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Schematic illustration of the seminiferous epithelium and spermatogenesis. The seminiferous epithelium is composed by Sertoli cells (SCs) and different subtypes of developing germ cells. Male gametes (spermatozoa) are formed in the seminiferous tubules of the testis in a complex process, known as spermatogenesis, the cellular division and transformation that produce male haploid germ cells from diploid spermatogonial stem cells. The supporting SCs adhere to the basement membrane where spermatogonia are also adherent. Then, spermatogonia type A divide and develop into spermatogonia type B, which enter meiotic prophase and differentiate into primary spermatocytes that separate the homologous pairs of chromosomes in meiosis I (reduction division) to form the haploid secondary spermatocytes. The meiosis II yields four equalized spermatids that migrate toward the lumen where fully formed spermatozoa are finally released.  

Schematic illustration of the seminiferous epithelium and spermatogenesis. The seminiferous epithelium is composed by Sertoli cells (SCs) and different subtypes of developing germ cells. Male gametes (spermatozoa) are formed in the seminiferous tubules of the testis in a complex process, known as spermatogenesis, the cellular division and transformation that produce male haploid germ cells from diploid spermatogonial stem cells. The supporting SCs adhere to the basement membrane where spermatogonia are also adherent. Then, spermatogonia type A divide and develop into spermatogonia type B, which enter meiotic prophase and differentiate into primary spermatocytes that separate the homologous pairs of chromosomes in meiosis I (reduction division) to form the haploid secondary spermatocytes. The meiosis II yields four equalized spermatids that migrate toward the lumen where fully formed spermatozoa are finally released.  

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Sertoli cells (SCs) are essential for the testis functional development and hence for the expression of male phenotype. They provide a unique and protected environment in testis, within the seminiferous tubules, necessary for the successful progression of germ cells into fully competent spermatozoa. SC has the ability to metabolize various substrat...

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... Sertoli cells support the advancement of germ cells in spermatozoa by direct interaction and by controlling the environmental microenvironment inside the seminiferous tubules. Sertoli cells have been shown to consume glucose aerobically at a high rate and release lactate and pyruvate; lactate and pyruvate are needed for germ cell maintenance [17,18]. In non-obstructive azoospermia, we show that the genes pyruvate dehydrogenase phosphatase regulatory (PDPR) and sorbitol dehydrogenase regulatory (SORD) were decreased (downregulated). ...
... According to our previous research, human Sertoli cells were isolated and identified [17]. In brief, testicular tissues were washed three times before being cut into 0.2 cm pieces and treated with Enzyme I (10 mL of DMEM containing 2 mg/mL type IV collagenase and 10 mg/mL DNase I) for 15 min at 34 • C. ...
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... The reproductive fertility of males is highly dependent of glucose uptake and metabolism by testicular tissue. Glucose metabolism is critical for normal functions of the testicular cells and more specifically, spermatogenesis (8). In addition, the thyroid hormones (THs) play an important role in the utilization of energy, oxygen consumption, and overall metabolism (9). ...
... Interestingly, our study found significant increase in the glucose levels after 1 month of L-arginine oral administration. As known, glucose uptake and metabolism by testicular tissue have an essential role in the male reproductive performance, moreover, normal glucose metabolism is critical for spermatogenesis since the developing germ cells in the Sertoli cells consume lactate, a waste product of glucose, as their main energy source (8). ...
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... Tight hormonal control of these metabolic processes involves a variety of complex signaling cascades that are yet to be fully elucidated [61]. Moreover, the precise molecular mechanisms coordinated by the respective hormone during Sertoli cell glucose uptake and metabolism are not fully known [62], although studies have begun to shed some light on the matter. ...
... Glucose metabolism in Sertoli cells is a well-controlled process essential for normal spermatogenesis. As such, any compromise in the Sertoli cells' ability to metabolize glucose could jeopardize the energy supply to the germ cells, which would then disrupt spermatogenesis and subsequently impact male fertility [62]. ...
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... As remarked above, lactate synthesis by SCs is a crucial step in testicular metabolic cycle, which produces more desirable energy substrate for springing up germ cells and has a prominent anti-apoptotic effect [47]. Also, some studies showed that metformin plays a role as a suppressor of complex I of the mitochondrial electron transport chain that directly decreases oxidative metabolism and accordingly increases anaerobic respiration and lactate secretion [48]. ...
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The process that allows cells to control their pH and bicarbonate levels is essential for ionic and metabolic equilibrium. Carbonic anhydrases (CAs) catalyse the conversion of CO2 to HCO3− and H⁺ and are thus essential for this process. Herein, we inhibited CAs with acetazolamide – ACT and SLC‐0111 – to study their involvement in the metabolism, mitochondrial potential, mitochondrial biogenesis and lipid metabolism of human Sertoli cells (hSCs), obtained from biopsies from men with conserved spermatogenesis. We were able to identify three isoforms of CAs, one mitochondrial isoform (CA VB) and two cell membrane‐bound isoforms (CA IX and CA XII) in hSCs. When assessing the expression of markers for mitochondrial biogenesis, we observed a decrease in HIF‐1α, SIRT1, PGC1α and NRF‐1 mRNAs after all CAs were inhibited, resulting in decreased mitochondrial DNA copy numbers. This was followed by an increased production of lactate and alanine in the same conditions. In addition, consumption of glucose was maintained after inhibition of all CAs in hSCs. These results indicate a reduced conversion of pyruvate to acetyl‐coA, possibly due to decreased mitochondrial function, caused by CA inhibition in hSCs. Inhibition of CAs also caused alterations in lipid metabolism, since we detected an increased expression of hormone‐sensitive lipase (HSL) in hSCs. Our results suggest that CAs are essential for mitochondrial biogenesis, glucose and lipid metabolism in hSCs. This is the first report showing that CAs play an essential role in hSC metabolic dynamics, being involved in mitochondrial biogenesis and controlling lactate production.