Spontaneous and Age-Related Testicular Findings in Beagle Dogs
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Toxicologic Pathology, 36: 465-471, 2008 Copyright © 2008 by Society of Toxicologic Pathology ISSN: 0192-6233 print / 1533-1601 online DOI: 10.1177/0192623308315670 Spontaneous and Age-Related Testicular Findings in Beagle Dogs MICHAEL J. GOEDKEN, ROY L. KERLIN, AND DANIEL MORTON Pfizer, Inc., Groton, Connecticut, USA ABSTRACT This study was conducted to characterize spontaneous testicular and epididymal microscopic findings in eighty control beagle dogs from toxicity studies. Hypospermatogenesis, characterized by randomly scattered missing spermatids and/or spermatocytes within seminiferous tubules, was observed in 75% of dogs six to seven months of age and declined to fewer than 10% in dogs over eleven months of age. Atrophy/hypoplasia of seminiferous tubules, characterized by subcapsular triangular clusters of tubules containing no germ cells, was observed in 25 to 40% of dogs under twelve months old, decreasing with age to 14 to 17% in dogs twelve to thirty-six months old. Retained spermatids, multinucleate giant cells, intracytoplasmic vac- uoles (presumably in Sertoli cells), and swollen spermatocytes were common findings of minimal severity. Six- and seven-month-old dogs had lower testicular weights, less filling of the epididymal tails with sperm, and a two-fold higher incidence of abnormal epididymal content compared to dogs more than eight months of age. Most male beagles were histologically sexually mature by eight to nine months of age. This study confirms published reports that dogs at least ten months of age at necropsy usually are adequate for routine microscopic evaluation of the testes. If evaluation of spermatogenesis is critical, the incidental findings can be minimized by using males over twelve months of age. Keywords: testis; epididymis; background findings; spontaneous; beagle dogs; hypospermatogenesis. INTRODUCTION MATERIALS AND METHODS Histopathology is a sensitive method for evaluating adverse Animals effects of chemicals on spermatogenesis (Rehm 2000; Testes from eighty control beagle dogs (aged six to thirty- Takayama et al. 1995; Ulbrich and Palmer 1995). Knowledge six months) were obtained from toxicology studies conducted of spontaneous microscopic findings in normal dog testes is between 2000 and 2005 at Pfizer Global Research and required before drug-related lesions can be distinguished from Development, Groton, Connecticut. All dogs were obtained spontaneous or age-related testicular findings. Although beagle from Marshall Farms (North Rose, NY). Animals were housed dogs are commonly used as a nonrodent model for evaluating singly in stainless steel cages in environmentally stable rooms chemical toxicity, there are limited data on spontaneous testic- (18°C –22°C, 40 to 60% humidity, and twelve-hour light cycle). ular findings in these animals (Hottendorf and Hirth 1974; They were fed Advanced Protocol High Density Diet 5L66 James and Heywood 1979; Rehm 2000). Rehm described the (PMI Nutrition International) once daily and had ad libitum features and incidences of common spontaneous findings in the tap water. Procedures were performed in a facility accredited testes of fifty beagle dogs from eight to twenty months of age by the Association for Assessment and Accreditation of with a relatively small sample of dogs in each age group, Laboratory Animal Care, International, and were approved by specifically excluding dogs considered immature from her the Institutional Animal Care and Use Committee. report (Rehm 2000). Our report extends Rehm’s observations by describing microscopic findings in testes from eighty addi- tional control beagles ranging from six months to three years Histologic Evaluation of age. Some of the beagles in our report were younger and older than those described by Rehm, and we did not selectively Testes were dissected free of epididymides and adjacent exclude any animals based on age. This manuscript demon- tissue at necropsy, weighed, and fixed by immersion in either strates novel relationships regarding testicular weight and sper- 10% neutral buffered formalin (eight of eighty total dogs) or matogenic changes in control beagle dogs six to seven months