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Status of vitamin E and reduced glutathione in semen of oligozoospermic and azoospermic patients

A. Bhardwaj, A. Verma, S. Majumdar, K. L. Khanduja

Departments of Biophysics and Experimental Medicine, Postgraduate Institute of Medical Education & Research, Chandigarh, India

Asian J Androl  2000 Sep; 2: 225-228


Keywords: oligospermia; glutathione; vitamin E; semen
Abstract
Aim: To investigate the status of seminal plasma reduced glutathione (GSH) and vitamin E in three different conditions of spermatogenesis: azoospermia, oligozoospermia and normospermia. Methods: Reduced glutathione was measured in the seminal plasma by the method of Moron et al (1979), and vitamin E estimation was performed by the method of Taylor et al (1976). Results: Vitamin E levels in seminal plasma of oligospermic and azoospermic samples were significantly decreased to 65.54% and 66.04% respectively as compared to the normospermic group. Levels of  reduced glutathione were also significantly decreased in oligospermic and azoospermic group, and the reduction in azoospermic group (76.73%) was more pronounced than oligozoospermic group (62.07%). Conclusion: The decrease in reduced glutathione, an endogenous antioxidant, levels in azoospermic and oligozoospermic conditions may cause disruption in the membrane integrity of spermatozoa as a consequence of increased oxidative stress.

1 Introduction

Oligozoospermia (<20106 spermatozoa/mL) and azoospermia are the major causes of male infertility[1]. Several investigators have demonstrated that damaged or defective spermatozoa produce higher levels of reactive oxygen species (ROS). The possible relationship between the prevalence of ROS and infertility has been investigated in recent years. As many as 20% semen samples from an unselected population of men attending an infertility clinic produced significant levels of ROS[2,3]. Furthermore, there is an inverse correlation between the percentage of motile spermatozoa and level of ROS[2]. Generation of ROS in semen is negatively associated with both the outcome of sperm-oocyte fusion assay and fertility in vivo[4]. ROS (superoxide anion, hydrogen peroxide, and hydroxyl radicals), as well as the fatty acid peroxide generated by ROS attack on cell membrane phospholipids, are associated with loss of mammalian sperm motility and decreased capacity for sperm-oocyte fusion[5-8]. In addition, the degradation products of these lipid peroxides such as hydroxyalkenals and malonaldehyde are also highly toxic to spermatozoa and cause an irreversible loss of motility.

To counteract the effects of ROS, spermatozoa and seminal plasma possess systems to scavenge ROS and prevent internal cellular damage. The presence of superoxide dismutase (SOD), catalase and of the glutathione peroxidase/reductase system in human semen is well established[7,9-11]. Besides these enzymes, other substances like glutathione[12], pyruvate[13], taurine and hypotaurine[14], vitamins E and C[15,16] etc, also play an important role in protection of the cells against oxidative stress. The aim of the present study was to determine whether the levels of reduced glutathione and vitamin E in the seminal plasma have any correlation with the infertility in men.
2 Materials and methods

2.1 Collection of Semen

Human semen samples, 12 each of normospermic, oligospermic and azoospermic subjects, were obtained from men attending the infertility clinic of the institute after taking the informed consent and clearance from the ethical committee of the institute. Semen samples were divided into the 3 categories on the basis of number of spermatozoa (n) present/mL of the semen, normospermic, n20106/mL, motility 40% or more with forward progression, oligospermic, n20106/mL and azoospermic, n=0. Seminal plasma was separated from semen by centrifugation at 1000g.  The supernatant was used for the vitamin E and reduced glutathione (GSH) estimation.

2.2 Estimation of vitamin E

Vitamin E was measured spectrofluorometrically by the method of Taylor et al[17]. Saponification and extraction of vitamin E from the seminal plasma was done by the method of Desai et al[18].  Briefly, to 1 mL of seminal plasma, 2 mL of 1% ascorbic acid was added. After thorough mixing, the tubes were incubated for 30 min at 70. Then the tubes were cooled on ice and 1 mL of distilled water and 4 mL of hexane were added. The samples were vigorously vortexed and centrifuged at 1,600g for 10 min. The upper hexane layer was removed and treated with 60%  H2SO4 for 30 sec to remove vitamin A. Vitamin E was estimated in this layer with spectrofluorometer at excitation wavelength of 286 nm and emission wavelength of 330 nm.

