Mahdi Mohaqiq1, Mansoureh Movahedin2, Manijhe Mokhtari Dizaji3, Zohreh Mazaheri1. 1. Department of Anatomical Sciences, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran. 2. Department of Anatomical Sciences, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran. Electronic address: movahed.m@modares.ac.ir. 3. Department of Medical Physics, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Spermatogonial stem cells (SSCs) are at the base of
spermatogenesis. Evidences show reduction of SSCs in
some cases of infertility. Enrichment and proliferation of
SSCs in vivo and in vitro, is important and colonization of
spermatogonial cells is a crucial step to treat infertility,
germ cell gene change, cell transfect and differentiation of
SSCs in vitro. SSCs content is similar to the others cells,
including basement membrane, cytoplasm, nucleus and
etc. The plasma membrane of SSCs has very important
function in receiving signals, induction and transportation
of modified signals into cytoplasm or nucleus. Integrins are
heterodimeric transmembrain proteins, consisting of α and
β subunits which provide a link between the extracellular
matrix (ECM) and the intracellular cytoskeletal components
as well as actin filaments. Integrins are thought to function
through undergoing conformational changes, activating them
and revealing their ligand binding site. Mechanical stress
activates this pathway, thus the cells can react to the changes
in their physical environment (1). Ultrasound waves produce
pressure and transmit to adherent cells through interactions
with the ECM. Ultrasound is widely used as a diagnostic
imaging tool, while low intensity ultrasound (LIUS) and low
intensity pulsed ultrasound (LIUPS) promotes bone and tissue
repair processes by stimulating cells growth and inducing
proliferation and differentiation of some cells (2). The precise
mechanism by which LIUS and LIUPS mediates such effect
is not clearly defined. In previous studies LIUS and LIUPS
have been reported to cause increased proliferation rate on
human umbilical cord-derived mesenchymal stem cells (2),
hematopoietic stem cells (3), adipose-derived stem cells (4)
and SSCs (5, 6) in 7 days culture. These waves also increased
the expression of Cbfa-1/Runx2, Igf-receptor, Alk-3, Alkaline
phosphatase, Osteopontin, TGF-β1 and BMP-7 in rat bone
marrow stromal cells (7). They upregulated expression of
some genes like c-Jun, c-Myc, Cox-2, Egr-1, Tsc-22 as well as Osteonectin and Osteopontin in rat osteoblastic cells (8).
It has been determined that these waves could elevate the
expression of CAT and PAL genes in hazal cells (9). However,
the effect of LIUS and LIUPS on expression of germ cellspecific
and pluripotency genes of SSCs, which have very
important function in male fertility, has not yet been explored.
SSCs are at the foundation of spermatogenesis and male
fertility. SSCs are very rare, representing only 0.03% of all
germ cells in rodent testes (10). This is due to differentiation
of divided SSCs to spermatogonia, spermatocytes, spermatids
and spermatozoa. Culture, enrichment and colonization of
SSCs provide a practical approach to investigate testicular
transplantation, cell transfect and differentiation of SSCs in
vitro, as critical factors for treatment of infertility (11). In
this study we investigated the effect of LIUS and LIUPS on
the expression of integrin alpha 6 (Itga6) and beta 1 (Itgβ1)
genes as well as colonization, proliferation and survival rate
of SSCs during 21 days of culture.
Materials and Methods
Isolation and culture of spermatogonial stem cells
In this experimental study, spermatogonial cells were
obtained from neonate male mice NMRI. All stages of this
research are based on the approval of Ethics Committee
of Tarbiat Modares University (Tehran, Iran). They were
maintained under standard conditions with free access to food
and water. In order to obtain the SSCs, we used a modified
method published by Javanmardi et al. (12). Briefly, a
decapsulated testis was cut into small pieces and seminiferous
tubules were transferred to dulbecco’s minimum essential
medium (DMEM, Gibco, UK) containing collagenase IV
(0.5 mg/ml, Sigma, USA) and incubated in 37˚C for 20
minutes, then centrifuged 5 minutes with 1500 rpm speed.
The medium on top of palette was subsequently exchanged
with phosphate buffered saline (PBS, Gibco, USA) and then
centrifuged twice for 3 minutes in 1000 rpm. This phase
caused to delete interstitial tissue from testis pieces. Trypsin
(0.5 mg/ml, Sigma, USA) was next added to this solution for
2 minutes and then centrifuged for 5 minutes in 1500 rpm.
