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1.
J Pediatr Surg ; 42(12): 1982-7, 2007 Dec.
Article in English | MEDLINE | ID: mdl-18082692

ABSTRACT

BACKGROUND: Extrapolation of rat testicular descent studies to humans has been criticized because of anatomical differences of the cremaster muscle. Human cremaster is described as a thin strip rather than a large, complete sac as in rats, which is proposed to be more important in propelling the testis during descent. This study investigated cremaster muscle anatomy and ontogeny in both normal and cryptorchid rat models. METHODS: Gubernacula from 4 groups of neonatal rats were sectioned longitudinally and transversely: normal Sprague-Dawley, capsaicin pretreated, flutamide pretreated, and congenital cryptorchid rats. Gubernacula were stained with hematoxylin-eosin, Masson trichrome, and desmin immunohistochemistry to study muscle development. RESULTS: Myoblasts are more numerous at the gubernacular tip, whereas the most differentiated muscle is proximal. Rat cremaster develops as an elongated strip rather than a complete sac derived from abdominal wall muscles. Flutamide and capsaicin pretreatment disrupts development. CONCLUSION: Rat cremaster muscle develops as a strip, bearing close resemblance to human cremaster muscle, permitting extrapolation of cremaster function to human testicular descent. The cremaster muscle appears to differentiate from the gubernacular tip during elongation to the scrotum, and requires intact sensory innervation and androgen.


Subject(s)
Spermatic Cord/anatomy & histology , Testis/anatomy & histology , Abdominal Muscles/anatomy & histology , Abdominal Muscles/growth & development , Animals , Animals, Newborn , Cryptorchidism , Disease Models, Animal , Female , Flutamide/pharmacology , Inguinal Canal/anatomy & histology , Inguinal Canal/growth & development , Male , Pregnancy , Random Allocation , Rats , Rats, Sprague-Dawley , Reference Values , Scrotum/anatomy & histology , Scrotum/embryology , Scrotum/growth & development , Sensitivity and Specificity , Spermatic Cord/embryology , Spermatic Cord/growth & development , Testis/embryology , Testis/growth & development
2.
J Pediatr Surg ; 42(9): 1566-73, 2007 Sep.
Article in English | MEDLINE | ID: mdl-17848250

ABSTRACT

AIM/BACKGROUND: How the gubernaculum guides the testis into the scrotum remains controversial, with various proposals from passive inversion to active growth. We aimed to determine if the gubernaculum contains an area of active proliferation, such as a "progress zone" in a growing embryonic limb bud, using a fluorescent cell membrane marker, 1,1'-didodecyl-3,3,3',3'-tetramethylindocarbocyanine perchlorate [DiIC12(3)], to trace cell migration, and 5-bromodeoxyuridine (BUDR) (a thymidine analogue) as a mitotic marker. METHODS: Gubernacula were collected from neonatal male rats (n = 42, day 1-2, Sprague-Dawley) and cultured with calcitonin gene-related peptide (CGRP; 714 nmol/L). 1,1'-didodecyl-3,3,3',3'-tetramethylindocarbocyanine perchlorate-coated glass beads (diameter, 150-212 microm) were placed next to the bulb for the first 3 hours. Gubernacula were cultured for 3, 18, and 24 hours, then frozen sections cut and examined by confocal microscopy (wavelength, 549 nm). In a second experiment, pups not exposed to exogenous CGRP (n = 53, day 0, Sprague-Dawley) were injected intraperitoneally with BUDR (50 mg/kg of body weight); gubernacula were collected at 2, 48, 72, and 96 hours postinjection (PI), sectioned, and stained using immunohistochemistry to count the number of BUDR-positive cells per 100 cells (labeling index) in the bulb, cremaster, cord, and epididymis. RESULTS: After 24 hours' culture with CGRP, the bulb showed an oval region (diameter, 300 microm) of high fluorescence, and the cremaster region showed elongated cells migrating out of the bulb. When cultured without CGRP, the same oval region contained no fluorescence. In vivo BUDR labeling index increased in all areas until 48 hours postinjection and then decreased most rapidly in the bulb (P < .05), in the presence of endogenous CGRP from the genitofemoral nerve. CONCLUSIONS: The rat gubernaculum contains a putative progress zone, such as in a growing limb bud, in the presence of CGRP. Cells migrate out of this zone to form cremaster muscle. We hypothesize that proliferation in the bulb elongates the gubernaculum, whereas proliferation of cremaster cells would increase gubernacular diameter. This brings to "life" the gubernaculum as an actively growing organ in contrast to the inert ligament connecting the testis to the scrotum portrayed in most anatomy textbooks.


Subject(s)
Cell Movement , Cell Proliferation , Limb Buds/embryology , Testis/embryology , Animals , Animals, Newborn , Bromodeoxyuridine , Calcitonin Gene-Related Peptide/pharmacology , Carbocyanines , Cell Count , Cell Differentiation , Cryptorchidism/embryology , Fluorescent Dyes , Ligaments/embryology , Male , Organ Culture Techniques , Rats , Rats, Sprague-Dawley
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