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Center for Biomedical Research, The Population Council (B.T.A., C.M.S., A.I.K., M.P.H.), New York, New York 10021; and Reproductive Toxicology Division, National Health and Environmental Effects Research Laboratory, United States Environmental Protection Agency (G.R.K.), Research Triangle Park, North Carolina 27711
Address all correspondence and requests for reprints to: Dr. Matthew P. Hardy, The Population Council, 1230 York Avenue, New York, New York 10021. E-mail: m-hardy{at}popcbr.rockefeller.edu.
| Abstract |
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-hydroxylase/1720 lyase. BPA decreased serum 17ß-estradiol levels from 0.31 ± 0.02 ng/ml (control) to 0.22 ± 0.02, 0.19 ± 0.02, and 0.23 ± 0.03 ng/ml in rats exposed to 2.4 µg, 10 µg, or 100 mg/kg·d BPA, respectively, from 2135 d of age (P < 0.05) due to its ability to inhibit Leydig cell aromatase activity. Exposures of pregnant and nursing dams, i.e. from gestation d 12 to postnatal d 21, decreased T levels in the testicular interstitial fluid from 420 ± 34 (control) to 261 ± 22 (P < 0.05) ng/ml in adulthood, implying that the perinatal period is a sensitive window of exposure to BPA. As BPA has been measured in several human populations, further studies are warranted to assess the effects of BPA on male fertility. | Introduction |
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and ERß. Although bisphenol A (BPA) preferentially binds ERß, it is capable of inducing ER
- and ERß-mediated gene expression with comparable efficacy (2). Binding of ER by a ligand induces conformational changes in the receptor, enabling the bound receptor complex to interact with specific sites on DNA. Once bound to DNA, the ligand-receptor complex alters the expression of estrogen-responsive genes that alter cell growth and differentiation. Although the effects of exposures to environmental chemicals in adulthood are typically transient, chemical exposures that alter gene activity during development disrupt differentiated function in hormone-responsive tissues of the adult (3). The possibility that xenoestrogens may cause adverse effects in the reproductive tract was first highlighted by reports on adolescent sons born to pregnant women who had taken the highly potent synthetic estrogen diethylstilbestrol (DES). These individuals developed a variety of testicular and epididymal abnormalities in adulthood (4).
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Leydig cells produce the primary male steroid hormone testosterone (T), which stimulates virilization of the male urogenital system in fetal life and supports spermatogenesis and fertility in adulthood. Therefore, EDs that affect Leydig cell function potentially affect male fertility. Localization of ERs and aromatase activity at all levels of the hypothalamus-pituitary-gonadal axis suggests a role for ER-mediated activity in reproductive function. Leydig cells express ERs and are subject to estrogen action (12). The aromatase enzyme, which is encoded by the cyp19 gene and catalyzes the conversion of androgens to E2, is expressed more highly in the male reproductive tract than in other tissues in rodents (13). In the rat, prepubertal Sertoli cells are a source of estrogen, but testicular aromatase activity primarily resides in Leydig cells from 21 d of age onward, although aromatase has also been detected within mature germ cells and spermatozoa (14). Leydig cell T secretion is under the control of the gonadotropin LH, and LH release from the pituitary is regulated by hypothalamic GnRH, which signals through its receptors in pituitary gonadotropes. The locations of BPA-associated lesions within the hypothalamus-pituitary-gonadal axis have not been determined. Therefore, the objectives of the present study were 2-fold: 1) to determine whether exposure to environmentally relevant BPA levels affects testicular steroidogenesis, and if so, to identify the mechanisms associated with observed effects; and 2) to determine the outcome of perinatal and chronic BPA exposures on androgen biosynthesis by Leydig cells. We show that BPA has an inhibitory effect on testicular steroidogenesis at low dose exposure levels, presumably acting via the ER, while also suppressing aromatase gene expression and E2 biosynthesis.
| Materials and Methods |
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-hydroxylase/1720 lyase (P45017
; progesterone), and 17ßHSD (androstenedione). Pilot experiments indicated that the concentrations of steroids used were substrate saturating in immature Leydig cells. Initial observations indicated that BPA suppression of T production was associated with reduced pituitary LH secretion. As both ER subtypes are present in the rat pituitary, and estrogenic compounds are known to modulate expression of the ERs in target tissues (22), we conducted further experiments to identify the mechanisms of BPA action in the pituitary. Therefore, weanling rats were assigned to one of two groups: control or BPA treated (2.4 µg/kg·d, postnatal d 2135). At the end of treatment we analyzed gene expression in the pituitary by measuring steady state mRNA levels for LHß, ERß, and ER
using RT-PCR.
