BIOLOGY OF REPRODUCTION 51, 414-424 (1994) Effects of Temperature and Restoration of Osmotic Equilibrium during Thawing on the Induction of Plasma Membrane Damage in Cryopreserved Ram Spermatozoa' W.V. HOLT 2 and R.D. NORTH Institute of Zoology, Zoological Society of London, Regent's Park, London NW1 4RY, United Kingdom ABSTRACT The objective of this investigation was to examine the nature of freeze/thaw-induced plasma membrane damage in an effort to validate hypotheses about cryoinjury in ram spermatozoa. Spermatozoa were loaded with fluorescein diacetate (FDA), a marker for plasma membrane integrity, and cooled (15°C/min) to temperatures between -10°C and -30°C on a cryomicroscope stage. Post-thaw fluorescence intensity measurements of individual cells indicated that freezing to temperatures between -10°C and -15°C did not induce significant membrane permeabilization. However, freezing below -15°C was followed by membrane permeabilization immediately after thawing. 0 A majority (> 60% ) of flagellar plasma membranes of cells frozen to - 10 C remained ultrastructurally intact during thawing; principal-piece membranes were more robust than middle piece membranes (p = 0.001). Significant middle-piece membrane 0 breakage was, however, induced as the post-thaw temperature increased from +10°C to +30°C (10 C, 64 ± 12.3% intact mem0 0 branes [mean ± SEMI; 30 C, 43 ± 12.5% intact membranes [mean + SEM]; p = 0.0085). Cells frozen to -30 C did not exhibit this thawing effect, although the distinction between middle-piece and principal-piece plasma membranes was evident (p = 0.002). All sperm head plasma membranes were damaged by freezing and thawing to any combination of temperatures. Although acrosomes became swollen after freezing and thawing, the incidence of outer acrosomal membrane vesiculation remained at control (unfrozen) levels with all treatments used. Experimental exposure to the hyperosmotic conditions generated during freezing induced little flagellar membrane permeabilization, but significant damage was caused by restoration of osmotic equilibrium. It is suggested that membranes are initially destabilized during the freezing process, both by low temperature effects and by exposure to high salt concentrations. The resultant post-thaw degeneration of the plasma membrane is caused by a combination of temperature and osmotic effects. INTRODUCTION reasons for attempting to impressing several There are procedures. cryopreservation of semen prove the success immunosuppresof human for transmission The potential sive virus (HIV) through contaminated donor semen has resulted in the requirement that frozen semen from tested donors be used in donor insemination programs [1]. In conservation biology, semen cryopreservation procedures are required for a wide range of animal spermatozoa in connection with the objective of preserving genetic material as a resource for supporting the survival of endangered species [2]. In agriculture, the use of frozen boar and ram semen is insufficiently reliable and effective for routine purposes. Although it has been routine practice to breed dairy cattle by artificial insemination with frozen semen, nonetheless a major proportion of bull spermatozoa are damaged and rendered infertile by the cryopreservation technique [3]. The development of semen cryopreservation procedures was recently reviewed by Hammerstedt et al. [4] and Watson [5], who expressed the view that further progress in improving sperm survival would not be achieved simply by modifying established cryopreservation diluents. A more Accepted April 22, 1994. Received January 6, 1994. 'Supported by a grant from the Medical Research Council and the Agriculture and Food Research Council. The silicon-intensified target camera used in these experiments was provided by The Royal Society, London. 2Correspondence. FAX: 71-586-2870. fundamental understanding of the biophysical and biochemical processes that accompany sperm freezing and thawing is therefore an essential prerequisite to the design of successful cryopreservation protocols. Hypotheses for cell cryoinjury and cryoprotectant activity have been proposed (for reviews, see [6,7]) and can be summarized as follows. When cells are frozen, the crystallization of water induces the generation of hyperosmotic, unfrozen pockets of high solute concentration. At moderate freezing rates, hyperosmotic regions form within the extracellular environment; these induce removal of intracellular water, consequent cell shrinkage, and exposure of the cell surface to anisosmotic (> 600 mOs/Kg) conditions. Rapid. freezing may cause lethal intracellular ice nucleation if sufficient freezable water remains in the cytoplasm when the nucleation temperature is reached. Thawing involves a reversal of these effects, with a decrease in the solute concentration of the external milieu and restoration of the intracellular water content and cell volume. Spermatozoa deviate markedly from the ideally spherical and homogeneous structures treated by the theoretical model. However, the relevance of the osmotic interaction hypothesis has been supported by experiments in which spermatozoa were exposed to hypertonic sodium chloride solutions. The extent of sperm damage induced by unfrozen hypertonic solutions correlated well with the damaging effects observed at subzero temperatures, where the effective increases in salt concentration could be calculated from colligative solution theory [8, 9]. 