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Robinson BR, Netherton JK, Ogle RA, Baker MA. Testicular heat stress, a historical perspective and two postulates for why male germ cells are heat sensitive. Biol Rev Camb Philos Soc 2023; 98:603-622. [PMID: 36412227 DOI: 10.1111/brv.12921] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2021] [Revised: 11/02/2022] [Accepted: 11/03/2022] [Indexed: 11/23/2022]
Abstract
Herein, we compare the different experimental regimes used to induce testicular heat stress and summarise their impact on sperm production and male fertility. Irrespective of the protocol used, scrotal heat stress causes loss of sperm production. This is first seen 1-2 weeks post heat stress, peaking 4-5 weeks thereafter. The higher the temperature, or the longer the duration of heat, the more pronounced germ cell loss becomes, within extreme cases this leads to azoospermia. The second, and often underappreciated impact of testicular hyperthermia is the production of poor-quality spermatozoa. Typically, those cells that survive hyperthermia develop into morphologically abnormal and poorly motile spermatozoa. While both apoptotic and non-apoptotic pathways are known to contribute to hyperthermic germ cell loss, the mechanisms leading to formation of poor-quality sperm remain unclear. Mechanistically, it is unlikely that testicular hyperthermia affects messenger RNA (mRNA) abundance, as a comparison of four different mammalian studies shows no consistent single gene changes. Using available evidence, we propose two novel models to explain how testicular hyperthermia impairs sperm formation. Our first model suggests aberrant alternative splicing, while the second model proposes a loss of RNA repression. Importantly, neither model requires consistent changes in RNA species.
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Affiliation(s)
- Benjamin R Robinson
- Faculty of Science and Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW, 2308, Australia
| | - Jacob K Netherton
- Faculty of Science and Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW, 2308, Australia
| | - Rachel A Ogle
- Faculty of Science and Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW, 2308, Australia
| | - Mark A Baker
- Faculty of Science and Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW, 2308, Australia
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2
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Ferreira AF, Garcia PV, Camarinho R, Rodrigues ADS. Volcanogenic pollution and testicular damage in wild mice. CHEMOSPHERE 2015; 132:135-141. [PMID: 25828918 DOI: 10.1016/j.chemosphere.2015.03.017] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/20/2014] [Revised: 02/28/2015] [Accepted: 03/09/2015] [Indexed: 06/04/2023]
Abstract
Many evidences have surfaced the adverse effects of environmental pollutants on male reproduction. Volcanogenic pollution is understudied, although it is a well-known source of hazardous contaminants. This study aims to assess the effects of chronic exposure to volcanogenic pollution on wild mice testes by studying: (i) diameter of seminiferous tubules; (ii) relative volumetric density of different spermatogenic cells and interstitial space; (iii) damage in the seminiferous tubules and (iv) apoptotic level in the germinal epithelium. The mice from the polluted site showed higher levels of the selected heavy metals than those from the reference site. The mean diameter of seminiferous tubules and the relative volume occupied by spermatozoa and lumen in exposed mice were significantly lower than in the unexposed group. Contrarily, exposed mice showed a significantly higher relative volume occupied by interstitium, as well as, a higher degree of damage and a significantly higher number of apoptotic cells in the germinal epithelium. Results show that secondary manifestations of volcanic activity can pose a serious risk of testicular injury and therefore for male reproduction.
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Affiliation(s)
- Ana F Ferreira
- University of the Azores, Department of Biology, Ponta Delgada, Azores, Portugal; CIBIO Azores, Center for Research on Biodiversity and Genetic Resources, InBIO Associated Laboratory, University of the Azores, Ponta Delgada, Azores, Portugal.
| | - Patrícia Ventura Garcia
- University of the Azores, Department of Biology, Ponta Delgada, Azores, Portugal; CE3C, Center for Ecology, Evolution and Environmental Changes, and Azorean Biodiversity Group, University of the Azores, 9501-801 Ponta Delgada, Portugal.
| | - Ricardo Camarinho
- University of the Azores, Department of Biology, Ponta Delgada, Azores, Portugal; CVARG, Center for Volcanology and Evaluation of Geological Risks, Ponta Delgada, Portugal.
| | - Armindo dos Santos Rodrigues
- University of the Azores, Department of Biology, Ponta Delgada, Azores, Portugal; CVARG, Center for Volcanology and Evaluation of Geological Risks, Ponta Delgada, Portugal.
