Hannema Sabine E, Hughes Ieuan A
Department of Paediatrics, Addenbrooke's Hospital, University of Cambridge, Cambridge, UK.
Horm Res. 2007;67(3):142-51. doi: 10.1159/000096644. Epub 2006 Oct 25.
Wolffian ducts (WDs) are the embryonic structures that form the male internal genitalia. These ducts develop in both the male and female embryo. However, in the female they subsequently regress, whereas in the male they are stabilised by testosterone. The WDs then develop into separate but contiguous organs, the epididymis, vas deferens and seminal vesicles. Recently, considerable progress has been made in identifying genes that are involved in these different stages of development which is described in this review. In addition, WD development in (atypical forms of) cystic fibrosis and intersex disorders, such as the complete androgen insensitivity syndrome, 17beta-hydroxysteroid dehydrogenase deficiency and LH-receptor defects, is discussed. The apparent increase in male reproductive tract disorders is briefly discussed from the perspective of the potential endocrine-disrupting effects of the numerous chemicals in the environment to which the developing male foetus can be exposed.
中肾管(WDs)是形成男性内生殖器的胚胎结构。这些管道在男性和女性胚胎中均会发育。然而,在女性体内它们随后会退化,而在男性体内它们会因睾酮而稳定下来。然后,中肾管发育成独立但相邻的器官,即附睾、输精管和精囊。最近,在鉴定参与这些不同发育阶段的基因方面取得了相当大的进展,本综述对此进行了描述。此外,还讨论了囊性纤维化(非典型形式)和性发育障碍(如完全雄激素不敏感综合征、17β-羟类固醇脱氢酶缺乏症和促黄体激素受体缺陷)中的中肾管发育情况。从发育中的男性胎儿可能接触到的环境中众多化学物质潜在的内分泌干扰作用的角度,简要讨论了男性生殖道疾病明显增加的情况。