modified Davidson’s fluid (seventy-two of eighty total dogs). of age. This information will assist toxicologic pathologists in Following fixation, cross sections through the middle of the distinguishing spontaneous and treatment-related findings of testes and longitudinal sections of the epididymides were the testes and epididymides of laboratory beagles. embedded in paraffin, sectioned at 5 µm, stained with hema- toxylin and eosin, and evaluated by a single pathologist using light microscopy. In almost all cases, the full testicular cross Address correspondence to: Daniel Morton, DVM, PhD, Pfizer, Inc., section was available for examination. In a few cases with very Eastern Point Rd., Groton, CT 06340; e-mail: dan.g.morton@pfizer.com. large testes, one edge of the testis was trimmed away so that 465 Downloaded from tpx.sagepub.com by guest on October 24, 2015
466 GOEDKEN ET AL. TOXICOLOGIC PATHOLOGY the specimen would fit into a standard cassette. Most epididy- Testicular Microscopic Findings mal sections contained head, body, and tail. Histologic exami- Hypospermatogenesis (absence of some or all of the germ nation was conducted using nomenclature and semiquantitative cells within individual tubules) was a common finding, occur- severity grades as previously published (Rehm 2000; Lanning ring in 20% of all dogs (sixteen of eighty dogs). Of these six- et al. 2002). This semiquantitative scoring system catego- teen animals, five dogs (31.3%) had bilateral changes (Table 1). rized severity as minimal (score 1) for fewer than 5% tubules Testicular and epididymal changes in control dogs are shown in affected, slight (score 2) for 5%–25%, moderate (score 3) for Figures 2–9. Testes with hypospermatogenesis contained ran- 25%–50%, marked (score 4) for 50%–75%, and severe (score domly scattered groups of one to fifteen tubules with partial to 5) for more than 75% tubules affected. An additional category complete absence of germ cells. Multifocal absence of sperma- (score 0) representing absence of the finding was included. tocytes was observed in six dogs, whereas lower numbers of The spermatogenic stages of tubules containing findings were round spermatids were seen in twelve dogs. All sixteen dogs qualitatively assessed when possible (Creasy 1997; Russell demonstrated multifocal absence of elongate spermatids et al. 1990). (Figures 2 and 3). Hypospermatogenic tubules often contained Each testis was evaluated independently, and findings were small amounts of intraluminal debris, giant cells, and/or swollen categorized as either bilateral or unilateral. Hypospermatogenesis spermatocytes. The severity of hypospermatogenesis was mini- was further characterized according to the germ cell layer (sper- mal (score 1) in 5% (four of eighty dogs), slight (score 2) in matocyte, round spermatid, and/or elongate spermatid) that 10% (eight of eighty dogs), moderate (score 3) in 13.8% (eleven exhibited the greatest cell loss. Assessment of epididymides of eighty dogs), and marked (score 4) in 3.8% (three of eighty included a semiquantitative estimate of the percentage of all dogs) (Table 2). In addition, there was an age distribution to the ductular lumens filled with sperm and qualitative assessment of incidence of hypospermatogenesis, which was observed in 75% abnormal intraluminal cell types, epithelial changes, and inter- of dogs six to seven months of age, declining in incidence with stitial changes. age to less than 10% in dogs over eleven months of age. Tubules with atrophy/hypoplasia were typically arranged in Imaging well-demarcated, subcapsular, triangular clusters of three to fifty seminiferous tubules lacking all germ cells, as described Slides were examined with an Olympus BX50 light micro- by Rehm (2000) (Figures 4 and 5). These clusters were readily scope, and selected images were captured using a high-resolu- observed at low magnification and immediately juxtaposed tion camera (Qimaging 5.3RTV). Images were captured using with normal tubules at the borders of the clusters. The tubules QCapture Pro 5.0.1.25 software (QImaging, Surrey, BC, Canada) in these clusters were lined only by elongate Sertoli cells with at 2048 x 1536 dpi resolution. Grayscale conversion, brightness/ round nuclei, were smaller in diameter with