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Endocrinology Vol. 141, No. 10 3792-3798
Copyright © 2000 by The Endocrine Society


ARTICLES

The Differential Fate of Mesonephric Tubular-Derived Efferent Ductules in Estrogen Receptor-{alpha} Knockout Versus Wild-Type Female Mice1

Cheryl S. Rosenfeld, Paul S. Cooke, Thomas H. Welsh, Jr., Gretchen Simmer, Martha G. Hufford, Jan-Åke Gustafsson, Rex A. Hess and Dennis B. Lubahn

Departments of Animal Sciences, University of Missouri (C.S.R., D.B.L.), Columbia, Missouri 65211; Veterinary Biosciences, University of Illinois (P.S.C., R.A.H.), Urbana, Illinois 61802; Animal Science, Texas A & M University (T.H.W.), College Station, Texas 77843; Biochemistry and Child Health, University of Missouri (G.S., M.G.H., D.B.L.), Columbia, Missouri 65211; and Medical Nutrition and Biosciences, Karolinska Institute, NOVUM (J.-Å.G.), S-141 86 Huddinge, Sweden

Address all correspondence and requests for reprints to: Dennis B. Lubahn, Ph.D., University of Missouri, 163 ASRC, 920 East Campus Drive, Columbia, Missouri 65211. E-mail: lubahnd{at}missouri.edu


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
We investigated mesonephric tubular-derived efferent ductules in female wild-type (WT) and estrogen receptor-{alpha} knockout (ER{alpha}KO) mice from late fetal to adult life. On gestational day 17, efferent ductules in both fetal WT and ER{alpha}KO females were well developed and morphologically similar, although one third the size of the male counterpart. Unexpectedly, efferent ductules with a ciliated epithelium were still present on postnatal day 10 in WT and ER{alpha}KO females. By day 23, however, marked phenotypic differences occurred in efferent ductules of WT and ERßKO vs. ER{alpha}KO female mice. In the latter, efferent ductules became hypertrophied and dilated, whereas only small tubules remained in WT and ERßKO adult mice. The serum testosterone concentrations were similar in 21- to 25-day-old ER{alpha}KO, heterozygous, and WT female mice, suggesting that increased testosterone was not inducing enlargement of efferent ductules in ER{alpha}KO females. In conclusion, remnants of efferent ductules persisted in normal adult female mice, although these structures were greatly reduced in size compared with efferent ductules in ER{alpha}KO female mice. The underlying mechanism inducing hypertrophy and dilation of efferent ductules in ER{alpha}KO females is not clear, but secretory and/or reabsorptive function of female efferent ductules may involve ER{alpha}.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
THE DEVELOPING fetus is initially ambisexual and develops either a male or a female reproductive tract in response to gonadal hormones. In the male, the mesonephric (Wolffian) duct develops into the seminal vesicles, ductus deferens, and epididymis, whereas the mesonephric tubules form the efferent ductules (1). In the female, the paramesonephric (Mullerian) duct develops into the oviduct, uterus, cervix, and cranial portion of the vagina (1). As both Mullerian and Wolffian tracts are initially present in the developing fetus, one or the other must regress depending upon the sex. The gonads, which differentiate early in embryogenesis (1), play a critical role in reproductive tract development and regression. Jost showed that implantation of a testosterone crystal into female embryos led to full development of the male reproductive tract, but exogenous testosterone did not induce regression of the female reproductive tract (2). Therefore, some other substance originating from the testes must mediate Mullerian duct regression in males.

The anti-Mullerian hormone or Mullerian inhibiting substance was later identified as a glycoprotein hormone that is produced by Sertoli cells and belongs to the transforming growth factor-ß superfamily (3). The female fetus does not produce Mullerian inhibiting substance, and so the Mul- lerian duct fails to regress. The absence of androgen stimulation has been thought to result in regression of the mesonephric duct and tubules in females. However, in the female fetus the underlying mechanism inducing involution of the tissues derived from the mesonephros remains poorly understood. Based on Jost’s experiments, there appeared to be no role for the ovary or specifically for estrogen in reproductive tract development or regression (2), although estrogen regulates sexual differentiation in fish (4), turtles (5), reptiles (6), and birds (7, 8).

