MALE CONTRACEPTION UPDATE

February 2008
Volume 3, Issue 2

Summaries of new peer reviewed articles

Review
“[Major] advances in genomic and proteomic research have been instrumental in identifying and characterizing genes and proteins expressed uniquely in the testis or other male reproductive organs, which might become 'druggable' targets for non-hormonal male contraceptive development in the future. Through committed research, advocacy and support, male contraceptives are likely to become a valuable addition to the current choices of family planning.”
New perspectives in non-hormonal male contraception.
Mruk DD.
Trends Endocrinol Metab. 2008 Feb 19 [Epub ahead of print]
PMID: 18291665

Immunological approaches
Female and male mice inoculated with [recombinant mouse Izumo] 6His-mIzumo developed a specific serum antibody and the highest antibody titer lasted at least 6 weeks. The serum anti-6His-mIzumo antibody almost completely blocked mouse sperm-egg fusion in vitro. However, there was no significant reduction in fertility for both male and female mice immunized with 6His-mIzumo compared with control mice.
Investigation of recombinant mouse sperm protein izumo as a potential immunocontraceptive antigen.
Wang DG, Huang TH, Xie QD, An G.
Am J Reprod Immunol. 2008 Mar;59(3):225-34.
PMID: 18275515

“In the present study, various synthetic peptides based upon four sperm proteins, namely Izumo, fertilization antigen-1 (FA-1), YLP(12), and SP56 that are involved in various steps of the fertilization cascade were examined for their immunocontraceptive effect. The synthetic peptides were conjugated to four carrier proteins… Immunization with the peptide vaccines based upon Izumo, which is involved in sperm-egg plasma membrane fusion, caused a significant reduction in fertility. The contraceptive effect was enhanced by immunizing with the peptides based upon other antigens (FA-1, YLP(12), and SP56), resulting in an overall 73.33% reduction in fertility. When the antibodies against the peptides disappeared after >9-10 months from circulation and genital tract, all the animals regained fertility.”
Immunocontraceptive effect of Izumo and enhancement by combination vaccination.
Naz RK.
Mol Reprod Dev. 2008 Feb;75(2):336-44.
PMID: 17676591

“The present study provides evidence that plasmid DNA vaccine in saline solution is efficient at inducing GnRH-I specific IgG immune response in mice… Current doses of DNA needed in humans and larger animals are in the order of milligram amounts and ways to reduce this dose are required to keep the manufacturing costs at a reasonable level.” In order to address these issues, “we designed and engineered a plasmid DNA vaccine encoding GnRH-I and T-helper epitopes.”
Immunisation with a plasmid DNA vaccine encoding gonadotrophin releasing hormone (GnRH-I) and T-helper epitopes in saline suppresses rodent fertility.
Khan MA, Ogita K, Ferro VA, Kumasawa K, Tsutsui T, Kimura T.
Vaccine. 2008 Mar 4;26(10):1365-74. Epub 2008 Jan 22.
PMID: 18262690  

Epididymal targets
An overview of what is known of the functioning of healthy epididymides. Concludes that “it has been recognized for many years that the epididymis might be a vector for male contraception. Ideally, an epididymal approach to contraception would not involve manipulation of steroid hormones and would not require a cessation of spermatogenesis. Rather, it would inhibit an epididymal function required for the development of a fertile ejaculate.”
De Graaf's Thread: The Human Epididymis.
Turner TT.
J Androl. 2008 Jan 24 [Epub ahead of print]
PMID: 18222912

Novel compounds
“The compound 2-(2''-chloroacetamidobenzyl)-3-(3'-indolyl) quinoline contains indole, and quinoline moieties,” two functional classes which have established anti-fertility effects. Rats fed the compound for 8 weeks had reduced fertility, reproductive organ weight, sperm count, and testosterone levels, and an increase in FSH levels. “Fertility and other effects were regained gradually after cessation of treatment.”
Synthesis and assessment of fertility-regulating potential of 2-(2''-chloroacetamidobenzyl)-3-(3'-indolyl) quinoline in adult rats as a male contraceptive agent.
Bhowal SK, Lala S, Hazra A, Paira P, Banerjee S, Mondal NB, Chakraborty S.
Contraception. 2008 Mar;77(3):214-22. Epub 2008 Jan 30.
PMID: 18279694