smaller tubular contrast adjustments, and plate production were performed in lumina than normal tubules, contained no luminal content, and Adobe Photoshop 6.0 for Windows (Adobe Systems, Inc., San lacked evidence of interstitial inflammation or basement mem- Jose, CA, 2007). brane thickening. Atrophic/hypoplastic tubules were seen in 26.3% of all dogs (twenty-one of eighty dogs); four of these Statistical Analysis (19%) exhibited bilateral lesions. The incidence was clearly affected by age, with 25%–40% of dogs under twelve months Combined testes weights and incidences of hypospermato- old having this finding, decreasing with age to 14%–17% in genesis and atrophy/hypoplasia were analyzed independently dogs twelve to thirty-six months old. Eleven dogs exhibited by age group. Data were analyzed using one-way analysis of both atrophy/hypoplasia and hypospermatogenesis. variance followed by Newman-Keul’s multiple range post hoc All other histopathological changes were of minimal sever- test (p < .05). Histopathologic grades were rank-ordered prior ity. These changes included retained spermatids, multinucleate to statistical analysis. Quantitative results were expressed as giant cells, swollen spermatocytes, apoptotic cells, intracyto- means ± standard deviations. plasmic vacuoles within tubules (presumably within Sertoli cell), and dilated tubules. RESULTS Retained spermatids had elongated hyperchromatic nuclei and were located either basally (in or between Sertoli cells) Testicular Weight or apically (adhered to the surface). These retained cells had Significantly lower paired testicular weights were seen in condensed cytoplasm and were found in later stages of sper- six- and seven-month-old dogs (8.1 ± 1.2 g) compared to testic- matogenesis (six and seven, rarely eight). Spermatid retention ular weights from dogs aged eight to thirty-six months (range: consisting of two to seven spermatids in an average of six tubules 11.0 ± 3.9 g to 14.8 ± 2.3 g) (Figure 1). Testicular weights per testis was seen in 47.5% of dogs (thirty-eight of eighty). Of appeared to plateau at eight months of age, with ranges as follows: the thirty-eight dogs with retained spermatids, 79% (thirty of six and seven months (6.5–10.4 g), eight months (10.6–18.3 g), eighty) had bilateral findings. nine months (5.5–16.2 g), ten months (9.3–12.7 g), eleven Multinucleated giant cells were seen in 73.8% of dogs months (9.3–17 g), twelve to twenty-four months (8.3–19.1 g), (fifty-nine of eighty) (Figure 6), and 85% of these dogs (fifty and twenty-four to thirty-six months (11.5–17.7 g). of fifty-nine) had a bilateral distribution. In each case, there Downloaded from tpx.sagepub.com by guest on October 24, 2015
Vol. 36, No. 3, 2008 CONTROL BEAGLE TESTICULAR FINDINGS 467 FIGURE 1.—Relationship of control beagle dog age and testes weight. FIGURE 3.—Lower numbers of spermatocytes and round spermatids in Testicular weight was measured in control beagle dogs of varying tubule with hypospermatogenesis. H&E, x400. age (n = 5–23 dogs). Asterisks (*) represent a statistical difference (p < .05) compared to six- and seven-month-old dogs. TABLE 1.—Incidence of spontaneous spermatogenic changes.a cells per tubule, and there were typically fewer than ten affected tubules per testis (Figure 7). Swollen cells had abundant pale Pattern No. affected dogs Total no. dogs Percentage cytoplasm and marginated nuclei. Some swollen spermatocytes Atrophy / hypoplasia 21 80 26.3 had condensed chromatin (pyknosis). Unilateral 17 21 Apoptotic germ cells within the seminiferous epithelium Bilateral 4 21 were found in 10% of dogs (eight of eighty), with no apparent Hypospermatogenesis 16 80 20.0 age correlation. Of the eight dogs with apoptotic cells, only Unilateral 11 16 Bilateral 5 16 two animals had this lesion bilaterally. Rare intracytoplasmic vacuoles, presumed to be in Sertoli a Eleven dogs exhibited both patterns of change. cells based on cellular morphology, were seen in 55% of dogs (forty-four of eighty). Five percent (four of eighty) of dogs had dilated seminifer- ous tubules. Some dilated tubules in three of the four affected dogs contained aggregates of desquamated immature intralu- minal germinal cells. One dog had unilateral subacute coagulative necrosis of one fourth of the parenchyma, suggesting a spontaneous infarct or focal trauma, although the inciting cause was not determined. Epididymal Changes Epididymal ducts from most dogs contained sperm admixed with rare multinucleate giant cells and a few immature sper- matids. Older dogs (eight to thirty months) had between 40 and 90% of all epididymal duct profiles filled with sperm with con- sistent filling of the tails. Dogs from six to seven months of age FIGURE 2.