Experiment 2: are the effects of perinatal BPA exposure on androgen biosynthesis, if any, reversible or do they persist into sexual maturity?
Pharmacokinetic studies in the rat demonstrated rapid transfer of BPA from dam to fetuses (23), and BPA concentrations ranging from 0.29.2 ng/ml were measured in human fetal plasma (24). Because critical events occur in the development of the male reproductive tract that are subject to interference by estrogenic chemicals (20), we conducted experiments to test the hypothesis that exposure to BPA in the perinatal period affect testicular function in adulthood, i.e. at 90 d of age. Pregnant Long-Evans rats were gavaged with 2.4 µg/kg·d BPA from gestation d 12 through nursing to weaning on postnatal d 21. Subsequently, male offspring received no further BPA treatment and were pooled by random selection from each dam and analyzed in adulthood at 90 d of age. Analysis included measurement of serum LH and T levels, T levels in testicular IF, Leydig cell T production ex vivo, and accessory sex organ weights (seminal vesicles and prostate).
Experiment 3: what are the effects of long-term (chronic) BPA exposures on androgen biosynthesis?
Given the use of BPA in several consumer products, it is conceivable that exposure of humans to this agent occurs over prolonged periods of time, as evidenced by the presence of measurable amounts of blood BPA levels in human populations (5, 24). Therefore, to determine the effects of chronic BPA exposure on Leydig cell androgen biosynthesis, weanling rats were gavaged with 2.4 µg/kg·d BPA from 2190 d of age (a total of 70 d). Within 24 h of the last BPA administration, animals were killed, and blood was collected for measurement of serum LH and T concentrations. Leydig cells were isolated for measurement of T production ex vivo, and testicular IF was collected for assay of T concentrations. The weights of accessory sex organs (seminal vesicles and prostate) were also recorded.
Experiment 4: does BPA act directly in Leydig cells to inhibit androgen biosynthesis?
Given that BPA suppresses pituitary LH secretion in vivo, we asked whether BPA acts directly in Leydig cells to disrupt androgen biosynthesis in the absence of the confounding effect on LH secretion. The dose-dependent effects of BPA on steroidogenesis were evaluated by incubation of adult Leydig cells obtained from 90-d-old rats with 0, 0.01, 0.1, 1, 10, 100, and 1000 nM BPA for 18 h in medium containing 10 ng/ml LH, and T production was assayed in aliquots of the spent medium. We used adult Leydig cells in these experiments because of the inconsistent sensitivity of immature Leydig cells to ER agonists in vitro (21). To determine whether BPA action in Leydig cells is an estrogenic effect, Leydig cells were incubated with two other ER agonists as positive controls (Fig. 1
). DES is a synthetic estrogen that has a high binding affinity for both ER subtypes and a potency greater than that of E2 (25). 2,2-Bis(p-hydroxyphenyl)-1,1,1-trichloroethane (HPTE) is the biologically active metabolite derived from the estrogenic pesticide methoxychlor after hydroxylation in the liver. This compound is known to compete with E2 for binding to ER (26), and we previously demonstrated that HPTE acts via the ER to decrease T production by rat Leydig cells in vitro (21). Therefore, Leydig cells were incubated with DES and HPTE at the same doses as BPA. The viability of Leydig cells after treatment with BPA, DES, and HPTE was assessed by the trypan blue exclusion test and did not differ from the control value. At the end of treatment, T production was measured in aliquots of spent medium by RIA. These experiments were conducted three times.
