| | Primo-Vessels as New Flow Paths for Intratesticular Injected Dye in RatsReceived 4 February 2010; accepted 14 April 2010. Abstract After intratesticular injection of a chromium hematoxylin and fluorescent nanoparticle solution, we found a novel flow path in the abdominal cavity consisting of primo-vessels and primo-nodes. This flow path formed a network that crossed over the surfaces of abdominal organs, and generally linked to the greater omentum and adjacent visceral peritoneum. Some of these structures terminated at organs such as the small intestine and the urinary bladder; occasionally, the network entered the parenchyma of organs. The semitransparent primo-vessels and nodes were wholly or partially stained dark-blue by chromium hematoxylin. Injected nanoparticles were also observed in primo-vessels and nodes as well as the parenchyma of organs which were the site of primo-vessel termination. Transmission electron microscopy showed that the primo-vessels consist of many sinuses (4–6 μm), surrounded by collagen fibers, specific granules, cellular remnants, immune cells, extracellular matrices, and hematopoietic cells. These histological features are completely different from blood and lymph vessels indicating that primo-vessels are novel structures that allow the flow of dye.
1. Introduction  Testes have three main circulatory paths including sperm-transfer, blood circulation and the lymphatic drainage. Previous reports investigating the circulation of the testes using intratesticular injection of various dyes demonstrated that most dyes passed into the systemic circulation through the blood and lymphatic vessels and were filtered into the urine [1, 2, 3]. The injected dye could not flow through the path for sperm-transfer because it did not pass into the seminiferous tubules [4]. In the case of long-term observation, some of the injection dyes remained on the testes and were taken up by macrophages after 24 hours [4]. As far as we are aware, no other flow paths after intratesticular injection have been reported. Here, we report our finding of a novel flow path consisting of primo-vessels (PVs). PVs have already been reported and named novel threadlike-structures or Bonghan ducts in previous studies [5, 6, 7, 8, 9]. They were, in fact, discovered by Bong-Han Kim about 40 years ago [10], and this finding was partially confirmed by Fujiwara and Yu [11]. An intensive re-investigation has been performed by the research team in Seoul National University in Korea, with funding provided by the National Research Laboratory program of the Korean Ministry of Science and Technology. As a result, many characteristics of the novel structure have been confirmed by introducing new methods and employing modern techniques. PVs are thin, threadlike, semitransparent and vascularized. Oval or cucumber-like nodes are located irregularly along a PV. PVs were found inside blood vessels [5, 12, 13, 14, 15, 16], lymphatic vessels [7, 17, 18, 19, 20], in the brain, the spinal cord [21], and on the surfaces of internal organs [6, 22, 23], connecting with each other to form a network. The flow inside PVs has been studied. Magnetic nanoparticles flowed in PVs after intra-node injection [24], and Alcian blue dye also flowed in PVs on the surface of an abdominal organ [8]. Furthermore, the flow speed of dye has been confirmed as slow at 0.3±0.1 mm/s [8]. The present study was designed based on the observation that PVs form a network for flow throughout the body. To demonstrate whether there is some flow through PVs, a solution of chromium hematoxylin (Cr-Hx) mixed with fluorescent nanoparticles was injected into the testicular parenchyma, and the stained PVs were observed and analyzed using confocal laser scanning microscopy (CLSM), immunohistochemical techniques, and transmission electron microscopy (TEM).
