High-fat diet aggravates 2,2′,4,4′-tetrabromodiphenyl ether-inhibited testosterone production via DAX-1 in Leydig cells in rats

High-fat diet aggravates 2,2′,4,4′-tetrabromodiphenyl ether-inhibited testosterone production via DAX-1 in Leydig cells in rats

Accepted Manuscript High-fat diet aggravates 2,2′,4,4′-tetrabromodiphenyl etherinhibited testosterone production via DAX-1 in Leydig cells in rats Zh...

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Accepted Manuscript High-fat diet aggravates 2,2′,4,4′-tetrabromodiphenyl etherinhibited testosterone production via DAX-1 in Leydig cells in rats

Zhan Zhang, Yongquan Yu, Hengsen Xu, Chao Wang, Minghui Ji, Jun Gu, Lu Yang, Jiansheng Zhu, Huibin Dong, Shou-Lin Wang PII: DOI: Reference:

S0041-008X(17)30114-X doi: 10.1016/j.taap.2017.03.010 YTAAP 13891

To appear in:

Toxicology and Applied Pharmacology

Received date: Revised date: Accepted date:

15 October 2016 2 March 2017 10 March 2017

Please cite this article as: Zhan Zhang, Yongquan Yu, Hengsen Xu, Chao Wang, Minghui Ji, Jun Gu, Lu Yang, Jiansheng Zhu, Huibin Dong, Shou-Lin Wang , High-fat diet aggravates 2,2′,4,4′-tetrabromodiphenyl ether-inhibited testosterone production via DAX-1 in Leydig cells in rats. The address for the corresponding author was captured as affiliation for all authors. Please check if appropriate. Ytaap(2017), doi: 10.1016/ j.taap.2017.03.010

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ACCEPTED MANUSCRIPT High-fat diet aggravates 2,2’,4,4’-tetrabromodiphenyl ether-inhibited testosterone production via DAX-1 in Leydig cells in rats

Zhan Zhang1,2,4, Yongquan Yu1,2,4, Hengsen Xu2, Chao Wang1,2, Minghui Ji2, Jun Gu2,

State Key Lab of Reproductive Medicine, Institute of Toxicology, Nanjing Medical

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Lu Yang1,2, Jiansheng Zhu1,2, Huibin Dong3, Shou-Lin Wang1,2,*

University, 101 Longmian Avenue, Nanjing 211166, P. R. China Key Lab of Modern Toxicology of Ministry of Education, School of Public Health,

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Nanjing Medical University, 101 Longmian Avenue, Nanjing 211166, P. R. China Changzhou Center for Disease Control and Prevention, 203 Taishan Road,

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Changzhou, 2013022, P. R. China

These authors contributed equally to this study

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To whom correspondence should be addressed: Key Lab of Modern Toxicology of

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Ministry of Education, School of Public Health, Nanjing Medical University, 101 Longmian Avenue, Nanjing 211166, P. R. China Tel: +86-25-8686-8417 Fax: +86-25-8686-8499 E-mail: [email protected]

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ACCEPTED MANUSCRIPT Abbreviations: BDE47, 2,2’, 4,4’-tetrabromodiphenyl ether; PBDEs, polybrominated diphenyl ethers; ND, normal diet; HFD, high-fat diet; BAT, brown adipose tissue; WAT, white adipose tissue; CHOL, total cholesterol; TG, triglycerides; ELISA, enzyme-linked

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immunosorbent assay; 3β-HSD, 3β-hydroxysteroid dehydrogenase; StAR,

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steroidogenic acute regulatory protein; DAX-1, dosage-sensitive sex reversal-adrenal

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hypoplasia congenita critical region of the X chromosome gene 1.

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ACCEPTED MANUSCRIPT Abstract Growing evidence has revealed that a high-fat diet (HFD) could lead to disorders of glycolipid metabolism and insulin-resistant states, and HFDs have been associated with the inhibition of testicular steroidogenesis. Our previous study demonstrated that

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2,2′,4,4′-tetrabromodiphenyl ether (BDE47) could increase the risk of diabetes in

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humans and reduce testosterone production in rats. However, whether the HFD affects

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BDE47-inhibited testosterone production by elevating insulin levels and inducing related pathways remains unknown. In male rats treated with BDE47 by gavage for 12

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weeks, the HFD significantly increased the BDE47 content of the liver and testis and

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increased the weight of the adipose tissue; increased macrovesicular steatosis in the liver and the levels of triglycerides, fasting glucose and insulin; further aggravated the

