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Endocrinology Vol. 141, No. 11 4270-4277
Copyright © 2000 by The Endocrine Society


ARTICLES

Reproductive Defects in {gamma}-Glutamyl Transpeptidase-Deficient Mice1

T. Rajendra Kumar, Amy L. Wiseman, Geeta Kala, Subbarao V. Kala, Martin M. Matzuk and Michael W. Lieberman

Departments of Pathology (T.R.K., A.L.W., G.K., S.V.K., M.M.M., M.W.L.), Molecular and Cellular Biology (T.R.K., M.M.M., M.W.L.), and Molecular and Human Genetics (M.M.M.), Baylor College of Medicine, Houston, Texas 77030

Address all correspondence and requests for reprints to: Michael W. Lieberman, M.D., Ph.D., Department of Pathology, Baylor College of Medicine, One Baylor Plaza, Houston, Texas 77030. E-mail: mikel{at}bcm.tmc.edu


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Mice deficient in {gamma}-glutamyl transpeptidase (GGT) are growth retarded as a result of cysteine deficiency secondary to excessive glutathione excretion in urine and display coat color defects and cataracts. Although GGT is widely expressed throughout the mouse reproductive axis, little is known about its role in reproduction. Here, we present an analysis of the reproductive phenotypes of GGT-deficient mice. Mutant male mice have reduced testis and seminal vesicle size and suppressed serum insulin-like growth factor I and FSH levels and are infertile. Although these mice are severely oligospermic, histological analysis of testes reveals grossly normal stages of spermatogenesis, including late stage spermatids, but the tubule diameter is reduced. GGT-deficient female mice are also hypogonadal and infertile. At 6 weeks of age, the ovaries of mutant mice are histologically indistinguishable from those of its wild-type counterpart. However, the absence of antral follicles and corpora lutea and follicular degeneration are apparent by 11–13 weeks. In addition, immature female mutant mice (at 21–23 days) are insensitive to exogenous gonadotropin administration and fail to superovulate, suggesting an intraovarian defect. Consistent with these mutant phenotypes, HPLC analysis of adult mutant testes and ovaries showed a reduction in intracellular cysteine levels. Administration of N-acetylcysteine in the drinking water beginning on day 21 to mutant mice for 2 weeks restored testis, seminal vesicle, and ovary sizes to values comparable to those in wild-type mice. Furthermore, N-acetylcysteine-fed (continuously) mutant male and female mice were fertile and produced normal numbers of offspring when mated to wild-type control mice. These results demonstrate that GGT itself is not necessary for reproductive function. However, GGT plays an important role in cysteine homeostasis within the mouse reproductive axis.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
GLUTATHIONE (GSH) plays an important role in many physiological processes, including reproduction (1, 2). Intracellular GSH levels are maintained indirectly by two tightly coupled enzymatic processes involving {gamma}-glutamyl transpeptidase (GGT) and membrane-bound dipeptidases (3, 4) that supply amino acids for GSH synthesis and protein synthesis. GGT is widely expressed in many mammalian tissues and is essential for catalyzing secreted GSH into cysteinyl-glycine and {gamma}-glutamic acid. After cleavage of cysteinyl-glycine by dipeptidase, the amino acids are reabsorbed and used to synthesize GSH, a process termed the {gamma}-glutamyl cycle (3, 4). The generation of GSH is crucial for the protection of cells against oxidative stress and other forms of cellular injury resulting from cytotoxic and carcinogenic xenobiotic compounds. Thus, GSH serves as a cysteine reserve and acts as a major antioxidant in many physiological processes (5, 6). GGT mobilizes cysteine from this pool and makes it available to many tissues (5, 6).

In the male reproductive axis of many species, GGT is widely expressed, including the testis, seminal vesicle, and epididymis (7, 8, 9, 10, 11), with the highest levels of GGT expression found in the epididymis. At least four different isoforms of GGT are expressed in the initial segment of the rat epididymis, but their functional significance remains unknown (12). Depletion of GSH in rat male reproductive tissues by intratesticular injection of various chemicals results in alterations in sperm chromatin structures, leading to defective sperm maturation and abnormal sperm motility (13). Some of the defects in sperm function in human patients with dyspermia resulting from varicocele or genital tract infection can be improved by systemic supplementation of GSH (14). Intracellular GSH levels are also known to be important for direct protection against oxidative injury to the testis, epididymis, and sperm (15, 16). However, it is not known whether any or all of these effects are mediated via GGT.

