Murdoch Childrens Research Institute, Parkville, Victoria 3052, Australia.
J Pediatr Surg. 2011 Dec;46(12):2353-7. doi: 10.1016/j.jpedsurg.2011.09.025.
Cryptorchidism is the most common male congenital abnormality. The rodent gubernaculum steers the testis from abdomen to scrotum postnatally by eversion and migration through the developing inguinal fat pad (IFP). We hypothesize that extracellular matrix remodeling in/around the gubernaculum is necessary for eversion and migration and is permitted by timed IFP maturation and aimed to examine regional development and matrix metalloproteinase (MMP) content.
Embryonic day 19 (E19) and postnatal days 0 and 2 (P0, P2) wild-type Sprague-Dawley rats (n = 10) were prepared for histologic examination (trichrome) and immunohistochemistry (membrane-type MMP-1 [MT1-MMP], MMP2) and analyzed using light/confocal microscopy.
At E19, IFP contained fibroblasts and immature cells in an extensive collagenous extracellular matrix. Cells in the gubernaculum base were cytoplasmic-MT1-MMP-positive (inactive). At P0, the gubernaculum had everted, and adjacent cells were membranous-MT1-MMP-positive (active). At P2, the gubernaculum was migrating through the IFP, and adjacent cells were membranous-MT1-MMP-positive. Adipocyte maturation began cranially in the IFP and proceeded in a craniocaudal gradient until more uniformly mature at P2.
The MT1-MMP-positive cells may remodel the gubernaculum for eversion and provide the collagenolysis necessary for migration, like an icebreaking ship, through the IFP, which matures to permit migration through collagen-rich tissue. Disruption of these processes may cause cryptorchidism.
隐睾症是最常见的男性先天性畸形。啮齿动物的提睾肌通过外翻和通过发育中的腹股沟脂肪垫(IFP)迁移,将睾丸从腹部引导至阴囊。我们假设提睾肌内外的细胞外基质重塑对于外翻和迁移是必要的,并且允许 IFP 成熟的时间和靶向检查局部发育和基质金属蛋白酶(MMP)含量。
对胚胎第 19 天(E19)和出生后第 0 天和第 2 天(P0、P2)的野生型 Sprague-Dawley 大鼠(n = 10)进行组织学检查(三色)和免疫组织化学(膜型 MMP-1[MT1-MMP]、MMP2),并使用光/共聚焦显微镜进行分析。
在 E19 时,IFP 包含成纤维细胞和在广泛的胶原细胞外基质中的未成熟细胞。提睾肌基部的细胞细胞质-MT1-MMP 阳性(无活性)。在 P0,提睾肌已外翻,相邻细胞为膜性-MT1-MMP 阳性(活性)。在 P2,提睾肌通过 IFP 迁移,相邻细胞为膜性-MT1-MMP 阳性。IFP 中的脂肪细胞成熟从头部开始,并以颅尾梯度进行,直到 P2 时更均匀地成熟。
MT1-MMP 阳性细胞可能重塑提睾肌进行外翻,并提供穿过 IFP 所需的胶原溶解作用,就像破冰船一样,通过成熟以允许穿过富含胶原的组织进行迁移。这些过程的破坏可能导致隐睾症。