MALE CONTRACEPTION UPDATE

April 2007
Volume 2, Issue 4

Summaries of new peer-reviewed publications

Heat-based methods
“Treatment [of Cynomolgus monkeys] with T, heat, or both led to sustained activation of both mitogen-activated protein kinase (MAPK) 1/3 and MAPK14,” although the rate of onset, duration and extent of the germ cell death varied between the treatment groups. The authors concluded that “the serine phosphorylation of BCL2 and activation of the MAPK14-mediated mitochondria-dependent pathway are critical for male germ cell death in monkeys.”
Signaling Pathways for Germ Cell Death in Adult Cynomolgus Monkeys (Macaca fascicularis) Induced by Mild Testicular Hyperthermia and Exogenous Testosterone Treatment.
Jia Y, Sinha-Hikim AP, Lue YH, Swerdloff RS, Vera Y, Zhang XS, Hu ZY, Li YC, Liu YX, Wang C.
Biol Reprod. 2007 Mar 21; [Epub ahead of print]
PMID: 17377139

A small-scale test (n = 11 men) of the effect of wet heat on fertility parameters.  Men with “known hyperthermic exposure to hot tubs, hot baths or whirlpool baths” stopped these exposures, with “semen parameters analyzed before and after”.  Half the men responded favorably, with “statistically significant increase in sperm motility, from a mean of 12% at baseline to 34% post-intervention,” being the largest parameter rebound. 
Wet heat exposure: a potentially reversible cause of low semen quality in infertile men.
Shefi S, Tarapore PE, Walsh TJ, Croughan M, Turek PJ.
Int Braz J Urol. 2007 Jan-Feb;33(1):50-7.
PMID: 17335598

RISUG
Light microscopy, scanning, and TEM study of the in vivo effect of various doses of RISUG on primate and human sperm viability and vasa deferentia morphology after 3 hours to 6 months of treatment.  The first human samples were collected 3 hours after injection. Sectioned samples of the entire length of primate vasa were collected after 6 months.  The study found that RISUG became hydrated and anchored to the vasa 3 days post-injection.  Disassembly of sperm chromatin was noted only in sperm which had already acrosome-reacted. “As the sperm membranes are damaged first with a consequent loss of sperm fertility, a non-obstructive contraception can be achieved without the risk of damaged sperms passing into the ejaculated sperm causing teratogenic effects. This is because before the nucleus is affected the sperms have been rendered infertile.”
Biophysical mechanism-mediated time-dependent effect on sperm of human and monkey vas implanted polyelectrolyte contraceptive.
Guha SK.
Asian J Androl. 2007 Mar;9(2):221-7.
PMID: 17334590

Genomic / proteomic supporting research
Study of the disruption of rat epididymal lumicrine regulation by efferent duct ligation (EDL).  “Over 2,000 genes responded significantly to EDL in segment 1… In the absence of lumicrine factors, the 4 segments regressed to a transcriptionally undifferentiated state… Such results reveal a higher complexity to the regulation of rat epididymal segments than heretofore appreciated.” 
Differential Gene Expression among the Proximal Segments of the Rat Epididymis Is Lost after Efferent Duct Ligation.
Turner TT, Johnson DS, Finger JN, Jelinsky SA.
Biol Reprod. 2007 Mar 21; [Epub ahead of print]
PMID: 17377138

A review of the known roles of cyclic nucleotide phosphodiesterases (PDEs). “It also has been proposed that PDEs themselves may function as scaffolds for other proteins... PDE4A interacts with a specialized AKAP present in the flagellum of spermatozoa.”
Biochemistry and Physiology of Cyclic Nucleotide Phosphodiesterases: Essential Components in Cyclic Nucleotide Signaling.
Conti M, Beavo J.
Annu Rev Biochem. 2007 Mar 21; [Epub ahead of print]
PMID: 17376027

