help button home button Endocrine Society Endocrinology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS

This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Purchase Article
Right arrow View Shopping Cart
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Copyright Permission
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Heinrich, N.
Right arrow Articles by Berger, H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Heinrich, N.
Right arrow Articles by Berger, H.
Endocrinology Vol. 139, No. 2 651-658
Copyright © 1998 by The Endocrine Society


ARTICLES

Corticotropin-Releasing Factor (CRF) Agonists Stimulate Testosterone Production in Mouse Leydig Cells through CRF Receptor-11

Nadja Heinrich, Mike R. Meyer, Jens Furkert, Annette Sasse, Michael Beyermann, Wolfgang Bönigk and Hartmut Berger

Forschungsinstitut für Molekulare Pharmakologie, D-10315 Berlin, Germany (N.H., J.F., M.B., H.B.) and Institut für Biologische Informationsverarbeitung, Forschungszentrum Jülich, D-52425 Jülich, Germany (M.R.M., A.S., W.B.)

Address all correspondence and requests for reprints to: Dr. Hartmut Berger, Research Institute of Molecular Pharmacology, Alfred-Kowalke-Strasse 4, D-10315 Berlin, Germany. E-mail: berger{at}fmp-berlin.de


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The influence of CRF on testosterone production in primary mouse Leydig cell cultures was studied, and the type of CRF receptor (CRF-R) involved in this activity was determined. CRF directly stimulated testosterone production in mouse Leydig cells, but did not influence the maximum human (h)CG-induced testosterone production. The effect was time- and dose-dependent, saturable with an EC50 of 2.84 nM for hCRF, antagonized by the CRF antagonist {alpha}-helical CRF9–41, and accompanied by intracellular cAMP elevation. The rank order of potency of the natural CRF agonists, hCRF, ovine CRF, sauvagine, and urotensin, corresponded to that of their activities on CRF-R1 in rat pituitary cells and also to that reported for this receptor, but not for CRF-R2, when transfected into various cell lines. Furthermore, the difference in response of mouse Leydig cells to [11-D-Thr,12-D-Phe]- and [13-D-His,14-D-Leu]-ovine CRF corresponded to that measured when COS cells expressing CRF-R1 were activated, but was considerably smaller than that observed for activation of COS cells expressing CRF-R2{alpha} or -R2ß. The messenger RNA encoding the mouse CRF-R1 was detected by RT-PCR in mouse Leydig cell preparations. In contrast to mouse Leydig cells, CRF agonists had no influence on the basal testosterone and cAMP production by rat Leydig cells, nor did the agonists or antagonist change the hCG-stimulated testosterone and cAMP production by these cells. It is concluded that mouse Leydig cells express CRF-R1, mediating elevation of testosterone production by CRF agonists through cAMP. Because potencies of CRF agonists in activating mouse Leydig cells were more than 10-fold lower compared with their potencies in stimulating rat pituitary cells, it is suggested that the coupling of the CRF-R1 to intracellular signaling in Leydig cells is different from that in corticotropic pituitary cells, at least in quantitative terms.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
CORTICOTROPIN-RELEASING factor (CRF), a 41-amino acid peptide, was originally isolated from the hypothalamus (1) and was shown to be the principal neuroregulator mediating the hypothalamic-pituitary-adrenocortical stress axis. CRF was later found to be widely distributed also outside the hypothalamus throughout the central nervous system, where it obviously functions as a neurotransmitter or neuromodulator eliciting a wide spectrum of autonomic, electrophysiological, and behavioral effects (for a review see Ref.2).

In addition to pituitary and central nervous system effects, some effects of CRF in vitro and in vivo have been found at various peripheral sites, where specific binding sites for CRF or messenger RNA (mRNA) for CRF receptors have been localized as well. Such sites include the immune system (3, 4, 5, 6), cardiovascular system (7, 8, 9, 10), retina (11), uterine sites including placenta (12, 13), and the gonads, ovary (14), and testis (15, 16, 17, 18), thereby implicating CRF not only as central mediator of stress responses, but also in a variety of stress-related or -unrelated peripheral functions.

In 1993, one type of receptor for CRF (CRF-R), now designated CRF-R1, was cloned from several species, including human (19, 20), rat (21, 22), and mouse (20), and shown to be a member of the seven-transmembrane helix receptor family. Recently, the cloning and characterization of two alternatively spliced forms of a novel subtype of CRF-R (CRF-R2) from rat brain were reported (23). They result in two putative receptor proteins of 411 and 431 amino acids, now designated as CRF-R2{alpha} and CRF-R2ß, respectively. CRF-R2{alpha} and CRF-R2ß have also been cloned from human (24) and mouse (7, 8, 9), respectively.

In rat central nervous system, CRF-R1 and CRF-R2 mRNA showed different anatomical distribution (25), as did CRF-R2{alpha} and CRF-R2ß (26). From the two CRF-R2 forms, R2{alpha} mRNA was found to be primarily expressed in central nervous system while R2ß mRNA was additionally observed at peripheral sites (26). On the other hand, CRF-R1, but neither form of CRF-R2, is thought to be present in the rat (23, 25, 26) or mouse pituitary (8). The heterogeneous distribution patterns of CRF-R1, -R2{alpha}, and -R2ß mRNA suggest distinct functional roles for each receptor type.

One of the peripheral sites for which a putative function for CRF has been suggested is the Leydig cell of the testis. By one group, the hCG-stimulated testosterone production by the rat Leydig cell was found to be inhibited by CRF through specific receptors for CRF (15, 17). On the other hand, in mouse Leydig cells CRF directly stimulated the steroid production but did not influence the maximum hCG-stimulated production (18).

