“…A number of deficits have been identified in the steroidogenic pathway of old Leydig cells that might account for the reduced LH-stimulated testosterone production, including reductions in cAMP production, steroidogenic acute regulatory protein (STAR), translocator protein (TSPO), cholesterol translocation from the cytosol into the mitochondria, cholesterol metabolism to pregnenolone in the mitochondria, and downstream steroidogenic enzymes of the mitochondria and smooth endoplasmic reticulum (Culty et al, 2002; Leers-Sucheta et al, 1999; Liao et al 1993; Luo et al, 2005, 2001, 1996; Zirkin and Chen, 2000). Although the mechanism by which these changes occur remains uncertain, imbalance between the production of reactive oxygen species (ROS) and intracellular antioxidant defenses has been proposed (Cao et al, 2004; Chen et al, 2001, 2008; Chen and Zirkin, 1999; Lacombe et al, 2006; Luo et al, 2006). …”