Pathogenesis of male reproductive toxicity

Toxicologic disturbance of male reproductive function can occur at many sites and produce a range of effects, some primary and some secondary to the initial insult. The challenge to the toxicological pathologist is to identify the primary site of damage and provide an insight into the pathogenesis of the morphologic lesion or functional deficit. Target sites include the testis, the epididymis, the mature sperm, and the hormonal regulatory system. Detection of effects at these varied sites requires the measurement of multiple endpoints only 1 of which is histopathology, but once identified, careful microscopic examination of the early changes in lesion development can provide essential information on the probable target cell and possible mechanisms of toxicity. Chemicals that affect different cell types or specific cellular functions generally elicit predictable patterns of pathological changes that can be readily recognized. Understanding the pathogenesis, the likely reversibility and the significance of reproductive tract lesions is aided by a sound knowledge of the physiology of the testis and epididymis and, in particular, an understanding of the timing of sperm production and transport.