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Medical Research Council Human Reproductive Sciences Unit (C.M., R.M.S., K.M., N.H., H.S.), Centre for Reproductive Biology, The University of Edinburgh Edinburgh EH16 4TJ, United Kingdom; School of Molecular and Biomedical Sciences (R.I.), University of Adelaide, SA 5005 Adelaide, Australia; Group dEtude de la Reproduction chez le Male-Institut National de la Santé et de la Recherche Médicale U625 (C.S., B.J.), Campus de Beaulieu, Université de Rennes 1, 35042 Rennes Cedex, Bretagne, France; and Institute for Immunology (F.H., F.K.-N.) and Department of Andrology (S.H.), University Hospital Hamburg-Eppendorf, D-20246 Hamburg, Germany
Address all correspondence and requests for reprints to: Professor R. M. Sharpe, Medical Research Council Human Reproductive Sciences Unit, Centre for Reproductive Biology, The University of Edinburgh Academic Centre, Edinburgh EH16 4TJ, United Kingdom. E-mail: r.sharpe{at}hrsu.mrc.ac.uk.
| Abstract |
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| Introduction |
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It is generally accepted that the role of testosterone in normal testicular descent centers on the final, inguinoscrotal phase (6, 7), and it is disorders of this phase of descent that account for most cases of cryptorchidism, especially those that resolve spontaneously in the first few months after birth (6). More recently, a role for Insl3 in development of the gubernaculum (8, 9) and in the transabdominal phase of testicular descent, has emerged (for reviews see Refs.10, 11, 12) after demonstration of impaired gubernacular development and testis descent in Insl3/ mice (13, 14). The latter findings prompted investigations of the potential importance of mutations/polymorphisms in the Insl3 gene in cases of human cryptorchidism, but so far these have not provided evidence of a major role for Insl3 gene defects in testicular maldescent (15, 16, 17, 18, 19). Therefore, although the Insl3 knockout studies in mice are highly suggestive of a key role for this hormone in testis descent, definitive evidence for an important role in spontaneous cases of cryptorchidism is still lacking. One obstacle to such studies has been the lack of availability of good antibodies to Insl3 that would enable its detection in tissue sections and/or its measurement in blood (11).
An Insl3 antibody that works in mice has been available (20), and just recently antibodies that allow detection of Insl3 in blood in humans have become available (21, 22), but otherwise there have been major problems in generating useable antibodies to Insl3, probably because of its complex structure (11). As a result, there are few definitive data on age-related changes in Insl3 expression/production by the Leydig cells (LCs) and whether changes in Insl3 protein expression correlates in any way with failure of testicular descent. To address these deficiencies, we developed an antibody to rat Insl3, using genetic immunization and, after validation, have used this antibody to characterize Insl3 protein expression in LCs in the rat testis throughout fetal and postnatal life. We also investigated Insl3 immunoexpression in the fetal testis in a model system involving in utero exposure of rats to di (n-butyl) phthalate (DBP), in which a high incidence of testicular maldescent is induced in association with alterations in gubernacular development and suppression of Insl3 gene expression (23). Our results demonstrate major changes according to both fetal and postnatal age in Insl3 expression in the LCs but do not show a consistent relationship in fetal life between testicular malposition and reduced Insl3 expression in the fetal LCs, although such a relationship is evident in the adult cryptorchid testis.
| Materials and Methods |
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75%) of unilateral and/or bilateral cryptorchidism in Wistar rats as well as other dysgenetic changes in the testis (24, 25). Other time-mated females were treated from E15.5 to E21.5 with either 0 (control) or 50 mg/kg flutamide (Sigma-Aldrich) in 1 ml/kg corn oil administered daily by oral gavage. The DBP and flutamide used were both 99% pure according to the suppliers data. To induce total ablation of the LCs in the adult rat testis (26, 27), males aged approximately 75 d were injected ip with 75 mg/kg ethane dimethane sulfonate (EDS) in 1:3 (vol/vol) dimethylsulfoxide-water and were then killed 6 d later and their testes perfusion-fixed with Bouins solution, as described previously (28, 29). In one instance, testes from control and EDS-treated rats were not fixed but were cut into pieces and rapidly frozen on dry ice and then stored at 80 C before protein extraction for Western blotting.
