Anat Cell Biol.  2024 Mar;57(1):119-128. 10.5115/acb.23.164.

Glucocorticoids improve sperm performance in physiological and pathological conditions: their role in sperm fight/flight response

Affiliations
  • 1Department of Pharmacy, Health and Nutritional Sciences, University of Calabria, Cosenza, Italy
  • 2Health Center, University of Calabria, Cosenza, Italy

Abstract

Glucocorticoids play a physiologic role in the adult male reproductive functions, modulating gonadal steroid synthesis and spermatogenesis, through the glucocorticoid receptor (GR). The expression of GR has been described in several key testicular cell types, including somatic cells and early germ cell populations. Nothing is known on GR in human spermatozoa. Herein, we explored the GR expression and its possible role in normal and testicular varicocele semen samples from volunteer donors. After semen parameter evaluation by macro- and microscopic analysis, samples were centrifuged; then spermatozoa and culture media were recovered for further investigations. By western blotting and immunofluorescence analyses we evidenced for the first time in spermatozoa the presence of GR-D3 isoform which was reduced in sperm from varicocele patients. By treating sperm with the synthetic glucocorticoid dexamethasone (DEXA), we found that survival, motility, capacitation, and acrosome reaction were increased in both healthy and varicocele samples. GR involvement in mediating DEXA effects, was confirmed by using the GR inhibitor mifepristone (M2F). Worthy, we also discovered that sperm secretes different cortisol amounts depending on its physio-pathological status, suggesting a defence mechanism to escape the immune system attach in the female genital tract thus maintaining the immune-privilege as in the testis. Collectively, our data suggests a role for glucocorticoids in determining semen quality and function, as well as in participating on sperm immune defensive mechanisms. The novelty of this study may be beneficial and needs to take into account in artificial insemination/drug discovery aimed to enhancing sperm quality.

Keyword

Human sperm; Varicocele; Glucocorticoid receptor; Male infertility

Figure

  • Fig. 1 GR-D3 is present in human ejaculated spermatozoa. Western blot of GR-D3 protein in human sperm from healthy and varicocele patients. MCF-7 extract was used as expression control. N: sperm lysate of tree pooled ejaculates from healthy men; V: sperm lysate of tree pooled ejaculates from patients with varicocele. The experiments were repeated at least four times and the blot shows the results of one representative assay. β-actin was used as loading control. The optical density of the GR-D3 band in N and V samples is reported on the right. GR, glucocorticoid receptor; N, normozoospermic; V, varicocele. ****P<0.001.

  • Fig. 2 Compartimentalization of GR-D3 in human spermatozoa from healthy and varicocele patients. Representative images of immunofluorescence assay in human spermatozoa by using the GR primary antibody (green). Nuclei were counterstained with DAPI (blue). N: sperm of three pooled ejaculates from healthy men; V: sperm of tree pooled ejaculates from patients with varicocele grade III. Scale bars: 12,5 µm. varicocele; N, normozoospermic; V, varicocele.

  • Fig. 3 DEXA induce sperm motility and survival. Sperm motility (A) and survival (B) expressed as percentage of total motile and survival sperm. Columns indicate the mean±SEM of six independent experiments performed in duplicate. N, normozoospermic; V, varicocele; DEXA, dexamethasone. **P<0.05 and ***P<0.01 vs. untreated samples (-).

  • Fig. 4 Dexamethasone (DEXA) increases cholesterol efflux and induces acrosome reaction in sperm. (A) Cholesterol content in culture medium of purified spermatozoa from normal and varicocele samples was measured in the absence (–) or in the presence of the treatments, as indicated. Data are expressed as mg/1×107 sperm. Columns represent means±SEM of six independent experiments carried out in duplicate. *P<0.05, **P<0.02, and ***P<0.0001 vs. untreated sample. (B) Acrosome reaction was analyzed in sperm as indicated. Capacitated sperm (Cap) were used as positive control. Data are expressed as percentage of acrosome reacted sperm. *P<0.01, **P<0.005, and ***P<0.0001 vs. untreated samples (–).

  • Fig. 5 Cortisol secretion is induced by dexamethasone (DEXA) in sperm. Cortisol amount in culture medium of purified spermatozoa from normal and varicocele samples was measured in the presence or not of the treatments, as indicated. Results are expressed as pg/1×107 sperm. *P<0.05 and **P<0.01 vs. untreated sperm (–).

