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Endocrinology Vol. 142, No. 4 1461-1470
Copyright © 2001 by The Endocrine Society


ARTICLES

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


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
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.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
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.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
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 Bouin’s 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 {pi} 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 6–10 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 2–3 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 4–6 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 3–6 h in a volume of 50 µl containing 20–30 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 2–3 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 Denhardt’s reagent, and 250 µg/ml heat-denatured salmon DNA and then for 3 h in 5 x SSC, 1 x Denhardt’s reagent, 10% dextran sulfate, 250 µg/ml heat-denatured salmon DNA, and 0.1% SDS. 32P-Labeled probe at 2–3 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 Denhardt’s 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.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Adult XXY mice
Adult XXY mice were identified by karyotyping (Fig. 1AGo) using cultured fibroblasts, and this was further confirmed by X chromosome painting or chromosome X-specific subcentromere labeling using the FISH technique (Fig. 1BGo).



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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.

 
Body weight, testis weight, and hormone levels
The comparisons of body weight (Fig. 2AGo) and testis weight (Fig. 2BGo) between adult XY and XXY mice are shown in Fig. 2Go. 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 1Go).



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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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Table 1. Plasma testosterone, LH, and FSH levels in adult XY and XXY mice

 
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. 3AGo), the testicular histological examination of adult XXY mouse showed a complete cessation of spermatogenesis (Fig. 3BGo). 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. 4BGo) compared with the controls (Fig. 4AGo). In some tubules, nests of apparently degenerating Sertoli cells were found in XXY mice (Fig. 4CGo). 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. 4DGo), 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 A–D, x4700; scale bar, 2.5 µm.

 
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. 5Go. 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. 5AGo), and the number of Leydig cells was increased by 7-fold compared with the values measured in XY males (Fig. 5BGo), 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.

 
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. 6Go). 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.

 
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 7Go shows the morphological appearance of the seminiferous tubules of XY (Fig. 7Go, A and C) and XXY (Fig. 7Go, 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.

 
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. 8Go. 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.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
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. Back

2 Supported by Grant RO1-28009 from the NICHHD, NIH. Back

Received September 8, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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