Yucel Selcuk, Cavalcanti Andre G, Wang Zhong, Baskin Laurence S
Department of Urology and Pediatrics, University of California-San Francisco Children's Medical Center, University of California-San Francisco, USA.
J Urol. 2003 Oct;170(4 Pt 1):1432-6. doi: 10.1097/01.ju.0000084595.73653.da.
In females abnormal urogenital virilization can occur secondary to prenatal exposure to exogenous or endogenous androgens. We studied the effects of different doses of prenatal androgens on urogenital sinus development and the location of the vaginal confluence in a mouse model.
Timed pregnant C57/6 mice were exposed to 2, 5 and 10 mg testosterone propionate on gestational days 14 through 18. On gestational day 19 the genital tubercles and internal genitalia were examined grossly and histologically for the presence of virilization. Three-dimensional computer reconstruction was done and plastic cast injection molds of the urogenital sinus were made in select specimens.
Microscopic analysis confirmed the spectrum of virilization, which occurred in 98% of testosterone propionate treated female fetuses. Plastic cast injection showed that affected females had a longer urogenital sinus, more proximal confluence and shorter vagina in a dose dependent manner. Histological sections and 3-dimensional reconstruction revealed that the bladder neck moved proximal under the pubic bone, also in a dose dependent manner.
Prenatal exposure to increasing levels of androgen causes urogenital sinus elongation in a female mouse fetus. In the mouse model the confluence area moves proximally together with the bladder neck in a dose dependent manner.
在女性中,泌尿生殖系统异常男性化可能继发于产前暴露于外源性或内源性雄激素。我们在小鼠模型中研究了不同剂量的产前雄激素对泌尿生殖窦发育及阴道汇合位置的影响。
将处于特定孕期的C57/6小鼠在妊娠第14至18天暴露于2、5和10毫克丙酸睾酮。在妊娠第19天,对生殖器结节和内生殖器进行大体和组织学检查,以确定是否存在男性化。进行三维计算机重建,并对选定标本制作泌尿生殖窦的塑料铸型注射模具。
显微镜分析证实了男性化的范围,在98%接受丙酸睾酮治疗的雌性胎儿中出现。塑料铸型注射显示,受影响的雌性小鼠泌尿生殖窦更长,汇合位置更靠近近端,阴道更短,且呈剂量依赖性。组织学切片和三维重建显示,膀胱颈也以剂量依赖的方式向耻骨下方近端移动。
产前暴露于不断增加水平的雄激素会导致雌性小鼠胎儿泌尿生殖窦延长。在小鼠模型中,汇合区域与膀胱颈一起以剂量依赖的方式向近端移动。