Relatively less is known about the distribution of GSH and expression of GGT in the ovarian follicle and the follicular microenvironment. Recently, the intraoocyte GSH content has been shown to be important during fertilization for sperm penetration of the egg, decondensation of the sperm nucleus, and subsequent formation of the male pronucleus (17). Although follicular atresia can be induced by oxidative damage to the oocyte, the roles of GSH and/or GGT in this process are not clearly known. Similarly, it is unknown whether intraovarian levels of GGT (and GSH) can influence follicular development, leading to normal ovulation and subsequent fertilization of ovum by sperm.

Although GGT is widely expressed in many reproductive organs, it has not been possible to use in vivo studies to examine its role in maintaining normal male and female reproductive function. We have previously generated GGT-deficient mice by gene targeting in embryonic stem cells (18). These mice have multiple metabolic defects that manifest as severe growth retardation, reduction in intracellular GSH and cysteine pools, coat color defects, and cataracts (13). Here, we report the characterization of the reproductive defects in these GGT-deficient mice.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Generation of GGT-deficient mice
GGT-deficient mice were generated and identified by Southern blot analysis as previously described (18). These mice are maintained on a C56BL/6/129SvEv hybrid genetic background. All mice were maintained according to NIH guidelines adopted by Baylor College of Medicine (Houston, TX).

Histological analysis
Ovaries from wild-type (WT) control and GGT-deficient female mice (at 6, 11, and 13 weeks of age) were fixed in buffered formalin (pH 7.0) for at least 24 h at room temperature and processed for paraffin embedding using standard protocols as previously described (19). Four-micron sections were cut and stained with periodic acid-Schiff (PAS)/hematoxylin for light microscopy. Testes were fixed in Bouin’s reagent (Sigma, St. Louis, MO) for 12–14 h for better visualization of the tubule architecture, extensively washed in LiCO3-saturated 70% ethanol to remove the excess picric acid, and stored in 70% ethanol at room temperature. Paraffin-embedded 4-µm sections were later stained with PAS/hematoxylin as previously described (19).

Immunohistochemistry
Adult male mice (WT and GGT deficient) were transcardially flushed with 0.9% saline and perfused with 30 ml cold paraformaldehyde (4% in PBS, pH 7.2), after which the pituitaries were removed and postfixed overnight in 10% sucrose containing 4% paraformaldehyde (pH 7.2) at 4 C. Frozen sections [14 µm; in OCT medium (Miles Laboratories, Elkhart, IN)] were then cut and immunochemically stained with LHß-, FSHß-, and GH-specific polyclonal or monoclonal antibodies (NIDDK reagents, Medix, Inc., Foster City, CA) and visualized with appropriate fluorescein isothiocyanate- or rhodamine isothiocyanate-conjugated secondary antibodies using an epifluorescence microscope (Carl Zeiss, Inc., New York, NY) as described previously (19).

RIAs
Adult mice were anesthetized with Metofane (Mallinckrodt, Inc., Mundelein, IL) and exsanguinated by closed cardiac puncture. Serum samples were collected in Microtainer serum separator tubes (Becton Dickinson and Co., Franklin Lakes, NJ) and stored frozen at -20 C for RIA analysis. Serum FSH was measured using a NIDDK rat FSH RIA kit (sensitivity, 3 ng/ml; intraassay coefficient of variation, 1.9%; interassay coefficient of variation, 5%), serum GH was measured by an enzyme-linked immunosorbent assay method using Amersham Pharmacia Biotech’s rat GH enzyme-linked immunosorbent assay kit (sensitivity, 1.6 ng/ml; intraassay coefficient of variation, 3.3%; interassay coefficient of variation, 8.3%). Serum insulin-like growth factor I (IGF-I) was measured by an acid-ethanol extraction method using an INCSTAR Corp. (Stillwater, MN) RIA kit (sensitivity, 3.8 nmol/liter; intraassay coefficient of variation, 8.4%; interassay coefficient of variation, 12.5%). GH and IGF-I assays were validated for measuring the mouse hormones. Rat GH and mouse GH are highly identical. Similarly, human IGF-I antibody does not distinguish between human and mouse antigens that are 94% identical. Testosterone levels in serum samples were measured by a solid phase RIA kit (Diagnostic Systems Laboratories, Inc., Webster, TX) according to the manufacturer’s instructions (sensitivity, 0.08 ng/ml; intraassay coefficient of variation, 9.6%; interassay coefficient of variation, 8.6%). Serum estradiol levels were measured by a liquid phase double antibody RIA kit (Diagnostic Systems Laboratories, Inc.; sensitivity, 2.2 pg/ml; intraassay coefficient of variation, 6.5%; interassay coefficient of variation, 7.5%).

