Kaya Cevdet, Karaman M Ihsan, Pirincci Necip, Ozturk Metin, Yilmazgumrukcu Gulistan
Department of Urology, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey.
Urol Int. 2006;76(3):274-7. doi: 10.1159/000091633.
It is not yet certain whether early hormonal treatment in cryptorchidism is safe for germ cells. We investigated the histologic effects of human chorionic gonadotropin (hCG) therapy on descended testes of rats.
Thirty male Wistar albino rats were randomized into two groups. The rats of the hCG group (n=15) were administered 50 IU/kg/day hCG once daily via the subcutaneous route for 15 days. Fifteen rats received subcutaneous isotonic saline and acted as controls. At the first month, testicular tissue was obtained after scarification in both groups. The histological examination was performed to evaluate the seminiferous tubular diameter, germinal membrane thickness, and the percentage of the open seminiferous tubule lumen in each testis to compare the two groups.
The percentage of the open seminiferous tubular lumen in testicular tissues of hCG-treated rats was higher than that of controls (p<0.05). The mean germinal membrane thickness in testicular tissues of the hCG group was statistically lower than that of the control group (p<0.05). There was no statistical difference between mean seminiferous tubular diameter in testicular tissues of hCG-treated rats and controls, as expected (p>0.05). Additionally, there were two interesting cases of Sertoli cell only appearance in the hCG group.
We may assume that hCG impairs the seminiferous tubule histology in normal testes of rats. Thus, further experimental studies on dose dependency and the reversibility of these effects are warranted.
隐睾症早期激素治疗对生殖细胞是否安全尚未确定。我们研究了人绒毛膜促性腺激素(hCG)治疗对大鼠下降睾丸的组织学影响。
将30只雄性Wistar白化大鼠随机分为两组。hCG组(n = 15)的大鼠通过皮下途径每天给予50 IU/kg的hCG,持续15天。15只大鼠接受皮下等渗盐水作为对照。在第一个月时,两组大鼠均在麻醉后获取睾丸组织。进行组织学检查以评估每个睾丸的生精小管直径、生精膜厚度以及开放生精小管腔的百分比,以比较两组情况。
hCG治疗大鼠睾丸组织中开放生精小管腔的百分比高于对照组(p<0.05)。hCG组睾丸组织中生精膜的平均厚度在统计学上低于对照组(p<0.05)。正如预期的那样,hCG治疗大鼠睾丸组织与生精小管平均直径和对照组之间无统计学差异(p>0.05)。此外,hCG组有两例有趣的仅出现支持细胞的情况。
我们可以假设hCG会损害大鼠正常睾丸的生精小管组织学。因此,有必要对这些影响的剂量依赖性和可逆性进行进一步的实验研究。