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
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