
67,000), ovalbumin (Mr 45,000), and carbonic anhydrase
(Mr 29,000).
Guanylyl cyclase assay
The plasma membranes were prepared by suspending purified Leydig
cells in 5 vol sodium phosphate buffer (10 mM; pH 7.4)
containing sucrose (250 mM), NaCl (150 mM),
EDTA (5 mM), leupeptin (10 µg/ml), and aprotinin (10
µg/ml). Cells were homogenized in a Dounce-type homogenizer and
centrifuged at 800 x g for 5 min at 4 C. The
supernatants were collected, and pellets resuspended in 5 vol buffer,
homogenized, and centrifuged as described above. Both supernatants were
pooled and centrifuged at 100,000 x g for 1 h at
4 C. The pellets were resuspended in 50 mM HEPES buffer (pH
7.4) containing 150 mM NaCl and protease inhibitors as
described above and recentrifuged at 100,000 x g for
1 h at 4 C. The membrane pellets obtained were resuspended in the
above buffer, and aliquots were frozen in liquid nitrogen and stored at
-75 C until used. The guanylyl cyclase activity was assayed as
previously described (34, 35). Briefly, 10-µl aliquots of membranes
were added to the 100-µl total reaction mixture containing Tris-HCl
buffer (50 mM; pH 7.6), MnCl2 (4
mM), GTP (1 mM), BSA (1 mg/ml), creatine
phosphate (7.5 mM), theophyline (10 mM),
3-isobutyl-1-methylxanthine (IBMX; 0.2 mM), and creatine
phosphokinase (3 µM) in the presence or absence of ANP.
Reaction mixtures were incubated at 37 C for 20 min and then stopped by
the addition of 900 µl sodium acetate buffer (50 mM; pH
6.2) and by placing the samples in a boiling water bath for 3 min. The
amount of cGMP generated was determined using a RIA kit. The protein
contents were determined using the protein assay kit.
Determination of intracellular cGMP
Leydig cells from different genotypes of mice were treated with
ANP at 37 C for 10 min in the presence of 0.2 mM IBMX. The
reaction was stopped with 0.5 N HCl. Cells were disrupted
by a rapid freezing and thawing five times, and the cell lysates were
centrifuged at 100 x g for 10 min. Supernatants were
lyophilized and reconstituted in water. cGMP was measured using RIA kit
as previously described (35).
Statistics
All data are presented as the mean ± SE.
Statistical significance was established using Students t
test or Duncans one-way ANOVA.
 |
Results
|
|---|
The present studies were designed primarily to determine whether
the hypertension observed in Npr1-deficient mice is
accompanied by altered testosterone levels. We measured serum
testosterone concentrations in male mice completely lacking the
Npr1 gene (zero-copy) and in age-matched wild-type
(two-copy) and gene-duplicated (four-copy) littermates. The serum
testosterone concentration was 62% lower (P < 0.005)
in Npr1 null mutant (zero-copy) hypertensive mice compared
with the wild-type (two-copy) control mice (Fig. 1
). To determine whether the testosterone
level in vivo is quantitatively related to NPRA levels, we
compared serum testosterone levels in animals with zero, two, or four
copies of the Npr1 gene, which have been previously shown to
have 0%, 100% (by definition), and 200% of normal NPRA levels. The
results demonstrated that serum testosterone levels in four-copy
animals are 144% of the levels in two-copy wild-type control mice
(P < 0.005). These results indicate that NPRA plays an
important role in androgen biosynthesis and the maintenance of
circulating hormone in vivo.

View larger version (22K):
[in this window]
[in a new window]
|
Figure 1. Serum testosterone levels in Npr1gene-knockout (zero-copy), wild-type (two-copy), and
gene-duplicated (four-copy) mice. Blood samples were collected under
CO2 anesthesia from age-matched male mice with zero, two,
and four copies of the Npr1 gene using a noncoated glass
pipette into ice-cold tubes and immediately centrifuged to isolate the
plasma. Serum testosterone concentrations from different samples were
determined using a RIA kit. The bars represent the
mean ± SE of three separate determinations.
P < 0.005, significantly different from
two-copy wild-type control mice.
|
|
To further characterize the effect of Npr1 gene copy numbers
on testosterone production, we measured the synthesis and release of
testosterone in purified Leydig cells isolated from mice with zero,
two, or four copies of the Npr1 gene. ANP treatments of
purified Leydig cells showed a gene dose-dependent stimulation of
testosterone biosynthesis (Fig. 2
).
Isolated Leydig cells from zero-copy null mutant mice showed no
synthesis or release of testosterone in response to ANP treatment.