“PP1gamma2 is the most abundant [serine/threonine protein phosphatase 1 (PP1)] isoform in the testis, and a key regulator of sperm motility… Targeted disruption of the Ppp1cc gene causes male infertility in mice due to impaired spermiogenesis… Testicular sperm tails from Ppp1cc-null mice showed malformed mitochondrial sheaths and extra outer dense fibers in both the middle and principal pieces. These data suggest that, in addition to its previously documented role in motility, PP1gamma2 is involved in sperm tail morphogenesis.”
Analysis of Ppp1cc-Null Mice Suggests a Role for PP1gamma2 in Sperm Morphogenesis.
Chakrabarti R, Kline D, Lu J, Orth J, Pilder S, Vijayaraghavan S.
Biol Reprod. 2007 Feb 14; [Epub ahead of print]
PMID: 17301292

“Selenium is a micronutrient that is essential for production of normal spermatozoa. The selenium-rich plasma protein, selenoprotein P (Sepp1), is required for maintenance of testis selenium and for fertility of the male mouse… [We] identified apolipoprotein E receptor 2 (ApoER2) as a candidate testis Sepp1 receptor… [and showed] that Sertoli cell ApoER2 is a Sepp1 receptor and a component of the selenium delivery pathway to spermatogenic cells.”
Apolipoprotein E receptor-2 (ApoER2) mediates selenium uptake from selenoprotein P by the mouse testis.
Olson GE, Winfrey VP, Nagdas SK, Hill KE, Burk RF.
J Biol Chem. 2007 Feb 21; [Epub ahead of print]
PMID: 17314095

The novel rat testis-specific gene, LM23, “encodes a putative protein including 312 amino acids, which shares no significant homology with any known gene” (GenBank Accession No. AF492385).  The gene is testis-specific, and RTPCR “showed that the expression level of LM23 was highest in spermatocytes and very low in spermatogonia,” with strong cytoplasmic in situ hybridization signals in spermatocytes.  Authors conclude that the gene may be involved in rat spermatogenesis. 
Identification and characterization of a novel spermatogenesis related gene LM23 in rat testis.
Liu ML, Pei KY, Shi XQ, Liu DY, Jia MC.
Biochem Biophys Res Commun. 2007 Mar 12; [Epub ahead of print]
PMID: 17376406

“CRISP2 (previously TPX1) is a testis-enriched member of the cysteine-rich secretory protein (CRISP) family and has been localized to both the sperm acrosome and tail.”  This study sought to “determine the biochemical pathways within which CRISP2 is a component… One of the most frequently identified interacting partners was mitogen activated protein kinase kinase kinase 11 (MAP3K11).”  Both proteins occurred at “the acrosome of the developing spermatids and epididymal spermatozoa, [suggesting] the possibility that CRISP2 is a MAP3K11 modifying protein, or alternatively that MAP3K11 acts to phosphorylate CRISP2 during acrosome development.” 
Cysteine-Rich Secretory Protein 2 Binds to Mitogen-Activated Protein Kinase Kinase Kinase 11 in Mouse Sperm.
Gibbs GM, Bianco DM, Jamsai D, Herlihy A, Aitken RJ, de Kretser DM, O'bryan MK.
Biol Reprod. 2007 Mar 21; [Epub ahead of print]
PMID: 17377140

In mice “CDC25B transcripts were found to be mainly located in the testicular interstitium and nondividing Sertoli cells”; male null mice have normal fertility.  In human sperm, four CDC25B isoforms were found in multiple cellular compartments: the midpiece of spermatozoa, the principal piece and cytosol of the head. The widespread expression of CDC25B isoforms in human spermatozoa “suggests that there are diverse noncell-cycle-related functions of CDC25B in terminally differentiated human germ cells.”
Expression of various CDC25B isoforms in human spermatozoa.
Teng YN, Chung CL, Lin YM, Pan HA, Liao RW, Kuo PL.
Fertil Steril. 2007 Mar 3; [Epub ahead of print]
PMID: 17336969

“Possible cell autonomous and paracrine mechanisms for the spermatogenic defects in mice lacking p18(Ink4c) or p19(Ink4d) are supported by expression of these CKIs [cyclin-dependent kinase inhibitors] in spermatogenic cells and in somatic cells of the testis and pituitary.”
p19(Ink4d) and p18(Ink4c) cyclin-dependent kinase inhibitors in the male reproductive axis.
Buchold GM, Magyar PL, Arumugam R, Lee MM, O'brien DA.
Mol Reprod Dev. 2007 Mar 6; [Epub ahead of print]
PMID: 17342741