414 SPERM MEMBRANE FREEZING In a recent investigation aimed at testing the applicability to spermatozoa of the hypotheses summarized above [10], direct observation of ram spermatozoa by cryomicroscopy produced a number of unexpected and novel findings. The purpose of the present series of experiments was to formulate and investigate a number of alternative, but related, hypotheses arising from these observations. The previous study indicated that plasma membrane integrity was maintained throughout the cooling and freezing process even in the absence of cryoprotectants. Membrane damage was not manifested immediately upon thawing, but occurred during post-thaw re-warming within specific temperature ranges between 2°C and 30°C. The temperature of post-thaw damage induction was lowered by increasingly severe treatments such as exposure to detergent or lower minimum temperatures during the freezing process. Membrane integrity was inferred in two different ways. The first was through observation of post-thaw retention of intracellular fluorescein after pre-freeze uptake of fluorescein diacetate (FDA). Nonfluorescent FDA is able to permeate into normal cells with intact plasma membranes. Intracellular esterases convert the FDA into the fluorescent compound, fluorescein. Fluorescein is unable to pass out through an intact plasma membrane, but can flow out of a cell with a sufficiently damaged membrane. Consequently, after exposure to FDA, cells with an intact plasma membrane will fluoresce and remain fluorescent with time, except for photobleaching of the fluorophore, or will lose fluorescence as the fluorescein diffuses out. Secondly, membrane integrity was inferred through observation that exclusion of extracellular ATP by intact plasma membranes prevented reactivation of cells immobilized by cold-shock and freezing. Reactivation occurred, however, if the cells were re-warmed to approximately 120C. Since detergentdemembranated, and therefore immotile, ram spermatozoa can be reactivated by exogenous ATP [11], it was argued that reactivation could be induced after other forms of membrane damage but would occur only when the plasma membrane became sufficiently damaged to permit inward diffusion of ATP. These observations are consistent with previous ultrastructural findings on routinely frozen human spermatozoa that showed thawing to have caused more morphological damage than freezing [12]. In the previous experiments, the minimum post-thaw temperature permitting motility reactivation by exogenous ATP (9-14°C) was approximately 7°C higher than the corresponding temperature at which fluorescein efflux occurred, perhaps indicating that the two techniques detected different facets of membrane damage. The simplest hypothesis to explain these data is that membrane integrity is retained during exposure to the high solute concentrations produced by freezing, but lost when solute dilution restores isotonicity during thawing. This possibility was investigated in the previous study, where it was shown that significant fluorescein loss was delayed for 415 180 sec when the frozen spermatozoa were thawed and kept at 0°C. Moreover, fluorescein loss was induced only when completion of the thawing process was followed by an increase in temperature from 0 to 100C. Thus dilution effects are evidently not the sole cause of membrane damage and the simple hypothesis is not supported. To investigate this effect further, the extent of membrane damage caused solely by the restoration of isosmotic conditions was examined in the present study. An experiment in which spermatozoa were exposed to a hypertonic environment for a short time at 5C, and then re-warmed to room temperature, was undertaken. The spermatozoa were therefore exposed to many of the effects of freezing and thawing, but not the low temperature itself. The hypothesis would predict that spermatozoa remain intact while exposed to hypertonic media, but that considerable membrane damage is induced upon redilution to isotonic conditions. Recent experiments of this type with human spermatozoa [13] demonstrated that these cells do, indeed, remain substantially intact during severe hypertonic stress (> 1000 mOs), suffering plasma membrane damage upon subsequent restoration of isotonicity. An alternative interpretation of the previous findings on ATP-induced reactivation is that thawing does not lead to immediate rupture and lysis of the sperm plasma membrane during restoration of the osmotic equilibrium. A hypothetical, transitionally damaged state may exist after thawing whereby entry of exogenous ATP is temporarily blocked at low post-thaw temperatures (i.e., 1-10 0 C) even though fluorescein efflux occurs readily. Such a state could occur only if the plasma membranes remained structurally intact, retaining some of their semipermeable properties. This hypothesis was examined in the present study by investigation of the following testable predictions. 1) Structurally damaged plasma membranes would be infrequently observed at low post-thaw temperatures (i.e., 0-5C) and 2) structural plasma membrane damage would be significantly increased by elevating the post-thaw temperature above 10°C. Transmission electron microscopy (TEM) and scanning electron microscopy (SEM) were used to examine the ultrastructural integrity of sperm plasma membranes after freezing and thawing. Major breaches of the plasma membrane, compatible with unimpeded solute diffusion, would be detectable by this method. Our previous experiments [10] also demonstrated a direct relationship between the ATP-induced reactivation temperature of frozen/thawed cells and the minimum temperature imposed during freezing. To test the hypothesis that freezing to lower temperatures influenced the post-thaw membrane destabilization temperature, further experiments were aimed specifically at comparing the post-thaw leakiness characteristics of spermatozoa frozen to different minimum temperatures. It would be predicted from the previous data that when spermatozoa are frozen to -10°C, they are more fluorescein-retentive after thawing than are 416 HOLT AND NORTH spermatozoa frozen to below -20 0C. A semi-quantitative image analysis method of assessing fluorescein loss from individual cells was developed for this purpose, validated, and used to examine the kinetics of fluorescence decline in frozen/thawed cells. Cryoprotectants were