|
|
||||||||
Minireview |
a Center for Research on Reproduction & Women's Health, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania 19104-6080
| INTRODUCTION |
|---|
|
|
|---|
The physiological site of capacitation in vivo is the oviduct or the uterus, depending on the species [5]. However, capacitation in vitro has been accomplished using cauda and/or ejaculated sperm incubated under a variety of conditions in defined media that mimic the electrolyte composition of the oviduct fluid. In most cases, these media contain energy substrates such as pyruvate, lactate, and glucose (depending on the species); a protein source that usually is serum albumin; NaHCO3; and Ca2+. The action of these media components to promote capacitation at the molecular level is poorly understood and will be discussed in this review. This review is not intended to provide an exhaustive analysis of capacitation but to offer an update and to discuss future avenues of research directed toward an understanding of the molecular basis of this important biological event. The reader is referred to the excellent reviews of capacitation by Yanagimachi [5], Florman and Babcock [8], Eisenbach [9], and de Lamirande et al. [10], as well as the companion minireviews in this issue [11,12].
| MOLECULAR BASIS OF CAPACITATION |
|---|
|
|
|---|
|
The observation that capacitation can occur in vitro spontaneously in a defined medium without the addition of biological fluids suggests that this process is intrinsically modulated by the sperm itself, such that these cells are preprogrammed to undergo capacitation when they are incubated in the appropriate medium. This does not rule out the influence of positive/negative regulatory factors in the female reproductive tract. In fact, it is possible that the regulation of capacitation lies more in the de-repression of inhibitory modulators of capacitation through the removal of decapacitating factors [5, 1315] than in the stimulation of this process. Although there is no universal capacitation medium, and different media support capacitation in sperm from different species, nevertheless it appears that certain components of the media such as serum albumin, Ca2+, and HCO3- play important regulatory roles in promoting capacitation. It is unclear, however, how these compounds are coupled to membrane, transmembrane, and intracellular signaling events regulating this maturational process. This will be considered below.
A Pathways. Role of Media Constituents
A.1 Serum albumin. Serum albumin, usually BSA, present in the capacitation media for mammalian sperm (e.g., mouse, hamster, cattle, and human), is believed to function during capacitation in vitro as a sink for the removal of cholesterol from the sperm plasma membrane [11, 1619] (pathway A1). The removal of this sterol could account for the membrane fluidity changes that have been documented to occur during capacitation [20, 21]. However, it has not been established whether or not cholesterol removal represents the only function of BSA, and little is known about the mechanism of action and the consequences of cholesterol removal. Experiments have demonstrated that other cholesterol-binding proteins, such as high-density lipoprotein or lipid transfer proteins present in follicular or oviductal fluids [10], can replace albumin in in vitro fertilization assays [22]; these results suggest that involvement in cholesterol movement represents a primary action of BSA. Recently, Cross and coworkers [11, 2325] demonstrated that cholesterol is present in human semen and that it can account for the inhibitory effects of seminal plasma on human sperm capacitation, presumably by preventing cholesterol efflux from the sperm plasma membrane.
A.2 Calcium. The role of Ca2+ in initiating and/or regulating capacitation is currently controversial. Some authors have described an increase in intracellular Ca2+ during capacitation, while others have shown that intracellular Ca2+ does not change during this maturational event (Yanagimachi [5] and references therein). In mouse spermatozoa there is evidence that Ca2+ is required for capacitation [26, 27], although the authors of these studies did not measure intracellular Ca2+ concentrations. In another report, Baldi et al. [28] demonstrated that human sperm incubated under capacitation conditions displayed a rise in intracellular Ca2+ from 70 µM to 250 µM during the first 2 h of incubation and that this level did not significantly increase thereafter. Part of this controversy could be attributable to the well-demonstrated action of Ca2+ on the acrosome reaction and the inherent difficulties in differentiating these events. As discussed below, the action of Ca2+ at the level of effector enzymes involved in sperm signal transduction (e.g., adenylyl cyclase, cyclic nucleotide phosphodiesterase; see pathway A2) suggests that this divalent cation plays an important role in capacitation.