After determining that 0.01 nM BPA, but not higher doses, decreased T production, we conducted further analyses of the effects of BPA on androgen biosynthesis. Adult Leydig cells were incubated with 0.01 nM BPA for 18 h in medium containing 10 ng/ml LH. Cells were harvested after a 5-min incubation in a solution of 0.05% collagenase and 0.05% dispase in medium 199 buffered with 8.45 mM NaHCO3 and 8.8 mM HEPES, containing 0.1% BSA and 0.0025% trypsin inhibitor, at pH 7.17.2 (Sigma-Aldrich Corp., St. Louis, MO). To confirm the effects on androgen biosynthesis, we measured T production after aliquots of harvested cells (0.1 x 106 cells) were incubated in fresh medium without (basal) or with LH (100 ng/ml) for 3 h at 34 C. To establish that BPA-induced inhibition of androgen biosynthesis is ER mediated, we coincubated Leydig cells with 0.01 nM BPA and 0.1 nM of the synthetic antiestrogen ICI 182,780 (7
-[9-(4,4,5,5-pentafluoropentylsulfinyl)estra-1,3,5-(10)-triene-3,17ß-diol]) for 18 h in medium containing 10 ng/ml LH. ICI 182,780 binds to the two ER subtypes and does not exert partial ER agonist activity in rodent tissues (22). Rates of T production were assessed by RIA using aliquots of spent medium at the end of the 18-h treatment period. The doses of the antiestrogen were selected after pilot experiments indicated that coincubation of Leydig cells with 0.1 nM ICI 182,780 completely blocked BPA-induced (0.01 nM) inhibition of T biosynthesis. The steroidogenic acute regulatory protein (StAR) transports cholesterol, the steroid substrate used in T biosynthesis, into the inner mitochondrial membrane, whereas the steroidogenic enzymes catalyze the consecutive reactions that convert cholesterol into T in Leydig cells (27): P450scc, 3ß-HSD, P45017
, and 17ß-HSD. Therefore, to identify the site of the BPA-induced lesion in the steroidogenic pathway, steady state mRNA levels for StAR and androgen biosynthetic enzymes were measured by RT-PCR in total RNA obtained from adult Leydig cells harvested at the end of the 18-h treatment period. Because xenoestrogens are known to regulate ER expression in target tissues (22), we also measured ER steady state mRNA levels.
Experiment 5: is the action of BPA in Leydig cells dose dependent?
Discrepancies in reports of the effects of BPA from different laboratories have received considerable attention (9). In the present study we observed that 2.4 µg/kg·d BPA, but not higher doses, suppressed serum LH and T levels. This finding thus raises the question of whether doses other than 2.4 µg have an effect in Leydig cells. However, BPA has been credited with the ability to modulate aromatase activity in several tissues (28). Because estrogen biosynthesis is a function of rat Leydig cells from the pubertal period onward, we conducted experiments to test the hypothesis that BPA doses that cause no changes in pituitary LH secretion and Leydig cell T production affect aromatase gene expression and E2 biosynthesis in Leydig cells. Weanling rats were gavaged with 2.4 µg, 10 µg, 100 mg, or 200 mg/kg·d BPA for 15 d, from 2135 d of age. At the end of treatment, rats were killed, and blood was collected for measurement of serum E2 levels. To determine whether the changes in estrogen biosynthesis were not simply due to reduced substrate (T) availability, but were associated with changes in aromatase activity, adult Leydig cells were incubated with 0.01 nM BPA for 18 h (this BPA dose was previously demonstrated to affect Leydig cells in pilot experiments). At the end of treatment, E2 levels were measured in aliquots of spent medium. Levels of aromatase gene expression in control vs. BPA-treated Leydig cells were analyzed after amplification by RT-PCR.
Hormone measurements
Serum steroid hormone concentrations were determined without extraction. Serum LH concentrations were measured using [125I]rat LH (Amersham Pharmacia Biotech, Piscataway, NJ) and materials acquired from the National Hormone and Pituitary Program, namely, rat antibody NIDDK anti-rLH-S11, and LH reference standards (NIDDK rLF-RP-3). Iodination was performed with the Bolton-Hunter reagent following the manufacturers instructions (Pierce Chemical Co., Rockford, IL). The secondary immunoglobin G was supplied by ICN Pharmaceuticals (Costa Mesa, CA). The lower limit of detection for this assay is 0.12 ng/ml, and LH values are expressed in relation to the RP-3 standards. The intra- and interassay coefficients of variation were 5% and 10%, respectively (29). Total T and E2 concentrations were determined by a previously described tritium-based RIA with an interassay variation of 7.8% (30). The lower limit of detection for this assay is 0.01 ng/ml.
