REPRODUCTION RESEARCH Spermatogonial behavior in rats during radiation-induced arrest and recovery after hormone suppression Amanda VAlbuquerque, Fernanda R C L Almeida, Connie C Weng1, Gunapala Shetty1, Marvin L Meistrich1 and He´lio Chiarini-Garcia Laboratoryof StructuralBiologyand Reproduction, Department ofMorphology,Instituteof BiologicalSciences, FederalUniversityofMinasGerais, AvenidaAntoˆnio Carlos, 6627 -Pampulha,31.270-901 BeloHorizonte, Minas Gerais,Braziland 1DepartmentofExperimental Radiation Oncology,MDAnderson CancerCenter, The UniversityofTexas, Houston,Texas, USA CorrespondenceshouldbeaddressedtoHChiarini-Garcia;Email:[email protected] Abstract Ionizingradiationhasbeenshowntoarrestspermatogenesisdespitethepresenceofsurvivingstemspermatogonia,byblocking theirdifferentiation.Thisblockisaresultofdamagetothesomaticenvironmentandisreversedwhengonadotropinsandtestosteroneare suppressed,butthemechanismsarestillunknown.WeexaminedspermatogonialdifferentiationandSertolicellfactorsthatregulate spermatogoniaafterirradiation,duringhormonesuppression,andafterhormonesuppressioncombinedwithLeydigcelleliminationwith ethanedimethanesulfonate.TheseresultsshowedthatthenumbersandcytoplasmicstructureofSertolicellsareunaffectedbyirradiation, onlyafewtypeAundifferentiated(A )spermatogoniaandevenfewertypeA spermatogoniaremained,andimmunohistochemicalanalysis und 1 showedthatSertolicellsstillproducedKITligand(KITLG)andglialcellline-derivedneurotrophicfactor(GDNF).Someofthesecells expressedKITreceptor,demonstratingthatthefailureofdifferentiationwasnotaresultoftheabsenceoftheKITsystem.Hormonesuppression resultedinanincreaseinA spermatogoniawithin3days,agradualincreaseinKIT-positivespermatogonia,anddifferentiationmainlytoA und 3 spermatogoniaafter2weeks.KITL(KITLG)proteinexpressiondidnotchangeafterhormonesuppression,indicatingthatitisnotafactor inthestimulation.However,GDNFincreasedsteadilyafterhormonesuppression,whichwasunexpectedsinceGDNFissupposedtopromote stemspermatogonialself-renewalandnotdifferentiation.Weconcludethattheprimarycauseoftheblockinspermatogonialdevelopment isnotduetoSertolicellfactorssuch(KITL\GDNF)ortheKITreceptor.AseliminationofLeydigcellsinadditiontohormonesuppression resultedindifferentiationtotheA stagewithin1week,Leydigcellfactorswerenotnecessaryforspermatogonialdifferentiation. 3 Reproduction(2013)146363–376 Introduction countreduction,leadingtotheonsetofinfertilitywithin several months. Subsequent recovery at later times is In boys and young men who have been affected by dependent on thespermatogonialstem cells. cancer,thesuccessesoftreatmentsthataredeleteriousto In rodents, the spermatogonial stem cells have been testicular function have made infertility an important identified morphologically as individual isolated cells issue. Over the past 30 years, advances in treatment of called A single (A) spermatogonia (de Rooij 1998). several cancers of young men, including testicular s Whenthesecellsdividewithoutcompleteseparationof cancer, Hodgkin’s lymphoma, and osteosarcoma, have theircytoplasm,theyformApairedspermatogonia(A ), resulted in considerable improvements in the outcomes pr which undergo further mitotic divisions,formingchains of these diseases. However, the two main cancer of cells known as A aligned spermatogonia (A ). All treatments, chemotherapy and radiotherapy, induce al thesecellsareoftencalledtypeAundifferentiated(A ) prolonged or permanent azoospermia causing tempor- und ary or permanent infertility (Fossa & Magelssen 2004, spermatogoniaastheyhavesimilarmorphologytotheAs Meistrichetal.2005,Shetty&Meistrich2005).Themost cells. When the type Aal spermatogonia differentiate, sensitive testicular cells to chemotherapeutic drugs and they form A1 differentiating spermatogonia, which then radiation are the ones that are undergoing constant undergo an extensive and precisely timed sequence of mitotic activity: the differentiating spermatogonia (Dym mitotic divisions begins producing A1, A2, A3, and A4, & Clermont 1970, Lu & Meistrich 1979, Kangasniemi intermediate and B spermatogonia. The differentiating et al. 1990). Death of these cells results in maturation spermatogoniaaremostsensitivetothecytotoxicinsults, depletion of later stages of germ cells and severesperm but the undifferentiated spermatogonia, particularly the q2013SocietyforReproductionandFertility DOI:10.1530/REP-12-0494 ISSN1470–1626(paper)1741–7899(online) Onlineversionviawww.reproduction-online.org Downloaded from Bioscientifica.com at 03/02/2023 12:05:02AM via free access 364 AVAlbuquerqueandothers A,havelowerratesofdivisionandcansurvivemoderate Materials and methods s doses of cytotoxic insults. If they survive the cytotoxic Animals insults, spermatogenesis recovery can occur naturally fromthestemcells.Thus,theeventualrecoveryofsperm LBNF male rats were obtained from Harlan–Sprague Dawley 1 productionafterinsultsdependstoalargeextentonthe (Indianapolis,IN,USA)andhousedattheMDAndersonCancer survival of the spermatogonial stem cells and their Center facilities under a 12h light:12h darkness photoperiod functionalabilitytoproliferateanddifferentiate,provid- and allowed food and water ad libitum. All procedures were ing again the adequate number of type A differentiating approved by the MDAnderson Institutional Animal Care and spermatogonia for the further steps of the process of Use Committee and the American Association for the spermatogenesis. AccreditationonLaboratoryAnimalCare. A variety of testicular toxic insults, such as radiation (Kangasniemietal. 