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Endocrinology Vol. 142, No. 9 3865-3872
Copyright © 2001 by The Endocrine Society


ARTICLES

Store-Operated Calcium Influx and Stimulation of Steroidogenesis in Rat Leydig Cells: Role of Ca2+-Activated K+ Channels

Marco Rossato, Andrea Nogara, Maurizio Merico, Alberto Ferlin, Andrea Garolla and Carlo Foresta

University of Padova, Clinica Medica 3, 35128 Padova, Italy

Address all correspondence and requests for reprints to: Prof. Carlo Foresta, University of Padova, Clinica Medica 3, Via Ospedale 105, 35128 Padova, Italy. E-mail: forestac{at}protec.it


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
This study evaluates the role of internal calcium store depletion in the activation of ionic fluxes and steroidogenesis in adult rat Leydig cells. Thapsigargin and cyclopiazonic acid, two inhibitors of Ca2+-adenosine triphosphatase of internal Ca2+ stores induced a dose-dependent rise in intracellular Ca2+ concentrations following kinetics that would not be expected if the calcium rise was dependent only on internal calcium store depletion, but it was in keeping with the presence of calcium influx from the external medium. In fact, chelation of external calcium with EGTA during the plateau phase reduced the intracellular calcium concentration to basal levels. When added in calcium-free medium, thapsigargin and cyclopiazonic acid still induced a rise in the intracellular calcium concentration that was transient, and when calcium was added back to the medium, a rapid and sustained intracellular calcium increase was observed. Thapsigargin and cyclopiazonic acid induced a dose-dependent rise in testosterone secretion in the presence and absence of calcium in the external medium, although in calcium-free medium this stimulatory effect was lower. Leydig cell plasma membrane potential monitoring demonstrated that thapsigargin and cyclopiazonic acid induced first a rapid hyperpolarization, followed by a sustained depolarization phase that was reversed by the addition of the calcium-chelating agent EGTA. In the absence of calcium in the external medium the first phase of hyperpolarization was still present, but it was not followed by plasma membrane depolarization but by the slow return of plasma membrane potential to resting levels. The readdition of calcium to the external medium induced the rapid plasma membrane depolarization. Plasma membrane hyperpolarization was completely abolished by Leydig cell preincubation with the K+ channel blockers tetraethylammonium and charybdotoxin. Leydig cell preincubation with K+ channel inhibitors reduced the thapsigargin-stimulated Ca2+ influx from the external medium and testosterone secretion. These results suggest that internal Ca2+ stores depletion in rat Leydig cells induces a rise in intracellular Ca2+, determining important plasma membrane potential variations that influence testosterone secretion.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
THE PRODUCTION of testicular androgens by Leydig cells depends on endocrine interactions among the hypothalamus, pituitary, and testis as well as on paracrine and autocrine regulation within the testis (1), and it is well known that LH is the physiological stimulator of Leydig cell steroidogenesis by binding to its receptor and activating the adenylate cyclase/protein kinase A pathway (1). The role of the calcium signaling pathway in the regulation of Leydig cell functions is not yet fully understood. It has been previously reported that the effect of LH/hCG in Leydig cells is dependent on extracellular Ca2+ (2), although a role for intracellular Ca2+ has also been proposed (3). Furthermore, several factors influence Leydig cell steroidogenesis, stimulating a rise in intracellular Ca2+ ([Ca2+]i): 1) LHRH exerts stimulatory effects on basal rat steroidogenesis through phospholipase C activation and intracellular Ca2+ mobilization by IP3 (4); 2) activation of endothelin-1 receptors leads to an increase in testosterone production via Ca2+ involvement in rat Leydig cells (5); 3) extracellular ATP stimulates testosterone production in rat Leydig cells through activation of specific P2-purinergic receptors coupled with an increase in [Ca2+]i (6); and 4) atrial natriuretic peptide stimulates testosterone production via a mechanism involving cGMP production and calcium ion uptake from the external medium (7).

Thapsigargin, a sesquiterpene lactone produced from the plant thapsia garganica, causes a rapid and pronounced increase in [Ca2+]i in a variety of different cells [mast cells (8), platelets (9), lymphocytes (10), HeLa cells (11), GH4C1 pituitary cells (12), rat Sertoli cell (13), human keratinocytes (14), adrenal chromaffin cells (15), and chicken granulosa cells (14)], mimicking the agonist-evoked responses. The mechanism of action of this drug is related to the inhibition of Ca2+-adenosine triphosphatase (Ca2+-ATPase) pumps of nonmitochondrial IP3-sensitive intracellular pools, thus inducing Ca2+ leakage from these stores (16). In the different cell types studied to date, thapsigargin produces only a transient increase in [Ca2+]i in the absence of extracellular Ca2+, whereas in the presence of Ca2+ in the external medium, this drug produces a sustained increase in [Ca2+]i. This is in keeping with the capacitative model of Ca2+ entry suggested by Putney in 1986 (17), who hypothesized that emptying of intracellular Ca2+ stores sends a signal to the plasma membrane that opens Ca2+-permeable channels. Thapsigargin does not stimulate the hydrolysis of inositol phospholipids or PKC activity (18), nor has it been reported to have a direct action on plasma membrane Ca2+ channels or to act like a Ca2+ ionophore (19). Thus, it offers a method to study the release of intracellular calcium without concomitant IP3 production and PKC activation, and several researchers have used thapsigargin to investigate the nature of the Ca2+ pools involved in agonist-evoked Ca2+ oscillation and the physiological role of the [Ca2+]i rise. The aim of this study was to determine the effects of thapsigargin on ionic homeostasis and testosterone production in isolated adult rat Leydig cells.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Materials
Medium 199 containing Hanks’ salt and L-glutamine, penicillin, and streptomycin was obtained from Life Technologies, Inc. (Grand Island, NY); collagenase (type II), BSA (fraction V), HEPES, and soybean trypsin inhibitor (type 1s) were purchased from Sigma (St. Louis, MO); Percoll and Density Marker Beads were obtained from Pharmacia Biotech (Uppsala, Sweden); silicone fluid was purchased from SERVA (Heidelberg, Germany). Fura-2/AM and sodium-binding dye benzofuran isophtalate acetomethylester (SBFI/AM) were obtained from Molecular Probes, Inc. (Eugene, OR); thapsigargin, bis-oxonol, and cyclopiazonic acid (CPA) were obtained from Calbiochem (La Jolla, CA).

