| This web only provides the extract of this article. If you want to read the figures and tables, please reference the PDF full text on Blackwell Synergy. Thank you. - Review  - Participation of epididymal cysteine-rich secretory proteins in 
sperm-egg fusion and their potential use for male fertility        
regulation Debora J. Cohen, Vanina G. Da Ros, Dolores Busso, Diego A. Ellerman, Julieta A. Maldera, Nadia 
Goldweic,Patricia S. Cuasnicú Institute of Biology and Experimental Medicine, 
Vuelta de Obligado 2490, Buenos Aires 1428, Argentina
             Abstract Rat protein DE is an androgen-dependent cysteine-rich secretory protein (CRISP) synthesized by proximal 
epididymal regions.  DE, also known as CRISP-1, is localized on the equatorial segment of acrosome-reacted 
spermatozoa and participates in gamete fusion through binding to egg complementary sites.  Immunization of rats with DE 
inhibits fertility and sperm fusion ability, suggesting that DE represents a good epididymal contraceptive target.  
Recombinant DE fragments and synthetic peptides revealed that DE binds to the egg via a 12-amino acid region of an 
evolutionarily conserved motif, Signature 2 (S2).  The ability of other CRISP to bind to the rat egg was correlated with 
their S2 amino acid sequences.  Although testicular protein Tpx-1 (CRISP-2) was capable of binding to rodent eggs, 
human epididymal AEG-related protein (ARP) and helothermine (from lizard saliva) were not. The S2 region presented 
only two substitutions in Tpx-1 and four in ARP and helothermine, compared with the DE S2, suggesting that this 
amino acid sequence was relevant for egg interaction.  Studies with Tpx-1 and anti-Tpx-1 revealed the participation of 
this protein in gamete fusion through binding to complementary sites in the egg.  In competition studies, DE reduced 
binding of Tpx-1 dose-dependently, indicating that both CRISP share the egg complementary sites.  That anti-DE and 
anti-Tpx-1 inhibit sperm-egg fusion while recognizing only the corresponding proteins, suggests functional 
cooperation between these homologous CRISP to ensure fertilization success.  These results increase our understanding of 
the molecular mechanisms of gamete fusion and contribute to the development of new and safer fertility regulating 
methods.  (Asian J Androl 2007 July; 9: 528_532)
             Keywords:  contraception; cysteine-rich secretory protein; epididymis; gamete fusion; sperm Correspondence to:ĦĦDr Patricia S. Cuasnicú, Institute of Biology and Experimental Medicine, Vuelta de Obligado 2490, Buenos Aires 1428, 
Argentina.
Tel: +54-11-4783-2869     Fax: +54-11-4786-2564
 E-mail: cuasnicu@dna.uba.ar
 DOI: 10.1111/j.1745-7262.2007.00283.x			            
             
 1    Introduction
 There is a need to develop new family planning methods that meet the different needs and preferences of people 
at different times in their reproductive lives.  This is particularly
  critical for men given that choices 
  available are limited to condoms and vasectomy.  In this regard, the epididymis is a good target for contraception because it 
  is not itself involved in sperm production or hormone synthesis, and contraceptive strategies directed towards 
  this organ are unlikely to produce adverse effects.  Therefore, specific interference with the acquisition of the 
  sperm fertilizing ability that occurs during epididymal maturation represents an attractive approach to the 
  development of new and safer contraceptive methods.  The present article focuses on the results obtained in our 
  laboratory aimed at studying both the involvement of epididymal proteins in sperm_egg interaction and their 
  potential use for fertility regulation.  
