Department of Pediatric Surgery, Pingshan District Maternal & Child Healthcare Hospital of Shenzhen, Shenzhen, Guangdong, China.
J Cell Mol Med. 2023 Aug;27(15):2095-2102. doi: 10.1111/jcmm.17837. Epub 2023 Jul 6.
Environmental oestrogens (EEs) as environmental pollutants have been paid much attention due to their impact on congenital malformation of male genitourinary system. Exposure to EEs for prolonged time could hinder testicular descent and cause testicular dysgenesis syndrome. Therefore, it is urgent to understand the mechanisms by which EEs exposure disrupt testicular descent. In this review, we summarize recent advances in our understanding of the process of testicular descent, which is regulated by intricate cellular and molecular networks. Increasing numbers of the components of these networks such as CSL and INSL3 are being identified, highlighting that testicular descent is a highly orchestrated process that is essential to human reproduction and survival. The exposure to EEs would lead to the imbalanced regulation of the networks and cause testicular dysgenesis syndrome such as cryptorchidism, hypospadias, hypogonadism, poor semen quality and testicular cancer. Fortunately, the identification of the components of these networks provides us the opportunity to prevent and treat EEs induced male reproductive dysfunction. The pathways that play an important role in the regulation of testicular descent are promising targets for the treatment of testicular dysgenesis syndrome.
环境雌激素(EEs)作为环境污染物,因其对男性泌尿生殖系统先天畸形的影响而备受关注。长时间暴露于 EEs 会阻碍睾丸下降并导致睾丸发育不良综合征。因此,迫切需要了解 EEs 暴露破坏睾丸下降的机制。在这篇综述中,我们总结了近年来对睾丸下降过程的理解的最新进展,该过程受复杂的细胞和分子网络调节。越来越多的这些网络的组成部分,如 CSL 和 INSL3,正在被识别,这突出表明睾丸下降是一个高度协调的过程,对人类的生殖和生存至关重要。EEs 的暴露会导致网络的不平衡调节,导致睾丸发育不良综合征,如隐睾、尿道下裂、性腺功能减退、精液质量差和睾丸癌。幸运的是,这些网络的组成部分的鉴定为我们预防和治疗 EEs 诱导的男性生殖功能障碍提供了机会。在调节睾丸下降中发挥重要作用的途径是治疗睾丸发育不良综合征的有希望的靶点。