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Published-Ahead-of-Print May 22, 2008, DOI:10.2164/jandrol.107.004614
Journal of Andrology, Vol. 29, No. 5, September/October 2008
Copyright © American Society of Andrology
DOI: 10.2164/jandrol.107.004614

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Activation of Protein Kinase A Stimulates the Progesterone-Induced Calcium Influx in Human Sperm Exposed to the Phosphodiesterase Inhibitor Papaverine

VÍCTOR TORRES-FLORES*, YADIRA LIBERTAD HERNÁNDEZ-RUEDA*, PALOMA DEL CARMEN NERI-VIDAURRI*, FRANCISCO JIMÉNEZ-TREJO*, VÍCTOR CALDERÓN-SALINAS{dagger}, JUAN A. MOLINA-GUARNEROS* AND MARCO T. GONZÁLEZ-MARTÍNEZ*

From the * Departamento de Farmacología, Facultad de Medicina, Universidad Nacional Autónoma de México, Ciudad Universitaria, Mexico; and the {dagger} Departamento de Bioquímica, Centro de Investigación y de Estudios Avanzados del Instituto Politécnico Naciona, Mexico.

Correspondence to: Dr Marco T. González-Martínez, Departamento de Farmacología, Facultad de Medicina, Universidad Nacional Autónoma de México. Ciudad Universitaria, CP 04510. Apartado Postal 70-297 México, D.F., México (e-mail: tuliog{at}servidor.unam.mx).
Received for publication November 28, 2007; accepted for publication May 14, 2008.

   Abstract
 Top
 Abstract
 Materials and Methods
 Results
 Discussion
 References
 
Progesterone induces a fast transient calcium influx in human sperm though the activation of nongenomic receptors. During sperm capacitation, a complex process required for sperm to be able to fertilize the egg, the calcium influx induced by progesterone is enhanced. Sperm capacitation is mediated by an increase in cAMP content and subsequent protein kinase A (PKA) activation. In this work, we examined the effect of increasing intracellular cAMP on the calcium influx induced by progesterone in noncapacitated human sperm. To do this, sperm were exposed to the phosphodiesterase inhibitor papaverine for 5 minutes, a treatment that increased both the cAMP content and the PKA activity several-fold. The calcium influx induced by progesterone was increased by papaverine to levels close to those found in capacitated sperm. This effect was partially inhibited by H89 (48%) and by genistein (41%), and the sum of both inhibitors reduced the stimulating effect of papaverine by 89%. The inhibitory effect of genistein on the progesterone-induced calcium influx could be related to its capability to inhibit the papaverine-stimulated increase in cAMP content and PKA activity. The results presented here suggest that the calcium influx induced by progesterone is up-regulated by the PKA activity.

     Key words: cAMP, intracellular calcium, progesterone



Progesterone induces a fast transient intracellular calcium ([Ca2+]i) increase in human sperm that occurs via the activation of nongenomic receptors (Blackmore et al, 1991). This effect seems to be related to its ability to promote crucial events in fertilization, namely, the stimulation of sperm capacitation (Senuma et al, 2000), the induction of the acrosome reaction in capacitated sperm (Meizel et al, 1997), the induction of chemotaxis (Teves et al, 2006), the stimulation of hyperactivated motility (Uhler et al, 1992), and the stimulation of zona pellucida binding and sperm/oocyte fusion after capacitation (Francavilla et al, 2002). These effects must have physiological relevance since progesterone, secreted by the corpus luteum, is present at considerable extent at the time of fertilization. These observations stress the importance of studying the molecular mechanisms involved in progesterone action on human sperm.

