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Endocrinology Vol. 148, No. 10 4836-4843
Copyright © 2007 by The Endocrine Society

Effects of Gonadectomy on Glucocorticoid Metabolism in Obese Zucker Rats

Pascal Barat1, Dawn E. W. Livingstone1, Caroline M. C. Elferink, C. Rachel McDonnell, Brian R. Walker and Ruth Andrew

Paediatric Endocrinology (P.B.), Centre Hospitalier Régional Universitaire Bordeaux, Department of Paediatrics, F-33076 Bordeaux, France; and Endocrinology (D.E.W.L., C.M.C.E., C.R.M., B.R.W., R.A.), Centre for Cardiovascular Science, University of Edinburgh, Edinburgh EH16 4TJ, United Kingdom

Address all correspondence and requests for reprints to: Ruth Andrew, Endocrinology, Centre for Cardiovascular Science, University of Edinburgh, 47 Little France Crescent, Edinburgh EH16 4TJ, United Kingdom. E-mail: Ruth.Andrew{at}ed.ac.uk.


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Glucocorticoids are metabolized by 11ß-hydroxysteroid dehydrogenase 1 (11ßHSD1) and the A-ring reductases (5{alpha}- and 5ß-reductases). Dysregulation of these enzymes has been reported in liver and adipose tissue in obese humans and animals, potentially leading to altered intracellular glucocorticoid concentrations and compensatory activation of the hypothalamic-pituitary-adrenal axis. This dysregulation of glucocorticoid metabolism in obesity is poorly understood. We hypothesized that changes in glucocorticoid metabolism in obesity are mediated by alterations in androgen action. Steroid metabolism was studied in obese and lean male Zucker rats (age 10 wk, 10 animals per group) 4 wk after gonadectomy or sham surgery. Oral glucose tolerance tests were performed, and activities and abundances of mRNAs for steroid metabolizing enzymes were quantified in liver and adipose tissue. Gonadectomy did not consistently alter weight gain, glucose intolerance, or hyperinsulinemia in obese animals. Gonadectomy increased adrenal mass (P < 0.05), suppressed 11ßHSD1 activity and/or mRNA in liver and adipose, increased 5{alpha}-reductase 1 mRNA in liver (P < 0.05), and increased 5ß-reductase activity only in obese animals (P < 0.05). Differences in hepatic 11ßHSD1 mRNA expression and adipose activity between lean and obese animals were normalized by gonadectomy, whereas obese gonadectomized animals maintained elevated liver 5{alpha}-reductase and had an exaggerated elevation of 5ß-reductase activity. We conclude that androgens tonically increase 11ßHSD1 in liver and adipose tissue in male rats and contribute to the dysregulation of 11ßHSD1 in obesity. By contrast, androgens tonically suppress hepatic A-ring reductases in male rats and do not contribute to dysregulation of these enzymes in obesity.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
OBESITY, ESPECIALLY IN a central (or "android") distribution, predisposes to cardiovascular disease and morbidity. Central obesity is a characteristic of glucocorticoid excess, but the role of glucocorticoids in idiopathic obesity has been elusive because obese subjects paradoxically have normal to low circulating plasma concentrations of cortisol (1, 2, 3). Recently, the hypothesis has emerged that intracellular levels of glucocorticoids may be altered in obesity due to dysregulation of glucocorticoid metabolizing enzymes. Tissue concentrations of glucocorticoids are regulated by the activities of 11ß-hydroxysteroid dehydrogenase 1 (11ßHSD1) (4) and the A-ring reductases (5{alpha}- and 5ß-reductases) (5). Changes in the activities and expression of mRNAs of these enzymes have been reported in obese humans (6, 7, 8, 9, 10, 11) and animals (12, 13, 14, 15). In adipose tissue, activation of glucocorticoids by 11ßHSD1 is increased in obesity (8, 9, 10, 11, 16, 17). However, in the liver, activation of glucocorticoids by 11ßHSD1 is decreased (8, 9, 18), and inactivation by A-ring reduction is increased (6, 7). These changes in the liver may reduce local glucocorticoid receptor activation but also increase the metabolic clearance rate of glucocorticoids and thereby induce compensatory activation of the hypothalamic-pituitary-adrenal (HPA) axis.

