Endocrinology Vol. 142, No. 4 1461-1470
Copyright © 2001 by The Endocrine Society
XXY Male Mice: An Experimental Model for Klinefelter Syndrome1
Yanhe Lue,
P. Nagesh Rao,
Amiya P. Sinha Hikim,
Michael Im,
Wael A. Salameh,
Pauline H. Yen2,
Christina Wang and
Ronald S. Swerdloff
Division of Endocrinology, Departments of Medicine and Pediatrics
(P.H.Y.), Harbor-University of California-Los Angeles Medical Center
and Research and Education Institute, Torrance, California 90509; and
Pathology and Laboratory Medicine, University of California School of
Medicine (P.N.R.), Los Angeles, California 90095
Address all correspondence and request for reprints to: Ronald S. Swerdloff, M.D., Division of Endocrinology and Metabolism, Harbor-University of California-Los Angeles Medical Center, Box 446, 1000 West Carson Street, Torrance, California 90509. E-mail:
swerdloff{at}gcrc.humc.edu
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Abstract
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Klinefelter syndrome (47,XXY) is the most common sex chromosome
aneuploidy in men. Thus, it is important to establish an experimental
animal model to explore its underlying molecular mechanisms. Mice with
a 41,XXY karyotype were produced by mating wild-type male mice with
chimeric female mice carrying male embryonic stem cells. The objectives
of the present study were to characterize the testicular phenotype of
adult XXY mice and to examine the ontogeny of loss of germ cells in
juvenile XXY mice. In the first experiment the testicular phenotypes of
four adult XXY mice and four littermate controls (40,XY) were studied.
XXY mice were identified by either Southern hybridization or
karyotyping and were further confirmed by fluorescence in
situ hybridization. The results showed that the testis weights
of adult XXY mice (0.02 ± 0.01 g) were dramatically
decreased compared with those of the controls (0.11 ± 0.01
g). Although no significant differences were apparent in plasma
testosterone levels, the mean plasma LH and FSH levels were elevated in
adult XXY mice compared with controls. The testicular histology of
adult XXY mice showed small seminiferous tubules with varying degrees
of intraepithelial vacuolization and a complete absence of germ cells.
Hypertrophy and hyperplasia of Leydig cells were observed in the
interstitium. Electron microscopic examination showed Sertoli cells
containing scanty amounts of cytoplasm and irregular nuclei with
prominent nucleoli. The junctional region between Sertoli cells
appeared normal. In some tubules, nests of apparently degenerating
Sertoli cells were found. In the second experiment the ontogeny of germ
cell loss in juvenile XXY mice and their littermate controls was
studied. Spermatogonia were found and appeared to be morphologically
normal in juvenile XXY mice. Progressive loss of germ cells occurred
within 10 days after birth. This resulted in the absence of germ cells
in the adult XXY mice. We conclude that a progressive loss of germ
cells occurring in early postnatal life results in the complete absence
of germ cells in adult XXY mice. The XXY mouse provides an experimental
model for its human XXY counterpart, Klinefelter syndrome.
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Introduction
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KLINEFELTER SYNDROME (XXY) is the most
common sex chromosome aneuploidy, occurring in about 1 in 500-1000 men
(1). The phenotypic manifestations in adult patients
include small testes, azoospermia, gynecomastia, and elevated serum and
urinary gonadotropin levels (2). Serum testosterone
concentrations are usually below normal or in the low normal range
(3). Cognitive dysfunction is frequently present (4, 5). Testicular biopsy specimens from a majority of adult
patients consistently demonstrate seminiferous tubule hyalinization and
fibrosis (2). In contrast, testicular histology obtained
from an infant boy with Klinefelter syndrome appeared to be nearly
normal (6). Although Klinefelter syndrome was described in
1942 (7), and the XXY chromosome constitution was
demonstrated in 1959 (8), the responsible molecular
mechanisms remain unknown. To reveal its underlining molecular
mechanisms, it is essential to develop an experimental model for
investigating the human genetic disorder, Klinefelter syndrome.
