Abstract
Hypoxia-inducible factor-1α (HIF-1α) participates in the regulation of spermatogenic function in rats with varicocele (VC), and the PI3K/Akt pathway plays an important role in it. In the present research, we applied the CRISPR/Cas9 gene editing technique to silence the HIF-1α gene of VC rat testis, to explore the effect of HIF-1α on apoptosis of spermatogenic cells in VC rats through the PI3K/Akt pathway. Sprague Dawley rats were randomly assigned to four groups, including the normal rat group (group N), VC model group (group V), VC + HIF-1α-lentivirus group (group H), and VC + luciferase-lentivirus group (group L). Apoptosis of spermatogenic cells in rat testis was tested by TUNEL Kit. The morphologic changes of seminiferous tubules were viewed by a light microscope. Expressions of VEGF, Akt, p-Akt, p70S6K, and p-p70S6K were detected by means of Western blot, immunofluorescence, or immunohistochemistry methods. One-way ANOVA was applied to analyze the diverseness between groups. Compared with group N, the distribution of germ cells was disordered, apoptosis of spermatogenic cells increased significantly, and the expression of VEGF, p-Akt, and p-p70S6K was also increased in group V. Compared with group V, the damage of seminiferous epithelium in group H was improved, and the arrangement of the seminiferous epithelium was almost orderly. Apoptosis of spermatogenic cells decreased significantly, and the expression of VEGF, p-Akt, and p-p70S6K protein was decreased (P < 0.05). There was no significant difference between group N and group H (P > 0.05).
In conclusion, HIF-1α is regulated by hypoxia in rats with varicocele to regulate its downstream gene VEGF which regulates spermatogenesis, and the PI3K/Akt signaling pathway plays a regulatory role in this process.
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The data that support the findings of this study are available from the corresponding author upon reasonable request.
References
Pastuszak A, Wang R. Varicocele and testicular function. Asian J Androl. 2015;17(4):659. https://doi.org/10.4103/1008-682x.153539.
Guo WB, Yang C, Bian J, Xia H, Yang JK, Zhou QZ, et al. With a new clip technique surgically inducing varicocele in Sprague-Dawley rats. BMC Urol. 2018;18(1):58. https://doi.org/10.1186/s12894-018-0350-7.
Kaminsky A, Sperling H. Variocele in adolescents. Urologe A. 2014;53(2):213–7. https://doi.org/10.1007/s00120-013-3384-1.
Kumanov P, Robeva RN, Tomova A. Adolescent varicocele: who is at risk? Pediatrics. 2008;121(1):e53–7. https://doi.org/10.1542/peds.2007-0340.
Agarwal A, Hamada A, Esteves SC. Insight into oxidative stress in varicocele-associated male infertility: part 1. Nat Rev Urol. 2012;9(12):678–90. https://doi.org/10.1038/nrurol.2012.197.
Sheehan MM, Ramasamy R, Lamb DJ. Molecular mechanisms involved in varicocele-associated infertility. J Assist Reprod Genet. 2014;31(5):521–6. https://doi.org/10.1007/s10815-014-0200-9.
Shiraishi K, Matsuyama H, Takihara H. Pathophysiology of varicocele in male infertility in the era of assisted reproductive technology. Int J Urol. 2012;19(6):538–50. https://doi.org/10.1111/j.1442-2042.2012.02982.x.
Wang H, Sun Y, Wang L, Xu C, Yang Q, Liu B, et al. Hypoxia-induced apoptosis in the bilateral testes of rats with left-sided varicocele: a new way to think about the varicocele. J Androl. 2010;31(3):299–305. https://doi.org/10.2164/jandrol.108.007153.
Wang H, Lv Y, Hu K, Feng T, Jin Y, Wang Y, et al. Seminal plasma leptin and spermatozoon apoptosis in patients with varicocele and leucocytospermia. Andrologia. 2015;47(6):655–61. https://doi.org/10.1111/and.12313.
Ghandehari-Alavijeh R, Tavalaee M, Zohrabi D, Foroozan-Broojeni S, Abbasi H, Nasr-Esfahani MH. Hypoxia pathway has more impact than inflammation pathway on etiology of infertile men with varicocele. Andrologia. 2019;51(2):e13189. https://doi.org/10.1111/and.13189.
Gat Y, Gornish M, Chakraborty J, Perlow A, Levinger U, Pasqualotto F. Azoospermia and maturation arrest: malfunction of valves in erect poster of humans leads to hypoxia in sperm production site. Andrologia. 2010;42:389–94.
Cai X, Huang Y, Zhang X, Wang S, Zou Z, Wang G, et al. Cloning, characterization, hypoxia and heat shock response of hypoxia inducible factor-1 (HIF-1) from the small abalone Haliotis diversicolor. Gene. 2014;534(2):256–64. https://doi.org/10.1016/j.gene.2013.10.048.