Isolation and purification of Leydig cells
Adult male rats of the Sprague Dawley strain (280–310 g) were used. The animals were housed in a controlled environment (22 C, 14 h of light and 10 h of darkness). Food and water were available ad libitum. Interstitial cells were prepared from testes through decapsulation and collagenase digestion. Briefly, 12–14 testes were incubated in medium 199 (3 ml/testis) with Hanks’ salts and L-glutamine, 0,2% BSA (fraction V), and 1 g/liter collagenase (type II) at 34 C in a shaking (90 cycles/min) water bath under a controlled atmosphere (95% pO2-5% pCO2). After 15–20 min the suspension was filtered through sterile nylon gauze (0.5–0.8 mm pore size mesh), and erythrocytes were removed (~75–80%) by the introduction of 5 ml 60% (vol/vol) Percoll into the bottom of each tube, followed by centrifugation at 800 x g for 10 min at 22 C. After washing twice, cells were resuspended in medium 199, and 5 ml interstitial cell suspension (20–25 x 106 cells/ml) were layered on the top of each vial containing a previously prepared discontinuous density gradient of Percoll (0–60%, vol/vol), as described previously (7), and then centrifuged at 800 x g for 20 min at room temperature. The fractions were collected from the bottom of the tubes with a peristaltic pump and then washed twice with isotonic medium 199 (1:1, vol/vol) to remove any residual Percoll. The cells then were resuspended in medium 199, and Leydig cells, more than 90% staining positively for 3ß-hydroxysteroid-dehydrogenase activity (7), were distributed in a band at density corresponding to 40–55% Percoll. Cells were suspended in medium 199 to a final concentration of 1.0 x 106 cells/ml (to a total of ~22–25 x 106 Leydig cells for each experiment) with a viability higher than 95%, as determined using the trypan blue method.

Measurement of [Ca2+]i in Leydig cell suspensions
Leydig cell [Ca2+]i was measured with the fluorescent probe fura-2/AM as previously described (20). Briefly, Leydig cell suspensions were incubated with 5 µM fura-2/AM for 45 min at 37 C in standard saline containing 125 mM NaCl, 4.8 mM KCl, 1.2 mM MgSO4, 1.2 mM K2HPO4, 5.6 mM glucose, 25 mM NaHCO3, 2.0 mM CaCl2, and 20 mM HEPES (pH 7.4) supplemented with 0.3% BSA. After loading, cells were washed free of extracellular dye by being centrifuged three times (25 x g for 2 min at room temperature) in standard saline supplemented with 0.3% BSA and were maintained at room temperature until used. All experiments were completed within 3 h of loading with fura-2.

Determination of Mn2+ influx
Mn2+ uptake was measured by monitoring the rate of fluorescence quenching at the excitation wavelength of 360 nm (isosbestic point). (The isosbestic point for fura-2 is the wavelength at which fura-2 fluorescence is insensitive on intracellular Ca2+ concentrations and then the fluorescent signal emitted is independent on variations in intracellular Ca2+ concentrations.) When measured at the isosbestic wavelength, the rate of decrease in fura-2 fluorescence is insensitive to [Ca2+]i changes and is proportional to the rate of Mn2+ influx (21).

Measurement of plasma membrane potential in rat Leydig cells
Plasma membrane potential variations were monitored with the fluorescent potential-sensitive probe bis-oxonol using the wavelength pair of 540 and 580 nm, as previously described (20). In some experiments NaCl was replaced with an isoosmotic concentration of choline chloride, as previously described (22).

Measurement of intracellular free Na+ ([Na+]i) in Leydig cell suspensions
[Na+]i was evaluated using the fluorescent SBFI/AM. Leydig cells, suspended in standard saline, were incubated with 5 µM SBFI/AM in the presence of the nonionic detergent Pluronic acid (20% in dimethylsulfoxide, 1:1 to SBFI/AM) for 60 min at 37 C with continuous stirring. Cells were then washed by centrifugation (twice at 250 x g for 10 min each time at room temperature) in standard saline. After centrifugation the supernatant was discarded, and cells were resuspended in standard saline and kept at room temperature until used. All experiments were performed within 90 min of the dye loading. SBFI fluorescence was monitored at the wavelength pair 345 and 490 nm for excitation and emission, respectively (23).

Incubation of Leydig cells
Aliquots (0.5 ml) of Leydig cell suspension (1.0 x 106 cells/ml) were incubated in medium 199 with Hanks’ salts, L-glutamine, HEPES, Tris(hydroxymethyl)-aminomethane, 0.3% BSA (fraction V), penicillin (10 U/liter), and streptomycin (1 g/liter), pH 7.4, in polyethylene sterile tubes containing thapsigargin and CPA at doses ranging from 0.001–1 µM for thapsigargin and from 0.1–100 µM for CPA in a shaking bath (90 cycles/min) at 34 C in a controlled atmosphere (5% pCO2). In parallel experiments evaluating the role of external calcium, aliquots of Leydig cell suspension were incubated in the absence of extracellular calcium (no added calcium and 1.0 mM EGTA) and stimulated with the same thapsigargin and CPA concentrations as those reported above. After 3-h incubation was stopped by immersion of all tubes in an ice-cooled water bath, immediately followed by centrifugation at 1500 x g for 15 min at 4 C. Supernatants were stored at -20 C until assayed.

