(Setchell, 2006) The Effects of Heat On The Testes of Mammals
(Setchell, 2006) The Effects of Heat On The Testes of Mammals
rises (Maloney and Mitchell, 1996). Scrotal surface spermatids are the cells in the testis which are most
temperature in stallions is increased during exercise, susceptible to heat (see Setchell 1998 for earlier
particularly if the animal is fitted with a scrotal references). These findings have since been confirmed
suspensory (Staempfli et al., 2005). using flow cytometry and confocal microscopy of
isolated seminiferous tubules after making the testis
Techniques cryptorchid in hamsters (Vigodner et al., 2003).
However, even when these cells are not killed, there is
The techniques for studying the effects of heat now evidence that some of them may complete their
on scrotal testes are varied and include: (1) exposure of development, but appeared as spermatozoa with
the whole animal to a hot environment; (2) intermittent damaged DNA, as revealed by COMET and sperm
(Mieusset et al., 1992; Arman et al., 2006) or chromatin structure analyses (SCSA, Karabinus et al.,
continuous (Vogler et al., 1991; 1993; Fleming et al, 1997; Sailer et al., 1997; Banks et al., 2005). In bulls,
2004; Walters et al., 2005a; b; 2006) insulation of the these effects are most obvious during the period 12 to
scrotum, or just the neck of the scrotum (Kastelic et al., 21 days after a 48 hour scrotal insulation, so the affected
1996); (3) surgically returning one or both testes to the sperm would have been from cells still inside the testis
abdomen, referred to here as induced cryptorchidism at the time of heating; however, some changes are seen
(Yin et al., 1997; 1998; 2002; Mu et al., 2000; Setchell between 3 and 9 days post-heating, indicating some
and Wahab-Wahlgren, 2001; Zhang et al., 2002; 2004; sensitivity of sperm already in the epididymis
Vigodner et al., 2003; Setchell and de Rooij, 2006); (4) (Karabinus et al., 1997). Likewise in mice, sperm from
immersing the scrotum in a warm water bath (Lue et al, the cauda epididymidis show maximal changes between
1999; 2000; 2002; Lee et al. 1999; Rockett et al., 2001; 10 and 14 days after heating, again these cells would
Setchell et al., 2001; 2002; Zhang et al., 2005); (5) have been still in the testis at the time of heating. There
exposing the testes to microwave radiation (Imig et al., were however some changes at 3 days, and these cells
1948; Gunn et al., 1961; Saunders and Kowalczuk, again would have already been in the epididymis when
1981; Saunders et al., 1983; Kowalczuk et al, 1983). heated (Sailer et al., 1997). Even clearer indications of
The results using this last technique were not included an epididymal effect were seen by Banks et al. (2005),
in my previous review, as it was thought then that the who showed that while COMET changes were apparent
effects may not have be just due to the increase in in caudal mouse sperm at 21, 24, 28 and 32 days post-
testicular temperature, which rose to about 41oC during heat, even greater rises were found between 1 and 24
a 5 minute exposure and to 44oC during a 10 minute hours, with normal values again at 7 and 14 days post
exposure, then cooled to 36oC over the next 6 and 15 heat, showing that sperm in the epididymis were
minutes respectively. Damage to scrotal skin was also affected, as well as cells in the testis. A similar pattern
reported (Gunn et al., 1961) and this may have reduced was seen with SCSA assays, which were elevated
the ability of the animal subsequently to keep its testes between 1 and 6 hours and between 14 and 32 days
cool. Later work has shown that exposure to the post-heat, but normal at 24 hours and 7 days. There was
microwave emission from a mobile phone had about a 30% reduction in the percentage of ram sperm
negligible effects on the testis, although rectal immunoreactive for the post-meiotically expressed
temperature was increased slightly (Dasdag et al., 1999; sperm surface protein PH20 between 17 and 31 days
2003). after 24 h scrotal insulation, although there were
minimal effects on the distribution of the activity on the
Systemic effects sperm head (Fleming et al., 2004). In a follow-up to this
study, SCSA assays showed an increase in the
It must be remembered that heating the proportion of sperm with DNA damage after either 24
scrotum may have systemic effects as well as direct or 48 scrotal insulation, but there was also a spectral
effects on the testes. It has been known for some years shift in the total population of cells staining in the
that heating the scrotum in sheep increased respiration semen, possibly indicating an increase in immature cells
rate even to the extent of cooling the rest of the body (JF Smith and RM McDonald, personal
including the hypothalamus, so that the animal began to communication). A similar shift was also seen in human
shiver as soon as the scrotal heating ceased (Waites, sperm collected after a 24h fever (Evenson et al., 2000).
