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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Endocrinol.</journal-id>
<journal-title>Frontiers in Endocrinology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Endocrinol.</abbrev-journal-title>
<issn pub-type="epub">1664-2392</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fendo.2019.00886</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Endocrinology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Dehydroepiandrosterone and Its CYP7B1 Metabolite 7&#x003B1;-Hydroxydehydroepiandrosterone Regulates 11&#x003B2;-Hydroxysteroid Dehydrogenase 1 Directions in Rat Leydig Cells</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Zhu</surname> <given-names>Qiqi</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="author-notes" rid="fn002"><sup>&#x02020;</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Dong</surname> <given-names>Yaoyao</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="author-notes" rid="fn002"><sup>&#x02020;</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Li</surname> <given-names>Xiaoheng</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Ni</surname> <given-names>Chaobo</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Huang</surname> <given-names>Tongliang</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/580062/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Sun</surname> <given-names>Jianliang</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x0002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/484732/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Ge</surname> <given-names>Ren-Shan</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="corresp" rid="c002"><sup>&#x0002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/383631/overview"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Department of Anesthesiology, The Second Affiliated Hospital and Yuying Children&#x00027;s Hospital of Wenzhou Medical University</institution>, <addr-line>Wenzhou</addr-line>, <country>China</country></aff>
<aff id="aff2"><sup>2</sup><institution>Department of Pharmacy, The Second Affiliated Hospital and Yuying Children&#x00027;s Hospital of Wenzhou Medical University</institution>, <addr-line>Wenzhou</addr-line>, <country>China</country></aff>
<aff id="aff3"><sup>3</sup><institution>Department of Anesthesia, Hangzhou Hospital Affiliated to Zhejiang University, Hangzhou First People&#x00027;s Hospital</institution>, <addr-line>Hangzhou</addr-line>, <country>China</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Damian G. Romero, University of Mississippi Medical Center, United States</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Takashi Yazawa, Asahikawa Medical University, Japan; Andrea Carranza, National Council for Scientific and Technical Research (CONICET), Argentina</p></fn>
<corresp id="c001">&#x0002A;Correspondence: Jianliang Sun <email>jxmzsjl&#x00040;163.com</email></corresp>
<corresp id="c002">Ren-Shan Ge <email>r_ge&#x00040;yahoo.com</email></corresp>
<fn fn-type="other" id="fn001"><p>This article was submitted to Cellular Endocrinology, a section of the journal Frontiers in Endocrinology</p></fn>
<fn fn-type="other" id="fn002"><p>&#x02020;These authors have contributed equally to this work</p></fn></author-notes>
<pub-date pub-type="epub">
<day>24</day>
<month>01</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="collection">
<year>2019</year>
</pub-date>
<volume>10</volume>
<elocation-id>886</elocation-id>
<history>
<date date-type="received">
<day>30</day>
<month>09</month>
<year>2019</year>
</date>
<date date-type="accepted">
<day>04</day>
<month>12</month>
<year>2019</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2020 Zhu, Dong, Li, Ni, Huang, Sun and Ge.</copyright-statement>
<copyright-year>2020</copyright-year>
<copyright-holder>Zhu, Dong, Li, Ni, Huang, Sun and Ge</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract><p><bold>Background:</bold> The purpose of this study was to investigate cytochrome P450-7B1 (CYP7B1) in the human and rat testes to regulate 11&#x003B2;-hydroxysteroid dehydrogenase 1 (11&#x003B2;-HSD1) activity. We hypothesized that dehydroepiandrosterone (DHEA) and its product 7&#x003B1;-hydroxydehydroepiandrosterone (7&#x003B1;OHD) after catalysis of CYP7B1 played a critical role in driving the direction of 11&#x003B2;-HSD1, because 7&#x003B1;OHD is an alternative substrate for 11&#x003B2;-HSD1.</p>
<p><bold>Methods:</bold> We examined the influence of DHEA and 7&#x003B1;OHD on 11&#x003B2;-HSD1 activities in both intact Leydig cells and microsomes using radioactive substrates and identified the location of CYP7B1 in Leydig cells using immunohistochemical staining, Western blot, and qPCR.</p>
<p><bold>Results:</bold> We found that DHEA stimulated 11&#x003B2;-HSD1 oxidase activity in intact cells (EC<sub>50</sub>  &#x0003D;  0.97 &#x000B1; 0.11 &#x003BC;M) and inhibited its reductase activity (IC<sub>50</sub>  &#x0003D;  1.04 &#x000B1; 0.06 &#x003BC;M). In microsomes, DHEA was a competitive inhibitor of the reductase activity. The 11&#x003B2;-HSD1 oxidase activity in intact cells was inhibited by 7&#x003B1;OHD (IC<sub>50</sub>  &#x0003D;  1.18 &#x000B1; 0.12 &#x003BC;M), and the reductase activity was enhanced (EC<sub>50</sub>  &#x0003D;  0.7 &#x000B1; 0.04 &#x003BC;M). 7&#x003B1;OHD was a competitive inhibitor of 11&#x003B2;-HSD1 oxidase. CYP7B1 was present in rat Leydig cells, as shown by immunohistochemistry, Western blotting, and qPCR analysis.</p>
<p><bold>Conclusion:</bold> Our results are consistent with a conclusion that DHEA in the circulation driving 11&#x003B2;-HSD1 toward an oxidase in Leydig cells mainly through inhibiting the reductase of the enzyme, while 7&#x003B1;OHD (CYP7B1 catalytic product of DHEA) drives the enzyme toward the opposite direction.</p></abstract>
<kwd-group>
<kwd>steroids</kwd>
<kwd>dehydroepiandrosterone</kwd>
<kwd>7&#x003B1;-hydroxydehydroepiandrosterone</kwd>
<kwd>leydig cells</kwd>
<kwd>CYP7B1</kwd>
</kwd-group>
<contract-sponsor id="cn001">National Natural Science Foundation of China<named-content content-type="fundref-id">10.13039/501100001809</named-content></contract-sponsor>
<contract-sponsor id="cn002">Science and Technology Department of Zhejiang Province<named-content content-type="fundref-id">10.13039/501100008990</named-content></contract-sponsor>
<contract-sponsor id="cn003">Department of Health of Zhejiang Province<named-content content-type="fundref-id">10.13039/501100008856</named-content></contract-sponsor>
<contract-sponsor id="cn004">Wenzhou Municipal Science and Technology Bureau<named-content content-type="fundref-id">10.13039/501100007194</named-content></contract-sponsor>
<counts>
<fig-count count="8"/>
<table-count count="1"/>
<equation-count count="0"/>
<ref-count count="37"/>
<page-count count="10"/>
<word-count count="6432"/>
</counts>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="s1">
<title>Introduction</title>
<p>11&#x003B2;-Hydroxysteroid dehydrogenases are a set of enzymes that catalyzes interconversion of active glucocorticoid (GC), cortisol (humans) or corticosterone (CORT, rodents), and inert GC, cortisone (humans) and 11-dehydrocorticosterone (DHC, rodents). There are two isoforms: type I (11&#x003B2;-HSD1) and type II (11&#x003B2;-HSD2) (<xref ref-type="bibr" rid="B1">1</xref>&#x02013;<xref ref-type="bibr" rid="B4">4</xref>). 11&#x003B2;-HSD1 is an NADP<sup>&#x0002B;</sup>/NADPH-dependent bidirectional enzyme and is primarily present in liver and testis (<xref ref-type="bibr" rid="B5">5</xref>, <xref ref-type="bibr" rid="B6">6</xref>). 11&#x003B2;-HSD2 is an unidirectional NAD<sup>&#x0002B;</sup>-dependent oxidase and is mainly present in kidney and colon (<xref ref-type="bibr" rid="B7">7</xref>).</p>
<p>The direction of 11&#x003B2;-HSD1 is influenced by NADP<sup>&#x0002B;</sup>/NADPH ratio in the smooth endoplasmic reticulum (SER). 11&#x003B2;-HSD1 is a membrane binding enzyme with cofactor-binding domain facing SER lumen (<xref ref-type="bibr" rid="B8">8</xref>&#x02013;<xref ref-type="bibr" rid="B10">10</xref>). In liver cells, 11&#x003B2;-HSD1 co-localizes and shares NADP<sup>&#x0002B;</sup>/NADPH with hexose-6-phosphate dehydrogenase (H6PDH), which stays in SER lumen (<xref ref-type="bibr" rid="B11">11</xref>). H6PDH uses substrate, glucose 6-phosphate, which is transported into SER lumen by glucose 6-phosphate transporter (<xref ref-type="bibr" rid="B11">11</xref>). The membrane of SER is impermeable to NADP(H). The abundant supply of glucose 6-phosphate to H6PDH generates sufficient NADPH from NADP<sup>&#x0002B;</sup>, increasing NADPH/NADP<sup>&#x0002B;</sup> ratio and driving 11&#x003B2;-HSD1 toward as a reductase in liver cells, which generates NADP<sup>&#x0002B;</sup> and 11&#x003B2;-hydroxysteroids.</p>
<p>As a major component of the pentose phosphate pathway, the cytosolic glucose-6-phosphase dehydrogenase, which accounts for 95% of NADPH amount generated in the whole cell, does not seem to affect the direction of 11&#x003B2;-HSD1 catalysis (<xref ref-type="bibr" rid="B12">12</xref>). This is supported by the fact that depletion of glucose-6-phosphase dehydrogenase by RNA silencing does not change the direction of 11&#x003B2;-HSD1 catalysis (<xref ref-type="bibr" rid="B12">12</xref>). In contrast, H6PDH, which accounts for only 5% of NADPH production, causes 11&#x003B2;-HSD1 to act as a reductase in liver cells, because these two enzymes and the co-factors are compartmentalized in SER lumen. Therefore, when H6PDH was knocked out, 11&#x003B2;-HSD1 in the liver became a primary oxidase (<xref ref-type="bibr" rid="B13">13</xref>).</p>