To evaluate the role of K+ channels in thapsigargin-induced effects, Leydig cells were preincubated for 15 min in the presence of the K+ channels inhibitors tetraethyl ammonium (TEA) (10 mM) and charybdotoxin (100 nM) before thapsigargin and CPA addition. At these concentrations neither TEA nor charybdotoxin exerted any toxic or unspecific effect on Leydig cell [Ca2+]i, plasma membrane potential, or testosterone secretion.

Hormone measurement
Testosterone was determined by RIA using [3H]testosterone (Radim, Rome, Italy). The sensitivity was estimated as 0.28 nmol/liter, and intra- and interassay coefficients of variation were 7.8% and 7.0%, respectively.

Statistical analysis
Data were analyzed using the StatView (Abacus Concepts, Inc., Berkeley, CA) statistical package. Statistical analysis was carried out using ANOVA and t test. P < 0.05 was chosen as the limit for statistical significance.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Effects of thapsigargin and CPA on [Ca2+]i in rat Leydig cells
Figure 1Go shows that thapsigargin induced a rapid and dose-dependent rise in [Ca2+]i, with maximal effect at 100 nM (Fig. 1AGo). The increase in [Ca2+]i was rapid, with a peak and a small decline occurring with time and a following sustained phase with kinetics that were not as expected if the Ca2+ rise was dependent only on internal calcium store depletion, but were in keeping with the presence of Ca2+ influx from the external medium because they were rapidly reversed by the addition of the Ca2+-chelating agent EGTA (Fig. 1AGo). In the absence of external Ca2+, thapsigargin still produced a dose-dependent increase in [Ca2+]i that was lower than that obtained in Ca2+ medium (Fig. 1BGo) and that was transient, as [Ca2+]i declined to basal levels after a few minutes, probably due to Ca2+ extrusion from the cytoplasm by plasma membrane Ca2+ pumps, which are not inhibited by thapsigargin. When Ca2+ was added back to the medium, a rapid restoration of the sustained [Ca2+]i was observed (Fig. 1BGo).



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Figure 1. Effects of thapsigargin on [Ca2+]i in the presence and absence of Ca2+ in the extracellular medium. A, Fura-2-loaded Leydig cells were suspended in standard saline and then treated with thapsigargin. Where indicated, thapsigargin (Tg; 100 nM) and EGTA (2.0 mM) were added. Representative results from four similar experiments are shown. B, Fura-2-loaded Leydig cells were incubated in Ca2+-free medium (no Ca2+ added and 0.1 mM EGTA) before the addition of thapsigargin (100 nM). Where indicated, Ca2+ (2.0 mM) was added. Representative results from four similar experiments are shown. In the insets are reported the dose dependences of thapsigargin effects on [Ca2+]i in Leydig cells suspended in standard saline (inset in A) and Ca2+-free medium (inset in B). Peak [Ca2+]i increases above basal levels were plotted against thapsigargin concentrations. Results are the mean ± SD of four separate experiments.

 
To evaluate further the role of Ca2+ store emptying in activating Ca2+ influx from external medium, we performed experiments using CPA, another well known inhibitor of sarco-endoplasmic reticulum calcium adenosine-tris-phosphatase (SERCA-ATPase), but chemically unrelated to thapsigargin.

In the presence of Ca2+ in the extracellular medium, CPA induced a dose-dependent increase in [Ca2+]i that resembled that produced by thapsigargin, although at higher concentrations, with a maximal effect at 10 µM (Fig. 2AGo). As observed for thapsigargin in the absence of extracellular Ca2+, CPA still produced a [Ca2+]i rise, although it was lower and transient, confirming that this drug releases Ca2+ from intracellular stores (Fig. 2BGo).



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Figure 2. Effects of CPA on [Ca2+]i in the presence and absence of Ca2+ in the extracellular medium. A, Fura-2-loaded Leydig cells were suspended in standard saline and then treated with CPA. Where indicated, CPA (10 µM) and EGTA (2.0 mM) were added. Representative results from four similar experiments are shown. The dose dependence of CPA effects on [Ca2+]i is shown in the inset. Peak [Ca2+]i increases above basal levels were plotted against CPA concentrations. Results are the mean ± SD of four separate experiments. B, Fura-2-loaded Leydig cells were incubated in Ca2+-free medium (no Ca2+ added and 0.1 mM EGTA) before the addition of CPA (10 µM). Where indicated, Ca2+ (2.0 mM) was added. Representative results from four similar experiments are shown. The dose dependence of CPA effects on [Ca2+]i is shown in the inset. Peak [Ca2+]i increases above basal levels were plotted against thapsigargin concentrations. Results are the mean ± SD of four separate experiments.

 
The data presented here show that thapsigargin and CPA, two well known inhibitors of SERCA-ATPase, are able to empty intracellular Ca2+ stores in a comparable manner, although at different concentrations. However it is not clear whether these chemically unrelated drugs affected the same internal Ca2+ pools. To evaluate this aspect we determined the effects of sequential additions of these inhibitors on [Ca2+]i in the absence of extracellular Ca2+. The addition of a maximally efficacious dose of thapsigargin in these experimental conditions resulted in a transient increase in [Ca2+]i (not shown). Subsequent addition of a maximally efficacious dose of CPA failed to increase [Ca2+]i (not shown). The same results were obtained when the order of drug addition was reversed (not shown). Taken together, these results suggest that thapsigargin and CPA deplete the same intracellular Ca2+ stores.

Extracellular Ca2+ plays an important role in the rise in [Ca2+]i after thapsigargin and CPA addition. This evidence is further supported by the following experiments in which we evaluated the influx of Mn2+, a divalent cation normally permeable through Ca2+ channels and used as an indicator of unidirectional Ca2+ influx (21). Mn2+ once added to fura-2-loaded cells gradually enters the Leydig cell cytoplasm, resulting in a slow progressive quenching of fura-2 fluorescence (Fig. 3Go), as evaluated at the Ca2+ isosbestic point (21). Thapsigargin (100 nM) greatly increased the rate of fura-2 fluorescence quenching, demonstrating the activation of Ca2+ channels in the plasma membrane (Fig. 3Go, trace a). Under the same experimental conditions CPA induced similar effects, although at higher concentrations (Fig. 3Go, trace b).



