<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="2.3" xml:lang="EN">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Immunol.</journal-id>
<journal-title>Frontiers in Immunology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Immunol.</abbrev-journal-title>
<issn pub-type="epub">1664-3224</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fimmu.2021.734546</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Immunology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Aspirin Alleviates Particulate Matter Induced Asymptomatic Orchitis of Mice <italic>via</italic> Suppression of cGAS-STING Signaling</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Zhu</surname>
<given-names>Tengyu</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1393910"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chen</surname>
<given-names>Xue</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Qiu</surname>
<given-names>Huan</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1420922"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Liu</surname>
<given-names>Yang</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mwangi</surname>
<given-names>James</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/463171"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhao</surname>
<given-names>Ling</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ding</surname>
<given-names>Wenjun</given-names>
</name>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/441508"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Lai</surname>
<given-names>Ren</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff6">
<sup>6</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1217915"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Jin</surname>
<given-names>Lin</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/761281"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Key Laboratory of Animal Models and Human Disease Mechanisms of Chinese Academy of Sciences/Key Laboratory of Bioactive Peptides of Yunnan Province, Kunming Institute of Zoology, Chinese Academy of Sciences</institution>, <addr-line>Kunming</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Kunming College of Life Science, University of Chinese Academy of Sciences</institution>, <addr-line>Kunming</addr-line>, <country>China</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>College of Life Sciences, Nanjing Agricultural University</institution>, <addr-line>Nanjing</addr-line>, <country>China</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Experimental Animal Center, Kunming Institute of Zoology, Chinese Academy of Sciences</institution>, <addr-line>Kunming</addr-line>, <country>China</country>
</aff>
<aff id="aff5">
<sup>5</sup>
<institution>Laboratory of Environment and Health, University of Chinese Academy of Sciences</institution>, <addr-line>Beijing</addr-line>, <country>China</country>
</aff>
<aff id="aff6">
<sup>6</sup>
<institution>Kunming institute of zoology-the Chinese university of Hong Kong (KIZ-CUHK) Joint Laboratory of Bioresources and Molecular Research in Common Diseases, Kunming Institute of Zoology, Chinese Academy of Sciences</institution>, <addr-line>Kunming</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Naeem K. Patil, Vanderbilt University Medical Center, United States</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Sudip Banerjee, Morehouse School of Medicine, United States; Amrendra Kumar, The Ohio State University, United States</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Lin Jin, <email xlink:href="mailto:jinlin@mail.kiz.ac.cn">jinlin@mail.kiz.ac.cn</email>; Ren Lai, <email xlink:href="mailto:rlai@mail.kiz.ac.cn">rlai@mail.kiz.ac.cn</email>
</p>
</fn>
<fn fn-type="equal" id="fn003">
<p>&#x2020;These authors have contributed equally to this work</p>
</fn>
<fn fn-type="other" id="fn002">
<p>This article was submitted to Inflammation, a section of the journal Frontiers in Immunology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>01</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="collection">
<year>2021</year>
</pub-date>
<volume>12</volume>
<elocation-id>734546</elocation-id>
<history>
<date date-type="received">
<day>01</day>
<month>07</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>15</day>
<month>11</month>
<year>2021</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2021 Zhu, Chen, Qiu, Liu, Mwangi, Zhao, Ding, Lai and Jin</copyright-statement>
<copyright-year>2021</copyright-year>
<copyright-holder>Zhu, Chen, Qiu, Liu, Mwangi, Zhao, Ding, Lai and Jin</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>As an important source of air pollutant, airborne particulate matter (PM) has become a major threat to public health. Orchitis is characterized by acute or chronic testicular inflammation and is a primary cause of male infertility. Although accumulating evidence indicates that PM exposure is associated with increased male infertility rates, the mechanism by which PM is involved is not well understood. Here, we found that short-term PM exposure activated NF-&#x3ba;B signaling in mouse Leydig cells and testes and leading to asymptomatic orchitis. Analyzing the mitochondrial abundance and cGAMP levels in PM exposed mouse Leydig cells, we found that PM exposure induced mitochondrial injury and mtDNA release, leading to inflammation <italic>via</italic> the cGAS-STING axis. We also found that aspirin-induced acetylation of cGAS inhibited the inflammation in mice after PM exposure, especially in the testes. Moreover, aspirin pretreatment rescued offspring growth in PM-exposed mice. In summary, our study not only provides evidence that PM-induced asymptomatic orchitis in mice may be amenable to aspirin pre-treatment by acetylating cGAS, but also provides a potential explanation for male infertility caused by air pollutants.</p>
</abstract>
<kwd-group>
<kwd>male infertility</kwd>
<kwd>particulate matter</kwd>
<kwd>orchitis</kwd>
<kwd>aspirin</kwd>
<kwd>cGAS-STING pathway</kwd>
</kwd-group>
<counts>
<fig-count count="4"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="45"/>
<page-count count="11"/>
<word-count count="5252"/>
</counts>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<title>Introduction</title>
<p>With the rapid industrial development, ambient air pollution has become a major threat to public health in China. As an important source of air pollutant, airborne particulate matter (PM) is a complex mixture of inorganic and organic components (<xref ref-type="bibr" rid="B1">1</xref>). Of note, exposure to PM with a mean diameter of less than 10 &#x3bc;m (PM<sub>10</sub> and PM<sub>2.5</sub>) can lead to multiple system damage (<xref ref-type="bibr" rid="B2">2</xref>), including adverse impacts on the cardiovascular and respiratory systems. Inhalation of PM<sub>2.5</sub> can lead to oxidative stress in the respiratory tract and may increase the risk of lung cancer and chronic airway inflammatory diseases (<xref ref-type="bibr" rid="B3">3</xref>, <xref ref-type="bibr" rid="B4">4</xref>). Furthermore, It is reported that PM2.5 exposure can induces apoptosis and autophagy in human lung epithelial cells (<xref ref-type="bibr" rid="B5">5</xref>). Of concern, exposure to PM enhanced ACE2 and TMPRSS2 expression and enhance the SARS-CoV-2 susceptibility <italic>in vivo</italic> (<xref ref-type="bibr" rid="B6">6</xref>, <xref ref-type="bibr" rid="B7">7</xref>). PM exposure is not only associated with human endothelial injury and cardiovascular diseases, but also with cardiac dysfunction in mice offspring (<xref ref-type="bibr" rid="B8">8</xref>, <xref ref-type="bibr" rid="B9">9</xref>). As such, considerably more efforts should be expended understand the health impact of PM exposure.</p>
<p>The estimated prevalence of infertility among reproductive-aged couples in China has increased to 25% in recent years (<xref ref-type="bibr" rid="B10">10</xref>). Several studies have indicated that PM exposure may be associated with low sperm quality and increased infertility rates in males (<xref ref-type="bibr" rid="B11">11</xref>, <xref ref-type="bibr" rid="B12">12</xref>). About 70% of male infertility cases are caused by abnormal spermatogenesis (<xref ref-type="bibr" rid="B13">13</xref>). Instillation of PM is known to lower sperm counts and increased sperm morphology rate in rats <italic>via</italic> PI3K/Akt signaling (<xref ref-type="bibr" rid="B14">14</xref>). Moreover, exposure to concentrated ambient PM<sub>2.5</sub> can impair spermatogenesis in mice (<xref ref-type="bibr" rid="B15">15</xref>). Immune homeostasis in mammalian testes is essential for testicular function. Disruption of testicular immunoregulation can lead to orchitis and male infertility (<xref ref-type="bibr" rid="B16">16</xref>). However, although immunological factors are important in spermatogenesis and may contribute to PM-induced male infertility, they remain poorly understood (<xref ref-type="bibr" rid="B16">16</xref>, <xref ref-type="bibr" rid="B17">17</xref>).</p>
<p>In the present study, we examined the adverse impacts of PM exposure <italic>in vitro</italic> and <italic>in vivo</italic> on the male reproductive system in mice. Results showed that exposure to PM led to asymptomatic but not acute orchitis <italic>via</italic> cyclic guanosine monophosphate-adenosine monophosphate (GMP-AMP) synthase (cGAS)-stimulator of interferon gene (STING)-mediated NF-&#x3ba;B signaling. cGAS is a cytosolic DNA sensor which induces type I IFN (IFN-I) by producing the endogenous second messenger cyclic GMP-AMP (cGAMP) (<xref ref-type="bibr" rid="B18">18</xref>). cGAMP is a secondary messenger that binds and activates STING (stimulator of interferon genes, also known as TMEM173, MITA, ERIS and MPYS) on the endoplasmic reticulum (ER) membrane (<xref ref-type="bibr" rid="B19">19</xref>&#x2013;<xref ref-type="bibr" rid="B21">21</xref>). The broad roles of cGAS-STING and NF-&#x3ba;B signaling in immunoregulation suggest that the inhibitory agents may be applicable for rebalancing the immune homeostasis (<xref ref-type="bibr" rid="B22">22</xref>&#x2013;<xref ref-type="bibr" rid="B24">24</xref>). Therefore, we explored the potential molecular mechanisms involved in PM-induced disruption of the testicular immune homeostasis and abnormal spermatogenesis. In addition, we also explored the possible solutions that may alleviate the PM-induced asymptomatic orchitis.</p>
