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From the Departments of * Medicine,
Urology,
Pharmaceutics, and
Comparative Medicine, University of Washington
School of Medicine and School of Pharmaceutics, Seattle, Washington; the ||
Department of Medicine, University of Florida,
Gainesville, Florida; the ¶ School of Molecular
Biosciences, Washington State University, Pullman, Washington; and the #
Focused Scientific, Newcastle, Washington.
| Correspondence to: Dr John K. Amory, University of Washington, Box 356429, 1959 NE Pacific St, Seattle, WA 98195 (e-mail: jamory{at}u.washington.edu). |
The bisdichloroacetyldiamine WIN 18,446 reversibly inhibits spermatogenesis
in many species, including humans; however, the mechanism by which WIN 18,446
functions is unknown. As retinoic acid is essential for spermatogenesis, we
hypothesized that WIN 18,446 might inhibit retinoic acid biosynthesis from
retinol (vitamin A) within the testes by inhibiting the enzyme aldehyde
dehydrogenase 1a2 (ALDH1a2). We studied the effect of WIN 18,446 on ALDH1a2
enzyme activity in vitro, and on spermatogenesis and fertility in vivo, in
mature male rabbits for 16 weeks. WIN 18,446 markedly inhibited ALDH1a2 enzyme
activity in vitro with an IC50 of 0.3 µM. In vivo, the oral
administration of 200 mg/kg WIN 18,446 to male rabbits for 16 weeks
significantly reduced intratesticular concentrations of retinoic acid,
severely impaired spermatogenesis, and caused infertility. Reduced
concentrations of intratesticular retinoic acid were apparent after only 4
weeks of treatment and preceded the decrease in sperm counts and the loss of
mature germ cells in tissue samples. Sperm counts and fertility recovered
after treatment was discontinued. These findings demonstrate that
bisdichloroacetyldiamines such as WIN 18,446 reversibly suppress
spermatogenesis via inhibition of testicular retinoic acid biosynthesis by
ALDH1a2. These findings suggest that ALDH1a2 is a promising target for the
development of a reversible, nonhormonal male contraceptive.
Key words: Retinol, vitamin A, male contraception, sperm concentration
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