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Department of Cell Biology, Duke University Medical Center, Durham, North Carolina 27710
| ABSTRACT |
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| I. Introduction |
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In 1947, Alfred Jost showed that removal of the gonads from fetal rabbits resulted in the development of female secondary sex characteristics, whether the animal was XX or XY. These experiments showed that male secondary sex characteristics depend upon the presence of a testis and led to the hypothesis that female development was the "default" state, since no gonads were required to specify female characteristics. Subsequently, the Y chromosome was found to be consistently associated with male sexual development, regardless of the number of X chromosomes present. The hypothetical factor on the Y chromosome required for male differentiation was termed Tdy (for testis-determining factor on the Y chromosome).
In 1990, studies performed in humans on sex-reversed XX males revealed that a 35-kb region of the Y chromosome was capable of causing sex reversal when transferred to an X chromosome (Gubbay et al., 1990; Sinclair et al., 1990). A single gene common to all mammals was found in this region and named Sry (for sex-determining region of the Y chromosome). Expression studies in mice revealed that Sry is expressed in the gonad from 10.5 days postcoitum (dpc) to approximately 12.0 dpc, coincident with formation of the gonad and initiation of testis development (Koopman et al., 1990; Hacker et al., 1995; Bullejos and Koopman, 2001). Further studies showed that when a 14-kb region containing this gene was introduced into XX mice as a transgene, testis development and male secondary sexual differentiation occurred, proving that Sry is Tdy (Koopman et al., 1991). However, these mice are sterile because other genes on the Y chromosome are required for spermatogenesis.
The Sry gene encodes a member of the high mobility group (HMG) family of transcription factors that has been shown to activate transcription by binding and bending DNA (Kamachi et al., 2000). More recent experiments have begun to reveal a role for HMG proteins in transcriptional repression as well (Zorn et al., 1999). Thus, Sry may initiate the male pathway by activating testis-specific genes and/or repressing genes that are specifically involved in ovarian development. Other members of this family include Tcf1 (T-cell factor 1), Tcf4, Lef1 (lymphoid enhancer binding factor), and Sox (Sry-related box) genes. These genes are involved in a number of developmental processes, ranging from cartilage formation to specification of neural identity (Pevny and Lovell-Badge, 1997).
| II. Origin and Development of the Gonads |
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| III. Cell Types of XX and XY Gonads |
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The development of PGCs into either sperm or oocytes depends upon the environment in which they reside (for a review, see McLaren, 1995). Regardless of their chromosomal makeup (XX or XY), PGCs synchronously enter meiosis by 13.5 dpc in the absence of any interference from Sertoli cells. In the ovary, PGCs arrest in the first prophase of meiosis I until later ovulatory cycles (McLaren and Southee, 1997; McLaren, 2000). Many experiments have shown that PGCs are required for the differentiation of follicle cells; in the absence of PGCs, follicles never form (Huang et al., 1993; Bedell et al., 1995). In contrast, the differentiation of Sertoli cells and formation of testis cords are not dependent upon PGCs; in the absence of PGCs, testis cords form normally. The differentiation of Sertoli cells in the gonad leads to the enclosure of PGCs inside testis cords and their arrest in mitosis before 13.5 dpc (Kurohmaru et al., 1992; McLaren and Southee, 1997).
Sertoli cells are believed to act as an organizing center for the testis by directing all other cell types into their respective lineages. Experiments with XX
XY mosaic mice revealed that the only cell type with a strong bias for a Y chromosome is the Sertoli cell (Palmer and Burgoyne, 1991a). In mosaic gonads that became testes, 90% of Sertoli cells were XY and 10% were XX. All other somatic cell types displayed a 50/50 XX:XY distribution. From these results, it was concluded that Sry-expressing Sertoli cells are capable of initiating the differentiation of all other cell types within the testis. These experiments also revealed that Sry is not required cell autonomously for Sertoli differentiation, since 10% of Sertoli cells in these experiments were XX. It is likely that Sry-expressing somatic cells are capable of recruiting other non-Sry-expressing somatic cells into the Sertoli lineage. Sertoli cells - and probably follicle cell precursors - have been shown to arise from the coelomic epithelium before 11.5 dpc. This led us to hypothesize that coelomic epithelial cells would express Sry (Karl and Capel, 1998; Schmahl et al., 2000). However, more recent experiments have localized Sry expression to a population of somatic cells that lies underneath the coelomic epithelium at 11.2 to 11.5 dpc (Bullejos and Koopman, 2001; Albrecht et al., 2001). This expression pattern suggests that pre-Sertoli cells turn on Sry and other genes required for Sertoli differentiation after they delaminate from the coelomic epithelium and enter the gonad. It is also possible that an additional population of Sertoli cells that express Sry arise from the mesonephros.