A.3 Bicarbonate. The requirement of HCO3- anion for capacitation has been well established in the mouse [7, 26, 29, 30] and in the hamster [31], although it remains to be demonstrated in other mammalian species. Little is known about the way HCO3- enters the sperm. Since 4,4'-diisothiocyanatostil-bene-2,2'-disulfonate (DIDS) and 4-acetomido-4'-isothiocyanatostilbene-2,2'-disulfonic acid (SITS), well-known inhibitors of anion transporters, can block the actions of HCO3- on various sperm functions, some authors have suggested that sperm contain anion antiporters [3235]. Although it has been reported that sperm contain a protein that is immunoreactive with an antibody to the AE1 class of anion transporters [34], little is known about the identification, localization, and function of this protein in these cells. The transmembrane movement of HCO3- anions could be responsible for the known increase in intracellular pH that is observed during capacitation [25, 36, 37]. An additional target for the action of this anion could be the regulation of sperm cAMP metabolism, since the mammalian sperm adenylyl cyclase is markedly stimulated by HCO3- [32, 38, 39] (pathway A3). The mechanism of action of this anion on the activity of this enzyme presently is not clear. Although Garty and Salomon [39] have partially purified this enzyme from bovine sperm and demonstrated that it is still responsive to HCO3-, its direct effects on a purified native or recombinant enzyme preparation remain to be demonstrated. From a physiological point of view, it is of interest that HCO3- concentrations are low in the epididymis and high in the seminal plasma and in the oviduct [40]. Moreover, since the presence of HCO3- in the extracellular milieu has also been positively correlated with the motility of pig sperm [38], changes in the concentration of HCO3- in the male and female reproductive tracts could play an important role in the suppression of capacitation in the epididymis and the promotion of this process in vivo in the female reproductive tract.
B Pathways. Effectors and Intracellular Second Messengers
For the purposes of this review, effectors and intracellular messengers mediating capacitation will be considered from two perspectives. Discussion of the regulatory systems that appear to be common among different species, thereby forming a unifying hypothesis of capacitation, will be considered first. Regulatory processes that may be unique to one or more species will then be discussed and will be integrated into this unifying hypothesis where appropriate.
B.1 Cyclic AMP metabolism. Although the idea that cAMP is involved in regulating mammalian sperm function has been in the literature for many years, only its role in sperm motility has been well established (for review see Eddy and O'Brien [41]). The role of cAMP in capacitation, as well as in the acrosome reaction, is still uncertain [5]. Reports from our group and others have suggested a role for cAMP during capacitation [4244]. Recently, we have demonstrated that protein kinase A (PK-A) activity increases during mouse sperm capacitation [45]. These observed changes in PK-A activity reflect elevations of intracellular cAMP, further elucidating a role for this particular signaling pathway in mediating capacitation (pathway B1).
The mode of regulation of cAMP metabolism during capacitation is also of great interest, since it may be integrated with the aforementioned changes in Ca2+ and HCO3- movement. Ca2+ and HCO3- have a common mode of action in that both ions stimulate the activity of mammalian sperm adenylyl cyclases [32, 39, 4649] (pathways A2 and A3). The mammalian sperm enzyme possesses unique properties, and its regulation has been the subject of multiple studies. However, the sequence and topology of this enzyme have not yet been established, and the exact mechanism by which this enzyme is stimulated by these ions is not clear.
B.2 Protein tyrosine phosphorylation. Recently our laboratory has also correlated mouse, human, and bovine sperm capacitation with an increase in protein tyrosine phosphorylation of a variety of substrates [26, 50, 51], and other laboratories have corroborated these results in these and other species [43, 52]. Protein tyrosine phosphorylation mediates a variety of cellular functions such as growth regulation, cell cycle control, cytoskeleton assembly, ionic current regulation, and receptor regulation [53, 54]. Using the mouse as an experimental paradigm, our laboratory has demonstrated that conditions conducive to capacitation of cauda epididymal sperm promote the tyrosine phosphorylation of a subset of proteins of Mr 40 000120 000. The increase in protein tyrosine phosphorylation is dependent on the presence of BSA, Ca2+, and NaHCO3 in the medium, and the concentrations of these compounds needed in order for protein tyrosine phosphorylation to occur are correlated with those needed for capacitation [26]. Specifically, the absence of any one of these media constituents prevented protein tyrosine phosphorylation and capacitation from occurring. Moreover, caput sperm, which do not possess the ability to undergo capacitation and fertilize eggs [5], do not display these changes in protein tyrosine phosphorylation when incubated under conditions normally conducive to capacitation [26], suggesting that the ability to become capacitated, as well as the ability to undergo an increase in protein tyrosine phosphorylation, is acquired during epididymal maturation.