  • Fig. 6 Effect of DEXA on PI3k/AKT and SAPK/JNK pathways. Western blotting analyses were performed in normozoospermic (A) and varicocele sperm (B). Blots show the results of one representative experiment repeated at least four times. β-actin was used as loading control. The optical density is reported on the right. DEXA, dexamethasone; PI3K, PI3-kinase; JNK, c-jun N-terminal kinase; M2F, mifepristone. **P<0.005 vs. untreated sperm (–).


Reference

References

1. Arango-Lievano M, Lambert WM, Jeanneteau F. 2015; Molecular biology of glucocorticoid signaling. Adv Exp Med Biol. 872:33–57. DOI: 10.1007/978-1-4939-2895-8_2. PMID: 26215989.
Article
2. Desmet SJ, De Bosscher K. 2017; Glucocorticoid receptors: finding the middle ground. J Clin Invest. 127:1136–45. DOI: 10.1172/JCI88886. PMID: 28319043. PMCID: PMC5373866.
Article
3. Kumar R, Thompson EB. 2005; Gene regulation by the glucocorticoid receptor: structure:function relationship. J Steroid Biochem Mol Biol. 94:383–94. DOI: 10.1016/j.jsbmb.2004.12.046. PMID: 15876404.
Article
4. Labeur M, Holsboer F. 2010; Molecular mechanisms of glucocorticoid receptor signaling. Medicina (B Aires). 70:457–62. PMID: 20920967.
5. Bender IK, Cao Y, Lu NZ. 2013; Determinants of the heightened activity of glucocorticoid receptor translational isoforms. Mol Endocrinol. 27:1577–87. DOI: 10.1210/me.2013-1009. PMID: 23820903. PMCID: PMC3753425.
Article
6. Saif Z, Dyson RM, Palliser HK, Wright IM, Lu N, Clifton VL. 2016; Identification of eight different isoforms of the glucocorticoid receptor in guinea pig placenta: relationship to preterm delivery, sex and betamethasone exposure. PLoS One. 11:e0148226. DOI: 10.1371/journal.pone.0148226. PMID: 26840867. PMCID: PMC4739593.
Article
7. Ramamoorthy S, Cidlowski JA. 2016; Corticosteroids: mechanisms of action in health and disease. Rheum Dis Clin North Am. 42:15–31. viiDOI: 10.1016/j.rdc.2015.08.002. PMID: 26611548. PMCID: PMC4662771.
8. Oakley RH, Cidlowski JA. 2013; The biology of the glucocorticoid receptor: new signaling mechanisms in health and disease. J Allergy Clin Immunol. 132:1033–44. DOI: 10.1016/j.jaci.2013.09.007. PMID: 24084075. PMCID: PMC4084612.
Article
9. Hu GX, Lian QQ, Lin H, Latif SA, Morris DJ, Hardy MP, Ge RS. 2008; Rapid mechanisms of glucocorticoid signaling in the Leydig cell. Steroids. 73:1018–24. DOI: 10.1016/j.steroids.2007.12.020. PMID: 18281069. PMCID: PMC2561306.
Article
10. Gannon AL, Darbey AL, Chensee G, Lawrence BM, O'Donnell L, Kelso J, Reed N, Parameswaran S, Smith S, Smith LB, Rebourcet D. 2022; A novel model using AAV9-cre to knockout adult leydig cell gene expression reveals a physiological role of glucocorticoid receptor signalling in leydig cell function. Int J Mol Sci. 23:15015. DOI: 10.3390/ijms232315015. PMID: 36499341. PMCID: PMC9737203.
Article
11. Medar ML, Andric SA, Kostic TS. 2021; Stress-induced glucocorticoids alter the Leydig cells' timing and steroidogenesis-related systems. Mol Cell Endocrinol. 538:111469. DOI: 10.1016/j.mce.2021.111469. PMID: 34601003.
Article
12. Welter H, Herrmann C, Dellweg N, Missel A, Thanisch C, Urbanski HF, Köhn FM, Schwarzer JU, Müller-Taubenberger A, Mayerhofer A. 2020; The glucocorticoid receptor NR3C1 in testicular peritubular cells is developmentally regulated and linked to the smooth muscle-like cellular phenotype. J Clin Med. 9:961. DOI: 10.3390/jcm9040961. PMID: 32244354. PMCID: PMC7230580.
Article