Bronson et al. (9) showed previously that male
mice generated by mating the germline transmission chimeric female mice
with wild-type male mice had a high incidence of sex chromosome
aneuploidy, including XXY and XYY. The female chimeras were produced by
pseudopregnant recipients bearing the transferred female embryos
containing injected male embryonic stem cells. Evidence was provided
showing that when chimeric females were bred with wild-type male mice,
their female offspring were fertile; however, about 50% of their male
offspring appeared to be sterile, resulting from the high frequency of
sex chromosome aneuploidy. However, the phenotypic manifestations of
XXY and XYY mice were not characterized (9). The
objectives of the present study were to characterize an experimental
murine model for the human genetic disorder, Klinefelter syndrome, to
determine the testicular phenotype of adult XXY mice, and to examine
the ontogeny of germ cell loss in juvenile XXY mice.
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Materials and Methods
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Animals
Adult chimeric female mice were provided by The Jackson Laboratory (Bar Harbor, ME). Briefly, chimeric female mice were
generated by injecting male embryonic stem (ES) cells (129Sv) into the
blastocoel of female embryos (C57BL/6J). Subsequently the female
embryos were surgically transferred to the uteri of pseudopregnant
females. Chimeric female mice were recognized by their patchy coat
color within the offspring of pseudopregant females. XXY mice were then
produced by mating wild-type male (C57BL/6J) with germline transmission
chimeric female mice in the animal facility of Harbor-University of
California-Los Angeles Research and Education Institute. Animals were
housed in a standard animal facility under controlled temperature (22
C) and photoperiod (12 h of light, 12 h of darkness), with free
access to water and mouse chow. Animal handling and experimentation
were performed in accordance with the recommendation of the American
Veterinary Medical Association and were approved by the
Harbor-University of California-Los Angeles research and education
institute animal care and use review committee.
To characterize the testicular phenotype of adult XXY mice, 4 adult XXY
mice (8 weeks old) and 4 littermate controls (XY) were used in Exp 1.
To examine the ontogeny of germ cell loss, 14 juvenile mice (41,XXY),
including 3 at 1 day, 4 at 3 days, 4 at 5 days, 2 at 7 days, and 1 at
10 days of age, and their littermate controls (40,XY) were studied in
Exp 2.
Sample collection and tissue preparation
Exp 1. Adult XXY mice and their littermate controls were
injected with heparin (130 IU/100 g BW, ip) 15 min before being killed
by a lethal injection of sodium pentobarbital (100 mg/kg BW, ip) to
facilitate testicular perfusion using a whole body perfusion technique
(10, 11). Body weight was recorded at autopsy. Blood
samples were collected from the inferior vena cava of each animal
immediately after death, and plasma was separated and stored at -20 C
for subsequent hormone assays. The testes were then fixed by vascular
perfusion with 5% glutaraldehyde in 0.05 M cacodylate
buffer (pH 7.4) for 30 min, preceded by a brief saline wash. The testes
were removed, cut into small transverse slices, and placed into the
same fixative overnight. One slice from the middle region of the testis
was processed for routine paraffin embedding. The adjacent testicular
slice was further diced into small pieces (1 x 2 x 2 mm),
postfixed in 1% osmium tetroxide/1.25% potassium ferro-cyanide
mixture, dehydrated in a graded series of ethanols, and embedded in
Arialdite. Embedded testicular specimens were sectioned with an
LKB ultramicrotome (Rockville, MD) at 2.05 µm and
stained with 1% toluidine blue for light microscopic examination and
for morphometric studies (12, 13). For electron
microscopic studies, thin sections from the selected tissue blocks
showing pale gold interference color were cut, stained with uranyl
acetate and lead citrate, and examined with a Hitachi
(Tokyo, Japan) 600 electron microscope at 75 kV (14).
Exp 2. Groups of male pups from chimeric female mice were
killed by a lethal injection of sodium pentobarbital (100 mg/kg BW, ip)
on day 1, 3, 5, 7, or 10 after birth. The testes were dissected out and
immersed in Bouins solution overnight, then processed for routine
paraffin embedding and sectioning for histological examination. In
addition, two or three drops of blood were obtained from the jugular
vein and smeared on glass slides for fluorescence in situ
hybridization (FISH) detection of the sex chromosomes in interphase
nuclei of the white blood cells. Livers were removed, snap-frozen in
liquid nitrogen, and stored at -70 C for subsequent isolation of
genomic DNA and Southern blot analysis.
