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Toxicology and Applied Pharmacology

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T Tovicolor and Applied Pharmacology

The use of a unique co-culture model of fetoplacental steroidogenesis as a screening tool for endocrine disruptors: The effects of neonicotinoids on aromatase activity and hormone production

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Elyse Caron-Beaudoin a,C,*, Rachel Viau ª, Andrée-Anne Hudon-Thibeault a,b,c, Cathy Vaillancourt a,b,c, J. Thomas Sanderson ª

ª INRS - Institut Armand-Frappier, Laval, QC H7V 1B7, Canada

b BioMed Research Center, Université du Québec à Montréal, Montreal, QC H3C 3P8, Canada

” Center for Interdisciplinary Research on Well-Being, Health, Society and Environment (CINBIOSE), Université du Québec à Montréal, Montreal, QC H3C 3P8, Canada

ARTICLE INFO

Article history: Received 12 March 2017

Revised 20 May 2017

Accepted 23 July 2017 Available online 24 July 2017

Keywords: Fetoplacental unit Steroid 16x-hydroxylase (CYP3A7) Aromatase Nonicotinoids Co-culture Estriol

ABSTRACT

Estrogen biosynthesis during pregnancy is dependent on the collaboration between the fetus producing the andro- gen precursors, and the placenta expressing the enzyme aromatase (CYP19). Disruption of estrogen production by contaminants may result in serious pregnancy outcomes. We used our recently developed in vitro co-culture model of fetoplacental steroidogenesis to screen the effects of three neonicotinoid insecticides on the catalytic ac- tivity of aromatase and the production of steroid hormones. A co-culture of H295R human adrenocortical carcino- ma cells with fetal characteristics and BeWo human choriocarcinoma cells which display characteristics of the villous cytotrophoblast was exposed for 24 h to various concentrations of three neonicotinoids: thiacloprid, thiamethoxam and imidacloprid. Aromatase catalytic activity was determined in both cell lines using the tritiated water-release assay. Hormone production was measured by ELISA. The three neonicotinoids induced aromatase activity in our fetoplacental co-culture and concordingly, estradiol and estrone production were increased. In con- trast, estriol production was strongly inhibited by the neonicotinoids. All three pesticides induced the expression of CYP3A7 in H295R cells, and this induction was reversed by co-treatment of H295R cells with exogenous estriol. CYP3A7 is normally expressed in fetal liver and is a key enzyme involved in estriol synthesis. We suggest that neonicotinoids are metabolized by CYP3A7, thus impeding the 16x-hydroxylation of fetal DHEA(-sulfate), which is normally converted to estriol by placental aromatase. We successfully used the fetoplacental co-culture as a physiologically relevant tool to highlight the potential effects of neonicotinoids on estrogen production, aromatase activity and CYP3A7 expression during pregnancy.

@ 2017 Elsevier Inc. All rights reserved.

1. Introduction

The use of in vitro models in toxicology has significantly enhanced our understanding of the mechanisms by which chemicals cause adverse effects in humans and wildlife. However, to mimic the interactions that occur in vivo is a challenge when whole animal or human studies are not possible. Well thought-out in vitro models, such as the use of co-cul- ture models, are promising approaches to study the communication be- tween different cell types in a more complex context. As example, a co- culture using primary human mammary fibroblasts and MCF-7 (epithe- lial breast cancer cells) was developed by (Heneweer et al., 2005) to

study intercellular interactions in breast cancer. More recently, we devel- oped a co-culture model that reproduces the steroidogenic fetoplacental unit and can be used to evaluate the impacts of endocrine disruptors on this delicate aspect of fetoplacental communication (Hudon Thibeault et al., 2014; Hudon Thibeault et al., 2017).

During pregnancy, the fetoplacental unit plays an important endo- crine role, ensuring, amongst others, estrogen (estrone, estradiol and estriol) biosynthesis. Estrogens are required in several physiological processes during pregnancy, such as the formation of the syncytiotrophoblast and regulation of uteroplacental blood flow (Yashwanth et al., 2006). Maternal cholesterol is converted to androgen precursors in the fetus by the action of several enzymes, such as cyto- chrome P450 17 (CYP17), sulfotransferase 2A1 (SULT2A1) and steroid 16x-hydroxylase (CYP3A7). In the placenta, CYP19 (aromatase) is re- sponsible for the final step in estrone, estradiol and estriol biosynthesis (Leeder et al., 2005; Rainey et al., 2002). Alone, the placenta cannot pro- duce estrogens de novo, as it needs the steroid precursors synthesized

* Corresponding author at: INRS-Institut Armand-Frappier, 531 boulevard des Prairies, Laval, QC H7V 1B7, Canada. E-mail addresses: elyse.caron-beaudoin@iaf.inrs.ca (E. Caron-Beaudoin),

rachel.viau@iaf.inrs.ca (R. Viau), andree-anne.hudon.thibeault@iaf.inrs.ca

(A .- A. Hudon-Thibeault), cathy.vaillancourt@iaf.inrs.ca (C. Vaillancourt), thomas.sanderson@iaf.inrs.ca (J.T. Sanderson).

by the fetus (for complete steroidogenesis pathway, see Fig. 7 in Results section). Estriol is uniquely produced during pregnancy, and its synthe- sis requires correct functioning of the fetoplacental unit (Mucci et al., 2003). Thus, a disruption in biosynthesis of estrogens such as that of es- triol may adversely alter development and influence important indica- tors of fetal health like birth weight and head circumference (Kaijser et al., 2000; Troisi et al., 2003). Moreover, decreased free estriol in ma- ternal serum has been associated with growth retardation, reduced Apgar scores and postnatal complications in a control study of 869 women (Gerhard et al., 1986).

