Introduction

Telocytes have been previously described by Popescu et al. (2005) in human pancreas, fallopian tube, and cardiac, digestive, and reproductive systems where they were named interstitial Cajal-like cells. Based on their extremely long prolongations (telopodes), telocytes (TCs) are easily distinguished from other interstitial tissue cells (Popescu and Faussone-Pellegrini 2010). Telopodes are hundreds of micrometers long and extremely thin (between 0.05 and 0.2 μm), making up a succession of thin, fibrillar segments (podomers) and dilated, cistern-like regions (podoms) (Cretoiu and Popescu 2014). Podoms accommodate functional units consisting of caveolae, mitochondria, and endoplasmic reticulum, possibly involved in calcium ion (Ca2+) uptake and release (Cretoiu et al. 2012). These cells are interconnected by homo- and heterocellular junctions to form three-dimensional networks within the interstitial tissue (Cretoiu and Popescu 2014). In TC ultrastructure, large numbers of mitochondria, an abundance of endoplasmic reticulum and lipid droplets, and distinct sets of membrane channels are observed. Recent studies report the involvement of TCs in processes occurring at the cellular level: organizational regulation and activity of the extracellular matrix, structural support, formation of microenvironments, intercellular communication, neurotransmission, immunomodulation and immune surveillance, cell survival and apoptosis, and control of other cell types in the interstitium (Díaz-Flores et al. 2016). Telocytes are widely distributed in the interstitium of various organs as well as in serous membranes of vertebrates (fish, reptiles, birds, and mammals, including humans) (Popescu et al. 2010; Mostafa et al. 2010; Hinescu et al. 2011; Popescu 2011; Sanders et al. 2014; Yang et al. 1990). The data obtained for each protein were normalized against its corresponding actin and expressed as relative intensity. Results of 10 separate measurements were expressed as mean ± SD.

Table 2 Primary antibodies used for immunohistochemistry and Western blotting

Immunohistochemistry and immunofluorescence

To optimize immunohistochemical staining testicular sections (4 μm thin), both control and G-15-treated mice were immersed in 10 mM citrate buffer (pH 6.0) and heated in a microwave oven (2 × 5 min, 700 W). Thereafter, sections were immersed sequentially in H2O2 (3%; v/v) for 10 min and normal goat or horse serum (5%; v/v) for 30 min which were used as blocking solutions. After overnight incubation at 4 °C with primary antibodies listed in Table 2, the next respective biotinylated antibodies (anti-rabbit, anti-goat, and anti-mouse IgGs; 1: 400; Vector, Burlingame CA, USA) and avidin-biotinylated horseradish peroxidase complex (ABC/HRP; 1:100; Dako, Glostrup, Denmark) were applied in succession. Bound antibody was visualized with 3,3′-diaminobenzidine (DAB) (0.05%; v/v; Sigma-Aldrich) as a chromogenic substrate. Control sections included omission of primary antibody and substitution by irrelevant IgG. Thereafter, sections were washed and were slightly counterstained with Mayer’s hematoxylin and mounted using DPX mounting media (Sigma-Aldrich).

To count TC number per testicular section, the volume of CD34-positive cells per section was determined by a point-counting method using a graticule with 121 points (according to Sharpe et al. 2000 with modifications). Serial testicular sections (three to five) from each of the animals (control and G-15-treated mice) were examined. Applying a systematic sampling pattern from a random starting point, approx. 60 fields were counted. Results were expressed as mean number per testicular section.

Fluorescence labeling for F-actin was performed on testicular sections fixed in absolute methanol for 7 min followed by acetone for 4 min both at − 20 °C, respectively. Next, sections were rinsed in TBS containing 0.1% Triton X-100. Thereafter, cells were incubated with rhodamine-conjugated phalloidin (cat. no. R415, Invitrogen Molecular Probes) that recognizes F-actin for 30 min in a dark chamber for 30 min in a humidified chamber. After this step, cells were carefully rinsed with TBS. Fluorescent staining was protected from light and cells were mounted with Vectashield mounting medium (Vector Labs) with 4′,6-diamidino-2-phenylindole (DAPI) and next examined with epifluorescence microscope Leica DMR (Leica Microsystems) equipped with appropriate filters. Experiments were repeated three times.

