1. Introduction
Steroid hormones, such as testosterone and estradiol, are derived from cholesterol during steroidogenesis. Testosterone is a direct precursor of estradiol and is converted by the enzymatic complex composed of cytochrome P450 and aromatase, which is encoded by a single gene,
Cyp19a1 [
1,
2]. Two distinct postnatal periods of testosterone synthesis have been observed in males. Specifically, a transient peak in synthesis is observed during the perinatal period [
3]. Subsequently, the production of testosterone decreases significantly. Afterward, testosterone levels increase to a peak during puberty [
4]. In adulthood, these levels remain high until a decline in elderly men. In contrast to testosterone, the synthesis of estradiol is characterized by a single increase in production during puberty. Following this period, estradiol levels remain low in men. This estradiol synthesis is carried on by many tissues in men, it is estimated that the testis is responsible for 20% of the total synthesis [
5].
The endocrine function of the testis along with the widespread distribution of steroid hormone receptors in various tissues, highlights the range of physiological processes regulated by the steroid hormones [
6]. Numerous studies conducted in human and rodent have shown that testosterone and estradiol play a significant role in the physiology of both bone and cartilage [
7,
8,
9,
10]. The biological effects of these two steroids are mediated through their specific receptors: the classical estrogen receptors ESR1 and ESR2, and the androgen receptor AR. Specifically , ESR1, ESR2, and AR have been demonstrated to be expressed in osteocytes, osteoblasts, and osteoclasts for bone, as well as in chondrocytes for cartilage [
11,
12,
13,
14,
15].
Testosterone and estradiol play essential roles in the growth, development, and maintenance of the skeleton in various species [
16,
17]. During the pubertal stage, the elevation of steroid hormones is linked to the peak in bone growth observed during this period [
18,
19]. Moreover, sex steroid hormones play a significant role in skeletal sexual dimorphism [
15,
20,
21]. In addition, testosterone plays a crucial role in growth and contributes to periosteal apposition, which is radial growth. These differences result in longer (8%) and wider bones, as well as 25% more bone mass in men compared to women [
22]. Puberty concludes with the closure of the epiphyseal growth plate. In fact, at the culmination of puberty, the elevated concentrations of estrogens stimulate the closure of the epiphyses through their influence on growth plate chondrocytes, occurring in both boys and girls [
18].
Throughout adult life, there exists a balance between bone formation performed by osteoblasts and resorption carried out by osteoclasts [
23,
24]. The decline in circulating levels of sex steroid hormones observed with aging is linked to bone loss in both men and women [
25,
26]. Consequently, the prevalence of osteoporosis dramatically increases with age [
27]. The pivotal role of steroid hormones in maintaining bone homeostasis has also been demonstrated in clinical instances of gonadal failure [
28,
29], cases involving
ESR1 mutations [
30,
31], or
CYP19A1 mutations [
32], as well as in mouse models [
33,
34,
35,
36]. Finally, it has been established that estrogens play a considerably more significant role in human bone metabolism than testosterone [
25]. Steroid hormones also have a role in maintaining articular cartilage homeostasis. This avascular tissue is primarily composed of chondrocytes, which synthesize a specialized and abundant extracellular matrix (ECM). In osteoarthritis (OA), a degenerative disease of articular cartilage, the balance of tissue homeostasis is disturbed, favoring catabolism [
37]. The leading risk factors for OA are age, obesity, and joint injury. A difference in the prevalence of OA between men and women has also been well established. Indeed OA rarely appears in women before the age of 45, but its frequency increases significantly after menopause, suggesting that estrogen deficiency could play a role in the disease [
8,
10]. In addition, it has been demonstrated that postmenopausal estrogen replacement therapy might offer protection against OA of the hip in elderly women [
38]. Furthermore, it has been described that estradiol stimulates the expressions of type II collagen, a specific marker of hyaline cartilage, and UDP-glucose dehydrogenase, a key enzyme in glycosaminoglycan (GAG) synthesis, in articular chondrocytes [
39,
40]. Moreover, castration in rabbits resulted in an increase in apoptosis and a decrease in chondrocytes proliferation in the growth plate [
41].