not used within the present experiments, which were aimed at examining the effects initially observed when cryoprotectants are omitted from the cell suspensions. However, the previous studies [10] clearly demonstrated that the presence of 2% glycerol shifted the post-thaw fluorescein loss into a higher temperature range but did not prevent it. It is therefore argued that clues to the detrimental actions of freezing and thawing can reasonably be obtained when cryoprotectant is omitted. Different responses between major plasma membrane domains would not be unexpected. Since the observations on sperm reactivation could apply only to the flagellum, separate examination of sperm head, middle-piece, and principal-piece plasma membranes was undertaken in the ultrastructural study. The fluorescence image assessment technique was directed toward the middle piece. This was largely imposed by practical considerations, since fluorescence measurements from sperm heads were orientationsensitive and subject to error whereas the middle-piece was the most reliably measured region of the flagellum. MATERIALS AND METHODS Semen Collection and Handling Ram spermatozoa were collected with the aid of an artificial vagina and washed once in Krebs'-Henseleit-Ringer medium (KHR; 1:10 [v/v] dilution). This involved centrifugation for 5 min at 900 x g and resuspension in KHR at a concentration of either 1000 x 106 spermatozoa/ml for cryomicroscopy and SEM or 200 x 106 spermatozoa/ml for use in the hypertonic exposure experiment. Alternatively, the spermatozoa were allowed to swim up into fresh KHR for TEM experiments. Once prepared, samples were maintained at 22°C for 2-3 h and serially subsampled as appropriate. Effects of Hypertonic Media and Restoration of Isotonicity Exposure to hypertonic solutions. Aliquants (0.25 ml) of sperm suspensions (200 x 106 /ml in isotonic KHR; 282 mOs/Kg) in conical plastic 10-ml tubes were cooled slowly (0.25°C/min) from 30 0C to 5C. The osmolarity was then elevated, as required by the experimental design, in a single step by adding 0.25 ml of precooled KHR whose NaCl content had been increased such that the resultant solution was appropriately hypertonic. The target hyperosmotic strengths were 600 mOs/Kg and 1000 mOs/Kg; for controls, 0.25 ml of normal-strength KHR was added. The samples were allowed to remain in hyperosmotic media for 5 min, whereupon a 50-iil aliquant of each was removed for evaluation of membrane integrity (see below). A further 4.5 ml (i.e., 1:10 dilution) of modified KHR was then added to each tube in a single step; in this case, the NaCl content was appropriately below normal to restore isotonicity. This step was performed at room temperature to simulate the thawing and re-warming process. A further aliquant of sperm suspension (100 dul) was then removed for assessment of plasma membrane integrity. Assessment of plasma membrane integrity. The spermatozoa were assessed through use of a modification of the carboxyfluorescein diacetate:propidium iodide technique described by Harrison and Vickers [14]. Sperm samples were diluted to approximately 7.5 x 106 /ml in the following buffer solution: 20 mM HEPES buffer (pH 7.5), 1 mg/ml polyvinylpyrrolidone, 1 mg/ml polyvinyl alcohol, 220 mM sucrose, 10 mM NaCl, 2.5 mM KCl, 10 mM glucose, 0.005 mg/ ml propidium iodide, 0.02 mg/ml carboxyfluorescein diacetate (CFDA), 0.06 pIl/ml formalin (40% stock solution). CFDA was used here instead of the FDA used elsewhere in the present experiments because it is more stably retained by intact cells and preparations can be examined up to 1 h after dilution into the staining medium. Similarly, intact cells do not permit entry of propidium iodide within that period. Aliquants (20 ,1 l) of this sperm suspension were placed on glass slides and mounted beneath a coverslip. They were then examined by fluorescence microscopy using a 40x objective, and approximately 200 cells per slide were scored as "intact" (green fluorescence) or "permeable" (red fluorescence). Experimental design. Semen samples from four rams (replicates) were used in an experiment to distinguish between the damaging effects of 1) exposing spermatozoa to hypertonic media (KHR adjusted to 600 and 1000 mOs/Kg; control samples exposed to normal-strength KR, 282 mOs/ Kg) at 5°C and 2) subsequent restoration of isotonicity. The same samples were examined during and after hypertonic exposure. Cryomicroscopy and FluorescenceAssessment A CM-3 cryomicroscope stage (Planer Biomed, Sunburyon-Thames, Surrey, UK) mounted on a Zeiss Axioskop microscope (Carl Zeiss, Oberkochen, Germany) equipped with a 40x objective was used for these experiments. For observation of spermatozoa during freezing and thawing, 50 Il of the stored sperm suspension was diluted 1:10 with KHR, and 5 l of stock FDA solution was added (Sigma Chemical Co., Poole, Dorset, UK; 0.5 mg/ml in dimethyl sulfoxide). No cryoprotectants were added. Spermatozoa were placed on the cryomicroscope stage at 37°C without any further incubation period and used in the freeze/thaw experiments. Unless otherwise specified, samples were cooled at 15°C/min and warmed at 10°C/min. Ice nucleation was induced automatically by the centrally directed growth of spontaneously formed ice crystals from the cooler SPERM MEMBRANE FREEZING edges of the preparation. Observations were confined to a region approximately 2 mm wide, adjacent to the thermocouple used for sensing and controlling the stage temperature. To minimize photobleaching effects, spermatozoa were not exposed to ultraviolet light during cooling and freezing, but only when the temperature reached -2°C prior to thawing. A silicon-intensified target video camera (Hamamatsu C2400; Hamamatsu City, Japan) was used to produce images that were captured directly into a digital frame store (DT2861; Data Translation, Marlboro, MA; 16 frames at 512 x 512 resolution). The manufacturer's specifications