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Journal of Andrology, Vol. 26, No. 4, July/August 2005
Copyright © American Society of Andrology
DOI: 10.2164/jandrol.04189

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Identification of Human HAPRIN Potentially Involved in the Acrosome Reaction

KOUICHI KITAMURA*, HIROMI NISHIMURA, YOSHITAKE NISHIMUNE AND HIROMITSU TANAKA

From the Department of Science for Laboratory Animal Experimentation, Research Institute for Microbial Disease, Osaka University, Osaka, Japan.
* Present address: Department of Development and Differentiation, Institute for Frontier Medical Sciences, Kyoto University, 53 Kawahara-cho Shogoin, Sakyo-ku, Kyoto, 606-8507, Japan.

Correspondence to: Dr Hiromitsu Tanaka, Research Institute for Microbial Diseases, Osaka University, 3-1 Yamadaoka, Suita, Osaka 565-0871, Japan (e-mail: tanaka{at}biken.osaka-u.ac.jp).
Received for publication December 15, 2004; accepted for publication February 17, 2005.

   Abstract
 Top
 Abstract
 Materials and Methods
 Results
 Discussion
 References
 
The acrosome reaction in sperm is an exocytotic event required for fertilization. Previously, we isolated a novel haploid–germ-cell–specific gene in the mouse; this gene, named haprin, encodes the RING-finger, B-box–type zinc finger and coiled-coil domain (RBCC) motif protein and may be involved in the acrosome reaction. Here we report the molecular cloning and characterization of a human haprin ortholog. The deduced amino acid sequence of human haprin had 91% identity with the mouse ortholog. Transcripts of human haprin were detected exclusively in the testes. Western blot and immunocytochemical analyses detected HAPRIN protein in the testes and sperm. The protein was localized in the acrosomal region of sperm and disappeared after the acrosome reaction. Our results indicate that the function of HAPRIN is highly conserved in humans and mice and that the protein could play an important role in the regulation of the acrosome reaction.

     Key words: Sperm, spermatozoa, vesicle, RBCC protein



The acrosome is a large vesicle that is located in the anterior portion of the sperm head and contains various enzymes. The acrosome reaction involves multiple fusions between the outer acrosomal membrane and the plasma membrane, triggering enzyme release from the acrosomal vesicle, after which the inner acrosomal membrane is exposed and able to fuse with the plasma membrane of the egg (Yanagimachi, 1994). The acrosome reaction is a sperm cell exocytotic event required for mammalian fertilization.

In testes, the acrosome develops during the late stage of spermatogenesis. During postmeiotic haploid germ cell differentiation, referred to as spermiogenesis, molecules related to chromatin condensation, flagellum development, and acrosome biogenesis are specifically expressed (Tanaka and Baba, 2005). By constructing and screening a subtracted cDNA library enriched for genes expressed in spermatids, we have isolated multiple cDNAs that are specifically expressed in mouse haploid germ cells (Tanaka et al, 1994; Iguchi et al, 1999; Fujii et al, 2002). The mouse haprin gene encoding a novel RING finger, B-box–type zinc finger and coiled-coil domain (RBCC) motif protein has also been cloned from this cDNA library (Kitamura et al, 2003), and it has since been used as a marker for the differentiation of haploid germ cells (Geijsen et al, 2004). The RBCC motif is believed to provide an essential scaffold for homo/hetero-oligomerization by interacting with other proteins to form regulatory complexes required for cellular processes (Reymond et al, 2001). It has been demonstrated that mouse haprin is expressed specifically in the haploid germ cells of the testes, and the Haprin protein is localized to the acrosomal, cytoplasmic region of mature sperm (Kitamura et al, 2003). Inhibition experiments using specific antibodies have indicated that the Haprin protein plays an important role in the formation of the complex for the acrosome reaction, with protein-protein interactions mediated by the RBCC motif (Kitamura et al, 2003).

Infertility affects up to 10% of couples (Dessars and Cochaux, 1999), and an abnormal acrosome reaction could be a cause of male infertility (Liu and Baker, 1994; Liu et al, 2001). To search for the candidate genes and the mechanisms responsible for male infertility, we characterized the expression and protein localization of the human ortholog HAPRIN. The genomic structure and putative transcriptional regulatory elements are also discussed.


