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DOI: 10.1080/01926230701481931
Dose-Dependent Effects of Sertoli Cell Toxicants 2,5-Hexanedione, Carbendazim, and Mono-(2-ethylhexyl) phthalate in Adult Rat TestisDepartment of Pathology and Laboratory Medicine, Brown University, Providence, Rhode Island 02912, USA Correspondence: Address correspondence to: Kim Boekelheide, Department of Pathology and Laboratory Medicine, Box G-E5, Brown University, Providence, RI 02912-G, USA. E-mail: kimboekelheide{at}brown.edu
Sertoli cells are the primary cellular target for a number of pharmaceutical and environmental testicular toxicants, including 2,5-hexanedione, carbendazim, and mono-(2-ethylhexyl) phthalate. Exposure to these individual compounds can result in impaired Sertoli cell function and subsequent germ cell loss. The loss of testicular function is marked by histopathological changes in seminiferous tubule diameter, seminiferous epithelial sloughing, vacuolization, spermatid head retention, germ cell apoptosis, and altered microtubule assembly. The present study investigates dose-response relationships for these classic Sertoli cell toxicants using histopathology endpoints. Understanding the relationship between the Sertoli cell toxicant dose and its histopathologic manifestations will help establish the sensitivity of these endpoints as markers of testicular injury. The results indicate that no single histopathology endpoint was sensitive on its own in identifying altered testicular morphology resulting from toxicant exposure. However, when multiple endpoints were combined dose-response relationships could be associated with incremental alterations in histopathology. The data generated from these experiments will be useful in further investigating the effects of Sertoli cell toxicant exposure in animal toxicity studies. In addition, this work is fundamental to a planned investigation of the histopathologic and gene expression changes associated with testicular toxicant co-exposures, which may occur both occupationally and environmentally.
Key Words: Carbendazim 2,5-hexanedione MEHP testis histopathology rat sertoli Abbreviations: CBZ, Carbendazim 2,5-HD, 2,5-Hexanedione MEHP, Mono-(2-ethylhexyl) phthalate TUNEL, Terminal dUTP nick-end labeling
Sertoli cells are the primary supportive cells of the testis, facilitating the physical, hormonal, and nutritive development of germ cells. Adjacent Sertoli cells form a highly regulated microenvironment by maintaining the blood-testis barrier, separating the resident germ cells in an adluminal compartment. Contact between Sertoli and germ cells occurs through adhesion junctions supported along extensive cytoskeletal networks. Disruption of Sertoli cell function results in impaired spermatogenesis and subsequent germ cell loss. Microtubule dynamics are an important component of the Sertoli cell cytoskeleton. Alterations in testicular microtubule assembly are a suspected mechanism of carbendazim- (CBZ) and 2,5-hexanedione- (2,5-HD) induced Sertoli cell toxicity (reviewed by Boekelheide et al., 2005). The benzimidazole fungicide, benomyl, elicits testicular toxicity through the active metabolite CBZ (Lim et al., 1997), resulting in decreased fertility, increased testis weights, and testicular atrophy (Carter et al., 1987; Gray et al., 1990; Hess, 1998). Testicular toxicity develops rapidly, with sloughing of the seminiferous epithelium present as early as 1 h postexposure (Lim et al., 1997).
CBZ inhibits microtubule polymerization in a colchicine-like manner (Correa et al., 2001; Winder et al., 2001), decreasing the rate and stability of microtubule assembly by binding the β-tubulin subunit of the Phthalates are another important class of Sertoli cell toxicants. Utilized commercially as plasticizers, these compounds have become persistent environmental pollutants. Mono-(2-ethylhexyl) phthalate (MEHP), the active metabolite of di-(2-ethylhexyl)phthalate (Albro et al., 1989), is one of the most studied Sertoli cell toxicants, leading to secondary germ cell apoptosis 6 and 12 hours following an acute exposure (Lee et al., 1997). Whereas the bulk of phthalate research has focused on exposures in prenatal and juvenile rats, some evidence suggests that adult rats are also susceptible to developing testicular pathology following acute phthalate exposure (Creasy et al., 1987). The short duration between MEHP exposure and the onset of pathology suggests a targeted mode of action, but the mechanism has yet to be resolved.
