We previously showed that prepubertal chronic caffeine exposure adversely affected the development of the testes in male rats. Here we investigated dose- and time-related effects of caffeine consumption on the testis throughout sexual maturation in prepubertal rats. A total of 80 male SD rats were randomly divided into four groups: controls and rats fed 20, 60, or 120 mg caffeine/kg/day, respectively, via gavage for 10, 20, 30, or 40 days. Preputial separation was monitored daily before the rats were sacrificed. Terminal blood samples were collected for hormone assay, and testes were grossly evaluated and weighed. One testis was processed for histological analysis, and the other was collected to isolate Leydig cells. Caffeine exposure significantly increased the relative weight of the testis in a dose-related manner after 30 days of exposure, whereas the absolute testis weight tended to decrease at the 120 mg dose of caffeine. The mean diameter of the seminiferous tubules and height of the germinal epithelium significantly decreased in the caffeine-fed groups after 40 days of caffeine exposure, which was accompanied by a reduced BrdU incorporation rate in germ cells. In addition, caffeine intake significantly reduced in vivo and ex vivo testosterone production in a dose-related manner. Our results demonstrate that caffeine exposure during sexual maturation alter the testicular microarchitecture and also slow germ cell proliferation even at the 20 mg dose level. Furthermore, caffeine may act directly on Leydig cells and interfere with testosterone production in a dose-related manner, consequently delaying onset of sexual maturation.
We previously showed that prepubertal chronic caffeine exposure adversely affected the development of the testes in male rats. Here we investigated dose- and time-related effects of caffeine consumption on the testis throughout sexual maturation in prepubertal rats. A total of 80 male SD rats were randomly divided into four groups: controls and rats fed 20, 60, or 120 mg caffeine/kg/day, respectively, via gavage for 10, 20, 30, or 40 days. Preputial separation was monitored daily before the rats were sacrificed. Terminal blood samples were collected for hormone assay, and testes were grossly evaluated and weighed. One testis was processed for histological analysis, and the other was collected to isolate Leydig cells. Caffeine exposure significantly increased the relative weight of the testis in a dose-related manner after 30 days of exposure, whereas the absolute testis weight tended to decrease at the 120 mg dose of caffeine. The mean diameter of the seminiferous tubules and height of the germinal epithelium significantly decreased in the caffeine-fed groups after 40 days of caffeine exposure, which was accompanied by a reduced BrdU incorporation rate in germ cells. In addition, caffeine intake significantly reduced in vivo and ex vivo testosterone production in a dose-related manner. Our results demonstrate that caffeine exposure during sexual maturation alter the testicular microarchitecture and also slow germ cell proliferation even at the 20 mg dose level. Furthermore, caffeine may act directly on Leydig cells and interfere with testosterone production in a dose-related manner, consequently delaying onset of sexual maturation.
The consumption of high caffeine-content energy drinks has increased markedly in recent
years, and 28% of children and 31% of adolescents are reported to be regular consumers
[16, 26].
Accordingly, cases of toxicity secondary to energy drink consumption increased more than
10-fold from 2005 to 2009 in the United States [23,
26]. Moreover, there is growing concern about a
decrease in male reproductive health, because a number of animal studies and human cases
have pointed to toxic effects of caffeine on the male reproductive system [5, 7, 20, 21, 29]. For instance, a number of studies suggest that
prenatal caffeine exposure impairs male gonadal development and thus later gonadal function
[5, 21]. On
the other hand, chronic caffeine intake had no adverse effects on male reproductive function
in men and adult animal studies [15]. However, data
on the effect of caffeine on pubertal development are relatively sparse, and most studies
have focused on prenatal exposure. Cardiovascular responses and motor activity in response
to the same dose of caffeine were different in boys from in men [30]. Considering that puberty is a period of rapid development of
reproductive capacity, its vulnerability to insults seems to be greater than that in adults
[27]. Indeed, our previous study in young rapidly
growing rats established that chronic high-dose caffeine, when administered during sexual
maturation, reduced testis weight and the secretory activity of Leydig cells [17].The aim of the present study was to investigate the effects of a range of caffeine doses
and exposure times on the onset of sexual maturation and the testis and to determine the
lowest dose and duration that has negative effects on the testis in male rats. The
in vivo and ex vivo testosterone secretory activity of
the testis were also analyzed to determine the dose-related effects of caffeine. In
addition, 5-bromo-2’-deoxyuridine (BrdU) incorporation in the testes was examined as a
marker of germ cell proliferation.
Materials and Methods
Animal
Eighty immature male Sprague-Dawley rats were obtained at 17 days of age along with their
mothers from Samtako Biokorea (Kyunggi, South Korea) and were allowed to acclimate under
controlled humidity (40–50%), temperature (22–24°C), and light conditions (12-h light-dark
cycle). Animal care was consistent with institutional guidelines, and the Hanyang
University ACUC committee approved all procedures involving animals (HY-IACUC-2013-0110A).