1962). More recent studies have shown that panting and Even ejaculated human sperm with poor capacitation
reduction in body temperature following scrotal heating characteristics contained fragile DNA after heat
occurred in rams with a fever as well as under normal treatment (40oC for 4 hours) in vitro (Mann et al.,
conditions (Maloney et al., 2003). 2002).
There is also some evidence that Sertoli cells
Cells in testis affected by heat may be affected, in terms of decreased secretion of
androgen binding protein (Hagenas and Ritzen, 1976;
From histological studies, it has been Karpe et al., 1981) and expression of intermediate
concluded that pachytene spermatocytes and early filaments in Sertoli cells is disrupted in cryptorchid
monkeys (Zhang et al., 2004). Dedifferentiation of adult of normal tubules also remained low, at about 20 % for
Sertoli cells has been induced in monkeys by heat the heated and 70% for the previously induced
treatment (Zhang et al., 2006b) cryptorchid testes (Setchell and de Rooij, 2006).
The boundary tissue surrounding the However, there is an important difference between the
seminiferous tubules may also be affected (Kanwar et damage caused by heat and by irradiation; the latter is
al., 1974), but it is not clear if this is a direct effect of thought to result from an arrest of spermatogonial
the heat or a consequence of the disrupted recruitment from Aal to A1 (Porter et al., 2006). Of the
spermatogenesis as the changes were apparent only after affected tubules in the previously induced cryptorchid
7 days. Insulation of the whole scrotum or just the testes, about 35% contained no germ cells, and in the
scrotal neck of Bos indicus bulls for 4 days was others, the most advanced cell types were A
sufficient to produce falls in sperm production and spermatogonia (35%), B gonia or preleptotene
motility without affecting the echotexture of the testis spermatocytes (19%), leptotene or zygotene
(Brito et al., 2003). The sensitivity of cells in the testis spermatocytes (4%), pachytene spermatocytes (9%) or
other than pachytene spermatocytes and early round spermatids (3%); the corresponding values for the
spermatids is apparent from the results of experiments heated testes were 22, 26, 33, 7, 12 and 1% respectively
in which testis weight was reduced after heating even (Setchell and de Rooij, 2006). Similarly, in adult rabbits
when spermatogenesis had been arrested by treatment of made cryptorchid for 13 weeks, the numbers of B
rats with a GnRH agonist and an antiandrogen (Setchell spermatogonia, the various classes of spermatocytes and
et al., 2002). Spermatogonia are generally believed to round spermatids were still below normal 7 weeks after
be unaffected, but there is some evidence that their orchidopexy, with still no elongated spermatids,
susceptibility to radiation is increased by heat treatment although there had been a substantial rise in the
30 minutes previously (Reid et al., 1981). Furthermore, numbers of A spermatogonia at this time (Zhang et al.,
the numbers of A spermatogonia are drastically reduced 2002). These findings suggest that there are local
in rabbits made cryptorchid for 13 weeks but recovered factors, perhaps originating from the Sertoli cells, which
partially 7 weeks after orchidopexy (Zhang et al., 2002) allow spermatogenesis to proceed in some areas, but
In induced cryptorchid mouse testes, which are deficient in other sites where proliferation of
differentiation of A-spermatogonia was blocked, but the spermatogonia is inhibited, but not recruitment from
could be restored if the testis was returned to the Aal gonia.
