12
Features
April 2009 © 2009 The Biochemical Society
Sex hormones
The effect of androgen receptors on male fertility
What makes a
Androgens are the major drivers of masculinization and male fertility, and disruption of androgen
signalling has been implicated in the most common male congenital abnormalities, such as hypo‑
spadias (opening of the urethra in a position not at the tip of the penis) and cryptorchidism (testes
in the abdomen not the scrotum), as well as with an increased risk of developing testicular cancer
or having a low sperm count in adulthood
1
.
domain (DBD), a hinge region and a ligand-binding
domain (LBD) (Figure 1). In comparison with the
other domains, the N-terminal domain apparently
lacks a stable structure, but does contain target sites
for phosphorylation as well as polyglutamine and
polyglycine repeats; the length of the repeat sequenc-
es can alter AR function
3
.
AR functions primarily as a transcription factor.
In the absence of ligand, AR is predominantly local-
ized to the cytoplasmic compartment, where it exists
in an inactive complex with components including
heat-shock proteins. Upon ligand binding, AR binds
as a homodimer to DNA at specific target sequences
termed androgen-response elements (AREs) located
in the promoters of target genes (Figure 2). Studies
using ARs lacking the LBD have shown that both this
part of the receptor, as well as the DBD, are essential
for stable binding of AR to DNA. The transcriptional
activity of AR is regulated not only by ligand bind-
ing but also by interactions between the N- and
C-terminal domains of the protein and interactions
The two most important androgens in the male are
testosterone, which is produced by the Leydig cells
(LCs) of the testis, and dihydrotestosterone (DHT),
which is generated from testosterone by the enzyme
5α-reductase in androgen target tissues including the
prostate. Results obtained in studies treating a vari-
ety of animals with exogenous androgens have gone
some way towards elucidating the general roles these
hormones play in development and fertility. However,
there is an increasing appreciation that local metabo-
lism of testosterone and/or DHT may also contribute
to changes observed in reproductive function. For ex-
ample, testosterone can be converted into the ‘female’
hormone oestradiol by the enzyme aromatase that is
present in both the testes and other parts of the male
reproductive system. Oestrogens work by activating
the oestrogen receptors (ERα, ERβ); as both of these
are found in the testis and other male organs, there
is clearly an opportunity for alternative pathways of
gene activation reproductive system
2
. Thus, in or-
der to elucidate the specific functions of androgens
in development and fertility, independent of the ef-
fects of other steroid hormones, renewed energy has
been directed towards perturbation of the signalling
cascade at the level of the androgen receptor (AR),
rather than the androgens themselves.
The androgen receptor
The AR is a member of the superfamily of steroid
hormone receptors, and is encoded by a single gene
located on the X-chromosome that produces a pro-
tein of ~920 residues (~110 kDa). The protein struc-
ture of AR consists of four functional domains, an
N-terminal transactivation domain, a DNA-binding
Lee B. Smith and Philippa T.K. Saunders (MRC Human Reproductive Sciences Unit, Edinburgh)
Figure 1. Diagram of the human AR protein showing the loca‑
tions of the diferent domains. Orange indicates the NTB/A/B,
N‑terminal domain; purple indicates the DBD/C, DNA‑binding
domain; red indicates D, hinge domain; green indicates LBD/E,
ligand‑binding domain: yellow indicates F domain. The NTB
contains two regions of with variable numbers of glutamine
(Q) and glycine (G) residues; three activation function domains
(AF1, AF5, AF2) containing residues that can be phosphory‑
lated have also been identifed
Key words: androgen, dihydrotestosterone, male fertility,
spermatogenesis, steroid hormone receptor, testosterone
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