Semenza GL. Regulation of oxygen homeostasis by hypoxia-inducible factor 1. Physiology (Bethesda). 2009;24:97–106. https://doi.org/10.1152/physiol.00045.2008.
Brahimi-Horn C, Pouysségur J. The role of the hypoxia-inducible factor in tumor metabolism growth and invasion. Bull Cancer. 2006;93(8):E73–80.
Garcia-Maceira P, Mateo J. Silibinin inhibits hypoxia-inducible factor-1alpha and mTOR/p70S6K/4E-BP1 signalling pathway in human cervical and hepatoma cancer cells: implications for anticancer therapy. Oncogene. 2009;28(3):313–24. https://doi.org/10.1038/onc.2008.398.
Kim MH, Jeong YJ, Cho HJ, Hoe HS, Park KK, Park YY, et al. Delphinidin inhibits angiogenesis through the suppression of HIF-1alpha and VEGF expression in A549 lung cancer cells. Oncol Rep. 2017;37(2):777–84. https://doi.org/10.3892/or.2016.5296.
Zhang K, Wang Z, Wang H, Fu Q, Zhang H, Cao Q. Hypoxia-induced apoptosis and mechanism of epididymal dysfunction in rats with left-side varicocele. Andrologia. 2016;48(3):318–24. https://doi.org/10.1111/and.12449.
Goren MR, Kilinc F, Kayaselcuk F, Ozer C, Oguzulgen I, Hasirci E (2017) Effects of experimental left varicocele repair on hypoxia-inducible factor-1alpha and vascular endothelial growth factor expressions and angiogenesis in rat testis. Andrologia. 49(2):e12614. https://doi.org/10.1111/and.12614
Korpelainen EI, Karkkainen MJ, Tenhunen A, Lakso M, Rauvala H, Vierula M, et al. Overexpression of VEGF in testis and epididymis causes infertility in transgenic mice: evidence for nonendothelial targets for VEGF. [Journal Article; Research Support, Non-U.S. Gov’t]. J Cell Biol. 1998;143(6):1705–12. https://doi.org/10.1083/jcb.143.6.1705.
Shiraishi K, Naito K. Involvement of vascular endothelial growth factor on spermatogenesis in testis with varicocele. Fertil Steril. 2008;90(4):1313–6. https://doi.org/10.1016/j.fertnstert.2007.08.030.
Xie Y, Shi X, Sheng K, Han G, Li W, Zhao Q, et al. PI3K/Akt signaling transduction pathway, erythropoiesis and glycolysis in hypoxia (review). Mol Med Rep. 2019;19(2):783–91. https://doi.org/10.3892/mmr.2018.9713.
Chambard JC, Lefloch R, Pouyssegur J, Lenormand P. ERK implication in cell cycle regulation. Biochim Biophys Acta. 2007;1773(8):1299–310. https://doi.org/10.1016/j.bbamcr.2006.11.010.
Dery MA, Michaud MD, Richard DE. Hypoxia-inducible factor 1: regulation by hypoxic and non-hypoxic activators. Int J Biochem Cell Biol. 2005;37(3):535–40. https://doi.org/10.1016/j.biocel.2004.08.012.
Marhold M, Tomasich E, El-Gazzar A, Heller G, Spittler A, Horvat R, et al. HIF1alpha regulates mTOR signaling and viability of prostate cancer stem cells. Mol Cancer Res. 2015;13(3):556–64. https://doi.org/10.1158/1541-7786.MCR-14-0153-T.
Park SJ, Ryu J, Kim IH, Choi YH, Nam TJ. Activation of the mTOR signaling pathway in breast cancer MCF7 cells by a peptide derived from Porphyra yezoensis. Oncol Rep. 2015;33(1):19–24. https://doi.org/10.3892/or.2014.3557.
Zhu Q, Wang H, Jiang B, Ni X, Jiang L, Li C, et al. Loss of ATF3 exacerbates liver damage through the activation of mTOR/p70S6K/ HIF-1alpha signaling pathway in liver inflammatory injury. Cell Death Dis. 2018;9(9):910. https://doi.org/10.1038/s41419-018-0894-1.
Zhu SM, Rao T, Yang X, Ning JZ, Yu WM, Ruan Y, et al. Autophagy may play an important role in varicocele. Mol Med Rep. 2017;16(4):5471–9. https://doi.org/10.3892/mmr.2017.7253.
Sengupta P. The laboratory rat: relating its age with human’s. Int J Prev Med. 2013;4(6):624–30.
Turner TT. The study of varicocele through the use of animal models. Hum Reprod Update. 2001;7(1):78–84.