The calcium transport mechanism involved in the calcium influx induced by progesterone has not been identified yet; however, there is evidence of biochemical modulation. In this regard, the calcium influx induced by progesterone is markedly stimulated during capacitation in human sperm suspensions (Baldi et al, 1998; González-Martínez et al, 2002; Bedu-Addo et al, 2005). During this process that confers sperm the ability to undergo the acrosome reaction induced by progesterone or by the egg zona pellucida glycoprotein ZP3, different signal transduction systems are triggered. Initially, there is an increase in cAMP produced by a bicarbonate and calcium-dependent, soluble adenylyl cyclase (sAC) that in turns activates the protein kinase A (PKA; Uhler et al, 1992; Lefievre et al, 2002). At a late step, a tyrosine kinase is activated, phosphorylating ~105 and 85 kd proteins, which are presumably kinase A anchor proteins (Carrera et al, 1996). Additionally, capacitation is accompanied by small increases in resting intracellular pH (pHi; Cross NL and Razy-Faulkner, 1997). As for this effect, it has been suggested that bicarbonate stimulates the progesterone-induced calcium influx via a mechanism involving sperm alkalization rather than cAMP production (Aitken et al, 1998).

In this work, we report that a brief incubation with papaverine, a phosphodiesterase (PDE) inhibitor, produces a remarkable increase in the calcium influx induced by progesterone. Interestingly, part of the stimulated signal was reversed by the PKA inhibitor H89 and an additional part by the tyrosine kinase inhibitor genistein. The results presented here suggest that the calcium transport mechanism activated by progesterone is markedly stimulated by PKA activation.


   Materials and Methods
 Top
 Abstract
 Materials and Methods
 Results
 Discussion
 References
 
Sperm Purification, Dye Loading and Capacitation

Human sperm was obtained from a panel of 12 healthy volunteers with 3–6 days of sexual abstinence. All volunteers (most of them university students) agreed to participate in this study after reading and signing a letter of informed consent, approved by the Ethics Committee of the Faculty of Medicine (UNAM) in accordance with the principles of research involving human subjects expressed in the Declaration of Helsinki. Sperm cells (~100 x 106) were separated from seminal plasma using isotonic Percoll gradients (75/50% Percoll in 150 mM NaCl + 10 mM HEPES, pH 7.4) as reported in Linares-Hernandez et al (1998), and washed in HEPES-buffered human sperm medium (HHSM), in 117.5 mM NaCl, 8.6 mM KCl, 2.5 mM CaCl2, 0.5 mM MgCl2, 0.3 mM NaHPO4, 0.25 mM Na pyruvate, 19 mM Na lactate, 25 mM HEPES, adjusted with NaOH to pH 7.6. The cells were loaded with either 2 µM fura ff-AM for 40 minutes or with 0.5 µM BCECF-AM for 30 minutes as described in Neri-Vidaurri et al (2006). In some cases, fura ff-loaded sperm (~3 x 107 cells) were incubated for 4 hours at 36°C in 15 mL capacitating medium, that is, HHSM medium containing 15 mM HEPES, supplemented with 3 mg/mL BSA and 25 mM NaHCO3. Reagents used to prepare HHSM medium were obtained from Sigma Chemical Co (St Louis, Missouri), Mallinckrodt Baker (Phillipsburg, New Jersey), or Merck (Whitehouse Station, New Jersey). Papaverine, pentoxifylline, genistein, and H89 were obtained from Sigma. Fura ff-AM and BCECF-AM were from Molecular Probes (Invitrogen, Carlsbad, California).

Induction of cAMP Increase

The increase in intracellular cAMP in noncapacitated sperm (~1 x 107) was achieved by incubation with 0.5 mM papaverine (a PDE inhibitor), in 0.25 mL HHSM, at 36°C for 5 minutes. After 5 minutes incubation with papaverine or with papaverine + genistein and/or H89 (both added 35 minutes before papaverine addition), the sample was diluted from 0.25 mL to 1.25 mL with fresh HHSM medium, centrifuged, and the pellet was resuspended in 2.5 mL HSM and used for cell viability assayed by eosine (0.5% in PBS, 1:1 dilution with sperm suspensions) exclusion test, [Ca2+]i determination (in fura ff-loaded cells), PKA activity measurement, determination of cAMP content or, in some cases, for pHi determination (in BCECF-loaded cells) or for identification of tyrosine-phosphorylated proteins on Western blots, as described below. Washed pellets were used because papaverine severely affected fura ff fluorescence (not shown). Using washed cells barely altered the Rmax and Rmin values used to calibrate fura ff signals. In some intracellular calcium measurements, pentoxifylline was used under identical conditions.

