You have accessJournal of UrologyCME1 Apr 2023MP01-11 IN VITRO PROPAGATION OF UNDIFFERENTIATED SPERMATOGONIA ISOLATED FROM A 46, XX MALE TESTIS Mark Xu, Aaron Bradshaw, Harpreet Gosal, Abinav Udaiyar, Omar Abdelaal, Kimberly Stogner-Underwood, Stuart Howards, Tamer Yalcinkaya, Anthony Atala, and Hooman Sadri-Ardekani Mark XuMark Xu More articles by this author , Aaron BradshawAaron Bradshaw More articles by this author , Harpreet GosalHarpreet Gosal More articles by this author , Abinav UdaiyarAbinav Udaiyar More articles by this author , Omar AbdelaalOmar Abdelaal More articles by this author , Kimberly Stogner-UnderwoodKimberly Stogner-Underwood More articles by this author , Stuart HowardsStuart Howards More articles by this author , Tamer YalcinkayaTamer Yalcinkaya More articles by this author , Anthony AtalaAnthony Atala More articles by this author , and Hooman Sadri-ArdekaniHooman Sadri-Ardekani More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003212.11AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The SRY-positive 46, XX genotype is a testicular disorder of sex development found in 1/20,000 males. Patients are phenotypically male with small testes, variable hypogonadism, and azoospermia. Current literature has not yet documented spermatogonia in 46 XX male patients. This study aimed to identify and propagate spermatogonia in vitro in a 46, XX male. METHODS: A 28-year-old Caucasian male was initially suspected of having Klinefelter Syndrome (XXY), but karyotype and FISH analysis found a 46, XX genotype with a Y chromosome translocation containing the SRY gene onto the short distal arm of the X chromosome. He underwent experimental bilateral microscopic testicular biopsy and tissue preservation under IRB protocol. Fresh tissue was sent for histopathologic analysis using H&E staining and immunostaining of undifferentiated spermatogenic markers, including PGP 9.5/UCHL1 and ZBTB16. Biopsy portions from bilateral testes were used for characterization. Digital PCR and Real-time Quantitative (RT-Q) PCR were performed with ZBTB16 (undifferentiated spermatogonia), STAR (Leydig cell), CD34 (Peritubular cell), and SOX9 (Sertoli cell) target primers on testis samples from both sides. Isolated cells from the right testicular biopsy were cultured in the StemPro medium for four weeks. RT-QPCR was performed with target primers for undifferentiated spermatogonia (ZBTB16, UCHL1, THY1, CD9, ITGA6, ITGB1), Sertoli (SOX9, GATA4, CYP19a1), Leydig (STAR, CALB2), and peritubular cells (CD34). Digital PCR was performed using ZBTB16 target primer to quantify undifferentiated spermatogonia. Flow cytometry on cultured cells identified the spermatogonia stem cell (SSC) population as negative for HLA-ABC and positive for CD9 and CD49f. RESULTS: Testes exhibited Leydig cell hyperplasia, seminiferous tubule hyalinization like in Klinefelter Syndrome, and tubules filled mainly with Sertoli cells. Rare cells in seminiferous tubules were weakly positive for PGP9.5 and ZBTB16, representing undifferentiated spermatogonia. Digital and RT-QPCRs of testis tissue and cultured cells found evidence of all major testicular somatic cells and undifferentiated spermatogonia. Digital PCR for ZBTB16 identified 7.61% of cultured cells as undifferentiated spermatogonia and 0.71% as SSCs. Flow cytometry identified 2.52% of cultured cells as SSCs. CONCLUSIONS: This is the first study suggesting the presence of SSCs in 46 XX male testes. Future work will focus on further characterization of cultured testicular cells and In Vitro or In Vivo differentiation of SSCs from XX male testis. Source of Funding: WFIRM © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e6 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Mark Xu More articles by this author Aaron Bradshaw More articles by this author Harpreet Gosal More articles by this author Abinav Udaiyar More articles by this author Omar Abdelaal More articles by this author Kimberly Stogner-Underwood More articles by this author Stuart Howards More articles by this author Tamer Yalcinkaya More articles by this author Anthony Atala More articles by this author Hooman Sadri-Ardekani More articles by this author Expand All Advertisement PDF downloadLoading ...
Read full abstract