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G Model RTX-6420; No. of Pages 8 ARTICLE IN PRESS Reproductive Toxicology xxx (2010) xxx–xxx Contents lists available at ScienceDirect Reproductive Toxicology journal homepage: www.elsevier.com/locate/reprotox Combined effects of two environmental endocrine disruptors nonyl phenol and di-n-butyl phthalate on rat Sertoli cells in vitro Dongmei Li a,b , Yang Hu a,b , Xiahong Shen a,b , Xinjue Dai a,b , Xiaodong Han a,b,∗ a b Immunology and Reproduction Biology Laboratory, Medical School, Nanjing University, Nanjing, Jiangsu 210093, China Jiangsu Key Laboratory of Molecular Medicine, Nanjing University, Nanjing, Jiangsu 210093, China a r t i c l e i n f o Article history: Received 19 January 2010 Received in revised form 17 May 2010 Accepted 16 June 2010 Available online xxx Keywords: Nonyl phenol Di-n-butyl phthalate Sertoli cell Combined effect a b s t r a c t In this study, our purpose is to analyze combined effects of nonyl phenol (NP) and di-n-butyl phthalate (DBP) for rat testicular Sertoli cell toxicity in vitro. Sertoli cells were isolated, purified, cultured, and identified with FSHR fluorescence staining. Then the purified Sertoli cells were treated with different doses of NP, DBP or NP + DBP. Although we did not find dramatic morphological changes, cell viability decreased significantly at high-dose NP and their mixture. The following Annexin V-PI staining demonstrated that DBP alone did not show apoptosis induction, the combination effect on apoptosis induction was due to NP, in addition, nucleus of Sertoli cell showed apoptosis morphological changes. In addition, increased LDH leakage was also observed in high-dose mixture. According to the above phenomena, we inferred that the combined effect of the two substances on Sertoli cell toxicity had an additive effect, and the induction of apoptosis may play an important role. © 2010 Published by Elsevier Inc. 1. Introduction Decline in human and wildlife reproductive health, which is mainly caused by environmental pollution, is receiving more and more attention from the public and the scientific community. So many chemicals as environmental endocrine disruptors have experimentally demonstrated to be able to affect endocrine processes to a great extent. Among them, nonyl phenol (NP) and di-n-butyl phthalate (DBP) are commonly found in water environment [1,2]. It has been observed that they are seriously threatening reproductive health of human and animals. NP which has weak estrogenic activity is a primary degradation product of nonylphenol ethoxylate (NPEO), a major group of multipurpose nonionic surface active agents [3,4]. It has been found in preliminary studies that NP can interfere with reproduction in fish, reptiles, and mammals, induce the cell death in gonads, and change other reproductive parameters [3,5,6]. DBP belongs to phthalates which are man-made chemicals widely used in industry and commerce. It has been shown that DBP and its metabolite mono-n-butyl phthalate can cause such anti-androgenic effects as decreased anogenital distance (AGD), cryptorchidism, decreased testosterone levels, decreased sperm production, and infertility [7–9]. ∗ Corresponding author at: Immunology and Reproduction Biology Laboratory, Medical School, Nanjing University, 22 HanKou Road, Nanjing, Jiangsu 210093, China. Tel.: +86 25 83686497; fax: +86 25 83686497. E-mail address: [email protected] (X. Han). In general, level of human exposure to a single environmental endocrine disruptor is low, and it has much less potent than natural hormones. However, humans are often exposed to a mixture of these chemicals and combined effects should be considered to evaluate the human exposure risk. Therefore, Kortenkamp [10] claimed that epidemiology should focus on the mixed effects of multiple endocrine disrupters rather than a single endocrine disrupter. Since the above two compounds have effects on male reproductive system, it can be concluded that testis is