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Journal of Andrology, Vol. 23, No. 3, May/June 2002
Copyright © American Society of Andrology


Perspectives and Editorials

Response to Commentaries

Barry R. Zirkin, PhD
Division of Reproductive Biology
Department of Biochemistry and Molecular Biology
Johns Hopkins School of Hygiene and Public Health
Baltimore, MD 21205

Culty M, Luo L, Yao Z, Chen H, Papadopoulos V, Zirkin B. Cholesterol transport, peripheral benzodiazepine receptor, and steroidogenesis in aging Leydig cells. J Androl. 2002 ;23:439–447.[Abstract/Free Full Text]



The mechanism by which steroidogenesis declines as males age is indeed a "maddening puzzle." In Brown Norway rats, as in humans, serum testosterone concentration is reduced with aging, the result of the reduced ability of individual Leydig cells to produce testosterone. For the past 5 years, we have conducted studies addressing 2 major issues: 1) What are the deficits in aging Leydig cells that might explain age-related reductions in their ability to produce testosterone? and 2) What causes these deficits?

We now know a great deal about age-related Leydig cell deficits. Aging Leydig cells are characterized by reductions in luteinizing hormone receptor number, cyclic adenosine monophosphate (cAMP) production, steroidogenic acute regulatory (StAR) protein, peripheral benzodiazepine receptor (PBR), cholesterol transport, and conversion of cholesterol to testosterone by enzymes residing in the mitochondria and smooth endoplasmic reticulum. Is there any one among these changes that leads to the rest? Recently obtained results strongly suggest that the reduced ability of Leydig cells to produce cAMP is likely to represent a critical, initiating event that leads to downstream deficits in the steroidogenic machinery; and, consistent with this, that it may be possible to restore steroidogenic function to the old Leydig cells by bypassing cAMP. Just how deficits in signal transduction affect cholesterol transport, and the exact relationship of the latter to PBR and StAR, remain to be determined.

Although the causes of age-related Leydig cell deficits remain elusive, support is emerging for the idea that reactive oxygen is likely to play a major role in the reduced ability of old Leydig cells to produce testosterone. The risk of damage from reactive oxygen species is particularly high for steroidogenic cells because reactive oxygen is produced both via the electron transport chain and the P450 enzymes. Recent studies from our laboratory indicate that the production of superoxide increases with Leydig cell aging (Chen et al, 2001), and that the expression of genes for SOD1, catalase, and glutathione peroxidase, the products of which protect Leydig cells from oxidative stress, are reduced in aging Leydig cells. We speculate that aging may alter the ability of the Leydig cell to respond to stress, and that this leads to damage to the cell's steroidogenic machinery and ultimately to reduced steroidogenesis. The "maddening puzzle" appears to be on the edge of becoming less maddening.


References

Chen H, Cangello D, Benson S, Folmer J, Zhu H, Trush MA, Zirkin BR. Age-related increase in mitochondrial superoxide generation in the testosterone of Brown Norway rat testes: relationship to reduced steroidogenic function? Exp Gerontol. 2001; 36: 1361 -1373.[Medline]





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