From these results it might be suggested that different types of CRF-R or different coupling to the intracellular signaling occur in the Leydig cells from rat and mouse. Rat cells were found to express, at very low levels, mRNAs of the pituitary form and of two splice variants of the CRF-R1, the pituitary receptor sequence being the predominant (27). However, in agreement with others (18), we could not find any biological effect of different CRF agonists on the rat cells but found a stimulatory effect on testosterone production by mouse Leydig cells. The aim of this study was to examine, first, the responses of the mouse Leydig cells to CRF peptides and to characterize their pharmacological profiles. This was thought to lead to some conclusion about the type of receptor, because it has been shown that CRF agonists differ in their rank order of potency in binding to (28), or in stimulation of adenylate cyclase activity (7, 23, 24, 29) in, CRF-R1- and CRF-R2-transfected cells. With this information we then sought to determine the expression of the respective mRNAs in mouse Leydig cell preparations. As a result, we found Leydig cells of mice to respond to CRF peptides corresponding to the specificity of CRF-R1 and to express mRNA for this receptor type.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Substances and media
The agonists of the CRF receptor human (h)CRF, ovine (o)CRF, frog sauvagine, carp urotensin I, urocortin, [16-L-Lys]-oCRF, and the antagonist {alpha}-helical CRF9–41 were synthesized as previously described (30). Furthermore, a series of 21 analogs of oCRF, each of them with two neighboring amino acids (position 1,2; 3,4 ... 39,40; 40,41) systematically substituted by their D-isomers (DD-replacement set), were synthesized. Buserelin was a gift from Hoechst AG (Frankfurt am Main, Germany). hCG with purity >95% was obtained from Calbiochem (Bad Soden, Germany). Percoll was purchased from Pharmacia (Uppsala, Sweden), MEM was purchased from GIBCO BRL (Eggenstein, Germany). Collagenase type 1A and 3-isobutyl-1-methylxanthine (IBMX) were obtained from Sigma (Deisenhofen, Germany). Earle’s salt solution without CaCl2 was prepared from substances of analytical grade. BSA (fraction V) was from SERVA (Heidelberg, Germany). For the isolation and incubation of the Leydig cells, MEM containing 25 mM HEPES buffer (pH 7.4) and 0.5 g/liter BSA was used. Continuous density gradients of 0–90% Percoll were prepared with Earle’s salt solution containing 1 g/liter BSA and 25 mM HEPES buffer (pH 7.4).

Isolation and purification of Leydig cells
Leydig cells were prepared from NMRI-mice (25–30 g) (31), adult Wistar, Sprague-Dawley, and Fischer rats (~250 g), all of which were supplied by Charles River, Sulzfeld, Germany, and from immature Wistar rats (21 days). The animals were maintained on a 12-h light, 12-h dark cycle, with food and water available ad libitum. The testes of mice were decapsulated, mechanically dispersed in medium, and freed from tubuli and tissue fragments by filtration through gauze. The cells were collected by centrifugation at 800 x g for 15 min at 20 C, resuspended in medium, and layered onto the Percoll gradient. After centrifugation at 1,800 x g for 25 min at 20 C, four bands were obtained; from the third band, highly purified Leydig cells were recovered and washed twice by centrifugation. The cells were identified by their yellow halo under phase-contrast microscope and counted in the Neubauer chamber under microscope. Cells (100,000 or 165,000) in 2 ml incubation medium containing 15 mM NaHCO3 were plated in 12-well culture plates and allowed to attach to the surface at 37 C under 5% CO2/air for 3 h. The testes of rats were dispersed using 0.25 mg/ml collagenase in medium for about 20 min in a shaking water bath (100 rpm) at 37 C, after which the Leydig cells were purified as described for mice; however, with immature cells the density gradient centrifugation was omitted. Cells of adult rats (500,000–1,000,000 cells) and of immature rats (1,000,000 cells) were allowed to attach to the well plates for 2 and 1 h, respectively.

Incubations of Leydig cells with hCG and peptides and determination of testosterone and cAMP
The medium was removed from the attached cells and replaced with 1 ml of fresh incubation medium containing the phosphodiesterase inhibitor IBMX (2.5 mM) and hCG, CRF agonists, the CRF antagonist, the peptides of the DD-replacement set of oCRF, or buserelin at the indicated concentrations. When the CRF antagonist was tested, it was added to the cells 15 min before addition of the CRF agonists. The incubations were performed in a shaking water bath (35 rpm) at 37 C for the indicated times. One hundred microliters of the medium were frozen for the determination of testosterone by RIA (DPC Biermann GmbH, Bad Nauheim, Germany) and 200 µl were dried in a Speed Vac and stored frozen for the determination of extracellular cAMP by RIA (Immuno Biological Laboratories, Hamburg, Germany) after acetylation of samples and standards. Intracellular cAMP was determined after the extraction of the cells with 80% (vol/vol) ethanol and drying in a Speed Vac.

ACTH-releasing activity of the peptides of the oCRF DD-replacement set
Pituitary cells were obtained from the anterior pituitary of male Wistar rats and used for determining the ACTH-releasing activities of the CRF peptides as described earlier (10). The activities of the peptides were determined at the concentration of 0.3 nM, corresponding to the EC50 value of oCRF, and compared with their activities on mouse Leydig cells at 10 nM peptide on a normalized scale. Additionally, their ACTH-releasing activities were measured at 1 µM peptide to ensure that the effect of the peptides of the set further increased and reached the same maximum value as oCRF (data not shown).

cAMP-accumulating activities of CRF analogs on COS cells expressing rCRF-R1, rCRF-R2{alpha}, or rCRF-R2ß
COS-1 cells were transiently transfected by a modified calcium phosphate coprecipitation method (32). The cells were incubated at 37 C and 5% CO2/air for 22 h in 9-cm dishes containing 9 ml DMEM and 30 µg plasmid DNA [complementary DNAs (cDNAs) of rCRF-R1, rCRF-R2{alpha}, and rCRF-R2ß subcloned into pcDNAI, Invitrogen]. Afterward, the cells were trypsinized and seeded into 24-well plates at a density of 100,000 cells per well. Two days after transfection, the cells were washed for 10 min with PBS/0.2 mM IBMX and incubated with different concentrations of [11-D-Thr,12-D-Phe]-, [13-D-His,14-D-Leu]-, or [16-L-Lys]-oCRF in PBS/0.2 mM IBMX for 30 min at 37 C. The supernatant was aspirated and the cells were extracted with chilled ethanol (-20 C). The cell lysates were dried and the cAMP was quantified from duplicate wells using the cAMP binding protein kit (Amersham).

Data analysis
EC50 values for the activities of the peptides in stimulating and inhibiting the production of testosterone in Leydig cells were calculated from the concentration-response curves by a four-parameter logistic curve-fitting program. Differences between EC50 values of the native CRF agonists were assessed by the unpaired Student’s t test.