Counting of F-actin-positive cells was performed on 10 randomly chosen microscopic high-power fields (hpf; ×40) of the testicular sections according to Manetti et al. (2013). Total fluorescence (a.u.) of F-actin was measured with the use of ImageJ software (NIH, Bethesda, USA) according to Smolen (1990). Briefly, to calculate total fluorescence per region, mean values for interstitial tissue areas in serial sections were averaged including the background reading with the use of NIS-Elements software and expressed as total fluorescence (a.u).

Relaxin concentration

Relaxin concentration was measured in (100 μL) lysates of control and G-15-treated testes with the use of mouse relaxin 1 ELISA Kit (cat. no. ab213885; Abcam) according to the manufacturer’s protocol. The biological sensitivity of an assay was < 10 pg/mL. For determination of optical density, a spectrophotometer (Labtech LT-4000MS; Labtech International Ltd., Uckfield, UK) with Manta PC analysis software set to 450 nm was used.

Concentrations of relaxin in G-15-treated testes were compared with the control. Relaxin concentration was calculated as picograms per milliliter.

Determination of Ca2+ concentrations

Control and G-15 testes homogenates were sonicated for 60 s on ice and centrifuged at 10,000g for 15 min. Ca2+ was estimated using Arsenazo III (Sigma-Aldrich, St. Louis, MO, USA) according to the modified method by Michaylova and Ilkova (1971). The intensity of the purple complex formed with the reagent was read at 600 nm in a spectrophotometer (Labtech LT-4000MS; Labtech International Ltd., Uckfield, UK) with Manta PC analysis software. The proteins were estimated by the modified Lowry’s method (Lowry et al. 1951). Concentrations of Ca2+ in G-15-treated testes were compared with the control. The Ca2+ concentrations were calculated as micrograms per milliliter.

Statistical analysis

Each variable was tested by using the Shapiro-Wilk W test for normality. Homogeneity of variance was assessed with Levene’s test. Since the distribution of the variables was normal and the values were homogeneous in variance, all statistical analyses were performed using one-way analysis of variance (ANOVA) followed by Tukey’s post hoc comparison test to determine which values differed significantly from controls. The analysis was made using Statistica software (StatSoft, Tulsa, OK, USA). Data were presented as mean ± SD. Data were considered statistically significant at p < 0.05. All the experimental measurements were performed in triplicate.

Results

Presence of telocytes in mouse testis—SEM, TEM, and immunohistochemical and fluorescence analyses: effect of GPER blockage

In the testicular tissue, SEM analysis was utilized for observation of general interstitial cell topography. Only testis fragments with highly visible and untouched seminiferous tubules were used for analysis (Fig. 1a). The results revealed the presence of TCs in the testis interstitium between seminiferous tubules (Fig. 1b–f). In the control and GPER-blocked testes, TCs were present in both interstitial and peritubular areas and recognized by pale, small round body and very long, thin cellular prolongations (Fig. 1b–f and insert at b). Telocytes were located in close proximity to Leydig cells. The latter cells were recognized by a large polygonal body and short, wide pseudopodia located in groups where single cells tightly adhered to each other (Fig. 1b–e). In addition, TCs were present in between and/or on peritubular cells surrounding the seminiferous tubule’s basement membrane (Fig. 1f). Telocytes were found to be spatially distributed and composed a net-like structure enclosing the interstitial space containing Leydig cells (Fig. 1b–f). On the body surface of TC body, little to no very short and thin cell processes were observed (Fig. 1d). The density of TCs was different by region, and they appeared either singularly or in small groups. More frequently, groups of TCs were observed in the interstitium of GPER-blocked testes when compared to the control (Fig. 1b–d).

