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Endocrine Reviews 18 (4): 541-609
Copyright © 1997 by The Endocrine Society

Gonadal Peptides as Mediators of Development and Functional Control of the Testis: An Integrated System with Hormones and Local Environment1

Lucio Gnessi, Andrea Fabbri and Giovanni Spera

Dipartimento di Fisiopatologia Medica, Università di Roma "La Sapienza," Rome, Italy


    Abstract
 Top
 Abstract
 I. Introduction
 II. Neurohormones/Neuropeptides
 III. Peptides Originally...
 IV. Growth Factors
 V. Immune Derived Cytokines
 VI. Vasoactive Peptides
 VII. Conclusions and...
 References
 

I. Introduction
II. Neurohormones/Neuropeptides
A. GH-releasing hormone (GHRH)
B. Pituitary adenylate cyclase-activating peptide (PACAP)
C. GnRH
D. CRH
E. Oxytocin (OT)
F. Arginine vasopressin (AVP)
G. TRH
H. Somatostatin (SRIF)
I. Opioids
J. Substance-P (SP)
K. Neuropeptide Y (NPY)
III. Peptides Originally Identified in the Male Gonad
A. Inhibin (INH) and activin (ACT)
B. PModS
IV. Growth Factors
A. Insulin-like growth factors (IGFs) and IGF-binding proteins (IGFBs)
B. Transforming growth factor-ß (TGFß)
C. TGF{alpha}/EGF
D. Fibroblast growth factor (FGF)
E. Platelet-derived growth factor (PDGF)
F. Nerve growth factor (NGF)
G. Steel factor (SLF)
H. Gastrin-releasing peptide (GRP)
V. Immune Derived Cytokines
A. Interleukins (ILs)
B. Tumor necrosis factor-{alpha} (TNF{alpha})
VI. Vasoactive Peptides
A. Endothelin (ET)
B. Angiotensin-II (AT-II)
C. Atrial natriuretic peptide (ANP)
VII. Conclusions and Perspectives


    I. Introduction
 Top
 Abstract
 I. Introduction
 II. Neurohormones/Neuropeptides
 III. Peptides Originally...
 IV. Growth Factors
 V. Immune Derived Cytokines
 VI. Vasoactive Peptides
 VII. Conclusions and...
 References
 
THE TESTIS is a complex organ that serves two crucial functions: synthesis and secretion of testosterone and production of a sufficient number of competent spermatozoa to attain fertility. To accomplish these objectives, the tissue is organized into two compartments: the tubular compartment and the interstitium. The seminiferous tubules are formed by the Sertoli cells, which provide structural support for the germinal cells, and by the peritubular myoid cells (PMC), which surround the tubules. The interstitium is composed of Leydig cells, macrophages, fibroblasts, and blood vessels. These structures are embedded in the extracellular matrix, which is immediately adjacent to the seminiferous epithelium, between the PMC and the basal surfaces of Sertoli cells and spermatogonia, and acquires the specialized form of the basement membrane.

Due to the cyclic course of spermatogenesis, any given function of the spermatogenic cells overlaps with an earlier or later generation to create a constant combination of cells known as cell associations or stages. The complete sequence of stages or cell associations constitutes one cycle of the seminiferous epithelium, whose duration appears to be specific for each species. This continuous progression of spermatogenic lineages causes profound reciprocal changes of the environment to which each cell is exposed (Fig. 1Go).



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Figure 1. Schematic representation of the anatomical arrangement of the adult rat testis. Cell associations forming some of the XIV stages of the seminiferous cycle are shown. The unsteady cellular composition of the seminiferous epithelium and the consequent spatiotemporal variation in the reciprocal interactions between all the testicular cellular components cause the cyclic microenvironmental changes typical of the mammalian testis.

 
The adult organization of all the testis components results from complex processes of cellular proliferation and progressive acquisition of a specialized phenotype that show a remarkable degree of coordination. It is well known that the essential prerequisite for normal testicular development and maintenance of spermatogenesis is the controlled secretion of LH, FSH, and testosterone during fetal and postnatal life. As a matter of fact, the deficiency of these hormones leads to hypogonadism and sterility, a condition that can be treated with specific replacement therapies (1). However, in the majority of cases of male infertility resulting from a reduced or even absent production of spermatozoa, the levels of circulating reproductive hormones are within the normal range, thereby eliminating the possible application of any reliable therapy with the exception of in vitro fertilization procedures (2, 3).

These data have reinforced the assumption that the testicular physiology is not fully accounted for by traditional endocrine paradigms. Presumably, then, there should be an intratesticular network of regulators, the exquisitely timed and highly regionalized expression of which might participate first in the development of the male gonad and later in the initiation and maintenance of testicular function. This involves intercellular, intracellular, and cellular-environmental communication rather than total reliance on intracellular programming and classic hormonal control. Thus, testicular development can be influenced by a number of variables, including physical parameters, nutrients, extracellular matrix components, cell adhesion molecules, soluble factors, and membrane junctional complexes between apposing cells. In addition to development and differentiation, which are readily evident during embryogenesis, these variables are involved in the fully developed organ in tissue maintenance, cellular renewal, and local control mechanisms. These general rules appear to be particularly important in the testis since in the seminiferous tubules, as in the hemopoietic system, a limited number of multipotent stem cells give rise to a much larger population of functionally mature cells, and thus the processes of proliferation and differentiation must be finely tuned throughout life.

In the last two decades, these considerations have produced a shift from endocrine to paracrine research, generating a large body of studies that have been subject to debates and attempts to fit the available information into hypothetical models (4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16). Among the substances employed as symbols in the language of intercellular communication are the polypeptidic factors. At present, we refer to the polypeptidic factors as regulatory substances released by practically any type of cells. They can also be referred to with a broader term such as cytokines (from the ancient greek {kappa}u{tau}o{varsigma}, cell, {kappa}{iota}{nu}{epsilon}{omega}, to stimulate). More than 50 of these substances have been described and the majority have been cloned. Most of them have pleiotropic effects, their actions are markedly influenced by the context in which they operate, and some act synergistically or are capable of inducing or inhibiting the production of other cytokines. They form the fourth major class of soluble intercellular signaling molecules, alongside neurotransmitters, endocrine hormones, and autacoids. Many of these factors are produced by the various cellular components of the testis.

This article will attempt to provide an analysis of the available information on the functional interactions between the cells of the male gonad mediated by locally produced regulatory peptides. When dealing with the literature on this topic, there are some focal points that must be kept firmly in mind. The vast majority of the results are generated from in vitro studies, and thus to extrapolate the products in vivo is to force the evidence. It should never be forgotten that in vitro we are out of context, and cellular behavior can be markedly affected by artificial experimental conditions. For example, Sertoli cells or PMC isolated from their normal environment and placed in culture look different and function differently (17, 18). Furthermore, the effect of a regulatory substance can be profoundly influenced by reciprocal interactions of the substance itself and the responding cells with the extracellular matrix and the normal cellular complement (19). Modern techniques now allow us to measure very small quantities, perhaps even below the limit of biological significance. What regulates the testicular cell components in adult life may not be the same as during pre- and early postnatal development or during puberty. Although comparable regulatory interactions exist in mammals, the relative importance of distinct local control systems may vary from species to species.

Crucially important in the identification and validation of peptide factors such as local modulators is the demonstration of local production, expression of specific receptors, and evidence for a biological action on the producing cell or on neighboring cells. The agreement of different methodological approaches gives additional strength to the information. Another important criterion that should be met to define a factor as a local regulator is that local production and action is controlled under physiological conditions or altered in pathological circumstances.