Purification of Leydig cells
Purified Leydig cells were obtained from the testes of 35- and 90-d-old rats by collagenase digestion, followed by Percoll density centrifugation as described previously (31). In an initial purification step, Leydig cells from 90-d-old rats were subjected to centrifugal elutriation to remove germ cell and sperm contaminants. After centrifugation through a 55% continuous Percoll gradient, Leydig cells from 35-d-old rats were harvested at densities between 1.070 and 1.088 g/ml, whereas cells from 90-d-old rats were located at a density corresponding to 1.070 or greater, i.e. to the bottom of the tube. Cell yields were estimated with a hemocytometer, and purity was assessed by histochemical staining for 3ßHSD using 0.4 mM etiocholan-3ß-ol-17-one as the enzyme substrate (32). Leydig cells were 9597% enriched for cells that stained intensely for this marker enzyme. To measure the rates of T production, aliquots of 0.10.2 x 106 Leydig cells were incubated in microcentrifuge tubes in 1 ml culture medium. The culture medium consisted of DMEM/F-12 buffered with 14 mM NaHCO3, containing 0.1 BSA and 0.5 mg/ml bovine lipoprotein (Sigma-Aldrich Corp.). Incubations were conducted at 34 C for 3 h using the maximally stimulating dose of 100 ng/ml ovine LH (provided by the National Hormone and Pituitary Program, NIDDK, Bethesda, MD). Incubations conducted in culture plates for longer than 3 h were performed with the lower dose of 10 ng/ml to maintain LH responsivity for the incubation period. Leydig cell T production values were normalized to nanograms per 106 cells.
RNA analysis by RT-PCR
Total RNA was isolated by a single-step method. Pituitaries collected after in vivo BPA exposure (Experiment 1) and Leydig cells harvested after incubation with 0.01 nM BPA for 18 h in medium containing 10 ng/ml LH (experiments 4 and 5) were lysed with phenol and guanidium thiocyanate (Tri-Reagent, Molecular Research Center, Cincinnati, OH) in accordance with the manufacturers instructions. First-strand cDNA synthesis from 400 ng total RNA was performed using avian myeloblastosis virus reverse transcriptase, random primers, and deoxy-NTPs at 37 C for 75 min. The reaction was ended by heating at 95 C for 5 min. Primers for target cDNAs were synthesized on an oligonucleotide synthesizer (Keystone Laboratories, Camarillo, CA) using their published sequences (Table 1
). As determined from preliminary studies, cDNAs were amplified linearly between 1535 cycles of PCR. PCR products were size-fractionated by gel electrophoresis (2% agarose) and stained with ethidium bromide, after which DNA bands from four or five reactions were quantified relative to ribosomal protein S16 that was used as the internal control. Quantitation was performed using an imaging system (Kodak Digital Sciences, Rochester, NY) after normalizing individual bands to the respective S16 density to correct for differences in gel loading.
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0.05. | Results |
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expression was unchanged (Fig. 4
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BPA acts directly in Leydig cells
Measurement of T production after incubation of Leydig cells with BPA, DES, or HPTE showed that dose-dependent suppression of Leydig cell androgen biosynthesis differed markedly among the three chemicals (Fig. 6
; P < 0.01). For example, although only 0.01 nM BPA (but not higher doses) reduced androgen biosynthesis, DES decreased T production at all doses tested, and exposure to HPTE doses equal to or greater than 100 nM inhibited androgen biosynthesis. Leydig cells, purified from the testes of 90-d-old rats, were incubated with 0.01 nM BPA for 18 h in medium containing 10 ng/ml LH. At the end of treatment, cells were harvested and incubated further without (basal) or with 100 ng/ml LH for 3 h. Basal T production, measured in aliquots of the spent medium, was equivalent in control and BPA-treated Leydig cells, but LH-stimulated T production was decreased by BPA treatment (Fig. 7A
; P < 0.01). When Leydig cells were coincubated with 0.1 nM ICI 182,780 for the 18-h treatment period, the inhibitory effect of 0.01 nM BPA on androgen biosynthesis was alleviated, and the antiestrogen did not by itself affect T production at 0.1 nM (Fig. 7B
). Suppression of androgen biosynthesis in Leydig cells by BPA was associated with inhibition of steroidogenic enzyme activity because there was a decrease in steady state mRNA levels of the P45017
enzyme, measured at the end of the 18-h treatment period (Fig. 7C
; P < 0.05). Expression of StAR and other biosynthetic enzymes was unaffected (data not shown). We did not detect ERß in Leydig cells by RT-PCR, and steady state mRNA levels for ER
were not affected by BPA (0.01 nM; 18 h; data not shown).