The mesonephric duct has been reported to regress completely by 18 and 75–84 days postcoitus in female mice (9) and humans (10), respectively. In some adult women, however, vestigial structures derived from the mesonephric tubules have been reported next to the ovary (11). Prenatal exposure to diethylstilbestrol (DES) leads to the development of para-ovarian cysts of mesonephric origin in both adult women and mice (12, 13). In utero exposure to estradiol in female rats causes persistence of the mesonephric duct (14). Additionally, probable mesonephric neoplasms have been identified in women (15, 16).

The estrogen receptor-{alpha} knockout (ER{alpha}KO) female mouse offers a unique and definitive model system for determining any potential role of ER{alpha} in regulating the function of mesonephric tubules in the female. In the present report, we describe these structures in wild-type (WT) and ER{alpha}KO females. Our results indicate that mesonephric tubules persist as vestigial efferent ductules in normal female mice. Surprisingly, efferent ductules of ER{alpha}KO female mice were markedly enlarged and dilated, suggesting that the lack of ER{alpha} results in marked hypertrophy of these structures.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Animals
ER{alpha}KO (17), ERßKO (18), and WT female mice of pure C57BL/6J and a mixed C57BL/6J/129 background were maintained and used in accordance with the NIH Guide for the Care and Use of Laboratory Animals. The University of Missouri and University of Illinois animal care and use committees approved all experiments reported here. The mice were housed at either the University of Missouri Animal Sciences Research Center laboratory animal facility (ER{alpha}KO and WT) or the University of Illinois laboratory animal facility at the College of Veterinary Medicine (ERßKO and WT), maintained on ad libitum mouse chow soy-based formulation 5001 (Ralston-Purina, St. Louis, MO) and water, and kept on a 12-h dark and 12-h light cycle. The genotypes of the mice were determined by PCR analysis, as described previously (17).

Examination of mesonephric tubular-derived female efferent ductules in WT, ER{alpha}KO, ER{alpha} heterozygous, and ERßKO mice
Mesonephric tubular-derived efferent ductules were examined in fetal WT (n = 5) and ER{alpha}KO (n = 4) female mice between 17 and 19 days postcoitus, postnatal WT (n = 10) and ER{alpha}KO (n = 10) female mice between 10 and 25 days of age, and in adult (8–12 weeks) WT (n = 50), maternally (n = 6) and paternally (n = 6) derived ER{alpha} heterozygous, and ER{alpha}KO (n = 50) female mice. Efferent ductules were also examined in adult (16–24 weeks) ERßKO (n = 4) and WT (n = 4) female mice. An Olympus Corp. stereomicroscope (Hitschfel Instruments, Inc., St. Louis, MO) was used in the dissection and examination of the tissues.

Light microscopic and transmission electron microscopic examination of efferent ductules in WT and ER{alpha}KO female mice
Ovaries with associated efferent ductules were fixed in either Bouin’s or 4% glutaraldehyde fixative with 0.1 M cacodylate buffer. The tissues were then embedded in paraffin or epoxy resin. Sections (3–4 µm) were cut from paraffin-embedded tissues and stained with hematoxylin and eosin. Tissues were prepared for transmission electron microscopy, as described previously (19). Light microscopic sections were observed under a Provis microscope (Olympus Corp., New Hyde Park, NY) and digitalized using a Spot 2 digital camera (Diagnostic Instruments, Inc., Sterling Heights, MI), and images were printed on a Pictography 3000 printer (Fuji Photo Film Co. Ltd., Tokyo, Japan).

Measurement of efferent ductular luminal area for ER{alpha}KO and WT female mice
The luminal areas of five efferent ductules from five different ER{alpha}KO and WT female mice were measured by using the NIH Image analysis program (HYPERLINK http://rsb.info.nih.gov/nih-image).

