Electron microscopic observation of the peritubular wall of the seminiferous tubules was made on 15 clinical cases, including one normal adult, one infant, 11 of hypospermatogenesis (oligospermia 7; azoospermia 3; hematospermia 1), 2 of Klinefelter's syndrome. The conclusion was as follows:1) The peritubular wall of the seminiferous tubules in the normal adult and infant showed the three main layers: (1) the basement membrane; (2) the non-cellular layer, containing mainly collagen fibers and very fine filaments; (3) the cellular layer, consisting of myofibroblast like cells and a few collagen fibers. The last two layers were composed of the so-called tunica propria.2) The basement membrane of the seminiferous tubules in hypospermatogenesis revealed the various changes such as “Infolding”, “Lamellation”, “Thickening”, and “Pleat”. These changes were essentially similar to the changes due to X-irradiation, local heat, inflammation, chemical stimulation and hypophysectomy in rat and mouse testis.3) The protrusion of the basement membrane into seminiferous epithelium has been called “Infolding”. The infoldings showed a spherical and columnar shape, and in part irregular projections. Two types of the infolding were recognized.Type 1: The basement membrane protruded into the intercellular clefts between the spermatogonias or between the spermatogonia and Sertoli cell. This type of the infolding which was variously crooked showed a columnar, club like or sometimes labyrynthic shape. Its surface was irregularly uneven and showed in part projections. The size ranged from about 1-2μ to about 6-10μ. In some cases, the top of the giant infolding reached as far as the height of the spermatogonia. This type was recognized mainly in hypospermatogenesis.Type 2: The basement membrane protruded directly into the cytoplasma of the Sertoli cell and occasionally spermatogonia. The shape appeared spherical and oval, and the size was about 1-2μ. This type was recognized mainly in Sertoli tubules.4) The findings of the basement membrane was classified into four major types. (Cf. Fig. 21)Type A: The basement membrane was thin, about 0.1μ in thickness, and was seen to be a monoor di-lamellar structure. Small infoldings (almost Type 1) were rarely present. This type was recognized in normal and in mild hypospermatogenesis.Type B: The basement membrane showed a polylamellar structure. The infoldings, which were mainly Type 2, were frequently present. The pleats of the basement membrane were regularly seen. This type was recognized in mild, moderate, severe hypospermatogenesis.Type C: The infoldings, lamellation, and pleats were frequently observed. Type of the infolding was almost Type 2. This type C was recognized in Sertoli tubules.Type D: The basement membrane became thick, but the lamellar structure was obscure. Type of the infolding was almost Type 2. The pleats were not observed. This Type D was recognized in Sertoli tubules.Moreover, the basement membrane-like structure could not been observed in the hyalinized seminiferous tubules, and the hyalinized space was occupied by a great number of collagen fibers. By electron microscope, the basement membrane of Sertoli tubules were divided into two different types, that is Type C and Type D, although light microscope could not distinguish between both typse.5) The striking change of the tunica propria was a marked increase of collagen fibers in hypospermatogenesis. In such a case, collagen fibers were increased not only in the non-cellular layer, but also between peritubular cells in the cellular layer.6) The degree of the changes in the basement membrane and tunica propria was almost proportional to the histological classification of spermatogenic failure. The more testicular damage, the more marked the changes of infolding, lamellation, thickening, pleat in basement membrane.
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