Epithelial cells line the lumen of tubular organs and are key players in their respective functions. They establish a unique luminal environment by providing a protective barrier and by performing vectorial transport of ions, nutrients, solutes, proteins, and water. Complex intercellular communication networks, specific for each organ, ensure their interaction with adjacent epithelial and nonepithelial cells, allowing them to respond to and modulate their immediate environment. In the epididymis, several epithelial cell types work in a concerted manner to establish a luminal acidic milieu that is essential for the post-testicular maturation and storage of spermatozoa. The epididymis also prevents autoimmune responses against auto-antigenic spermatozoa, while ensuring protection against ascending and blood pathogens. This is achieved by a network of immune cells that are in close contact and interact with epithelial cells. This review highlights the coordinated interactions between spermatozoa, basal cells, principal cells, narrow cells, clear cells, and immune cells that contribute to the maturation, protection, selection, and storage of spermatozoa in the lumen of the epididymis. Figure 1 Visualization of narrow cells (NCs) and clear cells (CCs) in the epididymis of transgenic mice expressing EGFP under the control of the promoter of the V-ATPase B1 subunit (B1-EGFP). EGFP + NCs (green) are located in the initial segment (IS), and EGFP + CCs (green) are located in the caput (A), corpus (C), and cauda (D) regions. (B) In the IS, NCs have a 'champagne glass' appearance and their nuclei are located in the apical region of the epithelium, compared to adjacent principal cells (PCs). A dense network of filamentous actin is seen in the apical stereocilia of PCs (labeled in red using phalloidin). Nuclei are labeled in blue using DAPI. Bars: A, C, D = 500 lm, B = 5 lm.
ANDROLOGY