scrotum (Nishimune et al., 1978; Nishimune and
Haneji, 1981) or if tubule fragments from cryptorchid Individual and strain variation
testes were cultured at scrotal temperature (32.5oC,
Nishimune and Komatsu, 1972; Nishumune and There is considerable variation between
Aizawa, 1978, Aizawa and Nishimune, 1979; Haneji individual animals in their response to heat exposure. Of
and Nishimune, 1982). the six bulls subjected to scrotal insulation by Vogler et
It has been generally accepted that the effects al., (1991; 1993), two showed a large increase in
of heat on the testis are fully reversible, but some recent abnormal spermatozoa (to more than 60%) whereas
studies suggest that this is not so. In a number of studies others had as few as 23% abnormal cells. Likewise, 4
reviewed previously, testis weight had not returned to bulls used for semen collection for in vitro fertilization
control values even 60 days after a single heat exposure showed widely variable effects of 48h scrotal insulation
(Setchell, 1998). Rats, about 50 days old at the start of on pronuclear formation, embryo development and
the experiment, were followed for about 6 months after apoptosis, with two bulls classed as severe responders,
a single exposure of their testes for 30 minutes to 43oC. one a moderate responder and one showing no response
There was an initial decline in testis weight and sperm to scrotal insulation (Walters et al., 2005a;b; 2006). There
numbers but then they showed a return of testis weight was also considerable individual variation in the
and sperm numbers to about 70 and 50% respectively of percentage of PH-20 positive sperm between 4 rams
control after 97 days, followed by a second fall to about following scrotal insulation for 24h (Fleming et al., 2004).
50 and 5% at 182 days. This was accompanied by a In a study on the effects of intermittent scrotal insulation in
decrease in the percentage of histologically normal rams, percent motile sperm at 21 days after the start of
tubules cross-sections from 51% to 6% (Setchell et al., insulation varied from 9 to 35% in 4 animals. In a
2001). In a second experiment, testis weight was still second study, two rams were subjected to intermittent
only 70% of control at 105 days after a single exposure scrotal insulation in two successive years; one showed a
of the testes to heat (Setchell et al, 2002). Making one severe reduction in percent motile sperm on both
rat testis cryptorchid for 48 hours reduces testis weight occasions, while the other was much less severely
to about 60% of control after 21 days (Setchell and affected, even though the temperatures produced in their
Wahab-Wahlgren, 2001), compared with 35% for a testes were similar (Arman et al., 2006).
single 30 minute 43 oC exposure (Galil and Setchell, Bos indicus bulls are less sensitive to the
1988), but the testes after both treatments remained at effects of high temperatures than Bos taurus or
about the same size for up to 185 days. The percentage crossbred bulls, but as they are actually more sensitive
to the effects of scrotal insulation (Brito et al, 2003); eliminated (Yin et al, 1998). In the testis, p53 is
this would appear to be due to the greater ability of confined to primary spermatocytes (Almon et al, 1993;
indicus animals to keep their testes cool (Brito et al, Schwartz et al, 1993) and in cryptorchid monkey testes,
2002). Bos indicus bulls have greater testicular artery p53 is thought to repress the expression of the orphan
length to testicular volume ratios, and smaller testicular receptor TR2, which is localized in germ cells (Mu et
artery wall thickness and arterial to venous distances, al., 2000). However, the earliest observations in this
which may be responsible for greater cooling of the study were made only after one month, when germ cell
arterial blood in the spermatic cord (Brito et al., 2004). loss would have probably been quite extensive.
Differing capacity to keep their testes cool was Furthermore, following heating of monkey testes, p53
also found in mice of two strains, one of which had been RNA is elevated 3 days later, but there is no change in
kept for many generations at 33 oC and bred TR2, while TR3 and TR4 are depressed (Zhang et al.,
successfully under these conditions, but their testes 2006a). A germ cell-specific heat shock protein hsp 105
remained just as sensitive to the effects of direct heating (Itoh and Tashima 1990; 1991) translocates from
(van Zelst et al., 1995). Mice of the MRL/MpJ and cytoplasm to nucleus within 2 days of the testis being
AKR strains are much more sensitive to the effects of moved to the abdominal cavity in rats and hsp105 binds
cryptorchidism than those of A/J, BALB/c, C3H/He or to p53 in cultured testis cells at scrotal temperature
C57BL/6 strain (Kon and Endoh, 2001; Kazusa et al, (32.5oC) but not at 37 or 42oC (Kumagai et al., 2000).