   Materials and Methods
 Top
 Abstract
 Materials and Methods
 Results
 Discussion
 References
 
Cloning of HAPRIN cDNA

Before cloning the human ortholog of mouse haprin cDNA (GenBank accession no. AB103063; Kitamura et al, 2003), a computer-assisted homology search for the mouse haprin cDNA sequence was performed in the DNA Data Bank of Japan (DDBJ), GenBank, EMBL, Swiss-Prot, and Protein Identification Resource databases. The search identified 2 cDNA sequences homologous to haprin (named TRIM36; NCBI accession no. NM_018700 and NCBI accession no. BG719954). We designed a primer set encompassing the open reading frame (ORF) based on this sequence (forward primer Fa1: 5'-GAAGATCTATGTCGGAGTCTGGGGAGATGAG-3', forward primer Fb1: 5'-GTAGTCGCTGGGAGCAAAG-3', and reverse primer R1: 5'-GCGTCGACTACATGTCCTCTTGGTATTCCAG-3') and performed polymerase chain reaction (PCR) cloning of the HAPRIN/TRIM36 using a human testis cDNA library as the template (Figure 1; Tanaka et al, 1997). Cycling conditions were 30 cycles of denaturation at 96°C for 45 seconds, annealing at 56°C for 45 seconds, and extension at 72°C for 2.5 minutes. The PCR products were cloned into the TOPO II-vector (Invitrogen, Carlsbad, Calif) and sequenced. Dideoxy chain-termination sequencing reactions were performed with fluorescent dye-labeled primers and thermal cycle sequencing kits purchased from Applied Biosystems (Foster City, Calif). The reaction products were analyzed using an ABI-PRISM 310 Genetic Analyzer (Applied Biosystems).



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Figure 1. Human HAPRIN cDNA and amino acid sequences. The HAPRIN-a1 mRNA is transcribed from exon 1a, and HAPRIN-b is transcribed from exon 1b. The HAPRIN-a2 transcript lacks exon 2, as indicated by the dotted box. Therefore, the exon 1a cDNA sequence continues to the 5' cDNA sequence of exon 2 without exon 1b, or to exon 3 without exon 1b and exon 2. Boxes indicate in-frame stop codons. Shadowed boxes indicate cysteine and histidine residues conserved in the RING finger and B-box–type zinc finger motifs (B-BOX1 and B-BOX2). The wavy line indicates the coiled-coil domain. The fibronectin type III (FN3) and SPRY domains are indicated by dotted lines. Methionines are indicated by circles. The putative first methionine of the truncated HAPRIN isoform (40 kd) is indicated by a bold circle. The primers used for polymerase chain reaction (PCR) amplification (Fa1, Fa2, Fb1, R1, and R2) are indicated by arrows.

 

Reverse Transcription–PCR Analysis

To examine the tissue-specific expression patterns of HAPRIN, we carried out reverse transcription (RT)–PCR analysis using a Rapid-ScanTM gene expression panel containing cDNAs from 24 different human tissues (Origene Technologies, Rockville, Md). The specific forward primer Fa2 (5'-TGGTTAACAGCTTATGGGCGG-3') was designed to amplify fragments with deduced sizes of 742 and 507 bp, representing the HAPRIN-a1 and -a2 splicing isoforms of the transcripts from exon 1a (Figure 1). The specific forward primer Fb1 was then designed to amplify fragments with a deduced size of 807 bp, representing the HAPRIN-b splicing isoform of the transcript from exon 1b. The reverse primer R2 (5'-GGTCTGAAGTTAGTAGTTGGACC-3') was used to amplify fragments for splicing isoforms of the transcripts from exons 1a and 1b (Figure 1). Cycling conditions were 96°C for 1 minute, followed by 35 cycles of denaturation at 96°C for 45 seconds, annealing at 62°C for 45 seconds, and extension at 72°C for 60 seconds. As a control, actin was also amplified according to the manufacturer's protocol.

