In this study we sought to determine whether the main components of th
e nitric oxide (NO) pathway are localized within the Leydig cells of t
he human testis and whether the soluble guanylyl cyclase (sGC), the en
zyme that accounts for NO effects, is functionally active in these cel
ls. Using an amplified immunocytochemical technique, immunoreactivity
for nitric oxide synthase (NOS-I), sGC and cyclic guanosine monophosph
ate (cGMP) was detected within the cytoplasm of human Leydig cells. Di
stinct differences in staining intensity were found between individual
Leydig cells, between cell groups and between Leydig cells of differe
nt patients. By means of a specific cGMP-RIA, a concentration-dependen
t increase in the quantity of cGMP was measured in primary cultures of
human Leydig cells following exposure to the NO donor sodium nitropru
sside. In addition, NOS-I immunoreactivity was seen in Sertoli cells,
whereas cGMP and sGC immunoreactivity was found in Sertoli cells, some
apically situated spermatids and residual bodies of seminiferous tubu
les. Dual-labelling studies and the staining of consecutive sections s
howed that there are several populations of Leydig cells in the human
testis. Most cells were immunoreactive for NOS-I, sGC and cGMP, but sm
aller numbers of cells were unlabelled by any of the antibodies used,
or labelled for NOS-I or cGMP alone, for sGC and cGMP, or for NOS-I an
d sGC. These results show that the Leydig cells possess both the enzym
e by which NO is produced and the active enzyme which mediates the NO
effects. There are different Leydig cell populations that probably ref
lect variations in their functional (steroidogenic) activity.