Abstract
Preserving the spermatogonial stem cells (SSCs) in long periods of time during the treatment of male infertility using stem cell banking systems and transplantation is an important issue. Therefore, this study was conducted to develop an optimal cryopreservation protocol for SSCs using 10 mM pentoxifylline (PTX) as an antioxidant in basal freezing medium. Testicular torsion—a mouse model for long-term infertility—was used to transplant fresh SSCs (n = 6), fresh SSCs treated with PTX (n = 6), cryopreserved SSCs with basal freezing medium (n = 6), and cryopreserved SSCs treated with PTX (n = 6). Eight weeks after germ cell transplantation, samples were assessed for proliferation, through evaluation of Ddx4 and Id4 markers, and differentiation via evaluation of C‐Kit and Sycp3, Tnp1, Tnp2, and Prm1 markers. According to morphological and flow cytometry results, SSCs are able to form colonies and express Gfra1, Id4, α6‐integrin, and β1‐integrin markers. We found positive influence from PTX on proliferative and differentiative markers in SSCs transplanted to azoospermic mice. In the recipient testis, donor SSCs formed spermatogenic colonies and sperm. Respecting these data, adding pentoxifylline is a practical way to precisely cryopreserve germ cells enriched for SSCs in cryopreservation, and this procedure could become an efficient method to restore fertility in a clinical setup. However, more studies are needed to ensure its safety in the long term.
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Data Availability
The data that support the findings of this study are available from the corresponding author upon reasonable request.
Code Availability
In this study, we used ImageJ (RRID:SCR_003070) and GraphPad Prism (RRID:SCR_002798) software programs. We also used anti-Ddx4 (Abcam Cat# ab13840, RRID: AB_443012), anti-Id4 polyclonal (Thermo Fisher Scientific Cat# PA5-26,976, RRID:AB_2544476), anti-Sycp3 (Abcam Cat# ab15093, RRID: AB_301639), anti-C-Kit (Abcam Cat# ab5506, RRID:AB_304943), goat anti-rabbit IgG-H&L polyclonal HRP conjugate (Abcam Cat# ab721, RRID: AB_955447), goat anti-mouse IgG (H&L)-HRP conjugate (Bio-Rad Cat# 170–6516, RRID: AB_11125547), goat anti-rabbit IgG-H&L polyclonal FITC conjugate (Abcam Cat# ab6717, RRID: AB_955238), rabbit anti-GFR alpha-1 polyclonal antibody (Bioss Cat# bs-0201R-FITC, RRID:AB_11108563), rat polyclonal anti-α6-integrin (BD Biosciences Cat# 555,736, RRID:AB_396079), and rat polyclonal anti-β1-integrin (Sigma-Aldrich, USA) (FITC) (BD Biosciences Cat# 555,005, RRID:AB_395639) antibodies.
References
Wallace WHB, Thomson AB. Preservation of fertility in children treated for cancer. Arch Dis Child. 2003;88(6):493–6.
Sharma V. Sperm storage for cancer patients in the UK: a review of current practice. Hum Reprod. 2011;26(11):2935–43.
de Michele F, Vermeulen M, Wyns C. Fertility restoration with spermatogonial stem cells. Curr Opin Endocrinol Diabetes Obes. 2017;24(6):424–31.
Mulder CL, et al. Long-term health in recipients of transplanted in vitro propagated spermatogonial stem cells. Hum Reprod. 2018;33(1):81–90.
Oatley MJ, Kaucher AV, Racicot KE, Oatley JM. Inhibitor of DNA binding 4 is expressed selectively by single spermatogonia in the male germline and regulates the self-renewal of spermatogonial stem cells in mice. Biol Reprod. 2011;85(2):347–56.
Mulder CL, et al. Spermatogonial stem cell autotransplantation and germline genomic editing: a future cure for spermatogenic failure and prevention of transmission of genomic diseases. Hum Reprod Update. 2016;22(5):561–73.
Wu X, et al. Fertile offspring derived from mouse spermatogonial stem cells cryopreserved for more than 14 years. Hum Reprod. 2012;27(5):1249–59.
Jahnukainen K, Ehmcke J, Söder O, Schlatt S. Clinical potential and putative risks of fertility preservation in children utilizing gonadal tissue or germline stem cells. Pediatr Res. 2006;59(4):40–7.
