Mori H, Tamai M, Fushimi H, Fukuda H, Maeda T
Department of Pathology, Osaka Medical College, Japan.
Hum Pathol. 1987 Dec;18(12):1227-31. doi: 10.1016/s0046-8177(87)80405-7.
Cells identical to Leydig cells were found within a peritubular boundary layer and even inside a basal lamina of seminiferous tubules in three male patients (two with inguinal cryptorchism and one with infertility). The seminiferous tubules of all patients showed a moderate to marked thickening of the boundary layer and a complete loss of spermatogenic cells. The "ectopic Leydig cells" were characterized by the presence of Reinke crystals or an extensively developed smooth endoplasmic reticulum. These cells were believed to have differentiated in situ from myoid cells within the boundary layer and also to have invaded from the interstitial tissue in the form of mature Leydig cells. The occurrence of ectopic Leydig cells appeared to parallel the extent of loss of the Sertoli cells and also that of the thickening of the boundary layer. The functional significance of the ectopic occurrence might be implicated in the impaired spermatogenesis.
在三名男性患者(两名患有腹股沟隐睾症,一名患有不育症)的生精小管的管周边界层内甚至基膜内发现了与睾丸间质细胞相同的细胞。所有患者的生精小管均显示边界层中度至明显增厚,生精细胞完全丧失。“异位睾丸间质细胞”的特征是存在雷氏晶体或广泛发育的滑面内质网。这些细胞被认为是在边界层内由肌样细胞原位分化而来,也有成熟睾丸间质细胞从间质组织侵入的情况。异位睾丸间质细胞的出现似乎与支持细胞丧失的程度以及边界层增厚的程度平行。这种异位出现的功能意义可能与精子发生受损有关。