Nested PCR cloning and sequence analysis of a mouse (m)CRF-R1-cDNA segment
Poly(A)+-RNA was isolated from the mouse crude Leydig cell preparation (without purification by gradient centrifugation) by using the Fast track 2.0-Kit (Invitrogen, NV Leek, The Netherlands). First-strand complementary DNA (cDNA) was synthesized using random hexamer primers and Moloney murine leukemia virus-RT (Life Technologies, Eggenstein, Germany). Synthetic oligonucleotides were designed based on segments of the mouse CRF-R1-cDNA (20). First round of PCR amplification (40 cycles at 94 C, 50 C, and 72 C; each for 50 sec) was performed by using primer [5'-TGGACCTCATTGGCACC-3'] (N-terminal domain, bases 174–190) and primer [5'-TGTGTGCAGGTAGCAGC-3'] (intracellular loop 2/transmembrane domain 3, bases 676–660). After a second round of PCR amplification (40 cycles at 94 C, 56 C, and 72 C; each for 50 sec) with primer [5'-CTACGGTGTCCGCTACAAC-3'] (N-terminal domain, bases 247–265) and primer [5'-GCTCACGGTGAGCTGGAC-3'] (extracellular loop 1/transmembrane domain 2, bases 562–545), one single band was obtained. The PCR fragment was subcloned into pBluescript SK(-) (Stratagene, Heidelberg, Germany) and sequenced by the dideoxynucleotide chain-termination method (33).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Effect of CRF peptides on testosterone production in mouse Leydig cells
hCRF time- (data not shown) and dose-dependently (Fig. 1Go) stimulated the testosterone production of the mouse Leydig cells with EC50 of 2.84 nM. Within 30 and 60 min, the testosterone production was maximally stimulated by about 13- and 22-fold, respectively, over its basal activity. The CRF antagonist {alpha}-helical CRF9–41 did not influence the basal testosterone production (Fig. 1Go) but dose-dependently inhibited the testosterone production stimulated by hCRF with an IC50 of 65.0 nM (Fig. 2Go). The superactive GnRH agonist buserelin showed no effect on the basal testosterone production (Fig. 1Go).



View larger version (16K):
[in this window]
[in a new window]
 
Figure 1. Effect of hCRF (•), {alpha}-helical CRF9–41 ({blacksquare}), and buserelin ({circ}) on the testosterone production (mean ± SD) in mouse Leydig cells.

 


View larger version (15K):
[in this window]
[in a new window]
 
Figure 2. Inhibition by {alpha}-helical CRF9–41 of testosterone production (mean ± SD) in mouse Leydig cells stimulated by 0.77 nM hCRF.

 
Concentration-response curves of testosterone production evoked by hCG alone or by hCG in the presence of a maximal dosage of CRF showed that CRF did not stimulate additional formation of testosterone in mouse Leydig cells concurrently stimulated with a maximal concentration of hCG (Fig. 3Go). The maximum stimulation of testosterone production by CRF within 30–60 min incubation was about 35% of that elicited by hCG. The antagonist {alpha}-helical CRF9–41 had no influence on hCG-induced testosterone (data not shown).



View larger version (17K):
[in this window]
[in a new window]
 
Figure 3. Effect of hCRF on the hCG-induced testosterone production (mean ± SD) in mouse Leydig cells incubated with increasing concentrations of hCG in the absence ({circ}) and presence (•) of 1 µM hCRF.

 
The pharmacological profile of the stimulating effect of natural CRF agonists on the testosterone production is shown in Table 1Go, where their EC50 values are given, together with those for their ACTH-releasing activities on rat pituitary cells as obtained earlier (10). Urocortin was the most active agonist, whereas hCRF, oCRF, sauvagine, and urotensin had lower but nearly the same activity on both cell types, but the EC50 values of their activities on mouse Leydig cells were, on average, 16.5-fold higher than on rat pituitary cells (Table 1Go). Although the scrotal temperature is some degrees below 37 C, the incubations of Leydig cells were generally performed at 37 C to be compared with data on pituitary cells. When, in one experiment, the testosterone production stimulated by oCRF was compared at 37 C and 25 C, no significant difference in the EC50 values was found.


View this table:
[in this window]
[in a new window]
 
Table 1. EC50 values of CRF agonists for their stimulation of testosterone production in mouse Leydig cells

 
Figure 4Go demonstrates that intracellular cAMP was increased by hCRF at concentrations that also stimulated testosterone production. However, the EC50 for the CRF-stimulated increase of intracellular cAMP (~50 nM) was about 20 times higher than that for the CRF-stimulated testosterone production.



View larger version (19K):
[in this window]
[in a new window]
 
Figure 4. Comparison of the concentration-response curves of intracellular cAMP ({circ}) and testosterone production (•) in mouse Leydig cells stimulated by hCRF for 60 min (mean ± SD).

 
Effect of the oCRF DD-replacement set on testosterone production in mouse Leydig cells and ACTH release from rat anterior pituitary cells
In Table 2Go and Fig. 5Go the neighboring positions of the two amino acid residues in the sequence of oCRF that were replaced with their D-isomers are indicated for all 21 analogs synthesized. Their potencies in stimulating the testosterone production in mouse Leydig cells differed widely. Full concentration-response curves in the concentration range up to 1 µM were only obtained for one third of the peptides for which the EC50 values are given in Table 2Go. With all other peptides, at least some response was obtained at concentrations up to 1 µM. When the activities of the DD-analogs in stimulating the testosterone production of mouse Leydig cells were compared with their activities in the ACTH release from rat pituitary cells, a good correspondence between the two activities was obtained (Fig. 5Go). Figure 6DGo compares the testosterone production by mouse Leydig cells evoked by two selected peptides from the replacement set ([11-D-Thr,12-D-Phe]- and [13-D-His,14-D-Leu]-oCRF) with that evoked by [16-L-Lys]-oCRF. The ratio between the potencies of the three peptides corresponded well with that obtained for their effect on the cAMP production in cells transfected with rCRF-R1 (see below).