</sec>
<sec id="s2" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec id="s2_1">
<title>Cell Lines and Mice</title>
<p>TM3 cells (mouse Leydig cell line) were obtained from the Kunming Cell Bank, Kunming Institute of Zoology, Chinese Academy of Science. TM3 cells were cultured in Dulbecco&#x2019;s Modified Eagle Medium and Ham&#x2019;s F-12 medium (DMEM/F12) (Gibco, USA) supplemented with 5% fetal bovine serum (FBS) and, 2.5% horse serum, 100 U/ml penicillin and 100 &#x3bc;g/ml streptomycin in 5% CO<sub>2</sub> at 37&#xb0;C. Male 6- to 8-week-old male C57/B6 mice were purchased from the Animal Resource Center at the Kunming Institute of Zoology. Institutional Review Board approval was obtained from our institute for this study. All mice were kept under specific pathogen-free conditions and all animal experiments were conducted in accordance with the guidelines and were approval of the Kunming Institute of Zoology, Chinese Academy of Sciences Animal Care and Use Committee (SMKX-2019031).</p>
</sec>
<sec id="s2_2">
<title>PM Exposure in Mice</title>
<p>Urban particulate matter, PM (1648a, NIST, USA), lLipopolysaccharides from <italic>Escherichia coli</italic> O111:B4 (L2630, Sigma, USA) and Pyrrolidinedithiocarbamate ammonium, PDTC (PDTC, T3147, TargetMol, China) and aspirin (HY-14654, MCE, China) were used in this study. PM was suspended in PBS to make a final concentration of 10 mg/ml. 6- to 8-week-old male C57/B6 mice were intranasally inoculated with 400 &#x3bc;g of PM (40 &#x3bc;l) every day for 7 days. For drugs administration, mice were intraperitoneally injected with PDTC (30 mg/kg) or intragastrically administered with aspirin (20 mg/kg/day) 1 hour before PM exposure according to the instructions and established studies (<xref ref-type="bibr" rid="B25">25</xref>&#x2013;<xref ref-type="bibr" rid="B27">27</xref>).</p>
</sec>
<sec id="s2_3">
<title>Preparation of Tissue Samples for Hematoxylin and Eosin (H&amp;E) Staining</title>
<p>The lungs of mice were fixed in 10% formalin and the left side of testes were fixed in Bouin fix solution (SL1590, Coolaber, China). After fixation, 5-&#x3bc;m tissue sections were prepared and stained with H&amp;E and examined.</p>
</sec>
<sec id="s2_4">
<title>Flow Cytometry</title>
<p>Single-cell suspensions of the lung samples were prepared by mechanical pressing and filtering through 70-mm cell strainers. Cells were stained as per our previous study (<xref ref-type="bibr" rid="B28">28</xref>) and the following antibodies were used. Mouse Integrin alpha M/CD11b Alexa Fluor<sup>&#xae;</sup> 405-conjugated antibody (FAB1124V, abcam); anti-mouse LY-6G (RB6-8C5)-APC (17-5931-81, eBioscience); and ICAM-1 monoclonal antibody (YN1/1.7.4)-Pacific Blue (A15404, eBioscience). Fluorescence Activated Cell Sorter (FACS) analysis was performed on a BD FACS Calibur flow cytometer. Data analysis was performed using Flowjo v10 software.</p>
</sec>
<sec id="s2_5">
<title>
<italic>In Vitro</italic> Exposure to PM</title>
<p>For PM exposure, the TM3 cells in free antibiotics medium were seeded into 12-well plates at ~1 &#xd7; 10<sup>6</sup> cells/well. Cells were exposed to PM with or without PDTC, and aspirin administration for indicated times. Cells were lysed in Radio-Immunoprecipitation Assay buffer (RIPA buffer) with protease (HY-K0010, MCE) and phosphatase inhibitors (HY-K0022, MCE) for immunoblot analysis and lysed in TRIzol reagent (Invitrogen) for RNA isolation.</p>
</sec>
<sec id="s2_6">
<title>Gene Knockdown Assays</title>
<p>TM3 cells were transiently transfected with pGFP-C-shLenti vector containing cGAS shRNA (GTTCAATCTATTCTCTCAAGAACTAATTG) or p65 shRNA (#1 GCATGCGATTCCGCTATAAAT, #2 GGAGTACCCTGAAGCTATAAC, #3 AGCGAATCCAGACCAACAATA) with lipofectamine 3000 transfection reagent (Thermo Fisher Scientific) according to manufacturer&#x2019;s protocol. The transfected cells were incubated for 48&#x2013;72 h at 37&#xb0;C and the knockdown efficiency was analyzed by western blot before further experiments.</p>
</sec>
<sec id="s2_7">
<title>Quantitative Real-Time Polymerase Chain Reaction (qRT-PCR) and RNA Sequencing (RNA-Seq)</title>
<p>Total RNA was isolated from cells and tissues by using TRIzol reagent (Invitrogen). cDNA was reverse-transcribed by using M-MLV reverse transcriptase (M1705, Promega, USA). Real-time qRT-PCR was performed on the StepOnePlus Real-Time PCR Systems (Thermo, USA). All primer sequences are listed in <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table&#xa0;1</bold>
</xref>.</p>
<p>RNA-seq and data analysis were performed by a commercial service (Novogene, China). A log<sub>2</sub> fold-change of 1 was set as the threshold for significantly differential expression. The heatmap was generated by using GraphPad v8.0 software to show the normalized gene expression.</p>
</sec>
<sec id="s2_8">
<title>Immunoblot Analysis</title>
<p>Nuclear protein was isolated using a NE-PER&#x2122; Nuclear and Cytoplasmic Extraction kit (78833, Thermo Fisher Scientific) according to the manufacturer&#x2019;s manual. Total proteins were extracted from cells or tissues for western blotting analysis. Primary antibodies included: anti-cGAS (sc-515803, Santa Cruz), anti-ICAM1 (ab179707, Abcam), anti-VCAM1 (ab134047, Abcam), anti-p-I&#x3ba;B&#x3b1; (2859L, CST), anti-I&#x3ba;B&#x3b1; (9242L, CST), anti-p-p65 (3033, CST), anti-p65 (8242, CST), anti-lamin B1 (13435S, CST), anti-GAPDH (T0004-50, Affinity Biosciences) and anti-&#x3b2;-actin (sc-81178, Santa Cruz). Secondary antibodies included horseradish peroxidase (HRP)-labeled anti-rabbit, anti-mouse, and anti-goat antibodies (KPL). Total proteins were separated by 12% sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) and electro-transferred onto a polyvinylidenedifluoride (PVDF) membranes (Roche, Germany). The PVDF membranes were blocked with TBST (2.42 g/L Tris base, 8 g/L NaCl, 0.1% Tween 20, pH 7.6) containing 5% non-fat dried milk (BD, USA) at room temperature for 2 h. After washing three times with TBST, the membrane was incubated overnight with primary antibodies at 4&#xb0;C, then incubated with the secondary antibodies for 1 h at room temperature. After washing with TBST,&#xa0;the membrane were developed with an enhanced chemiluminescence kit (TIANGEN, China) on an ImageQuant LAS 4000 mini system (GE Healthcare Life Sciences).</p>
</sec>
<sec id="s2_9">
<title>Sperm Morphology, Motility and Sperm Counts</title>
<p>Sperm were collected from the cauda epididymides of mice. Sperm morphology analysis and sperm count were determined according to previous studies (<xref ref-type="bibr" rid="B14">14</xref>, <xref ref-type="bibr" rid="B15">15</xref>). Abnormal sperm morphology rates were calculated by counting all sperms with abnormal heads or tails. Sperm motility was analyzed using a computer-aided sperm analysis system with Hamilton Thorne IVOS II (Beverly, MA, USA).</p>
</sec>
<sec id="s2_10">
<title>Immunofluorescence Staining and Microscopy</title>
<p>Cells were fixed in 4% paraformaldehyde for 15 min at room temperature and were then permeabilized with 0.3% Triton X-100 (T0694, Amresco) for 20 min, washed with PBS, and blocked in 2% BSA for 1 h. Cells were stained with antibodies overnight at 4&#xb0;C. After washing, cells were stained with a fluorescence-conjugated secondary antibody with FITC-Phallodidin (40735ES75, Yeasen) for 30 min, and mounted using ProLong Gold Antifade Reagent with DAPI (8961S, CST).</p>
<p>For cryosections, tissues were harvested and fixed as mentioned above. The 5-&#x3bc;m sections were washed with PBS and blocked with the blocking buffer. The sections were stained with primary antibodies anti-CD11c (AP-MAB0814) and anti-F4/80 (ab6640, Abcam) at 4&#xb0;C overnight. After washing, slides were stained with secondary antibodies for 30 min, and mounted using ProLong Gold Antifade Reagent with DAPI (8961S, CST). Immunostaining was detected with an Olympus FluoView 1000 confocal microscope (Olympus, Melville, NY, USA). The intensity of signaling was quantified by ImageJ 1.8.0 software (National Institutes of Health, USA).</p>
</sec>
<sec id="s2_11">
<title>Mitochondria Abundance and ATP Levels</title>
<p>Mitochondria abundance was analyzed according to the previous study (<xref ref-type="bibr" rid="B29">29</xref>). ATP levels were determined by using a ATP detection kit according to the instruction (S0027, Beyotime, China).</p>
</sec>
<sec id="s2_12">
<title>cGAMP Extraction and Quantification Using LC&#x2013;MS/MRM</title>
<p>The cGAMP extraction from cells was carried out according to the previous research (<xref ref-type="bibr" rid="B30">30</xref>). After PM stimulation, the cells were washed with PBS and lysed with 1 mL of cold extraction solvent (40:40:20 (v/v/v) methanol-acetonitrile-water). The cell lysates were stored at -20&#xb0;C for 1 hour and then centrifuged at 16,000&#xd7;g for 5 min. The supernatants were lyophilized on the lyophilizer and the pellets were resuspended in 200 &#x3bc;L of ammonium acetate buffer (10 mM ammonium acetate, 0.05% acetate in water). After centrifugation at 16,000&#xd7;g for 10 min, the supernatants were quantified by liquid chromatography-MS/multiple reaction monitoring (LC-MS/MRM).</p>
