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vol. 14
Experimental research

Connexin 43 expression in the testes during postnatal development of finasteride-treated male rat offspring

Agnieszka Kolasa-Wołosiuk, Kamila Misiakiewicz-Has, Irena Baranowska-Bosiacka, Izabela Gutowska, Maciej Tarnowski, Marta Tkacz, Barbara Wiszniewska

Arch Med Sci 2018; 14, 6: 1471–1479
Online publish date: 2016/11/15
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Finasteride, a steroid inhibitor of 5-reductase type 2 (5-red2) that inhibits the conversion of T into DHT [1, 2], is widely used for the treatment of prostate cancer, benign prostatic hyperplasia, and androgenetic alopecia [3, 4]. The side effects of finasteride treatment, due to its influence on the sex hormone ratio, are referred to as “sexual side effects” [5], which include low libido and problems with achieving erection and orgasm [6]. Reports also mention decreased semen parameters [7–9] and problems with fertilization [8]. Additionally, recent molecular data demonstrate that finasteride causes sperm DNA damage [10, 11], alters sperm morphology in a way that indicates necrosis, and elevates the frequency of diploidy and sex chromosome disomy [12].
In our previous studies we found that finasteride treatment of paternal rats results in altered serum and intratesticular testosterone and dihydrotestosterone levels in their male offspring [13]. Consequently, it can be speculated that finasteride can adversely influence communication within seminiferous epithelium (SE) via the gap junctions during spermatogenesis, modulating the activity of the key enzyme (5-red2) involved in metabolism of testosterone. This action is similar to endocrine disruptors (EDs) [14–17] such as flutamide [17–19], bisphenol A (BPA) [20, 21], pesticides [22], and phthalate esters, that change the expression of genes involved in the communication of Sertoli cells and gonocytes [23], crucial for spermatozoa formation [24, 25].
Among transcripts for about 20 connexin proteins identified in rodents [24], connexin 43 (Cx43) is the most common and most important isoform of the protein in the male reproductive system [25–31]. Cx43 plays an essential role in testicular development (differentiation of Sertoli cells in genital ridges, colonization of the seminiferous cords by gonocytes, germ cell multiplication and apoptosis, that influence postnatal expansion of the male germ line) [25, 27, 28, 32–34] and is important for the initiation and maintenance of spermatogenesis in adults [24, 32, 35]. Cx43 is widely expressed in diverse testicular cells (Leydig, Sertoli, germ and myoid cells) [32, 35–38]. The expression of Cx43 within the seminiferous epithelium has a temporal and spatial pattern [39–42] depending on androgen levels, age [40, 41], and stage of the SE cycle [26, 38, 42], and is crucial for the formation and functioning of the blood-testis barrier (BTB) [27, 43]. The data on knockout mice demonstrate that, if lacking, Cx43 cannot be replaced by other types of connexins (Cx26 or Cx32) [44], and homozygous Cx43-deficient (cx43–/–) mice show severe germ cell deficiencies [31].
For this reason we created an experimental animal model to analyze the influence of androgen imbalance on the testes. In the study we estimated the level of Cx43 mRNA and protein in testes homogenates and immunoexpression of Cx43 within SE during testis neonatal/postnatal maturation in 7, 14, 21/22, 28 day and mature 90-day-old rat offspring born by females fertilized by finasteride-treated males (F1:Fin). The period of study was selected according to the first wave of spermatogenesis in the rat gonad, taking place between the first and the sixth week of life [45, 46]. During that time, the proper ratio between Sertoli and spermatogonial stem cells is established for appropriate sperm production in the adult [33, 47–49], and any changes in the sex hormone ratio can result in subfertility or even infertility [14]. Additionally, we determined the Spearman’s rank correlation coefficient between the levels of Cx43 mRNA and protein expression, and the intratesticular levels of T and DHT.

