Current Biology 23, 443–452, March 18, 2013 ª2013 Elsevier Ltd All rights reserved http://dx.doi.org/10.1016/j.cub.2013.02.007 Article Rheotaxis Guides Mammalian Sperm Kiyoshi Miki1 and David E. Clapham1,2,* 1Howard Hughes Medical Institute, Department of Cardiology, Manton Center for Orphan Disease Research, Boston Children’s Hospital, 320 Longwood Avenue, Enders 1309, Boston, MA 02115, USA 2Department of Neurobiology, Harvard Medical School, Boston, MA 02115, USA Summary Background: In sea urchins, spermatozoan motility is altered by chemotactic peptides, giving rise to the assumption that mammalian eggs also emit chemotactic agents that guide spermatozoa through the female reproductive tract to the mature oocyte. Mammalian spermatozoa indeed undergo complex adaptations within the female (the process of capacitation) that are initiated by agents ranging from pH to progesterone, but these factors are not necessarily taxic. Currently, chemotaxis, thermotaxis, and rheotaxis have not been definitively established in mammals. Results: Here, we show that positive rheotaxis, the ability of organisms to orient and swim against the flow of surrounding fluid, is a major taxic factor for mouse and human sperm. This flow is generated within 4 hr of sexual stimulation and coitus in female mice; prolactin-triggered oviductal fluid secretion clears the oviduct of debris, lowers viscosity, and generates the stream that guides sperm migration in the oviduct. Rheotaxic movement is demonstrated in capacitated and uncapacitated spermatozoa in low- and high-viscosity media. Finally, we show that a unique sperm motion, which we quantify using the sperm head’s rolling rate, reflects sperm rotation that generates essential force for positioning the sperm in the stream. Rotation requires CatSper channels, presumably by enabling Ca2+ influx. Conclusions: We propose that rheotaxis is a major determinant of sperm guidance over long distances in the mammalian female reproductive tract. Coitus induces fluid flow to guide sperm in the oviduct. Sperm rheotaxis requires rotational motion during CatSper channel-dependent hyperactivated motility. Introduction Marine invertebrate spermatozoa, such as those of sea urchin, are guided by chemotaxis; egg-secreted peptides induce changes in the arc of spermatozoan swimming paths that increase fertilization success [1]. In mammals, the route to the egg is more restricted, but it is widely assumed that follicular fluid contains chemoattractants [2]. Prompted by reports of the presence of a large number of putative odorant G protein-coupled receptors in spermatozoa, the synthetic odorants bourgeonal and lyral were proposed to mimic unknown native chemoattractants of human or mouse sperm, respectively [3, 4]. However, because muscle contraction and ciliary currents would disrupt gradients over long distances, chemotactic guidance would likely be relevant only as sperm *Correspondence: [email protected] approach the egg [5, 6]. Another hypothesis, thermotaxy, is based on ovulation-dependent small temperature gradients between the isthmus and ampulla [7]. Rheotaxis, observed in many aquatic species, is the orientation of cells and organisms within a gradient of fluid flow. Positive rheotaxis, the tendency of a cell to swim against the flow, was first reported for spermatozoa over 100 years ago [8]. While ciliary current toward the distal oviduct was observed in turtle, pigeon, and rabbit, central lumen counterflow prevented a consensus about the physiological relevance of rheotaxis, and it was concluded to be a laboratory artifact [9]. In addition to cilia-directed flow, muscle contraction, tortuous geometry, the propensity of sperm to stick to surfaces, and high-viscosity fluids were recognized as factors complicating sperm transport. Rothschild [10] noted that the sperm head is attracted to surfaces (the wall effect), and suggested that the ‘‘lighter’’ tail is subjected to more force in velocity gradients, resulting in the tail being dragged downstream with the head pointed upstream [11]. More recent considerations explain the wall effect as a consequence of hydrodynamics in tubes [12]. Fluid viscosity in the female reproductive tract varies, with the highest being in the cervical