1996),procarbazine (Meistrich etal. Irradiation 1999),andothers(reviewedinMeistrich&Shetty(2003)), induce seminiferous tubule atrophy in rats despite the Rats,atw10weeksofage,wereanesthetizedandall,except presence and persistence of undifferentiated type A for unirradiated controls, were irradiated to the lower part of spermatogonia that appear to be blocked from further thebodywithasingledoseof6Gy60Cogammaradiationas described previously (Meistrich & Kangasniemi 1997, Porter differentiation.Inmanyofthesecases,thesuppressionof etal.2006). testosterone and follicle-stimulating hormone (FSH) with gonadotropin-releasing hormone (GNRH) analogs stimulated spermatogonial differentiation, resulting in Treatments spermatogenic progression (Meistrich & Shetty 2003). In The hormonal suppression treatment was initiated 10 weeks addition,althoughspermatogonialstemcellstransplanted afterirradiation.Acyline,aGNRH-ant(obtainedfromNational into irradiated rats can colonize along the basement Institutes of Health-National Institute of Child Health and membrane of seminiferous tubules, they fail to differ- HumanDevelopment,Bethesda,Maryland,USA),wasfreshly entiate, unless hormones are suppressed (Zhang et al. prepared in sterile water before each use and a dose of 2007). Such studies demonstrated that some of the 1.5mg/kgwasinjecteds.c.weeklyfor6weeks.Furthermore, somatic cells forming the stem cell niche that controls to reduce action of residual intratesticular testosterone levels, manyspermatogonialeventscanbedamagedbyradiation theseirradiatedratsreceivedfours.c.silasticimplants(20cm andtheirfunctionrescuedbyhormonesuppression. totallength)containingflutamide(Sigma–Aldrich;Porteretal. In previous studies (Meistrich et al. 1999, Shuttles- 2009,Zhouetal.2010).Additionally,toevaluatetheeffectsof worth et al. 2000), the block in type A spermatogonial absence and Leydig cell factors, the Leydig cells were differentiation and spermatogenesis recovery following destroyed after a single i.p. dose (75mg/kg) of ethane hormone suppression was evaluated considering cell dimethanesulfonate(EDS;Bartlettetal.1986),synthesizedat proliferation, clonal size, apoptosis, and appearance of MDAndersonbyDrWilliamBornmann). differentiated cells as well as increases in testis weight, spermcount,andfertility.Geneexpressionprofilesinthe irradiatedratsandirradiatedratswithhormonesuppres- Experimentaldesigns sion have also been analyzed (Zhou et al. 2010, 2011). Two separate experiments were performed as illustrated In this study, we have extended the characterization of inFig.1. the kinetics and molecular events of spermatogonial differentiation in rats during spermatogenic recovery ExperimentI:cellcountsandmoleculareventsof after testis irradiation and hormone suppression with a spermatogonialdifferentiation GNRH antagonist (GNRH-ant), using morphological To analyze the events of spermatogonial differentiation at (lightandtransmissionelectronmicroscopy)andstereo- differenttimesafterstimulationofdifferentiationwithhormone logical approaches and molecular markers (e.g., KIT). suppression, 26 rats were given a single dose of 6Gy The light microscopy techniques that we developed irradiation. As a control (group C, nZ5), age-matched, were able to morphologically distinguish the spermato- untreated,unirradiatedratswerekilledatthesametimepoints gonialsubtypes–fromtypeAundifferentiateduptotypeB as the irradiated, hormone-suppressed rats. Six rats that were spermatogonia (Chiarini-Garcia et al. 2003). Addition- irradiated (group X, nZ6) were not given any hormone ally,molecularexpressionofknownfactorsproducedby treatment and were assessed at 11 and 16 weeks after Sertolicells,suchasglialcellline-derivedneurotrophic irradiation, which corresponded to 1 and 6 weeks after the factor (GDNF) and Kit ligand (KITL (KITLG), formerly beginning of treatment in the hormone-suppressed group. known as stem cell factor, SCF), which regulate stem Intermediate time points were not taken because previous spermatogonial self-renewal (Meng et al. 2000) and studies demonstrated that no changes in testicular histology, spermatogonial differentiation (Ohta et al. 2000), repopulation indexes, labeling indexes, and serum hormone respectively, were evaluated and related to the sperma- levels occurred between 10 and 30 weeks after irradiation togonial counts. (Kangasniemietal.1996).Theresultsofthisstudyalsoshowed Reproduction(2013)146363–376 www.reproduction-online.org Downloaded from Bioscientifica.com at 03/02/2023 12:05:02AM via free access Spermatogonialbehaviorafterhormonesuppression 365 Experiment I Davidson’s fluid fixative: methacrylate (light microscopy morphometry) and paraffin (immunohistochemistry) Week 0 Week 10 Week 16 10wk LBNF1 rats Group C Non-irradiated control (n=5) No treatment 3d (1) 1w (1) 2w (1) 4w (1) 6w (1) Group X 6 Gy irradiation (n=6) No treatment 1w (3) 6w (3) Group XAF 6 Gy irradiation (n=20) Acyline + flutamide 3d (4) 1w (4) 2w (4) 4w (4) 6w (4) Experiment II Glutaraldehyde fixative: Araldite (light microscopy morphometry and electron microscopy) Week 0 Week 10 Week 14 10wk LBNF1 rats Group C Non-irradiated control (n=3) No treatment 4w (3) 6 Gy irradiation (n=3) Group X No treatment 3w (3) 6 Gy irradiation (n=3) Group X(EDS)AF X(EDS)AF 1w (3) 6 Gy irradiation (n=6) Group XAF Acyline + flutamide 2w (3) 4w (3) Figure1Experimentaldesigns. no significant differences between the rats assayed at 11 and calibratedwithamicrometerslide.Whenthetubularsections 16 weeks after irradiation, and hence, the results for the two wereslightlyoval,onlythesmallerdiameterwasmeasured. time points were averaged. Ten weeks after irradiation Absolute counts of Sertoli cells and type A spermatogonia. (considered as time zero), the remaining 20 ratswere treated Stereological studies were performed to obtain the absolute with weekly injections of GNRH-ant and implantation of numbers of Sertoli cells and type A spermatogonia in GMA- flutamidecapsules (groupXAF)andwerekilledattimesfrom embedded,Davidson’sfluid-fixedtestesfromtheirradiated(X) 3daysto6weeksafterstartinghormonesuppression. andcontrol(C)groups.Asitwasnotpossibletodistinguishthe Testes were fixed by vascular perfusion (Chiarini-Garcia & A spermatogonial subtypes in glycol methacrylate-embedded Meistrich2008)withDavidson’sfluidmodifiedasdescribedby material, they were considered as a whole. The numbers of Latendresseetal.(2002).Aftertheperfusionprocedure,eachtestis each cell type were calculated, as described previously wasweighedwiththetunicaalbugineaintact.Theywerecarefully (Drumondetal.2011). sliced into two pieces and immersed in 70% ethanol and kept First,theweightofthetesticularparenchymawascalculated under48Cuntiltheembeddingprocedure.Forhistomorphome- basedonthemeasurementstakenonotheranimalsofthesame tricalevaluationofgermandSertolicellnumbers,halfofthetissue strain obtained after removal of interstitial fluid and tunica was embedded in glycol methacrylate (GMA) resin (JB4, albuginea (Porter et al. 2006). For control animals, the Polysciences,Inc.,Warrington,PA,USA),and4mm-thicksections parenchymal weight was 96.8% of the testicular weight, and were stained with toluidine blue–borate (Chiarini-Garcia et al. for the irradiated rats, it was only 64.6% (M L Meistrich, 2011).Theotherhalfwasembeddedinparaffinandsectionedat unpublished results) because of extensive edema after 5mmthicknessforimmunohistochemicalanalysis. irradiation. Then, the absolute volume of the testicular Tubulardiameter.SlidesofGMA-embedded,Davidson’sfluid- parenchyma was calculated based on a testicular density of perfused tissues were used for measurement of 20 nearly 1.0g/cm3(SinhaHikimetal.1988). circulartubularcrosssectionsperanimal,randomlychosenat Next,usingthepointcountingmethod,w4410intersections 400! magnification, using a ruler fitted in a 10! eyepiece, distributed in ten randomly selected fields per animal (two to www.reproduction-online.org Reproduction(2013)146363–376 Downloaded from Bioscientifica.com at 03/02/2023 12:05:02AM via free access 366 AVAlbuquerqueandothers threefieldsperhistologicalsection)werecountedasbeingover same exposure time for all frames. Photomicrographs of ten theseminiferousepitheliumortherestoftesticularparenchyma. randomlychosencross-sectionedseminiferoustubulesperanimal Thevolumedensityoftheseminiferousepitheliumwasobtained were analyzed using the NIH Image J (Image Processing and by dividing the sum of points falling on the seminiferous Analysis in Java, v1.45s) Software. The average fluorescence epithelium by the total number of points over the tissue, and intensity (mean pixel intensities) of the Sertoli cell cytoplasm, the volume of the seminiferous epithelium was estimated by identifiedastheregionwithinthetubuleexcludingthenucleiof multiplyingthisbythevolumetothetestisparenchyma. thecells,thelumen,germcells,andvacuolarareas,wasmeasured Point counting of w18000 intersections in 40 randomly (SupplementaryFigure2,seesectiononsupplementarydatagiven selected fields for each animal (four to five fields per at the end of this article). Next, the fluorescence due to non- histological section), as being over Sertoli cell nucleoli, type specificbindingofantibodytotissueswasmeasuredbytakingthe Aspermatogonialnuclei,oroverotherareasoftheseminifer- averagefluorescenceintensityovertheregionoftheperitubular ous epithelium was similarly employed to determine the myoid cells and basement membrane (PM). As the variations volume densities of these cell components. The total volume between slides appeared to be a result of background fluor- of all the Sertoli cell nucleoli and spermatogonial nuclei was escence(BG)overareaswithnotissue(spacesintheinterstitium calculated by multiplying their volume densities by the due totissue contraction), mostprobably due to fluctuations in absolutevolumeoftheseminiferousepithelium. lamp intensity, both the Sertoli cell (SF) and myoid/basement The average volumes of individual Sertoli cell nucleoli or membrane (PM) fluorescence levels were normalized between spermatogonial nuclei were determined from their diameters slides by dividing them by the background fluorescence (BG). measuredwitharulerintheeyepiece,asdescribedpreviously. Then the difference between the normalized Sertoli cell Finally, the total number of these cells was calculated by fluorescence and the normalized non-specific myoid/basement dividing the total volumes of Sertoli cell nucleoli or type A membrane fluorescence was calculated to