1 Department of Dermatology and Allergy, Technical University Munich, Biedersteiner Strasse 29, 80802 Munich, 2 Department of Anatomy, University of Munich, 80802 Munich and 3 Department of Radiobiology, Military Academy Munich, 80937 Munich, Germany
4 To whom correspondence should be addressed. e-mail: weidinger{at}lrz.tum.de
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Abstract |
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Key words: motility/PAR-2/spermatozoa/tryptase
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Introduction |
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In humans, the content of the proteases tryptase and chymase allows one to distinguish tryptase-containing MCT cells from tryptase- and chymase-containing MCTC cells (Welle, 1997; Yong, 1997
). MCT and MCTC cells in human testes are increased in number in patients with spermatogenic arrest and Sertoli-cell-only syndrome (Jezek et al., 1999
; Meineke et al., 2000
; Yamanaka et al., 2000
), suggesting MC involvement in the pathogenesis of infertility.
Importantly, tryptase is a serine protease, which can specifically regulate functions of cells expressing proteinase-activated-receptor 2 (PAR-2) (Nystedt et al., 1996; Molino et al., 1997
; Frungieri et al., 2002
), whereas other PARs are not activated by tryptase (Mirza et al., 1997
). These G-protein-coupled receptors are expressed on the surface of keratinocytes, fibroblasts, enterocytes, endothelial cells, smooth muscles, T-cell lines and certain tumour cell lines (Nystedt et al., 1996
; Corvera et al., 1997
; Frungieri et al., 2002
). Recently, the presence of PAR-2 could be demonstrated on cells of the testicular germinal epithelium (DAndrea et al., 1998
). Whether this result indicates a role of tryptase in germ cell development is currently not known. Likewise, it has not been explored whether PAR-2 is present in mature ejaculated spermatozoa or whether tryptase may affect its functions. In this case, tryptase would be required to be present in seminal plasma and/or fluids of the female reproductive tract. The purpose of the present study was to examine the possibility that sperm function is regulated by MCs/MC products. Therefore, we determined tryptase concentrations in seminal plasma, located PAR-2 on human spermatozoa and studied effects of tryptase and chymase on sperm motility.
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Materials and methods |
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Sperm preparation
Fresh semen was collected from healthy students (n = 12) who had no history of diseases related to infertility, and who had given informed consent. The ejaculates were analysed for standard semen parameters according to the World Health Organization (WHO, 1999). Motility was determined by computer-assisted semen analysis CASA (Strömberg-Mika). Only ejaculates with <1 x 106 white blood cells/ml and motility (WHO a + b) >50% or progressive motility (WHO a) >25% were used for the experiments. In all experiments samples were washed (500 g, 10 min) and resuspended in HTFM.
Localization of MC in human Fallopian tubes
Tissue samples of human Fallopian tubes from autopsies of women <40 years old with no known pathology of their genital tract were examined by immunohistochemistry for the presence of tryptase-positive MCs according to previously described procedures (Meineke et al., 2000).
Localization of PAR-2 on spermatozoa
Immunoelectronmicroscopy for PAR-2 was performed in ejaculated spermatoza [fixed in 4% paraformaldehyde, 0.1% glutaraldehyde in 0.05 mol/l phosphate-buffered saline (PBS), pH 7.4] using Lowicryl (K4M; Polysciences, Eppenheim, Germany) with goat anti-PAR-2 polyclonal antibodies and a secondary gold-labelled antiserum (1:20; 10 nm; Aurion, Wageningen, The Netherlands). Electron microscopy was performed with a Zeiss Electron microscope EM10 using a previously described method (Mayerhofer et al., 2001). For control purposes, the antiserum was omitted or replaced with normal rabbit serum.
Measurement of tryptase in human seminal plasma and human follicular fluid
Fresh semen was collected from male patients (n = 110, aged 1865 years) attending the andrological outpatient department and from 25 healthy donors (aged 1855 years) with no history of diseases related to infertility, all of whom gave informed consent. Semen analysis was performed according to the WHO (1999) and included determination of pH, volume, total sperm count, sperm density, motility, morphology (Shorr stain), vitality (eosin stain), peroxidase-positive leukocytes, granulocyte elastase and
-glucosidase. Seminal plasma was obtained by repeated centrifugation (1000 g, three times for 15 min).
Follicular fluid was obtained from women (n = 8, aged 3239 years) undergoing IVF. Tryptase levels were determined by a solid-phase commercial radioimmunoassay (Pharmacia tryptase RIACT; Castells and Schwartz, 1988). The detection limit of this assay was 1 µg/l.