The general characteristics of the substances that will form the focus of this review are listed in Table 1GoGo.


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Table 1. General properties of the regulatory peptides identified in the mammalian testis

 

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Table 1A. Continued

 
The review will encompass a detailed analysis of the literature. We will discuss the evidence for local production, receptor expression, and in vitro and in vivo actions for each of the gonadal peptides so far identified in the mammalian testis, preceded by a brief summary of their general properties. Our scope is to furnish the most complete picture as possible, trying to place the data in an integrated perspective with hormones and local environment.

The advent of transgenic and gene-targeting techniques has allowed us the unique opportunity to test the functions of specific genes directly in vivo. Many of the functions of the regulatory peptides within the context of a complex organism have been elucidated through the use of such experimental models. Thus, we have reported the results generated by these powerful technologies, which may help to clarify the complex functions of the regulatory peptides in the testis.

Due to the enormous amount of information available, in some instances contradictory and difficult to interpret, the experimental evidence has been summarized in tabular form to provide an easily understood format, enabling quick comparison of data. Tables 2GoGoGo and 3GoGo summarize the reports on the presence of regulatory peptides and their receptors in the mammalian testicular tissue and in isolated cells, including cellular source, detection systems, and modulation of expression/production. Tables 4GoGoGo and 5Go provide a synopsis of the effects of the gonadal peptides in in vitro and in vivo models. The pattern of expression of these substances and their receptors during development and in relation to the stages of the seminiferous epithelium in the rat is provided in Tables 6Go and 7Go. Finally, Table 8Go summarizes the characteristics of transgenic mice models with recognizable effects on male reproduction that are thought to be exerted through direct testicular action.


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Table 2. Regulatory peptides in the mammalian testis

 

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Table 2A. Continued

 

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Table 2B. Continued

 

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Table 3. Receptors for regulatory peptides in the mammalian testis

 

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Table 3A. Continued

 

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Table 4. Effects of the locally produced regulatory peptides on the testis in vitro

 

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Table 4A. Continued

 

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Table 4B. Continued

 

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Table 5. Effects of regulatory peptides on the mammalian testis in vivo

 

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Table 6. Developmental expression of regulatory peptides and regulatory peptide receptors in the rat testis, relative changes

 

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Table 7. Regulatory peptides and regulatory peptide receptors expression during the stages of the rat seminiferous cycle

 

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Table 8. Transgenic models with local effects on male reproduction

 

    II. Neurohormones/Neuropeptides
 Top
 Abstract
 I. Introduction
 II. Neurohormones/Neuropeptides
 III. Peptides Originally...
 IV. Growth Factors
 V. Immune Derived Cytokines
 VI. Vasoactive Peptides
 VII. Conclusions and...
 References
 
A. GH-releasing hormone (GHRH)
GHRH is the hypothalamic neurohormone that stimulates the synthesis and secretion of GH from the somatotrophs of the anterior pituitary (20, 21). The mature hormone contains 44 amino acid (aa) residues. Additional proteolysis in vivo can yield peptides of 37 and 40 aa that possess full biological activity. Molecular cloning of the GHRH receptor confirmed that the receptor belongs to the family of the G protein-coupled receptors containing seven potential membrane-spanning domains (21, 22).

1. Expression, localization, and production.
High levels of a GHRH-like substance in mature rat testis are present both at the level of protein product and gene transcript with the mRNA substantially larger than the GHRH transcript from the hypothalamus (23). The partially purified testicular GHRH is capable of stimulating GH secretion from cultured anterior pituitary cells in a dose-dependent manner, and GHRH-like immunoreactivity has been localized to mature sperm forms in rat testis (24).

Testicular GHRH mRNA and peptide are developmentally regulated. No GHRH mRNA is detected in testes from day 19 fetal rats, but it is present in low amounts on day 2 of life, increasing gradually to day 21 (25). The GHRH gene expression increases more dramatically beginning on day 21 and reaches adult levels by day 40 (25). Immunohistochemical studies have confirmed these findings in that the presence of GHRH-like immunoreactivity has been found in the interstitial cells of the testis from postnatal day 4 and the positively stained cells increase with age (26). Immunoreactive GHRH was also present in the acrosomal region of early and intermediate spermatids at stages III-VI of the seminiferous epithelium cycle (26). Accordingly, GHRH mRNA has been localized in developing spermatogenic cells by in situ hybridization and Northern blot analysis (27).

Transgenic mice bearing the fusion gene encoding the promoter region of the mouse metallothionein-1 (MT-1) gene and the coding region of the human GHRH gene have been used as a model for studying the tissue-specific expression and processing of GHRH (28, 29). In the testis of these animals the GHRH gene was clearly expressed (29), and the primary site of GHRH-immunoreactive staining was the Leydig cells (28). In line with these results, authentic GHRH under positive gonadotropin control is actively released from cultured adult rat Leydig cells (30).

Interestingly, the GHRH mRNA found in the rat testis contains an exon 1 sequence different from that found in hypothalamus or placenta, and the initiation of GHRH transcription in the testis begins approximately 700 bp 5' to that in placenta and 10.7 kbp 5' to that in hypothalamus (31). Thus, the GHRH transcripts in each tissue have distinct exon 1 sequences and may use different promoters, suggesting that as yet unidentified spermatogenic-specific transcription factors may bind to the promoter region of testicular GHRH to regulate its expression (31).

Recently, a novel peptide, the putative 30-aa C-terminal peptide of the GHRH precursor, called GHRH-related peptide, has been found in abundance in adult rat germ cells by immunohistochemistry (32). Specific staining predominated in stage IV seminiferous tubules, in pachytene spermatocytes, and in the acrosomes of spermatids (32).

Moretti et al. (33) found immunoreactive GHRH-like material in human testis. They noted intense staining of the interstitial compartment with localization to the Leydig cells. The presence of GHRH-like peptides in human testicular tissue has been further analyzed by means of enzyme-linked immunosorbent assay (ELISA) and Northern blot of adult testis extracts (34). Both methodologies confirmed that the human testis is an extrahypothalamic site of expression for both immunoreactive GHRH-like peptides and GHRH gene.

2. Receptors.
It has been shown that GHRH acts on the Leydig cells via a vasoactive intestinal peptide (VIP) receptor, directly stimulating cAMP production (30). Recently, the GHRH receptor mRNA has been detected in rat Sertoli cells and at lower levels in germ cells and Leydig cells; moreover, the treatment of Sertoli cells with GHRH has been found to increase the GHRH receptor expression in a dose-dependent manner (35).

3. Local functions.
GHRH has direct actions on the Sertoli cell, including stimulation of cAMP production and c-fos and steel factor (SLF) mRNA expression (36). Accordingly, GHRH has been found to increase basal and FSH-stimulated cAMP formation in cultured adult and pubertal Sertoli cells with a higher potency in pubertal than in adult cultures (26). Moreover, it has recently been shown that GHRH-related peptide specifically activates the expression of SLF by Sertoli cells to a higher extent than GHRH without increasing intracellular cAMP levels, or transferrin, androgen binding protein (ABP), or inhibin (INH) {alpha}-subunit transcripts (32).

Spontaneous and transgenic mutants may help to clarify the roles of the peptide described above. Mice homozygous for the spontaneous little (lit) gene mutation are normally proportioned dwarfs (37) carrying a missense mutation of the gene encoding for the GHRH receptor (38, 39). Both male and female little mice exhibit delayed sexual maturation (37). Although fertility in little males was initially reported to be reduced (37), this has subsequently been shown to be diet related (38), and the allometric reduction of all reproductive organs with body size was not associated with impairment of steroidogenesis or spermatogenesis (40) or with fertility (41). However, direct examination of GHRH and GHRH receptor expression in the gonads of little mice is lacking and, therefore, whether or not this animal model might provide further clues toward understanding the in vivo roles of GHRH in the testis is uncertain.

