Endocrinology Vol. 142, No. 12 5342-5350
Copyright © 2001 by The Endocrine Society
Targeted Disruption of the Mouse Estrogen Sulfotransferase Gene Reveals a Role of Estrogen Metabolism in Intracrine and Paracrine Estrogen Regulation
Y. M. Qian,
X. J. Sun,
M. H. Tong,
X. P. Li,
J. Richa and
W.-C. Song
Center for Experimental Therapeutics and Department of Pharmacology
(Y.M.Q., X.J.S., M.H.T., X.P.L., W.C.S.) and Center for Research on
Reproduction and Womens Health, Department of Genetics (J.R.),
University of Pennsylvania School of Medicine, Philadelphia,
Pennsylvania 19104
Address all correspondence and requests for reprints to: W.-C. Song, Ph.D., University of Pennsylvania School of Medicine, Room 1351, Biomedical Research Building II/III, 421 Curie Boulevard, Philadelphia, Pennsylvania 19104. E-mail:
song{at}spirit.gcrc.upenn.edu
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Abstract
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Elicitation of biological responses by estrogen in target tissues
requires the presence of ER as well as receptor-active ligand in the
local microenvironment. Though much attention has been devoted to the
study of the receptor in estrogen target tissues, the concept is
emerging that tissue estrogen sensitivity may also be regulated by
ligand availability through metabolic transformation in
situ. Here, we show that targeted disruption, in the mouse, of
an estrogen metabolic enzyme, estrogen sulfotransferase (EST), causes
structural and functional lesions in the male reproductive system. EST
catalyzes the sulfoconjugation and inactivation of estrogen and is
expressed abundantly in testicular Leydig cells. Although knockout
males were fertile and phenotypically normal initially, they developed
age-dependent Leydig cell hypertrophy/hyperplasia and seminiferous
tubule damage. Development of these lesions in the testis could be
recapitulated by exogenous E2 administration in younger knockout mice,
suggesting that they arose in older knockout mice from chronic estrogen
stimulation. Older knockout mice were also found to have reduced testis
and epididymis weights but increased seminal vesicle/coagulating gland
weight because of tissue swelling. Furthermore, total and forward sperm
motility of older knockout mice was reduced by 60% and 80%,
respectively, and these mice produced smaller litters compared
with age-matched wild-type males. These findings establish a role for
EST in the male reproductive system and indicate that intracrine and
paracrine estrogen activity can be modulated by a ligand transformation
enzyme under a physiological setting. Thus, inhibition of estrogen
metabolic enzymes by environmental chemicals, as has been demonstrated
recently for the human EST, may constitute a novel mechanism of
endocrine disruption in vivo.
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Introduction
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E STROGEN IS A pleiotropic hormone that is
now recognized to play important roles in many physiological processes
in addition to reproduction (1, 2). Elicitation of
biological responses in estrogen target cells requires the presence of
estrogen receptors and receptor-active ligand (1, 2).
Ligand availability may be determined by systemic estrogen level as
well as by the equilibrium between local estrogen biosynthesis and
metabolism. The significance of local estrogen biosynthesis has been
well appreciated. For example, manipulation of local estrogen
biosynthesis through inhibition of the estrogen biosynthetic enzyme,
P450 aromatase, has been pursued as a potential therapeutic strategy
for estrogen-dependent tumors (3, 4). On the other hand,
the relevance of estrogen metabolic enzymes in regulating tissue
estrogen sensitivity under a physiological setting has not been
adequately studied.
Among the various metabolic routes, sulfation has been recognized for
many years as a prominent pathway for estrogen transformation in
vivo (5, 6). Sulfated estrogen has diminished
receptor-binding affinity and is more water-soluble. Although
sulfation is generally regarded as a metabolic process, the observation
that, in some species, estrogen sulfate actually circulates in the
blood at levels higher than that of the parent hormone suggests that
estrogen sulfate may not be produced merely for the purpose of
excretion (5, 6). Because estrogen sulfate can be
hydrolyzed to release the active hormone, it may exist in the blood as
a reservoir for expeditious production of active estrogen in target
tissues (5, 6). Irrespective of its role in systemic
estrogen homeostasis, in vitro experiments have suggested
that sulfation may represent a physiologic mechanism to regulate local
estrogen activity in target tissues (7, 8, 9).