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3
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Kim B, Park K, Rhee K. Heat stress response of male germ cells. Cell Mol Life Sci 2013; 70:2623-36. [PMID: 23007846 PMCID: PMC11113252 DOI: 10.1007/s00018-012-1165-4] [Citation(s) in RCA: 95] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2012] [Revised: 08/19/2012] [Accepted: 09/10/2012] [Indexed: 01/09/2023]
Abstract
The vast majority of mammalian testes are located outside the body cavity for proper thermoregulation. Heat has an adverse effect on mammalian spermatogenesis and eventually leads to sub- or infertility. Recent studies have provided insights into the molecular response of male germ cells to high temperatures. Here, we review the effects of heat on male germ cells and discuss the mechanisms underlying germ cell loss and impairment. We also discuss the role of translational control in male germ cells as a potential protective mechanism against heat-induced germ cell apoptosis.
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Affiliation(s)
- Byunghyuk Kim
- Department of Biological Sciences, Seoul National University, Seoul, 151-747 Korea
| | - Kyosun Park
- Department of Biological Sciences, Seoul National University, Seoul, 151-747 Korea
| | - Kunsoo Rhee
- Department of Biological Sciences, Seoul National University, Seoul, 151-747 Korea
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Kim JH, Park SJ, Kim TS, Park HJ, Park J, Kim BK, Kim GR, Kim JM, Huang SM, Chae JI, Park CK, Lee DS. Testicular hyperthermia induces Unfolded Protein Response signaling activation in spermatocyte. Biochem Biophys Res Commun 2013; 434:861-6. [PMID: 23611781 DOI: 10.1016/j.bbrc.2013.04.032] [Citation(s) in RCA: 54] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2013] [Accepted: 04/02/2013] [Indexed: 10/26/2022]
Abstract
The testes of most mammals are sensitive to temperature. To survive and adapt under conditions that promote endoplasmic reticulum (ER) stress such as heat shock, cells have a self-protective mechanism against ER stress that has been termed the "Unfolded Protein Response" (UPR). However, the cellular and molecular events underlying spermatogenesis with testicular hyperthermia involved in the UPR signaling pathway under ER stress remain poorly understood. In the present study, we verified that UPR signaling via phospho-eIF2α/ATF4/GADD34, p90ATF6, and phospho-IRE1α/XBP-1 is activated with testicular hyperthermia (43 °C, 15 min/day) and induced ER stress-mediated apoptosis associated with CHOP, phospho-JNK, and caspase-3 after repetitive periods of hyperthermia. Levels of phospho-eIF2α protein of mouse spermatocytes in the testis were rapidly increased by one cycle of testicular hyperthermia. ATF4/GADD34 and p90ATF6 expression gradually increased and decreased, respectively, with repetitive cycles of hyperthermia. Spliced XBP1 mRNA as a marker of IRE1 activity was increased after one, three cycles of hyperthermia and decreased by five cycles of hyperthermia. Although the levels of anti-apoptotic phospho-JNK (p54) were gradually decreased after three cycles of hyperthermia, CHOP expression was rapidly increased. After five cycles of testicular hyperthermia, the levels of cleaved caspase-3 and TUNEL-positive apoptotic spermatocytes cells were significantly increased. Our data demonstrated that testicular hyperthermia induces UPR signaling and repetitive cycles of hyperthermia lead to apoptosis of spermatocytes in mouse testis. These results suggest a link between the UPR signaling pathway and testicular hyperthermia.