 2    Epididymal protein DE
 Epididymal protein DE was first described by our 
laboratory [1].  This protein of 32 kDa contains 10% 
carbohydrates [2, 3], is synthesized in an 
androgen-dependent manner by the proximal segments of the 
epididymis, and associates with the sperm surface 
during epididymal maturation [4, 5].  DE is a member of the 
cysteine-rich secretory protein (CRISP) family, a large 
group of secreted proteins with molecular weights of 
approximately 20_30 kDa, characterized by the presence 
of 16 conserved cysteine residues, 10 of which are 
clustered in the C-terminal domain of the molecule.  Because 
it was the first described member of the CRISP family, 
DE is also known as CRISP-1.  Since then, other 
members of the family have been identified in different 
mammalian tissues: CRISP-2, also known as Tpx-1, which is 
expressed in the testis and is synthesized exclusively in 
the developing spermatids [6, 7], CRISP-3, with a wider 
tissue distribution than the other CRISP, including 
reproductive (prostate and ovary) and non-reproductive 
(salivary gland, pancreas, thymus and colon) organs 
[8_10], and the recently described CRISP-4, which is 
exclusively expressed in the epididymis [11, 12].  Other 
members of the family are present in salivary secretions of 
certain snakes and lizards, and several proteins with 
significant homology to the N-terminal domain of CRISP are 
present in plants, insect and fungi.  A recent 
crystallographic analysis of several CRISP family members revealed 
that CRISP are modular proteins formed by two domains: 
a plant pathogenesis-related domain (PR-1) and a 
cysteine-rich domain (CRD), connected by a short hinge [13].  
Although CRISP are found across a broad variety of living 
forms and exhibit diverse biological functions, the 
molecular mechanisms underlying these functions remain 
unknown for most of the CRISP family members.  
 3    Participation of DE in sperm_egg fusion
 Originally localized in the dorsal region of the 
acrosome, DE migrates to the equatorial segment as the 
acrosome reaction occurs [14].  The relocation of DE to 
the equatorial segment, the region through which the 
sperm fuses with the egg [15, 16] opened the possibility 
of a role for DE in sperm-egg fusion.  The finding that 
exposure of zona-free rat eggs to purified DE produced 
a significant reduction in the percentage of egg 
penetration without affecting the first step of sperm_egg 
binding indicated that this protein participates in an event 
subsequent to binding and leading to fusion, through its 
interaction with complementary sites localized on the egg 
surface [17].  Indirect immunofluorescence studies show 
that these DE-binding sites are localized over the entire 
egg surface with the exception of the area overlying the 
meiotic spindle [17], a region through which fusion rarely 
occurs.  Therefore, while DE is localized on the fusogenic 
region of the sperm head, the DE-binding components are 
localized on the fusogenic area of the egg surface.  
 Sequential extraction of proteins from epididymal 
sperm revealed the existence of two populations of DE 
bound to sperm: a major (70%) population loosely 
associated with sperm by ionic interactions, which is released 
from the cells during capacitation and, therefore, is 
proposed to act as a decapacitation factor [5, 18]; and a 
minor (30%), tightly bound population, which behaves 
as an integral protein, remains on sperm after 
capacitation and corresponds to the protein that migrates to the 
equatorial segment and participates in gamete fusion 
(Figure 1) [18].  
 4    Relevance of DE for fertility 
 Having established the participation of DE in fertilization, the question arose as to whether this 
epididymal protein was relevant for fertility.  Male and 
female rats were then immunized with purified DE and analyzed 
for their subsequent fertility.  In this regard, it is 
important to note that this immunological approach not only 
provides information on the relevance of a protein for 
fertility but also represents an excellent tool to neutralize 
a protein and to identify a potential target for 
contraception.  Results indicated that immunization of 
rats with DE produced specific antibodies against the 
protein in over 90% of the animals and a significant and 
reversible inhibition of fertility in both sexes [19]. 
 
      Subsequent studies confirmed the absence of 
pathological effects on the reproductive organs and revealed 
that fertility inhibition would involve the entry of the 
antibodies into the reproductive tract, their interaction with 
sperm and their specific interference with the sperm 
fertilizing ability [20, 21].  Together, these results support 
both the relevance of DE for fertility and its potential use 
for contraceptive development.  
 5    Participation of other epididymal CRISP in 
gamete fusion 
 An analysis of the complete sequence of DE showed 
that it exhibits significant homology (84%) with murine 
epididymal protein AEG-1/CRISP-1 [8, 22], suggesting 
its possible involvement in gamete fusion.  Results from 
our laboratory showed that this homologous protein also 
participates in sperm-egg fusion through its interaction with 
complementary sites on the surface of the murine egg 
[23].  