To test this hypothesis, we have chosen to study the male reproductive
system of the mouse as a model. In earlier studies, we have shown
that an estrogen-specific sulfotransferase (EST) is expressed
abundantly in the Leydig cells of the mouse testis
(10, 11, 12). Because testis is a major source of estrogen
biosynthesis in the males (13, 14, 15, 16, 17, 18), and several tissues
within the male reproductive system are established estrogen target
sites (19, 20, 21, 22), we speculated that Leydig cell EST may act
as a molecular switch to modulate the intracrine and paracrine activity
of the locally produced estrogen. In this study, we have generated an
EST-deficient mouse through targeted disruption of the EST gene and
characterized the phenotype of the male reproductive system of the
mutant mouse. We found that EST knockout male mice developed
age-dependent structural and functional lesions in their reproductive
systems because of increased local estrogen activity. This finding
provides direct evidence for a physiological role of estrogen
metabolism in intracrine and paracrine estrogen regulation. It also
implies that inhibition of estrogen transformation enzymes by
environmental chemicals, as has been shown recently for the human EST
(23, 24), may constitute a novel mechanism of endocrine
disruption in vivo that is independent of their direct
interaction with the estrogen receptors (25).
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Materials and Methods
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Animals
The use and experimentation of animals in this study was
approved by the Institutional Animal Care and Use Committee of the
University of Pennsylvania.
Construction of targeting vector
To clone the mouse EST gene, a 129J/Sv
FixII murine genomic
library (Stratagene, La Jolla, CA) was screened,
with the full-length mouse EST cDNA as a probe (10). The
mouse EST gene was found to consist of eight exons (unpublished
results). A 13-kb genomic clone, containing exon II to VII, was chosen
for targeting vector construction. In the first step, a cassette
containing the herpes simplex virus-thymidine kinase gene under the
control of the mouse phosphoglycerate kinase-1 gene promoter was
excised from the pPNT vector (26) at the unique
HindIII and EcoRI sites and was subcloned into
pCDNA3 vector (Invitrogen, Carlsbad, CA). This was
followed by insertion of the 13-kb EST gene fragment at the
NotI site of pCDNA3. Finally, a neo gene
cassette (NEO) containing the SV40 gene promoter was amplified by PCR
from the pKO vector (Stratagene) using primers containing
a KpnI site, cloned into the TA vector
(Invitrogen), and then inserted into exon III of the
EST gene fragment at a unique KpnI site (Fig.
1A).
Generation of EST-deficient mice
The targeting vector was linearized by XhoI digestion
and transfected into TL-1 embryonic stem (ES) cells (kindly provided by
Dr. P. Laboski, University of Pennsylvania) by electroporation. This
procedure and the subsequent colony screening were carried out as
previously described (27). Genomic DNAs of ES cells were
digested with XbaI and screened by Southern blot analysis
using a 300-bp probe 5' to the targeting sequence (in the 5' flanking
region of the gene, Fig. 1A
). In this screening scheme, the wild-type
(WT) EST gene produced a 6-kb XbaI band, whereas the
targeted allele was expected to show a 7-kb band attributable to
incorporation of the neo gene (Fig. 1A
). Confirmation
hybridization on positive clones was subsequently carried out by using
the neo cDNA as a probe. Targeted ES cell clones were
injected into C57BL/6 mouse blastocyst to produce chimeric mice
(28). Germline transmission of the targeted gene was
established by coat color (agouti) of the progeny from the matings
between male chimeric mice and normal C57BL/6 female mice. Heterozygous
EST knockout mice (F1 generation) were intercrossed, and the genotypes
of their offspring were determined by Southern blot analysis of
XbaI digested tail DNA (26, 27). Phenotypic
characterization was carried out by using mice of the F2 (first
generation of homozygous knockout) or F3 generation that had a mixed
129/B6 background.