View this table:
[in this window]
[in a new window]
 
Table 2. Mouse Leydig cell testosterone-stimulating activities (EC50) of analogs of oCRF obtained by replacing two neighboring amino acids each with their D-isomers at the indicated positions of oCRF

 


View larger version (34K):
[in this window]
[in a new window]
 
Figure 5. Comparison of the effects of the peptides of the oCRF DD-replacement set on ACTH release from rat pituitary cells and on testosterone production in mouse Leydig cells at 0.3 nM and 10 nM peptide concentrations, respectively. The effects are related to those of oCRF at 0.3 nM (ACTH) and 10 nM (testosterone). The positions of the amino acid residues replaced by their D-isomers are indicated.

 


View larger version (24K):
[in this window]
[in a new window]
 
Figure 6. Concentration-response curves for the cAMP-accumulating activities of [11-D-Thr,12-D-Phe]- ({square}), [13-D-His,14-D-Leu]- ({circ}), and [16-L-Lys]-oCRF (•) on COS-1 cells transfected with rCRF-R1 (A), rCRF-R2{alpha} (B), or rCRF-R2ß (C) (incubation for 30 min at 37 C), compared with the testosterone production by mouse Leydig cells evoked by these peptides (D).

 
Effect of CRF peptides on testosterone production and cAMP in Leydig cells of rats
When adult rat Leydig cells were incubated for 0–180 min in the absence or presence of hCG and 1 µM hCRF, oCRF, sauvagine, urotensin, or {alpha}-helical CRF9–41, no influence of the CRF peptides on the basal and hCG-stimulated testosterone production was observed at any time. This was true for cells from Wistar, Fischer, and Sprague-Dawley rats as well as for cells from 21-day-old rats. Furthermore, the peptides did not change the extracellular cAMP. To determine whether only a subpopulation of rat Leydig cells was able to respond to CRF, cells from adult rats were separated into a low- (<1.07 g/ml) and high-density (>1.07 g/ml) fraction. The cells in the two fractions strongly differed in their testosterone production, which was stimulated by hCG in the low-density cells only by about 20% of that observed with the high-density cells. However, CRF peptides did not influence the testosterone production stimulated by hCG in either cells. Also in contrast to mouse Leydig cells, the GnRH agonist buserelin was found to acutely stimulate the basal testosterone production of rat cells with an EC50 value of 0.29 nM.

cAMP-accumulating activities of CRF analogs on COS cells expressing rCRF-R1, rCRF-R2{alpha}, or rCRF-R2ß
From the DD-replacement set, [11-D-Thr,12-D-Phe]- and [13-D-His,14-D-Leu]-oCRF had comparable and, compared with their neighbors in the set, relatively high activities on the pituitary as well as the Leydig cells (Fig. 5Go). The ratio between their potencies in accumulating cAMP in COS cells expressing the rCRF-R1 (EC50 0.94 and 0.45 nM, respectively; Fig. 6AGo) was found to be very close to that observed in their action on pituitary (Fig. 5Go) and Leydig cells (Fig. 6DGo).

However, in COS cells transfected with rCRF-R2{alpha} or rCRF-R2ß, the analog [11-D-Thr,12-D-Phe]-oCRF stimulated cAMP concentration with much lower potency (EC50 5.73 and 3.12 nM, respectively) than [13-D-His,14-D-Leu]-oCRF (EC50 0.73 and 0.57 nM, respectively; Fig. 6Go, B and C). This shift in potency for only [11-D-Thr,12-D-Phe]-oCRF of the two analogs is further underlined by the fact that its potency on both CRF-R2 variants became comparable with that of [16-L-Lys]-oCRF, in contrast to [13-D-His,14-D-Leu]-oCRF and to the results on CRF-R1 (Fig. 6AGo). [16-L-Lys]-oCRF was earlier shown to possess very low activity in the ACTH release from rat pituitaries (30) and in the present study was found to be nearly equally active on CRF-R1, CRF-R2{alpha}, and CRF-R2ß expressed in COS cells (EC50 4.51, 5.11, and 2.71 nM, respectively). Furthermore, nearly the same ratios in the potencies of [11-D-Thr,12-D-Phe]-, [13-D-His,14-D-Leu]-, and [16-L-Lys]-oCRF in stimulating the testosterone production by mouse Leydig cells (EC50 ratio 1:0.48:4.8, Fig. 6DGo) were obtained when compared with their cAMP-accumulating activities on COS cells that expressed CRF-R1 (EC50 ratio 1:0.43:6.3, Fig. 6AGo) but not CRF-R2{alpha} or CRF-R2ß (Fig. 6Go, B and C).

Isolation of CRF-R1-cDNA fragment from mouse crude Leydig cell preparation
The second round of PCR amplification of CRF-R1-cDNA obtained from poly(A)+-RNA of crude mouse Leydig cells resulted in a single band according to the expected size of 316 bp. After subcloning, the sequence of the PCR product was found to correspond to the bases 247–562 of the mouse CRF-R1-cDNA (20).


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Different results have been reported about the in vitro responsiveness of Leydig cells of rats and mice to CRF. The hCG-stimulated testosterone production of the rat cells was reported to be inhibited by a CRF receptor-specific mechanism, whereas the basal production of testosterone and the basal cellular cAMP of rat cells were not changed by CRF (15). On the other hand, in another study mouse Leydig cells responded directly to CRF by increasing the basal testosterone production and the cAMP concentration but without influencing the hCG-stimulated testosterone (18). In the same study, no influence of CRF on Leydig cells from rats was found. From these results, especially the different influence of CRF on cAMP in the two cells, it might be suggested that different types of the CRF receptor or different signaling events occur in Leydig cells of different species. Since mRNAs of the pituitary form and of two splice variants of CRF-R1 were detected in rat Leydig cells (27), the existence of this type of receptor in rat cells appears likely. However, we could not detect any effect of CRF agonists on Leydig cells obtained from rats. The present study was undertaken to determine the type of CRF receptor in mouse Leydig cells by functional and molecular criteria.

In agreement with an earlier report (18), our results showed that hCRF, which is identical in its amino acid sequence to rat and mouse CRF (34), directly stimulated the testosterone production in Leydig cells from mice in a time- and dose-dependent manner (Fig. 1Go). The effect was saturable (Fig. 1Go), characterized by a low EC50 of 2.84 nM hCRF (Table 1Go), antagonized by the specific CRF antagonist {alpha}-helical CRF9–41 (Fig. 2Go), and obviously mediated by cAMP (Fig. 4Go). These findings strongly argue for a CRF receptor-mediated process.