“LXRalpha-deficient mice had lower levels of testicular testosterone that correlated with a higher apoptotic rate of the germ cells.  LXRbeta-deficient mice showed increased lipid accumulation in the Sertoli cells and a lower proliferation rate of the germ cells…All together, these data identify new roles of each LXR, collaborating to maintain both integrity and functions of the testis.”
Multiple roles of the nuclear receptors for oxysterols LXR to maintain male fertility.
Volle DH, Mouzat K, Duggavathi R, Siddeek B, Dechelotte P, Sion B, Veyssiere G, Benahmed M, Lobaccaro JM.
Mol Endocrinol. 2007 Mar 6; [Epub ahead of print]
PMID: 17341595

“We previously showed that in live murine and bovine sperm heads, the ganglioside GM1 localizes to the sterol-rich plasma membrane overlying the acrosome (APM)… incubation of sperm of both species with specific stimuli for capacitation, followed by the use of specific fixation conditions, induced reproducible, stimulus-specific patterns of GM1 distribution.”
GM1 dynamics as a marker for membrane changes associated with the process of capacitation in murine and bovine spermatozoa.
Selvaraj V, Buttke DE, Asano A, McElwee JL, Wolff CA, Nelson JL, Klaus AV, Hunnicutt GR, Travis AJ.
J Androl. 2007 Mar 21; [Epub ahead of print]
PMID: 17377143

Cell adhesion targets
“In this report, C-type natriuretic peptide (CNP) was shown to be a regulator of BTB [blood-testis barrier] dynamics.”  The CNP-receptor, “natriuretic peptide receptor B, resided almost exclusively in Sertoli cells… A synthetic CNP-22 peptide, when added to Sertoli cell cultures, was shown to perturb Sertoli cell tight junction in vitro, causing disappearance of BTB-associated proteins (JAM-A, occludin, N-cadherin, and beta-catenin) from the cell-cell interface,” and this effect was confirmed in vivo.  “In summary, CNP secreted by Sertoli and germ cells into the BTB microenvironment regulates BTB dynamics during spermatogenesis.”
C-type natriuretic peptide regulates blood-testis barrier dynamics in adult rat testes.
Xia W, Mruk DD, Cheng CY.
Proc Natl Acad Sci U S A. 2007 Mar 6;104(10):3841-6. Epub 2007 Feb 27.
PMID: 17360440

“The coxsackie and adenovirus receptor (CAR), a putative cell-cell adhesion molecule, has attracted wide interest due to its importance in viral pathogenesis and in mediating adenoviral gene delivery… we identified CAR in Sertoli cells and germ cells of rats,” localizing it to the blood-testis barrier and the ectoplasmic specialization.  “we propose that CAR functions as an adhesion molecule in maintaining the inter-Sertoli cell junctions at the basal compartment of the seminiferous epithelium. In addition, CAR may confer adhesion between Sertoli and germ cells at the Sertoli-germ cell interface. It is possible that the receptor utilized by viral pathogens to breakthrough the epithelial barrier was also employed by developing germ cells to migrate through the inter-Sertoli cell junctions.”
Coxsackie and adenovirus receptor (CAR) is a product of Sertoli and germ cells in rat testes which is localized at the Sertoli-Sertoli and Sertoli-germ cell interface.
Wang CQ, Mruk DD, Lee WM, Cheng CY.
Exp Cell Res. 2007 Feb 3; [Epub ahead of print]
PMID: 17359973

TEX14 is a protein required during spermatogenesis for germ cell intercellular bridge formation.  “We show that TEX14 co-localizes with the centralspindlin complex, mitotic kinesin-like protein 1 (MKLP1) and male germ cell Rac GTPase-activating protein (MgcRacGAP) and converts these midbody matrix proteins into stable intercellular bridge components… In cultured somatic cells, TEX14 can localize to the midbody in the absence of other germ cell-specific factors, suggesting that TEX14 serves to bridge the somatic cytokinesis machinery to other germ cell proteins to form a stable intercellular bridge essential for male reproduction.”
Conversion of midbodies into germ cell intercellular bridges.
Greenbaum MP, Ma L, Matzuk MM.
Dev Biol. 2007 Feb 24; [Epub ahead of print]
PMID: 17383626

