Electromagnetic Field Stimulation and Sperm Parameters Evaluation D. Armanini1, C. Sabbadin1, P. Boccaccio2*, L. Bordin3, A. Andrisani4, A. Arcaro4, G. Clari3, G. Donà3, G. Moschini5 1 Dipartimento di Medicina dell'Università di Padova, Padova, Italy. INFN, Laboratori Nazionali di Legnaro, Legnaro (Padova), Italy. 3 Dipartimento di Medicina Molecolare- sede di Chimica Biologica dell'Università di Padova, Padova, Italy. 4Dipartimento Di Salute Della Donna E Del Bambino dell’ Università di Padova. 5 Dipartimento di Fisica dell'Università di Padova, Padova, Italy, and INFN, Sezione di Padova, Padova, Italy. *Member, IEEE. 2 INTRODUCTION Spermatozoa, highly polarized and specialized cells with a limited amount of cytosol and organelles, lost the potential for gene expression during post-testicular maturation. Sperm produced in the testis is immature, and acquires maturational characteristics during its journey to the female genital tract. The fluid environment surrounding spermatozoa is involved in activities of sperm maturation, survival and membrane modifications. Many proteins may contribute to sperm composition or modifications and alteration of fluid composition can lead to sperm malfunction resulting in male infertility. Recently, much attention has been paid to the influence of electromagnetic fields on cells and biological molecules. It is generally accepted that extremely low frequency electromagnetic fields (ELF- EMFs) can exert influences on biological functions of cells and tissues. These effects include bone healing, nerve regeneration, influences on cell calcium levels and oncogene activation. On the contrary, the most part of studies concerning genotoxic effects were negative. At present, there is little information regarding possible effects of ELF-EMFs on male reproductive system. In mammals, the application of ELF-EMFs at 50 Hz with intensities ranging from 1 mT up to 100 mT affected the proliferative/differentiative capacity of mouse spermatogonia while the ELF-EMF treatments did not induce clastogenic effects on human sperm chromosomes. With regard to sperm motility, an increase in the percentage of activated ejaculated sperm and a prolongation of their viability were shown in fish after in vitro sperm exposure to magnetic fields up to 100 mT [9]. Furthermore, it has been observed that mice exposure to a constant intensity static magnetic field (0.7T) for different periods of time did not produce any change in sperm motility [1]. The aim of the present work was to investigate the effects of ELF- EMFs on human sperm motility parameter in fresh human semen. MATERIALS AND METHODS The motility of each spermatozoon was recorded by computer assisted sperm analyzer (CASA) and was graded as follows: Immotility (IM): no movement; Non- progressive motility (NP): motility with an absence of progression; Progressive motility (PR): spermatozoa moving actively, either linearly or in a large circle, regardless of speed. Each measure consisted of VAP (average path velocity in µm/s), VSL (progressive velocity in µm/s), LIN (linearity as a %), ALH (amplitude of lateral head displacement in µm) evaluations. The results are expressed as means and standard errors for each time interval. The mean values and the variances obtained for the control and the treated samples at each time point were compared by using the ANOVA method and the Student–Newman– Keuls test. All tests were considered with a statistical significance at p<0.05. A picture of the cell exposure setup is shown in fig.1. Cell exposure to pulsed electro-magnetic fields is achieved by placing cell culture phials inside a Helmholtz Coil Assembly. This consists of a pair of equal coils (22 cm dia.) in a series electrical connection, fed by low-frequency (f<100 Hz) current pulses. The cell culture temperature is stabilized by a thermostatic bath. A commercial pulse generator connected to a wide-band amplifier is employed to energize the coils and the resulting magnetic field intensity (B=100-800 T, typically) is periodically measured by a Hall-effect magnetic field meter. Fig. 1. Cell exposure setup, consisting of a Helmholtz Coil Assembly and a thermostatic bath. RESULTS After initial spermiogram semen samples (n=30) were divided in two groups depending on the percentage of immotile cells (IM): Group 1 (Gr. 1), poorly motile group, with more than 65% IM cells, and Group 2 (Gr. 2), motile group, with percentages of IM cells under 65 (summarized in Table 1). Table 1. The motility of each spermatozoon is graded as follows: Immotility (IM): no movement; Non-progressive motility (NP): motility with an absence of progression; Progressive motility (PR): spermatozoa moving actively, either linearly or in a large circle, regardless of speed. Gr. 