Leydig cell development in humans, although for years described as being biphasic, with fetal and adult phases of maturation, is better considered as a triphasic developmental phenomenon. The morphological literature is summarized in this commentary. Although the majority of studies are of a qualitative nature and many questions remain as to the relative and absolute numbers of cells involved in these developmental phases, this literature is more consistent with a triphasic developmental pattern.This view of Leydig cell development is in accord with the well-known triphasic history of testosterone production, i.e. peaks at 14-18 weeks of fetal life, 2-3 months after birth, and from puberty throughout adult life. It is also significant that the neonatal phase of testosterone production is dependent upon reactivation of the hypothalamicpituitary-testicular axis (HPT). The current interest in the functional implications of the neonatal period will be better served by considering human Leydig cell development as triphasic.
The cellularity of the human prepubertal testicular interstitium has not been well studied at the ultrastructural level. In this study, testicular biopsies were obtained from 35 boys aged three to nine years and examined by electron microscopy to clarify and quantitate the cell types present during the prepubertal period. The prepubertal testicular interstitium is found to consist of immature Leydig cells (9%), primitive fibroblastic cells (63%) (intertubular in location), and attenuated peritubular fibroblasts (28%). The primitive fibroblastic cells and peritubular fibroblasts appear closely related, being distinguished mainly by shape and location. The immature Leydig cell type contrasts with the fibroblastic cell types by exhibiting an irregular nucleus with relatively little heterochromatin. The most impressive cytoplasmic feature is the moderate to extensive development of smooth endoplasmic reticulum in the form of anastamosing tubules. In contrast, the rough endoplasmic reticulum is not well developed. Other cytoplasmic characteristics are the highly developed Golgi elements and occasional lipid droplets and lysosomes. Glycogen is also often present and is generally found in those cells that do not contain a well-developed smooth endoplasmic reticulum. The ultrastructure of the immature Leydig cell is compared with that of the mature fetal and adult Leydig cells. Although generally found in small clusters between tubules, these cells are often attenuated and closely associated with the seminiferous tubules. Occasional intermediate cell morphologies suggest a relationship between the primitive fibroblasts and immature Leydig cells. The presence of small cells exhibiting a steroid-producing morphology, classified as immature Leydig cells, in the prepubertal testicular interstitium is an interesting finding and is in accordance with earlier studies on nonhuman mammals. It is unknown whether these cells are remnants of the fetal Leydig cell population or have differentiated neonatally from the primitive fibroblastic cells. It is suggested that the immature Leydig cells are the progenitors of the adult Leydig cell population.
The neonatal period in male development is characterized by an acute rise in serum testosterone, which peaks at 2 to 3 months of age. The purpose of this study is to examine the neonatal human testicular interstitium at 4 months for evidence of Leydig cell maturation, as well as any morphological criteria relating to the fate of Leydig cells during this period, specifically, for signs of cell regression. Leydig cells are described with impressive development of the steroid secreting apparatus, which are consistent with the mature Leydig cells found during early fetal development and in the adult. The outstanding feature of these cells is the "organelle association" of extensive, anastamosing tubules of smooth endoplasmic reticulum (SER), pleomorphic mitochondria with a component of tubular cristae, and abundant microperoxisomes associated with the SER. Well-developed Golgi elements, regionalized RER, and diverse cell inclusions are also characteristics of these cells. Reinke crystals and paracrystalline inclusions are absent. Gap junctions are common in this system and are notable in the asymmetric nature of the adjacent cytoplasmic components. These findings provide a morphologic correlate to the reported neonatal phase of testosterone production in man. Intermediate forms of Leydig cells are described with "organelle associations" including decreased SER with increased lipid droplets, and decreased SER with prominent cytoplasmic filaments and/or dramatic mitochondrial changes supportive of mitochondrial involution. Cells consistent with immature Leydig cells are also present. The rather impressive diversity in cell morphology present during this time frame of 4 months, slightly past the peak in testosterone production, provides evidence of Leydig cell regression and a continuity of the mature neonatal Leydig cells with the immature Leydig cells of childhood (Prince, 1984). There is also some evidence of cell degeneration. Although the developmental history of Leydig cells has been described for years as biphasic, it is time to view Leydig cell development in man as a triphasic event, fetal, neonatal, and pubertal.
We have utilized transmission electron microscopy to study oligodendrocyte-enriched cell cultures established from dissociated neonatal rat cerebra by the method of McCarthy and de Vellis [1980]. Cells were examined after 14 and 26 days in vitro. The overall morphology of the cells from cultures at both time periods was similar and consistent with previous reports of light (immature) oligodendrocyte fine structure. The cells contained an eccentrically located nucleus, prominent Golgi regions, numerous free ribosomes, and microtubules. Large numbers of processes with varying diameter were also observed. There was some indication of cytoplasmic maturation from the younger to the older cultures. The most important feature of the 26-day cultures was the large quantity of intercellular membranes which were shown to be continuous with oligodendrocyte processes. These membranes often exhibited the appearance of "loose myelin" and were therefore not normally compacted. Layers of membrane with the morphologic appearance of compact myelin were observed on an occasional oligodendrocyte perikaryon or process. This finding necessitates a reevaluation of the widely held theory that oligodendrocytes are not able to elaborate myelin in the absence of neurons.
Muscle biopsies were taken from the vastus lateralis of 12 males: 5 control subjects, 4 power lifters and 3 distance runners. Three fiber "types" were distinguished by comparing serial sections for alkaline myofibrillar adenosine triphosphatase (ATPase) and succinic dehydrogenase (SDH) activities: 1. high ATPase and low SDH; fast-twitch-glycolytic (FG). 2. High ATPase and high SDH; fast-twitch-oxidative-glycolytic (FOG). 3. Low ATPase and high SDH; slow-twitch-oxidative (SO). In some cases the distinction between the FOG and FG classess was not clear and a group termed "transitional" was employed. A variation in percentage of fiber types and fiber area was found among individuals. The percentage of SO fibers varied from 19.6-60.1% within all 3 groups, with a mean of 40.5%. In the control group approximately 75% of the fibers were oxidative (FOG + SO). The major characteristics of the lifters were a decrease in the percentage of FOG fibers and a hypertrophy of FOG and FG fibers. The distance runners had a high percentage of oxidative fibers with few FG fibers. It is suggested that the fast-twitch fibers are mainly involved in the adaptation of muscle to exercise since the percentage of SO fibers varies greatly among individuals within and between the 3 groups studied.
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