one of the target organs of NP and DBP. They are widely and quickly consumed. As a result, they accumulate in the environment at an increasing level, and often appear together. Various channels are available for a mixture of NP and DBP to reach humans. Therefore, it is necessary to explore the combined effect of NP and DBP on male reproduction. A series of studies on combined effects of mixture focused on the combinations of estrogenic, thyroid-disrupting, and antiandrogenic chemicals at low doses [11–16]. Existing data showed that if they were present synchronously, combined effects may result from the same endocrine disruption. However, there are few studies on the combined effects of a weak estrogenic chemical and an anti-androgenic chemical on reproductive toxicity in Sertoli cell in vitro. The two compounds are often present simultaneously and ranked the top two in the water environment. For example, in China, an analysis revealed that levels of NP and DBP in raw water from Yellow River were as high as 0.47 mol/L and 0.021 mol/L, respectively. After water treatment, water content of the residents was still 0.086 mol/L and 0.008 mol/L, respectively [2]. In Spain and Canada, it was also found that concentration of NP and DBP 0890-6238/$ – see front matter © 2010 Published by Elsevier Inc. doi:10.1016/j.reprotox.2010.06.003 Please cite this article in press as: Li D, et al. Combined effects of two environmental endocrine disruptors nonyl phenol and di-n-butyl phthalate on rat Sertoli cells in vitro. Reprod Toxicol (2010), doi:10.1016/j.reprotox.2010.06.003 G Model RTX-6420; No. of Pages 8 ARTICLE IN PRESS 2 D. Li et al. / Reproductive Toxicology xxx (2010) xxx–xxx existence was of the order of magnitude g/L in test samples from a number of water treatment plants [1,17]. In selected tissues from ewes and their lambs which were grazed on pastures fertilized with sewage sludge or with inorganic fertilizer, NP and phthalate also existed together in muscle and liver as well as fat tissue in treatment groups and there was also significant accumulation [18]. Sertoli cells exert important functions in supporting and nourishing germ cells as well as the constitution of blood–testicle barrier. Onset of spermatogenesis and the eventual production of a sufficient sperm number to insure fertility depend on Sertoli cells. Therefore, specific impairment of Sertoli cells will produce a parallel dysfunction in sperm production. In our laboratory, long-term research data on the Sertoli cell exposure to NP revealed that NP can induce oxidative stress and cytotoxicity in testicular Sertoli cell [19] and induce endoplasmic reticulum stress which may plays an important role in the induction of apoptosis [20]. Expression of 41 proteins among 63 protein spots identified by proteomic approach was altered in rat Sertoli cells after treated with low NP concentrations, similar to environmental conditions, for 24 h. Further analysis by Western blot found these proteins are mainly involved in the response of Sertoli cells to programmed cell death [21]. Additionally, study on the membrane dynamics of Sertoli cells indicated cellular membranes represented a plausible target for NP-induced cytotoxicity [22]. The study of Wang et al. [23] demonstrated that impairment of spermatogenesis caused by DBP should be partly due to the suppression of androgen binding protein (ABP) and inhibin (INH) alpha biosynthesis in Sertoli cells, and Sertoli cells should be one of the major toxic targets. All the above studies confirmed that Sertoli cells were the targets of the two chemicals [24]. Damage to Sertoli cells may lead to impairment of male reproduction. Many related studies share an assumption that environmental endocrine disruptors disturb endocrine through hormone receptor, but some other studies have confirmed that this is not the case. Thus, it is particularly important to understand the mechanism of these compounds from a different perspective. The purpose of this study is to