The Leydig cells of the XY gonad are required for production of testosterone, which initiates development of the male reproductive tract and male secondary sex characteristics. All available data suggest that these cells originate from the mesonephros before 11.5 dpc. Steroidogenic factor 1 (Sf1), a gene expressed in steroid-producing cells of the adrenal and Leydig cells of the testis, labels cells in the anterior end of the mesonephros prior to 11.5 dpc. These cells contribute to the adrenal gland and the XY gonad and represent a likely source of Leydig precursors (Hatano et al., 1996; Morohashi, 1997). In one electron microscopy study, Leydig cells were identified among a marked population of cells that had originated from the mesonephros (Merchant-Larios and Moreno-Mendoza, 1998). Finally, experiments in which XY gonads were separated from their mesonephroi at 11.5 dpc and cultured several days revealed that testosterone still was produced by these gonads. This indicated that Leydig precursors already are present in the gonad at 11.5 dpc (Merchant-Larios, 1979). The counterpart of the Leydig cell in the ovary is the theca cell. Precursors of theca cells are not identifiable early in the ovary but their origins are believed to be parallel to that of Leydig cells.
The other known somatic lineages in the XY gonad include peritubular myoid cells and endothelial cells. Myoid cells, a smooth muscle lineage, have been shown to collaborate with Sertoli cells in setting up the tubule structure of the testis (Skinner et al., 1985). In the adult, they generate a peristaltic action to pump sperm through the tubules. Myoid cells have no analogous lineage in XX gonads. Endothelial cells are present in both XX and XY gonads; however, by 12.5 dpc, the vasculature of XY gonads undergoes major structural changes. The most notable of these vascular reorganizations is the formation of a large coelomic surface vessel.
| IV. Genes Required for Testis and/or Ovary Development |
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A number of genes are expressed specifically in the XY gonad after 11.5 dpc and have been identified as early players in the sex-determination cascade. Sox9 is expressed in both XX and XY gonads beginning at 10.5 dpc but persists only in the nuclei of Sertoli cells of XY gonads after 11.5 dpc (daSilva et al., 1996; Kent et al., 1996). Humans heterozygous for mutations in Sox9 display varying degrees of sex reversal (Cameron et al., 1996). However, mice heterozygous for mutations in Sox9 form normal testes. Mice homozygous for null mutations in Sox9 have been generated but die before 11.5 dpc, preventing study of the gonads. Efforts are underway to generate chimaeric mice with Sox9 +/+ and -/- cells, which may allow analysis of Sox9 function during gonadogenesis (R. Behringer, personal communication). Experiments in which Sox9 is ectopically expressed in XX gonads under the control of the Wt1 promoter have shown that Sox9 can cause sex reversal in the absence of Sry (Vidal et al., in press). Recently, a transgene insertion upstream of the Sox9 promoter, odsex (for ocular degeneration with sex reversal), was shown to result in misexpression of Sox9 and sex reversal of XX gonads (Bishop et al., 2000). Thus, activation of Sox9 seems to account for all the effects of Sry. Integration of the transgene in odsex resulted in the deletion of sequences one to two megabases upstream of the Sox9 coding region. From these results, it was proposed that the portion of DNA deleted in odsex mice is the binding site for a negative regulator of Sox9. In normal males, the presence of Sry antagonizes this regulator, allowing Sox9 to be transcribed. However, in normal females, where Sry is not present, Sox9 is silenced in the presence of the negative regulator. In the odsex deletion, removal of the binding site from a distant regulatory region would allow for the ectopic expression of Sox9 in the XX gonad.
