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隐睾症的发病机制。

Pathogenesis of cryptorchidism.

作者信息

Hadziselimovic F, Girard J

出版信息

Horm Res. 1977;8(2):76-83. doi: 10.1159/000178783.

DOI:10.1159/000178783
PMID:20399
Abstract

Cryptorchidism was induced experimentally by treating pregnant mice on the 14th day of pregnancy with 5 mg estrogen. Testes from cryptorchid and control newborn and adult mice were investigated with radioimmunoassay and electron microscopy. It was concluded that a normal Leydig cell function plays a decisive role in testicular descent. In cryptorchidism, Leydig cells at birth are atrophic. Testicular testosterone content is diminished as compared to controls. Ultrastructural alterations of Leydig cells observed in our experiments closely resemble those found in biopsies of cryptorchid patients. In male mouse offspring, prenatal estrogen injection induced not only a cryptorchidism but also Leydig cell atrophy and a permanently impaired function. Testosterone content is still significantly diminished after puberty. It is proposed therefore that an insufficiency of endocrine gonadal function of hypothalamo-pituitary origin occurring during intrauterine development is one of the main causes of cryptorchidism. An appropriate long-term therapy could diminish the high sterility rate.

摘要

通过在怀孕第14天给怀孕小鼠注射5毫克雌激素来实验性诱导隐睾症。用放射免疫测定法和电子显微镜对隐睾症小鼠以及对照新生小鼠和成年小鼠的睾丸进行了研究。得出的结论是,正常的睾丸间质细胞功能在睾丸下降中起决定性作用。在隐睾症中,出生时的睾丸间质细胞萎缩。与对照组相比,睾丸睾酮含量降低。在我们的实验中观察到的睾丸间质细胞超微结构改变与在隐睾症患者活检中发现的非常相似。在雄性小鼠后代中,产前注射雌激素不仅会导致隐睾症,还会导致睾丸间质细胞萎缩和功能永久性受损。青春期后睾酮含量仍显著降低。因此,有人提出,子宫内发育期间发生的下丘脑 - 垂体源性性腺内分泌功能不足是隐睾症的主要原因之一。适当的长期治疗可以降低高不育率。

相似文献

1
Pathogenesis of cryptorchidism.隐睾症的发病机制。
Horm Res. 1977;8(2):76-83. doi: 10.1159/000178783.
2
The meaning of the Leydig cell in relation to the etiology of cryptorchidism: An experimental electron-microscopic study.睾丸间质细胞在隐睾病因学中的意义:一项实验性电子显微镜研究。
J Pediatr Surg. 1976 Feb;11(1):1-8. doi: 10.1016/0022-3468(76)90162-7.
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A negative correlation between insulin-like peptide 3 and bisphenol A in human cord blood suggests an effect of endocrine disruptors on testicular descent during fetal development.胰岛素样肽 3 与人类脐血中双酚 A 之间呈负相关,提示内分泌干扰物对胎儿发育过程中睾丸下降的影响。
Hum Reprod. 2015 Feb;30(2):447-53. doi: 10.1093/humrep/deu340. Epub 2014 Dec 19.
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Effect of cryptorchidism on testicular and Leydig cell androgen production in the mouse.隐睾症对小鼠睾丸和睾丸间质细胞雄激素生成的影响。
Int J Androl. 1991 Feb;14(1):66-74. doi: 10.1111/j.1365-2605.1991.tb01064.x.
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The expression of aromatase, estrogen receptor alpha and estrogen receptor beta in mouse Leydig cells in vitro that derived from cryptorchid males.来自隐睾雄性小鼠的体外睾丸间质细胞中芳香化酶、雌激素受体α和雌激素受体β的表达。
Eur J Histochem. 2005 Jan-Mar;49(1):59-62. doi: 10.4081/928.
6
Postpubertal cryptorchism. Morphofunctional study with special reference to Leydig's cells.
Eur Urol. 1989;16(6):433-9. doi: 10.1159/000471635.
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Experimental cryptorchidism in the adult mouse. III. Qualitative and quantitative electron microscopic morphology of Leydig cells.成年小鼠实验性隐睾症。III. 莱迪希细胞的定性和定量电子显微镜形态学
J Androl. 1991 Sep-Oct;12(5):335-43.
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Leydig cell hyperplasia in fetal mice treated transplacentally with ethinyl estradiol.经胎盘给予乙炔雌二醇处理的胎鼠睾丸间质细胞增生。
Teratology. 1986 Jun;33(3):281-8. doi: 10.1002/tera.1420330305.
9
Leydig cell clustering and Reinke crystal distribution in relation to hormonal function in adult patients with testicular dysgenesis syndrome (TDS) including cryptorchidism.在包括隐睾症在内的睾丸发育不全综合征(TDS)成年患者中,莱迪希细胞聚集和雷氏晶体分布与激素功能的关系。
Hormones (Athens). 2016 Oct;15(4):518-526. doi: 10.14310/horm.2002.1708.
10
Relationship between adult dark spermatogonia and secretory capacity of Leydig cells in cryptorchidism.隐睾症中成年暗型精原细胞与睾丸间质细胞分泌能力的关系。
BJU Int. 2007 Nov;100(5):1147-9; discussion 1149. doi: 10.1111/j.1464-410X.2007.07034.x. Epub 2007 Jul 23.

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Stereological study of testes following experimentally-induced unilateral cryptorchidism in rats.大鼠实验性单侧隐睾后睾丸的体视学研究
Clin Exp Reprod Med. 2023 Sep;50(3):160-169. doi: 10.5653/cerm.2023.06058. Epub 2023 Jul 28.
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An in vitro system for experimentally induced cryptorchidism.一种用于实验性诱导隐睾症的体外系统。
Histochem Cell Biol. 2022 Mar;157(3):297-307. doi: 10.1007/s00418-022-02078-0. Epub 2022 Feb 21.
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Differential expression of estrogen receptor α and progesterone receptor in the normal and cryptorchid testis of a dog.雌激素受体α和孕激素受体在犬正常睾丸与隐睾中的差异表达
Lab Anim Res. 2016 Jun;32(2):128-32. doi: 10.5625/lar.2016.32.2.128. Epub 2016 Jun 24.
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Expression of estrogen receptors α and β in paratesticular tissues in boys operated on for unilateral cryptorchidism between the 1st and 4th years of life.1 岁至 4 岁行单侧隐睾下降固定术患儿的鞘膜及精索组织中雌激素受体 α 和β的表达。
Med Sci Monit. 2012 Oct;18(10):CR630-4. doi: 10.12659/msm.883490.
6
The value of testicular biopsy in cryptorchidism.睾丸活检在隐睾症中的价值。
Urol Res. 1984;12(3):171-4. doi: 10.1007/BF00255917.
7
Plasma testosterone and beta HCG levels in the first twenty-four hours of life in neonates with cryptorchidism.隐睾症新生儿出生后最初24小时内的血浆睾酮和β人绒毛膜促性腺激素水平。
Eur J Pediatr. 1981 Mar;136(1):87-9. doi: 10.1007/BF00441717.