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disruption of the seminiferous epithelium; and lowered the level of testosterone,

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resulting in fewer sperm in the epididymis. Of note, the HFD enhanced BDE47-induced DAX-1 expression and decreased the expression levels of StAR and

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3β-HSD in the testicular interstitial compartments in rats. In isolated primary Leydig

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cells from rats, BDE47 or insulin increased DAX-1 expression, decreased the expression of StAR and 3β-HSD, and reduced testosterone production, which was nearly reversed by knocking down DAX-1. These results indicated that the HFD aggravates BDE47-inhibited testosterone production through hyperinsulinemia, and the accumulation of testicular BDE47 that induces the up-regulation of DAX-1 and the subsequent down-regulation of steroidogenic proteins, i.e., StAR and 3β-HSD, in Leydig cells. 3

ACCEPTED MANUSCRIPT Keywords: High-fat diet; 2,2′,4,4′-tetrabromodiphenyl ether; DAX-1; insulin;

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testosterone; primary Leydig cells

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ACCEPTED MANUSCRIPT Introduction Male reproductive problems, such as poor semen quality, low testosterone levels, cryptorchidism, and testicular cancer, are widespread and have recently been the focus of several basic and clinical research projects (Skakkebaek et al., 2016). Many

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environmental and lifestyle factors may negatively affect spermatogenesis and male

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fertility (Barazani et al., 2014). With rapid economic growth and its associated

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industrialization, urbanization, and lifestyle changes, i.e. high-fat diets (HFDs), and low physical activity, diabetes has reached epidemic proportions in the Chinese

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population (Xu et al., 2013). HFD could induce an increase in body weight, impair

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glucose tolerance and cause insulin resistance (Skovso, 2014; Jung et al., 2015); the HFD could also impair male fertility by reducing the quality of the semen and sperm

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and by reducing testosterone levels (Fan et al., 2015).

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Polybrominated diphenyl ethers (PBDEs) have been used as flame-retardant chemicals in various products worldwide (Linares et al., 2015). Among the PBDEs,

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2,2′,4,4′-tetrabromodiphenyl ether (BDE47) is the dominant congener in animal and

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human tissue (Hites, 2004; Mhadhbi et al., 2012). Our recent study has shown that environmental exposure to BDE47 increased the risk of diabetes by activating the diabetes pathway and upregulating genes involved in glucose transport (Zhang et al., 2016). In addition, BDE47 disrupts spermatogenesis, impairs mitochondrial function and induces the apoptosis of early leptotene spermatocytes in rats (Huang et al., 2015a). Our previous study also revealed that BDE47 could cause a striking disruption of the normal cellular organization of the seminiferous epithelium and 5

ACCEPTED MANUSCRIPT decrease the serum testosterone level (Zhang et al., 2013b). However, the mechanism by which BDE47 inhibits testosterone production is still unclear. Dosage-sensitive sex reversal-adrenal hypoplasia congenita critical region on the X chromosome gene 1 (DAX-1) is required for human spermatogenesis because it is a

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crucial regulator of steroidogenesis in mammals (Lardone et al., 2011; Stickels et al.,

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2015). For instance, DAX-1 is a repressor of several steroidogenic enzymes, blocking

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steroid production at multiple levels and decreasing the formation of steroids (Maris et al., 2015). High insulin levels are associated with low testosterone levels in type 2

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diabetes (Haffner et al., 1994; Grossmann et al., 2010). In healthy men, lower total

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testosterone is associated with insulin resistance (Yeap et al., 2009; Biswas et al., 2010). Insulin might directly repress steroidogenesis by inducing the orphan nuclear

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receptor DAX-1 in testicular Leydig cells (Ahn et al., 2013). Thus, BDE47 might

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induce high insulin levels and subsequently inhibit testosterone production via DAX-1.

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In the present study, adult male rats were treated with BDE47 by gavage for 3

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months while being fed the normal diet (ND) or HFD. The effects of BDE47 on lipometabolism and glycometabolism in rats fed the HFD were investigated. Next, testosterone levels, histopathologic changes in the testis and epididymis, and the expression of steroidogenic proteins in rat testis were evaluated. Furthermore, the primary Leydig cells of rats were isolated and used to explore the roles of DAX-1 in the effects of HFD on BDE47-inhibited testosterone production. This study attempts to illustrate the molecular mechanism of the effects of HFD and/or BDE47 on 6

ACCEPTED MANUSCRIPT testosterone production, to enhance the knowledge of metabolic syndrome in relation to reduced male reproduction and to provide evidence-based information for assessing the risks of environmental pollutants, particularly in the presence of the HFD.