Exposure during pregnancy to contaminants such as heavy metals, pesticides, polychlorinated biphenyls (PCBs) and phthalates have been linked to fetal growth retardation (Siddiqui et al., 2003), spontaneous abortions, learning disabilities (Hu, 1991; Abadin et al., 1997), reduced birth weight, preterm birth (Jacobson et al., 1990) and disruption of re- productive development (Mylchreest et al., 2000; Honma et al., 2002; Foster, 2006). It is not surprising that exposure to certain chemicals dur- ing pregnancy can lead to adverse pregnancy and birth outcomes, since in utero development is a critical window of vulnerability of the embryo (Bellinger, 2013). The fetoplacental co-culture model of steroidogenesis developed in our laboratory (Hudon Thibeault et al., 2014) allows us to study chemicals that may impair estrogen biosynthesis or that of other key placental hormones such as ß-human chorionic gonadotropin (B- hCG), potentially leading to serious pregnancy complications (Albrecht and Pepe, 1999; Albrecht et al., 2000; Svedas et al., 2002). We have re- ported earlier that prochloraz, a widely-used fungicide, and norfluoxetine, a selective serotonin-reuptake inhibitor, strongly inhibited aromatase activity and estrogen production in our fetoplacental co-cul- ture model (Hudon Thibeault et al., 2014; Hudon Thibeault et al., 2017).

Neonicotinoids are some of the most widely used insecticides in the world. For example, thiamethoxam and clothianidin were both in the top 10 most sold insecticides in Canada in 2010 (Health Canada, 2014). By 2012, neonicotinoids were applied to 11 million hectares in Canada, representing >216,000 kg of active neonicotinoid (Main et al., 2014). Neonicotinoids are mostly used as seed coatings on the vast majority of crops, fruits and vegetables. Moreover, their physicochemical character- istics (Kow and pKa) explain their systemic properties and their distribu- tion throughout the entire plant (Bonmatin et al., 2015; Simon-Delso et al., 2015). For this reason, neonicotinoid insecticides also target pollina- tors, mammals and humans. The scientific community is increasingly accepting that exposure to these insecticides partially explains the worldwide decline in honeybees populations (Decourtye et al., 2004; Girolami et al., 2009; Henry et al., 2012; Goulson, 2013). Neonicotinoid insecticides are also persistent in the environment. Half-lives in soil vary and can reach 1250 days for imidacloprid (Main et al., 2014). Be- cause of their persistence and repeated application, it is expected that neonicotinoids will continue to accumulate in soil (Stokstad, 2013). A re- cent study analyzed neonicotinoid levels in surface waters from 136 wet- lands across Saskatchewan, Canada. Clothianidin and thiamethoxam concentrations were detected in the majority of water samples, reaching concentrations as high as 3110 ng/L (Main et al., 2014). Moreover, human populations are also exposed to neonicotinoids through diet. A study conducted in Boston, Massachusetts, analyzed neonicotinoid resi- dues in honey, fruits and vegetables purchased in local grocery stores. Imidacloprid was the most frequently detected neonicotinoid in the samples. At least one neonicotinoid was detected in all the tested fruits and vegetables. Also, in 72% of fruits and 45% of the tested vegetables, two or more neonicotinoids were detected, with concentrations reaching 100.7 ng/g (Chen et al., 2014). Furthermore, a study conducted with a cohort of 147 farm workers from northeastern Japan evaluated the presence of neonicotinoid metabolites in urine. A metabolite of the neonicotinoid dinotefuran, 3-furoic acid, was detected in 100% of the samples at concentrations as high as 0.13 uM (Nomura et al., 2013). Moreover, the concentrations of 6-chloronicotinic acid, a metabolite of imidacloprid and thiacloprid, reached concentrations of 0.05 uM (Nomura et al., 2013).

In recent years, a growing number of studies have evaluated the en- docrine disrupting potential of neonicotinoid insecticides. We demon- strated that two neonicotinoids (thiacloprid and thiamethoxam) induce aromatase expression in a promoter-specific manner in vitro, targeting promoters known to be overexpressed in breast cancer (Caron-Beaudoin et al., 2016). Moreover, Bal et al. (2012) found that male rats exposed to imidacloprid (2 mg/kg/day) through diet showed increased apoptosis and fragmentation of seminal DNA. In female rats exposed to the same neonicotinoid (20 mg/kg/day), Kapoor et al. (2011) noted decreased ovarian weight and altered levels of follicle stim- ulating hormone and progesterone.

