[HTML][HTML] Osteocalcin regulates murine and human fertility through a pancreas-bone-testis axis

F Oury, M Ferron, W Huizhen… - The Journal of …, 2013 - Am Soc Clin Investig
F Oury, M Ferron, W Huizhen, C Confavreux, L Xu, J Lacombe, P Srinivas, A Chamouni
The Journal of clinical investigation, 2013Am Soc Clin Investig
The osteoblast-derived hormone osteocalcin promotes testosterone biosynthesis in the
mouse testis by binding to GPRC6A in Leydig cells. Interestingly, Osteocalcin-deficient mice
exhibit increased levels of luteinizing hormone (LH), a pituitary hormone that regulates sex
steroid synthesis in the testes. These observations raise the question of whether LH
regulates osteocalcin's reproductive effects. Additionally, there is growing evidence that
osteocalcin levels are a reliable marker of insulin secretion and sensitivity and circulating …
The osteoblast-derived hormone osteocalcin promotes testosterone biosynthesis in the mouse testis by binding to GPRC6A in Leydig cells. Interestingly, Osteocalcin-deficient mice exhibit increased levels of luteinizing hormone (LH), a pituitary hormone that regulates sex steroid synthesis in the testes. These observations raise the question of whether LH regulates osteocalcin’s reproductive effects. Additionally, there is growing evidence that osteocalcin levels are a reliable marker of insulin secretion and sensitivity and circulating levels of testosterone in humans, but the endocrine function of osteocalcin is unclear. Using mouse models, we found that osteocalcin and LH act in 2 parallel pathways and that osteocalcin-stimulated testosterone synthesis is positively regulated by bone resorption and insulin signaling in osteoblasts. To determine the importance of osteocalcin in humans, we analyzed a cohort of patients with primary testicular failure and identified 2 individuals harboring the same heterozygous missense variant in one of the transmembrane domains of GPRC6A, which prevented the receptor from localizing to the cell membrane. This study uncovers the existence of a second endocrine axis that is necessary for optimal male fertility in the mouse and suggests that osteocalcin modulates reproductive function in humans.
The Journal of Clinical Investigation