F Douglas Stephens Surgical Research Laboratory, Murdoch Children's Research Institute, Melbourne, Australia.
J Pediatr Surg. 2011 Feb;46(2):387-92. doi: 10.1016/j.jpedsurg.2010.11.023.
The gubernaculum is central to testicular descent, with recent evidence suggesting that it elongates to the scrotum like a limb bud. Homeobox (Hox) genes involved in limb bud outgrowth are expressed within the gubernaculum. Mice with homozygous Hoxa11 gene deletions have bilateral cryptorchidism. This study investigated the precise anatomical effects of Hoxa11 mutation on the mouse gubernaculum.
The pelvises of postnatal mice (n = 46; days 1-10) with Hoxa11 knockout (n = 19), heterozygotes (n = 11), and wild-type (n = 16) mice were serially sectioned and stained with hematoxylin and eosin. Immunohistochemistry was performed for the presence of desmin.
Hoxa11 mutant mice had intraabdominal cryptorchid testes and highly convoluted vas deferentia. The gubernacular bulbs were abnormal, with no "outgrowth" and persistence of the prenatal "swelling reaction." Desmin immunostaining revealed the lack of undifferentiated mesenchymal cells usually seen as a "swirl" within the bulb and decreased formation of cremaster muscle.
Hoxa11 may be involved in forming the growth center seen as the "swirl" of mesenchyme within the gubernacular bulb, consistent with these cells being required for gubernacular elongation during testicular descent. Hoxa11 mutations may well contribute to failure of gubernacular migration in boys with cryptorchidism.
悬带对于睾丸下降至关重要,最近的证据表明,它像肢芽一样向阴囊伸长。参与肢芽外生的同源盒(Hox)基因在悬带中表达。Hoxa11 基因纯合缺失的小鼠有双侧隐睾。本研究调查了 Hoxa11 突变对小鼠悬带的确切解剖学影响。
对 Hoxa11 敲除(n = 19)、杂合子(n = 11)和野生型(n = 16)小鼠的出生后第 1-10 天的骨盆进行连续切片和苏木精-伊红染色。进行免疫组织化学检测以检测存在的结蛋白。
Hoxa11 突变小鼠的睾丸位于腹腔内,且输精管高度卷曲。悬带球部异常,没有“外生”且保留了产前“肿胀反应”。结蛋白免疫染色显示缺乏通常在球部看到的未分化间充质细胞的“漩涡”,且腹外斜肌形成减少。
Hoxa11 可能参与形成了生长中心,表现为悬带球部间充质的“漩涡”,这表明这些细胞是睾丸下降过程中悬带伸长所必需的。Hoxa11 突变很可能导致隐睾男孩悬带迁移失败。