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Blood, 1 April 2005, Vol. 105, No. 7, pp. 2988-2990. Prepublished online as a Blood First Edition Paper on December 2, 2004; DOI 10.1182/blood-2004-07-2646.
Submitted July 14, 2004
Departments of Research and Clinical-Biological Sciences, Center for Biomedicine, University of Basel, and University Children's Hospital of both Basel (UKBB), Basel, Switzerland * Corresponding author; email: werner.krenger{at}unibas.ch.
Hematopoietic stem cell transplantation (HSCT) is associated with significant posttransplant gonadotoxicity. This deficit has been mainly attributed to pretransplant conditioning but lower sperm counts in humans also appear to be associated with graft-versus-host disease (GVHD) following allogeneic HSCT. However, the mechanisms leading to diminished spermatocyte levels during GVHD remain unknown. Here we demonstrate that injury to intratesticular cells occurs in unconditioned F1 mice following the infiltration of donor alloreactive T-cells during an acute graft-versus-host reaction (GVHR). Using computer-aided quantitative microscopic morphometry we demonstrate that the nadir of Leydig cell volume density coincides with the peak of intratesticular infiltration by donor T-cells. Injury to Leydig cells correlates with an intratesticular inflammatory response characterized by interferon-
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