2. Materials and Methods  2.1. Animal preparation Fifteen male Sprague Dawley rats were used in this study. They ranged from 9–12 weeks in age and from 150–250 g in weight. The animals were housed in a temperature-controlled environment (23°C) with 60% relative humidity and a 12 hour light/dark cycle. They had ad libitum access to food and water. The procedures involving the animals and their care were in full compliance with current international laws and policies [25]. The study design and experimental protocols were approved by the Institute of Laboratory Animal Resources of Seoul National University. 2.2. Injection of Testes with Cr-Hx and fluorescent nanoparticle solution Filtered Cr-Hx mixed with a solution of fluorescent nanoparticles was prepared to visualize threadlike structures and to trace the circulatory paths of the PVs. The Cr-Hx solution was made by mixing 3% chromium potassium solution and 1% hematoxylin solution. Next, potassium iodate (0.1 g) was added to the mixed solution. The solution was then boiled until blue, and cooled to room temperature. The fluorescent nanoparticles solution was made following procedures described in previous studies [7, 26] and employing a modified polyvinylpyrrolidone method. This resulted in the formation of cobalt-ferrite magnetic nanoparticles coated with a shell of amorphous silica [7, 26]. A luminescent organic dye, rhodamine B isothiocyanate [orange, λmax(em) = 555 nm], was present inside the silica shell and biocompatible poly(ethylene glycol) was present on the outside. The average size of the water-soluble bare cobalt-ferrite magnetic nanoparticles was approximately 9 nm. The total size of the core-shell structure was approximately 50 nm. The concentration of nanoparticles was 2.0 mg/cm3, and they were suspended in a sterile saline solution at pH 7.4. The Cr-Hx and fluorescent nanoparticle solution was mixed at a 1:1 ratio, and the total injection volume was 200 μL (100 μL:100 μL) in each testis. Under general anesthesia (xylazine, 10 mg/kg, plus ketamine, 70mg/kg, intramuscular injection), the mixed solution was slowly injected into the testicular parenchyma by using a 26-guage needle attached to a 1 mL plastic disposable syringe. The dye was injected into three points equally located on the lateral sides of the scrotum and there was no backflow. 2.3. Stereomicroscope and fluorescence reflectance imaging At 24 hours after the injection, the rats were euthanized using ether, and the abdominal cavity and the testes were observed to detect Cr-Hx-stained PVs. These observations were performed under a stereomicroscope (SZX12; Olympus, Tokyo, Japan), and images were captured using a digital camera (Nikon, Tokyo, Japan). After taking the sample to detect fluorescent nanoparticles, true-color fluorescence imaging was accomplished by using a specific illumination system. Fluorescence emission from the nanoparticles was detected with a stereomicroscope, a sensitive color charged-coupled device (CCD) camera (DP 70; Olympus) using a long-pass filter (600 nm; CVI, Seoul, Korea), and a fluorescence microscope (MVX10; Olympus). 2.4. Whole-mounted staining For whole mounted preparations, tissue specimens were fixed overnight in 4% paraformaldehyde in phosphate buffered saline and were then pretreated with 3% sodium deoxylate solution for 4 hours at room temperature. The specimens were blocked overnight at 4°C in 10% fetal bovine serum prior to incubation overnight with rat anti-mouse CD31 (1:50; BD Pharmingen, San Jose, CA, USA). After washing in phosphate buffered saline, the specimens were stained with Alexa Fluor 488 conjugated goat anti-rat antibody IgG (H+L; 1:500; Invitrogen, Eugene, OR, USA). Whole mount specimens were stained by using 4′,6-diamidino-2-phenylindole, or DAPI (a specific dye for DNA), mounted in anti-fading medium, and observed with a multi-photon CLSM (LSM 510-NLO; Carl Zeiss, Göttingen, Germany). 2.5. TEM For TEM, tissues were fixed with 2.5% glutaraldehyde in a 0.1 M sodium cacodylate buffer (pH 7.2) overnight at 4°C. The specimens were postfixed in 1% OsO4 in a 0.2 M sodium cacodylate buffer for 1 hour, dehydrated with ethanol and propylene oxide, and embedded in epoxy resin (Epon 812). Semi-thin and ultra-thin sections were obtained using an ultramicrotome LKB 4802 system. The semi-thin sections were stained with 1% toluidine blue (dissolved in 1% borax) and photographed using a light microscope (BX51, Olympus) to study gross morphology. The ultra-thin sections were collected on large-scale copper grids, contrasted by using 2% uranyl acetate and Reynolds' lead citrate, and then examined in a TEM (JEM 1010; JEOL, Tokyo, Japan) at an accelerating voltage of 80 kV. Images were obtained by using a digital camera (ES1000W; Gatan Inc., Pleasanton, CA, USA) and were processed with software (Gatan Inc.). 2.6. Image analysis Confocal images were analyzed using Image Browser 5 LSM, v3.5 (Carl Zeiss), by performing orthogonal sectioning, a three-dimensional projection analysis, and morphometric examination.