determine the spermatogonia by the individual volumes of each Sertoli corrected,specificSertolicellimmunofluorescenceintensity. nucleolusorspermatogonialnucleusrespectively. MCM7CcellsandKITCcellswerecountedin50randomly chosen,nearlycircularseminiferoustubulesperanimalinthe Sertoli and germ cell numbers per tubule cross section. irradiated-onlyanimals(X)andthehormone-suppressed(XAF) The numbers of Sertoli cell nucleoli and germ cell nuclei, group. from spermatogonia up to diplotene primary spermatocytes, were counted in 50 randomly chosen seminiferous tubule ExperimentII:kineticsofspermatogonialdifferentiationafter crosssectionsincontrolandin100seminiferoustubulecross hormonesuppressionandultrastructuralstudies sections per animal for each time point of the hormone suppression(XAF),inirradiated-only(X)andcontrol(C)groups, Tomorphologicallydistinguishthespermatogonialtypes(A ,A , und 1 using the Davidson’s fluid-perfused, GMA-embedded tissues. A ,A ,A ,In,Bspermatogonia)andassessultrastructuralchanges 2 3 4 Resultswereexpressedascountspertubulecrosssection. ingermandSertolicellsandtubulestructure,12ratsweretreated withasingledoseof6GyirradiationasinexperimentI(Fig.1). Immunohistochemistry. In order to analyze some molecular Age-matchedcontrolrats(groupC,nZ3),withoutanytreatment, changes after irradiation and during subsequent hormone were included for comparison. Three irradiated rats (group X), suppression,slidesoftheparaffin-embedded,Davidson’sfluid- without hormone suppression, were killed at 3 weeks after the perfused tissues were immunostained for the proliferation beginningofthehormonaltreatmentofthesuppressedgroup.To marker, minichromosome maintenance protein 7 (MCM7 evaluate the combined effects of Leydig cell elimination and mouseMAB,Abcam,Cambridge,MA,USA,ab79802),theSertoli hormonesuppressiononspermatogonialdifferentiation,threeof cell juxtacrine factors GDNF (rabbit polyclonal, Santa Cruz, theirradiatedrats(X(EDS)AFgroup)weretreatedwithEDSat10 Dallas,TX,USA,D-20,sc:328)andKITLG(rabbitpolyclonal weeks after irradiation and then hormonally suppressed with antibody against C-terminus, gift of Dr Shayu Deshpande, acylineandflutamideandanalyzed1weeklater.Theremainingsix Deshpande et al. (2010)), and the KIT receptor (c-kit, goat irradiatedratsweretreated,starting10weeksafterirradiation,with polyclonal Santa Cruz, M-14, sc: 1494). The sections were acyline and flutamide (XAF group, nZ3/time point), as in subjectedtoantigenretrievalandthenincubatedwithablocking experimentI,for2or4weeks.Animalsinallthesegroupswere solution. The slides were incubated with primary antibodies perfusion fixed with 5% glutaraldehyde in 0.05M cacodylate overnightat48Cinahumidifiedchamber.AfterwashinginPBS, buffer (pH 7.4). Testes were removed, weighed, and sliced into the slides were incubated with Alexa Flour 488-labeled anti- small slabs. Fragments were post-fixed in osmium tetroxide/ rabbitIgGforKITLGandGDNF,withAlexaFluor594-labeled potassiumferrocyanidemixtureandembeddedinaplasticresin, anti-goatIgGforKIT,orwithasecondarybiotinylatedantibody Araldite502(EMS,Hatfield,PA,USA). forMCM7.Thebiotinylatedsecondaryantibodywasdetectedby the avidin–biotin–peroxidase complex method with diamino- Spermatogonialdifferentiationkinetics.Toassessthekineticsof benzidineusingtheVectastaineliteABCkit(VectorLaboratories, spermatogonial differentiation, 1mm-thick sections were Burlingame,CA,USA).Controlslideswerepreparedwithoutthe obtained from testis fixed with glutaraldehyde/osmium and addition of primary antibodies (Supplementary Figure 1, see embedded in Araldite and stained with toluidine blue–borate sectiononsupplementarydatagivenattheendofthisarticle). forlightmicroscopystudies.Thismethod,whichwepreviously ForquantificationofGDNFandKITLconcentrationinSertoli called high-resolution light microscopy, allowed us to cells, fluorescence images from a set of slides from different recognize the different spermatogonial subtypes by their animals,stainedatthesametime,werephotographedusingthe morphologicalfeatures. Reproduction(2013)146363–376 www.reproduction-online.org Downloaded from Bioscientifica.com at 03/02/2023 12:05:02AM via free access Spermatogonialbehaviorafterhormonesuppression 367 Nucleiofallspermatogonialsubtypes(A toB)andSertoli diameters in the irradiated-only group (192G2mm) und cell nucleoli were counted in 50 randomlychosenseminifer- were significantly lower than those of the untreated oustubulecrosssectionsineachanimal.Consideringthatthe controls (355G3mm). The hormone suppression pro- nuclei(andnucleoli)havedifferentdiameters,theAbercrombie duced a further progressive decrease in the tubular (1946)correctionforbiasintheestimationofnuclearnumbers diameter (3 days: 192G1mm, 1 week: 188G3mm, in cross sections was applied. For that, ten diameters of each 2weeks:183G2mm,4weeks:174G3mm,and6weeks: germ cell subtype nuclei and Sertoli cell nucleoli were 166G4mm)(P!0.05). measured. The Abercrombie (1946) formula was applied to Todeterminewhethertherewasaneffectofirradiation obtaincorrectedcounts,whichwereusedtocalculatetheratio on Sertoli cell number, a stereological approach was ofgermcellsper100Sertolicellnucleoli,anacceptedmethod applied. The total Sertoli cell number per testis was forcomparisonofgermcellcounts(Dym&Clermont1970). shown not to be changed significantly as a result