Testosterone RIA
Intracardiac blood was collected from mice at the same time each day (~1300 h). Serum testosterone concentrations were measured in 21- to 25-day-old WT (n = 20), ER{alpha} heterozygous (n = 22), and ER{alpha}KO (n = 25) female mice, as described previously (20). The intra- and interassay coefficients of variation were 5.5% and 8.7%, respectively.

Statistical analysis
Results of the efferent ductular luminal area and serum testosterone concentrations are presented as the mean ± SEM. Serum testosterone concentrations in 21- to 25-day-old ER{alpha}KO, ER{alpha} heterozygous, and WT female mice were compared by using Student’s t test, and P < 0.05 was considered significant.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Examination of mesonephric tubular-derived female efferent ductules in WT, ER{alpha}KO, ER{alpha} heterozygous, and ERßKO mice
The overall size of efferent ductules increased between 17 and 19 days gestation, but WT and ER{alpha}KO female fetuses had equivalent sized efferent ductules at all fetal time points examined. The female efferent ductules were located medially and on the opposite side of the ovarian hilus, and this structure was grossly distinct from the oviduct. The entire female efferent ductular structure was embedded in the mesenchymal mass that is the precursor of the mesovarian fat. In both genotypes, the efferent ductules were continuous distally with the regressing mesonephric duct, but the apical portion of this tissue did not connect with the ovary. In contrast, male efferent ductules predictably connected with the testes. The female efferent ductules appeared similar to their male counterparts in that they consisted of an anastomosing network of epithelial-lined tubules, which were contained within an enveloping stroma and located immediately adjacent to the gonad. These tubules coalesced into a larger bulbous tubule of greater diameter at the distal termination of the structure, where the connection with the mesonephric duct would normally occur in the male. Whereas female efferent ductules were morphologically similar to those in males, on gestational day 17 they were only approximately one third the size of the male structures.

Surprisingly, both 10- and 20-day-old ER{alpha}KO and WT female mice had persistent efferent ductules that had equivalent branching and length in each genotype, respectively (Fig. 1Go, A and D). By 23 days of age, a phenotypic difference in efferent ductular size occurred in WT vs. ER{alpha}KO female mice. At this age, the efferent ductules remained small in WT female mice (Fig. 1EGo). In contrast, efferent ductules in ER{alpha}KO female mice became enlarged (Fig. 1BGo). In all adult ER{alpha}KO female mice examined the tubules were markedly enlarged and dilated (Fig. 1CGo), whereas efferent ductules in all adult WT female mice examined remained small (Fig. 1FGo). However, when efferent ductules from adult ER{alpha}KO and WT female mice were incised longitudinally to expose the luminal surface and examined under a dissecting microscope, normal ciliary movement was present in both genotypes. Adult heterozygous female mice that inherited the null ER{alpha} allele from the mother and others that inherited the null allele from the father were examined. Neither maternally nor paternally derived heterozygous female mice had enlargement of efferent ductules.



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Figure 1. Subgross examination of efferent ductules in ER{alpha}KO and WT female mice. Efferent ductules (arrows) were equivalent in 10-day-old ER{alpha}KO (A) and WT mice (D). However, 23-day-old (B) through adult (C) ER{alpha}KO female mice had enlargement of efferent ductules. As described previously (17 ), adult ER{alpha}KO mice had numerous hemorrhagic ovarian cysts (asterisks). In contrast, 23-day-old (E) through adult (F) WT female mice had small efferent ductules, which in F are at the end of the mesovarial fat. O, Ovary; Ov, oviduct. Magnification bars, 500 µm.

 
Female efferent ductules were also examined in adult ERßKO and WT sibling mice. Female efferent ductules were not enlarged in ERßKO or WT (Fig. 2Go) mice.



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Figure 2. Subgross examination of efferent ductules in adult ERßKO and WT female mice. In contrast to efferent ductules in ER{alpha}KO females, neither ERßKO (left) nor their WT (right) sibling female mice had efferent ductular enlargement. These female efferent ductules were severed from the ovary and magnified to a greater extent than photomicrographs in Fig. 1Go. Magnification bar, 500 µm.

