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Published-Ahead-of-Print July 3, 2008, DOI:10.2164/jandrol.108.005108
Journal of Andrology, Vol. 29, No. 6, November/December 2008
Copyright © American Society of Andrology
DOI: 10.2164/jandrol.108.005108

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Dietary-Induced Hyperthyroidism Marginally Affects Neonatal Testicular Development

EDDY RIJNTJES*, ANNA T. WIENTJES*, HANS J. M. SWARTS*, DIRK G. DE ROOIJ{dagger} AND KATJA J. TEERDS*

From the * Department of Animal Sciences, Human & Animal Physiology Group, Wageningen University, Wageningen, The Netherlands; and the {dagger} Department of Endocrinology and Metabolism, Utrecht University, Utrecht, The Netherlands, and the Center for Reproductive Medicine, Academic Medical Center, Amsterdam, The Netherlands.

Correspondence to: Dr Katja J. Teerds, Department of Animal Sciences, Human & Animal Physiology Group, Wageningen University, Marijkeweg 40, 6709 PG Wageningen, The Netherlands (e-mail: katja.teerds{at}wur.nl).
Received for publication February 14, 2008; accepted for publication May 8, 2008.

   Abstract
 Top
 Abstract
 Methods
 Results
 Discussion
 References
 
The objective of this study was to determine whether dietary-induced mild fetal/neonatal hyperthyroidism influenced the initiation of spermatogenesis and the development of the adult-type Leydig cell population. Previously, the effects of neonatally induced hyperthyroidism have been investigated in rats using rather high doses (5 to 10 µg/100 g body weight) of tri-iodothyronine, which not only influenced testicular development, but also negatively affected the general body condition of the animals. To induce hyperthyroidism the diet of the dams was supplemented with 15 µg thyroxine (T4)/100 g body weight 2 weeks prior to mating and the dams and their offspring were kept on this diet until sacrifice. Pups were killed between days 7 and 64 after birth. At the age of 12 days plasma thyroid-stimulating hormone (TSH) levels tended to be lower in hyperthyroid pups, and from the age of 15 days onwards plasma TSH levels were significantly lower in hyperthyroid animals. Concomitantly, plasma T4 levels were significantly elevated. From the age of 12 days onwards, plasma follicle-stimulating hormone levels were lower in hyperthyroid animals compared with age-matched control groups. Sertoli cell differentiation did not seem to be influenced by the mild hyperthyroid condition, as no difference in tubule lumen formation was observed between euthyroid and hyperthyroid animals. Nevertheless, a small effect on the progression of spermatogenesis was observed 15 days after birth, as the most advanced type of germ cells in the control testis were pachytene spermatocytes, whereas in the hyperthyroid testis these were leptotene and zygotene spermatocytes. Leydig cell proliferation was decreased in the hyperthyroid pups at the age of 15 days and slightly elevated at later ages, suggesting a possible slower onset of the proliferative activity of these cells than in the euthyroid control animals. Taken together, the present results suggest that even mild dietary-induced hyperthyroidism transiently affects the development of the adult-type Leydig cell population as well as the initial progression of spermatogenesis.

     Key words: Thyroxine, Leydig cell development, Sertoli cell differentiation, hyperthyroid



The gonadotrophins luteinizing hormone (LH) and follicle-stimulating hormone (FSH) are essential for normal growth and differentiation of Leydig cells and Sertoli cells, and for the initiation and progression of spermatogenesis (Greep et al, 1936; Christensen, 1975). In rats the development of fetal-type Leydig cells starts in utero, whereas the development of adult-type Leydig cells is initiated during prepuberty (Haider, 2004). The mature adult-type Leydig cell population develops from stem Leydig cells through several steps of differentiation and proliferation (Lording and De Kretser, 1972; Hardy et al, 1989; Mendis-Handagama and Ariyaratne, 2001; Haider, 2004; Ge et al, 2006). Spindle-shaped stem Leydig cells, identified by the presence of platelet-derived growth factor receptor-{alpha}, leukemia-inhibiting factor receptor, and c-kit, and the absence of LH receptors and steroidogenic enzyme expression, are thought to differentiate into 3β-hydroxysteroid dehydrogenase (3β-HSD)/LH receptor–positive Leydig cell progenitors between days 10 and 12 after birth (Ge et al, 2006; Teerds et al, 2007). Subsequently, these cells undergo further proliferation and differentiate into immature adult-type Leydig cells between days 28 and 35 after birth. Around this age the proliferative activity of the cells is decreasing rapidly, and the immature-type Leydig cells gradually develop into mature terminally differentiated adult-type Leydig cells. By the end of puberty the development of the adult population is completed (Haider, 2004).