Measurement of cAMP

cAMP was measured with the Cyclic AMP Competitive EIA kits from Zymed Laboratories (San Francisco, California) and Cayman Chemical (Ann Harbor, Michigan). Sperm pellets (~1 x 107 cells) obtained from different experimental conditions (see above) were treated with 1 mL 0.05 M HCl. The sample was boiled for 3 minutes and then cooled in ice. The sample was microcentrifuged for 10 minutes and the supernatant used for cAMP determination. The sample and the appropriate cAMP standards were alkalized with 200 µl of 4 M KOH and acetylated with 50 µl acetic anhydride. The acetylated samples (50 µl) were added to the well plate, and the competition assay proceeded by adding 50 µl of either acetyl cholinesterase-cAMP or alkaline phosphatase-cAMP complexes and the cAMP antiserum. Once washed, the plate was reconstituted with 200 µl buffer containing either p-nitrophenyl phosphate or the Ellman's reagent for 90 minutes in the dark, under constant stirring, and read at 405 nm.

Measurement of PKA Activity

The activity of PKA was measured in sperm extracts as the incorporation of 32P from ATP-32P to a kemptide substrate, provided by an Up-State kit (Lake Placid, New York). The sperm pellets (~1 x 107) were resuspended with 0.25 mL of nondenaturating lysis buffer containing 1 mM Na-ortovanadate, 20 mM MOPS, 25 mM β-glycerophosphate, 5 mM EGTA, 1 mM dithiothreitol, and 1% triton X-100, pH 7.2 at 4°C. After 10 minutes of bath sonication, the sample was microcentrifuged at 10 000 g for 10 min and the supernatant used for determination of PKA activity. The extract was supplemented with 12.5 mM MgCl2, 83 µM ATP, 0.33 µM PKC inhibitor peptide, 3.3 µM CaMK (calmoduline dependent kinase) inhibitor R24571, and ATP-32P (6 µCi). The reaction started upon 1 mM kemptide addition and proceeded for 15 minutes at 30°C. A negative control containing 1 µM PKA inhibitor peptide was included in the measurements. A sample (25 µl) of the reaction mixture was blotted on P81 nitrocellulose paper and washed 3 times in phosphoric acid. After a last single wash in acetone, the paper was dried and counted for 32P radioactivity in a scintillation counter. The negative control produced 10% of the counts found in control nontreated sperm and was rested as unspecific binding.

Detection of Tyrosine Phosphorylated Proteins by Western Blot

Sperm (~1 x 107 cells) pellets were solubilized with 0.05 mL lysis buffer (62.5 mM Tris-HCl, 25% glycerol pH 7.6, 2% SDS, pH 6.8), sonicated for 10 minutes (bath sonicator) and microcentrifuged for 10 minutes. Sperm proteins were separated by SDS-PAGE electrophoreses (10%) and transferred electrophoretically onto nitrocellulose membrane. The nitrocellulose membrane was then incubated in 3% defatted milk-PBS overnight at 4°C and then incubated with antibody anti-phosphotyrosine (1:2000) coupled with peroxidase (Sigma) for 6 hours. The membrane was washed with PBS-Tween (0.05%) and then with PBS. The phosphotyrosine proteins were detected with enhanced chemoluminiscence (ECL, Amersham, Buckinghamshire, United Kingdom) and revealed with Kodak Biomax light film (Rochester, New York).