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Materials and methods

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Chemicals and reagents

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BDE47 (purity ≥ 98.7%) was purchased from Chemservice (West Chester, PA, USA). Corn oil and collagenase I were purchased from Sigma-Aldrich (St. Louis, MO, USA).

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The enzyme-linked immunosorbent assay (ELISA) kit for rat insulin was obtained

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from Cusabio Biotech Co., Ltd (Wuhan, China). Dulbecco's Modified Eagle’s Medium/ Nutrient Mixture F-12 (DMEM/F-12), fetal bovine serum (FBS) and

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collagen-coated culture plates were purchased from GIBCO-BRL (Grand Island, NY,

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USA). Antibodies specific for StAR and DAX-1 and an enhanced chemiluminescence (ECL) immunoblotting assay kit were purchased from Cell Signaling Technology

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(Danvers, MA, USA). Antibodies specific for GAPDH and 3β-HSD were obtained

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from Santa Cruz Biotechnology (Santa Cruz, CA). A cell counting kit-8 (CCK-8), penicillin, streptomycin, gentamicin, a bicinchoninic acid (BCA) protein assay kit, and bovine serum albumin (BSA) were obtained from Beyotime Institute of Biotechnology (Shanghai, China). The ND (15% calories from fat) and HFD (45% calories from fat) were obtained from Jiangsu Medicience Ltd. (Yangzhou, China). Animal treatment and sample collection Male Sprague-Dawley rats (weighing 180-200 g) were obtained from Shanghai SLAC 7

ACCEPTED MANUSCRIPT Laboratory Animal Co., Ltd (Shanghai, China). The animals were maintained in 12-h/12-h light/dark cycles at ambient temperature (22C) and 55% relative humidity. Two rats were placed in a plastic Macrolon cage with stainless steel covers and wood shavings, and sterilized food and tap water were provided ad libitum. The rats were

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allowed to acclimate for 1 week before the experiments began. Thirty-six rats were

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randomly divided into six groups and were gavaged for 12 weeks: group 1 (ND

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control group) was fed a normal diet; groups 2 and 3 were treated with BDE47 (dissolved in corn oil) at 0.03 and 20 mg/kg. body weight (BW)/day, respectively;

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group 4 (HFD control group) was fed a high-fat diet; and groups 5 and 6 were fed

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HFD plus BDE47 at 0.03 or 20 mg/kg.bw/day, respectively. The ND and HFD control groups were given the same volume of corn oil, and the BDE47 doses were designed

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based on our previous study (Zhang et al., 2013b). BW was quantified weekly, and

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the rats were euthanized by CO2 asphyxiation at the study endpoint for serum collection and harvesting of tissues, including the liver, pancreas, testis, epididymis,

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brown adipose tissue (BAT), and the retroperitoneal and gonadal white adipose tissue

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(WAT). Except the serum that was used for fasting glucose measurements, all other samples were frozen and stored at -80C until analysis. During the experimental period, the care and use of the animals followed the guidelines of the Animal Care and Welfare Committee of Nanjing Medical University. Detection of BDE47 in the liver and testes of rats The sample extraction, clean-up and quality control for analysis were performed as described in our previous publication (Zhang et al., 2013b). The samples were 8

ACCEPTED MANUSCRIPT analyzed with a gas chromatograph-mass spectrometer (GC/MS) (Thermo Finnigan DSQ, USA) using BDE77 as an internal standard. Briefly, 1 μL of sample was injected using the splitless injection mode with a splitless time of 1 min. The mass spectrometer was operated using negative chemical ionization. Selected ion

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monitoring (SIM) was employed to determine individual peaks. The following pair of

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ions was monitored for each target compound, with the first ion being used to quantify

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an ion and the second ion for peak identification: 486, 326. Representative GC/MS chromatograms for each PBDE were from calibration mixtures (Accustandard, New

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Haven, CT, USA).