indicated that the camera output was a linear function of the face plate illuminance; no electronic modification of this relationship (image enhancement) was introduced. To reduce background noise, each stored image was derived by averaging 8 sequential frames generated at 25 frames/sec (i.e., representing 0.3 sec). Photobleaching and cell damage caused by the illuminating ultraviolet light were reduced by placing a neutral density filter in the incident light path (25% transmission); such illumination permitted untreated spermatozoa to remain motile for approximately 3 min. Individual spermatozoa could be recognized in successive images of a series. Single pixel (pixel dimension approximately 1 x 1.5 ,um) grey-scale measurements from black (0) to white (255) were made by the use of a manual cursor and simple image analysis software (developed by Dr. D.M. Holburn, Department of Engineering, University of Cambridge Cambridge, UK). Fluorescence intensity measurements were made on sperm middle pieces. Background fluorescence was also measured in the immediate vicinity of each cell; this was subtracted from the cellular values to compensate for spatial variations in image brightness. Subsequent data analysis was performed upon the absolute differences. Image capture was controlled by routines written in the Data Translation programming language, IrisTutor. During the cryomicroscope experiments, the need to observe individually identifiable cells for finite periods of time, up to 1 min, meant that typically, 5-10 usable cells were visible throughout the period of interest. Experiments were replicated several times with the same ejaculate and several ejaculates were used, although on different days. For the purpose of clarity in data presentation, comparisons within single ejaculates or representative data from single ejaculates are shown in the present paper. Validation of the image assessment technique. Preliminary testing and validation of the fluorescence assessment system were carried out with glutaraldehyde-fixed spermatozoa, labeled with fluorescein isothiocyanate (FITC) by a standard protocol [15]. Multiple binding sites for FITC would be responsible for fluorescence in such cells; therefore leakage of fluorescein would not occur and photobleaching effects under the standard illumination conditions used in the present experiments would be detectable. 417 Although the use of this technique involves the assumption that the photobleaching kinetics of free (from FDA) and bound (from FITC) fluorescein are similar, this is probably justified. A series of measurements were made of FITC-labeled, glutaraldehyde-fixed spermatozoa. Grey-level intensity measurements were made every 6 sec over the middle pieces of spermatozoa held at O°C for a period of 1.5 min. Greylevel values varied between spermatozoa, but there was no evidence of fluorescent fading within the measurement time scale. To confirm that lowered temperatures did not reduce fluorescence levels, further experiments were performed in which the measurements were made on spermatozoa held at -60 0C. No evidence of a systematic effect of temperature upon fluorescence intensity was obtained. SEM Experimental technique. Four microliters of the washed sperm preparation was placed upon the cryomicroscope stage assembly at an initial temperature of 30°C, directly above the temperature-sensing thermocouple. Samples were not mounted beneath a coverslip. The temperature was reduced to -10 0C at 15°C/min, and the samples were held at -10°C for 5 min. The temperature was then raised to various values above the melting point (10C, 5°C, and 10°C). Ice nucleation occurred spontaneously but reproducibly, probably induced by the presence of frost adjacent to the sample. A control uncooled and unfrozen treatment was also included with each replicate. Once the target temperatures were reached, 4-ul aliquants of temperature-equilibrated fixative (glutaraldehyde, 4% [v/v]; formaldehyde, 3% [w/v]; sucrose 4% [w/v]; 100 mM phosphate buffer [pH 7.4]; GFPS) were placed upon the melted samples and left for 1 min. Polylysine-coated nickel grids were drawn through the fixative-sperm mixture, immediately placed into a large drop of fixative on a wax surface, and then allowed to complete fixation overnight. The grids were then prepared for SEM by critical-point drying and gold coating and were examined with a JEOL 1200X electron microscope (Jeol Ltd., Tokyo, Japan) in SEM mode. Evaluation of cell damage. Evaluation of the frozen and thawed spermatozoa was performed without knowledge of the treatments concerned. The experiment was replicated with spermatozoa from three ejaculates, and treatments were randomized and coded. An unfrozen control treatment was included in the experiment. Approximately 50 spermatozoa were examined for each treatment; every spermatozoon was classified as either "intact" or "damaged." If damaged, spermatozoa were classified further as 1) sperm head vesiculated, 2) acrosome lost or damaged, 3) head separated from tail, 4) tail abnormality. TEM Sperm preparation. To examine the incidence of sperm plasma membrane damage after freezing and thawing, 418 HOLT AND NORTH 0 FIG. 1. Transverse sections through the middle pieces of spermatozoa frozen to -10°C and then thawed to 30 C. Evidence of plasma membrane of principal piece from sperC) Sections 000). (x56 sections both in undamaged morphologically are breakage is seen in (A) but not in (B). Mitochondria matozoa frozen to -30°C and then thawed to 30°C. In one case the plasma membrane is intact (arrow), whereas in the other it is damaged or missing (x 57 300). spermatozoa were frozen and thawed within 0.5 ml Cassou straws of the type routinely used for semen cryopreservation and then processed for examination by TEM. Swim-up populations of spermatozoa were prepared as described above; the sperm concentration was adjusted to 100 x 106/ ml. Spermatozoa were loaded at 30°C into 0.5-ml plastic straws, which were then sealed with polyvinyl alcohol sealant and frozen to either -10C or -30°C. For these bulk samples, we were unable to reproduce the linear cooling profiles of the cryomicroscope, and the freezing methods used represent the best compromises possible. 