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Affiliation(s)
- Jung-Hak Kim
- College of Nature Sciences, Kyungpook National University, Daegu 702-701, Republic of Korea
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Transient scrotal hyperthermia induces lipid droplet accumulation and reveals a different ADFP expression pattern between the testes and liver in mice. PLoS One 2012; 7:e45694. [PMID: 23056214 PMCID: PMC3464254 DOI: 10.1371/journal.pone.0045694] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2012] [Accepted: 08/24/2012] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND In most mammals, the testes provide a stable environment for spermatogenesis, which depends on a lower temperature than the core body temperature. It has been reported that mild testicular heating safely and reversibly suppresses spermatogenesis, and is under consideration for its potential application as a male contraceptive. Previously, we focused on the molecular mechanism of germ cell apoptosis and anti-apoptotic factors induced by heat treatment in humans and mice. However, the recovery process remains under investigation. RESULTS In this study, we found that lipid droplets in mouse testes are dramatically increased after a brief period of scrotal hyperthermia, and gradually dissipate following temperature normalization. Analysis of the human testis proteome revealed nine proteins associated with lipid droplets. Two of them, ADFP (also known as ADRP and PLIN2) and TIP47 (also known as PLIN3) may participate in acute lipid droplet formation in mammalian testes. We show that Adfp expression is upregulated after scrotal heat treatment in mice. Surprisingly, we find Adfp lacking its 5'-UTR is observed in Adfp(Δ1/Δ1) mouse testes, but is not detectable in liver. CONCLUSIONS These results reveal testis Adfp transcriptional regulation is tissue-specific, and is associated with lipid droplet accumulation induced by heat. The results also indicate that the testes could retain functional proteins through testes-specific transcriptional regulation.
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Zhu H, Cui Y, Xie J, Chen L, Chen X, Guo X, Zhu Y, Wang X, Tong J, Zhou Z, Jia Y, Lue YH, Hikim AS, Wang C, Swerdloff RS, Sha J. Proteomic analysis of testis biopsies in men treated with transient scrotal hyperthermia reveals the potential targets for contraceptive development. Proteomics 2010; 10:3480-93. [DOI: 10.1002/pmic.201000281] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Li Y, Zhou Q, Hively R, Yang L, Small C, Griswold MD. Differential gene expression in the testes of different murine strains under normal and hyperthermic conditions. ACTA ACUST UNITED AC 2008; 30:325-37. [PMID: 19096088 DOI: 10.2164/jandrol.108.005934] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Cryptorchidism and scrotal heating result in abnormal spermatogenesis, but the mechanism(s) prescribing this temperature sensitivity are unknown. It was previously reported that the AKR/N or MRL/MpJ-+/+ mouse testis is more heat-resistant than the testis from the C57BL/6 strain. We have attempted to probe into the mechanism(s) involved in heat sensitivity by examining global gene expression profiles of normal and heat-treated testes from C57BL/6, AKR/N, and MRL/MpJ-+/+ mice by microarray analysis. In the normal C57BL/6 testis, 415 and 416 transcripts were differentially expressed (at least 2-fold higher or lower) when compared with the normal AKR/N and MRL/MpJ-+/+ testis, respectively. The AKR/N and MRL/MpJ-+/+ strains revealed 268 differentially expressed transcripts between them. There were 231 transcripts differentially expressed between C57BL/6 and 2 purported heat-resistant strains, AKR/N and MRL/MpJ-+/+. Next, the testes of C57BL/6 and AKR/N mice were exposed to 43 degrees C for 15 minutes and harvested at different time points for terminal deoxynucleotidyl transferase dUTP nick end labeling (TUNEL) studies and microarrays. An increase of TUNEL-positive germ cell numbers was significant 8 hours after heat exposure in the C57BL/6 mouse. However, this increase was not observed in the AKR/N mouse until 10 hours after heat exposure. All tubules showed germ cell loss and disruption in C57BL/6 testis 24 hours after heat shock. In contrast, although a number of seminiferous tubules showed an abnormal morphology 24 hours post-heat shock in the AKR/N mouse, many tubules still retained a normal structure. Numerous transcripts exhibited differential regulation between the 2 strains within 24 hours after heat exposure. The differentially expressed transcripts in the testes 8 hours after heat exposure were targeted to identify the genes involved in the initial response rather than those attributable to germ cell loss. Twenty transcripts were significantly down-regulated and 19 genes were up-regulated by hyperthermia in C57BL/6 and did not show a parallel change in the AKR/N testis. Conversely, heat shock resulted in 30 up-regulated transcripts and 31 down-regulated transcripts in AKR/N that were not similarly regulated in C57BL/6. A number of genes shared similar differential expression patterns and differential regulation by hyperthermia in both strains of mice. Taken together, the results of the present study indicate that the diverse genetic backgrounds in the 3 strains lead to major differences in normal testis gene expression profiles, whereas the differences in heat shock responses involve a significantly smaller number of genes. The data generated may provide insights regarding gene networks and pathways involved in heat stress and their relationship to spermatogenesis.