In horses, castration is a common surgical procedure performed to mitigate the fiery and sometimes aggressive character of stallions. This practice entails suppressing the main production of gonadal steroid, in particular testosterone, which affects behavior through its impact on the brain [
42]. The stallion is the male mammal that produces the highest levels of testicular estrogens, distinguishing it from other species [
43,
44]. Currently, castration is typically carried out after puberty during the phase of skeletal growth (before the age of 2) or later, around the age of 3, once growth has concluded, aiming to attain the morphological characteristics of the stallion [
45,
46]. Performing this procedure at an earlier stage is infrequent, and limited information is available regarding its potential consequences.
In our previous study, the impact of early-age castration in neonates (at 3 days of age) compared to traditional castration (at 18 months of age) on the physical and behavioral development of horses was evaluated [
47]. They found no pre-, intra-, or post-operative complications related to early castration in foals. Moreover, early castration did not disrupt the morphological or behavioral development of horses followed up to the age of 3 years. In this context, the objective of the present study was to assess the medium-term side effects of early castration compared to traditional castration on osteoarticular metabolism, focusing on the circulating levels of testosterone and estradiol in the same cohort of horses. First of all, the expression of steroid receptors (AR and ESR1) in bone and cartilage tissues was investigated to identify if these tissues are steroid targets. The presence of enzymes responsible of last step synthesis of testosterone (CYP17A1) and estradiol (CYP19) were also investigated in neonatal testes to determine the contribution of testis to circular rate of these hormones. Finally, the impact of early or traditional castration on bone anabolism and catabolism was investigated. Thus, we quantified biomarkers indicating bone (Cross-linked C-telopeptide of Type I Collagen or CTX-I) and cartilage (Cross-linked C-telopeptide of Type II Collagen or CTX-II), catabolism, biomarkers of bone (N-terminal midfragment of osteocalcin or N-MID) and cartilage (carboxypropetide of type II collagen or CPII) anabolism, and biomarkers of OA (hyaluronic acid or HA, cartilage oligomeric matrix protein or COMP) and inflammation (prostaglandin E2 or PGE
2, Interleukin 6 or IL-6) in serum or plasma from birth to 33 months of age for both groups of horses.
3. Discussion
In equines, castration is a common breeding practice. However, due to the lack of consensus among veterinarians and breeders, this procedure is conducted at various ages. Castration is seldom carried out during the early stages, and its effects on osteoarticular development remain unexplored. Castration could be one of the mechanisms underlying osteoarticular pathologies [
10,
28,
48], which could impact animal welfare and escalate costs for breeders. However, unlike other farmed species (such as bovine and pigs) which are commonly castrated to enhance the farming industry performance before slaughter, horses are intended for a prolonged career. This study is part of a project that seeks to compare the medium-term effects of equine castration at 3 days of age (early castration, before pubertal action of steroids) with castration at 18 months of age (traditional castration, after pubertal action of steroids). Thus, we have already carried out two comparative studies on the surgical procedure of early and late castration in horses. We have highlighted that early castration does not impact physical and behavioral development, as well as the non-contribution of the equine testis on vitamin D metabolism [
47,
49]. In this study, we assessed the osteoarticular metabolism’s side effects resulting from early castration in comparison to traditional castration up until the age of 33 months.
First of all, perinatal synthesis of testicular androgens was confirmed by the immunodetection of the CYP17A1 enzyme in the testes of 3-day-old horses. Our study revealed a lack of parallelism between testosterone and estradiol plasma levels both post-birth and during puberty in horses. Testosterone synthesis in stallions is characterized by an initial transient perinatal elevation, a phenomenon described in various species and referred to as « mini puberty » [
3,
50,
51]. The absence of steroid exposure during mini puberty in group 2 of horses castrated at birth could potentially impact animal behavior. Indeed, it has been described that mini puberty allows for masculinization and defeminization of the central nervous system in males [
52,
53]. This period of development involves changes in total brain volume, cortex thickness, and cortical network development [
54,
55,
56]. As a result, early castration could influence the behavior of horses due to the absence of mini puberty. However, our previous study within the same cohort demonstrated no differences between early or traditional castration in terms of temperament and behavior at either 1 or 3 years of age [
47]. Several parameters were measured, including reactivity to humans, sensory sensitivity, gregariousness, fearfulness, and activity.