mucus (200 to 680 cP in humans [13]) and the oviductal isthmus [14]. Oviductal viscosity varies during the estrus cycle. Around ovulation, ciliated cells in the isthmus epithelium are covered by a dense, tenacious mucus that disappears after ovulation [14]; estrogen-regulated secretion of oviductal fluid increases 2- to 3-fold at estrus [15]. Fluid viscosity also affects sperm movement—as viscosity increases, sperm flagella propagation velocity, wave amplitude, and energy expenditure decrease [16]. Sperm angular speed (rotation around the long axis of sperm) also decreases at higher viscosities, resulting in more planar movement [17]. In the complex process of capacitation (that is, the changes that sperm undergo in the female reproductive tract that enable them to fertilize the egg), sperm develop hyperactivated motility. Hyperactivation is characterized by higheramplitude, asymmetric waveforms of reduced beat frequency [18], which enables high flagellar swimming speeds in viscous solutions [19]. We have reinvestigated sperm taxis in vitro and in vivo using new tools that enable control of hyperactivated motility and enable the visualization of sperm movement in vivo. Here, we show that sexual intercourse in mice induces robust secretion and fluid flow within the oviduct. Sperm are directed by, and swim against, this flow (positive rheotaxis). Importantly, axial rotation requires CatSper channels for reorientation of sperm in tangential flow. We conclude that rheotaxis is a major influence in the long distance guidance of mammalian sperm to the egg. Results Coitus Induces Fluid Flow from Oviduct to Uterus Oviductal epithelia actively secrete fluid into the oviductal lumen, as first reported in rabbits during estrus [20]. Uterine fluid is most abundant (91 6 26 ml) on the day of coitus [21]; however the origin of fluid and the mechanism of its production has not been well documented. We analyzed the accumulation of oviductal fluid in the uterus in mice. Although the uterus Current Biology, Volume 23 Supplemental Information Rheotaxis Guides Mammalian Sperm Kiyoshi Miki and David E. Clapham Supplemental Inventory 1. Supplemental Figures and Tables Figure S1, Related to Figure 1 Table S1, Related to Figure 4 2. Supplemental Movie Legends 3. Supplemental References Figure S1, Related to Figure 1. Sperm Movement in the Ex Vivo Oviduct (A) Cell debris/globular cells discharged from the oviduct via the isthmus (UTJ). The oviduct of a mated female mouse was removed and incubated in HTF medium for 5h. Scale bar: 200µm. (B) Oviductal ligation near the utero-tubal junction (UTJ). Oviducts were dissected from mice 60-90 min after mating; one of the two oviducts was ligated near the UTJ in order to block fluid flow from the ampulla (white arrows) to the UTJ (red arrows). Scale bar: 1mm. (C) Transgenic sperm in the ampulla. DsRed2 (red, tail) and EGFP (green, head)expressing sperm in the ampulla; unligated oviduct under fluorescence microscopy. This particular spermatozoon did not undergo the acrosomal reaction (retained acrosomal EGFP). Table S1, Related to Figure 4. Viscosity of Luminal Fluid and Media Source Rabbit, Oviduct [1] Oviduct [2] Mouse, Uterus, 4 h after coitus Mouse, Uterus, 8 h after coitus Mouse, Uterus, 4 h after coitus Mouse, Uterus, 8 h after coitus HTF medium 0.2% Methylcellulose in HTF 0.3% Methylcellulose in HTF 0.5% Methylcellulose in HTF a Fraction 1,500 g x 5 min supernatant ? Total fluid Total fluid 18,000 x g, 5 min supernatant 18,000 x g, 5 min supernatant e n.a. e n.a. e n.a. e n.a. Viscosity was greater than that of 99% glycerol at 22ºC. Mean ± s.d. (n = 4); Only samples >100 µl were measured. c Not determined due to low volume (see Figure 1c-ii). d Mean ± s.d. (n = 3); Only samples >100 µl were measured. e Not applicable. b Viscosity (cP) 1.1 1.8 a n.d. b 81 ± 73 c n.d. d 2.4 ± 0.9 0.98 3.7 6.7 29.8 Supplemental Movie Legends Movie S1. Fluid Flow in the Oviduct (A) Fluid flow in the oviductal isthmus. An oviduct removed from a mated female mouse was incubated at 37ºC. Movement of cell debris/globular cells in the isthmus was observed through its transparent wall and recorded by a CCD camera at 30 fps. Left and right of the field are oriented to uterus or ovary, respectively. (B) Ciliary