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| Discussion |
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Although ERß expression is thought to be significantly lower than ER
in gonadotrophs, estrogens are known to up-regulate both ER subtypes in the pituitary and cause transcriptional activation through both forms of the ER (44). In the present study BPA treatment increased steady state pituitary ERß mRNA levels, but not ER
. Whether increased ERß expression is a consequence of the higher binding affinity of BPA for this ER subtype [38-fold greater than for ER
(2)] or is the result of increased transcriptional activity mediated by this ER subtype is not clear. However, measurement of reduced LHß and increased ERß mRNA levels in the pituitaries of BPA-treated rats suggests that BPA-induced suppression of LHß expression is ER mediated. This interpretation is supported by the results of transfection analysis showing that the rat LHß is ER regulated, requiring estrogen response elements (45). A previous study showed that BPA increased the expression of both ER
and ERß in the anterior pituitary of pubertal Fischer 344 rats (40). The disparity between these and our observations is probably due to differences in the BPA doses used, 2.4 vs. 100 µg/kg·d (40).
The increase in body weights in adulthood after perinatal BPA exposure, i.e. at 90 d of age when BPA-treated rats were 10% heavier than controls, is consistent with a previous report that pups exposed to 1 nM BPA in utero were significantly heavier than controls at weaning on postnatal d 21 (46). The reasons for body weight gain are not known, but there were no differences in feed intake between control and BPA-treated rats (our unpublished observations). As male adipose tissue expresses ER, and the estrogen signaling pathway regulates adipocyte function and energy expenditure (47), the differences in body weights may be the consequence of BPAs estrogenic action in nonreproductive tissues. The maintenance of accessory sex gland function is known to be androgen dependent, and BPA caused a decrease in seminal vesicle weights at 90 d of age after perinatal and chronic postnatal exposures. In this regard, the levels of T in the testicular interstitium were reduced on postnatal d 90 after both perinatal and chronic BPA exposures, although serum T levels were equivalent in control and BPA-treated rats. The concentrations of T in the testicular IF that directly bathes Leydig cells are approximately 25 times higher than those in the serum and may, therefore, be a more sensitive indicator of the androgen biosynthetic capacity of Leydig cells (17). Nevertheless, as there were no changes in serum T levels, decreases in the weights of the seminal vesicles probably result from direct BPA action as was previously reported (48). The reasons for the lack of a BPA effect on prostate weight, unlike the seminal vesicles, are not known, but species and strain differences in tissue-specific responsiveness to ER agonists have been described previously. For example, exposure to E2 suppressed spermatid maturation in C57BL/6J and C17/Jl strains of mice, whereas this effect was not seen in the CD-1 strain (49). It is also possible that the exposure paradigm used in the present study caused only biochemical effects in the prostate that did not result in changes in organ weight.
BPA was found to act directly in Leydig cells because it decreased T production after treatment of Leydig cells in vitro. Inhibition of steroidogenesis was ER mediated and was associated with inhibition of enzyme activity. BPA had been considered a weak estrogen because its binding affinity for the ER is about 5 orders of magnitude less than that of the natural ligand E2 (22). However, the present study shows that blockade of BPA-induced inhibition of Leydig cells required a higher (10-fold) concentration of ICI 182,780, an antiestrogen with high binding affinity for the ER. This observation supports the hypothesis that BPA has a greater potency for ER-mediated activity than was previously thought (22). Analysis of steroidogenic enzyme gene expression by RT-PCR indicated that BPA caused specific inhibition of the P45017
enzyme, which is known to be inhibited by estrogen (50). Although ER
was consistently demonstrated in rodent Leydig cells, localization of ERß has been variable, with reports of its absence (51) and its presence (52) in the mouse Leydig cell; although localized to fetal rat Leydig cells (53), it was not found in adult rat Leydig cells (54). As we did not detect ERß in Leydig cells in the present study, and BPA inhibition of T production was ER mediated, BPA suppression of the CYP17 gene, which encodes the P45017
enzyme, was presumably mediated by ER
as previously suggested (50). Furthermore, we observed that 0.01 nM BPA, and not higher doses (Fig. 6
), suppressed Leydig cell T production, similar to findings from our in vivo studies (Fig. 3
). The present data show that different effects may occur at varying dose levels, because 100 mg/kg·d BPA did not affect pituitary LH secretion and T production, but suppressed Leydig cell E2 biosynthesis. Therefore, the differential pattern of decreases observed in the serum levels of LH, T, and E2 at varying BPA doses implies that the effects of BPA on the male reproductive tract depend not only on the exposure paradigm employed, but also on the end points examined.