Fig. 1
figure 1

Presence of telocytes in mouse testis—SEM analysis. Effect of GPER blockage. Representative microphotographs of sections of control (a, b and insert, d) and GPER-blocked (c, e, and f) coated with gold. Bars represent 1 μm. Analysis was performed on three testicular fragments from at least three animals of each experimental group. TCs are marked with red arrows, while their long and thin protrusions (telopodes) with orange arrowheads. Note increased number of TCs in GPER-blocked testes. IT, interstitial tissue; ST, seminiferous tubules; LC, Leydig cells

Concomitantly, TCs in the control and GPER-blocked testes were analyzed by TEM (Fig. 2). Analyses of serial sections revealed the presence of TCs in both peritubular and interstitial testis compartments (Fig. 2). TCs of both localizations had a similar appearance with a relatively small, rounded cell body and extremely elongated, thin pseudopodia. Nearly the entire cell body was filled with a slightly elongated nucleus surrounded by a small rim of cytoplasm. Well-developed elements of rough endoplasmic reticulum and numerous elongated and branched mitochondria were also observed (Fig. 2a, b, f, g).

Fig. 2
figure 2

Presence of telocytes in mouse testis—TEM analysis. Effect of GPER blockage. Representative microphotographs of ultrathin sections of TCs from control (ad and fh) and GPER-blocked mouse testes (e). Bars represent 1 μm. Each testicular sample in epoxy resin block was cut for at least three ultrathin sections that were analyzed. Analysis was performed on testicular blocks from at least three animals of each experimental group. ST, seminiferous tubules; TC, telocyte; LC, Leydig cells; m, mitochondria, PC, peritubular cell; asterisk—cortical filaments; rer—elements of endoplasmic reticulum. Note long protrusions (telopodes) of the TCs (arrows). Sometimes the TCs send several protrusions toward one direction (yellow arrows in b). In some cases, the telopodes intertwine with one another and form characteristic labyrinths (yellow arrowheads in d). Note dilated fragments of the telopodes that form podomer-like structures (blue arrows in b). The TCs that are located in close vicinity to Leydig cells very often send protrusions that penetrate in-between adjacent Leydig cells (arrows in c)

The most characteristic feature of the TCs was very long and thin cell protrusions (telopodes) that formed podom-like dilated structures (Fig. 2b, d). Occasionally, the single TC sent several elongated protrusions (Fig. 2b), but most TCs possessed a few remarkably long telopodes. The telopode cytoplasm contained mitochondria that were linearly arranged one by one (Fig. 2h). In the cortical regions of the telopode, numerous tightly packed filamentous structures were present (Fig. 2h, asterisk). Based on their structure and size, we believe the filaments represent F-actin microfilaments (Fig. 2h). In TCs surrounding the seminiferous tubule, the telopodes ran parallel to peritubular cells (Fig. 2a). In TCs that were located near Leydig cells, the long telopodes embraced Leydig cells and could be seen penetrating between adjacent Leydig cells (Fig. 2c). No characteristic changes in the ultrastructure of TCs were observed between the control and GPER-blocked testes.

Light microscopic observations were undertaken as an attempt for the identification and confirmation of TC location based on immunohistochemical staining for CD34 as well as c-kit, PDGFRα, PDGFRβ, VEGF, vimentin, and F-actin (Figs. 3, 4, and 5). Telocytes were located in between peritubular cells and surrounded groups of Leydig cells (Figs. 3 and 4). Moreover, single TCs positive for CD34 were identified between pericytes of blood vessels (Fig. 3c, d). Of note, no staining for CD34 was seen in other types of testicular cells, pericytes and peritubular cells, Leydig cells, and cells of the seminiferous tubules (Fig. 3). For PDGFRα, PDGFβ, and VEGF, positive staining was not seen in Leydig cells and cells of seminiferous tubules (Fig. 4c–h). On the contrary, staining for c-kit and vimentin revealed that not only TCs express these proteins but also spermatogenic cells (positive for c-kit) and Sertoli cells and peritubular cells (positive for vimentin) (Fig. 4a, b and i, j). Moreover, nonspecific staining for c-kit was detected in Leydig cells as well. Telocytes were observed in both control and GPER-blocked testes, but as the other types of testicular cells expressed c-kit, PDGFRα, PDGFRβ, VEGF, and vimentin, only CD34-positive cells were used for further analyses.