investigate combined effects in vitro of the aforementioned two environmental endocrine disruptors on primary rat Sertoli cells. It is elucidated whether a mixture of the two endocrine disrupters interacts in an additive, a synergistic, or an antagonistic way. 2. Materials and methods 2.1. Chemicals and reagents NP (4-nonyl phenol, C15 H24 O, CAS: 25154-52-3) with 98% analytical standard was from Tokyo Kasei Kogyo Co. Ltd. (Tokyo, Japan). DBP (di-n-butyl phthalate, C16 H22 O4 , CAS: 84-74-2) was purchased from Sigma–Aldrich Inc. (St. Louis, MO, USA). Dulbecco’s modified Eagle’s medium-Ham’s F-12 medium (DMEM-F12 medium), collagenase I, trypsin, C8H17N2O4Sna (HEPES sodium salt), penicillin, streptomycin sulfate, Hoechst 33342, fluorescein diacetate (FDA), propidium iodide (PI) were purchased from Sigma–Aldrich Inc. (St. Louis, MO, USA). Anti-Follicle stimulating hormone receptor (FSHR) antibody and donkey anti-goat IgG-CY3 were purchased from Santa Cruz Biotechnology Inc. (Santa Cruz, CA, USA). Cell Counting Kit-8 (CCK-8) was obtained from Dojindo Molecular Technologies, Inc. (Kumamoto, Japan). Annexin V-PI apoptosis assay kit was purchased from Nanjing KeyGen Biotech. Co. Ltd. (Nanjing, Jiangsu, China). 2-(4-Amidinophenyl)-6indolecarbamidine dihydrochloride (DAPI) was purchased from Beyotime Institute of Biotechnology (Nantong, Jiangsu, Chain). CytoTox-ONETM Homogeneous Membrane Integrity Assay was obtained from Promega Corporation (Madison, MI, USA). NP and DBP were dissolved in 99% pure dimethylsulfoxid (DMSO, no. S 26740 916) from Schuchardt (Hohenbrunn, Germany) into stock solutions of 20 mM and 200 mM, respectively. 2.2. Primary culture of rat testicular Sertoli cells Sprague–Dawley rats were purchased from Nanjing Medical University and kept in accordance with NIH Guide for the Care and Use of Laboratory Animals. The method in which primary Sertoli cell cultures were prepared from 3-week-old Sprague–Dawley rats by sequential enzymatic treatment have been used routinely in our laboratory as previously described [25]. Testes were aseptically removed, decapsulated, and washed twice, and tubules were carefully separated. The loosened tissues were transferred into 50 ml plastic tubes and sequentially digested in 0.25% trypsin in a rocking incubator (32 ◦ C, 210 rpm, 30 min), followed by 0.1% collagenase I (34 ◦ C, 150 rpm, 45 min). The homogenate was filtered through a 100mesh stainless steel filter and the cell suspension was centrifuged at 200 × g for 5 min. Cells were washed twice in DMEM-F12 medium supplemented with 5% FBS. Isolated cells were plated on tissue culture dishes (10 mm in diameter, Greiner BioOne GmbH, Frickenhausen, Germany) at a density of 1.5 × 106 cells/ml in DMEM-F12 supplemented with 4 mM glutamine, 15 mM Hepes, 6 mM l-(1)-lactic hemicalcium salthydrate, 1 mM sodium pyruvate, antibiotics (final concentrations: penicillin, 100 IU/ml; streptomycin sulfate, 100 g/ml) and 5% fetal bovine serum (FBS). Cells were maintained in a humidified atmosphere of 95% air/5% CO2 (v/v) at 37 ◦ C for 48 h. Sertoli cells attached to the bottom of dishes with only tiny dendrites protruding, but most of germ cells suspended in the medium and can be removed by changing the medium. Another 48 h later, the medium was changed again for second purification until Sertoli cells grow quickly to form a monolayer in new medium. Cell purity was determined by immune fluorescence of Anti-FSHR antibody. After purification, cells were fixed with methanol for 5 min, washed three times in PBS. Then cells were incubated at 37 ◦ C for 2 h with the primary anti-FSHR antibody. To block nonspecific binding, the primary antibody was diluted 1:100 with 1% BSA in PBS. Following incubation with the primary antibody, the cells were then incubated at 37 ◦ C for 1 h with CY3-conjugated secondary antibody diluted in 1% BSA–PBS. Nuclear was stained with DAPI. The cells were washed and observed under the fluorescent microscopy (Nikon, Chiyoda-ku, Tokyo, Japan) with an appropriate