For RNA studies time-mated, untreated pregnant female Sprague Dawley rats were purchased from Elevage Janvier (Le Genest Saint Isle, Laval, France).
Sample collection and processing
Fetal samples.
Control and DBP-treated pregnant dams were killed by inhalation of carbon dioxide on E15.5 (n = 2 control), E17.5 (n = 2 control, n = 3 DBP), E19.5 (n = 3 control, 3 DBP), E20.5 (n = 1 control, 2 DBP), or E21.5 (n = 2 control, 2 DBP). Fetuses were removed, decapitated, and placed in ice-cold PBS (Sigma-Aldrich). After incision of the abdominal wall, the location of both testes was carefully recorded as being high abdominal (adjacent to the kidney), midabdominal, or inguinal (normally descended). Testes were then removed via microdissection and either fixed for 1 h in Bouins solution or transferred to an Eppendorf tube and frozen immediately on dry ice for subsequent protein extraction. Fixed testes were transferred to 70% ethanol and then weighed before being processed for 17.5 h in an automated Leica TP1050 processor and embedded in paraffin wax. Gubernacula were also microdissected from some fetuses at E19.5, fixed, and embedded as described above for the testes. Representative fetuses from the aforementioned litters were subsequently used for the immunohistochemical and protein expression studies detailed below.
For RNA studies, dams were anesthetized by an ip injection of 40 mg/kg sodium pentobarbital (Sanofi-Synthélabo, Libourne, France) on E18.5, E19.5, and E20.5. Gubernacula were removed from male fetuses by microdissection and frozen immediately in liquid nitrogen.
Postnatal samples.
Male rats aged 4, 10, 15, 25, 35 or 90 d (adults) were anesthetized via flurothane inhalation and then killed by cervical dislocation. Testes were carefully inspected for normality of the epididymis and vas deferens and then removed, weighed, fixed for 56 h in Bouins solution, and then transferred into 70% ethanol. Adult testes were halved after approximately 3 h fixation to aid penetration of the fixative. Testes were embedded in paraffin as described above. The results reported in the present studies derive from males from at least two to three separate litters per age group. At autopsy, testicular position was classified as high abdominal (at level of the kidney), midabdominal, inguinal, or scrotal, which enabled classification of testes in 90-d males into cryptorchid or scrotal groups. In controls, all testes were scrotal in position. The prevalence of unilateral and bilateral cryptorchidism in DBP-exposed adult males was 75 and 25% respectively.
For RNA studies, male rats aged 4 or 90 d (adults) were killed as described above. Gubernacula were microdissected from 4-d animals whereas testes, efferent ducts, and kidneys were all obtained from adult rats and all organs frozen immediately in liquid nitrogen. The testes from some adult animals were not frozen but were used instead for purification of LCs using a method previously described (30).
Extraction of testis protein
Whole testes from E17.5 fetal rats or small slices of testes from adult rats were used for extraction of protein. Frozen tissue was transferred to 1.5 ml Eppendorf tubes on ice, to which was added 75 (for fetal samples) or 200 µl (for adults) of ice-cold lysis buffer comprising 0.15 M NaCl, 50 mM Tris-HCl (pH 7.4), 5 mM EDTA, 1% (wt/vol) sodium deoxycholate, and 0.1% (wt/vol) sodium dodecyl sulfate and containing one tablet of Complete protease inhibitor (Roche Diagnostics GmbH, Mannheim, Germany) per 10 ml. Tissue was homogenized and kept on ice for 60 min. The homogenate was then centrifuged at 10,000 rpm for 5 min at 4 C and the supernatant removed. Before storage at 80 C, a small aliquot of supernatant was removed and protein concentration measured using the Protein Dc assay kit (Bio-Rad Laboratories, Hemel Hempstead, UK) according to the manufacturers instructions. All samples were assayed in triplicate.