Apart from gonadotrophins, endogenously produced (growth) factors as well as thyroid hormones are of importance in the regulation of these processes (Haider, 2004). In the past decade and a half, considerable attention has been paid to the effects of thyroid hormones on testicular development. Transient neonatal-prepubertal hypothyroidism, for instance, was shown to induce an increase in testicular size in adult rats and mice. These changes were caused by a prolongation of Sertoli cell proliferation and a delay in Sertoli cell differentiation leading to approximately 80% and 140% increases in Sertoli cell and germ cell numbers, respectively (Cooke et al, 1993; Hess et al, 1993; Van Haaster et al, 1993; Simorangkir et al, 1995). In parallel to the effects on Sertoli cell development, adult-type Leydig cell progenitor formation was delayed under these conditions, whereas Leydig cell proliferation was prolonged. This led to an approximately 70% increase in the size of the Leydig cell population in the adult testis (Hardy et al, 1993; Mendis-Handagama et al, 1998; Teerds et al, 1998).

The effects of elevated thyroid hormone levels during the neonatal-prepubertal period appear to be opposite to those of hypothyroidism. Daily administration of the thyroid hormone tri-iodothyronine (T3) has been shown to stimulate Sertoli cell differentiation, leading to a premature cessation of Sertoli cell proliferation (Van Haaster et al, 1993). As a consequence the final number of Sertoli cells in the adult testis was reduced by approximately 50% and concomitantly the total number of germ cells was also decreased (Van Haaster et al, 1993). The formation of Leydig cell progenitors and thus the development of the adult-type Leydig cell population was advanced under these conditions (Teerds et al, 1998; Ariyaratne et al, 2000). In all these studies hyperthyroidism was induced by daily injections of T3 to neonatal-prepubertal animals, in doses ranging from 5 to 10 µg/100 g body weight. When T3 is given in such high doses, it is likely to affect the physical condition of these young animals. Indeed, we previously reported that after 5 days of treatment the rats began to display a fast, light tremor of the paws (Teerds et al, 1998). When treatment was continued the effects of T3 became increasingly severe and, therefore, depending on the dose of T3 injected daily these experiments were usually terminated by the time the animals had reached the age of 16 to 21 days (Teerds et al, 1998; Ariyaratne et al, 2000; Mendis-Handagama et al, 2007). These side effects are by themselves not surprising because a daily dose as low as 0.5 µg T3/100 g body weight already results in thyroid-stimulating hormone (TSH) concentrations below the detection limit of the radioimmunoassay (RIA), indicative of hyperthyroidism (Escobar-Morreale et al, 1997).

In the present investigation we have expanded the above-mentioned in vivo studies on the effects of transient neonatal-prepubertal hyperthyroidism on gonadal development by using a more physiological approach and by expanding the hyperthyroid condition from the fetal period up to adulthood. First of all we selected thyroxine (T4) instead of T3 as the thyroid hormone of choice, because most thyroid hormone released from the thyroid consists of T4 and is converted to the active thyroid hormone, T3, within its target cells. Second, T4 was not injected but dams were exposed to thyroid hormone via the addition of T4 to their diet, resulting in a more gradual exposure to the hormone throughout the day compared to 1 daily injection. The diet was prepared in such a way that the estimated daily uptake of T4 was 6 µg/100 g body weight. A gradually released daily dose as low as 2 µg/100 g body weight of T4 has been shown to induce a hyperthyroid condition in pubertal female rats (Escobar-Morreale et al, 1997). Third, in order to expose pups to elevated thyroid hormone levels in utero, dams were put on the experimental diet 2 weeks before mating. After parturition and weaning the diet was continued and pups were sacrificed at different ages, after which the initiation of spermatogenesis and the development of the adult-type Leydig cell population were analyzed and related to the endocrine condition of the animals in terms of the levels of various hormones.


   Methods
 Top
 Abstract
 Methods
 Results
 Discussion
 References
 
Chemicals and Antibodies

All chemicals were purchased from Sigma (Zwijndrecht, The Netherlands) unless indicated otherwise. The polyclonal antibody against 3β-HSD was a kind gift from Dr Payne (Stanford, California). Biotinylated horse anti-mouse antibody, alkaline phosphatase labeled goat anti-rabbit antibody, and the Vectastain ABC-kit Elite were purchased from Vector Laboratory (Burlingame, California). The mouse anti-bromodeoxyuridine (BrdU) antibody was obtained from Becton and Dickinson (Mountain View, California). Acetylated bovine serum albumin (BSA-c) was purchased from Aurion (Wageningen, the Netherlands). The RIA kits for the determination of T4, T3, and testosterone were obtained from DSL (Webster, Texas). The RIA kit to determine leptin levels was purchased from Linco Research (St Charles, Missouri). SACcel, the secondary donkey anti-rabbit antibody complex used in the LH, FSH, TSH, and prolactin RIA, was obtained from Welcome Reagents (Beckenham, United Kingdom).

