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RESEARCH |
School of Biomedical Sciences, University of Nottingham Medical School, Queens Medical Centre, Nottingham NG7 2UH, UK, 1 AstraZeneca, Alderley Park, Cheshire, UK and 2 Department of Anatomy and Cell Biology, Monash University, Victoria 3800, Australia
Correspondence should be addressed to F Ebling; Email: fran.ebling{at}nottingham.ac.uk
| Abstract |
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| Introduction |
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and ERß) (Fisher et al. 1997, Saunders et al. 1998, Zhou et al. 2002). The progressive impairment of spermatogenesis observed in transgenic mice deficient in aromatase (Robertson et al. 1999) or ER
(Eddy et al. 1996, Hess et al. 1997) is thought to reflect predominantly a deficit in fluid reuptake in the efferent ducts of the testis, but the expression of ER in Leydig and Sertoli cells raises the possibility that estrogens also have actions within the testis itself. ERß immunoreactivity has also been detected within the germ cell line in the rat and mouse testis (Saunders et al. 1998, Zhou et al. 2002) and ER
mRNA and immunoreactivity have been reported in human spermatozoa (Durkee et al. 1998). However, the demonstration that transgenic germ cells lacking ER
can be transplanted into a host testis depleted of native germ cells, and can then mature to produce viable offspring (Mahato et al. 2000), has focused attention on the actions of estradiol on the somatic components of the testis. We have previously observed that treatment of hypogonadal (hpg) mice with low levels of estradiol causes increases in testicular weight that reflect maturation of the seminiferous epithelium and the production of spermatozoa (Ebling et al. 2000). The hpg mouse is an excellent animal model in which to investigate the mechanism of action of estrogens on spermatogenesis because it has arrested reproductive development without the need for surgical, endocrine, pharmacological or immunological intervention. This mouse line is infertile due to a congenital deficiency of hypothalamic gonadotropin-releasing hormone (GnRH) synthesis leading to markedly reduced pituitary contents of luteinizing hormone (LH) and FSH and undetectable or barely measurable serum gonadotropin levels (Cattanach et al. 1977, Charlton et al. 1983). Consequently, the testes fail to undergo normal postnatal development and, at an adult age, hpg testicular androgen production is barely detectable (Sheffield & OShaughnessy 1989, Scott et al. 1990). Treatment of hpg mice with androgen alone is sufficient to induce spermatogenesis and this occurs in the absence of detectable FSH concentrations (Singh et al. 1995). Conversely, treatment with recombinant human FSH can induce testicular development in hpg mice, reflecting increased proliferation of spermatogonia and increased spermatocyte numbers (Singh & Handelsman 1996). However, in the absence of supplementary testosterone treatment, spermatogenesis was arrested at the spermatoctye stage, with little evidence of formation of round spermatids (Singh & Handelsman 1996). In contrast to the limited effects of treatment of hpg mice with FSH alone (Singh & Handelsman 1996), our initial studies have shown qualitatively normal spermatogenesis after treatment with estradiol. The overall aim of the current study was to determine whether this might reflect actions of estradiol other than via pituitary release of FSH and, given the evidence for an absolute requirement for androgen in completion of spermatogenesis in the hpg mouse (Singh & Handelsman 1996), we specifically investigated whether the actions of estradiol are androgen-dependent.
The main experimental approach was to determine whether concurrent treatment with Casodex (bicalutamide), a peripherally selective androgen receptor antagonist (Furr et al. 1987), could block the stimulatory actions of estradiol treatment in hpg mice. Casodex has been shown to induce subtle deficits in spermatogenesis in adult rats, for example, a reduction of germ cell numbers during stage VII of spermatogenesis (Chandolia et al. 1991a,b). We also determined whether estradiol treatments that stimulate spermatogenesis could increase pituitary LH production, since our initial studies had only investigated effects on FSH release, and whether estradiol treatment could increase intratesticular androgen levels. Our initial studies in hpg mice did not detect increases in serum androgen concentrations (Ebling et al. 2000) but we predicted that, if the stimulatory action of estradiol was androgen-dependent, then small increases in intratesticular levels of androgen might occur after estradiol treatment. Finally, we determined whether the effects of estradiol could be blocked by concurrent treatment with Faslodex (ICI 182,780), an estrogen receptor antagonist (Wakeling & Bowler 1992). This part of the study was carried out for two reasons: first as a positive control, to confirm that an infrequent administration regime with an antagonist could block the effect of estradiol delivered continuously by subcutaneous silastic implant. Secondly, the stimulatory effects of estradiol on spermatogenesis in hpg mice were so unexpected and paradoxical that we wished to confirm that the action was genuinely via the known genomic estrogen receptors, rather than an interaction of estradiol with other cellular mechanisms.