Human Tissue and Sperm Samples

Human testis fragments were obtained with informed consent from a fertile middle-aged patient who was castrated for treatment of prostate cancer. Samples were stored at -80°C until use. Human liver protein samples were purchased from Clontech (BD Biosciences Clontech, Palo Alto, Calif). Human semen samples were obtained from fertile male volunteers. After liquefaction, the semen samples were gently suspended in phosphate-buffered saline (PBS) to release sperm. After 1 hour, the "swim-up" sperm were centrifuged, and the pellets were resuspended in either lysis buffer for Western blotting analysis or in PBS for immunostaining of sperm. For the acrosome reaction, swim-up sperm were induced with 10 µM calcium ionophore A23187 (Sigma-Aldrich, Tokyo, Japan) for 15 minutes, after a capacitation incubation with human tubal fluid medium (Quinn et al, 1985) for 1 hour. Subcellular fractionation of sperm was performed using a previously described method (Kitamura et al, 2003). Briefly, sperm were suspended in ice-cold TN buffer (20 mM Tris-HCl, pH 7.0, and 130 mM NaCl) and sonicated. The cell lysate was centrifuged at 10 000 x g for 10 minutes. The supernatant, the membrane fraction, was further ultracentrifuged at 100 000 x g for 2 hours at 4°C using an SW41 rotor (Beckman Coulter Inc, Fullerton, Calif). The precipitant was used as the membrane fraction. The membrane fraction was extracted with 4% Triton X-100, 1.5 M NaCl, 2 M urea, or 100 mM Na2CO3 (pH 11.5). The samples were solubilized in sodium dodecyl sulfate (SDS) sample buffer and subjected to Western blot analysis.

Western Blot Analysis

Each sample containing 50 µg of protein was subjected to SDS-polyacrylamide gel electrophoresis using 5%–20% polyacrylamide gradient gels (ATTO, Tokyo, Japan) and was then electroblotted onto polyvinylidene difluoride membrane filters (Millipore, Bedford, Mass). The filters were blocked with 5% nonfat dried milk for 30 minutes and washed for 15 minutes with Tris-buffered saline-Tween (TBS-T: 50 mmol/L Tris-HCl, pH 7.5; 150 mmol/L NaCl; and 0.05% Tween-20). The filters were then reacted with polyclonal rabbit anti-mouse Haprin (C-terminal region) antiserum, diluted 1:500 (Kitamura et al, 2003) in TBS, for 1 hour at room temperature and were then washed 3 times in TBS-T for 5 minutes each time. Finally, the filters were incubated with polyclonal peroxidase-conjugated anti-rabbit immunoglobulin antibody (Amersham Pharmacia Biotech, Tokyo, Japan; diluted 1:500) for 1 hour at 25°C. After further washing, reactive bands were visualized by development with a peroxidase staining kit (Wako, Osaka, Japan).

Immunofluorescence Microscopy of Human Sperm

Human sperm samples were spotted onto silane-coated Superfrost glass microslides (Matsunami Glass Ind Ltd, Osaka, Japan) and treated with 70% methanol on ice for 10 minutes. For indirect immunofluorescence staining, the slides were blocked with 5% normal donkey serum for 1 hour and incubated with rabbit anti-mouse Haprin antiserum (diluted 1:300 in PBS) for 16 hours at 4°C. After washing, the slides were treated with fluorescein-conjugated donkey anti-rabbit antibody (Amersham; diluted 1: 500), incubated for 2 hours at room temperature, washed with PBS, and observed under a fluorescence microscope (Olympus BX50; Olympus, Tokyo, Japan). Acrosome status was evaluated by staining with fluorescein isothiocyanate-conjugated peanut agglutinin (Sigma-Aldrich).



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Figure 2. Expression of the HAPRIN gene in human testes. Polymerase chain reaction (PCR) amplification was performed from a human testis cDNA library to isolate HAPRIN-a1, HAPRIN-a2 using the primer set Fa1 and R1 (lane 1), and HAPRIN-b fragments using the primer set Fb1 and R1 (lane 2). Arrows indicate HAPRIN mRNAs. Numbers in the left margin indicate lengths of the size marker fragments (Kb).

