Skip to main content

Stem Cells and Fertility Preservation in Males

  • Chapter
  • First Online:
Fertility Preservation

Abstract

Recent advances in stem cell biology related to fertility preservation have contributed to improve our knowledge about the etiologies of male infertility and its potential reversion. Several factors related with low fertility in males have been described, such as the effect of different drugs, several types of cancers, aging, hormonal treatments, and the increase in sexually transmitted diseases. Given these increasing hazards, different alternatives for the preservation of male fertility are currently suggested, for instance, cryopreservation of testi­cular tissue for patients with spermatogenesis activity. However, the number of prepubertal patients increases yearly due to more cancer cases and associated anomalies. Chemotherapy and radiotherapy treatments block or destroy spermatogenesis. Thus, the search for suitable sources of germ stem cells, unique thanks to their self-renewal and differentiation characteristics, is increasingly necessary. Recent studies have demonstrated the presence of stem cells in adult testes and have described the methodology to isolate and culture these germ stem cells. Here we describe the state of the art in the field and the work underway in male fertility preservation relating to stem cells.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Fathalla MF. Reproductive health: a global overview. Early Hum Dev. 1992;29:35–42.

    Article  PubMed  CAS  Google Scholar 

  2. Boivin J, Bunting L, Collins JA, Nygren KG. International estimates of infertility prevalence and treatment-seeking: potential need and demand for infertility medical care. Hum Reprod. 2007;22:1506–12.

    Article  PubMed  Google Scholar 

  3. World Health Organization. WHO manual for the standardised investigation and diagnosis of the infertile couple. Cambridge: Cambridge University Press; 2000.

    Google Scholar 

  4. Thonneau P, Marchand S, Tallec A, Ferial ML, Ducot B, Lansac J, et al. Incidence and main causes of infertility in a resident population (1,850,000) of three French regions (1988–1989). Hum Reprod. 1991;6:811–6.

    PubMed  CAS  Google Scholar 

  5. Bahadur G, Ralph D. Gonadal tissue cryopreservation in boys with pediatric cancers. Hum Reprod. 1999;14:11–7.

    Article  PubMed  CAS  Google Scholar 

  6. Daugaard G, Hansen HH, Rùrth M. Treatment of malignant germ cell tumors. Ann Oncol. 1990;1: 195–202.

    PubMed  CAS  Google Scholar 

  7. Pasqualotto FF, Rossi LM, Guilherme P, Ortiz V, Iaconelli Jr A, Borges Jr E. Etiology-specific outcomes of intracytoplasmic sperm injection in azoospermic patients. Fertil Steril. 2005;83(3):606–11.

    Article  PubMed  Google Scholar 

  8. Stephen EH, Chandra A. Declining estimates of infertility in the United States: 1982–2002. Fertil Steril. 2006;86:516–23.

    Article  PubMed  Google Scholar 

  9. Jarow JP, Espeland MA, Lipshultz LI. Evaluation of the azoospermic patient. J Urol. 1989;142:62–5.

    PubMed  CAS  Google Scholar 

  10. Silber SJ, Nagy Z, Devroey P, Tournaye H, Van Seirteghem AC. Distribution of spermatogenesis in the testicles of azoospermic men: the presence or absence of spermatids in the testes of men with germinal failure. Hum Reprod. 1997;12:2422–8.

    Article  PubMed  CAS  Google Scholar 

  11. Silber SJ, Rodrigues-Rigau LJ. Quantitative analysis of testicle biopsy: determination of partial obstruction and prediction of sperm count after surgery for obstruction. Fertil Steril. 1981;36:480–5.

    PubMed  CAS  Google Scholar 

  12. Turek PJ, Cha I, Ljung B-M. Systematic fine-needle aspiration of the testis: correlation to biopsy and results of organ “mapping” for mature sperm in azoospermic men. Urology. 1997;49:743–8.

