Endocrinology Vol. 141, No. 4 1317-1324
Copyright © 2000 by The Endocrine Society
Vitamin D Is an Important Factor in Estrogen Biosynthesis of Both Female and Male Gonads1
Keiko Kinuta,
Hiroyuki Tanaka,
Tadashi Moriwake,
Kunihiko Aya,
Shigeaki Kato and
Yoshiki Seino
Department of Pediatrics, Okayama University Medical School (K.K.,
H.T., T.M., K.A., Y.S.), Okayama 700-8558; and Institute of Molecular
and Cellular Biosciences (S.K.), University of Tokyo, Tokyo
113-0032, Japan
Address all correspondence and requests for reprints to: Dr. Hiroyuki Tanaka, Department of Pediatrics, Okayama University Medical School, 25-1 Shikata-cho, Okayama 700-8558, Japan. E-mail:
hrtanaka{at}hospital.okayama-u.ac.jp
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Abstract
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In the present study, the role of vitamin D in the regulation of
estrogen synthesis in gonads was investigated. Vitamin D receptor null
mutant mice showed gonadal insufficiencies. Uterine hypoplasia and
impaired folliculogenesis were observed in the female, and decreased
sperm count and decreased motility with histological abnormality of the
testis were observed in the male. The aromatase activities in these
mice were low in the ovary, testis, and epididymis at 24%, 58%, and
35% of the wild-type values, respectively. The gene expression of
aromatase was also reduced in these organs. Elevated serum levels of LH
and FSH revealed hypergonadotropic hypogonadism in these mice. The gene
expressions of estrogen receptor
and ß were normal in gonads in
these mice. Supplementation of estradiol normalized histological
abnormality in the male gonads as well as in the female. Calcium
supplementation increased aromatase activity and partially corrected
the hypogonadism. When the serum calcium concentration was kept in the
normal range by supplementation, the aromatase activity in the ovary
increased to 60% of the wild-type level, but LH and FSH levels were
still elevated. These results indicated that vitamin D is essential for
full gonadal function in both sexes. The action of vitamin D on
estrogen biosynthesis was partially explained by maintaining calcium
homeostasis; however, direct regulation of the expression of the
aromatase gene should not be neglected.
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Introduction
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1,25-DIHYDROXYVITAMIN D3
[1,25-(OH)2D3], an active form of vitamin D,
plays important roles in calcium homeostasis, bone metabolism, and cell
differentiation and proliferation (1, 2, 3). Most of these actions are
mediated by the nuclear vitamin D receptor (VDR) (4, 5). The VDR is
expressed in calcium-regulating tissues such as intestine, skeleton,
and parathyroid gland as well as in ovary and testis (6); however, VDR
function in gonads remains unclear. VDR null mutant mice were
established as a model for VDR itself and vitamin D function (7). In
addition to the hypocalcemic rickets, uterine hypoplasia and impaired
folliculogenesis were found in most of the female VDR null mutant mice,
and estrogen supplementation increased the uterine weight of the mice
(7). These results indicated that the uteri of the mice were in an
estrogen-deficient state and suggested that VDR plays a role in
estrogen production in the ovary. In male gonads, certain abnormalities
may exist, although macroscopically the testis of the VDR null mutant
male mice appeared normal.
To clarify the pathophysiology of the disorder of gonads in the VDR
null mutant mice, the activity of aromatase cytochrome P450 (P450arom),
a key enzyme in estrogen biosynthesis, and the expression of the CYP19
gene encoding P450arom (8) were investigated.
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Materials and Methods
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Materials
[1ß-3H]Androstenedione (24.7 Ci/mmol;
catalogue no. NET926) was a product of NEN Life Science Products (Boston, MA). Glucose-6-phosphate,
NADP+, NADPH, glucose-6-phosphate dehydrogenase
(230 U/mg solid), and 17ß-estradiol were obtained from
Sigma (St. Louis, MO). Dextran-coated charcoal was
obtained from Yamasa (Choshi, Japan). Taq polymerase,
10 x PCR buffer, and 25 mM
MgCl2 were obtained from Perkin-Elmer Corp. (Branchburg, NJ). QIAamp tissue kit for the extraction of
genomic DNA was purchased from QIAGEN (Hilden, Germany). A
RT-PCR kit containing random primer, Moloney murine leukemia
virus-reverse transcriptase, and 10 x first strand buffer
was obtained from Stratagene (La Jolla, CA). A PCR MIMIC
Construction Kit for competitive PCR was obtained from CLONTECH Laboratories, Inc. (Palo Alto, CA).