In this study, we used our recently developed fetoplacental co-culture model as a screening tool to determine the effects of three widely used neonicotinoid insecticides on steroidogenesis in the human fetoplacental unit, and more precisely, on aromatase activity, estrogen production and CYP3A7 expression (key enzyme in the fetal production of the estriol pre- cursor 16x-hydroxyDHEA(-sulfate). Our previous work showed that two neonicotinoid insecticides, thiacloprid and thiamethoxam, induced CYP19 expression and aromatase activity at environmentally relevant concentrations in human H295R adrenocortical carcinoma cells displaying characteristics of the fetal adrenal cortex and which repre- sents the fetal compartment of our fetoplacental co-culture (Caron- Beaudoin et al., 2016). Therefore, we hypothesized that neonicotinoids may also disrupt the production of estrogens within the fetoplacental unit.

2. Materials and methods

2.1. Chemicals

All pesticides were purchased from Sigma-Aldrich (St-Louis, MO) (thiacloprid, Pestanal 37905, purity > 99%; thiamethoxam, Pestanal 37924, purity > 99%; imidacloprid, Pestanal 37894, purity > 99%). All neonicotinoids were dissolved in dimethylsulfoxide (DMSO) as 30 or 100 mM stock solutions.

2.2. Feto-placental co-culture

The feto-placental co-culture (Hudon Thibeault et al., 2014) consists of H295R adrenocortical carcinoma and BeWo choriocarcinoma cells. H295R cells have the characteristics of the fetal adrenocortex (Gazdar et al., 1990; Staels et al., 1993) as well as that of fetal liver (Hudon Thibeault et al., 2014) and reflect the steroidogenesis that would occur in the fetal compartment. BeWo cells are a well documented model of the placental trophoblast (Ellis et al., 1990; Nampoothiri et al., 2007). This co-culture model of the fetoplacental unit is capable of de novo pro- duction of estrogens, including the unique pregnancy estrogen estriol, under our experimental conditions (Hudon Thibeault et al., 2014). Brief- ly, BeWo (ATCC no. CCL-98) and H295R (ATCC no. CRL-2128) cells were cultured separately in their respective recommended media. BeWo cells were cultured in DMEM/F-12 without phenol red (Catalog no. 11039021, Thermo Fisher Scientific, Waltham, MA, USA), supplemented with 10% fetal bovine serum (FBS; Hyclone, Tempe, AZ). H295R were cultured in DMEM/F-12 (Catalog no. 11039021, Thermo Fisher Scientific, Waltham, MA), supplemented with 2.5% Nu Serum (BD Biosciences, Mississauga, ON, Canada) and 1% ITS + Premix (BD Biosciences, Mississauga, ON, Can- ada). Once confluent, BeWo and H295R cells were trypsinized, and H295R cells were seeded in 24-well plates at a concentration of 2.5 × 104 cells/well, whereas BeWo cells were seeded in transwell inserts (Corning Life Sciences, Corning, NY) at a concentration of 1.25 × 104 cells/insert, After 24 h, the co-culture was assembled by adding the in- serts containing BeWo cells to the 24-well plates containing H295R cells. The original culture media were removed and replaced with co-cul- ture media which contained DMEM/F-12 without phenol red, supple- mented with 2.5% stripped Nu Serum, 1% ITS + Premix and 1% stripped FBS, and the various concentrations of the neonicotinoids or

vehicle control (DMSO at a final concentration of 0.1%). Neonicotinoid concentrations were chosen based on our previous study that deter- mined their effects on CYP19 expression in H295R cells and an absence of cytotoxicity (Caron-Beaudoin et al., 2016). Moreover, the selected concentrations are environmentally relevant as our lower range is simi- lar to what is measured in urine samples from farm workers (Nomura et al., 2013). Exposures were for 24 h in an incubator at 37℃ with a humid- ified atmosphere containing 5% CO2.

2.3. CYP19 catalytic activity

Aromatase activity was determined as previously described (Sanderson et al., 2000; Hudon Thibeault et al., 2014; Caron-Beaudoin et al., 2016). Briefly, after the 24-h exposure period, the treated media in the insert and well were combined and removed (and stored at - 80℃ for hormone quantification), and H295R and BeWo cells were washed twice with 1 x PBS. The inserts containing BeWo cells were re- moved from the wells containing H295R cells and placed in 12-well plates for further steps. A volume of 250 uL of serum and additive-free culture medium containing 54 nM 13-3H-androstenedione (Perkin Elmer, Wellesley, MA) was added to H295R cells. This volume was 50 AL for BeWo cells. Cells were incubated for 90 min at 37℃, during which there was a linear conversion of 13-3H-androstenedione (and re- lease of tritiated water). Tritiated water was extracted from the reaction medium of each of the cell types, and counted in plates containing liquid scintillation cocktail using a Microbeta Trilux (Perkin Elmer). Formestane (1 µM), an irreversible CYP19 inhibitor, was used to ensure the specificity of the aromatase reaction. Forskolin (10 uM) was used as a positive con- trol for the induction of aromatase activity.

2.4. Hormone quantification

The following hormones, dehydroepiandrosterone (DHEA), andro- stenedione, ß-human chorionic ganodotropin (ß-HCG), estradiol, es- trone and estriol) were quantified in the co-culture media (well and insert pooled) using ELISA kits from DRG Diagnostics (Marburg, Germany).