Hormone assays
The testosterone concentrations in plasma were measured by RIA,
as reported previously (15). The minimal detection limit
in the assay was 0.25 ng/ml. The intra- and interassay coefficients of
variations were 8% and 11%, respectively. Plasma FSH levels were
measured by RIA, using reagents provided by the NIDDK, as previously
described (15). The minimal detection limit in the assay
was 0.4 ng/ml. The intra- and interassay coefficients of variations
were 11% and 15%, respectively. Plasma LH levels were measured by an
immunofluorometric assay (DELFIA Rat LH, Perkin-Elmer Corp., Turku, Finland), as previously described
(16). The minimal detection limit in the assay was 0.03
ng/ml. The intra- and interassay coefficients of variation were 6% and
8%, respectively.
Morphometric assessment of Leydig cells in adult mice
The volume and number of Leydig cells on glutaraldehyde fixed,
epoxy-embedded, toluidine blue-stained testicular sections were
determined by an accepted stereological technique, as described
previously (17). In brief, measurements for the Leydig
cell volume were carried out at x1000 magnification. As the Leydig
cell nuclei are nearly spherical in the mouse, the volume of an
individual nucleus (Vn) was calculated from the mean diameter of the
nucleus using the equation Vn = 1/6
D3.
The mean nuclear diameter (D) was obtained by direct measurement of its
largest cross-sectioned profiles in serial sections. The volume of an
average Leydig cell (Vc) was derived from its nuclear volume (Vn), as
determined above, and the volume density of the nucleus (Vvn) within
the cell using the equation Vc = Vn/Vvn. The Vvn was obtained by
dividing the number of points falling on the nuclei by the total number
of points lying over the Leydig cells (nucleus and cytoplasm). Point
counting was carried out using the same ocular grid containing 121
intersections. The numerical density of Leydig cells (Nv) was collected
by dividing the total volume density of the Leydig cells by the volume
of an individual Leydig cell. The total volume density of Leydig cells
per testis was obtained by point counting at x400 magnification. The
absolute number of Leydig cells per testis was determined by
multiplying the number of Leydig cells per unit volume of the testis by
the testis volume.
Morphometric assessment of germ cells in juvenile mice
The method used for germ cell quantitation was similar to that
described previously (18). In brief, testicular sections
were examined with an American Optical Microscope (Scientific
Instruments, Buffalo, NY) with a x40 objective and a x10 eyepiece. A
square grid fitted within the eyepiece provided a reference area of
62,500 µm2. Germ cells within the frame of grid
were counted. To correct for shrinkage (if any) in the reference area,
the diameters of 10 randomly selected transverse sections of the
seminiferous tubules were measured from each of the XY and XXY animals
across the minor axes of their cross-sectioned profiles
(14). As there was no significant change in tubule
diameter between juvenile XY (49.7 ± 2.08 µm) and XXY (48
± 3.17 µm) mice, no correction factor was used for this study.
Fibroblast culture and karyotype analysis
Standard karyotyping was performed on cultured fibroblasts
obtained from ear-clips. Briefly, a 1- to 2-mm2
section of tissue was dissected from a piece of ear in a sterile
manner. The sample was minced with a scalpel and digested with
collagenase for 1 h. The dispersed cells were suspended in
Amino-max (Oncor, Inc., Gaithersburg, MD) medium supplemented
with 5% FBS. Amino-max supports the growth of anchorage-dependent
fibroblast cells. The cells were placed on glass coverslips and
cultured for 610 days at 37 C in a CO2
incubator. The coverslips were harvested following the in
situ method of harvesting after appropriate colony formation was
observed. The coverslips with cells were mounted on clean glass slides,
air-dried, and Giemsa-trypsin G-banded following standard cytogenetics
protocols. Ten to 15 cells from each specimen were analyzed.