barrier filter set. 2.3. Cell viability and toxicity assay Cell viability assays were performed using CCK-8. The purified cells were digested with trypsin and plated in 96-well plates at 1 × 104 cells per well and cultured in the serum-free growth medium for 24 h. Then, Sertoli cells were exposed to vehicle (Control) or different concentrations of NP (N1 (0.1 mol/L), N2 (1 mol/L), N3 (10 mol/L)), DBP (D1 (1 mol/L), D2 (10 mol/L), D3 (100 mol/L)) or NP + DBP (N1 + D1, N2 + D2, N3 + D3). At the indicated time points, the cell numbers in sextuple wells were measured on an automated microplate reader (Bio-Rad, Japan) as the absorbance (A) (450 nm) of reduced WST-8 (2-(2-methoxy-4-nitrophenyl)3-(4-nitrophenyl)-5-(2,4-disulfophenyl)-2H-tetrazolium, monosodium salt). Cell viability was calculated as follows: cell viability (%) = A(treatment) − A(blank) × 100% A(Control) − A(blank) 2.4. Staining with FDA and PI for morphologic evaluation A rapid, simultaneous double-staining procedure with fluorescein diacetate (FDA) and propidium iodide (PI) was used for morphologic evaluation [26]. This assay is based on the simultaneous determination of viable and dead cells with the detection of intracellular lipase activity by FDA and of plasma membrane integrity by PI, respectively. The purified Sertoli cells were transplanted into 96-well plates at 1 × 104 cells per well and exposed to vehicle (Control) or different concentrations of NP (N3 (10 mol/L)), DBP (D3 (10 mol/L)) or NP + DBP (N3 + D3) for 24 h, cells in tripartite wells were stained with 5 g/ml PI and 4 g/ml FDA for 5 min and observed under the fluorescent microscopy with an appropriate barrier filter set. 2.5. Flow cytometric assay Annexin V-FITC/PI staining combined with flow cytometry was used to quantitatively determine the percentage of cells undergoing apoptosis and necrosis. The purified cells were digested with trypsin and plated in 6-well plates at 1 × 106 cells per well and treated with vehicle (Control) or NP (N3 (10 mol/L)), DBP (D3 (10 mol/L)) or NP + DBP (N3 + D3) for 48 h and then harvested. Then Sertoli cells in tripartite were stained with a saturating concentration of Annexin V-FITC and PI in Assay Buffer (10 mM HEPES, 140 mM NaCl, 2.5 mM CaCl2 , pH 7.4) at a concentration of 1 × 106 cells/ml in the dark for 20 min. Cells were pelleted and analyzed using a FACScan flow cytometer (Becton-Dickson, Immunocytometry System, San Jose, CA) immediately after staining. 2.6. In situ labeling of apoptotic cells A DNA dye, Hoechst 33342 was used for examining nuclear morphology. The purified Sertoli cells were transplanted into 96-well plates at 1 × 104 cells per well and exposed to vehicle (Control) or NP (N3 (10 mol/L)), DBP (D3 (10 mol/L)) or NP + DBP (N3 + D3) for 48 h, cells in tripartite wells were stained with Hoechst 33342 according to the protocol of the kit. The result of staining was visualized under a fluorescent microscope that was excited at a wavelength of 350 nm and measured at 460 nm. Please cite this article in press as: Li D, et al. Combined effects of two environmental endocrine disruptors nonyl phenol and di-n-butyl phthalate on rat Sertoli cells in vitro. Reprod Toxicol (2010), doi:10.1016/j.reprotox.2010.06.003 G Model RTX-6420; No. of Pages 8 ARTICLE IN PRESS D. Li et al. / Reproductive Toxicology xxx (2010) xxx–xxx 3 2.7. Membrane integrity assay Membrane integrity assay is determined by a rapid, fluorescent measure of the release of lactate dehydrogenase (LDH) from cells with a damaged membrane using CytoTox-ONETM Homogeneous Membrane Integrity Assay kit. In brief, Sertoli cells were digested with trypsin and plated in 96-well plates at 1 × 104 cells per well, then Sertoli cells in sextuple wells were exposed to vehicle (Control) or different concentrations of NP (N1, N2, N3), DBP (D1, D2, D3) or NP + DBP (N1 + D1, N2 + D2, N3 + D3) for 24 h or 48 h. According to the protocol of the kit, the LDH activity was measured in culture supernatants (S) and in the remaining