Cheng S, Zhang X, Feng Q, Chen J, Shen L, Yu P, et al. Astragaloside IV exerts angiogenesis and cardioprotection after myocardial infarction via regulating PTEN/PI3K/Akt signaling pathway. Life Sci. 2019;227:82–93. https://doi.org/10.1016/j.lfs.2019.04.040.
Jin G, Liu J, Qin Q, Gao S, Zhang F, Ma Y, et al. Increased level of c-kit in semen of infertile patients with varicocele. Urol J. 2017;14(2):3023–7.
Chen MC, Hsu WL, Hwang PA, Chou TC. Low molecular weight fucoidan inhibits tumor angiogenesis through downregulation of HIF-1/VEGF signaling under hypoxia. Mar Drugs. 2015;13(7):4436–51. https://doi.org/10.3390/md13074436.
Zhu Z, Zhao X, Huang F, Wang F, Wang W. Morinda Officinalis polysaccharides attenuate varicocele-induced spermatogenic impairment through the modulation of angiogenesis and relative factors. Evid Based Complement Alternat Med. 2019;2019:8453635–13. https://doi.org/10.1155/2019/8453635.
Wang H, Wang J, Zhang J, Jin S, Li H. Role of PI3K/AKT/mTOR signaling pathway in DBP-induced apoptosis of testicular sertoli cells in vitro. Environ Toxicol Pharmacol. 2017;53:145–50. https://doi.org/10.1016/j.etap.2017.05.013.
Yuan Y, Wang Y, Hu FF, Jiang CY, Zhang YJ, Yang JL, et al. Cadmium activates reactive oxygen species-dependent AKT/mTOR and mitochondrial apoptotic pathways in neuronal cells. Biomed Environ Sci. 2016;29(2):117–26. https://doi.org/10.3967/bes2016.013.
Wang XQ, Lo CM, Chen L, Ngan ES, Xu A, Poon RY. CDK1-PDK1-PI3K/Akt signaling pathway regulates embryonic and induced pluripotency. Cell Death Differ. 2017;24(1):38–48. https://doi.org/10.1038/cdd.2016.84.
Chen L, Xu B, Liu L, Luo Y, Yin J, Zhou H, et al. Hydrogen peroxide inhibits mTOR signaling by activation of AMPKalpha leading to apoptosis of neuronal cells. Lab Investig. 2010;90(5):762–73. https://doi.org/10.1038/labinvest.2010.36.
Lal BK, Varma S, Pappas PJ, Hobson RW 2nd, Duran WN. VEGF increases permeability of the endothelial cell monolayer by activation of PKB/akt, endothelial nitric-oxide synthase, and MAP kinase pathways. Microvasc Res. 2001;62(3):252–62. https://doi.org/10.1006/mvre.2001.2338.
Chen MC, Lee CF, Huang WH, Chou TC. Magnolol suppresses hypoxia-induced angiogenesis via inhibition of HIF-1alpha/VEGF signaling pathway in human bladder cancer cells. Biochem Pharmacol. 2013;85(9):1278–87. https://doi.org/10.1016/j.bcp.2013.02.009.
Korff T, Augustin HG. Tensional forces in fibrillar extracellular matrices control directional capillary sprouting. J Cell Sci. 1999;112(Pt 19):3249–58.
Shiraishi K, Naito K. Nitric oxide produced in the testis is involved in dilatation of the spermatic vein that compromises spermatogenesis in infertile men with varicocele. BJU Int. 2007;99(5):1086–90. https://doi.org/10.1111/j.1464-410X.2007.06800.x.
Su Y, Quan C, Li X, Shi Y, Duan P, Yang K. Mutual promotion of apoptosis and autophagy in prepubertal rat testes induced by joint exposure of bisphenol A and nonylphenol. Environ Pollut. 2018;243(Pt A):693–702. https://doi.org/10.1016/j.envpol.2018.09.030.
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This study was supported by the National Natural Science Foundation of China (81401192 and 81973864) and Research Project Supported by Shanxi Scholarship Council of China (2017123).
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Q.Q.: concept and design, analysis, interpretation of data, revision of the article, and final approval for submission. D.F.W.: design and completion of the experiment, analysis of the results, drafting of the article, revision of the article, and final approval for submission. Y.M.W., F.Z., and J.R.L.: interpretation of data, revision of the article, and final approval for submission. W.Z., C.X.Y., and G.R.J.: discussion of results, drafting of the article, and final approval for submission. All authors have read and approved the final version and submission of this manuscript.
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Wang, D., Zhao, W., Liu, J. et al. Effects of HIF-1α on Spermatogenesis of Varicocele Rats by Regulating VEGF/PI3K/Akt Signaling Pathway. Reprod. Sci. 28, 1161–1174 (2021). https://doi.org/10.1007/s43032-020-00395-0
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DOI: https://doi.org/10.1007/s43032-020-00395-0