However, similar treatment of Leydig cells from two- and four-copy
animals stimulated testosterone production by almost 35- and 60-fold,
respectively. LH induced testosterone production in Leydig cells from
two-copy wild-type mice comparable to that induced by ANP (Table 1
). Both ANP and BNP stimulated
testosterone production in Leydig cells from two-copy animals by more
than 25-fold, whereas CNP, a third member of the natriuretic peptide
hormone family, was able to stimulate testosterone only 1.5- to 2-fold
compared with the untreated control levels (Table 1
). The stimulated
levels of testosterone production in response to ANP, BNP, or LH were
comparable in two-copy wild-type mice, and the LH-stimulated level of
testosterone production was not significantly different among the
Npr1 gene-knockout (zero-copy), wild-type (two-copy), or
gene-duplicated (four-copy) mice. We performed LH dose-response curves
for testosterone production in Leydig cells from zero-, two-, and
four-copy mice, which showed that LH stimulated testosterone production
in a concentration-dependent manner in all three genotypes with almost
similar dose-response curves (Fig. 3
).

View larger version (23K):
[in this window]
[in a new window]
|
Figure 2. ANP stimulation and dose-response curves of
testosterone production in isolated Leydig cells from mice with zero,
two, and four copies of the Npr1 gene. In each tube,
purified Leydig cells (1 x 106 cells) were incubated
with increasing concentrations of ANP in the presence of 0.2
mM IBMX for 3 h at 37 C in an atmosphere of 5%
CO2 and 95% O2. At the end of incubation
period, the reaction was stopped by placing the tubes on ice and
centrifuging at 1500 rpm for 15 min. Testosterone in the medium was
estimated using a direct RIA kit. Data indicate the mean ±
SE of three separate experiments. **, Significantly
different from two-copy wild-type control mice.
|
|
View this table:
[in this window]
[in a new window]
|
Table 1. Differential effects of three natriuretic peptides
on testosterone production in purified Leydig cells isolated from
Npr1 gene knockout (zero-copy), wild-type (two-copy), and
gene-duplicated (four-copy) mice
|
|

View larger version (22K):
[in this window]
[in a new window]
|
Figure 3. LH stimulation and dose-response curves of
testosterone production in isolated Leydig cells in Npr1
gene-knockout (zero-copy), wild-type (two-copy), and gene-duplicated
(four-copy) mice. Purified Leydig cells (1 [tiems] 10-6
cells) were incubated with increasing concentrations of LH in the
presence of 0.2 mM IBMX for 3 h at 37 C in an
atmosphere of 5% CO2 and 95% O2. At the end
of incubation period, the reaction was stopped, and contents were
centrifuged at 1500 rpm for 15 min as described in Materials and
Methods. In the supernatants, testosterone was estimated using
a direct RIA kit. Each point represents the mean ±
SE of three independent determinations.
|
|
ANP stimulation of Leydig cells from wild-type (two-copy) and
gene-duplicated (four-copy) mice elicited the accumulation of
intracellular cGMP by 126 ± 7 and 260 ± 12 pmol/1 x
106 cells (P < 0.001), approximately 90-
and 185-fold stimulations, respectively, compared with that in
nontreated control cells (Fig. 4
).
However, ANP-dependent stimulation of cGMP in isolated Leydig cells
from null mutant (zero-copy) mice was completely abolished (1.4 ±
0.2 pmol/1 x 106 cells, comparable to untreated
control values). To assess the specificity of the ANP-dependent cGMP
production and receptor activity, we tested the effect of the NPRA
antagonist A-71915. The results showed that the NPRA antagonist
effectively abolished the ANP-dependent accumulation of cGMP in Leydig
cells from both wild-type (two-copy) and gene-duplicated (four-copy)
mice. To confirm that the Npr1 gene copy numbers directly
affect the density of cell surface receptors, we measured the
ANP-dependent guanylyl cyclase activity in plasma membrane preparations
of Leydig cells from animals with zero, two, or four copies of the
Npr1 gene. The ANP-dependent guanylyl cyclase activation and
cGMP production in Leydig cells were again found to be proportionate to
the Npr1 gene copy number (Fig. 5
). Plasma membrane preparations of
Leydig cells from the Npr1 gene-deficient mice (zero-copy)
do not yield any photoaffinity-labeled NPRA protein band (Fig. 6
). Neither ANP nor BNP treatments of
Leydig cells from the Npr1-deficient null mutant mice
resulted in any increase in testosterone production, showing that both
peptide hormones function by interacting with NPRA.