The requirement for BSA, Ca2+, and NaHCO3 in the extracellular medium in order for these protein tyrosine phosphorylations to occur represents an interesting mode of regulation of the signal transduction cascade in sperm leading to these posttranslational modifications. The role of BSA in regulating capacitation appears to rely on its ability to serve as a sink for the removal of cholesterol from the sperm plasma membrane, as described above (see section A.1 and Fig. 1, pathway A1). This interrelationship between BSA and cholesterol movement also appears to be important in the regulation of protein tyrosine phosphorylation, since it was found that preloading BSA with a cholesterol analogue in order to inhibit the ability of BSA to sequester sperm plasma membrane cholesterol inhibited protein tyrosine phosphorylation and sperm capacitation [55]. These and other experiments support the idea that cholesterol release is intimately tied to transmembrane signaling events in the sperm that result in protein tyrosine phosphorylation. This novel mode of signal transduction clearly warrants further investigation.
The requirement of extracellular Ca2+ and NaHCO3 for both protein tyrosine phosphorylation and capacitation also represents a novel regulatory mechanism of cellular signaling, since these ions have been shown to be activators of the mammalian sperm adenylyl cyclase (pathways A2 and A3). It has been demonstrated that this enzyme, responsible for the synthesis of cAMP, is stimulated directly or indirectly by Ca2+ [46], calmodulin [47, 48], and NaHCO3 [32, 39, 42, 49]. Since there appears to be a relationship between Ca2+, NaHCO3, and increased adenylyl cyclase activity, it was of interest to determine whether the action of these ions on protein tyrosine phosphorylation and capacitation involved a cAMP-mediated pathway. As stated above, protein tyrosine phosphorylation does not occur when sperm are incubated in the absence of BSA, Ca2+, or NaHCO3. However, when sperm are incubated in the absence of any of these compounds, but in the presence of cAMP agonists, the increase in protein tyrosine phosphorylation, as well as capacitation, is recovered [42]. Moreover, protein tyrosine phosphorylation is accelerated by active cAMP agonists in complete media that support capacitation. These observations lead to two main conclusions. First, the action of cAMP appears to be downstream of the actions of BSA, Ca2+, and NaHCO3 and upstream of protein tyrosine phosphorylation. Second, the results also suggest that protein tyrosine phosphorylation and capacitation are regulated through a PK-A pathway (pathway B2). Consistent with this hypothesis is the observation that two inhibitors of PK-A that inhibit this enzyme by completely distinct mechanisms, Rp-cAMPs [56] and H-89 [57, 58], inhibit both protein tyrosine phosphorylation and capacitation of sperm in complete medium [42]. Moreover, we have shown that PK-A activity increases during capacitation [45].
Since the action of BSA appears to be tied to the removal of plasma membrane cholesterol, it is likely that cholesterol release is also upstream of the cAMP-induced protein tyrosine phosphorylation. Whether cholesterol removal is upstream of or parallel to the action of Ca2+ and/or NaHCO3 is not presently known. It can be hypothesized that the removal of cholesterol, with a resultant change in sperm plasma membrane fluidity, could modulate Ca2+ and/or HCO3- ion fluxes leading to the activation of the adenylyl cyclase; this hypothesis remains to be tested. Taken together, these data suggest that protein tyrosine phosphorylation and capacitation appear to be under regulation of a cAMP/PK-A pathway. Up-regulation of protein tyrosine phosphorylation by PK-A during sperm capacitation is, to our knowledge, the first demonstration of a connection between these signal transduction pathways. Evidence exists for the down-regulation of receptor tyrosine kinase actions by cAMP [59, 60], but up-regulation has thus far not been demonstrated. Similar results have now been reported in other species of sperm, such as those of humans [43, 51] and cattle [50], suggesting that this unique mode of signal transduction cross talk may be universal to mammalian spermatozoa. Presently, it is not known whether the increase in protein tyrosine phosphorylation is due to the stimulation of a tyrosine kinase, an inhibition of a phosphotyrosine phosphatase, or both. Phosphotyrosine phosphatase activity in other cell types has been demonstrated to be both inhibited [61] and stimulated [62] by cAMP. The level at which cAMP/PKA functions to regulate the steady-state levels of protein tyrosine phosphorylation in sperm under conditions conducive to capacitation, as well as the nature of the regulatory enzymes in this unique signal transduction pathway, will remain the subject of intense scrutiny in our laboratory for the foreseeable future.
