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Journal of Virology, March 2003, p. 3297-3300, Vol. 77, No. 5
0022-538X/03/$08.00+0 DOI: 10.1128/JVI.77.5.3297-3300.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
Mumps Virus Decreases Testosterone Production and Gamma Interferon-Induced Protein 10 Secretion by Human Leydig Cells
Ronan Le Goffic,1 Thomas Mouchel,1 Annick Ruffault,2 Jean-Jacques Patard,3 Bernard Jégou,1 and Michel Samson1*
INSERM U. 435/GERM, Université de Rennes I, Campus de Beaulieu, 35042 Rennes,1
Service de Bactériologie-Virologie,2
Service d'Urologie, CHU Ponchaillou, 35000 Rennes, France3
Received 10 June 2002/
Accepted 20 November 2002

ABSTRACT
Mumps virus is responsible for sterility. Here, we show that
the mumps virus infects Leydig cells in vitro and totally inhibits
testosterone secretion and that ribavirin in mumps virus-infected
Leydig cell cultures completely restores testosterone production.
Moreover, we show that gamma interferon-induced protein 10 (IP-10)
is highly expressed by mumps virus-infected Leydig cells and
that ribavirin does not block IP-10 production.

TEXT
Mumps virus causes testicular disorders in humans (
6). Inflammation
of the testis leads to hypofertility and testicular atrophy,
which causes sterility that is usually transient but permanent
in rare cases (
8). Mumps virus replicates in the testes of mice
(
14), and a morphological study of the testes of patients infected
with mumps virus showed degeneration of the seminiferous epithelium
(
4). The disruption of spermatogenesis may be a consequence
of a drop in testosterone secretion by Leydig cells. Aiman et
al. (
1) have shown that Leydig cells are damaged by mumps virus.
Morphological observation of mumps virus-infected testis showed
lymphocyte infiltration of the interstitial space (
10), where
chemokines, which are cytokines involved in the chemoattraction
of many different subtypes of leukocytes (
2), may be secreted.
In the present study, human Leydig cells were isolated from
the testes of patients who underwent orchidectomy, as previously
described (
5,
7). We characterized this cell type by measuring
the expression of the luteinizing hormone receptor (LHR) at
the surfaces of Leydig cells using flow cytometry analysis (fluorescence-activated
cell sorting). Fluorescence-activated cell sorting with a monoclonal
anti-LHR antibody (2.5 µg/ml, clone LHR29; a gift of E.
Milgrom [
9]) and an appropriate mouse immunoglobulin G1 (IgG1)
isotype control showed that more than 87% of the cells expressed
LHR (Fig.
1A). Moreover, the Leydig cell culture medium was
assayed for testosterone with a competitive-radioimmunoassay
(RIA) kit (Immunotech, Marseille, France) that uses
125I-labeled
testosterone as a tracer. Our data demonstrate that the hormone
was produced for at least 6 days of culture (Fig.
1B). Then,
primary Leydig cell cultures and cultures of the VERO cell line,
used as a positive control, were performed in the presence and
absence of 10
4 PFU of mumps virus (Vit-MA strain isolated from
a patient at the Centre Hospitalier Regional Universitaire Hospital
of Reims, France) per ml. After 5 days, the VERO cells formed
syncytia in which the virus was detected by immunostaining with
a commercial monoclonal antibody (clone 75; 100-fold dilutions;
ARGENE/BIOSOFT, Varilhes, France) (Fig.
2B). Similarly, infected
human Leydig cells displayed the formation of syncytia, in which
the mumps virus was detected (Fig.
2D). The replication of mumps
virus was investigated. Leydig cell culture medium was harvested
6 days after infection and tested for its ability to infect
the Vero cell line. Medium from Leydig cells not infected with
mumps virus did not lyse the Vero cells. In contrast, the medium
from Leydig cells infected with mumps virus was able to infect
the Vero cell cultures even when it was diluted 1:10,000 (data
not shown). The presence of ribavirin, an inhibitor of mumps
virus replication, did not prevent Vero cell line lysis due
to the mumps virus-infected Leydig cell culture medium, but
the culture medium lysed the Vero cells only when it was diluted
1:100 or less (data not shown). Thus, we demonstrate the in
vitro replication of mumps virus in Leydig cells. The measurement
of testosterone levels in Leydig cell-conditioned medium in
the presence and absence of virus and with and without ribavirin
showed that Leydig cells produced testosterone in the absence
of the virus and in the presence of ribavirin alone but that
testosterone production was totally inhibited by mumps virus
in the absence of ribavirin at all time points tested (Fig.
3). The presence of ribavirin in the mumps virus-infected Leydig
cell cultures consistently and completely restored testosterone
production (Fig.
3). Aiman et al. (
1) have previously shown
that mumps virus orchitis is associated with reduced levels
of plasma testosterone. Here, we confirm that, in vitro, the
mumps virus can substantially impair testosterone production.
This mechanism of action of the virus on steroidogenesis is
unknown. However, ribavirin restored testosterone production
in mumps virus-infected Leydig cells, indicating that the viral
cycle, and not only viral contact with the plasma membrane or
viral penetration of the cell host, is required for testosterone
inhibition. Finally, to analyze leukocyte infiltration observed
in cases of testicular inflammation of infectious origin, we
screened, using Northern blot analysis, the expression of the
chemokine transcripts RANTES (regulated on activation, normal
T-cell expressed and secreted), growth-related oncogen