On the other hand, the expression of human GHRH in transgenic mice results in elevations of serum GH and stimulation of linear growth (42). Both males and females carrying the GHRH fusion gene are fertile and transmit the gene. These data appear to exclude the severe GHRH-mediated consequences for male reproductive physiology. However, whether this lack of testicular effect in both overexpressing and nonexpressing GHRH applies also to animals other than mice is not predictable.

B. Pituitary adenylate cyclase-activating peptide (PACAP)
PACAP is a novel member of the secretin/glucagon/VIP/GHRH family of peptides that was originally isolated from ovine hypothalamic tissues based on its ability to stimulate the accumulation of cAMP in rat pituitary cell culture (43). PACAP exists in two forms: a longer form of 38-aa residues (PACAP-38) and a shorter one (PACAP-27) corresponding to the amino-terminal 27 residues of PACAP-38 (44). Both PACAPs are derived from a 175-aa precursor, which in addition gives rise to a 29-aa peptide designated PACAP-related peptide (PRP) (45). To date there is no known function for PRP.

PACAP shares binding sites with VIP in a variety of tissue types. There are three cloned receptors for PACAP, designated PVR1, PVR2, and PVR3. The PVR1 binds PACAP 100- to 1000-fold more potently than VIP and couples, through G proteins, to the activation of both adenylate cyclase and phospholipase C. PVR2 and PVR3 bind PACAP and VIP with approximately equal affinities and are coupled, probably through the G protein Gs, to the activation of adenylate cyclase. Five splice variants of the PVR1 receptor have been described. PACAP does not act as a classic hypophysiotropic factor that stimulates or inhibits anterior pituitary hormone release, but instead modulates the responses to factors such as GnRH directly or indirectly or has more general effects on gene expression or cell growth and differentiation (46).

1. Expression, localization, and production.
Immunoreactive PACAP-38 has been found in the rat testis (47, 48) that exceeds even the total amount of immunoreactivity in the entire brain (47). Extracts of adult rat testes contain all the PACAP precursor-derived peptides: PACAP-38, PACAP-27, and PRP (49). PACAP mRNA has been found near the perimeter of the seminiferous tubules in early germ cells by in situ hybridization (50), and immunohistochemical studies have shown PACAP-38 staining in spermatids near the lumen at stages VII and VIII of the seminiferous cycle, in spermatogonia and primary spermatocytes, but not in mature spermatids or spermatozoa (49). An unusual PACAP mRNA shorter than that reported in the rat cortex and hypothalamus has been isolated in rat testis (51, 52). This smaller form of PACAP mRNA is also present in human, murine, and bovine testis (52).

Cloning of the PACAP-38 cDNAs showed the expression of the corresponding mRNAs and peptide in human testis (53).

2. Receptors.
The PACAP PVR1 receptor has been found in the most mature stages of the adult rat germinal cells by autoradiography (54). Although testicular cell membrane preparations showed some specific PACAP-27 binding, the rate was too low relative to the protein content to generate informative displacement profiles (54, 55). The five spliced variants of PVR1 receptor are coupled differently to adenylyl cyclase and/or phospholipase C stimulation, and the form denominated PACAP-R hop is the predominant one in the testis (56).

Recently, the cloning of the gene encoding the human type I VIP receptor, also called type II PACAP receptor or PVR2, has been achieved (57). The gene is selectively expressed in various human tissues including the testis (57).

3. Local functions.
PACAP stimulates cAMP accumulation in Sertoli cells from 15-day-old rats, and this property declines with the increasing age of the donor animals (58). This effect is additive with submaximal, but not maximal, concentrations of FSH. Furthermore, PACAP increases the Sertoli cell secretion of lactate, estradiol, and INH in a concentration-dependent manner (58). The PACAP-mediated stimulation of the Sertoli cell cAMP accumulation is not altered by a VIP antagonist, suggesting that PACAP is acting via the PVR1 receptor on these cells (58). In addition to the effects on Sertoli cells, PACAP increases the synthesis of both secreted and intracellular proteins in spermatocytes, but decreases the synthesis of both spermatid-secreted and intracellular proteins (59).

Despite the distinct possibility of PACAP effects within the testis, direct proof of an in vivo function is still lacking.

C. GnRH
GnRH is a decapeptide synthesized in the cell bodies of hypothalamic neurons that selectively stimulates the gonadotrope cells of the anterior pituitary to release LH and FSH (60). The GnRH receptor is a seven-transmembrane region protein that on activation initiates a series of events that start with G protein-mediated stimulation of phosphoinositide (PI) turnover followed by elevations in [Ca2+]i and activation of protein kinase C (PKC) (61, 62).

1. Expression, localization, and production.
In 1980, Sharpe and Fraser (63) reported the presence of a factor with GnRH-like activity in the testicular interstitial fluid of human (h) CG-treated adult rats (63). Later, it was demonstrated that seminiferous tubules from the rat and the stumptailed macaque (Macaca arctoides) and medium conditioned by cultured rat Sertoli cells contained a factor with GnRH-like receptor-binding and biological activity (64, 65), immunologically distinct from native GnRH (64). Paull et al. (66) found a GnRH-like immunoreactivity in the cytoplasm and nuclei of germ cells using an antiserum directed to the center of the molecule, but not with antisera directed to the end of the molecule. The partial isolation and characterization of GnRH receptor-binding activity from adult rat testis acetic acid extracts revealed the presence of two factors chemically distinct from the native decapeptide, with approximate molecular weights of 68,000 and 6,000, respectively (67). This partially purified material led to a dose-dependent inhibition of LH-stimulated testosterone production in a mixed Sertoli-Leydig cell monolayer culture similar to that seen with synthetic GnRH (68). Low concentrations of GnRH-like factors have been found in adult rat testis extracts by RIA (69, 70). This low concentration has been partially attributed to the presence of a testicular GnRH-peptidase associated with the Sertoli cells, one of the putative sources of rat testicular GnRH. GnRH-peptidase content has been found to be much higher in adult testis than in immature testis (71).

Recently, GnRH mRNA has been found at a specific, although not specified, stage of spermatogenesis within the seminiferous tubules of both mature rat and adult human testes (72). In the rat, the expression of the GnRH mRNA was identified in Sertoli cells and spermatogenic cells of some seminiferous tubules. In humans, the GnRH mRNA was localized only in some spermatogenic cells in some seminiferous tubules, suggesting that the mRNA was expressed at specific stages of tubular development (72).

2. Receptors.
GnRH-specific low-affinity binding sites were originally identified in testicular membrane preparations from adult rats by Marshall and collaborators (73, 74). Subsequent in vitro studies demonstrated high-affinity receptors located in the interstitial cells of the adult rat testis (75, 76, 77, 78). In keeping with these results, quantitative autoradiography confirmed the presence of GnRH binding sites distributed on adult rat interstitial cells (79). Moreover, GnRH-binding sites have been found in the testis of the frog Rana esculenta (80).

The ontogeny of the GnRH receptors in the rat testis has been described. GnRH receptors were not detectable in homogenates of acutely excised 20.5-day fetal testes or in freshly prepared fetal Leydig cells, but were clearly present starting from 3 days of culture (81). These receptors were also readily detectable postnatally in the testes of 5-day-old rats and increased markedly during maturation (81, 82).