Multiple histopathology markers are commonly used to quantify testicular injury including seminiferous tubule diameter, sloughing, vacuolization, and apoptosis. Increased seminiferous tubule diameter is indicative of fluid retention resulting from impaired emptying through the efferent ducts, whereas decreased seminiferous diameter may indicate germ cell loss. Toxicant-induced sloughing of the seminiferous epithelium results in increased amounts of luminal cellular debris, obstruction of the efferent ducts and, subsequently, retained seminiferous tubule fluid. Vacuoles form from the fusion and swelling of cytoplasmic organelles, which may be an early indicator of Sertoli cell toxicity. Damaged germ cells undergo apoptosis, offering easy quantification using the terminal dUTP nick-end labeling (TUNEL) assay. Mounting evidence suggests that condensed elongated spermatid retention in the basement compartment (at or below the level of Sertoli cell nucliei) is a sensitive measure of altered testicular morphology (Saito et al., 2000; Yang et al., 2006), the molecular mechanisms responsible for spermatid head retention following toxicant exposure is presently unknown. Finally, the levels of The present study investigates dose-response relationships for classical Sertoli cell toxicants using these histopathology endpoints. Understanding the relationship between the histopathologic alterations and Sertoli cell toxicant dose will establish the sensitivity of these endpoints as markers of testicular injury. Furthermore, data generated from these experiments will be used in subsequent studies to establish the dose-response and time dependence of 2,5-hexanedione-induced sensitization to carbendazim or MEHP co-exposures.
Chemicals All chemicals were purchased from Sigma-Aldrich Corporation (St. Louis, MO) and were of reagent grade or better.
Animals
Toxicant Exposure
Histopathology Cross-sections were taken from the middle of formalin-fixed testes, embedded in glycol methacrylate (Technovit 7100, Heraeus Kulzer GmBH, Wehrheim, Germany), sectioned (3 µm), and stained with periodic acid-Schiff reagent followed by a hematoxylin counterstain (PAS-H) for measurement of tubule diameter, sloughing, vacuoles, and retained spermatid heads. Fifty seminiferous tubules were randomly counted from each testis using predetermined coordinates from a stage engraved Vernier scale for assessing seminiferous tubule diameter, sloughing, and vacuoles. To be acceptable for counting, seminiferous tubules were required to have a major:minor axis less than 1.5:1, and the diameter was identified as the minor axis length. Seminiferous tubules were randomly examined for sloughing indicated by the presence of luminal cellular material ( 24 µm in major axis length) detached from the seminiferous epithelium (Markelewicz et al., 2004). Seminiferous tubule vacuolization was defined as the presence of one or more vacuoles 16 µm in greatest diameter located within 1 cell layer of the seminiferous tubule basement membrane (Markelewicz et al., 2004). Spermatid head retention was conducted by counting all stage IX-XI seminiferous tubules in one testis cross section and scoring each as having 0, 1–3, or >3 spermatid heads within the basement compartment. Sloughing, vacuoles, and retained spermatid head values are all represented as the percentage of total tubules affected per total tubules counted. A Zeiss Standard microscope (Karl Zeiss, New York, NY) was utilized to view all histopathological sections.
Detection of Apoptosis
Quantitative Real-Time PCR
Statistical Analysis
Body and Testis Weights Body and testis weights were recorded immediately following CO2 asphyxiation (Table 1), and indicated dose-dependent changes in body weight with 2,5-HD, but not CBZ or MEHP treatment. The observed changes in body weight with the highest 2,5-HD dose were likely attributable to decreased water consumption in 2,5-HD treated rats (Table 1). Dose-dependent changes in testis weights were detected following CBZ, but not 2,5-HD and MEHP treatment. The increase in testis weight with CBZ treatment is consistent with fluid accumulation resulting from blocked efferent ducts (Klinefelter et al., 1998).