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Measurement of serum biochemical parameters and testosterone in rats Serum parameters, such as the levels of total cholesterol (CHOL), triglycerides (TG)

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and fasting glucose, were measured routinely as a single measurement on an

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autoanalyzer (Hitachi 7100, Japan) using standard kits from the Jiancheng Bio-engineering Research Institute (Nanjing, China) (Zhang et al., 2013a). The serum

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concentration of testosterone (T) was determined using [125I]-T-specific

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radioimmunoassay kits according to the manufacturer’s instructions (Beijing North Institute of Biological Technology, Beijing, China) (Zhang et al., 2013b). Histological observation of rat tissues After euthanization, the testes, epididymis, liver, pancreas and adipose tissue of the rats were fixed in 4% paraformaldehyde and embedded in paraffin, and 5-μm cross-sections were prepared and stained with hematoxylin and eosin (H&E). In the testis, giant cells were identified by their characteristic features, with multiple round 9

ACCEPTED MANUSCRIPT spermatid nuclei (≥2) in a syncytial body present in the lumen. Images were captured using an optical microscope (Axioskop 2 Plus, Carl Zeiss, Hamburg, Germany). Isolation, purification and culture of primary Leydig cells in rats Leydig cells were isolated and cultured as previously described (Klinefelter et al.,

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1987; Klinefelter and Ewing, 1988) with slight modifications. Briefly, the testes of

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rats (8 weeks old) were decapsulated, placed in 100 mL of PBS containing

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collagenase I (0.5 mg/mL) at 34C and shaken for 15 min. The digested testes were passed through a 100-μm nylon mesh, and the Leydig cells were sequentially purified

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by 21%, 23%, 32%, and 60% Percoll gradient separation. The Leydig cells were

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located in the second layer from the bottom. The final purity of the Leydig cells was determined to be >90% following staining with 3β-HSD, a typical marker for Leydig

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cells. The isolated Leydig cells were resuspended in DMEM/F12 containing 5% FBS,

further experiments.

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5 μg/mL gentamicin, 50 U/mL penicillin, and 50 μg/mL streptomycin and used for

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Treatment of primary Leydig cells from rats with BDE47

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The cells were plated at a density of 105/cm2 in six-well plates at 34°C in 5% CO2 overnight and then were treated with 0-150 μM BDE47 to screen for the non-observed cytotoxic concentration using the CCK-8 assay as previously described (Zhang et al., 2013b). Then, the medium and cell lysates were used to determine the testosterone levels and the expression of DAX-1, StAR and 3β-HSD after treatment with BDE47 or insulin for 24 h. Knockdown of DAX-1 in primary Leydig cells from rats 10

ACCEPTED MANUSCRIPT Small interfering RNAs (siRNAs) were used to confirm the role of DAX-1 in the synthesis of testosterone in primary Leydig cells treated with BDE47 or insulin. DAX-1 siRNA (5’-GCAGCAUCUUAUACAGCUU-3’, 3’-CGUCGUAGAAUAUGUCGAA-5’) and one negative scrambled control were

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synthesized by RiboBio Co., Ltd (Guangzhou, China). The cells (3×105 per dish) were

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plated in 35-mm dishes and cultured overnight, and then DAX-1 siRNA (si-DAX)

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was transfected into the cells for 24 h using Lipofectamine 2000 according to the manufacturer’s instructions (Invitrogen, Carlsbad, CA, USA). Subsequently, the cells

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were treated with BDE47 or insulin for an additional 24 h. The medium was used to

of DAX-1, StAR and 3β-HSD.

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determine testosterone levels, and the cell lysates were used to measure the expression

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Determination of DAX-1 expression by immunocytochemistry and

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immunohistochemistry assays

The expression levels of DAX-1 in the primary Leydig cells and the rat testis were

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determined by immunocytochemistry and immunohistochemistry based on our

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previous studies (Yang et al., 2013; Zhang et al., 2014). For immunocytochemistry, isolated Leydig cells were attached to a glass slide using cytospin centrifugation and then fixed with 4% paraformaldehyde, washed with phosphate-buffered saline (PBS), and incubated with 0.2% Triton X-100. Then, the cells were incubated overnight with the DAX-1 primary antibody in 1% BSA at 4°C followed by the appropriate fluorescence-conjugated secondary antibody at RT. Finally, the cells were mounted and observed under a confocal microscope (LSM710; Carl Zeiss, Hamburg, 11

ACCEPTED MANUSCRIPT Germany). For immunohistochemistry, deparaffinized and hydrated testis sections (5 μm) were treated with 3% hydrogen peroxide (H2O2) for 5 min, rinsed with PBS for 15 min, immunostained using a StreptAvidin Biotin Complex kit (Boster BioEngineering, Wuhan, China) and examined using an Axioskop 2 Plus optical

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microscope (Carl Zeiss, Hamburg, Germany).

