Diethylstilbestrol activates CatSper and disturbs progesterone actions in human spermatozoa

Study question: Is diethylstilbestrol (DES), a prototypical endocrine-disrupting chemical (EDC), able to induce physiological changes in human spermatozoa and affect progesterone actions?

Summary answer: DES promoted Ca²⁺ flux into human spermatozoa by activating the cation channel of sperm (CatSper) and suppressed progesterone-induced Ca²⁺ signaling, tyrosine phosphorylation and sperm functions.

What is known already: DES significantly impairs the male reproductive system both in fetal and postnatal exposure. Although various EDCs affect human spermatozoa in a non-genomic manner, the effect of DES on human spermatozoa remains unknown.

Study design, size, duration: Sperm samples from normozoospermic donors were exposed in vitro to a range of DES concentrations with or without progesterone at 37°C in a 5% CO₂ incubator to mimic the putative exposure to this toxicant in seminal plasma and the female reproductive tract fluids. The incubation time varied according to the experimental protocols. All experiments were repeated at least five times using different individual sperm samples.

Participants/Materials, setting, methods: Human sperm intracellular calcium concentrations ([Ca²⁺]_i) were monitored with a multimode plate reader following sperm loading with Ca²⁺ indicator Fluo-4 AM, and the whole-cell patch-clamp technique was performed to record CatSper and alkalinization-activated sperm K⁺ channel (KSper) currents. Sperm viability and motility parameters were assessed by an eosin-nigrosin staining kit and a computer-assisted semen analysis system, respectively. The ability of sperm to penetrate into viscous media was examined by penetration into 1% methylcellulose. The sperm acrosome reaction was measured using chlortetracycline staining. The level of tyrosine phosphorylation was determined by western blot assay.

Main results and the role of chance: DES exposure rapidly increased human sperm [Ca²⁺]_i dose dependently and even at an environmentally relevant concentration (100 pM). The elevation of [Ca²⁺]_i was derived from extracellular Ca²⁺ influx and mainly mediated by CatSper. Although DES did not affect sperm viability, motility, penetration into viscous media, tyrosine phosphorylation or the acrosome reaction, it suppressed progesterone-stimulated Ca²⁺ signaling and tyrosine phosphorylation. Consequently, DES (1-100 μM) significantly inhibited progesterone-induced human sperm penetration into viscous media and acrosome reaction.

Large scale data: N/A.

Limitations, reasons for caution: Although DES has been shown to disturb progesterone actions on human spermatozoa, this study was performed in vitro, and caution must be taken when extrapolating the results in practical applications.

Wider implications of the findings: The present study revealed that DES interfered with progesterone-stimulated Ca²⁺ signaling and tyrosine phosphorylation, ultimately inhibited progesterone-induced human sperm functions and, thereby, might impair sperm fertility. The non-genomic manner in which DES disturbs progesterone actions may be a potential mechanism for some estrogenic endocrine disruptors to affect human sperm function.

Study funding/competing interests: National Natural Science Foundation of China (No. 31400996); Natural Science Foundation of Jiangxi, China (No. 20161BAB204167 and No. 20142BAB215050); open project of National Population and Family Planning Key Laboratory of Contraceptives and Devices Research (No. 2016KF07) to T. Luo; National Natural Science Foundation of China (No. 81300539) to L.P. Zheng. The authors have no conflicts of interest to declare.

CatSper; acrosome reaction; diethylstilbestrol; endocrine-disrupting chemical; human sperm; hyperactivation; intracellular calcium concentration; progesterone; tyrosine phosphorylation.