Endocrinology Vol. 141, No. 3 953-958
Copyright © 2000 by The Endocrine Society
Identification of the Lipophilic Factor Produced by Macrophages That Stimulates Steroidogenesis1
W. David Nes,
Yevgeniya O. Lukyanenko,
Zhong Hua Jia,
Stéphane Quideau,
William N. Howald,
Thomas K. Pratum,
Robert R. West and
James C. Hutson
Department of Chemistry and Biochemistry, Texas Tech University
(W.D.N., Z.H.J.), and the Department of Cell Biology and Biochemistry,
Texas Tech University Health Sciences Center (Y.O.L., J.C.H.), Lubbock,
Texas 79430; Laboratoire de Chimie des Substances
Végétales, University of Bordeaux I (S.Q.), Talence,
France; the Departments of Medicinal Chemistry (W.N.H.) and Chemistry
(T.R.P.), University of Washington, Seattle, Washington 98195;
and Zymogenetics (R.R.W.), Seattle, Washington 98195
Address all correspondence and requests for reprints to: Dr. James C. Hutson, Department of Cell Biology and Biochemistry, Texas Tech University Health Sciences Center, Lubbock, Texas 79430. E-mail:
jim.hutson{at}ttmc.ttuhsc.edu
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Abstract
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Macrophages are known to release a lipophilic factor that stimulates
testosterone production by Leydig cells. This macrophage-derived
factor (MDF) is thought to be physiologically relevant, because removal
of macrophages from the testis results in altered testosterone
secretion and reduced fertility. The purpose of the present study was
to purify this factor, elucidate its chemical structure, and determine
whether it is both present in the testis and acts when injected
intratesticularly. Culture media from testicular and peritoneal
macrophages were extracted with ether, and the organic phase was
sequentially purified on C18, silica, and cyano-HPLC
columns. MDF was detected using a rat Leydig cell bioassay, with
testosterone secretion being the end point. Purified material and crude
ether extracts were analyzed by gas chromatography/mass spectrometry
and nuclear magnetic resonance spectroscopy. The time of elution of MDF
from both testicular and peritoneal macrophages was identical on all
three HPLC columns. A single peak was observed when MDF, obtained from
the final HPLC column, was analyzed by gas chromatography. The MS
fragmentation pattern of purified material from both peritoneal and
testicular macrophages was identical to that of a reference preparation
of 25-hydroxycholesterol. Also, the nuclear magnetic resonance spectrum
of MDF was similar to that of authentic 25-hydroxycholesterol. When
25-hydroxycholesterol was subjected to the identical purification
scheme as MDF, it was found to elute at the same times as MDF on all
three columns and elicited activity in the Leydig cell bioassay as
expected. Control medium purified identically did not contain
25-hydroxycholesterol or have biological activity. Ether extracts of
testis contained 25-hydroxycholesterol, indicating that this compound
is present under physiological conditions. Similarly, when
25-hydroxycholesterol was injected into the testis of adult rats,
testosterone production was increased within 3 h. Taken together,
these data indicate that the lipophilic factor produced by macrophages
that stimulates steroidogenesis is 25-hydroxycholesterol.
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Introduction
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THE PRODUCTION of testosterone by
Leydig cells is essential for spermatogenesis and thereby propagation
of the species. After the early work of Brady (1), it has become well
established that Leydig cell steroidogenesis is regulated by LH.
However, it is also known that local factors play a role in the
regulation of steroidogenesis. Macrophages are commonly found in direct
contact with Leydig cells in unusually high numbers, thus strategically
poised for paracrine involvement (2, 3, 4). More specifically, it has been
shown that elimination of macrophages from the testis caused altered
testosterone production and reduced fertility (5, 6, 7). Earlier studies
from this laboratory demonstrated that macrophages secrete a factor
capable of stimulating Leydig cells to produce testosterone in culture
(8), which may mediate the stimulatory action of macrophages in
vivo. We refer to this factor as macrophage-derived factor (MDF).