    Article  PubMed  CAS  Google Scholar 

  13. Gorgy A, Podsiadly BT, Bates S, Craft IL. Testicular sperm aspiration (TESA): the appropriate technique. Hum Reprod. 1998;13:1111–3.

    Article  PubMed  CAS  Google Scholar 

  14. Choi J, Koh E, Suzuki H, Maeda Y, Yoshida A, Namiki M. Alu sequence variants of the BPY2 gene in proven fertile and infertile men with Sertoli cell-only phenotype. Int J Urol. 2007;14(5):431–5.

    Article  PubMed  CAS  Google Scholar 

  15. Mancini M, Carmignani L, Gazzano G, Sagone P, Gadda F, Bosari S, et al. High prevalence of testicular cancer in azoospermic men without spermatogenesis. Hum Reprod. 2007;22(4):1042–6.

    Article  PubMed  CAS  Google Scholar 

  16. Thomson JA, Itskovitz-Eldor J, Shapiro SS, Waknitz MA, Swiergiel JJ, Marshall VS, et al. Embryonic stem cell lines derived from human blastocysts. Science. 1998;282:1145–7.

    Article  PubMed  CAS  Google Scholar 

  17. Ilic D, Giritharan G, Zdravkovic T, Caceres E, Genbacev O, Fisher SJ, et al. Derivation of human embryonic stem cell lines from biopsied blastomeres on human feeders with minimal exposure to xenomaterials. Stem Cells Dev. 2009;18(9):1343–50.

    Article  PubMed  CAS  Google Scholar 

  18. Aguilar-Gallardo C, Poo M, Gomez E, Galan A, Sanchez E, Marques-Mari A, et al. Derivation, characterization, differentiation, and registration of seven human embryonic stem cell lines (VAL-3, -4, -5, -6M, -7, -8, and -9) on human feeder. In Vitro Cell Dev Biol Anim. 2010;46(3–4):317–26.

    Article  PubMed  Google Scholar 

  19. Katz J, Keenan B, Snyder EY. Culture and manipulation of neural stem cells. Adv Exp Med Biol. 2010;671:13–22.

    Article  PubMed  Google Scholar 

  20. Goodman JW, Hodgson GS. Evidence for stem cells in the peripheral blood of mice. Blood. 1962;19:702–14.

    PubMed  CAS  Google Scholar 

  21. Barnes DW, Loutit JF. Haemopoietic stem cells in the peripheral blood. Lancet. 1967;2(7526):1138–41.

    Article  PubMed  CAS  Google Scholar 

  22. Pittenger MF, Mackay AM, Beck SC, Jaiswal RK, Douglas R, Mosca JD, et al. Multilineage potential of adult human mesenchymal stem cells. Science. 1999;284(5411):143–7.

    Article  PubMed  CAS  Google Scholar 

  23. Zuk PA. The adipose-derived stem cell: looking back and looking ahead. Mol Biol Cell. 2010;21(11): 1783–7.

    Article  PubMed  CAS  Google Scholar 

  24. Toma JG, Akhavan M, Fernandes KJ, Barnabé-Heider F, Sadikot A, Kaplan DR, et al. Isolation of multipotent adult stem cells from the dermis of mammalian skin. Nat Cell Biol. 2001;3(9):778–84.

    Article  PubMed  CAS  Google Scholar 

  25. Alonso L, Fuchs E. Stem cells of the skin epithelium. Proc Natl Acad Sci USA. 2003;100 Suppl 1:11830–5.

    Article  PubMed  CAS  Google Scholar 

  26. Guan K, Nayernia K, Maier LS, Wagner S, Dressel R, Lee JH, et al. Pluripotency of spermatogonial stem cells from adult mouse testis. Nature. 2006;440(7088): 1199–203.

    Article  PubMed  CAS  Google Scholar 

  27. Fortier LA. Stem cells: classifications, controversies, and clinical applications. Vet Surg. 2005;34(5):415–23.

    Article  PubMed  Google Scholar 

  28. Olive V, Cuzin F. The spermatogonial stem cells: from basic knowledge to transgenic technology. Int J Biochem Cell Biol. 2005;37:246–50.