13. Xiao YC, Huang YD, Hardy DO, Li XK, Ge RS. 2010; Glucocorticoid suppresses steroidogenesis in rat progenitor Leydig cells. J Androl. 31:365–71. DOI: 10.2164/jandrol.109.009019. PMID: 20075416.
Article
14. Sharp V, Thurston LM, Fowkes RC, Michael AE. 2007; 11Beta-hydroxysteroid dehydrogenase enzymes in the testis and male reproductive tract of the boar (Sus scrofa domestica) indicate local roles for glucocorticoids in male reproductive physiology. Reproduction. 134:473–82. DOI: 10.1530/REP-07-0126. PMID: 17709565.
15. Herrera-Luna CV, Budik S, Aurich C. 2012; Gene expression of ACTH, glucocorticoid receptors, 11βHSD enzymes, LH-, FSH-, GH receptors and aromatase in equine epididymal and testicular tissue. Reprod Domest Anim. 47:928–35. DOI: 10.1111/j.1439-0531.2012.01993.x. PMID: 22335522.
Article
16. Hampl R, Stárka L. 2020; Glucocorticoids affect male testicular steroidogenesis. Physiol Res. 69(Suppl 2):S205–10. DOI: 10.33549/physiolres.934508. PMID: 33094619. PMCID: PMC8603727.
Article
17. Stepanov YK, Speidel JD, Herrmann C, Schmid N, Behr R, Köhn FM, Stöckl JB, Pickl U, Trottmann M, Fröhlich T, Mayerhofer A, Welter H. 2022; Profound effects of dexamethasone on the immunological state, synthesis and secretion capacity of human testicular peritubular cells. Cells. 11:3164. DOI: 10.3390/cells11193164. PMID: 36231125. PMCID: PMC9562650.
Article
18. Saxena N, Paul PK. 1987; Influence of adrenocortical hormones on the onset of spermatogenesis in rats. Indian J Exp Biol. 25:296–301. PMID: 2959619.
19. Penson DF, Ng C, Rajfer J, Gonzalez-Cadavid NF. 1997; Adrenal control of erectile function and nitric oxide synthase in the rat penis. Endocrinology. 138:3925–32. DOI: 10.1210/endo.138.9.5402. PMID: 9275083.
Article
20. Silva EJ, Queiróz DB, Honda L, Avellar MC. 2010; Glucocorticoid receptor in the rat epididymis: expression, cellular distribution and regulation by steroid hormones. Mol Cell Endocrinol. 325:64–77. DOI: 10.1016/j.mce.2010.05.013. PMID: 20573576.
Article
21. Damsgaard J, Joensen UN, Carlsen E, Erenpreiss J, Blomberg Jensen M, Matulevicius V, Zilaitiene B, Olesen IA, Perheentupa A, Punab M, Salzbrunn A, Toppari J, Virtanen HE, Juul A, Skakkebæk NE, Jørgensen N. 2016; Varicocele is associated with impaired semen quality and reproductive hormone levels: a study of 7035 healthy young men from six European countries. Eur Urol. 70:1019–29. DOI: 10.1016/j.eururo.2016.06.044. PMID: 27423503.
Article
22. Napolitano L, Pandolfo SD, Aveta A, Cirigliano L, Martino R, Mattiello G, Celentano G, Barone B, Rosati C, La Rocca R, Spena G, Spirito L. 2022; The management of clinical varicocele: robotic surgery approach. Front Reprod Health. 4:791330. DOI: 10.3389/frph.2022.791330. PMID: 36303643. PMCID: PMC9580646.
Article
23. Fang Y, Su Y, Xu J, Hu Z, Zhao K, Liu C, Zhang H. 2021; Varicocele-mediated male infertility: from the perspective of testicular immunity and inflammation. Front Immunol. 12:729539. DOI: 10.3389/fimmu.2021.729539. PMID: 34531872. PMCID: PMC8438154.
Article
24. Castinetti F, Conte-Devolx B, Brue T. 2010; Medical treatment of Cushing's syndrome: glucocorticoid receptor antagonists and mifepristone. Neuroendocrinology. 92 Suppl 1:125–30. DOI: 10.1159/000314224. PMID: 20829633.
Article
25. World Health Organization (WHO). WHO laboratory manual for the examination and processing of human semen. 6th ed. WHO;2021.
26. Rago V, Aquila S, Panza R, Carpino A. 2007; Cytochrome P450arom, androgen and estrogen receptors in pig sperm. Reprod Biol Endocrinol. 5:23. DOI: 10.1186/1477-7827-5-23. PMID: 17553131. PMCID: PMC1894639.