MDF can be extracted from macrophage-conditioned medium with organic
solvents and purified by HPLC (9). Such preparations stimulated
testosterone synthesis in the same time frame and to a similar efficacy
as hCG/LH without causing an increase in the expression of the acute
steroidogenic regulatory protein (10). The significance of this
phenomenon was further heightened by the finding that MDF also acted on
granulosa cells of the rat ovary and adrenal cortical cells of both
rats and humans (11). Taken together, these in vivo and
in vitro studies indicate that MDF is an important paracrine
regulator of steroidogenesis in both rats and humans. Although several
lipophilic compounds are known to be secreted by macrophages (12), the
identity of this steroidogenic lipid was unknown. Therefore, the
primary purpose of the present study was to determine the chemical
structure of MDF. Because most previous studies have been conducted
in vitro, we were also interested in determining whether MDF
is both present in the testis and/or acts within the testis under
normal physiological conditions.
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Materials and Methods
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Materials
Adult rats (150300 g) were obtained from Harlan Sprague Dawley, Inc. (Minneapolis, MN), and maintained under standard
conditions. DMEM/Hams F-12 medium (DMEM/F12), Dulbeccos PBS without
calcium and magnesium (PBS), BSA (fraction V), newborn calf serum,
penicillin, streptomycin, collagenase (type I), and other routine
compounds were obtained from Sigma (St. Louis, MO).
Organic solvents were purchased from Fisher Scientific
(Fairlawn, NJ). 20-, 22(R)-, and 25-hydroxycholesterols were
obtained from Steraloids (Newport, RI). 27-hydroxycholesterol
[(25R)-cholest-5-ene-3ß, 26-diol] was obtained from the
W. David Nes collection. The HPLC columns (C18,
silica and cyano; Microsorb MV, 100 angstrom, 4.6 mm x 25 cm)
were obtained from Varian Chromatography Systems (Walnut Creek, CA).
The 100-mm diameter culture dishes (no. 3001) were obtained from
Becton Dickinson and Co. Labware (Franklin Lakes, NJ), and
the 96-well plates (no. 25860) were purchased from Corning Glass Works
(Corning, NY). The testosterone RIA kit was purchased from
Diagnostics Systems Laboratories, Inc. (Webster, TX).
Purification of MDF
Testicular and peritoneal macrophage-conditioned media were
obtained from adult rats as previously described (8, 9, 10, 11). Testicular
macrophages were cultured in DMEM/F12 plus 0.1% BSA, and peritoneal
macrophages were cultured in DMEM/F12 plus 0.1% BSA and 10% newborn
calf serum. Briefly, after 23 days in culture, the media were
extracted with ether and chromatographed on a C18
reverse phase HPLC column using a methanol-water gradient (70100%
methanol developed linearly over 2 min at 1 ml/min). The fraction that
stimulated testosterone production in the Leydig cell bioassay was then
further purified on a normal phase silica HPLC column using 90%
hexane/10% isopropyl alcohol as the mobile phase under isocratic
conditions at 1 ml/min. The fraction with Leydig cell-stimulating
activity was then chromatographed on a cyano-HPLC column using 90%
hexane/10% isopropyl alcohol as the mobile phase at 1 ml/min. Two
separate 10-liter preparations of peritoneal macrophage-conditioned
medium and one 800-ml preparation of testicular macrophage-conditioned
medium were analyzed. Control medium (without exposure to macrophages)
was also purified as described above.
Leydig cell bioassay
Leydig cells were isolated from adult rats, plated in 100 µl
DMEM/F12 plus 0.1% BSA at 20,00040,000 cells/well, and maintained
for 1824 h in a CO2 incubator at 33 C in
96-well plates as previously described (9). On the following day, the
medium was removed, and 50 µl fresh medium containing samples from
the various fractions from the HPLC or control preparations were added.
The medium was then assayed for testosterone after 5 h using a
commercial RIA with standards prepared in the same medium as that used
for the Leydig cells.
Total cellular sterol content
Testicular macrophages and Leydig cells were isolated as
described above and plated into 100-mm dishes in DMEM/F12 plus 0.1%
BSA. After 24 h in culture, the cells were counted using a gridded
eyepiece calibrated to a stage micrometer. The cells were then scraped
from the dishes in methanol and sonicated for 1 min to completely
disrupt the cells. The methanol was evaporated, and the sample was
sonicated for an additional 1 min in 200 µl acetone. The sample was
centrifuged at 14,000 x g, and the sterol content in
the supernatant was determined by gas chromatography (GC) and GC/mass
spectrometry (GC/MS).