B.3 pH. Intracellular pH (pHi) regulates several aspects of mammalian sperm function, although the transport mechanisms that control pHi in these cells are not fully understood. Zeng et al. [37] have identified two acid efflux mechanisms in mouse sperm. One of the pathways shares the characteristics of the somatic cell Na+-dependent Cl-/HCO3- exchanger. The second acid efflux pathway does not require extracellular ions. These authors described an increase in pHi during capacitation, and these data are consistent with reports by Vredenburgh and Parrish [63] describing an increase in pHi during capacitation of bovine sperm by heparin (pathway B3). Although the increase in pHi accompanying heparin-induced bovine sperm capacitation is not inhibited by Rp-cAMP [36], this PK-A antagonist is able to block capacitation, suggesting that PK-A regulatory pathways function either in parallel to, or downstream of, pathways activated as a consequence of changes in pHi. Similar conclusions follow the observation that the PK-A inhibitor, H-89, blocks capacitation-associated changes in protein tyrosine phosphorylation in bovine sperm [50], suggesting that protein tyrosine phosphorylation is also a pathway parallel to or downstream of the changes in pHi.
B.4 Membrane potential. Capacitation is accompanied by the hyperpolarization of the sperm plasma membrane [64]. The VM calculated values changed during capacitation from -35 to -50 mV and from -30 to -60 mV in mouse and bovine sperm, respectively. Membrane hyperpolarization is due in part to an enhanced K+ permeability and could be related to the release of inhibitory modulation during capacitation [65] (pathway B4). Little is known about the consequences of this hyperpolarization; however, it is speculated that such membrane potential changes could recruit Ca2+ channels from an inactivated state to a closed, but activatable, state from which they could be subsequently opened by an agonist-induced depolarization (e.g., with the zona pellucida) [12, 65]. Presently, the role of membrane potential in regulating any of the aforementioned aspects of capacitation at the molecular level is not known and remains an important avenue for future investigation.
B.5 Free radicals. The action of free radicals in sperm function has been studied by a number of different laboratories. A majority of this work has focused on the role of free radicals in sperm lipid peroxidation and subsequent sperm viability [6669]. However, more recent work using human sperm has focused on the role of superoxide anion generation related to capacitation and hyperactivation [7072] (pathway B5a). Recently, Leclerc et al. [73] found that reactive oxygen species up-regulate protein tyrosine phosphorylation of several proteins. These results are in agreement with the work of Aitken et al. [52], who have described an increase in protein tyrosine phosphorylation after stimulation of a postulated endogenous NADPH-oxidase or after addition of H2O2 (pathway B5b). The localization of the free radical-generating system(s) in sperm is not known, nor is it known whether the action of superoxide anion is dependent or independent of cAMP.
B.6 Heparin. Studies of bovine sperm capacitation have shown that capacitation in vitro can be accomplished in media containing heparin [74, 75] or oviductal fluid, in which the active capacitating agent is thought to be a heparin-like glycosaminoglycan. It is thought that glycosaminoglycans may promote capacitation by binding to and removing seminal plasma proteins that are adsorbed to the sperm plasma membrane and are normally thought to function to inhibit capacitation [76, 77]. Interestingly, heparin also increases cAMP synthesis [78], elevates pHi (see above), and regulates the capacitation-associated changes in protein tyrosine phosphorylation [50] (pathway B6). The mechanism by which this occurs, as well as its physiological relevance, is not clear.