Effects of tryptase/chymase on human spermatozoa
Stock solutions of 100 µg/ml tryptase in a buffered solution (pH 6.1) containing 10 mmol/l MES (morpholinoethansulfonic acid), 200 mmol/l NaCl, 10% glycerole, 0.5 mg/ml heparine and 100 µg/ml chymase in 2.0 mol/l NaCl and 1 mmol/l MOPS [3-(N-morpholino)-2-hydroxypropanesulfonic acid] (pH 6.8) were prepared and kept frozen at 20°C. Prior to the beginning of experiments, stock solutions were diluted in PBS (pH 7.4) to achieve final concentrations of 10, 100 and 1.000 ng/ml. Ejaculates were washed twice (500 g, 10 min) and resuspended in HTFM. Sperm concentration was adjusted to 1020 x 106/ml prior to incubation with different concentrations of tryptase or chymase. Samples incubated with buffer or PBS in the absence of tryptase/chymase were measured as controls. After 30, 60 and 180 min, various sperm motility parameters were determined by CASA: motility (% WHO a/b/c), curvilinear velocity (VCL), average path velocity (VAP) and straight-line velocity (VSL). Since incubation with 1.000 ng/ml tryptase demonstrated the most rapid results, and this concentration was used for further studies.
In order to test for reversibility of tryptase/chymase effects, spermatozoa were washed twice with HTFM to remove the protease after 60 min of incubation. Sperm motility was determined again after 10 min.
To examine specific mediation of tryptase effects by PAR-2, pretreatment with either anti-tryptase antibodies or anti-PAR-2 antibodies was performed. Therefore, stock solutions of 100 µg/ml mouse anti-tryptase antibodies (in 100% PBS, pH 7.2) were prepared and kept frozen at 20°C. For experiments, stock solutions were diluted in PBS containing 0.1% sodium acide and 0.2% gelatin to achieve final concentrations of 10, 100 and 1.000 ng/ml. After 5 min of incubation with different concentrations of antibodies tryptase was added, and sperm motility was determined after 30, 60 and 180 min. Untreated spermatozoa or samples that were treated with antibodies or tryptase only were measured as controls.
Statistical analysis
Data are presented as mean ± SD. For graphical visualization only upper limits are drawn to indicate the limits of uncertainty. Statistical comparisons were made by ANOVA followed by Scheffe test. All tests were performed two-sided. Analysis was made using SPSS 11.0 software. P values 0.05 were considered statistically significant.
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Results |
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Tryptase concentrations in human follicular fluid ranged from 1.60 to 3.73 ng/ml.
Immunohistochemical localization of MC in human Fallopian tubes
Tryptase-immunoreactive MC were localized in the muscle layer and subepithelial layer of the Fallopian tubes (Figure 1). All controls performed were negative (not shown).
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Pre-incubation with monoclonal mouse anti-tryptase IgG prevented tryptase action, resulting in significantly increased motility after 30 (P = 0.006), 60 (P = 0.003) and 180 min (P = 0.004), i.e. levels similar to those of untreated controls. Furthermore, tryptase effects were abolished by pretreatment with goat anti-PAR2 antiserum. Compared with controls treated with tryptase only, samples with 1.000 ng/ml antibodies showed a significantly higher motility after 30 (P = 0.013), 60 (P = 0.004) and 180 min (P = 0.001), which was not different from untreated spermatozoa (Figure 3).
Sperm motility was not significantly influenced after incubation with 10 and 100 ng/ml chymase. However, a significant (P = 0.042) decrease of sperm motility was observed 60 min after incubation with 1000 ng/ml chymase. Incubation for 180 min had no further effects. Reduction of sperm motility by chymase was not reversible. After two washing procedures, motility parameters did not recover (Figure 5).