Picton HM, et al. A European perspective on testicular tissue cryopreservation for fertility preservation in prepubertal and adolescent boys. Hum Reprod. 2015;30(11):2463–75.
Lee Y-A, et al. Cryopreservation in trehalose preserves functional capacity of murine spermatogonial stem cells. PLoS One. 2013;8(1):e54889.
D. E. Pegg. Principles of cryopreservation. Cryopreserv Free Protoc, pp. 39–57, 2007.
Aliakbari F, Heidari M, Hossini MA, Hosseini J. Increasing of post-freezing quality of spermatogonial stem cells after pretreatment by vitamin E. Men’s Heal J. 2019;3(1):e1–e1.
Ha SJ, et al. Effect of antioxidants and apoptosis inhibitors on cryopreservation of murine germ cells enriched for spermatogonial stem cells. PLoS ONE. 2016;11(8):1–16. https://doi.org/10.1371/journal.pone.0161372.
Bilodeau J-F, et al. Glutathione peroxidase-1 expression enhances recovery of human breast carcinoma cells from hyperoxic cell cycle arrest. Free Radic Biol Med. 2002;33(9):1279–89.
Lushchak VI. Environmentally induced oxidative stress in aquatic animals. Aquat Toxicol. 2011;101(1):13–30.
Aliakbari F, et al. Improving the efficacy of cryopreservation of spermatogonia stem cells by antioxidant supplements. Cell Reprogramming (Formerly “Cloning Stem Cells”). 2016;18(2):87–95.
Roca J, et al. Survival and in vitro fertility of boar spermatozoa frozen in the presence of superoxide dismutase and/or catalase. J Androl. 2005;26(1):15–24.
Emrecan B, et al. Effects of iloprost and pentoxifylline on renal ischemia-reperfusion in rabbit model. Eur J Med Res. 2006;11(7):295.
Abdel-Salam OME, Baiuomy AR, El-Shenawy SM, Arbid MS. The anti-inflammatory effects of the phosphodiesterase inhibitor pentoxifylline in the rat. Pharmacol Res. 2003;47(4):331–40.
Dávila-Esqueda ME, Martinez-Morales F. Pentoxifylline diminishes the oxidative damage to renal tissue induced by streptozotocin in the rat. Exp Diabesity Res. 2004;5(4):245–51.
Kanatsu-Shinohara M, et al. Long-term proliferation in culture and germline transmission of mouse male germline stem cells. Biol Reprod. 2003;69(2):612–6.
Solhjoo S, et al. Roles for osteocalcin in proliferation and differentiation of spermatogonial cells cocultured with somatic cells. J Cell Biochem. 2019;120(4):4924–34.
Toolee H, et al. Roles for kisspeptin in proliferation and differentiation of spermatogonial cells isolated from mice offspring when the cells are cocultured with somatic cells. J Cell Biochem. 2019;120(4):5042–54.
Izadyar F, Matthijs-Rijsenbilt JJ, Den Ouden K, Creemers LB, Woelders H, de Rooij DG. Development of a cryopreservation protocol for type A spermatogonia. J Androl. 2002;23(4):537–45.
Ünsal A, et al. Protective role of natural antioxidant supplementation on testicular tissue after testicular torsion and detorsion. Scand J Urol Nephrol. 2006;40(1):17–22.
Azizollahi S, et al. Recruiting testicular torsion introduces an azoospermic mouse model for spermatogonial stem cell transplantation. Urol J. 2014;11(3):1648–55.
Tournaye H, Janssens R, Verheyen G, Devroey P, Van Steirteghem A. In vitro fertilization in couples with previous fertilization failure using sperm incubated with pentoxifylline and 2-deoxyadenosine. Fertil Steril. 1994;62(3):574–9.
J.-B. Stukenborg and C. Wyns. Fertility sparing strategies for pre- and peripubertal male cancer patients. Ecancermedicalscience, vol. 14, 2020.
Esteves SC, Spaine DM, Cedenho AP. Effects of pentoxifylline treatment before freezing on motility, viability and acrosome status of poor quality human spermatozoa cryopreserved by the liquid nitrogen vapor method. Brazilian J Med Biol Res. 2007;40(7):985–92.