2.5. RNA isolation and quantitative RT-PCR

RNA isolation and quantitative RT-PCR were performed as describe in Caron-Beaudoin et al. (2016). Briefly, H295R cells were cultured in CellBind 6-well plates (Corning Inc., Corning, New York) at a concentra- tion of 750,000 cells/well in 2 mL medium/well for 24 h. Cells were sub- sequently exposed for 24 h to thiacloprid, thiamethoxam or imidacloprid at 3 and 10 µM, which were the concentrations with the greatest effects on aromatase catalytic activity in the co-culture. To investigate whether the inhibitory effects of neonicotinoids on estriol production in the co- culture were responsible for altering CYP3A7 enzyme expression, H295R cells were pretreated for 4 h with estriol (5 ng/ml), prior to a 24-h exposure to thiacloprid, thiamethoxam or imidacloprid (3 µM). DMSO (0.1% or 0.2% in the case of co-treatments) was used as a vehicle control. RNA was extracted using the RNeasy mini-kit (Qiagen, Missis- sauga, Ontario) according to enclosed instructions and stored at - 80 ℃. The 260/280 nm absorbance ratio was used to verify RNA purity. Re- verse transcription was subsequently performed with 1 µg of RNA using the iScript cDNA Synthesis Kit (BioRad, Hercules, CA) and T3000 Thermocycler (Biometra, Göttingen, Germany): cDNA was stored at - 20℃ for quantitative PCR.

Primer pair sequences and standard curves characteristics for the ref- erence genes (UBC and RPII), as well as CYP3A7 and SULT2A1, are de- scribed in Table 1. Real-time quantitative PCR was performed using EvaGreen MasterMix (BioRad) with CFX96 real-time PCR Detection Sys- tem (BioRad). Housekeeping genes were selected based on their stability for each pesticide treatment (gene expression stability (M) value below

0.5) using the geNorm algorithm method (Biogazelle qbase Plus Soft- ware, Zwijnaarde, Belgium).

2.6. Statistical analysis

Experiments were performed 3 or 4 times using different cell pas- sages, and per experiment each treatment was conducted in triplicate. Results are presented as means with standard errors. One-way analysis of variance (ANOVA) followed by a Dunnett post-hoc test, or a Student t-test was performed (JMP Software, SAS, Cary, NC), depending on the experimental design. A P-value < 0.05 was considered statistically significant.

3. Results

3.1. Effects of neonicotinoids on CYP19 catalytic activity

In this study, we determined the effects of three widely used neonicotinoids (thiacloprid, thiamethoxam and imidacloprid) on the catalytic activity of CYP19 in a co-culture of H295R and BeWo cells. Forskolin increased aromatase activity by 3.9 and 12-fold in BeWo and H295R cells, respectively (Fig. 1). Formestane (1 µM) decreased its activ- ity by 80-90% in both cell lines (not shown).

A 24-h exposure to increasing concentrations of thiacloprid induced aromatase activity in both cell types in co-culture (Fig. 1A). In BeWo cells, thiacloprid induced aromatase activity by 1.3-fold at 10 UM, which was statistically significant. In H295R cells, thiacloprid increased aromatase activity by 1.9- and 2.0-fold above control at a concentration of 0.1 and 0.3 uM, respectively. At greater concentrations this increase was no longer apparent.

A 24-h exposure of the co-culture to various concentrations of thiamethoxam induced aromatase activity in H295R cells by 1.8- and 2.2-fold above control, at 3 and 10 uM, respectively (Fig. 1B). Thiamethoxam did not affect the catalytic activity of CYP19 in the BeWo cell compartment of the co-culture (Fig. 1B). Finally, a 24-h expo- sure of the co-culture to 3 and 10 uM imidacloprid induced the aroma- tase activity in H295R cells by 2.2- and 2.4-fold, respectively (Fig. 1C), whereas in BeWo cells it was induced significantly by 2.3-fold at 10 UM only (Fig. 1C).

3.2. Effects of neonicotinoids on hormone production

Basal production of dehydroepiandrosterone (DHEA) (1962 ± 166 pg/mL), androstenedione (38.8 ± 1.4 pg/mL), estriol (486.2 ± 131.8 pg/mL), estradiol (21.9 ± 3.7 pg/mL) and estrone (363.1 ± 13.3 pg/mL) by the co-culture was similar to that found in our previous study (Hudon Thibeault et al., 2014) which initially characterized the model, although estrone and B-HCG production in our study was slightly higher than previously reported.

Thiacloprid increased DHEA production statistically significantly at 3 µM (3506 ± 450 pg/mL) and 10 µM (3912 ± 402 pg/mL), compared to vehicle control (1961 ± 166 pg/mL) (Fig. 2A), although it had no effect on androstenedione production (Fig. 2B). Thiacloprid increased ß-hCG production to a statistically significant extent at 0.1 µM (140.8 ± 24.6 mIU/mL) compared to DMSO (74.5 ± 12.3 mIU/mL), but not at greater concentrations (Fig. 2C). Thiacloprid significantly increased es- tradiol and estrone production by the co-culture at 0.1 and 0.3 µM, resulting in estradiol concentrations of 108.7 ± 32.6 and 55.4 ± 7.1 pg/mL, and estrone concentrations of 617.2 ± 48.6 and 499.7 ± 79.4 pg/mL, respectively, compared to vehicle control (estradiol: 21.9 ± 3.7 pg/mL; estrone: 363.1 ± 13.3 pg/mL) (Fig. 2D-E). Strikingly, estri- ol production in the co-culture was strongly inhibited by 0.3 and 3 uM thiacloprid (146.5 ± 76.0 and 148.8 ± 78.3 pg/mL), decreasing produc- tion to about 30% of DMSO control (486.2 ± 131.8 pg/mL) (Fig. 2F).