After Leydig cell binding, GnRH stimulates the inositol lipid metabolism, which triggers a cascading mechanism that ultimately results in the generation of increased cytosolic free calcium levels, enhanced PKC activity, and liberation of arachidonic acid (62, 83, 84).

In contrast to what was observed in the rat, GnRH receptors have not been found in adult human (85) or mouse testes (86, 87), leading to the assumption of a species-specific expression in the male gonad.

However, the picture has been further complicated by the recent immunohistochemical finding of GnRH receptors in adult human Leydig cells (72).

3. Local functions.
The first hypotheses of a direct effect of GnRH and its agonists on testicular physiology came from the observation that the in vivo administration of pharmacological doses of GnRH exerted paradoxical inhibitory effects on male reproductive functions in immature and adult hypophysectomized rats (88, 89, 90, 91) and inhibited the in vitro gonadotropin stimulation of androgen production by cultured testicular cells (75, 92, 93, 94). GnRH agonists inhibited LH-dependent steroid production and abolished the acute testosterone response to hCG in cultured testicular cells from fetal and neonatal rats (81, 95, 96). This inhibitory effect of GnRH on testicular basal and LH-stimulated testosterone secretion has also been confirmed by in vivo experiments in the rat fetus (97). However, different experimental models gave contrasting results.

Short-term incubations of adult rat Leydig cells with GnRH resulted in increased phospholipid turnover, prostaglandin E and testosterone production (86, 98, 99, 100), and activation of the cytochrome P450 enzyme (101), whereas chronic exposure decreased the response to hCG (102).

In short-term incubations the GnRH analog buserelin had a direct positive effect on testicular testosterone production by R. esculenta minced testes (103) and decapsulated rat testes between 1 and 60 days of life (82). A number of studies have been conducted on different frog species demonstrating that GnRH-like material acts directly on testes promoting androgen production (104, 105, 106, 107) and primary spermatogonial mitosis (106, 108, 109).

In an elegant experiment, Huhtaniemi et al. (110) examined the functions of the GnRH receptors in the adult and immature rat testis, blocking the receptors by a 7-day in situ infusion of a potent GnRH antagonist. The infusion of the antagonist resulted in a dose-dependent decrease of the testicular GnRH receptors up to 90%; the circulating levels of gonadotropins, PRL, and testosterone were unaffected, but there was a subtle yet significant decrease (16–32%) in the testicular content of testosterone, and of LH, FSH, and lactogen receptors (110). GnRH agonists have been shown to stimulate testicular blood flow in hypophysectomized rats, an effect that is mediated via the Leydig cells and is presumed to reflect one of the actions of testicular GnRH (4, 111).

Initial studies investigating the factors regulating the GnRH receptor expression in the testis indicated that the in vivo administration of GnRH induced an increase in the number of its own receptors in both intact and hypophysectomized rats (77, 112). Furthermore, it has been demonstrated that the administration of LH to hypophysectomized rats prevents the posthypophysectomy increase of GnRH receptors, as well as reducing the high levels of receptors in previously hypophysectomized animals (113). Experimental adult rat unilateral cryptorchidism induces a significant reduction in the number of receptors for LH, FSH, and PRL, but the number of GnRH receptors is unaffected (114).

Studies conducted in humans showed that the administration of a potent GnRH agonist for 6 days did not inhibit the hCG-induced increase in plasma testosterone levels or the testicular steroidogenic pathway in patients with gonadotropin deficiency (115). The chronic treatment of elderly men with disseminated prostatic cancer with a GnRH agonist resulted in inhibition of both the {Delta}4 and {Delta}5 pathways, with a subsequent decrease in the intratesticular testosterone concentration (116, 117). The ability of exogenous hCG to reverse both the reduction in {Delta}4 and {Delta}5 intratesticular steroid content and the intratesticular enzyme activities induced by the GnRH analog suggests that GnRH does not have a direct inhibitory effect on testicular testosterone biosynthesis in man (116, 117). In support of this evidence, no effect has been found with high concentrations of a GnRH agonist on steroid conversion in human testicular tissue in vitro (118). The lack of local effects of GnRH in human testis has been confirmed in other primates (119, 120) as well as in other species (87, 121).

Genetically hypogonadal mice (hpg/hpg), homozygous for a deletion mutation in the gene encoding GnRH and GnRH-associated peptide (122), cannot synthesize or release hypothalamic GnRH and GnRH-associated peptide. This accounts for diminished production of gonadotropins, which is responsible for the arrested development of their gonads and sterility. Thus, these endogenous mutants cannot help to define the importance of GnRH in testicular function, considering also the reported lack of expression of the GnRH receptors in the mouse testis (86, 87).

Based on present evidence, the physiological significance of testicular GnRH-like peptides and of the direct gonadal actions of GnRH and its agonists is as yet unresolved. The data reported above indicate that the local effects of testicular GnRH are subtle and species-specific.

D. CRH
CRH, a 41-aa peptide, is the key hormone controlling hypothalamic-pituitary-adrenal function. It now appears that the actions of CRH go beyond its role as a hypothalamic releasing factor. Through actions in the brain and in the periphery, CRH coordinates the endocrine, autonomic, behavioral, and immune responses to stress (123). The CRH receptor is a glycoprotein that belongs to the family of the seven-transmembrane G protein-coupled receptors, with a higher molecular weight in peripheral tissues and a lower molecular weight in the brain (124, 125).

1. Expression, localization, and production.
CRH mRNA is present in the testis at levels comparable to those found in the midbrain (126) and is most abundantly distributed in the testis of MT-CRH transgenic mice (127). Immunoreactive CRH has been found to be present in the testis of rat, guinea pig, sheep, and man (128, 129) and localized in the Leydig cells, germ cells, and epididymal sperm (130, 131). In the rat, testicular CRH concentrations fluctuated with age, showing high levels at 10 days of age, a marked reduction at 20 days, a significant increase at 60 days, and maximal levels at 90 days (130). The increase of immunoreactive CRH concentrations at the time of full spermatogenic activity and sperm production led to the suggestion that, in adult life, most testicular CRH is localized in germinal cells (130). However, recent immunohistochemical studies indicate that in adult rat testis, CRH is mostly localized to interstitial cells, and that purified Leydig cells show consistent cytoplasmatic immunostaining for CRH (131). In adult human testis, CRH immunostaining has also been shown to be mainly localized in the interstitial compartment (132). CRH was isolated and characterized from testicular extracts and found to be, apart from a microheterogeneity at position 39, identical in amino acid sequence to the hypothalamic peptide (128).

Adult rat Leydig cells in culture release a consistent amount of CRH (132). LH/hCG, cAMP, and 5-hydroxytryptamine (5HT) are potent acute stimuli for its production (132, 133). Furthermore, the 5HT2 receptor subtype is found in the Leydig cells and mediates the serotonin stimulation of CRH secretion (133). Extrapolating from other tissues, it is conceivable that the mechanism of action of 5HT on binding to the 5HT2 receptor in Leydig cells involves the activation of PI hydrolysis and stimulation of PKC (133), an intracellular messenger system that appears to mediate the stimulation of CRH release in Leydig cells (132). Studies from the same group showed that 1) serotonin is a more effective stimulus than hCG in stimulating CRH secretion, and 2) gonadotropin-induced CRH release is inhibited by the 5HT2 receptor antagonist ketanserin, indicating that stimulation of CRH by hCG results from the action of endogenously released serotonin (133).

In vivo studies have shown that acute immobilization stress is a stimulus for testicular CRH mRNA expression and transcription into CRH protein (134). This model of stress was also characterized by a marked reduction (80%) in testosterone serum concentration but no change in LH serum levels. Therefore, the involvement of testicular CRH in stress-induced testosterone inhibition was suggested.