Gil MA, et al. Pentoxifylline added to freezing or post-thaw extenders does not improve the survival or in vitro fertilising capacity of boar spermatozoa. Reproduction. 2010;139(3):557–64. https://doi.org/10.1530/REP-09-0274.
Baek SY, Chung HJ, Hong JK, Cho ES, Choi I. Pentoxifylline treatment of frozen pig sperm affects sperm motility and fetal numbers. Korean J Agric Sci. 2020;47(3):657–65.
Yovich JL. Pentoxifylline: actions and applications in assisted reproduction. Hum Reprod. 1993;8(11):1786–91.
Esteves SC, Sharma RK, Thomas AJ Jr, Agarwal A. Cryopreservation of human spermatozoa with pentoxifylline improves the post-thaw agonist-induced acrosome reaction rate. Hum Reprod. 1998;13(12):3384–9.
H. Morimoto et al., ROS amplification drives mouse spermatogonial stem cell self-renewal. Life Sci Alliance, vol. 2, no. 2, 2019.
Ishii T, et al. Accelerated impairment of spermatogenic cells in SOD1-knockout mice under heat stress. Free Radic Res. 2005;39(7):697–705.
Seo JM, Sohn MY, Suh JS, Atala A, Yoo JJ, Shon Y-H. Cryopreservation of amniotic fluid-derived stem cells using natural cryoprotectants and low concentrations of dimethylsulfoxide. Cryobiology. 2011;62(3):167–73.
Tesarik J, Mendoza C, Greco E. The effect of FSH on male germ cell survival and differentiation in vitro is mimicked by pentoxifylline but not insulin. MHR Basic Sci Reprod Med. 2000;6(10):877–81.
Filipponi D, et al. Repression of kit expression by Plzf in germ cells. Mol Cell Biol. 2007;27(19):6770–81.
Di Carlo A, Travia G, De Felici M. The meiotic specific synaptonemal complex protein SCP3 is expressed by female and male primordial germ cells of the mouse embryo. Int J Dev Biol. 2000;44(2):241–4.
Lee JH, Kim HJ, Kim H, Lee SJ, Gye MC. In vitro spermatogenesis by three-dimensional culture of rat testicular cells in collagen gel matrix. Biomaterials. 2006;27(14):2845–53.
Jan SZ, Hamer G, Repping S, de Rooij DG, van Pelt AMM, Vormer TL. Molecular control of rodent spermatogenesis. Biochim Biophys Acta (BBA)-Molecular Basis Dis. 2012;1822(12):1838–50.
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The authors thank the Tehran University of Medical Sciences and Health Services, Tehran, Iran.
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This study was supported in part by a grant received from the Tehran University of Medical Sciences and Health Services, Tehran, Iran (grant number: 37741).
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All authors participated in the design, interpretation of the studies, analysis of the data, and review of the manuscript. Mehrnoush Malekzadeh and Tayebeh Rastegar designed the study, Shokoofeh Kazemzadeh supervised the data collection, Ghazaleh Sadeghiani analyzed the data, Somayeh Solhjoo and Heidar Toolee interpreted the data and prepared the manuscript for publication, Nasrin Takzaree and Nasrin Khanmohammadi supervised the data collection and analyzed the data, and Maryam Shabani reviewed the draft of the manuscript. All authors have read and approved the manuscript.
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This article does not contain any studies with human participants performed by any of the authors. All experiments involving the use of animals were approved by the Institutional Animal Care and Use Committee (IACUC) of the Tehran University of Medical Science. All applicable international, national, and institutional guidelines for the care and use of animals were followed. All participants signed informed consent forms approved by the Ethical Committee of Tehran University of Medical Sciences (IR.TUMS.MEDICINE.REC.1397.210).
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Malekzadeh, M., Takzaree, N., Toolee, H. et al. Cryoprotective Effect of Pentoxifylline on Spermatogonial Stem Cell During Transplantation into Azoospermic Torsion Mouse Model. Reprod. Sci. 29, 526–539 (2022). https://doi.org/10.1007/s43032-021-00729-6
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DOI: https://doi.org/10.1007/s43032-021-00729-6