| Materials and Methods |
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Chronic estradiol treatments
Estradiol implants were made by packing 10 mm crystalline 17ß-estradiol (Sigma) mixed 1:50 (2%) by weight with cholesterol into silastic tubing (1.59 mm i.d., 3.18 mm o.d.; Osteotec, Christchurch, Dorset, UK) plugged at either end with silicone medical adhesive (Osteotec). After the adhesive had been allowed to cure for at least 24 h at room temperature, implants were washed with 70% ethanol. They were then incubated in saline for 24 h before implantation, so that release rates would be stabilized by the time the implants were placed under the skin (Ebling et al. 2000). A single implant was placed subcutaneously into the flank under general anesthesia (ketamine 0.4 mg/kg and medetomidine 2 mg/kg, i.p.; Dodge Animal Health, Southampton, UK). Anesthesia was reversed with 1 mg/kg atipamezole (Anti-sedan, Pfizer Animal Health, Sandwich, Kent, UK), and mice were treated post-operatively with 5 mg/kg carprofen, a non-steroidal anti-inflammatory analgesic (Rimadyl; Pfizer). These 2% estradiol implants maintain serum estradiol concentrations of approximately 40 pg/ml in adult female or male hpg mice, as measured 12 or 35 days after implantation respectively (Ebling et al. 2000). Vom Saal et al.(1997) reported estradiol levels of 94 pg/ml in fetal male mice, and Bianco et al.(2002) reported circulating estradiol concentrations of 14 pg/ml in adult male mice as compared with 19 pg/ml in hpg male mice. Thus, the levels of estradiol produced by 2% estradiol implants are two- to three-fold higher that those found in normal adult male mice, but lower than those found in fetal male mice, and much lower than the supraphysiological serum estradiol levels found in transgenic mice overexpressing human aromatase (~150 pg/ml; Li et al. 2001). Moreover, the serum estradiol levels produced by our implants are much lower than those found in rete testis fluid of the adult rat (~250 pg/ml; Free & Jaffe 1979).
Chronic hormone antagonist treatments
Casodex and Faslodex were kindly donated by AstraZeneca Pharmaceuticals (Safety Assessment UK, Alderley Park, Macclesfield, Cheshire, UK). Doses of Faslodex (fulvestrant or ICI 182,780, long-acting intramuscular formulation) were chosen on advice from AstraZeneca Pharmaceuticals. Administration of 250 mg/kg subcutaneously every 30 days to the mouse is known to cause expected anti-estrogenic changes in the male and female reproductive tract. Pharmacokinetic studies in the mouse conducted by AstraZeneca confirm that circulating levels of ICI 182,780 are detected 30 days post dose consistent with a slow release of ICI 182,780 from the long-acting formulation. There is some accumulation on repeat dosing every 30 days. Thus, administration of 250 mg Faslodex/kg every 3 weeks to the hpg mouse would be expected to cause estrogen receptor blockade throughout the administration period.
Doses of Casodex (bicalutamide, ICI 176,334) were chosen following consultation with AstraZeneca Pharmaceuticals. Based on studies in mice carried out by AstraZeneca, administration of 5 mg/kg/day orally for 3 months or more is known to cause atropy of the prostate and seminal vesicles. Administration of 75 mg/kg/day, although well tolerated, causes significant liver hyperplasia associated with hepatic P450 induction. The dose used for the current studies (40 mg/kg three times a week) was chosen as an intermediate effective dose, consistent with extensive doseresponse studies in the male rat (Luo et al. 1997) and studies in male mice (Skarda 2003).
Experimental designs
Study 1: effect of chronic estradiol treatment on pituitary gonadotropin content
hpg mice received either a 2% estradiol implant or an implant containing cholesterol only. Pituitary glands and testes were collected from subgroups treated with 2% estradiol after 1, 3, 6 and 17 weeks of treatment and from groups treated with cholesterol after 1 and 17 weeks of treatment (n = 35 per subgroup). Pituitary glands were stored at 20 °C, then homogenized in 0.5 ml 0.01 M phosphate-buffered saline (PBS) prior to assay.