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Figure 3. Effects of thapsigargin and cyclopiazonic acid on Mn2+ influx in human Leydig cells. Fura-2-loaded Leydig cells were suspended in standard saline containing 200 µM MnCl2. Fluorescence was monitored at the Ca2+-insensitive excitation wavelength (360 nM). Where indicated, thapsigargin (Tg; 100 nM; trace a) and CPA (10 µM; trace b) were added. Traces are representative of three similar experiments.

 
Effects of thapsigargin on plasma membrane potential
Previous results suggested that the release of Ca2+ from internal stores in certain cell types induces a Na+-dependent plasma membrane depolarization that acts to facilitate further Ca2+ entry through voltage-activated Ca2+ channels (VOCC) (24). We then investigated the effects of internal Ca2+ store depletion on plasma membrane potential. In the presence of external Ca2+ (2.0 mM), thapsigargin (100 nM) induced a biphasic modification of plasma membrane potential: first a rapid and short hyperpolarization, followed by a sustained and long-lasting depolarization that was completely reversed by the addition of EGTA, demonstrating that the current transporting species was probably Ca2+ (Fig. 4Go, trace a). To confirm this hypothesis we performed the same experiment in Ca2+-free medium. As shown in Fig. 4Go (trace b), under these experimental conditions the first rapid phase of hyperpolarization induced by thapsigargin was unaffected and lasted for several minutes, with a progressive return to basal levels. The readdition of Ca2+ to the bathing solution induced a rapid membrane depolarization (Fig. 4Go, trace b). These results demonstrate that the depolarizing current induced by thapsigargin is carried by Ca2+, the influx of which is activated by internal Ca2+ store depletion. This hyperpolarization-repolarization phase was parallel to the [Ca2+]i increase after Ca2+ store depletion, as demonstrated in Ca2+-free medium (Fig. 5Go). Furthermore, the plasma membrane hyperpolarization induced by thapsigargin seems to be completely dependent on Ca2+ store depletion, and, in fact, the addition of CPA after the depletion of internal Ca2+ stores in Ca2+-free medium with a maximal dose of thapsigargin did not induce any hyperpolarization of the plasma membrane, as shown for the [Ca2+]i rise (not shown). The absence of any depolarizing effect induced by thapsigargin in Ca2+-free medium seems to exclude a role for Na+ in thapsigargin-induced effects on plasma membrane potential in Leydig cells. Experiments using the Na+-sensitive dye SBFI demonstrated that thapsigargin did not induce any rise in [Na+]i (Fig. 4Go, inset). Furthermore, in Na+-free medium (choline chloride-substituted medium), the depolarization induced by thapsigargin was similar to that observed in Na+-containing medium (not shown). Thus, these results exclude a role for Na+ in the depolarizing effect of thapsigargin in rat Leydig cells.



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Figure 4. Effects of thapsigargin on Leydig cells plasma membrane potential. Leydig cell suspension were incubated in the presence of bis-oxonol (200 nM) for 10 min before thapsigargin addition. In trace a, Leydig cells were suspended in Ca2+-medium. In trace b, Leydig cells were suspended in Ca2+-free medium (no Ca2+ added and 0.1 mM EGTA). Inset, Thapsigargin does not influence [Na+]i in rat Leydig cells. Leydig cells loaded with the Na+-sensitive fluorescent dye SBFI were suspended in standard saline and then stimulated with thapsigargin. Where indicated, thapsigargin (Tg; 100 nM) and monensin (1.0 µM) were added. Traces are representative of three similar experiments.

 


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Figure 5. Plasma membrane potential variations induced by thapsigargin are closely dependent on internal Ca2+ store depletion. Upper trace, Fura-2-loaded Leydig cells were suspended in Ca2+-free medium and then stimulated with thapsigargin. Lower trace, Leydig cells were suspended in Ca2+-free medium in the presence of bis-oxonol (200 nM) and then stimulated with thapsigargin. Traces were then paralleled to show the close correlation between internal Ca2+ store depletion and plasma membrane hyperpolarization and the prompt depolarization when Ca2+ was added back to the medium. Traces are representative of three similar experiments. Where indicated, thapsigargin (Tg; 100 nM) and Ca2+ (2.0 mM) were added.

 
It is possible that the plasma membrane hyperpolarization observed after thapsigargin addition may be induced by Ca2+ leakage from an internal store that, in turn, activates the Ca2+-dependent K+ channels that have been demonstrated in rat Leydig cells (25). Preincubation of Leydig cells in Ca2+-free medium in the presence of TEA (10 mM) and charybdotoxin (100 nM), two well known blockers of K+ channels, prevented the hyperpolarization induced by thapsigargin (Fig. 6Go). Under these experimental conditions plasma membrane depolarization after Ca2+ readdition to the medium was significantly reduced with respect to that observed in Ca2+-containing medium, reflecting a reduced influx of Ca2+ from the extracellular medium. To confirm these observations, the [Ca2+]i rise induced by thapsigargin under the same experimental conditions was reduced compared with that observed in the absence of K+ channel inhibitors (Fig. 6Go, inset).



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Figure 6. Effects of K+ channel inhibition on thapsigargin-induced plasma membrane potential variations. Trace a, Leydig cells were suspended in standard saline. Trace b, Leydig cells were preincubated in the presence of TEA (10 mM) for 15 min before thapsigargin addition. Trace c, Leydig cells were preincubated in the presence of charybdotoxin (100 nM) for 15 min before thapsigargin addition. Where indicated thapsigargin (Tg; 100 nM) and Ca2+ (2.0 mM) were added. Traces are representative of three similar experiments. Inset, Effects of thapsigargin (100 nM) on [Ca2+]i in Leydig cells suspended in standard saline and preincubated for 15 min in the absence (None) and presence of the K+ channel inhibitors TEA (10 mM) and charybdotoxin (CTx; 100 nM). Peak [Ca2+]i increases above basal levels were reported in concentrations. Results are the mean ± SD of three separate experiments. *, P < 0.05 vs. cells preincubated without K+ channel inhibitor.