Measurement of Intracellular Calcium and Intracellular pH

Fura ff-loaded sperm pellets (~1 x 107) were added to the fluorescence cuvette containing 2.5 mL HHSM medium. The cuvette was kept at 36°C and continuously stirred with a magnetic bar. Once the signal was stabilized (1 minute later), 4 µM progesterone was added, and the effect was followed for one more minute. The fluorescence was detected at 488 nm with an optical filter (Andover Corp, Salem, New Hampshire), alternately exciting at 340 nm and 380 nm at 0.83 Hz. The 340/380 fluorescence ratios were converted to intracellular calcium values using the Grynckievicz equation and a Kd = 5.5 µM as described in Neri-Vidaurri et al (2006). On the other hand, fluorescence of BCECF-loaded sperm was detected at 550 nm with an optical filter (Andover Corp), alternately exciting at 500 and 439 nm. The 500/439 ratios were converted to pH as previously described (Fraire-Zamora and Gonzalez-Martínez, 2004).

Statistical Analysis

Data are reported as means ± standard error of the mean (SEM), with n meaning number of individuals tested. Nontreated and treated groups were compared using analysis of variance (ANOVA; Newman-Keuls test) or with paired t-test. Results with P < .05 were considered statistically significant.


   Results
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 Abstract
 Materials and Methods
 Results
 Discussion
 References
 
Figure 1 shows the effect of papaverine on the [Ca2+]i increase induced by progesterone in human sperm. A brief, 5-minute incubation with 0.5 mM papaverine, produced a ~5-fold stimulation. Even though the stimulation was remarkable, it did not reach the stimulation values (ie, close to 7.5-fold) found in sperm incubated 4 hours in capacitating medium. In noncapacitated sperm, papaverine treatment also produced an increase in resting [Ca2+]i, as indicated by the dashed line on the traces. The resting [Ca2+]i detected in fura ff-loaded sperm increased from a normal 147 ± 23 nM to 523 ± 40 nM (n = 6, SEM) in papaverine-treated sperm. The resting value obtained in fura ff-loadedsperm incubated in capacitating medium (127 ± 34 nM, n = 6, SEM) was statistically indistinct (P = .4) from the one obtained in noncapacitated cells.


Figure 1
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Figure 1. Effect of papaverine on the [Ca2'+]i increase induced by progesterone in noncapacitated human sperm. Sperm were preincubated with 0.5 mM papaverine for 5 minutes at 36°C, the sample was diluted with HEPES-buffered human sperm medium (HHSM) and centrifuged, and the pellet was added to the fluorescence cell containing 2.5 mL HHSM at 36°C. (a) Effect of 4 µM progesterone on untreated, noncapacitated fura ff-loaded sperm (~1 x 107). (b) Effect of papaverine preincubation in noncapacitated sperm. (c) Effect of progesterone on sperm incubated 4 hours in capacitating medium. The bars show mean values ± SEM (n = 7). * P < .05. P indicates progesterone; nc, noncapacitated sperm; nc-pap, noncapacitated sperm preincubated with papaverine; cap, capacitating medium.

 

Since papaverine is a phosphodiesterase inhibitor, it was pertinent to compare its effect with pentoxifylline, another PDE inhibitor that is widely used to stimulate sperm motility. As shown in Figure 2, pentoxifylline also stimulated the progesterone-induced calcium influx in noncapacitated human sperm, but to a lower extent as compared with papaverine. This was particularly evident at low PDE inhibitor concentrations, as shown in the dose-response curve (Figure 2B). At 2 mM, pentoxifylline produced maximum stimulating effect in the range tested, whereas papaverine tended to decrease it. Interestingly, preincubation with pentoxifylline did not increase resting [Ca2+]i as compared with papaverine (Figure 2A). Given the higher effect of papaverine on the progesterone-induced calcium influx, its effect at 0.5 mM, which produced maximum effects, was further explored.