Study 2: pilot study to determine activity of Casodex and Faslodex in hpg mice
Wet uterus weight was recorded in adult female hpg mice (n = 57 per group) that had been treated for 14 days with a silastic capsule containing 100% cholesterol or 2% estradiol in cholesterol, or a single injection of 250 mg/kg Faslodex s.c. or vehicle, or with Casodex in 0.5% Tween 20 solution (oral gavage of 40 mg/kg, three times per week), or with both a 2% estradiol silastic implant and 250 mg/kg Faslodex s.c. Uterine weights were also determined for an age-matched group of wild-type females.
Study 3: effect of androgen-receptor blockade on estradiol-induced testis development
15 hpg mice received a 2% estradiol implant and subgroups (n = 5 each) were also treated with (i) Casodex in 0.5% Tween 20 solution as an oral gavage at a dose of 40 mg/kg, three times per week; (ii) Faslodex, 250 mg/kg, s.c., at three-week intervals; or (iii) an oral gavage of vehicle (0.5% Tween 20 solution) three times per week. A further group of hpg mice received no treatment (n = 5), and a final group (n = 5) of age-matched wild-type mice also received no treatment. After 70 days of treatment, a blood sample was collected by cardiac puncture under terminal sodium pentobarbitone anesthesia (Rhone Merieux, Harlow, Essex, UK) and mice were then killed by cervical dislocation. Their testes, epididymides and seminal vesicles were excised, trimmed of fat and connective tissue, blotted dry on tissue and weighed. Pituitary glands were removed and stored at 20 °C until homogenized in 0.5 ml 0.01 M PBS for assay of gonadotropins. Testes were immersed for up to 24 h in Bouins fixative, processed through graded alcohols and embedded in paraffin wax blocks. These were serially sectioned at 5 µm, the sections mounted upon gelatinized microscope slides and stained with hematoxylin and eosin.
Study 4: effect of chronic estradiol treatment on testicular androgen concentrations
Unfixed testes were collected from hpg mice implanted with cholesterol (n = 7) or estradiol (n = 18) for between 8 and 10 weeks that constituted control groups for other studies, and also from untreated age-matched wild-type males (n = 3). Testes were stored at 20 °C. Immediately prior to assay, they were homogenized in 0.5 ml 0.01 M phosphate-buffered saline, then extracted twice with 2 ml ether. After the solvent was dried down, the extract was resuspended in 1 ml assay buffer.
Morphometric analyses
The primary morphometric aims were to estimate volumes of seminiferous tubules and seminiferous epithelium within testes. To this end, stereological estimates (Howard & Reed 1998) were made on tissue images randomized for location and orientation by a multistage systematic random sampling design. For each testis, four sections were randomly chosen for analysis and six fields were selected per section. Fields were sampled as images captured on a Leica DM4000B brightfield microscope via OpenLab software (Improvision, Coventry, West Midlands, UK) and printed to a final magnification of x 1000 with the aid of a stage micrometer scale as an external calibration standard. Volume fractions of testicular component were determined by randomly superimposing a transparent grid comprising 35 test points in a quadratic array. The total number of points landing on a given component (tubule, lumen, epithelium), divided by the total number of points landing on the testis sections, determined the volume fraction. The absolute volume of each component per testis was estimated subsequently from the product of the volume fraction and the processed testicular volume. In order to assess whether changes in tubule volume were attributable to changes in calibre or total length, mean diameters of seminiferous tubules were measured after selecting tubules using an unbiased counting frame (Howard & Reed 1998). In the case of elliptical profiles, the short axis was measured. To give an indication of the degree of germ cell development, each of the 24 fields per testis collected for stereological analysis was also scored by an observer blind to the experimental treatment to indicate the most mature germ cell type present within the field.