Animals
VDR null mutant mice were generated by gene targeting as
described previously (7); the locus targeted for the disruption of the
VDR gene included exon 2, and the mutant locus contained the neomycin
resistance gene. Mice were weaned at 3 weeks of age and were then fed
ad libitum distilled water and a chow diet (MF, Oriental
Yeast, Tokyo, Japan; ingredients: 11.1 mg/g calcium, 8.3 mg/g
phosphorus, and 1.08 IU/g vitamin D3) or a high
calcium diet (9) (Clea Japan, Inc., Tokyo, Japan; ingredients: 20.0
mg/g calcium, 12.5 mg/g phosphorus, 1.08 IU/g vitamin
D3, and 200 mg/g lactose). The mice were
maintained under specific pathogen-free conditions with a 12-h light,
12-h dark cycle. They were bred as heterozygotes. The studies were
reviewed and approved by the institutional committee of animal care and
use of Okayama University Medical School.
The VDR genotypes were determined by analyzing genomic DNA obtained
from each mouse at approximately 10 days after birth. Genomic DNA was
extracted from tail clippings with the QIAamp tissue kit and was
amplified by multiplex PCR using two sets of primers specific for the
wild-type exon 2 of VDR gene and for the neomycin resistance gene,
respectively. To this end, we recloned murine exon 2 of VDR gene and
sequenced it. Novel primers with the sequences of 5'-CCT CCA TCC CTG
TAA GAA GA-3' and 5'-CAA AGA ACT GCC ACC CAC TC-3' were prepared.
Another set of primers (5'-TGA ATG AAC TGC AGG ACG AGG-3' and 5'-AAG
GTG AGA TGA CAG GAG ATC-3') for detection of the neomycin resistance
gene (10) was also prepared. The reaction mixture (50 µl) contained
DNA template (4 µl), two of the primer sets (0.4 µM
each), Taq polymerase (1 U), 5 µl of 10 x PCR
buffer, MgCl2 (1.5 mM), and
a deoxy-NTP mixture (0.2 mM). The amplification
included an initial denaturation step at 94 C for 5 min, followed by 30
cycles of denaturation at 94 C (1 min), annealing at 55 C (1 min), and
extension at 72 C (2 min), and an additional extension step of 72 C for
7 min. The amplified products were analyzed by 3% agarose gel
electrophoresis and ethidium bromide staining. The expected sizes of
the products were 130 bp for exon 2 of VDR and 150 bp for the neomycin
resistance gene.
Determination of P450arom activity
Activities of P450arom in ovaries were determined from the
liberation of [3H]H2O
from [1ß-3H]androstenedione essentially
according to previously reported methods (11, 12). The ovaries were
homogenized with 10 times the volume of 10 mM potassium
phosphate buffer (pH 7.4). The reaction was carried out by incubating a
200-µl reaction mixture containing potassium phosphate buffer (pH
7.4), [1ß-3H]androstenedione (200
nM; 0.988 Ci), NADPH (10 mM), and 20 µl of
the homogenate (1020 µg protein) at 37 C for 530 min and was
terminated by adding 100 µl 25% (wt/vol) trichloroacetic acid. To
remove unreacted [1ß-3H]androstenedione, the
reaction mixture was treated with 100 µl dextran-charcoal, then
centrifuged at 1200 x g for 5 min to obtain the
supernatant. To further remove
[1ß-3H]androstenedione, a 300-µl aliquot of
the supernatant was diluted with 700 µl water and extracted with 2.5
ml chloroform. The radioactivity of the aqueous layer containing
[3H]H2O was measured in a
liquid scintillation counter. A reaction mixture without the homogenate
was used as a blank. From linear plots of the amounts of the product
against reaction times, P450arom activities were determined in terms of
picomoles of [3H]H2O
liberated per min/mg protein. Protein contents were determined using a
bicinchoninic acid kit (Pierce Chemical Co., Rockford,
IL).