All animals were housed individually the day after weaning at 21 days of age and were fed
standard rat chow ad libitum. The experiment was started when the rats
were 22 days of age, as postnatal days (PD) 22–25 are considered the beginning of sexual
maturation in rats [8].
Experimental design
Twenty animals were assigned to each of four groups based on their mean body weights to
obtain an even distribution. Caffeine (Sigma-Aldrich, St. Louis, MO, USA) was dissolved in
distilled water (10 ml/kg) at concentrations calculated to deliver 20, 60, and 120 mg/kg
body weight/day (designated as CF1, CF2, and CF3, respectively) and administered by gavage
to ensure complete consumption of the established daily dose in the morning (9 to 11
a.m.). The control group (CT) received distilled water. Five animals from each group were
sacrificed on days 10, 20, 30, and 40 of the experiment. We chose 120 mg/kg as the highest
dose because the effects of the high doses (120 and 180 mg/kg) used in our previous study
on the testes in immature rats were similar [17].
The lowest dose chosen here (20 mg/kg), which was below the upper limit of safety for
fetal development in an animal study [33], was
comparable to human consumption of approximately two cups of coffee. Using body surface
area (BSA) for dose conversion [22], the dosages
employed in this study were equivalent to approximately 3.2, 9.6, and 19.4 mg/kg in
humans.Animals were examined for any treatment-related clinical signs and weighed on a daily
basis, and food intake was also monitored. Body weight was measured to the nearest 0.1 g
with an electronic scale (Dretec Corp., Seoul, South Korea) and recorded from the day
before the start of feeding of caffeine until the end. Preputial separation (PPS) was
checked daily throughout the experimental period, and the age when PPS was achieved was
recorded. All the animals were killed 24 h after their last treatment, using established
protocols and ethical procedures. Terminal blood samples were collected by heart puncture
from the 40-day group, and the sera were stored at −70°C.
Weighing the testes
The testes were dissected and cleaned of fat and connective tissue. They were then
weighed to the nearest 0.001 g with an electronic scale (Adventurer™ electronic balance,
AR1530, OHAUS Corp., Parsippany, NJ, USA) and their morphology was grossly evaluated.
Then, one testis from each male rat was fixed in 10% buffered formalin (pH 7), and the
other was processed for cell preparation.
Histological analysis of testis
Immediately after removal, one testis from each animal was processed for paraffin
embedding and sectioning. Serial sections of 5 µm thickness were taken
from the midportion of the testis and stained with hematoxylin and eosin. All
histomorphometric evaluations were performed by the same trained, calibrated, and blinded
examiner using an image analysis system (Leica LAS software) coupled to a light microscope
(DM4000B, Leica, Heidelberg, Germany) with final magnifications of ×100 or ×200. Four
serial sections were traced for each testis, and eight measurements per section were made
of the number of seminiferous tubules within two defined regions (1.23 mm2) at
100-fold magnification; these measurements were combined to obtain a mean value per
animal. For analyzing the diameters of the seminiferous tubules, we defined regions (0.30
mm2) (×200) that had round or nearly round cross
sections of tubules as possible. Then, the longest diameter and its perpendicular diameter
of each cross section of tubules were measured, and a mean value per animal was calculated
from eight measurements per section. Also, the areas of the intertubular spaces within the
same defined regions were analyzed, and mean values were calculated. The height of the
germinal epithelium was obtained by subtracting the luminal diameter from the tubule
diameter [9] for the same seminiferous tubules. For
measuring the luminal diameter, a line was made along the luminal border of germinal cells
within the same defined region as mentioned above, and two perpendicular diameters of the
tubular lumens were measured to obtain a mean value per animal.
BrdU incorporation assay
To detect germ cell proliferation, BrdU-specific immunohistochemistry was performed.
Animals were intraperitoneally injected with BrdU (100 mg/kg) (Sigma B5002) 24 h before
they were sacrificed following 40 days of feeding of caffeine-containing distilled water
or distilled water only, and one testis was prepared for sectioning. After embedding in
paraffin, serial sections (5 µm thickness) were obtained from the
midportion of the testis. Dehydrated tissue slides were incubated in 2N HCl at 37°C for 30
min and washed twice with 0.2% Triton X in PBS (pH 7.4). They were then incubated with PBS
containing 1% normal goat serum (NGS) for 1 h at room temperature, followed by incubation
with an anti-BrdU antibody (Sigma, B2531) at a dilution of 1:500 in 1% NGS at 4°C
overnight. They were washed with PBS and incubated with Alexa Flour 488goat anti-mouse
IgG (Life technologies, A11029) (diluted 1:200) for 1 h at 37°C. They were then washed
again with buffer, and nuclear DNA was counterstained with 4’,6-diamidino-2-phenylindole
(DAPI) (H-1200, Vector Laboratories, Inc., Burlingame, CA, USA). The number of
BrdU-positive cells was counted with a fluorescence microscope (Leica, Heidelberg,
Germany). Three serial sections were traced per animal, nine tubules per section, which
had relatively increased numbers of BrdU-positive cells, were selected at 200-fold
magnification, and the average number of BrdU-positive cells per tubule was measured.