Animals and Treatment

The animal experiments and protocols were approved by the Animal Welfare Committee of Wageningen University. Wistar WU (HsdCpbWU) rats were obtained from Harlan (Horst, The Netherlands) at the age of 7 weeks (females) or 10 weeks (males). The female rats were housed individually after arrival. Room temperature (20.5°C to 21.5°C), humidity (55% to 65%) and light regime (lights on from 0300 to 1700 hours; light intensity, 60 to 80 lux), respectively, were controlled. From the age of 9 weeks onward, the female rats were fed an iodide-poor diet based on AIN 1993 requirements (Research Diet Services, Wijk bij Duurstede, The Netherlands; Reeves et al, 1993; Schröder-Van der Elst et al, 1998). This diet was supplemented with 7 µg iodide per 100 g dry weight diet (control diet) to fulfill the normal iodine requirements of rats. At the age of 10 weeks the rats were put on the experimental diets: the control diet or the control diet supplemented with T4, resulting in an approximate intake of 15 µg T4 per 100 g body weight. At the age of 12 weeks, the female rats were mated. Pups were weaned at the age of 28 days. The offspring were group-housed at least up to the age of 49 days after birth.

Groups of 7 to 12 pups were sacrificed at the age of 7, 9, 12, 15, 21, 28, 35, 42, 49, or 64 days postpartum, respectively. The experimental diets were continued throughout pregnancy until sacrifice of the pups. Two hours before the rats were sacrificed, each pup received a subcutaneous injection of BrdU (150 mg/kg BW) in saline. BrdU is a compound that is specifically incorporated in the DNA of cells in the S-phase of the cell cycle and that gives an indication of the proliferative activity of the cells in a tissue. Rats were anesthetized using carbon dioxide and oxygen (2:1). Blood was collected by a small incision in the tail of the dams or by heart puncture (5 IU heparin per mL blood) (Fluttert et al, 2000). Rats were killed by decapitation and organs were collected. Plasma was stored at –20°C until further analysis.

Histology and Immunohistochemistry

The testes were successively fixed in Methacarnoy fluid for 2 hours and alcohol (100%) for 30 minutes. After fixation, testes were stored in alcohol (70%) until they were dehydrated and embedded in paraffin. Five-micrometer sections were cut and mounted on glass slides at 100-µm intervals (3 to 4 sections per slide).

In order to determine the proliferation of the developing adult-type Leydig cell population, testis sections were incubated with a monoclonal antibody against BrdU and then with a polyclonal antibody against 3β-HSD. In short, sections were deparaffinized and transferred to a 1% periodic acid solution at 55°C for 30 minutes. Sections were then rinsed, incubated with 5% normal horse serum in 0.01 M phosphate-buffered saline (PBS; pH 7.4) for 10 minutes, rinsed with PBS, and then incubated with a monoclonal anti-BrdU antibody diluted 1:100 in PBS plus 0.05% BSA-c for 60 minutes at room temperature. Sections were again rinsed in PBS, incubated with a biotinylated horse anti-mouse antibody diluted 1:100 in PBS plus 0.05% BSA-c for 60 minutes, rinsed, and incubated with Vectastain ABC reagent (diluted 1:1000 in PBS plus 0.05% BSA-c) for 60 minutes. Sections were again rinsed in 3.3'-diaminobensidine (DAB) and then incubated with DAB (0.06 mg/mL PBS plus 0.03% H2O2). Next the sections were rinsed in PBS, incubated with 10% normal goat serum in PBS for 30 minutes, and incubated overnight with the polyclonal rabbit anti-3β-HSD antibody diluted 1:300 in PBS plus 0.05% BSA-c at 4°C. Next the sections were rinsed in PBS, incubated with an alkaline phosphatase labeled secondary goat anti-rabbit antibody in PBS plus 0.05% BSA-c for 60 minutes, and rinsed in PBS, after which alkaline phosphatase activity was demonstrated using naphthol AS MX phosphate (1 mg naphthol AS MX phosphate, 50 µl N,N-dimethylformamide in 8 mL Tris-HCl 0.1 M [pH 8.5]), Fast Blue BB Base (2 mg Fast Blue BB Base with 50 µL 2M HCl and 50 µL 4% NaNO2), and levamisole (5 mg). Slides were rinsed, briefly counterstained with Mayer hematoxylin, and mounted with gelatin.