The mechanisms of dysregulation of glucocorticoid metabolism in obesity are poorly understood but may reflect altered sex steroid action. In the liver, abundances of glucocorticoid metabolizing enzymes are sexually dimorphic and, in some cases, programmed by sex steroids during neonatal life (19, 20, 21). In rats, hepatic 11ßHSD1 is expressed in lower amounts in females than males (22, 23), and in both sexes activity is suppressed, albeit indirectly, by estrogens (23, 24) and stimulated by androgens (25, 26). In cultured hepatocytes, testosterone does not influence the expression of mRNA or activity of 11ßHSD1 (27). However, castration of male rats does suppress hepatic 11ßHSD1 activity toward female levels, although whether this effect is reversed by replacement with testosterone is debated (22, 25). By contrast, in preadipocytes expression of 11ßHSD1 mRNA is stimulated by both androgens and estrogens (28). Conversely, higher circulating androgens in adulthood suppress both hepatic 5{alpha} and 5ß-reduction (20). In humans, 5{alpha}-reduced metabolites of glucocorticoids are more abundant in women compared with men (6). Thus, alterations in liver glucocorticoid metabolism in obesity might reflect reduced androgen action.

The relationship between androgens and obesity is complex and gender specific (29). In prepubertal children (male and female), there is a positive relationship between circulating androgens and indices of obesity (30), and this relationship is maintained in women throughout life. However, in men the positive relationship between androgens and obesity is lost after puberty, and, indeed, obesity is associated with lower testosterone levels (31). This inverse relationship is also observed in some animal models of obesity. Male obese Zucker rats have lower circulating androgens than their lean controls (32), and castration promotes further weight gain (33) but paradoxically improves insulin sensitivity (33, 34). Castration also prevents overt hyperglycemia developing in streptozocin-treated spontaneously hypertensive rats (35) and in mice (36).

We have reported previously that changes in glucocorticoid metabolism observed in human obesity are recapitulated in obese Zucker rats (14, 15, 37). To test the hypotheses that obesity associated changes in glucocorticoid metabolism in obese Zucker rats are mediated by alterations in androgen action and that this might underpin different regulation of glucocorticoid metabolism in liver and adipose tissue, we have investigated steroid metabolism in obese and lean male animals with and without gonadectomy. If impaired androgen action contributes to the derangements in glucocorticoid metabolism observed in obesity, then these changes may normalize in response to gonadectomy.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Solvents were HPLC glass-distilled grade from Rathburn Chemicals (Walkerburn, UK). Other chemicals were from Sigma (Poole, UK) unless otherwise stated.

Animals and procedures
Obese and lean Zucker rats (age 5 wk, young postpubertal males, 10 per group) were obtained from Harlan Olac (Bicester, UK), maintained under controlled conditions of light (on 0800–2000 h) and temperature (21 C), and allowed free access to standard rat chow (Special Diet Services, Witham, UK) and drinking water. All animal experiments were performed in accordance with accepted standards of humane animal care, under United Kingdom Home Office license. Surgery, either bilateral gonadectomy or sham surgery, was performed on 6-wk-old rats under 4% halothane anesthesia. All rats were then weighed every third day. After 3 wk, animals underwent an oral glucose tolerance test, as described previously (37). At 10 wk of age, 4 wk after surgery, rats were fasted overnight and decapitated at 0900–1100 h. Trunk blood was collected, and tissues were dissected and snap frozen on dry ice.

Plasma assays
High-density lipoprotein (HDL)-cholesterol, total cholesterol, and triglycerides were measured in plasma by enzymatic colorimetric techniques using a Vitros 5,1 analyzer (Johnson & Johnson, New Brunswick, NJ). Glucose and insulin were measured by a hexokinase assay (Sigma) and ELISA (Crystal Chem, Inc., Chicago, IL), respectively. Plasma corticosterone was measured by in-house RIA (38), modified for the microtiter plate scintillation proximity assay. Testosterone and ACTH were measured by ELISA (DRG Instruments Gmbh, Germany, and Crystal Chem, Inc., respectively).