It has been shown that the overall production of steroids in Leydig cells and other steroidogenic cells is controlled by events that facilitate the transport of cholesterol from lipid droplets and other cellular stores to the inner mitochondrial membrane, where the synthesis of the cell-specific steroid is initiated (for a review see Ref.35). Several proteins have been implicated in this cholesterol transfer (35), regulated by LH/hCG or other trophic hormone receptors. Since CRF did not increase the testosterone production in the mouse Leydig cell additively to hCG (Fig. 3Go), the CRF and hCG signaling pathways probably converge, at the latest, at the step of the cholesterol transfer, but CRF is able to exploit only about one third of the hCG-stimulated capacity (Fig. 3Go).

When the specificity of the effect of CRF was studied by testing natural CRF agonists (Table 1Go), rat urocortin, together with human urocortin, the latest member of the CRF family (28), was found to possess the highest potency. This agreed with the fact that urocortin, of all CRF agonists, also exhibited the highest activity in the cAMP accumulation by, and highest affinity to, all known types of CRF receptors, i.e. CRF-R1 (28, 36), CRF-R2{alpha} (36), and CRF-R2ß (28, 36), transfected into various cell lines. Furthermore, rat urocortin was most active in the release of ACTH from rat pituitary cells (Refs. 28 and 36 and Table 1Go), which contain almost exclusively CRF-R1 (23).

The other agonists, hCRF, oCRF, sauvagine, and urotensin, differed only slightly in their potencies in stimulating testosterone production in mouse Leydig cells, as seen from their EC50 values (Table 1Go). This is in line with the specificity of CRF-R1 toward these peptides, as shown with rat pituitaries (Table 1Go and Refs. 10, 28, 36, and 37) and cells expressing CRF-R1 (7, 21, 23, 24, 28, 29). However, cells expressing one of the splice variants of CRF-R2, CRF-R2{alpha} (23, 24, 29) or CRF-R2ß (7), accumulated cAMP in response to sauvagine with a potency, i.e. 1/EC50, 9- to 40-fold higher as compared with hCRF or oCRF. Similarly, the affinity of sauvagine to both receptors was more than 9-fold (8, 28, 29, 36) higher than that of hCRF and oCRF. Therefore, the specificity of the testosterone-stimulating effect of the natural CRF agonists on mouse Leydig cells (Table 1Go) was the same as obtained for CRF-R1 and different from that for both variants of CRF-R2.

Two further pharmacological indications for the mouse Leydig cell receptor to be of type 1 were obtained. First, the widely differing activities on the Leydig cell testosterone production of the 21 analogs of oCRF (Table 2Go), obtained by systematically replacing two neighboring amino acids with their D-isomers (DD-replacement set), corresponded well with their activities on rat pituitary cells (Fig. 5Go). Second, two peptides from the DD-replacement set, [11-D-Thr,12-D-Phe]- and [13-D-His,14-D-Leu]-oCRF, differed considerably in their cAMP-accumulating activities on CRF-R2{alpha} and CRF-R2ß, expressed in COS cells, but only slightly on CRF-R1 (Fig. 6Go, A–C) as they did in their activities on the Leydig (Fig. 6DGo) and pituitary cell (Fig. 5Go). This is further underlined by the nearly constant ratios between the potencies of both peptides and the potency of [16-L-Lys]-oCRF in their activities on Leydig cell (Fig. 6DGo) and on COS cells expressing CRF-R1 (Fig. 6AGo), in contrast to cells expressing CRF-R2{alpha} (Fig. 6BGo) or CRF-R2ß (Fig. 6CGo).

The identity of the Leydig cell receptor was further confirmed by RT-PCR analysis of the mRNA obtained from a crude Leydig cell preparation. Using primer pairs targeted to the mouse CRF-R1 sequence (20), the nucleotide sequence of the PCR fragment of 316 bp obtained was found to be identical to the corresponding segment of the mouse CRF-R1 cDNA. Further studies are under way to verify the possible existence of splice variants of this type as has been demonstrated for rat Leydig cells where two minor variants of CRF-R1 cDNA were derived from the cell mRNA (27).

Taken together, from the pharmacological and molecular data it is concluded that mouse Leydig cells possess CRF receptors of type 1. Remarkably, the CRF antagonist {alpha}-helical CRF9–41 showed no partial agonist activity (Figs. 1Go and 2Go), in contrast to its action on pituitary cells (10, 38). Furthermore, the potencies of the CRF agonists in their effects on the CRF-R1 in mouse Leydig cells were 10- to 20-fold lower as compared with their effects on the same receptor type in pituitary cells of rat (Table 1Go) and, as reported for CRF (39), of mouse. This was observed with the natural agonists (Table 1Go) as well as with the peptides of the DD-replacement set, as shown by their approximately equal activities on the pituitary and Leydig cells at 0.3 and 10 nM peptide concentrations, respectively (Fig. 5Go).

Different mechanisms could be operative to explain this difference. The most straightforward possibility is that the affinity of the CRF receptor for the ligands in mouse Leydig and rat pituitary cells might differ. Because the rat and mouse cDNAs encode CRF-R1 proteins that are 98% identical over their full length of 415 amino acids (40), it does not seem very likely that different receptor affinities account for the different potencies. In fact, a survey of the numerous reported studies on CRF binding to the CRF receptors in various tissues and cells of rat and mouse, as well as human, revealed almost identical, species-independent affinities of CRF to its receptors in all tissues with Kd values of about 1–4 nM for hCRF and oCRF (4, 10, 41).

Another possibility would be that more than 90% of the peptides were metabolized during incubations with Leydig cells, which appears to be unlikely to have constantly occurred with all the peptides tested including the CRF analogs of the DD-replacement set. Furthermore, increasing cell numbers and incubation times did not influence their EC50 values, but increased proportionally the testosterone production. After incubation of hCRF with Leydig cells at cell numbers exceeding by far those normally used, no loss of biological active peptide was observed as assessed by RRA (10) (data not shown). These observations excluded any significant influence of peptide metabolism on the results.

