Testosterone affects a multitude of physiological traits in males, including muscle protein synthesis, bone density, red blood cell formation, secondary sex characteristics, body mass, insulin resistance, lipid parameters and the immune system. Testosterone is required for the function of male reproductive organs (seminal vesicle, prostate, epididymis and vas deferens). Furthermore, a high intratesticular testosterone level is essential for the support of the blood-testis barrier, completion of germ cell meiosis and the spermatid-Sertoli cell connections that are necessary for spermiogenesis, spermiation and inhibition of germ cell apoptosis [35].
Leydig cells contain important metabolic proteins, such as StAR and 3β-HSD. These enzymes regulate cholesterol metabolism as a testosterone precursor in mitochondria and smooth the endoplasmic reticulum [17]. In vitro promotor analysis has revealed that the GATA-4 protein is involved in the regulation of target genes in the Leydig cells. GATA-4 is a novel downstream regulator of the cAMP/PKA signaling pathway in steroidogenic cells. Moreover, GATA-4 protein deficiency effects the steroidogenesis metabolic pathways. The StAR gene includes a regulatory sequence recognized by GATA-4 proteins in the testes [15]. Studies have shown that steroidogenesis is affected by HIF1α protein and disruption of HIF1α protein signaling can relate to steroidogenesis disorders and reducing male reproductive function [5, 36].
The results from the current investigation confirmed a correlation between CoCl2-induced hypoxia and HIF1α accumulation with steroidogenesis-related gene and protein downregulation and testosterone deficiencies in TM3 Leydig cells. These results are in agreement with those of previous reports that HIF1 protein was involved in the regulation of 3β-HSD and StAR protein expression and testosterone production in a mouse TM3 Leydig cell line [36]. HIF1α have been shown to increase steroidogenic cell function, lower the O2 levels (1%), down-regulate StAR protein expression in steroidogenic cells and decrease steroid synthesis [37]. It has been documented that overexpression of HIF1α protein in luteinized bovine granulosa cells and canine lutein cells treated with CoCl2 exhibited similar effects on steroid synthesis.
Other signaling proteins and nuclear transcription factors also are involved in cell cycle arrest following HIF1α protein overexpression [14]. Down-regulation of basal and cAMP-induced StAR protein expression and steroidogenesis mediated by HIF1α protein in granulosa cells under hypoxia has been demonstrated [38]. Recent evidence has reported that HIF1α protein stabilization under severe hypoxia produces detrimental effects on steroidogenesis. Possible regulatory mechanisms for HIF1α protein involve cAMP production, regulating PKA activity and phosphorylation of target transcription factors [39].
It has been reported that HIF1α protein stabilization in a hypoxic environment may contribute to high intracellular reactive oxygen species (ROS) levels in Leydig cells. ROS is known to impair steroidogenesis by inducing oxidative stress, which leads to a reduction in the ratio of Bcl2/Bax, p53 gene upregulation and downregulation of the Bcl2 gene. Alterations in the ratio of Bcl2/Bax has been shown to lead to cytochrome C release, which promotes caspase-9 and activates the caspase-3 signaling cascades, leading to apoptosis [40]. Moreover, the HIF1α protein is capable of regulating transcription of the mouse 3β-HSD gene by influencing its promotor activity [41].
Melatonin is a neuroendocrine molecule that modulates endogenous patterns with photoperiod changes [25]. Melatonin signaling pathways in target cells lead to activation of MT1 and MT2, resulting in the inhibition of cAMP activity through coupling with Gi proteins. Inhibition of cAMP can help regulate PKA activity and reduce phosphorylation of cAMP response element-binding protein, its downstream effector, to reduce the expression of genes required for steroidogenesis, including StAR, 3β-HSD and GATA-4 [28, 29, 34].
The present study revealed that melatonin treatment had no significant effect on the expression of GATA-4, StAR and 3β-HSD genes and proteins in TM3 Leydig cells compared to the control group. In addition, the testosterone concentration in the cell culture medium remained unchanged in these cells. These observations are in contrast with evidence that MA-10 Leydig cell line treatment with human chorionic gonadotropin (hCG)/cAMP analogue for stimulation of testosterone synthesis alone or with the hCG/cAMP analogue plus melatonin in different dosages resulted in downregulation of the StAR protein expression and steroidogenesis.
The mechanism of testosterone production is regulated by multiple factors and hCG or LH are widely used for the stimulation of testosterone production in cells. Melatonin-attenuated StAR protein expression and testosterone synthesis is cAMP pathway-dependent and is stimulated by the hCG or cAMP analogue [27]. Other studies have reported that melatonin treatment caused a significant decrease in the expression of GATA-4 and SF-1, crucial steroidogenic enzymes and testosterone production in the TM3 Leydig cell line under LH treatment [28]. The results of the present study demonstrated that melatonin suppressed the adverse effects of CoCl2 treatment in HIF1α RNA and protein expression. Recent evidence has demonstrated that melatonin exerts its effect on metabolic pathways and in cancer treatment by inhibiting the HIF1α protein [42]. Administration of melatonin has been shown to decrease the HIF1α protein level inside a tumor mass and prevented the growth of tumors in mice [43]. In another study, HIF1α was inhibited in HCT116 cells using melatonin under hypoxia. HIF1α protein stabilization under hypoxic conditions has been shown to reduce ROS production. The antioxidant properties of melatonin have been shown to remove intracellular ROS and destabilize the HIF1α protein [44].
The data showed that RNA and protein expression of MT2 decreased following CoCl2-induced hypoxia in TM3 Leydig cells and that melatonin treatment reduced MT2 gene and protein deficiencies. Similar to the present study, it has been reported that MT1 gene and protein deficiencies in brain injuries of hypoxic-ischemic mice was reduced by the application of melatonin in vivo. Melatonin receptor antagonist was used to demonstrate the neuroprotective effect of melatonin in brain injuries to neonatal hypoxic-ischemic mice [45]. Another study speculated that melatonin exerts its protective effect in oxygen-induced retinopathy through the preservation of melatonin receptors [46].
In summary, the current study results were that CoCl2 decreased TM3 cell line steroidogenesis. Melatonin destabilized the HIF1α gene and protein and reduced MT2 gene and protein deficiencies following CoCl2 treatment. The absence of gonadotropin melatonin indicates that there was no significant effect on steroidogenesis-related genes, proteins or testosterone synthesis.