 
Effects of VOCC antagonists on thapsigargin- and CPA-induced [Ca2+]i rise
If emptying of intracellular Ca2+ pools activates a depolarization of the plasma membrane and an influx of Ca2+ through the plasma membrane, this should be reduced by Ca2+ channels blockers such as nifedipine and verapamil, two well known inhibitors of VOCCs. These two channel blockers, at doses of 1.0 and 20 µM, respectively, did not block the Ca2+ influx induced by thapsigargin (not shown). Similar results were obtained with CPA (not shown).

Role of [Ca2+]i rise in the activation of Ca2+ influx by thapsigargin
Next we investigated whether the elevation of [Ca2+]i induced by thapsigargin in Leydig cells could be a signal for Ca2+ entry. The experiment reported in Fig. 7Go demonstrates that persistent [Ca2+]i elevation is not required to maintain an open Ca2+ entry pathway, because when Leydig cells were treated with thapsigargin in Ca2+-free medium, the readdition of Ca2+ once [Ca2+]i had returned to basal levels was still able to induce a sustained Ca2+ influx. In these experimental conditions it could be argued that the previous, albeit transient, [Ca2+]i rise that occurred after thapsigargin addition caused the persistent activation of Ca2+ influx pathways on the plasma membrane. A methodological approach to investigate this consists in the depletion of intracellular Ca2+ stores without causing a detectable rise in [Ca2+]i by stimulating cells with sequential additions of low doses of thapsigargin in the absence of extracellular Ca2+ (Fig. 7Go). In this situation the inhibition of SERCA-ATPase is slow, and the leakage of Ca2+ from the internal stores allows cellular Ca2+-buffering systems and plasma membrane Ca2+ pumps (that are not inhibited by thapsigargin) to counteract any rise in [Ca2+]i. In these experimental conditions, restoration of extracellular Ca2+ concentrations results in a rapid rise in [Ca2+]i, demonstrating that plasma membrane Ca2+ pathways are also active without previous detectable increases in [Ca2+]i due to intracellular Ca2+ store emptying.



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Figure 7. A transient increase in [Ca2+]i is not required to activate Ca2+ influx in rat Leydig cells. Fura-2-loaded Leydig cells were suspended in Ca2+-free medium and then stimulated with low concentrations of thapsigargin (Tg; each arrow represents an addition of thapsigargin at the subscribed concentration). Then a maximal thapsigargin concentration (100 nM) was added to demonstrate that intracellular Ca2+ stores were emptied. Ca2+ (2.0 mM) was added back to the medium where indicated. The trace is representative of three similar experiments.

 
Effects of thapsigargin and CPA on testosterone production
The incubation of isolated rat Leydig cells with thapsigargin significantly stimulated testosterone production in a dose-dependent manner, with a maximal effect at 100 nM (Fig. 8AGo). In Ca2+-free medium, thapsigargin was still able to stimulate testosterone production in a dose-dependent manner, although with a lesser effect (Fig. 8AGo). In the same experimental conditions, CPA, when added to Leydig cell suspensions, induced testosterone secretion similarly to that produced by thapsigargin, although at higher doses, as demonstrated for the [Ca2+]i rise (Fig. 8BGo). Testosterone secretion induced induced by thapsigargin and CPA was similar to that stimulated by hCG (10 ng/ml) in both Ca2+-containing and Ca2+-free medium. Addition of hCG (10 ng/ml) after Leydig cell stimulation with maximally active thapsigargin and CPA concentrations did not stimulate further Leydig cell steroidogenesis in Ca2+-containing or Ca2+-free medium (Fig. 8Go, A and B). In Fig. 8CGo are reported the effects of thapsigargin on testosterone secretion in rat Leydig cells incubated with TEA and charybdotoxin. In the presence of these K+ channels inhibitors, testosterone secretion was lower than in their absence.



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Figure 8. Effects of thapsigargin and CPA on testosterone production in rat Leydig cells. Leydig cells isolated as described in Materials and Methods were incubated with thapsigargin (A) and CPA (B) in the presence ({blacksquare}) and absence ({square}) of extracellular Ca2+. On the right of A and B are reported the effects of hCG (10 ng/ml) on testosterone secretion in the presence ({blacksquare}) and absence ({square}) of Ca2+ in the external medium. Where indicated, thapsigargin (100 nM) and CPA (10 µM) were added before hCG (10 ng/ml) stimulation. Results are the mean ± SD of four separate experiments. , P < 0.05; *, P < 0.01 [compared with control (C; vehicle)]. C, K+ channel blockers inhibit thapsigargin-stimulated testosterone production in Leydig cells. Leydig cells suspended in standard saline were treated with thapsigargin (100 nM) in the absence and presence of TEA (10 mM) and charybdotoxin (CTx; 100 nM) preincubated for 15 min before thapsigargin addition. #, P < 0.05 vs. thapsigargin effects in nonpretreated cells.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The results of the present study show that mobilization of Ca2+ from intracellular stores induced by thapsigargin, a specific and potent inhibitor of SERCA-ATPases, is able to activate Ca2+ influx through the plasma membrane of rat Leydig cells by activating Ca2+-permeable channels not inhibited by VOCC antagonists. These observations demonstrate that in these cells the emptying of intracellular Ca2+ stores sends a signal to the plasma membrane that opens Ca2+-permeable channels. In supporting this evidence we have shown that a sustained rise in [Ca2+]i induced by thapsigargin and CPA, two structurally unrelated inhibitors of SERCA-ATPases, can be elicited in the presence, but not in the absence, of extracellular Ca2+. These results are in agreement with the so-called capacitative Ca2+ entry model proposed by Putney in 1986 (17) and that has been recently renamed as store-operated Ca2+ influx (26). The similar results obtained with thapsigargin and CPA provide strong evidence for the existence of this mechanism of Ca2+ influx regulation in Leydig cells also, as it is unlikely that these chemically unrelated drugs possess a common target other than the intracellular SERCA-ATPase. The effects of these drugs on [Ca2+]i are followed by activation of steroidogenesis, as demonstrated by the increase in testosterone secretion stimulated by thapsigargin and CPA in both Ca2+-containing and Ca2+-free medium.