2. Receptors.
CRH-binding sites have been demonstrated in whole testis (135) and isolated adult rat Leydig cells (136). Adrenalectomy of adult rats induced, after 14 days, an increase of CRH binding in testis membranes by approximately 215% above sham-operated controls, suggesting that glucocorticoids may be a regulator of peripheral CRH receptors (137). Scatchard analysis of CRH binding data on intact cells and purified Leydig cell membranes revealed a single class of high-affinity binding sites with a dissociation constant (Kd) of 0.1 nM, and showed that CRH receptors are present in low abundance [500/800 per cell vs. 20,000 for LH/hCG and 2,000 for angiotensin II (AT-II)] (136). Subsequent studies in rat Leydig cells have shown that, in contrast to corticotropes, CRH receptors interact with a G protein different from Gs, which is linked to phospholipase C, possibly Gq, G11, or an isoform not yet described (138).

Recently, two types of hCRH-receptor cDNAs were identified (type I and type II hCRH-R) (125). hCRH-RII is identical to type I except that it contains a 29-aa insert in its first cytoplasmic loop, suggesting that hCRH-RI and hCRH-RII result from alternative splicing of a single gene. Studies on the signaling properties of the two receptors showed that hCRH-RI is coupled to stimulation of cAMP accumulation and PI hydrolysis. In contrast, hCRH-RII is deficient in signaling through both effectors, especially PI turnover in COS-7 cells (139). Since the CRH receptor in rat Leydig cells is mainly coupled to PKC activation, it can be excluded as an CRH-RII subtype. Interestingly, an additional CRH receptor has been identified, which was shown to be expressed at high levels in the heart and at low levels in the brain and lungs, and found to be significantly different (30%) from that of the pituitary gland (140). Functional studies have demonstrated that this "peripheral" CRH-receptor recognizes CRH and the CRH-related amphibian peptide sauvagine and is coupled with Gs and adenylate cyclase (140). Thus, it is conceivable that, in addition to the pituitary type, there might be distinct peripheral CRH receptor subtypes capable of coupling with different intracellular signaling pathways (i.e., adenylate cyclase and/or phospholipase C).

PCR analysis of human tissues revealed CRH receptor transcripts in the brain, pituitary gland, and testis (141).

3. Local functions.
CRH receptors in rat Leydig cells are coupled to stimulatory actions on ß-endorphin (ßEND) production (142) and inhibition of LH-induced steroidogenesis (132, 136, 138). In vitro studies showed that CRH acts rapidly (in minutes) in the fetal and adult rat Leydig cell to exert highly effective negative autoregulation of the Leydig cell steroidogenic response to the LH stimulus (132, 136). Similarly, intracellular and extracellular cAMP production stimulated by gonadotropin were significantly reduced by CRH treatment of rat Leydig cells (136, 138). Studies performed in both purified mouse Leydig cells and in a mouse cell line derived from a Leydig cell tumor (MA-10 cells) led to different results, showing that CRH had a stimulating effect on cAMP accumulation and steroid production (143). In the same studies, experiments performed on partially purified rat Leydig cells (60–80% Leydig cells) showed that CRH had no effect on basal and hCG-stimulated steroidogenesis. These results indicate that mouse Leydig cells respond differentially from rat Leydig cells to CRH, suggesting that CRH action in the male gonad is species-specific. Mice and rats might have different forms of CRH receptors on Leydig cells, which couple to different signal pathways and have opposite actions on steroidogenesis. This is consistent with the large number of differences between mouse and rat Leydig cells found by others (143). In highly purified rat Leydig cells (90–95% pure), it has been found that the inhibition of hCG-induced steroidogenesis by CRH was maximal (150–200% reduction) at the earliest incubation times (30–60 min) and much less evident at later time points (60–120 min, 20–40% reduction) (136). The marked reduction of CRH effects on hCG-induced steroidogenesis in rat Leydig cells after prolonged incubation was related to the temporal degradation of the peptide in culture, which was complete after 180 min (136). These observations might explain the above reported inconsistency of CRH inhibition on hCG-induced steroidogenesis observed in rat Leydig cells (143). These latter studies were performed in partially purified Leydig cell populations, which can be contaminated by high CRH-degrading activity, and CRH actions were assessed after incubation for only 2 h, a time point at which CRH inhibition has been reported to be minimal (136). Taken together, these results strengthen the concept that extreme caution must be used in examining the actions of a peptide in the testis based solely upon in vitro methodologies.

To further complicate the picture, in vivo studies performed in neonatal (5-day-old) rats showed that the intratesticular injection of an anti-CRH-antiserum led to a significant decrease in serum testosterone levels (144). These findings indicate that in the neonatal period in the rat, testicular CRH might be a local stimulator of steroidogenesis. A developmental regulation of CRH action in the testis is also indicated by the finding that intratesticular injection of CRH in vivo causes a significant increase of ßEND secretion in interstitial testicular fluid in pubertal but not adult rats (145). In adult unrestrained intact male rhesus macaques, a 4-h infusion of CRH caused a prompt decrease in testosterone levels without significant changes in LH levels (146), leading to the suggestion that CRH may directly inhibit testosterone production by Leydig cells.

Both CRH deficient and transgenic mice have been generated (147, 127). CRH-deficient mice require glucocorticoid for lung maturation during fetal life (147). Despite marked glucocorticoid deficiency, these animals exhibit normal postnatal growth, fertility and longevity, suggesting that the major role of glucocorticoid is restricted to the prenatal period, and that the lack of CRH does not impair reproductive potential.

As pointed out earlier, analysis of CRH mRNA distribution in transgenic mice has revealed that transgene expression is primarily detected in all the classic expression sites of endogenous CRH and in the testis (127). Mapping of CRH within the testis by in situ hybridization revealed hybridization signal over seminiferous tubules and in an interstitial pattern consistent with Leydig cell expression. The CRH-expressing transgenic mice were developed using the mouse MT-1 promoter fused to the rat CRH gene. Therefore, the tissue distribution of rat CRH in these animals may more closely resemble MT-1 expression than CRH, and for this reason the CRH mRNA distribution does not necessarily represent the normal tissue-specific expression of CRH. The transgenic mice developed a Cushing-like syndrome; male animals bred successfully.

In conclusion, CRH actions in the testis may vary depending upon the species and the period of life examined; it becomes apparent that, at least in adult male rats and rhesus macaques, CRH may have direct inhibitory effects on steroidogenesis and locally mediate the detrimental effect of stress on testicular function. However, further studies are needed to verify whether the testicular effects of CRH observed in some animal species in vitro have significant pathophysiological consequences in vivo.

E. Oxytocin (OT)
OT is a nonapeptide involved in parturition and lactation that is synthesized in the hypothalamus and secreted by the posterior pituitary (148). The OT gene consists of three exons encoding a preprohormone that is processed in several mature peptides, including the nonapeptide hormone (149, 150). Exon I encodes a signal peptide, the OT hormone, and the N terminus of a carrier molecule, neurophysin-I. Exon II encodes the bulk of neurophysin-I, and exon III encodes the C terminus of this molecule. A single class of OT receptors has been characterized that shows a structure with seven-transmembrane domains typical of the G protein-coupled receptors (151).

