Dehydroepiandrosterone Supplementation Results in Varying Tissue-specific Levels of Dihydrotestosterone in Male Mice

Abstract Dehydroepiandrosterone (DHEA), an adrenal androgen precursor, can be metabolized in target tissues into active sex steroids. It has been proposed that DHEA supplementation might result in restoration of physiological local sex steroid levels, but knowledge on the effect of DHEA treatment on local sex steroid levels in multiple tissues is lacking. To determine the effects of DHEA on tissue-specific levels of sex steroids, we treated orchiectomized (ORX) male mice with DHEA for 3 weeks and compared them with vehicle-treated ORX mice and gonadal intact mice. Intra-tissue levels of sex steroids were analyzed in reproductive organs (seminal vesicles, prostate, m. levator ani), major body compartments (white adipose tissue, skeletal muscle, and brain), adrenals, liver, and serum using a sensitive and validated gas chromatography–mass spectrometry method. DHEA treatment restored levels of both testosterone (T) and dihydrotestosterone (DHT) to approximately physiological levels in male reproductive organs. In contrast, this treatment did not increase DHT levels in skeletal muscle or brain. In the liver, DHEA treatment substantially increased levels of T (at least 4-fold) and DHT (+536%, P < 0.01) compared with vehicle-treated ORX mice. In conclusion, we provide a comprehensive map of the effect of DHEA treatment on intra-tissue sex steroid levels in ORX mice with a restoration of physiological levels of androgens in male reproductive organs while DHT levels were not restored in the skeletal muscle or brain. This, and the unexpected supraphysiological androgen levels in the liver, may be a cause for concern considering the uncontrolled use of DHEA.

[1]  M. Nilsson,et al.  Comprehensive Sex Steroid Profiling in Multiple Tissues Reveals Novel Insights in Sex Steroid Distribution in Male Mice , 2022, Endocrinology.

[2]  John F Quester,et al.  Endogenous DHEAS Is Causally Linked With Lumbar Spine Bone Mineral Density and Forearm Fractures in Women , 2021, The Journal of clinical endocrinology and metabolism.

[3]  Heitor O. Santos,et al.  Effects of dehydroepiandrosterone (DHEA) supplementation on cortisol, leptin, adiponectin, and liver enzyme levels: A systematic review and meta‐analysis of randomised clinical trials , 2021, International journal of clinical practice.

[4]  M. Găman,et al.  The effect of dehydroepiandrosterone (DHEA) supplementation on estradiol levels in women: A dose-response and meta-analysis of randomized clinical trials , 2021, Steroids.

[5]  J. Nyce Alert to US physicians: DHEA, widely used as an OTC androgen supplement, may exacerbate COVID-19. , 2020, Endocrine-related cancer.

[6]  Zhimin Ma,et al.  A dose-response and meta-analysis of dehydroepiandrosterone (DHEA) supplementation on testosterone levels: perinatal prediction of randomized clinical trials , 2020, Experimental Gerontology.

[7]  Jianjun Zhao,et al.  Androgen aggravates liver fibrosis by activation of NLRP3 inflammasome in CCl4 induced liver injury mouse model. , 2020, American journal of physiology. Endocrinology and metabolism.

[8]  M. McCarthy,et al.  Using human genetics to understand the disease impacts of testosterone in men and women , 2020, Nature Medicine.

[9]  M. Nilsson,et al.  The gut microbiota is a major regulator of androgen metabolism in intestinal contents , 2019, American journal of physiology. Endocrinology and metabolism.

[10]  Yue Wu,et al.  Adrenal androgens rescue prostatic dihydrotestosterone production and growth of prostate cancer cells after castration , 2019, Molecular and Cellular Endocrinology.

[11]  A. Yassin,et al.  Testosterone, testosterone therapy and prostate cancer , 2019, The aging male : the official journal of the International Society for the Study of the Aging Male.

[12]  T. Laajala,et al.  Adrenals Contribute to Growth of Castration-Resistant VCaP Prostate Cancer Xenografts. , 2018, The American journal of pathology.

[13]  K. Storbeck,et al.  Intracrine androgen biosynthesis, metabolism and action revisited , 2017, Molecular and Cellular Endocrinology.