Eventually the obtained cells were pooled. Obtained mixture,
commonly included two kinds of cell: spermatogonial cells
and sertoli cells.
Identification of spermatogonial stem cells using
immunocytochemistry
PLZF protein (marker for SSCs) was detected in the SSCs
derived colonies by immunocytochemistry, 7 days after
culturing. The procedure of immunocytochemistry was
performed according to previous study (13). Briefly, the cells
were grown on the glass slides and fixed for 20 minutes in
4% paraformaldehyde at room temperature, before rinsing
with PBS. After permeabilization by 0.2% Triton X-100
(MP Biomedicals, USA) for 1 hour to facilitate antibody
penetration, the slides were washed with PBS supplemented
with 0.2% bovine serum albumin. Nonspecific antigens were
blocked with 10% normal goat serum (Vector Laboratories,
USA). The slides were then incubated overnight at 37˚C with
a mouse monoclonal anti-PLZF antibody (diluted 1:100;
Santa Cruz Biotechnology, USA). The slides were washed
with PBS and then the second antibody (goat Texas redconjugated
anti-mouseIgM, diluted 1:100; Sigma, USA) was
applied for 2 hours at room temperature in the dark.
Design of study
Ultrasound device preparation
Our ultrasound device (Physiomed, Germany) was
adjusted with the following parameters: ultrasound
frequency: 1 MHz, intensity: 200 mW/cm2, time: 200
seconds, duration: 5 days. These design parameters were
chosen based on the previous studies (3, 5, 6). Ultrasound
stimulation was applied by a transducer to spermatogonial
cells cultured in an enclosed sterile conventional 3.5 cm
cell culture plate, incubating at 32˚C temperature and 5%
CO2 (Fig .1). It was transmitted through the bottom of the
well via coupling gel between the transducer and the plate.
Based on the previous study (5), during SSC stimulations,
no more than 1˚C temperature change was observed.
Fig.1
Experimental set-up of the ultrasound-mediated spermatogonial stem cells (SSCs) stimulation. A, B. Position of ultrasound transducer and cell
culture plate, C. and D. Orientation of ultrasound stimulation set-up in incubator.
Spermatogonial stem cells stimulation by ultrasound
Cells were maintained in DMEM supplemented with
10% (v/v) fetal bovine serum (FBS, Gibco, UK). The
cells were exposed to LIUS (1 MHz, 200 mW/cm2)
and LIUPS (1 MHz, 200 mW/cm2 and 40% DC) as
experimental groups. The control group was cultured in
DMEM containing 10% FBS. After different stimulation
modes, SSCs were cultured for 21 days and they were
then evaluated. To investigate proliferation rate, the mean
number of whole cells per volume was determined every
seven days. Obtained colonies from spermatogonial
cells were assessed every seven days with invert- phase
microscope (Zeiss, Germany), equipped by ocular grid.
Oct-4 expression was evaluated as the pluripotency gene
in SSCs and the spermatogonial markers of Itga6 and
Itgβ1 were evaluated by quantitative reverse transcriptase
polymerase chain reaction (qRT-PCR). Total RNA was
extracted from spermatogonial cells in different groups on
days 0 and 21, by RNX-PlusTM (Cinnagen, Iran) according
to the manufacturer’s recommendations. In order to
remove genomic contamination, RNA was treated with
DNase I Fermentase kit (Lithuania) based on the protocol
described by manufacturer. Concentration of total RNA was
determined using UV spectrophotometer (DPI-l, Qiagen,
IRI). cDNA was synthesized from 1000 ng RNA sample with
a Revert AidTM first-strand cDNA synthesis kit (Fermentase,
Lithuania) using oligo (dT) primers. qRT-PCRs were carried
out using Master Mix (Cinnagen, Iran) and CYBER Green
I (Fluka, Switzerland) in an Applied Biosystems StepOneTM
instrument (Applied Biosystems, USA). PCR program was
started with an initial melting cycle, 4 minutes at 94˚C, to
activate the polymerase and followed by 40 cycles as follow:
a melting step (20 seconds at 94˚C), an annealing step (30
seconds at 57˚C), and an extension step (20 seconds at 72˚C).