B.7 Glucose. Whether glucose has inhibitory or stimulatory actions on capacitation is controversial and is apparently species dependent. In bovine sperm, glucose inhibits heparin-induced capacitation in vitro by a mechanism involving effects on cAMP metabolism and a reduction of pHi [36, 78] (pathway B7). Glucose also has an inhibitory effect on the capacitation-associated increase in protein tyrosine phosphorylation observed when bovine sperm are incubated in the presence of heparin [50]. Paradoxically, other authors have found that glucose is beneficial for capacitation in other species [7981]. Our laboratory has found that although glucose has an inhibitory effect on the increase in protein tyrosine phosphorylation in bull sperm [50], capacitation medium for mouse sperm, which contains glucose, has no apparent inhibitory effects on protein tyrosine phosphorylation [26]. The species-dependent differences in responses to this saccharide are not understood, nor is the mechanism of action.
| SUMMARY |
|---|
|
|
|---|
| ACKNOWLEDGMENTS |
|---|
| FOOTNOTES |
|---|
2 Correspondence: Pablo E. Visconti, Center for Research on Reproduction and Women's Health, Room 314, John Morgan Building, University of Pennsylvania Medical Center, Philadelphia, PA 19104-6080. FAX: (215) 349-5118; pvisconti{at}obgyn.upenn.edu ![]()
Accepted: February 22, 1998.
Received: November 3, 1997.
| REFERENCES |
|---|
|
|
|---|
This article has been cited by other articles:
![]() |
V. Kumar, V. Kota, and S. Shivaji Hamster Sperm Capacitation: Role of Pyruvate Dehydrogenase A and Dihydrolipoamide Dehydrogenase Biol Reprod, August 1, 2008; 79(2): 190 - 199. [Abstract] [Full Text] [PDF] |
||||
![]() |
L. Zilli, R. Schiavone, C. Storelli, and S. Vilella Molecular Mechanisms Determining Sperm Motility Initiation in Two Sparids (Sparus aurata and Lithognathus mormyrus) Biol Reprod, August 1, 2008; 79(2): 356 - 366. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. J. Rardin, S. E. Wiley, A. N. Murphy, D. J. Pagliarini, and J. E. Dixon Dual Specificity Phosphatases 18 and 21 Target to Opposing Sides of the Mitochondrial Inner Membrane J. Biol. Chem., May 30, 2008; 283(22): 15440 - 15450. [Abstract] [Full Text] [PDF] |
||||
![]() |
J.D. Alvarez, A. Hansen, T. Ord, P. Bebas, P. E. Chappell, J. M. Giebultowicz, C. Williams, S. Moss, and A. Sehgal The Circadian Clock Protein BMAL1 Is Necessary for Fertility and Proper Testosterone Production in Mice J Biol Rhythms, February 1, 2008; 23(1): 26 - 36. [Abstract] [PDF] |
||||
![]() |
S. E. Edwards, M. G. Buffone, G. R. Knee, M. Rossato, G. Bonanni, S. Masiero, S. Ferasin, G. L. Gerton, S. B. Moss, and C. J. Williams Effects of Extracellular Adenosine 5'-Triphosphate on Human Sperm Motility Reproductive Sciences, October 1, 2007; 14(7): 655 - 666. [Abstract] [PDF] |
||||
![]() |
J. Zhang, J. Wu, R. Huo, Y. Mao, Y. Lu, X. Guo, J. Liu, Z. Zhou, X. Huang, and J. Sha ERp57 is a potential biomarker for human fertilization capability Mol. Hum. Reprod., September 1, 2007; 13(9): 633 - 639. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. S. Diaz, M. Kong, and P. Morales Effect of fibronectin on proteasome activity, acrosome reaction, tyrosine phosphorylation and intracellular calcium concentrations of human sperm Hum. Reprod., May 1, 2007; 22(5): 1420 - 1430. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. Wang, G. Wang, B. E. Barton, T. F. Murphy, and H. F. S. Huang Beneficial Effects of Vitamin E in Sperm Functions in the Rat After Spinal Cord Injury J Androl, March 1, 2007; 28(2): 334 - 341. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. Lefebvre, J. Fan, S. Chevalier, R. Sullivan, E. Carmona, and P. Manjunath Genomic structure and tissue-specific expression of human and mouse genes encoding homologues of the major bovine seminal plasma proteins Mol. Hum. Reprod., January 1, 2007; 13(1): 45 - 53. [Abstract] [Full Text] [PDF] |