In the co-culture exposed to thiamethoxam, DHEA production was increased concentration-dependently and was significantly greater

Table 1 Sequences of the primer pairs and their amplification characteristics for CYP3A7 and SULT2A1 transcripts and that of two reference genes (UBC and RPII), in H295R cells.
GenePrimer pairs (5'-3')Amplification characteristicsReference
CYP3A7Fw: CTCTTTAAGAAAGCTGTGCCCC Rv: GGGTGGTGGAGATAGTCCTAStandard curve: r2 = 0.97 Efficiency: 117.6%Kondoh et al. (1999)
SULT2A1Fw: TCGTCATAAGGGATGAAGATGTAATAA Rv: TGCATCAGGCAGAGAATCTCAr2: 0.982 Efficiency: 118.6%Shiraki et al. (2011)
UBFw: ATTTGGGTCGCGGTTCTTG Rv: TGCCTTGACATTCTCGATGGTStandard curve: 12 = 0.981 Efficiency: 109.0%Vandesompele et al. (2002)
RPIIFw: GCACCACGTCCAATGACAT Rv: GTGCGGCTGCTTCCATAAStandard curve: r2 = 0.986 Efficiency: 100.1%Radonić et al. (2004)

than control (1790 ± 29.5 pg/mL) by 1.67-fold at 0.3 µM (2992 ± 166 pg/mL), by 1.9-fold at 3 µM (3464 ± 550 pg/mL) as well as at 10 UM (3436 ± 466 pg/mL) (Fig. 3A). The production of androstenedione and ß-hCG remained unchanged (Fig. 3B-C). Thiamethoxam concentra- tion-dependently increased estradiol production with a 5.0-fold increase at 10 µM (108.6 pg/mL) compared to DMSO control (21.9 ± 3.7 pg/mL) (Fig. 3D). Estrone production was increased by 2-fold (735.2 pg/mL) at 10 µM thiamethoxam compared to control production (363.1 ± 13.3 pg/mL) (Fig. 3E). Estriol production was inhibited by about 80% at all tested concentrations of thiamethoxam compared to DMSO control (Fig. 3F).

In the co-culture exposed to imidacloprid, DHEA production was sig- nificantly increased at all concentrations by about 1.7-fold (3088 ± 325 to 3381 ± 475 pg/mL) compared to control (1962 ± 166 pg/mL) (Fig. 4A), whereas androstenedione production was not affected (Fig. 4B-E). The production of ß-hCG was increased statistically significantly at an imidacloprid concentration of 10 µM (181.1 ± 19.0 mlU/mL) by about 2.8-fold above control (64.5 ± 18.9 mIU/mL) (Fig. 4C). Estradiol produc- tion was strongly elevated at 10 uM imidacloprid (158.4 ± 51.9 pg/mL) and was about 7.2-fold greater than control (Fig. 4D). Imidacloprid at all concentrations inhibited estriol production by about 80% compared to DMSO control (Fig. 4F).

3.3. Effects of neonicotinoids on mRNA levels of CYP3A7 and SULT2A

In the co-culture exposed to each of the three neonicotinoids, a signif- icant decrease in estriol production was observed. SULT2A1, expressed in the fetal adrenal, and CYP3A7, expressed in the fetal liver, are key en- zymes in the biosynthesis of the precursor for estriol, which is produced predominantly in placenta. Therefore, we wished to confirm the pres- ence of SULT2A1 and CYP3A7 in H295R cells by RT-qPCR and then deter- mine the potential effects of neonicotinoids on their expression. As a novel finding, we were able to detect SULT2A1 and CYP3A7 expression in H295R cells, confirming our previous suggestion that H295R cells act as the fetal adrenocortical as well as liver compartment of the co-culture model. SULT2A1 expression was not affected by exposure to thiacloprid, thiamethoxam or imidacloprid at 3 or 10 µM (data not shown). A 24-h exposure of H295R cells to thiacloprid at 3 and 10 µM resulted in a statis- tically significant increase in levels of CYP3A7 expression by 6.29 and 6.83-fold, respectively, compared to DMSO control (Fig. 5). Thiamethoxam at 3 µM induced CYP3A7 mRNA levels statistically signif- icantly by 5.88-fold compared to DMSO control. A 24-h exposure to 3 µM imidacloprid increased CYP3A7 expression in H295R cells by 3.75-fold compared to DMSO control, although this induction was not statistically significant (Fig. 5).