Fig. 3
figure 3

Presence of telocytes in mouse testis—immunohistochemical analysis. Effect of GPER blockage. Representative microphotographs of CD34 immunohistochemical localization in control (a, c) and GPER-blocked (b, d) mouse testes. Immunostaining with DAB and counterstaining with hematoxylin. Scale bars represent 15 μm. Immunoreaction was performed on testicular serial sections from at least three animals of each experimental group. Insert at b—negative controls. bv, blood vessels; LC, Leydig cells; PC, peritubular cells; ST, seminiferous tubules; TC, telocyte

Fig. 4
figure 4

Presence of telocytes in mouse testis—immunohistochemical analysis. Effect of GPER blockage. Representative microphotographs of c-kit, PDGFRα and β, VEGF, and vimentin immunohistochemical localization in control (a, c, e, g, i) and GPER-blocked (b, d, f, h, j) mouse testes. Immunostaining with DAB and counterstaining with hematoxylin. Scale bars represent 15 μm. Immunoreaction was performed on testicular serial sections from at least three animals of each experimental group. Inserts at a, d, e, h, and j—negative controls. bv, blood vessels; LC, Leydig cells; PC, peritubular cells; SC, Sertoli cells; ST, seminiferous tubules; TC, telocyte

Fig. 5
figure 5

Presence of telocytes in mouse testis—fluorescence analysis. Effect of GPER blockage. Representative microphotographs of F-actin distribution in control and GPER-blocked mouse testes (A, A′, B, B′, C, C′, D, D′). Fluorescence with DAPI. Scale bars represent 20 μm. Dashed lines mark the periphery of interstitial tissue. White arrows—positive stained telopodes; yellow arrows—places with lack of staining (lack of TCs and/or telopodes). Quantitative analysis of fluorescence (E). Histograms of fluorescent intensities expressed as relative fluorescence (arbitrary units; a.u.). Immunoreaction was performed on testicular serial sections from at least three animals of each experimental group. Data is expressed as means ± SD. Asterisks show significant differences between control and GPER-blocked testes. Values are denoted as **p < 0.01

Telocytes that positively stained for CD34 were observed in both control and GPER-blocked mouse testes. In control testis, the number of TCs positive for CD34 was 9.4 ± 1.7 cells/testicular section, while it increased (19.1 ± 0.4** cells/testicular section) in GPER-blocked samples.

No staining was found in testicular sections incubated without primary antibody (inserts at Figs. 3b and 4a, d, e, h, j).

Long telopodes that stained strongly for F-actin were revealed in both control and GPER-blocked testis. Telopodes were lying in between peritubular cells and surrounded the interstitial space and blood vessels (Fig. 5). Discontinuous strong signal for F-actin (indicated on the presence of other cell types, e.g., peritubular-myoid in the peritubular area, pericytes in blood vessel epithelium and Leydig cells, fibroblast in the interstitium) when compared to DAPI staining was detected in the area outside seminiferous tubules. The relative fluorescence of F-actin was increased (p < 0.01) in comparison to controls (Fig. 5E).

Expression of CD34, c-kit, PDGFRα, PDGFRβ, VEGF, and vimentin in mouse testis: effect of GPER blockage

Changes in the level of telocyte marker proteins CD34, c-kit, PDGFRα, PDGFRβ, VEGF, and vimentin were found in G-15 testis when compared to the control (Fig. 6a, b). The protein level of CD34 was increased (p < 0.05) in GPER-blocked testis. The expression of c-kit was found to be increased (p < 0.01) too, while PDGFRα, PDGFRβ, VEGF, and vimentin expression decreased in GPER-blocked testis (p < 0.01; p < 0.05). Expression of VEGF was decreased but not significantly.

Fig. 6
figure 6

Expression of CD34, c-kit, PDGFRα, PDGFRβ, VEGF, and vimentin in mouse testis. Effect of GPER blockage. Representative blots of qualitative expression (a) and relative expression (arbitrary units) (b) of proteins CD34, c-kit, PDGFRα, PDGFRβ, VEGF, and vimentin in control and GPER-blocked mouse testes. Protein densitometry results are present below the corresponding blots. The relative amount of respective proteins normalized to β-actin. ROD from three separate analyses is expressed as means. From each animal, at least three samples were measured. Asterisks show significant differences control and GPER-blocked testes. Data is expressed as means. Values are denoted as p < 0.05 and ∗∗p < 0.01

Expression of CD34 and ERR mRNA in mouse testis: effect of GPER blockage

No changes in CD34 mRNA levels were found in GPER-blocked testis in comparison to controls (Fig. 7). Alternatively, the mRNA expression of ERRα, β, and γ markedly increased (p < 0.01; p < 0.001).