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Affiliation(s)
- Ying Li
- Center for Reproductive Biology, School of Molecular Biosciences, Washington State University, Pullman, WA 99164, USA
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Hwang SO, Boswell SA, Seo JS, Lee SW. Novel oxidative stress-responsive gene ERS25 functions as a regulator of the heat-shock and cell death response. J Biol Chem 2008; 283:13063-9. [PMID: 18326488 DOI: 10.1074/jbc.m709656200] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Members of the yeast p24 family, including Emp24p and Erv25p, exist as heteromeric complexes that have been proposed to cycle between the endoplasmic reticulum (ER) and Golgi compartments. The specific functions and sites of action of p24 proteins are still unknown. Here we identified a human homolog of the yeast p24 family of proteins, named ERS25 (endoplasmic reticulum stress-response protein 25), and investigated its role in stress response. ERS25 is predicted to have an ER localization signal peptide, a GOLD (Golgi dynamics) domain, which is found in several eukaryotic Golgi and lipid-trafficking proteins, a coiled-coil region, and a transmembrane domain. We demonstrate that ERS25 is localized to the ER and is induced by ER-specific stress, heat shock, and oxidative stress. The selective induction of ERS25 by brefeldin A, but not tunicamycin, implicates the involvement of ERS25 in protein trafficking between the ER and the Golgi. Small interfering RNA-mediated inhibition of ERS25 results in a significant decrease in apoptosis as well as a reduction of reactive oxygen species induced by oxidative stress. Moreover, ERS25 depletion results in a significant increase in the levels of the ER chaperone HSP70 in response to heat-shock stress through increased levels of HSF-1. We also found that inhibition of ERS25 induction in response to heat shock enhanced the binding of HSP70 to Apaf-1, which is likely to interfere in stress-mediated apoptosis. Together, the data presented here demonstrate that ERS25 may play a critical role in regulation of heat-shock response and apoptosis.
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Affiliation(s)
- Sun Ok Hwang
- Cutaneous Biology Research Center, Massachusetts General Hospital, Charlestown, Massachusetts 02129, USA
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9
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Kim JY, Kim HT, Moon KH, Shin HJ. Long-Term Exposure of Rats to a 2.45 GHz Electromagnetic Field: Effects on Reproductive Function. Korean J Urol 2007. [DOI: 10.4111/kju.2007.48.12.1308] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Affiliation(s)
- Ji Yoon Kim
- Department of Urology, College of Medicine, Yeungnam University, Daegu, Korea
| | - Hyun Tae Kim
- Department of Urology, College of Medicine, Yeungnam University, Daegu, Korea
| | - Ki Hak Moon
- Department of Urology, College of Medicine, Yeungnam University, Daegu, Korea
| | - Hyoun Jin Shin
- Institute of Biomedical Engineering, Yeungnam University, Daegu, Korea
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Abstract
The inability of radiotherapy to control tumour growth is still a daunting clinical problem leading to failure of the overall treatment regimens. The fundamental question is; could tumour cells be specifically sensitized to ionizing radiation (IR) by heat or factors exclusively expressed in tumour cells? One such factor, expressed in most tumours and silent in somatic cells, is telomerase. Biochemical and genetic studies have established an association between telomere maintenance and extended life span of human cells mediated through the expression of the catalytic sub-unit of telomerase (hTERT). Because of this, telomerase is an attractive target for inhibition in anti-cancer therapy. Telomeres are maintained by telomerase and hTERT interacts with heat shock protein (HSP) chaperones. This review will focus on the possible role of HSPs and telomerase in sensitizing tumour cells and, thus, enhancing the potential of targeted radiotherapy.