—Hypospermatogenesis with decreased numbers of sperma- had 0%–10% of epididymal duct profiles filled with a mixture of tocytes and spermatids. H&E, x100. sperm, round spermatids, spermatocytes, multinucleated giant cells, and cell debris (Figure 8). Most dogs six to seven months were from one to six multinucleate cells per affected tubule with of age had little or no sperm in their epididymal tails, and ducts fewer than ten affected tubules per testis and no predilection for of the epididymal head and body were incompletely expanded specific stages. with sperm. Interestingly, incomplete filling of tubules in the Tubules with swollen spermatocytes were observed in seventy- head and body also was seen in three of the nine-month-old dogs. four of eighty dogs (93%), and in most cases were observed Filling of the tail of the epididymis with normal sperm was deter- bilaterally (fifty-two of seventy-four). These swollen spermato- mined to be the most appropriate epididymal finding for evalu- cytes were found singly or in loose aggregates of two to eight ating maturity. One to four small (less than one tubule diameter), Downloaded from tpx.sagepub.com by guest on October 24, 2015
468 GOEDKEN ET AL. TOXICOLOGIC PATHOLOGY TABLE 2.—Incidence of hypospermatogenesis and atrophy/hypoplasia by age group. No. with Total Percentage Age (mo.) n Finding Grade 0 Grade 1 Grade 2 Grade 3 Grade 4 both incidence incidence 6–7 8 Hypospermatogenesis 2 0 2 1 3 2 6/8 75 Atrophy/hypoplasia 5 0 1 1 1 3/8 37.5 8 5 Hypospermatogenesis 3 0 1 1 0 2 2/5 40 Atrophy/hypoplasia 3 0 1 1 0 2/5 40 9 15 Hypospermatogenesis 12 0 2 1 0 3 3/15 20a Atrophy/hypoplasia 10 1 2 2 0 5/15 33.3 10 8 Hypospermatogenesis 5 1 1 1 0 2 3/8 37.5 Atrophy/hypoplasia 6 0 1 1 0 2/8 25 11 14 Hypospermatogenesis 14 0 0 0 0 0 0/14 0a Atrophy/hypoplasia 10 1 1 2 0 4/14 29 12–23 23 Hypospermatogenesis 21 0 0 2 0 2 2/23 8.7a Atrophy/hypoplasia 19 0 1 3 0 4/23 17.3 24–36 7 Hypospermatogenesis 7 0 0 0 0 0 0/7 0a Atrophy/hypoplasia 6 1 0 0 0 1/7 14.3 Note: There were no statistical differences among dogs with atrophy/hypoplasia. There were no statistical differences comparing dogs with atrophy/hypoplasia and hypospermatogenesis at any age. a Statistically different from six- to seven-month-old dogs with hypospermatogenesis. FIGURE 4.—Atrophy/hypoplasia demonstrated smaller, well-demarcated FIGURE 6.—Multinucleated giant cell composed of round spermatids. tubules immediately adjacent to normal tubules. H&E, x100. H&E, x200. FIGURE 5.—Atrophy/hypoplasia. Tubules contain only columnar Sertoli FIGURE 7.—Swollen spermatocytes (arrow). H&E, x400. cells. H&E, x200. Downloaded from tpx.sagepub.com by guest on October 24, 2015
Vol. 36, No. 3, 2008 CONTROL BEAGLE TESTICULAR FINDINGS 469 unilateral, interstitial lymphoid aggregates were present in four dogs. In four other dogs, the epididymal epithelium bilaterally contained rare small intracytoplasmic vacuoles. Lastly, two dogs had bilateral cribriform change characterized by 50–200 μm intraepithelial spaces rimmed by compressed columnar cells, primarily in the tail of the epididymis (Figure 9). DISCUSSION Focal hypospermatogenesis and/or tubular atrophy/hypoplasia occurred in all age groups, but they were more common in younger animals. Eighty-seven percent of dogs six to seven months old and 26.4% of dogs eight months through three years old had either hypospermatogenesis and/or atrophy/hypoplasia. Although the interactions of Sertoli cells and germ cells in normal and abnormal spermatogenesis are not completely FIGURE 8.