Endocrinological supporting research
“[Postnatal] androgen exposure has a profound effect on the development of excitatory transmission in vas deferens smooth muscle, primarily by a postjunctional action, but is not essential for development of the structural innervation of this organ.”
Postnatal androgen deprivation dissociates the development of smooth muscle innervation from functional neurotransmission in mouse vas deferens.
Brock JA, Handelsman DJ, Keast JR.
J Physiol. 2007 Mar 22; [Epub ahead of print]
PMID: 17379637

Immunological approaches
Immunization of male rats with CD46, a membrane complement regulator present in the inner acrosome, had no effect on fertility.  There was no CD46 immunoglobin on sperm precursors in the testis, and 5-10% staining in epididymal sperm.  These sperm may have already undergone a spontaneous acrosome reaction.  The authors suggest CD46 immunization had little contraceptive effect due to functional redundancy of CD46 in murine fertilization.
Immunization with autologous CD46 generates a strong autoantibody response in rats that targets spermatozoa
Mizuno M, Harris CL, Morgan BP.
J Reprod Immunol. 2007 Apr;73(2):135-47.
PMID: 16950517

Review
A summary of the effective formulations of hormonal male contraception approaching the market.  “Recent trials with newer, long-acting forms of injectable testosterone, such as testosterone undecanoate, which can be administered every 8-10 weeks, combined with progestogens, administered either orally or by long-acting implant, have yielded promising results and may soon result in the marketing of a safe, reversible and effective hormonal contraceptive for men.”
Contraceptive developments for men.
Amory JK.
Drugs Today (Barc). 2007 Mar;43(3):179-92.
PMID: 17380214

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Taking products into practice

The attendees at this year’s Contraceptive Technology conferences were excited to learn about the new methods for men in clinical trials, described in the plenary session by Sharon Schnare, RN, FNP, CNM, MSN.  There is a growing awareness within the reproductive health service provision community of the importance of men’s involvement in family planning.

Several national initiatives attest to the growth of this field.  The Center for Health Training’s Blueprint for Male Involvement provides a step-by-step guide to evaluate the needs of men in their communities and design a reproductive health program for them.  The US national Office of Family Planning, which oversees Title X clinic funding, has established a Family Planning Male Training Center.  The Center has produced a set of recommended Guidelines for Male Sexual and Reproductive Health Services.  The Center's annual conference will bring together more than 150 family planning service providers to share best practices information -- and these participants will hear about emerging male contraceptives on the main stage, too. 

Thanks to this effort to involve men in family planning, our existing service provision structures will be better prepared to educate patients and distribute products when new male contraceptives hit the market.

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Two appointments at the NICHD

Lou DePaolo, writing in the American Society for Reproductive Medicine Winter 2007 newsletter, provides some great news for the male contraceptive research community:

“It is my pleasure to inform you that I have been appointed Chief of the RSB, replacing Dr. Phyllis Leppert, who served admirably in this capacity for six years.  My appointment became official during the summer months.  I feel privileged and honored to have been selected for this important role.  The RSB is the single largest funding source within the Federal government for research, research training and research career development activities in the reproductive sciences proving oversight of more than 500 grant awards that total nearly $150 million!  I feel equally privileged to be able to work with outstanding individuals in the branch who I know are dedicated to providing you with the necessary advice and guidance to maximize your chances of success in obtaining grant support.

“In addition to my appointment in RSB, the institute named Dr. Trent MacKay as Chief of the Contraception and Reproductive Health Branch, our sister branch within the Center for Population Research (CPR).  Both Trent and I have worked in CPR for some time now, and look forward to working together on a number of projects and initiatives.”

 - Louis V. DePaolo, PhD.
   Chief, Reproductive Sciences Branch

Both Dr. MacKay and Dr. DePaolo are supportive of the development of novel male contraceptives.

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The MCC moves to Baltimore, MD

Kirsten Thompson, director of the Male Contraception Coalition, with a personal note:

I am excited to report that come June, I will begin studying at Johns Hopkins Bloomberg School of Public Health in Baltimore, Maryland, as a Sommer Scholar.  As a Masters of Public Health student, I will focus on various aspects of male reproductive health, from biology to effective policymaking.  I look forward to the cross-pollination of ideas and resources that will inevitably occur between my studies at Hopkins and my work for the MCC.  Somehow I will find time to co-produce the Male Contraception Update e-newsletters with Elaine Lissner, and keep all the websites up to date... I'm sure it will be a very busy and engaging year!  I will definitely fit the Future of Male Contraception conference in Seattle into my schedule, and look forward to seeing you there.