Leydig cell steroidogenesis is controlled in vivo by endocrine, paracrine, and autocrine interactions between different hormones and peptides (1). Several of these agonists operate via Ca2+-mobilizing receptors, but the precise roles of the different Ca2+ sources in testosterone production are not fully understood. LH is the physiological stimulator of Leydig cell steroidogenesis, activating its receptor coupled to adenylate cyclase to form cAMP (27), and it has been reported that in rat granulosa and bovine luteal cells LH can stimulate the turnover of phospholipids and IP3 formation, thus releasing Ca2+ from intracellular stores (28). To date there is no clear evidence for a similar effect of LH in rat Leydig cells, although Kumar et al. in 1994 (2) reported that hCG was able to stimulate a rise in Ca2+ in Leydig cells. Since then no other studies have confirmed those results; on the contrary, Tomic et al. (29) recently demonstrated that in these cells LH is without effect in Ca2+ homeostasis, confirming previous personal data (Rossato, M., and C. Foresta, unpublished observations). Other studies have reported that LHRH stimulates rat Leydig cell steroidogenesis through a mechanism involving Ca2+ and not cAMP, with an effect as high as 30–40% of that obtained by LH (4). Finally, we recently demonstrated that extracellular ATP stimulates testosterone production in isolated adult rat Leydig cells through the induction of a [Ca2+]i rise (6). In Ca2+-free medium, thapsigargin and CPA stimulated a rise in Ca2+ that was consistently transient. In these experimental conditions thapsigargin and CPA still stimulated testosterone secretion, but to a lesser extent with respect to that observed in Ca2+-containing medium. These data demonstrate that although the emptying of intracellular Ca2+ stores is, per se, able to induce the stimulation of steroidogenesis, the influx of Ca2+ from the external medium is necessary to activate testosterone secretion in rat Leydig cells to an extent similar to that induced by hCG (at a dose of 10 ng/ml). Furthermore, the data of the present study demonstrate that the influx of external Ca2+ induced by the emptying of internal Ca2+ stores does not occur through VOCCs, as the VOCC inhibitors nifedipine and verapamil did not modify thapsigargin and CPA stimulated-Ca2+ influx, confirming previous results obtained in other cell types (15). On the other hand, it has been recently demonstrated that rat Leydig cells do not possess VOCCs (29), and in previous experiments we did not observed any rise in [Ca2+]i after depolarization of Leydig cell plasma membrane with gramicidin or KCl (23). The monitoring of Leydig cell plasma membrane potential demonstrated that the depletion of internal Ca2+ stores induced a biphasic variation in the plasma membrane potential characterized by a first phase of hyperpolarization followed by a sustained depolarization. Plasma membrane depolarization is dependent on Ca2+ influx from the external medium activated by internal stores depletion, as it was reversed by the addition of EGTA, and it was completely absent in Ca2+-free medium. Ca2+ currents activated by depletion of intracellular Ca2+ stores have been described using the patch-clamp technique in a variety of nonexcitable cells and have been called Ca2+ release-activated Ca2+ current (26). On the contrary, it has been reported that external Na+ has no significant role in ionic currents activated by intracellular Ca2+ store depletion (30). The results of the present study confirm these reports, demonstrating that in Leydig cells intracellular Ca2+ store depletion induces ionic currents, and Na+ does not play any role in these events. Thus, although these results are only suggestive (as the plasma membrane potential has been monitored only with fluorescent probes), the ionic currents described in Leydig cells may resemble the Ca2+ release-activated Ca2+ current described in other cell types using patch-clamp (26).

The nature of the first phase of hyperpolarization induced by intracellular Ca2+ store depletion is less clear. The dependence of this hyperpolarization on internal stores emptying and the reduction of hyperpolarizing effects incubating Leydig cells with TEA and charybdotoxin, two well known inhibitors of K+ channels, suggest that this hyperpolarizing phase may depend on the activation of K+ efflux through Ca2+-activated K+ channels whose presence has been demonstrated in a number of different endocrine cells (31, 32), including rat Leydig cells (25).

The physiological role of this first rapid hyperpolarization of the plasma membrane induced by Ca2+ store emptying is unknown, but it is possible that it could contribute to an increase in Ca2+ influx from the external medium after internal Ca2+ store depletion by increasing the electrochemical gradient for Ca2+. The results of the present study seem to support this hypothesis, as in the presence of K+ channel blocking agents, and then in the absence of the hyperpolarizing phase induced by Ca2+ store emptying, Ca2+ influx was significantly lower than that observed in control experiments. In these experimental conditions the steroidogenetic response to thapsigargin and CPA was lower. It can be concluded that the activation of K+ current hyperpolarizing the cell plasma membrane accelerates Ca2+ influx and thus the biological responses coupled to it.