Article
27. Rago V, Siciliano L, Aquila S, Carpino A. 2006; Detection of estrogen receptors ER-alpha and ER-beta in human ejaculated immature spermatozoa with excess residual cytoplasm. Reprod Biol Endocrinol. 4:36. DOI: 10.1186/1477-7827-4-36. PMID: 16846491. PMCID: PMC1550242.
Article
28. Aquila S, Sisci D, Gentile M, Carpino A, Middea E, Catalano S, Rago V, Andò S. 2003; Towards a physiological role for cytochrome P450 aromatase in ejaculated human sperm. Hum Reprod. 18:1650–9. DOI: 10.1093/humrep/deg340. PMID: 12871877.
Article
29. Cappello AR, Guido C, Santoro A, Santoro M, Capobianco L, Montanaro D, Madeo M, Andò S, Dolce V, Aquila S. 2012; The mitochondrial citrate carrier (CIC) is present and regulates insulin secretion by human male gamete. Endocrinology. 153:1743–54. DOI: 10.1210/en.2011-1562. PMID: 22355067.
Article
30. Funahashi H. 2002; Induction of capacitation and the acrosome reaction of boar spermatozoa by L-arginine and nitric oxide synthesis associated with the anion transport system. Reproduction. 124:857–64. DOI: 10.1530/rep.0.1240857. PMID: 12530923.
Article
31. Aquila S, Giordano F, Guido C, Rago V, Carpino A. 2011; Nitric oxide involvement in the acrosome reaction triggered by leptin in pig sperm. Reprod Biol Endocrinol. 9:133. DOI: 10.1186/1477-7827-9-133. PMID: 21970701. PMCID: PMC3200170.
Article
32. Yang L, Jeong KW. 2019; Flightless-I mediates the repression of estrogen receptor α target gene expression by the glucocorticoid receptor in MCF-7 cells. Endocr J. 66:65–74. DOI: 10.1507/endocrj.EJ18-0343. PMID: 30369516.
Article
33. Rook GA, Baker R. 1999; Cortisol metabolism, cortisol sensitivity and the pathogenesis of leprosy reactions. Trop Med Int Health. 4:493–8. DOI: 10.1046/j.1365-3156.1999.00432.x. PMID: 10470341.
Article
34. Jaroenporn S, Furuta C, Nagaoka K, Watanabe G, Taya K. 2008; Comparative effects of prolactin versus ACTH, estradiol, progesterone, testosterone, and dihydrotestosterone on cortisol release and proliferation of the adrenocortical carcinoma cell line H295R. Endocrine. 33:205–9. DOI: 10.1007/s12020-008-9075-9. PMID: 18484195.
Article
35. Aquila S, Middea E, Catalano S, Marsico S, Lanzino M, Casaburi I, Barone I, Bruno R, Zupo S, Andò S. 2007; Human sperm express a functional androgen receptor: effects on PI3K/AKT pathway. Hum Reprod. 22:2594–605. DOI: 10.1093/humrep/dem243. PMID: 17656415.
Article
36. Santoro M, Guido C, De Amicis F, Sisci D, Vizza D, Gervasi S, Carpino A, Aquila S. 2013; Sperm metabolism in pigs: a role for peroxisome proliferator-activated receptor gamma (PPARγ). J Exp Biol. 216(Pt 6):1085–92. DOI: 10.1242/jeb.079327. PMID: 23155087.
37. Kyriakis JM, Avruch J. 2012; Mammalian MAPK signal transduction pathways activated by stress and inflammation: a 10-year update. Physiol Rev. 92:689–737. DOI: 10.1152/physrev.00028.2011. PMID: 22535895.
Article
38. de Kloet ER, Joëls M, Holsboer F. 2005; Stress and the brain: from adaptation to disease. Nat Rev Neurosci. 6:463–75. DOI: 10.1038/nrn1683. PMID: 15891777.
Article
39. Hammerstedt RH, Amann RP. 1976; Effects of physiological levels of exogenous steroids on metabolism of testicular, cauda epididymal and ejaculated bovine sperm. Biol Reprod. 15:678–85. DOI: 10.1095/biolreprod15.5.678. PMID: 1000009.
Full Text Links
  • ACB
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2025 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr