Na Angelika F, Harnaen Efrant J, Farmer Pamela J, Sourial Magdy, Southwell Bridget R, Hutson John M
F. Douglas Stephens Surgical Research Laboratory, Murdoch Childrens Research Institute, Victoria 3052, Melbourne, Australia.
J Pediatr Surg. 2007 Sep;42(9):1566-73. doi: 10.1016/j.jpedsurg.2007.04.035.
AIM/BACKGROUND: How the gubernaculum guides the testis into the scrotum remains controversial, with various proposals from passive inversion to active growth. We aimed to determine if the gubernaculum contains an area of active proliferation, such as a "progress zone" in a growing embryonic limb bud, using a fluorescent cell membrane marker, 1,1'-didodecyl-3,3,3',3'-tetramethylindocarbocyanine perchlorate [DiIC12(3)], to trace cell migration, and 5-bromodeoxyuridine (BUDR) (a thymidine analogue) as a mitotic marker.
Gubernacula were collected from neonatal male rats (n = 42, day 1-2, Sprague-Dawley) and cultured with calcitonin gene-related peptide (CGRP; 714 nmol/L). 1,1'-didodecyl-3,3,3',3'-tetramethylindocarbocyanine perchlorate-coated glass beads (diameter, 150-212 microm) were placed next to the bulb for the first 3 hours. Gubernacula were cultured for 3, 18, and 24 hours, then frozen sections cut and examined by confocal microscopy (wavelength, 549 nm). In a second experiment, pups not exposed to exogenous CGRP (n = 53, day 0, Sprague-Dawley) were injected intraperitoneally with BUDR (50 mg/kg of body weight); gubernacula were collected at 2, 48, 72, and 96 hours postinjection (PI), sectioned, and stained using immunohistochemistry to count the number of BUDR-positive cells per 100 cells (labeling index) in the bulb, cremaster, cord, and epididymis.
After 24 hours' culture with CGRP, the bulb showed an oval region (diameter, 300 microm) of high fluorescence, and the cremaster region showed elongated cells migrating out of the bulb. When cultured without CGRP, the same oval region contained no fluorescence. In vivo BUDR labeling index increased in all areas until 48 hours postinjection and then decreased most rapidly in the bulb (P < .05), in the presence of endogenous CGRP from the genitofemoral nerve.
The rat gubernaculum contains a putative progress zone, such as in a growing limb bud, in the presence of CGRP. Cells migrate out of this zone to form cremaster muscle. We hypothesize that proliferation in the bulb elongates the gubernaculum, whereas proliferation of cremaster cells would increase gubernacular diameter. This brings to "life" the gubernaculum as an actively growing organ in contrast to the inert ligament connecting the testis to the scrotum portrayed in most anatomy textbooks.
目的/背景:睾丸引带如何引导睾丸降至阴囊仍存在争议,从被动翻转到主动生长有多种观点。我们旨在确定睾丸引带是否含有活跃增殖区域,如生长中的胚胎肢芽中的“进展区”,使用荧光细胞膜标记物1,1'-十二烷基-3,3,3',3'-四甲基吲哚羰花青高氯酸盐[DiIC12(3)]追踪细胞迁移,并使用5-溴脱氧尿苷(BUDR)(一种胸腺嘧啶类似物)作为有丝分裂标记物。
从新生雄性大鼠(n = 42,1 - 2日龄,斯普拉格-道利大鼠)收集睾丸引带,并用降钙素基因相关肽(CGRP;714 nmol/L)进行培养。在最初3小时,将包被有1,1'-十二烷基-3,3,3',3'-四甲基吲哚羰花青高氯酸盐的玻璃珠(直径,150 - 212微米)放置在球部旁边。将睾丸引带培养3、18和24小时,然后进行冰冻切片并通过共聚焦显微镜(波长,549纳米)检查。在第二个实验中,未暴露于外源性CGRP的幼崽(n = 53,0日龄,斯普拉格-道利大鼠)腹腔注射BUDR(50 mg/kg体重);在注射后2、48、72和96小时收集睾丸引带,切片,并使用免疫组织化学染色以计数球部、提睾肌、精索和附睾中每100个细胞中BUDR阳性细胞的数量(标记指数)。
用CGRP培养24小时后,球部显示出一个高荧光的椭圆形区域(直径,300微米),提睾肌区域显示有拉长的细胞从球部迁移出来。在没有CGRP培养时,相同的椭圆形区域没有荧光。在体内,在来自生殖股神经的内源性CGRP存在的情况下,所有区域的BUDR标记指数在注射后48小时前均增加,然后在球部下降最快(P <.05)。
在CGRP存在的情况下,大鼠睾丸引带含有一个类似生长肢芽中的假定进展区。细胞从该区域迁移出来形成提睾肌。我们假设球部的增殖使睾丸引带伸长,而提睾肌细胞的增殖会增加睾丸引带的直径。这使睾丸引带成为一个活跃生长的器官,与大多数解剖学教科书中描绘的连接睾丸和阴囊的惰性韧带形成对比。