View larger version (18K):
[in this window]
[in a new window]
|
Figure 4. Effect of the NPRA antagonist A71975 on
ANP-stimulated cGMP production in Leydig cells from wild-type and
Npr1 gene-targeted mutant mice. Purified Leydig cells
from each genotype of mice were preincubated with 0.2 mM
IBMX and then treated with ANP (1 x 10-7
M) in the presence or absence of the NPRA antagonist A71975
for 10 min at 37 C. The reaction was stopped with 100 µl
HCLO4 (10N). Cells were disrupted by freezing and thawing
four times, and cell lysates were centrifuged at 200 x
g for 10 min. The supernatant was washed five times with
water-saturated diethyl ether, and the pH of the solution was adjusted
to 6.5. The amount of cGMP was estimated by RIA. Each data
point represents the mean ± SE of three or
four separate experiments.
|
|

View larger version (23K):
[in this window]
[in a new window]
|
Figure 5. Stimulation of guanylyl cyclase activity in plasma
membrane preparations of Leydig cells from wild-type (two-copy),
Npr1 gene-knockout (zero-copy), and gene-duplicated
(four-copy) mutant mice. Guanylyl cyclase activity was assayed by
incubating 40 µg plasma membranes at 37 C for 30 min in the presence
of ANP (1 x 10-7 M) as described in
Materials and Methods. Each reaction was terminated by
the addition of 900 µl sodium acetate buffer (50 mM; pH
6.2) and subsequently placing the tubes in a boiling water bath for 3
min. The amount of cGMP formed was measured using a direct RIA kit.
Each data point represents the mean ±
SE of three separate determinations.
|
|

View larger version (34K):
[in this window]
[in a new window]
|
Figure 6. Autoradiogram showing the presence and absence of
the photoaffinity-labeled 135-kDa NPRA protein band in Leydig cells
isolated from two-copy wild-type and zero-copy Npr1
gene-knockout mutant mice. Freshly isolated Leydig cells from two-copy
wild-type and zero-copy null mutant mice were labeled with
azidobenzoyl-[125I]ANP at 4 C as described in
Materials and Methods. After photolysis at 4 C for 10
min, cells were solubilized in a solution containing 0.5% SDS, 1%
Triton X-100, and protease inhibitors. The proteins were separated by
SDS-PAGE using 7.5% gel under reduced conditions, and the radiolabeled
NPRA band was identified by autoradiography. The 135-kDa labeled NPRA
band is indicated by an arrow. The positions of the
standard molecular mass markers are indicated on the margin. Lane a
indicates the presence of the labeled NPRA band in Leydig cells of
two-copy wild-type mice, and lane b shows the absence of the NPRA
protein band in Leydig cells of zero-copy null mutant mice. The
autoradiogram is representative of two separate receptor-labeling
experiments.
|
|
 |
Discussion
|
|---|
We have investigated the mechanisms of ANP/NPRA action using the
Npr1 gene-deficient and gene-duplicated mutant mouse models
and have studied the effect of Npr1 gene copy number on
serum testosterone levels in vivo and testicular
steroidogenesis in vitro. The serum testosterone
concentration was decreased by 62% in Npr1 gene-deficient
(zero-copy) mice and increased by 144% in gene-duplicated four-copy
mice relative to that in the two-copy wild-type controls. Data
presented herein demonstrate that ANP does not stimulate testosterone
production in Leydig cells from Npr1 gene-knockout
(zero-copy) mice, whereas it stimulated approximately 35- and 60-fold
testosterone production in Leydig cells from wild-type (two-copy) and
gene-duplicated (four-copy) mice, respectively. Previous studies have
shown that ANP stimulated 4- to 5-fold testosterone production in
Leydig cells from normotensive Wistar-Kyoto rats compared with that in
the genetic strain of SHR (23). These results indicated that a defect
at one or more loci in ANP and/or its receptor system in the testis
might contribute to the development of hypertension in SHR. The
findings that the hypertension is associated with lower than normal
levels of circulating testosterone suggest that 1) serum testosterone
affects blood pressure regulation; 2) high blood pressure can
negatively regulate steroidogenesis; or 3) there are genes involved in
the regulation of blood pressure that also affect steroidogenesis. The
observations that certain young normotensive men with a family history
of hypertension also exhibit low serum testosterone levels (26) are in
agreement with our present findings and support the third possibility.
Our present results show that NPRA deficiency in male mice is
characterized by both high blood pressure and low circulating
testosterone levels.
Male patients with hypertension are not only more likely to have low
serum testosterone levels, but also have an increased risk for erectile
dysfunction and infertility (25). Serum testosterone levels are thought
to play an important role in male reproductive success; for example, a
mouse model was recently described in which homozygous disruption of
insulin-like growth factor I leads to an 82% reduction in serum
testosterone levels accompanied by infertility (36).