[14]  C. Klinge,et al.  Dehydroepiandrosterone Research: Past, Current, and Future. , 2018, Vitamins and hormones.

[15]  P. Carroll,et al.  Relationships between Circulating and Intraprostatic Sex Steroid Hormone Concentrations , 2017, Cancer Epidemiology, Biomarkers & Prevention.

[16]  R. Swerdloff,et al.  Dihydrotestosterone: Biochemistry, Physiology, and Clinical Implications of Elevated Blood Levels , 2017, Endocrine reviews.

[17]  L. Lipshultz,et al.  Dietary Adjuncts for Improving Testosterone Levels in Hypogonadal Males , 2016, American journal of men's health.

[18]  J. Kaufman,et al.  Sex hormone-binding globulin regulation of androgen bioactivity in vivo: validation of the free hormone hypothesis , 2016, Scientific Reports.

[19]  A. Pastuszak,et al.  Testosterone therapy and prostate cancer , 2016, Translational andrology and urology.

[20]  O. Yokosuka,et al.  The androgen receptor as an emerging target in hepatocellular carcinoma , 2015, Journal of hepatocellular carcinoma.

[21]  M. Nilsson,et al.  Measurement of a Comprehensive Sex Steroid Profile in Rodent Serum by High-Sensitive Gas Chromatography-Tandem Mass Spectrometry. , 2015, Endocrinology.

[22]  F. Labrie All sex steroids are made intracellularly in peripheral tissues by the mechanisms of intracrinology after menopause , 2015, The Journal of Steroid Biochemistry and Molecular Biology.

[23]  G. von Heijne,et al.  Tissue-based map of the human proteome , 2015, Science.

[24]  David Handelsman,et al.  Measurement of testosterone by immunoassays and mass spectrometry in mouse serum, testicular, and ovarian extracts. , 2015, Endocrinology.

[25]  S. Yeh,et al.  Androgen receptor roles in hepatocellular carcinoma, fatty liver, cirrhosis and hepatitis. , 2014, Endocrine-related cancer.

[26]  M. Lagerquist,et al.  Role of androgen and estrogen receptors for the action of dehydroepiandrosterone (DHEA). , 2014, Endocrinology.

[27]  S. Hankinson,et al.  Editorial: The new instructions to authors for the reporting of steroid hormone measurements. , 2014, The Journal of clinical endocrinology and metabolism.

[28]  G. Forti,et al.  Dehydroepiandrosterone supplementation in elderly men: a meta-analysis study of placebo-controlled trials. , 2013, The Journal of clinical endocrinology and metabolism.

[29]  S. Boonen,et al.  Comparisons of Immunoassay and Mass Spectrometry Measurements of Serum Estradiol Levels and Their Influence on Clinical Association Studies in Men , 2013, The Journal of clinical endocrinology and metabolism.

[30]  K. Sjögren,et al.  Reduced Bone Mass and Muscle Strength in Male 5α-Reductase Type 1 Inactivated Mice , 2011, PloS one.

[31]  David Handelsman Androgen misuse and abuse. , 2011, Best practice & research. Clinical endocrinology & metabolism.

[32]  Claudio Cobelli,et al.  DHEA in elderly women and DHEA or testosterone in elderly men. , 2006, The New England journal of medicine.

[33]  W. Gozansky,et al.  Effects of dehydroepiandrosterone replacement therapy on bone mineral density in older adults: a randomized, controlled trial. , 2006, The Journal of clinical endocrinology and metabolism.

[34]  J. Gustafsson,et al.  Estrogen receptor specificity in the regulation of skeletal growth and maturation in male mice. , 2000, Proceedings of the National Academy of Sciences of the United States of America.

[35]  G. Hammond,et al.  Human sex hormone-binding globulin gene expression in transgenic mice. , 1998, Molecular endocrinology.

[36]  K. Korach,et al.  Effect of testosterone and estradiol in a man with aromatase deficiency. , 1997, The New England journal of medicine.

[37]  E. Simpson,et al.  Aromatase deficiency in male and female siblings caused by a novel mutation and the physiological role of estrogens. , 1995, The Journal of clinical endocrinology and metabolism.

[38]  C. Labrie,et al.  Androgenic activity of dehydroepiandrosterone and androstenedione in the rat ventral prostate. , 1988, Endocrinology.