 
To test whether the retention of female efferent ductules was unique to pure C57BL/6J and mixed C57BL/6J/129 mice, two additional mice strains, CD-1 and CBA, were examined. In both, female efferent ductules were present in postnatal day 23 and adult female mice (data not shown) and were similar in size and morphology to WT female efferent ductules in C57BL/6J and C57BL/6J/129 mice.

Histological and ultrastructural examinations of efferent ductules in WT and ER{alpha}KO female mice
In adult ER{alpha}KO female mice, well developed and enlarged efferent ductules with occasional epididymal-like initial segment tubules were identified (Fig. 3Go, A and B). A ciliated simple cuboidal to columnar and in some instances pseudostratified columnar epithelium lined the tubules (Figs. 3BGo and 4AGo). Tubules that were dilated were generally lined by a simple cuboidal epithelium. Many lysosomal vacuoles, residual bodies, and mitochondria were present in the cells (Fig. 4AGo). The small tubules in adult WT female mice were composed of a uniform simple columnar epithelium, which possessed few cilia, microvilli, and lysosomal vacuoles (Figs. 3DGo and 4BGo).



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Figure 3. Histological comparison of efferent ductules in adult ER{alpha}KO and WT female mice. Despite similar sized ovaries, adult ER{alpha}KO female mice (A and B) have efferent ductules severalfold larger than WT controls (C and D). The location of the female efferent ductules on the opposite side of the ovary (O) from the oviduct (Ov) can clearly be seen in A and C. The hemorrhagic follicular cysts (asterisks) of adult ER{alpha}KO female mice can also be seen in A. B, Hypertrophy of the efferent ductules of ER{alpha}KO female mice was accompanied by dilation of some of the tubules (stars), but not others (diamond), and proliferation of a dense and minimally cellular connective tissue matrix that enveloped the epithelial-lined tubules and thereby contributed to the increased size of the entire efferent ductular structure in ER{alpha}KO females. However, the connective tissue matrix of female efferent ductules in ER{alpha}KO mice was less cellular than that in WT mice. The epithelial lining of ER{alpha}KO efferent ductules varied from a simple cuboidal (star) to a pseudostratified columnar (diamond) epithelium (B). Efferent ductules of adult WT female mice (C and D) consisted of a few small tubules that were lined by a uniform simple columnar epithelium (D). O, Ovary; Ov, oviduct. Magnification bars: A and C, 400 µm; B and D, 40 µm.

 


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Figure 4. Transmission electron microscopy of efferent ductules in adult ER{alpha}KO and WT female mice. A, The epithelial lining of efferent ductules in ER{alpha}KO female mice generally consisted of a simple cuboidal to pseudostratified columnar epithelium with many microvilli and cilia. Many lysosomal vacuoles (arrows) were present in these cells. B, In contrast, efferent ductules of WT female mice consisted of a uniform simple columnar epithelium with less microvilli and cilia. Fewer lysosomal vacuoles (arrows) were present in these cells. Epi, Epithelial cells; CT, connective tissue. Magnification for both panels, x3000.

 
Luminal area of female efferent ductules
ER{alpha}KO females had an approximately 5-fold increase in efferent ductular luminal area compared with WT female mice (Table 1Go).


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Table 1. Luminal area of efferent ductules in adult ER{alpha}KO and WT female mice

 
Serum testosterone concentration
To determine whether the enlargement of the efferent ductules in ER{alpha}KO female mice was androgen induced, the serum testosterone concentration was measured in 21- to 25-day-old female mice. The testosterone concentration in 21- to 25-day-old ER{alpha}KO female mice was similar to that in age-matched WT and ER{alpha} heterozygous female mice (Table 2Go).


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Table 2. Serum concentration of testosterone in 21- to 25-day-old ER{alpha}KO, ER{alpha} heterozygous, and WT female mice

 
Treatment of juvenile (21- to 27-day-old) WT female mice with dihydrotestosterone
Juvenile WT female mice treated daily for 1 week with supraphysiological dosages (0.2 mg) of dihydrotestosterone did not have efferent ductular enlargement, similar to ER{alpha}KO female mice (data not shown).