Material and methods


The study was conducted on albino Wistar rats. The parent generation (F0) was used to obtain the following male generation (F1). The experiment was conducted in full accordance with Polish law and with the approval of the Local Ethics Committee for Scientific Experiments on Animals in Szczecin, Poland (Resolution no. 23/2010).
Paternal rats in the F0:Fin group were treated with finasteride (Proscar, MSD, Cramlington, UK) in daily doses of 5 mg/kg/bw, according to our previous investigations [50–52] and experiments by other researchers [53, 54]. The period of finasteride treatment before mating lasted 56 days. Male rats received finasteride up to the end of the experiment (for 4–5 months). Once a week, the animals were weighed and their finasteride doses were adjusted.

Generation of filial animals

The control group (F1:control, n = 30) included male rats born from females fertilized by the control (untreated) male rats. The experimental group (F1:Fin, n = 30) consisted of male rats born from females fertilized by finasteride-treated male rats. The objective of the experiment was to sample the gonads from the F1 rats at 7, 14, 21, 28, and 90 postnatal days (PND) of life (n = 5 in each age group). The pregnant female rats also gave birth at the weekends, when sections were not possible, so 22-day-old rats were also included in Western blot (WB) and quantitative real-time polymerase chain reaction (qRT-PCR) analysis.
The filial generation was collected over a period of 5 months to avoid aging of the parent generation. Detailed information on the design of the animal treatment, mating, and collection is presented in our previous report [13]. After thiopental anesthesia (120 mg/kg bw, i.p., Biochemie GmbH, Vienna, Austria), the right testes (5 animals per age group of the F1 generation) were used for immunohistochemical (IHC) reactions while the left testes were frozen and used for WB and qRT-PCR analyses.

Immunohistochemistry (IHC)

The dissected testes were fixed in Bouin fluid (1 h), and then washed with absolute ethanol (3 times over 3 h), absolute ethanol with xylene (1 : 1) (twice over 1 h) and xylene (3 times over 20 min). Then, following 3 h of saturation of the tissues with liquid paraffin, the samples were embedded in paraffin blocks. Using a microtome (Microm HM340E), 3–5 µm serial sections were taken and placed on Polysine-coated histological slides (cat. no. J2800AMNZ; Thermo Fisher Scientific, USA). The sections of the testes were deparaffinized in xylene and rehydrated in decreasing concentrations of ethanol, and then used for immunohistochemical staining. In order to expose the epitopes, the sections were boiled twice in a microwave oven (700 W for 4 and 3 min) in 10 nM citrate buffer (pH 6.0). Once cooled and washed with PBS, the endogenous peroxidase was blocked by 3% solution of perhydrol in methanol, and then the slides were incubated for 60 min at room temperature with primary mouse monoclonal anti-Cx43 antibody (sc-59949, Santa Cruz Biotechnology INC; final dilution 1 : 500). To visualize the antigen-antibody complex, a Dako LSAB+System-HRP was used (Code K0679; DakoCytomation, Glostrup, Denmark), based on the reaction of avidin-biotin-horseradish peroxidase with DAB as a chromogen, according to the included staining procedure instructions. Sections were washed in distilled H2O and counterstained with hematoxylin. For a negative control, specimens were processed in the absence of primary antibody. Positive staining was defined microscopically (Axioskop Zeiss, Germany) by visual identification of brown pigmentation.

Western blot analysis

RIPA buffer (pH 7.4) containing 20 mM Tris, 0.25 mM NaCl, 11 mM EDTA, 0.5% NP-40, 50 mM sodium fluoride, and protease and phosphatase inhibitors (Sigma, Poland) were used for testis sample homogenization. The total protein concentrations were determined by Pierce, BCA Protein Assay Kit (Thermo Fisher Scientific USA, cat. no. 23227) using bovine albumin as a standard, and homogenates were subjected to SDS-polyacrylamide gel electrophoresis and examined for Cx43 expression. Briefly, the extracted proteins (20 µg/well) were separated on 12% gel (SDS-PAGE) using a Mini Protean Tetra Cell System (Bio-Rad, Poland). The fractioned proteins were transferred onto a 0.2 µm PVDF membrane (Bio-Rad, Poland), and the membranes were then blocked with 3% BSA in a buffer for 1 h at RT. Protein expression was determined using primary mouse antibody against connexin 43 (sc-59949, Santa Cruz Biotechnology, Inc.; final dilution 1 : 750) and secondary bovine antibody (antimouse IgG-HRP, sc-2375, Santa Cruz Biotechnology, Inc.; final dilution 1 : 5000). As an internal control -actin was used (Sigma-Aldrich; a final concentration of 1.0 µg/ml). Signals were visualized by chemiluminescence (Thermo Fisher Scientific, USA). ImageJ 1.41o (NIH, USA) was used for densitometric analysis of the bands.