<p>However, 11&#x003B2;-HSD1 direction in other cell types may not be regulated by H6PDH (<xref ref-type="bibr" rid="B14">14</xref>). Unlike liver cells, 11&#x003B2;-HSD1 in rat adult Leydig cells (ALCs) are primarily an oxidase with comparable reductase activity (<xref ref-type="bibr" rid="B6">6</xref>). Although there is small amount of 11&#x003B2;-HSD2, which is only about 1/1000 of 11&#x003B2;-HSD1 in rat ALCs (<xref ref-type="bibr" rid="B15">15</xref>), its low abundance does not explain directionality of 11&#x003B2;-HSD in this cell type. Human Leydig cells also express 11&#x003B2;-HSD1 and 11&#x003B2;-HSD2 and Leydig cells can catalyze the interconversion of 11&#x003B2;-hydroxysteroids and 11keto-steroids (<xref ref-type="bibr" rid="B16">16</xref>). Other factors may also drive 11&#x003B2;-HSD1 direction in rat and human ALCs. These factors may include steroids from adrenals or steroids generated locally. In this regard, 11&#x003B2;-HSD1 oxidase activity was significantly reduced in ALCs isolated from adrenalectomized rats when compared to that in cells in adrenal-intact controls (<xref ref-type="bibr" rid="B17">17</xref>). Therefore, adrenal-secreted steroids might be involved in maintaining the direction of 11&#x003B2;-HSD1 in rat ALCs. Dehydroepiandrosterone (DHEA) is a steroid mainly synthesized by human adrenal glands and testes as a precursor for cortisol and testosterone, and is one of the most abundant steroids in human blood. DHEA can be considered a candidate regulator of 11&#x003B2;-HSD1 direction because of high circulating levels and structural resemblance to the substrate of 11&#x003B2;-HSD1.</p>
<p>DHEA is also the substrate for SER cytochrome P450-dependent enzyme CYP7B1, and which is expressed in various tissues, including brain, prostate, and testis (<xref ref-type="bibr" rid="B18">18</xref>, <xref ref-type="bibr" rid="B19">19</xref>). CYP7B1 catalyzes the conversion of DHEA into 7&#x003B1;-hydroxydehydroepiandrosterone (7&#x003B1;OHD) and generates NADP<sup>&#x0002B;</sup>. Therefore, the metabolic coupling with CYP17B1 is also possible whereby NADP<sup>&#x0002B;</sup> drives 11&#x003B2;-HSD1 oxidase activity. 7&#x003B1;OHD may be a regulator because it is a substrate of 11&#x003B2;-HSD1. The epimerase activity of 11&#x003B2;-HSD1 converts 7&#x003B1;OHD into 7&#x003B2;-dehydroepiandrosterone (7&#x003B2;OHD) (<xref ref-type="bibr" rid="B20">20</xref>&#x02013;<xref ref-type="bibr" rid="B22">22</xref>). However, human, pig, and rat 11&#x003B2;-HSD1 also catalyze 7&#x003B1;OHD using NADP<sup>&#x0002B;</sup> as cofactor into 7keto-DHEA (7KD) and NADPH (<xref ref-type="bibr" rid="B23">23</xref>). We hypothesize that DHEA in the circulation may affect 11&#x003B2;-HSD1 direction in three ways: by direct stimulation of the enzyme, or through metabolic coupling with CYP7B1, or by affecting the enzyme via the metabolite, 7&#x003B1;OHD. The goal of the present study was to investigate each of these possibilities.</p>
</sec>
<sec sec-type="materials and methods" id="s2">
<title>Materials and Methods</title>
<sec>
<title>Chemicals and Animals</title>
<p>CORT, DHEA, and 7&#x003B1;OHD were purchased from Steraloids (Wilton, NH). [1,2-<sup>3</sup>H] Corticosterone (<sup>3</sup>H-CORT), specific activity 40 Ci/mmol, was purchased from Dupont-New England Nuclear (Boston, MA). [1,2-<sup>3</sup>H]11-dehydrocorticosterone (<sup>3</sup>H-DHC) was prepared from labeled <sup>3</sup>H-CORT as described earlier (<xref ref-type="bibr" rid="B24">24</xref>).</p>
</sec>
<sec>
<title>Animals</title>
<p>Male Sprague-Dawley rats (from 2 to 90 days old) were purchased from Shanghai Laboratory Animal Co. Ltd. (Shanghai, China). Rats were sacrificed at postnatal days 2, 7, 14, 21, 28, 35, and 90 by asphyxiation with CO<sub>2</sub>. One testis per rat was removed and frozen in liquid nitrogen for RNA extraction. The other testis was punched 5 holes using a needle and was fixed by Bouin&#x00027;s solution. The animal protocol was approved by the Institutional Animal Care and Use Committee of the Wenzhou Medical University.</p>
</sec>
<sec>
<title>Cell Isolation</title>
<p>Testes were processed for purification of Leydig cells. The progenitor (PLC), immature (ILC), and adult Leydig cells (ALC) were purified from rat testes at 21, 35, and 90 days postpartum, as described previously (<xref ref-type="bibr" rid="B25">25</xref>, <xref ref-type="bibr" rid="B26">26</xref>). In brief, forty 21-day-old (for PLCs), eighteen 35-day-old (for ILCs), and six 90-day-old (for ALCs) rats were sacrificed, followed by removal and decapsulation of testes. Then, the testes were digested with collagenase and cells were separated by Percoll density gradient centrifugation. Purities of Leydig cell fractions were evaluated by histochemical staining of 3&#x003B2;-hydroxysteroid dehydrogenase (3&#x003B2;-HSD), with 0.4 mM etiocholanolone as an enzyme substrate (<xref ref-type="bibr" rid="B27">27</xref>). At least six isolations per cell types were performed.</p>
</sec>
<sec>
<title>Preparation of Microsomal Protein</title>
<p>The microsomes from ALCs were prepared as described previously (<xref ref-type="bibr" rid="B6">6</xref>). In brief, ALCs were homogenized in cold 0.01M PBS, pH 7.2, containing 0.25 M sucrose. Subsequently, the homogenates were centrifuged at 700 &#x000D7; g for 30 min and the supernatants were transferred to other tubes followed by centrifugation at 10,000 &#x000D7; g for 30 min. The resultant supernatants were centrifuged twice at 105,000 &#x000D7; g for 1 h. The pellets were resuspended and the protein contents were determined by Bio-Rad Protein Assay Kit (cat&#x00023; 500&#x02013;0006, Bio-Rad, Hercules, CA). Microsomes were used to assay 11&#x003B2;-HSD1 oxidoreductase activities.</p>
</sec>
<sec>
<title>Primer Selection</title>
<p>All primers in this study were chosen using a sequence analysis software package (Primer 3, Whitehead Institute for Biomedical Research, Cambridge, MA) following guidelines for internal stability. Forward and reverse primers were in different exons to minimize the effects of possible DNA contamination. The primers for <italic>Cyp7b1</italic> were: 5&#x00027;-GAAGTCCTGCGTGACGAAAT-3&#x00027; (forward); 5&#x00027;-CCTCAGAACCTCAAGAATAGCG-3&#x00027; (reverse); and the size of PCR product is 138 bp. For the internal standard, primers to ribosomal protein S16 (<italic>Rps16</italic>) were used, as described previously (<xref ref-type="bibr" rid="B28">28</xref>).</p>
</sec>
<sec>
<title>Real-Time PCR</title>
<p>PCR was carried out in a 25 &#x003BC;l volume using a 96-well plate format using the SYBR Green PCR Core Reagents purchased from Applied Biosystems (Foster City, CA). Primer titration was performed and the concentration of 300 nM was selected. Fluorescence was detected in real-time on an ABI 5700 system (PE Applied Biosystems). The mRNA levels were measured by a standard curve method and the levels were normalized to <italic>Rps16</italic>, the internal control. Each sample was run in duplicate, in parallel with no template controls.</p>
</sec>
<sec>
<title>Immunofluoroscent Staining</title>
<p>Immunofluoroscent staining of CYP7B1 was performed on isolated ALCs using cells grown on 12-well microscope cover glasses. Cells were fixed with 4% formaldehyde, washed with PBS, and permeabilized with 0.1% Triton X100 in PBS plus 10% normal serum. Nonspecific binding was blocked by incubation with 10% normal serum before addition of the primary antibody. Cells were incubated with goat polyclonal CYP7B1 antibody (Santa Cruz Biotechnology, Santa Cruz, CA) for 1 h at room temperature. Cells were then incubated with Alexa488-conjugated second antibody for 1 h. The cells were counterstained with DAPI and mounted onto glass microscope slides, and cover-slipped. The slides were examined under a Nikon fluorescence microscope with a filter suitable for detecting the fluorescence of green color.</p>
</sec>
<sec>
<title>Immunohistochemical Staining</title>
<p>Testes were dehydrated in ethanol and xylene and embedded in paraffin for immunological analysis. 6 &#x003BC;m-thick transverse sections were prepared and mounted on glass slides. Avidin&#x02013;biotin immunostaining was performed using a Vector kit (Burlingame, CA) according to the manufacturer&#x00027;s instructions. Antigen retrieval was carried out by boiling for 10 min in 10 mM (pH 6.0) citrate buffer, and endogenous peroxidase was blocked with 0.5% H<sub>2</sub>O<sub>2</sub> in methanol for 30 min. The sections were then incubated with goat polyclonal CYP7B1 antibody (1:200, Santa Cruz Biotechnology, Santa Cruz, CA) for 1 h at room temperature. The antibody-antigen complexes were visualized with diaminobenzidine alone, resulting in brown cytoplasmic staining in positively labeled cells. The sections were counterstained with Mayer hematoxylin, dehydrated in graded concentrations of alcohol, and cover-slipped with resin (Permount, SP15-100; Fisher Scientific).</p>
</sec>
<sec>
<title>Western Blotting</title>
<p>Western blotting was performed as previously described (<xref ref-type="bibr" rid="B29">29</xref>). Briefly, rat PLC, ILC, and ALC homogenates (30 &#x003BC;g protein each sample) were electrophoresed on 10% polyacrylamide gel containing sodium dodecyl sulfate. After electrophoresis, proteins were transferred onto a nitrocellulose membrane, and the membrane was incubated with 5% non-fat milk for 1 h to block the non-specific binding. Then, the membrane was incubated with primary antibodies against the following antigens: CYP7B1 (Santa Cruz Biotechnology) and &#x003B2;-actin (ACTB, Cell Signaling Technology, Danvers, MA), which serves the internal control. The membrane was washed and incubated with a 1:5,000 dilution of second antibody conjugated to horseradish peroxidase. Immunoreactive bands were visualized by an ECL kit (Amersham, Arlington Heights, IL). The intensity of the protein was quantified using Image J software. The CYP7B1 was adjusted to ACTB.</p>