||||
![]() |
V. Kumar, N. Rangaraj, and S. Shivaji Activity of Pyruvate Dehydrogenase A (PDHA) in Hamster Spermatozoa Correlates Positively with Hyperactivation and Is Associated with Sperm Capacitation Biol Reprod, November 1, 2006; 75(5): 767 - 777. [Abstract] [Full Text] [PDF] |
||||
![]() |
N. Nikolettos, B. Asimakopoulos, and I. S. Papastefanou Intracytoplasmic Sperm Injection-An Assisted Reproduction Technique That Should Make Us Cautious About Imprinting Deregulation Reproductive Sciences, July 1, 2006; 13(5): 317 - 328. [Abstract] [PDF] |
||||
![]() |
D.Y. Liu, G.N. Clarke, and H.W.G. Baker Tyrosine phosphorylation on capacitated human sperm tail detected by immunofluorescence correlates strongly with sperm-zona pellucida (ZP) binding but not with the ZP-induced acrosome reaction Hum. Reprod., April 1, 2006; 21(4): 1002 - 1008. [Abstract] [Full Text] [PDF] |
||||
![]() |
D.Y. Liu, G.N. Clarke, and H.W.G. Baker Hyper-osmotic condition enhances protein tyrosine phosphorylation and zona pellucida binding capacity of human sperm Hum. Reprod., March 1, 2006; 21(3): 745 - 752. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. A. Moura, H. Koc, D. A. Chapman, and G. J. Killian Identification of Proteins in the Accessory Sex Gland Fluid Associated With Fertility Indexes of Dairy Bulls: A Proteomic Approach J Androl, March 1, 2006; 27(2): 201 - 211. [Abstract] [Full Text] [PDF] |
||||
![]() |
X. Qin, M. Dobarro, S. J. Bedford, S. Ferris, P. V. Miranda, W. Song, R. T. Bronson, P. E. Visconti, and J. A. Halperin Further Characterization of Reproductive Abnormalities in mCd59b Knockout Mice: A Potential New Function of mCd59 in Male Reproduction J. Immunol., November 15, 2005; 175(10): 6294 - 6302. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. Harayama, T. Murase, and M. Miyake A Cyclic Adenosine 3',5'-Monophosphate Stimulates Phospholipase C{gamma}1-Calcium Signaling via the Activation of Tyrosine Kinase in Boar Spermatozoa J Androl, November 1, 2005; 26(6): 732 - 740. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. B. Sleight, P. V. Miranda, N.-W. Plaskett, B. Maier, J. Lysiak, H. Scrable, J. C. Herr, and P. E. Visconti Isolation and Proteomic Analysis of Mouse Sperm Detergent-Resistant Membrane Fractions: Evidence for Dissociation of Lipid Rafts During Capacitation Biol Reprod, October 1, 2005; 73(4): 721 - 729. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. Wang, G. Wang, B. E. Barton, T. F. Murphy, and H. F. S. Huang Impaired Sperm Function After Spinal Cord Injury in the Rat Is Associated With Altered Cyclic Adenosine Monophosphate Signaling J Androl, September 1, 2005; 26(5): 592 - 600. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. Bedu-Addo, L. Lefievre, F.L.C. Moseley, C.L.R. Barratt, and S.J. Publicover Bicarbonate and bovine serum albumin reversibly 'switch' capacitation-induced events in human spermatozoa Mol. Hum. Reprod., September 1, 2005; 11(9): 683 - 691. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. Dube, P. Leclerc, T. Baba, C. Reyes-Moreno, and J. L. Bailey The Proacrosin Binding Protein, sp32, Is Tyrosine Phosphorylated During Capacitation of Pig Sperm J Androl, July 1, 2005; 26(4): 519 - 528. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. G Buffone, J. C Calamera, S. V Verstraeten, and G. F Doncel Capacitation-associated protein tyrosine phosphorylation and membrane fluidity changes are impaired in the spermatozoa of asthenozoospermic patients Reproduction, June 1, 2005; 129(6): 697 - 705. [Abstract] [Full Text] [PDF] |
||||
![]() |
|