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The fetal mesonephric (Wolffian) duct gives rise to the epididymis, ductus deferens, and seminal vesicle in males, whereas the mesonephric tubules develop into the efferent ductules. In females, the Wolffian duct undergoes almost complete regression, which is presumably due to the absence of androgenic stimulation. However, an extensive literature spanning this past century indicates that periovarian remnants of the fetal mesonephric tubules persist in women (11) and other species (21). In mice, structures similar to those that we are describing here in terms of anatomical location, morphology, and histology have been potentially misclassified as a portion of the extraovarian rete ovarii (21, 22).

Our results clearly indicate that these periovarian structures in WT and ER{alpha}KO female mice are the female homologs of the male efferent ductules, also called the ductuli efferentes ovarii (21, 22, 23) or epoophoron (22). The conclusion that the periovarian structures found in WT and ER{alpha}KO female mice are the female homologs of the male efferent ductules rather than a portion of the extraovarian rete ovarii, as classified by others (21, 22), was based on a number of lines of evidence. The simple to pseudostratified columnar epithelium observed in the efferent ductules of both WT and ER{alpha}KO female mice is markedly different from the squamous to flattened cuboidal epithelium observed in the rete ovarii. Both epithelial cells lining the putative female efferent ductules and male efferent ductules possess many vacuoles. However, the number of vacuoles within the female efferent ductular epithelium was reduced compared with vacuolar numbers described previously in male efferent ductular epithelium (24). In contrast, a paucity of vacuoles is present in rete ovarii (22). Critically, the structures described in the present work possessed motile cilia, a unique characteristic of male efferent ductules, and a structural modification that is never found in the rete system of the mouse (22).

Enlarged periovarian cysts in mice have been previously reported after in utero exposure of mice to the synthetic estrogen DES (12, 13). These cysts were postulated to be of mesonephric tubular origin based on their location in the mesovarium, epithelial morphology, and epithelial vacuo-lization and the presence of cilia. All of the characteristics of these structures are identical to those we found in the female efferent ductules. The researchers observed that these cysts were rarely found when the mice were not exposed in utero to DES and consequently concluded that estrogen exposure led to the abnormal retention, as well as hypertrophy and hyperplasia, of these structures. However, our results indicate that efferent ductules are found in 100% of female mice examined, albeit they are smaller than those in ER{alpha}KO female mice. It is likely that the small size, as well as the fact that they are predominantly concealed in fat of the mesovarium, resulted in the difficulty of finding these structures in fixed tissues of normal mice.

In males, testosterone stimulates the mesonephric duct to grow and differentiate into the upper male reproductive tract (1), presumably acting through androgen receptor present in these structures (25, 26, 27). The absence of androgenic stimulation in females results in regression of the mesonephric duct, but our present results show that the mesonephric tubular derivatives are maintained into adulthood in the female. Although these structures are reduced in size compared with their male counterparts, the tubules maintain a histological structure similar to that of the male efferent ductules. These results indicate that hormonal regulation of the mesonephric duct and that of tubules during fetal development is different. The mesonephric duct is dependent upon androgen for survival as an anatomically distinct structure. In contrast, mesonephric tubular persistence is hormone independent (28, 29). However, the differentiation of these structures is dependent upon hormones within the luminal fluids originating from the testis (30). In the efferent ductules of ER{alpha}KO female mice, the hormones presumably are from elsewhere.

Fetal and early postnatal development of the female efferent ductules was apparently identical in WT and ER{alpha}KO female mice. The enlargement of these structures found on postnatal day 23 and at subsequent ages relative to that in the WT controls indicates that some event occurring during the juvenile period was affecting the size of the female efferent ductules in ER{alpha}KO mice. One obvious possibility is that ER{alpha}KO female mice have transient or permanent increases in androgen starting in the juvenile period, which could affect the function of these structures, as androgen does in males. However, our results indicate that serum concentrations of testosterone were not different in WT and ER{alpha}KO female mice at 21–25 days of age. These results suggest that the increased size and dilation of female efferent ductules in ER{alpha}KO mice may not be androgen induced. Increased circulating androgen levels have been reported in adult ER{alpha}KO female mice (31), and thus, a contributory role for androgen stimulation of efferent ductular dilation in ER{alpha}KO females cannot be completely excluded.