 

   Results
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 Abstract
 Materials and Methods
 Results
 Discussion
 References
 
Identification of Human HAPRIN

To identify the transcriptional units of human HAPRIN, we performed a computer-assisted homology search and found 2 cDNA sequences homologous to mouse haprin from a human testis EST cDNA library (NCBI accession no. NM_018700, called TRIM36, and NCBI accession no. BG719954). The cDNA sequence named TRIM36 contained a complete ORF at nucleotide positions 123 to 2309 (Figure 1). We then performed PCR amplification from a human testis cDNA library to confirm and isolate a cDNA fragment containing human HAPRIN using primer pair Fa1 and R1, encompassing the ORF based on this sequence (Figure 1). We identified 2 bands (a1 and a2): one was consistent with the size of the putative fragment and the other was a deletion form (Figure 2). In the process of identifying the DNA sequence of the PCR products, we found that the smaller one (a2) was a splicing isoform with a 235-bp deletion in the 5' region of the RING domain of human HAPRIN (DDBJ accession no. AB196558), which terminated translation as a result of a frame-shift (Figure 1, dotted line). The other methionine signal downstream may be used as a translation initiation signal, producing a truncated form of HAPRIN protein. We identified the DNA sequence of the alternative splicing variant by PCR amplification using specific primers Fb1 and R1 designed from another EST cDNA sequence (NCBI accession no. BG719954; Figures 1 and 2). These results indicated that human HAPRIN mRNAs have 3 alternative splicing variants (Figure 3).



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Figure 3. Genomic structure of HAPRIN. A schematic presentation of HAPRIN localized to human chromosome 5q23.1 (GenBank accession no. NT_034772.5). Shadowed boxes and numbers indicate the exons. Arrows indicate the rough positions of the primers used for the reverse transcription–polymerase chain reaction (RT-PCR) analyses (see Figure 1 for more detail). The GC content and CpG ratio were calculated from data in the human genome database.

 
Genomic Construction of the Human HAPRIN

Human HAPRIN transcription has 3 alternative splicing variants. A human genomic clone (GenBank accession no. NT_034772.5) mapped to chromosome 5q23.1 was identified through searches of the NCBI database for human sequences with homology to HAPRIN cDNA (Figure 3). Combining our sequence analysis data of PCR-amplified cDNA with computer-assisted human genome database analyses indicated that the human HAPRIN-a1 gene consists of 10 exons (1a to 10), and human HAPRIN-a2 excludes exon 2 (Figure 3). Human HAPRIN-b had exon 1b instead of exon 1a at the 5'-end of the cDNA. Exon 1a of human HAPRIN shows homology with the 5'-end of the reported mouse haprin cDNA (Kitamura et al, 2003). The guanine-cytosine (GC) content in the 300-bp region upstream from exons 1a and 1b is 70.7% and 73.3%, respectively, and the respective ratio of observed to expected cytosine–guanine dinucleotides (CpG) is 1.057 and 0.786. A high average GC content (greater than 50%) and CpG ratio (greater than 0.6) are thought to be features of CpG islands present in the promoters (Gardiner-Garden and Frommer, 1987; Figure 3).

Expression of HAPRIN Transcripts

We examined the expression of the HAPRIN mRNA in different organs using RT-PCR analysis. As 3 mRNA variants (HAPRIN-a1/TRIM36, HAPRIN-a2, and HAPRIN-b) were transcribed from distinct first exons (1a and 1b), we designed 2 forward primers (Fa2 and Fb1 in Figure 1) and a reverse primer at exon 3 (R2 in Figure 1) to amplify transcripts from exons 1a and 1b (Figures 1 and 3). All of the mRNA variants of HAPRIN were expressed at the expected sizes in testes, but not in any other organs examined (Figure 4). Although exons 1a and 1b both had a start ATG codon, the amino acid sequences of the two isoforms differed (21 and 9 amino acids for exons 1a and 1b, respectively) at the N-terminal end of the RBCC motif (Figure 1). Sequence data for an additional 507-bp amplified band from testes using the exon 1a primer indicated that another splicing variant removing exon 2 of HAPRIN was generated in the transcription of the HAPRIN gene (HAPRIN-a2 in Figure 2).



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Figure 4. Expression of HAPRIN mRNA in various human organs. Multiple human tissue mRNAs were subjected to reverse transcription–polymerase chain reaction (RT-PCR) analysis. Fragments of HAPRIN-a1 (742 bp), HAPRIN-a2 (507 bp) and HAPRIN-b (807 bp) were detected in testes. Numbers in the right margin indicate the lengths of the amplified fragments and size marker fragments (bp). The expression of actin mRNA was also examined as a control.