2004; Kon, 2005; Namiki et al, 2005), but these authors Hsp105 mRNA and protein in spermatids fell within 3
did not present any evidence on the testicular days and rose again by day 30 after two exposures of
temperatures achieved. monkey testes to 43 oC for 30 minutes, while hsp60 in
There is also some evidence for the Sertoli cells and spermatogonia rose about 5-fold over
development of thermotolerance in the testes of mice the same period. It was concluded that hsp105 and its
(Marigold et al, 1985) and rats (Shilkina, 1976). complex with p53 might be involved in cell cycle arrest
However, repeated exposure of rat testes to heat or the induction of apoptosis (Zhang et al., 2005). Other
produced a progressive decrease in testis size and an heat shock proteins (hsp 27 and 90, which are found in
increase in the percentage of severely damaged tubules Sertoli cells, spermatogonia, spermatocytes and
(Bowler, 1972), which was attributed to an effect on spermatids), also increase and move from cytoplasm to
spermatogonia. nucleus in isolated testis cells from mice when the
temperature is increased from 37 to 42 oC (Biggiogera et
Mechanism of cellular damage caused by heat al., 1996) although these authors seem to believe that
the mouse testes are normally abdominal! Hsp 70-2,
It was originally claimed that cell death which is uniquely expressed in meiotic phase
following heating was not apoptosis but necrosis, spermatocytes (Dix 1997; Dix et al., 1996; 1997) is not
although this was not accompanied by inflammation induced by increases in temperature, but an increase in
(Allan et al., 1987). However, subsequent studies have the mRNAs for the related proteins hsp 70-1 and 70-3
shown that apoptosis was involved (Shikone et al., could be detected within 4 hours and the proteins
1994; Ohta et al, 1996;Yin et al., 1997; Lue et al., 1999; themselves were increased within 16 hours after
2000; 2002; Rockett et al., 2001; Sinha Hikim et al., exposure of mouse testes for 20 min at 43 oC,
2003a; b). Isolated cells from 40 day-old rats also predominantly in spermatocytes (Rockett et al., 2001).
showed apoptosis when the culture temperature was These authors also employed DNA microarrays to
raised from 32.5oC to 43oC for one hour, followed by a measure expression of genes in the testes from heat-
return to 32.5oC for another 24h. Similar apoptosis shocked mice. Of the 2208 genes studied, 27 were
could be induced in these cells by generating reactive upregulated and 151 downregulated. Among those
oxygen species with xanthine and xanthine oxidase, and upregulated were genes involved in stress responses,
the effects of heat were reduced in the presence of DNA repair and cell adhesion, while those
catalase. A temperature-dependent increase in downregulated included genes involved in cell cycle
intracellular peroxide production by testicular cells was regulation, both in mitosis and meiosis, protein folding,
detected using the fluorescent probe DCFH/DA (Ikeda DNA repair, stress responses and apoptosis, giving an
et al., 1999). Xanthine oxidase inhibitors suppress overall pattern of cellular shutdown. In particular, the
apoptosis induced by experimental cryptorchidism meiotic cell cycle of the spermatocytes appears to be
(Kumagai et al., 2002). It is also relevant that mice in arrested at the G2/M transition, as indicated by changes
which superoxide dismutase had been knocked out were in the G2/M-specific cyclins, A1, B1 and B2 and the M-
more sensitive to the effects of induced cryptorchidism phase inducer phosphatase CDC251 genes (Rockett et
(Ishii et al., 2005). al., 2001). The activity of DNA polymerases
The tumour suppressor protein p53 also α and β was decreased in induced cryptorchid rat testes,
appears to be involved. Mice deficient in this protein while DNA polymerase γ and topoisomerase did not
show a decreased response to induced cryptorchidism, change (Fujisawa et al., 1988). There is also cleavage of
although the fall in testis weight is only delayed, not poly(ADP)ribose polymerase (Sinha Hikim et al.,
there were reductions in the proportion of ova with like gonadotropin or thyroxin, or with a low dose of
sperm in the perivitelline space and in the cytoplasm of testosterone; a higher dose of testosterone was without
the eggs (Yaeram et al., 2006). effect, while no treatments affected the time at which
In another study, bulls were subjected to scrotal fertility returned at between 60 and 85 days after
insulation for 48 hours and semen collected and heating. The beneficial effects of caspase inhibitors and
cryopreserved 2 or 3 weeks later. Following IVF with drugs which inhibit the release of cytochrome c have
swum-up sperm from these samples, there were been mentioned above.