Npr1-deficient male mice are fertile and produce normal
sized litters when crossed with both wild-type and
Npr1-deficient females, indicating that in these mice serum
testosterone levels may be reduced (to 38% of wild-type levels)
without causing infertility. Indeed, LH is considered the main
regulator of serum testosterone levels; however, the administration of
ANP has been reported to alter steroidogenesis in young men without
modifying gonadotropin (LH) secretion (37). In contrast, previous
studies have indicated that ANP exerted a stimulatory effect on LH
secretion (38); however, it negatively affected the secretion of ACTH
as well as stress-induced GH release (39). Although in the present
model of Npr1 gene-targeted mice, the serum level of LH was
not determined, our results support the contention that unlike LH,
Leydig cell steroidogenesis in response to ANP is mediated through the
activation of NPRA involving cGMP as second messenger, in contrast to
gonadotropin (LH), which involves the cAMP pathway. As in all three
groups of the Npr1 gene-targeted animals regardless of
Npr1 gene copy number, the responsiveness of Leydig cells to
LH remained identical, the serum testosterone level in zero-copy mice
is significantly lower than that in two-copy wild-type animals. The
likely explanation for this effect would be that the ANP/NPRA signaling
mechanism contributes to an additive effect in conjunction with
gonadotropin (LH) in the biosynthesis and maintenance of circulating
serum testosterone levels in vivo. Our previous studies have
shown that the stimulation of Leydig cells by combined treatment with
ANP and LH caused a marked increase in testosterone production compared
to that with either ANP or LH alone (15). However, the effect of
Npr1 gene copy number on LH secretion, which is the main
regulator of serum testosterone levels, remains to be investigated. Our
current work shows that ANP stimulation increases testosterone
biosynthesis by acting directly through NPRA and that this response is
affected by Npr1 gene copy number and hence by the level of
NPRA expression.
BNP also activates NPRA and stimulates testosterone production in a
manner comparable to that of ANP. On the contrary, CNP, which binds to
NPRB, stimulates testosterone only minimally by 1.5- to 2.0-fold in
gene-disrupted (zero-copy), wild-type (two-copy), or gene-duplicated
(four-copy) mice, indicating that it does not require NPRA. Recent
studies have also shown that ANP and BNP regulate blood pressures
exclusively through NPRA, whereas CNP most likely regulates blood
pressure through NPRB (40). Although CNP and NPRB have been shown to be
expressed in Leydig cells (41), the exact role of CNP in testis is not
immediately clear. It has also been recently suggested that the
possible role of CNP in testis may not necessarily be confined to
steroidogenesis alone, as it may influence yet undefined functions of
testicular cells, including Leydig cells (42). We have previously
reported the presence of ANP-like peptide molecules in mouse and rat
testes, which indicated that ANP might serve as a physiological
natriuretic peptide hormone involved in testicular steroidogenesis and
spermatogenesis (43). Our results with the Npr1
gene-deficient (zero-copy) and gene-duplicated (four-copy) mice
establish a direct involvement of NPRA in the maintenance of serum
testosterone levels and testicular steroidogenesis in response to ANP.
The present data demonstrate that ANP stimulates the production of cGMP
and testosterone in isolated Leydig cells of wild-type (two-copy) mice,
but fails to produce cGMP and testosterone in Leydig cells from
Npr1 null mutant (zero-copy) mice even at micromolar
concentrations. The NPRA antagonist A71915 blocked the production of
cGMP and testosterone in Leydig cells from two-copy wild-type and
four-copy gene-duplicated mice, supporting the functional role of NPRA
in testicular steroidogenesis.
It is also important to note that ANP exerted only minimal effect or
did not significantly stimulate testosterone production in rat Leydig
cells compared with that in mouse Leydig cells (44). These researchers
suggested that species differences between rat and mouse Leydig cells
in the effect of ANP on testosterone production would probably result
from a lower guanylyl cyclase activity in rat Leydig cells. In
contrast, it has been shown that rat testis contained the highest
ANP-dependent guanylyl cyclase activity of any tissue reported to date
(45). It is interesting to note that species differences exist not only
with regard to the ANP-dependent steroidogenesis of Leydig cells;
however, both testosterone production and cAMP accumulation in response
to gonadotropins were severalfold higher in mouse Leydig cells than in
rat Leydig cells (46, 47, 48). Our unpublished data also support the
contention that the isolated rat Leydig cells contain a much lower
density of ANP receptor than mouse Leydig cells. As rat Leydig cells
are isolated with extensive enzymatic digestion, this may have caused
the degradation of ANP receptor/guanylyl cyclase activity, showing a
low or even absent ANP response on testosterone stimulation in these
cells. Bolus administration of ANP did not affect testosterone
secretory activity of rat Leydig cells; however, chronically
administered ANP was able to stimulate the steroidogenic capacity of
rat Leydig cells (49). It has also been suggested that calcium ions may
play a role in the mechanisms by which ANP exerts its stimulatory
effects on rat Leydig cell steroidogenesis (50, 51). These researchers
also observed that ANP at a lower concentration (1 x
10-11 M) stimulated testosterone
approximately 8-fold; however, at the higher concentration (1 x
10-7 M) only 3-fold testosterone stimulation
was observed compared with the basal levels. Indeed, the findings of
those previous studies are controversial with regard to the capacity of
ANP to stimulate the production of cGMP in various cells types. The
common characteristics of the ANP effect across species is that ANP
stimulates optimum levels of intracellular cGMP accumulation in a
concentration range of 1 x 10-9 to 1 x
10-6 M. It has also been postulated that the
effect of cGMP in rat Leydig cells in possibly due to a specific
activation of a cAMP-dependent protein kinase (44); however, valid
experimental evidence supporting these postulates are still lacking.