—Cell debris, spermatocytes, and mature sperm in epididymal characterized, recent information from rodents and nonhuman lumen. H&E, x200. primates suggests that interaction between Sertoli cells and germinal cells is bidirectional. Immature Sertoli cells are iden- tified by positive staining for anti-Müllerian hormone, neural cell adhesion molecule, and cytokeratin 18, whereas mature Sertoli cells are labeled with inhibin B (Rajpert-De Meyts et al. 1999; Rey et al. 1994; Rey et al. 1999; Stosiek et al. 1990). Positive staining for immature Sertoli cell markers is found in tubules with hypospermatogenesis, suggesting that incomplete maturation of Sertoli cells is associated with partial or complete absence of germ cells (Cortes et al. 1987; Mann et al. 1997; Marshall and Plant 1996; Sharpe et al. 2003; Sharpe et al. 2000; Wang et al. 1989). On the other hand, it is known that germ cell loss triggers mature Sertoli cells to develop characteristics of immature cells (Foley 2001; Sharpe et al. 2003; Sharpe et al. 1993; Steger et al. 1999). If future studies in beagle dogs are consistent with information from rodents and primates, the terms atrophy/hypoplasia and hypospermatogenesis may not adequately reflect the mechanisms of action responsible for FIGURE 9.—Epididymal cribriform change. Intraepithelial lumens often are partially lined by ciliated cells and may have eosinophilic content. these findings. Abnormal tubules with similar appearances could H&E, x400. develop through multiple mechanisms, and a single mechanism could produce morphologic findings compatible with both hypospermatogenesis and atrophy/hypoplasia. More descrip- result from prior testicular toxicity of two to fourteen days in tive terminology, such as “Sertoli-cell-only tubules” for atrophy/ duration (Abbott 1993; Foley 2001). In our study, six- to seven- hypoplasia and “missing germ cells” for hypospermatogenesis, month-old dogs consistently had a much lower percentage of the may be more appropriate. overall epididymal lumen filled with spermatozoa (0%–10%) Multinucleate giant cells, swollen germ cells, vacuolation compared with animals at least eight months of age (40%–90%), of Sertoli cells, and retained spermatids of mild severity were and the epididymal tails of most six- to seven-month-old dogs common findings in the testes of normal beagles. Apoptosis and contained little or no sperm compared to older dogs. Filling of intraluminal cell debris were relatively uncommon, and when the tail of the epididymides with normal sperm was one indica- present they were quite mild in severity. Multinucleate giant tor of sexual maturity. Dogs six to seven months of age had cells are a common finding in clinically normal male dogs, rats, proportionately more epididymal intraluminal eosinophilic debris, rabbits, and humans, but they also may be linked to starvation, intraluminal spermatocytes, multinucleate giant cells, and degen- thermal stress, surgical procedures, local injury, and toxicity erate immature spermatids than observed in the older dogs. (Russell et al. 1990). Swollen and degenerate spermatocytes These findings correlated well with lower testicular weights and near the basal cell layer of seminiferous tubules were common the increased incidence of hypospermatogenesis in the younger spontaneous findings that may be confused with toxicity. group. Although there was at least four-fold greater epididymal The major epididymal change was high variability in filling filling in older dogs (eight to thirty-six months), the high vari- of the epididymal tail with sperm. Reduced luminal filling with ability (40%–90%) may have been partly a result of artifactual increased numbers of immature germ cells and cell debris may loss of sperm during processing. Epithelial cell cytoplasmic vac- be seen in healthy, peripubertal dogs, but such findings may also uoles, cribriform change, and interstitial mononuclear infiltrates Downloaded from tpx.sagepub.com by guest on October 24, 2015