Fetal-type Leydig cells, Leydig cell progenitors, and immature and mature adult-type Leydig cells were counted in randomly chosen sections. At least 3 different sections were analyzed per testis, using a square lattice grid inserted in the eyepiece of the microscope. Only those Leydig cell nuclei were counted that were located within the borders of the square lattice grid. Fetal-type, progenitor, immature, and mature adult-type Leydig cells were identified by the presence of 3β-HSD immunoreactivity (blue-stained cytoplasm). Only those 3β-HSD–positive cells were counted in which the nucleus was present. Proliferating Leydig cells were identified by the presence of BrdU staining (brown) of the nucleus. Per testis, 1500 Leydig cells (3β-HSD–labeled and 3β-HSD plus BrdU–labeled) were counted and the percentage of Leydig cells in the S phase of the cell cycle was calculated. In the case of young animals in which less than 1500 3β-HSD–positive cells were present, all Leydig cells in 4 testicular cross-sections were counted.

In order to determine the progression of spermatogenesis under hyperthyroid conditions, sections of testes of 15-, 21- and 28-day-old rats were stained using the periodic acid–Schiff technique. For each seminiferous tubule the most advanced type of germ cell was determined in 3 randomly chosen testis sections. In total at least 50 tubule cross-sections were analyzed at random per animal. In the same testis sections the diameters of 15 circular seminiferous tubule cross-sections were measured per section (3 sections per animal) and the mean tubule diameter was calculated. The percentage of tubule cross-sections containing a clear (>100 µm2) lumen was also determined by randomly scoring at least 50 tubule cross-sections per animal.

RIAs

RIAs for T4 (DSL-3200), T3 (DSL-3100), testosterone (DSL-4100), and leptin (RL-83K) were performed according to the manufacturer's protocol. Plasma LH, FSH, TSH, and prolactin levels were determined by validated in-house double-antibody RIAs for rat serum analysis (Mattheij et al, 1995; Palm et al, 2001a,b) using materials supplied by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK; Bethesda, Maryland). For LH, rLH-I-9 was used as label and anti-rLH-S-11 as antiserum; for FSH, rFSH-I-7 as label and anti-rFSH-S-11 as antiserum; for TSH, rTSH-I-9 as label and anti-TSH-RIA-6 as antiserum; and for prolactin, rPRL-I-5 as label and anti-rPRL-415 as antiserum. SACcel (donkey anti-rabbit) was used as a secondary antibody. The levels of hormones are expressed in terms of NIDDK standards. The detection limits of the assays were 5 ng/mL for T4; 0.25 ng/mL for T3; 0.5 ng/mL for leptin; 0.03 ng/mL for LH; 0.4 ng/mL for FSH; and 0.1 ng/mL for testosterone, TSH, and prolactin. The intra-assay and interassay variations were determined using several pools of rat serum and were less than 11% for all purchased RIAs and less than 9.5% for all in-house RIAs.

Statistical Analysis

Data are expressed as mean ± standard error of the mean (SEM). Previous experiments have suggested that testicular development is dependent on the founders (unpublished data); hence, per age group, only 1 pup per dam was used. Statistical analysis was carried out using SPSS 12.0.1 for Windows (SPSS Inc, Chicago, Illinois). Data were tested for normality using the Shapiro-Wilk test. If normality could be assumed, groups were compared using Student's t test for equality of means (corrected for equal variances); if normality could not be assumed a Mann-Whitney U test was used. Values of P < .05 were considered to be significantly different.


Figure 1
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Figure 1. Body weight (A), testis weight (B), and plasma leptin levels (C) of control and hyperthyroid rats. Groups of 7 to 10 animals were killed between days 7 and 64 postpartum. Values represent mean ± standard error of the mean (SEM). * indicates P < .05; nd, not determined.

 

   Results
 Top
 Abstract
 Methods
 Results
 Discussion
 References
 
Body and Testis Weights

Pilot experiments using rats in the age of 15, 21, 28, 35, 42, or 49 days had shown that daily doses of 3.5 and 5.0 µg T4 per 100 g body weight had no effect on any of the parameters investigated in this study, other than a marginal effect on plasma thyroid hormone and TSH levels. A daily dose of 7.5 µg T4 caused a decrease in TSH levels and an increase in T4 levels, which first became apparent at the age of 28 days. No effects on Sertoli cell or adult-type Leydig cell proliferation or the progression of spermatogenesis were observed (data not shown).

No differences were noted in body weight between the dams, nor in litter size, gender ratio, or birth weight of their offspring, in any of the experiments. The body weights of the hyperthyroid pups receiving 15 µg T4 per 100 g body weight were slightly, but significantly, decreased on days 15, 28, 42, and 49 after birth when compared to the respective age-matched control groups (Figure 1A). Testis weight, on the contrary, was significantly decreased only on day 15 after birth in the T4-fed animals (Figure 1B).

Leptin, a hormone secreted by adipocytes, positively correlates to body fat mass and indirectly to body weight. From days 15 to 28 and 49 to 64 after birth, plasma leptin levels were approximately 30% to 50% lower in the hyperthyroid animals compared to the age-matched controls (Figure 1C).