FISH
X chromosome painting was carried out in cultured fibroblast in
metaphase. After the harvest of fibroblasts, the slides were aged at 4
C for 23 days. FISH with mouse chromosome X-paint probe (Oncor, Inc.)
was performed following the protocol provided by the manufacturer.
After dehydration by serial ethanol washing, air-drying, and denaturing
by incubation in 70% formamide/2 x SSC (standard saline citrate)
at 72 C for 2 min, 10 µl denatured X-paint probe labeled with
digoxygenin were applied to the slides and hybridized overnight at 37 C
in a humidified chamber. Sixty microliters of Texas red-labeled
antidigoxygenin antibody were added to the slides and incubated under a
plastic coverslip for 10 min at 37 C. After washing slides in 1 x
phosphate-buffered detergent (PBD), the chromosomes were stained
with 4,6-diamidino-2-phenylindole (DAPI) red signal from the
probe was visualized on a fluorescence microscope equipped with the
appropriate filters.
Identifying specific mouse sequences in the X and Y chromosomes in
interphase nuclei by FISH was performed using blood smear. Slides with
blood smears were air-dried for 46 days. Slides were immersed in
0.4% KCl solution for 15 min and then put in fixative (3:1
methanol:acetic acid) for 3 min. The FISH procedure was
performed following the protocol provided by the manufacturer. Briefly,
10 µl biotin-labeled mouse chromosome X probe (AGL, Inc., Melbourne,
FL) or 10 µl digoxygenin-labeled mouse chromosome Y probe (Oncor)
were applied to the slides and hybridized overnight at 37 C in a
humidified chamber. Sixty microliters of Texas Red-labeled avidin or 60
µl fluorescein isothiocyanate-labeled antidigoxygenin antibody were
applied to the slides and incubated under a plastic coverslip for 10
min at 37 C. After washing slides in 1 x PBD, the chromosomes
were stained with DAPI. The red dots (X chromosome) or a green dot (Y
chromosome) within the nuclei of white blood cells were visualized on a
fluorescence microscope equipped with triple filter
(19).
Southern blotting
Genomic DNA was isolated from mouse liver (Easy-DNA Kit/Genomic
DNA isolation, Invitrogen, Carlsbad, CA) and digested with
EcoRI enzyme. Restriction digestion was carried out for 36
h in a volume of 50 µl containing 2030 U EcoRI and 10
µg genomic DNA (20). The DNA fragments were subjected to
electrophoresis on a 1% agarose gel and were then transferred to a
nylon membrane. The nylon membrane was dried under vacuum for 1 h
at 80 C. DNA probes (human ZFY gene coding sequence) were
nick-translated to a specific activity of 23 x
108 cpm/µg with
[32P]deoxy-CTP in the reaction mixture. Nylon
membranes were prehybridized for approximately 1 h at 65 C in
5 x SSC, 5 x Denhardts reagent, and 250 µg/ml
heat-denatured salmon DNA and then for 3 h in 5 x SSC,
1 x Denhardts reagent, 10% dextran sulfate, 250 µg/ml
heat-denatured salmon DNA, and 0.1% SDS.
32P-Labeled probe at 23 x
106 cpm/ml was added, and the incubation was
continued overnight. At the end of hybridization, the nylon membrane
was washed four times with 50 mM Tris, 1
mM EDTA, 1 x Denhardts solution, 0.1%
SDS, and 0.1% sodium pyrophosphate (pH 8.0) over a 1-h period. The
nylon membrane was dried briefly in a vacuum oven and exposed to
prefogged Kodak XAR-5 film (Eastman Kodak Co., Rochester, NY) at -70 C with a DuPont lightning
intensifier screen (DuPont Merck Pharmaceutical Co.,
Wilmington, DE).
Statistical analysis
Statistical analyses were performed using the SigmaStat 2.0
Program (Jandel Corp., San Rafael, CA). Results were tested for
statistical significance using the Student-Newman-Keuls methods test
after one-way repeated measures ANOVA. Differences were considered
significant at P < 0.05.
