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      Propagation of Spermatogonial Stem Cell-Like Cells From Infant Boys

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          Abstract

          Background

          Gonadotoxic treatment of malignant diseases as well as some non-malignant conditions such as cryptorchidism in young boys may result in infertility and failure to father children later in life. As a fertility preserving strategy, several centers collect testicular biopsies to cryopreserve spermatogonial stem cells (SSCs) world-wide. One of the most promising therapeutic strategies is to transplant SSCs back into the seminiferous tubules to initiate endogenous spermatogenesis. However, to obtain sufficient numbers of SSC to warrant transplantation, in vitro propagation of cells is needed together with proper validation of their stem cell identity.

          Materials and Methods

          A minute amount of testicular biopsies (between 5 mg and 10 mg) were processed by mechanical and enzymatic digestion. SSCs were enriched by differential plating method in StemPro-34 medium supplemented with several growth factors. SSC-like cell clusters (SSCLCs) were passaged five times. SSCLCs were identified by immunohistochemical and immunofluorescence staining, using protein expression patterns in testis biopsies as reference. Quantitative polymerase chain reaction analysis of SSC markers LIN-28 homolog A (LIN28A), G antigen 1 (GAGE1), promyelocytic leukemia zinc finger protein (PLZF), integrin alpha 6 (ITGA6), ubiquitin carboxy-terminal hydrolase L1 (UCHL1) and integrin beta 1 (ITGB1) were also used to validate the SSC-like cell identity.

          Results

          Proliferation of SSCLCs was achieved. The presence of SSCs in SSCLCs was confirmed by positive immunostaining of LIN28, UCHL1 and quantitative polymerase chain reaction for LIN28A, UCHL1, PLZF, ITGA6, and ITGB1, respectively.

          Conclusion

          This study has demonstrated that SSCs from infant boys possess the capacity for in vitro proliferation and advance a fertility preservation strategy for pre-pubertal boys who may otherwise lose their fertility.

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          Most cited references44

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          The adult human testis transcriptional cell atlas

          Human adult spermatogenesis balances spermatogonial stem cell (SSC) self-renewal and differentiation, alongside complex germ cell-niche interactions, to ensure long-term fertility and faithful genome propagation. Here, we performed single-cell RNA sequencing of ~6500 testicular cells from young adults. We found five niche/somatic cell types (Leydig, myoid, Sertoli, endothelial, macrophage), and observed germline-niche interactions and key human-mouse differences. Spermatogenesis, including meiosis, was reconstructed computationally, revealing sequential coding, non-coding, and repeat-element transcriptional signatures. Interestingly, we identified five discrete transcriptional/developmental spermatogonial states, including a novel early SSC state, termed State 0. Epigenetic features and nascent transcription analyses suggested developmental plasticity within spermatogonial States. To understand the origin of State 0, we profiled testicular cells from infants, and identified distinct similarities between adult State 0 and infant SSCs. Overall, our datasets describe key transcriptional and epigenetic signatures of the normal adult human testis, and provide new insights into germ cell developmental transitions and plasticity.
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            Single-Cell RNA Sequencing Analysis Reveals Sequential Cell Fate Transition during Human Spermatogenesis

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              Spermatogonial stem cell self-renewal and development.

              Spermatogenesis originates from spermatogonial stem cells (SSCs). Development of the spermatogonial transplantation technique in 1994 provided the first functional assay to characterize SSCs. In 2000, glial cell line-derived neurotrophic factor was identified as a SSC self-renewal factor. This discovery not only provided a clue to understand SSC self-renewing mechanisms but also made it possible to derive germline stem (GS) cell cultures in 2003. In vitro culture of GS cells demonstrated their potential pluripotency and their utility in germline modification. However, in vivo SSC analyses have challenged the traditional concept of SSC self-renewal and have revealed their relationship with the microenvironment. An improved understanding of SSC self-renewal through functional assays promises to uncover fundamental principles of stem cell biology and will enable us to use these cells for applications in animal transgenesis and medicine.
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                Author and article information

                Contributors
                Journal
                Front Physiol
                Front Physiol
                Front. Physiol.
                Frontiers in Physiology
                Frontiers Media S.A.
                1664-042X
                19 September 2019
                2019
                : 10
                : 1155
                Affiliations
                [1] 1Laboratory of Reproductive Biology, Copenhagen University Hospital , Copenhagen, Denmark
                [2] 2Department of Pediatric Surgery, Copenhagen University Hospital , Copenhagen, Denmark
                [3] 3Department of Urology, Aksaray University School of Medicine , Aksaray, Turkey
                [4] 4Department of Pathology, Copenhagen University Hospital , Copenhagen, Denmark
                [5] 5Centre of Andrology and Fertility Clinic, Department D, Odense University Hospital , Odense C, Denmark
                [6] 6Research Unit of Human Reproduction, Institute of Clinical Research, University of Southern Denmark , Odense, Denmark
                [7] 7Center for Chromosome Stability, Department of Molecular and Cellular Medicine, Faculty of Health and Medical Sciences, University of Copenhagen , Copenhagen, Denmark
                [8] 8Department of Pediatrics, Copenhagen University Hospital Hvidovre , Copenhagen, Denmark
                [9] 9Faculty of Health and Medical Sciences, University of Copenhagen , Copenhagen, Denmark
                Author notes

                Edited by: Ravinder Anand-Ivell, University of Nottingham, United Kingdom

                Reviewed by: Kate Lakoski Loveland, Monash University, Australia; Sandra Schumann, Fraunhofer-Einrichtung für Marine Biotechnologie und Zelltechnik (EMB), Germany

                *Correspondence: Lihua Dong, lihua.dong@ 123456regionh.dk

                This article was submitted to Reproduction, a section of the journal Frontiers in Physiology

                Article
                10.3389/fphys.2019.01155
                6761273
                6011988b-35d3-4739-aad5-29735a3674d0
                Copyright © 2019 Dong, Kristensen, Hildorf, Gul, Clasen-Linde, Fedder, Hoffmann, Cortes, Thorup and Andersen.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 23 April 2019
                : 28 August 2019
                Page count
                Figures: 7, Tables: 0, Equations: 0, References: 50, Pages: 11, Words: 0
                Categories
                Physiology
                Original Research

                Anatomy & Physiology
                cryptorchidism,fertility cryopreservation,in vitro expansion,male infertility,spermatogonial stem cell

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