Thyroid Hormone and TSH Levels

Previous experiments have shown that about 40% of the orally supplemented dose of T4 was taken up by the intestine (Chung and Van Middlesworth, 1967; DiStefano et al, 1992). To assess the thyroid status of the T4-fed animals, plasma TSH, T4, and T3 concentrations were determined. TSH levels of the hyperthyroid dams were reduced by about 50% as compared to the control group at the first day of pregnancy, the day of birth, and the day of weaning. TSH levels in the hyperthyroid offspring were significantly reduced from day 15 after birth onwards compared to the age-matched controls (Figure 2A). Concomitantly, plasma T4 levels were increased 3- to 5-fold compared with the age-matched control levels (Figure 2B). The rise in plasma T3 levels occurred at a slightly later age; from 28 days after birth onwards plasma T3 levels were increased approximately 2-fold compared to the age-matched control rats (data not shown).


Figure 2
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Figure 2. Plasma thyroid-stimulating hormone (TSH) levels (A) in ng/mL and plasma thyroxine (B) levels in µg/dL. Plasma was collected from 7 to 10 animals between days 7 and 64 postpartum. Values represent means ± SEM. * indicates P < .05.

 

Sertoli Cell Development and Spermatogenesis

To evaluate Sertoli cell development under hyperthyroid conditions, Sertoli cell proliferation, tubule lumen formation, tubule diameter, and the progression of spermatogenesis were investigated. No differences in termination of Sertoli cell proliferation were observed between hyperthyroid and euthyroid control animals. Initiation of seminiferous tubule lumen formation, a marker for Sertoli cell differentiation (Van Haaster et al, 1993), normally occurs between days 15 and 17 after birth. In the present study about 16% of the seminiferous tubules showed an opening at day 15 postpartum in the euthyroid control group, whereas in the hyperthyroid animals the percentage of tubules with a lumen tended to be lower; only 5% of the tubules had an opening at this age. Because of the relatively large variation in the tubule opening within the groups, this difference did not reach the level of significance. At the age of 21 days seminiferous tubule lumen formation was almost complete (~95%) in both groups, and at day 28 postpartum all tubules showed the presence of a lumen.

The progression of the process of spermatogenesis under hyperthyroid conditions was investigated at the ages of 15, 21, and 28 days. At the age of 15 days the most advanced type of germ cells in the control animals was pachytene spermatocytes. In 48 ± 9.8% of the seminiferous tubules investigated, leptotene and zygotene spermatocytes were present. In contrast, in none of the seminiferous tubules studied in hyperthyroid testes were pachytene spermatocytes observed, and the percentage of seminiferous tubules containing leptotene and zygotene spermatocytes was significantly lower compared to the age-matched controls (15.8% ± 14.1%, P = .03). By the age of 21 and 28 days these differences between the control and hyperthyroid animals had disappeared. These results were confirmed by the diameter of the seminiferous tubules. The tubule diameter was significantly smaller in the hyperthyroid animals at the ages of 15 and 21 days (P < .01); tended to be smaller on day 28 (P = .06); and did not differ significantly between the control and hyperthyroid groups from day 35 postpartum onwards (data not shown).

Plasma FSH levels were in line with these results. FSH levels were nearly always significantly lower in the hyperthyroid rats from the age of 12 days onwards when compared to the age-matched controls. Although plasma FSH levels tended to be lower in the hyperthyroid animals at the ages of 35 and 42 days, this did not reach the level of significance (Figure 3).


Figure 3
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Figure 3. Plasma follicle-stimulating hormone (FSH) concentrations in ng/mL. Plasma was collected from 7 to 10 animals between days 7 and 64 postpartum. Values represent means ± SEM. * indicates P < .05.

 
Plasma prolactin levels in the hyperthyroid rats were only significantly reduced at the ages of 21 days (2.95 ± 0.38 ng/mL vs 8.31 ± 1.42 ng/mL in the controls) and 28 days (7.24 ± 1.05 ng/mL vs 10.59 ± 1.20 ng/mL in the controls). In the other age groups no significant differences were observed between hyperthyroid and control animals.

Leydig Cell Proliferation

To evaluate Leydig cell proliferation and differentiation, BrdU incorporation in 3β-HSD–positive Leydig cells was determined. In the strain of rats used in the present study, the first progenitor-type Leydig cells are formed around day 13 after birth. The BrdU–3β-HSD double-positive cells observed in the testis at 7, 9, and 12 days postpartum were thus of fetal origin. These fetal-type Leydig cells are often localized in characteristic clusters (reviewed by Haider, 2004). At the age of 15 days postpartum proliferating progenitor-type Leydig cells were detected, both in the control rats and in the hyperthyroid animals (Figure 4). Histologically, the proliferating progenitor cells were identified by their spindle-shaped to oval nucleus and their location either in close vicinity of the seminiferous tubules or blood vessels (reviewed by Haider, 2004). Surprisingly, the percentage of proliferating progenitor cells was initially significantly lower in the hyperthyroid testis, compared to the age-matched controls (Figure 5). However, by the age of 21 days this difference had disappeared. By the age of 35 days, when most progenitor-type Leydig cells have differentiated into immature-type Leydig cells, Leydig cell proliferation was significantly elevated in the hyperthyroid rats compared to the controls. Because of the absence of specific markers for either progenitor-type or immature-type Leydig cells, it was not possible to discriminate between these 2 Leydig cell types. By the age of 49 days the level of Leydig cell proliferation in the T4-fed animals had returned to the age-matched control level (Figure 5).