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Results
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Adult XXY mice
Adult XXY mice were identified by karyotyping (Fig. 1A
) using cultured fibroblasts, and this
was further confirmed by X chromosome painting or chromosome X-specific
subcentromere labeling using the FISH technique (Fig. 1B
).

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Figure 1. A, G-Banded metaphase from cultured fibroblasts of
mouse showing a 41,XXY karyotype (arrows indicate the X
and Y chromosomes). B, DAPI-stained metaphase cell showing the FISH
hybridization results with 41,XXY. The X chromosomes are labeled by the
mouse X chromosome-specific probe DXMit27 (red signals).
The smallest chromosome is the Y chromosome.
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Body weight, testis weight, and hormone levels
The comparisons of body weight (Fig. 2A
) and testis weight (Fig. 2B
) between
adult XY and XXY mice are shown in Fig. 2
. Although no difference was
observed in body weight, the weight of the testis in XXY mice was
reduced to 20% of that in XY mice. Due to the large variation among
animals, there was no statistically significant difference in the mean
levels of plasma testosterone between adult XXY and XY mice. However,
the mean levels of LH and FSH in adult XXY mice were significantly
increased compared with those in the controls (Table 1
).

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Figure 2. Comparison of body and testes weights (mean
± SD) between adult XY (n = 4) and XXY (n = 4)
mice. Although no difference was observed in body weight (A), the
weight of the testis (B) was markedly lower in adult XXY mice compared
with their littermate controls. *, Significantly different, P <0.05.
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Testicular histological examination by light and electron
microscopy
We used light and electron microscopy to characterize testicular
phenotype of adult XXY mice. Seminiferous tubules of the XY males
displayed active spermatogenesis and contained Sertoli cells and
various germ cells. Compared with active spermatogenesis in normal
mouse (Fig. 3A
), the testicular
histological examination of adult XXY mouse showed a complete cessation
of spermatogenesis (Fig. 3B
). The seminiferous tubules consist of
Sertoli cells, and there were no germ cells. Leydig cells appeared to
be more abundant. Electron microscopic examination showed Sertoli cells
of XXY males containing scanty amounts of cytoplasm and irregular
nuclei with prominent nucleoli (Fig. 4B
)
compared with the controls (Fig. 4A
). In some tubules, nests of
apparently degenerating Sertoli cells were found in XXY mice (Fig. 4C
).
These cells were rounded in appearance and detached from the basal
lamina. Their nuclei were highly irregular and contained abnormal
chromatin clumps along the nuclear envelope. Such nests of apparently
degenerating Sertoli cells have been reported in mice after ethanol
treatment (21) and in the highly involuted tubules of sys
(symplastic spermatids) mice (22). Leydig cells from XXY
mouse displayed ultrastructural evidence of cellular hypertrophy (Fig. 4D
), including the appearance of large systems of concentric cisternae
of smooth endoplasmic reticulum similar to those described previously
in hypertrophied murine Leydig cells (23).

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Figure 3. Representative light micrographs of testicular
sections from adult control (A) and XXY (B) mice. Compared with active
spermatogenesis in control mice, the testicular histology of the adult
XXY mouse shows complete cessation of spermatogenesis. The seminiferous
tubules consist of Sertoli cells and are devoid of germ cells. Leydig
cells appeared to be more abundant. Magnification, x180;
scale bar, 0.05 mm.
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Figure 4. A, Portion of a seminiferous tubule from an XY
male mouse showing normal ultrastructural appearance of Sertoli and
germ cells. The Sertoli cell (S) is large and exhibits a considerable
amount of perinuclear cytoplasm (asterisk), an irregular
nucleus (N) with its characteristic tripartite nucleolus (Nu), and
normal configurational relationship with germ cells (G) at different
phases of their maturation. B, Portion of a Sertoli cell-only tubule
from an XXY male mouse showing Sertoli cells with spheroidal nuclei (N)
and a scanty amount of cytoplasm (asterisk). These cells
have been cut perpendicular to their longitudinal axes. Also note the
complete absence of lateral processes characteristic of active Sertoli
cell. C, Portion of a Sertoli cell-only tubule from an XXY male mouse
showing formation of a nest of apparently degeneration Sertoli cells.