Nonetheless, the species differences between mouse and rat Leydig cell
steroidogenesis exist in response to ANP as well as gonadotropins, but
the exact cause of these differences among the species remains to be
investigated.
In summary, the data obtained from our Npr1
gene-deficient and gene-duplicated mutant mouse models
demonstrate an alternative mechanism for Leydig cell
steroidogenesis in addition to the known cAMP-dependent
steroidogenic pathways mediated by gonadotropins. Our results
establish a role for Npr1 gene function in the maintenance
of serum testosterone levels and testicular steroidogenesis in Leydig
cells and indicate one possible genetic link between low testosterone
levels and the molecular mechanisms governing the state of
hypertension.
 |
Acknowledgments
|
|---|
We are indebted to Dr. Ming Li, Kamala Pandey and Huong Nguyen
for their assistance during the course of this work. We thank Dr.
Thomas W. von Geldern for the generous gift of A71915. We also thank
the Pituitary Distribution Program of the NIDDK (Bethesda, MD) for the
generous gift of bovine LH.
 |
Footnotes
|
|---|
1 This work was supported by NIH Grants HL-62145, HL-49277, and
GM-20069 and the American Heart Association (South East
Affiliate). 
Received June 4, 1999.
 |
References
|
|---|
-
deBold AJ, Borenstein HB, Veress AT, Sonnenberg
AT 1981 A rapid and potent natriuretic response to intravenous
injection of atrial myocardial extract in rats. Life Sci 28:8994[CrossRef][Medline]
-
Atlas SA, Kleinert HD, Camargo MJ, Januszewicz A,
Sealey JE, Laragh JH, Schilling JW, Lewicki JA, Johnson LK, Maack
T 1984 Purification, sequencing and synthesis of natriuretic and
vasoactive rat atrial peptide. Nature 309:717719[CrossRef][Medline]
-
Maki M, Takayanagi R, Misono KS, Pandey KN, Tibbetts
CT, Inagami T 1984 Structure of rat atrial natriuretic factor
precursor deduced from cDNA sequence. Nature 309:722724[CrossRef][Medline]
-
Anand-Srivastava MB, Trachte GJ 1993 Atrial
natriuretic factor receptor and signal transduction. Pharmacol Rev 45:455497[Medline]
-
Pandey KN 1996 Vascular action: Natriuretic
peptide receptor. In: Sowers JR (ed) Contemporary Endocrinology:
Endocrinology of the Vasculature. Humana Press, Totawa, pp 255267
-
Levin ER, Samson W, Gardner DG 1998 Natriuretic
peptides. N Engl J Med 339:321328[Free Full Text]
-
Inagami T 1989 Atrial natriuretic factor. J
Biol Chem 264:30433046[Free Full Text]
-
Brenner BM, Ballerman BJ, Gunning ME, Zeidel ML 1990 Diverse biological actions of atrial natriuretic peptide. Physiol
Rev 70:665699[Free Full Text]
-
Koller KJ, Lowe DG, Bennett GL, Minamino N, Kangawa K,
Matsuo H, Goeddel DV 1991 Selective activation of the
B-natriuretic peptide receptor by C-type natriuretic peptide (CNP).