Therefore, it is suggested that the coupling of the CRF-R1 to intracellular signaling in Leydig cells is different from that in corticotropic pituitary cells at least in quantitative terms. The EC50 values of hCRF and oCRF found here for the stimulation of testosterone production in mouse Leydig cells (Table 1Go) corresponded closely to the Kd values found in all binding studies on CRF receptors in different tissues (see above). Furthermore, their EC50 values and those of sauvagine and urotensin were almost identical to their Kd values in the binding to CRF-R1 in rat brain membranes (10). In conclusion, it is suggested that the stimulation of the testosterone production in mouse Leydig cells by CRF is to a great extent determined stoichiometrically by the fractional occupancy of the receptor. Due to the more than 10-fold higher potency of CRF in activating the same CRF receptor type 1 in pituitary cells from rat and mouse, the coupling of the pituitary receptor to the signaling events in these cells may be more efficient when compared with the mouse Leydig cell. Therefore, the pituitary cell, but not the Leydig cell, might be described as exhibiting spare receptors.

There apparently is also a great disparity in the coupling of the CRF-R1 to cAMP between the mouse Leydig cell and COS cells expressing CRF-R1. The EC50 found here for CRF in the cAMP stimulation in Leydig cells is much higher than the Kd reported for binding of CRF to CRF-R1 (EC50/Kd about 20). Similarly, rat pituitary cells show relations EC50/Kd much higher than 1 (4, 41). The opposite is the case with COS-7 cells (EC50/Kd 0.04; 20, 42). This was confirmed in our studies, seeing the great difference between the EC50 values (around 1 nM) of [11-D-Thr,12-D-Phe]- and [13-D-His,14-D-Leu]-oCRF in stimulating cAMP content through CRF-R1 in COS cells (Fig. 6AGo) and their EC50 for the stimulation of testosterone production in Leydig cells (~20 nM, Table 2Go). On the basis of these facts it is concluded that among pituitary, Leydig, and COS cells the coupling of CRF-R1 to the signaling cascade is at least in quantitative terms quite different.

It remains unclear why we and others (18), in contrast to another report (15, 16), did not find any response of rat Leydig cells to CRF, although various rat strains, adult and 21-day-old rats (this study), and subpopulations of the cells (Ref. 18 and present study) were included in the studies. It may be argued that even slight differences in the isolation procedure for the rat cells could be responsible for different grades of damage to the CRF receptor, while the hCG receptor remains almost intact. Therefore, we looked for possible impairment of another receptor for a short peptide, the GnRH receptor, which was shown to be present and activated in Leydig cells of rats but not of mice (43, 44). In agreement with the literature, we did not find buserelin, a superactive GnRH agonist, to influence the testosterone production of mouse Leydig cells. However, the high potency response of our preparation of rat Leydig cells to buserelin (EC50 0.29 nM) confirmed that these cells were of high functional integrity.

In summary, our pharmacological and molecular data provide evidence that mouse Leydig cells express CRF receptors of type 1, the same type occurring in the pituitary. When activated by CRF agonists, the basal testosterone production is stimulated, similar to the pituitary cAMP-mediated, but at seemingly lower cellular coupling efficiency.


    Acknowledgments
 
We thank Dr. A. K. Mukhopadhyay (Hamburg) and Professor F. F. G. Rommerts (Rotterdam) for helpful discussions and support in establishing the Leydig cell cultures; Andrea Geelhaar for excellent technical assistance; and Dr. J. Sandow (Hoechst AG) for supplying buserelin.


    Footnotes
 
1 This work was supported by Grant 01ZZ9508 of the Bundesministerium für Bildung, Wissenschaft, Forschung und Technologie (BMBF). Back