Proliferation rate (%) was estimated as the percentage of BrdU-positive cells per
tubule.
Preparation and primary culture of Leydig cells
To measure testosterone production ex vivo, one testis from each male
rat exposed for 40 days was sliced into four pieces weighing approximately 50 to 100 mg
each. Leydig cells were isolated and purified as previously described [10]. Briefly, the testis was minced under sterile
conditions, and the tissue was then dissociated in buffer containing collagenase D (Roche
Applied Science, Indianapolis, IN, USA), DNase I (Roche), and Dispase II (Sigma-Aldrich,
St. Louis, MO, USA) at 37°C for 30 min. Following digestion, the seminiferous tubules were
allowed to settle, and the supernatant was removed. The tubules were then rinsed in
DMEM/F12 and allowed to settle, and the supernatant was filtered through 100
µm nylon mesh and centrifuged in Percoll gradient buffer. The resulting
pellet, containing Leydig cells, was suspended in DMEM/F12, and the purity of Leydig cells
was determined by staining of 3β-HSD-positive cells as previously described [18]. Cells were resuspended in DMEM/F12 containing 2%
BSA, placed in 24-well plates (3 × 105 cells/well), and cultured with or
without luteinizing hormone (200 ng/ml) (NIDDK, NIH, Baltimore, MD, USA) for 24 h at 37°C
in a 5% CO2 incubator. After 24 h, the medium was collected for testosterone
assay, and cells were used for immunofluorescence detection of 3β-HSD protein to ensure
the purity of cultured Leydig cells again (Supplemental Fig. 1).
Testosterone measurement
Testosterone levels were analyzed in serum samples and in the conditioned media collected
from the cultured Leydig cells using a commercially available enzyme-linked immunosorbent
assay (ELISA) kit (Cusabio Biotech Co., Ltd., Wuhan, China). The intra- and inter-assay
coefficients of variance were less than 15%, and the limit of detection was 0.06 ng/ml
under the conditions of our test. Absorbance was read at 450 nm within 15 min against a
blanking well in an ELISA Reader (Bio-Rad, Hercules, CA, USA). All samples were run in
duplicate.
Statistical analysis
Data for each group are expressed as means with standard deviations (SD). All data were
analyzed using SPSS ver. 10.0 for Windows (SPSS Inc., Chicago, IL, USA). Statistical
significance was determined by Kruskal-Wallis one-way analysis of variance for multiple
group comparisons and the Mann-Whitney U-test for two-group comparisons.
Significance was accepted at P<0.05.
Results
Body weight gain and food efficiency ratio
The body weights of the rats were controlled at the beginning of the experiment, and no
difference between the groups was observed (CT, 58 ± 4.6 g; CF1, 57.7 ± 4.8 g; CF2, 57.7 ±
4.7 g; CF3, 57.9 ± 4.4 g). Throughout the experimental period, the dose levels induced no
treatment-related clinical signs such as ungroomed appearance, decreased fecal output,
altered fecal consistency, and excess salivation. The data are summarized in Table 1. The body weights of all animals increased greatly during the investigation
period. The body weights of control animals increased approximately 2.2-, 3.9-, 5.4-, and
6.8-fold after 10, 20, 30, and 40 days, respectively. However, the caffeine-fed rats had
lower body weight gains at all times during the experiment, the effects being dose- and
time-dependent.
Table 1.
Effects of caffeine on body weight gains and food efficiency ratios
Experiment (days)
10
20
30
40
Body weight gain (g)
CT
59.1 ± 5.21
162.6 ± 12.44
257.0 ± 24.4
341.4 ± 42.85
CF1
56.5 ± 4.38
158.0 ± 11.07
241.1 ± 22.03
332.0 ± 18.41
CF2
52.0 ± 1.60
149.9 ± 5.92*
238.7 ± 16.63
299.6 ± 30.38
CF3
48.7 ± 2.33*,†
144.5 ± 9.14*,†
201.4 ± 15.14*,†
246.1 ± 46.31*
Experiment (weeks)
1
2
3
4
5
6
FER
CT
0.50 ± 0.05
0.48 ± 0.04
0.33 ± 0.08
0.35 ± 0.02
0.24 ± 0.06
0.24 ± 0.01
CF1
0.46 ± 0.08
0.47 ± 0.05
0.33 ± 0.07
0.33 ± 0.03
0.31 ± 0.03
0.23 ± 0.07
CF2
0.44 ± 0.06*
0.48 ± 0.05
0.33 ± 0.08
0.29 ± 0.04*
0.29 ± 0.05
0.18 ± 0.02*
CF3
0.43 ± 0.05*
0.41 ± 0.08*,†,‡
0.31 ± 0.05
0.25 ± 0.08*,†
0.24 ± 0.10
0.20 ± 0.07
Values are given as means ± SD of five rats per group at each time point. FER, food
efficiency ratio = weight gain (g/day)/food intake (g/day); body weight gain (g) =
terminal body weight – initial body weight. CT, control; CF1, 20 mg caffeine; CF2,
60 mg caffeine; CF3, 120 mg caffeine. *P<0.05 vs. CT.