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Affiliation(s)
- Tej K Pandita
- Department of Radiation Oncology, Washington University School of Medicine, St Louis, MO 63108, USA
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Hunt CR, Dix DJ, Sharma GG, Pandita RK, Gupta A, Funk M, Pandita TK. Genomic instability and enhanced radiosensitivity in Hsp70.1- and Hsp70.3-deficient mice. Mol Cell Biol 2004; 24:899-911. [PMID: 14701760 PMCID: PMC343815 DOI: 10.1128/mcb.24.2.899-911.2004] [Citation(s) in RCA: 191] [Impact Index Per Article: 9.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
Heat shock proteins (HSPs) are highly conserved among all organisms from prokaryotes to eukaryotes. In mice, the HSP genes Hsp70.1 and Hsp70.3 are induced by both endogenous and exogenous stressors, such as heat and toxicants. In order to determine whether such proteins specifically influence genomic instability, mice deficient for Hsp70.1 and Hsp70.3 (Hsp70.1/3(-/-) mice) were generated by gene targeting. Mouse embryonic fibroblasts (MEFs) prepared from Hsp70.1/3(-/-) mice did not synthesize Hsp70.1 or Hsp70.3 after heat-induced stress. While the Hsp70.1/3(-/-) mutant mice were fertile, their cells displayed genomic instability that was enhanced by heat treatment. Cells from Hsp70.1/3(-/-) mice also display a higher frequency of chromosome end-to-end associations than do control Hsp70.1/3(+/+) cells. To determine whether observed genomic instability was related to defective chromosome repair, Hsp70.1/3(-/-) and Hsp70.1/3(+/+) fibroblasts were treated with ionizing radiation (IR) alone or heat and IR. Exposure to IR led to more residual chromosome aberrations, radioresistant DNA synthesis (a hallmark of genomic instability), increased cell killing, and enhanced IR-induced oncogenic transformation in Hsp70.1/3(-/-) cells. Heat treatment prior to IR exposure enhanced cell killing, S-phase-specific chromosome damage, and the frequency of transformants in Hsp70.1/3(-/-) cells in comparison to Hsp70.1/3(+/+) cells. Both in vivo and in vitro studies demonstrate for the first time that Hsp70.1 and Hsp70.3 have an essential role in maintaining genomic stability under stress conditions.
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Affiliation(s)
- Clayton R Hunt
- Department of Oncology, Radiation, Washington University School of Medicine, 4511 Forest Park, St. Louis, MO 63108, USA
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De Vita R, Calugi A, Cavallo D, Fioretti N, Forte D, Vizzone A. Cellular effects of diagnostic Doppler ultrasound on murine spermatogenic cells monitored by flow cytometry. EXPERIMENTAL AND TOXICOLOGIC PATHOLOGY : OFFICIAL JOURNAL OF THE GESELLSCHAFT FUR TOXIKOLOGISCHE PATHOLOGIE 1993; 45:75-80. [PMID: 8329872 DOI: 10.1016/s0940-2993(11)80467-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
A study has been carried out to investigate the possible effects caused by Doppler diagnostic ultrasound on murine spermatogenesis. The frequency of the different types of cells has been analyzed using flow cytometry. Exposure to ultrasound was carried out using a commercial device used in diagnostic conditions. Male hybrid mice were exposed to ultrasound for 30 min and observed from 7 to 35 days after treatment. Flow cytometrical analysis showed changes in the relative frequency of the elongated spermatids and this was used as an end-point. A statistically significant decrease in the frequency of this cell type was observed after 7 and 35 days with both pulsed and continuous ultrasound. With the former, a decrease was also seen in this compartment after 14 and 21 days. Our results have shown that diagnostic ultrasound used in the Doppler technique induces effects on specific cell types of murine spermatogenesis.