current in oviductal ampulla. An oviduct dissected from a mated female mouse was mounted on a glass slide. Ciliary current in the ampulla was observed through the transparent wall and recorded by a CCD camera at 60fps. Bottom right and upper left of the field are oriented to uterus and ovary, respectively. Objective: 20x. Movie S2. Sperm Rheotaxis In Vitro (A) Uncapacitated mouse sperm left in the 'no-flow' condition. (B) Uncapacitated mouse sperm in flow generated by convection (10 µm/s). (C) Uncapacitated mouse sperm under uniform laminar flow (generated by a pipette; 12 µm/s). Sperm are incubated in M2 at 37ºC. 10x objective. 60 fps. Movie S3. Mouse Sperm Rheotaxis In Vitro (A) Uncapacitated mouse sperm in the 'no-flow' condition in M2 medium at 37ºC; 60 fps. (B) Uncapacitated mouse sperm under fluid flow (16 µm/s) in M2 medium at 37ºC; 30 fps; 4x objective. Movie S4. Human Sperm Rheotaxis In Vitro (A) Uncapacitated human sperm in the 'no-flow' condition. (B) Uncapacitated human sperm under fluid flow (10 µm/s). Sperm were incubated in HEPES-HTF at 37ºC; 10x objective; 60 fps. Movie S5. Sperm Movement in a Capillary Tube during Low Viscosity Fluid Flow (A) Loading of mouse capacitated sperm into a glass capillary tube at 210 µm/s in HEPES-HTF at 22ºC. 10x objective. (B) Immotile, aggregated, and sluggish sperm are swept out of the capillary tube by outward-directed flow at 68 µm/s at 37ºC; 20x objective; 30 fps. Movie S6. Sperm Selection in a Capillary Tube during Fluid Flow Capacitated mouse sperm were loaded as in Movie S5A; (A) immediately after loading; (B) followed by addition of sperm-free media (HEPES-HTF) to the left end of the tube. By increasing the distance sperm had to swim, this procedure resulted in selection of active sperm. Sperm take longer reach to the end of the capillary against flow, but sluggish sperm are eliminated. 77µm/s; 37ºC; 30 fps. Movie S7. Enhanced Progressive Motility in Viscous Medium; No Flow (A) Uncapacitated mouse sperm in HEPES-HTF (~3 min). (B) Capacitated mouse sperm in HEPES-HTF (2 h) at 37ºC; 10x objective; 60 fps. Note the transition from planar circular motion before capacitation to more linear paths during capacitation. Movie S8. Sperm Movement in a Capillary Tube during Viscous Fluid Flow (A) Uncapacitated mouse sperm swim along the inside surface of the capillary tube;M2 media (0.3% (w/v) MC) at 37ºC; 58 µm/s; 20x objective; 30 fps. (B) Capacitated mouse sperm swim in the center of the capillary; HEPES-HTF (0.3% MC) at 37ºC; 61 µm/s; 30 fps. Movie S9. Sperm Turning in Flowing Solution The path of the turning sperm is marked by the dotted line. Uncapacitated mouse sperm in M2 medium at 37ºC; 11 µm/s; 10x objective; 60 fps. Movie S10. Headless Sperm Rheotax Flow rate = 6.2 µm/s in uncapacitated conditions in M2 medium; 10x objective; motion slowed 10 fold to 6 fps. Movie S11. Sperm Lacking CatSper Channels Have Low Motility, Swim in Circles, and Do Not Rotate at 37oC (A) No flow; (B) flow = 15 µm/s, 4x objective; (C) flow 15 µm/s, 20x objective. Uncapacitated sperm (HEPES-HTF for 5 min only); 60 fps. Sperm dissected from the cauda epididymis of CatSper1-/- mice. Movie S12. Lack of Rheotaxis in Sea Urchin Sperm Regardless of Fluid Flow (A) No flow. (B) Laminar flow 17 µm/s; 22ºC. Motion slowed 2-fold to 60 fps. Supplemental References 1. Hamner, C.E., and Fox, S.B. (1968). Effect of oestrogen and progesterone on physical properties of rabbit oviduct fluid. Journal of Reproduction and Fertility 16, 121-122. 2. Menezo, Y., and Guerin, P. (1997). The mammalian oviduct: biochemistry and physiology. European Journal of Obstetrics, Gynecology, and Reproductive Biology 73, 99-104. Current Biology Vol 23 No 6 444 A (i) (iii) (ii) (iv) C (i) (ii) (iii) Recovered fluid (mg) B D Hours after mating p = 0.0007 G p = 0.008 # sperm / ampulla Recovered fluid (mg) F Flow speed (µm/s) E Vehicle BrCr in Unligated Ligated vivo ex vivo noticeably swells at estrus, no appreciable fluid was recovered from ovulated females at any time point up to 24 hr after estrus (Figure 1B). When females were mated with males, we observed a slight swelling of the uterus 20 min after mating and were able to collect 22 6 4.8 mg of fluid (primarily ejaculated semen; Figures 