Quantitative real-time PCR (qRT-PCR) analysis

Quantitative analysis of mRNA expression of connexin 43 was performed in a two-step reverse transcription PCR. Total RNA was extracted from 50–100 mg tissue samples from rat testes using an RNeasy Lipid Tissue Mini Kit (Qiagen, Germany). After determination of the quantity and quality of isolated RNA using a NanoDrop ND-1000 spectrophotometer (NanoDrop Technologies, USA), cDNA was prepared from 1 µg of total cellular RNA in a 20 µl reaction volume, using a FirstStrand cDNA synthesis kit and oligo-dT primers (Fermentas, USA). Assessment of mRNA levels was performed by quantitative real-time RT-PCR using an ABI 7500 Fast instrument with Power SYBR Green PCR Master Mix reagent. Real-time conditions were as follows: 95°C (15 s), 40 cycles at 95°C (15 s), and 60°C (1 min). According to melting point analysis, only one PCR product was amplified under these conditions. Each sample was analyzed in two technical replicates, and mean Ct values were used for further analysis. The relative quantity of a target, normalized to the endogenous control Gapdh gene and relative to a calibrator, is expressed as 2-∆∆Ct (-fold difference), where Ct is the threshold cycle, ∆Ct = (Ct of target genes) – (Ct of endogenous control gene), and ∆∆Ct = (∆Ct of samples for target gene) – (∆Ct of calibrator for the target gene). The following primer pairs for Cx43 were used: F: GAA AGA GAG GTG CCC AGA CAT G; R: AGC ACT GAC AGC CAC ACC TTC.

Statistical analysis

The results of the Western blot and qRT-PCR analysis were analyzed using Statistica 6.1 software (StatSoft, Krakow, Poland). The arithmetical means and SDs (x ± SD) were calculated for each of the parameters. Each variable was tested for normality with a Shapiro-Wilk test. As most of the results deviated from a normal distribution, a nonparametric test was used for further analysis. To assess the differences between the groups, a nonparametric Mann-Whitney U-test was used. The probability p ≤ 0.05 was considered statistically significant. Correlations between the parameters were examined using Spearman’s rank correlation coefficient (rs). Finally, we used Spearman’s rank coefficient to determine the correlation between the intratesticular levels of testosterone and dihydrotestosterone, as presented in our previous study [13], and the levels of Cx43 mRNA and protein.