Determination of intracellular cysteine and GSH by HPLC
GSH and cysteine in testes, seminal vesicles and ovaries were determined by a highly sensitive HPLC/electrochemical Coularray system (ESA, Boston, MA) (20). GSH and cysteine were separated on a reverse phase 5-µm Inertsil ODS 2 silica column (250 x4.6 mm i.d.) using a mobile phase containing 0.1 mM monochloroacetic acid, 2.5% methanol, 0.87% N,N-dimethyl formamide and 3.3 mM heptane sulfonic acid (pH 2.8). The cell potential of the Coularray system was set at 800 mV. The intracellular cysteine and GSH levels were expressed as micromoles per g tissue.

N-Acetylcysteine (NAC) feeding regimens
NAC (Sigma, St. Louis, MO) was dissolved in the drinking water (10 g/liter) and supplied ad libitum. For rescue experiments, GGT-deficient mice were NAC supplemented beginning at 2–3 weeks of age and continued beyond 12–14 weeks. For time-course experiments, mice were fed NAC in drinking water beginning at 3 weeks of age until 6 weeks of age and were withdrawn periodically at 0 h, 72 h, 7 days, and 10 days. At each point, mice were killed, and serum and reproductive organs were collected for further analyses.

Evaluation of sperm parameters
Epididymal sperm (from both sides) was extracted into 1 ml M2 medium and analyzed for motility and viability as described previously (19). Sperm number was manually counted using a hemocytometer.

Superovulation experiment
Immature female mice (21–23 days) were PMSG primed (5 IU/100 µl, ip), and 48 h later were given hCG (5 IU/100 µl, ip) and mated to WT or GGT-deficient male mice. The mice were monitored for vaginal plugs the next morning. Embryos from oviducts were collected into modified Whitten’s (KSOM) medium (PGC Scientifics, Gaithersburg, MD) and counted as previously described (19).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
GGT-deficient male mice are infertile, have severe oligospermia, and display hypoplastic seminal vesicles
To study the male reproductive phenotypes in GGT-deficient mice, we analyzed the fertility of GGT-deficient mice. In contrast to all 25 WT male mice that were fertile at 6 weeks and sired normal numbers of offspring (8.4 ± 0.2 pups/litter; number of litters, 107), none of the 10 GGT-deficient male mice (1 female/mutant male) was fertile and produced no offspring up to 2 months. This result is not unexpected, because these mutant mice are runted (18). We cannot attribute these results to delayed puberty, because the mutant mice do not survive longer (18). In addition, matings of GGT-deficient mice with PMSG/hCG-primed females did not result in visible vaginal plugs. To determine the causes of infertility other than inability to mount, we performed morphological, histological, and functional analyses of the testis of mutant mice (Fig. 1Go). At 8 weeks or earlier time points, GGT-deficient male mice had decreased testis size, and the accessory glands (i.e. epididymis and seminal vesicle) were severely hypoplastic. Serum testosterone levels were significantly low in mutant males compared with those in age-matched WT mice [0.7 ± 0.3 ng/ml (n = 6) vs. 13.4 ± 5 ng/ml (n = 5); P < 0.01]. Although histological analysis of testis from mutant mice revealed normal development of the spermatogenic and somatic cells of the testis (Fig. 1EGo), there was a massive reduction in epididymal sperm number (Table 1Go), and the few sperm present were immotile. There were no additional testicular phenotypes when male mice were examined up to 13 weeks of age. The testicular weights were significantly decreased compared with those in WT littermates [83.7 ± 3.7 mg (n = 7) vs. 109.2 ± 3.5 mg (n = 5); P < 0.001]. Testicular histology at 13 weeks was no different from that at 6–8 weeks of age (data not shown). Similarly, serum testosterone levels were also suppressed at this age compared with those in WT littermates [0.3 ± 0.03 ng/ml (n = 4) vs. 18.4 ± 1.3 ng/ml (n = 3); P < 0.01]. Thus, these results indicate that the absence of GGT leads to male infertility, decreased testis size, oligospermia, and hypoplastic secondary male sex organs in male mice.