1Aii and 1Ci). Moreover, fluid in the uterus increased over time to a peak of 87 6 13.9 mg at 8 hr (Figure 1B; the rate of secretion appeared to be highest within the first 4 hr after mating). This increase in secretion above baseline at estrus required coitus; unmated control mice did not exhibit a significant increase in uterine fluid. Because in vitro culture showed that the uterine accumulation included oviductreleased cell debris and globular cells (see Figure S1A available online), we surmised that some portion of this fluid in vivo originates from oviductal fluid. Oviductal fluid pH remains fairly constant during the follicular phase of the estrus cycle. During ovulation in rhesus monkeys, bicarbonate secretion into the oviduct increases its pH from 7.1–7.3 to 7.5–7.8 [22]. Mouse uterine fluid recovered within 4 hr after coitus was a highly viscous colloid of seminal fluid, cell debris, and globular cells, but the fluid’s viscosity decreased over time (Table S1). Beginning a few hours after coitus, significant secretion of bicarbonate-rich oviductal fluid increased the pH to w8.3, reduced mucous viscosity, and washed out viscous cellular debris (Figure 1C; Movie S1A). Cilia sweep fluid and the egg toward the uterus, Figure 1. Increased Fluid Production and Oviductal Flow after Mating (A) The mouse uterus swells after mating. No fluid was recovered from the uterus at ovulation (i). Fluid from uteri removed immediately after mating increased by 37 mg, consistent with the weight (volume) of sperm fluid (ii). Fluid volumes increased markedly in uteri 8 or 12 hr after mating (120 or 100 mg, respectively) (iii and iv). Scale bar represents 1 cm. (B) Accumulated uterine fluid was collected at the times indicated after mating. Fluid weights (volumes) from mated (red) and unmated (blue) females are plotted. (C) Uterine fluid was collected from females 20 min (i), 4 hr (ii), or 8 hr (iii) after mating, and the fluids were centrifuged. (D) Fluid flow in the oviduct (ampulla) 4 hr after mating. Migration of globular cells and debris was traced over 3 s; the closed circle marks the endpoint. The central diagonal structure is a mucosal fold in the oviductal wall. Oviductal isthmus is seen at bottom right. Scale bar represents 50 mm. See Movie S1. (E) Average globular cell migration speed = 18.0 6 1.6 mm/s at 22 C. (F) Bromocriptine administration before mating inhibits fluid secretion measured 8 hr after mating. (G) DsRed2-expressing sperm counts in the ampulla in vitro and ex vivo. Ex vivo: a portion of ampulla was dissected from females 4–5 hr after mating, and DsRed2-expressing sperm were counted. Oviducts were removed and ligated, or left unligated, near the UTJ 60–90 min after mating and then incubated at 37 C for 2–3 hr. The number of sperm reaching the ampulla in oviducts without an ovary averaged 31 6 6. The increase in sperm number over the in vivo situation may result from manipulation or a change in hormone status perhaps detaching some sperm from the isthmal crypts and facilitating sperm migration. All graphs: mean 6 SEM (black bars) and median with interquartile ranges (green boxes). reducing the attachment of cells to the wall of the oviduct (Figure 1D; Movie S1B). Ampullar flow, measured 3–4 hr after coitus, was 18.0 6 1.6 mm/s (Figure 1E). In summary, coitus induces a dramatic increase in oviductal fluid secretion that lowers viscosity and clears debris from the oviduct. We then asked what factors might mediate this increased oviductal secretion and flow. Genital stimulation and coitus evoke complex neurological responses. To simplify our task of determining factors that might increase oviductal flow, we considered known secreted hormones that were (1) elevated in serum after sexual stimulation or coitus, (2) known to effect fluid secretion across epithelia surfaces, or (3) known to alter fertilization success in mice in which the gene had been deleted. These criteria narrowed our candidate hormones to prolactin, oxytocin, and vasopressin. Prolactin is released from the anterior pituitary in response to sexual arousal circuitry that releases dopamine onto neuroendocrine cells. Prolactin, in turn, counters dopamine’s mediation of sexual arousal and reduces sexual receptivity [23]. In