Immunohistochemistry for Cx43

In seven-day-old rats from both groups (Figures 1 A, F), Cx43 immunoexpression was noticeably closer to the base of the seminiferous epithelium (black arrows) and near the large germ cells (gonocytes) (white arrows). The intensity of Cx43-expression was a little stronger in the F1:Fin group, and also visible near the spermatogonia.
In the 14PND F1:Control testes (Figure 1 B), the intensity of the immunohistochemical reaction was higher than for F1:Fin (Figure 1 G), as was visible between germ cells near the base of the SE, but also in the upper part of the epithelium close to the lumen of the tubule. In the F1:Fin rat testes, only a few basally located very early germ cells were encircled by a brown line, indicating the presence of gap junctions (Figure 1 G; black arrows).
At PND 21, when the BTB was fully developed, the lumen was visible within the cross sections of the seminiferous tubules of the control and experimental rats (Figures 1 C, H); and a Cx43-positive area containing spermatogonia and premeiotic spermatocytes could be seen under the visible line indicating the presence of the BTB (white arrows). This Cx43-positive line in the testes of the F1:Fin group was located a little bit higher in the SE, and under it, more layers (up to 3) of germ cells were located than in the F1:Control rats. Moreover, in the F1:Fin group, that BTB-line had a diffuse, discontinuous pattern. Additionally, in the seminiferous tubules of the 21-day-old F1:Control and F1:Fin rats, strongly Cx43-positive large cells were located adluminally (Figures 1 C, H; black arrows).
In 28-day-old control rats, the Cx43-positive line was clear and very visible (Figure 1 D; white arrows); it was absent from the F1:Fin group (Figure 1 I). In both groups of 28-day-old rats, the strongly Cx43-positive large cells were located adluminally (Figure 1 D, I; black arrows); but they were less numerous than in F1:Fin.
We observed that in the sexually mature (90-day-old) rat testes from both groups, the Cx43 expression pattern was dependent on the stage of the seminiferous epithelium cycle (Figures 1 E, J and inserts). Generally, the basal region of the SE, containing the spermatogonia and very early spermatocytes (preleptotene), was characterized by weaker Cx43 expression (Figures 1 E, J; white arrows) than in the immature animals (Figures 1 A–D, F–I). Brown pigmentation indicating a positive immunoreaction also had a strandline pattern extending throughout the height of the SE (Figures 1 E, J; inserts); the radial motif of the IHC reaction was more evident in the cross-sections of the seminiferous tubules of the F1:Control.
Generally, during the first weeks of postnatal development, an increase in Cx43 immunoexpression in the SE was observed and Cx43 expression in premature gonads was higher than in mature gonads. Cx43 expression was lower in F1:Fin than in F1:Control. In order to confirm these results, Western blot analysis was performed.

WB analysis of Cx43

The WB analysis showed the presence of the Cx43 protein in the testes homogenates of the 7, 14, 21, 22, 28 and 90 day old groups of rats (Figure 2 A). However, protein expression in the 7 PND testes was under the detection limit for the imaging system used to analyze the optical density of the strands on gel.
In both groups of rats (F1:Control and F1:Fin), we observed a progressive increase in Cx43 protein expression at the beginning of the first wave of spermatogenesis (in the first weeks of life), and a decrease at the end of this period (Figure 2 B).
During the first 4 weeks of postnatal life, the Spearman correlation test showed a statistically significant positive but weak correlation between Cx43 protein expression and the age of prepubertal animals in F1:Control (rs = +0.34, p = 0.04) and F1:Fin (rs = +0.33, p = 0.047). But in the whole period of the experiment (prepubertal and pubertal) the only strong negative correlation was noted between Cx43 expression and animal age in F1:Fin (rs = –0.90, p = 0.008). Similar to F1:Fin, in F1:Control rats the level of Cx43 at 14 PND was much lower (2.5 times) than in the mature gonads (90 PND), but the correlation was not statistically significant, which could have been associated with high Cx43 levels at 22 PND. The only statistically significant differences were observed for 28 PND vs. 90 PND, both in F1:Control and F1:Fin (p < 0.0001 and p < 0.001, respectively). When the F1:Control age groups were compared with the F1:Fin age groups, the observed differences were not statistically significant (perhaps due to high standard deviations).

qRT-PCR analysis of Cx43

Figure 3 shows the differences of Cx43 mRNA levels in each analyzed age group of rats. There were statistically significant decreases of Cx43 mRNA on the analyzed days of growth in the first month of postnatal development of the F1:Fin group when compared to F1:Control (on average, more than two times); that difference was not observed between adult rats (90 PND).
F1:Fin rats showed statistically significant differences in Cx43 mRNA levels between the following days: 22 PND vs. 28 PND, 28 PND vs. 90 PND (p < 0.01) and 7 PND vs. 90 PND (p < 0.001). In the control groups of rats, these differences were not statistically significant. In the offspring of finasteride-treated male rats, we found a strong statistically significant positive correlation between Cx43 mRNA expression and age (rs = +0.69, p = 0.0003); that relationship was not observed in the control group (rs = –0.097, p = 0.51).