Figure 2
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Figure 2. Comparative effect of pentoxifylline and papaverine on the progesterone-induced calcium influx in human sperm. Fura ff-loaded noncapacitated sperm (~1 x 107) were preincubated for 5 minutes at 36°C with either pentoxifylline or papaverine as described in Materials and Methods. (A) Calcium influx transients were induced by adding 4 µM progesterone (indicated by the arrows) to sperm suspensions preincubated with pentoxifylline (b–e) or papaverine (f–i) at the following concentrations: (a) none; (b, f) 0.25 mM; (c, g) 0.5 mM; (d, h) 1.0 mM; (e, i) 2.0 mM. (B) Calcium influx (calcium at the peak minus resting value) as a function of the amount of papaverine (closed circles) or pentoxifylline (open circles) used. n = 8, SEM, *P < .05 (paired t-test).

 
The role of PKA and tyrosine kinase on the papaverine-stimulated responses were assessed by inhibiting their activities with H89 and genistein, respectively. To assure maximum inhibitory effects, high concentrations of H89 (50 µM) and genistein (400 µM) were co-incubated with 0.5 mM papaverine in sperm suspensions, which were subsequently washed and subjected to different measurements. Co-incubation with either 50 µM H89 or 400 µM genistein with papaverine (see Materials and Methods) produced a partial, significant (P < .05) reduction of the papaverine-stimulated calcium influx induced by progesterone, of ~41% and ~48% respectively (Figure 3). Under these conditions, sperm maintained 81 ± 0.9% and 86 ± 0.5% viability (n = 7, SEM) respectively, according to the eosine exclusion test, with values close to control (96 ± 0.2%). When both inhibitors were used together, a condition that maintained sperm viability of 83 ± 0.85%, the transient calcium influx induced by progesterone was further inhibited, to ~89%. The increase in resting [Ca2+]i induced by papaverine exposure was not reversed by H89 and/or genistein, and these inhibitors did not affect the resting [Ca2+]i of intact (nontreated with papaverine) noncapacitated cells (traces not shown).


Figure 3
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Figure 3. Effect of genistein and H89 on the calcium influx induced by progesterone in human sperm exposed to papaverine. To determine the effect of inhibitors, sperm were preincubated 35 minutes with 50 µM H89, 0.4 mM genistein, or both, in 0.25 mL HEPES-buffered human sperm medium (HHSM) at 36°C. Then, 0.5 mM papaverine was added and the sample was incubated for 5 more minutes. The sample was diluted in 5 mL HHSM, centrifuged, and the pellet was added to the fluorescence cell. Upper panel: Intracellular calcium increase, defined as peak minus resting values ({Delta} [Ca2+]i), corresponds to the representative traces depicted in the lower panel (progesterone addition is indicated by the arrows). The bars show mean values ± SEM (n = 10). *P < .05 (Newman-Keuls test).

 
The cAMP content, the PKA activity, and the protein-tyrosine phosphorylation patterns were determined in noncapacitated sperm treated with papaverine. As shown in Figure 4A, papaverine produced a significant 9-fold increase in cAMP content from a normal 1.1 ± 0.4 pmol/107 sperm cells to 9.5 ± 0.7 pmol/107 sperm cells (n = 7). Preincubation with 50 µM H89 produced a slight but nonsignificant increase in cAMP content in papaverine-treated sperm; in this respect, a slight (~14% average) stimulation in cAMP production induced by H89 was observed in 5 out of 7 experiments, which was consistent with observations indicating that PKA inhibition results in stimulation of soluble adenylyl cyclase (Nolan el al, 2004); the lack of significant stimulation was possibly related to the high activity, perhaps close to maximum, of adenylyl cyclase in papaverine-treated sperm, so that in this condition H89 had a small margin for further stimulation. In contrast, genistein and genistein + H89 decreased the cAMP content, reducing the effect of papaverine to ~5-fold with respect to untreated cells. The PKA activity determined in these conditions also showed a 9-fold increase induced by papaverine preincubation (Figure 4B). In the presence of H89, the PKA activity was significantly (P < .05) inhibited by 80%; hence, a still significant 2.5-fold stimulation with respect to untreated cells was still observed. Genistein also reduced (P < .05) the papaverine-induced PKA activation by 42%, a result that can be explained by the reduced amount of cAMP produced in this condition. Preincubation with genistein + H89 produced a summed inhibition of the papaverine-stimulated PKA activity that brought it to values close to control (no papaverine added). The positive relationship between PKA activity and progesterone-induced calcium influx, obtained from the above described conditions (Figure 5), supported the hypothesis that PKA activation stimulated progesterone action.