</sec>
<sec>
<title>11&#x003B2;-HSD1 Oxidase and Reductase Assay in Intact ALCs</title>
<p>11&#x003B2;-HSD1 oxidase and reductase in intact ALCs were performed as previously described (<xref ref-type="bibr" rid="B15">15</xref>).11&#x003B2;-HSD1 oxidase activity assay tubes contained 25 nM CORT spiked with 60,000 dpm [<sup>3</sup>H]-CORT (a concentration within the range of physiological levels of CORT). 11&#x003B2;-HSD1 reductase activity assay tubes contained 25 nM DHC spiked with 60,000 dpm [<sup>3</sup>H]-DHC. 2.5 &#x000D7; 10<sup>4</sup> intact ALCs were added to start the reaction and the reaction was maintained in 34&#x000B0;C and 75 rpm shaking water bath for 30 min. The reactions were stopped by adding 2 ml ice-cold ether. The steroids were extracted, and the organic layer was dried under nitrogen. The steroids were separated chromatographically on thin layer plates in chloroform and methanol (90:10, v/v), and the radioactivity was measured using a scanning radiometer (System AR2000, Bioscan Inc., Washington, DC). The percentage conversion of CORT to DHC and DHC to CORT was calculated by dividing the radioactive counts identified as DHC (or CORT, respectively) by the total counts associated with CORT plus DHC.</p>
</sec>
<sec>
<title>11&#x003B2;-HSD1 Oxidase and Reductase Assay in Microsomes</title>
<p>11&#x003B2;-HSD1 oxidase and reductase in microsomes were performed as previously described (<xref ref-type="bibr" rid="B15">15</xref>). For measurements in microsomal preparations, microsomes were incubated with 25 nM [<sup>3</sup>H]-CORT and 0.2 mM NADP<sup>&#x0002B;</sup> for oxidase or 25 nM [<sup>3</sup>H]-DHC and 0.2 mM NADPH for reductase activity in presence of different concentrations of DHEA or 7&#x003B1;OHD. For testing mode of action, microsomes were incubated with 2 nM to 10 &#x003BC;M [<sup>3</sup>H]-CORT and 0.2 mM NADP<sup>&#x0002B;</sup> for oxidase or 2 nM to 10 &#x003BC;M [<sup>3</sup>H]-DHC and 0.2 mM NADPH for reductase activity. 1.5 &#x003BC;g of ALC microsomes were added to initiate the reaction. The reactions were stopped by adding 2 ml ice-cold ether. The steroids were extracted, and the organic layer was dried under nitrogen. The steroids were separated chromatographically on thin layer plates in chloroform and methanol (90:10, v/v), and the radioactivity was measured using a scanning radiometer (System AR2000, Bioscan Inc., Washington, DC). The percentage conversion of CORT to DHC and DHC to CORT was calculated by dividing the radioactive counts identified as DHC (or CORT, respectively) by the total counts associated with CORT plus DHC.</p>
</sec>
<sec>
<title>Statistics</title>
<p>Experiments were repeated three to four times. Data were subjected to analysis by one-way ANOVA followed by <italic>ad hoc</italic> DUNCAN multiple comparisons testing to identify significant differences between groups when three and more groups were calculated, or by the student <italic>t</italic>-test when two groups were calculated. All data are expressed as means SEM. Differences were regarded as significant at <sup>&#x0002A;</sup><italic>P</italic> &#x0003C; 0.05 or <sup>&#x0002A;&#x0002A;</sup><italic>P</italic> &#x0003C; 0.01 or <sup>&#x0002A;&#x0002A;&#x0002A;</sup><italic>P</italic> &#x0003C; 0.001.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>Results</title>
<sec>
<title>DHEA Decreases 11&#x003B2;-HSD1 Reductase Activity in Intact ALCs</title>
<p>11&#x003B2;-HSD1 reductase converts DHC into CORT. We measured 11&#x003B2;-HSD1 reductase activity in intact ALCs in presence of DHEA (10 nM&#x02212;10 &#x003BC;M). DHEA inhibited 11&#x003B2;-HSD1 reductase activity with the lowest observable effective level (LOEL) of 100 nM and it lowered 11&#x003B2;-HSD1 reductase activity to 12% of control at 10 &#x003BC;M (<xref ref-type="fig" rid="F1">Figure 1A</xref>). The IC<sub>50</sub> value of DHEA of inhibiting 11&#x003B2;-HSD1 reductase activity was 1.04 &#x003BC;M (<xref ref-type="table" rid="T1">Table 1</xref>). This indicates that DHEA is a potent inhibitor of 11&#x003B2;-HSD1 reductase in intact ALCs.</p>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption><p>Effects of dehydroepiandrosterone (DHEA) on 11&#x003B2;-HSD1 oxidase and reductase activities in intact adult Leydig cells (ALCs). 2.5 &#x000D7; 10<sup>4</sup> ALCs were cultured with 25 nM DHC (reductase, <bold>A</bold>) or CORT (oxidase, <bold>B</bold>) for 0.5 h. <bold>(C)</bold> is 11&#x003B2;-HSD1 oxidase/reductase ratio. Mean &#x000B1; SEM (<italic>n</italic>  &#x0003D;  4). &#x0002A;, &#x0002A;&#x0002A;, and &#x0002A;&#x0002A;&#x0002A; designate significant differences when compared to control (first bar in each panel) at <italic>P</italic> &#x0003C; 0.05, 0.01, and 0.001, respectively.</p></caption>
<graphic xlink:href="fendo-10-00886-g0001.tif"/>
</fig>
<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption><p>EC<sub>50</sub> or IC<sub>50</sub> for the regulation of 11&#x003B2;-HSD1 oxidase and reductase activities in intact Leydig cells and microsome.</p></caption>
<table frame="hsides" rules="groups">
<thead><tr>
<th/>
<th/>
<th valign="top" align="center" colspan="2" style="border-bottom: thin solid #000000;"><bold>11&#x003B2;-HSD1</bold></th>
<th valign="top" align="center" colspan="2" style="border-bottom: thin solid #000000;"><bold>11&#x003B2;-HSD1</bold></th>
</tr>
<tr>
<th valign="top" align="left"><bold>Chemicals</bold></th>
<th valign="top" align="left"><bold>EC<sub><bold>50</bold></sub>/IC<sub><bold>50</bold></sub></bold><break/><bold>(&#x000D7;10<sup><bold>&#x02212;6</bold></sup> M)</bold></th>
<th valign="top" align="center"><bold>Intact Leydig cells</bold><break/><bold>Oxidase</bold></th>
<th/>
<th valign="top" align="center"><bold>Microsome</bold><break/><bold>Oxidase</bold></th>
<th/>
</tr>
<tr>
<th/>
<th/>
<th/>
<th valign="top" align="center"><bold>Reductase</bold></th>
<th/>
<th valign="top" align="center"><bold>Reductase</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">DHEA</td>
<td valign="top" align="left">EC<sub>50</sub>/IC<sub>50</sub></td>
<td valign="top" align="center">0.97 &#x000B1; 0.10</td>
<td valign="top" align="center">1.04 &#x000B1; 0.06</td>
<td valign="top" align="center">ND</td>
<td valign="top" align="center">1.29 &#x000B1; 0.89</td>
</tr>
<tr>
<td valign="top" align="left">7&#x003B1;OHD</td>
<td valign="top" align="left">EC<sub>50</sub>/IC<sub>50</sub></td>
<td valign="top" align="center">1.18 &#x000B1; 0.12</td>
<td valign="top" align="center">0.7 &#x000B1; 0.04</td>
<td valign="top" align="center">0.93 &#x000B1;0.14</td>
<td valign="top" align="center">0.2 &#x000B1; 0.01</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p><italic>ND, not detected; Mean &#x000B1; SEM (n  &#x0003D;  4)</italic>.</p>
</table-wrap-foot>
</table-wrap>
</sec>
<sec>
<title>DHEA Increases 11&#x003B2;-HSD1 Oxidase Activity in Intact ALCs</title>
<p>11&#x003B2;-HSD1 oxidase converts CORT into DHC. We measured 11&#x003B2;-HSD1 oxidase activity in intact ALCs in presence of DHEA (10 nM-10 &#x003BC;M). DHEA stimulated 11&#x003B2;-HSD1 oxidase activity with LOEL of 100 nM (<xref ref-type="fig" rid="F1">Figure 1B</xref>). DHEA increased 11&#x003B2;-HSD1 oxidase activity to 300% of control at 10 &#x003BC;M. The EC<sub>50</sub> value of DHEA of stimulating 11&#x003B2;-HSD1 oxidase activity was 0.97 &#x003BC;M (<xref ref-type="table" rid="T1">Table 1</xref>). We calculated 11&#x003B2;-HSD1 oxidase/reductase ratio (<xref ref-type="fig" rid="F1">Figure 1C</xref>) and found that 11&#x003B2;-HSD1 oxidase/reductase ratio in the control was 1.6-fold conforming to the previous report (<xref ref-type="bibr" rid="B17">17</xref>). DHEA increased this ratio by 26-folds at 10 &#x003BC;M, indicating that DHEA makes 11&#x003B2;-HSD1 more oxidative.</p>
</sec>
<sec>
<title>DHEA Inhibits 11&#x003B2;-HSD1 Reductase Activity in ALC Microsomes</title>
<p>In order to separate the potential contribution of the pentose phosphate pathway that is located in the cytosol, 11&#x003B2;-HSD1 reductase activity was measured in ALC microsomes in presence of DHEA (10 nM-10 &#x003BC;M). DHEA decreased ALC microsomal 11&#x003B2;-HSD1 reductase activity with LOEL of 100 nM and it lowered 11&#x003B2;-HSD1 reductase activity to 25% of control at 10 &#x003BC;M (<xref ref-type="fig" rid="F2">Figure 2A</xref>). The IC<sub>50</sub> value of DHEA of inhibiting 11&#x003B2;-HSD1 reductase activity in ALC microsomes was 1.29 &#x003BC;M (<xref ref-type="table" rid="T1">Table 1</xref>). This is similar to what was found in intact ALCs.</p>
<fig id="F2" position="float">
<label>Figure 2</label>
<caption><p>Effects of dehydroepiandrosterone (DHEA) on 11&#x003B2;-HSD1 oxidase and reductase activities in adult Leydig cell (ALC) microsomes. 1.5 &#x003BC;g ALC microsome were cultured with 25 nM DHC plus 0.2 mM NADPH (reductase, <bold>A</bold>) or 25 nM CORT plus 0.2 mM NADP&#x0002B; (oxidase, <bold>B</bold>) for 0.5 h. <bold>(C)</bold> is 11&#x003B2;-HSD1 oxidase/reductase ratio. Mean &#x000B1; SEM (<italic>n</italic>  &#x0003D;  4). &#x0002A;, &#x0002A;&#x0002A;, and &#x0002A;&#x0002A;&#x0002A; designate significant differences when compared to control (first bar in each panel) at <italic>P</italic> &#x0003C; 0.05, 0.01, and 0.001, respectively.</p></caption>
<graphic xlink:href="fendo-10-00886-g0002.tif"/>
</fig>
</sec>
<sec>
<title>DHEA Does Not Affect 11&#x003B2;-HSD1 Oxidase Activity in ALC Microsomes</title>