1. Expression, localization, and production.
Immunoreactive OT was first identified in the human and rat testis in 1984 (152). Since then, OT immunoreactivity has been found in testes of other mammals (153, 154) and birds (155). Immunohistochemical studies have shown OT immunoreactivity in the interstitial tissue, probably the Leydig cells, of rat and dog testes (156, 157). The depletion of the Leydig cell population in the adult rat by the drug ethan-1,2-dimethanesulfonate (EDS) causes a reduction in the levels of OT immunoreactivity in testicular extracts to undetectable levels by RIA, confirming the Leydig cell origin of OT in the rat gonad (158). Accordingly, immunocytochemical studies have revealed OT localization in purified rat Leydig cells (159). Cultured Leydig cells from adult rats release significantly more OT into the medium over a 3-day period than was present in the cells at the beginning of the experiment (160). Furthermore, the production of OT by these cells is significantly reduced by treatment with the protein synthesis inhibitor cycloheximide, providing further evidence for a Leydig cell production of OT (160). An OT-like peptide is also secreted by purified guinea pig Leydig cells in culture (161). Interestingly, in the hypogonadal mouse (hpg/hpg), no OT can be found in the testis, but the treatment with LH or with testosterone causes the appearance of testicular OT (162). Using HPLC and specific RIA, authentic OT has been identified in the testis of the Australian marsupial bandicoot (Isoodon macrourus) but not in the possum (Trichosurus vulpecula) testis (163).

OT gene transcripts are not detectable by Northern hybridization of rat testicular extracts, but the authentic hypothalamic-type mRNA can be detected using highly sensitive PCR analysis (164). Normal cattle have relatively high levels of testicular OT mRNA (155). In situ hybridization in bovine testicular tissue sections localized OT transcripts to the seminiferous tubules. It is thought that its expression is localized in Sertoli cells. The same testicular distribution of bovine OT RNAs was also shown by in situ hybridization in a transgenic mouse bearing a bovine OT transgene but not in the normal wild type mice (165, 166). Bovine and sheep testis contain moderate levels of an OT gene transcript as revealed by Northern blot analysis (167). In situ hybridization localized this mRNA within the seminiferous tubules, possibly in the Sertoli cells. Conflicting with this result, in the same study, immunohistochemistry analysis showed that both OT and the syngenic neurophisin I epitopes were clearly restricted to the Leydig cells, being expressed here at low levels. It has been suggested that the absence in the OT protein within the tubules is probably due to a lesion of OT gene expression at the posttranscriptional level, whereas, the low level peptide expression in the Leydig cells can be attributed to the presence of functional transcripts in these cells, which are below the level of significant detection for the in situ hybridization assay (167).

In humans, evidence for OT gene transcription in the testis was found in three of five experiments only by using a highly sensitive assay, based on a modification of the PCR, sufficient to detect one mRNA molecule/cell (168).

The effect of increasing doses of LH (0.001–100 ng/ml) on OT production from highly purified adult rat Leydig cells in culture has been tested (160). Maximal secretion of OT occurred with 0.1 ng/ml LH. Since there is a prolonged delay in the peak rate of OT production relative to the testosterone peak, it has been postulated that OT production could be indirectly regulated by LH through an intermediate factor, probably testosterone. This hypothesis is in line with the reported observation that testosterone alone stimulates high levels of testicular OT in the absence of LH in hpg/hpg hypogonadal mice (162).

2. Receptors.
A high density of OT receptors has been found in tunica albuginea and the epididymis of prepubertal pigs (169). Subsequent studies revealed the presence of OT receptors in the adult rat testis with ligand-binding characteristics similar to mammary and uterine OT receptors and an autoradiographic localization consistent with binding to Leydig cells (153, 170, 171).

The apparently straightforward action of OT on the contractility of the seminiferous tubules and the claim of a partial characterization of a tubular receptor (172) contrast with the inability to demonstrate functional OT receptors in rat testicular myoid cells at any stage of development (172, 173).

3. Local functions.
The contractility of the seminiferous tubules is enhanced by OT (172, 174). This effect is confirmed by the observation that the tubules from testes in which immunoreactive OT could not be detected are always quiescent (158, 162).

There are conflicting reports on the influence of OT on steroidogenesis. Adashi and Hsueh (175, 176) showed that OT inhibits the gonadotropin-stimulated androgen biosynthesis in isolated rat Leydig cells through testicular recognition sites similar to those mediating the pressor actions of the neurohypophysial hormones. This was supported by Nicholson et al. (177, 178), who used continual-release OT implants in vivo and the perfused whole-testis model, and Kwan and Gower (179), who reported that OT completely inhibited androgen biosynthesis in incubated microsomal fractions from rat testis. However, Tahri-Joutei and Pointis (180) found that OT stimulated testosterone production by purified murine Leydig cells with an effectiveness more pronounced at puberty, while Sharpe and Cooper (181) found OT to have no effect on testosterone production either in vitro or in vivo in the rat. Using short-term cultures of isolated rat Leydig cells, OT significantly increased basal testosterone production in a dose-dependent manner without affecting LH-stimulated testosterone production (182).

It has been shown recently that transgenic mice, which overexpress OT in the testis, have a 50% decrease in the levels of intratesticular testosterone and dihydrotestosterone (DHT) without detectable effects on testicular morphology, sperm production, or fertility parameters (166). While the results with the transgenic mice seem to be consistent with the in vitro and in vivo results in the rat (175, 176, 177, 178, 179), they contradict the in vitro experiments in the mouse (180). At this point the most reasonable explanation is that unlike the in vitro studies, transgenic models cannot distinguish between direct or indirect effects on Leydig cells and experience different exposure time compared with in vitro experiments (long-term vs. short-term). It is interesting to note that destruction of Leydig cells from adult rat testis using EDS, which results in the loss of OT (158), has very little impact on spermatogenesis, provided that high intratesticular levels of testosterone are maintained by exogenous administration (183). However, what the authors of the latter study observed was a 2- to 3-fold increase in the number of degenerating meiotic spermatocytes at stages XIV-I of the seminiferous cycle, and this was hypothesized to be related to the absence of OT, since active immunization of adult rats against OT caused a similar change.

Taking into account the possible differences between species, the important consistent finding must be that OT modulates androgen levels, possibly via direct action on the Leydig cells themselves, and regulates the extent of germ cell degeneration in the final stages of meiosis without severe physiological consequences to male fertility.

F. Arginine vasopressin (AVP)
AVP is principally an antidiuretic hormone. The substrate for production of the 9-aa AVP is a 164-aa precursor molecule. This molecule consists of a signal peptide, AVP itself, a specific neurophysin, and a glycosylated moiety. After synthesis in neurons of the hypothalamus, AVP migrates along neuronal axons into the posterior pituitary.

Two classes of cell surface AVP receptors, which are seven-membrane-spanning G-protein-coupled, mediate the actions of AVP. The V1 receptor occupancy induces an increase in PI hydrolysis and cytosol-free calcium. A subtype V1a receptor is found in the anterior pituitary. The V2 receptor, which is expressed only in the kidney, is coupled through the G-stimulatory protein to adenylate cyclase, cAMP, and a cAMP-dependent protein kinase (184).

1. Expression, localization, and production.
Adult rat and pig testes contain an immunoreactive AVP-like peptide that behaves like authentic AVP by chromatographic criteria (185, 186). AVP-like peptides have also been identified in the testis of the adult homozygous Brattleboro rat, a genetic mutant deficient in hypothalamic, pituitary, and circulating AVP, suggesting that the production of hypothalamic and peripheral AVP may involve different biosynthetic pathways (187, 188). Immunoreactive AVP has been detected in the interstitial fluid of adult rat testis, and the disruption of spermatogenesis was associated with a decrease in AVP concentration (189).