GC/MS
GC/MS analysis of the HPLC isolates was performed on a
Hewlett-Packard Co. 6890 series gas chromatograph (GC)
equipped with an on-column injector and coupled to a
Hewlett-Packard Co. 5973 mass spectrometer (MS) operated
in the positive ion electron ionization mode (Hewlett-Packard Co., Palo Alto, CA). A DB-5 fused silica capillary gas
chromatographic column (id, 30 m x 0.25 mm; 0.25-µm film
thickness) was used (J & W Scientific, Rancho Cordova, CA) using a
temperature program of 170280 C developed over 7 min.
Nuclear magnetic resonance spectroscopy
Purified samples of MDF from peritoneal macrophages were
dissolved in CDCl3 and analyzed using a Bruker
DMX750 (750 MHz) FT nuclear magnetic resonance (NMR) spectrometer.
Presence of MDF in the testis
Testes were removed from normal adult rats and decapsulated. The
testes were then minced into small pieces and extracted with ether for
4 h. MDF was purified from this extract as described above. This
procedure was repeated three times using 13, 16, or 8 animals. The
total MDF recovered from each experiment was diluted into 170 µl
culture medium and added to Leydig cells plated at a density of 16,000
cells/well in 96-well plates at 50 µl/well. Leydig cells were
cultured for 22 h, and the medium was assayed for
testosterone.
Actions of MDF in vivo
Adult rats were anesthetized with ether, and 100 µg
25-hydroxycholesterol was injected into the left testis through the
scrotum in 100 µl PBS containing 10% ethanol. The right testis
received only the solvent. After 3 h, the animals were killed by
CO2 asphyxiation, and the testes were
decapsulated and homogenized in 6 ml ether. Water (6 ml) was then
added, and the extract was transferred to 100-ml bottles. Ether (30 ml)
was then added, and the mixture was allowed to stand for 15 min. The
organic phase was removed and dried under nitrogen, and the amount of
testosterone was determined by RIA.
Estimate of the rate of production of 25-hydroxycholesterol
Testicular macrophages from 10 adult rats were isolated as
described above and plated into 10 100-mm dishes in 7 ml DMEM/F-12 plus
0.1% BSA. The cells were cultured for 45 h, and then
25-hydroxycholesterol was isolated as described above. The amount of
25-hydroxycholesterol in this sample was determined by comparing the
peak area (UV absorbance obtained during HPLC) to that obtained with a
standard curve of authentic 25-hydroxycholesterol.
Sensitivity of Leydig cells to 25-hydroxycholesterol
Leydig cells were obtained from adult rats as described above
and plated into 96-well plates at approximately 42,000 cells/well in
100 µl DMEM/F-12 plus 0.1% BSA. After 18 h, 200 µl fresh
medium were added to the cells, and then all medium was immediately
replaced with 50 µl fresh medium containing various doses of
25-hydroxycholesterol (0, 0.001, 0.01, 0.1, 1, and 10 µg/ml). The
cells were maintained for 8 h, and the medium was assayed for
testosterone as described above.
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Results
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Purified MDF from either testicular or peritoneal macrophages
eluted as a single peak by GC (Fig. 1
).
When this peak was analyzed by MS, a molecular ion at m/z 402
(M+.) was observed (Fig. 2
). Because this fragmentation pattern
and mol wt indicated that MDF was a hydroxycholesterol-like compound,
several oxysterol reference preparations were similarly analyzed by
GC/MS [20-, 22(R)-, 25-, and 27-hydroxycholesterol].
Only 25-hydroxycholesterol was found to both elute at the same time as
MDF by GC and exhibit an identical fragmentation pattern by MS (Figs. 1
and 2
). The elution times (RRTc) of these authentic standards compared
with cholesterol were 1.267 for 20-hydroxycholesterol, 1.310 for
25-hydroxycholesterol, 1.362 for 22(R)-hydroxycholesterol,
and 1.582 for 27-hydroxycholesterol.

