Infertile men with varicoceles typically exhibit reduced sperm count, reduced motility, round spermatid maturation arrest and altered Leydig cell function. Testicular Cd is elevated in 60% of biopsies of varicocele testes. Our goal was to determine, using an animal model, whether elevated Cd contributes to abnormal semen parameters and, if so, to identify underlying mechanisms with the aim of developing medical therapies. Rats were exposed to low level Cd in drinking water from puberty to maturity (PN weeks 5–21). We have previously reported that sperm motility is decreased in this model system. In this study, we looked for changes in sperm number, loss of testicular germ cells and changes in RNA expression profiles compared to controls. Male Wistar Hanover rats were fed a nutritionally complete solid diet without Cd and given deionized drinking water containing one of four levels of Cd (0, 5, 50 or 100 mg/L; corresponding to 0–13 mg/kg/d Cd) in the form of Cd Cl2 for 1,4, 8 or 16 weeks. At each time, epididymal sperm and testes were collected. Sperm count was assessed using a hemocytmeter, testicular Cd levels by atomic absorption, testicular testosterone (T) by RIA, histology by H&E staining, apoptosis by DAPI staining, and gene expression using Affymetrix GeneChip Rat Genome 230 2.0 microarrays. Cd accumulated in testes in response to time (ANOVA, P<0.001) and dose (ANOVA, P<0.001). T fell with Cd exposure (ANOVA, P<0.014–P<0.003), as did epididymal sperm count (ANOVA, P<0.007) while apoptosis increased (t-test, P<0.01). Testes sections showed selective loss of postmeiotic stages with increasing Cd. Cd exposures were associated with increased nitric oxide synthase mRNA levels (iNOS, eNOS), NOS inhibitor mRNA down-regulation (e.g., Prmt3), a decrease in mRNAs functioning in late stages of sperm maturation (TP1, TP2, protamines), disregulation of apoptosis factors (caspase 8 decreases; FasL, p53 and Bid increase), and up-regulation of genes involved in steroid hormone biosynthesis (e.g., HSD17β3). Cd alone induces many aspects of human varicocele-related infertility in this rat model: altered apoptosis, increased oxidative stress enzymes, endocrine disruption. Cd induces these changes by affecting levels of testicular mRNAs. This argues that Cd is a significant co-morbidity factor and suggests the need for the systematic study of specific supplements, e.g., antioxidants and antiestrogens.
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