<p>11&#x003B2;-HSD1 oxidase activity was measured in ALC microsomes in presence of DHEA (10 nM-10 &#x003BC;M). DEHA did not affect microsomal 11&#x003B2;-HSD1 oxidase activity. Actually, DHEA also inhibited 11&#x003B2;-HSD1 oxidase activity at 10 &#x003BC;M (<xref ref-type="fig" rid="F2">Figure 2B</xref>). Although DHEA did not affect 11&#x003B2;-HSD1 oxidase, 11&#x003B2;-HSD1 oxidase/reductase ratios in ALC microsomes were still significantly higher than control at 1 and 10 &#x003BC;M DHEA (<xref ref-type="fig" rid="F2">Figure 2C</xref>). These data indicate that the stimulation of 11&#x003B2;-HSD1 oxidase by DHEA requires intact ALCs.</p>
</sec>
<sec>
<title><italic>Cyp7b1</italic> Is Enriched in Rat ALCs</title>
<p>We determined that the timing of <italic>Cyp7b1</italic> expression in Leydig cells was developmentally relevant. <italic>Cyp7b1</italic> mRNA levels detected by qPCR in templates prepared from rat testis on postnatal days 2&#x02013;90 did not vary significantly (<xref ref-type="fig" rid="F3">Figure 3</xref>). When Leydig cells were enriched in developmental stages (PLCs at 21 days, ILCs at 35 days, and ALCs at 90 days postpartum), <italic>Cyp7b1</italic> mRNA was 3-folds more abundant in ILCs and 50-folds more abundant in ALCs than that in PLCs (<xref ref-type="fig" rid="F3">Figure 3</xref>). <italic>Cyp7b1</italic> mRNA levels were enriched by 33-folds in ALCs when compared to age-matched testes. This suggests that <italic>Cyp7b1</italic> is primarily expressed in ALCs.</p>
<fig id="F3" position="float">
<label>Figure 3</label>
<caption><p>Messenger RNA levels of <italic>Cyp7b1</italic> in postnatal rat testis, brain, and liver as well as purified Leydig cells. Total RNAs from testes at postnatal day (PND) 2 to 90 (2-90D), 90-day-old brain (BR) and liver (LIV), and progenitor (PLCs, isolated from PND21), immature (ILCs, from PND35), and adult Leydig cells (ALCs, from PND90) were isolated, and <italic>Cyp7b1</italic> mRNA levels were measured by qPCR and calculated and adjusted to <italic>Rps16</italic>. Mean &#x000B1; SEM (<italic>n</italic>  &#x0003D;  6). &#x0002A;, &#x0002A;&#x0002A; Indicates significant difference when compared to PLCs at 0.05 and 0.01, respectively.</p></caption>
<graphic xlink:href="fendo-10-00886-g0003.tif"/>
</fig>
</sec>
<sec>
<title>CYP7B1 Protein Is Present in Rat ALCs</title>
<p>Previous studies have demonstrated that CYP7B1 (encoded by <italic>Cyp7b1</italic>) catalyzes DHEA into 7&#x003B1;OHD and that the epimerase activity of 11&#x003B2;-HSD1 converts 7&#x003B1;OHD into 7&#x003B2;OHD (<xref ref-type="bibr" rid="B20">20</xref>&#x02013;<xref ref-type="bibr" rid="B22">22</xref>). Besides human, pig and rat 11&#x003B2;-HSD1 can catalyze 7&#x003B1;OHD using NADP&#x0002B; into 7KD to generate NADPH (<xref ref-type="bibr" rid="B23">23</xref>). In order to investigate a potential metabolic coupling between CYP7B1 and 11&#x003B2;-HSD1, we first sought to show whether CYP7B1 was present in rat ALCs. CYP7B1 was detected in ALCs by fluorescent immunohistochemistry and CYP7B1 was present in the cytoplasmic membrane (<xref ref-type="fig" rid="F4">Figures 4A&#x02013;E</xref>) when compared to the negative control (<xref ref-type="fig" rid="F4">Figure 4F</xref>). Western blotting also showed the highest expression of CYP7B1 in rat ALCs (<xref ref-type="fig" rid="F4">Figure 4G</xref>). This suggests that CYP7B1 is primarily expressed in ALCs.</p>
<fig id="F4" position="float">
<label>Figure 4</label>
<caption><p>Immunofluorescent and histochemical staining as well as Western blotting of CYP7B1 in rat Leydig cells (LCs) and testis. Polyclonal antibody against CYP7B1 was used. <bold>(A)</bold> is the DAPI contrast staining for nucleus; <bold>(B)</bold> is the fluorescent staining of CYP7B1; <bold>(C)</bold> is the merged picture. CYP7B1 is located in cytoplasmic membrane component. <bold>(D,E)</bold> (magnified inset of <bold>D</bold>) are the CYP7B1 staining in the testis (black arrow). <bold>(F)</bold> is the negative control. <bold>(G)</bold>, Western blotting analysis of CYP7B1, and ACTB in progenitor (PLC), immature (ILC), and adult Leydig cells (ALC). Bar  &#x0003D;  10 &#x003BC;m.</p></caption>
<graphic xlink:href="fendo-10-00886-g0004.tif"/>
</fig>
</sec>
<sec>
<title>7&#x003B1;OHD Increases 11&#x003B2;-HSD1 Reductase Activity in Intact ALCs</title>
<p>CYP7B1 converts DHEA into 7&#x003B1;OHD. 11&#x003B2;-HSD1 reductase activity was measured in intact ALCs in presence of 7&#x003B1;OHD (10 nM&#x02212;10 &#x003BC;M). 7&#x003B1;OHD increased 11&#x003B2;-HSD1 reductase activity with LOEL of 100 nM (<xref ref-type="fig" rid="F5">Figure 5A</xref>). 7&#x003B1;OHD increased 11&#x003B2;-HSD1 reductase activity to 200% of control at 1 and 10 &#x003BC;M (<xref ref-type="fig" rid="F5">Figure 5A</xref>). The EC<sub>50</sub> value of 7&#x003B1;OHD of increasing 11&#x003B2;-HSD1 reductase activity was 0.7 &#x003BC;M (<xref ref-type="table" rid="T1">Table 1</xref>). This suggests that 7&#x003B1;OHD does the opposite action of DHEA on 11&#x003B2;-HSD1 reductase activity in intact ALCs.</p>
<fig id="F5" position="float">
<label>Figure 5</label>
<caption><p>Effects of 7&#x003B1;-hydroxydehydroepiandrosterone (7&#x003B1;OHD) on 11&#x003B2;-HSD1 oxidase and reductase activities in intact adult Leydig cells (ALCs). 2.5 &#x000D7; 10<sup>4</sup> ALCs were cultured with 25 nM DHC (reductase, <bold>A</bold>) or CORT (oxidase, <bold>B</bold>) for 0.5 h. <bold>(C)</bold> is 11&#x003B2;-HSD1 oxidase/reductase ratio. Mean &#x000B1; SEM (<italic>n</italic>  &#x0003D;  4). &#x0002A; and &#x0002A;&#x0002A;&#x0002A; designate significant differences when compared to control (first bar in each panel) at <italic>P</italic> &#x0003C; 0.05 and 0.001, respectively.</p></caption>
<graphic xlink:href="fendo-10-00886-g0005.tif"/>
</fig>
</sec>
<sec>
<title>7&#x003B1;OHD Decreases 11&#x003B2;-HSD1 Oxidase Activity in Intact ALCs</title>
<p>11&#x003B2;-HSD1 oxidase activity was measured in intact ALCs in presence of 7&#x003B1;OHD (10 nM&#x02212;10 &#x003BC;M). 7&#x003B1;OHD decreased 11&#x003B2;-HSD1 oxidase activity with LOEL of 100 nM (<xref ref-type="fig" rid="F5">Figure 5B</xref>). 7&#x003B1;OHD decreased 11&#x003B2;-HSD1 oxidase activity to 60% of control at 1 &#x003BC;M and 25% of control at 10 &#x003BC;M (<xref ref-type="fig" rid="F5">Figure 5B</xref>). The IC<sub>50</sub> value of 7&#x003B1;OHD of inhibiting oxidase activity was 1.17 &#x003BC;M (<xref ref-type="table" rid="T1">Table 1</xref>). We calculated 11&#x003B2;-HSD1 oxidase/reductase ratio (<xref ref-type="fig" rid="F5">Figure 5C</xref>). 7&#x003B1;OHD decreased 11&#x003B2;-HSD1 oxidase/reductase ratio to 50% of control at 1 &#x003BC;M and to 20% of control at 10 &#x003BC;M. This indicates that 7&#x003B1;OHD makes 11&#x003B2;-HSD1 more reductive.</p>
</sec>
<sec>
<title>7&#x003B1;OHD Increases 11&#x003B2;-HSD1 Reductase Activity in ALC Microsomes</title>
<p>11&#x003B2;-HSD1 reductase activity was measured in ALC microsomes in presence of 7&#x003B1;OHD (10 nM-10 &#x003BC;M). 7&#x003B1;OHD increased 11&#x003B2;-HSD1 reductase activity with LOEL of 100 nM. However, at the highest concentration (100 nM), 7&#x003B1;OHD did not affect 11&#x003B2;-HSD1 reductase activity (<xref ref-type="fig" rid="F6">Figure 6A</xref>). The EC<sub>50</sub> value of 7&#x003B1;OHD of increasing 11&#x003B2;-HSD1 reductase activity was 200 nM (<xref ref-type="table" rid="T1">Table 1</xref>).</p>
<fig id="F6" position="float">
<label>Figure 6</label>
<caption><p>Effects of 7&#x003B1;-hydroxydehydroepiandrosterone (7&#x003B1;OHD) on 11&#x003B2;-HSD1 oxidase and reductase activities in adult Leydig cell (ALC) microsome. 1.5 &#x003BC;g ALC microsome were cultured with 25 nM DHC plus 0.2 mM NADPH (reductase, <bold>A</bold>) or 25 nM CORT plus 0.2 mM NADP&#x0002B; (oxidase, <bold>B</bold>) for 0.5 h. <bold>(C)</bold> is 11&#x003B2;-HSD1 oxidase/reductase ratio. Mean &#x000B1; SEM (<italic>n</italic>  &#x0003D;  4). &#x0002A; and &#x0002A;&#x0002A;&#x0002A; designate significant differences when compared to control (first bar in each panel) at <italic>P</italic> &#x0003C; 0.05 and 0.001, respectively.</p></caption>
<graphic xlink:href="fendo-10-00886-g0006.tif"/>
</fig>
</sec>
<sec>
<title>7&#x003B1;OHD Inhibits 11&#x003B2;-HSD1 Oxidase Activity in ALC Microsomes</title>
<p>11&#x003B2;-HSD1 oxidase activity was measured in ALC microsomes in presence of 7&#x003B1;OHD (10 nM&#x02212;10 &#x003BC;M). 7&#x003B1;OHD decreased 11&#x003B2;-HSD1 oxidase activity with LOEL of 100 nM (<xref ref-type="fig" rid="F6">Figure 6B</xref>). 7&#x003B1;OHD decreased 11&#x003B2;-HSD1 oxidase activity to 60% of control at 1 &#x003BC;M and to 25% of control at 10 &#x003BC;M (<xref ref-type="fig" rid="F6">Figure 6B</xref>). The IC<sub>50</sub> value of 7&#x003B1;OHD for inhibiting oxidase activity was 0.93 &#x003BC;M (<xref ref-type="table" rid="T1">Table 1</xref>). 7&#x003B1;OHD significantly decreased 11&#x003B2;-HSD1 oxidase/reductase ratio in ALC microsomes at 0.1&#x02013;10 &#x003BC;M (<xref ref-type="fig" rid="F6">Figure 6C</xref>). The action of 7&#x003B1;OHD in ALC microsomes was similar to that in intact ALCs, indicating that 7&#x003B1;OHD acts on 11&#x003B2;-HSD1 within SER.</p>
</sec>
<sec>
<title>DHEA Is a Competitive Inhibitor of 11&#x003B2;-HSD1 Reductase in ALC Microsomes</title>
<p>We measured the rates of reductase reactions in ALC microsomes in presence of different DHEA concentrations (0, 1, and 10 &#x003BC;M) in order to evaluate the mode of action. DEHA was a competitive inhibitor of 11&#x003B2;-HSD1 reductase (<xref ref-type="fig" rid="F7">Figure 7A</xref>).</p>
<fig id="F7" position="float">