Conversely, estrogen synthesis in stallions was characterized by high estradiol levels at birth, which markedly decreased during the months of life. These elevated estradiol levels noted post-birth probably reflected a maternal origin. Indeed, it has been described within the 48h preceding parturition, that 17β-estradiol levels are twice as high in mares [
57]. This hypothesis was confirmed by the absence of the CYP19A1 protein, as demonstrated through immunohistochemistry in testes of 3-day-old animals. Following this, estradiol levels increased at the onset of puberty; however, this pubertal estradiol peak was both delayed and more transient (spanning from 14 to 17 months) than the testosterone pubertal peak. This delayed occurrence of the estradiol peak could potentially be attributed to different regulations of steroidogenesis enzymes in equine testes.
The monitoring of plasma steroid levels (testosterone and estradiol) revealed that horses castrated at birth (group 2) are not exposed to mini puberty or the pubertal peak in testosterone and estradiol, unlike horses subjected to traditional castration at 18 months (group 1). Moreover, even after castration at birth, measurable levels of steroids persist. The circulating testosterone levels in castrated horses exhibited another dynamic alteration following early or late orchidectomy. Notably, a slight and transient testosterone peak was observed at 28 months in both groups. Subsequently, testosterone levels returned to baseline.
The temporal fluctuations in steroid levels following castration reveal a considerable synthesis of androgen by extra-gonadal tissues. However, the question arises regarding the origin of the steroids detected post-orchidectomy. The activity of the CYP17A1 enzyme, which is involved in androgen synthesis, has been reported to be abundant in the testes, with low levels detected in the adrenal glands [
58,
59]. While the testes are responsible for 95 % of circulating levels of testosterone in males, the adrenal cortex has been shown to possess the ability to synthesize androgens like dehydroepiandrosterone (DHEA). DHEA can subsequently be converted into testosterone and, consequently, into estradiol in tissues that express various steroidogenic enzymes responsible for this synthesis, including bones [
15,
60]. Moreover, in humans, DHEA, dehydroepiandrosterone sulfate (DHEAS), and androstenedione are primarily secreted by the reticularis zona of the adrenal cortex [
61]. These hormones serve as essential substrate source for the extragonadal synthesis of sex steroids. In humans, it has been observed that the secretion of adrenal androgens increases during adrenarche in children, peaking between the ages of 20 and 30 [
62,
63]. If we extend this timeframe to horses, it could potentially correspond to the peak in testosterone levels observed in 28-month-old horses. Adrenal androgens might assume a role in relaying testicular androgens after castration in horses, as androstenedione has been suggested to enhance bone accretion during growth [
64]. Moreover, low levels of DHEA have been linked to a higher incidence of osteoporosis [
65]. Besides to the aromatization of adrenal androgens, estrogens can also originate from adipose tissue. Indeed, a study conducted on ovariectomized rats demonstrated an increase in extragonadal aromatization by adipose and liver tissues, as well as by the adrenal glands, resulting in elevated blood estradiol levels [
66]. The increase in estradiol levels occurring around 28 months, regardless of the age of castration, could be attributed to variations in body composition during the horse’s growth period. It has indeed been noted that the proportion of adipose tissue increases between the ages of 12 and 30 months in horses [
67]. Adipose tissue has been identified as having the capability to synthesize certain steroids like estrogens [
68]. Therefore, this tissue could potentially serve as the origin of the elevated estradiol levels documented in our study. Others tissues expressing aromatase (skin, bone, brain) [
68] could also produce estrogens in the absence of gonadal source.
Regarding osteoarticular metabolism, we have demonstrated that the depravation of steroid hormones due to early castration does not affect the levels of biomarkers associated with bone and cartilage metabolism (there was no differences observed in the levels of N-MID, CTX-I, CPII and CTX-II between both study groups). This suggests that castration has no impact on bone loss and cartilage homeostasis. This original result goes against the findings observed in humans [
7,
26,
28,
29,
69] and rodents [
33,
34,
70], as well as in studies related to cartilage [
8,
10,
41,
71]. Nevertheless, this is in accordance with our previous results that demonstrated a low or negligible contribution of the testes to vitamin D bioactivation in horses, whereas vitamin D plays a crucial role in maintaining bone health [
49]. It is possible that the low levels of steroids quantified after early castration might still be sufficient to exert their action on bone and cartilage tissues. The absence of AR expression in cartilaginous tissue and the low expression of AR in bone tissue, compared to ESR1, support the idea that estrogens play a much more important role than androgens in the regulation of bone and cartilage metabolism. This aligns with findings from human clinical studies [
10,
26,
69,
72,
73]. As a result, testosterone could potentially act as a preferred substrate for estrogen synthesis, which exerts its effects through nuclear receptors like ESR1.