“An oral 70% methanolic extract of stem of Dendrophthoe falcata (Loranthaceae) at a dose level of 100 mg/kg wt/day fed to male albino rats for 60 days did not decrease body weight, while the testes and epididymides were significantly reduced… At this dose Leydig cell nuclear area and cytoplasmic area, as well as the cross sectional surface area of Sertoli cells, were significantly reduced (P < 0.001) when compared to controls. The reduced sperm count and motility resulted in 100% negative fertility at 100 mg/kg dose level.” All measured toxic city indices were normal.
Effect of methanolic extract of Dendrophthoe falcata stem on reproductive function of male albino rats.
Gupta RS, Kachhawa JB, Sharma A.
J Herb Pharmacother. 2007;7(2):1-13.
PMID: 18285304

Cell adhesion target supporting research
“[We] propose that the activation of MAPK8 and the redistribution of BMF may be integrally involved in the mechanism by which specific germ cells undergo programmed cell death in response to their detachment from Sertoli cells.”
Phosphorylation of Mitogen Activated Protein Kinase 8 (MAPK8) is Associated with Germ Cell Apoptosis and Redistribution of the BCL2 Modifying Factor (BMF).
Show MD, Hill CM, Anway MD, Wright WW, Zirkin BR.
J Androl. 2008 Jan 24 [Epub ahead of print]
PMID: 18222916

Hepatocyte growth factor (HGF) “decreases the levels of testicular occludin and influences the position of the molecule in the tight junctions as demonstrated by confocal microscopy analysis. In fact in the presence of the factor occludin was mainly localized in the suprabasal region of the tubules whereas in its absence occludin was prevalently localized in the basal region… HGF significantly increases the amount of urokinase type plasmogen activator (uPA) present in the testis, suggesting that HGF regulates the amount of active TGFbeta via uPA levels.”
Hepatocyte growth factor modulates Sertoli-Sertoli tight junction dynamics.
Catizone A, Ricci G, Galdieri M.
J Cell Physiol. 2008 Feb 8 [Epub ahead of print]
PMID: 18265003

“These results show that meiotic progression of spermatocytes is dependent on Sertoli cell-activated mitogen activated protein kinases. In addition, high MPM-2 labeling was not acquired by pachytene spermatocytes cultured alone in Sertoli cell conditioned media, indicating a specific need for cell-cell contact between germ cells and Sertoli cells.”
Meiotic progression of rat spermatocytes requires mitogen-activated protein kinases of Sertoli cells and close contacts between the germ cells and the Sertoli cells.
Godet M, Sabido O, Gilleron J, Durand P.
Dev Biol. 2008 Mar 1;315(1):173-88. Epub 2008 Jan 29.
PMID: 18234180

“Here we review the role of mitogen-activated protein kinases (MAPK) cascades in spermatogenesis and spermatozoa functions.”
Mitogen activated protein kinases (MAPKs) as regulators of spermatogenesis and spermatozoa functions.
Almog T, Naor Z.
Mol Cell Endocrinol. 2008 Jan 30;282(1-2):39-44. Epub 2007 Nov 22.
PMID: 18177996

Gamete binding/fusion targets supporting research
“The purpose of this study was to determine the distribution of surface carbohydrates in human spermatozoa from normal and oligospermic subjects… Triticum vulgaris agglutinin (WGA)-binding sites were found to be decreased on acrosomal domain in spermatozoa from oligospermic individuals, while no changes were observed in the binding sites of Concanavalin ensiformis, Peanut agglutinin and Lens clunaris agglutinin.”
Distribution of N- and O-linked oligosaccharides on surface of spermatozoa from normal and infertile subjects.
Purohit S, Laloraya M, Kumar PG.
Andrologia. 2008 Feb;40(1):7-12.
PMID: 18211295