<p>The LC-MS/MS system consisted of an Acquity H-Class UPLC system, coupled to a Xevo TQ-S Micro Tandem Mass Spectrometer (Waters, Manchester, UK). Chromatographic separation was performed by injecting 10 &#x3bc;L of supernatant onto a Waters Acquity UPLC HSS T3 column (2.1 &#xd7; 50 mm, 1.8&#xa0;&#x3bc;m particle size, Waters). The mass spectrometer was operated in electrospray positive ionization mode, with capillary was maintained at 2.5 kV and the source temperature of 150&#xb0;C The desolvation gas flow and temperature were 600 L/h and 350&#xb0;C, respectively. The cone voltage was 60 V for all analytes with a source offset of 30 V. Transitions were monitored in multiple reaction monitoring (MRM) mode with a dwell time of 0.091 s.</p>
</sec>
<sec id="s2_13">
<title>Statistical Analysis</title>
<p>Two-way analysis of variance (ANOVA) and Fisher&#x2019;s least significant difference (LSD) tests were used to analyze the bodyweight changes in mice. Statistical analysis was performed using two-tailed Student <italic>t</italic>-test and log-rank tests where applicable. A <italic>P</italic>-value &#x2264; 0.05 was considered significant. All data analyses were performed using GraphPad Prism 6 (GraphPad Software, USA).</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<title>Results</title>
<sec id="s3_1">
<title>Short-Term Exposure to PM Causes Inflammation in Lungs and Testes of Mice</title>
<p>A broad consensus is that inhaled PM with small particle size can enter the blood circulation and then consequently affect other organs. To determine the effects of PM on mice, 8-week-old male mice were exposed to 400 &#x3bc;g of PM per day. After 7 days, the PM-exposed mice developed severe pneumonia-like symptoms. Inflammatory cells in the lungs of mice were significantly increased after PM exposure (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>). FACS analysis showed that the percentages of neutrophils and ICAM-1<sup>+</sup> cells in the lungs of mice were also increased after PM exposure (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>). Furthermore, inflammation of other tissues was observed (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure 1</bold>
</xref>). In the testes, the empty areas of seminiferous tubules were remarkably enlarged after PM exposure (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1C</bold>
</xref>). This type of lesion often occurs when the testis of mice become senile, inflamed or injured. Therefore, we examined the expression levels of certain inflammatory cytokines in the lungs and testes of these mice. As shown in <xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1D</bold>
</xref>, the expression levels of <italic>Il6</italic> and <italic>Tnfa</italic> in the lungs and testes sample were up-regulated after PM exposure. These observations suggested that PM exposure in not only causes pulmonary inflammation, but also inflammatory injury of the testes.</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Short-term PM exposure causes inflammation in lungs and testes of mice. <bold>(A)</bold> Representative H&amp;E staining images show the inflammatory cell infiltration in lung after 7 days of PM exposure. Scale bars: 2000 &#x3bc;m on left, 50 &#x3bc;m on right. <bold>(B)</bold> FACS analysis of neutrophils and ICAM-1<sup>+</sup> cells in lungs of mice after 7 days of PM exposure. The percentage of total cells was quantified (right). <bold>(C)</bold> H&amp;E staining evaluation of empty area of seminiferous tubules in testes of mice after 7 days of PM exposure. The percentage of the empty area was quantified (right). Scale bars: 50 &#x3bc;m. <bold>(D)</bold> Expression analysis of <italic>Il6</italic> and <italic>Tnfa</italic> in lung and testes after 7 days of PM exposure. There were 6 mice in each group. Data represent two independent experiments. Data are mean &#xb1; standard error of the mean (SEM). *<italic>P</italic> &lt; 0.05; **<italic>P</italic> &lt; 0.01; ***<italic>P</italic> &lt; 0.001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-734546-g001.tif"/>
</fig>
</sec>
<sec id="s3_2">
<title>PM Activates NF-&#x3ba;B Signaling and Induces Asymptomatic Orchitis in Mice</title>
<p>To determine the role of PM in testicular inflammation, we performed genome-wide expression analysis to profile differentially expressed genes in mouse Leydig cells with or without PM administration. Among the genes significantly upregulated after PM treatment, most were involved in NF-&#x3ba;B signaling (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure 2A</bold>
</xref>). This finding suggests that PM may induce testis inflammation <italic>via</italic> activation of NF-&#x3ba;B signaling in mouse Leydig cells. As predicted, levels of phosphorylated I&#x3ba;B&#x3b1; and p65, which are critical for NF-&#x3ba;B signaling activation, were significantly up-regulated in the mouse Leydig cells after PM treatment (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>). Moreover, the nuclear localization of p65 in TM3 cells was markedly induced after PM administration (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>). Consistently, confocal immunofluorescence analysis also revealed that PM-induced nuclear localization of p65 in TM3 cells (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplemetary Figure 2B</bold>
</xref>). As NF-&#x3ba;B signaling regulates the expression of many inflammatory genes, the expression levels of representative genes regulated by NF-&#x3ba;B signaling were analyzed in the presence of LPS, PM, or NF-&#x3ba;B specific inhibitor (PDTC). As shown in <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure 2C</bold>
</xref>, the expression levels of <italic>Mcp1</italic>, <italic>Il6</italic>, <italic>Cxcl1</italic> and <italic>Cxcl9</italic> were up-regulated after PM and LPS treatment but were reduced after co-administration of PDTC. This observation was further confirmed by using p65 knockdown cells (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2B</bold>
</xref>). At&#xa0;3-days post-PM exposure, the phosphorylation levels of I&#x3ba;B&#x3b1; and p65 and the levels of ICAM-1 and VCAM-1 were increased in the mouse testes (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure 2D</bold>
</xref>). Notably, PDTC administration dramatically diminished the phosphorylation levels of I&#x3ba;B&#x3b1; and p65 and the levels of ICAM-1 and VCAM-1 in the testes (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure 2D</bold>
</xref>). At 7 days post-PM exposure, the enlarged empty areas of seminiferous tubules were substantially reduced after PDTC administration (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2C</bold>
</xref>). An earlier study&#xa0;suggested that PM may impair spermatogenesis and decrease sperm counts in mice (<xref ref-type="bibr" rid="B15">15</xref>). Here we found an increase in abnormal sperm morphology after 7 days of PM exposure, with PM-induced&#xa0;sperm abnormality was altered after PDTC administration (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2D</bold>
</xref>).</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>PM exposure induced orchitis in mice is NF-&#x3ba;B signaling dependent. <bold>(A)</bold> Immunoblot analysis of phosphorylation of I&#x3ba;B&#x3b1; and p65 and protein level of I&#x3ba;B&#x3b1; and p65 in TM3 cells after 200 &#x3bc;g/ml PM administration for 8 hours. &#x3b2;-actin was used as the loading control. <bold>(B)</bold> Expression analysis of <italic>Il6</italic> and <italic>Tnfa</italic> in the p65 knockdown TM3 cells after 200 &#x3bc;g/ml PM administration for 12 hours. The knockdown efficiency was analyzed by western blot 48 h post transfection (left panel). The intensity of signaling was quantified. <bold>(C)</bold> H&amp;E staining evaluation of empty areas of seminiferous tubules in testes of mice after 7 days of PM exposure with or without PDTC administration. In <bold>(C&#x2013;E)</bold>, NC, PBS; PM, 400 &#x3bc;g/day PM; PM+PD, 400 &#x3bc;g/day PM + PDTC; PD, PDTC only. Scale bar: 20 &#x3bc;m. <bold>(D)</bold> H&amp;E staining of typical abnormal sperm morphology: (a) normal sperm; (b) abnormal sperm head; (c) abnormal sperm tail; (d) abnormal sperm head and tail. Scale bars: 10 &#x3bc;m. Sperm malformation rate was quantified (right). <bold>(E)</bold> Confocal immunofluorescence analysis of dendritic cells and macrophages in cryosections of testes of mice after 7 days of PM exposure with or without PDTC administration. Scale bars: 100 &#x3bc;m. There were 5-6 mice in each group. Data represent three independent experiments in <bold>(A)</bold> and two independent experiments in <bold>(B&#x2013;E)</bold>. Data are presented as mean &#xb1; SEM. **<italic>P</italic> &lt; 0.01; ***<italic>P</italic> &lt; 0.001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-734546-g002.tif"/>
</fig>
<p>Mammalian testes are immunoprivileged sites where systemic immune responses are strictly controlled (<xref ref-type="bibr" rid="B31">31</xref>). Considerable effort has been made to understand testicular immunoregulation in mammalian testes and recent progress has been comprehensively reviewed (<xref ref-type="bibr" rid="B16">16</xref>, <xref ref-type="bibr" rid="B32">32</xref>). The blood-testis barrier (BTB) is formed by tight junctions between Sertoli cells near the basal lamina of the seminiferous epithelium and is important for maintaining normal testis homeostasis (<xref ref-type="bibr" rid="B16">16</xref>). Disruption of the BTB or immune homeostasis by stimuli can lead to immune cell invasion in the testes and impaired male fertility (<xref ref-type="bibr" rid="B16">16</xref>). According to the above, it is quite clear that PM exposure activates NF-&#x3ba;B signaling and impairs the spermatogenesis in mice. Consistently, we found that more dendritic cells and macrophages invaded the lumen of seminiferous tubules after PM exposure, while PDTC pre-administration attenuated the invasion of these cells (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2E</bold>
