Evaluation of Sperm Proteins in Infertile Men: A Proteomic Approach

Evaluation of Sperm Proteins in Infertile Men: A Proteomic Approach

Evaluation of Sperm Proteins in Infertile Men: A Proteomic Approach In this study, the sperm protein profile was compared between fertile and infertil...

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Evaluation of Sperm Proteins in Infertile Men: A Proteomic Approach In this study, the sperm protein profile was compared between fertile and infertile men using 2-dimensional gel electrophoresis, liquid chromatography mass spectrometer analysis, and matrix-assisted laser desorption ionization-time-of-flight-mass spectrometry. Four unique proteins, semenogelin II precursor, prolactin-induced protein, clusterin isoform 1, and prostate-specific antigen isoform 1 preproprotein, were predominantly present in the semen of healthy men; however, semenogelin II precursor and clusterin isoform 1 were not seen in the semen of infertile men, suggesting unique differences in the spermatozoa protein profiles of fertile and infertile men. (Fertil Steril 2011;95:2745–8. 2011 by American Society for Reproductive Medicine.) Key Words: Sperm, semenogelin II precursor, prolactin-induced protein, clusterin, prostate-specific antigen

One in 10 couples are infertile, and male factor defects account for as many as 50% of all infertility cases (1). Proteomics allows the differential expression of proteins. A large number of proteins such as semenogelin (SG) (2, 3), serine protease, prostatespecific antigen (PSA) (4), clusterin (5, 6), fibronectin (7), prolactin-induced protein (PIP) (8), heat shock protein, and lactoferrin (9) have been identified and may play a role in male fertility. In this pilot study, the objective was to compare the protein profile from fertile and infertile men as a first step toward identifying unique seminal proteins that may be associated with male infertility using novel proteomic tools such as 2-dimensional gel electrophoresis (2-DGE), liquid chromatography-mass spectroscopy, and matrix-assisted laser desorption ionization-time-of-flight-mass spectrometry (MALDI-TOF-MS).

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Stetson Thacker Satya P. Yadav, Ph.D.a Rakesh K. Sharma, Ph.D.b Anthony Kashou, B.S.b Belinda Willard, Ph.D.c Dongmei Zhang, Ph.D.c Ashok Agarwal, Ph.D.b a Molecular Biotechnology Core Laboratory, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio b Center for Reproductive Medicine, Glickman Urological & Kidney Institute, Cleveland Clinic and Obstetrics and Gynecology and Women’s Health Institute, Cleveland, Ohio c Proteomics Core, Lerner Research Institute, Cleveland Clinic Foundation, Cleveland, Ohio Received January 24, 2011; revised March 15, 2011; accepted March 17, 2011; published online May 4, 2011. S.T. has nothing to disclose. S.P.Y. has nothing to disclose. R.K.S. has nothing to disclose. A.K. has nothing to disclose. B.W. has nothing to disclose. D.Z. has nothing to disclose. A.A. has nothing to disclose. S.T. is a summer high school student. Reprint requests: Ashok Agarwal, Ph.D., Center for Reproductive Medicine, Glickman Urological & Kidney Institute, Cleveland Clinic, 9500 Euclid Avenue, Desk A19.1, Cleveland, Ohio 44195 (E-mail: [email protected]).