“[We] report the characterization of an additional chaperone in this location, heat shock protein 1 (chaperonin 10) (HSPE1)… [A] number of molecular chaperones are involved in modification of the sperm surface during capacitation to render these cells functionally competent to engage the process of fertilization.”
Identification of the Molecular Chaperone, Heat Shock Protein 1 (Chaperonin 10), in the Reproductive Tract and in Capacitating Spermatozoa in the Male Mouse.
Walsh A, Whelan D, Bielanowicz A, Skinner B, Aitken RJ, O'Bryan MK, Nixon B.
Biol Reprod. 2008 Feb 14 [Epub ahead of print]
PMID: 18276932

“The expression and localization of the human sperm protein hCAP-18/SOB3 were evaluated in human testis and epididymis… [and was] detected in testis germinal cells (from late spermatogonia to spermatozoa) and in the epididymal epithelium.” The authors propose that when the protein “originates in the testis, it would localize inside the acrosome and would participate in ZP binding. In vitro binding experiments of rec-hCAP-18/SOB3 to ZP are under way to confirm our hypothesis.”
Testicular and epididymal dual origin of hCAP-18/SOB3, a human sperm protein.
Doussau M, Lasserre A, Hammami-Hamza S, Massaad C, Gasc JM, Finaz C.
Fertil Steril. 2008 Feb 5 [Epub ahead of print]
PMID: 18258235

Supporting motility research
“This study has verified the importance of [the Src family kinase pp60 c-src] SRC as a key intermediate kinase in promoting the tyrosine phosphorylation events associated with human sperm capacitation.” However, SRC inhibition alone suppressed capacitation associated tyrosine phosphorylation, but did not suppress hyperactivation.
Investigation of the role of SRC in capacitation associated tyrosine phosphorylation of human spermatozoa.
Mitchell LA, Nixon B, Baker MA, Aitken RJ.
Mol Hum Reprod. 2008 Jan 31 [Epub ahead of print]
PMID: 18245108

Methods
“Laser-capture microdissection (LCM) is a recently developed technique that enables the isolation of individual cell populations from complex tissues… This review will discuss three critical issues that are essential for successful procurement of cells from testicular tissue sections; tissue morphology, capture success, and maintenance of molecular integrity.”
Application of laser-capture microdissection to analysis of gene expression in the testis.
Sluka P, O'Donnell L, McLachlan RI, Stanton PG.
Prog Histochem Cytochem. 2008;42(4):173-201.
PMID: 18243898

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Gossypol revival?

Gossypol was studied as a male contraceptive for many years before being abandoned because of concerns about possible kidney damage – and the fact that some men never got their fertility back after taking the pills. But now a low-toxicity analog is being developed as a cancer treatment, and a recent study in mice showed that it is better tolerated. Could this new form of gossypol be back alive as potentially permanent male contraception for men wanting an alternative to surgical sterilization?

Read more:

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British study: Two-thirds of men say yes or maybe to trying "male Pill"

A survey of 621 men aged 18-45 in the United Kingdom confirmed yet again what we've been seeing for a while: A majority of men would consider using a new male contraceptive method. Sixty-five percent of unmarried men said yes or "don't know" when asked if they'd use a hormonal male method, and 61% of married men. One wonders what answer men gave if they were one of the 18% of partnered UK men who already have a vasectomy! Does that mean the total number of men open to or interested in sharing contraceptive responsibility is over 80%?

The study was done by the UK 's leading sexual health nonprofit, the Family Planning Association, as part of Contraceptive Awareness Week 2008, themed "The New Man." As part of the week, 2,000 campaign packs were sent out to health and other professionals.

