Xie Qigen, Cao Haiming, Liu Hanchao, Xia Kai, Gao Yong, Deng Chunhua
Department of Pediatric Surgery, First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Department of Andrology, First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Transl Androl Urol. 2024 Mar 31;13(3):369-382. doi: 10.21037/tau-23-503. Epub 2024 Mar 6.
Epidemiologic studies suggested the association between prenatal di-(2-ethylhexyl) phthalate (DEHP) exposure and disorders of sex development (DSD), adult male disorders, and reproductive aging. Inhibiting testosterone synthesis by interfering with steroidogenic gene expression induces testicular toxicity, however, whether prenatal DEHP exposure induces testicular toxicity through this mechanism remains uncertain.
C57BL/6JGpt male mice underwent different doses (0, 100, 500, 1,000 mg/kg) of prenatal DEHP exposure during gestational day 10 to delivery day, the testicular toxicity (genital development, testosterone, semen quality, and morphology of testis tissue) in the neonatal, post-puberal and middle-aged stages was observed, and the steroidogenic gene (, , , , , and ) expression was analyzed by quantitative polymerase chain reaction (qPCR) and Western blot (WB). The interference of steroidogenic gene expression in TM3 cells after mono-(2-ethylhexyl) phthalate (MEHP) exposure was also explored for verification.
Prenatal DEHP exposure induced immediate testicular injury in the neonatal stage [reduced anogenital distance (AGD) and intratesticular testosterone], DSD in the post-puberal stage (poor genital development), and reproductive aging in the middle-aged stage (obesity, reduced testosterone and semen quality, and atrophic seminiferous tubules), especially in the high dose. Prenatal DEHP exposure continuously interfered with steroidogenic gene expression (, ) in RNA and protein levels. MEHP inhibited testosterone synthesis of TM3 cells by interfering with steroidogenic gene expression (, ) in RNA and protein levels.
Prenatal DEHP exposure induces lifelong testicular toxicity by continuously interfering with steroidogenic gene expression, thus indicating the association between prenatal exposure and DSD, adult male disorders, and reproductive aging.
流行病学研究表明,产前邻苯二甲酸二(2-乙基己基)酯(DEHP)暴露与性发育障碍(DSD)、成年男性疾病和生殖衰老之间存在关联。通过干扰类固醇生成基因表达来抑制睾酮合成会诱导睾丸毒性,然而,产前DEHP暴露是否通过这种机制诱导睾丸毒性仍不确定。
C57BL/6JGpt雄性小鼠在妊娠第10天至分娩日接受不同剂量(0、100、500、1000mg/kg)的产前DEHP暴露,观察新生儿期、青春期后和中年期的睾丸毒性(生殖发育、睾酮、精液质量和睾丸组织形态),并通过定量聚合酶链反应(qPCR)和蛋白质免疫印迹法(WB)分析类固醇生成基因(、、、、、和)的表达。还探讨了单-(2-乙基己基)邻苯二甲酸酯(MEHP)暴露后对TM3细胞中类固醇生成基因表达的干扰以进行验证。
产前DEHP暴露在新生儿期引起即刻睾丸损伤[肛门生殖器距离(AGD)缩短和睾丸内睾酮降低],青春期后引起DSD(生殖发育不良),中年期引起生殖衰老(肥胖、睾酮和精液质量降低以及生精小管萎缩),尤其是高剂量组。产前DEHP暴露在RNA和蛋白质水平上持续干扰类固醇生成基因表达(、)。MEHP通过在RNA和蛋白质水平上干扰类固醇生成基因表达(、)来抑制TM3细胞的睾酮合成。
产前DEHP暴露通过持续干扰类固醇生成基因表达诱导终身睾丸毒性,从而表明产前暴露与DSD、成年男性疾病和生殖衰老之间的关联。