These cells are rounded in appearance and not attached to the basal
lamina. Their nuclei (N) are highly irregular and contain abnormal
chromatin clumps along the nuclear periphery. D, Interstitial tissue
from an XXY male mouse showing hypertrophied Leydig cell (L) and a
macrophage (M). Note the abundant endoplasmic reticulum and formation
of the large systems of concentric cisternae (asterisk).
Magnification of AD, x4700; scale bar, 2.5 µm.
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Morphometric observations
The results of the stereological analysis of the diameters of
seminiferous tubules, the volume of individual Leydig cells, and the
number of Leydig cells in the testes of XY and XXY mice are summarized
in Fig. 5
. Comparing to the control (XY)
value (217.2 ± 7.17 µm), the diameter of seminiferous tubules
was dramatically decreased in the adult XXY mice (135.2 ± 0.33
µm). On the contrary, in XXY mice, the volume of individual Leydig
cells was increased by 1.4-fold (Fig. 5A
), and the number of Leydig
cells was increased by 7-fold compared with the values measured in XY
males (Fig. 5B
), respectively.

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Figure 5. Comparison of the volumes of individual
Leydig cells and the number of Leydig cells between XY (A) and XXY (B)
mice. The volumes of individual Leydig cells were increased 1.4-fold,
and the number of Leydig cells was increased 7-fold compared with
control values. *, Significantly different, P < 0.05.
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Juvenile XXY mice
Tissues were collected from all male pups at different
postnatal ages without prior knowledge of karyotype. Genomic DNA
isolated from the liver was used for screening of the XXY genotype by
Southern blotting. The probe (hYfin) encodes the human ZFY gene
(24, 25). When hybridizing with mouse genomic DNA at high
stringency, the probe recognized a 1.9-kb fragment derived from the Zfx
on the X chromosome and a 2.1-kb fragment derived from the Zfa gene on
chromosome 10. The relative intensities of these two fragments were
determined by the number of X chromosomes in the animals (Fig. 6
). In normal male mice, which have one
pair of chromosome 10 and a single X chromosome, one dark up-band (Zfa)
and one light lower band (Zfx) were observed. As expected, two bands of
similar intensity were observed in normal XX female mice. As all the
animals used in this study are phenotypic males as determined by the
presence of testes, mice that showed two bands with similar intensity
on the Southern blots apparently had a XXY karyotype. The XXY mice
identified by Southern blot were further confirmed by FISH analysis
using mouse X and Y chromosome- specific probes.

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Figure 6. Representative Southern blots of mouse genomic DNA
digested with EcoRI enzyme from XX, XY, and XXY juvenile
mice. The probe (hYfin) used in Southern blotting encodes the zinc
finger domain of human ZFY. When hybridizing with mouse genomic DNA at
high stringency, the human ZFY probe recognizes DNA fragment Zfa (2.1
kb) on chromosome 10 and DNA fragment Zfx (1.9 kb) on X chromosome. The
fragment sizes are indicated in kilobases.
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Testis morphology and germ cell degeneration
The testis of XXY mice on days 1, 3, 5, 7, and 10 were
examined. Spermatogonia were found in the seminiferous tubules of XXY
mice in the first 10 days after birth. Spermatogonia appeared to be
normal morphologically. Their numbers progressively decreased from day
5 onward. Sertoli cells in the seminiferous tubules seemed to be more
abundant in juvenile XXY mice. Figure 7
shows the morphological appearance of the seminiferous tubules of XY
(Fig. 7
, A and C) and XXY (Fig. 7
, B and D) mice at 7 and 10 days of
age. Compared with wild-type males, there were more degenerating germ
cells observed in the seminiferous tubules of 5- and 7-day-old XXY
mice. However, in 10-day-old mice, the number of germ cells was
significantly reduced compared with that in controls. Leydig cells
seemed to be normal in appearance in both XY and XXY mice at 10 days of
age.