    Article  PubMed  CAS  Google Scholar 

  29. Nayernia K, Li M, Engel W. Spermatogonial stem cells. In: Schatten H, editor. Germ cell protocols: methods in molecular biology, vol. 253. Totowa: Humana Press; 2003. p. 105–20.

    Chapter  Google Scholar 

  30. Brinster RL, Zimmermann JW. Spermatogenesis following male germ-cell transplantation. Proc Natl Acad Sci USA. 1994;9:11298–302.

    Article  Google Scholar 

  31. Lawson KA, Hage WJ. Clonal analysis of the origin of primordial germ cells in the mouse. Ciba Found Symp. 1994;182:68–91.

    PubMed  CAS  Google Scholar 

  32. McLaren A. Germ and somatic cell lineages in the developing gonad. Mol Cell Endocrinol. 2000;163: 3–9.

    Article  PubMed  CAS  Google Scholar 

  33. Donovan PJ, Stott D, Cairns LA, et al. Migratory and postmigratory mouse primordial germ cells behave differently in culture. Cell. 1986;44:831–8.

    Article  PubMed  CAS  Google Scholar 

  34. de Rooij DG, Grootegoed JA. Spermatogonial stem cells. Curr Opin Cell Biol. 1998;10:694–701.

    Article  PubMed  Google Scholar 

  35. Nayernia K, Li M, Engel W. Spermatogial stem cells. Methods Mol Biol. 2004;253:105–20.

    PubMed  Google Scholar 

  36. Russell LD, Ettlin RA, Hikim APS, Clegg ED. Histological and histopathological evaluation of the testis. Clearwater, FL: Cache River Press; 1990.

    Google Scholar 

  37. Tegelenbosch RA, de Rooij DG. A quantitative study of spermatogonial multiplication and stem cell renewal in the C3H/101 F1 hybrid mouse. Mutat Res. 1993;290:193–200.

    Article  PubMed  CAS  Google Scholar 

  38. Hofmann MC. Gdnf signaling pathways within the mammalian spermatogonial stem cell niche. Mol Cell Endocrinol. 2008;288:95–103.

    Article  PubMed  CAS  Google Scholar 

  39. Oatley JM, Brinster RL. Regulation of spermatogonial stem cell self-renewal in mammals. Annu Rev Cell Dev Biol. 2008;24:263–86.

    Article  PubMed  CAS  Google Scholar 

  40. Conrad S, Renninger M, Hennenlotter J, Wiesner T, Just L, Bonin M, et al. Generation of pluripotent stem cells from adult human testis. Nature. 2008;456(7220): 344–9.

    Article  PubMed  CAS  Google Scholar 

  41. Ko K, Araúzo-Bravo MJ, Tapia N, Kim J, Lin Q, Bernemann C, et al. Human adult germline stem cells in question. Nature. 2010;465(7301):E1. discussion E3.

    Article  PubMed  CAS  Google Scholar 

  42. Golestaneh N, Kokkinaki M, Pant D, Jiang J, DeStefano D, Fernandez-Bueno C, et al. Pluripotent stem cells derived from adult human testes. Stem Cells Dev. 2009;18(8):1115–26.

    Article  PubMed  Google Scholar 

  43. Kossack N, Meneses J, Shefi S, Nguyen HN, Chavez S, Nicholas C, et al. Isolation and characterization of pluripotent human spermatogonial stem cell-derived cells. Stem Cells. 2009;27(1):138–49.

    Article  PubMed  CAS  Google Scholar 

  44. He Z, Kokkinaki M, Jiang J, Dobrinski I, Dym M. Isolation, characterization, and culture of human spermatogonia. Biol Reprod. 2010;82(2):363–72.