Figure 4
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Figure 4. Effect of papaverine on the cAMP, protein kinase A, and tyrosine kinase activities in human sperm. Purified human sperm (~1 x 107 cells) was incubated in 0.25 mL HEPES-buffered human sperm medium (HHSM) supplemented with 0.5 mM papaverine alone or papapaverine + 50 µM H89 and/or 0.4 mM genistein, as described in the legend of Figure 3. (A) and (B) are expressed as fractional change compared with untreated sperm. (A) shows cAMP content; the untreated value was 1.1 ± 0.4 pmol/107 sperm cell (n = 7, SEM). (B) shows protein kinase A (PKA) activity; the untreated value was 2.9 ± 0.3 pmoles/min/107 cells (n = 7, SEM). (C) shows Western blotting of tyrosine-phosphorylated proteins present in sperm extracts (equivalent to ~2 x 106 cells per lane). The blotting is representative of 5 experiments. Pap indicates papaverine; Gen, genistein. *P < .05 (Newman-Keuls test).

 

Figure 5
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Figure 5. Calcium influx (calcium value at the peak minus resting value) induced by progesterone as a function of the protein kinase A activity determined under different experimental conditions. Both variables were taken from Figures 3 and 4 and were plotted as treated:control ratio. (a) control, (b) papaverine, (c) papaverine + genistein, (d) papaverine + H89, and (e) papaverine + H89 + genistein. The continuous line corresponds to y = 0.39x + 1.18 (analysis of mean values), with a correlation coefficient = .8983.

 

Figure 4C shows the 107 and 95 kd proteins that were intensively tyrosine phosphorylated after 4 hours incubation in capacitating medium (not shown) and should correspond to the 105 and 85 kd sperm bands previously reported in Carrera et al (1996). Tyrosine phosphorylation of these proteins was slightly increased in papaverine-treated noncapacitated sperm as compared with nontreated cells. As expected, preincubation with genistein reduced tyrosine phosphorylation protein bands in papaverine-treated sperm to levels below untreated cells.

Since it has been reported that bicarbonate, an activator of soluble adenylyl cyclase, stimulates progesterone-induced calcium influx via a mechanism involving sperm alkalization rather than cAMP production, the effect of papaverine on pHi and on progesterone-induced calcium influx was explored. Papaverine (0.5 mM) preincubation for 5 minutes slightly alkalized the cells, from a resting 6.64 ± 0.03 to 6.79 ± 0.04 (n = 5, SEM). Figure 6 shows a series of experiments that compare the calcium influx induced by progesterone in papaverine-treated sperm and the calcium influx induced by progesterone in cells treated 15 seconds before with 5 mM NH4Cl, which alkalizes the pHi to 6.87 ± 0.02 (n = 5, SEM), a value even more alkaline that the one produced by papaverine preincubation. Even though in some cases there was stimulation, the average increase remained nonsignificant (n = 10, P = .12, paired t-test) as previously reported (Fraire-Zamora and González-Martínez, 2004). In papaverine-treated sperm, the addition of 5 mM NH4Cl produced a higher alkalization (7.07 ± 0.03, n = 5, SEM) and significantly stimulated (increase of ~27%) the calcium influx induced by progesterone (n = 10, P = .004, paired t-test).


Figure 6
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Figure 6. Effect of pHi alkalization on the calcium influx induced by progesterone in papaverine-treated fura ff-loaded sperm. Noncapacitated sperm were preincubated with 0.5 mM papaverine for 5 minutes, washed, and added to the fluorescence cell. Fifteen seconds before progesterone addition (4 µM, indicated by the arrows), NH4Cl (5 mM) was added to alkalize pHi. Control experiments (Con; not preincubated with papaverine) are also included. Pap indicates papaverine. The bars show mean values ± SEM (n = 7). P values correspond to paired t-test between indicated groups.