Fig. 7
figure 7

Expression of CD34 and ERRs mRNA in mouse testis. Effect of GPER blockage. Relative level (relative quantification; RQ) of mRNA for CD34, ERRα, ERRβ, and ERRγ in control and GPER-blocked mouse testes determined using real-time RT-PCR analysis 2−ΔΔCt method. As an intrinsic control, β-actin mRNA level was measured in the samples. From each animal, at least three samples were measured. RQ is expressed as means ± SD. Asterisks show significant differences between control and GPER-blocked testes. Values are denoted as ∗∗p < 0.01 and ∗∗∗p < 0.001

Intratesticular relaxin and Ca2+ concentrations: effect of GPER blockage

A significant increase in relaxin concentration (p < 0.01) (Fig. 8a) and a slight increase in Ca2+ concentration (Fig. 8b) were revealed in GPER-blocked testis when compared to the control.

Fig. 8
figure 8

Intratesticular relaxin and Ca2+ concentrations. Effect of GPER blockage. Relaxin (a) and Ca2+ (b) concentration in control and GPER-blocked mouse testes. Data is expressed as means ± SD. From each animal, at least three samples were measured. Asterisks show significant differences between control and GPER-blocked testes. Values are denoted as ∗∗p < 0.01

Discussion

We report, for the first time, the presence of TCs in the interstitium, including the peritubular area, of mouse testis. Our results are in accord with the observations of Rodríguez et al. (2008) and Hasirci et al. (2017) on TC location in human testis. Telocytes reside in both peritubular and perivascular areas of the testis’ interstitium regardless of species (Yang et al. 2015). These cells are universally considered “connecting cells,” primarily involved in intercellular signaling. Telocytes have “strategic” positioning in a tissue, in between blood capillaries and their specific target cells (Popescu and Faussone-Pellegrini 2010) that in the testes can be especially cells outside seminiferous tubules. They are implicated in the electrical modulation of excitable tissue (the smooth muscle of the gut and uterus) and are capable of spontaneous initiation of electrical activity involving Ca2+ transients (Yamashita 2010). Moreover, TCs express ERα and the progesterone receptor, both of which are important hormone sensors (for review, see Roatesi et al. 2015).

When GPER was blocked in mouse testis, intratesticular estrogen levels, as well as estrogen feedback regulation of its own signaling, were altered (Kotula-Balak et al. 2018). Potential differences in the number of TCs of the control and GPER-blocked testes could exist as we revealed interstitial tissue-marked histological modulations for the first time. It is possible that TCs as well as other cells of the peritubular and interstitial compartments, peritubular-myoid cells, and Leydig cells may express GPER (Sandner et al. 2014; Zarzycka et al. 2016; Kotula-Balak et al. 2018). Therefore, changes in TC number may be a response to perturbed estrogen signaling and/or are a result of modulated function of neighboring cells as was reported in physiological and pathological conditions of various human organs (Cretoiu et al. 2012; Milia et al. 2013; Wang et al. 2014; Fu et al. 2015; **ao et al. 2016).

As a first step, herein, general morphological characteristics of interstitial cells were assessed by SEM. Testis tissue is composed of two compartments made up of various cell types. Therefore, some limitations of SEM should be mentioned. Firstly, cutting testicular tissue requires precision and further processing needs to be gentle so as not to destroy the seminiferous tubules, as those cells can contaminate the interstitial space. Second, for analysis, only tissue which is spontaneously and exactly broken (during the procedure) in-between tubules allows for observation of the interstitial compartment.

Ultrastructural observations revealed that testicular TCs have remarkably long, thin, and moniliform, actin-rich cellular projections referred to as telopodes. Of note, for identification of telopodes of testicular TCs, F-actin seems to be an accurate and helpful marker, that clearly distinguishes F-actin-rich structures from the ones equipped with scarce microfilaments and/or arranged in a different way (present in other testicular cell types) when using basic fluorescence microscopy. The same morphological features were described for TCs in other tissues (Nicolescu et al. 2012; Cretoiu et al. 2012; Milia et al. 2013; Li et al. 2014; Rosa et al. 2018). In peritubular-myoid cells, abundant actin filaments are distributed in a species- and tissue-specific manner. In rats, the filaments within one peritubular cell run both longitudinally and circularly to the long axis of the seminiferous tubule, exhibiting a lattice-work pattern (Maekawa et al. 1996). In capillary cross sections, circumferential pericytes showed numerous parallel bundles of actin filaments forming a cap over the adjacent endothelial cells with a few actin filaments only (Wallow and Burnside 1980). Telocytes, peritubular cells, pericytes, and other cells of the interstitium may act in a coordinated manner to control contractility (via both cytoskeleton components including F-actin microfilaments and mitochondrial energy) of the interstitium, seminiferous tubules, and vessels, as well as modulate properties of the interstitial microenvironment.