</xref>). Collectively, these data indicate that inhibition of NF-&#x3ba;B signaling by PDTC reduces inflammation and immune cell invasion in testis and may in turn attenuates PM-induced asymptomatic orchitis in mice.</p>
</sec>
<sec id="s3_3">
<title>PM Exposure Induces Mitochondrial Injury and mtDNA Release to Cause Inflammation <italic>Via</italic> cGAS-STING <italic>In Vitro</italic>
</title>
<p>To understand the mechanism underlying the activated inflammatory responses after PM exposure, we considered that exposure may induce self-mtDNA release (<xref ref-type="bibr" rid="B33">33</xref>). As shown in <xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>, PM administration significantly affected the mitochondria abundance and ATP levels in mouse Leydig cells. Self-DNA can trigger powerful immune responses and regulate NF-&#x3ba;B signaling through the cGAS-cGAMP-STING axis (<xref ref-type="bibr" rid="B34">34</xref>). Therefore, we analyzed cGAMP levels and signaling transduction after PM administration in mice. Aspirin was set as a control as it can directly acetylate cGAS and suppress cGAS-mediated immune responses (<xref ref-type="bibr" rid="B30">30</xref>). Results showed that PM indeed induced higher level of cGAMP in mouse Leydig cells (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>). The phosphorylation levels of STING, IRF3 and TBK1 were increased after PM treatment, but were dramatically diminished after aspirin administration (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3C</bold>
</xref>). The expression levels of <italic>Il6</italic>, <italic>Tnfa</italic>, <italic>Ifnb</italic> and <italic>Cxcl10</italic> were further analyzed post PM treatment with or without aspirin (20, 50, or 100 &#x3bc;g/ml) pre-treatment. As shown in <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure 3</bold>
</xref>, the genes up-regulated after PM exposure were suppressed by aspirin administration. Consistently, the suppression effect was significantly reduced in cGAS knockdown TM3 cells (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3D, E</bold>
</xref>). These results indicate that PM exposure induces mitochondrial injury and mtDNA release, causing inflammation <italic>via</italic> cGAS-STING <italic>in vitro</italic>, which can be reduced by aspirin pre-treatment.</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>PM exposure induces mitochondrial injury and mtDNA release causing inflammation <italic>via</italic> cGAS-STING <italic>in vitro</italic>. <bold>(A)</bold> Relative mtDNA copy number and ATP levels from TM3 cells post 200 &#x3bc;g/ml PM administration for 6 hours with or without 100 &#x3bc;g/ml aspirin. In <bold>(A&#x2013;C)</bold>, NC, PBS; PM, 200 &#x3bc;g/ml PM; AS, aspirin 100 &#x3bc;g/ml only; PM+AS, 200 &#x3bc;g/ml PM and 100 &#x3bc;g/ml aspirin. <bold>(B)</bold> Production of cGAMP from TM3 cells post 200 &#x3bc;g/ml PM administration for 6 hours with or without 100 &#x3bc;g/ml aspirin was detected by LC-MS/MRM. Data are from three technical replicates. <bold>(C)</bold> Immunoblot analysis of phosphorylation and protein level of STING, IRF3 and TBK1 in TM3 cells 200 &#x3bc;g/ml PM administration for 6 hours with or without 100 &#x3bc;g/ml aspirin. &#x3b2;-actin was used as the loading control. <bold>(D)</bold> Knockdown efficiency of cGAS was analyzed in TM3 cells transfected with cGAS shRNA and control shRNA at 48 hours. Immunoblot analysis of phosphorylation of p65 and protein level of p65 in cGAS knockdown TM3 cells after 200 &#x3bc;g/ml PM administration for 8 hours. GAPDH was used as the loading control and the intensity of signaling was quantified. Con, control shRNA; KD, cGAS shRNA. <bold>(E)</bold> Expression analysis of <italic>Il6</italic>, <italic>Tnfa</italic>, <italic>Ifnb</italic>, and <italic>Cxcl10</italic> in the cGAS knockdown TM3 cells after 200 &#x3bc;g/ml PM administration for 12 hours with or without 100 &#x3bc;g/ml aspirin. Data represent three independent experiments in <bold>(A&#x2013;C)</bold> and two independent experiments in <bold>(D, E)</bold>. Data are presented as mean &#xb1; SEM. *<italic>P</italic> &lt; 0.05; **<italic>P</italic> &lt; 0.01; ***<italic>P</italic> &lt; 0.001; NS, not significant.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-734546-g003.tif"/>
</fig>
</sec>
<sec id="s3_4">
<title>Aspirin Alleviates PM Induced Asymptomatic Orchitis in Mice and Recovers Offspring Growth</title>
<p>We next investigated whether aspirin can alleviate PM-induced orchitis and other adverse effects. As shown in <xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4A, B</bold>
</xref>, at 7 days post exposure, intragastric administration of aspirin greatly attenuated the PM-induced sperm abnormalities and mobility reduction. Aspirin-induced acetylation of cGAS inhibited inflammation in mice after PM exposure (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure&#xa0;4</bold>
</xref>). In addition, we found that the protective effect of aspirin is retained for at least 3 days post stopping asipirin administration (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure 5</bold>
</xref>). Consistently, the invasion of dendritic cells and macrophages in the lumen of seminiferous tubules after PM exposure was also attenuated (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4C</bold>
</xref>). Furthermore, at 7 days post exposure, the enlarged empty areas of the seminiferous tubules found after PM exposure were remarkably reduced after aspirin pre-treatment (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4D</bold>
</xref>). At 7 days post-treatment, the PM-exposed and unexposed male mice were bred with healthy females. As low quality sperm may lead to dysontogenesis of their offsprings, We further explored the consequences of PM-induced orchitis and aspirin administration on the growth and development of the mouse offsprings. Notably, the offspring of PM-exposed paternal mice grew more slowly than that of the control group (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4E</bold>
</xref>). However, this PM-induced effect on offspring was significantly reduced for those mice taking aspirin (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4E</bold>
</xref>). It is known that long term aspirin intake may have hemorrhagic complications (<xref ref-type="bibr" rid="B35">35</xref>). According to <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure 6</bold>
</xref>, we found that the hemorrhagic spot in the livers of mice emerged from day 11 post aspirin administration. Thus, these results indicate that pre-treatment of aspirin alleviates PM exposure induced orchitis in mice and rescues growth of their offspring.</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>Aspirin alleviates PM-induced orchitis in mice and restores the growth of offspring. <bold>(A)</bold> Quantitative analysis of sperm malformation rate and sperm counts of mice (n = 6) after 7 days PM exposure with or without intragastrically administration of aspirin. In <bold>(A&#x2013;E)</bold>: NC, PBS; PM, 400 &#x3bc;g/kg PM; AS, aspirin 20 mg/kg only; PM+AS, 400 &#x3bc;g/kg PM + 20 mg/kg aspirin. <bold>(B)</bold> Quantitative analysis of spermatozoa motility in mice after 7 days of PM exposure with or without aspirin administration. <bold>(C)</bold> Confocal immunofluorescence analysis of dendritic cells and macrophages in cryosections of mouse testes after 7 days of PM exposure with or without aspirin administration. Scale bars: 50 &#x3bc;m. <bold>(D)</bold> H&amp;E staining evaluation of the empty area of seminiferous tubules in the testis of mice after 7 days PM exposure with or without aspirin administration. <bold>(E)</bold> Body weights of offspring of PM-exposed male mice. All mice were fed separately at 3 weeks of age and weighted weekly for 10 weeks. Data represent two independent experiments and are presented as mean &#xb1; SEM. *<italic>P</italic> &lt; 0.05; **<italic>P</italic> &lt; 0.01; ***<italic>P</italic> &lt; 0.001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-12-734546-g004.tif"/>
</fig>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<title>Discussion</title>
<p>The male reproductive system is sensitive to environmental factors such as chemical compounds and air pollutant (<xref ref-type="bibr" rid="B36">36</xref>, <xref ref-type="bibr" rid="B37">37</xref>). As a major cause of male infertility, orchitis is characterized by acute or chronic inflammation of the testis which can be symptomatic or asymptomatic on the presentation (<xref ref-type="bibr" rid="B38">38</xref>, <xref ref-type="bibr" rid="B39">39</xref>). Orchitis often occurs when testicular immune homeostasis is disrupted by infection or other stimuli, which can lead to male infertility (<xref ref-type="bibr" rid="B16">16</xref>). The acute orchitis shows significantly pathological alterations of the testis including testicular atrophy and complete loss of fertility usually caused by viruses and bacteria (<xref ref-type="bibr" rid="B40">40</xref>). However, despite being a major reproductive risk factor, the mechanism by which PM is involved in immune homeostasis disruption in the testes has not been well studied. As PM can enter the systemic circulation and ultimately reach the testes, both the pulmonary inflammation and the testes localized PM may break testicular immune homeostasis.</p>