†P<0.05 vs. CF1.
‡P<0.05 vs. CF2.
Values are given as means ± SD of five rats per group at each time point. FER, food
efficiency ratio = weight gain (g/day)/food intake (g/day); body weight gain (g) =
terminal body weight – initial body weight. CT, control; CF1, 20 mg caffeine; CF2,
60 mg caffeine; CF3, 120 mg caffeine. *P<0.05 vs. CT.
†P<0.05 vs. CF1.
‡P<0.05 vs. CF2.In order to investigate if the decreased weight gains were relevant to reduced food
intake, average daily food intake was recorded. During the period of exposure to the
caffeine, food consumption in all the caffeine-fed groups relatively decreased compared
with that of the control (data not shown). Food efficiency ratios (FERs) were calculated
by dividing the body weight gain by the food intake at one-week intervals. All the
caffeine-fed groups had lower FERs than the controls, especially the CF3 group. The CF2
and CF3 groups also showed decreases during the experiment.
Age at PPS
The progress of PPS (detachment of the prepuce from the glans penis) as an index of
sexual maturation was examined daily from PD 30. Mean age at complete PPS was PD 52.3 ±
1.2 for the control, and those for CF1, CF2, and CF3 were PD 54.6 ± 1.5, PD 57.5 ± 2.4,
and PD 58.5 ± 0.6, respectively (Fig. 1A). The delays were statistically significant in CF2 and CF3 compared with the
control (P<0.05).
Fig. 1.
Effect of caffeine on preputial separation in immature male rats. (A) Effect of
caffeine exposure from weaning on the mean age at preputial separation (PPS). (B)
Representative picture of a penis before (left) and after (right) PPS. CT, control;
CF1, 20 mg caffeine; CF2, 60 mg caffeine; CF3, 120 mg caffeine.
*P<0.05 vs. CT. †P<0.05 vs.
CF1.
Effect of caffeine on preputial separation in immature male rats. (A) Effect of
caffeine exposure from weaning on the mean age at preputial separation (PPS). (B)
Representative picture of a penis before (left) and after (right) PPS. CT, control;
CF1, 20 mg caffeine; CF2, 60 mg caffeine; CF3, 120 mg caffeine.
*P<0.05 vs. CT. †P<0.05 vs.
CF1.
Weights of the testes
The weights of the testes are summarized in Fig.
2. Absolute testis weight was slightly lower in CF3 than in the controls on and after
20 days of exposure, but we observed no differences between the control and the other
caffeine-fed groups (Fig. 2A). Testis weight
relative to body weight significantly increased in the caffeine-fed groups relative to the
control, increasing in a dose-related manner on and after 30 days of exposure (Fig. 2B). These results show that the reductions in
absolute testis weights were not proportional to the body weights. Similar data were
obtained from an analysis of individual testes.
Fig. 2.
Effect of caffeine on the weights of the testes. (A) Absolute testis weight (mg)
and (B) testis weight relative to body weight (mg/100 g body weight) in the control
and caffeine-fed groups at each designated time point. Values are expressed as the
mean ± SD. CT, control; CF1, 20 mg caffeine; CF2, 60 mg caffeine; CF3, 120 mg
caffeine. * P<0.05 vs. CT.
†P<0.05 vs. CF1.
‡P<0.05 vs. CF2.
Effect of caffeine on the weights of the testes. (A) Absolute testis weight (mg)
and (B) testis weight relative to body weight (mg/100 g body weight) in the control
and caffeine-fed groups at each designated time point. Values are expressed as the
mean ± SD. CT, control; CF1, 20 mg caffeine; CF2, 60 mg caffeine; CF3, 120 mg
caffeine. * P<0.05 vs. CT.
†P<0.05 vs. CF1.
‡P<0.05 vs. CF2.
Histological findings in the testis
The histomorphometric parameters are summarized in Table 2. Representative testicular sections obtained from the animals after 40 days
of exposure are shown in Fig. 3. Seminiferous tubule diameter increased progressively with age in all groups. There
was a sharp increment in tubule diameter between 10 and 20 days, especially in the
control. No treatment-related difference in tubule diameter was observed between the
control and any of the caffeine-fed groups throughout the first 30 days of exposure, but a
significant reduction was noted in CF2 and CF3 after 40 days (P<0.05
vs. CT). In parallel with the reductions in tubule diameter, the height of the germinal
epithelium was also significantly reduced in CF2 and CF3 at 40 days
(P<0.05 vs. CT), and the density of seminiferous tubules but not
intertubular areas was significantly higher in CF2 and CF3 at 40 days of exposure
(P<0.05 vs. CT). In addition, the seminiferous tubules in the
caffeine-fed groups, especially CF2 and CF3, were of irregular size and distorted shape
(Fig. 3).