The method for determination of P450arom activities in the testis and
epididymis was the same as that employed for the ovary samples, except
for cofactors and incubation time, because of the lower activity of the
aromatase. The activities of P450arom in microsomal fractions prepared
from the testis or the epididymis of male mice (10 weeks old) were
determined as previously described (13). A 200-µl reaction mixture
containing 10 mM potassium phosphate buffer (pH 7.4),
MgCl2 (85 mM),
NADP+ (10 mM), NADPH (10
mM), glucose-6-phosphate (100 mM),
[1ß-3H]androstenedione (200 nM;
0.988 Ci), glucose-6-phosphate dehydrogenase (2 U), and 20 µl of the
microsomal fractions as the enzyme source was incubated at 37 C for
1 h. A sample for determination of radioactivity was prepared in
the manner described above. P450arom activity was defined in terms of
picomoles of [3H]H2O
liberated per h/mg protein.
RT-PCR analysis for CYP19 gene expression and estrogen receptor
(ER
) and ERß gene expression
Total RNA was extracted from the ovary and the testis by the
acid-guanidine phenol-chloroform method (14). A RT-PCR analysis was
carried out using 2 µg total RNA from the ovary and 5 µg total RNA
from the testis, which was reverse transcribed using a random primer
and Moloney murine leukemia virus reverse transcriptase in 25
µl, according to the manufacturers protocol. An aliquot of the RT
reaction was then used as the template for a subsequent PCR.
The complementary DNA (cDNA) for the mouse CYP19 gene was analyzed by
PCR using a 50-µl reaction mixture containing cDNA template (2 µl
from the ovary sample, 4 µl from the testis sample), specific primers
of 5'-TGA GAG ACG TGG AGA CCT GA-3' and 5'-CAC CTG GAA TCG TCT CAA
AA-3' (0.4 µM each), Taq polymerase (1 U), 5
µl 10 x PCR buffer, MgCl2 (1.75
mM), and a deoxy-NTP mixture (0.2
mM). The reaction procedure for the amplification
was as follows: an initial denaturation step at 95 C for 5 min; 35
cycles of 95 C (1 min), 56 C (2 min), and 72 C (2 min); and an
extension step at 72 C for 10 min. The products were analyzed by 2%
agarose gel electrophoresis and ethidium bromide staining. The expected
size of the products was 526 bp. Direct sequencing of the 526-bp PCR
product revealed a corresponding sequence in P450arom messenger RNA
(mRNA). The image of the UV-illuminated gels was stored in a digital
form and analyzed by a computerized image analyzing system (ATTO
densitograph, ATTO Corp., Tokyo, Japan).
The cDNA for ER
and ERß genes were analyzed by previously
described methods (15, 16).
Glyceraldehyde-3-phosphate dehydrogenase (GAPDH) mRNA was coamplified
to serve as an internal control. Each band was normalized to the value
of GAPDH.
Competitive PCR analysis for quantitative CYP19 gene
expression
The cDNA for mouse CYP19 gene after the calcium supplementation
was analyzed by competitive PCR. The competitive sequence was
constructed by PCR using PCR MIMICS as a template according to the
manufacturers protocol. The competitive template used was 4, 4
x 10-1, 4 x 10-2,
4 x 10-3, 4 x
10-4 fM in each 50-µl
reaction mixture. The expected size of the products was 350 bp.
Serum chemistries
LH levels and FSH levels were measured using an enzyme-linked
immunosorbent assay for rat LH and FSH (Amersham Pharmacia Biotech, Aylesbury, UK). Estradiol levels were measured by RIA
(Diagnostic Products, Los Angels, CA) at Mistubishi BCL
(Tokyo, Japan). Calcium levels were measured using the
o-cresol phthalein complexion method (Wako, Osaka, Japan).
Phosphorous levels were measured using the
p-methylaminophenol method (Wako).
Sperm function
Sperm counts and motility were determined. Sperm were collected
from the epididymides of 11-week-old heterozygous and VDR null mutant
mice. Sperm suspensions were prepared by mincing the excised cauda
epididymides in 0.5 ml capacitation medium (17, 18). After allowing 15
min for sperm dispersion, particulate tissue was removed, and aliquots
of the epididymal suspension were diluted 1:5 in the medium. Sperm
counts and the estimated percentage of motile sperm were determined
visually by phase microscopy.
Histological analysis
Testes were removed from mice, preincubated with OCT compound
(Miles, Elkhart, IL), and then frozen with liquid nitrogen. Five-micron
sections, cut with a cryostat, were collected on
poly-L-lysine-coated slide glasses. The sections were
stained with methyl green.