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News on the Future of Male Contraception conference

The website for September's Future of Male Contraception conference is working again, and online registration is now open.  The conference is sponsored by NICHD, WHO, CONRAD, and the University of Washington, and is free (your tax dollars at work!).  This year's meeting is sure to be exciting, given the advances and increased public attention since the last conference in 2004.  We'll see you in Seattle September 27-28.

You can register for the conference here: www.FutureOfMaleContraception.com

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Press: MSN.com, The Spectator

Review of the methods of male contraception currently in clinical trials.
A Guy Thing? Male birth control products are getting closer to market – really – but the question remains if men will use them
By Maggie Koerth-Baker, MSN.com, March 16

More evidence of the generational shift in attitudes toward family planning responsibility: another student editorial in support of the development of new contraceptives for men.
Male Birth Control is Good
By Allison Downs, The Spectator (University of Wisconsin), March 29

There were a number of headlines of general andrological interest this month:

Two new spermicidal microbicides are significantly less irritating to the vaginal mucosa than nonoxynol-9.  They trigger programmed cell death instead of breaking open cell membranes with detergent properties.
Kill the sperm, spare the irritation
New Scientist, March 5

A summary of the ongoing debate over the new HPV vaccine and whether or not young men should receive it, too.  "According to data not yet published, as many as 60% of men ages 18 to 70 carry HPV..." 
Ongoing Studies Addressing Questions About HPV in Men, Effect on Women
Kaiser Network News, March 19

High beef consumption in mothers is correlated to decreased sperm counts in their sons.  The study authors attribute this to in utero effects of the hormones commonly used in US beef production.
Eat a lot of beef? It may affect your son's sperm
Reuters News, March 28

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Calendar of events

Planning to attend a male contraception or andrology-related event that's not listed here? Let us know so we can post it and alert your colleagues to interesting upcoming events.

April 15-19
1st World Congress for Sexual Health; Sydney, Australia
April 18-21
North American Testis Workshop; Tampa, FL, USA
 April 20-23
6th Annual Congress of the Mediterranean Society for Reproductive Medicine “Recent Advances & Controversies”; Antalya, Turkey
April 21-24
American Society of Andrology 32nd Annual Conference; Tampa, FL, USA
April 25-27
20a Reunión de la Asociación Latinoamericana de Investigadores en Reprodución Humana; Buenos Aires, Argentina
April 28 - May 2
9th European Congress of Endocrinology; Budapest, Hungary
April 30 - May 2
Family Planning Male Training Center Annual Male Reproductive Health Conference
April 30 - May 5
IFFS 19th World Congress on Fertility and Sterility; Durban, South Africa
May 6 - June 17
Frontiers in Reproduction lab and lecture course for research careers in reproductive biology; Woods Hole, MA, USA
May 20
Deadline for Florence-Utah Symposium abstract submission
 May 29 - June 28
East-West Center’s 38th Summer Seminar on Population “Communicating with Policymakers about Population and Health” Workshop; Honolulu, HI, USA
June 2-5
89th Annual Meeting of The Endocrine Society, ENDO 07; Toronto, Canada
July 1-6
Gordon Research Conferences Cell-Cell Fusion; New London, NH, USA
July 15-20
Gordon Research Conferences Fertilization and Activation of Development; Plymouth, NH, USA
September 14-16
Florence-Utah International Symposium: Genetics of Male Infertility; Florence, Italy
September 27-28
2nd Future of Male Contraception conference; Seattle, WA, USA
November 3-7
American Public Health Association 2007 Annual Meeting “Politics, Policy & Public Health”; Washington, DC, USA

 

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Editors

Kirsten Thompson, Director of the Male Contraception Coalition (MCC)
Email: Kirsten@MaleContraceptives.org
Phone: +1 (510) 292-1186

Elaine Lissner, Director of the Male Contraception Information Project (MCIP)
Email: Lissner@NewMaleContraception.org
Phone: +1 (415) 863-1859 x107