After completing the PCR run, quality of the reactions was confirmed by melting curve analyses. For each sample, the
reference gene (Gapdh) and the target gene were amplified in
the same run. The comparative CT method (2-ΔΔCT) was used
to determine the relative quantification of target genes and
normalized to a housekeeping gene (Gapdh) and related to
a calibrator (0 day of SSCs). A validation of experiment was
performed to verify that the target efficiency and reference
was approximately equal.
Statistical analysis
One-way ANOVA and Tukey post tests were used
to determine the statistical significance of determined
differences in the mean values among experimental
groups, using the SPSS statistical software (SPSS 16.0
production mode facility). The data are presented as
mean ± SD. Each data point represents the average of
three separate experiments with three repeats in each
experiment. P<0.05 indicated statistical significance.
Ethical consideration
Current study was conducted under the protocol
approved by the animal experimentation committee of
Medical Sciences Faculty in Tarbiat Modares University.
Results
Spermatogonial stem cells isolation and culture
Isolated cells (spermatogonial and sertoli cells) were
cultured in DMEM supplemented with 10% FBS. On
the first day of culture, SSCs were single. Following
two days, the majority of round cells was adherence
and aggregated in to clumps, and then colonies were
formed on day 5. These cell colonies were formed
completely and their size were increased. In addition,
PLZF protein was detected in the obtained colonies
from these cells (Fig .2).
Fig.2
Detection of PLZF positive cells, using immunoflurecent
staining, in spermatogonial stem cells (SSCs) derived colonies. A. Red
florescent cells are PLZF positive in the obtained colonies, observing
under immunofluorescent microscope, B. Colonies observed under
inverted phase-contrast microscope, and C. Negative control group.
These cells were observed under immunofluorescence microscope.
Evaluation of proliferation rate and colonization after
ultrasound stimulation
We evaluated the influence of different modes of low
intensity ultrasound stimulation on proliferation rate and
colonization in SSCs compared to the control group. The
results showed that all of the two modes of low intensity
ultrasound stimulation, significantly increased (P<0.05)
proliferation rate in SSCs within the first week. However,
proliferation rate was decreased significantly (P<0.05)
within the next week, in LIUPS stimulated group, compared
to the first week (Fig .3). Our results also showed that LIUS
and LIUPS stimulation increased the number of SSCs
colonies during 21 days of culture, although this trend was
not continued and the colony quantity was significantly
decreased in the next week (P<0.05) (Fig .4). Furthermore,
our results indicated no significant difference at the size
of colony diameters in different experimental groups and
times (Fig .5).
Fig.3
Proliferation rate in the experimental groups during three weeks culture.
a; Refer to significant differences compared to the other weeks in the same
group (P<0.05).
Fig.4
The number of spermatogonial stem cells (SSCs) colonies in the
experimental groups during three weeks culture.
a; Refer to significant differences compared to the other weeks in the same
group (P<0.05).
Fig.5
Diameter of spermatogonial stem cells (SSCs) colonies in the
experimental groups within different times.
Experimental set-up of the ultrasound-mediated spermatogonial stem cells (SSCs) stimulation. A, B. Position of ultrasound transducer and cell
culture plate, C. and D. Orientation of ultrasound stimulation set-up in incubator.Detection of PLZF positive cells, using immunoflurecent
staining, in spermatogonial stem cells (SSCs) derived colonies. A. Red
florescent cells are PLZF positive in the obtained colonies, observing
under immunofluorescent microscope, B. Colonies observed under
inverted phase-contrast microscope, and C. Negative control group.
These cells were observed under immunofluorescence microscope.Proliferation rate in the experimental groups during three weeks culture.
a; Refer to significant differences compared to the other weeks in the same
group (P<0.05).The number of spermatogonial stem cells (SSCs) colonies in the
experimental groups during three weeks culture.a; Refer to significant differences compared to the other weeks in the same
group (P<0.05).Diameter of spermatogonial stem cells (SSCs) colonies in the
experimental groups within different times.
qRT-PCR was performed in different groups of the
isolated SSCs to analyze the expression of a pluripotency
marker subset, as well as germ cell-specific genes. Results
demonstrated that the expressions of Itga6 and Itgβ1 were
significantly increased (P<0.05) in LIUS and LIUPS
groups in comparison with control group on the 21st day
and the beginning of culture. In addition, the level of the
Itgβ1 expression was increased (P<0.05) in LIUPS group in
comparison with LIUS group on the 21st day. No significant
difference of Oct-4 gene expression was determined
between experimental and control groups (Fig .6).