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Figure 1. Strategy for targeted disruption of the mouse EST
gene locus. A, Partial restriction maps of the mouse EST gene and the
targeting vector. Exons are represented as filled vertical
bars. A 1-kb neo gene cassette (NEO) was
inserted into exon III at the unique KpnI site, thereby
disrupting the normal coding frame of the EST gene. B, Representative
Southern blot result of XbaI digested tail DNA, showing
the three genotypes of progeny from heterozygous mating. The WT allele
produced a 6-kb band, whereas the targeted allele showed as a 7-kb
band. +/+, WT; -/- homozygous knockout; +/-, heterozygous.
Scale bar, 200 µm.
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Northern and Western blot analysis and enzyme activity
assays
Total RNAs from mouse testes were isolated using the TRIzol
Reagent (Life Technologies, Inc., Gaithersburg,
MD). RNA samples (10 µg each lane) were separated on a 1.0%
formaldehyde-agarose gel and transferred onto a nylon membrane
(Hybond-N; Amersham Pharmacia Biotech, Arlington Heights,
IL) via capillary action overnight in 5x saline sodium citrate.
Membranes were cross-linked under UV light and hybridized with a
32P-labeled full-length mouse EST cDNA probe
synthesized with random primers (10). For Western blot
analysis and enzyme activity assays, whole testes were homogenized in
10 vol PBS. The homogenate was centrifuged at 5000 x g
for 30 min, and supernatant was collected. Total protein samples were
electrophoresed on 10% SDS-polyacrylamide gels (20 µg per lane),
transferred onto nitrocellulose membranes (Schleicher & Schuell, Inc., Keene, NH; BA85, 0.45 µm), and probed with
purified EST antiserum as previously described (10).
Sulfotransferase activity was measured with 3H-labeled E2
([2,4,6,7-3H(N)]-E2, 87.6 Ci/mmol, NEN Life Science Products (Boston, MA), final concentration 1.2
nM) in 200 µl 200-mM Tris-acetate buffer, pH
7.9, containing 10 mM Mg-acetate, 1.25% Triton
X-100, 100 µM 3'-phosphoadenosine
5'-phosphosulfate, and an appropriate amount of cell lysates.
The reaction was initiated by the addition of substrate and continued
for 30 min at 37 C. The reaction mixture was extracted with 2 vol
dichloromethane, and aliquot of the aqueous phase was counted and taken
as a measure for amount of sulfated products (10).
Steroid measurement and fertility test
Blood was obtained by tail vein bleeding or through cardiac
puncture. Serum T and E2 levels were measured with RIA kits by
following the manufactures instructions (Diagnostic Systems Laboratories, Inc., Webster, TX). To assess the knockout
mouse fertility, 4 mating experiments were performed. In the first
experiment, 5 mating pairs of 2-month-old WT and knockout mice were set
up, and their litter and pup numbers were recorded for 6 months. In the
second experiment, 6 WT and 6 knockout males were mated for 2 months
with 8-wk-old WT C57BL/6 females (The Jackson Laboratory,
Bar Harbor, ME). For this experiment, each male was housed with
four females in a cage. In the third mating experiment, 15 WT and 15
knockout females were mated for 2 months with 8-wk-old WT B6/D2 F1
males. The females were divided into 4 mating cages (4, 4, 4, 3), with each cage containing 1 male mouse. In the fourth mating
experiment, 5 WT and 5 knockout males, between 1718 months old, were
mated with 8-wk-old WT C57BL/6 females (The Jackson Laboratory) for 2 months. In this experiment, each male was
housed with 2 females in a cage.