<label>Figure 7</label>
<caption><p>Mode of action for DHEA and 7&#x003B1;OHD of inhibiting 11&#x003B2;-HSD1 activities in adult Leydig cell (ALC) microsomes. Different concentrations of DHC were incubated with 1.5 &#x003BC;g rat ALC microsomes and NADPH for 0.5 h with or without DHEA for 11&#x003B2;-HSD1 reductase <bold>(A)</bold>. Different concentrations of CORT were incubated with 1.5 &#x003BC;g rat ALC microsomes and NADPH for 0.5 h with or without 7&#x003B1;OHD for 11&#x003B2;-HSD1 oxidase <bold>(B)</bold>. Lineweaver-Burk plot for 11&#x003B2;-HSD1 shows a competitive inhibition.</p></caption>
<graphic xlink:href="fendo-10-00886-g0007.tif"/>
</fig>
</sec>
<sec>
<title>7&#x003B1;OHD Is a Competitive Inhibitor of 11&#x003B2;-HSD1 Oxidase in ALC Microsomes</title>
<p>We measured the rates of oxidase reactions in ALC microsomes in presence of different 7&#x003B1;OHD concentrations (0, 1, and 10 &#x003BC;M) in order to evaluate the mode of action. 7&#x003B1;OHD was a competitive inhibitor of 11&#x003B2;-HSD1 oxidase (<xref ref-type="fig" rid="F7">Figure 7B</xref>).</p>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>Discussion</title>
<p>The present study demonstrated that DHEA stimulated 11&#x003B2;-HSD1 oxidase activity and inhibited 11&#x003B2;-HSD1 reductase activity in intact ALCs. The metabolite of DHEA by CYP7B1, 7&#x003B1;OHD, inhibited 11&#x003B2;-HSD1 oxidase activity and stimulated 11&#x003B2;-HSD1 reductase activity in intact ALCs and in ALC microsomes.</p>
<p>CYP7B1 and 11&#x003B2;-HSD1 coexist in rat ALCs. The detectable <italic>Cyp7b1</italic> mRNA and histochemical staining and Western blotting analysis of CYP7B1 indicate that ALCs are the major, if not exclusive, sites of <italic>Cyp7b1</italic> expression. We showed that <italic>Cyp7b1</italic> mRNA levels in purified ALCs were enriched by 33-folds when compared to age-matched testis samples (<xref ref-type="fig" rid="F3">Figure 3</xref>). Developmental increases in <italic>Cyp7b1</italic> mRNA levels were not distinct in the entire testis, but were significant in the purified Leydig cells (<xref ref-type="fig" rid="F3">Figure 3</xref>). Compared to PLCs, <italic>Cyp7b1</italic> mRNA levels were at least 3-folds higher in ILCs and at least 50-folds higher in ALCs (<xref ref-type="fig" rid="F3">Figure 3</xref>). We infer that CYP7B1 is associated with the development and maturation of Leydig cells. Whether LH affects <italic>Cyp17b1</italic> expression is unclear and requires future study. Since <italic>Cyp7b1</italic> is developmentally increased in Leydig cells (<xref ref-type="fig" rid="F3">Figure 3</xref>) and LH is the major factor to regulate Leydig cell development postnatally (<xref ref-type="bibr" rid="B30">30</xref>), we speculate that LH can affect <italic>Cyp17b1</italic> expression in rat Leydig cells.</p>
<p>We investigated whether CYP7B1 was coupled with 11&#x003B2;-HSD1. CYP7B1 catalyzes the conversion of DHEA into 7&#x003B1;OHD using NADPH as cofactor (<xref ref-type="bibr" rid="B18">18</xref>). The product of NADP<sup>&#x0002B;</sup> from this reaction might create an environment that accelerates 11&#x003B2;-HSD1 oxidase activity. We tested the hypothesis by adding DHEA to intact ALCs, and found that 11&#x003B2;-HSD1 oxidase activity was significantly increased (<xref ref-type="fig" rid="F1">Figure 1B</xref>). Therefore, it was likely that addition of DHEA drove the formation of NADP<sup>&#x0002B;</sup>. However, the experiment was performed in intact cells. We could not dissect the possible sources of NADP<sup>&#x0002B;</sup>. Therefore, we repeated the experiment by adding DHEA to ALC microsomes, and found that 11&#x003B2;-HSD1 oxidase activity was nearly unchanged (<xref ref-type="fig" rid="F2">Figure 2B</xref>). These results indicate that the stimulation of 11&#x003B2;-HSD1 oxidase activity by DHEA requires cytosolic NADP<sup>&#x0002B;</sup> pool. Indeed, DHEA has been reported to inhibit glucose-6-phosphate dehydrogenase and increase the cytosolic pool of NADP<sup>&#x0002B;</sup>, which would also drive 11&#x003B2;-HSD1 oxidase activity (<xref ref-type="bibr" rid="B31">31</xref>). The present study also showed DHEA was a potent competitive inhibitor of 11&#x003B2;-HSD1 reductase, but not of 11&#x003B2;-HSD1 oxidase. We showed a concentration dependent increase in the ratio of 11&#x003B2;-HSD1 oxidase to reductase (<xref ref-type="fig" rid="F1">Figure 1C</xref>).</p>
<p>7&#x003B1;OHD, the product of DHEA by CYP7B1, is also a substrate for human 11&#x003B2;-HSD1. The conversion of 7&#x003B1;OHD to 7KD by 11&#x003B2;-HSD1 is bidirectional (<xref ref-type="bibr" rid="B23">23</xref>). Although human 11&#x003B2;-HSD1 was shown to have epimerase activity, which converts 7&#x003B1;OHD into 7&#x003B2;OHD (<xref ref-type="bibr" rid="B32">32</xref>), human, pig and rat 11&#x003B2;-HSD1 can catalyze 7&#x003B1;OHD into KD to generate NADPH (<xref ref-type="bibr" rid="B23">23</xref>). 7&#x003B1;OHD was proposed as a native competitor for the 11&#x003B2;-HSD1-mediated activation of cortisone into cortisol (<xref ref-type="bibr" rid="B20">20</xref>). However, in the present study, 7&#x003B1;OHD inhibited 11&#x003B2;-HSD1 oxidase and increased 11&#x003B2;-HSD1 reductase, which would have the result of amplifying glucocorticoid actions by converting more cortisone into cortisol (or 11DHC to CORT in rats). 7&#x003B1;OHD was a competitive inhibitor of 11&#x003B2;-HSD1 oxidase (<xref ref-type="fig" rid="F7">Figure 7B</xref>). This is consistent with the finding that 7&#x003B1;OHD shares the active site for cortisone in human 11&#x003B2;-HSD1 (<xref ref-type="bibr" rid="B32">32</xref>). The exact mechanism of this inhibition will require further investigation.</p>
<p>The actual physiological impact of 7&#x003B1;OHD is not likely to result in amplification of GC actions. The circulating levels of DHEA sulfate (DHEAS) or DHEAS plus DHEA are much higher than those of cortisol (<xref ref-type="bibr" rid="B33">33</xref>&#x02013;<xref ref-type="bibr" rid="B35">35</xref>), these in turn are about three orders of magnitude larger (in humans) than levels of 7&#x003B1;OHD (<xref ref-type="bibr" rid="B36">36</xref>, <xref ref-type="bibr" rid="B37">37</xref>). Therefore, among the circulating steroids, DHEA might have more influence than 7&#x003B1;OHD on 11&#x003B2;-HSD1 activities in ALCs, and the oxidase direction will be favored. Although 7&#x003B1;OHD can be generated locally from DHEA by CYP7B1, the relative abundance of CYP7B1 versus 11&#x003B2;-HSD1 will be a factor. In the present study, we found that <italic>Cyp7b1</italic> expression was much lower (300 copy/pg RNA in rat ALCs) compared to 11&#x003B2;-HSD1 mRNA levels in ALCs (500,000 copy/pg RNA) (<xref ref-type="bibr" rid="B15">15</xref>). If the mRNA levels are indicative of the actual enzyme levels, it is unlikely that enough 7&#x003B1;OHD will be produced to change the direction of 11&#x003B2;-HSD1</p>
<p>In summary, DHEA directly inhibits 11&#x003B2;-HSD1 reductase in the intact ALCs, thus default 11&#x003B2;-HSD1 is enhanced to drive 11&#x003B2;-HSD1 being more oxidative (<xref ref-type="fig" rid="F8">Figure 8A</xref>). CYP7B1 is present in Leydig cells and can catalyze the formation of 7&#x003B1;OHD in ALCs. 7&#x003B1;OHD is the substrate of 11&#x003B2;-HSD1 oxidase, thus competitively inhibiting 11&#x003B2;-HSD1 oxidase to drive 11&#x003B2;-HSD1 being more reductive (<xref ref-type="fig" rid="F8">Figure 8B</xref>). The study is relevant and contribution to endocrinological regulation of testicular GC contents by adrenal steroids. However, the expression of <italic>Cyp7b1</italic> is about 1/1700 of <italic>Hsd11b1</italic> and therefore the action of CYP7B1 may be limited.</p>
<fig id="F8" position="float">
<label>Figure 8</label>
<caption><p>Working hypothesis for the actions of dehydroepiandrosterone (DEHA) and 7&#x003B1;-hydroxydehydroepiandrosterone (7&#x003B1;OHD) in intact rat Leydig cells (ALCs). <bold>(A)</bold> Shows that 11&#x003B2;-hydroxysteroid dehydrogenase 1 (11&#x003B2;-HSD1) is an oxidoreductase in intact ALCs, being oxidase to catalyze corticosterone (CORT) to 11-dehydrocorticosterone (DHC) and being reductase to catalyze DHC to CORT. DHEA inhibits 11&#x003B2;-HSD1 reductase at very low concentrations but does not affect oxidase, thus driving 11&#x003B2;-HSD1 more oxidase. <bold>(B)</bold> Shows that 11&#x003B2;-HSD1 has dual function, catalyzing both 7&#x003B1;OHD and CORT in smooth endoplasmic reticulum. 7&#x003B1;OHD drives 11&#x003B2;-HSD1 toward a reductase. DHEA is converted to 7&#x003B1;OHD in Leydig cells to negatively feedback to counterbalance its action.</p></caption>
<graphic xlink:href="fendo-10-00886-g0008.tif"/>
</fig>
</sec>
<sec sec-type="data-availability-statement" id="s5">
<title>Data Availability Statement</title>
<p>All datasets generated for this study are included in the article/supplementary material.</p>
</sec>
<sec id="s6">
<title>Ethics Statement</title>
<p>The animal study was reviewed and approved by the Institutional Animal Care and Use Committee of the Wenzhou Medical University. Written informed consent was obtained from the owners for the participation of their animals in this study.</p>
</sec>
<sec id="s7">
<title>Author Contributions</title>
<p>JS and R-SG conceptualized the study design and analyze the data. QZ, YD, XL, CN, and TH performed the experiments and collected the data. R-SG wrote the manuscript and has full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis, and all authors reviewed the manuscript.</p>
<sec>
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
</sec>
</body>
<back>
<ref-list>
<title>References</title>
<ref id="B1">