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Determination of the expression levels of DAX-1, StAR and 3β-HSD by

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immunoblotting assays

Testis tissue and primary Leydig cell lysates (50-100 μg) were separated by sodium

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dodecyl sulfate-polyacrylamide gel electrophoresis and transferred onto a

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polyvinylidene fluoride membrane (Millipore, Bedford, MA). Using specific antibodies for DAX-1, StAR and 3β-HSD, the protein-immune complexes were

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detected using an ECL immunoblotting assay kit and were exposed to Kodak X-Omat

Statistical analysis

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film. GAPDH was used as an internal control.

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Significant differences among different doses in same group were evaluated with the

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Student-Newman-Keuls multiple comparison test using SPSS software version 17.0 (Chicago, IL, USA), while the differences in different groups at the same dose were analyzed with one-way analysis of variance (ANOVA). The data for the BDE47 content in the liver and testis are shown as box and whisker plots (minimum to maximum), and the other data were expressed as the means± standard deviation (SD). Differences were considered statistically significant at p≤ 0.05.

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ACCEPTED MANUSCRIPT Results HFD aggravates the accumulation of adipose tissue in rats treated with BDE47 After a 12-week treatment with BDE47 (0.03 or 20 mg/kg/d) by gavage, BDE47 was found in the rat liver and testis; the HFD could aggravate the accumulation of BDE47

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in the liver, and particularly in the testis (Fig. 1A). During the treatment, body weight

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was not altered by BDE47, but the HFD caused an increase, as expected (Fig. S1).

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Additionally, neither BDE47 nor the HFD changed the relative weight of the candidate organs, including the liver, pancreas, testis and epididymis (Fig. S2).

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However, treatment with both doses of BDE47 increased the relative weight of the

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retroperitoneal WAT, the gonadal WAT and BAT in rats fed with the HFD, while there were no changes in lipid accumulation in rats treated with BDE47 but given ND

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feed (Fig. 1B, C, D). Additionally, the number of neonatal dikaryotic adipocytes

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increased after treatment with 20 mg/kg BDE47, most remarkably in the HFD rats (Fig. S3).

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HFD aggravates the disruption of glycolipid metabolism in rats treated with BDE47

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Serum TG in BDE47-treated rats increased and was enhanced by the HFD (Fig. 2A), whereas no changes in CHOL were observed in rats treated with BDE47 or the HFD (Fig. 2B). Similar to its effect on TG, BDE47 (20 mg/kg/d) significantly increased fasting blood glucose and serum insulin levels in rats, which were also enhanced by the HFD (Fig. 2C, D). No histopathological changes were observed in the pancreas of rats treated with BDE47 or a HFD alone, but exocrine glands transfers were found in the HFD rats treated with 20 mg/kg BDE47 (Fig. S4). Notably, histopathological 13

ACCEPTED MANUSCRIPT analysis showed obvious microvesicular and macrovesicular steatosis in the livers of rats treated with BDE47; in particular, the 20 mg/kg/d BDE47 treatment plus the HFD exacerbated this phenotype (Fig. 2E). HFD aggravates the inhibition of testosterone production and damages the testis

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and epididymis in rats treated with BDE47

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Similar to our previous study, both doses of BDE47 reduced testosterone

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concentrations in ND rats, and this reduction was significantly exacerbated by the HFD (Fig. 3A). Histological examination of the testes of rats exposed to BDE47

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revealed a striking disruption of the normal cellular organization of the seminiferous

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epithelium. In the lumen, 20 mg/kg BDE47 significantly increased the number of multinucleated giant cells that arose from spermatocytes and aborted meiosis, and

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they appeared as a syncytium. Abundant vacuolar spaces in the seminiferous

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epithelium were found after BDE47 treatment, particularly with the HFD (Fig. 3B). Similarly, the HFD further reduced the number of epididymal sperm in rats treated

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with BDE47 (Fig. 3C).

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HFD aggravates the changes in the expression of DAX-1 and steroidogenic proteins in the testis of rats treated with BDE47 As shown in Fig. 4A, BDE47 treatment resulted in the down-regulation of StAR and 3β-HSD, and this response was enhanced by the HFD. Conversely, DAX-1 expression was up-regulated after BDE47 exposure and even more so in the HFD rats (Fig. 4A). These observations were further confirmed through immunochemistry on testicular sections, which revealed that DAX-1 was clearly expressed in the testicular interstitial 14

ACCEPTED MANUSCRIPT compartments after 20 mg/kg/d BDE47 treatment; this expression was also enhanced by the HFD (Fig. 4B). DAX-1 mediates the inhibition of testosterone in primary Leydig cells treated with BDE47 or insulin

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The results of 3β-HSD staining showed that primary Leydig cells were successfully

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isolated from rat testes (Fig. S5), with 7.1×106 cells per testis, an average of 93.7%

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viability, and an approximate purity of 90%. As shown in Fig. 5A, no cytotoxic effects were found using 20 μM BDE47, the concentration used in further

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experiments. Similar to the results in rats, BDE47 resulted in the down-regulation of

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StAR and 3β-HSD (Fig. 5B). However, BDE47 induced the up-regulation of DAX-1 in Leydig cells, as observed using Western blotting (Fig. 5B, C) and

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immunofluorescence (Fig. 5D).

