A study on budding protrusions of human seminiferous tubules

In order to elucidate the morphogenesis of seminiferous tubular protrusions, histometric, microscopic and electron microscopic studies were performed on the testes of 202 Japanese men, including 117 sudden deaths, 75 hospital deaths and 10 prostatic cancer cases. Protrusions usually occurred at outer convexes of multi-bending tubular portions and were divided into dome, sessile, pedunculated and multi-branched types. Aggregated Sertoli cells were present in dome-type protrusions as a major component, and spermatogenesis associated with active mitoses of spermatogonia was induced with development of protrusions. Protruding walls consisted of inner compact and outer loose layers. Distribution of lipid droplets in Sertoli cell cytoplasm in protrusions was different from those in the original tubules. The incidence of protrusions peaked in the forties and sixties, respectively, in the case of hospital and sudden death cases with underlying tubular atrophy. The findings suggest that tubular protrusions take place as a compensatory reaction for declining spermatogenesis, and therefore, probably represent a regenerative phenomenon in hypospermatogenic testes.