As a second step, according to Popescu and Faussone-Pellegrini (2010) after electron microscopic TC identification, we tried to find the most suitable protein marker for identification of testicular TCs. Depending on tissue and species studied, diverse TC markers were identified through many years (Popescu and Faussone-Pellegrini 2010). From the mesenchymal cell markers commonly used for TC identification, e.g., CD34, c-kit, PDGFRα and β, VEGF, and vimentin, two of them c-kit and vimentin seem to be not suitable enough for distinguishing testicular TCs from other testicular mesenchymal cells, e.g., pericytes, fibroblasts as well as other types of testicular cells, e.g., Leydig cells, and macrophages (Feng et al. 1999; Fu et al. 2015; Zhou et al. 2015; **ao et al. 2016). In addition, especially for c-kit, nonspecific staining occurred, too. On the other hand, CD34 seems to be the most relevant/helpful one; however, it is still not perfect when studying TCs in the testis.

Based on our results, changes in the expression of CD34, c-kit, PDGFRα and β, VEGF, and vimentin showed that either TC number and protein expression or number and protein expression of other interstitial cells can be GPER-dependent. Of note, differences in the intensity of staining between individual protein analyzed by immunohistochemistry and Western blot can be related to different tissue preparations, e.g., fixation, blocking of nonspecific staining defined for each analyses, and thus, specific epitope antibody recognition. A significant increase in GPER expression in cells surrounding seminiferous tubules was found in men with mixed atrophy, although detailed description of cell type and number was not provided (Sandner et al. 2014). Also, increased TC number was reported by Hasirci et al. (2017) in the testis of men with maturation arrest and Sertoli cell-only syndrome. The authors also suggested that TCs act as pacemaker cells that serve to induce spermatogenesis. Similarly, TC content is crucial for the stimulation of prostate function (McHale et al. 2006). In contrast, in patients with testicular atrophy and fibrosis, the number of TCs was reduced due to deformation of the testicular tissue.

A series of studies have revealed that sex steroid imbalance, caused by either hormonal or nonhormonal endogenous and exogenous factors, is responsible for changes in quantity and function of testicular cells (Schanbacher et al. 1987; Abney and Myers 1991; Hejmej et al. 2005; Gould et al. 2007; Carreau and Hess 2010; Lucas et al. 2011; Kotula-Balak et al. 2012; Rebourcet et al. 2014; Soliman and Emeish 2017). Moreover, in endocrine tissues, receptor number is controlled via hormone levels. Expression changes in one type of estrogen receptor affect the function of other estrogen receptors in various tissues and physiological conditions (Balasinor et al. 2010; Nephew et al. 2000; Kang et al. 2010; Madeira et al. 2013; Naugle et al. 2014; Boscia et al. 2015; Trejter et al. 2015; Kotula-Balak et al. 2018, b). In this study, mRNA expression of CD34 varied along with that of ERR; however, their expression trended in opposite directions. This indicates the influence of TCs on the testis interstitium and/or reversely on TCs via GPER and ERR signaling. Transcription and translation can be differentially controlled as is reflected here for CD34 mRNA and protein expression. In addition, the half-life of protein can be increased while its degradation is reduced in GPER-blocked testes.

Based on our previous results, Leydig cell ultrastructure following GPER blockage was characterized by lipid droplets surrounded via concentrically in structure endoplasmic reticulum but also degenerating (combined with a lipophagy) lipid droplets (Kotula-Balak et al. 2018). In the present study, no changes in TC ultrastructure in the control and GPER-blocked testis were revealed. Such a result reflects the higher sensitivity of Leydig cells to changes in hormonal interstitium microenvironment than seen in TCs. Also, TC structure and undiscovered function was not based on high-energy metabolism when compared to Leydig cells. We found that the absence of GPER does not induce perturbation of TC function at the organelle level.