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As shown in Figures 6A and 6B, BDE47 or insulin inhibited testosterone production in Leydig cells in a dose-dependent manner. In addition, both BDE47 and

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insulin induced the expression of DAX-1, but these effects were nearly eliminated by

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si-DAX-1 (Fig. 6C). Interestingly, both BDE47 and insulin significantly reduced testosterone production, and this effect was almost completely reversed by siDAX-1 (Fig. 6D).

Discussion The present study demonstrated that the HFD aggravated the high glucose and insulin levels, the disruption of the seminiferous epithelium and the low testosterone levels in 15

ACCEPTED MANUSCRIPT rats treated with BDE47. The HFD not only enhanced the BDE47-induced abnormalities in glycolipid metabolism and subsequent hyperinsulinemia but also increased the accumulation of BDE47 in the testis. High levels of both insulin and BDE47 directly up-regulated DAX-1, subsequently down-regulated the steroidogenic

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proteins, i.e., 3β-HSD and StAR, and ultimately inhibited testosterone production in

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the Leydig cells of rats. Therefore, the HFD aggravated BDE47-inhibited testosterone

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production by upregulating DAX-1.

PBDEs are ubiquitous in various environmental matrices and organisms. As is

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well known, BDE47 is a typical lipophilic chemical that accumulates in adipose-rich

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tissues. The concentrations of BDE47 were the highest in the adipose tissue of rats or mice treated with at least one dose of BDE47 (Sanders et al., 2006). In general, a

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HFD could significantly increase weight gain and fat accumulation (Liu et al., 2016),

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which indicated that a HFD might increase the accumulation of BDE47 in target tissues. In the present study, a HFD aggravated the accumulation of BDE47 in the

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liver and in the testis. In addition,BDE47 could disturb energy metabolism, and more

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than 1 μg/L BDE47 could induce higher levels of glucose and ATP in the earthworm Eisenia fetida (Ji et al., 2013). As reported in our previous study, environmental exposure to BDE47 could increase the risk of diabetes in the Chinese population (Zhang et al., 2016). In the present study, BDE47 significantly increased the weight of the adipose tissue, increased macrovesicular steatosis in the liver and the levels of triglycerides, fasting glucose and insulin, which was aggravated by the HDF. These findings were also supported by a previous study that the HFD aggravated the glucose 16

ACCEPTED MANUSCRIPT homeostasis disorder caused by chronic exposure to bisphenol A (BPA) (Ding et al., 2014). BDE47 has been identified as a developmental, reproductive, and neurological toxicant and a disrupter of multiple endocrine systems in rats (Emond et al., 2010); it

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also decreased the frequency of the induction of spawning and fertilization in male

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zebrafish (Huang et al., 2015b). Consistent with our previous study (Zhang et al.,

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2013b), the present study showed that BDE47 could reduce serum testosterone levels, cause vacuolar spaces in the seminiferous epithelium and decrease the number of

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sperm in the epididymis. Our previous study had shown that BPA could induce

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spermatogenesis disorders mainly through decreasing androgen receptor expression (Qiu et al., 2013), and the HFD could aggravate BPA-induced impaired

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spermatogenesis (Nanjappa et al., 2014; Tarapore et al., 2016). In the present study,

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the HFD aggravated BDE47-induced the reduction of testosterone, the disruption of the seminiferous epithelium, resulting in fewer sperm in the epididymis. These results

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indicated that metabolic disorders induced by BDE47 could contribute to male

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reproductive damage.