      DE also exhibits homology (40%) with a human 
epididymal protein described by two independent 
laboratories and named ARP (AEG-related protein) [24] or 
hCRISP-1 [25].  However, recent results showed that 
this protein presents a higher homology (53%) with 
epididymal CRISP-4 [12].  The absence of a protein more 
related to DE in humans, together with the strict 
epididymal origin of ARP/hCRISP, its molecular weight, and its 
localization on the sperm head [24], suggest that it could 
correspond to the molecule performing, in humans, a 
function equivalent to that of DE in rodents.  Although 
the weak association of ARP/hCRISP to the sperm 
surface [25] raised the question of whether this protein 
would have a role in fertilization, sequential protein 
extraction experiments carried out in our laboratory also 
indicated the existence of another population of ARP, 
tightly associated with human sperm [26].  The 
involvement of ARP in gamete fusion was then evaluated by 
investigating the effect of an antibody against the 
recombinant human protein [24] on the ability of 
capacitated human sperm to penetrate zona-free hamster eggs.  
Results showed that the antibody significantly decreased 
the sperm's ability to penetrate the eggs without 
affecting sperm viability/motility, the occurrence of the 
acrosome reaction or the binding of sperm to the 
hamster oolemma [26].  Subsequent immunofluorescence 
experiments revealed the existence of binding sites for 
ARP on the surface of zona-free human eggs supporting the idea that ARP could be the functional 
homologue of DE in humans.   
 6    Structure-function analysis of DE
 The results obtained in our studies indicate that DE 
and its functional homologues in mouse and human 
participate in gamete fusion through their binding to 
complementary sites on the egg surface.  However, the 
molecular mechanisms involved in these interactions remained 
unknown.  The successful expression of recombinant 
DE in a prokaryotic system [27] led us to perform 
structure-function studies aimed to elucidate the molecular 
mechanisms underlying DE function.  These studies showed that the activity of the protein does not involve 
carbohydrates, and resides in the polypeptidic region of 
the molecule [27].  However, the analysis of the amino 
acid sequence of DE indicated a lack of known functional domains that could explain its involvement in 
gamete fusion.  To identify the binding domain of DE, 
recombinant fragments of the protein were expressed in a 
prokaryotic system based on the structure of 
recombinant mouse CRISP-1, and evaluated for their ability to 
bind to the egg surface and interfere with gamete fusion.  
Indirect immunofluorescence and sperm-egg fusion 
experiments using a first series of fragments revealed that 
the egg binding ability of DE is contained within the 
N-terminal domain of the molecule.  Subsequent 
experiments using a new series of recombinant fragments 
circumscribed this activity to a region of 45-amino acids 
(114_158) [28].  Interestingly, the analysis of this region 
revealed that it contains the two feature motifs of the 
CRISP family named Signature 1 and Signature 2.  To 
investigate whether these motifs were involved in the 
egg binding ability of DE, two synthetic peptides with 
the amino acid sequence of these motifs were produced: 
Peptide 1 (P1): GHYTQVVWNST and Peptide 2 (P2): FYVCHYCPGGNY.  The use of these peptides in 
biological assays indicated that P2 but not P1 was capable 
of binding to the egg and interfering with gamete fusion 
[28].  The lack of egg labeling and fusion inhibition 
observed with a peptide containing the same amino acids 
as P2 but in a different order, confirmed the relevance of 
the S2 region for the binding of DE to the egg.  To our 
knowledge, these results constitute the first evidence 
describing a functional role for the motif of the CRISP 
family and succeeding in delimiting the activity of a CRISP 
protein to such a small region.  Moreover, the finding 
that the activity of DE resides in only 12 amino acids 
represents an important contribution for the future 
design of new and safer fertility regulating methods.
 Considering the modular structure of CRISP proteins, 
our results indicate that the egg-binding ability of DE 
resides within the PR-1 domain of the molecule.  The 
involvement of the CRD domain in other potential 
functions of DE, however, cannot be excluded.  Recent 
evidence indicates that CRISP proteins from snake venom 
[29] as well as murine Tpx-1/CRISP-2 [30], possess an 
ion-channel regulatory activity located in the CRD.  In 
this regard, it is interesting to mention that DE has been 
shown to have an inhibitory activity on sperm protein 
tyrosine phosphorylation [31], a capacitation-associated 
event that depends on the regulation of several ion 
channels [32].  In view of this, it is likely that DE acts as a 
decapacitation factor regulating ion channels through the 
CRD.  According to all these observations, the biological 
roles of DE would not only be exerted by two different 
populations of the protein (i.e. loosely/tightly bound to 
sperm), but would also reside in different domains of the 
protein (Figure 2).  