, monocyte
chemoattractant protein 1, and gamma interferon (IFN-

)-induced
protein 10 (IP-10) in mumps virus-infected Leydig cells. Uninfected
Leydig cells were used as negative controls. The only chemokine
transcript detected in infected cells was IP-10 (data not shown).
We used a specific enzyme-linked immunosorbent assay (ELISA)
to determine IP-10 protein levels (Tebu-Bio, Le Perray-en-Yvelines,
France) in cell culture supernatants collected daily. The level
of IP-10 production was very low in the absence of virus or
the presence of ribavirin alone. In contrast, IP-10 was abundant
in the medium as early as 1 day postinfection with 10
4 PFU of
mumps virus per ml with or without ribavirin (Fig.
4). IP-10
secretion was highest on days 2 and day 3 and then declined
to control levels by day 5. IP-10 production by various cell
types is induced by IFN (
13,
15), so we assayed IFN-

, IFN-ß,
and IFN-

concentrations in Leydig cell-conditioned medium. Under
all conditions tested, the concentrations of the different IFN
types investigated were lower than the sensitivity threshold
concentration of the ELISA used. It was thus concluded that
mumps virus did not induce IFN expression by Leydig cells (data
not shown). Thus, we demonstrate that Leydig cells can produce
a chemoattractant molecule, IP-10, which may be involved in
the etiopathology of a testicular viral infection, such as mumps
virus infection, by attracting lymphocytes to the interstitial
compartment. It also shows that, in our model, IP-10 expression
is not dependent on IFN. Similarly, glioblastoma cells exposed
to the measles virus, another member of the
Paramyxoviridae family, express IP-10 independently of IFN (
11). It is possible
that a component of the mumps virus capsid directly induces
IP-10 expression, as was previously shown for adenovirus (
3).
Ribavirin did not block IP-10 production by mumps virus-infected
Leydig cells, but viral replication was inhibited, indicating
that the mumps virus replication process is not required for
IP-10 production. This finding supports the view that components
of the virus membrane induce IP-10 production, as was observed
for RANTES production by measles virus-infected astrocytes (
12).

ACKNOWLEDGMENTS
This work was supported by INSERM, the Ministère de l'Education
Nationale de la Recherche et de la Technologie, the Fondation
pour la Recherche Medicale (FRM), the Association pour la Recherche
sur le Cancer (ARC), the Ligue Nationale contre le Cancer, the
Région Bretagne, the Fondation Langlois, and the Hospital
Ponchaillou (grant COREC). R.L.G. was supported by a Ph.D. fellowship
from the Région Bretagne.

FOOTNOTES
* Corresponding author. Mailing address: Université de Rennes I, GERM-INSERM U. 435, Campus de Beaulieu, 35042 Rennes cedex, Bretagne, France. Phone: 33-2-23 23 59 27. Fax: 33-2-23 23 50 55. E-mail:
michel.samson{at}rennes.inserm.fr.


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Journal of Virology, March 2003, p. 3297-3300, Vol. 77, No. 5
0022-538X/03/$08.00+0 DOI: 10.1128/JVI.77.5.3297-3300.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
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