<label>1.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Agarwal</surname> <given-names>AK</given-names></name> <name><surname>Monder</surname> <given-names>C</given-names></name> <name><surname>Eckstein</surname> <given-names>B</given-names></name> <name><surname>White</surname> <given-names>PC</given-names></name></person-group>. <article-title>Cloning and expression of rat cDNA encoding corticosteroid 11beta-dehydrogenase</article-title>. <source>J Biol Chem.</source> (<year>1989</year>) <volume>264</volume>:<fpage>18939</fpage>&#x02013;<lpage>43</lpage>.</citation></ref>
<ref id="B2">
<label>2.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tannin</surname> <given-names>GM</given-names></name> <name><surname>Agarwal</surname> <given-names>AK</given-names></name> <name><surname>Monder</surname> <given-names>C</given-names></name> <name><surname>New</surname> <given-names>MI</given-names></name> <name><surname>White</surname> <given-names>PC</given-names></name></person-group>. <article-title>The human gene for 11 beta-hydroxysteroid dehydrogenase. Structure, tissue distribution, and chromosomal localization</article-title>. <source>J Biol Chem.</source> (<year>1991</year>) <volume>266</volume>:<fpage>16653</fpage>&#x02013;<lpage>8</lpage>.<pub-id pub-id-type="pmid">1885595</pub-id></citation></ref>
<ref id="B3">
<label>3.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Agarwal</surname> <given-names>AK</given-names></name> <name><surname>Mune</surname> <given-names>T</given-names></name> <name><surname>Monder</surname> <given-names>C</given-names></name> <name><surname>White</surname> <given-names>PC</given-names></name></person-group>. <article-title>NAD(&#x0002B;)-dependent isoform of 11 beta-hydroxysteroid dehydrogenase. Cloning and characterization of cDNA from sheep kidney</article-title>. <source>J Biol Chem.</source> (<year>1994</year>) <volume>269</volume>:<fpage>25959</fpage>&#x02013;<lpage>62</lpage>.<pub-id pub-id-type="pmid">7929304</pub-id></citation></ref>
<ref id="B4">
<label>4.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Albiston</surname> <given-names>AL</given-names></name> <name><surname>Obeyesekere</surname> <given-names>VR</given-names></name> <name><surname>Smith</surname> <given-names>RE</given-names></name> <name><surname>Krozowski</surname> <given-names>ZS</given-names></name></person-group>. <article-title>Cloning and tissue distribution of the human 11 beta-hydroxysteroid dehydrogenase type 2 enzyme</article-title>. <source>Mol Cell Endocrinol.</source> (<year>1994</year>) <volume>105</volume>:<fpage>R11</fpage>&#x02013;<lpage>7</lpage>. <pub-id pub-id-type="doi">10.1016/0303-7207(94)90176-7</pub-id><pub-id pub-id-type="pmid">7859916</pub-id></citation></ref>
<ref id="B5">
<label>5.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Monder</surname> <given-names>C</given-names></name> <name><surname>Sakai</surname> <given-names>RR</given-names></name> <name><surname>Miroff</surname> <given-names>Y</given-names></name> <name><surname>Blanchard</surname> <given-names>DC</given-names></name> <name><surname>Blanchard</surname> <given-names>RJ</given-names></name></person-group>. <article-title>Reciprocal changes in plasma corticosterone and testosterone in stressed male rats maintained in a visible burrow system: evidence for a mediating role of testicular 11 beta-hydroxysteroid dehydrogenase</article-title>. <source>Endocrinology.</source> (<year>1994</year>) <volume>134</volume>:<fpage>1193</fpage>&#x02013;<lpage>8</lpage>. <pub-id pub-id-type="doi">10.1210/endo.134.3.8119159</pub-id><pub-id pub-id-type="pmid">8119159</pub-id></citation></ref>
<ref id="B6">
<label>6.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ge</surname> <given-names>RS</given-names></name> <name><surname>Gao</surname> <given-names>HB</given-names></name> <name><surname>Nacharaju</surname> <given-names>VL</given-names></name> <name><surname>Gunsalus</surname> <given-names>GL</given-names></name> <name><surname>Hardy</surname> <given-names>MP</given-names></name></person-group>. <article-title>Identification of a kinetically distinct activity of 11beta-hydroxysteroid dehydrogenase in rat Leydig cells</article-title>. <source>Endocrinology.</source> (<year>1997</year>) <volume>138</volume>:<fpage>2435</fpage>&#x02013;<lpage>42</lpage>. <pub-id pub-id-type="doi">10.1210/endo.138.6.5165</pub-id><pub-id pub-id-type="pmid">9165033</pub-id></citation></ref>
<ref id="B7">
<label>7.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>White</surname> <given-names>PC</given-names></name> <name><surname>Mune</surname> <given-names>T</given-names></name> <name><surname>Rogerson</surname> <given-names>FM</given-names></name> <name><surname>Kayes</surname> <given-names>KM</given-names></name> <name><surname>Agarwal</surname> <given-names>AK</given-names></name></person-group>. <article-title>11&#x003B2;-Hydroxysteroid dehydrogenase and its role in the syndrome of apparent mineralocorticoid excess</article-title>. <source>Pediatr Res.</source> (<year>1997</year>) <volume>41</volume>:<fpage>25</fpage>&#x02013;<lpage>9</lpage>. <pub-id pub-id-type="doi">10.1203/00006450-199701000-00004</pub-id></citation></ref>
<ref id="B8">
<label>8.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Draper</surname> <given-names>N</given-names></name> <name><surname>Walker</surname> <given-names>EA</given-names></name> <name><surname>Bujalska</surname> <given-names>IJ</given-names></name> <name><surname>Tomlinson</surname> <given-names>JW</given-names></name> <name><surname>Chalder</surname> <given-names>SM</given-names></name> <name><surname>Arlt</surname> <given-names>W</given-names></name> <etal/></person-group>. <article-title>Mutations in the genes encoding 11&#x003B2;-hydroxysteroid dehydrogenase type 1 and hexose-6-phosphate dehydrogenase interact to cause cortisone reductase deficiency</article-title>. <source>Nat Genet.</source> (<year>2003</year>) <volume>34</volume>:<fpage>434</fpage>&#x02013;<lpage>9</lpage>. <pub-id pub-id-type="doi">10.1038/ng1214</pub-id><pub-id pub-id-type="pmid">12858176</pub-id></citation></ref>
<ref id="B9">
<label>9.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Atanasov</surname> <given-names>AG</given-names></name> <name><surname>Nashev</surname> <given-names>LG</given-names></name> <name><surname>Schweizer</surname> <given-names>RA</given-names></name> <name><surname>Frick</surname> <given-names>C</given-names></name> <name><surname>Odermatt</surname> <given-names>A</given-names></name></person-group>. <article-title>Hexose-6-phosphate dehydrogenase determines the reaction direction of 11&#x003B2;-hydroxysteroid dehydrogenase type 1 as an oxoreductase</article-title>. <source>FEBS Lett.</source> (<year>2004</year>) <volume>571</volume>:<fpage>129</fpage>&#x02013;<lpage>33</lpage>. <pub-id pub-id-type="doi">10.1016/j.febslet.2004.06.065</pub-id><pub-id pub-id-type="pmid">15280030</pub-id></citation></ref>
<ref id="B10">
<label>10.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bujalska</surname> <given-names>IJ</given-names></name> <name><surname>Draper</surname> <given-names>N</given-names></name> <name><surname>Michailidou</surname> <given-names>Z</given-names></name> <name><surname>Tomlinson</surname> <given-names>JW</given-names></name> <name><surname>White</surname> <given-names>PC</given-names></name> <name><surname>Chapman</surname> <given-names>KE</given-names></name> <etal/></person-group>. <article-title>Hexose-6-phosphate dehydrogenase confers oxo-reductase activity upon 11 beta-hydroxysteroid dehydrogenase type 1</article-title>. <source>J Mol Endocrinol.</source> (<year>2005</year>) <volume>34</volume>:<fpage>675</fpage>&#x02013;<lpage>84</lpage>. <pub-id pub-id-type="doi">10.1677/jme.1.01718</pub-id><pub-id pub-id-type="pmid">15956339</pub-id></citation></ref>
<ref id="B11">
<label>11.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Banhegyi</surname> <given-names>G</given-names></name> <name><surname>Csala</surname> <given-names>M</given-names></name> <name><surname>Benedetti</surname> <given-names>A</given-names></name></person-group>. <article-title>Hexose-6-phosphate dehydrogenase: linking endocrinology and metabolism in the endoplasmic reticulum</article-title>. <source>J Mol Endocrinol.</source> (<year>2009</year>) <volume>42</volume>:<fpage>283</fpage>&#x02013;<lpage>9</lpage>. <pub-id pub-id-type="doi">10.1677/JME-08-0156</pub-id><pub-id pub-id-type="pmid">19060178</pub-id></citation></ref>
<ref id="B12">
<label>12.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hewitt</surname> <given-names>KN</given-names></name> <name><surname>Walker</surname> <given-names>EA</given-names></name> <name><surname>Stewart</surname> <given-names>PM</given-names></name></person-group>. <article-title>Minireview: hexose-6-phosphate dehydrogenase and redox control of 11{beta}-hydroxysteroid dehydrogenase type 1 activity</article-title>. <source>Endocrinology.</source> (<year>2005</year>) <volume>146</volume>:<fpage>2539</fpage>&#x02013;<lpage>43</lpage>. <pub-id pub-id-type="doi">10.1210/en.2005-0117</pub-id><pub-id pub-id-type="pmid">15774558</pub-id></citation></ref>
<ref id="B13">
<label>13.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lavery</surname> <given-names>GG</given-names></name> <name><surname>Walker</surname> <given-names>EA</given-names></name> <name><surname>Turan</surname> <given-names>N</given-names></name> <name><surname>Rogoff</surname> <given-names>D</given-names></name> <name><surname>Ryder</surname> <given-names>JW</given-names></name> <name><surname>Shelton</surname> <given-names>JM</given-names></name> <etal/></person-group>. <article-title>Deletion of hexose-6-phosphate dehydrogenase activates the unfolded protein response pathway and induces skeletal myopathy</article-title>. <source>J Biol Chem.</source> (<year>2008</year>) <volume>283</volume>:<fpage>8453</fpage>&#x02013;<lpage>61</lpage>. <pub-id pub-id-type="doi">10.1074/jbc.M710067200</pub-id><pub-id pub-id-type="pmid">18222920</pub-id></citation></ref>