<p>In mammals, pregnant uterus, brain and testes are typical immunoprivileged organs and their immune responses are strictly limited as they have crucial functions for the survival of a species (<xref ref-type="bibr" rid="B31">31</xref>, <xref ref-type="bibr" rid="B41">41</xref>). Logically, testicular inflammation in the testes, approximate defined as the asymptomatic orchitis, may cause serious consequences for species reproduction. Consistent with previous studies, we found that mice exposed to PM for short time not only experienced pulmonary and systemic inflammation, but also asymptomatic orchitis (<xref ref-type="bibr" rid="B8">8</xref>, <xref ref-type="bibr" rid="B15">15</xref>, <xref ref-type="bibr" rid="B42">42</xref>). These findings suggest that PM exposure has harmful effects on testicular immune homeostasis. We also comprehensively explored genes up-regulated upon PM stimulation in mouse main testicular androgen-producing cells (TM3 cells). Leydig cells located in the seminiferous tubules of testes and are known as testicular interstitial cells. Moreover, Leydig cells can maintain spermatogenesis, control hormonal regulation, and affect secondary sexual characteristics in males (<xref ref-type="bibr" rid="B43">43</xref>). Of note, we found that NF-&#x3ba;B signaling and its specific downstream inflammatory genes were induced in TM3 cells after PM administration. This observation was further confirmed by using a NF-&#x3ba;B specific inhibitor and in p65 knockdown cells.</p>
<p>Persistent activation of NF-&#x3ba;B is associated with increased inflammation in the testes and with spermatogonial cell loss (<xref ref-type="bibr" rid="B38">38</xref>). Consistently, we also found that after PM exposure activates NF-&#x3ba;B, the expression levels of cytokines and chemokines genes were up-regulated, and testicular inflammatory was increased. The potentiated testicular inflammation enlarged the empty areas of seminiferous tubules and decreased sperm count and normal morphology rate as previously reported in rat (<xref ref-type="bibr" rid="B14">14</xref>). Of note, another study reported that exposure to PM<sub>2.5</sub> in mice did not increase testicular expression of <italic>Il6</italic> and <italic>Tnfa</italic> nor the rate of abnormal sperm (<xref ref-type="bibr" rid="B15">15</xref>). This inconsistency could be explained by the different dosages and origins of PM used in the studies, which requires further examination.</p>
<p>Activation of the DNA sensor cGAS requires a deacetylation step, and compounds that acetylate cGAS can suppress the cGAS-cGAMP-STING axis. Accumulating evidence has demonstrated the important role of mtDNA released from damaged mitochondria. Released mtDNA activate the innate immune system through several adaptors and may further mediate the testicular damage and inflammation (<xref ref-type="bibr" rid="B44">44</xref>). Here, we found that PM exposure induced mitochondrial injury and mtDNA release, causing testicular inflammation <italic>via</italic> cGAS-STING pathway. The findings were further established in cGAS knockdown TM3 cells. Importantly, PM induced orchitis and reduced offspring growth were alleviated by aspirin administration. The inflammatory response is a protective physiological program that protects the host against invading substances and pathogens. We believe that the best resolution of PM-induced inflammation is a process that allows for inflamed tissues, including the testes, to return to homeostasis. From this point of view, aspirin is a much better preventive choice than PDTC for the melioration of PM-induced orchitis due to its safety and confined effects (<xref ref-type="bibr" rid="B45">45</xref>). Under orchitis conditions, more immune cells including macrophages and dendritic cells can invade the testicular tubules and induce testis injury (<xref ref-type="bibr" rid="B16">16</xref>, <xref ref-type="bibr" rid="B17">17</xref>). Inflammatory cytokines and chemokines are related to immune cells activation and recruitment in the testes (<xref ref-type="bibr" rid="B38">38</xref>). Inhalation of PM induces pulmonary inflammation, leading to the release of inflammatory mediators. Even though small amounts of particles might reach the testes, the pulmonary evoked systemic inflammation is thought to be the major factor to affect the testes. We found that aspirin-induced acetylation of cGAS inhibited the systemic inflammation in mice after PM exposure, especially in the testes. The reduced inflammatory factors in the testes, in turn, limited the immune cell invasion and alleviated orchitis. Consistently, we found increased invasion of neutrophils, dendritic cells, and macrophages in the testes of mice after PM exposure but reduced immune cell invasion after aspirin pre-treatment. Taking aspirin is considered a critical therapy for cardiovascular disease, and clearly aspirin treatment has side effects. We have preliminarily evaluated the hemorrhagic side effect in aspirin treated mice and found the risk of bleeding was increased from day 11 post aspirin administration. Together, the results indicated that both the benefits and side effects of aspirin intake to protect from PM induced orchitis need to be fully clarified further.</p>
<p>In summary, our present study provides compelling evidence that PM-induced orchitis in mice may be amenable to aspirin pre-treatment by acetylating cGAS. Surprisingly, we also found that aspirin administration in PM-exposed mice restored the growth of their offspring. It appears to provide an experiment-based view of the potential use of aspirin in the precaution of PM induced orchitis. However, despite our results, the mechanism underlying PM exposure and orchitis and the association between air pollutants and male infertility are not fully elucidated. Considering the complexity of ambient air pollution and the testicular immune regulatory system, further studies are required to clarify the mechanisms involved in infertility caused by environmental pollution.</p>
</sec>
<sec id="s5" sec-type="data-availability">
<title>Data Availability Statement</title>
<p>The datasets presented in this study can be found in online repositories. The names of the repository/repositories and accession number(s) can be found below: NCBI SRA BioProject, accession no: PRJNA771215.</p>
</sec>
<sec id="s6" sec-type="ethics-statement">
<title>Ethics Statement</title>
<p>The animal study was reviewed and approved by Kunming Institute of Zoology, Chinese Academy of Sciences Animal Care and Use Committee (SMKX-2019031).</p>
</sec>
<sec id="s7" sec-type="author-contributions">
<title>Author Contributions</title>
<p>TZ, XC, HQ, YL, JM, LZ, and LJ conducted the experiments. LJ and RL designed the experiments. WD provided guidance for the research. TZ and LJ analyzed the data and wrote the paper. All authors contributed to the article and approved the submitted version.</p>
</sec>
<sec id="s8" sec-type="funding-information">
<title>Funding</title>
<p>This work was supported by the National Natural Science Foundation of China (NSFC) Grant (31900331, 32070444), Science and Technology Department of Yunnan Province (202001AW070019), Chinese Academy of Sciences &#x201c;Light of West China&#x201d; program and Youth Innovation Promotion Association (2019378) to LJ and funding from the NSFC (31930015), the CAS (XDB31000000, SAJC202103 and KFJ-PTXM-28), and Yunnan Province (2019-YT-053, 202002AA100007 and 2019ZF003) to RL.</p>
</sec>
<sec id="s9" sec-type="COI-statement">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s10" sec-type="disclaimer">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgments</title>
<p>The authors would like to thank Guolan Ma [the Public Technology Service Center, Kunming Institute of Zoology, Chinese Academy of Sciences (CAS)] for the technical support in flow cytometric cytometry analysis.</p>
</ack>
<sec id="s11" sec-type="supplementary-material">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fimmu.2021.734546/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fimmu.2021.734546/full#supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="DataSheet_1.pdf" id="SM1" mimetype="application/pdf"/>
<supplementary-material xlink:href="Image_1.tiff" id="SF1" mimetype="image/tiff"/>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<label>1</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jia</surname> <given-names>YY</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>Q</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>T</given-names>
</name>
</person-group>. <article-title>Toxicity Research of PM2.5 Compositions <italic>In Vitro</italic>
</article-title>. <source>Int J Environ Res Public Health</source> (<year>2017</year>) <volume>14</volume>(<issue>3</issue>):<fpage>232</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/ijerph14030232</pub-id>
</citation>
</ref>
<ref id="B2">
<label>2</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Cho</surname> <given-names>CC</given-names>
</name>
<name>
<surname>Hsieh</surname> <given-names>WY</given-names>
</name>
<name>
<surname>Tsai</surname> <given-names>CH</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>CY</given-names>
</name>
<name>
<surname>Chang</surname> <given-names>HF</given-names>
</name>
<name>
<surname>Lin</surname> <given-names>CS</given-names>
</name>
</person-group>. <article-title>In Vitro and&#xa0;<italic>In Vivo</italic> Experimental Studies of PM2.5 on Disease Progression</article-title>. <source>Int J Environ Res Public Health</source> (<year>2018</year>) <volume>15</volume>(<issue>7</issue>):<fpage>1380</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/ijerph15071380</pub-id>
</citation>
</ref>
<ref id="B3">
<label>3</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Li</surname> <given-names>R</given-names>
</name>
<name>
<surname>Zhou</surname> <given-names>R</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>J</given-names>
</name>
</person-group>. <article-title>Function of PM2.5 in the Pathogenesis of Lung Cancer and Chronic Airway Inflammatory Diseases</article-title>. <source>Oncol Lett</source> (<year>2018</year>) <volume>15</volume>(<issue>5</issue>):<page-range>7506&#x2013;14</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.3892/ol.2018.8355</pub-id>