Estrogen supplementation
17ß-Estradiol was given to VDR null mutant male mice at 510
weeks of age (10 ng/head·day) (19) by microosmotic pump (Alzet, Palo
Alto, CA). After 5 weeks of treatment with 17ß-estradiol, mice were
killed, and the histology of the testes, sperm function, aromatase
activity in the testes, the expression level of the CTP19 gene in the
testes, and serum levels of calcium, LH, and FSH were analyzed.
17ß-Estradiol was given to 7-week-old VDR null mutant female mice
(100 ng/head·day) (19) by ip injection for 7 days. After treatment
with 17ß-estradiol, mice were killed, and aromatase activity in the
ovaries was measured.
Statistical analysis
Values are given as the mean ± SEM.
Statistical analysis was performed using unpaired Students
t test and ANOVA, followed by Fishers protected least
significant difference. P < 0.05 was considered
significant.
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Results
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Low P450arom activity and CYP19 gene expression in gonads of the
VDR null mutant mice
The activities of P450arom in the ovaries, testes, and
epididymides were measured, and the results obtained are shown in Fig. 1A
. In the ovaries of the wild-type
(VDR+/+) mice, the enzyme activities at 4 and 7
weeks of age were 0.102 ± 0.018 (mean ± SEM;
n = 4) and 0.357 ± 0.048 (n = 4) pmol
[3H]H2O
liberated/min·mg protein, respectively. In the 7-week-old
heterozygous (VDR+/-) mice, the activity was
0.295 ± 0.035 (n = 4). No significant difference was found
between the VDR+/+ and
VDR+/- mice in P450arom activity. Samples from
the VDR+/+ and VDR+/-
female mice at 7 weeks of age were obtained at the time of estrus, as
evidenced by labial swelling and reddening of vaginal membranes. The
VDR null mutant (VDR-/-) female mice never
showed such a genital appearance. P450arom activity in the 7-week-old
VDR-/- mice was 0.087 ± 0.011 (n =
4). This value was 24.4% of that in the 7-week-old
VDR+/+ mice and was similar to that in the
4-week-old VDR+/+ mice (just after weaning).

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Figure 1. Activities of P450arom in ovaries (A).
Values are the mean ± SEM. The black
bar presents the activity of enzyme in VDR-/-
mice at 7 weeks of age. The white bars present those of
VDR+/+ mice at 4 and 7 weeks of age. The hatched
bar presents that of VDR+/- mice at 7 weeks of
age. Activities of P450arom were measured in VDR+/+ and
VDR+/- female mice at 7 weeks of age that were in estrous,
as evidenced by labial swelling and reddening of vaginal membranes.
Activities of P450arom in testes and epididymis of 10-week-old mice
(B). The P450arom activity was defined in terms of picomoles of
[3H]H2O liberated per h/mg protein because of
lower levels of the activities per mg protein. Values in testes and
epididymis are approximately 1/60th of those in ovaries. **,
P < 0.01 compared with wild-type mice. n =
45.
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As shown in Fig. 1B
, P450arom activity in the testes of 10-week-old
VDR+/+ mice was 0.354 ± 0.020 pmol
[3H]H2O liberated/h·mg
protein (mean ± SEM; n = 4), which is
approximately 1/60th the value in the ovaries of 7-week-old
VDR+/+ female mice. P450arom activity in the
testes of 10-week-old VDR-/- mice was
0.207 ± 0.028 (n = 5) pmol
[3H]H2O liberated/h·mg
protein. This level was 58.5% of that in 10-week-old
VDR+/+ mice (P < 0.005). In the
epididymis, the level of P450arom activity in 10-week-old
VDR-/- mice was 0.225 ± 0.049, which was
34.6% of that in VDR+/+ mice (0.650 ±
0.118; n = 4; P < 0.01).
To evaluate the level of CYP19 gene expression, we applied a RT-PCR
procedure. The results presented in Fig. 2
indicated that the ovary and testis of
VDR-/- mice expressed the mRNA of the CYP19
gene, but the expression levels of the CYP19 gene were markedly
decreased. Data from scans of the PCR gels are provided in Table 1
. The expression levels of CYP19 gene in
the ovary and testis of heterozygous (VDR+/-)
mice were similar to those in VDR+/+ mice (data
not shown). The PCR reactions without RT had no products. The results
of competitive PCR were consistent with those of this RT-PCR.