470 GOEDKEN ET AL. TOXICOLOGIC PATHOLOGY were considered spontaneous findings. The cause of spontaneous months of age will reduce the incidence of spontaneous back- interstitial lymphocytic aggregates is unknown and may be diffi- ground findings that may be confused with toxicity. cult to distinguish from a drug effect if there was increased inci- Every study must be evaluated on a case-by-case basis to dis- dence or severity in treated animals compared with controls. tinguish primary treatment-related effects, effects secondary to However, small testicular or epididymal lymphocytic aggregates nonspecific stress or morbidity, and spontaneous findings. In in the absence of other epididymal findings likely would be of some cases, a finding cannot be easily classified into a specific negligible toxicological significance. category. Testicular and/or epididymal findings in one or more Testicular histology and testicular weights are routinely treated dogs are more likely to be spontaneous and incidental if used to detect drug toxicity in male reproductive organs the findings: are known to occur as spontaneous findings; are (Ulbrich and Palmer 1995). Knowledge of the timing of sexual unilateral rather than bilateral; occur in tubules intermixed with maturation is important to the design of preclinical toxicity many normal tubules of the same stage; occur in the absence of studies, since sexually immature beagle dogs exhibit histologic other clearly treatment-related findings in the reproductive tract; findings similar to drug toxicity end points such as low testic- are found in control animals as well as treated animals; demon- ular weight, hypospermatogenesis, multinucleate giant cells, strate no dose response in incidence or severity; and/or are found reduced epididymal filling, intraluminal cell debris, and inconsistently in a minority of the treated animals. When a dose swollen, retained, and apoptotic germ cells (James and response exists in incidence and/or severity of a finding that has Heywood 1979). Sexual maturity in male beagle dogs has been been reported to occur spontaneously, the pathologist must weigh estimated to occur between thirty-five and forty-one weeks of knowledge of spontaneous findings, mechanism(s) of intended age based on hormone levels, sperm analysis, histology, and and secondary actions of the test article, and all other study data testes weight (James et al. 1979; James and Heywood 1979; (gross and microscopic findings, testicular and body weights, Kawakami et al. 1991). food consumption, etc.) with a thorough examination of treated Our data indicated that 75% of six- and seven-month-old and control animal tissues to determine if a treatment-related dogs had microscopically evident hypospermatogenesis which effect exists and is toxicologically meaningful. sharply declined in incidence after eleven months of age. In summary, hypospermatogenesis and atrophy/hypoplasia Similarly, 40% of six- to seven-month-old dogs had focal in seminiferous tubules are more common in young dogs than atrophy/hypoplasia, declining to about half this level in dogs in older dogs. Dogs less than eight months of age have high older than twelve months of age. Interestingly, the testes weight incidences of hypospermatogenesis, lower testicular weights, range for nine-month-old dogs was quite variable, ranging from and incomplete filling of epididymal tails with sperm, all com- 5.5 to 16.2 g (Table 1). The three dogs (20% of nine-month-old patible with immaturity. If evaluation of spermatogenesis is a dogs) that had microscopic findings of both hypospermatogen- critical end point in a toxicity study, males should be necrop- esis and atrophy/hypoplasia accounted for the lowest testes sied at ages no younger than ten months so that low testicular weights (5.5, 6.6, and 7.6 g) in this age group. The remaining weights and microscopic findings found commonly in immature dogs that did not exhibit both lesions had a testes weight range dogs do not complicate study interpretation. of 8 to 16.2 g (mean 12.1 ± 0.6 g), which is similar to the remaining age groups. These findings, along with evidence of REFERENCES reduced testis weights and microscopically reduced epididymal sperm content in the six- to seven-month age group compared Abbott, D. P. (1993). Cribriform intra-tubular epididymal change and testicular with older dogs, are in line with data reporting that the greatest atrophy. Histopathology 23, 293. Cortes, D., Muller, J., and Skakkebaek, N. E. (1987). Proliferation of Sertoli testicular development and maturation in dogs occurs between cells during development of the human testis assessed by stereological five and eight months of age (James and Heywood 1979; methods. Int J Androl 10, 589–96. Kawakami et al. 1991). Creasy, D. M. (1997). 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