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Figure 1. NAC restores the male reproductive phenotypes of GGT-deficient mice. Morphology of the testis (T) and seminal vesicles (SV) in 8-week-old WT (A), GGT-deficient (B), and NAC-fed (for a period of 3 weeks beginning at 3 weeks of age; C) GGT-deficient male mice is shown. The absence of GGT results in decreased testis and seminal vesicle size (B). Note the comparable sizes of the testis and seminal vesicles in NAC-treated mice to those in WT mice (A and C). Histological analysis of the testis samples from A–C is shown in D–F. Note the reduction in tubule diameter in the testis of the GGT-deficient male mouse, and the smaller number of late stage spermatids apparent (E). D and F are sections obtained from the testis of a WT testis and NAC-rescued male mouse testis and are comparable to each other. The asterisks in D–F indicate sperm in the lumen. All photographs were taken at the same magnification.

 

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Table 1. Testis weight and sperm characteristics in wild-type and GGT-deficient mice

 
GGT-deficient female mice are infertile secondary to a preantral stage block in ovarian folliculogenesis
Female mice deficient in GGT were also infertile. Matings of 10 mutant female mice with WT control male mice did not result in any offspring over a period of 2 months. We performed histological analyses and found that ovaries and uteri from mutant female mice were hypoplastic (Fig. 2Go). Histological analysis of the mutant ovary at 6 weeks demonstrated normal follicles in stages comparable to those seen in the ovary of a WT control female mouse (Fig. 2Go, A and B). Many primordial follicles, one-layer and multilayered primary follicles, and small preantral stage follicles were apparent; these were indistinguishable from those in a WT control female mouse ovary. Whereas many antral follicles and corpora lutea were readily apparent in 10- to 11-week-old WT mouse ovaries, they were absent in the mutant ovary (Fig. 2Go, C–E). In addition, at this and later stages, the mutant ovary demonstrated many more degenerating oocytes (Fig. 2FGo). Histological analysis also indicated that the mutant female mice were not cycling. Serum estradiol levels were marginally detectable in WT females (2.1 ± 0.6 pg/ml; assay sensitivity, 2.2 pg/ml) at 42 days, whereas they were undetectable in the age-matched mutant female mice. Superovulation treatment of immature female mutant mice (n = 10) and subsequent mating to male mice did not result in obvious vaginal plugs and increased numbers of fertilized oocytes in vivo in the oviducts. These results indicate that GGT-deficient female mice are infertile and insensitive to exogenous gonadotropin administration. They also demonstrate intraovarian defects leading to progressive degeneration of oocytes.



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Figure 2. Histological analysis of the ovaries from WT (A, C, E, and G) and GGT-deficient (B, D, F, and H) female mice. Ovarian histology of WT (A) and GGT-deficient (B) females at 6 weeks shows many follicles at different stages of progression. Many multilayered primary follicles are apparent in both sections. Both were photographed at low power magnification. At 9 weeks, histology of a WT ovary (C) shows multiple corpora lutea (CL), but they are absent in the ovary of a GGT-deficient female mouse (D) at the same age. One follicle with a small antrum is shown in D (arrowhead). Follicular degeneration was seen at this age in the ovary of a GGT-deficient female mouse. Remnants of PAS-stained zona pellucida are indicated by arrows (D). At 13 weeks of age, the WT ovary (E) has multiple antral follicles, and CL are seen. At the same age, the mutant ovary shows no antral follicles or CL. Follicular growth is arrested at the secondary follicle stage. Multiple follicles/oocytes are degenerated at this stage (arrowheads). G and H are follicles photographed at high power magnification from the sections shown in E and F. An antrum is present in G (arrowhead), the WT ovary, but not in H, the mutant ovary. Surrounding the follicle in H, multiple degenerating follicles are seen. The asterisk in H indicates normal granulosa cells.