<ref id="B14">
<label>14.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Li</surname> <given-names>X</given-names></name> <name><surname>Hu</surname> <given-names>G</given-names></name> <name><surname>Wang</surname> <given-names>YY</given-names></name> <name><surname>Hu</surname> <given-names>YY</given-names></name> <name><surname>Zhou</surname> <given-names>H</given-names></name> <name><surname>Latif</surname> <given-names>SA</given-names></name> <etal/></person-group>. <article-title>Metabolic coupling determines the activity: comparison of 11&#x003B2;-hydroxysteroid dehydrogenase 1 and its coupling between liver parenchymal cells and testicular leydig cells</article-title>. <source>PLoS ONE.</source> (<year>2015</year>) <volume>10</volume>:<fpage>e0141767</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pone.0141767</pub-id><pub-id pub-id-type="pmid">26528718</pub-id></citation></ref>
<ref id="B15">
<label>15.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ge</surname> <given-names>RS</given-names></name> <name><surname>Dong</surname> <given-names>Q</given-names></name> <name><surname>Niu</surname> <given-names>EM</given-names></name> <name><surname>Sottas</surname> <given-names>CM</given-names></name> <name><surname>Hardy</surname> <given-names>DO</given-names></name> <name><surname>Catterall</surname> <given-names>JF</given-names></name> <etal/></person-group>. <article-title>11{beta} -Hydroxysteroid dehydrogenase 2 in rat leydig cells: its role in blunting glucocorticoid action at physiological levels of substrate</article-title>. <source>Endocrinology.</source> (<year>2005</year>) <volume>146</volume>:<fpage>2657</fpage>&#x02013;<lpage>64</lpage>. <pub-id pub-id-type="doi">10.1210/en.2005-0046</pub-id><pub-id pub-id-type="pmid">15761036</pub-id></citation></ref>
<ref id="B16">
<label>16.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Imamichi</surname> <given-names>Y</given-names></name> <name><surname>Yuhki</surname> <given-names>KI</given-names></name> <name><surname>Orisaka</surname> <given-names>M</given-names></name> <name><surname>Kitano</surname> <given-names>T</given-names></name> <name><surname>Mukai</surname> <given-names>K</given-names></name> <name><surname>Ushikubi</surname> <given-names>F</given-names></name> <etal/></person-group>. <article-title>11-Ketotestosterone is a major androgen produced in human gonads</article-title>. <source>J Clin Endocrinol Metab.</source> (<year>2016</year>) <volume>101</volume>:<fpage>3582</fpage>&#x02013;<lpage>91</lpage>. <pub-id pub-id-type="doi">10.1210/jc.2016-2311</pub-id><pub-id pub-id-type="pmid">27428878</pub-id></citation></ref>
<ref id="B17">
<label>17.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gao</surname> <given-names>HB</given-names></name> <name><surname>Ge</surname> <given-names>RS</given-names></name> <name><surname>Lakshmi</surname> <given-names>V</given-names></name> <name><surname>Marandici</surname> <given-names>A</given-names></name> <name><surname>Hardy</surname> <given-names>MP</given-names></name></person-group>. <article-title>Hormonal regulation of oxidative and reductive activities of 11 beta-hydroxysteroid dehydrogenase in rat Leydig cells</article-title>. <source>Endocrinology.</source> (<year>1997</year>) <volume>138</volume>:<fpage>156</fpage>&#x02013;<lpage>61</lpage>. <pub-id pub-id-type="doi">10.1210/endo.138.1.4837</pub-id><pub-id pub-id-type="pmid">8977399</pub-id></citation></ref>
<ref id="B18">
<label>18.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Martin</surname> <given-names>C</given-names></name> <name><surname>Bean</surname> <given-names>R</given-names></name> <name><surname>Rose</surname> <given-names>K</given-names></name> <name><surname>Habib</surname> <given-names>F</given-names></name> <name><surname>Seckl</surname> <given-names>J</given-names></name></person-group>. <article-title>cyp7b1 catalyses the 7alpha-hydroxylation of dehydroepiandrosterone and 25-hydroxycholesterol in rat prostate</article-title>. <source>Biochem J.</source> (<year>2001</year>) <volume>355</volume>:<fpage>509</fpage>&#x02013;<lpage>15</lpage>. <pub-id pub-id-type="doi">10.1042/bj3550509</pub-id><pub-id pub-id-type="pmid">11284740</pub-id></citation></ref>
<ref id="B19">
<label>19.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rose</surname> <given-names>K</given-names></name> <name><surname>Allan</surname> <given-names>A</given-names></name> <name><surname>Gauldie</surname> <given-names>S</given-names></name> <name><surname>Stapleton</surname> <given-names>G</given-names></name> <name><surname>Dobbie</surname> <given-names>L</given-names></name> <name><surname>Dott</surname> <given-names>K</given-names></name> <etal/></person-group>. <article-title>Neurosteroid hydroxylase CYP7B: vivid reporter activity in dentate gyrus of gene-targeted mice and abolition of a widespread pathway of steroid and oxysterol hydroxylation</article-title>. <source>J Biol Chem.</source> (<year>2001</year>) <volume>276</volume>:<fpage>23937</fpage>&#x02013;<lpage>44</lpage>. <pub-id pub-id-type="doi">10.1074/jbc.M011564200</pub-id><pub-id pub-id-type="pmid">11290741</pub-id></citation></ref>
<ref id="B20">
<label>20.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Muller</surname> <given-names>C</given-names></name> <name><surname>Pompon</surname> <given-names>D</given-names></name> <name><surname>Urban</surname> <given-names>P</given-names></name> <name><surname>Morfin</surname> <given-names>R</given-names></name></person-group>. <article-title>Inter-conversion of 7alpha- and 7beta-hydroxy-dehydroepiandrosterone by the human 11beta-hydroxysteroid dehydrogenase type 1</article-title>. <source>J Steroid Biochem Mol Biol.</source> (<year>2006</year>) <volume>99</volume>:<fpage>215</fpage>&#x02013;<lpage>22</lpage>. <pub-id pub-id-type="doi">10.1016/j.jsbmb.2005.12.001</pub-id><pub-id pub-id-type="pmid">16603347</pub-id></citation></ref>
<ref id="B21">
<label>21.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hennebert</surname> <given-names>O</given-names></name> <name><surname>Pernelle</surname> <given-names>C</given-names></name> <name><surname>Ferroud</surname> <given-names>C</given-names></name> <name><surname>Morfin</surname> <given-names>R</given-names></name></person-group>. <article-title>7alpha- and 7beta-hydroxy-epiandrosterone as substrates and inhibitors for the human 11beta-hydroxysteroid dehydrogenase type 1</article-title>. <source>J Steroid Biochem Mol Biol.</source> (<year>2007</year>) <volume>105</volume>:<fpage>159</fpage>&#x02013;<lpage>65</lpage>. <pub-id pub-id-type="doi">10.1016/j.jsbmb.2006.11.021</pub-id><pub-id pub-id-type="pmid">17624766</pub-id></citation></ref>
<ref id="B22">
<label>22.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Niro</surname> <given-names>S</given-names></name> <name><surname>Hennebert</surname> <given-names>O</given-names></name> <name><surname>Morfin</surname> <given-names>R</given-names></name></person-group>. <article-title>A native steroid hormone derivative triggers the resolution of inflammation</article-title>. <source>Horm Mol Biol Clin Investig.</source> (<year>2010</year>) <volume>1</volume>:<fpage>11</fpage>&#x02013;<lpage>9</lpage>. <pub-id pub-id-type="doi">10.1515/hmbci.2010.001</pub-id><pub-id pub-id-type="pmid">25961967</pub-id></citation></ref>
<ref id="B23">
<label>23.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Robinzon</surname> <given-names>B</given-names></name> <name><surname>Michael</surname> <given-names>KK</given-names></name> <name><surname>Ripp</surname> <given-names>SL</given-names></name> <name><surname>Winters</surname> <given-names>SJ</given-names></name> <name><surname>Prough</surname> <given-names>RA</given-names></name></person-group>. <article-title>Glucocorticoids inhibit interconversion of 7-hydroxy and 7-oxo metabolites of dehydroepiandrosterone: a role for 11beta-hydroxysteroid dehydrogenases?</article-title> <source>Arch Biochem Biophys.</source> (<year>2003</year>) <volume>412</volume>:<fpage>251</fpage>&#x02013;<lpage>8</lpage>. <pub-id pub-id-type="doi">10.1016/S0003-9861(03)00056-0</pub-id><pub-id pub-id-type="pmid">12667489</pub-id></citation></ref>
<ref id="B24">
<label>24.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lakshmi</surname> <given-names>V</given-names></name> <name><surname>Monder</surname> <given-names>C</given-names></name></person-group>. <article-title>Extraction of 11 beta-hydroxysteroid dehydrogenase from rat liver microsomes by detergents</article-title>. <source>J Steroid Biochem.</source> (<year>1985</year>) <volume>22</volume>:<fpage>331</fpage>&#x02013;<lpage>40</lpage>. <pub-id pub-id-type="doi">10.1016/0022-4731(85)90435-2</pub-id><pub-id pub-id-type="pmid">3857394</pub-id></citation></ref>
<ref id="B25">
<label>25.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Shan</surname> <given-names>LX</given-names></name> <name><surname>Hardy</surname> <given-names>MP</given-names></name></person-group>. <article-title>Developmental changes in levels of luteinizing hormone receptor and androgen receptor in rat Leydig cells</article-title>. <source>Endocrinology.</source> (<year>1992</year>) <volume>131</volume>:<fpage>1107</fpage>&#x02013;<lpage>14</lpage>. <pub-id pub-id-type="doi">10.1210/endo.131.3.1505454</pub-id><pub-id pub-id-type="pmid">1505454</pub-id></citation></ref>