Quantification of mRNAs by real-time PCR
For quantitative comparisons between groups, total RNA was extracted from snap-frozen tissue using Trizol reagent (Life Technologies, Inc., Paisley, UK). For adipose tissue, RNA was purified using RNAid RNA binding matrix (Anachem, Luton, UK). RNA was quantified using a fluorometric assay (Ribogreen; Invitrogen Ltd., Paisley, UK) and integrity assessed by electrophoresis on agarose gel. Random-primed cDNA was synthesized from RNA (0.5 µg) using the Promega Reverse Transcription System (Promega UK, Southampton, UK). Quantification of transcript was performed with real-time PCR primer-probe sets using the ABI PRISM 7700/7900 Sequence Detection System with the following primers and probes [forward (F), reverse (R)]: 11ßHSD1: 5'-CATAGACACAGAAACAGCTTTGAAA-3' (forward), 5'-CTCCAGGGCGCATTCCT-3' (reverse), and 5'-6-FAMCTGGGATAATCTTGAGTCAAGCTGCTCCC-TAMRA3'(probe)

5{alpha}-Reductase type 1: 5'-CTGTTTCCTGACAGGCTTTGC-3' (forward), 5'-GCCTCCCCTGGGTATCTTGT-3' (reverse), and 5'-6-FAM-CAGACCACATCCTGAGGAATCTGAGAAAACC-TAMRA-3' (probe)

5ß-Reductase: 5'-GCCTTTAAGCCTGGAGAGGAA-3' (forward), 5'-ACGTGGCACACAGATTTGATT-3' (reverse), and 5'-6-FAM-TGGTATATCACTCGGCCATTCTATCTTTAGGAT-TAMRA-3' (probe)

3{alpha}-HSD: 5'-TCTATACTTCAAAGCTTTGGAGCACTT-3' (forward), 5'-CCAGTTGAGTGCTTTTCAGTGTCT-3' (reverse), and 5'-6-FAM-TCCAAGCAAGTTCGGACCAGATCTG-TAMRA-3' (probe)

Cyclophilin: 5'-CCCACCGTGTTCTTCGACAT-3' (forward), 5'-GAAAGTTTTCTGCTGTCTTTGGAACT-3' (reverse), and 5'-6-FAM-CAAGGGCTCGCCATCAGCCGT-TAMRA-3' (probe)

A standard curve for each primer probe set was generated by serial dilution of cDNA pooled from several animals. Each sample was run in duplicate, and the mean values of the duplicates were used to calculate transcript level from the standard curve of the same tissue. Cyclophilin and 18S (Applied Biosystems, Cheshire, UK) were used to normalize transcript levels. In the liver the abundances of their mRNAs did not differ between treatments or genotypes, and, therefore, the mean of their results was used for correction. However, 18S alone was used to correct results from omental and sc fat because the abundance of transcript for cyclophilin differed between groups. RT-negative controls and intron-spanning primers were used to examine for and prevent amplification of genomic DNA.

Measurement of enzyme activities
The conversion of 1,2,6,7-[3H]4-corticosterone (GE Healthcare, Buckinghamshire, UK) to [3H]4-11-dehydrocorticosterone by 11ßHSD1 in hepatic microsomes (15 µg/ml protein) or adipose homogenate (100 µg/ml protein) was determined as described previously (14). 5ß-Reductase activity in the liver was assessed by the conversion of [3H]4-corticosterone to [3H]4-5ß-tetrahydrocorticosterone in hepatic cytosol as described previously (15).

The activity of 5{alpha}-reductase 1 could not be determined due to the instability of hepatic protein, as reported by Eicheler et al. (39). The activity of 3{alpha}HSD was not measured because it is not rate determining.

Statistics
All data are expressed as mean ± SEM; there were 10 animals in all groups. Data were analyzed by repeated measure and two-way ANOVA to test for effects of obesity and gonadectomy and the interaction between them, followed by post hoc Fisher’s least squares difference tests, as appropriate.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Body and tissue weights
Among sham-operated animals, obese rats were heavier at baseline, gained more weight during the experiment (Fig. 1Go), and had heavier thymus glands and lighter prostate glands (Table 1Go). With the exception of prostate weight, these differences persisted among gonadectomized rats. Gonadectomy dramatically reduced prostate gland weight and increased adrenal weight in both lean and obese animals, and increased thymus weight in lean animals only.


Figure 1
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FIG. 1. Body weight changes. Data are mean ± SEM. Open shapes designate sham rats, filled shapes gonadectomy (GDX) rats, squares lean rats, and circles obese rats. There were significant effects of obesity (P < 0.001) but not of gonadectomy and no significant interaction.