Fig. 1. Concentration-dependent effects of thiacloprid (A), thiamethoxam (B) and imidacloprid (C) on aromatase activity in H295R and BeWo cells in co-culture. Forskolin (Frsk) was used as a positive control for induction of aromatase activity. (#) A statistically significant difference between Frsk treatment and DMSO control (Student t-test; P< 0.05). (*, ** , *** ) A statistically significant difference between neonicotinoid treatment and DMSO control (one-way ANOVA and Dunnett post hoc test; * P < 0.05; ** P < 0.01; *** P < 0.001). Experiments were performed 4 times using different cell passages; per experiment each concentration was tested in triplicate.

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Fig. 2. Concentration-dependent effects of thiacloprid on DHEA (A), androstenedione (B), B-hCG (C), estradiol (D), estrone (E) and estriol (F) production by a co-culture of H295R and BeWo cells. (*, ** , *** ) A statistically significant difference between neonicotinoid treatment and DMSO control (one-way ANOVA and Dunnett post hoc test; * P < 0.05; ** P < 0.01; *** P < 0.001). Experiments were performed 4 times using different cell passages; per experiment each concentration was tested in triplicate.

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To determine whether the increased CYP3A7 gene expression was re- lated to the decreased estriol levels in response to the neonicotinoids, we determined the effect of estriol supplementation (using a concentration normally found in the co-culture under basal conditions) on the expres- sion of CYP3A7 in response to thiacloprid, thiamethoxam or imidacloprid. Co-treatment of H295R cells with estriol (5 ng/ml) prior to a 24-h expo- sure to thiacloprid, thiamethoxam or imidacloprid at 3 uM resulted in significantly reduced levels of CYP3A7 expression compared to the neonicotinoid treatments alone, which all increased CYP3A7 levels signif- icantly above DMSO control. In the case of imidacloprid, co-treatment with estriol reduced imidacloprid-induced CYP3A7 to levels not signifi- cantly different from DMSO control.

4. Discussion

4.1. Fetoplacental co-culture as a screening tool for endocrine disrupting chemicals

We have successfully applied our previously developed fetoplacental co-culture model as a unique screening tool to evaluate the potential en- docrine disrupting effects of a series of neonicotinoids on steroidogenesis during pregnancy. Naturally, our co-culture system has some limitations -it uses cancer cells, not primary cells and cannot fully describe the com- plex interactions that occur in vivo, but as a model of fetoplacental ste- roidogenesis it is capable of producing a variety of hormones important

Fig. 3. Concentration-dependent effects of thiamethoxam on DHEA (A), androstenedione (B), B-hCG (C), estradiol (D), estrone (E) and estriol (F) production by a co-culture of H295R and BeWo cells. (*, ** , *** ) A statistically significant difference between neonicotinoid treatment and DMSO control (one-way ANOVA and Dunnett post hoc test; * P < 0.05; ** P < 0.01; *** P < 0.001). Experiments were performed 4 times using different cell passages; per experiment each concentration was tested in triplicate.

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Fig. 4. Concentration-dependent effects of imidacloprid (on DHEA (A), androstenedione (B), B-hCG (C), Estradiol (D), Estrone (E) and Estriol (F) production by H295R and BeWo cells in co-culture). (*, ** , *** ) A statistically significant difference between neonicotinoid treatment and DMSO control (one-way ANOVA and Dunnett post hoc test; * P < 0.05; ** P < 0.01; *** P < 0.001). Experiments were performed 4 times using different cell passages; per experiment each concentration was tested in triplicate.

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during pregnancy. We measured aromatase activity in both the fetal (H295R) and placental (BeWo) compartments of the co-culture model with basal activity being at least 15 times higher in BeWo cells than in H295R cells (Fig. 1A-C), as previously demonstrated (Hudon Thibeault et al., 2014). This corresponds well with the in vivo situation where the placenta is responsible for the majority of CYP19 expression and estrogen biosynthesis (Mesiano and Jaffe, 1997; Hanley et al., 2001; Rainey et al., 2002; Pezzi et al., 2003).

It is well understood that estrogen production in the fetoplacental unit is dependent upon a close collaboration between the fetus and the placenta. As the human placenta does not express significant levels of CYP17 or its associated catalytic activities, it is, despite high levels of

Fig. 5. Relative expression levels of CYP3A7 in H295R cells exposed for 24-h to 3 or 10 UM of thiacloprid, thiamethoxam or imidacloprid. DMSO was used as a negative control. (*, ** , *** ) A statistically significant difference between neonicotinoid treatment and DMSO control (one-way ANOVA and Dunnett post hoc test; * P < 0.05; ** P < 0.01; *** P < 0.001). Experiments were performed 3 times using different cell passages; per experiment each concentration was tested in triplicate.

Relative CYP3A7 expression in H295R cells (fold DMSO control)

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aromatase activity, incapable of producing significant amounts of estro- gens de novo and is dependent on androgen precursors produced by the fetal adrenal and liver. During pregnancy, up to 90% of the unique pregnancy estrogen estriol is derived from fetal precursors (Gerhard et al., 1986). As previously shown, our fetoplacental co-culture model pro- duces significant quantities of estriol (Figs. 2F, 3F, 4F), whereas each cell type in monoculture produces negligible amounts (Hudon Thibeault et al., 2014), further supporting the physiological relevance of our co-cul- ture as a representative model of the fetoplacental steroidogenic unit and justifying its use as a meaningful screening tool for the effects of po- tential endocrine disrupting chemicals during pregnancy (Hudon Thibeault et al., 2017).