</citation>
</ref>
<ref id="B4">
<label>4</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mukherjee</surname> <given-names>A</given-names>
</name>
<name>
<surname>Agrawal</surname> <given-names>M</given-names>
</name>
</person-group>. <article-title>A Global Perspective of Fine Particulate Matter Pollution and Its Health Effects</article-title>. <source>Rev Environ Contam Toxicol</source> (<year>2018</year>) <volume>244</volume>:<fpage>5</fpage>&#x2013;<lpage>51</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/398_2017_3</pub-id>
</citation>
</ref>
<ref id="B5">
<label>5</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Deng</surname> <given-names>X</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>F</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>L</given-names>
</name>
<name>
<surname>Rui</surname> <given-names>W</given-names>
</name>
<name>
<surname>Long</surname> <given-names>F</given-names>
</name>
<name>
<surname>Zhao</surname> <given-names>Y</given-names>
</name>
<etal/>
</person-group>. <article-title>Airborne Fine Particulate Matter Induces Multiple Cell Death Pathways in Human Lung Epithelial Cells</article-title>. <source>Apoptosis</source> (<year>2014</year>) <volume>19</volume>(<issue>7</issue>):<page-range>1099&#x2013;112</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s10495-014-0980-5</pub-id>
</citation>
</ref>
<ref id="B6">
<label>6</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kim</surname> <given-names>JH</given-names>
</name>
<name>
<surname>Kim</surname> <given-names>J</given-names>
</name>
<name>
<surname>Kim</surname> <given-names>WJ</given-names>
</name>
<name>
<surname>Choi</surname> <given-names>YH</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>SR</given-names>
</name>
<name>
<surname>Hong</surname> <given-names>SH</given-names>
</name>
</person-group>. <article-title>Diesel Particulate Matter 2.5 Induces Epithelial-To-Mesenchymal Transition and Upregulation of SARS-CoV-2 Receptor During Human Pluripotent Stem Cell-Derived Alveolar Organoid Development</article-title>. <source>Int J Environ Res Public Health</source> (<year>2020</year>) <volume>17</volume>(<issue>22</issue>):<fpage>8410</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/ijerph17228410</pub-id>
</citation>
</ref>
<ref id="B7">
<label>7</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhu</surname> <given-names>TY</given-names>
</name>
<name>
<surname>Qiu</surname> <given-names>H</given-names>
</name>
<name>
<surname>Cao</surname> <given-names>QQ</given-names>
</name>
<name>
<surname>Duan</surname> <given-names>ZL</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>FL</given-names>
</name>
<name>
<surname>Song</surname> <given-names>TZ</given-names>
</name>
<etal/>
</person-group>. <article-title>Particulate Matter Exposure Exacerbates Susceptibility to SARS-CoV-2 Infection in Humanized ACE2 Mice</article-title>. <source>Zool Res</source> (<year>2021</year>) <volume>42</volume>(<issue>3</issue>):<page-range>335&#x2013;8</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.24272/j.issn.2095-8137.2021.088</pub-id>
</citation>
</ref>
<ref id="B8">
<label>8</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pope</surname> <given-names>CA</given-names>
<suffix>3rd</suffix>
</name>
<name>
<surname>Bhatnagar</surname> <given-names>A</given-names>
</name>
<name>
<surname>McCracken</surname> <given-names>JP</given-names>
</name>
<name>
<surname>Abplanalp</surname> <given-names>W</given-names>
</name>
<name>
<surname>Conklin</surname> <given-names>DJ</given-names>
</name>
<name>
<surname>O'Toole</surname> <given-names>T</given-names>
</name>
</person-group>. <article-title>Exposure to Fine Particulate Air Pollution Is Associated With Endothelial Injury and Systemic Inflammation</article-title>. <source>Circ Res</source> (<year>2016</year>) <volume>119</volume>(<issue>11</issue>):<page-range>1204&#x2013;14</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1161/CIRCRESAHA.116.309279</pub-id>
</citation>
</ref>
<ref id="B9">
<label>9</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tanwar</surname> <given-names>V</given-names>
</name>
<name>
<surname>Adelstein</surname> <given-names>JM</given-names>
</name>
<name>
<surname>Grimmer</surname> <given-names>JA</given-names>
</name>
<name>
<surname>Youtz</surname> <given-names>DJ</given-names>
</name>
<name>
<surname>Katapadi</surname> <given-names>A</given-names>
</name>
<name>
<surname>Sugar</surname> <given-names>BP</given-names>
</name>
<etal/>
</person-group>. <article-title>Preconception Exposure to Fine Particulate Matter Leads to Cardiac Dysfunction in Adult Male Offspring</article-title>. <source>J Am Heart Assoc</source> (<year>2018</year>) <volume>7</volume>(<issue>24</issue>):<fpage>e010797</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1161/JAHA.118.010797</pub-id>
</citation>
</ref>
<ref id="B10">
<label>10</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhou</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Zheng</surname> <given-names>D</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>H</given-names>
</name>
<name>
<surname>Li</surname> <given-names>R</given-names>
</name>
<name>
<surname>Xu</surname> <given-names>S</given-names>
</name>
<name>
<surname>Kang</surname> <given-names>Y</given-names>
</name>
<etal/>
</person-group>. <article-title>Epidemiology of Infertility in China: A Population-Based Study</article-title>. <source>BJOG</source> (<year>2018</year>) <volume>125</volume>(<issue>4</issue>):<page-range>432&#x2013;41</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/1471-0528.14966</pub-id>
</citation>
</ref>
<ref id="B11">
<label>11</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Carre</surname> <given-names>J</given-names>
</name>
<name>
<surname>Gatimel</surname> <given-names>N</given-names>
</name>
<name>
<surname>Moreau</surname> <given-names>J</given-names>
</name>
<name>
<surname>Parinaud</surname> <given-names>J</given-names>
</name>
<name>
<surname>Leandri</surname> <given-names>R</given-names>
</name>
</person-group>. <article-title>Does Air Pollution Play a Role in Infertility?: A Systematic Review</article-title>. <source>Environ Health</source> (<year>2017</year>) <volume>16</volume>(<issue>1</issue>):<fpage>82</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1186/s12940-017-0291-8</pub-id>
</citation>
</ref>
<ref id="B12">
<label>12</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Xue</surname> <given-names>T</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>Q</given-names>
</name>
</person-group>. <article-title>Associating Ambient Exposure to Fine Particles and Human Fertility Rates in China</article-title>. <source>Environ Pollut</source> (<year>2018</year>) <volume>235</volume>:<fpage>497</fpage>&#x2013;<lpage>504</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.envpol.2018.01.009</pub-id>
</citation>
</ref>
<ref id="B13">
<label>13</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Filipponi</surname> <given-names>D</given-names>
</name>
<name>
<surname>Feil</surname> <given-names>R</given-names>
</name>
</person-group>. <article-title>Perturbation of Genomic Imprinting in Oligozoospermia</article-title>. <source>Epigenetics</source> (<year>2009</year>) <volume>4</volume>(<issue>1</issue>):<fpage>27</fpage>&#x2013;<lpage>30</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.4161/epi.4.1.7311</pub-id>
</citation>
</ref>
<ref id="B14">
<label>14</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Cao</surname> <given-names>XN</given-names>
</name>
<name>
<surname>Yan</surname> <given-names>C</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>DY</given-names>
</name>
<name>
<surname>Peng</surname> <given-names>JP</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>JJ</given-names>
</name>
<name>
<surname>Zhou</surname> <given-names>Y</given-names>
</name>
<etal/>
</person-group>. <article-title>Fine Particulate Matter Leads to Reproductive Impairment in Male Rats by Overexpressing Phosphatidylinositol 3-Kinase (PI3K)/protein Kinase B (Akt) Signaling Pathway</article-title>. <source>Toxicol Lett</source> (<year>2015</year>) <volume>237</volume>(<issue>3</issue>):<page-range>181&#x2013;90</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.toxlet.2015.06.015</pub-id>
</citation>
</ref>
<ref id="B15">
<label>15</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Qiu</surname> <given-names>L</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>M</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>X</given-names>
</name>
<name>
<surname>Qin</surname> <given-names>X</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>S</given-names>
</name>
<name>
<surname>Qian</surname> <given-names>Y</given-names>
</name>
<etal/>
</person-group>. <article-title>Exposure to Concentrated Ambient PM2.5 Compromises Spermatogenesis in a Mouse Model: Role of Suppression of Hypothalamus-Pituitary-Gonads Axis</article-title>. <source>Toxicol Sci</source> (<year>2018</year>) <volume>162</volume>(<issue>1</issue>):<page-range>318&#x2013;26</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1093/toxsci/kfx261</pub-id>
</citation>
</ref>
<ref id="B16">
<label>16</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chen</surname> <given-names>Q</given-names>
</name>
<name>
<surname>Deng</surname> <given-names>T</given-names>
</name>
<name>
<surname>Han</surname> <given-names>D</given-names>
</name>
</person-group>. <article-title>Testicular Immunoregulation and Spermatogenesis</article-title>. <source>Semin Cell Dev Biol</source> (<year>2016</year>) <volume>59</volume>:<page-range>157&#x2013;65</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.semcdb.2016.01.019</pub-id>
</citation>
</ref>
<ref id="B17">