Table 2.
Histomorphometric parameters in the testes of the control and caffeine-fed
groups
Experiment (days)
10
20
30
40
Seminiferous tubule diameter
(µm)
CT
162.5 ± 14.0
226.0 ± 16.4
244.4 ± 11.8
263.2 ± 14.1
CF1
176.9 ± 16.0
223.8 ± 17.6
240.5 ± 16.3
274.3 ± 15.9
CF2
172.2 ± 15.7
223.7 ± 11.8
240.6 ± 15.4
250.4 ± 15.8*,†
CF3
175.9 ± 16.2
223.1 ± 12.0
246.6 ± 15.5
250.9 ± 13.5*,†
Germinal epithelium height
(µm)
CT
108.9 ± 12.6
114.6 ± 13.1
129.3 ± 13.5
138.7 ± 15.9
CF1
108.6 ± 16.0
118.8 ± 17.6
123.9 ± 14.9
147.6 ± 15.6
CF2
109.2 ± 22.9
118.7 ± 13.5
121.0 ± 14.7
121.4 ± 14.1*,†
CF3
116.0 ± 15.3
115.8 ± 11.2
129.3 ± 13.8
119.0 ± 12.6*,†
Seminiferous tubule number
CT
229 ± 9.0
90 ± 9.2
83 ± 1.9
64 ± 6.6
CF1
215 ± 23.8
89 ± 11.0
82 ± 6.0
68 ± 4.0
CF2
219 ± 19.6
87 ± 5.8
84 ± 10.1
74 ± 4.2*
CF3
209 ± 24.2
93 ± 1.8
79 ± 5.7
76 ± 3.9*
Intertubular area (mm2)
CT
0.10 ± 0.04
0.14 ± 0.04
0.14 ± 0.02
0.12 ± 0.02
CF1
0.11 ± 0.02
0.14 ± 0.03
0.12 ± 0.02
0.11 ± 0.02
CF2
0.09 ± 0.02
0.14 ± 0.03
0.13 ± 0.02
0.13 ± 0.02
CF3
0.09 ± 0.02
0.12 ± 0.03
0.13 ± 0.02
0.12 ± 0.01
Values are represented as means ± SD. of five rats per group at each designated
time point. Four serial sections were traced for each testis, and eight measurements
per section were made of the number of seminiferous tubules within two defined
regions (1.23 mm2) at 100-fold magnification. Eight measurements per
section were made for analyzing the diameter of seminiferous tubules or area of
intertubular space within the same defined regions (0.307277 mm2) at
200-fold magnification. CT, control; CF1, 20 mg caffeine; CF2, 60 mg caffeine; CF3,
120 mg caffeine. *P <0.05 vs. CT.
†P<0.05 vs. CF1.
‡P<0.05 vs. CF2.
Fig. 3.
Representative sections of the testes from the control and caffeine-fed groups at
40 days of caffeine exposure. The tissues were stained with hematoxylin and eosin.
Rat testicular sections (×100) from the control (A) and caffeine-fed animals, CF1
(B), CF2 (C), and CF3 (D). Reductions in the diameter of seminiferous tubules and
germinal epithelium height were evident in the high-dose caffeine-fed groups. In
addition, loose interstitial tissue was observed in the caffeine-fed groups. CF1, 20
mg caffeine; CF2, 60 mg caffeine; CF3, 120 mg caffeine. Scale bar=200
µm.
Values are represented as means ± SD. of five rats per group at each designated
time point. Four serial sections were traced for each testis, and eight measurements
per section were made of the number of seminiferous tubules within two defined
regions (1.23 mm2) at 100-fold magnification. Eight measurements per
section were made for analyzing the diameter of seminiferous tubules or area of
intertubular space within the same defined regions (0.307277 mm2) at
200-fold magnification. CT, control; CF1, 20 mg caffeine; CF2, 60 mg caffeine; CF3,
120 mg caffeine. *P <0.05 vs. CT.
†P<0.05 vs. CF1.
‡P<0.05 vs. CF2.Representative sections of the testes from the control and caffeine-fed groups at
40 days of caffeine exposure. The tissues were stained with hematoxylin and eosin.
Rat testicular sections (×100) from the control (A) and caffeine-fed animals, CF1
(B), CF2 (C), and CF3 (D). Reductions in the diameter of seminiferous tubules and
germinal epithelium height were evident in the high-dose caffeine-fed groups. In
addition, loose interstitial tissue was observed in the caffeine-fed groups. CF1, 20
mg caffeine; CF2, 60 mg caffeine; CF3, 120 mg caffeine. Scale bar=200
µm.