 
Hormone profiles are altered in GGT-deficient mice
GGT-deficient mice are growth retarded beginning as early as 2 weeks of age. To determine whether their growth phenotype may be correlated to GH and IGF-I levels, we analyzed serum samples obtained from adult control WT and GGT-deficient mice by specific RIAs for GH and IGF-I. Although serum GH levels were elevated by 25% in the mutant male mice, the IGF-I levels were undetectable in the mutant male mice (Table 2Go).


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Table 2. Serum hormone profiles in adult wild-type and GGT-deficient male mice

 
Gonadal growth and differentiation are sensitive to FSH levels in serum. To evaluate the role of FSH in contributing to the hypogonadal phenotype of GGT-deficient mice, we measured serum FSH levels in both male and female adult mice. Whereas FSH levels were suppressed in mutant male mice (Table 2Go), they were marginally increased in mutant female mice (data not shown). These data are consistent with decreased testis size in GGT-deficient male mice and with a possible intraovarian defect (and a failure to respond to superovulation) in GGT-deficient female mice. Qualitative immunohistochemical analysis of the mutant male mouse pituitary revealed normal distribution of GH-, LH-, and FSH-positive cells (data not shown).

Intracellular cysteine levels are decreased in the reproductive organs of GGT-deficient mice
GGT plays a major role in maintaining intracellular cysteine and GSH pools (4). We have previously demonstrated that cysteine levels are decreased in several tissues, including the liver, brain, kidney, and lung, of GGT-deficient mice (18). To assess whether the mutant phenotypes are related to changes in intracellular thiols in the testes, seminal vesicles, and ovaries of GGT-deficient mice, we measured cysteine and GSH levels at 6 and 13 weeks of age and compared them to levels in WT controls. Cysteine levels were significantly (P < 0.001) reduced in the testes of mutant mice compared with those in age-matched WT controls (Fig. 3Go), whereas no changes in cysteine levels were found in the seminal vesicles of mutant mice. Although there was no change in cysteine levels in the ovaries of mutant mice at 6 weeks of age, there was a marginal reduction (P = 0.07) at 13 weeks compared with those in WT controls (Fig. 3Go). In addition, the ovarian cysteine levels of 13-week-old mutant mice were significantly (P < 0.01) lower than those in mutant mice at 6 weeks of age (Fig. 3Go). Despite these changes in cysteine levels, GSH levels remained unchanged in the testes and ovaries of mutant mice (data not shown).



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Figure 3. HPLC analysis of intracellular cysteine levels in the ovaries (O), testes (T), and seminal vesicles (SV) of WT and mutant (GGT-deficient) mice. Tissues were freshly isolated from adult WT and mutant mice (6 and 13 weeks of age) and were homogenized in 0.1% metaphosphoric acid to obtain the extracts. The clear supernatants were subjected to reverse phase HPLC analysis as described in Materials and Methods. Note that cysteine levels are unchanged in seminal vesicles. Cysteine levels in the mutant testes are reduced significantly (P < 0.001) at both ages compared with those in WT controls (shown by asterisks). Cysteine levels are 2-fold higher in ovaries compared with those in testes. In accordance with the ovarian phenotypes, there were no significant changes in ovarian cysteine levels at 6 weeks between WT and mutant mice, but the ovarian cysteine levels were significantly reduced in mutant mice at 13 weeks compared with those in WT mice (shown by two asterisks).

 
In addition to the observed reduction in body weight in GGT-deficient mice, the above data suggest that a reduction in intragonadal cysteine levels coupled with an overall hormonal imbalance lead to the reproductive defects in GGT-deficient mice.

NAC treatment rescues the reproductive defects in both male and female GGT-deficient mice
Treatment of GGT-deficient mice with NAC (drinking water), initiated at 3 weeks of age and continued up to a minimum of 6 weeks or beyond, restores the growth of these mice (18). They also display normal coat color and normal eye lens morphology and are indistinguishable from WT siblings (18) (Chevez-Barrios, P., and M. W. Lieberman, unpublished data). To determine whether these mice also become reproductively competent, we analyzed the reproductive organs of these mice morphologically, histologically, and functionally. NAC treatment completely restored the fertility in female GGT-deficient mice. The female reproductive tracts from these mice were morphologically and histologically indistinguishable from those WT mice at 6 and 9 weeks (data not shown). In addition, 3 of 3 NAC-rescued female mice were fertile and upon mating delivered normal numbers of pups (number of pups, 7.3 ± 0.3; number of litters, 6).