Histology and immunohistochemistry
Testes were harvested from age-matched WT and knockout mice. In
some experiments, 2-month-old WT and knockout mice were treated with
exogenous estrogen for 3 wk (10 µg, 3-wk release E2 pellet, sc;
Innovative Research of America, Sarasota, FL), and
testes were collected. Tissues were fixed in cold Bouins solution for
2472 h. They were then dehydrated and paraffin-embedded. Sections of
the embedded testes were made at 5 µm, and the slides were processed
either for conventional hematoxylin and eosin staining or for
immunohistochemistry. The later procedure was carried out using the
Vectastain ABC Elite kit from Vector Laboratories, Inc. (Burlingame, CA) and a rabbit polyclonal antimouse EST
antibody, as previously described. (11).
Sperm motility assays
Sperm were collected from caudal epididymides and placed in
Hanks medium containing 2 mg/ml BSA. They were kept at 37 C until
being examined microscopically. Sperm total and forward motility were
determined visually on a computer screen by phase contrast microscopy.
For each sperm sample, at least 10 viewing fields, each containing
2040 sperm, were counted. Total sperm motility was defined as clear
head and flagellar movement, whereas only progressive sperm movement
was counted as forward motility.
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Results
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Generation of EST knockout mice
Our strategy for inactivating the EST gene is illustrated in Fig. 1A
. Insertion of the neo gene cassette into exon III was
expected to disrupt the coding frame of the EST gene and yield a
nonfunctional protein. The successful generation of homozygous
EST-deficient mice was shown first by Southern blot analysis of tail
DNAs. As can be seen in Fig. 1B
, WT (+/+) mouse DNA produced a single
6-kb XbaI band; whereas in heterozygous EST knockout mice
(+/-), a 7-kb band (attributable to 1-kb neo gene cassette
insertion), as well as the 6-kb band, was observed. In homozygous EST
knockout mice (-/-), only the 7-kb band was detected, indicating that
both alleles of the EST gene had been mutated (Fig. 1B
). The genotypes
of offspring from heterozygous mating displayed a characteristic
Mendelian distribution (of 105 mice examined, 26 were WT, 52 were
heterozygous, and 27 were nullizygous). There was also no gender bias,
with 13 of the 27 nullizygotes being males.
To confirm that the EST gene had been functionally inactivated and to
investigate whether anomalous EST mRNA and protein (attributable to
added neo sequence in exon III) had been produced, Northern
and Western blot analyses and EST enzyme activity assays of testicular
homogenate were performed. As shown in Fig. 2
, A and B, whereas both EST mRNA and
protein were detected in the testis of WT mice as expected, no mRNA or
protein of either normal or aberrant size could be detected in the
knockout mice. Similarly, E2-sulfating activity was detected in the
testis homogenate of WT but not that of nullizygous mice (Fig. 2C
).
Immunohistochemical analysis also confirmed that EST expression in
Leydig cells is disrupted (Fig. 2
, D and E).

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Figure 2. Absence of EST expression in the knockout mouse
testis. Northern blot (A, upper panel) and Western blot
(B) analyses confirmed that EST mRNA and protein were made in the WT
(+/+) but not in the knockout (-/-) mouse testis. Equal RNA loading
was shown in the lower panel of A. Positions of 28S and
18S ribosomal RNAs are marked on the right in A.
Positions of 45 kDa and 28 kDa protein molecular mass standards are
marked on the right in B. E2 was converted to E2 sulfate
by the testis homogenate of WT but not knockout mice (C).
Immunohistochemistry also confirmed that EST protein was present in the
WT mouse Leydig cells (D, 200x) but not in the knockout Leydig cells
(E, 200x).
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Because testis was the only tissue known, at the time, to express
easily detectable amounts of EST, we focused our initial attention in
phenotype characterization on the male reproductive system.
