McMahon D R, Kramer S A, Husmann D A
Department of Urology, Mayo Clinic, Rochester, Minnesota 55905, USA.
J Urol. 1995 Aug;154(2 Pt 1):553-7. doi: 10.1097/00005392-199508000-00068.
Can antiandrogens cause cryptorchidism in an animal model with a strip-like gubernaculum? If so, what anatomical abnormalities are associated with cryptorchidism?
Timed pregnant sows received the antiandrogen flutamide during defined gestational intervals. Fetal pigs were evaluated for the presence of testicular undescent and for morphological paratesticular abnormalities at 110 days of gestation (birth).
Of 180 testes 84 (47%) were undescended and 9 (5%) were in the abdominal cavity. No undescended testis (0 of 200 testes) were found in control animals (p < 0.001). Epididymal anomalies were found in all intra-abdominal testes, which was significant when compared to the epididymal abnormalities found with inguinal undescended testes (0%) or descended testes (1%) (p < 0.001). Alterations in gubernacular morphology, in particular failure of gubernacular regression, were also directly associated with cryptochidism (p < 0.001).
Androgens partially control transabdominal and transinguinal descent of the porcine testis. In addition, antiandrogen induced cryptorchidism is associated with epididymal malformation and failure of gubernacular regression. It remains to be determined if these latter findings are only associated with or the cause of testicular undescent.
抗雄激素药物能否在具有带状睾丸引带的动物模型中导致隐睾症?如果可以,隐睾症会伴有哪些解剖学异常?
对处于特定孕期的怀孕母猪定时给予抗雄激素药物氟他胺。在妊娠110天(出生时)对胎猪进行睾丸未降情况及睾丸旁形态学异常评估。
180个睾丸中,84个(47%)未降,9个(5%)位于腹腔内。对照动物中未发现睾丸未降情况(200个睾丸中0个)(p < 0.001)。所有腹腔内睾丸均发现附睾异常,与腹股沟睾丸未降(0%)或已降睾丸(1%)中发现的附睾异常相比具有显著性差异(p < 0.001)。睾丸引带形态改变,尤其是睾丸引带退化失败,也与隐睾症直接相关(p < 0.001)。
雄激素部分控制猪睾丸经腹腔和经腹股沟的下降。此外,抗雄激素诱导的隐睾症与附睾畸形及睾丸引带退化失败有关。这些后期发现是否仅与睾丸未降相关或为其病因仍有待确定。