3. Results  Of the 15 rats, 10 rats displayed PVs which were stained by Cr-Hx and nanoparticles in the abdominal cavity (Table 1). The PVs were floating over the surfaces of abdominal organs, including the liver, spleen, duodenum, jejunoileum, cecum, colon, urinary bladder and prostate gland (Figure 1). The PVs started from the lower region of the abdomen, such as the urinary bladder, prostate gland, ductus deferens, and fat tissue surrounding the testes, to the upper region of the abdomen, including the greater omentum, liver and abdominal wall. The structures were connected to each other and formed a network. The structures were thin, semitransparent, and flexible, with a diameter around 50 μm. The cucumber shaped nodes, around 500 μm×200 μm in size, were linked by PVs at both their ends (Figures 1B, 1D, and 1F). The node was also semitransparent, and some of contained blood (Figure 1F). These structures were partially or wholly stained by Cr-Hx that flowed within the structures. |
*
PVs were partially or wholly stained by chromium hematoxylin under the stereomicroscope. BW=bodyweight.
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Some of the PVs entered the parenchyma of several organs, including the jejunoileum (Figure 2) and the urinary bladder. The immunohistochemistry of the entry point of the PVs into the jejunoileum showed fluorescent nanoparticles flowing through the PV inside the organ-parenchyma (Figure 2). To investigate the ultra-structure and to reveal the localization of injected fluorescent nanoparticles in the PVs, we performed electron microscopic examinations (Figure 3). Figure 3A shows a semi-thin cross section of the PV found on the surface of the abdominal muscle wall. The PV measured about 40 μm in diameter and has several cavities in cross-sectional images. It attached to the muscle fiber and surrounded connective tissues. In TEM, the PV was cribriform with numerous sinuses. The diameters of the sinuses varied from 2 to 6 μm (Figures 3B and 3C). The sinuses were surrounded by collagenous fibers and some sinuses contained cytoplasmic granules and cellular remnants (Figure 3C). The fluorescent nanoparticles were observed in the PVs and most of them were engulfed by phagocytes such as macrophages and neutrophils present just outside the sinuses (Figures 3D and 3E). Moreover, in distinct sites of the PV, small clusters of mature erythrocytes and their precursors, early reticulocytes, were observed (Figure 4). Like mature red blood cells (RBCs), reticulocytes did not have a cell nucleus. The cytoplasm of the reticulocytes contained mitochondria, ferritin granules, pinocytotic vesicles, and vacuoles whereas the cytoplasm of erythrocytes was entirely filled with hemoglobin and did not contain typical organelles and cytomembranes.
4. Discussion  Until now, lymph nodes were the only structure stained by dye following intratesticular injection, giving evidence for lymphatic flow of the dye [3]. However, in this study, we found a novel threadlike structure stained by injected dye, PVs, providing evidence for a novel flow path for the dye. The gross and histological features of the PVs in this study agree with previously reported characteristics of PVs [5, 6, 8, 27]. Furthermore, PVs were totally different from established structures such as blood and lymphatic vessels, which were generally known as flow paths for intratesticular injected dye and nerves. Several morphological distinctions exist within a PV including gross coloring, free movement and disconnection with lymph nodes. The most critical difference was that the cribriform structure of PVs have multi-microsinuses, while lymph and blood capillaries are single tubular-structures and there are no sinuses inside nerve fibers. Furthermore, the histological constitution of the PV was also different from nerve fibers, blood and lymphatic capillaries. The microsinus of PVs was mainly surrounded by collagen fibers and some immune cells, and occasionally granules were observed inside sinuses. These differences have also been demonstrated in previous studies [6, 27, 28]. In particular, proteomic analysis of the liquid inside PVs has also been demonstrated to be distinct from that of the lymphatic liquid [29]. The sinuses of a PV were demonstrated to be flow channels in a study by Sung et al [8]. They confirmed the segregated zone in the sinuses using cryo-scanning electromicroscopy which indicated the flow of liquid [8]. Subsequently, we expected the injection dye to flow through the sinuses. In the current study, nanoparticles were observed inside a PV using TEM, as evidence of dye flow. However, they were phagocytized by immune cells just outside the sinuses in a PV, indicating that the injected nanoparticles flowing and attaching inside the sinuses could be phagocytized by adjacent immune cells