Dose and Time Point Selection
Testicular Histopathology
Seminiferous Tubule Diameter, Sloughing, and Vacuolization Treatment with CBZ increased seminiferous tubule diameter at 67 and 100 mg/kg to 112% of control (Figure 2). Similarly, 200 mg/kg CBZ increased seminiferous tubule diameter to 113% of control. No dose-dependent changes in seminiferous tubule diameter were measured in the 2,5-HD or MEHP treated rats. Treatment with CBZ also induced a dose-dependent increase in the percent of tubules sloughing seminiferous epithelium per total seminiferous tubules counted (Figure 3). Doses of 67, 100, and 200 mg/kg CBZ resulted in significant sloughing to 515%, 655%, and 1015% of control, respectively. No differences in sloughing were detected at any dose of 2,5-HD or MEHP. Differences in Sertoli cell vacuolization from control were only detected following CBZ treatment (Figure 4). Although these increases were not dose-dependent, 67 mg/kg of CBZ produced significantly higher levels of vacuoles (203%) compared to control.
Basal Retained Spermatid Heads The number of basal spermatid heads retained during stages IX through XI per seminiferous tubule was counted following Sertoli cell toxicant exposure. Both CBZ and 2,5-HD demonstrated increases in the percent of seminiferous tubules with >3 spermatid retained heads per total seminiferous tubules counted (Figure 5). Treatment with 200 mg/kg of CBZ produced a ~4-fold increase in the percent of seminiferous tubules with >3 retained spermatid heads. 2,5-HD demonstrated significantly higher levels of basal spermatid head retention at nearly every dose with nearly 100% of seminiferous tubules having retained spermatid heads at 0.625%. Doses of 0.125%, 0.3125%, and 0.625% 2,5-HD significantly increased >3 spermatid head retention to 293%, 524%, and 680% of control, respectively. Quantification of 1–3 retained spermatids per seminiferous tubule showed differing effects for CBZ than 2,5-HD. CBZ had increased levels of 1–3 retained heads at 200 mg/kg, only, whereas, 2,5-HD had a decreased percentage of 1–3 basal retained spermatid heads at 0.3125% and 0.625%. MEHP treatment did not alter the number of retained spermatid heads at any dose.
Detection of Apoptosis Germ cell apoptosis was measured by counting TUNEL positive nuclei as an indicator of apoptosis. Both CBZ and MEHP showed threshold increases in apoptosis with >3 TUNEL positive nuclei present per seminiferous tubule (Figure 6). Every dose of CBZ evaluated had significantly higher levels of TUNEL positive nuclei compared to control. Administration of 1000 mg/kg MEHP increased apoptosis to 1184% of control. No differences in TUNEL staining were detected at any dose of 2,5-HD.
-Tubulin mRNA Levels in Response to Toxicant TreatmentGiven the purported role of microtubule assembly in the progression of CBZ- and 2,5-HD-induced Sertoli cell dysfunction, -tubulin mRNA levels were evaluated for each toxicant using quantitative PCR (Figure 7). Although decreased -tubulin mRNA levels were anticipated with CBZ treatment, no significant differences in mRNA levels were detected at any dose. Administration of 2,5-HD elevated -tubulin mRNA levels for the 0.125% and 0.21% doses to 160% and 171% of control, respectively. The 330 mg/kg dose of MEHP increased -tubulin mRNA levels to 175% of control.