Alterations in estrogen signaling and cellular communication following GPER blockage, along with tendency to number changes, can lead to further histological alterations of the interstitial tissue, e.g., hypertrophy or fibrosis (Haines et al. 2012), for example, via TC functional alterations and/or effect of these alterations on functionality of other interstitial cells.

In GPER-blocked testis, increased relaxin concentrations, exclusively secreted by interstitial cells (e.g., Leydig cells), indicate potential tissue histological changes. Indeed, we have lastly demonstrated the association of estrogen, ERR, and relaxin in bank vole interstitium overgrowth (Pawlicki et al. 2017). Possible tissue remodeling, early malignant transformation, or fibrosis (due to alterations mainly in the function of fibroblasts) should not be excluded. The development of relaxin-null mice provided particularly strong evidence that relaxin functions to protect against fibrosis (Samuel et al. 2007; Bennett 2009). The role of canonical estrogen receptors and estradiol in the development of cardiac, renal, and systemic fibrosis was also evidenced (Pedram et al. 2010; Hewitson et al. 2012; Aida-Yasuoka et al. 2013). Notably, loss of TCs accompanies fibrosis of multiple organs in systemic sclerosis (Manetti et al. 2014). In Caucasians, cystic fibrosis is linked to infertility (Sokol 2001).

In GPER-blocked testis, modulation of estrogen signaling affected TC distribution, potentially TC number and probably TC function, reflecting changes in the tissue’s histological appearance. In the light of these data, interaction of TCs, including possibly the secretory one, with estrogen and relaxin signaling supports TC involvement in interstitial tissue architecture and function. In addition, through TC release of inflammatory factors such as cytokines and interferons, their involvement in local immuno-inflammatory processes is feasible (Li et al. 2014; Ye et al. 2017).

According to Fu et al. (2015) and Ibba-Manneschi et al. (2016), enhancing the growth and/or survival of TCs could be an additional antifibrotic therapeutic strategy in many organs. Nowadays, in clinical andrology, treatment solutions for precocious gonad aging and tumorigenesis are intensively seeking (Giwercman and Giwercman 2011). Based on our results, GPER and ERR signaling modulation should be considered in future studies regarding the use of TCs against tissue pathological changes.

As mentioned above, TCs communicate via paracrine hormones but also via gap junctions that can be closed in response to high concentrations of Ca2+ (for review, see Calì et al. 2015). The heart rate is increased by relaxin modulation of the Ca2+ current in cardiac pacemaker cells (Han et al. 1994). In TCs of the female reproductive system, T-type Ca2+ channels contribute to the mechanical sensing of TCs, and what is more, estradiol controls its voltage gate (Banciu et al. 2018; Cretoiu et al. 2015). Interestingly, in isolated rat uterus, relaxin plays a double role as a transporter and buffer of Ca2+ (Fields 2005). For contraction of the rat testicular capsule, Ca2+ is needed (da Silva Júnior et al. 2013). Hence, Ca2+, together with relaxin, of which the contractile properties are well-known, is an important player controlling the interstitium tonus and creating the interstitial microenvironment. Our studies revealed no marked changes in Ca2+ level in GPER-blocked testis; thus, GPER is not directly implicated in Ca2+ regulation and it is possible that testicular TCs are not directly implicated in Ca2+ signaling. Future studies are warranted to elucidate the potential role of lipid droplets in TCs and their lipid homeostasis regulation apparently not by Ca2+.

Based on our current observations (direct lines of evidence from electron microscopic studies and indirect from immuohistochemical studies), we report, for the first time, the presence of TCs in mouse testis together with practical information regarding the analysis of TCs in electron microscopy and light microscopy (via protein markers) that can be useful for identification of testicular TCs. We hypothesize TC implication through tendency in their number changes in contractile and secretory function and/or their regulation of other interstitial cells in estrogen microenvironment including GPER-ERR interaction. Further studies in order to develop specific methods for TC identification and isolation and studies of their molecular characteristics and role in the testis are needed.