4.2. Disruption of fetoplacental steroidogenesis by neonicotinoid insecticides

It is widely accepted that an important number of environmental contaminants have estrogen-like activity. The most commonly studied mechanism for estrogenic effects is the binding of chemicals to the estro- gen receptor, whereby they act as (partial) agonists. This mechanism has been demonstrated for several contaminants to which pregnant women may be exposed, such as bisphenol A (Diel et al., 2002; Vivacqua et al., 2003; Heneweer et al., 2005; Wetherill et al., 2007; Chou et al., 2011). However, estrogen receptor activation is not the only possible mecha- nism by which environmental contaminants may exert pro- or antiestrogenic activity. For example, atrazine, a herbicide widely used in North America, induces aromatase activity and expression in various human cell lines (Sanderson et al., 2000, 2001, 2002; Sanderson, 2006; Fan et al., 2007; Caron-Beaudoin et al., 2016). A growing number of stud- ies have determined that neonicotinoid insecticides are potential endo- crine disruptors. A recent study showed that clothianidin, a neonicotinoid and metabolite of thiamethoxam, caused DNA fragmenta- tion in germ cells of male quails (Hoshi et al., 2014). Kapoor et al. (2011) showed that female rats exposed to neonicotinoids had lower ovarian weight, as well as LH and progesterone levels. We also previously dem- onstrated that two neonicotinoids, thiacloprid and thiamethoxam, in- duced CYP19 expression and aromatase activity in H295R cells at environmentally relevant concentrations (Caron-Beaudoin et al., 2016). In the present study, the neonicotinoids thiacloprid, thiamethoxam and

imidacloprid induced aromatase activity in H295R and BeWo cells in co- culture (Fig. 1), highlighting the tissue- and promoter-specific differ- ences in the effects of neonicotinoids on CYP19 expression, aromatase ac- tivity and estrogen biosynthesis. Beside the potential direct effects of neonicotinoids on CYP19 expression, the tested pesticides also increased the synthesis of DHEA and B-hCG (the latter an important early indicator of pregnancy), resulting in the increased production of estradiol and es- trone that we observed in the co-culture. It is known that hCG induces CAMP intracellular levels (Massicotte et al., 1981), which we have shown can increase aromatase expression and activity (Sanderson et al., 2002). Estrogen biosynthesis is, therefore, complex and cannot be ex- plained simply by the production of precursors like DHEA or androstenedione.

4.3. Possible metabolism of neonicotinoids by fetal CYP3A7

In this study, a 24-h exposure of our fetoplacental co-culture to each of the three neonicotinoids resulted in a significant decrease of estriol production (Figs. 2F, 3F, 4F). SULT2A1 and CYP3A7 are key enzymes in the fetal production of the estriol precursor 16x-hydroxyDHEA(-sul- fate). We are the first to report the presence of CYP3A7 transcript in H295R cells, the fetal compartment of our co-culture model (Figs. 5-6), and we confirmed a previous report that SULT2A1 is expressed in H295R cells (Oskarsson et al., 2006). We further found that the neonicotinoids only affected the expression of CYP3A7, which was in- creased. It is known that CYP3A4 is involved in the metabolism of neonicotinoids in human adult liver (Schulz-Jander and Casida, 2002; Dorne et al., 2005; Shi et al., 2009; Casida, 2011). Adult hepatic CYP3A4 is structurally closely related to fetal hepatic CYP3A7, sharing an amino acid sequence that is 88% similar (Komori et al., 1989; Schuetz et al., 1989; Komori et al., 1990). As fetal CYP3A7 is considered to have the same catalytic function as adult CYP3A4 (Lacroix et al., 1997), we hypoth- esize that neonicotinoid insecticides are metabolized by CYP3A7 in the fetoplacental unit, thus competing with the ability of this enzyme to pro- duce 16x-hydroxylated DHEA (and its sulfate conjugate) which are the precursors for estriol synthesis (Fig. 7).

This would explain the decreased estriol biosynthesis and the accu- mulation of DHEA in our co-culture when exposed to neonicotinoids.

Fig. 6. Relative expression of CYP3A7 in H295R cells exposed for 24-h to 3 uM of thiacloprid, thiamethoxam or imidacloprid ('inducers'), with or without co-treatment with estriol (5 ng/ml). CYP3A7 expression levels in cells co-treated with estriol were expressed as a % of those in cells treated with each neonicotinoid alone (100%). (#, ##, ###) A statistically significant difference between neonicotinoid- and co-treated cells; Student t-test; #P < 0.05. ##P < 0.01; ###P < 0.001. (a) No statistical difference between co-treatment and DMSO control, (b) A statistically significant difference between co-treatment and DMSO control; Student t-test; P < 0.05. Experiments were performed 3 times using different cell passages; per experiment each treatment was tested in triplicate.

