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Relationship: 3380
Title
Testosterone levels, increased leads to Androgen receptor activation, increased
Upstream event
Downstream event
Key Event Relationship Overview
AOPs Referencing Relationship
Taxonomic Applicability
| Term | Scientific Term | Evidence | Link |
|---|---|---|---|
| mammals | mammals | High | NCBI |
Sex Applicability
| Sex | Evidence |
|---|---|
| Mixed | High |
Life Stage Applicability
| Term | Evidence |
|---|---|
| During development and at adulthood | High |
Key Event Relationship Description
Testosterone is one of the main androgen steroid hormones. The biological effects of testosterone are mediated by the androgen receptor (AR). Increased levels of testosterone lead to increased AR activity in vivo, which results in effects on sexual development and reproductive function, as well as effects on other organs and tissues (Dalton & Gao, 2010; Luetjens & Weinbauer, 2012; Naamneh Elzenaty et al., 2022; Sutinen et al., 2017).
Evidence Collection Strategy
The KER describes a generally recognized and understood process, i.e. canonical knowledge. A literature search was therefore performed to identify review articles and book chapter that summarise the canonical knowledge.
Evidence Supporting this KER
Biological Plausibility
Activation of AR by testosterone is a generally recognized and understood process, i.e. canonical knowledge and the biological plausibility of the KER is considered high.
Testosterone, a principal androgen, exerts its effects through the AR. Testosterone is synthesized from cholesterol by the steroidogenic enzymes in a multi-step process. The majority of testosterone in males is produced in the testes, while testosterone precursors are produced in theca cells in the ovaries of females and in the adrenal cortex in males and females and converted into testosterone in peripheral tissues. In adults, the hypothalamus-pituitary-gonadal (HPG) axis regulates testosterone synthesis in gonads. Disruption in steroidogenesis or the HPG axis can lead to altered levels of testosterone such as increased testosterone levels. The AR belongs to the family of steroid hormone nuclear receptors. It contains three major domains essential for its activity: the N-terminal region, the ligand binding domain (LBD), and the DNA binding domain (DBD). In the absence of a ligand, the AR resides in the cytoplasm in the absence of a ligand. Upon binding of testosterone, the receptor is activated, forms a homodimer, translocates into the nucleus and binds to androgen-response elements and regulates target gene transcription by recruiting cofactor protein complexes. The AR can also have rapid non-genomic actions by binding to plasma membrane proteins and activating kinase signalling in the cytoplasm. Elevated testosterone levels increase AR activity in vivo, affecting sexual development and reproductive function, as well as functions of other organs and tissues such as adipose tissue, bone, brain, cardiovascular system, hair, muscle and skin (Dalton et al., 2010; Luetjens et al., 2012; Naamneh Elzenaty et al., 2022; Sutinen et al., 2017).
Empirical Evidence
Activation of AR by testosterone is a generally recognized process and is supported by ample empirical evidence from AR activation assays. A positive dose-response relationship between increasing concentrations of testosterone and AR activation exists from ToxCast in vitro assays for AR activity (U.S. EPA., 2024).
Uncertainties and Inconsistencies
No uncertainties or inconsistences have been identified for the KER that is based on canonical knowledge.
Known modulating factors
Quantitative Understanding of the Linkage
Response-response Relationship
No specific evidence for response-response relationships has been identified for the KER.
Time-scale
Effects on activation of the AR on cellular function can be seen after minutes to hours (Naamneh Elzenaty et al., 2022; Sutinen et al., 2017).
Known Feedforward/Feedback loops influencing this KER
No specific evidence for feedforward or feedback loops has been identified for the KER.
Domain of Applicability
Taxonomic applicability.
The AR that mediates the effect of testosterone is present in vertebrates. Mammals, birds and amphibians have one AR gene, whereas some fish species have two genes (Ogino et al., 2018). Testosterone is a main androgen in mammals, birds and amphibians, whereas 11-ketotestosterone is the main androgen in fish (Vitousek, 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 et al., 2010; Luetjens et al., 2012; Naamneh Elzenaty et al., 2022).
Sex applicability
Testosterone is synthesized in both males and females (Naamneh Elzenaty et al., 2022).
References
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
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
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
Ogino, Y., Tohyama, S., Kohno, S., Toyota, K., Yamada, G., Yatsu, R., Kobayashi, T., Tatarazako, N., Sato, T., Matsubara, H., Lange, A., Tyler, C.R., Katsu, Y., Iguchi, T., & Miyagawa, S. (2018). Functional distinctions associated with the diversity of sex steroid hormone receptors ESR and AR. The Journal of Steroid Biochemistry and Molecular Biology, 184, 38–46. https://doi.org/10.1016/j.jsbmb.2018.06.002
Sutinen, P., Malinen, M., & Palvimo, J. J. (2017). Androgen Receptor. In M. Simoni & I. T. Huhtaniemi (Eds.), Endocrinology of the Testis and Male Reproduction (pp. 395–416). Springer International Publishing. https://doi.org/10.1007/978-3-319-44441-3_12
U.S. EPA. (2024). ToxCast & Tox21 AR agonism of testosterone. Retrieved from Https://Www.Epa.Gov/Chemical-Research/Toxicity-Forecaster-Toxcasttm-Data June 23, 2023. Data Released October 2018.
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