Obesity trends in the United States and globally have steadily increased over the past 20 yr [
1]. The global epidemic of obesity in both adults and children has also been associated with the global burden of an increased incidence of chronic illness, including physical disability, cardiovascular disease, hypercholesterolemia, hypertension, stroke, type 2 diabetes and other metabolic disorders, and cancer [
1]. Further, an association between infertility and obesity has been demonstrated; however, most of these studies have primarily focused on the relationship between elevated BMI, or percent body fat, in females and reduced fertility [
19,
33–
37]. In contrast, the impact of obesity on male fertility has only recently begun to be explored, and in vivo studies using obese mice have produced varied results [
11–
13,
38–
40]. Studies have reported that men with higher BMIs (>25) have quantitatively and qualitatively inferior sperm, decreased serum testosterone, and increased levels of estrogen and follicle-stimulating hormone than men with BMIs ranging between 20 and 25 [
5,
12,
13]. Therefore, it was our hypothesis that diet-induced obesity would be associated with reduced male fertility as well as increased male susceptibility to environmental reproductive toxicants.
In the current study, we have demonstrated a significant reduction in male fertility in association with diet-induced obesity in mice. Although parameters such as sperm morphology and total sperm count were relatively similar in both lean and obese mice, pronounced differences were established between the two groups with regard to sperm motility and hyperactivated progression, indicating that obesity may play an important role in the reproductive capabilities of obese mice. These results support earlier work by Kort et al. [
40], who demonstrated a negative correlation between BMI and sperm motility in men: 18.6 million motile sperm in men of normal weight vs. 3.6 million in overweight men vs. 0.7 million in obese men.
Endocrine dysregulation has been shown to be a primary characteristic of male obesity. Of particular focus in the development and progression of disease within this diet-induced obesity model has been the uncoupling of the relationship between leptin and insulin. Earlier work conducted in this laboratory demonstrated that leptin and insulin resistance, exemplified by hyperleptinemia and hyperinsulinemia, respectively, fostered the development of obesity-related lesions, glomerulopathy, early steatohepatitis, and altered hepatic gene expression [
41]. Secreted by adipocytes, leptin has been shown to have important regulatory functions in numerous physiological and biochemical processes, including appetite control, suppression of insulin secretion, inflammation, reproduction, and protection of nonadipose tissue from fat accumulation [
42–
44]. Studies have shown a direct relationship between elevated serum leptin concentrations and increased body fat percentages in both humans and rodents [
41,
45]. In the current work, obese mice exhibited dyslipidemia, as evidenced by significantly elevated fasting serum cholesterol and triglycerides. Further, fasting serum leptin and insulin levels were 5-fold higher in obese vs. lean males in concert with a 5-fold reduction in fertility. Interestingly, leptin receptors (
Lepr) in the testes of obese males were downregulated approximately 7.2-fold in comparison to control mice, an indication of leptin resistance. These data support earlier trends established in other tissues indicating an inverse relationship between serum leptin and expression of
Lepr, specifically in the hypothalamus and liver [
41,
46]. Independent mechanisms of oxidative stress through the generation of reactive oxygen species have also been attributed to hyperleptinemia [
47,
48]. Thus, the downregulation of leptin signaling in the testes, continuous exposure to elevated serum lipids traversing the blood-testis barrier, and the accumulation of free radicals and fatty acids in the testes of obese mice presented in the current work may have collectively contributed to impaired testicular function and reduced pregnancy outcome. In concert with the aforementioned events,
Pparg was upregulated 2-fold in the testes of obese vs. control mice. Elevated expression of
Pparg may indicate the activation of a possible compensatory mechanism in order to manage and ultimately decrease excess fatty acids (endogenous ligands of
Pparg) amassed in the testes of obese mice.
The increased secretion of insulin, as indicated by hyperinsulinemia, presents another manifestation of the reduced efficacy of leptin in diet-induced obese mice. Studies have also alluded to the suggestion that insulin imparts neuroendocrine regulation to mouse fertility [
49,
50]. Mice with a neuron-specific disruption of the insulin receptor gene (NIRKO) displayed an obesity phenotype characterized by elevated triglycerides, insulin resistance, and hyperleptinemia, mirroring the pathologies of the diet-induced obesity model presented in the current work. Matings between male NIRKO mice and control females produced a 30% reduction in the number of offspring in comparison to control matings. The decline in male NIRKO fertility was attributed to decreased sperm count and impaired spermatogenesis as a result of insulin receptors mediating the synthesis and/or secretion of gonadotropin-releasing hormone [
49].
In the current model, adjuvant to elevated serum biochemistry in obese males, further analysis of testicular gene expression identified several more altered genes in obese vs. control mice. In particular, an approximate 2-, 3-, and 1.4-fold downregulation of
Crem,
Dhh, and
Sh2b1, respectively, was determined in obese males (). All three genes have a critical influence on male fertility. Studies have identified
Crem in male germ cells of both mouse [
51,
52] and men [
53]. It has been reported that mice and men without a functional
Crem gene demonstrated impaired spermatid differentiation and were ultimately infertile [
38,
52,
54,
55]. The importance of a fully functional
Dhh gene in the reproductive health of male mice has also been shown in several studies [
56,
57]. Using
Dhh−/− mice, Clark et al. [
57] demonstrated that in the absence of
Dhh, male mice were rendered incapable of spermatogenesis as a consequence of dysfunctional myoid and peritubular cells.