Among the bone markers investigated, N-MID is a specific marker of bone formation, while CTX-I is used as a marker of bone resorption, aiding in the assessment of osteoporosis risk [
74,
75]. We observed that N-MID levels exhibited a gradual decrease, whereas CTX-I levels increased from birth to 33 months, regardless of early or late castration. These findings rather imply a potential bone loss, which contrasts with typical bone growth in foals. Another explanation we can suggest is that these data may also reflect an increase in the turnover, in the metabolic activity of the ECM of bone tissue, in other words an enhancement in the osteolysis/osteoformation balance. Moreover, it is important to consider that these data need to be correlated with a juvenile population. Indeed, serum levels of bone turnover markers are not stable across the lifespan and tend to be higher in infants and children compared to adults [
76,
77]. Unlike adults, children have elevated concentrations of bone markers due to their rapid skeletal growth and heightened bone turnover rate [
78]. As a result, complementary measurements in adult horses indicated that levels of these two bone markers at 33 months tend to align with adult values (data not shown). Regardless, we did not identify any differences between the two study groups. It might have been informative to complement these results with bone densitometry data and the measurement of other bone markers, such as alkaline phosphatase, for example.
In terms of cartilage markers, CP-II is a specific marker of cartilage anabolism, and CTX-II is a specific marker for cartilage degradation [
79,
80]. Our observations indicate that CPII levels experience a gradual and consistent increase, whereas CTX-II levels exhibit a continuous and significant decrease from birth to 33 months, regardless of the group to which the castrated horses belong. These findings support the notion of cartilage anabolism during foal growth, regardless of early or late castration. This could be correlated with the establishment of the growth plate in foals. Given cartilage degradation observed in OA is primarily and mainly correlated with aging, to our knowledge, no study has yet correlated the levels of cartilage markers with OA in a pediatric population. To address this gap, we expanded our analyses by measuring COMP and HA levels in both groups of horses. Indeed, serum COMP levels exhibit a strong correlation with the degree of OA [
79,
81], and serum HA levels may serve as a valuable predictor of OA progression [
82,
83]. We showed that COMP levels remained consistent, and HA levels gradually decreased in both study groups from birth to 33 months, regardless of the age of castration. Additionally, pro-inflammatory biomarkers (IL-6 and PGE
2) were not affected by the age of castration. Taken together, these findings imply that neither castration nor the timing of castration impacted cartilage homeostasis and fate.
Author Contributions
Conceptualization: C. Delalande, J. Cognié, F. Reigner, P. Barrière, S. Deleuze, F. Legendre, P. Galéra, V. Hanoux, and H. Bouraïma-Lelong. Methodology: J. Cognié, F. Reigner, P. Barrière, and S. Deleuze. Validation: M. Rouge, F. Legendre, C. Delalande, J. Cognié, F. Reigner, P. Barrière, V. Hanoux, P. Galéra and H. Bouraïma-Lelong. Formal analysis: M. Rouge, F. Legendre and R. Elkhatib. Investigation: M. Rouge, F. Legendre and R. Elkhatib. Ressources: J. Cognié, F. Reigner, P. Barrière and S. Deleuze. Experimentation: M. Rouge, F. Legendre and R. Elkhatib. Writing -Original Draft Preparation: M. Rouge and F. Legendre. Writing - Review and editing: M. Rouge, F. Legendre, C. Delalande, V. Hanoux, P. Galéra and H. Bouraïma-Lelong. Visualization: M. Rouge, F. Legendre, V. Hanoux, P. Galéra and H. Bouraïma-Lelong. Supervision: F. Legendre, V. Hanoux, P. Galéra and H. Bouraïma-Lelong. Funding acquisition: P. Galéra, H. Bouraïma-Lelong, J. Cognié, F. Reigner and S. Deleuze.