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Institute of Human Genetics (I.M.A., T.T., I. P., W.E.), University of Göttingen, D-37073 Göttingen, Germany; Department of Embryology (G.S.), University of Göttingen, D-37075 Göttingen, Germany; and Department of Biochemistry and Molecular Biology (E.E.B., C.S.), Medical University of South Carolina, Charleston, South Carolina 29425
Address all correspondence and requests for reprints to: Dr. Ibrahim M. Adham, Institute of Human Genetics, University of Göttingen, Heinrich-Düker-Straße 12, 37073 Göttingen, Germany. E-mail iadham{at}gwdg.de
| ABSTRACT |
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| INTRODUCTION |
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In sexually undifferentiated embryos the gonads are located on the ventrolateral aspect of the kidney and attached to the abdominal wall by the cranial suspensory ligament (CSL) and the gubernaculum, which are derived from the cranial and caudal part of the gonadal mesentery, respectively. The different positions of testes and ovaries are the result of the differential development of both ligaments in males and females. Regression of the CSL and growth of the gubernaculum cause descent of the testis into the inguinal region of the abdominal cavity. In the female, in contrast, development of the CSL and impairment of the gubernaculum growth result in localization of the ovary lateral to the kidneys (reviewed in Ref. 2). Gonadal hormones control the development of both ligaments. Regression of the CSL in females after prenatal exposure to androgens, and continued development of the gubernaculum in males after prenatal treatment with antiandrogen, demonstrates that androgens prevent the development of the CSL primordia (3, 4, 5). Localization of ARs in the CSL and development of the CSL in mice with testicular feminization, which have a nonfunctional AR, further demonstrate the sensitivity of the CSL to androgens (6, 7). Impairment of gubernaculum growth in Insl3-deficient male mice leaves no doubt about the importance of this factor in gonadal positioning (8, 9). In the double mutant mice that lack the androgen- and Insl3-mediated activities, the ovaries are positioned as in wild-type females, which provides strong evidence for the essential role of both hormones in sex-specific positioning of the gonads (8, 10).
The development of the gubernaculum during the transabdominal descent, which occurs in mice between embryonic d 15.5 (E15.5) and E17.5, is characterized by rapid proliferation of the mesenchymal cells and by differentiation of the outer cellular layers into myoblasts (11, 12). During the inguinoscrotal descent of the testis, which occurs in mice during the first 3 wk of postnatal development, the mesenchymal cells of the gubernacular bulb gradually disappear while the muscular layer invaginates and grows caudally into the space of the degradated mesenchymal core of the gubernaculum bulb. The invagination of the muscular layer in the direction of the developed scrotum forms the processus vaginalis, which is also called the cremastric sac (13). Contraction of the inverted cremaster muscle and the intraabdominal pressure move the testes into the scrotum. Because the processus vaginalis in rodents does not develop into a narrow inguinal canal, as seen in humans, the testis can freely pass from the scrotum to the abdominal cavity.
The Insl3, a member of the insulin superfamily, is synthesized as preproprotein in the Leydig cells during all phases of life and, after birth, in the theca and granulosa cells of the ovary (14, 15). Although the structure of circulating Insl3 is unknown, the presence of certain conserved amino acids of the A and B chains at the N and C termini of the pro-Insl3 suggests that the mode of in vivo processing of pro-Insl3 and the resulting structure of Insl3 is similar to that of insulin and relaxin (16). It is known that the processing of the proinsulin occurs in the trans-Golgi by a regulated secretory pathway (17, 18), whereas in hepatocytes, which have only a constitutive pathway of protein secretion, proinsulin processing to insulin is extremely inefficient (19, 20). To assess the efficiency of the pancreas in processing the pro-Insl3 to the biologically active Insl3 hormone and to determine the ability of the Insl3 to stimulate gubernaculum development in female embryos, we overexpressed Insl3 in the pancreatic islets during pre- and postnatal development. The gene was targeted using the upstream regulatory sequences of rat insulin II (Insl2) gene (21). The transgenic females displayed inguinal hernia, and their ovaries had descended into the inguinal region. Using histological and scanning electron microscopic analyses, we investigated development of the gubernaculum during fetal life. To determine whether the pancreatic Insl3 would rescue cryptorchidism observed in the Insl3-deficient males, we introduced the transgenic allele into the Insl3-/- mice.
| RESULTS |
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The efficacy of the transgenic allele as regards descent of testes in the Insl3-deficient male was tested in the Insl3-/- male transgenic for Insl2-Insl3. Anatomical analyses of fetuses at E17.5 and of adult Insl2-Insl3: Insl3-/- males revealed normal descent of testes to the inguinal region at E17.5 and into the scrotum of adult mice (data not shown). Breeding of these adult males with wild-type females resulted in pregnancies with normal litter size. From these results we conclude that pancreatic Insl3 rescues cryptorchidism resulting from the deletion of the testicular endogenous Insl3 gene. Furthermore, the transient increase in the level of the Insl3 expression during postnatal development does not affect male fertility.
| DISCUSSION |
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Tissue-specific expression of the transgene has been achieved by using the well characterized rat insulin II gene regulatory sequences, which have been used for starting the ß-cell-specific expression of a reporter gene from E12 in an in vivo model system (22). The rationale for choosing the rat insulin II promoter to direct the expression of the Insl3 is 2-fold: 1) Insulin appears in the developing mouse pancreas at E12.5 (23, 24), which means that the pancreatic Insl3 will be produced in male and female embryos when gubernaculum development occurs. In contrast, endogenous Insl3 is only expressed in the male embryos; 2) The enzymatic machinery in ß-cells that converts proinsulin to insulin might efficiently process the pro-Insl3 to bioactive Insl3. This proved to be correct according to our results.