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Affiliation(s)
- R De Vita
- Environmental Biomedicine Division, ENEA Casaccia, Rome, Italy
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De Vita R, Calugi A, Chiarantano C, Forte D, Mauro F, Uccelli R. Effects of heat on mouse spermatogenesis monitored by flow cytometry. Int J Hyperthermia 1990; 6:543-51. [PMID: 2376667 DOI: 10.3109/02656739009140950] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
The effects of heat on mouse spermatogenesis have been determined using both testis weight and flow cytometrically determined DNA content distribution as experimental end-points. Temperatures of 38-42 degrees C and exposure times of 20-60 min have been tested. The results concerning the testis weight substantially confirm those reported by other authors (Hand et al. 1979). The measurement of DNA content distributions shows a relatively higher depletion, 14 days after treatment, of the cytometric compartment containing elongated spermatids in respect to that containing round spermatids. The analysis of the cytotoxic effects, monitored 14 vs. 28 days after treatment, as a function of the exposure time at a given temperature, or of the temperature for a fixed exposure time, indicates that, in the course of spermatogenesis, late spermatocytes are more sensitive to heat than differentiated spermatogonia. Following the approach based on flow cytometry, the effect of exposures as low as 20 min at 38 degrees C can be appreciated.
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Affiliation(s)
- R De Vita
- Divisione di Fisica e Scienze Biomediche, ENEA Casaccia, Rome, Italy
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Abstract
Step-down heating (SDH) was investigated in mouse testis by giving an initial treatment of 3 min at 43.0 degrees C followed immediately by a treatment in the temperature range 38.0-42.0 degrees C. The dose-response curves for testis weight loss as a function of duration of hyperthermia were compared with those obtained using single-temperature treatments. In all cases the curves were linear, allowing the use of Arrhenius analysis. For single-temperature treatments the Arrhenius relationship showed an inflection at approximately 41 degrees C with a small, but significant, increase in activation energy for hyperthermal temperatures below the transition. SDH increased the thermal sensitivity in this lower range, by approximately 1 degree C, but the activation energy was not significantly altered. The results support the view that in vivo thermosensitization by SDH is not due solely to inhibition of development of thermotolerance.
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Affiliation(s)
- J C Marigold
- MRC Cyclotron Unit, Hammersmith Hospital, London
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Abstract
There are sound biological reasons for using hyperthermia in the treatment of malignant disease. This review includes a discussion of this rationale and describes effects of hyperthermia either given alone or in combination with ionising radiation to cells in vitro, tumours or normal tissues. Topics discussed include thermotolerance, step-down sensitisation, fractionation, re-treatment of previously irradiated sites, thermal enhancement ratio and thermal dose. Problems of heat delivery and temperature measurement are considered and the current status of clinical studies is stated briefly.
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Abstract
Skin contraction and leg contracture resulted from immersion of mice legs in a water bath at temperatures of 42.5 degrees to 43.7 degrees C for 45 to 90 minutes. The maximum contracture was observed between 5 and 15 days after treatment, but little damage remained after about 30 days. After healing of the early tissue damage, there was no progression of residual damage in skin up to 490 days after treatment. In contrast, radiation-induced contracture develops rapidly after 14 days, and may continue to progress for 100 days or more. In the present studies, leg contracture could be attributed primarily to injury in the skin, because skinning the legs before measuring eliminated most of the contracture. Temperature differences between subcutaneous tissue and deep muscle were not consistently observed or statistically significant, and probably made little or no contribution to the difference in thermal response of these tissues.
