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Event: 2272
Key Event Title
Testosterone levels, increased
Short name
Biological Context
Level of Biological Organization |
---|
Tissue |
Organ term
Key Event Components
Process | Object | Action |
---|---|---|
testosterone biosynthetic process | testosterone | increased |
Key Event Overview
AOPs Including This Key Event
Taxonomic Applicability
Term | Scientific Term | Evidence | Link |
---|---|---|---|
mammals | mammals | High | NCBI |
Life Stages
Life stage | Evidence |
---|---|
During development and at adulthood | High |
Sex Applicability
Term | Evidence |
---|---|
Mixed | High |
Key Event Description
Testosterone is an endogenous androgen steroid hormone. Androgens, such as testosterone, induce their effects through binding to the androgen receptor in androgen-responsive tissues (Dalton & Gao, 2010; Luetjens & Weinbauer, 2012; Murashima et al., 2015; Naamneh Elzenaty et al., 2022).
The majority of testosterone in males is produced by the testes, while testosterone precursors are produced in theca cells in the ovaries of females and in the adrenal cortex of both sexes and converted into testosterone in peripheral tissues (Luetjens & Weinbauer, 2012; Naamneh Elzenaty et al., 2022).
Testosterone is synthesized from cholesterol by the steroidogenic enzymes, with the main precursors of testosterone being androstenedione and androstenediol, which are converted by 17β-hydroxysteroid dehydrogenase (17β-HSD) or 3β-hydroxysteroid dehydrogenase (3β-HSD), respectively. Testosterone can also be converted into 17β-estradiol by the aromatase enzyme (CYP19) or into the more potent androgen, dihydrotestosterone (DHT), by 5α-reductase in various tissues (Ghosh, 2023; Luetjens & Weinbauer, 2012; Naamneh Elzenaty et al., 2022). Circulating testosterone is mainly found bound to albumin or sex hormone-binding globulin (Trost & Mulhall, 2016).
The hypothalamus-pituitary-gonadal (HPG) axis regulates testosterone synthesis in gonads of adults. At puberty, this axis is activated, leading to the release of gonadotropin releasing hormone (GnRH) from the hypothalamus, which induces a surge of luteinizing hormone (LH) from the anterior pituitary, subsequently increasing testosterone production in the gonads. The HPG axis is regulated by a feed-back loop to maintain appropriate testosterone levels (Jin & Yang, 2014; Luetjens & Weinbauer, 2012; Naamneh Elzenaty et al., 2022; Rey, 2021).
Normal testosterone levels are essential for sexual development and reproduction, as well as for the function of other organs and tissues such as adipose tissue, bone, brain, cardiovascular system, hair, muscle and skin (Dalton & Gao, 2010; Luetjens & Weinbauer, 2012; Naamneh Elzenaty et al., 2022).
Perturbation of the HPG axis or the steroidogenesis pathway described above may lead to altered levels of testosterone, including increased testosterone levels.
How It Is Measured or Detected
Testosterone levels can be measured using immunoassays (enzyme linked immunosorbent assay (ELISA) or radioimmunoassay (RIA)) and liquid chromatography-tandem mass spectrometry (LC-MS/MS), with sample preparation varying depending on the matrix of interest. Measurements can be made in serum, plasma, tissues or cell culture medium (Shiraishi et al., 2008; Trost & Mulhall, 2016). Considerations for measurement of hormone levels have been described (ECHA & EFSA, 2018; Chapin & Creasy, 2012; Hsing et al., 2007; Stanislaus et al., 2012).
The validated OECD test guideline TG456 is a steroidogenesis assay used to measure the levels of testosterone and 17β-estradiol. This assay utilizes H295R adrenocortical carcinoma cells that are capable of producing the principal hormones and enzymes of the steroidogenesis pathway. The cell culture media can be collected and analysed for hormone levels using LC-MS/MS. The aim of the assay is to identify substances that affect steroidogenesis resulting in increased or decreased levels of testosterone or 17β-estradiol (OECD, 2023). However, it should be recognized that any effect on testosterone levels in these cells is not necessary directly translatable to the in vivo scenario.
Domain of Applicability
Taxonomic applicability.
Testosterone is a main androgen in mammals, birds and amphibians, whereas 11-ketotestosterone is the main androgen in fish (Vitousek et al., 2018). The biologically plausible domain of taxonomic applicability is mammals, birds and amphibians since testosterone is present in these groups. The empirical domain of taxonomic applicability is human, rat and mice where testosterone levels have been studied. The KE description focuses on mammals, but AOP developers are encouraged to expand the applicability to other species.
Life stage applicability
Testosterone is synthesized from the fetal period throughout adult life (Dalton & Gao, 2010; Luetjens & Weinbauer, 2012; Naamneh Elzenaty et al., 2022).
