Leheup B P, Thomas J L, Delongeas J L, Gelly J L, Foliguet B, Leclere J, Grignon G
Laboratoire d'Histologie et Embryologie, Faculté de Médecine, Vandoeuvre les Nancy.
Ann Pathol. 1987;7(4-5):263-7.
Several morphological alterations of the basement membrane of the seminiferous tubules have been reported in the patients presenting with a testicular sterility. The proteoglycans are one of the major components of the basal membrane and may be ultrastructurally defined by the use of the cationic marker polyethyleneimine (PEI). In comparaison to the normal distribution of the anionic sites labelled by PEI which is characterized by a regular pattern of distribution along both the epithelial and the interstitial faces of the lamina densa, the pattern of distribution of the sites is largely altered in 6 patients, 27 to 40 years of age, with oligo- or azoospermia. Several types of alterations are reported: parallel thickening of the lamina densa with an abnormal distribution of the anionic sites inside the lamina densa, stratifications of the basal membrane depressing the seminiferous epithelium with anionic sites labelled on both faces of the lamina densa-like layers, massive expansions of the lamina densa with either a regularly circumferential labelling of the sites or a random type of distribution. The digestion of the sites by the enzyme heparitinase is highly suggestive of the presence of proteo-heparan-sulfate. The analysis of the distribution of the anionic sites may represent a usefull tool for studying the pathogenesis of testicular sterility.
据报道,患有睾丸不育症的患者生精小管基底膜存在几种形态学改变。蛋白聚糖是基底膜的主要成分之一,可通过使用阳离子标记物聚乙烯亚胺(PEI)在超微结构上进行界定。与正常情况下PEI标记的阴离子位点分布相比,其特征是沿致密层的上皮面和间质面呈规则分布模式,在6例年龄在27至40岁、患有少精子症或无精子症的患者中,该位点的分布模式有很大改变。报道了几种类型的改变:致密层平行增厚,致密层内阴离子位点分布异常;基底膜分层,压迫生精上皮,致密层样层的两面都有阴离子位点标记;致密层大量扩张,位点呈规则的圆周标记或随机分布。用乙酰肝素酶消化这些位点强烈提示存在硫酸乙酰肝素蛋白聚糖。分析阴离子位点的分布可能是研究睾丸不育症发病机制的有用工具。