Correlation of intratesticular T and DHT levels with Cx43 mRNA and protein expression

The average levels of T and DHT in F1:Control and F1:Fin rats at the selected postnatal days are shown in Table I. Because of the small amounts of tissue obtained from the 7-day-old animals, we decided to analyze only the level of DHT, as it is more significant for this study.
There were no correlations between testosterone and Cx43 mRNA and protein expression in control (mRNA, rs = –0.26, p = 0.218, protein, rs = –0.18, p = 0.531) as well in F1:Fin rats (mRNA, rs = –0.25, p = 0.238, protein, rs = –0.13, p = 0.145). However, taking into account the DHT concentration and Cx43 mRNA or protein expression, F1:Fin rats showed positive and moderately strong correlations between these parameters (mRNA: rs = +0.51, p = 0.004; protein: rs = +0.54, p = 0.002); those dependencies were not found in F1:Control rats (mRNA: rs = +0.16, p = 0.40; protein: rs = +0.22, p = 0.105).


In our study we observed changes in the intensity of Cx43 expression and its location during postnatal testis maturation. These results correlate with other reports that show that the pattern of Cx43 location and escalation changes during testis development, seminiferous epithelium cycle, and gonad aging [26, 38, 40–42, 55]. In the seminiferous epithelium of 7-day-old rats, we observed that a Cx43-positive line encircled the gonocytes and that Cx43 was located near early spermatogonia or the basal region of the epithelium. Similarly, Bravo-Moreno et al. [38] postulated that at birth Cx43 is expressed in the mouse seminiferous cord, between adjacent Sertoli cells, and is localized at the periphery as well as in the cytoplasm projections that surround the centrally localized gonocytes. In 14 PND rats in our experiment, the immunohistochemical reaction was visible in the upper part of the epithelium close to the lumen of the tubule (especially in control rats); this displacement of Cx43 is also described by Bravo-Moreno et al. [38], who suggest that the translocation is the result of germinal cell migration. At 21 PND, when the blood-testis barrier is complete (according to [49, 56] at about 15-18PND, the physiological BTB is created and the lumen of seminiferous cords opens), we observed a clearly visible Cx43-positive line at the BTB location, which was consistent with the results of Batias et al., who show that Cx43 colocalizes with the tight-junction-associated protein ZO-1 in the region of the Sertoli cells occluding junctions [57], i.e. at the BTB localization. The Cx43-positive line observed by us at the BTB location in the SE of the 21 PND F1:Fin rats had a diffuse and discontinuous pattern, and was absent in 1 week older rats (28 PND). The results of the IHC reaction indicated an altered, diffuse arrangement or even a lack of a Cx43-positive line at the BTB in premature F1:Fin rats, as well as no evident radial motif that was found in the expression of Cx43 in the SE of 90PND F1:Control rats. That finding indicates negative consequences for the spermatogenesis of animals born by females fertilized by finasteride-treated male rats.
The observed changes in the intensity of immunoexpression of Cx43 in the SE were confirmed by the results of qRT-PCR and WB techniques. The analyses showed lower testis Cx43 levels in F1:Fin than in F1:Control, although in WB analysis that change was not statistically significant. Still, Cx43 mRNA levels during the first month of development were more than 2 times lower in the F1:Fin group of rats. These variations in Cx43 expression in our findings could be associated with androgen levels, in accordance with other scientists who have documented androgen-dependent Cx43 expression [17, 58]. In our previous research on the same experimental animal model, we found statistically significant differences in the blood levels of androgens (T and DHT) and in their intratesticular levels in immature and mature rats born by females fertilized by finasteride-treated male rats, in comparison to the F1:Control groups [13]. T and DHT levels in immature rats were much higher than in mature animals (intratesticular androgen levels achieved a rapid peak in the third week of postnatal life and at the 4th week began to drastically decrease, to reach a significantly lower concentration in the mature gonad), which may have been associated with the greater Cx43 expression in the testes of neonatal rats than in adult rats; and the Cx43 