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Figure 2. Left, RT-PCR amplification of mRNA
of CYP19 gene in the ovary (35 cycles). Lane 1, PCR amplification
without RT. Lanes 2 and 3, RT-PCR amplification of mRNA of CYP19 gene
in the ovary of VDR-/- at 7 weeks of age; lanes 4 and 5,
RT-PCR amplification of mRNA of CYP19 gene in the ovary of
VDR+/+ at 7 weeks of age. Right, RT-PCR
amplification of mRNA of CYP19 gene in the testes (35 cycles). Lanes 1
and 2, RT-PCR amplification of mRNA of CYP19 gene in the testes of
VDR-/- at 10 weeks of age; lanes 3 and 4, RT-PCR
amplification of mRNA of CYP19 gene in the testes of VDR+/+
at 10 weeks of age; lane 5, PCR amplification without RT. Each lane of
the same phenotype represents a different animal. Figures show data
representative of three independent experiments. Reduced CYP19 gene
mRNA expressions in the ovary and the testis of VDR-/-
mice were observed in both sexes. The scanned data are shown in Table 1 .
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Table 1. The scanned data of RT-PCR amplification of mRNA of
CYP19 gene in the ovary (7 weeks of age) and the testes (10 weeks of
age)
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Abnormalities in gonads in the male VDR null mutant mice
Sperm functions. After incubation in capacitation medium for
15 min, 5060% of the sperm from the cauda epididymides of male
VDR+/- mice were motile, whereas the percentage
of sperm motile in the VDR-/- males declined
from 15% to less than 1% at 10 weeks of age. As shown in Table 2
, the sperm counts in
VDR-/- mice were half those in
VDR+/- mice. These results revealed that the
number of functional sperm was markedly decreased in
VDR-/- mice compared with
VDR+/- mice. The motility and sperm count in
VDR+/- mice were similar to those in wild-type
mice (18).
Testicular weight. Testicular weights were evaluated as the
ratio of testis weight (milligrams) to body weight (grams). A transient
increase in testicular weight in VDR-/- males
was observed at 10 weeks of age (P < 0.01 compared
with VDR+/- mice), although weight had decreased
to the normal level by 15 weeks, as reported in ER
gene knockout
mice (Fig. 3
).

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Figure 3. Testicular weight between 5 and 15 weeks of age.
Values are defined as the ratio of testis weight (milligrams)/body
weight (grams) so as to eliminate body weight differences between
VDR+/- mice and VDR-/- mice (mean ±
SEM). Closed circles represent
VDR+/- mice, and closed squares represent
VDR-/- mice. The ratio of VDR-/- mice
increased at 10 weeks of age. **, P < 0.01
vs. VDR+/- mice (n = 48).
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Histology of the testes. Although the appearance of the testes
was normal anatomically, histological change was observed in the testes
of VDR-/- mice. As shown in Fig. 4B
, the testes of 10-week-old
VDR-/- mice showed dilated lumen of
seminiferous tubules, a thinner layer of epithelial cells, and
decreased spermatogenesis. The testes of 15-week-old
VDR-/- mice revealed rare spermatogenesis. A
more widely dilated lumen of seminiferous tubules and atrophy of the
seminiferous epithelium cells were observed (Fig. 4C
).

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Figure 4. Histology of testes from VDR+/- mice
and VDR-/- mice in methyl green stain. A, The testis of a
10-week-old VDR+/- mouse. The seminiferous tubules were at
different stages of spermatogenesis, and the diameter of the lumen and
the thickness of the seminiferous epithelium vary with the stage of
spermatogenesis (arrow); B, the testis of a 10-week-old
VDR-/- mouse. The lumen of the seminiferous tubules was
often dilated (arrows). The thickness of the
seminiferous epithelium is less than in 10-week-old control mice. C,
The testis of a 15-week-old VDR-/- mouse. The lumen was
more widely dilated (asterisks), the seminiferous
epithelium is atrophic in many tubules, and spermatogenesis is rare. D,
The testis of a 10-week-old VDR-/- mouse with estrogen
treatment revealed no change. The seminiferous tubules were at
different stages of spermatogenesis (arrow), and the
diameter of the lumen and the thickness of the seminiferous epithelium
vary with the stage of spermatogenesis. E, The testis of a 10-week-old
VDR-/- mouse with calcium supplementation revealed
dilated lumen in some seminiferous tubules (asterisks).