Sex applicability
Testosterone is synthesized in both males and females (Naamneh Elzenaty et al., 2022).
References
ECHA and EFSA with the technical support of JRC, Andersson, N. et al., (2018). Guidance for the identification of endocrine disruptors in the context of Regulations (EU) No 528/2012 and (EC) No 1107/2009. EFSA Journal 2018;16(6):5311. https://doi.org/10.2903/j.efsa.2018.5311
Chapin, R. E., & Creasy, D. M. (2012). Assessment of Circulating Hormones in Regulatory Toxicity Studies II. Male Reproductive Hormones. Toxicologic Pathology, 40(7), 1063–1078. https://doi.org/10.1177/0192623312443321
Dalton, J. T., & Gao, W. (2010). Androgen Receptor. In Nuclear Receptors (pp. 143–182). Springer Netherlands. https://doi.org/10.1007/978-90-481-3303-1_6
Ghosh, D. (2023). Structures and Functions of Human Placental Aromatase and Steroid Sulfatase, Two Key Enzymes in Estrogen Biosynthesis. Steroids 196 (August): 109249. https://doi.org/10.1016/j.steroids.2023.109249
Hsing, A. W., Stanczyk, F. Z., Bélanger, A., Schroeder, P., Chang, L., Falk, R. T., & Fears, T. R. (2007). Reproducibility of serum sex steroid assays in men by RIA and mass spectrometry. Cancer Epidemiology Biomarkers and Prevention, 16(5), 1004–1008. https://doi.org/10.1158/1055-9965.EPI-06-0792
Jin J. M., & Yang W. X. (2014). Molecular regulation of hypothalamus-pituitary-gonads axis in males. Gene. Nov 1;551(1):15-25. https://doi.org/10.1016/j.gene.2014.08.048
Luetjens, C. M., & Weinbauer, G. F. (2012). Testosterone: biosynthesis, transport, metabolism and (non-genomic) actions. In Testosterone (pp. 15–32). Cambridge University Press. https://doi.org/10.1017/CBO9781139003353.003
Murashima, A., Kishigami, S., Thomson, A., & Yamada, G. (2015). Androgens and mammalian male reproductive tract development. Biochimica et Biophysica Acta (BBA) - Gene Regulatory Mechanisms, 1849(2), 163–170. https://doi.org/10.1016/j.bbagrm.2014.05.020
Naamneh Elzenaty, R., du Toit, T., & Flück, C. E. (2022). Basics of androgen synthesis and action. Best Practice & Research Clinical Endocrinology & Metabolism, 36(4), 101665. https://doi.org/10.1016/j.beem.2022.101665
OECD (2023). Test No. 456: H295R Steroidogenesis Assay, OECD Guidelines for the Testing of Chemicals, Section 4, OECD Publishing, Paris, https://doi.org/10.1787/9789264122642-en
Rey, R. A. (2021). The Role of Androgen Signaling in Male Sexual Development at Puberty. Endocrinology, 162(2). https://doi.org/10.1210/endocr/bqaa215
Shiraishi, S., Lee, P. W. N., Leung, A., Goh, V. H. H., Swerdloff, R. S., & Wang, C. (2008). Simultaneous Measurement of Serum Testosterone and Dihydrotestosterone by Liquid Chromatography–Tandem Mass Spectrometry. Clinical Chemistry, 54(11), 1855–1863. https://doi.org/10.1373/clinchem.2008.103846
Stanislaus, D., Andersson, H., Chapin, R., Creasy, D., Ferguson, D., Gilbert, M., Rosol, T. J., Boyce, R. W., & Wood, C. E. (2012). Society of Toxicologic Pathology Position Paper: Review Series: Assessment of Circulating Hormones in Nonclinical Toxicity Studies: General Concepts and Considerations. Toxicologic Pathology, 40(6), 943–950. https://doi.org/10.1177/0192623312444622
Trost, L. W., & Mulhall, J. P. (2016). Challenges in Testosterone Measurement, Data Interpretation, and Methodological Appraisal of Interventional Trials. The Journal of Sexual Medicine, 13(7), 1029–1046. https://doi.org/10.1016/j.jsxm.2016.04.068
Vitousek, M. N., Johnson, M. A., Donald, J. W., Francis, C. D., Fuxjager, M. J., Goymann, W., Hau, M., Husak, J. F., Kircher, B. K., Knapp, R., Martin, L. B., Miller, E. T., Schoenle, L. A., Uehling, J. J., & Williams, T. D. (2018). HormoneBase, a population-level database of steroid hormone levels across vertebrates. Scientific Data, 5(1), 180097. https://doi.org/10.1038/sdata.2018.97