Hormone assays
The pituitary gland extracts from study 1 were assayed in duplicate at two or more dilutions using previously validated heterologous radioimmunoassays based upon reagents obtained from the NIDDK (National Institute of Diabetes and Digestive and Kidney Diseases) NIH, Bethesda, MD, USA. The iodination of the tracer preparations (rat FSH, AFP-11454B and rat LH, AFP-11536B) was carried out using the Chloramine-T method. Pituitary extracts and serum samples from wild-type C3H mice diluted in parallel to the standard curve and gonadotropin concentrations were expressed relative to these standards (mouse FSH, AFP-5308D, mouse LH, AFP-5306A). In study 2, FSH and LH contents in pituitary gland extracts were compared using a rat FSH immunoradiometric kit (AH R004, Biocodehycel, Liege, Belgium) and a rat LH RIA kit respectively (AH R002, Biocodehycel). Pituitary extracts from wild-type and hpg mice diluted in parallel with the rat FSH standard; the limit of detection was 1.5 ng/ml (7.5 ng/pituitary when 100 µl extract assayed). All samples were measured in a single assay. The LH assay is a highly sensitive assay (limit of detection 0.12 ng/ml for a 100 µl sample, i.e. 0.6 ng/pituitary) but, as murine extracts did not dilute in parallel with the rat standards, all experimental samples were compared at the same dilution in a single assay. The values expressed for pituitary content should be considered as relative values rather than absolute values due to this partial cross-reactivity of murine LH with the anti-rat LH antiserum.
Intratesticular androgen was measured using a highly sensitive solid phase ELISA (DRG1559 kit; Immunodiagnostic Systems Ltd, Boldon, Tyne & Wear UK). The limit of detection for a 100 µl sample of reconstituted extract was 10 pg/tube which equates to 0.1 ng/testis. All samples were extracted in a single batch and assayed in the same ELISA, and are not corrected for the efficiency of the extraction process. This assay is highly specific for testosterone; cross-reactivity with other androgens is less than 0.9%.
Statistical analysis
Data are presented as group mean values ± S.E. A one-way ANOVA (Statview, Calabas, CA, USA or Prism 2.01, GraphPad Software, San Diego, CA, USA) was used initially to determine whether there were significant overall effects of the various treatments on organ weights, testis morphometry and hormone values. Subsequently, individual groups were compared with a defined control group using Dunnetts procedure for post-hoc comparisons, or multiple comparisons between groups were made using Tukeys post-hoc tests. For histometric studies on the predominant germ cell types in random microscopical fields, numerical frequency distributions were pooled across animals within each group. Distributions in treated and untreated hypogonadal groups were then compared using a 4 x 3 contingency table design and a chi-squared analysis where 4 is the number of groups and 3 is the number of germ cell types (spermatocytes, round spermatids and elongating spermatids). For statistical purposes, hormone values below the assay limit of detection were assigned the limit value in analyses. P values <0.05 were considered statistically significant.
| Results |
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Estradiol treatment significantly (P < 0.01) increased pituitary FSH content (Fig. 5
, upper panel). Concurrent Casodex treatment did not affect the estradiol-induced increase in FSH content, whereas Faslodex treatment significantly attenuated the effect of estradiol (P < 0.05) (Fig. 5
). No significant effects of treatment were observed on pituitary LH content (Fig. 5
, lower panel).
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| Discussion |
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Low testosterone concentrations were detectable in the majority of testes analyzed from hpg mice, as previously observed (Singh et al. 1995). This low level of androgen in the hpg testis is clearly of major significance in terms of the action of estradiol because the key finding of the current series of studies is that blockade of the androgen receptor with Casodex greatly attenuated the induction of spermatogenesis by estradiol. However, concurrent Casodex treatment did not block the stimulatory actions of estradiol on pituitary FSH production. The incomplete blockade of the estradiol-induced increase in testis weight could be taken as evidence that some actions of estradiol in the hpg male are independent of androgens, or could reflect a sub-maximal dose of the drug in this particular experimental paradigm. Moreover, we cannot fully exclude the possibility that Casodex has some partial agonist activity in hpg mice as there were not sufficient mice available to confirm that treatment with Casodex alone produced no effect on the testis. However, the pilot studies in female hpg mice did not reveal any estrogen-agonist activity of this compound, and no partial androgen-agonist properties of Casodex were reported in a previous study of its effects in intact and castrated C3H mice (Skarda 2003). We therefore conclude that, in the mouse, testosterone action is critical for the completion of spermatogenesis; FSH alone is not sufficient. Indeed, in a previous study in which hpg mice were treated with androgens alone, qualitatively normal spermatogenesis was induced despite an absence of detectable circulating FSH concentrations (Singh et al. 1995). Thus, in a qualitative sense, FSH is not even necessary for spermatogenesis in the mouse although, in a quantitative sense, it is extremely important because of its actions on Sertoli cell proliferation and function during the postnatal and pubertal periods (Johnston et al. 2004).