2.3 Estimation of reduced glutathione

Reduced glutathione was measured according to the method of Moron et al[19]. Briefly, to 200 L of seminal plasma 800L distilled water and then 2 mL of sodium phosphate-EDTA buffer, containing 0.6 mol/L DTNB 5,5'dithiobis-2 (nitrobenzoic acid) were added. Optical density of the yellow colored complex developed by the reaction of GSH and DTNB (Ellman's reagent) was measured at 405 nM.

2.4 Statistical analysis

The results was performed by the Student's unpaired t test and P<0.05 was considered significant.

3 Results

3.1 Levels of vitamin E

Figure 1 shows the levels of vitamin E in the seminal plasma of normospermic, oligozoospermic and azoospermic subjects. Values (meanSD) for the three groups were 11.82.70, 7.840.71 and 7.800.73 g/mL respectively. The concentration of this vitamin in oligospermic and azoospermic samples were significantly decreased in comparison to the normospermic group (P<0.01).

Figure 1. Levels (means) of vitamin E  (g / mL) in seminal plasma of normospermic, oligospermic,  and azoospermic  subjects. cP<0.01 in comparison to normospermic.

3.2 Levels of reduced glutathione

The contents of reduced glutathione (Figure 2) were significantly (P<0.01) decreased from 58.014.0 to 22.05.0 and 13.54.0 g/mL in oligospermic and azoospermic groups respectively.

Though the contents of vitamin E in oligospermic and azoospermic samples were similar, the levels of reduced glutathione in azoospermic group were significantly (P<0.01) decreased in comparison to the oligospermic group.

Figure 2. Levels (means) of reduced glutahione (g of GSH/mL) in seminal plasma of normospermic, oligospermic,  and azoospermic  subjects. cP<0.01 in comparison to normospermic. fP<0.01 in comparison to oligospermic.

4 Discussion

Although the importance of seminal plasma in the protection of spermatozoa  against ROS is well established, only few studies have investigated its antioxidative properties, and the possible relationship between infertility and plasma antioxidant defense systems. It has been reported that -tocopherol concentration, superoxide dismutase and glutathione peroxidase activities of spermatozoa were significantly elevated in leukocytospermia[20]. It has further been suggested that -tocopherol might play a role[15], in association with antioxidant enzymes, for preserving the functional competence of spermatozoa subjected to an oxidative stress[21].

A study in the literature[22] shows that in the spermatozoa of patients with oligozoospermia, which causes infertility in many cases, the glutathione concentration was significantly lower than in the normospermic, with no changes in the seminal plasma. However, in our study we have observed a significant decrease in the levels of this peptide in seminal plasma of oligospermic subjects. The levels were further declined in the azoospermic patients. Glutathione is an important endogenous antioxidant. GSH can scavenge various free radicals directly, as well as acts as a substrate for glutathione peroxidase. Glutathione has been postulated to play a role in the regeneration of tocopherol radicals[23,24]. Other known physiological functions of glutathione include maintenance of membrane integrity and cytoskeletal organization, involvement in protein and DNA synthesis, modulation of protein conformation, enzyme activity and PGE2 synthesis[25]. It was interesting to find that the reduction in reduced glutathione levels in seminal plasma of azoospermic subjects (23.27%) was more than the reduction (37.93%) in the level of this hydrophillic antioxidant in the oligospermic patients. Since glutathione has a role in maintenance of membrane integrity and cytoskeletal organization, its reduction to different extents might be responsible for destruction of germ cells due to increased oxidative burden, resulting in the conditions of oligospermia and azoospernia accordingly. Vitamin E is also considered to be extremely important because of its association with cell membrane[26], for its free radical quenching properties[27] and also for maintaining the normal immune system[28,29]. Its levels do not show any differentiating relationship between the two conditions of spermatogenesis. These observations demand further investigations on the status of non-enzymatic defense system in the testis and its relationship with the antioxidant system in the seminal plasma and the spermatogenesis.

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Correspondence to: Prof. K. L. Khanduja, Department of Biophysics, Postgraduate Institute of Medical Education & Research,  Chandigarh-160 012, India.
Fax: +91-172-744 401  +91-172-745 078

e-mail: medinst@pgi.chd.nic.in
Received 2000-07-10     Accepted 2000-08-28