Commentary: Amhr2-Cre-Mediated Global Tspo Knockout

Department of Animal Science, College of Agriculture and Life Sciences, Cornell University, Ithaca, NY, United States, Division of Animal Science, School of Science and Technology, Institute of Agriculture, Shinshu University, Nagano, Japan, 3 State Key Laboratory of Medical Molecular Biology, Department of Immunology, Research Center on Pediatric Development Diseases, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences and School of Basic Medicine, Peking Union Medical College, Beijing, China, Department of Cell Biology and Biochemistry, Texas Tech University Health Sciences Center, Lubbock, TX, United States


TRANSMISSION FROM THE MALE OR FEMALE PARENT MATTERS IN AMHR2-CRE ACTIVITY
For cell type specific deletions using Amhr2 cre/+ expressing mice (4), it is important to use male Amhr2 cre/+ mice in the breeding scheme. This is information that has been shared among colleagues who have previously used Amhr2 cre/+ mice in their studies. Accordingly, we have used males to transmit Amhr2 cre/+ with confirmed conditional recombination for floxed targets (3,(5)(6)(7)(8)(9). Separate from our TSPO studies, there have indeed been incidents with breeding of female Amhr2 cre/+ mice that resulted in global deletions. For example: when both male and female Amhr2 cre/+ mice were used to delete Smo, global knockouts of which are embryonic lethal (10), Amhr2 cre/+ conditional knockouts were obtained only when the sire harbored cre (unpublished). The breeding scheme was subsequently restricted to using male Amhr2 cre/+ mice (8). This is consistent with male-restricted breeding schemes indicated by many different groups (11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21). So, we agree with findings reported by Fan et al. regarding global deletions (1), but caution that this is the case only when female Amhr2 cre/+ mice are used [gender of Amhr2 cre/+ mice used in his publication was not indicated (1)]. This report therefore does not necessitate reinterpretation of any previous data on Amhr2 cre/+ conditional knockouts unless female Amhr2 cre/+ mice were inadvertently used.
For some transgenic lines, it is known that cre activity can vary based on whether the transgene is inherited from the male or female parent. As a knock-in Amhr2 cre/+ allele, expression is anticipated to reflect endogenous Amhr2 expression; therefore, this aberration is indeed unexpected. As Amhr2 knockout mice are viable (22), there appears to be little impact if there is indeed endogenous Amhr2 expression in the inner cell mass and trophoblast layer. It would also be valuable to test if this phenotype can be reproduced with the newly available Amhr2 em1(cre)Smoc knock-in mice (NM-KI-190012; Shanghai Model Organisms).

TSPO IS NOT INVOLVED IN DE NOVO STEROIDOGENESIS
Irrespective of method used or the timing of recombination, the conclusion for TSPO-loss of function with regard to de novo steroidogenesis is quite consistent [reviewed in (23)]. It does not affect viability (whole animal) nor does it affect mitochondrial cholesterol import in phenotypes reported by several independent laboratories (including ours) that have generated global Tspo knockouts using Ddx4-cre (24), Pgk1cre (25), Prm-cre (26), Camk2a-cre (27), and Best1-cre (28). The important points are: (a) Four of the above global knockouts generated were using independently produced Tspo floxed mice (24)(25)(26)(27). (b) One of the global knockouts (28), was generated using the same Tspo floxed mouse used by the Papadopoulos group that includes this study by Fan et al. (1). (c) All the global knockouts were derived by recombination of Tspo-floxed alleles in the germline [expected (24,26) or aberrant (27,28)] or in early diploid cells (25). Therefore, these studies do describe Tspo knockouts that lack expression in the inner cell mass, as described for the Amhr2 cre/+ -mediated Tspo deletion by Fan et al. (1), and reveal no effects on embryonic development. (d) The proposed mechanism of TSPO function in steroidogenesis is by mediating mitochondrial cholesterol import, without which de novo steroidogenesis cannot occur [reviewed in (29)]. However, "subtle steroidogenic abnormalities" indicated in postpregnenolone intermediates observed with TSPO loss in one study (27), is not associated with mitochondrial cholesterol import, but indicative of systemic perturbations across all TSPO expressing tissues involved in energy metabolism (30), and could certainly include effects mediated by the pituitary (31). It must be noted that high TSPO expression is not restricted to steroidogenic cells (32), and the question has always been whether it impacts de novo steroidogenesis supporting its conjectural function first proposed in the late 1980s [reviewed in (33)].
Compared to TSPO studies that refute a role in de novo steroidogenesis (3, 24-26, 32, 34, 35), there is no straightforward path to explaining the recent contradictory reports made by the Papadopoulos group using mice (1,36), rats (37), and cells (38) that support their long-promulgated view of TSPO function in mitochondrial cholesterol import. We have previously pointed out these concerns (2,39), and new evidence from independent groups continue to disassociate anticipated TSPO effects in astrocytes (40), microglia (35), and retinal pigment epithelial cells (41). In reference to this recent manuscript by Fan et al. (1), they report a ∼50% decrease in circulating testosterone while in their previous study using mice from the same background and with confirmed Leydig cell Tspo deletions, they reported no effect on circulating testosterone levels (36). Despite lower testosterone, there was no evidence of hypogonadism; in fact, testis size significantly increased in their Amhr2 cre/+ Tspo knockout mice (1). Furthermore, this study by Fan et al. used RNA-seq datasets that we generated for the Ddx4-cre Tspo-knockout adrenal (24) and Prm-cre Tspo-knockout lung (26), to suggest that there is some sort of steroidogenic compensation to Tspo deletion, when we found no such links in our respective original studies. These RNA-seq datasets show that a compensation to mitochondrial cholesterol import does not exist as the major players implicated in this process were unchanged. Nonetheless, Fan et al. seem to shift context toward explaining TSPO-associated effects on mitochondrial membrane potential and metabolism (1), distinct from the asserted cholesterol binding-transport function (33). Although logical, these elucidations are unrelated and do not justify that TSPO loss-of-function is linked to the first step in steroid biosynthesis as opined throughout the text. There is no loss to mitochondrial membrane potential in hepatocytes (42), or Leydig cells (32), associated with TSPO deletion as suggested (1). Regardless, TSPO is clearly poised to affect cellular function and physiology. Based on Tspo knockout studies, this is via a primary function without impact on de novo steroid biosynthesis.

CONCLUDING REMARKS
This manuscript obviously represents a commendable effort by Papadopoulos and colleagues to seek evidence linking TSPO and mitochondrial cholesterol import for steroidogenesis.
Nonetheless, previous demonstrations that TSPO is not involved in de novo steroidogenesis remain substantive and justified. Moving forward, we believe it is important to first acknowledge that high TSPO expression is not only seen in steroidogenic cells; a unifying investigation into mechanism of action across different cell types will be necessary to seek a functional designation for this protein.

AUTHOR CONTRIBUTIONS
VS wrote the first draft. KM, PK, JZ, WH, SQ, and DS made edits and revisions. All authors have made substantial intellectual contribution to the work and approved it for publication.

ACKNOWLEDGMENTS
We sincerely thank Dr. Richard Behringer (The University of Texas, MD Anderson Cancer Center) for his input on Amhr2 tm3(cre)Bhr mice and impact of parental inheritance on Amhr2-cre activity. Funding for studies published by the authors with regard to Amhr2-cre and TSPO were from Cornell University startup funds to VS, NIH to VS (DK110059), SQ (HD057648 and HD082536), and DS (HD17481), NSF ADVANCE program to SQ (0547373), NSFC to JZ (31471016), and a PUMC Scholarship to WH (3332015109).