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隐匿于表象之下:男性乳线可能是调控腹股沟阴囊睾丸下降的缺失环节。

Hidden in plain sight: the mammary line in males may be the missing link regulating inguinoscrotal testicular descent.

机构信息

Douglas Stephens Surgical Research, Murdoch Childrens Research Institute, Flemington Road, Parkville Victoria, Australia.

出版信息

J Pediatr Surg. 2010 Feb;45(2):414-8; discussion 418. doi: 10.1016/j.jpedsurg.2009.10.088.

Abstract

BACKGROUND/PURPOSE: Inguinoscrotal testicular descent is controlled by androgens and the genitofemoral nerve, but the trigger for what makes the gubernaculum become a migratory organ like a limb bud remains unknown. Recent observations in the flutamide-treated rat suggested a link with the mammary line. We aimed, therefore, to reassess histologic anatomy in 2 different rodent models of androgen blockade, the testicular feminisation mouse (TFM) and the flutamide-treated rat.

METHODS

Neonatal TFM mice and fetal and neonatal rats after pretreatment of dams with an antiandrogen, flutamide (75 mg/kg; sunflower oil; days 16-19), were prepared for histologic analysis of the inguinal region and compared with fetal and neonatal controls.

RESULTS

Fetal control rats (E15.5 days) showed a mammary bud just outside the future inguinal canal adjacent to the gubernaculum. Neonatal TFM mice showed persistence of the inguinal breast bud supplied by the genitofemoral nerve. Flutamide-treated rats (D2) showed the gubernaculum surrounded by a persisting breast bud.

CONCLUSIONS

The inguinal mammary line is adjacent to the gubernaculum in fetal rodents, and after androgen blockade, the gubernaculum becomes connected to the breast. The male mammary line, which is hidden in plain sight outside the inguinal canal, is made visible by androgen blockade. It may be the missing link in testicular descent, regulating gubernacular migration.

摘要

背景/目的:腹股沟阴囊睾丸下降受雄激素和生殖股神经控制,但什么导致提睾肌成为像肢体芽一样的迁移器官的触发因素仍不清楚。在接受氟他胺治疗的大鼠中最近的观察结果表明与乳腺线有关。因此,我们旨在重新评估 2 种不同的雄激素阻断啮齿动物模型(睾丸女性化小鼠(TFM)和氟他胺治疗的大鼠)中的组织解剖学。

方法

对孕鼠用抗雄激素氟他胺(75mg/kg;葵花籽油;第 16-19 天)预处理的新生 TFM 小鼠和胎儿及新生大鼠进行腹股沟区域的组织学分析,并与胎儿和新生对照组进行比较。

结果

胎儿对照大鼠(E15.5 天)在未来腹股沟管附近有一个乳腺芽,紧邻提睾肌。新生 TFM 小鼠显示出由生殖股神经供应的腹股沟乳腺芽持续存在。氟他胺治疗的大鼠(D2)显示提睾肌被持续存在的乳腺芽包围。

结论

在胎儿啮齿动物中,腹股沟乳腺线紧邻提睾肌,雄激素阻断后,提睾肌与乳腺相连。男性乳腺线隐藏在腹股沟管外的显而易见之处,雄激素阻断使其可见。它可能是调节提睾肌迁移的睾丸下降的缺失环节。

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