0 Freezing technique. Straws to be frozen at -30 C were placed upright in a controlled-rate freezer (Planer R204; Planer Products Ltd, Sunbury-on-Thames, Surrey, UK) with the chamber precooled to -30°C. Internal straw tempera0 ture declined rapidly (60°C/min) to approximately -2 C, at which point freezing occurred. The temperature then increased instantly to +2°C, remained constant for about 50 sec, and then continued to decrease at an initial rate of 7°C/ min. After the straws had been in the chamber for 5 min, the chamber was heated to the desired target temperature (10C, 50C, 100C, or 30°C). The initial re-warming rate was approximately 30°C/min; the thawing process retarded the heating rate, slowing it to 3°C/min in the temperature range 0-5°C. After 5-min equilibration at the new temperature, the samples were transferred to a water bath at the target thawing temperature and allowed to thaw for a further 2 min. The straw contents were emptied into 2 ml of GFPS, osmicated, and prepared for TEM. Treatments were performed sequentially but in randomized order to eliminate possible systematic effects due to storage at room temperature. Control samples from each replicate were loaded into straws, placed in the freezing machine for the appropriate time, and then emptied into fixative. Freezing straws to -10 0 C presented a practical problem. When a controlled-rate cell freezer was used, the latent heat of fusion released during freezing caused the sample temperature to increase by several degrees and remain static for up to 2 min. The relatively high chamber temperature (-10°C) provided insufficient temperature gradient to cool the samples as required. Therefore an alternative freezing technique was used that involved placing sealed straws into precooled ethylene glycol at -10°C for 5 min to maximize heat transfer. The cooling profile was nonlinear, but interruption of cooling by heat of fusion was minimized. The straw contents cooled at 23°C/min to -3 0C. Freezing occurred consistently between -3°C and -4 0C, although deliberate nucleation of ice was not performed. The sample temperature then increased rapidly to approximately +2°C, where it remained constant for 20 sec before resumption of cooling to -10 0C at an initial rate of 7°C/min. After freezing and holding in ethylene glycol for 5 min, the straws were moved 0 to a water bath at the target thawing temperature (1 C, 5°C, 0 10 C, or 30°C), allowed to thaw for 2 min, and fixed as described above. Experimental design. To examine plasma membrane breakage and acrosomal damage in detail, two separate randomized block experiments were set up, each using semen samples from four rams (replicates). Spermatozoa were 0 loaded into straws as described above, cooled to -10 C in 0 one experiment and -30 C in the other, and then warmed to 1°C, 5°C, 100C, or 30°C. Samples were then fixed using temperature-equilibrated fixative. Unfrozen control treatments involved placing the straws in a water bath at 30°C for 5 min. Evaluation of sections. Spermatozoa were evaluated by examining transverse sections of middle piece and principal piece (Fig. 1) for the integrity of the surrounding plasma membrane. Sections were scored as damaged or intact as defined in Figure 1. Plasma membranes over sagittally sectioned sperm heads were scored as intact or damaged, and acrosomes were scored as 1) intact or swollen (Figs. 2, A and C) or 2) vesiculated (Fig. 2B). Approximately 50 appropriately sectioned principal pieces, middle pieces, and sperm heads were examined for each treatment. It is recognized that assessment of transverse sections probably 419 SPERM MEMBRANE FREEZING FIG. 2. Sagittal sections of spermatozoa frozen to -10°C and then thawed to 1°C A). Only traces of plasma membrane are evident, but one acrosome appears intact, without any indication of swelling (magnification x25 000). B) Sections thawed to 5C. Vesiculation of the outer acrosomal membrane is apparent (x25 000). C) Thawed to 30°C. While only fragments of plasma membrane remain, the outer acrosomal membrane is deformed but structurally intact (x33 600). underestimates the absolute extent of membrane damage. However, within experiments this approach provided a consistent method of evaluating the relative effects of different treatments. StatisticalAnalysis Statistical analyses were performed with CSS/Statistica software (StatSoft UK, Letchworth, UK). Counts obtained from the quantitative SEM and TEM experiments were expressed as percentages and transformed to angles (arcsin) for oneor two-way analysis of variance. Paired treatment contrasts within an analysis were made using Least Significant Difference (LSD) tests. Results from the fluorescent assessments were examined by linear regression analysis. Differences in fluorescent decay characteristics between groups of control and frozen spermatozoa were examined by anal- ysis of covariance to assess departure from parallelism and differences between intercepts. The effects of hypertonic media and restoration of isotonicity were examined using analysis of variance for repeated measures. RESULTS Exposure to Hypertonic Solutions and Restoration of Isotonicity The results are illustrated in Figure 3. After slow cooling to 5C, approximately 50% of control spermatozoa remained intact; no further cell damage was induced by subsequent dilution and re-warming. The incidence of cell damage was slightly, but not significantly (p = 0.36), increased by the initial exposure to hyperosmotic solutions. 420 HOLT AND NORTH Control 60 600 mOs 1000 mOs 100 80 40 9- 60 a) u1 Ct , A 20 40 I I I 0 -- H I - - H I 20 | - . ** .