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Figure 1. MDF from testicular and peritoneal macrophages was
purified by HPLC and evaluated by GC. Resulting chromatograms are
illustrated in comparison to a reference preparation of
25-hydroxycholesterol. Results indicate that the HPLC purification
procedure resulted in near-homogeneous preparations of MDF, and that it
elutes from the GC at the same time as 25-hydroxycholesterol.
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Figure 2. The GC peaks eluting at approximately 18 min on
the chromatograms illustrated in Fig. 1 were analyzed by MS. Identical
spectra were observed for all three preparations, indicating that MDF
is 25-hydroxycholesterol.
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The 1H NMR spectrum of MDF from peritoneal
macrophages showed the following assigned resonance signals: 5.32 (m,
1H, H-6), 3.49 (m, 1H,
H-3), 1.22 (s, 6H, H-26,27), 1.01 (s,
3H H-19), 0.93 (d, J=6.5 Hz,
3H, H-21), and 0.68 (s, 3H,
H-18; Fig. 3
).

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Figure 3. The 1H NMR spectra for MDF
(bottom) and authentic 25-hydroxycholesterol
(top) were very similar, with the exception of low level
impurities in the MDF sample and a signal at 4.1 ppm in the
25-hydroxycholesterol spectrum that comes from residual isopropanol
used to wash the tube containing this material. Both samples were
dissolved in CDCl3 and analyzed using a Bruker DMX750 (750
MHz) FTNMR spectrometer.
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25-Hydroxycholesterol was found to elute from all three HPLC columns at
the same time as MDF (C18 = 1112 min; silica,
56 min; cyano, 45 min). The biological activities of fractions from
the cyano column for peritoneal and testicular sources of MDF and the
reference preparation of 25-hydroxycholesterol are illustrated in Fig. 4
. Control medium had no biological
activity.

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Figure 4. Ether extracts of peritoneal
macrophage-conditioned medium or testicular macrophage-conditioned
medium, and a reference preparation of 25-hydroxycholesterol were
purified on a C18 HPLC column and then on the silica HPLC
column, each time collecting the fractions that had activity in the
Leydig cell bioassay. The biologically active fractions from the silica
column were then chromatographed on the cyano column, and the
biological activities of those fractions are illustrated in this graph.
These data illustrate that MDF and 25-hydroxycholesterol elute
identically from all three HPLC columns, and all have biological
activity. One hundred micrograms of the reference preparation of
25-hydroxycholesterol were assayed, whereas approximately 10 µg or
less of the testicular and peritoneal macrophage sources of
25-hydroxycholesterol (MDF) were obtained (amount estimated by UV
absorption).
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When ether extracts of medium from peritoneal or testicular macrophages
were analyzed by GC/MS before HPLC purification, cholesterol and
25-hydroxycholesterol were detected at ratios of 1:1 and 100:1,
respectively. The total sterol contents for Leydig cells and testicular
macrophages were 4330 and 5570 fg/cell, respectively. Cultured
testicular macrophages produced 10.29 fg 25-hydroxycholesterol/cell in
1 h. The lowest dose of 25-hydroxycholesterol that elicited an
increase in testosterone production by cultured Leydig cells was 100
ng/ml (248 nM; Table 1
).
HPLC-purified ether extracts of normal testes contained
MDF/25-hydroxycholesterol as assessed in the Leydig cell bioassay (Fig. 5A
). Also, intratesticular injection of
25-hydroxycholesterol resulted in an increased amount of testicular
testosterone compared with the contralateral testis that received only
solvent (Fig. 5B
).

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Figure 5. A illustrates that bioactive
MDF/25-hydroxycholesterol is present in normal adult rat testis. Testes
were extracted with ether, and MDF/25-hydroxycholesterol was purified
by HPLC and then added to the Leydig cell bioassay. Control represents
Leydig cells in the absence of treatment. Treatment resulted in a
statistically significant difference (P < 0.05),
as determined by unpaired Students t test (n =
3). B illustrates that 25-hydroxycholesterol is capable of increasing
testosterone production after injection into normal adult rat testis.
Animals were anesthetized with ether; 100 µg 25-hydroxycholesterol
were injected into the left testis, and saline was injected into the
right testis. After 3 h, the testes were removed, and the total
amount of testosterone per testis was determined by RIA. Treatment
resulted in a statistically significant difference
(P < 0.05), as determined by paired Students
t test (n = 6).