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Overgaard J. Formula to estimate the thermal enhancement ratio of a single simultaneous hyperthermia and radiation treatment. ACTA RADIOLOGICA. ONCOLOGY 1984; 23:135-9. [PMID: 6331081 DOI: 10.3109/02841868409136001] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
An experimental model composed of a C3H mammary carcinoma and its surrounding skin has been exposed to simultaneous radiation and hyperthermia given with different combinations of heating time and temperature. Based on the thermal enhancement ratio (TER) values obtained in the temperature range 41.5 to 43.5 degrees C, a linear relationship between TER and the heating time was achieved at each temperature. The slopes of the curves drawn at each temperature were found to have a log-linear relationship with the treatment temperature. With these relationships it was possible to make a formula expressing the TER as a function of treatment temperature and time. This formula gives a crude but probably acceptable estimate of the TER following a single simultaneous radiation and heat treatment. Although subject to several limitations, the formula represents an attempt to describe a heat dose concept for the radiosensitizing effect of hyperthermia. This may be useful to establish the tolerance level of a given radiation treatment when combined with hyperthermia.
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18
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Field SB, Morris CC. The relationship between heating time and temperature: its relevance to clinical hyperthermia. Radiother Oncol 1983; 1:179-86. [PMID: 6680222 DOI: 10.1016/s0167-8140(83)80020-6] [Citation(s) in RCA: 152] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
It is well known that for a given level of damage to either cells in vitro or tissues in situ the relationship between temperature and time of application undergoes a transition in the range 42-43 degrees C and that above this temperature a change of 1 degree C is equivalent to a change in heating time by a factor of two. The present study has concentrated on establishing the relationship between time and temperature over a wide range. The investigation is in two parts, i.e. a review of the literature and an experimental study in which the endpoint used was necrosis in the tail of the baby rat. The aim is to provide information which might help solve a major clinical problem, namely the lack of a satisfactory means of relating treatments given with different temperatures for different lengths of time. The difficulty arises because there is no satisfactory definition of heat dose, in this context. The results confirm the relationship given above for temperatures above the transition. However, below the transition a change of 1 degree C is equivalent to a change in heating time by a factor of six. It is suggested that these relationships provide a means of monitoring a treatment in which the temperature does not remain constant and may vary within a heated volume. The method may also be used to compare treatments from different centres. An indication of the considerable uncertainties of the procedure is given.(ABSTRACT TRUNCATED AT 250 WORDS)
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Abstract
In previous experiments, large differences in thermal sensitisation were observed for tumours grown on the tails of the chest of mice. The present work reports the results of experiments to compare the response of tumours in four different sites to the radiosensitising effects of both heat and misonidazole. Factors influencing tumour response, e.g., tumour growth rate, blood flow, temperature uniformity, temperature increase during heating and drug availability, were also studied. Tumour response and most of the parameters measured varied according to the site of tumour implantation. Growth rate, blood flow and natural tumour temperature are all likely to be important. However, there appears to be no simple relationship by which tumour response could be predicted, although heat dose, the product of temperature elevation above the natural level and treatment time, may be the most relevant parameter. Clearly the choice of implant site does influence response to treatment. Tumours grown on the extremities may be poor models for human tumours, because of their low natural temperatures.
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Dahl O. Effects of hyperthermia on a neurogenic rat cell line (BT4C) in culture. Development of thermal tolerance during continuous heating. ACTA RADIOLOGICA. ONCOLOGY 1980; 19:489-96. [PMID: 6263063 DOI: 10.3109/02841868009130181] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
The malignant neurogenic rat cell line BT4C developed tolerance to further heat injury after continuous heating in culture at 41.0 and 42.0 degrees C for 8 and 2 hours, respectively. Survival was evaluated by colony forming ability. The proliferative capacity of the surviving cells was reduced after heating as shown by a decrease in size of the colonies.
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Hand JW, Hopewell JW, Field SB, Foster JL. An investigation into the combined effects of x-irradiation and microwave heating on pig skin. Int J Radiat Oncol Biol Phys 1980; 6:59-66. [PMID: 7364602 DOI: 10.1016/0360-3016(80)90204-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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