Table 1.
Immunosuppressive Factors in Normal Testis | Local Function | Testicular Immunology Consequences after Busulfan-Treatment | Testicular Immunology Consequences after Irradiation-Treatment | Testicular Immunology Consequences in Autoimmune Orchitis | ||
---|---|---|---|---|---|---|
Germ cells | transforming growth factor β | Leydig cell steroidogenesis ↓ | ||||
Fas ligand | apoptosis of Fas-bearing lymphocyte | ↑ or (-) | ||||
interferon-γ | Leydig cell steroidogenesis ↓ | |||||
tumor necrosis factor α | Leydig cell steroidogenesis ↓ or ↑ | |||||
Fas ↑ caspase3-8 ↑ | Fas ↑ | caspase 3–8 ↑ | ||||
Fas ↑ | apoptosis through oxidative stress | Bax ↑ | caspase 9 ↑ | |||
p53-ROS ↑ caspase3 ↑ | DNA damage | |||||
Sertoli cells | activin | mitogenesis of lymphocytes ↓ | ||||
inhibin | mitogenesis of lymphocytes ↑ | |||||
interleukin-6 | meiotic DNA synthesis of germ cell | ↑ ? | ↑ | |||
Fas ligand | apoptosis of Fas-bearing lymphocyte | |||||
transforming growth factor β | inhibin secretion ↑ | |||||
TNFα↑ MCP-1 ↑ TLR2,4 ↑ | ZO-1, occludin, claudin-11 ↓ | occludin, claudin-11 ↓ | ||||
Sat2 ↑ | ||||||
Leydig cells | testosterone | ↓ | ↓ | ↓ | ||
protein S | Leydig cell steroidogenesis ↓ | |||||
insulin-like growth factor-1 | testosterone secretion ↑ | |||||
Fas ligand | apoptosis of Fas-bearing germ cell | |||||
interleukin-10 | immune privilege | |||||
transforming growth factor β | contractility of myoid cell | |||||
Leydig cell apoptosis | ||||||
Testicular | interleukin-10 | inhibition of T cell-mediated immune response response | ||||
macrophages | interferon-γ | Fas ligand expression by Sertoli cell ↑ | ↑ | |||
interleukin-6 | radioprotection of germ cell by Sertoli cell | ↑ ? | ↑ | |||
tumor necrosis factor α | Fas ligand expression by Sertoli cell ↓ or ↑ | ↑ | ↑ | |||
macrophage infiltration (+) | macrophage infiltration (-) | macrophage infiltration (+) | ||||
Others | ASA? | ASA (+) | T cells·B cells infiltration (+) | |||
ASA (+) |
↑ indicated increase and ↓ indicated decrease; ? indicated different opinion.