Subsequently, we discovered that EST is also expressed in the
epididymal fat pad of male mice and in late-stage mouse placenta
(gestation d 1219) and pregnant uterus (gestation d 18 and 19,
unpublished observation). Preliminary studies showed that epididymal
fat index was increased and that female fertility was reduced in the
EST knockout mice. These putative phenotypes are being further
characterized and will be described separately. Studies of the
reproductive systems of knockout males revealed no apparent functional
abnormalities in mice of 36 months of age. There were no statistical
differences in serum T and free E2 levels between WT and knockout males
[T: 2.00 ± 3.46 ng/ml (range, 0.2917.25) for WT, 2.24 ±
4.09 ng/ml (range, 0.1617.17) for knockout, mean ±
SD, n = 31; E2: 3.96 ± 2.59 pg/ml (range,
1.409.99) for WT, 4.31 ± 1.47 pg/ml (range, 3.047.59) for
knockout, mean ± SD, n = 10]. In an initial
controlled mating experiment involving five breeding pairs each of WT
and knockout mice, the overall fertility of the knockout pairs was
found to be reduced (Table 1
). However,
subsequent cross-breeding experiments suggested that the reduced
fertility is most likely caused by an uncharacterized impairment in the
female reproductive function (Table 1
).
Knockout mouse developed age-dependent Leydig cell
hypertrophy/hyperplasia and seminiferous tubule damage
Histological examination of testes from 2-month-old mice (n =
5 for each genotype) revealed no gross morphological difference between
WT and knockout animals, either in the appearance and apparent number
of Leydig cells or in the structural integrity of the seminiferous
tubules (data not shown). In contrast, when mice of 12 months or older
(n = 10 for each genotype) were examined, abnormal structural
changes were commonly seen in testes of the knockout mice (about 70%
of the sections) but much less frequently in the WT mice (about 10% of
the sections). The most prominent abnormalities were the presence of
numerous hypertrophic/hyperplastic Leydig cells in the mutant mouse
testes (Fig. 3
). Unlike normal Leydig
cell clusters, which were composed of 1020 cells of similar size that
stained prominently with eosin (Fig. 3
, A and C), masses of
hypertrophic Leydig cells with volumes 23 times larger than those of
normal Leydig cells were detected in the mutant mouse testes (Fig. 3
; B
and E). Compared with that of the WT cells, the cytoplasm of the
knockout Leydig cells stained less uniformly with eosin and contained
vacuoles (Fig. 3D
). Hyperplasia occurred more frequently (although not
exclusively) in the peripheral space under the testicular capsule (Fig. 3
, B and E), but hypertrophy of Leydig cells was commonly observed
within inner tubular junctions (Fig. 3D
). The second abnormality in the
knockout testes was the presence of numerous so-called giant yellow
cells (Fig. 3
, E and F). These cells contained multiple dark stained
nuclei and were detected in the hyperplastic lesions found in the
peripheral space (Fig. 3E
) as well as in Leydig cell clusters located
at inner tubular junctions (Fig. 3F
). In many of the sections, we also
noticed a thickening of the capsule of the knockout testis, but this
putative phenotype remains to be verified with more objective
morphometric analysis. Finally, seminiferous tubule damage was observed
in the majority of testis sections of 12-months and older knockout
mice. These abnormal tubules were filled with vacuoles and had
disrupted spermatogenic epithelium (Fig. 4
, A and B). They were usually localized
adjacent to hypertrophic and hyperplastic Leydig cell lesions (Fig. 4
, A and B).

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Figure 3. Hematoxylin and eosin staining of 1-yr-old WT (A
and C) and knockout (B, D, E, and F) mouse testes showing abnormal
Leydig cell lesions in the mutant mice. A (50x) and C (200x), Normal
Leydig cell clusters (arrow) are seen in the WT mouse
testis; B (50x), a hypertrophic/hyperplastic Leydig cell lesion
(arrow) under the testicular capsule in a knockout mouse
testis; D (200x), hypertrophic Leydig cells between a tubular junction
in a knockout mouse testis; E and F (both 200x), giant yellow cells
(arrows) containing multiple dark stained nuclei were
prominent in the knockout mouse testis. Scale bar, 100
µm in A and B, 200 µm in CF.