Generation of antirat Insl3 antibody
To generate a polyclonal antirat Insl3 antiserum, we used the genetic immunization approach, in which an expression vector is introduced into cells of the skin by ballistic DNA transfection, directing them to produce the desired antigenic protein and to present it to the animals immune system, most likely in its native conformation (31). To construct an expression vector for the rat Insl3 protein, total RNA from adult rat testis was reverse transcribed using SuperScript II (Invitrogen, Carlsbad, CA) according to the manufacturers protocol and subjected to PCR using ProofStart polymerase (QIAGEN, Hilden, Germany) and Insl3-specific fusiogenic primers. These were designed to amplify the complete coding sequence (32) consisting of leader peptide, B, C, and A chains and contained overhanging restriction sites for EcoRI and SalI to allow directed ligation of the amplicon into the respective sites of the commercially available expression vector pDisplay (Invitrogen). To the 3' end of the Insl3 sequence, a further coding sequence for the peptide stretch GGGDPREQ was added to serve as a spacer toward the myc epitope tag and membrane anchor encoded in the pDisplay vector, with the purpose of improving independent native folding of the Insl3 part within the resulting fusion protein.
The PCR product had the expected size, was restriction digested, gel purified, and cloned into pDisplay. Sequencing analysis revealed that no mutation in the Insl3 sequence had occurred during amplification and cloning. Expression capability of the construct was confirmed by transfection into COS7 cells using Lipofectamine 2000 (Invitrogen) followed by immunofluorescence staining of transfected and mock-transfected cells. The primary antibody was a monoclonal against the myc tag (EQKLISEED) of the fusion protein, using undiluted culture supernatant of the respective hybridoma line 9E10 (a gift from Nicholas Hunt, Evotec AG, Hamburg, Germany), and the secondary antibody was Cy3 conjugated (AffiniPure goat antimouse IgG; Jackson ImmunoResearch Laboratories, Dianova, Hamburg, Germany). Only the transfected cells exhibited strong fluorescence (not shown), predominantly at the cell membranes in which the fusion protein is attached via a platelet-derived growth factor receptor transmembrane domain. This cell-specific staining was confirmed using a polyclonal rat antihuman Insl3 antiserum (22), apparently due to a moderate cross-reactivity of the antihuman antibody with rat Insl3 (data not shown).
Two rabbits were immunized with the expression construct using a Helios gene gun (Bio-Rad, Munich, Germany) essentially as described previously (31), with the following modifications: 12 shots were performed per animal at each immunization, and 10 d before killing, one rabbit was injected with 200 µl of a membrane preparation in PBS from one T75 flask of COS7 cells 40 h after transfection with the Insl3 expression construct. Immediately before harvesting, these cells were preincubated with the last bleed (1:500 in PBS, 30 min room temperature) from the second rabbit. Membrane preparation was performed as described previously (33). Immunofluorescence staining of transfected COS7 cells with the final antiserum (1:750) gave strong positive signal, whereas the preimmune serum, secondary antibody only, and staining of mock-transfected cells were all negative (not shown).