Sh2b1 has been identified as a contributor to sperm maturation, motility, and fertilization [
38]. Earlier reports have also implied leptin signaling may play a regulatory role in sperm motility [
58]. Considering these findings, in association with results from the present work, it appears the resistance of these mice to the actions of leptin in concert with the downregulation of
Sh2b1 may have additively decreased motility and hyperactivated progression of sperm in obese mice. Additionally, studies using
Sh2b1−/− mice have reported reduced fertility and developmental defects in gonadal organs [
59]. In addition to its direct effects on fertility,
Sh2b1 has functioned as a positive regulator of signaling pathways induced by insulin,
Igf1, and leptin [
60,
61]. Conversely, deletion of
Sh2b1 has been associated with insulin and leptin resistance and promotion of obesity and diabetes [
61]. Studies have shown that CYP2E1 plays an important role in the bioactivation of numerous environmental chemicals including toxins and procarcinogens [
62]. In particular, CYP2E1-mediated metabolism of AA to its epoxide intermediate, glycidamide (GA), was shown to be a prerequisite step in AA-induced germ cell mutagenicity. Using
Cyp2e1-null (
Cyp2e1−/−) and wild-type (
Cyp2e1+/+) male mice, earlier studies in this laboratory were performed in order to investigate the hypothesis that the formation of GA was responsible for the germ cell mutagenicity attributed to AA exposure [
21]. Untreated female mice mated with AA-treated
Cyp2e1+/+ demonstrated an increase in the number of chromosomally aberrant embryos (resorptions) and a subsequent decrease in the proportion of live fetuses, number of implants, and rate of pregnancy [
21]. In contrast, female mice mated to AA-treated
Cyp2e1−/− males exhibited no significant adverse effects, indicating that AA-induced germ cell mutagenicity was dependent upon CYP2E1-mediated metabolism of AA [
21]. In addition, studies have shown that CYP2E1 expression is induced in some disease states, including obesity [
26,
28,
63,
64]. Therefore, we propose that CYP2E1 induction associated with obesity increases susceptibility to environmental chemicals and may specifically enhance the germ cell toxicity of AA.
Concurrent studies exhibited an approximate 40% increase in CYP2E1 expression in obese vs. lean males (Hoffler, Churchwell, Twaddle, Woodling, Bai, Doerge, Ghanayem, unpublished data). The present work demonstrated that the impact of orally administered AA, reproductive toxicity, and germ cell mutagenicity was exacerbated in obese male mice. Untreated females partnered with AA-treated obese males experienced a further decline in their rate of pregnancy and percentage of live embryos per litter. In contrast, the percentage of resorptions per litter escalated dramatically, approaching 92% in comparison to litters produced from matings between untreated females and vehicle-treated obese males or AA-treated lean males (1.5% and 63.5% resorptions per litter, respectively). These current findings support earlier results that showed the percentage of resorptions per litter approached 50% in matings between untreated females and average weight wild-type male mice treated with AA at 25 mg kg
−1 day
−1 [
21]. The combination of diet-induced obesity in male mice and AA exposure at the same dosage produced mating outcomes in which the number of implants and live fetuses per litter were reduced approximately 50% and 32%, respectively, whereas resorptions per litter increased an estimated 40% in comparison to earlier mouse studies in which obesity was not a variable [
21]. Although there were no significant differences in the sperm count of AA-treated lean or obese mice in comparison to their age-matched vehicle-treated littermates, it is apparent that the reduced fertility associated with AA exposure was worsened by the obesity. Therefore, it is likely that the potentiation of AA-induced reproductive toxicity evidenced by the exaggerated percentage of resorptions per litter was mediated by increased bioactivation of AA to its proximate metabolite, GA, in obese mice resulting from CYP2E1 upregulation.
In conclusion, our work has demonstrated that diet-induced obesity leads to significant reduction in male fertility. Furthermore, current studies have shown, for the first time, an exacerbation of reproductive toxicity and germ cell mutagenicity resulting from oral exposures to AA in diet-induced obese male mice. Although testicular gene expression within the current work was determined using mRNA isolated from total testes, whereas the use of purified populations of testicular cells would have been ideal, it is probable that collectively, hyperinsulinemia, hyperleptinemia, and dysregulation of testicular gene expression associated with the consumption of a high-fat diet contributed to the impaired fertility of obese male mice. The present findings also suggest that obese men may be more susceptible to the effects of reproductive toxicants and possibly other environmental pollutants and carcinogens, especially those chemicals metabolized by CYP2E1. As the incidence of obesity continues to escalate as a consequence of lifestyle choices, decreased exercise, and consumption of diets rich in fat, male infertility is also increasing. It is possible that increased sensitivity of obese males to environmental chemicals such as AA, which are present in widely consumed foods, in particular French fries, may be one important factor contributing to the worldwide increase in the incidence of male infertility. Thus, continued exposure to environmental chemicals may impact human reproductive health, especially since the adverse effects of these chemicals appear to be exacerbated in states of metabolic disorder. With these considerations in mind, our diet-induced obesity animal model should be an effective tool for the further investigation of the role of diet in the development and progression of chronic disorders in humans.