Abstract. The distribution and regulation of annexin A5 expression, a gonadotropin releasing hormone (GnRH) receptor regulated protein in gonadotropes and luteal cells, in the testes of rats were examined. Immunocytochemical staining revealed high levels of annexin A5 in the Leydig and endothelial cells and lower levels in the primary spermatocytes and sperm. Hemicastration significantly increased the annexin A5 content of the remaining testis within 24 h. Annexin A5 immunoreactivity was increased mainly in interstitial tissues including the peritubular cells, while some spermatocytes also showed higher intensity of annexin A5 in the remaining testis. Administration of hCG (50 IU) enhanced the testicular content of annexin A5 after 24 h. This treatment expanded the area of interstitial tissue in the testis and increased annexin A5 immunoreactivity, but the area of the of endothelial cells was unchanged. Similarly, human chorionic gonadotropin (hCG) enhanced annexin A5 expression in a primary culture of testis cells that consisted of mainly interstitial cells. Because GnRH stimulates the expression of annexin A5 in the gonadotropes and luteal cells, we examined the effect of GnRH on annexin A5 expression in the testes. We found that des-Gly10 [Pro9]-GnRH ethylamide (100 nM), a GnRH agonist, increased annexin A5 expression in cultured testis cells and that Cetrorelix (100 nM), a GnRH antagonist, inhibited the effect of hCG on annexin A5 expression. These results suggest that pituitary luteinizing hormone promotes annexin A5 synthesis in Leydig cells and that this effect could be mediated by local GnRH in the testis. Key words: Annexin A5, Gonadotropin releasing hormone (GnRH), Human chorionic gonadotropin (hCG), Leydig cell, Rat (J. Reprod. Dev. 54: [259][260][261][262][263][264] 2008) onadotropin releasing hormone (GnRH) is a hypothalamic decapeptide that is primarily responsible for humoral control of reproduction. GnRH is secreted by GnRH neurons at the median eminence of the hypothalamus and is transported by the pituitary portal system to the gonadotropes of the anterior pituitary gland. GnRH binds to a specific G protein-coupled receptor and stimulates gonadotropin secretion. GnRH and its receptor are also reported to be expressed in tissues outside of the hypothalamus and pituitary gland, including the testis [1].Although the physiological role of GnRH in reproduction is well established, the functions of extrahypothalamic GnRH remain unclear. GnRH is known to directly inhibit testosterone production by unknown mechanisms [2,3]. It also inhibits the proliferation of some tumor cell lines [4,5], suggesting that it is also involved in specific cellular functions other than hormone secretion. For example, GnRH receptors in granulosa cells are thought to participate in follicular atresia [6]. So, it is interesting to know how GnRH works in the testis.We previously demonstrated that expression of annexin A5 is specifically stimulated by GnRH in pituitary gonadotropes [7]. Annexin A5 is a member of the annexin...