Müllerian inhibiting substance (MIS), a member of the transforming growth factor beta (TGFß) family, is expressed specifically in the Sertoli cells of the XY gonad, beginning between 11.5 and 12.5 dpc (Munsterberg and Lovell-Badge, 1991). At 11.5 dpc, the mesonephros contains two ducts, the Müllerian duct and the mesonephric duct, which are the precursors of the female and male reproductive tracts, respectively (Josso and Picard, 1986; Donahoe et al., 1987). In females, the Müllerian duct develops in the absence of MIS, whereas in males, MIS production leads to the regression of this duct by apoptosis. Misexpression of MIS in the XX gonad leads to regression of the Müllerian duct, while in XY Mis -/- mice, the Müllerian duct fails to regress and both male and female reproductive tracts develop (Behringer et al., 1990,1994). The mesonephric, or Wolffian duct, develops into the male reproductive tract. Testosterone is required for the development of this duct. In the absence of testosterone in females, the mesonephric duct regresses.
Another gene expressed specifically in Sertoli cells beginning at 12.5 dpc is Desert hedgehog (Dhh). XY Dhh -/- mice are sterile (Bitgood et al., 1996) and show defects in Leydig cell formation and Sertoli-myoid cell interactions in the adult testis (Clark et al., 2000). Patched1 (Ptc1), which encodes a receptor for Dhh, is expressed by numerous cells of the interstitium, including peritubular myoid cells and Leydig cells. Dhh and Ptc1 are not known to be expressed by XX gonads at any stage of development.
Fgf9 is expressed specifically in XY gonads at 11.5 and 12.5 dpc. Analysis of Fgf9 -/- mice revealed that the majority of XY mice developed as phenotypic females (Colvin et al., 2001). In these XY mice, 80% of the gonads developed as ovaries and 20% developed some abnormal testis cords. Analysis of proliferation in these mice after 12.5 dpc showed that proliferation rates for interstitial cells were less than 70% that of controls. Furthermore, culturing XX gonads in the presence of FGF9 resulted in the recruitment of mesonephric cells into the XX gonad. These data suggest that Fgf9 plays an early role in regulating male-specific pathways downstream of Sry.
Another gene that, when deleted in mice, causes male-to-female sex reversal is M33. M33 is a homologue of the Drosophila polycomb group genes (Katoh-Fukui et al., 1998). It is not clear where in the sex-determination hierarchy M33 acts. Since both polycomb and HMG proteins have been shown to alter chromatin structure, there may be interactions between M33 and Sry that regulate domains of gene expression.
DMRT1 was identified by its homology to genes with DNA-binding motifs termed DM domains. Two such genes are mab-3 in C. elegans and doublesex (dsx) in Drosophila, genes that play roles in sex determination and male-specific differentiation in these organisms (Raymond et al., 1998). The DMRT1 gene in humans maps to a cluster of DMRT genes in a region of chromosome 9 associated with defective testicular development. In mice, Dmrt1 is expressed in the gonads of both sexes at the early stages of gonad development. By 13.5 to 14.5 dpc, it becomes specific to the testis (Raymond et al., 1999). Testes in mice null for Dmrt1 are normal at the early stages of testis development. At later stages after birth, the seminiferous tubules of Dmrt1 -/- XY gonads begin to degenerate. Ovarian development is normal in Dmrt1 null mice (Raymond et al., 2000). While these results do not place Dmrt1 early in the sex-determination pathway in mammals, it is possible that there is redundancy with other Dmrt family members.