<ref id="B26">
<label>26.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Salva</surname> <given-names>A</given-names></name> <name><surname>Klinefelter</surname> <given-names>GR</given-names></name> <name><surname>Hardy</surname> <given-names>MP</given-names></name></person-group>. <article-title>Purification of rat leydig cells: increased yields after unit-gravity sedimentation of collagenase-dispersed interstitial cells</article-title>. <source>J Androl.</source> (<year>2001</year>) <volume>22</volume>:<fpage>665</fpage>&#x02013;<lpage>71</lpage>.<pub-id pub-id-type="pmid">11451364</pub-id></citation></ref>
<ref id="B27">
<label>27.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Payne</surname> <given-names>AH</given-names></name> <name><surname>Wong</surname> <given-names>KL</given-names></name> <name><surname>Vega</surname> <given-names>MM</given-names></name></person-group>. <article-title>Differential effects of single and repeated administrations of gonadotropins on luteinizing hormone receptors and testosterone synthesis in two populations of Leydig cells</article-title>. <source>J Biol Chem.</source> (<year>1980</year>) <volume>255</volume>:<fpage>7118</fpage>&#x02013;<lpage>22</lpage>.<pub-id pub-id-type="pmid">6248547</pub-id></citation></ref>
<ref id="B28">
<label>28.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mo</surname> <given-names>J</given-names></name> <name><surname>Chen</surname> <given-names>X</given-names></name> <name><surname>Ni</surname> <given-names>C</given-names></name> <name><surname>Wu</surname> <given-names>K</given-names></name> <name><surname>Li</surname> <given-names>X</given-names></name> <name><surname>Zhu</surname> <given-names>Q</given-names></name> <etal/></person-group>. <article-title>Fibroblast growth factor homologous factor 1 stimulates Leydig cell regeneration from stem cells in male rats</article-title>. <source>J Cell Mol Med</source>. (<year>2019</year>) <volume>23</volume>:<fpage>5618</fpage>&#x02013;<lpage>31</lpage>. <pub-id pub-id-type="doi">10.1111/jcmm.14461</pub-id><pub-id pub-id-type="pmid">31222931</pub-id></citation></ref>
<ref id="B29">
<label>29.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wu</surname> <given-names>X</given-names></name> <name><surname>Guo</surname> <given-names>X</given-names></name> <name><surname>Wang</surname> <given-names>H</given-names></name> <name><surname>Zhou</surname> <given-names>S</given-names></name> <name><surname>Li</surname> <given-names>L</given-names></name> <name><surname>Chen</surname> <given-names>X</given-names></name> <etal/></person-group>. <article-title>A brief exposure to cadmium impairs Leydig cell regeneration in the adult rat testis</article-title>. <source>Sci Rep.</source> (<year>2017</year>) <volume>7</volume>:<fpage>6337</fpage>. <pub-id pub-id-type="doi">10.1038/s41598-017-06870-0</pub-id><pub-id pub-id-type="pmid">28740105</pub-id></citation></ref>
<ref id="B30">
<label>30.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ye</surname> <given-names>L</given-names></name> <name><surname>Li</surname> <given-names>X</given-names></name> <name><surname>Li</surname> <given-names>L</given-names></name> <name><surname>Chen</surname> <given-names>H</given-names></name> <name><surname>Ge</surname> <given-names>RS</given-names></name></person-group>. <article-title>Insights into the development of the adult Leydig cell lineage from stem leydig cells</article-title>. <source>Front Physiol.</source> (<year>2017</year>) <volume>8</volume>:<fpage>430</fpage>. <pub-id pub-id-type="doi">10.3389/fphys.2017.00430</pub-id><pub-id pub-id-type="pmid">28701961</pub-id></citation></ref>
<ref id="B31">
<label>31.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mccormick</surname> <given-names>KL</given-names></name> <name><surname>Wang</surname> <given-names>X</given-names></name> <name><surname>Mick</surname> <given-names>GJ</given-names></name></person-group>. <article-title>Evidence that the 11 beta-hydroxysteroid dehydrogenase (11 beta-HSD1) is regulated by pentose pathway flux. Studies in rat adipocytes and microsomes</article-title>. <source>J Biol Chem.</source> (<year>2006</year>) <volume>281</volume>:<fpage>341</fpage>&#x02013;<lpage>7</lpage>. <pub-id pub-id-type="doi">10.1074/jbc.M506026200</pub-id><pub-id pub-id-type="pmid">16234247</pub-id></citation></ref>
<ref id="B32">
<label>32.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hennebert</surname> <given-names>O</given-names></name> <name><surname>Montes</surname> <given-names>M</given-names></name> <name><surname>Favre-Reguillon</surname> <given-names>A</given-names></name> <name><surname>Chermette</surname> <given-names>H</given-names></name> <name><surname>Ferroud</surname> <given-names>C</given-names></name> <name><surname>Morfin</surname> <given-names>R</given-names></name></person-group>. <article-title>Epimerase activity of the human 11beta-hydroxysteroid dehydrogenase type 1 on 7-hydroxylated C19-steroids</article-title>. <source>J Steroid Biochem Mol Biol.</source> (<year>2009</year>) <volume>114</volume>:<fpage>57</fpage>&#x02013;<lpage>63</lpage>. <pub-id pub-id-type="doi">10.1016/j.jsbmb.2008.12.015</pub-id><pub-id pub-id-type="pmid">19167490</pub-id></citation></ref>
<ref id="B33">
<label>33.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Touitou</surname> <given-names>Y</given-names></name> <name><surname>Sulon</surname> <given-names>J</given-names></name> <name><surname>Bogdan</surname> <given-names>A</given-names></name> <name><surname>Touitou</surname> <given-names>C</given-names></name> <name><surname>Reinberg</surname> <given-names>A</given-names></name> <name><surname>Beck</surname> <given-names>H</given-names></name> <etal/></person-group>. <article-title>Adrenal circadian system in young and elderly human subjects: a comparative study</article-title>. <source>J Endocrinol.</source> (<year>1982</year>) <volume>93</volume>:<fpage>201</fpage>&#x02013;<lpage>10</lpage>. <pub-id pub-id-type="doi">10.1677/joe.0.0930201</pub-id><pub-id pub-id-type="pmid">7086322</pub-id></citation></ref>
<ref id="B34">
<label>34.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Waltman</surname> <given-names>C</given-names></name> <name><surname>Blackman</surname> <given-names>MR</given-names></name> <name><surname>Chrousos</surname> <given-names>GP</given-names></name> <name><surname>Riemann</surname> <given-names>C</given-names></name> <name><surname>Harman</surname> <given-names>SM</given-names></name></person-group>. <article-title>Spontaneous and glucocorticoid-inhibited adrenocorticotropic hormone and cortisol secretion are similar in healthy young and old men</article-title>. <source>J Clin Endocrinol Metab.</source> (<year>1991</year>) <volume>73</volume>:<fpage>495</fpage>&#x02013;<lpage>502</lpage>. <pub-id pub-id-type="doi">10.1210/jcem-73-3-495</pub-id><pub-id pub-id-type="pmid">1651956</pub-id></citation></ref>
<ref id="B35">
<label>35.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sulcova</surname> <given-names>J</given-names></name> <name><surname>Hill</surname> <given-names>M</given-names></name> <name><surname>Hampl</surname> <given-names>R</given-names></name> <name><surname>Starka</surname> <given-names>L</given-names></name></person-group>. <article-title>Age and sex related differences in serum levels of unconjugated dehydroepiandrosterone and its sulphate in normal subjects</article-title>. <source>J Endocrinol.</source> (<year>1997</year>) <volume>154</volume>:<fpage>57</fpage>&#x02013;<lpage>62</lpage>. <pub-id pub-id-type="doi">10.1677/joe.0.1540057</pub-id><pub-id pub-id-type="pmid">9246938</pub-id></citation></ref>
<ref id="B36">
<label>36.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lapcik</surname> <given-names>O</given-names></name> <name><surname>Hampl</surname> <given-names>R</given-names></name> <name><surname>Hill</surname> <given-names>M</given-names></name> <name><surname>Starka</surname> <given-names>L</given-names></name></person-group>. <article-title>Immunoassay of 7-hydroxysteroids: 2. Radioimmunoassay of 7alpha-hydroxy-dehydroepiandrosterone</article-title>. <source>J Steroid Biochem Mol Biol.</source> (<year>1999</year>) <volume>71</volume>:<fpage>231</fpage>&#x02013;<lpage>7</lpage>. <pub-id pub-id-type="doi">10.1016/S0960-0760(99)00145-4</pub-id><pub-id pub-id-type="pmid">10704912</pub-id></citation></ref>
<ref id="B37">
<label>37.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cooper</surname> <given-names>MS</given-names></name> <name><surname>Syddall</surname> <given-names>HE</given-names></name> <name><surname>Fall</surname> <given-names>CH</given-names></name> <name><surname>Wood</surname> <given-names>PJ</given-names></name> <name><surname>Stewart</surname> <given-names>PM</given-names></name> <name><surname>Cooper</surname> <given-names>C</given-names></name> <etal/></person-group>. <article-title>Circulating cortisone levels are associated with biochemical markers of bone formation and lumbar spine BMD: the Hertfordshire cohort study</article-title>. <source>Clin Endocrinol.</source> (<year>2005</year>) <volume>62</volume>:<fpage>692</fpage>&#x02013;<lpage>7</lpage>. <pub-id pub-id-type="doi">10.1111/j.1365-2265.2005.02281.x</pub-id><pub-id pub-id-type="pmid">15943831</pub-id></citation></ref>
</ref-list>
<fn-group>
<fn fn-type="financial-disclosure"><p><bold>Funding.</bold> This present study was supported in part by NSFC (81730042), Department of Science and Technology of Zhejiang Province (2019C03035), Wenzhou Municipal Science and Technology Bureau (ZS2017009).</p>
</fn>
</fn-group>
</back>
</article>