Using this strategy, we have generated five independent transgenic lines. The expression of the Insl3 in the pancreatic islets has been demonstrated by mRNA and protein analysis. Functional complementation with the transgene rescued cryptorchidism in the Insl3-/- male, which leaves no doubt about the importance of Insl3 and the competence of the secretory pathway in islet ß-cells to process the pro-Insl3 to a functional hormone.
The asymmetry of the gonadal positions observed in the true hermaphrodite, where the testes are descended on one side while on the contralateral side there are undescended ovaries or ovotestes, suggests that the Insl3 reaches the gubernaculum by exocrine transport and acts locally. However, the induction of gubernacular development in transgenic females and Insl2-Insl3: Insl3-/- males by pancreatic Insl3 clearly shows that Insl3 exerts biological activity via an endocrine pathway. Further support for that proposition comes from the work of Büllesbach et al. (25), who showed also that the human INSL3 circulates at a high level in postpubertal males.
The testicular descent in mice is essentially a two-step process. In the first step or intraabdominal descent, which occurs between E15.5 and E17.5, the development of the gubernaculum and regression of the CSL cause the testis to migrate into the inguinal region. In the second step, the inguinoscrotal descent, which occurs in the first 3 wk after birth, the evagination of the outer myoblast layer of the gubernaculum and the caudal extension into the developed scrotum create the extraabdominal space into which the testes descend. Several experiments suggest that the inguino-scrotal descent of testes is mediated by androgens (26, 27). The development of the processus vaginalis in the transgenic female may rule out participation of the androgen-mediated activity in the evagination of the gubernaculum and the formation of the processus vaginalis. Thus, our results are consistent with the presence of an inguinal hernia in all human males with complete androgen-insensitivity syndrome (28, 29).
Because all transgenic lines show a similar disruption of fertility in females, it is unlikely to be caused by integration of the transgenic allele into an unrelated gene. The follicle development in the transgenic mice, as monitored by histological analysis, seems to be unaffected. The pregnancies of these animals are normal until d 8.5, but between gestation d 10.5 and 14.5 approximately half of the embryos die. In wild-type mice, the level of Insl3 expression in ovaries remains fairly constant between d 0.5 and 8.5, falls to a barely detectable level between gestation d 8.517.5, and increases again on d 18.5. It seems likely that overexpression of the pancreatic Insl3 during midpregnancy explains the fetal death in the transgenics. Loss of fetuses in the transgenic females mimics a disease phenotype mouse model with a mutation in the 5a-reductase type 1 gene (Srd5a1). In that case the elevation of estrogens in the Srd5a1-/- mice during midgestation causes fetal death (30). It would be of interest to determine which tissues are targeted in the transgenic female and the mechanism by which the overexpression of the Insl3 exerts this lethal effect on embryos.
The development of the processus vaginalis in the Insl2-Insl3 transgenic females resembles, to some extent, infant girls with congenital inguinal hernias. Inguinal hernias are common in preterm and low-birth-weight infants with a male-to-female ratio of 8:1 (31, 32, 33). The clinical definition of the inguinal hernia in a girl is a bulge or swelling in the inguinal region, which becomes more prominent with increased intraabdominal pressure such as crying or straining. The developed processus vaginalis in patients contains peritoneal contents such as intestinal loops and, in some cases, ovaries (34). The phenotypic similarity between the transgenic females and infant girls with congenital inguinal hernia led us to suggest that misexpression of Insl3 during prenatal development or the overexpression of the Insl3 in the mother during midgestation may be the cause of the development of the gubernaculum and, consequently, the development of the processus vaginalis in the affected girls.
| MATERIALS AND METHODS |
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The rat insulin II promoter-mouse Insl3 hybrid gene (Insl2-Insl3) was separated from the pZ-RTP-Insl3 construct by SpeI/ApaI, purified by agarose gel electrophoresis, and microinjected into fertilized FVB/N eggs to generate transgenic mice. Mice were genotyped for the presence of the transgene by Southern hybridization analysis and by PCR designed to amplify a region spanning the junction between the rat Insl2 promoter and the mouse Insl3 gene. Oligonucleotide primer sequences were Insl2F, 5'-TTTGGACTATAAAGCTAGTGG; Insl3R, 5'-AGTTTGAATCCAGCCTGGTCC. Thermal cycling was carried out for 35 cycles, denaturation at 94 C for 30 sec, annealing at 54 C for 30 sec, and extension at 72 C for 45 sec. Southern hybridization analysis of tail-derived genomic DNA digested with SstI was performed according to standard methods using the 570-bp EcoRI/SsII of the rat Insl2 promoter as probe. Transgenic lines were maintained on the genetic background of FVB/N. All animal experiments were carried out using protocols approved by the Medical Faculty of the University of Göttingen and Research Advisory Committee.