decreased rates of sperm penetration, pronuclear The effects of antioxidants and the free radical
formation (Walters et al., 2006), embryo cleavage, spin trapping agent PBN (α-phenyl-N-t-butylnitrone)
development and blastocyst formation (Walters et al., on the testes were studied by treating rats before and
2005a) with semen collected from two of the bulls three during local heating of the testes or making one testis
weeks after the insulation, but not with semen from two cryptorchid for 48 hours (Setchell and Wahab-
other bulls, or with semen collected after two weeks. The Wahlgren, unpublished results). Antioxidants have been
same two bulls produced embryos with increased caspase shown to reduce the damage to DNA in infertile patients
activity after 8 days in culture, but there was no effect on (Kodama et al., 1997) and PBN reduces the free radical
apoptosis, as judged by percentage of cells positive in the oxidative damage to DNA in thalidomide toxicity
TUNEL procedure (Walters et al., 2005a). (Parman et al., 1999). Vitamin E and PBN significantly
Further work is needed to determine whether reduced the effect on the weight of the testes of heating
these effects are due to changes in the DNA in the 21 days earlier, while the effect if Vitamin C was not
sperm or to a change in other factors, such as the significant. In unilaterally induced cryptorchid rats,
cytosolic phospholipase C introduced into the egg at the
time of fertilization (see Saunders et al., 2002). Vitamin E was ineffective, whereas PBN caused a
greater fall in testis weight than in the controls (Table
Factors affecting sensitivity of testes to heat 1). This may have been because under hyperthermic
conditions, PBN releases nitric oxide (Cui et al., 2006),
The results of Elfving (1950) have already which may have contributed to the apoptosis caused by
been summarised in my earlier review, but no-one the abdominal temperature.
seems to have followed up his observations that the Treatment of rats with adrenaline enhances the
period of infertility following local heating of the testes effect of heating the testes (Murashev, 1984),
of rats can be delayed from about 10 days post-heat to presumably by reducing testicular blood flow (see
more than 20 days by treating the animals with FSH- Setchell and Breed, 2006).
Table 1. The effects of antioxidants on the loss of weight of rat testes 21 days after local heating to 42oC for 20
minutes or of making one testis cryptorchid for 48 hours. Values are means + SEM with numbers of rats in
parentheses.
Treatment Testis weight (mg)
Control unheated 1557 + 38 (5)
Control heated 1143 + 23 (8)###
Vitamin E heated 1239 + 30 (8)**
PBN heated 1211 + 28 (8)*
Vitamin C heated 1198 + 35 (14)
Testis weight as fraction of scrotal testis of same animal
Cryptorchid control 0.606 + 0.016 (8)###
Cryptorchid + Vitamin E 0.599 + 0.043 (8)
Cryptorchid + PBN 0.519 + 0.015 (8)***
Doses used were 200 mg Vitamin E S/C before heating or at time of cryptorchidectomy (0900h), then every 12
hours, 16 mg PBN I/V before heating or I/P at the same times at Vitamin E in the cryptorchid rats and 200 mg
Vitamin C intravenously at start and 10mg/min during testis heating.
*, **, ***: P< 0.05, 0.01 or 0.001 different from heated or cryptorchid controls;
###: P< 0.001 different from control unheated or contralateral scrotal testis.