Germinal epithelial cell proliferation
To determine whether the changes in the microarchitecture of the testis in the
caffeine-fed animals were related to epithelial cell proliferation, we measured BrdU
incorporation in the basal epithelial layer of the seminiferous tubules after 40 days of
exposure. As shown in Fig. 4, BrdU incorporation was variable between tubules even in the same section. We also
found a similar trend in all sections examined. This most likely resulted from the
difference in germ cell proliferation between tubules, and 0this needs to be investigated
further. Here, nine tubules per section, which had a relatively increased number of
BrdU-positive cells compared with others, were selected for the analysis. The percentage
of BrdU-positive cells in the control group was 75.0 ± 9.4%, and the percentage was
significantly lower in the caffeine-fed groups, with the percentage decreasing in a
dose-related manner (CF1, 62.5 ± 12.2%; CF2, 52.9 ± 11.1%; CF3, 48.4 ± 5.5%)
(P<0.01 vs. CT; P<0.05 vs. CF1;
P<0.001 vs. CF2).
Fig. 4.
Effects of caffeine on in vivo germinal epithelial cells
proliferation at 40 days of caffeine exposure. Representative fluorescence confocal
microscopy images (×200) of 5-bromo-2’-deoxyuridine (BrdU)-labeled germinal
epithelial cells in the seminiferous tubules of control (A) and caffeine-fed
animals, CF1 (B), CF2 (C), and CF3 (D). Cells were stained with BrdU antibody to
visualize BrdU-labeled cells (green) and counterstained with DAPI to confirm nuclear
status (blue). Scale bar=50 µm. (E) Proliferation indices of
germinal epithelial cells of the control and caffeine-fed groups. The DNA labeling
index was determined by scoring the number of BrdU-positive nuclei per total nuclei
in the germinal epithelium. Three serial sections were traced per animal, nine
tubules per section, which had relatively increased amounts of germ cells staining,
were selected at 200-fold magnification, and the average number of BrdU-positive
cells per tubule was measured. Proliferation rate (%) was estimated as the
percentage of BrdU-positive cells per tubule. Data are expressed as the mean ± SD of
5 rats per group. CT, control; CF1, 20 mg caffeine; CF2, 60 mg caffeine; CF3, 120 mg
caffeine. *P<0.01 vs. CT. †P<0.05
vs. CF1. ‡P<0.001 vs. CF2.
Effects of caffeine on in vivo germinal epithelial cells
proliferation at 40 days of caffeine exposure. Representative fluorescence confocal
microscopy images (×200) of 5-bromo-2’-deoxyuridine (BrdU)-labeled germinal
epithelial cells in the seminiferous tubules of control (A) and caffeine-fed
animals, CF1 (B), CF2 (C), and CF3 (D). Cells were stained with BrdU antibody to
visualize BrdU-labeled cells (green) and counterstained with DAPI to confirm nuclear
status (blue). Scale bar=50 µm. (E) Proliferation indices of
germinal epithelial cells of the control and caffeine-fed groups. The DNA labeling
index was determined by scoring the number of BrdU-positive nuclei per total nuclei
in the germinal epithelium. Three serial sections were traced per animal, nine
tubules per section, which had relatively increased amounts of germ cells staining,
were selected at 200-fold magnification, and the average number of BrdU-positive
cells per tubule was measured. Proliferation rate (%) was estimated as the
percentage of BrdU-positive cells per tubule. Data are expressed as the mean ± SD of
5 rats per group. CT, control; CF1, 20 mg caffeine; CF2, 60 mg caffeine; CF3, 120 mg
caffeine. *P<0.01 vs. CT. †P<0.05
vs. CF1. ‡P<0.001 vs. CF2.
Testosterone concentrations
Changes in testosterone have a substantial impact on the overall maturation of the
reproductive organs [12]. In addition, because
histological changes in the testes of the caffeine-fed groups were noted after 40 days of
exposure, we analyzed the effects of caffeine consumption on the in vivo
and ex vivo production of testosterone (Fig. 5). The serum levels of testosterone after 40 days of exposure are depicted in Fig. 5A, and they tended to be lower in the
caffeine-fed groups, although a significant decrease was seen only in CF2 (CT, 25.03 ±
3.03 ng/ml; CF2, 7.02 ± 2.47 ng/ml) (P<0.05 vs. CT). No significant
effect was observed in CF3 because of great variability between individuals (19.38 ± 11.25
ng/ml) (Fig. 5A). Serum levels of testosterone
may reflect the androgenic status of male rats, but they can be highly variable due to the
release of large pulses of testosterone from the testes into the blood [28]. Therefore, we measured the amounts of testosterone
produced by primary Leydig cells retrieved from the animals after 40 days of exposure
(Fig. 5B). Basal testosterone production was
comparable in the control and all caffeine-fed groups, but a large increase in
testosterone production in response to LH stimulation was only observed in the Leydig
cells of the controls (an approximately 10-fold increase relative to the basal level).