 The fact that the egg-binding ability of DE resides in 
an evolutionarily conserved region of the protein raised 
the question of how this common region might possess 
the necessary specificity for interacting with the 
different eggs.  To answer this question, we analyzed the 
ability of several CRISP proteins to interact with rat eggs in 
relation to the amino acid sequences of their corresponding 
S2 regions.  Although testicular murine Tpx-1 (CRISP-2) 
was capable of binding to the rat egg, human ARP and 
helothermine, a CRISP from lizard saliva [33], were 
unable to recognize the rodent gamete.  In correlation with 
this, the S2 region presented only two substitutions in 
murine Tpx-1, and four in both human ARP and 
helothermine, when compared with S2 in rat DE.  These results 
suggest that differences in the amino acid sequence of 
this region might be responsible for the specificity of the 
binding of each CRISP to its target egg [28].  
 The observation that murine Tpx-1 was able to bind 
to the rat egg surface, opened the possibility for a role of 
this protein in gamete fusion.  The incubation of 
zona-free eggs with different concentrations of 
bacterially-expressed recombinant Tpx-1 (recTpx-1) prior to 
insemination produced a significant and dose-dependent decrease 
in the percentage of penetrated eggs compared with 
controls, suggesting that Tpx-1 would participate in 
gamete fusion through its interaction with complementary 
sites on the egg surface.  Considering that the S2 region 
of these two proteins differed in only two amino acids, 
the possibility existed that both proteins would be 
interacting with the same binding sites on the egg. 
 In vitro competition studies in which zona-free murine eggs were 
incubated with a fixed concentration of recTpx-1 and 
increasing amounts of DE showed a gradual decrease in 
the binding of recTpx-1 to the egg, suggesting that both 
proteins interact with common egg complementary sites 
[34].  Therefore, to examine the specific participation of 
Tpx-1 in gamete fusion we evaluated the effect of an 
antibody against this protein (anti-Tpx-1) on murine 
in vitro fertilization, knowing that this antibody does not 
cross-react with DE.  Results showed that anti-Tpx-1 
significantly decreases the percentage of penetrated eggs 
with a coincident accumulation of perivitelline sperm, 
supporting the specific participation of Tpx-1 at the 
sperm-egg fusion level [34].  
 Together, the results obtained suggest the 
involvement of both epididymal DE/CRISP-1 and testicular 
Tpx-1/CRISP-2 in gamete fusion, supporting the idea of a 
functional cooperation between homologue molecules as a 
mechanism to ensure the success of fertilization.  
Nevertheless, the lack of cross-reaction of anti-DE with 
Tpx-1 confirmed that the inhibition of fertility in 
DE-immunized animals would be a result of a specific 
interference with the epididymal protein.
 7    Conclusion
 In summary, the results obtained indicate that 
epididymal protein DE/CRISP-1 fulfills many of the requisites 
for an epididymal contraceptive target: (i) it is an 
epididymal specific protein; (ii) it is localized on the sperm 
surface being accessible for its blockage in the male tract; 
(iii) it is relevant for fertility, as demonstrated by the 
immunization studies; (iv) it plays a specific role in 
fertilization (sperm_egg fusion) and capacitation; (v) its 
active site has been identified and resides in a discrete 
region of the molecule (12 amino acids); and (vi) it is a 
member of a highly evolutionarily conserved family 
(CRISP) with functional homologues in other species, 
such as mouse and human.  
      The relevance of ARP/hCRISP-1 for human 
fertility is currently being investigated in our laboratory by 
immunization studies carried out on a non-human 
primate model.  We believe these results will contribute to a 
better understanding of the molecular mechanisms 
involved in fertilization as well as to the development of 
new and safer methods of fertility regulation.
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