Science 252:120123[Abstract/Free Full Text]
-
Garbers DL 1992 Guanylyl cyclase receptors and
their endocrine, paracrine and autocrine ligands. Cell 71:14[CrossRef][Medline]
-
Drewett JG, Garbers DL 1994 The family of guanylyl
cyclase receptors and their ligands. Endocr Rev 15:135162[CrossRef][Medline]
-
Maack T 1992 Receptors for atrial natriuretic
factor. Annu Rev Physiol 54:1127[CrossRef][Medline]
-
Pandey KN 1997 Physiology of the natriuretic
peptides: gonadal function. In: Samson WK, Levin ER (eds) Contemporary
Endocrinology: Natriuretic Peptides in Health and Disease. Humana
Press, Totowa, pp 171191
-
Pandey KN, Inagami T, Misono KS 1986 Atrial
natriuretic factor receptor on cultured Leydig tumor cells: ligand
binding and photoaffinity labeling. Biochemisty 25:84678472[CrossRef][Medline]
-
Pandey KN, Pavlou SN, Kovacs WJ, Inagami T 1986 Atrial natriuretic factor regulates steroidogenic responsiveness and
cyclic nucleotide levels in mouse Leydig cells in vitro.
Biochem Biophys Res Commun 138:399404[CrossRef][Medline]
-
Mukhopadhyay AK, Bohnet HG, Leidenberger FA 1986 Testosterone production by mouse Leydig cells is stimulated in vitro by
atrial natriuretic factor. FEBS Lett 202:111116[CrossRef][Medline]
-
Pandey KN, Singh S 1990 Molecular cloning and
expression of murine guanylate cyclase/atrial natriuretic factor
receptor cDNA. J Biol Chem 265:1234212348[Abstract/Free Full Text]
-
Pandey KN, Osteen KG, Inagami T 1987 Specific
receptor-mediated stimulation of progesterone secretion and cGMP
accumulation by rat atrial natriuretic factor in cultured human
granulosa-lutein (G-L) cells. Endocrinology 121:11951197[Abstract]
-
Gutkowska J, Tremblay J, Antakly T, Meyer R,
Mukaddam-Dahere S, Nemer M 1993 The atrial natriuretic peptide
system in rat ovaries. Endocrinology 132:693700[Abstract]
-
Bex F, Corbin A 1985 Atrial natriuretic factor
stimulates testosterone production by mouse interstitial cells. Eur
J Pharmacol 115:125126[CrossRef][Medline]
-
Foresta C, Mioni R, Careto A 1987 Specific binding
and steroidogenic effects of atrial natriuretic factor in Leydig cells
of rats. Arch Androl 19:253259[Medline]
-
Khurana ML, Pandey KN 1993 Receptor-mediated
stimulatory effect of atrial natriuretic factor, brain natriuretic
peptide and C-type natriuretic peptide in stimulation of
testosterone production in purified mouse Leydig cells: activation of
cholesterol side-chain cleavage enzyme. Endocrinology 133:21412149[Abstract]
-
Kapasi AA, Kumar R, Pauly JR, Pandey KN 1996 Differential expression and autoradiographic localization of atrial
natriuretic peptide receptor in spontaneously hypertensive and
normotensive rat testes. Hypertension 28:847853[Abstract/Free Full Text]
-
Phillips GB, Jing T-Y, Resnick LM, Barbagallo M, Laragh
JH, Sealey JE 1993 Sex hormones and homeostatic risk factors for
coronary heart disease in men with hypertension. J Hypertens 11:699702[CrossRef][Medline]
-
Jaffe A, Chen Y, Kisch ES, Fischel B, Alon M, Stern
N 1996 Erectile dysfunction in hypertensive subjects. Hypertension 28:859862[Abstract/Free Full Text]
-
Endre T, Mattiasson I, Berglund G, Hulthen UL 1996 Low testosterone and insulin resistance in hypertension-prone men. J
Hum Hypertens 10:755761[Medline]
-
Ergul a, Glassberg MK, Majercik MH, Puett D 1993 Endothelin-1 promotes steroidogenesis and stimulates protooncogene
expression in transformed murine Leydig cells. Endocrinology 132:598603[Abstract]
-
Oliver PM, Fox JE, Kim R, Rockman HA, Kim H-S, Reddick
RL, Pandey KN, Milgram SL, Smithies O, Maeda N 1997 Hypertension,
cardiac hypertrophy, and sudden death in mice lacking natriuretic
peptide receptor-A. Proc Natl Acad Sci USA 94:1473014735[Abstract/Free Full Text]
-
Oliver PM, John SW, Purdy KE, Kim R, Maeda N, Goy MF,
Smithies O 1998 Natriuretic peptide receptor 1 expression
influences blood pressures of mice in a dose-dependent manner. Proc
Natl Acad Sci USA 95:25472551[Abstract/Free Full Text]
-
Smithies O, Kim, H-S 1995 Targeted gene duplication