- - 0 H I FIG. 3. Proportions of intact spermatozoa after spermatozoa were cooled to 5°C, exposed to hypertonic solutions (H) for 5 min, and then resuspended in isotonic medium (I). indicateses significant reduction of sperm integrity (p < 0.01). 0 0 -r--) 5 I.D a) 10 15 20 25 20 25 Time (sec) 100 *E Sperm damage was significantly increased, however, by restoration of isotonic conditions (p = 0.0007). Examination of individual contrasts confirmed that this effect was significant for both 600 mOs/Kg (p = 0.003) and 1000 mOs/ Kg (p = 0.002). 80 Cryomicroscopy Measurement of fluorescence decay after thawing. To examine the kinetics of fluorescein leakage in frozen/thawed cells, grey-level measurements were made over a 24-sec period immediately after thawing as the temperature in- 20 C C 5 0 40 0 0 5 10 15 Time (sec) 100 CI) 60 FIG. 5. Intensity, scale of 0 (black) to 255 (white), of middle piece fluorescence in FDA-labeled ram spermatozoa frozen to -30°C, re-warmed at 10°C/min, and measured at 1.3-sec intervals after thawing. Mean values (+ SEM) are shown for three (group A) and four (group B) spermatozoa from separate ejaculates. Intensity values were derived by subtraction of background measurements from cellular measurements and did not exceed 100. 80 60 C ._ CI C) 40 creased from 0 to 4C (warming rate 10°C/min). Samples of spermatozoa were frozen to -10 0C, -15°C, and -30°C at 15°C/min. Image capture was initiated immediately upon thawing. Control treatments involved maintaining spermatozoa upon the cryomicroscope stage for 24 sec at 20 0C. Comparisons were made within four separate ejaculates; for practical reasons the ejaculates were examined on different M 20 0 Time (sec) FIG. 4. Intensity, scale of 0 (black) to 255 (white), of middle piece fluorescence in FDA-labeled ram spermatozoa. Solid circles indicate control values (mesan + SEM, n = 8) from live cells maintained at 20TC for 25 sec. Solid squareres indicate values (mean + SEM, n = 5) for cells frozen to -10°C, warmed at 10°C/min (0.16°C/sec), and then measured at 6-sec intervals after thawin g. Rates of fluorescence loss are not significantly different (p = 0.515). Intedensity values were derived by subtraction of background measurements from cellular measurements and did not exceed 100. days. After cooling to -10 0C and subsequent thawing, spermatozoa exhibited a linear decline in fluorescence (Fig. 4) during the initial 25-sec post-thaw period. Analysis of co- variance showed that the fluorescence loss rate was not significantly higher than that for control (Fig. 4) unfrozen treatment (departure from parallelism;p = 0.515). A com- bination of photobleaching and/or slow fluorescein re- 421 SPERM MEMBRANE FREEZING TABLE 1. Membrane integrity of acrosomal and sperm head plasma membranes after freezing to -10C or -30°C and warming to various temperatures. Minimum freezing temperature -10°C (n= 4) Rewarmed to: 1°C 5°C 10°C 30°C Unfrozen control Acrosome intact or swollen (mean + SEM) 57.5 61.0 72.0 51.5 68.0 + + + + + 10.9 12.8 6.7 8.2 6.9 -30°C (n = 4) Plasma membrane intact 0 0 0 0 73.8 ± 6.8 Acrosome intact or swollen (mean + SEM) 87.5 + 74.8 + 80.5+ 75.6 + 92.8 + Plasma membrane intact 4.8 13.8 11.7 13.3 1.4 0 0 2.6 ± 1.6 0 86.3 ± 4.9 aResults are expressed as percentages. lease from the cells would account for the similar fluorescent losses in the control and frozen treatments, and it is concluded that cooling to -10°C did not induce a significant increase in fluorescein efflux rate. However, initial fluorescence intensity of the frozen/thawed sample was significantly lower (difference between intercepts;p = 0.021) than the intensity of the control. Because the initial intensity represents the fluorescence as close to the instant of thawing as possible, this loss must have been incurred during the cooling and freezing processes not experienced by the controls. Freezing to -15 0C and re-warming caused a rapid decline in fluorescence within the first 5 sec after thawing (data not shown); this corresponded to a temperature increase of approximately 1°C (i.e., 5 sec at +10°C/min). Similar results were obtained with spermatozoa cooled to -30 0C. Using images captured at 1.3-sec intervals (0.3 sec for integration of 8 images + 1 second pause) after thawing, it was possible to resolve this fluorescent loss in more detail. Figure 5 (A and B) shows representative plots made from two groups of spermatozoa from separate ejaculates. Immediately after thawing, the fluorescence intensity values were not significantly lower than those of cells cooled to -100 C; however, the intensities diminished rapidly below the detection limit within 5 sec. TEM Sperm head plasma membranes and acrosomes. Virtually 100% of spermatozoa subjected to freezing exhibited plasma membrane loss or damage over the head region, regardless of the treatment (Table 1; Fig. 2, A-C). Acrosomes were partially disrupted by freezing and thawing. Although many acrosomes became swollen, they retained an intact outer acrosomal membrane (Table 1; Fig. 2, A and C). Between 50% and 85% of spermatozoa maintained outer acrosomal membrane integrity after freezing to -10°C or -30°C. Thawing temperature had no statistically significant influence upon this effect. However, in some spermatozoa frozen to - 10°C and thawed to 1°C, the extent of acrosomal swelling was minimal (Fig. 2A). Acrosomal membrane vesiculation was not significantly increased by freezing and thawing (p > 0.5). Flagellarplasma membranes. The data for flagellar plasma membranes are summarized in Figure 6. A surprisingly high incidence of intact flagellar plasma membranes persisted after freezing and thawing to -10°C or -30°C. However, the absolute values are probably overestimated (see Materials and Methods), as longitudinal sections of middle pieces (Fig. 7) revealed that membrane damage could occur in localized regions overlying only one or two mitochondrial gyres (Fig. 7, arrows). In