Bar, 100 µm.
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Decreased serum levels of estradiol and elevated serum levels of LH
and FSH
The serum levels of estradiol in the VDR null mutant mice are
shown in Table 3
. The circulating
estradiol level in VDR null mutant female mice was significantly lower
than that in heterozygous mice. Serum levels of LH and FSH in VDR null
mutant mice are shown in Table 4
. The LH
and FSH levels in 3-week-old VDR null mutant mice were the same as
those in VDR+/+ mice. The LH level was elevated
5- to 10-fold in both female and male VDR-/-
mice compared with that in VDR+/+ mice at 8 weeks
of age. The FSH level in VDR-/- mice was twice
that in VDR+/+ mice at 8 weeks of age. These
elevated levels of LH and FSH in VDR-/- mice
were sustained to 12 weeks of age. The estradiol, LH, and FSH levels
were measured in wild-type female mice that were in estrous, as
evidenced by labial swelling and reddening of vaginal membranes.
Effect of estrogen supplementation
After estrogen supplementation of VDR null mutant male mice, the
histology of the testes revealed no apparent abnormality of the lumen
of the seminiferous tubules or epithelial cells at 10 weeks of age, as
shown in Fig. 4D
. The sperm count and motility in the estrogen-treated
mice (n = 3) were increased to the same level in the heterozygous
mice [count, 47.7 ± 5.0 x 106/ml
vs. 26.3 ± 7.3 x 106/ml in
VDR-/- without treatment (P <
0.05); motility: 47.0 ± 3.6% vs. 6.0 ± 4.6% in
VDR-/- without treatment (P =
0.0001)]. The P450arom activity in the testes of
VDR-/- mice with estrogen treatment was
increased (0.328 ± 0.018 pmol
[3H]H2O liberated/h·mg
protein vs. 0.207 ± 0.028 in the
VDR-/- without treatment; n = 3;
P = 0.03). The expression level of the CYP19 gene in
the testis with estrogen supplementation was analyzed by competitive
PCR. The level in VDR-/- was 0.6 ± 0.2
attomoles (attmol; 10-18
M). After estrogen treatment, the expression
level was significantly increased to 16.7 ± 3.3 attomol
(P < 0.0001). This level was similar to the level in
VDR+/+ (23.3 ± 8.8 attomol; P = 0.613). The serum
LH level was decreased to 4.13 ± 0.20 ng/ml (n = 3), and the
serum FSH level was decreased to 208.7 ± 10.5 ng/ml (n = 3)
after the supplementation (P = 0.0003 and <0.0001
respectively, compared with VDR-/- male mice at
8 weeks of age). The serum calcium level was not increased (6.4 ±
0.1 vs. 8.30 ± 0.26 mg/dl in the
VDR+/+ mice; P = 0.0008). As in
the male mice, the P450arom activity in the ovary of
VDR-/- mice (n = 3) with estrogen
treatment was increased (0.293 ± 0.028 pmol
[3H]H2O
liberated/min·mg protein vs. 0.087 ± 0.011 in the
VDR-/- without treatment; P <
0.0001).
The expression levels of ER
and ERß in the ovary and testis
of the VDR null mutant mice were the same as those in the wild-type
mice (Fig. 5
). In the ovary, the ratios
of the expression level of ER
/GAPDH in
VDR-/- and VDR+/+ were
0.877 ± 0.167 and 0.998 ± 0.078, respectively, and the
ratios of the expression level of ERß/GAPDH in
VDR-/- and VDR+/+ were
7.190 ± 0.622 and 8.647 ± 0.891, respectively. In the
testis, the ratios of the expression level of ER
/GAPDH in
VDR-/- and VDR+/+ were
0.613 ± 0.029 and 0.642 ± 0.057, respectively, and the
ratios of the expression level of ERß/GAPDH were 0.968 ± 0.109
and 1.027 ± 0.084, respectively. The scanned data revealed that
there was no significant difference between
VDR-/- and VDR+/+ mice in
either ER expression.