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Discussion
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The results of these studies demonstrate that MDF is
25-hydroxycholesterol. For example, MDF and authentic
25-hydroxycholesterol eluted identically on three HPLC columns with
different selectivities as well as by GC. Most importantly, these two
preparations had identical fragmentation patterns by mass spectrometry,
yielded very similar 1H NMR spectra, and
exhibited the same biological activity. This identification is
consistent with previous findings demonstrating that MDF acted on
Leydig cells and adrenal cortical cells without new protein synthesis,
including the steroidogenic acute regulatory protein (10, 11).
25-Hydroxycholesterol is well known to have direct access to the
side-chain cleavage complex, thereby not requiring new protein
synthesis. We also demonstrated that MDF lacked activity when an
inhibitor of cholesterol side-chain cleavage was employed, again
indicating a site of action before this step. In addition, MDF was
shown to act on steroidogenic cells from rats, mice, and humans,
demonstrating that it is not species restricted (11); an additional
characteristic of 25-hydroxycholesterol and many other steroids. The
physico-chemical properties of MDF were identical to those of
25-hydroxycholesterol, in that it was extractable with organic solvents
and dextran-coated charcoal, resistant to heat, and active after
treatment with protease (9). Because 25-hydroxycholesterol is well
known to be converted to pregnenolone by mitochondria, our previous
finding that MDF had no effect on mitochondria isolated from MA-10
cells was most likely due to the use of an insufficient dose.
The rate-limiting step in biosynthesis of all steroid hormones is the
rate of movement of cholesterol to the side-chain cleavage enzyme
complex on the inner mitochondrial membrane (13). Once at this site,
cholesterol is hydroxylated at the 20 and 22 positions, yielding
20
,22(R)-hydroxycholesterol (14, 15, 16). The side-chain is
then cleaved yielding pregnenolone, which is further metabolized to
various steroid hormones (depending upon cell type) through higher
capacity enzyme systems. The present findings indicate that macrophages
have the potential to provide an alternate pathway for steroidogenesis,
which bypasses the traditional rate-limiting step by offering
25-hydroxycholesterol as a direct substrate for side-chain cleavage
(Fig. 6
). The rate-limiting step for this
paracrine pathway would therefore be the regulation of biosynthesis of
25-hydroxycholesterol in the macrophage. A 25-hydroxylase has been
described and thereby may produce the 25-hydroxycholesterol needed for
this LH-independent paracrine pathway (17). Although nothing is
currently known of the regulation of 25-hydroxycholesterol production
by testicular macrophages, it is unlikely that immune activation of
macrophages plays a role, as activation has been shown to cause the
release of inhibitors, rather than stimulators, of steroidogenesis
(18).

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Figure 6. This scheme, representing our working
hypothesis, illustrates the known conversion of cholesterol to
testosterone as influenced by the LH-regulated pathway using
20,22-hydroxycholesterol as the endogenous substrate and the proposed
macrophage-regulated pathway using 25-hydroxycholesterol as an
exogenous substrate. We further hypothesize that there may be a
regulator of this paracrine pathway.
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Several lines of evidence suggest that the paracrine interaction
between macrophages and Leydig cells is physiologically relevant.
First, the amount of 25-hydroxycholesterol produced by testicular
macrophages (10.29 fg 25-hydroxycholesterol/cell·h) seems sufficient
to provide a significant amount of substrate for Leydig cells. The
testes of one rat contain approximately 15 million testicular
macrophages (20). At a rate of 10.29 fg 25-hydroxycholesterol/cell·1
h, this number of cells would produce 154 ng 25-hydroxycholesterol in
1 h. Even if only part of this amount was converted to
testosterone, it could represent a physiologically relevant portion of
the substrate used for testosterone produced by Leydig cells. This
amount of 25-hydroxycholesterol also seems relevant, as cultured Leydig
cells were shown to respond to as little as 100 ng/ml. However, these
data should be interpreted with caution, because the amount of
25-hydroxycholesterol produced in vitro may be different
from that produced in vivo, and Leydig cell responsiveness
may also be quite different in these two environments. In addition, the
volume into which macrophages secrete 25-hydroxycholesterol is very
different in vivo vs. in vitro. However, because macrophages
are known to reside in direct contact with the Leydig cells, it is
likely that Leydig cells become exposed to at least part of the
25-hydroxycholesterol produced by these cells. Clearly, additional
studies will be needed to fully clarify the physiological significance
of these observations, taking into account rates of production and
turnover of 25-hydroxycholesterol as well as the degree of conversion
of 25-hydroxycholesterol to testosterone under normal physiological
conditions.