of Transmission electron microscopy. To evaluate the spermato- irradiation; in the control animals, it was 49G4!106 gonialandSertolicellultrastructureafterirradiationandduring andin theirradiated-onlyanimals,40G2!106. hormone suppression, sections were obtained at 70nm Studies of changes in germ cell numbers were thickness from the Araldite resin blocks used for light performedusingcountsofcellspertubularcrosssection, microscopy analysis. These ultrathin sections were collected which is valid when there is not much longitudinal incoopergrids,stainedwithuranylacetateandleadcitrate,and shrinkageorexpansionofthetubules.Therewasonlya observed under the transmission electron microscope (Zeiss modestshrinkageafterirradiationasindicatedbya22% EM-10).Thespermatogonialidentificationattheultrastructural increase in numbers of Sertoli cell nucleoli per cross levelwasbasedonthatofChiarini-Garcia&Russell(2002). section in irradiated-only compared with control rats (Table 1). Radiation produced dramatic effects on germ Statisticalanalysis cells with a 20-fold reduction in the numbers of spermatogonia per tubule cross section and a block in All variables measured were tested for normality prior to their differentiation so that no spermatocytes were analyses, using the univariate procedure of the Statistical observed even at 11–16 weeks after irradiation AnalysisSystem(SASInstitute,Cary,NC,USA).Thevaluesof (Table 1). Stereological methods confirmed that there variableswerecomparedbetween thecontrol andirradiated- only group with a t-test with P!0.05 being considered was a marked decrease in the numbers of type A significant. Comparisons between the irradiated-only and spermatogonia per testis to 3.1G0.4!106 in the irradiated hormone-suppressed groups were done by irradiated-onlyanimals compared with 20.0G2.6!106 ANOVA. In the event that significant treatment effects were in thecontrolgroup (P!0.05). established, multiple comparisons were performed using When hormones were suppressed with GNRH-ant probability of differences adjusted by Tukey–Kramer (SAS and flutamide in the irradiated animals, the number of 2001)withP!0.05beingconsideredsignificant.Inthetables Sertoli cell nucleoli per tubule cross section did not andgraphs,dataarereportedasmeansandS.E.M. change significantly so that spermatogonial numbers couldbedirectlycompared.Hormonesuppressionwith acyline and flutamide produced an increase in the Results numberofspermatogoniaat3daysandthisnumberwas Experiment I maintained at twice the level of that in the irradiated- onlyratsforthefirst2weeks(Table1).Differentiationto Bodyand testisweight the spermatocyte stage was first observed at 4 weeks The body weight did not change after irradiation or afterstartingthehormonesuppression,andby6weeks, after hormonal suppression. Meanwhile, radiation had anappreciablenumberofpachyteneprimaryspermato- adramaticeffectontestisweight,reducingitfrom1.88G cyteswerefoundasthemostadvancedgermcellsinthe 0.01g in the untreated control group to 0.56G0.02g repopulated seminiferous tubules(Table1). (similar at both time points assessed), about 30% of the weightforcontrols(P!0.05),intheirradiated(X)group. Immunohistochemical analysis During the subsequent hormone suppression with To test whether the spermatogonia observed after acyline plus flutamide, the weights of irradiated testes irradiation were expressing a proliferation marker; we progressively declined further (3 days: 0.52G0.02g, performed immunohistochemistry for MCM7 after 1week:0.47G0.01g,2weeks:0.39G0.02g,4weeks: irradiation and during hormone suppression (Fig. 2). In 0.36G0.01g,and6weeks:0.34G0.01g). control rats, all spermatogonia and primary spermato- cytes until the mid-pachytene stage were MCM7- Morphologicaland stereological analysis positive;aweak signal was observed in later pachytene Testicular atrophy after irradiation or during the sub- spermatocytes and no signal in Sertoli cells, round, and sequent hormone suppression was first analyzed using elongated spermatids (Fig. 2A). In irradiated-only rats seminiferous tubule diameters. The mean tubular and those with hormone suppression as well, www.reproduction-online.org Reproduction(2013)146363–376 Downloaded from Bioscientifica.com at 03/02/2023 12:05:02AM via free access 368 AVAlbuquerqueandothers Table1NumbersofSertoliandgermcellspertubularcrosssectionincontrol(C),irradiated(X)andhormone-suppressed(XAF)ratsafterdifferent timesofGnRH-antCflutamideadministration.Sertolicellswereonlyscoredifthenucleoluswaspresentinthesection. Total Treatment Sertoli spermatogonia PL L Z P D C 12.28G0.45 8.10G0.21 5.28G0.14 6.50G0.78 5.74G0.86 33.84G1.58 6.70G2.96 X 13.94G0.53 0.52G0.03* 0*,a 0*,a 0*,a 0*,a 0*,a XAF3days 12.24G0.49 0.73G0.04 0a 0a 0a 0a 0a XAF1w 12.67G0.67 1.08G0.18 0a 0a 0a 0a 0a XAF2w 12.97G0.53 1.14G0.03 0a 0a 0a 0a 0a XAF4w 14.15G0.60 3.05G0.46 0.52G0.27a 0.08G0.05a 0.14G0.04a 0.13G0.06a 0a XAF6w 13.92G0.60 2.98G0.29 4.46G0.37b 1.16G0.10b 0.91G0.10b 1.76G0.66b 0.08G0.03b ValuesaremeanGS.E.M.Asterisksindicateasignificantdifference(P%0.05)betweentheCandXgroups(t-test).Differentlettersinthesamecolumn indicateasignificantdifference(P%0.05)betweenXandindividualXAFgroups,usingTukey’stest.Totalspermatogonia(typeAspermatogoniaC typeintermediateCtypeBspermatogonia);PL,preleptotene;L,leptotene;Z,zygotene;P,pachytene;D,diplotene. all