Effect of calcium supplementation
The serum calcium level in the VDR null mutant mice given a normal
diet (MF) was 5.36 ± 0.25 mg/dl (mean ± SEM;
n = 9) at the age of 7 weeks. The serum calcium level in
VDR+/+ mice was 8.30 ± 0.26 mg/dl (n =
10) at this age. To correct the hypocalcemia, the VDR null mutant mice
(n = 10) were fed a high calcium diet from the time of
weaning (3 week of age). Serum calcium increased to 8.65 ± 0.25
mg/dl (n = 8). The serum calcium level in VDR null mutant mice was
completely normalized after calcium supplementation. P450arom activity
in the ovary at the 7 weeks of age was 0.223 ± 0.015 pmol
[3H]H2O/min·mg protein
after calcium supplementation. P450arom activity was increased to 60%
of that in wild-type mice (P = 0.005) and 76% of that
in heterozygous mice (P = 0.091). P450arom activity in
the testis at 10 weeks of age was 0.272 ± 0.013 pmol
[3H]H2O/h·mg protein
after calcium supplementation. P450arom activity was increased to 77%
of that in wild-type mice (P = 0.024). The competitive
PCR analysis of CYP19 is shown in Fig. 6
and Table 5
. These results indicated that
the expression of the CYP19 gene was increased by calcium
supplementation in both ovary and testis. However, as with aromatase
activity, the expression level of the aromatase gene was not completely
recovered after normalization of serum calcium, being one fifth that of
the wild-type value in the ovary (P = 0.004) and one
fourth that of the wild-type value in the testis (P =
0.02). As shown in Table 3
, the circulating estradiol level did not
increase after calcium supplementation. In the female the estradiol
level was 5.6 ± 2.6 pg/ml (n = 4; P = 0.03
compared with that in VDR+/- female mice at 8
weeks of age). The serum levels of LH and FSH were not corrected and
remained high despite the fact that the serum calcium level was normal
after calcium supplementation. In the female, the LH level was 5.9
± 0.2 ng/ml, and the FSH level was 385 ± 32 ng/ml (n = 3;
P < 0.0001 and 0.001, respectively, compared with that
in VDR+/+ female mice at 8 weeks of age). In male
mice, the LH level was 8.1 ± 0.3 ng/ml (n = 3;
P < 0.0001 compared with VDR+/+
male mice at 8 weeks of age), and the FSH level was 310 ± 16
ng/ml (n = 3; P < 0.0001 compared with
VDR+/+ male mice at 8 weeks of age). In male VDR
null mutant mice given calcium supplements, dilated lumens were
observed in certain seminiferous tubules (Fig. 4E
). The sperm count was
increased to 44.0 ± 5.3 x 106/ml, but
was not significantly different compared with that in
VDR-/- animals without treatment
(P = 0.09). Sperm motility was significantly increased
to 39.3% compared with that in VDR-/- mice
without treatment (P = 0.0015).

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|
Figure 6. The effect of calcium supplementation. The
competitive RT-PCR amplification of mRNA of the CYP19 gene in ovary at
7 weeks of age in wild (VDR+/+) and VDR-/-
mice with calcium supplementation and VDR-/- mice without
treatment. The CYP19 gene product was 526 bp, and competitor product
was 350 bp. The competitive template used was 4, 4 x
10-1, 4 x 10-2, 4 x
10-3, and 4 x 10-4 fM from
lane 1 to lane 5, respectively. The expression of the CYP19 gene in the
ovary of VDR-/- mice given calcium supplements was
increased. This photograph shows data representative of three
independent experiments.
|
|
 |
Discussion
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Previous studies suggested that vitamin D has some role in
reproductive functions. The VDR is expressed in the ovary and testis
(6), suggesting that vitamin D has a role in these organs. Vitamin D
deficiency caused gonadal insufficiency in rats. The overall fertility
of the female vitamin D-deficient rats was reduced to 75%, and the
litter size was reduced to 30% of the values in vitamin D-replete
females (19). The presence of sperm in the vaginal tract of females
mated by vitamin D-deficient males was reduced to 45% compared with
that in matings by vitamin D-replete males (20).