and disruption for analyzing quantitative genetic traits in mice. Proc
Natl Acad Sci USA 91:36123615[Abstract/Free Full Text]
-
Smithies O, Maeda, N 1995 Gene targeting approaches
to complex genetic diseases: Atherosclerosis and essential
hypertension. Proc Natl Acad Sci USA 92:52665272[Abstract/Free Full Text]
-
Deitrich WF, Miller J, Steen R, Merchant MA,
Damron-Boles D, Husain Z, Dredge R, Daly MJ, Ingalis KA, OConnor TJ,
Evans CA, De Angelis MM, Levinson DM, Kruglyak L, Goodman N, Copeland
NG, Jenkins NA, Hawkins TL, Stein L, Page DC, Lander ES 1996 A
comprehensive genetic map of the mouse genome. Nature 380:149152[CrossRef][Medline]
-
Pandey KN 1993 Stoichiometric analysis of
internalization, recycling and redistribution of photoaffinity labeled
guanylyl cyclase/atrial natriuretic factor receptors in cultured murine
Leydig tumor cells. J Biol Chem 268:43824390[Abstract/Free Full Text]
-
Khurana ML, Pandey KN 1994 Modulation of guanylate
cyclase-coupled atrial natriuretic factor receptor activity by
mastoparan and G-proteins. Biochim Biohys Acta 1224:6167[Medline]
-
Khurana ML, Pandey KN 1995 Catalytic activation of
guanylate cyclase/atrial natriuretic factor receptor by combined
effects of ANP and GTP
S in plasma membranes of Leydig cells. Arch
Biochem Biophys 316:392398[CrossRef][Medline]
-
Baker J, Hardey MP, Zhou J, Bondy C, Lupu F, Bellve AR,
Afstradiatis A 1996 Effects of an Igf gene null mutation on mouse
reproduction. Mol Endocrinol 10:903918[Abstract]
-
Foresta C, Mioni R, Miotlo D, De-Carlo E, Facchin F,
Varotlo A 1991 Stimulatory effects of alpha-hANP on testosterone
secretion in man. J Clin Endrocrinol Metab 72:392395[Abstract]
-
Horvath J, Ertl T, Schally AV 1986 Effect of atrial
natriuretic peptide on gonadotropin release in superfused rat pituitary
cells. Proc Natl Acad Sci USA 83:34443446[Abstract/Free Full Text]
-
Franci CR, Anselmo-Franci JA, McCann SM 1992 The
role of endogenous atrial natriuretic peptide in resting and
stress-induced release of corticotropin, prolactin, growth hormone, and
thyroid-stimulating hormone. Proc Natl Acad Sci USA 89:1139111395[Abstract/Free Full Text]
-
Lopez MJ, Garbers DL, Kuhn M 1997 the guanylyl
cyclase-deficient mouse defines differential pathways of natriuretic
peptide signaling. J Biol Chem 272:2306423068[Abstract/Free Full Text]
-
Middendorff R, Muller D, Paust HJ, Davidoff MS,
Mukhopadhyay AK 1996 Natriuretic peptides in the human testis:
Evidence for a potential role of C-type natriuretic peptide in Leydig
cells. J Clin Endocrinol Metab 81:43244328[Abstract]
-
Middendorff R, Muller D, Paust HJ, Holstein AF, Davidoff
MS 1997 New aspects of Leydig cell function. Adv Exp Med Biol 424:125138[Medline]
-
Pandey KN, Orgebin-Crist M-C 1991 Atrial
natriuretic factor in mammalian testes. Immunological detection in
spermatozoa. Biochem Biophys Res Commun 180:437444[CrossRef][Medline]
-
Mukhopadhyay AK, Schumacher M, Leidenberger FA 1986 Steroidogenic effect of atrial natriuretic factor in isolated mouse
Leydig cells is medicated by cyclic GMP. Biochem J 239:463467[Medline]
-
Waldman SA, Rapporport RM, Murad F 1984 Atrial
natriuretic factor selectively activates particulate guanylate cyclase
and elevates cyclic GMP in rat tissue. J Biol Chem 259:14:33214,334
-
Dufau ML, Horner KA, Hayashi K, Tsuruhara T, Conn PM,
Catt KJ 1978 Action of choleragen and gonadotropin in isolated
Leydig cells. J Biol Chem 253:37213729[Free Full Text]
-
Schumacher M, Schafer G, Lichtenberg V, Hilz H 1979 Maximal steroidogenic capacity of mouse Leydig cells. FEBS Lett 107:398402[CrossRef][Medline]
-
Hunter MG, Sullivan MHF, Dix CJ, Aldred LF, Cooke
BA 1982 Stimulation and inhibition by LHRH analogues of cultured
rat Leydig cell function and lack of effect on mouse Leydig cells. Mol
Cell Endocrinol 27:3144[CrossRef][Medline]
-
Mazzocchi G, Malendowicz LK, Rebuffat P, Kasprzak A,
Nussdorfer GG 1990 Effects of acute and chronic treatments with
atrial natriuretic factor (ANF) on the Leydig cells of the rat testis.