 

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TABLE 1. Comparisons of metabolic characteristics in lean, obese, nongonadectomized, and gonadectomized (GDX) Zucker rats

 
Biochemical measures
Among sham-operated animals, obese rats had elevated plasma glucose and insulin concentrations during the glucose tolerance test (Fig. 2Go), and higher cholesterol, HDL-cholesterol, and triglyceride levels in plasma (Table 1Go). Gonadectomy lowered circulating testosterone, and increased basal glucose levels in both lean and obese rats during the glucose tolerance test but did not alter insulin concentrations (Fig. 2Go). Circulating corticosterone was not altered either by obesity or gonadectomy, however, ACTH levels were higher in the obese rats.


Figure 2
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FIG. 2. Oral glucose tolerance tests. Data are mean ± SEM for plasma glucose (A) and insulin (B) levels 0, 30, and 120 min after oral glucose bolus. Open shapes designate sham rats, filled shapes gonadectomy (GDX) rats, squares lean rats, and circles obese rats. P values for repeated measure two-way ANOVA for the effect of obesity and gonadectomy and the interaction between them are shown in boxed text. Obese rats had higher concentrations of glucose and insulin than their lean counterparts. Gonadectomy significantly increased glucose, but not insulin. Ns, Nonsignificant.

 
Hepatic enzymes: activities and abundance of transcripts (Fig. 3Go)
Obese rats had lower 11ßHSD1 activities (significant post hoc in gonadectomized animals only) and mRNA. They had higher 5ß-reductase activity, without a difference in 5ß-reductase mRNA, and a higher abundance of mRNA for 5{alpha}-reductase 1 (when compared overall but not significant post hoc) but not for 3{alpha}HSD. Gonadectomy reduced 11ßHSD1 activity and mRNA expression, increased the abundance of 5{alpha}-reductase 1 and 3{alpha}HSD mRNAs, but exaggerated the increase in 5ß-reductase activity in obese rats (P < 0.05 vs. obese sham).


Figure 3
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FIG. 3. Hepatic enzyme activity and abundance of mRNA transcripts. Data are mean ± SEM. A, 11ßHSD1 activity. B, 11ßHSD1 mRNA. C, 5ß-Reductase activity. D, 5ß-Reductase mRNA. E, 5{alpha}-Reductase 1 mRNA. F, 3{alpha}HSD mRNA. Sham animals are shown as open bars and gonadectomy (GDX) animals as filled bars. P values shown in boxed text are for two-way ANOVA for the effect of obesity and gonadectomy and the interaction between them. *, P < 0.05; **, P < 0.01; ***, P < 0.001), followed by post hoc Fisher’s tests as brackets. Ns, Nonsignificant.

 
Adipose enzymes: activities and abundance of transcripts
Omental adipose tissue (Fig. 4Go).
Obese sham rats had higher expression of mRNAs for 5{alpha}-reductase 1 and 11ßHSD1, but this was not matched by increased 11ßHSD1 enzyme activity. Gonadectomy suppressed expression of 11ßHSD1 mRNA but only decreased activity in lean animals. Gonadectomy normalized 5{alpha}-reductase type 1 mRNA in obese rats (P < 0.05), and decreased 3{alpha}HSD mRNA expression in lean and obese rats.


Figure 4
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FIG. 4. Omental adipose tissue enzyme activity and the abundance of mRNA transcripts. Data are mean ± SEM. A, 11ßHSD1 activity. B, 11ßHSD1 mRNA. C, 5{alpha}-Reductase 1 mRNA. D, 3{alpha}HSD mRNA. Sham animals are shown as open bars and gonadectomy (GDX) animals as filled bars. P values shown in boxed text are for two-way ANOVA for the effect of obesity and gonadectomy and the interaction between them. *, P < 0.05; **, P < 0.01; ***, P < 0.001, followed by post hoc Fisher’s test as brackets. Ns, Nonsignificant.

 
Subcutaneous adipose tissue (Fig. 5Go).
The activity of 11ßHSD1 (P < 0.001), but not transcript abundance, was lower in obese sham compared with lean sham animals, and this difference was abolished by gonadectomy, which reduced 11ßHSD1 activity, more so in lean animals (P < 0.05). There was no influence of obesity or gonadectomy on 5{alpha}-reductase 1 mRNA expression, but gonadectomy reduced 3{alpha}HSD mRNA abundance only in obese animals (P < 0.05).