spermatogonia were also MCM7-positive, indicating increased during hormone suppression (Fig. 2E), paral- that they were proliferative (Fig. 2B). The clones of leling the increase in spermatogonia and primary spermatogonia observed after 2 weeks of treatment had spermatocytes (Table1). a tendency to appear as clusters (Fig. 2C), but after TheexpressionofKIT,adifferentiatingspermatogonial 4weeks,theywereobservedspreadoutalongthebasal marker,wasexaminednext. Incontrolanimals,mostof membrane (Fig. 2D). As expected, the MCM7-positive the spermatogonia were stained for KIT; however, few cellnumberwaslowinirradiatedratsandprogressively unstained spermatogonia, usually in stages II–VI, A B C D E 6 b ction 5 Fciognutrreol2raItmsm(Au),niorsratadiinaitnegd-oofnMlyCraMts7(-Bp)o,saitnivdeincerlalstsin e s s 4 afterirradiationandtreatmentwithacylineplus os b flutamidefor2(C)and4(D)weeks.Arrowheads s/cr 3 pointtoMCM7-positivecells.At2weeks,the ell a,b X spermatogoniasometimesappeartobeclustered 7+ c 2 a a XAF walhoenrgeathseabta4sewmeeeknstmtheemyabrreanmeo.rBeagr:e2n5ermamlly.spread M C 1 (E)MCM7-positivecellspertubularcrosssectionin M irradiated-onlyrats(X)andafteracylineplus 0 flutamidetherapy(XAF).Differentlettersindicatea 0 3d 1w 2w 4w significantdifference(P!0.05)betweentheXand Duration of hormone suppression XAFgroupsusingTukey’stest. Reproduction(2013)146363–376 www.reproduction-online.org Downloaded from Bioscientifica.com at 03/02/2023 12:05:02AM via free access Spermatogonialbehaviorafterhormonesuppression 369 recognizedusingDAPIfluorescence,wereobserved(not ofthecycle,withthehighestintensityobservedatstages shown).Intheratsreceivingonlyirradiation,abouthalf XIII–I.Inirradiatedanimalswithtubularatrophy,thereis of the spermatogonia were KIT-negative and the rest nolongeraseminiferousepithelialcycleandtheGDNF were KIT-positive (Fig. 3A and B). The presence of KIT- protein concentrations appeared to be the same in all positive spermatogonia in the seminiferous epithelium tubules (Fig. 4B). Following the initiation of hormone after the insult indicates that the spermatogonial suppression, the GDNF protein concentrations over differentiation block after irradiation is not due to the Sertoli cells appeared to increase progressively from absence of the KIT receptor protein. The hormonal 3 days of treatment up to 4 weeks of hormone suppression gradually increased the numbers of KIT- suppression(Fig.4C),atwhichtimetheincreasebecame positivecellsfrom1upto4weeksoftreatment(Fig.3C). significant(P!0.05, Fig.4D). Comparing the KIT-positive spermatogonial cells with SimilarstudiesoftheexpressionofKITLprotein,using the morphological findings, we observed an increasing anantibodyspecificforthecytoplasmicterminalregion, percentage of KIT-positive cells among the spermato- confirms that in control animals, it accumulates in the goniaduring hormone suppression (Fig.3D). basolateralregion of Sertoli cells(Fig.5A), as described To evaluate the effects of irradiation and acyline plus recently (Deshpande et al. 2010). In irradiated-only flutamide treatment on the expression of Sertoli cell animals,theKITLproteinisfullymaintainedandappears factors affecting spermatogonial development, GDNF to be uniformly distributed over Sertoli cell cytoplasm and KITL protein concentrations were assessed by (Fig. 5B), but after 4 weeks of hormone suppression, it immunofluorescence.Incontrolanimals,GDNFprotein appearsagaintobestrongerbasally(Fig.5C).Hormone fluorescencewasspecifictotheSertolicellcytoplasmic suppression did not significantly affect the concen- domain(Fig.4A).Thefluorescenceintensitychangedas trations of KITL protein in the Sertoli cells of irradiated thesurroundinggermcellsprogressedthroughthestages rats(Fig.5D). Ai Bi DAPI S Aii Bii KIT S Figure3(AandB)KITimmunofluorescenceof Aiii Biii Merge spermatogoniainirradiated-onlyanimals.(AiandBi) DAPI;(AiiandBii)KITimmunofluorescence;(Aiiiand Biii)merge.KIT-positive(arrowheads)andKIT-negative (doublearrowhead)spermatogoniaareindicated; S,Sertolicell.Bars:AandB10mm.(C)KIT-positivecells S pertubularcrosssectioninirradiated-only(X,whitebar) andafterdifferenttimesoftreatmentwithacylineC flutamide(XAF,greybars).Nosignificantdifferences werefoundbetweentheirradiated-onlyanimals C D analyzedattwodifferenttimepointsandthevaluesare nia/ 1.2 b b mber/ 11..42 Morphology cDoimffebreinnetdleattnedrspilnodttiecdataeta‘0s’ig(nnoifichaonrmtdoinffeerseunpcperession). + spermatogocross section 00..48 a a,b b matogonial nucross section 0001....8640 KIT+ Aoc(Pobf!tuseenr0rtv4.s0e.w5d(D)ewa)emekCrsooeonmafglptsXraoeraiabstnuomdtnewXnbAete,rtFewthgeeerexofnceulwputhsdepeuadtsocinfthragyoltmTenunutkemheecybe’etsolrlttseaoslft. KIT 0 Sper 0.02 KITCspermatogoniapercrosssectionandthetotal 0 3d 1w 2w 4w 0 3d 1w 2w numberofmorphologicallyidentifiedinstained Duration of hormone suppression Duration of hormone suppression GMA-embeddedsections. www.reproduction-online.org Reproduction(2013)146363–376 Downloaded from Bioscientifica.com at 03/02/2023 12:05:02AM via free access 370 AVAlbuquerqueandothers A Control B X-only C XAF-4W D 0.8 * 0.7 n o Figure4ImmunofluorescenceofGDNFwithin si 0.6 s tubularcrosssectionsincontrol(A),irradiated-only e pr 0.5 (B),and4-weekhormone-suppressedanimals(C). x e (D)QuantificationoftheaveragespecificGDNF ein 0.4 * XAF