Endocr Res 16:323331[Medline]
-
Foresta C, Mioni R 1988 Effects of atrial
natriuretic factor (ANF) on rat testicular steroidogenesis in
vitro. Arch Androl 21:181187[Medline]
-
Foresta C, Mioni R 1993 The role of calcium ions
in rat Leydig cell steroidogenesis induced by atrial natriuretic
peptide. Acta Endocrinol (Copenh) 128:274278[Medline]
This article has been cited by other articles:

|
 |

|
 |
 
D. Zhao, E. Vellaichamy, N. K. Somanna, and K. N. Pandey
Guanylyl cyclase/natriuretic peptide receptor-A gene disruption causes increased adrenal angiotensin II and aldosterone levels
Am J Physiol Renal Physiol,
July 1, 2007;
293(1):
F121 - F127.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
Y.-H. Huang, C.-C. Wei, Y.-H. Su, B.-T. Wu, Y.-Y. Ciou, C.-F. Tu, T. G. Cooper, C.-H. Yeung, S.-T. Chu, M.-T. Tsai, et al.
Localization and Characterization of an Orphan Receptor, Guanylyl Cyclase-G, in Mouse Testis and Sperm
Endocrinology,
October 1, 2006;
147(10):
4792 - 4800.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
D. Muller, L. Cortes-Dericks, L. T. Budnik, B. Brunswig-Spickenheier, M. Pancratius, R. C. Speth, A. K. Mukhopadhyay, and R. Middendorff
Homologous and Lysophosphatidic Acid-Induced Desensitization of the Atrial Natriuretic Peptide Receptor, Guanylyl Cyclase-A, in MA-10 Leydig Cells
Endocrinology,
June 1, 2006;
147(6):
2974 - 2985.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
D. L. Dries, R. G. Victor, J. E. Rame, R. S. Cooper, X. Wu, X. Zhu, D. Leonard, S.-I. Ho, Q. Wu, W. Post, et al.
Corin Gene Minor Allele Defined by 2 Missense Mutations Is Common in Blacks and Associated With High Blood Pressure and Hypertension
Circulation,
October 18, 2005;
112(16):
2403 - 2410.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
N. Tamura, L. K. Doolittle, R. E. Hammer, J. M. Shelton, J. A. Richardson, and D. L. Garbers
Critical roles of the guanylyl cyclase B receptor in endochondral ossification and development of female reproductive organs
PNAS,
December 7, 2004;
101(49):
17300 - 17305.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
D. Muller, A. K. Mukhopadhyay, R. C. Speth, G. Guidone, R. Potthast, L. R. Potter, and R. Middendorff
Spatiotemporal Regulation of the Two Atrial Natriuretic Peptide Receptors in Testis
Endocrinology,
March 1, 2004;
145(3):
1392 - 1401.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
F. A. Babiker, L. J. De Windt, M. van Eickels, V. Thijssen, R. J.P. Bronsaer, C. Grohe, M. van Bilsen, and P. A. Doevendans
17{beta}-Estradiol Antagonizes Cardiomyocyte Hypertrophy by Autocrine/Paracrine Stimulation of a Guanylyl Cyclase A Receptor-Cyclic Guanosine Monophosphate-Dependent Protein Kinase Pathway
Circulation,
January 20, 2004;
109(2):
269 - 276.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S.-J. Shi, E. Vellaichamy, S. Y. Chin, O. Smithies, L. G. Navar, and K. N. Pandey
Natriuretic peptide receptor A mediates renal sodium excretory responses to blood volume expansion
Am J Physiol Renal Physiol,
October 1, 2003;
285(4):
F694 - F702.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S.-J. Shi, H. T. Nguyen, G. D. Sharma, L. G. Navar, and K. N. Pandey
Genetic disruption of atrial natriuretic peptide receptor-A alters renin and angiotensin II levels
Am J Physiol Renal Physiol,
October 1, 2001;
281(4):
F665 - F673.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
B. C Kone
Molecular biology of natriuretic peptides and nitric oxide synthases
Cardiovasc Res,
August 15, 2001;
51(3):
429 - 441.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
F. El-Gehani, M. Tena-Sempere, H. Ruskoaho, and I. Huhtaniemi
Natriuretic Peptides Stimulate Steroidogenesis in the Fetal Rat Testis
Biol Reprod,
August 1, 2001;
65(2):
595 - 600.
[Abstract]
[Full Text]
[PDF]
|
 |
|