Figure 5
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FIG. 5. Subcutaneous adipose tissue enzyme activity and the abundance of mRNA transcripts. Data are mean ± SEM. A, 11ßHSD1 activity. B, 11ßHSD1 mRNA. C, 5{alpha}-Reductase 1 mRNA. D, 3{alpha}HSD mRNA. Sham animals are shown as open bars and gonadectomy (GDX) animals as filled bars. P values shown in boxed text are for two-way ANOVA for the effect of obesity and gonadectomy and the interaction between them. *, P < 0.05; **, P < 0.01; ***, P < 0.001), followed by post hoc Fisher’s test as brackets. Ns, Nonsignificant.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The changes in glucocorticoid metabolism observed in human obesity are recapitulated in the obese Zucker rat, namely increased hepatic A-ring reduction and tissue-specific changes in the activity of 11ßHSD1 (14, 15, 37). Previous studies have shown that the obese phenotype in these rats is dependent on glucocorticoids, and, indeed, adrenalectomy normalizes features such as weight gain, insulin resistance, hypertension, and dyslipidemia, along with changes in expression of mRNA and/or the activity of hepatic 11ßHSD1 and A-ring reductases (37). Reversal of insulin resistance alone ameliorates the overexpression of hepatic 5{alpha}-reductase 1 mRNA but does not normalize the alterations in the activity of 11ßHSD1 or of 5ß-reductase, suggesting a further contributory factor (15, 37). This study demonstrates that androgens also have a profound influence on glucocorticoid metabolism and that some, but not all, of the changes associated with obesity may be related to impaired androgen action in this condition.

Obesity in adult men is associated with low androgen levels in the blood (31), but this may be explained in part by low sex hormone binding globulin levels (31), so that the extent to which free androgens are reduced at the target tissue is debated. Male Zucker rats are reported to have low circulating androgens (32), although in our study this was a nonsignificant trend. However, our finding of low prostate weight supports the notion of functional androgen deficiency in the obese rats. Surprisingly, however, castration of rats reportedly causes an exaggerated gain in weight (33) and subtly improved insulin sensitivity (15, 37). Our data do not confirm these effects of castration on body weight but demonstrate a small increase in plasma glucose after gonadectomy. In the studies reported previously, the animals were studied after longer periods of gonadectomy or with castration at an earlier age (33), perhaps exaggerating the small effects.

The effects of gonadectomy on glucocorticoid metabolism were tissue specific, and also differed between lean and obese animals. The basal hepatic activity of 11ßHSD1 was decreased, and the abundance of transcript of 5{alpha}-reductase 1 and 3{alpha}-HSDs increased by gonadectomy. However, the magnitude of these changes was similar, and so the baseline difference between lean and obese animals remained, implying the changes observed in obesity are independent of androgen action. In contrast, the difference in expression of 11ßHSD1 mRNA between lean and obese animals was normalized, and the increase in 5ß-reductase mRNA in the liver of obese animals was exaggerated after gonadectomy, suggesting a role for androgens in the dysregulation of these enzymes in obesity. In omental and sc adipose tissue, the activity and mRNA expression of 11ßHSD1 were also tonically stimulated by androgens. The differences in adipose activity associated with obesity were obviated by gonadectomy, which also normalized the overexpression of 5{alpha}-reductase 1 mRNA in omental adipose and 3{alpha}HSD in sc adipose. This complex interplay between androgen and glucocorticoid action may mediate some of the variable effects of androgens on fat distribution and fuel partitioning.

These data support a role for androgens in stimulating baseline expression of 11ßHSD1 mRNA in both the liver and adipose. Broadly, the differences in expression of hepatic 11ßHSD1 mRNA and adipose activity in obesity were normalized by gonadectomy. It is possible that a reduction in liver 11ßHSD1 activity due to androgen deficiency may mediate beneficial long-term metabolic effects (40). Indeed, global 11ßHSD1 deficiency or inhibition in mice is associated with enhanced liver insulin sensitivity and protection against features of the metabolic syndrome on high fat feeding (41, 42, 43, 44). Discrepancies between the abundance of mRNA and protein reported here for 11ßHSD1 in omental adipose are as yet unexplained, although posttranslational modifications may contribute (45). Bujalska (46) and Jang (47) et al. also reported a lack of correlation between transcript and activity in pre-adipocytes and muscle, respectively. Tissue-specific competitive inhibitors against 11ßHSD1 (e.g. hepatic bile acids) (48) may be altered by interventions explaining these effects.