general, the principal pieces retained more intact plasma membranes than middle pieces after freezing to either -10°C (p < 0.001) or -30°C (p = 0.002). Freezing to - 100C and then thawing to 1°C, 50C, or 10°C failed to induce significant membrane disruption to middle-piece plasma membranes (p > 0.3 for comparisons with control; Fig. 1,A and B). Further warming to 300C increased the incidence of damaged middle-piece membranes (individual contrasts for 30 0C vs. 1C, 5°C, and 10°C;p = 0.045, 0.042, and 0.063, respectively). Freezing to -30 0C and thawing to any of the target temperatures increased the incidence of damaged middle-piece plasma membranes (p < 0.01) by 25-30%. However, a surprisingly high incidence (50-60%) of intact membranes was still evident after freezing and thawing. Membrane damage was not further increased by elevated thawing temperatures. Principal-piece plasma membrane integrity was not significantly affected by freezing to -10 0C and then thawing to 1C (p = 0.125). However, more cells became damaged when the temperature was increased to 5C or above (Fig. 6) (individual contrasts for 1°C vs. 5C, 10°C, and 30°C; p = 0.037, 0.017, and 0.014, respectively). Nevertheless, even after thawing and re-warming to 30°C, more than 70% of principal pieces were surrounded by an intact plasma membrane (Figs. C and 7A). Freezing to -30 0C and thawing caused a slight reduction in the incidence of intact principal-piece plasma membranes (from 90% to approximately 77% intact); this effect 422 HOLT AND NORTH 100 A PP * 80 'I '''-. MP 60 40 20 0 · Control · · · 1° · 5" · 10 · 30 · · Frozen to -10'C B 100 80 PP e...... 0 FIG. 7. Longitudinal section through the flagellum of a spermatozoon frozen to -10°C. A) Thawed to 30°C; morphologically intact plasma membrane is seen along the principal piece (x39 600). B) Thawed to 1°C; although the plasma membrane along the middle piece is mainly intact, sites of localized damage (arrows) are apparent (x28 600). CO 60 spermatozoa, respectively (mean + SEM). These values did not differ significantly from each other or from values for 8.6% intact the unfrozen control, which contained 68.9 spermatozoa. No between-treatment, or control vs. frozen, differences were detected for any of the categories of damaged cells. 0 c .1; 40 20 Rewarm temp. °C Control 0 _········ 1" 5" 10° 30° DISCUSSION Frozen to -30'C FIG. 6. Percentages of intact plasma membranes of middle pieces (MP, solid squares) and principal pieces (PP, solid diamonds) in spermatozoa frozen to -10°C (A) or -30°C (B) and warmed to various post-thaw temperatures. Control treatments were fixed without prior cooling below 30°C. was not statistically significant for any of the target re-warming temperatures (0.15 < p < 0.28). In this experiment, significant variation between animals (p < 0.01) for the degree of membrane damage sustained obscured treatment effects. SEM To see whether or not major plasma membrane damage was induced when spermatozoa were frozen to -10°C in a linear cooling profile, semen samples were frozen to -10°C at 15°C/min on the cryomicroscope stage. They were rewarmed to 1°C, 5°C, or 10 0C at 10°C/min and prepared for SEM as described in MaterialsandMethods. From the original hypothesis it was predicted that gross membrane damage would not be visible until the thawed spermatozoa reached 10°C or above. Samples frozen to -10C and re-warmed to 1° C, 5°C, or 0 10 C contained 53 + 8.9%, 56 + 6.4%, and 65 + 6.4% intact The primary purpose of the present study was to investigate the related hypotheses that 1) the membrane damage manifested after thawing is influenced by the minimum temperature reached during freezing and 2) plasma membrane damage in frozen spermatozoa is induced not only during thawing itself, but also during temperature elevation after thawing. Support for the hypothesis that conditions experienced during freezing govern the severity of plasma membrane damage was provided by two observations. 1) The fluorescein efflux rate for spermatozoa frozen to -10°C and then re-warmed was not significantly greater than that for unfrozen control cells, and 2) increased efflux rate was induced by further cooling to -15C or -30°C. Since the efflux rate must be governed by the permeability of the diffusion barriers, it is concluded that the process of cooling from -10°C to -15°C increases plasma membrane or mitochondrial permeability. The exact cause of the lesions cannot be determined from the present studies. Unless special precautions were taken to inhibit ice nucleation, the KHR solution used in these experiments began to freeze on the cryomicroscope stage at about -2°C. As the temperature decreased, the amount of unfrozen liquid diminished and by -10°C the whole sample was frozen, SPERM MEMBRANE FREEZING although narrow unfrozen channels containing highly concentrated solute probably persist at this temperature [16,17]. Major differences induced by freezing to either -10 0C or lower temperatures are therefore attributable either to intrinsic effects of temperature (for example, upon membrane lipid organization) or to increased osmolarity of the extracellular environment. Crowe et al. [18] considered the induction of lipid phase transitions by ice formation unlikely. Treating spermatozoa with hyperosmotic conditions indicated that restoration of isotonic conditions caused considerably more plasma membrane damage than the initial exposure. In terms of freeze/thawing processes, this result supports the view that thawing is the more deleterious. However, recent experiments with human spermatozoa [13] have demonstrated that the conditions experienced during exposure to the hyperosmotic conditions govern the severity of the subsequent cell damage. The investigators examined hyperosmotic exposure up to 5000 mOs and found that human spermatozoa become the most significantly affected when placed in environments exceeding 3000 mOs. The