in a PV in the 24-hour period between injection of dye and observation. Several PVs entered the parenchyma of abdominal organs, such as the small intestine, urinary bladder and greater omentum. Fluorescent nanoparticles also entered the parenchyma through the PVs. This is the first report observing PVs entering the organ parenchyma. This indicates that the PV is not merely connective tissue, but a transport path of liquid to organs. If further studies are performed to investigate the entire path of PVs, and the relationship between injection points and arrival points in organs in particular, PVs could become potent drug delivery paths that exclusively transport drugs to the desired target organ without blood and lymphatic circulation. Some immune cells and RBCs were found inside a PV or a node. The abundance of immune cells inside a PV, such as macrophages and mast cells, has been previously reported [26]. However, this is the first instance where RBCs have been observed inside a PV and a node. RBCs were observed in several nodes under a stereomicroscope, with more thorough examination with a TEM revealing immature blood cells, such as early and late reticulocytes, and mature RBCs inside the nodes and PVs. Reticulocytes are involved in hematopoiesis, are known to be mostly in bone marrow and only very few are found in the blood stream. Therefore, the presence of reticulocytes and mature RBCs in nodes and PVs is a unique and noteworthy feature. It suggests that PVs may not only be related with immune function, but also hematopoietic functions. Several modalities have been used to visualize PVs: fluorescent nanoparticles [7, 19, 24] Janus Green B [17], Acridine orange staining [5, 14], Feulgen reaction study [6] and Alcian blue injection [8, 18]. We used Cr-Hx and fluorescent nanoparticles. Although we could not clearly define the working mechanism, we hypothesized several assumptions for its use. We selected Cr-Hx as a blue dye for easy visualization and tracing of stained structures in vivo. Cr-Hx is known to stain neurosecretory cells, such as hypothalamic cells [30] and since PVs contain chromaffin cells that release neurotransmitters, these cells can be well stained by Cr-Hx dye [31]. To histologically prove the flow of dye in the PVs we used fluorescent nanoparticles, which were easily detected by using both CLSM and TEM, allowing the flow in the PVs to be established histologically. Furthermore, nanoparticles are already known to flow well through PVs, thus this technique was used successfully in the current study [7, 19, 24]. We selected the testes as an injection point in this study as there is a large amount of reference data concerning the established flow through blood and lymphatic vessels after intratesticular injection. Therefore, intratesticular injection was considered to be an effective means for finding a novel flow structure and for comparison between a novel and established flow path. PVs were mostly detected with high reproducibility in this study. However, unfortunately, the PV network near the injection point could not be well defined. Because the dye diffused around the injection points, it was difficult to differentiate the stained structures inside the testicular parenchyma. Therefore, further studies should be conducted to better detect the PVs and to elucidate the initial network of PVs at the injection points. In conclusion, we detected a novel flow path after intratesticular injection of Cr-Hx mixed with fluorescent nanoparticles. The path was composed of PVs, which had sinuses, collagen fibers, immune cells and hematopoietic cells. The path finally entered the parenchyma of some abdominal organs, transporting injected material to the organs. The results suggest many possibilities for the function of PV, such as involvement in immunity, hematopoiesis, and liquid flow. Therefore, further studies are needed to define the medical significance of PVs.
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a Biomedical Physics Laboratory, Department of Physics and Astronomy and Center for Theoretical Physics, Seoul National University, Seoul, Korea b Korean Pharmacopuncture Institute, Seoul, Korea c National Instrumentation Center for Environmental Management, College of Agriculture and Life Sciences, Seoul National University, Seoul, Korea d Materials Chemistry Laboratory, School of Chemistry, Seoul National University, Seoul, Korea Corresponding author. Biomedical Physics Laboratory, Department of Physics and Astronomy and Center for Theoretical Physics, Seoul National University, Gwanak 599 Gwanak-ro, Gwanak-gu, Seoul 151-747, Korea
PII: S2005-2901(10)60016-7 doi:10.1016/S2005-2901(10)60016-7 © 2010 Korean Pharmacopuncture Institute. Published by Elsevier Inc. All rights reserved. | |
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