However, although impaired androgen action in obesity may explain the down-regulation of hepatic 11ßHSD1 in obesity, this is clearly not the explanation of increased adipose 11ßHSD1 observed in obesity (8, 9, 11). Indeed, in contrast, suppression of 11ßHSD1 was evident in adipose after gonadectomy of lean animals, an observation supported by dihydrotestosterone inducing transcription of 11ßHSD1 in pre-adipocytes (28). In adipose, unlike the liver, androgens may be converted to estrogens by aromatase that is up-regulated in obesity (49), perhaps limiting the effects of intact androgens in this tissue in the obese state (28).

Effects of androgen deficiency to increase A-ring reduction might also, in principle, alter glucocorticoid action within the liver, but there is as yet little evidence (50) that the activity of these enzymes influences local glucocorticoid receptor activation. It is more likely that the major consequence of increased A-ring reductase activity is an increase in metabolic clearance of glucocorticoids, which is compensated for by activation of the HPA axis, consistent with the observed enlargement of the adrenal glands. Indeed, previous studies have documented interactions between androgen levels and the HPA axis (51, 52). However, the increase in adrenal size in response to gonadectomy may also be explained by the ability of testosterone to repress expression of the corticotrophin-releasing factor (53). Thorough testing of the stress axis was not performed here, and measures of the HPA axis were only possible under partially stressed conditions at cull and, thus, did not reflect truly basal conditions. Plasma ACTH was increased in obesity, but not by gonadectomy, with maintenance of normal circulating corticosterone. In obesity, ACTH may be more responsive to the acute stress of sampling, resulting from activation of the HPA axis, either centrally or peripherally.

Hepatic A-ring reductases are under tonic suppression by androgens (20). El-Awady et al. (54) showed that removal of sex steroids in healthy male rats resulted in overexpression of hepatic 5{alpha}-reductase 1 mRNA, perhaps by posttranscriptional stabilization of mRNA. However, again there are likely to be additional signals that operate in obesity, e.g. acting in conjunction with IGF-I to up-regulate 5{alpha}-reductase 1 (55). Interaction between impaired androgenic actions and insulin resistance per se may explain altered expression of 5{alpha}-reductase 1 transcript, in keeping with our previous reports of the reversal of up-regulation of 5{alpha}-reductase 1 expression after insulin sensitization (15). In contrast, because castration enhanced expression and activity of 5ß-reductase in obese but not lean rats, this may explain why insulin sensitization alone does not fully reverse the overexpression of this enzyme in obesity. Discrepancies were apparent between the abundance of gene product and activity of 5ß-reductase in lean rats, and this may be due to motifs in the 3' UTR of mRNA encoding 5ß-reductase targeting it for prompt degradation (56, 57).

In conclusion, androgens play a powerful role in regulating the panel of enzymes involved with hepatic and adipose metabolism of glucocorticoids, and androgen deficiency may contribute to variations in glucocorticoid metabolism in obesity in leptin-resistant Zucker rats, most notably by enhancing the rate of steroid metabolism by 5ß-reductase and 11ßHSD1. The potential role of androgen deficiency in explaining alterations in hepatic cortisol metabolism in human obesity (6, 8, 9, 18), and its effects upon HPA axis activation in obesity, is now worthy of attention.


    Acknowledgments
 
We thank Scott Denham and Alison Ayres for excellent technical assistance.


    Footnotes
 
This work was supported by the British Heart Foundation, the Wellcome Trust, the Société Française d’Endocrinologie, and the Fond pour la Recherche Médicale.

Disclosure Statement: The authors have nothing to declare.

First Published Online July 12, 2007

1 P.B. and D.E.W.L. are joint first authors and contributed equally to the experiments and manuscript. Back

Abbreviations: HDL, High-density lipoprotein; HPA, hypothalamic-pituitary-adrenal; 11ßHSD1, 11ß-hydroxysteroid dehydrogenase 1.

Received May 4, 2007.

Accepted for publication June 28, 2007.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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D. E W Livingstone, S. L Grassick, G. L Currie, B. R Walker, and R. Andrew
Dysregulation of glucocorticoid metabolism in murine obesity: comparable effects of leptin resistance and deficiency
J. Endocrinol., May 1, 2009; 201(2): 211 - 218.
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