The detection by Northern blotting of a mRNA in the rat testis, which was considerably shorter than that in the hypothalamus and which hybridized to a specific AVP probe, was initially reported by Ivell et al. (190). Structural analysis revealed that while exons II and III of the testicular RNAs are identical to those of the hypothalamic mRNA, the hypothalamic exon I, which encodes the AVP nonapeptide, is not represented, suggesting major structural differences between hypothalamic and testicular AVP gene-related mRNAs (164, 191). No function could be ascribed to these testicular AVP-like RNAs because of the lack of open reading frames and the apparent lack of association with translationally active polysomes (164). Although a developmental analysis of the transcripts showed that their detection correlated with spermatogenesis and the appearance of dividing germ cells, no other physiological manipulation was able to influence the levels of these aberrant transcripts (164). Subsequently, a testis-specific promoter for the rat AVP gene has been described, and an in vitro synthesized RNA corresponding to the longer testicular AVP gene-derived transcript was not able to act as a template for protein synthesis (192). Again, the aberrant testicular AVP gene-derived RNAs expression was closely associated with the integrity of germ cells and ongoing spermatogenesis (193). Accordingly, transgenic mice overexpressing the rat hypothalamic AVP gene were shown to have tissue-specific mRNA expression in the hypothalamus, temporal lobe, parietal cerebral cortex, cerebellum, posterior pituitary, pancreas, and lung, similar to the tissue distribution of endogenous and ectopic mouse and rat AVP expression but not in the testis (194).

Nevertheless, by applying the great sensitivity of the PCR, hypothalamic-like AVP mRNAs could be detected in rat testis beginning around late puberty (164) as well as in mouse Leydig cells and rat and mouse Leydig tumor cell lines where they are probably translated to give authentic AVP (195). Both normal and aberrant AVP gene transcripts could not be detected in human and baboon testis by PCR (168).

As a whole, these observations indicate that expression of functional AVP transcripts in the testis depends on the animal species (they are present in rat and mouse but not in primates) and are detectable only with methods more sensitive than Northern hybridization; these transcripts can be responsible for the AVP-like immunoreactive peptides found in the testis; the process of AVP gene expression differs significantly between neuronal and testicular tissues and involves differential splicing of the known AVP gene; the function of the aberrant testicular AVP gene-derived RNAs that are unable to encode the corresponding peptides is unknown.

2. Receptors.
Specific, high-affinity, low-capacity binding sites for AVP of the V1 subtype have been identified in the Leydig cells of adult rat testis (196, 197), in testicular interstitial cell preparations from Brattleboro rats (188), and in the tunica albuginea of porcine testis (169). AVP-binding sites were found in Leydig cells from prepubertal, pubertal, and adult mice, with no marked differences in the affinity and a 50% decrease in receptor number in the pubertal period (180). AVP induces phospholipase C stimulation in enriched adult rat Leydig cell preparation (198). The autoradiographic localization of V1 receptors in the adult rat testis showed a binding to small arteries, the seminiferous tubule epithelial surface, and in a reticular interstitial pattern between seminiferous tubules consistent with binding to Leydig cells (199). In rats, the testicular AVP receptor concentration declines after hypophysectomy, and the treatment of hypophysectomized animals with LH or GH restores the receptor levels (200). Rat cultured PMC express a functional AVP receptor pharmacologically and structurally identical to the V1a subtype under developmental control, with no evidence of expression on cells prepared before puberty and postpubertal appearance (173).

3. Local functions.
AVP produces a dose-dependent inhibition of gonadotropin-stimulated androgen biosynthesis in cultured testicular cells mediated by specific testicular recognition sites similar to those mediating the pressor actions of AVP but distinct from those involved in the antidiuretic effect (175, 176). Subsequent studies have confirmed that long-term treatment with AVP inhibits LH-induced testosterone production by Leydig cells in vitro (180, 182, 183, 201, 202, 203), and an in vivo experiment confirmed the antigonadal activity of AVP (204). These effects have been accounted for by a decreased testicular LH- binding capacity (204) and reduced 17{alpha}-hydroxylase activity induced by AVP (201, 203).

In contrast, after acute treatment, AVP induces a stimulatory effect on the steroidogenic activity of mouse Leydig cells, which is more pronounced at puberty compared with prepubertal and adult periods (180). The intratesticular injection of low doses of AVP in the adult rat in vivo caused a dose-dependent decrease in total testicular blood flow, without any major effect on vasomotion, interstitial fluid volume, and testosterone production (205). The lack of an important in vivo role for AVP in the control of Leydig cell function was suggested by the reported normal plasma LH and testosterone levels as well as testicular testosterone production capacity in the AVP-deficient Brattleboro rats (206). However, the subsequent demonstration of AVP-like peptides in the testis of Brattleboro rats (188, 189) has reopened the quest for definitive proof of the influence of AVP or AVP-like immunoreactive compounds in the testis.

To summarize, further studies are needed before one can draw any conclusion about the physiological relevance of AVP in the male gonad.

G. TRH
TRH is the key regulator of the synthesis and secretion of TSH in animals and humans and plays additional roles as a neurotransmitter/neuromodulator in the central nervous system (CNS) (207). Extrahypothalamic loci of function for TRH have also been demonstrated (208). TRH acts on the target cells through a membrane receptor which is a member of the seven-transmembrane region, G-protein-coupled receptor family (209).

1. Expression, localization, and production.
Relatively high levels of TRH and its immediate precursor TRH-Gly have been found in the testis of sexually mature rats and dogs (210, 211, 212, 213), and mRNA for pre-proTRH (ppTRH) has been identified in the rat testis (214).

Developmental studies on testicular ppTRH mRNA expression showed no expression at the earliest stages of postnatal development (day 8), while hybridization signals were found on day 20 and increased progressively up to day 70. TRH peptide concentrations measured by RIA at the same developmental periods paralleled the ppTRH mRNA expression. ppTRH mRNA and TRH peptide were colocalized to Leydig cells by Northern blot analysis and immunohistochemistry of enriched testicular cell elutriates, respectively (214). Subsequent studies have confirmed, through the use of EDS treatment of adult rats, that the Leydig cells are the only source of authentic TRH and TRH-like peptides in the rat testis (215).

Interestingly, the TRH-potentiating peptide (Ps4), which is a connecting peptide that links two copies of the TRH progenitor sequence and has the same distribution pattern of TRH in the CNS, is present in very low concentrations in peripheral tissues except in the testis where it is expressed in large amounts (216).

Methimazole-induced hypothyroidism has been found to increase the concentration of immunoreactive TRH and TRH precursor in the rat testis (212); however, others have reported that testicular mRNA concentrations are completely unaffected by experimental alterations in thyroid status (208).

In humans, the cloning and characterization of the ppTRH gene has led to the recognition of ppTRH gene expression in the testis (217).

2. Receptors.
The in vivo binding of a hybrid protein consisting of TRH linked to a fragment of diphtheria toxin that specifically binds to TRH receptor showed a displaceable binding in the testis of adult rats (218). Specific binding sites for TRH and PS4, and the mRNA for TRH receptor, have been detected in adult rat testis (216, 219, 220) and purified rat Leydig cells (219).

3. Local functions.
TRH can partially inhibit the LH/hCG-induced testosterone secretion from rat Leydig cells in vitro (208, 217).

Although the above data suggest a potential autocrine role for TRH in the regulation of Leydig cell function, an in vivo effect of this peptide in the testis remains to be demonstrated.

H. Somatostatin (SRIF)
SRIF is the hypothalamic 14-aa cyclic peptide that together with GHRH regulates the GH release from the pituitary. In addition to the pituitary, this peptide is present and plays an inhibitory role in the normal regulation of three organ systems: the CNS and the hypothalamus, the gastrointestinal tract, and the exocrine and endocrine pancreas (221). A family of SRIF receptors that may mediate the distinct biological effects of SRIF has recently been cloned. The different cloned SRIF receptor subtypes have been designated SSTR1, 2, 3, 4, and 5 based upon the order in which they were isolated. The SRIF receptors are membrane-bound receptors coupled to pertussis-toxin-sensitive G proteins (222, 223).