Androgen-Treated Mice
Four-week-old transgenic females were mated, and the presence of
a vaginal plug was considered d 0.5. Pregnant females were injected
daily sc beginning on d 12.5 through d 16.5 with 0.5 mg 5
-dihydrotestosterone propionate (Steraloids, Hamilton, NH) in 0.1 ml
olive oil (n = 3), or with oil only (n = 3). Female offspring
were killed at the age of 4 wk, and the internal genitalia were exposed
by macroscopic dissection and photographed.
RNA Analysis
Different tissues were dissected out from 3-month-old wild-type
and transgenic mice or from the pancreas of 10-, 20-, 30-, and 60-d-old
males, and 6.5-, 8.5-, 10.5-, 12.5-, and 14.5-d pregnant
females. Total RNA was prepared using the RNA now Kit (ITC
Biotechnologies, Heidelberg, Germany) according to the manufacturers
recommendations. Total RNA (10 µg) was electrophoresed on a
1% formaldehyde gel and transferred onto a nylon membrane. The
membrane was hybridized with 32P-labeled
Insl3 cDNA fragment (14). RNA integrity was
checked by rehybridization of blots with a cDNA probe for human
elongation factor-2 (35).
Scanning Electron Microscopy and Histological Analysis
After material was preserved for genotyping, the abdominal
cavity of the E17.5 was opened, and the gastrointestinal tract and the
urinary bladder were removed. After fixation by immersion in 1.5%
glutaraldehyde in Lockes solution for 12 h and dehydration in a
graded ethanol series, the embryos were dried to the critical point
using ethanol as the transitional and CO2 as the
exchange fluid. The dried specimens were mounted with conducting silver
and spattered with gold palladium to a layer of about 40 nm.
Specimens were examined and photographed in a DSM 960 scanning electron
microscope (Carl Zeiss, Thornwood, NY).
For histological analysis, embryos (E17.5 dpc) were collected in PBS, fixed in Bouins fixative, embedded in paraffin, sectioned at 10 µm, and stained with hematoxylin-eosin.
Immunohistochemistry
Pancreas from wild-type and Insl2-Insl3 transgenic
mice were fixed in 10% formalin overnight and transferred to 70%
ethanol before paraffin embedding. Sections (7 µm) were dewaxed in
xylene and sequentially rehydrated. Thereafter, tissue sections were
preincubated for 1 h with 5% normal goat serum in 0.05% Triton
X-100/PBS and incubated overnight at 4 C with 1:500 rabbit anti-Insl3
antiserum, washed in PBS (three times), and then incubated with
alkaline phosphatase-conjugated goat antirabbit antibody (1:500)
(Sigma) for 30 min at room temperature. After washing in
PBS (three times) for 5 min, the immunoreactivity was revealed by
incubating the sections with a solution containing feast red
TR/naphthol AS-Mx phosphate tablets (Sigma). Sections were
counterstained for 7 min with hematoxylin.
Rabbit Antimouse Insl3 Antibodies
Mouse Insl3 was synthesized according to the cDNA sequence
(14). It consisted of a 26-amino acid residue A chain and
a 31-residue B chain linked by an insulin-like disulfide bonding
pattern. The mouse Insl3 chains were synthesized by solid-phase
chemistry and combined by sequential, site-directed disulfide bond
formation as described for human Insl3 (36). Two rabbits
received injections of 50 µg mouse Insl3 (sc) each in monthly
intervals. Antibodies were produced in the Antibody Facility at the
Medical University of South Carolina using approved protocols. Blood
collections were made about 2 wk after booster injections, and the
serum titer was determined by RIA using
125I-desaminotyrosyl mouse Insl3 as tracer and
goat-antirabbit IgG-conjugated cellulose as second antibody. The
antibody does not recognize insulin or relaxin.
Generation of Insl2-Insl3:Insl3-/-
Mice
Mating Insl2-Insl3 hemizygous males with homozygous
females for the Insl3-null mutation produced
Insl2-Insl3:Insl3-/- mice. Offspring of
this cross, which were both hemizygous for the Insl2-Insl3
transgene and heterozygous for the Insl3-null gene, were then crossed
to produce mice homozygous for the disrupted Insl3 gene and
hemizygous for the Insl2-Insl3 transgene
(Insl2-Insl3:Insl3-/-).
The wild-type and Insl3-null allele was identified as previously
described (8).
Statistical Analysis
The t test was used to determine the significance of
differences in litter size, and the
2 test was
used as an indicator of significance of genotype recognition.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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Abbreviations: CSL, Cranial suspensory ligament; E15.5, embryonic d 15.5.
Received for publication May 15, 2001. Accepted for publication September 28, 2001.
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