Read more:
The New Man campaign on Family Planning Association's website

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NYAS releases “Testicular Chromosome Structure and Gene Expression”

The New York Academy of Sciences has released an update to the 2006 “Testicular Cell Dynamics and Endocrine Signaling” volume. The new volume is edited by Drs. Mitch Eddy and Mike Griswold, and contains updates on male reproductive organ genomics and expression profiling, stem cell and spermatogonia research, gene expression regulation, and the somatic cells of the testis.

Read more:
Testicular Chromosome Structure and Gene Expression
Detailed table of contents

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Upcoming Popular Science article

Look for coverage of male contraception research in an upcoming issue of Popular Science. Popular Science is the world's largest science and technology magazine, with 6.5 million monthly readers and a bigger circulation than Vanity Fair, BusinessWeek, or the New Yorker (and most of the readers are men!).  Look for ever-increasing public interest in, and demand for, your work.

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Press coverage

Many campus newspapers have lamented the unfortunate impact of the recent implementation of the 2005 Deficit Reduction Act: a tripling of birth control costs at college health centers. The federal act prevented drug manufacturers from providing health centers at college campuses with discounts for birth control. The Johns Hopkins student paper eloquently argues that students must forcefully advocate for their sexual health, or risk seeing themselves priced out of reproductive control.
The price of control
The Johns Hopkins News-Letter, 31 January

Also see:
Tipping the scale: Contraceptive costs on the rise
The Daily of the University of Washington, 6 February

“As advocates for Plan B, male contraception, the inclusion of male perspectives in family planning, and better sexual health education, men today can ensure a more productive and loving relationship with women in the future.”
Men Can Help Prevent Unintended Pregnancy, Too
RH Reality Check blog, 12 February

“To understand why men might not be that eager to take a birth control pill, we're left with a set of generalizations and stereotypes, many of which are unfair to a large percentage of men… Ever notice how this sitcom stereotype doesn't stretch to include the main part of the day where both men and women have to be on the ball, keep their appointments, and just generally display responsibility? You know, work?”
The Soft Bigotry of Low Expectations
RH Reality Check blog, 12 February

“What would happen if blokes shouldered some of the burden of preventing unwanted pregnancies? And I'm not talking about condoms and tube-tying here - I'm talking about a DIY contraception for the boys… what do you think about a "pill" for men?”
Swallow that, boys
Brisbane Times, 14 February

“The sight of Juno's growing stomach can be seen as a pointer on contraception - especially if you're a male who isn't ready for fatherhood...”
A practical fairytale
Guardian Unlimited UK, 22 February

College students take the lead, sponsoring a forum on the future of male birth control. Researcher Derek Hook of the University of Minnesota Institute for Therapeutic Discovery and Development is interviewed. Correction: Article states that no male contraceptives are available, forgetting vasectomy and condoms.
Male birth control pills discussed in forum
The Minnesota Daily, 28 February

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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.

March 13-14
National Symposium "An Update on Male Reproduction and Infertility"; Lucknow, Uttar Pradesh, India
April 12-15
33rd Annual Conference of the American Society of Andrology; Albuquerque, NM, USA
April 30 - May 3
10th Congress of the European Society of Contraception; Prague, Czech Republic
May 2-7
Joint meeting of the 15th European Testis Workshop and the Nordic Association for Andrology; Naantali, Finland
May 3-7
10th European Congress of Endocrinology; Berlin, Germany
May 15
Deadline for ASRM meeting abstract submission
May 26-28
1st World Congress on Reproductive Biology; Kona, HI, USA
June 9-15
International Men’s Health week
July 6-9
European Society for Human Reproduction and Embryology 24th Annual Meeting; Barcelona, Spain
July 6-11
Gordon Research Conferences – Ion Channels; Tilton, NH, USA
August 3-8
Gordon Research Conferences – Reproductive Tract Biology; Andover, NH, USA
September 26
World Contraception Day
November 8-12
American Society for Reproductive Medicine 64th Annual Meeting; San Francisco, CA, USA

 

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Editors

Kirsten Thompson, Director of the Male Contraception Coalition (MCC)
Email: Kirsten@MaleContraceptives.org
Phone: +1 (443) 858-1183

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