Similarly, NAC treatment rescued the reproductive phenotype in GGT-deficient male mice. The sizes of the testis and accessory glands (epididymis and seminal vesicles) were comparable to those in WT age-matched control mice (Table 3Go; Fig. 1Go, A—C; and data not shown). These male mice (19 of 22) were also fertile at 6 weeks or later when mated to control female mice and sired normal offspring (number of pups, 8.3 ± 0.2; number of litters, 104). To further determine the sensitivity of the male reproductive organs to NAC levels, we supplemented NAC and studied the effects of withdrawal of NAC in GGT-deficient male mice. As shown in Tables 3Go and 4Go, NAC withdrawal did not cause alterations in testis size or epididymal sperm number, motility, or viability up to 10 days. Whereas NAC withdrawal caused a progressive moderate decrease in epididymal size, the seminal vesicles were more severely affected by 72 h. By 10 days of NAC withdrawal, the seminal vesicles were more severely atrophic, with an approximately 60% reduction in size. Together, these results demonstrate that continuous NAC treatment restores fertility in GGT-deficient mice. Furthermore, these results indicate that seminal vesicles and epididymis, unlike testis, are sensitive to intracellular cysteine pools.


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Table 3. Supplementation and withdrawal of NAC from GGT-deficient male mice: time-course effect on testis, seminal vesicle, and epididymis weights

 

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Table 4. Supplementation and withdrawal of NAC from GGT-deficient male mice: time-course effect on epididymal sperm characteristics

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Although several in vitro studies suggest the important role of GGT in reproduction, the direct consequence of the lack of this enzyme on the reproductive axis in vivo has not been examined. Characterization of the reproductive phenotypes in GGT-deficient mice permitted evaluation of its role in female and male fertility. Our results suggest that female infertility in the absence of GGT is primarily the result of an intraovarian defect, because serum FSH levels in mutant females are not suppressed, and these mice did not respond to superovulation treatment. However, this preantral stage block in folliculogenesis in GGT-deficient female mice is reminiscent of phenotypes in FSH-deficient (19) or FSH receptor-deficient mice (21). The mechanism for progressive follicular/oocyte degeneration is not known. The progressive loss of oocytes as a consequence of follicular degeneration is probably the result of an impaired oocyte-follicular communication or the accumulation of a major antioxidant, GSH, within the oocyte. Several in vitro and in vivo studies suggest that the intraoocyte milieu is highly sensitive to oxidative stress (22, 23). Oxidative stress induces aneuploidy during oocyte development and has been implicated in maternal aging-associated infertility (24). In addition, female mice lacking copper-zinc superoxide dismutase, a free radical scavenger enzyme, have reduced fertility (25, 26). Oocytes have been shown to contain well conserved apoptotic machinery, and one mechanism by which oocyte degeneration has been extensively studied in mice and humans is apoptosis (27). Further, transport of either GSH or its constituent amino acid precursors (glutamic acid, cysteine, and glycine) from follicular cells to oocytes has been shown to be critical during or after fertilization for male pronucleus formation within the egg (28). Probing into the mechanistic role of GGT in vivo in follicular development is now feasible using GGT-deficient mice.

In contrast to ovarian defects in mutant females, multiple reproductive tissues are affected in GGT-deficient males. The testis, seminal vesicles, and epididymis are decreased in size, and the mutants display severe oligo- or azoospermia. In addition, sperm motility in the mutants is completely abolished. Seminal vesicles are much more affected and are completely hypoplastic, consistent with androgen deficiency in the serum of mutant male mice. Antioxidants also play a major role in sperm capacitation and are important for sperm function and characteristics (29). It remains to be established what stage is critically affected in sperm function in the complete absence of GGT and decreased intracellular cysteine levels (see discussion below). We also do not know whether sperm from GGT-deficient mice are competent to fertilize eggs. In vitro fertilization experiments will allow us to analyze this in the future.