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Figure 7. Representative light micrographs of testicular
sections from 7-day-old (A and B) and 10-day-old (C and D) XY (A and C)
and XXY (B and D) mice. Note the many degenerating germ cells
(arrow) in the seminiferous tubules of 7-day-old XXY
mice (B). In 10-day-old XXY mice (D), the number of germ cells appears
to be much less compared with that in controls (C). Magnification,
x440; scale bar, 0.02 mm.
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Morphometric observations
A comparison of the number of germ cells in the groups of 1-, 3-,
5-, 7-, and 10-day-old XY and XXY mice is shown in Fig. 8
. There was no significant difference in
the number of germ cells among 1-, 3-, and 5-day-old XY and XXY mice.
In contrast, there was a significant decrease in the number of germ
cells beginning with 7-day-old XXY mice compared with their littermate
controls. A further decrease in germ cell number was observed in
10-day-old XXY mice.

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Figure 8. Comparison of the number of germ cells between XY
and XXY mice at 1, 3, 5, 7, and 10 days of age. There is no significant
difference in the number of germ cells between XY and XXY mice at 1, 3,
and 5 days of age. Note a significant decrease in the number of germ
cells in 7-day-old XXY mice compared with their littermate controls. A
further decrease in germ cells was observed in 10-day-old XXY mice. *,
Significantly different, P < 0.05.
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Discussion
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In this study we used a previously published breeding scheme to
generate XXY male mice by mating germline transmission chimeric female
mice with wild-type male mice (9). All of the adult XXY
mice and their littermate controls (XY) used in this study were
characterized by karyotyping and FISH performed on cultured
fibroblasts. We demonstrated that the phenotype of adult XXY mice
consists of small testes, small seminiferous tubules with varying
degrees of intraepithelial vacuolization and Sertoli cell only, and
hyperplasia and hypertrophy of Leydig cells. At the ultrastructural
level, Sertoli cells exhibited a scanty amount of cytoplasm and
complete absence of lateral process characteristic of active Sertoli
cells. In addition, nests of apparently degenerating Sertoli cells were
noted in some tubules. These changes are indications of the cellular
inactivity of the Sertoli cells and are responsible for elevated FSH
levels in adult XXY mice (22, 26). Plasma testosterone
levels showed no significant differences in adult XXY mice. The lack of
significant differences in plasma testosterone levels may be due to the
large variation in individual plasma testosterone levels in mice and
the relatively small number of aneuploidy mice. It should be noted that
low normal serum testosterone and elevated serum LH and FSH levels are
commonly seen in XXY adolescents and young men. Leydig cells in adult
XXY mouse display ultrastructural evidence of cellular hypertrophy
marked by abundant smooth endoplasmic reticulum, including the
appearance of concentric arrays (whorls) of membranes. These
stimulatory changes in the Leydig cells were attributed to either
elevated LH levels or intrinsic differences in the Leydig cells.
Similar ultrastructural evidence of cellular hypertrophy was displayed
by murine Leydig cells upon stimulation with exogenous LH or hCG
(27). As described above, most patients with Klinefelter
syndrome have increased levels of serum LH and FSH with serum T levels
in the low normal range, and most, if not all, of these subjects are
azoospermic (28). A large number of earlier studies have
also provided evidence for Leydig cell hyperplasia as well as
hypertrophy in patients with Klinefelter syndrome (29).
The striking resemblance of testicular phenotypes and elevated LH and
FSH levels between patients with Klinefelter syndrome and XXY mice make
these XXY mice a good experimental model for studying Klinefelter
syndrome.
The testicular histology of patients with Klinefelter syndrome (47,XXY)
appeared to be near normal during infancy, after which degenerative
changes began to occur (6). We observed a similar
progressive loss of germ cells in XXY mice beginning at 7 days of age.
The progressive loss of germ cells ultimately results in the absence of
germ cells in adult XXY mice. The exact cellular and molecular
mechanisms that trigger germ cell loss in XXY mice remain to be
defined. It is possible that the altered dosage of X-encoded genes in
germ cells may accelerate germ cell loss during the postnatal period.