The current studies provide several insights into understanding how estradiol interacts with FSH and testosterone to regulate spermatogenesis. We have considered four hypotheses that are illustrated as models in Fig. 7
. Models I and II consider actions of estradiol within the testis, since the presence of aromatase in the testis and direct measurements of estradiol production support the view that low levels of estradiol might be produced to act as a paracrine factor (see Carreau 2002 for review). The most direct hypothesis to explain how Casodex blocks the action of estradiol would be that estradiol acts upon Ley-dig cells to promote androgen production, which then acts upon the seminiferous tubules (Fig. 7
, model I). In support of this model is the observation that in both rodents and primates, Leydig cells express ER
(Fisher et al. 1997, Pelletier & El-Alfy 2000, Zhou et al. 2002), yet there has been no functional explanation for this finding. The limitations of this model are that we were unable to detect any increase in testicular testosterone content after estradiol treatment and are unaware of any other functional evidence that estrogens can promote androgen production by Leydig cells. Indeed, the majority of evidence suggests that estradiol inhibits Leydig cell proliferation and steroidogenesis (see Abney 1999 for review).
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Models III and IV (Fig. 7
) consider actions of estradiol within the pituitary gland, as our Western blot studies reveal the presence of both ER
and ERß immunoreactivity of appropriate molecular weight in the pituitary gland of male hpg mice (Nwagwu et al. 2003). Moreover, in female mice, estradiol treatment is known to elicit daily ovulatory surges of LH (model III) and FSH (model IV) the phenomenon of positive feedback (Murr et al. 1973, Bronson & Vom Saal 1979). It might be hypothesized that due to incomplete postnatal masculinization, the male hpg mouse can also express such responses to estradiol treatment. Present studies confirm that estradiol treatment of male hpg mice increases FSH content, although no significant increase in pituitary LH content was observed after estradiol. Likewise, serum LH concentrations were undetectable in hpg mice (E C Furneaux & F J P Ebling, unpublished data). Model III may seem unlikely given the failure to observe an increase in pituitary LH content after estradiol treatment. However, the slight possibility remains that serum LH levels were increased by estradiol but were still below the assay limits of detection.
Model IV (Fig. 7
) is supported by a number of lines of evidence. The estradiol-induced rise in FSH has been observed in all studies that we have carried out in hpg mice and the model predicts that this increase in FSH acts upon Sertoli cells by synergizing with the low level of testosterone produced by the Leydig cells. Indeed, in vitro studies in which Leydig and Sertoli cells were co-cultured suggest that FSH may augment the production of testosterone by Leydig cells via release of paracrine factors from Sertoli cells (Verhoeven & Cailleau 1990). It should be noted that although the estradiol treatment produced approximately twofold increases in pituitary FSH content in male hpg mice, the resulting pituitary FSH content was still an order of magnitude less than that in wild-type male mice (Fig. 5
). Circulating FSH concentrations were not measured in the current study, but our previous studies in hpg males using similar estradiol treatments revealed that serum FSH concentrations reached 3040% of those found in wild-type males (Ebling et al. 2000). We were unable to detect any increase in testicular testosterone content (study 4) despite these increases in FSH, and a previous study in which hpg mice were directly treated with recombinant FSH also failed to detect increases in serum or testicular testosterone (Singh & Handelsman 1996). However, model IV does not require that testosterone levels should increase, merely that a low level of testosterone should be present within the testis that will then permit the actions on the Sertoli cell of the increase in FSH that is induced by estradiol treatment.
Given that multiple cell phenotypes in the reproductive axis express estrogen receptors, one might expect multiple sites of action of estradiol, and thus the physiological effects of estradiol may only be understood via a combination of the proposed models. The common feature of models reflecting the current findings is the critical dependence on testosterone for induction of spermatogenesis; FSH alone cannot support spermatogenesis in mice. Similar conclusions have been reached in other studies in mice where FSH or testosterone signaling has been disrupted by genetic modification. Thus mice lacking production of the FSH beta subunit (Kumar et al. 1997) or lacking the FSH receptor (Dierich et al. 1998, Abel et al. 2000) retain a degree of fertility, whereas those in which the androgen receptor is knocked out are completely infertile (Yeh et al. 2002, De Gendt et al. 2004). This is true even when the knockout is restricted to Sertoli cells thus allowing other aspects of masculinization to occur (De Gendt et al. 2004).