Although the mobilization of Ca2+ from internal stores induced by thapsigargin and CPA is well understood, the mechanism of Ca2+ entry induction is still somewhat controversial. Current models suggest the existence of two main ways of coupling between Ca2+ store depletion and Ca2+ influx activation: direct and indirect. The direct coupling mechanism assumes the physical interaction between internal stores and plasma membrane to directly open Ca2+ channels (33). Indirect coupling proposes the release or production of a messenger molecule that triggers the opening of Ca2+ channels in the plasma membrane or activating a cascade of events that, in turn, gates these channels. During the last years many different mechanisms have been proposed to verify the hypothesis of an indirect activation of capacitative or store-operated Ca2+ entry: involvement of adenine and guanine nucleotides (34); small molecular weight and heterotrimeric G proteins (35), and a product of oxidative cytochrome P450 enzyme system (36). A role for tyrosine kinase (37) and PKC (38) was also suggested. More recently, Randriamampita and Tsien (39) suggested that the message released from internal Ca2+ stores to plasma membrane is transferred by means of a diffusable factor designated Ca2+ influx factor, although this hypothesis has been recently questioned (40). It has also been suggested that the increase in [Ca2+]i determined by store depletion causes the opening of Ca2+ channels in the plasma membrane (41). The results of the present study seem to exclude a fundamental role for transient or persistent Ca2+ rise in Ca2+ influx induction in rat Leydig cells, as demonstrated also in rat Sertoli and mouse lacrimal acinar cells (13, 41). At present, the precise nature of the message by which the intracellular Ca2+ pools communicate with plasma membrane to activate Ca2+ entry remains to be elucidated.

In conclusion, the data reported here demonstrate that thapsigargin and CPA, two well known SERCA-ATPase inhibitors, induce a depletion of a common intracellular Ca2+ pool that, in turn, activates Ca2+ influx through the plasma membrane and are consistent with the existence of the capacitative or store-operated Ca2+ entry model in rat Leydig cells. The rise of Ca2+ induced by thapsigargin and CPA is able to stimulate testosterone production, providing evidence for a role of internal Ca2+ store emptying in the regulation of steroidogenesis in these cells. Furthermore, internal Ca2+ store emptying by inhibition of SERCA-ATPase induces modifications of Leydig cell plasma membrane potential due to Ca2+ leakage from internal stores and to activation of Ca2+-dependent K+ channel modulating the influx of Ca2+ from the external medium and testosterone production by these cells.


    Acknowledgments
 


    Footnotes
 
Abbreviations: [Ca2+]i, Intracellular free Ca2+ concentration; Ca2+-ATPase, Ca2+-adenosine triphosphatase; CPA, cyclopiazonic acid; [Na+]i, intracellular free Na+; SERCA-ATPase, Sarco-endoplasmic reticulum calcium adenosine-tris-phosphatase; SBFI/AM, sodium-binding dye benzofuran isophtalate acetomethylester; TEA, tetraethyl ammonium; VOCC, voltage-operated Ca2+ channel.

Received December 27, 2000.