Testosterone, which is produced by Leydig cells in response to LH, plays a pivotal role in the initiation and maintenance of spermatogenesis by affecting androgen receptors in the Sertoli cells. Thus, an abnormal reduction in testosterone levels can cause testicular atrophy, accompanied by reduced numbers of germ cells and, ultimately, azoospermia (Awoniyi et al., 1989; Smith and Walker, 2014). Testicular steroidogenesis is mediated by LH through multiple signaling pathways, 17

ACCEPTED MANUSCRIPT including the steroidogenic acute regulatory protein (StAR), a cholesterol side chain cleavage enzyme (P450scc), and 3β-hydroxysteroid dehydrogenase (3β-HSD) (Miller, 1988). Polychlorinated biphenyls (PCBs) could act directly on Leydig cells to diminish testosterone production by inhibiting gene expression of steroidogenic

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enzymes including StAR, P450scc and 3β-HSD (Murugesan et al., 2007). A previous

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study revealed that benzo[a]pyrene could decrease epididymal sperm quality, possibly

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by disturbing testosterone production, indicating that StAR should be a major target among steroidogenic proteins (Chung et al., 2011). These studies support our present

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results, which showed that BDE47 inhibits testosterone by decreasing the expression

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of StAR and 3β-HSD in the primary Leydig cells and after an in vivo exposure. DAX-1 plays a key role in the development and maintenance of reproductive

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function. Indeed, the expression pattern of DAX-1 is restricted to tissues directly

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involved in steroid hormone production (Lalli and Sassone-Corsi, 2003). DAX-1 blocks the rate-limiting step in steroid biosynthesis by repressing StAR as well as by

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inhibiting both P450scc and 3β-HSD (Maris et al., 2015). In the present study, BDE47

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upregulated the expression of DAX-1 in vitro and in vivo, and knocking down DAX-1 significantly reversed BDE47-inhibited testosterone production in the primary Leydig cells, suggesting that BDE47 could directly upregulate DAX-1, leading to the inhibition of testosterone production; this phenomenon was also enhanced by a HFD by increasing BDE47 accumulation in the testis. Insulin can directly bind to insulin receptors in the Leydig cell membrane, leading to the up-regulation of DAX-1 and resulting in liver receptor homolog-1 (LRH-1)-mediated testicular steroidogenesis 18

ACCEPTED MANUSCRIPT (Ahn et al., 2013). In the present study, the knockdown of DAX-1 could significantly reverse the insulin-mediated inhibition of testosterone production in primary Leydig cells, indicating that BDE47 induced a high insulin level and subsequently inhibited testosterone production by upregulating DAX-1; this response was aggravated by the

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HFD.

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In conclusion, our study demonstrated that the HFD aggravated BDE47-inhibited

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testosterone production through hyperinsulinemia and that the accumulation of testicular BDE47 targeted the steroidogenic pathway via DAX-1. The inhibition of

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steroidogenesis through the insulin-mediated induction of DAX-1 provides new

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insights into the relationship between metabolic disorders and male reproductive damage caused by environmental exposure to lipophilic xenobiotics, particularly with

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an unhealthy lifestyle, including a high-fat diet.

Funding

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This work was supported by the National Natural Science Foundation of China

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(81372956, 81573194), Natural Science Foundation of Jiangsu province (BK20151555), Technology & Development Fund of Nanjing Medical University (2014NJMUZD002), Six talents peak project of Jiangsu province (DG216D5047), 333 Advance Talents Projects of Jiangsu Province [BRA2014285], Natural Science Foundation of Jiangsu Universities (14KJA330002), National 973 Program (2009CB941701), Science and Technique Foundation for Youths by Health and Family Planning Commission of Changzhou (QN201603), and a project funded by the 19

ACCEPTED MANUSCRIPT Priority Academic Program Development of Jiangsu Higher Education Institutions (PAPD), China.

Author Disclosure Statement

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No competing financial interests exist.

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ACCEPTED MANUSCRIPT References Ahn, S.W., Gang, G.T., Kim, Y.D., Ahn, R.S., Harris, R.A., Lee, C.H., Choi, H.S., 2013. Insulin directly regulates steroidogenesis via induction of the orphan nuclear receptor DAX-1 in testicular Leydig cells. J Biol Chem 288,

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ACCEPTED MANUSCRIPT Figure legends Figure 1. Effects of the HFD on the accumulation of BDE47 and relative weight of adipose tissues in rats treated with BDE47. (A) BDE47 content in the liver and testis. The data are shown as box and whisker plots (minimum to maximum). (B)

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Ratio of the retroperitoneal WAT weight and body weight (BW). (C) Ratio of the

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gonadal WAT weight and BW. (D) Ratio of the BAT weight and BW. The data were

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expressed as the means± SD of 6 rats per group. #p < 0.05 compared with the corresponding vehicle control; *p< 0.05, **p < 0.01 compared with the corresponding

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BDE47 treatment in the ND group.