As mentioned earlier, testosterone levels have been shown to be altered
and animals become less fertile when macrophages are removed from the
testis by experimental or genetic approaches (5, 6, 7). In the
experimental model, toxins have been injected into the testis that kill
macrophages by apoptosis (5, 6). In the genetic model, macrophages are
absent because the animals produce a mutant form of colony-stimulating
factor-1, a growth factor responsible for the production of
monocytes/macrophages (7). Although the effect of macrophage depletion
in the genetic model appears to be mediated in part by decreased
circulating levels of LH, the data also support a local
macrophage-derived effect (19). In the experimentally induced
macrophage depletion models, it appears that most of the effect is
exerted locally. This local effect may be due to the absence of
macrophage-derived 25-hydroxycholesterol, as this is the only
stimulatory factor known to be present in macrophage-conditioned medium
(Ref. 9 and the present data). The present studies add to these
physiological studies, not only by identifying
25-hydroxycholesterol as the possible paracrine mediator, but
also by demonstrating that it is present in the testes, and causes
increased testosterone production when injected into the testis.
Although oxysterols are known to naturally occur as autoxidation
products (21), it is clear that 25-hydroxycholesterol was not formed by
autoxidation in the present studies, either in culture or during
purification, as control medium (exposed to identical conditions) did
not contain 25-hydroxycholesterol and lacked biological activity. Also,
other oxy-sterols were not detected in ether extracts of
macrophage-conditioned medium before purification.
Cooperation between cells for metabolism of steroids to their final
active form is an important and conserved theme in reproductive
biology. For example, theca internal cells produce androgens, which are
subsequently aromatized by granulosa cells to estradiol (22, 23).
Similarly androgens from Leydig cells are aromatized by Sertoli cells
to estradiol (24), and androgens can be 5
-reduced by target cells,
yielding a more active compound (25). Thus, passage of
25-hydroxycholesterol from macrophages to neighboring steroidogenic
cells for conversion to pregnenolone and ultimately more active
terminal hormones may be an additional example of how evolution has
reproduced this most interesting theme.
Although the most likely fate of testicular macrophage-derived
25-hydroxycholesterol is conversion to pregnenolone, it is worth noting
that this sterol has been shown to act as a signaling molecule in a
wide variety of cell types. For example, 25-hydroxycholesterol
stimulates sphingomyelin synthesis in Chinese hamster ovary cells (26),
inhibits macrophage and lymphocyte functions (27), stimulates the
accumulation of intracellular calcium in smooth muscle cells (28),
inhibits the growth of tumor cells (29), and induces apoptosis (30) and
eicosanoid production (31) in endothelial cells. Although the
mechanisms responsible for these actions have yet to be determined, a
nonnuclear oxysterol-binding protein has been found (32) that is
involved in the translocation of this sterol-bound protein to the Golgi
apparatus (33). However, it should be emphasized that the significance
of this translocation is unknown in any cell type, and therefore much
more is needed to be done to determine whether this mechanism is
present and operative in Leydig cells.
In summary, the present studies demonstrate that the lipophilic factor
produced macrophages that stimulates steroidogenesis is
25-hydroxycholesterol. We have also shown that this oxsterol is both
present within the testis and acts when injected into the testis of
adult rats.
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Acknowledgments
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The authors thank Ms. Selena Wampler, a Howard Hughes Scholar,
for her assistance with the purification of MDF.
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Footnotes
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1 This work was supported by grants from the Advanced Research Program
from the Texas Higher Education Coordinating Board, the South Plains
Foundation, the Deans Cooperative Seed Research Grant Program, and
the NIH (HD-34708; to J.C.H.) and from the Welch Foundation (D1276; to
W.D.N.). 
Received November 19, 1999.
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