Immunohistochemistry
The antirat Insl3 antibody described above was used at a dilution of 1:100. P450 side chain cleavage enzyme (P450scc) and Insl3 receptor (LGR8), respectively, were localized using a rabbit polyclonal antibody (Chemicon, Chandlers Ford, UK) at a dilution of 1:400 and a goat polyclonal antibody (Santa Cruz Biotechnology Inc., Santa Cruz, CA) at a dilution of 1:40. Sections of 5 µm were mounted onto coated slides (VWR, Poole, UK), dewaxed, and rehydrated. Slides were incubated for 30 min in 3% (vol/vol) hydrogen peroxide in methanol to block endogenous peroxidase activity and then washed in Tris-buffered saline [TBS; 0.05 M Tris, 0.85% (wt/vol) NaCl (pH 7.4)]. Nonspecific binding sites were blocked with an appropriate normal serum diluted 1:5 in TBS containing 5% (wt/vol) BSA before the addition of the primary antibody and overnight incubation at 4 C. After washing in TBS, slides were incubated for 30 min with biotinylated swine antirabbit IgG secondary antibody (Dako, Ely, UK) diluted 1:500 in the blocking mixture. This was followed by 30 min incubation with horseradish peroxidase-labeled avidin-biotin complex (Dako). Immunostaining was developed by application of diaminobenzidine (liquid DAB+; Dako), and slides were counterstained with hematoxylin, dehydrated, and mounted using Pertex mounting medium (Cell Path, Hemel Hempstead, UK).
Image capture
Nonfluorescent images were examined and photographed using a Provis microscope (Olympus Optical, London, UK) fitted with a Kodak DCS330 digital camera (Eastman Kodak, Rochester, NY). Fluorescent images were captured using a Zeiss LSM 510 Axiovert 100M confocal microscope (Carl Zeiss Ltd., Welwyn Garden City, UK). Images were compiled using Photoshop 7.0 (Adobe Systems Inc., Mountain View, CA).
Western blotting
Testis protein extract was boiled for 5 min in buffer comprising 50 mM Tris-HCl (pH 6.8), 100 mM dithiothreitol, 2% (wt/vol) sodium dodecyl sulfate (all Sigma-Aldrich), 10% (vol/vol) glycerol (VWR) and 0.002% (wt/vol) Bromophenol Blue (Bio-Rad) before loading 10 µg of protein per lane onto a 12% (vol/vol) polyacrylamide gel. Samples were electrophoresed on a Mini-Protean II system (Bio-Rad) at 200 V for 45 min, and gels were then transferred to blotting buffer comprising 12 mM Tris base, 96 mM glycine (both Sigma-Aldrich), and 20% (vol/vol) methanol (VWR) and blotted onto a polyvinyl difluoride membrane (Immobilon-P; Millipore, Watford, UK) using a TE 22 transfer unit (Amersham Pharmacia Biotech, Little Chalfont, UK) run at 45 V for 4 h. Membranes were blocked for 1 h at room temperature in TBS containing 0.1% (vol/vol) Tween 20 (Sigma) (TBST) and 5% (wt/vol) skimmed milk powder and then incubated overnight at 4 C with Insl3 antibody diluted 1:1000 in the blocking mixture. The membranes were washed extensively in TBST and then incubated for 1 h at room temperature with peroxidase-conjugated goat antirabbit IgG diluted 1:4000 in TBST. After further washing in TBST, bound antibodies were detected using an ECLplus system and Hyperfilm exposure (both Amersham Biosciences, Little Chalfont, UK) according to the manufacturers instructions.
RNA extraction and RT-PCR analysis
Total RNA was extracted from each gubernaculum using a method previously described (34). Sequences encoding Insl3 and actin mRNA were amplified by RT-PCR. The Insl3 sequence-specific primers used were: sense 5'-CGCCAAGCTCTGTGGTCA-3' and antisense 5'-CTGAGAAGCCTGGTGAGGAA-3' (NCBI accession no. NM_053680). cDNA was prepared from 4 µg RNA using 40 ng of random hexanucleotides (Roche Molecular Biochemicals, Mannheim, Germany) and 200 U Moloney murine leukemia virus-reverse transcriptase (Promega, Madison, WI), according to the manufacturers instructions. PCR was carried out on 40 ng cDNA in a final volume of 25 µl containing 0.6 U Taq polymerase (QIAGEN, Courtaboeuf, France) and 0.2 µM of each primer. Actin amplification was performed as a control for RNA quality, quantity estimation, and reverse transcriptase efficiency. The samples were denatured at 94 C for 5 min. Amplification was carried out using 35 standard PCR cycles with a 60 C annealing temperature using a thermal cycler. Aliquots of 15 µl of each PCR sample were subjected to electrophoresis on 1.8% (wt/vol) agarose gels. Bands were visualized, after staining with 0.5 mg/ml ethidium bromide, under UV illumination (Multimage Light Cabinet; Alpha Innotech Corp., San Leandro, CA). The RT-PCR products were identified by sequencing using the BigDye system (Applied Biosystems, Foster City, CA) and an ABI 310 sequencer (PerkinElmer, Wellesley, MA).
