Main problem: Although the gonadotropins and testosterone are required
for normal spermatogenesis, it is believed that local control factors
regulate spermatogenesis. For many years these regulatory factors had
not been identified. Over the past five years, a number of growth fac
tors have been identified in testis or isolated testicular cell types
or secretions. Growth factors are key regulatory molecules which affec
t cell proliferation, meiosis, and differentiated function. These fact
ors usually act in an autocrine (acting upon the cell which secreted i
t) or paracine (affecting another cell) manner and thus are involved i
n intercellular communications. Methods: Growth factor secretion by te
sticular cell types or testis tissue has been analyzed using a variety
of assays measuring cell proliferation in vitro, as well as assays us
ing immunocytochemicals. Growth factor gene expression in testis has b
een analyzed by Northern blot analysis and in situ hybridization, whic
h gives information concerning the stage and cell specific expression
of the gene. Inbred strains of mice with mutations or deletions in a g
rowth factor gene has been used to suggest the function of two specifi
c factors in testicular development and growth. Results: Among the gro
wth factors expressed or secreted by testicular cell types, most are c
ommon to some other cell types in the body, such as transforming growt
h factors alpha and beta, epidermal growth factor, fibroblast-like gro
wth factors, insulin-like growth factors, interleukins, endorphins, in
hibin and activin, while others may be more testis specific such as mu
llerian inhibiting substance (anti-mullerian hormone) and Sertoli cell
secreted growth factor. A variety of proto-oncogenes are expressed at
discrete stages of spermatogenesis, as well as by the somatic cells o
f the testis. Many of these encode growth factors, receptors or other
proteins involved in signal transduction. Conclusion: With the excepti
on of the kit ligand and the c-kit proto-oncogene, which have been dem
onstrated to play a role in the survival of the primordial germ cell i
n the testis during embryogenesis, little is known of the direct role
of the other growth factors in spermatogenesis. It is likely that in t
he near future that the function of many of these proteins in the regu
lation of spermatogenesis will be identified. Eventually, this informa
tion will be used to develop specific therapies and diagnostic procedu
res for the infertile male.