Accepted for publication May 8, 2001.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Saez JM 1994 Leydig cells: endocrine, paracrine, and autocrine regulation. Endocr Rev 15:574–626[Abstract/Free Full Text]
  2. Kumar S, Blumberg DL, Canas JA, Maddaiah VT 1994 Human chorionic gonadotropin (hCG) increases cytosolic free calcium in adult rat Leydig cells. Cell Calcium 15:349–355[CrossRef][Medline]
  3. Manna PR, Pakarinen P, El-Hefnawy T, Huhtaniemi IT 1999 Functional assessment of the calcium messenger system in cultured mouse Leydig tumor cells: regulation of human chorionic gonadotropin-induced expression of the steroidogenic acute regulatory protein. Endocrinology 140:1739–1751[Abstract/Free Full Text]
  4. Sullivan MHF, Cook BA 1986 The role of Ca2+ in steroidogenesis in Leydig cells: stimulation of intracellular Ca2+ levels by luteinizing hormone, luteinizing hormone releasing hormone agonist and cyclic AMP. Biochem J 236:45–51[Medline]
  5. Conte D, Questino P, Fillo S, Nordio M, Isidori A, Romanelli F 1993 Endothelin stimulates testosterone secretion by rat Leydig cells. J Endocrinol 136:R1–R4
  6. Foresta C, Rossato M, Nogara A, Gottardello F, Bordon P, Di Virgilio F 1996 Role of P2-purinergic receptors in rat Leydig cell steroidogenesis. Biochem J 320:499–504
  7. Foresta C, Mioni R 1993 The role of calcium ions in rat Leydig cell steroidogenesis induced by atrial natriuretic peptide. Acta Endocrinol (Copenh) 128:274–280[Abstract/Free Full Text]
  8. Huber M, Hughes MR, Krystal G 2000 Thapsigargin-induced degranulation of mast cells is dependent on transient activation of phosphatidylinositol-3 kinase. J Immunol 165:124–133[Abstract/Free Full Text]
  9. Rosado JA, Sage SO 2000 Protein kinase C activates non-capacitative calcium entry in human platelets. J Physiol 529:159–169[Abstract/Free Full Text]
  10. Zweifach A 2000 Target-cell contact activates a highly selective capacitative calcium entry pathway in cytotoxic T lymphocytes. J Cell Biol 148:603–614[Abstract/Free Full Text]
  11. Majeed M, Krause KH, Clark RA, Kihlstrom E, Stendahl O 1999 Localization of intracellular Ca2+ stores in HeLa cells during infection with Chlamydia trachomatis. J Cell Sci 112:35–44[Abstract]
  12. Karhapaa L, Titievsky A, Kaila K, Tornquist K 1996 Redox modulation of calcium entry and release of intracellular calcium by thimerosal in GH4C1 pituitary cells. Cell Calcium 20:447–457[CrossRef][Medline]
  13. Rossato M, Bordon P, Di Virgilio F, Foresta C 1996 Capacitative calcium entry in rat Sertoli cells. J Endocrinol Invest 19:516–523[Medline]
  14. Morley P, Tsang BK, Whitfield JF, Schwartz JL 1992 Thapsigargin increases cytoplasmatic free Ca2+ without influencing steroidogenesis in chicken granulosa cells. Cell Calcium 13:263–271[CrossRef][Medline]
  15. Marley PD, Bales PJ, Zerbes M, Powis DA, O’Farrell M 2000 Mobilizing store Ca2+ in the presence of La3+ evokes exocytosis in bovine chromaffin cells. J Neurochem 2000 75:1162–1171
  16. Thastrup O, Cullen PJ, Drobak BK, Hanley MR, Dawson AP 1990 Thapsigargin, a tumor promoter, discharges intracellular Ca2+ stores by specific inhibition of the endoplasmic reticulum Ca2+-ATPase. Proc Natl Acad Sci USA 87:2466–2470[Abstract/Free Full Text]
  17. Putney JW 1986 A model for receptor-regulated calcium entry. Cell Calcium 7:1–12[CrossRef][Medline]
  18. Jackson TR, Patterson SI, Thastrup O, Hanley MR 1988 A novel tumor promoter, thapsigargin, transiently increases cytoplasmatic free Ca2+ without generation of inositol phosphate in NG115–401L neuronal cells. Biochem J 253:81–86[Medline]
  19. Thastrup O, Dawson AP, Scharff O, et al. 1989 Thapsigargin, A novel molecular probe for studying intracellular calcium release and storage. Agents Actions 27:17–23[CrossRef][Medline]
  20. Foresta C, Rossato M, Di Virgilio F 1992 Extracellular ATP is a trigger for the acrosome reaction in human spermatozoa. J Biol Chem 267:19443–19447[Abstract/Free Full Text]
  21. Alonso MT, Alvarez J, Montero M, Garcia-Sancho J 1991 Agonist-induced Ca2+ influx into human platelets is secondary to the emptying of intracellular Ca2+ stores. Biochem J 280:783–789
  22. Foresta, C, Rossato, M, Bordon, P, Di Virgilio, F 1995 Extracellular ATP activates different signalling pathways in rat Sertoli cells. Biochem J 311: 269–274
  23. Rossato M, Nogara A, Gottardello F, Bordon P, Foresta C 1997 Pituitary adenylate cyclase activating polypeptide stimulates rat Leydig cell steroidogenesis through a novel transduction pathway. Endocrinology 138:3228–3235[Abstract/Free Full Text]
  24. Worley JF, McIntyre MS, Spencer B, Dukes ID 2058 1994 Depletion of intracellular Ca2+ stores activates a maitotoxin-sensitive nonselective cationic current in B-cells. J Biol Chem 269:32055–3[Abstract/Free Full Text]
  25. Kawa K 1987 Existence of calcium channels and intercellular couplings in the testosterone-secreting cells of the mouse. J Physiol 393:647–666[Abstract/Free Full Text]
  26. Parekh AB, Penner R 1997 Store depletion and calcium influx. Physiol Rev 77:901–930[Abstract/Free Full Text]
  27. Cooke BA, Choi MCK, Dirami G, Lopez-Ruiz MP, West AP 1992 Control of steroidogenesis in Leydig cells. J Steroid Biochem Mol Biol 43:445–449[CrossRef][Medline]
  28. Richards JS, Fitzpatrick SL, Clemens JW, Morris JK, Alliston T, Sirois J 1995 Ovarian cell differentiation: a cascade of multiple hormones, cellular signals, and regulated genes. Recent Prog Horm Res 50:223–254
  29. Tomic M, Dufau ML, Catt KJ, Stojilkovic SS 1995 Calcium signaling in single rat Leydig cells. Endocrinology 136:3422–3429[Abstract]
  30. Lepple-Wienhues A, Cahalan MD 1996 Conductance and permeation of monovalent cations through depletion-activated Ca2+-channels (ICRAC) in Jurkat T cells. Biophys J 71:787–794[Medline]
  31. Henquin JC 2000 Triggering and amplifying pathways of regulation of insulin secretion by glucose. Diabetes 49:1751–1760[Abstract]
  32. Chen C, Xu R, Clarke IJ, Ruan M, Loneragan K, Roh SG 2000 Diverse intracellular signalling systems used by growth hormone-releasing hormone in regulating voltage-gated Ca2+ or K channels in pituitary somatotropes. Immunol Cell Biol 78:356–368[CrossRef][Medline]
  33. Berridge MJ 1995 Capacitative calcium entry. Biochem J 312:1–11
  34. Gamberucci A, Innocenti B, Fulceri R, et al. 1994 Modulation of Ca2+ influx dependent on store depletion by intracellular adenine-guanine nucleotide levels. J Biol Chem 269:23597–23602[Abstract/Free Full Text]
  35. Fasolato C, Hoth M, Penner R 1993 A GTP-dependent step in the activation mechanism of capacitative calcium influx. J Biol Chem 268:20737–20740[Abstract/Free Full Text]
  36. Alvarez J, Montero M, Garcia-Sancho J 1992 Cytochrome P-450 may regulate plasma membrane Ca2+ permeability according to the filling state of the intracellular Ca2+ stores. FASEB J 6:786–792[Abstract]
  37. Lee KM, Toscas K, Villeral ML 1993 Inhibition of bradykinin- and thapsigargin-induced Ca2+ entry by tyrosine kinase inhibitors. J Biol Chem 268:9945–9948[Abstract/Free Full Text]
  38. Bode HP, Goeke B 1994 Protein kinase C activates capacitative calcium entry in the insulin secreting cell line RINm5F. FEBS Lett 339:307–311[CrossRef][Medline]
  39. Randriamampita C, Tsien RY 1993 Emptying of intracellular Ca2+ stores releases a novel small messenger that stimulates Ca2+ influx. Nature 364: 809–814
  40. Bird GSJ, Bian X, Putney JW 1995 Calcium entry signal? Nature 373:481–482[Medline]
  41. Putney JW, Bird GSJ 1993 The inositol phosphate-calcium signaling system in nonexcitable cells. Endocr Rev 14:610–631[Abstract/Free Full Text]



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