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Figure 4. Resemblance of structural lesions developed
spontaneously in older knockout mouse testis or induced by exogenous E2
in younger knockout mouse testis. A and B, Sections of testes from a
12-month-old (A, 20x, 100x for inset) and an
18-month-old (B, 20x, 100x for inset) knockout mouse
showing seminiferous tubule damage (designated by *). Damaged
seminiferous tubules were almost invariably associated with
hyperplastic/hypertrophic Leydig cell lesions (arrow). C
and D, Sections of testes from a 2-month-old WT (C, 20x, 100x for
inset) and a 2-month-old knockout (D, 20x, 100x for
inset) mouse treated with exogenous E2. Although
seminiferous tubules with signs of spermatogenesis arrest were present
in both genotypes, Leydig cells in the WT mouse appeared normal
(arrows in C). In contrast, Leydig cell
hypertrophy/hyperplasia (arrows in D) and seminiferous
tubule damage (* in D) were observed in the knockout mouse testis.
Scale bar, 100 µm.
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Exogenous estrogen accelerated the development of Leydig cell
hypertrophy/hyperplasia and seminiferous tubule damage in knockout
mouse
To test the hypothesis that the structural abnormalities in Leydig
cells of the older knockout mouse were a result of increased intracrine
and paracrine estrogen activity in the absence of EST, exogenous E2 was
administered for 3 wk to 2-month-old WT and knockout males to determine
whether similar structural lesions could be induced to develop in the
testes of younger knockout mice. Treatment with exogenous E2 suppressed
spermatogenesis, to some degree, in both genotypes; but, as shown in
Fig. 4C
, it did not cause appreciable Leydig cell damage in the WT
mouse. In contrast, severe Leydig cell hypertrophy/hyperplasia and
seminiferous tubule damage were observed in the estrogen-treated
knockout mouse testis (Fig. 4D
). Thus, exogenous estrogen accelerated
the development of structural lesions in the knockout mouse testis.
Reduced sperm motility and litter size, and other reproductive
tract abnormalities in older knockout mice
To further evaluate the long-term consequence of EST deficiency in
the male reproductive system, we examined, in addition to testis
histology, the sperm motility and general morphology of the male
reproductive tracts of 18- to 22-month-old mice and compared them with
that of 3-month-old mice. In addition to Leydig cell
hypertrophy/hyperplasia and seminiferous tubule damage, as described
above, there was also a significant reduction in the relative weights
of the testis and epididymis of 18- to 22-month-old knockout mice
(organ weight/body weight x 100: testis, 0.63 ± 0.05 for
WT, 0.51 ± 0.04 for knockout; epididymis, 0.43 ± 0.06 for
WT, 0.31 ± 0.07 for knockout, mean ± SD,
P < 0.05, t test, Fig. 5E
). A most striking abnormality was
found with the knockout mouse seminal vesicle/coagulating gland, which
had significantly increased wet weight because of tissue swelling
[organ weight/body weight x 100: 0.85 ± 0.15 for WT, 1.44
±0.47 for knockout, mean ± SD, P < 0.05,
t test (Fig. 5
; A, B, and E)]. Furthermore, although caudal
sperm number was not significantly decreased, total and forward
motility of sperm isolated from caudal epididymis of 18- to
22-month-old knockout mice were reduced by 60% and 80%, respectively
(Fig. 5F
). In contrast, the reproductive tracts of 3-month-old knockout
mice were largely normal (organ weight/body weight x 100: testis,
0.81 ± 0.03 for WT, 0.70 ± 0.05 for knockout; epididymis,
0.45 ± 0.05 for WT, 0.41 ± 0.07 for knockout; seminal
vesicle/coagulating gland, 1.04 ± 0.15 for WT, 1.09 ± 0.11
for knockout; mean ± SD, Fig. 5C
), and there was no
reduction in sperm total or forward motility in these younger knockout
mice (Fig. 5D
). To assess whether the reduced motility of caudal sperm
from the older knockout males is associated with reduced fertility, a
controlled mating experiment was conducted in which five 17- to
18-month-old WT or knockout males were mated with 8-wk-old WT females.