Figure 4
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Figure 4. Representative histological sections testis stained with periodic acid–Schiff and hematoxylin (A–D). (A) Testis of a control rat on day 15 with pachytene spermatocytes (P), (B) testis of a hyperthyroid rat on day 15 postpartum with late zygotene spermatocytes (Z), (C) testis of a control rat on day 28 postpartum with round spermatids (RSP), (D) testis of a hyperthyroid rat on day 28 postpartum with RSP. The rats received an injection of BrdU 2 hours before dissection. Leydig cells were identified by the presence of 3β-hydroxysteroid dehydrogenase (3β-HSD; blue cytoplasm). Proliferating cells were immunohistochemically labeled with an antibody against BrdU (blown nuclei). (E) (day 15) and (F) (day 28 postpartum) are representative histological sections of these BrdU-3β-HSD double labeled testicular sections with fetal-type Leydig cells (FLC), immature Leydig cells (ILC), proliferating immature Leydig cells (PILC), and proliferating macrophages (PM). Scale bar = 40 µm.

 

Figure 5
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Figure 5. Percentage of proliferating Leydig cells. Seven- to 64-day-old rats received an injection of BrdU 2 hours prior to euthanasia. Leydig cells were identified by the presence of 3β-hydroxysteroid dehydrogenase. Proliferating cells were immunohistochemically labeled with an antibody against BrdU. Five hundred Leydig cells were counted per testicular cross-section. From each testis 3 sections were analyzed, and the results were expressed as the percentage of BrdU-labeled Leydig cells. Values represent means ± SEM; n = 7 to 10. * indicates P < .05.

 
Although plasma LH levels were decreased in the hyperthyroid animals from days 12 to 28 and at days 49 and 64 after birth, significant differences were observed only at the ages of 21, 49, and 64 days postpartum (Figure 6A). Plasma testosterone levels were significantly decreased in hyperthyroid animals at the ages of 42 and 49 days (Figure 6B).


Figure 6
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Figure 6. Plasma luteinizing hormone (LH) (A) and testosterone (B) concentrations (in ng/mL) were determined in groups of 7 to 10 rats between the age of 7 and 64 days postpartum. Values represent means ± SEM. * indicates P < .05; nd, not determined.

 

   Discussion
 Top
 Abstract
 Methods
 Results
 Discussion
 References
 
Although no well-controlled clinical studies on the effects of elevated thyroid hormone levels during childhood on male gonadal development have been performed, reduced thyroid hormone levels have been shown to affect this process (Jannini et al, 1995). This suggests that thyroid hormones are involved in the regulation of male gonadal development. In the present study a mild form of hyperthyroidism was induced by feeding rats a diet to which T4 was added. Hyperthyroidism was already induced during pregnancy and continued after birth. The hyperthyroid condition of the dams and pups was confirmed by increased plasma T3 and T4 levels, whereas TSH levels were reduced. Sertoli cell differentiation as indicated by seminiferous tubule lumen formation did not seem to be influenced significantly by the experimental treatment. Nevertheless, a small negative effect on the progression of spermatogenesis was observed 15 days after birth. At the same time, plasma FSH levels were lower in the hyperthyroid animals compared with the age-matched euthyroid controls. Leydig cell proliferation was decreased in the hyperthyroid pups at the age of 15 days and slightly elevated at later ages, suggesting a possible slower onset of Leydig cell progenitor proliferation compared to the control animals.

Several in vitro and in vivo studies have shown that the active thyroid hormone T3 can directly influence Sertoli cell proliferation and function, such as cellular aromatase activity (Ulisse et al, 1994; Palmero et al, 1995), androgen metabolism (Panno et al, 1994) and IGF-I production (Palmero et al, 1990). One of the mechanisms by which thyroid hormones could influence Leydig and Sertoli cell development is through activation of thyroid hormone receptors (TR; Palmero et al, 1988, 1992). Although both TR{alpha}1 and TRβ1 have been demonstrated to be present in neonatal-prepubertal Sertoli cells, the described effects on proliferation and function have been shown to be predominantly mediated through TR{alpha}1 (Jannini et al, 1994; Holsberger et al, 2005).