Dax1 and Wnt4 are genes expressed specifically in XX gonads after 11.5 dpc. Dax1 was cloned from an X chromosomal region in humans responsible for dosage-sensitive sex reversal (DSS) (Bardoni et al., 1994; Zanaria et al., 1994). Studies by Swain et al. (1998) have suggested that Dax1 plays a role in ovarian development by inhibiting Sry action. However, removing the Dax1 gene from mice had no effect on ovary development but instead led to male sterility and Leydig cell hyperplasia (Yu et al., 1998). Therefore, the function of Dax1 during gonadogenesis is not entirely clear. Wnt4 -/- females exhibit ectopic Leydig cell development, whereas XY Wnt4 -/- mice have no obvious defects in testis development (Vanio et al., 1999). These results suggest that Wnt4 plays an inhibitory role in XX gonads by repressing a portion of the male pathway that leads to the differentiation of Leydig cells. In XY gonads, expression of Sry and Sox9 somehow leads to the repression of Wnt4, allowing Leydig cell development to proceed. (See Table I for a list of genes involved in testis and ovary development.)
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| V. Genetic Models of Sex Determination |
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| VI. Cellular Pathways Downstream of SRY |
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Experiments have revealed several cellular pathways downstream of Sry that play a role in testis formation. These include cell proliferation, commitment of coelomic epithelial cells to the Sertoli lineage, mesonephric cell migration, and vascularization. All of these pathways have been shown to be required for normal testis formation and depend upon the expression of Sry in the genital ridge.
A. PROLIFERATION OF SERTOLI PRECURSORS AND COMMITMENT TO THE SERTOLI LINEAGE
The Sertoli cell plays a central role in testis development by directing all other cell types into their respective lineages. For this reason, it is important to understand the origin of this cell type. Previous studies have suggested two sources of Sertoli cells: the coelomic epithelium and the mesonephros. By labeling cells of the coelomic epithelium with DiI, experiments have shown that, before 11.5 dpc, the cells of the coelomic epithelium contribute to the Sertoli lineage (Karl and Capel, 1998). Furthermore, prior to 11.5 dpc, the cells of the coelomic epithelium can give rise to daughter cells of two lineages: Sertoli cells and unidentified interstitial cell types. After 11.5 dpc, coelomic epithelial cells still contribute to the XY gonad but only become interstitial cells.
In agreement with DiI studies, experiments using bromodeoxyuridine (BrdU) to label dividing cells showed that the coelomic epithelium is highly proliferative prior to 12.0 dpc (Schmahl et al., 2000). These experiments defined two stages of proliferation in the XY gonad. The first stage of proliferation occurred in a population of cells that expresses high levels of Sf1 and contributes to the Sertoli lineage as well as an interstitial lineage. A second stage of proliferation occurred at the coelomic epithelium after 11.5 dpc in a population of cells that expressed Sf1 at low levels and contributed to interstitial lineages. To determine if proliferation was dependent upon Sry expression, the proliferation pattern of XX gonads from mice carrying an Sry transgene was examined and found to be identical to that of XY gonads. Conversely, XY gonads from B6XYpos mice, which become ovaries or ovotestes, displayed levels of proliferation similar to XX gonads.
From these data, it was concluded that Sry induces the upregulation of proliferation in cells at the coelomic epithelium. Recent expression studies have shown that Sry is not expressed in coelomic epithelial cells (Bullejos and Koopman, 2001; Albrecht et al., submitted). Therefore, Sry-expressing Sertoli precursors beneath the coelomic epithelium are likely to expand their population in a noncell-autonomous manner by recruiting non-Sry-expressing cells at the coelomic epithelium into the Sertoli lineage. Prior to 11.5 dpc, cell divisions at the coelomic epithelium result in daughter cells that follow different fates, as revealed in the DiI injection experiments. This might occur through the asymmetric distribution of cellular components during the division process, by lateral signaling between daughter cells, or through interactions with other somatic cells of the gonad once the division is complete. After 11.5 dpc, proliferation at the coelomic epithelium results in an expansion of the population of interstitial cells (for a diagram of male-specific proliferation, see Figure 1).