Fig.6
The ratio of germ cell-specific genes and pluripotency gene
expression. Relative expression was shown as the ratio of target gene to
Gapdh.
*; Significant difference between different times, in the same gene (P<0.05)
and ×; Significant difference of LIUS group stimulation on day 21st,
compared to the other groups in same gene (P<0.05).
The ratio of germ cell-specific genes and pluripotency gene
expression. Relative expression was shown as the ratio of target gene to
Gapdh.*; Significant difference between different times, in the same gene (P<0.05)
and ×; Significant difference of LIUS group stimulation on day 21st,
compared to the other groups in same gene (P<0.05).
Discussion
In this study, we investigated the effects of LIUS and
LIUPS on germ cell specific and pluripotency genes as well
as colonization, proliferation and survival rates of SSCs
during 21 days of culture in vitro. We applied LIUS and
LIUPS stimulation to culture SSCs in DMEM supplemented
with 10% FBS with 200 mW/cm2 intensity for 200 seconds
during 5 days. On day 21th, we found that expressions of
Itga6 and Itgβ1 were increased in the experimental groups.
However, stimulation with LIUPS mode resulted in a better
expression of Itgβ1 in SSCs compared to LIUS mode
and unstimulated SSCs. Consistent with present data, an
earlier study demonstrated that stimulating osteoblasts and
chondrocytes with low intensity of ultrasound transiently
increased the expression of specific integrins, namely α5
and β1 (14). At the first week of culture, we found that
proliferation rate and number of colonies were increased
in the experimental groups. However, this increase
was not continued and we observed that proliferation
and colonization rates were decreased on the following
weeks. Our findings obtained from in vitro study strongly
revealed that LIUS and LIUPS stimulation could improve
the number of mouse SSCs and their colonies. Some
reports indicated that LIUPS stimulates proliferation rate
and colonization in hematopoietic stem/progenitor cells
(HSPCs) (3). Xu et al. (3) stimulated hematopoietic stem
precursor cells with low intensity pulsed ultrasound for 4
days and reported that it can enhance proliferation rate and
burst forming unit-erythroid colony formation on day 5.
Korstjens et al. (15) suggested that the LIUPS stimulates
chondrocyte proliferation and matrix production in humanarticular cartilage in vitro (15).Mohaqiq et al. (5, 6) stimulated mouse SSCs by
LIUS and LIUPS and reported that the proliferation
and colonization rates were increased during 7 days of
culture in vitro. Integrins provide a link between ECM
and intracellular cytoskeletal components as well as actin
filaments. Integrin proteins are thought to have function
by undergoing conformational changes that activate
them and reveal their ligand binding site. Integrins can
bind to cytoskeletal components and other signaling
molecules, while they activate several intracellular
signaling pathways in response to mechanical stress
such as sound waves, thus enabling the cells to react
to changes in their physical environment (1). Integrins
protein family acts as sensitive mechanoreceptors
on the surface of cells. Ultrasound waves produce
mechanical stimulation which has been transferred to
adherent cells via interactions with the ECM. Increase
in integrin expression was observed in the cells after
LIUPS treatment. It was shown to activate a number
of downstream kinases including focal adhesion kinase
(FAK), phosphatidylinositol 3-kinases (PI3K) and
mitogens activate protein kinase (16), indicating that
LIUS with their effect on transmembrain proteins, such
as integrins, might be able to stimulate more SSCs to
divide and it can enter these cells to mitotic process
through regulation of self-renewal or differentiation
pathway. Our results of LIUS and LIUPS effects on
SSCs showed that these waves had a useful shorttime
effect on proliferation and colonization during 21
days culture. We did not observe any increase on the
proliferation and colonization rates, compared to the
first week of culture. Unfortunately, previous studies
of LIUS or LIUPS effect on cells proliferation and
colonization did not report data from culture, more
than one week. In addition, we investigated LIUS and
LIUPS effect on SSCs survival rate.
Conclusion
We have demonstrated a novel LIUS and LIUPSmediated
effect on SSCs proliferation, colonization and
survival rates during 21 days culture. We also concluded
that LIUS and LIUPS stimulation increased Itga6 and
Itgβ1 expressions, as two genes playing critical role in
SSCs proliferation and differentiation. Hence, LIUS and
LIUPS stimulation could be a good strategy for improving
the efficiency and fate of stem cell transplantation, gene
therapies, in addition to improve efficiency and outcome
of stem cell enrichment.
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