Abstract

Testicular tissue freezing has been proposed for fertility preservation in pre-pubertal boys. Thawed frozen testicular tissue must undergo a maturation process to restore sperm production. The purpose of the current study was to evaluate the ability of retinol to improve the in vitro differentiation of pre-pubertal mouse spermatogonial stem cells into sperm. Testes from pre-pubertal mice, aged 2.5 and 6.5 days post-partum, were cultured on agarose gel at a gas-liquid interphase for 34, 38 and 60 days (D) and for 16, 30 and 36 D respectively. Assessment of basal medium (BM) supplemented with retinol (RE) alone, FSH/LH alone or a combination of both, was performed. Stereological analyses and tissue lesion scoring were performed at the culture time points indicated above. Sperm production was quantified at D30 and D34 after mechanical dissection of the testicular tissues. FSH/LH significantly increased the percentage of round spermatids at D30 and D38, when compared to BM alone. However, RE significantly increased the percentages of round but also elongated spermatids at D30 and D34. Moreover, RE significantly increased the number of spermatozoa per milligram of tissue at D30 and D34 when compared to BM. Therefore, RE improved the in vitro production of spermatids and spermatozoa from pre-pubertal SSCs during the first wave of spermatogenesis. The use of RE could be a useful tool for in vitro spermatogenesis from pre-pubertal human testicular tissue.

Highlights

  • Male fertility preservation should be proposed before exposition to gonadotoxic treatment and is principally indicated before cancer treatment

  • The greatest seminiferous tubule areas were obtained with FSH/LH when compared with basal medium (BM) and RE at D38 (p = 0.02 and p = 0.01 respectively) and D60 (p = 0.01)

  • We showed that RE significantly enhanced the in vitro production of spermatids and spermatozoa from mice spermatogonial stem cells (SSCs) at D30 of culture

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Summary

Introduction

Male fertility preservation should be proposed before exposition to gonadotoxic treatment and is principally indicated before cancer treatment. Frozen thawed SSCs must undergo a maturation process to restore sperm production. This process can be achieved through in vitro culture of isolated SSCs or organotypic culture of testicular fragments [4, 5]. Spermatogenesis was maintained over two months, and the spermatids or spermatozoa obtained after in vitro maturation were used to produce healthy and reproductively competent offspring through intra-cytoplasmic sperm injection. Taken together, these data demonstrate an improvement in organ culture system over time through changes in the culture medium composition and in the germ cell microenvironment

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