 

Comparison of Mouse Haprin and Human HAPRIN Proteins

A stop codon was present 15 bp (HAPRIN-a1) or 42 bp (HAPRIN-b) upstream from the first ATG of human HAPRIN cDNA (Figure 1), and the deduced amino acid sequences of human HAPRIN-a1 and -b were, respectively, 92.5% and 92.1% identical to the orthologous mouse protein (GenBank accession no. AB103063). The human HAPRIN protein also contained several conserved regions consisting of a RING finger domain, two B-box–type zinc-binding domains, and an {alpha}-helical coiled-coil domain known as an RBCC tripartite motif. The fibronectin type III and the Spla kinase and ryanodine receptor (SPRY) domains were also conserved in the C-terminal regions of the mouse and human proteins (Figure 1). In the HAPRIN-a2 N-terminal region, the RING finger domain was truncated by the loss of exon 2, although it is transcribed (Figures 1, 2, and 4).

Expression and Localization of the HAPRIN Protein

Western blot analysis using anti-mouse Haprin antiserum produced a major positive band with a molecular weight of 82 000 and a faint band of 40 000 from human testes (Figure 5a). The faint signal indicates a truncated HAPRIN protein translated from another initiation signal of HAPRIN mRNA (eg, the methionine in the coiled-coil domain; Figure 1) or some processed products. Western blot analysis of the membrane fraction of sperm showed 1 positive band with a molecular weight of 82 000 that was partly extracted with 2 M urea, 1.5 M NaCl, or at pH 11.5, but that was not extracted with 4% Triton X-100 (Figure 5b). These results indicate that the major component of HAPRIN protein is localized in the sperm membrane and as membrane-associated cytoskeletal elements. Immunofluorescence staining of ejaculated sperm with the antiserum showed that the expression of the HAPRIN protein was restricted to the acrosomal region of the sperm head (Figure 6a through c). After inducing the acrosome reaction with calcium ionophore, HAPRIN protein disappeared from sperm heads in association with the loss of the acrosome marker PNA labeling (Figure 6d through i).



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Figure 5. Western blot analysis of human HAPRIN. (a) Mouse and human protein samples were subjected to Western blot analysis with anti-Haprin antiserum. The arrow indicates the signal of a HAPRIN protein. The star indicates the signal of a smaller molecular weight HAPRIN protein. Numbers in the right margin indicate the molecular weights of marker proteins (x1000). (b) The sperm-insoluble proteins were extracted with 4% Triton X-100 (TX-100), 2 M urea, 1.5 M NaCl, or 100 mM Na2CO3 (pH 11.5) and then separated into soluble (S) and precipitated (P) fractions by ultracentrifugation.

 


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Figure 6. Immunofluorescence observation of human sperm with anti-Haprin antiserum. (a) Human sperm were stained with anti-Haprin antiserum and Texas Red-labeled secondary antibody (red). (b) Sperm nuclei were counterstained with DAPI (blue). (c) Red and blue images were merged. Scale bar = 10 µm. (d–i) The release of HAPRIN protein in human sperm by the acrosome reaction. The acrosome reaction was induced with calcium ionophore (g–i). Sperm samples were stained with anti-Haprin antiserum and Texas Red-labeled secondary antibody (d, g). Sperm head stained with fluorescein isothiocyanate-conjugated peanut agglutinin (FITC-PNA) (e, h): acrosome-intact sperm were labeled (e), but acrosome-reacted sperm were not labeled (h). Samples counterstained with DAPI (f, i). Arrows indicate the acrosomal regions. Scale bar = 50 µm.

 


   Discussion
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 Abstract
 Materials and Methods
 Results
 Discussion
 References
 
Recent studies have demonstrated similarities between the molecular mechanisms of sperm acrosome reactions and the well-characterized membrane fusion reactions of synaptic exocytosis (Kierszenbaum, 2000). The soluble N-ethylmaleimide sensitive factor attachment protein receptor (SNARE) complex is the general model of intracellular membrane fusion machinery, which was originally elucidated in synaptic exocytosis (Martin-Moutot et al, 1996). Proper vesicle (acrosomal)–plasma membrane fusion requires formation of a specific complex between vesicle (acrosomal)-associated and plasma membrane–associated SNAREs. Several studies have reported that SNARE complex components and their regulatory proteins exist in the acrosomal, cytoplasmic region of mature sperm of human and mouse (Ramalho-Santos et al, 2000, 2001; Tomes et al, 2002). However, the actual mechanism of the acrosome reaction is poorly understood. Although the molecular basis of the acrosome reaction–specific mechanism has not been elucidated, the identification of genes involved specifically in the acrosome reaction is necessary in the search for candidate genes responsible for male infertility.