immunofluorescenceintensityoverSertolicytoplasm F prot 0.3 X idnurtuinbguhleorcmroosnsesescutpiopnressisnioinrrwaditihateadcyolinnleyC(Xfl)uatanmdide N 0.2 (XAF).Nosignificantdifferenceswerefoundbetween D G 0.1 theirradiated-onlyanimalsattwodifferenttime pointsandthevaluesarecombinedandplottedat‘0’ 0 (nohormonesuppression).Asterisksindicatevalues 0 3d 1w 2w 4w 6w amongXandXAFgroupsthatshowasignificant Duration of hormone suppression difference(P!0.05)usingTukey’stest. Experiment II of the control value (P!0.05) inthe irradiated (X) group (C:1.86G0.03g;X:0.56G0.01g).TheadditionofEDSto Based on the results from experiment I, in which the hormone suppression regimen decreased the testis progressive increases in spermatogonial numbers were weight more rapidly than hormone suppression alone, observed after the initiation of hormone suppression, a reducingitto0.42G0.02gafter1weekoftreatment. secondexperimentwasdesignedtoassessthekineticsof spermatogonialdifferentiationusingalightmicroscopic Spermatogonialkinetics techniquecapableof identifying thedifferentspermato- gonial types. Sections of glutaraldehyde/osmium-fixed, Araldite- embedded tissues were analyzed by counting the Bodyand testisweight numbers of different subtypes of spermatogonia and AsinexperimentI,thebodyweightdidnotchangeafter applying appropriate normalization and correction irradiation or after hormonal suppression. Radiation had factors to obtain the relative numbers of those cells thesamedramaticeffectontestisweightreducingitto30% (Table 2). The remaining type A spermatogonia in the A Control B X-only C XAF-4W D n sio 2.5 Figure5ImmunofluorescenceofKITLwithintubular es crosssectionsincontrol(A),irradiated-only(B), xpr 2.0 and4-weekhormone-suppressedanimals(C). e ein 1.5 XAF (flDu)oQreuscaennticfiecaintitoennsoitfythineSaevretoraligecyKtoITpLlaismmmiunntou-bule prot 1.0 X crosssectionsinirradiated-onlyanimals(X)and G duringhormonesuppression(XAF).Nosignificant L T 0.5 differenceswerefoundbetweentheirradiated-only KI animalsattwodifferenttimepointsandthevaluesare 0 combinedandplottedat‘0’(nohormonesuppression). 0 3d 1w 2w 4w 6w Therewerenosignificantdifferencesbetweenthe Duration of hormone suppression differenttreatmentgroups(PR0.05). Reproduction(2013)146363–376 www.reproduction-online.org Downloaded from Bioscientifica.com at 03/02/2023 12:05:02AM via free access Spermatogonialbehaviorafterhormonesuppression 371 Table2NumberofSertolicells,scoredifthenucleoluswasobserved,pertubularcrosssectionandnumbersofspermatogonialsubtypesper100 Sertolicellnucleoliincontrolrats(C),irradiatedrats(X)andratstreatedwithGnRH-antCflutamide,without(XAF)orwithEDS(X(EDS)AF).Cells werescoredinglutaraldehyde/osmium-fixed,Araldite-embeddedtissuesandvalueshavebeenalreadycorrectedfordifferencesindiameters (Abercrombie1946). Groups Se A A A A A In B und 1 2 3 4 C 1.67G0.05 10.19G0.15 1.60G0.45 3.38G0.61 3.65G0.56 4.65G0.51 8.28G0.86 20.12G2.67 X 2.41G0.10 0.92G0.32*,a 0.24G0.07*,a 0*,a 0* 0* 0* 0* X(EDS)AF–1w 2.25G0.17 1.91G0.34a 0.77G0.06a 0.27G0.03a,b 0.35G0.16 0.11G0.06 0.14G0.12 0 XAF–2w 2.31G0.13 2.02G0.32a 0.75G0.01a 0.32G0.08a,b 0.26G0.05 0.08G0.06 0.27G0.22 0.09G0.08 XAF–4w 2.73G0.08 4.50G0.11b 2.87G0.25b 1.74G0.12b 0.99G0.23 0.92G0.16 0.07G0.03 0.22G0.09 ValuesaremeanGS.E.M.Asterisksindicateasignificantdifference(P!0.05)betweenCandXgroup(t-test).Differentlettersinthesamecolumn indicateasignificantdifference(P!0.05)betweenXandindividualtreatedgroups,usingTukey’stest.A ,undifferentiatedtypeAspermatogonia; und A1–A4,differentiatingtypeAspermatogonia;In,intermediatespermatogonia;B,typeBspermatogonia. irradiated rats were primarily A spermatogonia and irradiation only and also with hormone suppression und their numbers were still drastically decreased from showed that it, sometimes along with an associated control levels (Table 2); only few cells differentiated to myoid cell, protruded into the seminiferous epithelium theA subtype (Fig.6B). forminganinvaginationinthebasalaspectofSertolicells 1 TheadditionofasingledoseofEDSatthestartofthe andsomespermatogonia(Fig.7DandE).Ultrastructural hormone-suppressive treatment (X(EDS)AF group) effec- examination of the spermatogonia along the basement tively eliminated the all Leydig cells (Fig. 6C) and membrane of irradiated and hormone-suppressed rats resulted in rapid spermatogenesis recoveryas indicated (Fig. 7B, D, and F) showed that, except for the by the increase in spermatogonial subtypes observed invaginations described above, the cells apparently had after 1 week (Table2). normal nuclear and cytoplasmic morphology, as Hormone suppression for 2 weeks increased the describedpreviouslybyChiarini-Garcia&Russell(2002). numbers of A spermatogonia by twofold and also und supported initiation offurtherdifferentiation resulting in occasional cells of up to B spermatogonial stage Discussion (Fig. 6D). Clones of type A /A spermatogonia (Fig. 6E) al 1 were frequently seen in the cross sections starting after In this study, we have further characterized the 2weeksofhormonaltreatment.Thenumbersofcellsin spermatogonia present after radiation induces a block all stages of spermatogonial development progressively in their differentiation in LBNF1 rats and after their increasedat4weeksofhormonesuppression(P!0.05). differentiationisrestoredbyhormonesuppression.Here, Although the A spermatogonial number reached weusedglutaraldehydefixationandAralditeembedding 1 control levels at this time point, the numbers of to recognize each spermatogonial subtype by subsequent spermatogonial subtypes, from type A to B morphology at the light microscope level. Radiation or 2 radiationfollowedbyhormonesuppressiondidnotalter spermatogonia(Fig.6Fand G), did not. the morphology (Chiarini-Garcia et al. 2003) or ultrastructure (Chiarini-Garcia & Russell 2002) of the Ultrastructureof germ and Sertoli cells spermatogoniaastheyappearedasdescribedpreviously. Ultrastructural studies showed that after irradiation and We noted that after irradiation alone, most of the theinitiationofhormonetreatment,theSertolicellnuclei spermatogonia were undifferentiated type A but about became more elongated and highly infolded and had 20% were A . As it is the longer chains of undiffer- 1 more heterochromatin close to the nuclear envelope entiated clones that transform into A spermatogonia, 1 (Fig. 7C and E) compared with those from control rats this is consistent with and supports a previous obser- (Fig. 7A). No other Sertoli cell organelles displayed vation in whole-mounted tubules that most of the significant abnormal morphological changes. The Ser- spermatogonia were type A as single cells or as pairs toli–Sertoli junctions characterized by ectoplasmic andonlyafewwereseenaslongerclones(Shuttlesworth specializations normally observed in control rats were et al. 2000). Hormone suppression induced differen- still observed after irradiation. These junctions were tiationtotheBspermatogonialstagewithin2weeksand observed more basally in the epithelium (Fig. 7C) when to thespermatocytestagewithin 4 weeks. only Sertoli cells and no type A spermatogonia were Although stem spermatogonia do notexpressKIT,the present within that region of the seminiferous tubule. undifferentiatedtypeAspermatogonianormallybecome However,theectoplasmicspecializationappearedabove KIT-positive cells just before they initiate their differen- the cells, when spermatogonia were present after tiation to A spermatogonia. In irradiated rat testes 1 hormonesuppression(Fig.7E),indicatingthatthebarrier withoutanyhormonesuppression,weobservedappreci- between basal and adluminal compartments may be able numbers of KIT-positive spermatogonia, some of preserved. Observations of the basal lamina after whichcouldbeA andothersmustbeA .Inaprevious 1 und www.reproduction-online.org Reproduction(2013)146363–376 Downloaded from Bioscientifica.com at 03/02/2023 12:05:02AM via free access 372 AVAlbuquerqueandothers Figure6Lightmicrographsofspermatogoniainglutaraldehyde/osmium-fixed,Araldite-embeddedtissuefrom(A)control,showingundifferentiated spermatogonia(A )andalldifferentiatedgermcellsand(B)anirradiatedrat,inwhichtypeA1spermatogonia(A)arethemostadvancedgermcells. und 1 TheA spermatogoniapresentalargerandmoreroundednucleusthantheA ,withmorefinelygranularnucleoplasmandamorereticulatednucleolus 1 und protrudingcentrallyfromnuclearenvelope.Afterirradiationandhormonalsuppression,withEDSfor1week(C)orwithoutEDSfor2weeks(D),themost advancedgermcellswereintermediateandtypeBspermatogoniarespectively.After4weeks,clonesofA spermatogoniawerefrequent(E,asterisks)and al allspermatogonialsubtypesuptotypeBspermatogoniawereseen(FandG).A spermatogonia(F)weredistinguishedfromearlier-stagecellsbythe 2 increaseinflecksofheterochromatinalongnuclearenvelopeandnucleolusbeingmorereticulatedandirregularthanA spermatogonia.A , 1 und undifferentiatedtypeAspermatogonia;A ,A ,typeAdifferentiatingspermatogonia;In,intermediatespermatogonia;B,typeBspermatogonia; 1 2 P,pachyteneprimaryspermatocyte;S,Sertolicell;L,Leydigcell;Ma,macrophage;ap,apoptosis;BV,bloodvessel;V,vacuole;Int,interstitium.Bar:12mm. study(Prabhuetal.2006).KITproteinwasnotdetectable As the presence of healthy A spermatogonia after und in the type A spermatogonia of LBNF rats, although irradiation must be the source of the subsequent 1 insituhybridizationanalysisshowedthatKitmRNAwas spermatogenesis recovery in the rat testis and radiation present.Prabhuetal.(2006)diddetectKITproteininthe canproducespermatogonialDNAdamage,itisessential spermatogoniastimulatedtodifferentiateafter4weeksof to verify whether the remaining spermatogonial cells hormonesuppression,correlatingwith ourobservations after irradiation are healthy and proliferative. We of more KIT-positive cells at that time and the presence therefore assessed the presence of MCM7, a protein of more B spermatogonia. We attribute the differences thatispartofacomplexessentialforchromosomalDNA betweenthestudiestothegreatersensitivitythepresent replication (Pacek & Walter 2004). In control animals, method.Fromourresults,weconcludethatsomeofthe we confirmed that MCM7 is primarily expressed in type A spermatogonia in the irradiated testis have KIT, spermatogonia and early primary spermatocytes (Com andtherefore,theblocktospermatogonialdifferentiation et al. 2006). In irradiated animals, the numbers of is not due to the absence of a defect in spermatogonia MCM7-positive spermatogonia indicated that all the involvingtheabsenceoftheKITreceptor. surviving spermatogonia were expressing MCM7 and Reproduction(2013)146363–376 www.reproduction-online.org Downloaded from Bioscientifica.com at 03/02/2023 12:05:02AM via free access
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