Interaction between heat and other effects on the testosterone in the testis. The detailed effects on
testis spermatogenesis are different from those after heat, and
it is interesting that a combination of the two treatments
Low doses of testosterone suppress has a greater effects that either alone, leading to the
spermatogenesis in rat, (Lue et al., 1999) and monkeys concept of a “Two-hit” approach to male contraception.
(Lue et al., 2006), paradoxically by suppressing LH Induced cryptorchid testes in rats are less
secretion and thus reducing the concentration of affected than scrotal testes by treatment of the animals
with 2,5-hexanedione, but this appears to be due to a Bailey RW, Aronow B, Harmony JAK, Griswold
reduction in the formation in the testes of pyrroles, a MD. 2002. Heat shock-initiated apoptosis is accelerated
required intermediate step in the hexanedione-induced and removal of damaged cells is delayed in the testis of
injury (Boekelheide et al., 2000). However, the most clusterin/ApoJ knock-out mice. Biol Reprod, 66:1042-
surprising finding is that spermatogonial differentiation 1053.
arrest in juvenile spermatogonial depletion (jsd) mice is Banks S, King SA, Irvine DS, Saunders PTK. 2005.
virtually eliminated by making the testes cryptorchid, Impact of a mild scrotal heat stress on DNA integrity in
whether this was done in animals 4, 12 or 62 weeks old. murine spermatozoa. Reproduction, 129:505-514.
A similar but smaller effect was seen in improving the Biggiogera M, Tanguay RM, Marin R, Wu Y,
tubule differentiation index in irradiated rats from 0.1% Martin TE, Fakan S. 1996. Localization of heat shock
in scrotal testes to 2.1% in those made cryptorchid for 8 proteins in mouse male germ cells: an immunoelectron
weeks, beginning 4 weeks after irradiation. It appears microscopical study. Exp Cell Res, 229:77-85.
that spermatogonial differentiation may be sensitive to Boekelheide K, Eveleth J, Hall SJ. 1990.
reduced temperatures or is inhibited by testosterone Experimental cryptorchidism protects against long-term
only at scrotal but not abdominal temperatures (Shetty 2,5-hexanedione testicular germ cell loss in the rat. J
and Weng, 2004). Androl, 11:105-112.
Bowler K. 1972. The effect of repeated applications of
Conclusions heat on spermatogenesis in the rat: a histological study.
J Reprod Fértil, 28:325-333.
Recent studies on the effects of heat on the Brito LFC, Silva AEDF, Barbosa RT, Kastelic JP.
testis, either applied directly, by insulating the scrotum 2004. Testicular thermoregulation in Bos indicus,
or by making the testis cryptorchid have provided much crossbred and Bos taurus bulls: relationship with
new information on the mechanism of the damage scrotal, testicular vascular cone and testicular
caused to spermatogenesis. They also provide hope that morphology, and effects on semen quality and sperm
a treatment may soon be devised which may protect the production. Theriogenology. 61:511-528.
testes by blocking the apoptosis. Brito LFC, Silva AEDF, Marbosa RT, Unanian MM,
However, other recent evidence has been Kastelic JP. 2003. Effects of scrotal insulation on
obtained that there may be much more long-term effects sperm production, semen quality and testicular
of heat than previously thought. Furthermore, the effects echotexture in Bos indicus and Bos indicus x Bos
of heat may not be confined to cell death in the testis Taurus bulls. Anim Reprod Sci, 79:1-15.
and the consequent fall in sperm numbers in semen, but Brito LFC, Silva AEDF, Rodrigues LH, Vieira FV,
the sperm produced may be less capable of fertilization Deragon LAG, Kastelic JP. 2002. Effect of age and
and the production of normal embryos. In these times of genetic group on characteristics of the scrotum, testes
global warming, these effects may have more serious and testicular vascular cones, and on sperm production
consequences for both the human population as well as and semin quality in AI bulls in Brazil.
for domestic and wild animals. Theriogeneology, 58:1175-1186.
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