<label>17</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Naito</surname> <given-names>M</given-names>
</name>
<name>
<surname>Terayama</surname> <given-names>H</given-names>
</name>
<name>
<surname>Hirai</surname> <given-names>S</given-names>
</name>
<name>
<surname>Qu</surname> <given-names>N</given-names>
</name>
<name>
<surname>Lustig</surname> <given-names>L</given-names>
</name>
<name>
<surname>Itoh</surname> <given-names>M</given-names>
</name>
</person-group>. <article-title>Experimental Autoimmune Orchitis as a Model of Immunological Male Infertility</article-title>. <source>Med Mol Morphol</source> (<year>2012</year>) <volume>45</volume>(<issue>4</issue>):<page-range>185&#x2013;9</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s00795-012-0587-2</pub-id>
</citation>
</ref>
<ref id="B18">
<label>18</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Li</surname> <given-names>XD</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>J</given-names>
</name>
<name>
<surname>Gao</surname> <given-names>D</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>H</given-names>
</name>
<name>
<surname>Sun</surname> <given-names>L</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>ZJ</given-names>
</name>
</person-group>. <article-title>Pivotal Roles of cGAS-cGAMP Signaling in Antiviral Defense and Immune Adjuvant Effects</article-title>. <source>Science</source> (<year>2013</year>) <volume>341</volume>(<issue>6152</issue>):<page-range>1390&#x2013;4</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1126/science.1244040</pub-id>
</citation>
</ref>
<ref id="B19">
<label>19</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ishikawa</surname> <given-names>H</given-names>
</name>
<name>
<surname>Barber</surname> <given-names>GN</given-names>
</name>
</person-group>. <article-title>STING is an Endoplasmic Reticulum Adaptor That Facilitates Innate Immune Signalling</article-title>. <source>Nature</source> (<year>2008</year>) <volume>455</volume>(<issue>7213</issue>):<page-range>674&#x2013;8</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nature07317</pub-id>
</citation>
</ref>
<ref id="B20">
<label>20</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhong</surname> <given-names>B</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Li</surname> <given-names>S</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>YY</given-names>
</name>
<name>
<surname>Li</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Diao</surname> <given-names>F</given-names>
</name>
<etal/>
</person-group>. <article-title>The Adaptor Protein MITA Links Virus-Sensing Receptors to IRF3 Transcription Factor Activation</article-title>. <source>Immunity</source> (<year>2008</year>) <volume>29</volume>(<issue>4</issue>):<page-range>538&#x2013;50</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.immuni.2008.09.003</pub-id>
</citation>
</ref>
<ref id="B21">
<label>21</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sun</surname> <given-names>W</given-names>
</name>
<name>
<surname>Li</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>L</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>H</given-names>
</name>
<name>
<surname>You</surname> <given-names>F</given-names>
</name>
<name>
<surname>Zhou</surname> <given-names>X</given-names>
</name>
<etal/>
</person-group>. <article-title>ERIS, an Endoplasmic Reticulum IFN Stimulator, Activates Innate Immune Signaling Through Dimerization</article-title>. <source>Proc Natl Acad Sci USA</source> (<year>2009</year>) <volume>106</volume>(<issue>21</issue>):<page-range>8653&#x2013;8</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1073/pnas.0900850106</pub-id>
</citation>
</ref>
<ref id="B22">
<label>22</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hayden</surname> <given-names>MS</given-names>
</name>
<name>
<surname>Ghosh</surname> <given-names>S</given-names>
</name>
</person-group>. <article-title>NF-kappaB in Immunobiology</article-title>. <source>Cell Res</source> (<year>2011</year>) <volume>21</volume>(<issue>2</issue>):<page-range>223&#x2013;44</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/cr.2011.13</pub-id>
</citation>
</ref>
<ref id="B23">
<label>23</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhang</surname> <given-names>Q</given-names>
</name>
<name>
<surname>Lenardo</surname> <given-names>MJ</given-names>
</name>
<name>
<surname>Baltimore</surname> <given-names>D</given-names>
</name>
</person-group>. <article-title>30 Years of NF-Kappab: A Blossoming of Relevance to Human Pathobiology</article-title>. <source>Cell</source> (<year>2017</year>) <volume>168</volume>(<issue>1-2</issue>):<fpage>37</fpage>&#x2013;<lpage>57</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.cell.2016.12.012</pub-id>
</citation>
</ref>
<ref id="B24">
<label>24</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ablasser</surname> <given-names>A</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>ZJ</given-names>
</name>
</person-group>. <article-title>cGAS in Action: Expanding Roles in Immunity and Inflammation</article-title>. <source>Science</source> (<year>2019</year>) <volume>363</volume>(<issue>6431</issue>):<fpage>eaat8657</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1126/science.aat8657</pub-id>
</citation>
</ref>
<ref id="B25">
<label>25</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tiboni</surname> <given-names>GM</given-names>
</name>
<name>
<surname>Iammarrone</surname> <given-names>E</given-names>
</name>
<name>
<surname>Piccirillo</surname> <given-names>G</given-names>
</name>
<name>
<surname>Liberati</surname> <given-names>M</given-names>
</name>
<name>
<surname>Bellati</surname> <given-names>U</given-names>
</name>
</person-group>. <article-title>Aspirin Pretreatment Potentiates Hyperthermia-Induced Teratogenesis in the Mouse</article-title>. <source>Am J Obstet Gynecol</source> (<year>1998</year>) <volume>178</volume>(<issue>2</issue>):<page-range>270&#x2013;9</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/s0002-9378(98)80012-4</pub-id>
</citation>
</ref>
<ref id="B26">
<label>26</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhai</surname> <given-names>JX</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>ZX</given-names>
</name>
<name>
<surname>Feng</surname> <given-names>YJ</given-names>
</name>
<name>
<surname>Ding</surname> <given-names>SS</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>XH</given-names>
</name>
<name>
<surname>Zou</surname> <given-names>LW</given-names>
</name>
<etal/>
</person-group>. <article-title>PDTC Attenuate LPS-Induced Kidney Injury in Systemic Lupus Erythematosus-Prone MRL/lpr Mice</article-title>. <source>Mol Biol Rep</source> (<year>2012</year>) <volume>39</volume>(<issue>6</issue>):<page-range>6763&#x2013;71</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s11033-012-1501-7</pub-id>
</citation>
</ref>
<ref id="B27">
<label>27</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lee</surname> <given-names>EH</given-names>
</name>
<name>
<surname>Kim</surname> <given-names>SS</given-names>
</name>
<name>
<surname>Seo</surname> <given-names>SR</given-names>
</name>
</person-group>. <article-title>Pyrrolidine Dithiocarbamate (PDTC) Inhibits Inflammatory Signaling via Expression of Regulator of Calcineurin Activity 1 (RCAN1): Anti-Inflammatory Mechanism of PDTC Through RCAN1 Induction</article-title>. <source>Biochem Pharmacol</source> (<year>2017</year>) <volume>143</volume>:<page-range>107&#x2013;17</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.bcp.2017.07.011</pub-id>
</citation>
</ref>
<ref id="B28">
<label>28</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jin</surname> <given-names>L</given-names>
</name>
<name>
<surname>Guo</surname> <given-names>X</given-names>
</name>
<name>
<surname>Shen</surname> <given-names>C</given-names>
</name>
<name>
<surname>Hao</surname> <given-names>X</given-names>
</name>
<name>
<surname>Sun</surname> <given-names>P</given-names>
</name>
<name>
<surname>Li</surname> <given-names>P</given-names>
</name>
<etal/>
</person-group>. <article-title>Salivary Factor LTRIN From Aedes Aegypti Facilitates the Transmission of Zika Virus by Interfering With the Lymphotoxin-Beta Receptor</article-title>. <source>Nat Immunol</source> (<year>2018</year>) <volume>19</volume>(<issue>4</issue>):<page-range>342&#x2013;53</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41590-018-0063-9</pub-id>
</citation>
</ref>
<ref id="B29">
<label>29</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>West</surname> <given-names>AP</given-names>
</name>
<name>
<surname>Khoury-Hanold</surname> <given-names>W</given-names>
</name>
<name>
<surname>Staron</surname> <given-names>M</given-names>
</name>
<name>
<surname>Tal</surname> <given-names>MC</given-names>
</name>
<name>
<surname>Pineda</surname> <given-names>CM</given-names>
</name>
<name>
<surname>Lang</surname> <given-names>SM</given-names>
</name>
<etal/>
</person-group>. <article-title>Mitochondrial DNA Stress Primes the Antiviral Innate Immune Response</article-title>. <source>Nature</source> (<year>2015</year>) <volume>520</volume>(<issue>7548</issue>):<page-range>553&#x2013;7</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nature14156</pub-id>
</citation>
</ref>
<ref id="B30">
<label>30</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Dai</surname> <given-names>J</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>YJ</given-names>
</name>
<name>
<surname>He</surname> <given-names>X</given-names>
</name>
<name>
<surname>Zhao</surname> <given-names>M</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>X</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>ZS</given-names>
</name>
<etal/>