Relative CYP3A7 expression in H295R cells (fold DMSO control)

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The excess androgen precursors would result in the overproduction of estrone and estradiol by the placental compartment of the co-culture, resulting in the increased levels of these two estrogens we observed (Figs. 2D, E, 3D, E, 4D, E).

We further suggest that the strong decrease in estriol levels triggers a positive feedback mechanism that increases CYP3A7 gene expression, thus explaining the CYP3A7 overexpression in H295R cells (the fetal compartment of the co-culture). To provide evidence for this hypothe- sis, we determined the effects of thiacloprid, thiamethoxam and imidacloprid on CYP3A7 expression in H295R cells supplemented with a normalizing concentration of estriol to overcome the strong suppres- sion of estriol synthesis by the neonicotinoids (Fig. 6). Estriol reversed the neonicotinoid-mediated induction of CYP3A7 mRNA expression, suggesting such a positive feedback mechanism may exist. During preg- nancy, levels of circulating estrone and estradiol increase by 100-fold. This induction reaches 1000-fold for estriol, bringing its concentration up to similar levels as the other estrogens, compared to non-pregnant women (Blackburn, 2007). To reach these levels, placental estrogens use a positive feedback mechanism, consisting of upregulating DHEA(- S) production by the fetal adrenal zone. The final result of this positive feedback is the induction of placental estrogen, including estriol (Albrecht and Pepe, 1999; Kaludjerovic and Ward, 2012). The decrease in estriol levels in the fetoplacental co-culture model exposed to neonicotinoids may activate this positive feedback mechanism, leading to overexpression of CYP3A7 in H295R cells (Fig. 5). The control of pla- cental estrogen production by this positive feedback mechanism would also explain why neonicotinoid-induced CYP3A7 expression is re- versed by a co-treatment with estriol (Fig. 6).

4.4. Implications for human health

During pregnancy, estrogens regulate uteroplacental blood flow, tro- phoblast invasion and cellular differentiation (Yashwanth et al., 2006). Disruption of estrogen biosynthesis during this critical period may im- pact the development of the fetus and placenta, as well as affect the mother’s health (Kaijser et al., 2000). For example, disruption of estrogen production has been associated with negative birth outcomes (Gerhard et al., 1986; Kaijser et al., 2000; Troisi et al., 2003). It remains unclear if environmental concentrations of neonicotinoids are sufficient to disrupt aromatase activity or hormone production (specifically estriol) in preg- nant women. Nevertheless, neonicotinoids are frequently detected in vegetables and fruits (Chen et al., 2014) and their concentrations are steadily increasing in water samples in agricultural areas in North Amer- ica, with concentrations up to 3.6 µg/L (about 0.012 uM for thiamethoxam) having been measured (Anderson et al., 2013; Main et al., 2014; Smalling et al., 2015). These widely used insecticides’ metabo- lites are also detected in the urine of farm workers at concentrations sim- ilar to those used in our experiments (up to 0.05 uM for metabolite of thiacloprid and imidacloprid) (Nomura et al., 2013). Importantly, it is suspected that ingested neonicotinoids can pass through the placental barrier (Taira, 2014), since neurobehavioral deficits were measured in rat offspring exposed in utero to these insecticides (Abou-Donia et al., 2008). Therefore, the steadily increasing use of neonicotinoid pesticides is a cause of concern for the health of pregnant women.

5. Conclusions

We applied a fetoplacental co-culture model to screen for potential endocrine disrupting effects of neonicotinoid insecticides. We found thiacloprid, thiamethoxam and imidacloprid to induce aromatase activi- ty in this in vitro model of fetoplacental steroidogenesis. The neonicotinoids increased estrone and estradiol production, while strong- ly inhibiting estriol production. We also have in direct in vitro evidence that neonicotinoids may be competing with DHEA(-S) as a substrate for CYP3A7, thus explaining the decrease in estriol production in the co-culture model. This study contributes to growing evidence of the

Fig. 7. Steroidogenic pathways in the co-culture model of fetoplacental steroidogenesis, and the proposed targets of neonicotinoid insecticides (in red) leading to decreased estriol production and increased levels of DHEA. (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.)

from maternal (V)LDL/HDL, de novo in placenta and from fetal adrenal

HO

Cholesterol

CYP11A

0

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HO

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CYP21

Mineralo- and glucocorticolds

0,80

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- Accumulation of DHEA

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fetal liver (H295R cell)

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placental cyto/syncytiotrophoblast (BeWo cell)

endocrine disrupting potential of neonicotinoid insecticides. Given the importance of estrogen synthesis during pregnancy and the association between environmental contaminants and birth outcomes, the use of physiologically relevant screening tools such as our co-culture model of fetoplacental steroidogenesis is paramount for a credible evaluation of the potential health risks posed by such chemicals.

Conflicts of interest

The authors declare to have no conflicts of interest.

Acknowledgements

This research was funded by a Natural Sciences and Engineering Re- search Council of Canada Discovery grant (NSERC; no. 313313-2012) to JTS and graduate studentships from the Fonds de recherche du Québec - Nature et technologies (FRONT) and Fondation Universitaire Armand-

Frappier INRS to ECB, the Fonds de recherche du Québec - Santé (FRQS) to AHT and NSERC to RV. This study is part of Rachel Viau’s Master’s degree.

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