humans, plasma prolactin concentrations are increased for >1 hr following orgasm induced by masturbation or sexual intercourse [24]. Female mice lacking the prolactin receptor gene have multiple reproductive defects, including reduced fertilization rate [25]. Finally, prolactin also has a plethora of effects on secretory epithelia [26]. To test whether prolactin could mediate oviductal secretion, we Sperm Rheotaxis 445 A 33.5䉝 (surface) 37 Figure 2. Sperm Rheotaxis In Vitro H (A) Diagram of convective flow pattern observed in warmed media. (B) Laminar flow (1.5 ml/hr) from a rectangular capillary at 37 C. (C–F) Trajectories of mouse (in C, 3 s; in D, 4 s), and human (in E and F, 5 s) sperm in flow, analyzed by CASA. Scale bars represent 200 mm (C and D) and 100 mm (E and F). (G) Positive rheotaxis is defined here as sperm movement against fluid flow within 622.5 of the forward vector of sperm movement. (H) Rates of rheotaxis for mouse and human sperm (mean 6 SD) in five and three independent experiments, respectively. Total sperm count is shown in parentheses. See Movies S3 and S4. No flow D p = 10-6 n=5 (288) flow p = 0.0002 n=3 (270) E Human G (bottom) Mouse C B No flow F n=5 (467) n=3 (240) flow and no fertility phenotypes in TRPC5, V1, V3, A1, or M8 knockout mice [29–33]. Furthermore, we failed to detect any of these TRP currents in voltage-clamped mouse spermatozoa. Most tellingly, we noticed that temperature gradients create convection currents that influence the direction in which sperm swim. As the chamber warms the medium from the bottom surface, fluid flows in well-recognized convection patterns, reaching a steady state in which fluid cycles from bottom to top and then down the sides of the chamber (Figure 2A). Sperm consistently swam against this flow (positive rheotaxis), whether along the top liquid surface (in the direction of increasing temperature) or bottom (in the direction of decreasing temperature) of the dish (Movies S2A and S2B). Solutions flowing through a pipette into a dish at constant temperature initiated identical positive rheotaxis (Movie S2C). To quantify rheotaxis, we defined rheotactic movement as movement within 622.5 of the forward vector of sperm movement (swimming directly upstream; small particles defined the local vector of flow; Figure 2G). Providing the baseline in static media, we observe 12.5% of sperm in the field swim in the direction specified by the 45 arc centered along the sperm longitudinal axis. Without flow, mouse and human sperm swam in random directions (Figure 2H). Mouse administered the dopaminergic receptor agonist bromocriptine (BrCr) 11 hr before coitus to inhibit prolactin secretion from the anterior pituitary. BrCr treatment reduced mouse uterine fluid accumulation (Figure 1F). In contrast, administration of the VR2 receptor antagonists oxytocin (atosiban) or vasopressin (tolvaptan) did not suppress oviductal secretion. We conclude that prolactin initiates the increased oviductal fluid flow to the uterus after coition. We next asked whether oviductal flow affected sperm movement. Sperm Migration in the Oviduct Ejaculated sperm migrate through viscous fluid to bind to epithelial cilia in the oviductal isthmus [6]. We tested whether sperm then detached from the cilia and swim to the ampulla after the mucus fluid had been cleared. Taking advantage of genetically modified sperm, in which enhanced green fluorescent protein (EGFP) is expressed in the sperm acrosome and DsRed2 fluorescent protein is expressed in sperm mitochondria [27] (Figure S1C), we found that 9 6 1 sperm reached the ampulla 4–5 hr after mating (Figure 1G; in vivo). In order to test whether rheotaxis was functional ex vivo, oviducts were dissected from mice 60–90 min after mating. By this time, sperm had reached the isthmus, and in the next 2–3 hr, they migrated from the isthmus to the ampulla. Importantly, sperm in the isthmus migrated successfully to the ampulla ex vivo in the absence of an ovary, a source of potential chemoattractants (Figure 1G). However, sperm transport was limited when oviducts were ligated near the uterotubal junction (UTJ) to block fluid flow (Figure S1B), as assessed by observation of DsRed2-tagged sperm upstream of the ligation site and by the