0015-0282/$36.00 doi:10.1016/j.fertnstert.2011.03.112

Following institutional review board approval, semen samples were obtained from 1 healthy man of proven fertility and 3 infertile men (low count and motility) according to World Health Organization 1999 guidelines. Spermatozoa were solubilized in lysis buffer, isoelectrofocusing was performed, and 2-DGE was used for further resolution of proteins isolated from sperm cells. The uniquely identified spots were excised from the gels, washed, and destained in 50% acetonitrile containing 5% acetic acid. The dried gel pieces were digested overnight with trypsin (5 mL of 10 ng/mL) in 50 mM ammonium bicarbonate. The extracts were combined and evaporated to reduce the volume to 10 mL. The extracts were subsequently resuspended in 15% acetic acid to make a final volume of approximately 30 mL for liquid chromatography-mass spectroscopy. Ten microliters of the extracted peptide samples were injected on a C18 reverse-phase capillary chromatography column for separation before introduction into an online mass spectrometer. Peptides eluted from the column were analyzed by mass spectrometer to determine peptide molecular weights and product ion spectra to determine amino acid sequence. Data were analyzed by using all collisionally induced dissociation spectra collected in the experiment to search the National Center for Biotechnology Information nonredundant database with the search engine Mascot (Matrix Science). Additional searches using the programs Sequest and Blast were conducted as needed. An aliquot (15%) from the samples was dried and spotted on MALDI plates for MALDI-TOF/TOF analysis. All gels were run in duplicate under identical conditions. The resulting spot from each gel was superimposed, and distinct spots were identified. Only those spots that were unique (i.e., not superimposed) were subsequently studied. Ten spots from 1 Coomassie blue-stained gel from control (S1) and 4 unique spots from 3 Coomassie blue-stained gels from the infertile patients (S2–S4) were used for subsequent steps (Fig. 1). In the healthy control sample, 10 distinctive spots were used for liquid chromatography-mass spectroscopy analysis for protein identification. Spots 1, 4, and 6 were identified as an N-terminally truncated form of SGII precursor, a 65-kDa protein. The sequence coverage in spots 1, 4, and 6 was 5%, 6%, and 10% respectively.

Fertility and Sterility Vol. 95, No. 8, June 30, 2011 Copyright ª2011 American Society for Reproductive Medicine, Published by Elsevier Inc.

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FIGURE 1 Coomassie blue-stained 2-dimensional gel from 1 control and 3 infertile patients. Ten spots were obtained from 1 control and 4 unique spots from 3 infertile patients. All spots from the control and patients were superimposed. Only those spots that were not common in both but unique (11–14) were examined. S1 ¼ control; S2–S4 ¼ infertile patients.

Thacker. Correspondence. Fertil Steril 2011.

All of the peptides identified in this protein were derived from amino acids 484–582, indicating that these N-terminally truncated forms of SGII migrated to different spots during 2-DGE. Spots 2, 3, and 11 were identified as PIP, a 16-kDa protein. The protein coverage in spots 2 and 3 was 50% and 40%, respectively, mainly from amino acids 39–146, indicating truncated or modified PIP isoforms. A peptide, (118)ELGICPDDAAVIPIK(133), with masses of 1,611, 1,602, 1,627, and 1,643 Da, was identified in spots 2 and 11, corresponding to various modifications at Cys123 in the sequence. The peptide with a mass of 1,611 Da is the carbamidomethylated form of cysteine. We identified several additional forms of this peptide containing various cysteine modifications including cysteic acid and oxidized carbamidomethylated cysteine. One interesting observation was that the cysteic acid form of this peptide was only identified in spot 2 (Fig. 1). Spot 8 was identified as clusterin isoform 1, a 58-kDa protein, with coverage of 4% from amino acids 97–130 of the protein sequence. Spots 9 and 10 were identified as PSA isoform I preprotein (29 kDa) with 10% and 16% of peptide coverage, respectively. Two spots, spots 5 and 7, could not be identified when analyzed on both LCQ and LTQ linear ion trap mass spectrometer systems (Thermo Scientific). In the samples from infertile men, 2 unique proteins were identified in this set as PIP (16 kDa) and PSA isoform 1 preproprotein (29 kDa). PIP was identified in spots 11 and 12 by 7 peptides, each covering 44% and 53% of the protein sequence, respectively. PSA isoform 1 preproprotein had 6 peptides with 21% peptide coverage. Spot 13 could not be identified by both mass spectrometers.