Fig. 5.
Effects of caffeine on serum testosterone levels and Leydig cell testosterone
production. (A) Serum concentration of testosterone in the control and caffeine-fed
groups at 40 days of caffeine exposure. Data are presented as the mean ± SD of five
rats per group. CF1, 20 mg caffeine; CF2, 60 mg caffeine; CF3, 120 mg caffeine.
*P<0.05 vs. CT or CF1. (B) Testosterone production in the
presence or absence of LH (200 ng/ml) in cultured rat primary Leydig cells from
control and caffeine-fed animals at 40 days of caffeine exposure. Data are presented
as the mean ± SD. LH, luteinizing hormone; CT, Leydig cells retrieved from control
animals; CF1, CF2, and CF3, Leydig cells retrieved from caffeine-fed animals (20 mg,
60 mg, and 120 mg/kg/day). *P<0.01 vs. CT.
Effects of caffeine on serum testosterone levels and Leydig cell testosterone
production. (A) Serum concentration of testosterone in the control and caffeine-fed
groups at 40 days of caffeine exposure. Data are presented as the mean ± SD of five
rats per group. CF1, 20 mg caffeine; CF2, 60 mg caffeine; CF3, 120 mg caffeine.
*P<0.05 vs. CT or CF1. (B) Testosterone production in the
presence or absence of LH (200 ng/ml) in cultured rat primary Leydig cells from
control and caffeine-fed animals at 40 days of caffeine exposure. Data are presented
as the mean ± SD. LH, luteinizing hormone; CT, Leydig cells retrieved from control
animals; CF1, CF2, and CF3, Leydig cells retrieved from caffeine-fed animals (20 mg,
60 mg, and 120 mg/kg/day). *P<0.01 vs. CT.
Discussion
Our findings clearly demonstrate that prepubertal caffeine exposure interferes with sexual
maturation including developmental changes in microarchitecture as well as secretory
activity of the testis in a dose- and time-related manner and that these effects could occur
after only a brief exposure at more than the 60 mg dose level. We are unaware of any reports
in the literature examining the effects of a range of caffeine doses for different times
during the rapid growth and maturational period of reproductive organs.The choice of dose levels was based on the literature and our previous studies [2, 17]. To achieve
the typical developmental delays in gonad growth and to avoid sublethal effects, 120
mg/kg/day was used as the highest dose level in this study. The lowest dose (20 mg/kg) was
comparable to the intake of approximately two cups of coffee [3]. Considering that most energy drinks provide more than 1 mg/ml of caffeine, one
or two energy drinks can easily provide the above doses of caffeine.The available experimental animal and human data support a possible effect of caffeine on
body size [25, 29]. Similarly, our results indicated that caffeine decreased weight gain, with
inhibitory effects noted after only 10 days of exposure (Table 1). In addition, caffeine-fed animals consumed less food on
average than the controls (data not shown). There seemed to be a causal relationship between
body weight and food consumption. However, the decreased FER observed in the caffeine-fed
groups suggests that the reduced body weight was not simply due to the reduced food intake
but was possibly due to altered metabolic activities resulting from caffeine
consumption.Usually, PPS in the male rat is assessed as the first visual sign of sexual maturation
[11], and we also used this external sign as a
measure of the onset of sexual maturation. As shown in Fig. 1, caffeine exposure delayed PPS by more than 5 days, specifically in CF2 and
CF3, compared with the control. Given the fact that there is no evidence for a critical body
weight at the time of PPS [4], the relatively reduced
body weight in the caffeine-fed groups may not have been a main contributor to delayed PPS.
In fact, we did not observe a constant body weight at PPS (body weights at PPS were
335 ± 37 g in the control, 315 ± 13 g in CF1, 295 ± 34 g in CF2, and 249 ± 41
g in CF3).As sexual maturation progresses, increases in testicular volume reflect both gonadotropin-
and testosterone-mediated events, and the volume continues to increase until the testes
reach adult size and shape [13]. To ensure an
accurate assessment of the effects on male gonadal development, we fed caffeine during the
male rat’s juvenile (PD 21–35) and peripubertal (PD 35–55) periods [13]. Evidence from human reports and animal studies has raised concern
that high caffeine intake may alter reproductive development. Indeed, prenatal caffeine
exposure caused dose-related reductions in the testis weight of male offspring, reducing
testis weight by 11.09% and 22.56% at low (25 mg/kg) and high dose (45 mg/kg), respectively
[5]. However, treatment of adult male rats with
caffeine (40 or 80 mg/kg/day, gavage) for 3 weeks did not have any negative effects on
testis weight or fertility [32]. On the other hand,
we previously showed that high doses of caffeine (120 or 180 mg/kg) reduce the absolute
testis weight in immature male rats [17]. Similar to
this, absolute testis weight was slightly reduced in CF3 (Fig. 2A), but there was no difference between the control and the other dosage
groups. Therefore, prepubertal caffeine exposure may cause a reduction in absolute testis
weight at high doses, i.e., more than 120 mg/kg. On the other hand, increases in testis
weight relative to body weight in the caffeine-fed animals (Fig. 2B) suggest that increases in testis weight during sexual
maturation seem to be less dependent on body weight gain. Similarly, other researchers have
reported that dose levels of 5, 20, and 100 mg/kg did not cause any differences in absolute
testis weight in immature male rats but that increases in relative testis weight were
observed beginning at the 20 mg dose level [29].The weight of the testis is largely dependent on the mass of the differentiated
spermatogenic cells [1, 14], and hence changes in testis weight in the caffeine-fed animals might
be due to a decreased number of germ cells. In agreement with the above, caffeine treatment
led to a reduction in germ cell proliferation, as shown in Fig. 4, and this most likely would lead to a decrease of
spermatogenic cells, although it was not possible to include a sperm analysis in this study
due to the age of the rats (PD 62). In general, coordinated and regular spermatogenic cycles
begin after about 75 days of age in the rat [24].