1. Expression, localization, and production.
SRIF-like immunoreactivity has been detected in rat (224) and human (225) testis but not in boar testis (226). In rat testis, the levels of SRIF-like immunoreactivity decreased after hypophysectomy (224). However, no testicular evidence of pre-pro-SRIF gene expression could be detected in the adult rat (227).

2. Receptors.
RT-PCR used to characterize the distribution of mRNA encoding the SRIF receptor SSTR5 in human tissues failed to detect mRNA expression in fetal or adult testis (228).

The paucity of data, together with the absence of studies on the local functions of SRIF, do not allow us to hazard any conjecture on the effects of this peptide within the testis.

I. Opioids
Three families of endogenous opioid peptides are recognized. ßEND, enkephalins (ENK), and dynorphins (DYN) are the defined peptides with morphine-like activity. The endogenous opioid peptides are widely distributed in the brain and peripheral nervous system and play important roles in modulating endocrine, cardiovascular, gastrointestinal, and immune functions. Each family is derived from a distinct precursor polypeptide. These precursors are called pro-enkephalin (pENK), POMC, and prodynorphin (pDYN) (229). The POMC precursor polypeptide yields the opioid ßEND, and the nonopioid peptides, ACTH and {alpha}-MSH. pENK contains six copies of Met-ENK and a single copy of Leu-ENK. The third opioid precursor, pDYN, yields DYN-A, DYN-B, and {alpha}- and ß-neoendorphin. Three types of opioid receptors, termed {delta}, {kappa}, and µ, which differ in their affinity for the opioid ligands and their distribution in the nervous system have been characterized (230). The {delta}- and µ-receptors bind ENK and END, and the {kappa}-receptors potently bind DYN. These receptors are members of the superfamily of the seven-transmembrane-spanning receptors and share a high degree of amino acid sequence similarity with approximately 50% of the residues being identical. The opioid receptors are coupled to adenylyl cyclase and inhibit the formation of cAMP through pertussis toxin-sensitive GTP-binding regulatory proteins (230).

1. ßEND
a. Expression, localization, and production.
The expression of testicular POMC mRNA has initially been localized in the cytoplasm of most Leydig cells of adult rat testes by in situ hybridization (231). Subsequent studies showed that POMC mRNA is expressed in purified preparations of Leydig cells and in interstitial macrophages of the adult rat testis (232, 233, 234). Further in situ hybridization studies in the mouse demonstrated that POMC mRNA is most abundant in a subpopulation of somatic Leydig cells that are found in the interstitial regions associated with discrete tubule stages (IX-XII) of the cycling seminiferous epithelium (235), indicating that the expression of POMC mRNA by Leydig cells is influenced by spermatogenic cells (236). In the mouse and hamster, RNA gel-blot experiments showed that the gene for POMC is expressed also by germ cells and, in particular, by pachytene spermatocytes (237). The size of POMC mRNA transcripts detected by Northern blot analysis in the somatic and germ cells of the testis is 400 nucleotides shorter than that of the pituitary gland, i.e., 800 vs. 1200 nucleotides (237, 238, 239). The short testicular POMC mRNA lacks exons 1 and 2 and cannot serve as a template for the POMC signal peptide (entirely coded by exon 2) (238, 240), which is necessary in pituitary cells for the processing of POMC during precursor migration from the rough endoplasmic reticulum to the secretory granules via the lamellar Golgi complex (241). Thus it is unlikely that the POMC-derived peptide ßEND found in the testis derives from the small POMC transcript. Subsequent studies performed with the S1 nuclease mapping technique have shown that a very small (<1%) but definite amount of the normal (1200 nucleotides) POMC transcript was present in rat and human testis (238, 240, 242), and in purified Leydig cells and Leydig cell lines in rodents (243). The low level of expression of the translatable POMC transcript is consistent with the low production of ßEND in the testis. This is also supported by the observation that an increased expression of the pituitary-size POMC mRNA in human Leydig cell tumors was associated with a dramatic increase (1,000-fold) in ßEND concentrations compared with normal testis (244).

Immunohistochemical studies showed that ßEND is confined to the interstitial cells of rodent (245) and human testis (246) and is present in the interstitial cells, canaliculi of the efferent system, spermatogonia, and spermatocytes in the frog, Rana esculenta (247). Acetylated END forms (N-acetyl-ßEND, N-acetyl-{alpha}END, and N-acetyl-{gamma}END 1–27) were also found to be present in the rat testis and exclusively localized to spermatogonia and primary spermatocytes (248). {gamma}END-generating endopeptidase activity has been shown to be abundant in the rat testis and to be mainly associated with the germinal cell fraction of the tubules (249); thus, this enzyme can be operative in processing ßEND into {alpha}- and {gamma}END inside the rat spermatogenic cells.

Studies in mice and rats showed that ßEND in the testis is developmentally regulated, with peaks at birth and after puberty (250, 251). In the mouse, at day 16 of fetal life, 50% of interstitial testicular cells stained positively for ßEND; the number dropped to 12% by day 5 of age, increased again at midpuberty, and reached a maximum in adult age (100%) (250). An analogous developmental pattern has been shown in the rat (251). Total testicular ßEND levels were very low and barely detectable from 5–20 days of age, rose sharply in parallel with testis weight from 20–60 days, and then remained unchanged through 150 days of age. In these latter studies it was shown that most of ßEND from prepubertal testes chromatographed like authentic ßEND, while with the onset of puberty and in adult life much of the total ßEND chromatographed like its precursor ß-lipotropin (251).

In fetal and adult testis, Leydig cell-derived ßEND is hormonally regulated (252). In fetal rat Leydig cells in culture, LH is a potent stimulus for ßEND production (253), while androgens, GnRH, and, to a lesser extent, dexamethasone (Dex) are inhibitory signals (252, 253). Immunohistochemical studies showed that in vivo hCG treatment increased 4-fold the number of interstitial cells positive for ßEND in prepubertal mice (250) and elevated by 100% the ßEND concentrations in interstitial fluid (254). These findings, coupled with the observation that testicular POMC gene is positively regulated by gonadotropins (255), demonstrate that LH is a stimulus for the synthesis and release of POMC-derived peptides in Leydig cells throughout rodent life. In addition to LH, CRH is another important stimulatory signal for ßEND production from adult rat Leydig cells (142, 145). In contrast to LH, which is a systemic regulator, the CRH signal generated inside Leydig cells may act as a relevant autocrine regulator of ßEND production (256). Finally, it must be noted that alcohol is a direct exogenous stimulant of ßEND secretion in adult rat testis (257, 258), and it has been suggested that alcohol may act through testicular ßEND to suppress the synthesis and release of testosterone (258).

b. Receptors.
ßEND-binding sites were initially found on membranes obtained from adult rat testis (259). Subsequent studies showed that Sertoli cells have specific binding sites for opiates (260); no other testicular cell has so far been found to bind ßEND. Opioid receptors (µ, {delta}, and {kappa}) have been cloned (261). RNA blotting studies have shown no detectable expression of {kappa}-receptor mRNA in mouse testis (262). Since ßEND is a µ-{delta} opioid ligand, it is possible that µ- and/or {delta}-opioid receptors are expressed in Sertoli cells; this possibility must be verified.

c. Local functions.
The intratesticular role of ßEND has been analyzed in various studies (239,