During a 2-month period, the knockout males sired a number of litters
similar to that of the WT mice. However, the litter size in the
knockout group was significantly smaller (Table 2
).

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Figure 5. Gross reproductive tract abnormalities and reduced
sperm motility in 18- to 20-month-old knockout mice. Organ weights
[testis, epididymis (Epid.) and seminal vesicle/coagulating gland
(Sem. Ves.)] and caudal sperm motility were determined for 3-month-old
(n = 5 for WT, n = 7 for knockout) and 18- to 20-month-old
male mice (n = 6 for both WT and knockout). In the case of
3-month-old knockout mice, only the testis weight is significantly
different from that of the WT mice (P < 0.05,
t test, C and D). In contrast, 18- to 20-month-old
knockout mice had significantly increased seminal
vesicle/coagulating gland weight because of tissue swelling and
significantly decreased testis and epididymal weights (E,
P < 0.05), as well as significantly reduced sperm
total and forward motility (F, P < 0.01). A and B
show gross morphology of representative seminal vesicle/coagulating
glands from a 20-month-old WT (A) and an age-matched knockout mouse
(B).
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Discussion
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In this study, we have taken a gene knockout approach to assess
the physiological role of EST in intracrine and paracine estrogen
regulation. Inactivation of the mouse EST gene was confirmed by the
absence, in the mutant mouse testes, of detectable EST mRNA and protein
and by the lack of EST activity in the testis homogenate. The fact that
no anomalous EST mRNA or protein was detected in the mutant mouse
indicated that insertion of neo into exon III caused a null
mutation, probably by destabilization of the EST mRNA. EST knockout
mice were born with the expected frequency and sex ratio and developed
normally to sexual maturity. This outcome is consistent with our
previous finding that EST is not expressed in the fetal or immature
mouse testis (11) and, therefore, is not expected to be
involved in fetal development or sex determination.
Except for a small decrease in testicular weights (Fig. 5C
), the
reproductive system of younger (36 months) knockout male mice
appeared normal, both structurally and functionally. Serum T and E2
levels in the knockout males were in the normal range. Although we
initially found a reduction in the fertility of the knockout mice,
subsequent cross-breeding experiments suggested that the impairment
most likely lay with the female knockout mice. The conclusion that
younger knockout males had normal fertility is consistent with the
result of sperm motility assays, which detected no abnormality in the
knockout males of this age group (Fig. 5D
). The nature of the female
reproductive defect in the EST knockout mice remains to be
characterized; but we recently have discovered that, in addition to
Leydig cells of the testis, EST is also expressed in late stages of the
mouse placenta and uterus (our unpublished observations).
Interestingly, as mice aged, EST knockout mice were found to develop
with high-incidence Leydig cell hypertrophy/hyperplasia and
seminiferous tubule damage. The time-dependent nature in the
development of these structural lesions suggested that the damaging
effect of EST deficiency is chronic and progressive. In theory, these
Leydig cell abnormalities could result from changes in the
hypothalamus-pituitary-testis axis or from increased intracrine
estrogen stimulation in the absence of intracellular EST. Because EST
is not expressed in the mouse brain (10) and serum steroid
levels were normal in the knockout mice, the most likely explanation
for this phenotype is increased intracrine estrogen stimulation, rather
than systemic hormonal disturbance. Consistent with this hypothesis,
administration of exogenous E2 caused no visible Leydig cell
abnormalities in the WT mice but induced highly similar structural
lesions in the testes of younger knockout mice. This differential
response by the knockout Leydig cells contrasted with spermatogenesis
suppression, which occurred, to a similar degree, in the WT and
knockout mice and which was likely attributable to the systemic effect
of estrogen involving the hypothalamus-pituitary-testis axis
(29). However, the possibility cannot be excluded that
knockout Leydig cells had altered sensitivity to gonadotropin
disturbances caused by E2 administration. On the other hand, it is well
known that Leydig cells not only produce estrogen (13, 30)
but also are targets of direct estrogen stimulation. For example,
estrogen receptors have been detected in both the human and mouse
Leydig cells (31, 32), and ectopic exogenous E2 has been
shown to cause Leydig cell tumors in susceptible strains of mice
(33, 34).