Figure 2. Effects of the HFD on glycolipid metabolism in rats treated with

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BDE47. (A) Serum TG. (B) Serum CHOL. (C) Fasting glucose. (D) Serum insulin. (E)

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Morphological observations of liver tissue. The tissue was stained with hematoxylin and eosin (H&E) and was observed using optical microscopy. Blue arrow, lipid

p < 0.05 compared with the corresponding vehicle control; *p < 0.05, **p < 0.01

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#

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droplets; bar, 100 μm. The data were expressed as the means± SD of 6 rats per group.

compared with the corresponding BDE47 treatment in the ND group.

Figure 3. Effects of the HFD on the serum testosterone and the morphological changes in testes and epididymides of rats treated with BDE47. (A) Serum testosterone levels. (B) Morphological observations of the testis and seminiferous tubule architecture. (C) Morphological observations of epididymis. The tissue was 28

ACCEPTED MANUSCRIPT stained with H&E and observed using optical microscopy. Blue arrow, giant cells in the testis; red arrow, vacuolar spaces in the seminiferous epithelium; black arrow, reduced sperm count; bar, 100 μm. The data were expressed as the means± SD of 6 rats per group. #p < 0.05, ##p < 0.01 compared with the corresponding vehicle control;

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*p < 0.05 compared with the corresponding BDE47 treatment in the ND group.

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Figure 4. Effects of the HFD on the expression of DAX-1, StAR, and 3β-HSD in the testis of rats treated with BDE47. (A) The expression levels of DAX-1, StAR,

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and 3β-HSD using immunoblotting assays. Lysates from the testes (80 μg) were

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prepared, and GAPDH was used as an internal reference. The densitometric analysis was conducted for the protein bands using ImageJ software. The data are expressed as

p < 0.001 compared with the corresponding vehicle control; *p < 0.05, **p < 0.01,

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the mean ± SD of three independent experiments with triplicates. #p < 0.05, ##p < 0.01,

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The expression of DAX-1 using an immunohistochemical assay. The localization of

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DAX-1 was observed in the testicular interstitial compartments.

Figure 5. Effects of BDE47 on cell viability and DAX-1 expression in the primary Leydig cells of rats. (A) Cells viability using a CCK-8 assay. The cells were treated with BDE47 for 48 h, and the data were expressed as the means± SE of three independent experiments with six replicates; (B) The expression levels of DAX-1, StAR, and 3β-HSD using immunoblotting assays. Cell lysates (50 μg) were prepared, 29

ACCEPTED MANUSCRIPT and GAPDH was used as an internal reference. (C) The densitometric analysis was conducted for the protein bands using ImageJ software. The data are expressed as the mean ± SD of three independent experiments with triplicates. *p < 0.05, **p < 0.01, ***p < 0.001 compared with the vehicle control. (D) The expression of DAX-1 using

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an immunofluorescence assay.

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Figure 6. Effects of DAX-1 knockdown on DAX-1 expression and testosterone secretion in primary Leydig cells from rats treated with BDE47 or insulin. (A)

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The effects of BDE47 on the testosterone concentration in the cell culture medium. (B)

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The effects of insulin on the testosterone in the cell culture medium. The cells were treated with BDE47 or insulin for 24 h, and the testosterone levels in the supernatant

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were determined using ELISA. (C) The effects of si-DAX-1 on DAX-1 expression in

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cells treated with BDE47 or insulin, the densitometric analysis was conducted for the protein bands using ImageJ software. The data are expressed as the mean ± SD of

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three independent experiments with triplicates. (D) The effects of si-DAX-1 on the

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testosterone secretion of cells treated with BDE47 or insulin. The cells were pretreated with si-DAX-1 for 48 h and were then treated with 20 μM BDE47 or 80 nM insulin (1 μU/ml= 6.00 pmol/L) for an additional 24 h. The data were expressed as the means± SE of three independent experiments with six replicates. #p < 0.05, ##p < 0.01, ###p < 0.001 compared with the vehicle control; *p < 0.05, **p < 0.01 compared with the BDE47 or insulin treatment alone.

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Graphical abstract

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ACCEPTED MANUSCRIPT Highlights ► High-fat diet (HFD) aggravates the accumulation of BDE47 in liver and testis in rats ► HFD aggravates BDE47-inhibited testosterone production via DAX-1 in Leydig cells ► HFD enhances BDE47-induced the disorder of glycolipid metabolism and hyperinsulinemia

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► Both hyperinsulinemia and accumulation of BDE47 inhibited testosterone via DAX-1

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