cells (C) after lysis using an automated microplate reader with excitation/emission wavelengths at 560/590 nm. The percentage of LDH leakage was calculated as follows: leakage (%) = S − blank × 100% S − blank + C − blank 2.8. Statistical analysis Three replicates of each exposure were performed. Data are presented as the mean ± standard deviation (SD). Significance of the difference from the respective controls for each experimental test condition was assessed with one-way analysis of variance (ANOVA). Statistical significance was determined by Dunnett t test, and p < 0.05 was considered significant. 3.1. Sertoli cell identification Fig. 1. Immunofluorescence photomicrographs of Sertoli cells dyed with FSHR with nuclei stained by DAPI. Sertoli cells were positive immunostaining of the FSHR, showing red, and nuclei showed blue fluorescence. Sertoli cells were those expressing FSHR, purity of Sertoli cells was >95%. (For interpretation of the references to color in this figure legend, the reader is referred to the web version of the article.) FSH plays an important role to maintain Sertoli cell functions to ensure the maintenance of qualitatively and quantitatively normal spermatogenesis. FSH action on Sertoli cells is mediated by a specific receptor, the FSH receptor (FSHR). In spermatogenic epithelium, FSHR specifically expresses in the membrane of Sertoli cell. Using anti-FSHR primary antibody and CY3-conjugated secondary antibody, Sertoli cells were immunopositive and emerged in the red fluorescence, nuclei showed a blue fluorescence (Fig. 1). All these primary cells expressed FSHR, indicating that they were Sertoli cells, and purity of Sertoli cells is >95%. 3. Results Fig. 2. Effect of NP or/and DBP on the viability of cultured Sertoli cells. Sertoli cells were treated with NP (N1 (0.1 mol/L), N2 (1 mol/L), N3 (10 mol/L)), DBP (D1 (1 mol/L), D2 (10 mol/L), D3 (100 mol/L)) or NP + DBP (N1 + D1, N2 + D2, N3 + D3) for 6 h, 12 h, 24 h and 48 h, respectively, and the viability of cells was determined by CCK-8. Data were presented as mean ± SD. Statistically different from the control is marked with asterisk (*P < 0.05, **P < 0.01). Please cite this article in press as: Li D, et al. Combined effects of two environmental endocrine disruptors nonyl phenol and di-n-butyl phthalate on rat Sertoli cells in vitro. Reprod Toxicol (2010), doi:10.1016/j.reprotox.2010.06.003 G Model RTX-6420; 4 No. of Pages 8 ARTICLE IN PRESS D. Li et al. / Reproductive Toxicology xxx (2010) xxx–xxx Fig. 3. Observation of morphological changes of Sertoli cells after treatment. (A) Phase-contrast microphotographs of Sertoli cells. After being incubated with NP (N1 (0.1 mol/L), N2 (1 mol/L), N3 (10 mol/L)), DBP (D1 (1 mol/L), D2 (10 mol/L), D3 (100 mol/L)) or NP + DBP (N1 + D1, N2 + D2, N3 + D3) for 48 h, Sertoli cells were photographed under phase-contrast microscope. Bar = 100 m. (B) Fluorescent photomicrographs of Sertoli cells dyed with FDA/PI. Cells in the control and N3, D3, N3 + D3 for 48 h were stained using FDA and PI staining. From micrographs, no remarkably morphological changes were observed. Please cite this article in press as: Li D, et al. Combined effects of two environmental endocrine disruptors nonyl phenol and di-n-butyl phthalate on rat Sertoli cells in vitro. Reprod Toxicol (2010), doi:10.1016/j.reprotox.2010.06.003 G Model RTX-6420; No. of Pages 8 ARTICLE IN PRESS D. Li et al. / Reproductive Toxicology xxx (2010) xxx–xxx 5 Fig. 3. (Continued). 