Stimulatory actions of estrogens on testis development have been reported in a number of other rodent models and provide some evidence that estradiol exerts its stimulatory effects via an interaction with FSH. For example, treatment of neonatal rats with estradiol benzoate in the second week of life (postnatal days 5 to 11) stimulates mitosis such that the abundance of type A spermatogonia increases as assessed at day 15 (Kula 1988). In this same experimental paradigm, estradiol benzoate treatment significantly enhanced the actions of FSH on pre-meiotic differentiation at this early stage of development resulting in increased abundance of pachytene spermatocytes (Kula et al. 2001). Similar stimulatory effects of diethylstilbestrol treatment in the neonatal period on the initiation of spermatogenesis in rats have also been observed associated with small increases in circulating FSH (Atanassova et al. 2000). Thus, it is possible that estradiol is acting directly on immature pituitary gonadotropes to induce FSH secretion, even though one would normally expect estradiol to act as a negative feedback agent and inhibit FSH production in adult male rodents (Ebling et al. 2000). Perhaps the gonadotropes in the pituitary of the hpg mouse can be considered to be functionally immature as they have never been exposed to GnRH, hence the pituitary gland in an adult hpg mouse responds to estradiol in a similar way to that in the neonatal rat. In support of this conjecture that the gonadotropes of the hpg mice retain early developmental characteristics, it has recently been demonstrated that the expression of the melatonin (MT1) receptor is substantially higher in the pituitary gland of the hpg mouse than in age-matched litter mates (Johnston et al. 2003). A high level of expression of MT1 is a characteristic feature of the fetal-neonatal stage of pituitary gland development in rats and mice (Johnston et al. 2003), thus the maintenance of high levels of expression in the pituitary glands of adult hpg mice suggests incomplete maturation of this tissue.
The induction of FSH secretion is clearly not the only mechanism by which estradiol promotes testicular function. For example, treatment of adult Siberian hamsters during the seasonal phase of testicular regression with low levels of estradiol can initiate the recrudescence phase, as observed by increased testis weight and histological analysis of germ cell line development (Pak et al. 2002). This estrogenic stimulation of seasonal testis reactivation correlates with decreased levels of pituitary and plasma LH and FSH compared with control hamsters treated with cholesterol (Pak et al. 2002), implying actions of estradiol within the testis that over-ride the decreased gonadotropin drive. Moreover, Kula et al.(2001) demonstrated that combined treatment of neonatal rats with both FSH and estradiol markedly enhanced the efficiency of premeiotic spermatogenesis, suggesting a synergistic effect probably at the level of the Sertoli cell.
The studies in which concurrent treatment with Faslodex blocked the actions of estradiol provide evidence that the stimulatory actions of estrogen are true actions via the known genomic receptors, and not, for example, cross-reactivity of estrogen with androgen receptors, as has been proposed for estrogenic actions on the prostate gland (Yeh et al. 1998). Indeed, the concurrent anti-androgen treatment had no effect on estrogen-induced growth of the seminal vesicles and epididymides, whereas concurrent Faslodex treatment completely blocked this. We infer that there are direct actions of estradiol in these tissues, distinct from those mediated via the androgen receptor. Stimulatory actions of estradiol on prostate and seminal vesicle growth in the hpg mouse have previously been reported (Bianco et al. 2002) and are consistent with the expression of ER
in stromal cells in these tissues (see Bianco et al. 2002 for review).
In conclusion, the stimulation of FSH production by estradiol is not sufficient to explain the initiation of spermatogenesis by estradiol in hpg mice. Blocking the actions of estradiol by the anti-androgen Casodex demonstrates a requirement for functional androgen receptors for induction of testicular growth. In contrast, the stimulatory actions of estradiol on the seminal vesicles and epididymides, classically considered androgen-responsive organs, are likely to be direct effects via estrogen receptors expressed in those tissues. Testicular maturation is arrested at a pseudo-neonatal stage in the hpg mouse due to the chronic gonadotropin insufficiency, so the physiological relevance of these experimental observations is likely to be that estradiol is important in the initial development of the male reproductive axis.
| Acknowledgements |
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| Footnotes |
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* (H Baines and M O Nwagwu contributed equally to this work) ![]()
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