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Histological alterations in Leydig cells and macrophages in azoospermic men
Author(s) -
Mahran A. M.,
Elgamal D. A.,
Ghafeer H. H.,
AbdelMaksoud S. A.,
Farrag A. A.
Publication year - 2017
Publication title -
andrologia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.633
H-Index - 59
eISSN - 1439-0272
pISSN - 0303-4569
DOI - 10.1111/and.12714
Subject(s) - azoospermia , obstructive azoospermia , sertoli cell , andrology , testicular sperm extraction , cd68 , leydig cell , endocrinology , medicine , biology , spermatogenesis , immunohistochemistry , infertility , luteinizing hormone , hormone , pregnancy , genetics
Summary The study aimed to compare the histological features of Leydig cells and macrophages in the testicular interstitium of obstructive versus nonobstructive azoospermia. Thirty‐nine azoospermic men undergoing testicular sperm extraction during intracytoplasmic sperm injection were allocated into obstructive azoospermia group ( GI ) and nonobstructive azoospermia group ( GII ) which was subdivided into Sertoli cell‐only syndrome ( GIIA ), germ cell arrest ( GIIB ) and hypospermatogenesis ( GIIC ) subgroups. Serum LH , FSH and testosterone levels were measured. Ultrastructural changes and the mean number of CD 68‐positive cells were estimated in the different groups. In GIIA , Leydig cells' processes came in contact with macrophages and showed smooth endoplasmic reticulum dilatation. In GIIB , Leydig cells showed apoptotic changes. Macrophages were commonly encountered in their vicinity demonstrating large number of lysosomes. In GIIC , Leydig cells showed euchromatic nuclei. Macrophages showed expulsion of their lysosomal contents in the interstitium surrounded by apoptotic bodies. The mean count of total CD 68‐positive macrophages was higher in cases of obstructive azoospermia with nonsignificant differences compared to nonobstructive azoospermia groups. Significant increase in FSH level was detected in GIIA compared to GI . It is concluded that structural interactions might take place between Leydig cells and macrophages in the interstitial tissue of azoospermic men.