Received July 17, 1997.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Vale W, Spiess J, Rivier C, Rivier J 1981 Characterization of a 41-residue ovine hypothalamic peptide that stimulates secretion of corticotropin and ß-endorphin. Science 213:1394–1397[Free Full Text]
  2. Owens MJ, Nemeroff C 1991 Physiology and pharmacology of corticotropin-releasing factor. Pharmacol Rev 43:425–473[Medline]
  3. Angioni S, Petraglia F, Gallinelli A, Cossarizza A, Franceschi C, Muscettola M, Genazzani AD, Surico N, Genazzani AR 1993 Corticotropin-releasing hormone modulates cytokines release in cultured human peripheral blood mononuclear cells. Life Sci 53:1735–1742[CrossRef][Medline]
  4. Grigoriadis DE, Heroux JA, Desouza EB 1993 Characterization and regulation of corticotropin-releasing factor receptors in the central nervous, endocrine and immune systems. In: Chadwick DJ, Marsh J, Ackrill K (eds) Corticotropin-Releasing Factor. Ciba Foundation Symposium, John Wiley & Sons, West Sussex, U.K., vol 172:85–107
  5. Mousa SA, Mitchell WM, Hassan AHS, Carter L, Stein C 1994 Corticotropin releasing factor receptors in inflamed tissue: autoradiographic identification. Regul Pept 54:203–204[CrossRef]
  6. Schafer M, Carter L, Stein C 1994 Interleukin 1 beta and corticotropin-releasing factor inhibit pain by releasing opioids from immune cells in inflamed tissue. Proc Natl Acad Sci USA 91:4219–4223[Abstract/Free Full Text]
  7. Kishimoto T, Pearse RV, Lin CJR, Rosenfeld MG 1995 A sauvagine corticotropin-releasing factor receptor expressed in heart and skeletal muscle. Proc Natl Acad Sci USA 92:1108–1112[Abstract/Free Full Text]
  8. Stenzel P, Kesterson R, Yeung W, Cone RD, Rittenberg MB, Stenzelpoore MP 1995 Identification of a novel murine receptor for corticotropin- releasing hormone expressed in the heart. Mol Endocrinol 9:637–645[Abstract]
  9. Perrin M, Donaldson C, Chen RP, Blount A, Berggren T, Bilezikjian L, Sawchenko P, Vale W 1995 Identification of a second corticotropin-releasing factor receptor gene and characterization of a cDNA expressed in heart. Proc Natl Acad Sci USA 92:2969–2973[Abstract/Free Full Text]
  10. Rohde E, Furkert J, Fechner K, Beyermann M, Mulvany JM, Richter RM, Denef C, Bienert M, Berger H 1996 Corticotropin-releasing hormone (CRH) receptors in the mesenteric small arteries of rats resemble the (2)-subtype. Biochem Pharmacol 52:829–833[CrossRef][Medline]
  11. Olianas MC, Onali P 1995 G protein-coupled corticotropin-releasing hormone receptors in rat retina. Regul Pept 56:61–70[CrossRef][Medline]
  12. Grammatopoulos D, Milton NGN, Hillhouse EW 1994 The human myometrial CRH receptor-G proteins and second messengers. Mol Cell Endocrinol 99:245–250[CrossRef][Medline]
  13. Clifton VL, Owens PC, Robinson PJ, Smith R 1995 Identification and characterization of a corticotrophin-releasing hormone receptor in human placenta. Eur J Endocrinol 133:591–597[Abstract/Free Full Text]
  14. Mastorakos G, Webster EL, Friedman TC, Chrousos GP 1993 Immunoreactive corticotropin-releasing hormone and its binding sites in the rat ovary. J Clin Invest 92:961–968
  15. Ulisse S, Fabbri A, Dufau ML 1989 Corticotropin-releasing factor receptors and actions in rat Leydig cells. J Biol Chem 264:2156–2163[Abstract/Free Full Text]
  16. Ulisse S, Fabbri A, Tinajero JC, Dufau ML 1990 A novel mechanism of action of corticotropin releasing factor in rat Leydig cells. J Biol Chem 265:1964–1971[Abstract/Free Full Text]
  17. Fabbri A, Tinajero JC, Dufau ML 1990 Corticotropin-releasing factor is produced by rat Leydig cells and has a major local antireproductive role in the testis. Endocrinology 127:1541–1543[Abstract]
  18. Huang BM, Stocco DM, Hutson JC, Norman RL 1995 Corticotropin-releasing hormone stimulates steroidogenesis in mouse Leydig cells. Biol Reprod 53:620–626[Abstract]
  19. Chen RP, Lewis KA, Perrin MH, Vale WW 1993 Expression cloning of a human corticotropin-releasing-factor receptor. Proc Natl Acad Sci USA 90:8967–8971[Abstract/Free Full Text]
  20. Vita N, Laurent P, Lefort S, Chalon P, Lelias JM, Kaghad M, Le Fur G, Caput D, Ferrara P 1993 Primary structure and functional expression of mouse pituitary and human brain corticotrophin releasing factor receptors. FEBS Lett 335:1–5[CrossRef][Medline]
  21. Chang PC, Pearse RV, Oconnell S, Rosenfeld MG 1993 Identification of a seven transmembrane helix receptor for corticotropin-releasing factor and sauvagine in mammalian brain. Neuron 11:1187–1195[CrossRef][Medline]
  22. Perrin MH, Donaldson CJ, Chen R, Lewis KA, Vale WW 1993 Cloning and functional expression of a rat brain corticotropin releasing factor (CRF) receptor. Endocrinology 133:3058–3061[Abstract]
  23. Lovenberg TW, Liaw CW, Grigoriadis DE, Clevenger W, Chalmers DT, Desouza EB, Oltersdorf T 1995 Cloning and characterization of a functionally distinct corticotropin-releasing factor receptor subtype from rat brain. Proc Natl Acad Sci USA 92:836–840[Abstract/Free Full Text]
  24. Liaw CW, Lovenberg TW, Barry G, Oltersdorf T, Grigoriadis DE, Desouza EB 1996 Cloning and characterization of the human corticotropin-releasing factor-2 receptor complementary deoxyribonucleic acid. Endocrinology 137:72–77[Abstract]
  25. Chalmers DT, Lovenberg TW, Desouza EB 1995 Localization of novel corticotropin-releasing factor receptor (CRF(2)) mRNA expression to specific subcortical nuclei in rat brain: comparison with CRF(1) receptor mRNA expression. J Neurosci 15:6340–6350[Abstract/Free Full Text]
  26. Lovenberg TW, Chalmers DT, Liu CG, Desouza EB 1995 CRF(2 alpha) and CRF(2 beta) receptor mRNAs are differentially distributed between the rat central nervous system and peripheral tissues. Endocrinology 136:4139–4142[Abstract]
  27. Tsai-Morris CH, Buczko E, Geng Y, Gamboapinto A, Dufau ML 1996 The genomic structure of the rat corticotropin releasing factor receptor — a member of the class II G protein-coupled receptors. J Biol Chem 271:14519–14525[Abstract/Free Full Text]
  28. Vaughan J, Donaldson C, Bittencourt J, Perrin MH, Lewis K, Sutton S, Chan R, Turnbull AV, Lovejoy D, Rivier C, Rivier J, Sawchenko PE, Vale W 1995 Urocortin, a mammalian neuropeptide related to fish urotensin I and to corticotropin-releasing factor. Nature 378:287–292[CrossRef][Medline]
  29. Grigoriadis DE, Liu XJ, Vaughn J, Palmer SF, True CD, Vale WW, Ling N, Desouza EB 1996 I-125-Tyr(0)-sauvagine: a novel high affinity radioligand for the pharmacological and biochemical study of human corticotropin-releasing factor(2 alpha) receptors. Mol Pharmacol 50:679–686[Abstract]
  30. Beyermann M, Fechner K, Furkert J, Krause E, Bienert M 1996 A single-point slight alteration set as a tool for structure-activity relationship studies of ovine corticotropin releasing factor. J Med Chem 39:3324–3330[CrossRef][Medline]
  31. Schumacher M, Schafer G, Holstein AF, Hilz H 1978 Rapid isolation of mouse Leydig cells by centrifugation in Percoll density gradients with complete retention of morphological and biochemical integrity. FEBS Lett 91:333–338[CrossRef][Medline]
  32. Chen C, Okayama H 1987 High-efficiency transformation of mammalian cells by plasmid DNA. Mol Cell Biol 7:2745–2752[Abstract/Free Full Text]
  33. Sanger F, Nicklen S, Coulson AR 1977 DNA sequencing with chain-terminating inhibitors. Proc Natl Acad Sci USA 74:5463–5467[Abstract/Free Full Text]
  34. Seasholtz AF, Bourbonais FJ, Harnden CE, Camper SA 1991 Nucleotide sequence and expression of the mouse corticotropin-releasing hormone gene. Mol Cell Neurosci 2:266–273[CrossRef]
  35. Stocco DM, Clark BJ 1996 Regulation of the acute production of steroids in steroidogenic cells. Endocr Rev 17:221–244[CrossRef][Medline]
  36. Donaldson CJ, Sutton SW, Perrin MH, Corrigan AZ, Lewis KA, Rivier JE, Vaughan JM, Vale WW 1996 Cloning and characterization of human urocortin. Endocrinology 137:2167–2170[Abstract]
  37. Sutton SW, Behan DP, Lahrichi SL, Kaiser R, Corrigan A, Lowry P, Potter E, Perrin MH, Rivier J, Vale WW 1995 Ligand requirements of the human corticotropin-releasing factor-binding protein. Endocrinology 136:1097–1102[Abstract]
  38. Hernandez JF, Kornreich W, Rivier C, Miranda A, Yamamoto G, Andrews J, Tache Y, Vale W, Rivier J 1993 Synthesis and relative potencies of new constrained CRF antagonists. J Med Chem 36:2860–2867[CrossRef][Medline]
  39. Castro MG, Gusovsky F, Loh YP 1989 Transmembrane signals mediating adrenocorticotropin release from mouse anterior pituitary cells. Mol Cell Endocrinol 65:165–173[CrossRef][Medline]
  40. Chalmers DT, Lovenberg TW, Grigoriadis DE, Behan DP, Desouza EB 1996 Corticotrophin-releasing factor receptors: from molecular biology to drug design. Trends Pharmacol Sci 17:166–172[CrossRef][Medline]
  41. Wynn PC, Harwood JP, Catt KJ, Aguilera G 1985 Regulation of corticotropin-releasing factor (CRF) receptors in the rat pituitary gland: effects of adrenalectomy on CRF receptors and corticotroph responses. Endocrinology 116:1653–1659[Abstract]
  42. Xiong YT, Xie LY, Abousamra AB 1995 Signaling properties of mouse and human corticotropin- releasing factor (CRF) receptors: decreased coupling efficiency of human type II CRF receptor. Endocrinology 136:1828–1834[Abstract]
  43. Hunter MG, Sullivan MH, Dix CJ, Aldred LF, Cooke BA 1982 Stimulation and inhibition by LHRH analogues of cultured rat Leydig cell function and lack of effect on mouse Leydig cells. Mol Cell Endocrinol 27:31–34[CrossRef][Medline]
  44. Wang N-G, Sundram K, Pavlou S, Rivier J, Vale W, Bardin CW 1983 Mice are insensitive to the antitesticular effects of luteinizing hormone-releasing hormone agonists. Endocrinology 112:331–335[Abstract]