 


   Discussion
 Top
 Abstract
 Materials and Methods
 Results
 Discussion
 References
 
In this work, we show evidence indicating that a brief exposure of human sperm to papaverine, a phosphodiesterase inhibitor, increases both cAMP content and PKA activity and that, as a result, the [Ca2+]i increase induced by progesterone augments ~5-fold. This conclusion is supported by the fact that an important fraction of the papaverine-stimulated calcium influx induced by progesterone is inhibited by H89, a PKA inhibitor. The partial inhibition was expected since H89 did not produce a total inhibition of the PKA activity, a result that might be explained because all determinations were performed with washed cells in fresh media. Consequently, the 2.5-fold increase in PKA activity still observed in the presence of H89 should be reflected on the calcium influx induced by progesterone. Unexpectedly, genistein was also able to reduce the papaverine-induced increase of both cAMP content and the PKA activity, an effect that was also consistent with a diminished papaverine-stimulated [Ca2+]i increase induced by progesterone. Other effects of genistein (see below) or H89 could also affect other pathways. In this regard, H89 inhibits PKB/AKT (Davies et al, 2001) a serine-threonine kinase present in human sperm (Aquila et al, 2000); consequently, a contribution of this kinase to the stimulated signals observed here should not be discarded. Nevertheless, the fact that a combined effect of both inhibitors produced a summed decrease on both PKA activity and [Ca2+]i increase induced by progesterone supports the hypothesis that the calcium transport mechanism activated by progesterone is up-regulated by PKA activation. Consistently, PKA inhibitors block the acrosome reaction induced by progesterone in human capacitated sperm (Harrison et al, 2000). Thus, it is conceivable that the activation of the soluble adenylyl cyclase/cAMP/PKA system observed during capacitation stimulates the calcium entry mechanism triggered by progesterone and contributes to its capability to induce the acrosome reaction. Interestingly, induction of cAMP production mediated by particulate adenylyl cyclase, and PKA activation, has been involved in calcium influx induced by bourgeonal, an odorant receptor agonist that, like progesterone (Teves et al, 2006), induces chemotaxis in human sperm (Spehr et al, 2004).

Unlike the results presented here, Aitken et al (1998) have reported that exposure to 3 mM pentoxifylline and 5 mM dibutiryl cAMP in bicarbonate-free medium does not stimulate the calcium influx induced by progesterone in human sperm. Here we show that under our experimental condition, basically related to 5 minutes of exposure to the PDE inhibitor in sperm suspensions, pentoxifylline alone stimulates the progesterone-induced calcium influx, although to a lower extent as compared with papaverine (in the range of PDE inhibitor tested). Additionally, Aitken et al have reported that the progesterone-induced calcium influx is stimulated by pHi alkalization induced in pH 8.6 medium and suggested that bicarbonate, the sAC activator, stimulates progesterone-induced calcium influx via pHi alkalization. In this work, we observed that papaverine induced a slight alkalization that could consequently contribute to the signal. However, this effect is negligible since pHi alkalization induced with ammonium, at a value even more alkaline than the one induced by papaverine, produced no significant effects on progesterone action as previously reported (Fraire-Zamora and González-Martínez, 2004); however, in sperm exposed to papaverine, the calcium influx induced by progesterone was significantly stimulated by pHi alkalization, suggesting that pHi alkalization may have stimulatory effects on progesterone action unless the cAMP-PKA system is sufficiently activated.