</person-group>. <article-title>Acetylation Blocks cGAS Activity and Inhibits Self-DNA-Induced Autoimmunity</article-title>. <source>Cell</source> (<year>2019</year>) <volume>176</volume>(<issue>6</issue>):<fpage>1447</fpage>&#x2013;<lpage>1460 e1414</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.cell.2019.01.016</pub-id>
</citation>
</ref>
<ref id="B31">
<label>31</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Simpson</surname> <given-names>E</given-names>
</name>
</person-group>. <article-title>A Historical Perspective on Immunological Privilege</article-title>. <source>Immunol Rev</source> (<year>2006</year>) <volume>213</volume>:<fpage>12</fpage>&#x2013;<lpage>22</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/j.1600-065X.2006.00434.x</pub-id>
</citation>
</ref>
<ref id="B32">
<label>32</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Bhushan</surname> <given-names>S</given-names>
</name>
<name>
<surname>Meinhardt</surname> <given-names>A</given-names>
</name>
</person-group>. <article-title>The Macrophages in Testis Function</article-title>. <source>J Reprod Immunol</source> (<year>2017</year>) <volume>119</volume>:<page-range>107&#x2013;12</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.jri.2016.06.008</pub-id>
</citation>
</ref>
<ref id="B33">
<label>33</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhang</surname> <given-names>G</given-names>
</name>
<name>
<surname>Jiang</surname> <given-names>F</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>Q</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>H</given-names>
</name>
<name>
<surname>Zhou</surname> <given-names>N</given-names>
</name>
<name>
<surname>Sun</surname> <given-names>L</given-names>
</name>
<etal/>
</person-group>. <article-title>Associations of Ambient Air Pollutant Exposure With Seminal Plasma MDA, Sperm mtDNA Copy Number, and mtDNA Integrity</article-title>. <source>Environ Int</source> (<year>2020</year>) <volume>136</volume>:<elocation-id>105483</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.envint.2020.105483</pub-id>
</citation>
</ref>
<ref id="B34">
<label>34</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Crowl</surname> <given-names>JT</given-names>
</name>
<name>
<surname>Gray</surname> <given-names>EE</given-names>
</name>
<name>
<surname>Pestal</surname> <given-names>K</given-names>
</name>
<name>
<surname>Volkman</surname> <given-names>HE</given-names>
</name>
<name>
<surname>Stetson</surname> <given-names>DB</given-names>
</name>
</person-group>. <article-title>Intracellular Nucleic Acid Detection in Autoimmunity</article-title>. <source>Annu Rev Immunol</source> (<year>2017</year>) <volume>35</volume>:<page-range>313&#x2013;36</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1146/annurev-immunol-051116-052331</pub-id>
</citation>
</ref>
<ref id="B35">
<label>35</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gorelick</surname> <given-names>PB</given-names>
</name>
<name>
<surname>Weisman</surname> <given-names>SM</given-names>
</name>
</person-group>. <article-title>Risk of Hemorrhagic Stroke With Aspirin Use: An Update</article-title>. <source>Stroke</source> (<year>2005</year>) <volume>36</volume>(<issue>8</issue>):<page-range>1801&#x2013;7</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1161/01.STR.0000174189.81153.85</pub-id>
</citation>
</ref>
<ref id="B36">
<label>36</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Semet</surname> <given-names>M</given-names>
</name>
<name>
<surname>Paci</surname> <given-names>M</given-names>
</name>
<name>
<surname>Saias-Magnan</surname> <given-names>J</given-names>
</name>
<name>
<surname>Metzler-Guillemain</surname> <given-names>C</given-names>
</name>
<name>
<surname>Boissier</surname> <given-names>R</given-names>
</name>
<name>
<surname>Lejeune</surname> <given-names>H</given-names>
</name>
<etal/>
</person-group>. <article-title>The Impact of Drugs on Male Fertility: A Review</article-title>. <source>Andrology</source> (<year>2017</year>) <volume>5</volume>(<issue>4</issue>):<page-range>640&#x2013;63</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/andr.12366</pub-id>
</citation>
</ref>
<ref id="B37">
<label>37</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sifakis</surname> <given-names>S</given-names>
</name>
<name>
<surname>Androutsopoulos</surname> <given-names>VP</given-names>
</name>
<name>
<surname>Tsatsakis</surname> <given-names>AM</given-names>
</name>
<name>
<surname>Spandidos</surname> <given-names>DA</given-names>
</name>
</person-group>. <article-title>Human Exposure to Endocrine Disrupting Chemicals: Effects on the Male and Female Reproductive Systems</article-title>. <source>Environ Toxicol Pharmacol</source> (<year>2017</year>) <volume>51</volume>:<fpage>56</fpage>&#x2013;<lpage>70</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.etap.2017.02.024</pub-id>
</citation>
</ref>
<ref id="B38">
<label>38</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>XX</given-names>
</name>
<name>
<surname>Ying</surname> <given-names>P</given-names>
</name>
<name>
<surname>Diao</surname> <given-names>F</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>Q</given-names>
</name>
<name>
<surname>Ye</surname> <given-names>D</given-names>
</name>
<name>
<surname>Jiang</surname> <given-names>C</given-names>
</name>
<etal/>
</person-group>. <article-title>Altered Protein Prenylation in Sertoli Cells is Associated With Adult Infertility Resulting From Childhood Mumps Infection</article-title>. <source>J Exp Med</source> (<year>2013</year>) <volume>210</volume>(<issue>8</issue>):<page-range>1559&#x2013;74</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1084/jem.20121806</pub-id>
</citation>
</ref>
<ref id="B39">
<label>39</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pilatz</surname> <given-names>A</given-names>
</name>
<name>
<surname>Fijak</surname> <given-names>M</given-names>
</name>
<name>
<surname>Wagenlehner</surname> <given-names>F</given-names>
</name>
<name>
<surname>Schuppe</surname> <given-names>HC</given-names>
</name>
</person-group>. <article-title>[Orchitis]</article-title>. <source>Urologe A</source> (<year>2019</year>) <volume>58</volume>(<issue>6</issue>):<fpage>697</fpage>&#x2013;<lpage>710</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s00120-019-0951-0</pub-id>
</citation>
</ref>
<ref id="B40">
<label>40</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Fijak</surname> <given-names>M</given-names>
</name>
<name>
<surname>Pilatz</surname> <given-names>A</given-names>
</name>
<name>
<surname>Hedger</surname> <given-names>MP</given-names>
</name>
<name>
<surname>Nicolas</surname> <given-names>N</given-names>
</name>
<name>
<surname>Bhushan</surname> <given-names>S</given-names>
</name>
<name>
<surname>Michel</surname> <given-names>V</given-names>
</name>
<etal/>
</person-group>. <article-title>Infectious, Inflammatory and 'Autoimmune' Male Factor Infertility: How do Rodent Models Inform Clinical Practice</article-title>? <source>Hum Reprod Update</source> (<year>2018</year>) <volume>24</volume>(<issue>4</issue>):<page-range>416&#x2013;41</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1093/humupd/dmy009</pub-id>
</citation>
</ref>
<ref id="B41">
<label>41</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Stein-Streilein</surname> <given-names>J</given-names>
</name>
<name>
<surname>Caspi</surname> <given-names>RR</given-names>
</name>
</person-group>. <article-title>Immune Privilege and the Philosophy of Immunology</article-title>. <source>Front Immunol</source> (<year>2014</year>) <volume>5</volume>:<elocation-id>110</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fimmu.2014.00110</pub-id>
</citation>
</ref>
<ref id="B42">
<label>42</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Li</surname> <given-names>T</given-names>
</name>
<name>
<surname>Hu</surname> <given-names>R</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Li</surname> <given-names>Q</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>S</given-names>
</name>
<name>
<surname>Zhu</surname> <given-names>Z</given-names>
</name>
<etal/>
</person-group>. <article-title>Fine Particulate Matter (PM2.5): The Culprit for Chronic Lung Diseases in China</article-title>. <source>Chronic Dis Transl Med</source> (<year>2018</year>) <volume>4</volume>(<issue>3</issue>):<page-range>176&#x2013;86</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.cdtm.2018.07.002</pub-id>
</citation>
</ref>
<ref id="B43">
<label>43</label>
<citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname>Aladamat</surname> <given-names>N</given-names>
</name>
<name>
<surname>Tadi</surname> <given-names>P</given-names>
</name>
</person-group>. <article-title>Histology, Leydig Cells</article-title>. In: <source>StatPearls</source>. <publisher-loc>Treasure Island, FL</publisher-loc>: <publisher-name>StatPearls Publishing</publisher-name> (<year>2021</year>).</citation>
</ref>
<ref id="B44">
<label>44</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>H</surname> <given-names>AAA</given-names>
</name>
<name>
<surname>B</surname> <given-names>GE</given-names>
</name>
</person-group>. <article-title>Cisplatin Induced Testicular Damage Through Mitochondria Mediated Apoptosis, Inflammation and Oxidative Stress in Rats: Impact of Resveratrol</article-title>. <source>Endocr J</source> (<year>2020</year>) <volume>67</volume>(<issue>9</issue>):<page-range>969&#x2013;80</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1507/endocrj.EJ20-0149</pub-id>
</citation>
</ref>
<ref id="B45">
<label>45</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Slomski</surname> <given-names>A</given-names>
</name>
</person-group>. <article-title>With Good Adherence, Daily Aspirin May Prevent Pregnancy Loss</article-title>. <source>JAMA</source> (<year>2021</year>) <volume>325</volume>(<issue>12</issue>):<fpage>1135</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1001/jama.2021.1788</pub-id>
</citation>
</ref>
</ref-list>
</back>
</article>