In female VDR null mutant mice, uterine hypoplasia with impaired
folliculogenesis was observed, and estrogen supplementation increased
uterine weight (7). These results indicated that estrogen deficiency
caused impaired folliculogenesis and uterine hypoplasia in female VDR
null mutant mice. In male VDR null mutant mice in this study, a
transient increase in testicular weight was observed, and decreased
sperm counts and motility with histological abnormality in the testis
were found. These findings in VDR null mutant male mice were similar to
those in ER
knockout mice (18, 21, 22). In the male gonads of ER
knockout mice, the fluid reabsorption in efferent ductules of the
testis was abnormal (22). In our study of VDR null mutant male mice,
estrogen deficiency appeared to cause gonadal insufficiencies by a
mechanism similar to that observed in ER
knockout mice. In addition,
aromatase gene-deficient mice (ArKO) showed gonadal insufficiencies,
such as underdeveloped uteri and ovaries (23) and impaired
spermatogenesis (24). The phenotypes of gonads of ER
and ArKO
paralleled those of the VDR null mutant male mice.
No histological abnormality was observed in the testes of male VDR null
mutant mice supplemented with estrogen. The estrogen supplementation
protected the testis of VDR null mutant mice from histological changes.
These results strongly suggested that estrogen deficiency induced by
VDR ablation is the cause of the abnormal spermatogenesis in VDR null
mutant mice.
Decreases in the activity of P450arom and suppression of CYP19 gene
expression in both female and male gonads of the VDR null mutant mice
were demonstrated. The CYP19 gene encodes P450arom, the key enzyme for
estrogen biosynthesis, which dominantly influences the estrogen level.
Furthermore, the expressions of ER
and ERß genes were normal in
gonads in VDR null mutant mice. These results indicated that the
estrogen-deficient state in VDR null mutant mice caused by decreased
P450arom activity depended on suppressed CYP19 gene expression.
It was reported that normalization of the serum calcium level restored
fertility in vitamin D-deficient female and male rats (25, 26) and also
prevented some phenotypic abnormalities in the VDR null mutant mice
(9). To clarify the influences of severe hypocalcemia, calcium
supplementation was performed in the VDR null mutant mice. A high
calcium diet increased the serum calcium level to near that in
wild-type mice. The normalization of the serum calcium level increased
aromatase activity in the ovary to 60% of that in the wild-type
animals. Furthermore, the expression level of the CYP19 gene was
increased to 10-fold that in VDR null mutant mice without calcium
supplementation. The high levels of LH and FSH after normalization of
serum calcium meant that the endocrinological state remained
abnormal.
Despite the abnormal endocrinological state, some VDR null mutant
mice with a normal serum calcium level were fertile. This may explain
why other VDR-ablated mice (27) did not show infertility, although the
details of the gonadal functions were not reported. The serum calcium
levels of these mice were much higher than those of our VDR null mutant
mice [1.001.09 mM (82% of wild-type mice)
vs. 5.36 ± 0.25 mg/dl (65% of wild-type mice)]. In
human cases of vitamin D-dependent rickets type II, no gonadal
insufficiencies were detected (28, 29). Calcium had been administered
to these patients from an early phase. Normalization of the serum
calcium level might therefore restore the infertility. It is possible
that hypogonadism was generated by nonspecific disruption of the
aromatase gene enhancer region. However, it is difficult to consider
this possibility. Li model VDR-ablated mice (27) and our VDR null
mutant mice revealed similar phenotypes, such as growth retardation,
impairment of bone formation, and alopecia, though the phenotypes of
the Li model were much milder. In addition, normalization of mineral
ion homeostasis prevented the phenotypes, except for alopecia (9). The
higher level of serum calcium might cause the milder phenotypes and
fertility of the Li model.
It was recently reported that the P450arom activity of human
choriocarcinoma cell lines was stimulated by
1,25-(OH)2D3 and that the
VDR response element was identified in the CYP19 gene (30). This would
suggest that vitamin D regulates the CYP19 gene directly. Using VDR
null mutant mice, not vitamin D-deficient mice, we demonstrated that
vitamin D acted to regulate estrogen biosynthesis: this regulation
could not be explained by the calcitropic activities alone. These
results indicated that vitamin D plays a role in estrogen biosynthesis
partially by maintaining extracellular calcium homeostasis. However,
direct regulation of the expression of the aromatase gene was also
considered.
 |
Acknowledgments
|
|---|
We are grateful to Ms. L. Abe for secretarial assistance.
 |
Footnotes
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1 This work was supported in part by a grant-in-aid for Scientific
Research from the Ministry of Education, Science, Sports, and Culture
of Japan and a grant from the Ministry of the Health and Welfare of
Japan. 
Received June 29, 1999.
 |
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