lack of discharge of cell debris and globular cells. Sperm motility in the blocked oviduct appeared normal, but there were w3-fold fewer sperm in the ampulla of the ligated oviducts (11 6 2), indicating that fluid flow is a factor in optimal sperm transport ex vivo. Spermatozoan Rheotaxis The suggestion by several groups that transient receptor potential (TRP) channels are present in spermatozoa and might mediate sperm thermotaxis [28] motivated our initial studies to examine sperm movement in a thermal gradient. However, we found no effects on sperm motility or fertilization Human Rheotaxis of Uncapacitated and Capacitated Sperm in Low-Viscosity Media Because sperm capacitation can vary with respect to position and time in the female reproductive tract [18], we evaluated sperm rheotaxis in both uncapacitated and capacitated mouse sperm. Ejaculated sperm swim to the oviductal isthmus through the UTJ within 1–2 hr, but most require several more hours to reach the ampulla [6]. When uncapacitated mouse or human sperm were added to the convective flow chamber, 68% and 51% of the actively motile sperm exhibited rheotaxis, respectively (Figures 2C–2F and 2H; Movies S3 and S4). To remove confounding results due to potential thermotaxis, we repeated these experiments in isothermal fields of flowing media. Uncapacitated sperm were placed in shear flow (Reynolds number [Re] = 0.002) via a 1 3 0.05 mm (w 3 h) capillary tube (Figure 2B). As expected, spermatozoa swam against the direction of flow (positive rheotaxis; Movie S2C), whereas in controls (no flow) sperm movement was randomly directed (Movie S2A). Laminar flow in a chamber varies due to surface drag; velocity is highest in the center of the stream and falls to Current Biology Vol 23 No 6 446 Figure 3. Rheotaxis of Mouse Sperm in Low- and High-Viscosity Media Outward flow A exiting Loading Inward flow inner diameter: 80 µm exiting B Uncap Exiting FlowOUT a Exiting (814) c (509) FlowIN FlowOUT High viscosity (804) (587) Loading Cap C Low viscosity Loading (633) a (531) c (843) (877) b d (825) FlowIN (616) (697) b (544) Sperm (%) Sperm (%) Motile Sluggish Immotile a minimum next to the walls [34]. The flow gradient was quantified by measuring 1 mm spherical beads placed in the fluid as markers. Velocity profiles in fluid chambers are parabolic and approach linearity only near a small portion of their profile near a boundary. By tracking beads, we found that flow speed increased in the range of 0–300 mm from the surface. Bead velocity in the range of 0–80 mm could be approximated as w1.45x, where x is the distance in microns from the surface (least-squares r2 = 0.98). The swimming tracks of added sperm appeared as ‘‘threads’’ (similar to those in Figures 2D and 2F), swimming w9 mm from the surface (flow velocity = 14.5 mm/s). In this low-viscosity fluid, capacitated mouse sperm that swim into the higher velocity of the central stream are swept downstream. Sperm swim near the surface where flow rate is slow, and those that stray away from the surface are swept away by the faster, more central flow under these conditions. The lumen of the mouse oviductal isthmus consists of a narrow central channel surrounded by pockets formed by deep transverse mucosal folds. Sperm in the mucosal folds can access the central channel to migrate in the oviduct. To simulate the narrow central channel, sperm were capacitated for 2–3 hr in human tubal fluid (HTF) medium (cooled to 22 C to limit sperm motility) and loaded into the capillary (Figure 3A; Movie S5A). The capillary was then transferred to a 37 C chamber where sperm resumed more active motility. Under outward-directed flow (FlowOUT; w15 nl/min or w50 mm/s), sperm motility was recorded and sperm that had been swept out the end of the capillary counted. Whereas 44% of the sperm loaded into the tube were immotile, 78% of sperm swept from the tube were immotile (Figure 3B; Movie S5B). Conversely, when sperm were slowly sucked into the pipette (inward flow; FlowIN; w15 nl/min or w50 mm/s; 39% motile), 93% of sperm were active and moving against fluid flow, leaving immotile and some sluggish sperm behind (Figure 3B; Movie S6). Thus, gentle flow concentrates, or selects, viable sperm. Uncapacitated sperm showed essentially