Exposure to papaverine produced a slight increase in tyrosine phosphorylation activity on the 2 major tyrosine phosphorylated proteins that appear during capacitation in human sperm (Carrera et al, 1996), and preincubation with genistein decreased this activity to levels even below the control. As mentioned above, the inhibitory effect of genistein on the calcium influx induced by progesterone may be mediated by its decreasing effect on cAMP content and consequently PKA activity. Consistently, it has been observed that the induction of hyperactivated motility by progesterone, a process mediated by cAMP production, is inhibited by genistein (Parinaud and Milhet, 1996). Thus, it is possible that the adenylyl cyclase requires a sustained, basal tyrosine kinase activity to have full activation. In this regard, it has been suggested that the adenylyl cyclase can be up-regulated by tyrosine kinases in glial and vascular smooth muscle cells (El-Mowafy and White, 1998; Roymans et al, 2001). On the other hand, tyrosine kinases could directly stimulate PKA activity; as for this hypothesis, it has been proposed that human sperm PKA might be activated during sperm capacitation independently of cAMP (Lefievre et al, 2002). In addition, the effect of genistein could be related to its stimulating effect on a cystic fibrosis transmembrane conductance that produces hyperpolarization in mouse sperm (Hernández-González et al, 2007). This phenomenon might be significant given that the calcium influx induced by progesterone diminishes in hyperpolarized human sperm (Guzmán-Grenfell et al, 2004). It is important to note that a lack of genistein effect on the [Ca2+]i increase induced by progesterone has been observed (Martínez et al, 1999; Kirkman-Brown et al, 2002). The higher amount of genistein used in this study or the use of washed cells for [Ca2+]i measurements might explain this discrepancy. On the other hand, others have documented inhibitory effects of genistein only on the sustained calcium influx induced by progesterone in capacitated human sperm (Bonaccorsi et al, 1995).

The mechanism by which PKA activation stimulates calcium entry pathway(s) triggered by progesterone remains to be established. The increased sustained calcium influx induced by progesterone in capacitated sperm has been attributed to the slight increase in resting [Ca2+]i (detected with the high-affinity detector fura 2) that occurs during sperm capacitation (Baldi et al, 1991), which would increase the number of functional progesterone receptors (Mendoza and Tesarik, 1993). We must mention that we could not detect this increase in fura ff-loaded sperm, perhaps because of its low affinity for calcium (Kd = 5.5 µM; Neri-Vidaurri et al, 2006). A high resting [Ca2+]i could be related to the stimulating effect of papaverine on the calcium influx induced by progesterone because papaverine increases resting [Ca2+]i, However, this seems not to be the case since the stimulation was inhibited by genistein or H89 or the sum of both, without reversing the enhanced [Ca2+]i resting values caused by papaverine. In this regard, the lack of effect of H89 and genistein on the papaverine-induced increase on basal [Ca2+]i suggests direct participation of either cAMP and/or cGMP or cAMP targets different from PKA, such as the exchange proteins activated directly by cyclic AMP (EPAC), on the calcium transport mechanisms that set the resting [Ca2+]i in human sperm. Interestingly, pentoxifylline incubation did not increase the resting [Ca2+]i, an effect that has been observed by Nassar et al (1998). It is possible that this difference reflects a preferential effect of papaverine on a PDE involved in cAMP present near the calcium transport system that sets the resting [Ca2+]i in human sperm and on that cAMP regulate them.

In summary, we provide evidence suggesting that the calcium transport systems triggered by progesterone in human sperm are highly stimulated when protein kinase A is activated. This regulation may contribute to the enhanced [Ca2+]i increase induced by progesterone in capacitated sperm, a phenomenon that might be required for a successful egg fertilization.


   Acknowledgments
 
We thank Ma. Juana Garcia Mondragon (Facultad de Medicina, Universidad Nacional Autónoma de México [UNAM]) and Margarita Rosas Flores (Centro de Investigación y de Estudios Avanzados del Instituto Politécnico Nacional [CINVESTAV, IPN]) for their excellent technical assistance.


   Footnotes
 
Supported by Programa de Apoyo a Progectos de Investigación e Innovación Tecnológica-Dirección General de Apoyo al Personal Academico/Universidad Nacional Autónoma de México (PAPIITDGAPA/UNAM) grants IN213105 and IN213308, and Consejo Nacional de Ciencia y Technología (CONACYT) grant 49517.


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 Discussion
 References
 
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