The present data show that BPA caused direct inhibition of aromatase gene expression and E2 biosynthesis that was not due to a decrease in substrate availability. It is not clear from the present data that this effect was ER mediated. However, inhibition of CYP19 gene expression of aromatase in Leydig cells was ER
mediated as indicated by the following: 1) estrogenic agents act via ER
to up-regulate the promoter region of the aromatase gene (55); and 2) ER
-mediated inhibition of E2 biosynthesis in breast cancer cells is blocked by antiestrogens such as tamoxifen and ICI 182,780 (55). However, BPA suppression of E2 biosynthesis has implications for male reproductive function. For example, estrogen is known to affect the development of immature germ cells, because incubation of differentiating gonocytes with E2 stimulated cell division in vitro (56). As gonocytes are the precursors of spermatogonia, it is reasonable to speculate that disturbances in endogenous estrogen biosynthesis during the early period of reproductive tissue differentiation could result in infertility at sexual maturity because the gonocyte population is established in the prepubertal period. Indeed, targeted disruption of the aromatase gene in mice was found to induce apoptosis in developing spermatids as well as cause disturbances in acrosome formation (57). Therefore, these observations support the hypothesis that exposure to environmentally relevant concentrations of xenoestrogens may result in low seminal quality. The effects of BPA modulation of estrogen biosynthesis are applicable to humans, because two isoforms of the ERß have been localized to the fetal and adult testis, implying that the human testis is subject to estrogen action (58). Moreover, sexual dimorphism is determined by the actions of androgen and estrogen during the critical period for perinatal differentiation of neural tissue (59). Thus, BPA-related suppression of E2 biosynthesis potentially affects male sexual behavior in adulthood.
In conclusion, data from the present study demonstrate that BPA has an inhibitory effect on testicular steroidogenesis at low dose exposure levels, presumably acting via the ER. BPA also suppressed aromatase gene expression and E2 biosynthesis. It is of interest that the BPA dose used in our studies, which corresponds to the levels of this agent in the environment, exerted inhibitory effects on Leydig cells. Although there is no evidence indicating that oral ingestion of BPA by humans at exposure levels typical of its presence in the environment has adverse effects, blood BPA levels in a group of pregnant mothers and their fetuses ranged from 0.318.9 and 0.29.2 ng/ml, respectively (24). These levels are higher than the concentration of 0.01 nM BPA used in our in vitro experiments, implying that human exposure to low BPA levels may exert adverse biological effects. As both T and E2 are required for male reproductive tract development and function, suppression of steroid hormone synthesis may be responsible for testicular anomalies associated with BPA in laboratory studies. The extensive use of BPA in consumer products to which humans are chronically exposed warrants the continued investigation of this compound at low dose exposure levels for the purpose of risk assessment.
| Acknowledgments |
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| Footnotes |
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Abbreviations: BPA, Bisphenol A; DES, diethylstilbestrol; E2, 17ß-estradiol; ED, endocrine disruptor; ER, estrogen receptor; HPTE, 2,2-bis(p-hydroxyphenyl)-1,1,1-trichloroethane; 3ßHSD, 3ß-hydroxysteroid dehydrogenase; IF, interstitial fluid; P45017
, cytochrome P450 17
-hydroxylase/1720 lyase; P450scc, cytochrome P450 cholesterol side-chain cleavage enzyme; 22R-CHO, 22R-hydroxycholesterol; StAR, steroidogenic acute regulatory protein; T, testosterone.
Received September 5, 2003.
Accepted for publication October 28, 2003.
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R.-S. Ge, Q. Dong, E.-m. Niu, C. M. Sottas, D. O. Hardy, J. F. Catterall, S. A. Latif, D. J. Morris, and M. P. Hardy 11{beta}-Hydroxysteroid Dehydrogenase 2 in Rat Leydig Cells: Its Role in Blunting Glucocorticoid Action at Physiological Levels of Substrate Endocrinology, June 1, 2005; 146(6): 2657 - 2664. [Abstract] [Full Text] [PDF] |
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