expression also has a fluctuating pattern. Moreover, at 14 PND, blood T and DHT in the F1:Fin rats were half those of the F1:Control groups, while at 22, 28 and 90 PND, the levels of androgens increased (by about 23%, 30%, and 98%, respectively) and the DHT level declined 1.6 times compared with the F1:Control group. The intratesticular T and DHT levels began to decrease from 21 or 22 PND to 90 PND, but the reduction of T was stronger than that of DHT [13]. We documented that the androgen concentrations were closely associated with the changes in Cx43 expression in 14, 21/22, 28 and 90-day-old rats from F1:Fin groups compared to the respective age groups of the F1:Control rats. In this study, the Spearman’s rank correlation coefficient showed positive moderate-strong correlations between intratesticular DHT concentration and Cx43 mRNA and protein only within the F1:Fin groups of rats. Thus, similarly to other endocrine disruptors which produce T/DHT imbalances [17], finasteride may alter gap junctions in the testes. For instance, in vivo studies show that flutamide exposure reduces Cx43 mRNA both in undescended and descended rat testes and abnormally down-regulates the protein and its distribution in the seminiferous tubules during the embryonic period [18]. In addition, flutamide treatment of pigs decreases the intensity of the Cx43 signal between the interstitial and seminiferous tubule cells, thus blocking androgen action and causing delayed gonadal maturation in later postnatal life [19]. Similarly, a reduction in Cx43 results from neonatal exposure of rats to BPA; however, this also causes an increase in the expression of N-cadherin [20]. A study by Li et al. showed that bisphenol A decreases the levels of connexin 43, N-cadherin and occludin [21]. All of the above suggests that the observed lower expression of Cx43 in the F1:Fin rats compared to the F1:Control adversely influenced the seminiferous epithelium physiology, as the loss of connexin function leads to preferential degradation of occludin-based tight junctions [39].
Possibly, the aforementioned degradation of intercellular junctions results in prematurely sloughed cells of the seminiferous epithelium, as we observed large adluminally located strongly Cx43-positive cells (in a greater number in F1:Fin rats) in the seminiferous tubules of 21-day-old and 28-day-old rats. Similar effects were observed in the neonatal exposure of rats to bisphenol A, which altered the expression pattern of Cx43 amongst the sloughed cells in the testes, and resulted in a significant decrease in sperm count [20]. Further correct sperm production in adult gonads requires a proper ratio of spermatogonial stem cells and Sertoli cells [33, 48, 49], established during the first wave of spermatogenesis (in premature testis) when physiological and well-balanced cell apoptosis takes place alongside cell proliferation [59].
As already mentioned, gap junction communication is required for cell proliferation and apoptosis and for the initiation and maintenance of spermatogenesis. The impaired Cx43 expression in the gonads from F1:Fin rats (relative to the F1:Control animals) could be associated with the altered apoptosis index in these animals, as we observed in the previous study [13]. In agreement with other authors [17, 19, 58], any hormonal imbalance caused by exogenous substances with antiandrogen activity that causes a perturbation of Cx43 expression may lead to developmental testis dysfunction or spermatogenesis arrest as an effect of the disruption of cell-cell interaction. Ultimately, this can lead to subfertility or infertility.
In conclusion, the altered intensity, localization, and pattern of Cx43 protein immunoexpression in the seminiferous epithelium, as well as changes in Cx43 mRNA and protein levels in testes homogenates of F1:Fin rats compared to F1:Control rats, allow us to conclude that the treatment of adult male rats with finasteride could impede testes physiology in their offspring. Moreover, changes of Cx43 mRNA and protein expression within the F1:Fin group of rats correlated with fluctuation in intratesticular DHT concentration.


This work was financed by the Pomeranian Medical University in Szczecin within the framework of the “Young Scientist” program (MB-167-28/11) and “The Fund of Science Stimulation” (FSN-167-03/15).

Conflict of interest

The authors declare no conflict of interest.


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