relationship between plasma membrane damage and the minimum freezing temperature can probably be explained, therefore, as a consequence of exposure to increasingly hypertonic environments. Although the post-thaw fluorescein efflux rate of spermatozoa cooled to -10°C was similar to that for unfrozen control cells, the initial post-thaw fluorescence intensity of the frozen spermatozoa was significantly lower. As this was not attributable to photobleaching, which was prevented before thawing, it might have been caused by slow leakage of fluorescein during the period immediately before freezing. Slow leakage of fluorescein from intact cells has been attributed to passage through membrane channels [19]. The ultrastructural evidence indicated that changes in flagellar membrane permeability were not induced by gross plasma membrane rupture during either freezing or thawing. This supports the hypothesis that permeabilization mechanisms do not necessarily involve visible structural damage. Middle- and principal-piece plasma membrane damage was, however, induced when spermatozoa frozen to -10°C were re-warmed through the temperature zone of 10-30°C. The mechanism causing this effect is unclear, but it may involve changes in membrane lipid organization or protein conformation. Ample evidence exists for lipid phase transition processes within this temperature range. In previous studies of membrane lipid dynamics, lateral phase transitions were detected at 17°C, 22°C [20], and 26°C [21] in ram sperm plasma membranes; at 13.6°C and 21.1°C in human and goat sperm plasma membranes, respectively [22]; and centered on 18°C in boar sperm [23]. Protein tertiary structure is perturbed during freezing, partly as a result of water removal, and experiments have been performed that indicate the possible value of trehalose and proline in protecting against this effect [24]. Spermatozoa 423 that had been cooled to -30°C failed to manifest this ultrastructural effect of re-warming but appeared on the basis of the fluorescence data to have already undergone a permeability change during freezing. The sample cooling profiles for the bulk samples used for TEM studies differed markedly from the linear protocols achieved with the cryomicroscope. Although these differences did not lead to conflicting experimental data, the possibility that spermatozoa in the two systems interact differently with crystalline ice and hyperosmotic fluids should not be overlooked. The ultrastructural observation that 100% of sperm head plasma membranes were ruptured after any freezing treatment highlights the differences in membrane stability between major cellular compartments. A number of cytoskeletal proteins have been identified in spermatozoa (for review, see [25]), but their role in maintaining the structural integrity of the sperm plasma membrane is still unclear. It seems likely, however, that the close attachment of the middle-piece and principal-piece plasma membrane to the underlying cytoplasmic structures provides considerable physical support against cryoinjury. These findings also imply that caution should be exercised when water permeability coefficients for spermatozoa are calculated. Such studies are undertaken in an effort to derive optimal cryopreservation protocols from theoretical principles, but at present the predicted and experimentally derived ideal cooling rates differ by 100- to 1000-fold [26]. One explanation might be that techniques used to determine cell swelling and membrane permeabilization in response to changes in tonicity, i.e., flow cytometry and fluorescence microscopy, provide average values for cells that do not truly represent any of the individual compartments. The evidence presented here demonstrates that the plasma membrane overlying the sperm head is considerably more labile than that of the flagellum. The results obtained in the present study are compatible with the original hypothesis that increased membrane permeability induced by freezing is not necessarily accompanied by major structural damage. They also show that restoration of isotonic equilibrium is a significant cause of membrane damage during cryopreservation and indicate that better post-thaw semen handling techniques are likely to improve the viability of cryopreserved semen. The present findings also suggest that treatments capable of preventing molecular reorganization of the plasma membrane during freezing would probably inhibit subsequent thawing-induced membrane permeabilization and assist in the maintenance of sperm viability. Snchez-Partida [27] reported beneficial effects on the post-thaw motility of ram spermatozoa when proline and glycine betaine were included in the cryoprotective diluents. This accords with the view that proline functions as a cryoprotectant for lipids and proteins in membranes, interacting directly with membrane lipids and altering their hydration state and phase behavior [24]. Egg yolk lipoproteins may also act in this way 424 HOLT AND NORTH and have been shown to cause significant inhibition of the post-thaw fluorescein loss [10] from ram spermatozoa. Their interaction with plasma membrane components has been suggested previously [28]. The observation that detergent treatment of egg yolk lipoproteins improves their cryoprotective efficacy [29], perhaps by modifying their tertiary structure, also suggests that a specific interaction with membrane lipids or proteins is required for cryoprotection. ACKNOWLEDGMENTS We are grateful to Dr. D.M. Holburn, Department of Engineering, University of Cambridge, for developing the image analysis software used in this study and to Dr. P.F. Watson (Royal Veterinary College, London) for providing the ram semen. REFERENCES 1. Barratt CLR, Matson PL, Holt WV. British Andrology Society guidelines for screening of donors for donor insemination. Hum Reprod 1993; 8:1521-1523. 2. Holt WV. 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