3.2. Effect on cell viability The result of cell viability assay was presented in histogram in Fig. 2. As can be seen, after 6 h treatment, Sertoli cell viability showed significant increase between control and N1, N2, D1, D2, D3, respectively (p < 0.05 or p < 0.01), and showed significant decrease between control and N3, N3 + D3, respectively (p < 0.01). However, there were no significant variations after 12 h treatment. With the exposure time increasing to 24 h, cell viability in N3 and N3 + D3 declined significantly (p < 0.05 or p < 0.01). With the exposure time increasing to 48 h, in addition to N3 and N3 + D3, cell viability in N2 + D2 also declined significantly (p < 0.05). Annexin V-FITC staining. The result of flow cytometry analysis revealed that the proportion of apoptotic cells was significantly increased at N3 and N3 + D3 groups (Fig. 4A). Although the proportion of apoptotic cells in D3 had a trend to increase, there was no statistical difference. In order to further verify that two compounds induced apoptosis and necrosis of Sertoli cells, nuclear staining with Hoechst 33342 at 48 h demonstrated that such significant morphological changes in nuclear as chromatin condensation with bright blue, lobulated, debris, or edge set were observed in N3, D3, or N3 + D3 compared with the normal nuclear morphology of control cells (Fig. 4B). (For interpretation of the references to color in this sentence, the reader is referred to the web version of the article.) 3.3. Morphological changes of Sertoli cells 3.5. LDH leakage for membrane integrity assay Under the inverted phase-contrast microscope, Sertoli cells showed wide columnar or irregular-shaped with thick processes. No obvious morphological changes of Sertoli cells induced by NP, DBP, NP + DBP could be observed at 24 h (not shown) or 48 h (Fig. 3A). Cell survival or death was assessed by observing fluorescence photomicrographs of Sertoli cells stained with FDA and PI. In Fig. 3B, we showed photomicrographs of the effects on Sertoli cells in N3, D3, N3 + D3 for 48 h. The fluorogenic substrate lipase is cleaved only in viable Sertoli cells to form the green fluorescence. (For interpretation of the references to color in this sentence, the reader is referred to the web version of the article.) These cells remained viable when cultured with medium alone (Control). The PI, a high-affinity red fluorescent DNA staining, is only able to pass through the compromised membranes of dead cells. At 24 h or 48 h, cells exposed to NP, DBP, NP + DBP did not exhibit significant changes by morphologic observation under the fluorescent microscope. 3.4. Examination of NP, DBP, or NP + DBP-induced apoptosis and necrosis We first determined whether apoptotic events were induced in Sertoli cells after exposure to NP, DBP, NP + DBP for 48 h using Plasma membrane integrity was assessed by monitoring LDH leakage into the extracellular medium (Fig. 5). After 24 h treatment, LDH leakage in N3 + D3 increased significantly (p < 0.05). With the exposure time prolonging to 48 h, N3 + D3 still resulted to significant increase of membrane permeability (p < 0.01). 4. Discussion Morphological and functional characteristics of Sertoli cells determine that they are important in nutrition, support, and regulation for germ cell in spermatogenesis. Some chemical poisons can specifically act on Sertoli cells at different stages during the development of germ cells, and as a result, lead to reproductive hazards. FSH and testosterone are two major signaling molecules in the control of spermatogenesis. FSHR specifically expresses on the cell membrane of Sertoli cells. Therefore, we use specific immunofluorescence expression of FSHR on Sertoli cell membrane to identify cultured cell purity, and it was verified that this method was specific, intuitive, and simple. In preliminary study, we determined half maximal effective concentration (EC50 ) of two compounds added in Sertoli cells for 24 h using CCK-8 kit, respectively. Results indicated that EC50 of NP Please cite this article in press as: Li D, et al. Combined effects of two environmental endocrine disruptors nonyl phenol and di-n-butyl phthalate on rat Sertoli cells in vitro. Reprod Toxicol (2010), doi:10.1016/j.reprotox.2010.06.003 G Model RTX-6420; 6 No. of Pages 8 ARTICLE IN PRESS D. Li et al. / Reproductive Toxicology xxx (2010) xxx–xxx Fig. 4. Detection of apoptosis and necrosis. (A) Annexin V-FITC and PI staining for the detection of apoptosis. After exposure 48 h, Sertoli cells