The germ cell loss in XXY mice begins at a time when germ cells in
normal mice reinitiate mitosis and before the onset of germ cell
meiosis (30, 31). During this period spermatogonia are
required to migrate from the central location to reach the periphery of
the seminiferous cord to reinitiate proliferation. At the new location,
spermatogonia encounter extracellular matrix factors in the basal
lamina and are thought to mature into the first generation of type A
spermatogonia (32, 33). Any germ cells that fail to move
away from the central region of the seminiferous cord eventually
degenerate (34). In this study we observed that most of
the degenerated germ cells were located near the central region of the
seminiferous cord, suggesting the defect in spermatogonial migration
during the postnatal period in XXY mice. We do not know at present
whether the defect in the XXY testis is intrinsic to germ cells or is
due to the inability of the Sertoli cells in XXY testis to support
normal germ cell development. Sertoli cells are known to support and
nurture different classes of germ cells by producing a variety of
paracrine factors that regulate germ cell proliferation,
differentiation, and death. For example, Sertoli cell dysfunction could
lead to increased germ cell degeneration in the testis
(35). Although the relationship between germ cells and
Sertoli cells in postnatal XXY testis is unknown, Hunt et
al. (36) demonstrated that prenatal germ cell
proliferation is impaired in vivo, but not in
vitro, suggesting a defect in Sertoli cells and germ cell
communication in the differentiating XXY testis. Using a different
breeding scheme to generate XXY mice, these investigators have also
shown that although defects in germ cell behavior are apparent during
the prenatal period, the actual demise of XXY germ cells appears to
occur in the first few days after birth (37, 38). Ongoing
studies in our laboratory, using spermatogonia transplant technology
(38, 39, 40), will provide evidence illuminating the
interactions between XXY Sertoli cells and XY germ cells, or vice
versa.
In this study we provided additional evidence to support the idea that
in mammals, males with two X chromosomes are sterile due to
degeneration of the germ cells before the onset of meiosis (36, 41). The molecular mechanisms induced by the extra X chromosome
that lead to male sterility remain elusive. We hypothesize that
aberrant X chromosome gene dosage may be responsible for both the
progressive loss of germ cells and the hormonal abnormalities in XXY
mice. There are 46 chromosomes in humans, but only 40 chromosomes in
mice. In addition, there are differences in X chromosome structure
between humans and mice (42, 43). In humans, the
evolutionary makeup of X chromosome seems to be relatively simple, with
4 evolutionary strata preserved in order from the extremity of the long
arm to the distal short arm where the pseudoautosomal region 1 is
located (44, 45). In contrast, the mouse X chromosome has
been scrambled, with its centromere now located at 1 extremity and
regions of conservation intermixed with added regions
(46). Comparative analysis of the human and mouse X
chromosomes in sex chromosome aneuploidy (XXY) may provide interesting
clues about the genes responsible for male sterility, as the majority
of the genes on the human X chromosome are preserved or have their
homologs on the mouse X chromosome. The XXY mice in this study were
derived from female chimeras that had been injected with male ES cells
at the blastocyst stage of early embryonic development. It is therefore
feasible to modify the X chromosome of ES cells in vitro,
such as deleting specific genes or regions by homologous recombination,
and study its effects on the phenotype of the resultant XXY mice.
Therefore, this mouse model initiates a powerful approach to examine
the molecular mechanisms responsible for Klinefelter syndrome, the most
common human sex chromosome aneuploidy. However, it is worth noting
that there have been multiple evolutionary rearrangements between mouse
and human X chromosomes; thus, any conclusions obtained from
comparisons between species should be made with caution.
 |
Acknowledgments
|
|---|
We are grateful to Dr. Chris Lau, University of California-San
Francisco, for providing us the human ZFX probe. We thank Sunghee Shin
and Simon Deng, Pathology and Laboratory Medicine, University of
California-Los Angeles School of Medicine, for their help with FISH
analysis.
 |
Footnotes
|
|---|
1 Presented in part at the 25th Annual Meeting of American Society of
Andrology, Boston, MA, 2000. 
2 Supported by Grant RO1-28009 from the NICHHD, NIH. 
Received September 8, 2000.
 |
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