| Results |
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| Discussion |
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The sporadic expression of Insl3 at E15.5 is not unexpected because this time marks the start of fetal LC differentiation (41), whereas the high level of fetal expression from E17.5 to E19.5 is consistent with the role of Insl3 in determining gubernaculum development during the transabdominal phase of testicular descent, which occurs during this period (12). In addition, the developmental pattern of Insl3 protein expression, which we have observed presently, agrees well with previous studies showing that levels of both Insl3 mRNA in mice (20, 42) and serum Insl3 in rats (43), increase coincident with the onset of puberty and with a study that found similar levels of mRNA in fetal and adult rats (9).
One of the main objectives of the present study was to confirm a key role for suppression of Insl3 in the etiology of cryptorchidism in rats exposed in utero to DBP (24, 39, 40). Previous studies have shown that Insl3 mRNA expression in the fetal rat testis was suppressed markedly at E18 and E19 after exposure to DBP (23, 44), and our present findings confirm that this is also true at the protein level because immunoexpression was dramatically reduced at both E17.5 and E19.5 when Insl3 expression in control animals was maximal; this is the period during which transabdominal descent of the testis takes place. Our study therefore provides further indirect confirmation of the role of Insl3 suppression in DBP-induced cryptorchidism. However, within individual animals we did not find any consistent correlation between the suppression of Insl3 immunoexpression and the occurrence of abnormally located testes at E19.5. This disparity could indicate that there is not a straightforward relationship between Insl3 protein expression within LC and the levels of this protein in blood, which is what will determine its effect on the gubernaculum. Because DBP exposure also results in marked suppression of fetal testosterone production (23, 24, 25, 36, 44, 45) and because androgens also play early and late roles in testicular descent (11), our present findings may indicate that it is the degree of coincident suppression of testosterone and Insl3 in individual animals that determines whether cryptorchidism occurs. In this regard, it is notable that in vitro studies have shown that Insl3 and androgens interact to regulate gubernacular development (9, 46). Furthermore, it has been shown that DBP can suppress fetal gene expression of enzymes involved in androgen biosynthesis at lower doses than used in the present study, whereas suppression of Insl3 gene expression occurs only at a dose of 500 mg/kg·d (44). Determining whether DBP-induced suppression of fetal Insl3 protein expression is also dose dependent may help to clarify the respective roles of Insl3 and androgen in testicular descent.
We were also prompted to explore whether suppression of testosterone production by DBP exposure might itself be a factor leading to suppression of Insl3 in the LCs. We tested this by comparing the effects of in utero exposure to DBP or flutamide on the immunoexpression of Insl3 and P450scc because suppression of the latter has been shown to coincide with suppression of fetal testicular testosterone levels (25, 37, 38, 47). This showed clearly that flutamide treatment had no effect on either P450scc or Insl3 immunoexpression, whereas DBP exposure drastically suppressed immunoexpression of both proteins at E19.5. Because other antiandrogenic effects of flutamide treatment are evident within the testis of these animals (our unpublished data), we consider these data as strong evidence for the absence of androgen involvement in the regulation of Insl3 expression in the fetal LCs.