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 IM (%) 92 79 85 80 91 90 90 95 78 75 96 80 80 90 72 73 80 92 96 80 NP (%) 2 2 1 3 2 0 1 0 3 2 2 2 2 4 1 5 0 1 1 0 PR (%) 6 19 14 18 9 10 1 4 18 24 3 18 19 6 27 22 20 7 3 20 Gr. 2 1 2 3 4 5 6 7 8 9 10 IM (%) 63 48 60 65 13 60 25 22 25 65 NP (%) 4 3 4 0 16 6 25 6 12 10 PR (%) 33 49 36 35 71 34 50 73 63 24 samples which were incubated at 37°C for 30 min in the presence (irradiated, I) or absence (NI) of an EMF. Samples were re-analysed and motility parameters recorded (Table 2). When incubated at 37°C without being purified from semen envelopment, sperm are commonly affected by the presence of capacitation inhibitors, which prevent sperm from premature maturation leading to a consequent increased fecundating inefficacy. Comparing values after 30’ with T0 (not incubated), sperm showed a slight movement decrease involving almost all the evaluated parameters. Cell exposure to EMF was achieved by setting the current generator frequency at f=20 Hz and the magnetic field intensity at B=760 T. Interestingly, incubation with EMF emphasized this tendency, and in both groups a significant decrease of the analysed motility parameters, compared with the relative controls, was evidenced. Table 2. Each measure consisted of VAP (average path velocity in µm/s), VSL (progressive velocity in µm/s), LIN (linearity as a %), ALH (amplitude of lateral head displacement in µm). Gr. 1 VAP (µm/s) VSL (µm) LIN ALH (µm) T0 48.7±9.8 42.8±9.8 69.5±8.2 2.3±0.6 30' NI 46.8±14.0 41.1±14.5 69.8±12.6 2.2±0.8 30' I 39.9±16.4 * 33.7±13.3 * 59.1±22.0 * 2.1±1.1 Gr. 2 VAP (µm/s) VSL (µm/s) LIN ALH (µm) T0 58.8±11.7 51.0±10.0 66.6±9.1 3.0±0.7 30' NI 47.2±12.0 * 41.0±10.0 * 62.8±5.2 2.5±1.0 30' I 51.0±11.0 * 42.0±9.3 * 59.0±8.3 * 2.9±0.7 DISCUSSION The sperm motion pattern changes from progressive to motility characterized by lateral head displacement, high curvilinear velocity and large amplitudal flagellar waves. This style of motility is termed ‘hyperactivation motility’ and essential in the fertilization process, as it allows the sperm to travel through the cervical mucus and cumulus oophorus and penetrate the dense zona-pellucida The exact physiological mechanism for hyperactivation is thought to be an increased intracellular calcium entry through sperm calcium channels [1]. In addition, increased ATP content is fundamental for sustaining energy-dependent increase hyperactivation, and mitochondria are the principle production site of chemical energy in the form of ATP which can be used for supporting sperm motility. These organelles, on the other hand, represent one of the major determinants of male fertility. Accordingly, the presence of structural and functional alterations in mitochondria from asthenozoospermic subjects confirms the important role played by these organelles in energy maintenance of sperm motility, but also in cellular energy generation, apoptosis regulation, and calcium homeostasis. Mitochondria are the major source of ROS in the cell. Superoxide is continually produced as a byproduct of normal cellular respiration. As electrons are passed from complexes I to IV in the mitochondrial ETC, continuous leakage of electrons occurs, forming superoxide (1% of total rate of electron transport). This superoxide is converted to hydrogen peroxide by manganese superoxide dismutase in the mitochondrial matrix under physiological conditions [2]. The formation of hydrogen peroxide from superoxide and its transformation to hydroxyl radical is apparent, especially when the mitochondrial ETC is abnormal or compromised. In this line of evidence, the observation that ELF-EMF can significantly reduce hyperactivation parameters in semen may represent an intriguing aspect in the sperm preparation. In the optic of assisted reproductive techniques, semen manipulation may occur after a significant period from production. In this time-lapse mitochondria ROS production would result in sperm denaturation leading to the worsening of the sperm sample preparation. The ELF-EMF treatment, in contrast, would result in a stand-by procedure thus allowing further potential treatment. [1] R. Iorio et al., Bioelectromagnetics 32 (2011) 15-27. [2] N. Desai et al., Urology 75 (2010) 14-9.
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