The efferent ductular dilation in ER{alpha}KO female mice is consistent with increased fluid pressure in these tubules. As is apparent in the histological sections, efferent ductules from ER{alpha}KO females have a significant increase in luminal area compared with efferent ductules from WT female mice. Efferent ductules of ER{alpha}KO male mice do not properly reabsorb rete testis fluid and have increased fluid secretion (32, 33). Subsequently, it is thought that increased efferent ductular fluid production and lack of reabsorption, beginning at puberty, result in swelling, pressure atrophy of the seminiferous epithelium, and ultimate infertility (32, 33). Unlike male efferent ductules, female efferent ductules are a closed set of tubules. However, efferent ductular epithelium possesses both secretory and absorptive capabilities (24, 32). It is possible that increasing vascular testosterone and/or estrogen concentrations during juvenile life could cause increase fluid secretion by the female efferent ductular epithelium. In WT animals, this secreted fluid may be reabsorbed normally, so dilation does not occur. The potential impaired absorptive capacity of efferent ductules in ER{alpha}KO females compared with WT female mice could result in dilation of these structures in a manner analogous to that described for ER{alpha}KO males (32, 33). However, the simple columnar to pseudostratified columnar epithelium of some efferent ductules (compare differences in three tubules in Fig. 3BGo) in ER{alpha}KO female mice was more comparable to the epithelium lining efferent ductules of normal WT males. Yet, other efferent ductules seen in adult ER{alpha}KO female mice were similar to efferent ductules in ER{alpha}KO male mice, which are lined by a dysplastic cuboidal epithelium (32, 33). Possibly, differences within the epithelial lining of efferent ductules in ER{alpha}KO females represent different stages of dilation and subsequent enlargement of the tubules.

ER{alpha} and ERß have been identified in developing and adult male efferent ductules (27, 34, 35, 36, 37, 38). During embryonic development, cranial mesonephric-derived tissues, in particular efferent ductules, have higher expression of ERs than the caudal mesonephric-derived tissues (34). Therefore, estrogen might preferentially regulate efferent ductular function in males and females. Another possibility is that male and female efferent ductules may be stimulated by estrogen binding to ERß or other novel ER (39, 40) or by an alteration in the ER{alpha}/ERß expression ratio. Examination of efferent ductules from adult ERßKO (18) females revealed that these structures were the same size as their WT counterparts. These data suggest that the absence of ERß does not alter the function of female efferent ductules. However, the possibility still exists that it is a balance between ER{alpha} and ERß that determines the function and subsequent final size of the female efferent ductules. To determine the effects of ablation of both of the known ER on female efferent ductular function, the resulting efferent ductular phenotype of ER{alpha}ß double KO mice (41) will need to be examined.

In conclusion, the enlargement of female efferent ductules in ER{alpha}KO females may be directly related to the absence of ER{alpha}, or these mice might have secondary perturbations of other hormonal signaling pathways. Nevertheless, the absence of ER{alpha} results in marked enlargement of efferent ductules in female mice, although the underlying mechanism remains to be established.


    Acknowledgments
 
We thank Kay Carnes, Jessica S. Wagner, and Colette Abbey for their help and technical assistance, and Dr. Gordon D. Niswender (Colorado State University) for the antiserum (GDN-250) to testosterone. We are grateful to Dr. R. Michael Roberts for his critical review of the manuscript.


    Footnotes
 
1 This work was supported by NIH Grants AG-15500 (to P.S.C. and D.B.L.), ES-08272 (to D.B.L.), and HD-35126 (to R.A.H.), USDA Grant NRI 94–37203-0922 (to T.H.W.), and a USDA National Needs Fellowship (to C.S.R.). Back

Received February 15, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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