The reproductive defects in male and female GGT-deficient mice could result directly from decreased intracellular cysteine levels in reproductive organs or via secondary events, such as overall metabolic and hormonal imbalances. Interestingly, GSH levels remained unchanged in the testes, ovaries, and seminal vesicles of mutant mice. This is different from several other mutant mouse tissues, including liver, brain, and spleen, in which we previously (18) found a concomitant decrease in plasma cysteine levels and a decrease in intracellular GSH levels. The high levels of GSH in ovary and testis (compared with other organs in GGT-deficient mice) may result from a direct uptake of GSH intracellularly. Although such uptake is not generally believed to occur in most organs (4), there are data demonstrating this uptake in the reproductive axis (29).

GGT-deficient mice can be completely rescued by NAC administration. This restoration also includes male and female fertility. Both male and female mice treated with NAC had normal litter sizes and offspring. Although we have not measured cysteine levels in the reproductive organs of NAC-treated mutant mice, our previous studies (18) suggest that NAC supplementation restores intracellular cysteine levels to normal. In addition, the NAC withdrawal experiments with male mice suggest that intracellular cysteine levels are essential for normal seminal vesicle and epididymal growth. In addition to affecting normal metabolism, GGT/cysteine may be important for the expression of some critical genes that affect seminal vesicle growth and differentiation.

GGT-deficient mice have altered hormone profiles in serum. In particular, serum IGF-I levels are completely suppressed, whereas serum GH levels are slightly elevated, consistent with a dwarf phenotype of these mice. Infertility is often observed in mice with a dwarf phenotype (30, 31). These phenotypes are also consistent with those seen in GH receptor knockout mice (32), but are more severe in GGT-deficient mice. Although the majority of GH receptor knockout female and male mice are fertile, they have elevated serum GH levels and reduced IGF-I levels and display multiple reproductive defects (32). Additionally, IGF-I-deficient female mice are infertile, and their ovaries demonstrate a preantral stage block of folliculogenesis due to reduced expression of FSH receptor on granulosa cells (33). IGF-I-deficient female mice also do not respond to gonadotropins for ovulation induction (33). Serum FSH levels are suppressed in male, but not female GGT-deficient, mutant mice. This sexually dimorphic expression of FSH is well known and is normally attributed to differences in the actions of the gonadal peptides, inhibin and activin, and the gonadal steroids between the two sexes (34, 35).

Based on our data, we hypothesize that the male and female reproductive phenotypes in GGT-deficient mice are the result of a combination of a reduction in intracellular cysteine levels and trophic factors. As intracellular cysteine levels in seminal vesicles of mutant mice are not altered, the hypoplastic phenotype may be attributed to a trophic effect. In contrast, our data suggest that the testicular phenotype may result from altered trophic factor signaling and a reduction in intratesticular cysteine levels. The reduced testosterone levels in the serum (of mutant male mice) reflect the hypoplastic accessory glands and reduced spermatogenesis, whereas the ovarian phenotype may result predominantly from a decrease in intracellular cysteine levels and other intraovarian defects. Additionally, infertility in the mutant mice could be due to behavioral defects, such as altered copulatory behavior, inability to mount, etc. Although human siblings with GGT deficiency have been reported (3, 4), we cannot compare the reproductive phenotypes in GGT-deficient mice, because in humans there are multiple GGT genes, whereas in the mouse GGT is a single copy gene (3, 4). In addition, no reproductive defects were reported in humans with GGT deficiency.

In summary, we have analyzed the reproductive defects in GGT-deficient mice. Our results provide direct in vivo evidence that GGT itself is not required for normal reproductive function. However, adequate levels of intracellular GSH and cysteine, which are regulated by GGT, are essential for normal reproductive function. These mutant mice offer a useful model to further understanding of the consequences of altered cysteine levels in follicular maturation and sperm function leading to male and female infertility in humans.


    Acknowledgments
 
We thank Mr. Andy Bahler for help with genotyping of mice, Ms. Shirley Baker for help with manuscript preparation, and Mr. Kim Paes for help with computer graphics. We also thank Dr. A. F. Parlow, NIDDK, NIH for providing the FSH RIA kits.


    Footnotes
 
1 This work was supported by NIEHS Grant ES-07827 (to M.W.L.) and HD-33438 (to M.M.M.). Back

Received January 19, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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