Preliminary experiments using lower doses of T4 in the diet, resulting in approximate intakes of 3.5, 5.0, and 7.5 µg T4 per 100 g body weight, did not result in significant changes in any of the parameters investigated other than minor changes in plasma levels of thyroid hormones and TSH. Nevertheless, a trend in several of the investigated parameters could be observed, which was in line with the currently described dose of an intake of 15 µg T4/100 g body weight per day. In comparison, Escobar-Morreale and colleagues (1997) infused a daily dose of 4 to 8 µg T4/100 g body weight in juvenile thyroidectomized rats to study the effects on leptin secretion. The infusion of T4 resulted in a 3- to 4-fold increase in T4 and a 2-fold increase in T3 plasma levels. These increases in thyroid hormone levels are comparable to those in the present study. Based on this relatively small increase in plasma T4 and T3 levels in the present study, it is concluded that dietary administration of 15 µg/100 g body weight per day results in a relatively mild form of hyperthyroidism.

In several of the hyperthyroid age groups a minor but significant decrease in body weight was observed when compared to the age-matched controls. In another investigation Ooka and Shinkai (1986) induced a hyperthyroid condition by adding T4 (10 mg/L) to the drinking water of rats, resulting in plasma T4 and T3 levels comparable to what was observed in the present study. Ooka and Shinkai also described a slight but significant decrease in body weight after 2 months of treatment (1986). In contrast, daily injections of 4 to 10 µg T3/100 g body weight have much more severe effects on body weight, depending on the time of initiation and on the duration of the treatment (Eayrs, 1967; Moussavi, 1990; Van Haaster et al, 1993; Barsano et al, 1994). Contributing to the lower body weight is the body fat mass. As a consequence of the hyperthyroid condition the metabolic rate of rats is increased, resulting in a lower body fat mass. One of the hormones produced by adipose tissue is leptin, a product of the ob gene, which regulates body weight by signaling the size of the energy stores in adipose tissue. Serum leptin levels have been shown to correlate with body fat mass. When the latter is reduced, leptin levels are lowered as well (Frederich et al, 1995). Indeed, in the present study plasma leptin levels were reduced, suggestive of a lower body fat mass and expanding the observations by the Escobar-Morreale group, who demonstrated that in thyroidectomized young rats made hyperthyroid by infusion of either T3 or T4, leptin levels were significantly reduced (Escobar-Morreale et al, 1997).

Surprisingly, neither Sertoli cell proliferation nor differentiation was influenced by the mild hyperthyroid condition as established in the present study. In contrast, in studies in which T3 was administered at high doses by daily injections from birth to the age of 16 days, Sertoli cell proliferation was terminated prematurely, whereas tubule lumen formation, a marker for Sertoli cell differentiation, was advanced. Furthermore, the initiation and progression of spermatogenesis was advanced under these conditions (Van Haaster et al, 1993; Holsberger et al, 2005). Apparently the injection of high doses of T3 from the day of birth onwards causes a more rapid elevation in plasma T3 levels, resulting in an advancement of Sertoli cell proliferation and differentiation, whereas the induction of hyperthyroidism by the feed does not seem to influence Sertoli cell development. In the present study plasma T3 levels were elevated significantly for the first time by the age of 28 days in the hyperthyroid animals. Plasma T4 levels were significantly elevated for the first time at the age of 15 days. This would suggest that T4 could only influence testis development after the age of 15 days, when Sertoli cells have already nearly ceased to proliferate.

Although mild hyperthyroidism does not seem to affect Sertoli cell proliferation and differentiation, we did observe a transient delay in the progression of spermatogenesis at the time when plasma T4 levels were significantly elevated for the first time. In 15-day-old euthyroid control rats the most advanced type of germ cells present in the seminiferous tubules were pachytene spermatocytes, whereas in the hyperthyroid testes the most advanced germ cell types were leptotene and zygotene spermatocytes, suggesting that even relatively small changes in thyroid hormone levels can affect spermatogenesis transiently. This effect on spermatogenesis may be induced indirectly via the Sertoli cells, or directly via activation of TR{alpha}1, which is present not only in Sertoli cell nuclei but also in spermatogonia and spermatocytes (Buzzard et al, 2000). TR{alpha} mRNA and protein levels in the testis are known to be suppressed under hyperthyroid conditions (Rao et al, 2003; Lee et al, 2007). We would therefore like to hypothesize that in the current experiment TR{alpha} expression in the testis is reduced because of the elevated T4 levels, thus temporarily negatively influencing the initiation and progression of spermatogenesis. The slight delay in the progression in spermatogenesis could also be explained by a reduction in plasma FSH levels in the hyperthyroid animals as observed at the ages of 12 and 15 days. Alternatively, an as yet unidentified factor may be responsible for this transient delay, an assumption that is supported by the fact that FSH and T4 levels continue to be low and elevated, respectively, at the age of 21 days in the hyperthyroid animals, whereas spermatogenesis is no longer different between control and hyperthyroid rats. In contrast, more severe forms of hyperthyroidism as induced by daily injections of T3 seem to have opposite effects on the progression of spermatogenesis (Van Haaster et al, 1993).