Our failure to demonstrate a consistent relationship between suppression of Insl3 immunoexpression in fetal LCs and testicular maldescent in individual animals prompted us to consider the possibility that the Insl3 acting on the gubernaculum might not derive from the testis. In this regard, we detected Insl3 immunostaining in the fetal rat gubernaculum at E17.5-E19.5, but RT-PCR analysis failed to confirm the presence of mRNA for Insl3 in gubernacular extracts. However, LGR8 transcripts are known to be expressed in the gubernaculum (9, 48), and in the present study, LGR8 and Insl3 immunostaining were found in the same area of the gubernaculum and in a similar pattern, suggesting that the Insl3 immunostaining which we detected was receptor-bound Insl3.
In common with other studies in rodents and humans (see references above), we found that expression of Insl3 in the adult generation of LCs increases around the time of puberty and that expression in LCs in adult rats was similar to the high level seen in fetal LCs. Together, these findings suggest strongly that, apart from its role in testicular descent, Insl3 may have an alternative role in germ cell support/spermatogenesis. This interpretation is supported by reports that transcripts of the Insl3 receptor LGR8 are present in the testes of adult rats (48, 49) and humans (21) and that, in the rat, transcripts first appear in late puberty (4 wk) and are expressed in the germ cells, but not LCs, of adult animals in a stage-specific manner (49).
In the present study, 100% of adult rats exposed in utero to DBP exhibited either unilateral or bilateral cryptorchidism, and many of the seminiferous tubules in cryptorchid testes exhibited a Sertoli cell-only morphology. In contrast to what we found during fetal life, there was a strong correlation between the occurrence of cryptorchidism and suppression of Insl3 expression in adulthood. Because the DBP exposure was confined to fetal life, an obvious possibility is that suppression of Insl3 in the LCs of adult cryptorchid testes is a secondary consequence of cryptorchidism. However, two pieces of evidence suggest that this interpretation is unlikely. First, Insl3 immunoexpression in half of the scrotally located testes of DBP-exposed adult animals was also reduced, whereas such low expression was never observed in any testes from control animals. Second, studies in mice have shown that induction of experimental cryptorchidism does not significantly alter expression of the Insl3 mRNA in the testis (50). Our findings therefore suggest that disturbance of normal testis development, as a result of in utero exposure to DBP, leads both to cryptorchidism and maldevelopment/malfunction of the adult LC population and that one manifestation of the latter is suppression of Insl3 expression.
In conclusion, the present findings demonstrate that significant age-related changes in expression of Insl3 protein expression occur in both the fetal and adult generation of LCs in the rat. Our finding of major suppression of Insl3 immunoexpression at E17.5-E19.5 in the testes of most rats exposed in utero to DBP fits with the high incidence of testicular maldescent in such animals, although in individual animals no consistent relationship between testicular malposition and suppression of Insl3 immunoexpression was evident. This finding may indicate that cryptorchidism results from the combined suppression of both Insl3 and testosterone, rather than just because of Insl3 suppression. This conclusion might explain the relative paucity of evidence from human studies for a key role for Insl3 mutations/polymorphisms in cases of cryptorchidism (19) and would fit with current concepts that disorders such as cryptorchidism, which may comprise a testicular dysgenesis syndrome (4, 5), stem from a fundamental dysfunction of testicular LCs and/or Sertoli cells rather than from a single defect. Our finding of increased expression of Insl3 in adult LCs as they mature adds to evidence in the literature to suggest a role(s) for this hormone in the adult testis, and in this regard our findings also show that Insl3 expression in adult cryptorchid testes of rats exposed in utero to DBP is grossly suppressed.
| Acknowledgments |
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| Footnotes |
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First Published Online July 21, 2005
Abbreviations: DBP, Di (n-butyl) phthalate; E, embryonic day; EDS, ethane dimethane sulfonate; Insl3, insulin-like factor 3; LC, Leydig cell; P450scc, side-chain cleavage enzyme; TBS, Tris-buffered saline; TBST, TBS containing Tween 20.
Received June 6, 2005.
Accepted for publication July 12, 2005.
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(ER-
) within the testis and excurrent ducts of the rat and marmoset monkey from perinatal life to adulthood. J Endocrinol. 153:485495
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