    Article  PubMed  CAS  Google Scholar 

  45. Mizrak SC, Chikhovskaya JV, Sadri-Ardekani H, van Daalen S, Korver CM, Hovingh SE, et al. Embryonic stem cell-like cells derived from adult human testis. Hum Reprod. 2010;25(1):158–67.

    Article  PubMed  CAS  Google Scholar 

  46. Guan K, Wolf F, Becker A, Engel W, Nayernia K, Hasenfuss G. Isolation and cultivation of stem cells from adult mouse testes. Nat Protoc. 2009;4(2): 143–54.

    Article  PubMed  CAS  Google Scholar 

  47. Kubota H, Avarbock MR, Brinster RL. Culture conditions and single growth factors affect fate determination of mouse spermatogonial stem cells. Biol Reprod. 2004;71:722–31.

    Article  PubMed  CAS  Google Scholar 

  48. Kubota H, Avarbock MR, Brinster RL. Growth factors essential for self-renewal and expansion of mouse spermatogonial stem cells. Proc Natl Acad Sci USA. 2004;101:16489–94.

    Article  PubMed  CAS  Google Scholar 

  49. Oatley JM, Brinster RL. Spermatogonial stem cells. Meth Enzymol. 2006;419:259–82.

    Article  PubMed  CAS  Google Scholar 

  50. Wyns C, Curaba M, Vanabelle B, Van Langendonckt A, Donnez J. Options for fertility preservation in prepubertal boys. Hum Reprod Update. 2010;16(3): 312–28.

    Article  PubMed  Google Scholar 

  51. Dobrinski I, Ogawa T, Avarbock MR, Brinster RL. Computer assisted image analysis to assess colonization of recipient seminiferous tubules by spermatogonial stem cells from transgenic donor mice. Mol Reprod Dev. 1999;53:142–8.

    Article  PubMed  CAS  Google Scholar 

  52. Ogawa T, Dobrinski I, Avarbock MR, Brinster RL. Transplantation of male germ line stem cells restores fertility in infertile mice. Nat Med. 2000;6:29–34.

    Article  PubMed  CAS  Google Scholar 

  53. Ohta H, Yomogida K, Dohmae K, Nishimune Y. Regulation of proliferation and differentiation in spermatogonial stem cells: the role of c-kit and its ligand SCF. Development. 2000;127:2125–31.

    PubMed  CAS  Google Scholar 

  54. Nagano M, Avarbock MR, Brinster RL. Pattern and kinetics of mouse donor spermatogonial stem cell colonization in recipient testes. Biol Reprod. 1999;60(6):1429–36.

    Article  PubMed  CAS  Google Scholar 

  55. Shinohara T, Avarbock MR, Brinster RL. Beta1- and alpha6-integrin are surface markers on mouse spermatogonial stem cells. Proc Natl Acad Sci USA. 1999;96(10):5504–9.

    Article  PubMed  CAS  Google Scholar 

  56. Kanatsu-Shinohara M, Toyokuni S, Shinohara T. CD9 is a surface marker on mouse and rat male germline stem cells. Biol Reprod. 2004;70(1):70–5.

    Article  PubMed  CAS  Google Scholar 

  57. Ryu BY, Orwig KE, Kubota H, Avarbock MR, Brinster RL. Phenotypic and functional characteristics of spermatogonial stem cells in rats. Dev Biol. 2004;274(1): 158–70.

    Article  PubMed  CAS  Google Scholar 

  58. Tolkunova EN, Malashicheva AB, Chikhirzhina EV, Kostyleva EI, Zeng W, Luo J, et al. E cadherin as a novel surface marker of spermatogonial stem cells. Cell Tissue Biol. 2009;3(2):103–9.

    Article  Google Scholar 

  59. Buageaw A, Sukhwani M, Ben-Yehudah A, Ehmcke J, Rawe VY, Pholpramool C, et al. GDNF family receptor alpha1 phenotype of spermatogonial stem cells in immature mouse testes. Biol Reprod. 2005;73(5):1011–6.

