leuprolide and 2-5-hexanedione

2,5-Hexanedione is the toxic metabolite resulting from oxidation of the commonly used solvents n-hexane and methyl n-butyl ketone. Exposure to 2,5-hexanedione or its precursors results in a slowly progressive peripheral polyneuropathy and testicular injury. The chemical basis of the injury involves reaction of 2,5-hexanedione with protein amines, such as the epsilon-amine of lysine, to form pyrroles which further react to form protein-protein crosslinks. The target cell of injury in the testis is the supportive cell in the seminiferous epithelium, the Sertoli cell. A major function of the Sertoli cell is to nurture the dependent germ cell population by secreting seminiferous tubule fluid. 2,5-Hexanedione-induced crosslinking of the microtubule subunit protein, tubulin, leads to altered Sertoli cell microtubule-dependent transport and deficient formation of seminiferous tubule fluid, compromising germ cell viability. In an established model of testicular injury, rats are exposed to 1% 2,5-hexanedione in the drinking water for a period of 3-5 weeks. Three weeks after initiating exposure, decreased seminiferous tubule fluid secretion initiates a wave of germ apoptosis which peaks during the 5th week. The germ cell content of the injured testis continues to decline after cessation of the exposure, reaching a nadir during the 12th week. From this time onward, the testis is severely atrophic with less than 1% of seminiferous tubules in a testicular cross section containing germ cells more advanced than spermatogonia. Interestingly, this persistent state of post-injury 'irreversible' atrophy in the rat is characterized by the presence of a proliferating stem germ cell population which produces differentiating spermatogonia which then die by apoptosis. Serial cross sections of bromodeoxyuridine-labeled testis were analyzed to determine the kinetics of stem germ cell proliferation. Approximately 40% of stem cells (identified as single cells in the seminiferous epithelium) were actively proliferating with a cell cycle time of 8-14 days. Analysis of the total germ cell population present and modeling using the known cell cycle times of differentiating spermatogonia indicated a block in differentiation at the level of type A3/A4 spermatogonia. Quantitation of the frequency of apoptosis indicated that all of the germ cells died prematurely by this mechanism. Leuprolide is a gonadotropin-releasing hormone agonist which produces a profound suppression of testosterone le

Topics: Animals; Cell Division; Hexanones; Humans; Leuprolide; Male; Spermatogenesis; Spermatozoa; Testis

2,5-Hexanedione (2,5-HD) exposure in the rat produces irreversible testicular atrophy, a model of human male infertility that can be used for mechanistic and therapeutic studies. Following testicular injury by 2,5-HD, stem cell factor (SCF), a Sertoli cell-derived growth factor that binds the c-kit receptor on spermatogonia, is altered in its expression, changing from predominantly membrane SCF to predominantly soluble SCF. The goals of this study were 2-fold: first, evaluate leuprolide, a GnRH agonist, as a therapy for 2,5-HD-induced testicular atrophy, and second, examine changes in SCF expression during testicular injury and following recovery from injury. Rats exposed to 2,5-HD showed a nearly complete testicular atrophy that could be reversed by leuprolide therapy. Using RT-PCR, preferential expression of membrane SCF was associated with spermatogenesis, whereas soluble SCF expression was associated with atrophy. In conclusion, 2,5-HD exposure altered the form of SCF expressed and disrupted spermatogenesis; leuprolide therapy allowed recovery of spermatogenesis, which correlated with a normalization in growth factor expression in an otherwise irreversibly atrophic testis.

Topics: Animals; Atrophy; Hexanones; Leuprolide; Male; Rats; Rats, Inbred F344; Spermatogenesis; Stem Cell Factor; Testis