Previous animal studies demonstrated that prenatal caffeine exposure inhibited
differentiation of the seminiferous cords [20] and
decreased the diameter of seminiferous tubules [5]. In
addition, adult animal studies have reported similar changes in the seminiferous tubules
[6], along with a breakdown of the germinal
epithelium [7], although the doses and duration of
caffeine treatment differed between studies. Based on the changes in testis weights between
groups according to exposure duration (Fig. 2),
changes in the seminiferous tubules could be expected, as shown in tissues obtained from
animals fed 60 and 120 mg/kg after 40 days of exposure (Table 2, Fig. 3). In parallel with the
reduced tubule diameter, significant decreases in germinal epithelium height were observed.
On the other hand, tubule number increased in CF2 and CF3 compared with the control at 40
days of exposure. In general, each testicle has approximately 20 to 30 tightly coiled
seminiferous tubules [24], and decreases in tubule
diameter lead to reductions in testis weight. The absolute testis weights of CF2 or CF3 were
not significantly different relative to the controls, even though the tubule diameter was
reduced. This might be explained by an increased number of tubules.It has been variously suggested that caffeine treatment increases, decreases, or has no
effect on serum testosterone depending upon the stage of development and upon the duration
and dose of treatment. For instance, increased testosterone levels were reported in men and
adult animals with high caffeine intake [6, 19, 25, 31], whereas maternal caffeine exposure led to a
subsequent decrease of serum testosterone levels in male rat offspring [5, 21]. On the
other hand, no clear effect was reported following treatment of immature male rats with any
doses of caffeine (up to 100 mg/day) for 33 days, which corresponded to an age of 55 days
[29]. The different results from our study may be
related to differences in animal age, because serum testosterone levels vary with time, but
there is less diurnal variation after 60 days of age in the male rat [28]. Thus, we chose serum samples obtained from animals at 40 days of
exposure (corresponding to 62 days of age). As shown in Fig. 5A, caffeine-fed animals generally had reduced serum testosterone levels, but
the level was highly variable between individuals, particularly in CF3, and this probably
resulted from pulsatile release of this hormone from the testis into the bloodstream. To
directly assess secretory activity of Leydig cells, testosterone levels were analyzed in
ex vivo cultured Leydig cells. As shown in Fig. 5B, ex vivo testosterone productions induced by
LH was markedly reduced in cells from the caffeine-fed animals even at the 20 mg dose level,
demonstrating that the reduction in serum testosterone was due to impaired synthesis,
possibly through modification of cell responsiveness to LH stimulation. Likewise, prenatal
caffeine exposure significantly reduced testosterone biosynthesis in the fetal rat testes by
inhibition of Leydig cell differentiation along with decreased steroidogenic enzyme activity
[20]. On the other hand, in vitro
cultured Leydig cells increased testosterone secretion in the presence of caffeine [29]. This may not reflect physiologic processes.Our results demonstrate that caffeine exposure during sexual maturation alters the
testicular microarchitecture and also slows germ cell proliferation even at the 20 mg dose
level. Furthermore, caffeine may act directly on Leydig cells and interfere with
testosterone production in a dose-related manner, consequently delaying onset of sexual
maturation. As the lowest dose adopted in this study also affected parameters related to
sexual maturation, further studies using a larger number of animals, as well as females, are
required to determine the minimal safe dose of caffeine.
Authors: Elisa G Santos; Maraisa A Silva; Renata P Amorim; Leticia de Souza Giordano; Dayana de Sales Silva; Lucas T Rasmussen; Rita L Peruquetti Journal: Exp Biol Med (Maywood) Date: 2018-06-29
Authors: S Karaismailoglu; M Tuncer; S Bayrak; G Erdogan; E L Ergun; A Erdem Journal: Naunyn Schmiedebergs Arch Pharmacol Date: 2017-05-29 Impact factor: 3.000