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Discussion |
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Our results showing tryptase-positive MCs under the lining epithelium of human Fallopian tubes are in concordance with and extend previous studies, which showed MCs in the female genital tract (Sivridis et al., 2001; Hunt et al., 2002
). MCs were demonstrated in the oviduct wall (Hunt et al., 2002
), where they were found to be increased in women using intrauterine contraceptive device (Tursi et al., 1984
; Sandvei et al., 1986
). MCs are also normal constituents of the human myometrium and endometrium, where they are considerably reduced and depleted of metachromatic granules during the immediate premenstrual phase (Sivridis et al., 2001
), implying cycle-related regulation. It should be noted that histological sections of the human oviducts for the present study were obtained from autopsies of women <40 years old without any known pathology of their genital tract. While clearly showing MCTs, it remains unclear whether tryptase from the tubal or uterine MCs can reach the lumina of these organs. To our knowledge, neither concentrations of tryptase in the uterus nor in Fallopian tubal fluid have been reported. Since we were not able to obtain human tubular fluid, tryptase was measured in follicular fluid from women undergoing IVF. Follicular fluid upon ovulation may also reach the tubal lumen and may thus be of relevance. Tryptase concentrations in this fluid ranged from 1.60 to 3.73 ng/ml (Tryptase CAP-FEIA; Pharmacia; n = 8; 2.71 ± 0.66 ng/ml). We have, of course, to take into consideration the hormone treatment of these patients and the unknown effects of stimulation therapy on genital tract tryptase levels. Nevertheless, our results provide evidence for the presence of MCs and tryptase in the female genital tract and thus imply that spermatozoa are likely to come into contact with tryptase during their migration through the female genital tract under physiological conditions.
After ejaculation, spermatozoa on their way through the female genital tract may encounter tryptase released from MCs not only of female origin, but also from the male, since seminal plasma contains significant levels of tryptase. This was found in 14.4% of ejaculates examined from 110 andrological patients and 20% of seminal plasma samples examined from healthy donors. The effects of tryptase as observed in the present study were caused by concentrations of as low as 10 ng/ml (12 mU/ml). Thus, in at least a certain percentage, the levels of tryptase in seminal plasma were sufficiently high. The effective concentrations were thus comparable to the ones shown to induce a contractile response in dog airways or potentiate human isolated bronchi contractility (Sekizawa et al., 1989; Berger et al., 1999
).
At the present time it is not clear whether tryptase in the seminal plasma is produced in the testes, deferent ducts, epididymes or accessory genital glands. Further experiments with ejaculates from vasectomized men and immunohistochemical examinations of biopsies from these organs may allow to clarify this aspect. Although we have not found any obvious correlation between seminal plasma concentrations and semen quality or seminal plasma markers for genital tract infection (granulocyte elastase, peroxidase positive cells) so far, further studies including male patients with different classifications of infertility are in progress in order to study this point in more detail.
The present results provide clear evidence for the ability of tryptase to impair sperm motility. These observed inhibitory effects of tryptase are mediated by PAR-2, which we located in the acrosomal region and midpiece of human spermatozoa. They were proven to be reversible and specific, since they could be abolished by anti-tryptase antibody and anti-PAR-2 antiserum. PAR-2 are G-protein-coupled receptors that are expressed in the germinal epithelium (DAndrea et al., 1998). Activation of PAR-2, which in some cell types has been shown to induce transient rises in intracellular Ca2+ (Kunzelmann et al., 2002
; Miki et al., 2003
). Whether this is also the case in human spermatozoa is currently unknown. However, preliminary data reveals no significant effects of tryptase on acrosomal reaction.
In conclusion, we provide evidence for a direct, specific, non-proteolytic and receptor-mediated effect of tryptase on human spermatozoa. The MC product chymase, a protease not interacting with cell-specific receptors, also inhibited sperm motility. However, these effects were irreversible, indicating that they are due to proteolytic activity.
Our data may also give some clues concerning a mechanisms underlying the reported improvement of pregnancy rates after treatment of infertile men with MC blockers like ketotifen (Schill et al., 1986; Yamamoto et al., 1995
). It appears conceivable that by inhibiting the release of (male) MC products, including tryptase, into the seminal fluid, the inhibitory effect of tryptase on sperm motility was reduced, resulting in enhanced fertility potential.
Although testis and epididymis are known sources of MC products (Maseki et al., 1981; Nistal et al., 1984
; Meineke et al., 2000
; Yamanaka et al., 2000
), details of these locations as sources of tryptase in the male efferent duct system and female genital tract remain to be revealed. Tryptase in the female genital tract indicates the interesting possibility that tryptase released from MCs of the female affects spermatozoa.
Further elucidation of these points will be necessary to clarify whether pharmacological inhibition of tryptase release or interference with the tryptase/PAR-2 signalling system may be of benefit for couples suffering from reduced fertility. Thus, our study raises the question whether MCs/MC products may qualify as targets for therapeutical interventions in both female and male infertility.
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Acknowledgements |
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References |
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Submitted on April 14, 2003; resubmitted on July 14, 2003; accepted on August 15, 2003.