The present study examined dose-response relationships for several histopathologic endpoints following administration of Sertoli cell toxicants. No individual endpoint assessed was singularly capable of identifying testicular injury. Testis weight is a general indicator of overall testicular health, effective at indirectly reflecting changes in seminiferous tubule fluid retention or germ cell loss with the gain or loss of mass, respectively (reviewed by Creasy, 2002). Similarly, changes in seminiferous tubule diameter can be indicative of these same processes. Sloughing occurs when spermatogenic cells exfoliate into the lumen of seminiferous tubules, resulting from germ cells precociously losing adhesion to Sertoli cells. Administration of CBZ resulted in significant changes in testis weight, seminiferous tubule diameter, and sloughing. These related pathological alterations occur with CBZ treatment from disruption of the Sertoli cell cytoskeleton, propagating loss of germ cell adhesion (Nakai et al., 2002). The germ cells slough into the lumen, blocking the efferent ducts, impairing seminiferous tubule fluid passage from the testis to the epididymis, resulting in increased seminiferous tubule diameter and testis weight (Nakai et al., 1992). Detection of altered testicular morphology was much more subtle for 2,5-HD and MEHP exposure at the chosen doses and time points. MEHP-treated rats developed increased levels of TUNEL positive nuclei at 1000 mg/kg MEHP likely from Sertoli cell dysfunction, inducing germ cell loss through apoptosis (Rasoulpour et al., 2005). Similar dose-response changes in germ cell apoptosis were observed with CBZ, but not 2,5-HD treatment. In fact, 2,5-HD administration only induced changes in one histopathology endpoint, spermatid head retention. The presence of retained spermatids along the basement compartment of the seminiferous tubule epithelium was identified as a sensitive measure of 2,5-HD-induced testicular injury. Luminal retention of spermatids is not uncommon following testicular dysfunction. However, this marker of testicular injury can be confounded by the presence of both viable and non-viable spermatids failing to undergo spermiation, such as in the case of 2,5-HD, tri-o-cresyl phosphate, and boric acid (Chapin et al., 1983; Linder et al., 1990; Somkuti et al., 1991). On the other hand, retained condensed spermatids in the basal compartment during stages IX–XI are considered non-viable, indicating impaired spermatogenesis. As with all of the histopathology assessed in this study, not all of the Sertoli cell toxicants affected spermatid head retention in the same manner. Retained spermatids along the basement compartment appeared to be a sensitive marker for 2,5-HD exposure, with significant differences in >3 retained heads present even at the lowest dose of 0.125%. The fate of retained elongate spermatids along the basement compartment remains uncertain; it is likely that the spermatids are phagocytosed by Sertoli cells. Further research is required to determine the overall disposition of the retained spermatids and the sensitivity of basally retained spermatids as a histopathologic indicator of testicular toxicity.
The dynamic interaction between toxicant and molecular target varies between toxicants, with CBZ and 2,5-HD providing extreme examples. Testicular pathology develops within hours following CBZ exposure, while 2,5-HD requires at least 2 weeks of exposure (Nakai et al., 1994; Boekelheide et al., 2003). In general, exposure to environmental toxicants occurs over long periods of time at low doses, often through the ingestion of contaminated water. Although the present study did not demonstrate many histopathological changes for the toxicants at low doses, a different outcome may be expected from long-term environmental exposures. Therefore, timing is a critical consideration when selecting pathological endpoints to compare toxicity. This variability in the time for onset of injury is likely the cause for minimal differences in
Both CBZ and 2,5-HD are presumed to induce Sertoli cell dysfunction by inhibiting or promoting microtubule assembly, respectively (Markelewicz et al., 2004). The availability of free tubulin monomers provides feedback, regulating mRNA levels of tubulin (reviewed by Honore et al., 2005). Therefore, CBZ was expected to decrease, and 2,5-HD to increase Our previous studies have indicated that 2,5-HD- and CBZ-coexposure synergistically disrupts rat spermatogenesis despite opposing molecular effects on microtubules (Markelewicz et al., 2004). It is unclear if 2,5-HD will elicit similar effects with other testicular toxicants. Therefore, the present study was conducted to establish dose-dependent changes in Sertoli cell toxicants for several parameters of testicular pathology. The data generated from this study will be used to establish the dose-response and time dependence of 2,5-HD-induced sensitization to CBZ or MEHP co-exposures. Furthermore, this study establishes quantification of basal retained spermatid heads as a sensitive marker for assessing 2,5-HD-induced Sertoli cell toxicity. Selection of histopathological markers to assess alterations in testicular morphology is highly dependent upon the toxicant mechanism of action, dose, and duration of exposure. Identification of sensitive histopathology endpoints for evaluating potential testicular toxicants is especially relevant to preclinical toxicity testing. The present study underscores the importance of assessing multiple histopathological endpoints, as no single characterization was capable of identifying altered testicular morphology resulting from these classic Sertoli cell toxicants.
The project described was supported by grant number 5 P42 ES013660-02 from the National Institute of Environmental Health Sciences (NIEHS), NIH.
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β-tubulin heterodimer (
24 µm in major axis length) detached from the seminiferous epithelium (


24 µm in major axis length. Shown is the percent of seminiferous tubules with sloughing per total number of seminferous tubules counted ± SEM. Significant differences are indicated by different letters, p < 0.05.