were collected for Annexin V-FITC and PI staining followed by flow cytometry analysis. The upper were flow cytometric plots. The lower was flow cytometric analysis result. Data are presented as mean ± SD, n = 3. Statistically different from the control is marked (*P < 0.05, **P < 0.01). (B) Fluorescent photomicrographs of Sertoli cells dyed with Hoechst 33342. Cells in the control and N3, D3, N3 + D3 for 48 h were stained using Hoechst 33342 staining. Condensed and fragmented nuclei were marked with white arrows. Please cite this article in press as: Li D, et al. Combined effects of two environmental endocrine disruptors nonyl phenol and di-n-butyl phthalate on rat Sertoli cells in vitro. Reprod Toxicol (2010), doi:10.1016/j.reprotox.2010.06.003 G Model RTX-6420; No. of Pages 8 ARTICLE IN PRESS D. Li et al. / Reproductive Toxicology xxx (2010) xxx–xxx Fig. 5. Effect of NP or/and DBP on LDH leakage of cultured Sertoli cells. Sertoli cells were treated with NP (N1 (0.1 mol/L), N2 (1 mol/L), N3 (10 mol/L)), DBP (D1 (1 mol/L), D2 (10 mol/L), D3 (100 mol/L)) or NP + DBP (N1 + D1, N2 + D2, N3 + D3) for 24 h and 48 h, respectively, and the viability of cells was determined using CytoTox-ONETM Homogeneous Membrane Integrity Assay kit. Data were presented as mean ± SD. Statistical different from the control was marked with asterisk (**P < 0.01). was 16.5 mol/L and EC50 of DBP was about 12 mmol/L. In this study, although it seemed that the highest concentration of NP was 10 mol/L, about 1/2 EC50 of NP, and was relatively high compared with expected environmental exposure, this concentration is much lower than that in other studies on NP toxicity (30 mol/L) [19,20,22]. Other concentrations of NP were low, similar to environmental conditions. DBP concentration ranged from 1 mol/L to 100 mol/L and the highest concentration of DBP applied in this experiment was about 1/100 EC50 of DBP. Hallmark et al. [27] showed that DBP was not effective in testicular Leydig cells after up to millimolar concentrations in vitro. Therefore, in this study, one of the purposes that we determined the highest dose of DBP at 100 mol/L was to show whether DBP was effective in Sertoli cells, and the other purpose was to observe if DBP at 100 mol/L would increase or decrease the cytotoxicity of NP in vitro. It was found that after 6 h of exposure, 0.1 mol/L NP, 1 mol/L NP, and three DBP treatment groups all showed significantly increased cell viability. Low- and medium-dose combination groups showed the same trend despite there was no significant difference compared with the control group. At the high dose, 10 mol/L NP inhibited Sertoli cell viability and showed certain toxicity. The high-dose combination group further inhibited cell viability. The results suggested that NP and DBP might have hormesis, which showed stimulating effect at low doses but at high concentrations showed inhibitory effects in a short period. After 12 h exposure cell viability had no difference in each group compared with the control. We suggested that cells were in a state 7 of compensatory to some extent, indicating that Sertoli cells have certain capacity of resistance against foreign chemicals. Exposed to 24 h, 10 mol/L NP still significantly inhibited cell viability. This result was different from Gong and Han’s [19]. In their experiments, it showed that 10 mol/L NP did not induce the decline of cell viability. We considered that CCK-8 was of higher sensitivity than MTT. At 24 h, 100 mol/L DBP showed no influence to cell viability, and high-dose combination group continued to show a trend same as NP. Compared with the control group, such inhibition was much severer. We speculated that there was an additive effect in the presence of NP and DBP. At 48 h, medium-dose combination group also showed a visible decline. Annexin V-FITC-PI double-staining flow cytometry revealed that 10 mol/L NP, 100 mol/L DBP and their mixture can induce cell apoptosis and increase the portion of cell death. Hoechst 33342 fluorescent