We have previously demonstrated that the mouse Haprin protein is exclusively expressed in haploid germ cells in testes and that its RBCC motif plays an important role in the acrosome reaction (Kitamura et al, 2003). In this study, we found that the HAPRIN gene was also expressed in human testes and that the product was localized to the acrosome of mature sperm. The fractionation studies of sperm proteins recovered the HAPRIN protein in the membrane-associated cytoskeletal fraction (Figure 5b), as was the case in the mouse. These results indicate that the Haprin protein is located in the plasma and outer acrosomal membrane and that it has a similar acrosome reaction function to its mouse ortholog. The amino acid sequence of HAPRIN is highly conserved between human and mouse. This is notable because a large number of genes involved in sex and male reproduction have been demonstrated to be undergoing rapid evolution (Wyckoff et al, 2000; Swanson and Vacquier, 2002); these include proteins involved in sperm–egg binding, such as ADAM2 and SAM-1, nuclear proteins such as protamine-1, and metabolic enzymes such as GAPDS (Torgerson et al, 2002). On the other hand, genes involved in the mechanisms of intracellular membrane fusion, such as the SNARE complex components, are highly conserved in eukaryotic cells (Ferro-Novick and Jahn, 1994). The high degree of sequence similarity between human and mouse HAPRIN indicates the importance of the protein in fertilization and reflects its indispensable function in intracellular membrane fusion during the sperm acrosome reaction.

RBCC family genes, such as the HAPRIN gene, are reported to be scattered throughout the human genome, except at 2 clusters at 6p21–23 and 11p15 (Reymond et al, 2001). The mouse haprin gene was mapped to 22.0 cM of chromosome 18 (Kitamura et al, 2003), and the human HAPRIN gene was mapped to chromosome 5q23.1, syntenic to the region of mouse haprin (Gregory et al, 2002). This also supports the hypothesis that HAPRIN is the human ortholog of the mouse haprin gene. RT-PCR analyses showed that the isoforms transcribed from 2 distinct putative first exons were expressed in the testes. HAPRIN-a1 and HAPRIN-b are transcribed from different first exons and encode different N-terminal amino acid sequences (21 and 9 amino acids, respectively), but this difference does not reach the consensus cysteine residue of the RING finger motif (Figure 1). These 2 isoforms were indistinguishable in the Western blot analysis (Figure 5). The HAPRIN-a2 transcript did not encode the complete HAPRIN protein because of the lack of exon 2, which caused a premature termination codon via a frame-shift (Figure 1). However, it is possible that another methionine codon may be used as a translation initiation signal, thereby producing a truncated HAPRIN protein. We found a faint band with a molecular weight of 40 000 from the testes in a Western blot analysis using anti-Haprin C-terminal region antiserum (Figure 5). The functional differences between HAPRIN-a1 and HAPRIN-b and the biological roles of the HAPRIN-a2 transcripts remain to be elucidated. Upstream from the putative transcription initiation site of both exons 1a and 1b are sequences with high GC content and high CpG ratios (Figure 3). However, these regions lack a typical TATA box or CRE sequence, which is recognized by the transcription factor CRE modulator tau (CREMt) and is essential for the transcription of several testis-specific genes. Recently, Han et al (2004) grouped germ cell–specific promoters with high GC content and CG dinucleotides. Some of these promoters lacked a TATA-like sequence: calmegin (Watanabe et al, 1995), PIASx (Santti et al, 2003), CaMII (Ikeshima et al, 1994), c-kit (Albanesi et al, 1996), and HSP70-2 (Dix et al, 1996). Male germ cell–specific expression of some of these genes is controlled by the methylation of CpG islands (Trasler et al, 1990; Ariel et al, 1991; De Smet et al, 1999).

The high level of evolutionary conservation of amino acid sequences and similar localization of HAPRIN protein indicate that the protein plays a crucial role in the regulatory mechanism of the acrosome reaction in human as well as in mouse sperm. Anomalies in HAPRIN function could result in male infertility. Further studies are currently in progress both to elucidate the precise molecular function of Haprin in mice and to screen for mutations or single nucleotide polymorphisms in the HAPRIN gene in infertile men.


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