Two conspicuous features of the Leydig cell abnormality in the knockout
mice were noticed and remain to be explained mechanistically. The first
is that the hypertrophic/hyperplastic Leydig cell masses were more
frequently localized in the peripheral space under the testicular
capsule. This suggests that either Leydig cells localized in these
regions were phenotypically different (i.e. more responsive
to estrogen stimulation) from those residing in the inner areas of the
testis, or that there were important paracrine factors released from
other cell types nearby (e.g. stroma cells under the
capsule) that acted in concert with estrogen to cause Leydig cell
proliferation. A second conspicuous feature concerning the knockout
Leydig cells is the presence of multinucleated giant yellow cells in
the interstitial space and the hyperplastic lesions. The identity of
these cells is not yet known. It is possible that these cells were
estrogen-stimulated Leydig cells that had undergone repeated, but
incomplete, mitogenesis. Alternatively, they may represent a subclass
of testicular macrophages undergoing active phagocytosis of damaged
Leydig cells.
Because EST is not expressed in the seminiferous tubules
(11), the disruption of tubular structure in older EST
knockout mice is likely a result of altered paracrine stimulation.
Changes in paracrine stimulation may be caused by increased paracrine
estrogen activity. Additionally, the hypertrophic/hyperplastic Leydig
cells may also release other nonsteroidal paracrine factors
(35) that could negatively impact the local
microenvironment and ultimately contribute to the development of a
seminiferous tubule defect. This scenario was supported by the fact
that abnormal tubular segments were mostly observed in areas
immediately adjacent to the hyperplastic Leydig cell lesions (Fig. 4A
).
A similar paracrine effect of unmetabolized estrogen originating from
the testis may account for the structural and functional abnormalities
observed in the seminal vesicle and epididymis in older knockout mice,
although potential localized expression of EST in various accessory
organs at different developmental stages remains to be examined in
detail. The effect of estrogen on the accessory structures of the male
reproductive tract of the mouse has been demonstrated in other studies
and is known to be mediated by estrogen receptor (20, 21, 22, 36).
In summary, we have described a number of age-dependent abnormalities
in the male reproductive system of EST knockout mice. These
observations provide direct evidence for a physiological role of
estrogen metabolism in intracrine and paracrine regulation of estrogen
activity. They also shed new light on the biology of estrogen in the
male reproductive system of mammals. There is now little doubt that
estrogen is required for normal testicular function, as has been
demonstrated by recent studies of estrogen receptor
and P450
aromatase gene knockout mice (19, 20, 37, 38, 39). The present
study indicates that, whereas estrogen is required in the testis, there
is also a physiological need to maintain proper intracrine and
paracrine estrogen homeostasis in the male reproductive tract. Our
results further imply that inhibition of estrogen transformation
enzymes, such as EST, as has been demonstrated recently for human EST
with several common environmental chemicals (23, 24), may
constitute a novel mechanism of endocrine disruption by environmental
chemicals that is independent of their direct interaction with the
estrogen receptors.
 |
Acknowledgments
|
|---|
We thank Dr. Colin Funk for helpful discussions concerning the
gene targeting experiment, Drs. George Gerton and Michael Maldonado for
help with the graphic work, and Dr. Jerome Strauss for critically
reading the manuscript.
 |
Footnotes
|
|---|
This work was supported by NIH Grant HD-34384.
Abbreviations: ES, Embryonic stem; EST, estrogen
sulfotransferase; WT, wild-type.
Received June 12, 2001.
Accepted for publication August 15, 2001.
 |
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