Whether thyroid hormones can influence Leydig cell progenitor formation directly or indirectly is less clear. Tagami and colleagues were the first to report the presence of thyroid hormone receptors in the interstitial compartment, presumably in the Leydig cells (Tagami et al, 1990), though it was not clear at that stage which type of thyroid hormone receptor was expressed. Several years later, Hardy et al (1996) demonstrated the presence of TR{alpha}1 and TR{alpha}2 mRNA by Northern blot analysis in isolated, highly purified progenitor, immature, and mature adult-type Leydig cells. These observations were confirmed by Buzzard and colleagues (2000) using RT-PCR and immunohistochemistry. Direct effects of thyroid hormone on Leydig cell function in vitro have not been reported so far. Previous in vivo studies showed that the formation of Leydig cell progenitors and thus the development of the adult-type Leydig cell population was advanced by daily injections of T3 (Teerds et al, 1998; Ariyaratne et al, 2000). In contrast, the development of the adult-type Leydig cell population was not advanced in the present investigation. On the contrary, we observed a lower level of Leydig cell proliferation in 15-day-old hyperthyroid animals compared to the euthyroid controls. The pattern of Leydig cell proliferation continued to be different from that of the euthyroid control animals. In the control animals a peak in Leydig cell proliferation was observed at the age of 28 days, followed by a decline, whereas in the hyperthyroid animals this decline was first observed at the age of 42 days. Whether this is caused by a direct effect of the elevated thyroid hormone levels remains to be investigated. Recently it has been shown, however, that T3 is capable of inhibiting androgen receptor function in vitro by weakening coactivator binding to the androgen receptor (Estébanez-Perpiñá et al, 2007). Hence, thyroid hormones may affect Leydig cell development and function either directly through binding to the TR{alpha}1 or by binding to the androgen receptors present in these cells. The effects of mild hyperthyroidism on Leydig cell development appear to be more pronounced than the effects on spermatogenesis.

The results of the present study are in contrast to previous studies in which hyperthyroidism was induced by daily injections, in which T3 was shown to advance Sertoli cell and Leydig cell development as well as spermatogenesis (Van Haaster et al, 1993; Teerds et al, 1998; Ariyaratne et al, 2000). The most important difference between the setup of the present experiment and the previous studies is the fact that we used T4, the precursor of T3, which under normal physiological conditions is present at much higher levels in the circulation than the active thyroid hormone T3, and which has a longer half-life than T3 (Chopra and Sabatino, 2000). Another difference with these previous studies is that in our study the pups had already been exposed to elevated T4 levels in utero. Administration of thyroid hormone through the diet also results in a more continuous exposure compared to the peak exposure when 1 injection is given every day for a certain period of time. The levels of thyroid hormone to which the animals were exposed among these studies are therefore different. The present study suggests that a continuous, relatively mild elevation of thyroid hormone levels has only a minor effect on testicular development compared to the effect on animals exposed to large amounts of thyroid hormone administered in a pulse-like way. Our experiment in rats are in line with the minor effects seen in adult humans, where only limited and reversible effects on semen quality are seen in the presence of mild hyperthyroidism, effects mostly related to a reduced sperm motility (Krassas et al, 2002; Ceccarelli et al, 2006).

Taken together, the results of the present study suggest that a continuous mild elevation of thyroid hormone levels, induced through the addition of T4 to the diet, does not result in an advancement of testicular development as in experiments using high doses of T3 administered in a pulse-like fashion. On the contrary, Leydig cell development as well as the progression of spermatogenesis were initially slightly and transiently delayed.


   Acknowledgments
 
The authors would like to thank Willemien van Hallebeek, Marijke Maijenburg, Willemijn van Eldik, Michiel Hendriks, Lucas Kalkers, Anna Paijmans, Joris Tinnemans, Jan Kastelijn, Anita van Kesteren-Buiting, and Bert van de Heijning (Department of Animal Sciences, Wageningen University) for their assistance in the animal experiments and acquisition of the data presented in this study. We are also grateful to Dr A.H. Payne (Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California) for her generous gift of the 3β-HSD antibody.


   References
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 Abstract
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E. Rijntjes, H. J. M. Swarts, R. Anand-Ivell, and K. J. Teerds
Prenatal induced chronic dietary hypothyroidism delays but does not block adult-type Leydig cell development
Am J Physiol Endocrinol Metab, February 1, 2009; 296(2): E305 - E314.
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