    Article  PubMed  CAS  Google Scholar 

  60. Ebata KT, Zhang X, Nagano MC. Expression patterns of cell-surface molecules on male germ line stem cells during postnatal mouse development. Mol Reprod Dev. 2005;72(2):171–81.

    Article  PubMed  CAS  Google Scholar 

  61. Seandel M, Falciatori I, Shmelkov SV, Kim J, James D, Rafii S. Niche players: spermatogonial progenitors marked by GPR125. Cell Cycle. 2008;7(2):135–40.

    Article  PubMed  CAS  Google Scholar 

  62. Seandel M, James D, Shmelkov SV, Falciatori I, Kim J, Chavala S, et al. Generation of functional multipotent adult stem cells from GPR125+ germline progenitors. Nature. 2007;449(7160):346–50.

    Article  PubMed  CAS  Google Scholar 

  63. Tadokoro Y, Yomogida K, Ohta H, et al. Homeostatic regulation of germinal stem cell proliferation by the GDNF/FSH pathway. Mech Dev. 2002;113:29–39.

    Article  PubMed  CAS  Google Scholar 

  64. Hamra FK, Chapman KM, Nguyen DM, Williams-Stephens AA, Hammer RE, Garbers DL. Self renewal, expansion, and transfection of rat spermatogonial stem cells in culture. Proc Natl Acad Sci USA. 2005;102(48):17430–5.

    Article  PubMed  CAS  Google Scholar 

  65. Brinster RL. Germline stem cell transplantation and transgenesis. Science. 2002;296(5576):2174–6. Review.

    Article  PubMed  CAS  Google Scholar 

  66. Hofmann MC, Braydich-Stolle L, Dym M. Isolation of male germ-line stem cells; influence of GDNF. Dev Biol. 2005;279:114–24.

    Article  PubMed  CAS  Google Scholar 

  67. de Rooij DG. The spermatogonial stem cell niche. Microsc Res Tech. 2009;72:580–5.

    Article  PubMed  Google Scholar 

  68. Kanatsu-Shinohara M, Miki H, Inoue K, Ogonuki N, Toyokuni S, Ogura A, et al. Long-term culture of mouse male germline stem cells under serum-or feeder-free conditions. Biol Reprod. 2005;72(4): 985–91.

    Article  PubMed  CAS  Google Scholar 

  69. Kanatsu-Shinohara M, Inoue K, Ogonuki O, Miki H, Yoshida S, Toyokuni S, et al. Leukemia inhibitory factor enhances formation of germ cell colonies in neonatal mouse testis culture. Biol Reprod. 2007;76:55–62.

    Article  PubMed  CAS  Google Scholar 

  70. Pellegrini M, Grimaldi P, Rossi P, et al. Developmental expression of BMP4/ALK3/SMAD5 signaling pathway in the mouse testis: a potential role of BMP4 in spermatogonia differentiation. J Cell Sci. 2003;116: 3363–72.

    Article  PubMed  CAS  Google Scholar 

  71. Maki CB, Pacchiarotti J, Ramos T, Pascual M, Pham J, Kinjo J, et al. Phenotypic and molecular characterization of spermatogonial stem cells in adult primate testes. Hum Reprod. 2009;24(6):1480–91.

    Article  PubMed  CAS  Google Scholar 

  72. Kubota H, Avarbock MR, Brinster RL. Spermatogonial stem cells share some, but not all, phenotypic and functional characteristics with other stem cells. Proc Natl Acad Sci USA. 2003;100(11):6487–92.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Riboldi, M., Marí, A.I.M., Simón, C. (2012). Stem Cells and Fertility Preservation in Males. In: Seli, E., Agarwal, A. (eds) Fertility Preservation. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1783-6_26

Download citation

  • DOI: https://doi.org/10.1007/978-1-4419-1783-6_26

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4419-1782-9

  • Online ISBN: 978-1-4419-1783-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics