Sánchez-Ferrer M L, Acién M I, Sánchez del Campo F, Mayol-Belda M J, Acién P
Service of Obstetrics and Gynecology, San Juan University Hospital, Department/Division of Gynecology, School of Medicine, Miguel Hernández University, Alicante, Spain.
Hum Reprod. 2006 Jun;21(6):1623-8. doi: 10.1093/humrep/del031. Epub 2006 Feb 13.
Acién's hypothesis, deduced from patients with malformations of the female genital tract, especially those with renal agenesis and ipsilateral blind hemivagina, affirms the embryology of the human vagina as deriving from the Wolffian ducts and the Müllerian tubercle and could explain the embryological origin of all the female genital malformations reported. In this study, we investigated the hypothesis in rats.
Twenty-five pregnant rats were used to analyse female embryos (64) from day 15 (stage indifferent) to day 20 postcoitum (vagina completely formed). We performed transverse and longitudinal sections of embryos, haematoxylin-eosin tinction and immunohistochemical staining using markers specific to Wolffian derivatives. We also analysed the presence of these markers in the vagina of four adult rats.
The Müller ducts converge until they fuse into one tube, but caudally they diverge and finally they fuse with the 'urogenital sinus bulbs' that are actually the distal portion of the Wolffian ducts according to the immunohistochemical marking with GZ1 and GZ2. The Müllerian tubercle is observed between those elements. Then, the immunohistochemical staining can be seen all along the completely formed vagina, which is also observed in the vagina of the adult rat.
We prove the participation of Müller tubercle and Wolffian ducts in the formation of the vagina in rats, so we confirm experimentally Acién's hypothesis about the human vagina embryology.
阿西恩的假说源于患有女性生殖道畸形的患者,尤其是那些伴有肾缺如和同侧盲端半阴道的患者,该假说认为人类阴道的胚胎学起源于沃尔夫管和苗勒结节,并且可以解释所报道的所有女性生殖器畸形的胚胎学起源。在本研究中,我们在大鼠身上对该假说进行了研究。
使用25只怀孕大鼠来分析从交配后第15天(未分化阶段)到第20天(阴道完全形成)的雌性胚胎(64个)。我们对胚胎进行了横切和纵切,采用苏木精-伊红染色以及使用针对沃尔夫管衍生物的特异性标记物进行免疫组织化学染色。我们还分析了4只成年大鼠阴道中这些标记物的存在情况。
苗勒管会合直至融合成一根管道,但在尾部它们分开,最终根据GZ1和GZ2的免疫组织化学标记,它们与实际上是沃尔夫管远端部分的“泌尿生殖窦球”融合。在这些结构之间可以观察到苗勒结节。然后,在完全形成的阴道全程均可见免疫组织化学染色,在成年大鼠的阴道中也观察到了这种情况。
我们证明了苗勒结节和沃尔夫管参与了大鼠阴道的形成,因此我们通过实验证实了阿西恩关于人类阴道胚胎学的假说。