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Initial attempts to characterize the signal(s) for cell migration demonstrated that culturing an XX gonad with an XY gonad at its coelomic surface resulted in migration of mesonephric cells into the XX tissue (Martineau et al., 1997). Likewise, culture of XX gonads with beads coated with proteins from XY gonads led to the induction of cell migration. This assay was used to further investigate the role of cell migration in the developing gonad. Examination of the structure of XX gonads that had been cultured with an XY gonad at their coelomic surface as a "sandwich" to induce mesonephric cell migration revealed that the XX gonadal cells organized into structures similar to testis cords. Laminin was deposited around cord structures and germ cells were enclosed within these cords. Furthermore, induced XX gonads upregulated the expression of the male-specific gene Sox9 and downregulated the female-specific gene Dax1. These experiments showed that mesonephric cell migration is capable of inducing Sertoli cell differentiation in the absence of Sry in the XX supporting cell precursors (Tilmann and Capel, 1999). These results suggested that interactions between migrating cells and supporting cell precursors play an important role in the establishment of the Sertoli fate (for a diagram of male-specific cell migration, see Figure 2).
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D. VASCULARIZATION
One of the most noticeable structures that appears in the XY gonad by 12.5 dpc is a large vessel just under the coelomic epithelium, termed the coelomic vessel. Early experiments designed to study cell migration into the XY gonad revealed that endothelial and associated cells enter the XY gonad from the mesonephros beginning at 11.5 dpc (Martineau et al., 1997). Cell migration occurs until at least 16.5 dpc, specifically in XY gonads. Many of the migrating endothelial cells become part of the coelomic vessel as well as vessels in the interstitium of the testis. The dimorphic development of the vasculature in XX and XY gonads led to the hypothesis that construction of a male-specific vasculature plays an early role in the patterning and function of the testis.
To begin to address the role of migrating endothelial cells in testis formation, the mechanisms for vascular development in XX and XY gonads were compared and contrasted (Brennan et al., submitted). At 11.5 dpc, the pattern of vessels appears similar between XX and XY gonads, as revealed by staining of gonads from Tie-2::LacZ mice, which contain an endothelial-specific LacZ transgene. However, by 12.5 dpc, the XY vasculature undergoes rapid reorganization that does not occur in XX gonads. The most noticeable features of the reorganization are the formation of the coelomic vessel, restriction of endothelial cells to the interstitial space between the testis cords, and a generation of a more highly branched system of vessels. The vasculature of the XX gonad expands during this period but its pattern does not change.
Cell migration from the mesonephros into the XY gonad is certainly one mechanism that accounts for this rapid reorganization and growth of the XY gonad. To determine whether endothelial migration from the mesonephros represented a specific subset of the vasculature (e.g., lymphatics, arteries, veins), the expression patterns of markers specific to these populations were examined in XX and XY gonads. Lymphatics did not populate the XX or XY gonad until 17.5 dpc. Examination of the arterial and venous specific markers, Ephrin B2 (arterial) and its receptor EphB4 (venous), revealed that, at 11.5 dpc, endothelial cells of XX and XY gonads express both arterial and venous markers in similar patterns, suggesting that these two populations have not been distinctly specified. Interestingly, by 12.5 dpc, the vasculature of the XY gonad labels primarily with the arterial specific marker, Ephrin B2. In contrast, the vasculature of the XX gonad at 12.5 dpc continues to express both arterial and venous markers, suggesting that it has not been specified into distinct populations.
From this analysis, it was concluded that the Sry is required for the recruitment of endothelial cells from the mesonephros. These cells are required for the formation of the coelomic vessel and the respecification of the XY vasculature into an arterial system, which results in the rerouting of blood flow, primarily through the coelomic vessel. One explanation for this pattern of specification and blood flow in the XY gonad is that this event is necessary for the rapid export of testosterone from the testis, which occurs by 13.5 dpc. Future experiments will address the role of genes involved in the specification of the XY vasculature.
| VII. Summary |
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Differential expression studies have begun to identify genes expressed in both XX and XY gonads that may play roles in testis or ovary development. One such gene is vanin-1, which is expressed specifically in the Sertoli cells of the XY gonad (Bowles et al., 2000). Serendipitous phenotypes in both XX and XY null mice (e.g., Fgf9, M33, Wnt4) have helped uncover several genes involved in gonad development as well. Mutagenesis screens are underway to identify new genes that influence testis or ovary development (R. Lovell-Badge, personal communication).
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