staining of the nucleus changes for 48 h. Significant changes in nuclear morphology with apoptosis character were found in high-dose NP, DBP and their mixture. Results indicated that NP and their mixture might impair cell function by inducing apoptosis. Gong found that 20 mol/L and 30 mol/L NP treatment led to remarkably increased apoptosis in Sertoli cells, while NP can induce ER-stress in Sertoli cells, and thus Sertoli cell apoptosis could be induced by ER-stress [20]. In addition, it was found that Fas/FasL system, caspase-3 activation, and mitochondrial depolarization all were involved in NP-induced thymocyte apoptosis [28,29]. DBP related researches basically revolved around prepubertal exposure to focus on the interference of gonadal development, including the embryonic stage. Most recently, it was found that DBP could induce spermatogenic cell apoptosis in prepubertal rats [30]. In Naarala and Korpi’s study, both doses (500 mol/L and 1 mmol/L) of DBP increased apoptosis of murine macrophages in a short term exposure by two- and fourfold, though the result was not significant in statistics [31]. Similarly, we did not find 100 mol/L DBP increased apoptosis of Sertoli cells after a 24 h or 48 h exposure with a statistically significant result. Therefore, the present results indicated that DBP alone did not show apoptosis induction, the combination effect on apoptosis induction was due to NP, and the combination had an additive effect. As for the mechanisms of the mixture leading to cell apoptosis, we need further study. Previous studies have found cell membrane was the target attacked by NP [22]. Two studies in vitro indicated that phthalates disturbed the energy transfer chain existing between germ cells and Sertoli cells to lead to adverse changes in cell polarization, which affects membrane proteins [32,33]. In recent studies, it was shown that the metabolite and main toxicants of DBP and MBP induced damage to tight junctions between adjacent Sertoli cells at doses of 150 mol/L and 600 mol/L. Thus, cell membrane integrity was also the object we observed. In this experiment, in 24 h, LDH leakage increased significantly only in high-dose mixture group. When the exposure time was prolonged to 48 h, only high-dose mixture induced LDH leakage to increase significantly. It is interesting that we did not find that LDH leakage significantly increased in 10 mol/L NP group or 10 mol/L DBP. We speculated that there was an additive effect in the presence of NP and DBP. In conclusion, additive effects were observed in the mixture of NP and DBP on Sertoli cell. In this study, the evaluation method was based on the principle of concentration addition, which, we think, was a valid tool for assessing mixture effects of both similarly and dissimilarly acting compounds in this in vitro model. A mixture of NP and DBP can induce destruction of cell membrane integrity and increase membrane permeability so that the amount of NP and DBP into the cells increased. Although DBP showed no influence to cell viability, the combined effect of the two substances on Sertoli cell toxicity increased, showing a certain additive effects. Furthermore, the induction of apoptosis may play an important role. Please cite this article in press as: Li D, et al. Combined effects of two environmental endocrine disruptors nonyl phenol and di-n-butyl phthalate on rat Sertoli cells in vitro. Reprod Toxicol (2010), doi:10.1016/j.reprotox.2010.06.003 G Model RTX-6420; No. of Pages 8 8 ARTICLE IN PRESS D. Li et al. / Reproductive Toxicology xxx (2010) xxx–xxx Conflict of interest statement There is no conflict of interest. Acknowledgements The work was supported by National Natural Science Foundation of China (30800115 and 30970530), Foundation for Junior Faculty in Doctoral Program, Ministry of Education, China (200802841006), and Doctoral Program of Higher Specialized Research Fund, Ministry of Education, China (20090091110048). 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