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Correspondence

A peptide with a mass ranging between 1,627 and 1,643 Da was identified in spot 11, corresponding to peptide (119)ELGICPD DAAVIPIK(133) and showed various oxidized states of Cys123. In this pilot study, we identified the presence of 4 major proteins in human seminal plasma that were unique and different in fertile and infertile men. These were SGII precursor, PIP, clusterin isoform, and PSA isoform 1 preproprotein. Although all 4 were present in the sample from the healthy control, the samples from the infertile men lacked SGII precursor and clusterin isoform I. The major proteins of the human semen coagulum are SGI and, to a lesser extent, SGII (10). SGI and SGII represent 20% to 40% of the seminal plasma proteins and share a 78% homology at the amino acid level; the difference in mass between SGI (52 kDa) and SGII (71 kDa) is related to the presence of an extended C-terminal in SGII (11). They are characterized by a basic isoelectric point (>9.5) and a high capacity for zinc binding (10, 12, 13). We identified SGII using 2-DGE only in the control samples; all of the peptides identified in this protein were derived from amino acids 484–582, suggesting N-terminally truncated forms of SGII that migrated to different spots during 2-DGE. We did not detect SGII in the samples from the infertile men, contrary to an earlier report (14). Data suggest that SG, its degradation products, or both may be natural regulators of sperm capacitation that could prevent this process from occurring prematurely. PSA has been reported to be involved in degradation of SG (9, 15) and might therefore be expected to have a positive impact on sperm motility. PSA is a 33-kDa androgen-regulated serine

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protease that cleaves SGI and SGII in the seminal coagulum. We demonstrated the presence of PSA isoform I preprotein (29 kDa) in both the control and infertile specimens. In the control specimen, spots 9 and 10 were identified as PSA isoform I preprotein (29 kDa) with 10% and 16% of peptide coverage. In the infertile specimens, the PSA isoform 1 preproprotein had 6 peptides with 21% peptide coverage. Low levels of seminal PSA have been reported in patients with low sperm motility (16). Clusterin is a 70- to 80-kDa highly conserved heterodimeric glycoprotein (17). It has been implicated in a number of diverse biologic processes, including cell-cell interactions (5, 6), sperm maturation (18, 19), apoptosis (20), complement inhibition (21), lipid transport (22, 23), tissue remodeling, membrane recycling (24, 25), clearance of cellular debris (26), and degradation of the extracellular matrix (27). Clusterin prevents damaging oxidative reactions (28), protein precipitation (29), and agglutination of abnormal spermatozoa (17, 30) and controls complement-induced sperm lysis (31). In the control sample, spot 8 was identified as clusterin isoform 1, a 58-kDa protein, with coverage of 4% from amino acids 97–130 of the protein sequence. Both clusterin and its precursor are present only in abnormal human spermatozoa and in asthenozoospermic men (17, 29, 30, 32).

PIP is an aspartyl proteinase with specificity to fibronectin, one of the major protein constituents of the seminal coagulum (9, 33–37). It is found in the postacrosomal zone and may have a role in fertilization (38). A decrease in the amount of PIP and PIP precursors may lead to a more viscous seminal vesicular fluid and incomplete liquefaction of the ejaculate. We identified PIP 16-kDa proteins in both the control and patient samples. The protein coverage in spots 2, 3, and 11 was 50%, 40%, and 44%, respectively, mainly from amino acids 39–146, indicating truncated or modified isoforms of PIP. The condensed chromatin of mammalian spermatozoa is extensively stabilized by disulfide bridges (39, 40). We observed various cysteine modifications; the cysteic acid form of this peptide/ protein was found to be present only in the sperm sample of fertile men, whereas the cysteic acid-modified form was absent in the sample from infertile men. Although the study limitation was the small number of samples, this was a pilot study in which we used these novel approaches to identify the proteins that may have a key role in infertility. This study will be further expanded by increasing the number of samples taken from infertile individuals, whose sperm proteomes will be analyzed and compared with those who have fertile spermatozoa proteomes.

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