This article has been cited by other articles:


Home page
EndocrinologyHome page
C. L. Rivier
Urocortin 1 Inhibits Rat Leydig Cell Function
Endocrinology, December 1, 2008; 149(12): 6425 - 6432.
[Abstract] [Full Text] [PDF]


Home page
Endocr. Rev.Home page
E. W. Hillhouse and D. K. Grammatopoulos
The Molecular Mechanisms Underlying the Regulation of the Biological Activity of Corticotropin-Releasing Hormone Receptors: Implications for Physiology and Pathophysiology
Endocr. Rev., May 1, 2006; 27(3): 260 - 286.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
M. B. Frungieri, A. Mayerhofer, K. Zitta, O. P. Pignataro, R. S. Calandra, and S. I. Gonzalez-Calvar
Direct Effect of Melatonin on Syrian Hamster Testes: Melatonin Subtype 1a Receptors, Inhibition of Androgen Production, and Interaction with the Local Corticotropin-Releasing Hormone System
Endocrinology, March 1, 2005; 146(3): 1541 - 1552.
[Abstract] [Full Text] [PDF]


Home page
J. Clin. Endocrinol. Metab.Home page
E. Karteris, J. Chen, and H. S. Randeva
Expression of Human Prepro-Orexin and Signaling Characteristics of Orexin Receptors in the Male Reproductive System
J. Clin. Endocrinol. Metab., April 1, 2004; 89(4): 1957 - 1962.
[Abstract] [Full Text] [PDF]


Home page
Proc. Natl. Acad. Sci. USAHome page
C. C. Zouboulis, H. Seltmann, N. Hiroi, W. Chen, M. Young, M. Oeff, W. A. Scherbaum, C. E. Orfanos, S. M. McCann, and S. R. Bornstein
Corticotropin-releasing hormone: An autocrine hormone that promotes lipogenesis in human sebocytes
PNAS, May 14, 2002; 99(10): 7148 - 7153.
[Abstract] [Full Text] [PDF]


Home page
FASEB J.Home page
A. SLOMINSKI, J. WORTSMAN, A. PISARCHIK, B. ZBYTEK, E. A. LINTON, J. E. MAZURKIEWICZ, and E. T. WEI
Cutaneous expression of corticotropin-releasing hormone (CRH), urocortin, and CRH receptors
FASEB J, August 1, 2001; 15(10): 1678 - 1693.
[Abstract] [Full Text] [PDF]


Home page
Physiol. Rev.Home page
A. Slominski, J. Wortsman, T. Luger, R. Paus, and S. Solomon
Corticotropin Releasing Hormone and Proopiomelanocortin Involvement in the Cutaneous Response to Stress
Physiol Rev, July 1, 2000; 80(3): 979 - 1020.
[Abstract] [Full Text] [PDF]


Home page
J. Biol. Chem.Home page
M. Beyermann, S. Rothemund, N. Heinrich, K. Fechner, J. Furkert, M. Dathe, R. Winter, E. Krause, and M. Bienert
A Role for a Helical Connector between Two Receptor Binding Sites of a Long-chain Peptide Hormone
J. Biol. Chem., February 25, 2000; 275(8): 5702 - 5709.
[Abstract] [Full Text] [PDF]


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Purchase Article
Right arrow View Shopping Cart
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Copyright Permission
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Heinrich, N.
Right arrow Articles by Berger, H.
Right arrow Search for Related Content
PubMed
Right arrow