the same results (Figure 3B). In short, sperm swim upstream in a capillary mimicking flow rates in the oviductal lumen, a direction that also moves the oocyte toward the incoming d (A) Capacitated (Cap) or uncapacitated (Uncap) sperm were suspended in medium with (highviscosity) or without (low-viscosity) 0.3% (w/v) methylcellulose. Sperm were loaded into a capillary (at 22 C), and positive (outward flow; w15 nl/ min) or negative (inward flow; w15 nl/min) pressure was applied (at 37 C). The most immotile and sluggish sperm were present in the central stream (w50 mm/s flow rate), whereas most of the motile sperm swam near the wall where the flow rate was lowest. (B and C) Sperm were categorized as motile, sluggish, or immotile. Sperm movement near the end of the capillary was observed under outward (FlowOUT) or inward (FlowIN) flow in the low- (B) or high-viscosity (C) medium (mean 6 SD, n = 5; total sperm counts are shown in parentheses). Statistical significance was compared between the number of motile sperm in FlowOUT and FlowIN. p values of each experiment (compare error bars marked as a, b, c, and d) were smaller than 1026. See Movies S5, S6, and S8. sperm and eventually to the uterus. Thus, oviductal secretion and flow clear the oviduct and increase pH to induce hyperactivation; rheotaxis selects for motile sperm and ensures that eggs are fertilized while still in the oviduct. As proposed by Suarez and colleagues, slow release from reservoirs of quiescent sperm or sperm attached to epithelial or ciliary surfaces may provide a steady supply of sperm as this process is repeated over time [6]. Sperm Movement in High-Viscosity Media During estrus, high-viscosity mucus is an obstacle to sperm progress through the isthmus lumen. Assuming, as a first approximation, that the fluid is Newtonian, we measured the viscosity of secreted and accumulated lumenal fluid in the uterus, in which oviductal mucus, cell debris, and ejaculated semen were present. The viscosities of this fluid averaged 81 6 73 cP compared to the viscosity of clear fluid supernatants (2.4 6 0.9 cP; Table S1). One caveat however, is that the fluid is thixotropic (viscosity decreases with shear) and thus likely non-Newtonian. Nevertheless, we estimate that the viscosity of lumenal fluid decreases to as low as 2–3 cP upstream of the congestion of mucus and cell debris in the isthmus. Therefore, we used media containing 0.3% methylcellulose (MC) (6.7 cP; Table S1) to mimic the environment of the oviductal lumen. As seen in Figure 4A and Movie S7A, uncapacitated mouse sperm swim in circles in viscous medium regardless of priming by bicarbonate ion in HTF medium (w3 min), which increases flagellar beat frequency within 30 s [35]. The majority of uncapacitated sperm exhibit planar swimming (Figure 4A), with one side of the head facing the surface. This swimming behavior may increase the chance for uncapacitated sperm to stick to oviductal epithelial cells more frequently, a delay that might promote acquisition of the capacitated state [36]. Sperm Rotate after Capacitation in Viscous Media When sperm are observed under phase-contrast microscopy, reflection intensity varies sinusoidally as the sperm head rotates, with the highest intensity corresponding to the head in the position vertical to the surface [13] (Figure 4C). We Sperm Rheotaxis 447 Figure 4. Sperm Rotation during Capacitation Brightness (a.u.) D A 250 150 uncapacitated 0 0.5 1.0 E B Brightness (a.u.) Seconds 250 150 capacitated 0 0.5 (A and B) Sperm trajectories in viscous solution: sperm were incubated with 0.3% (w/v) methylcellulose-containing HEPES-buffered HTF medium for w3 min (A: uncapacitated) or 2 hr (B: capacitated). Scale bar represents 200 mm. See Movie S7. (C) The head of the spermatozoa is dark on phase-contrast images due to its relatively flat structure (upper panels). Sperm head light reflectance increases on phase-contrast images when the sperm heads orient vertically to the surface (lower panels). (D and E) Representative results of the sperm head-rolling (rotation) analysis. Uncapacitated (D) or capacitated (E) sperm were incubated in HTF medium for 3 hr and analyzed (a.u. indicates arbitrary units). (F) Increase of rotation rate during capacitation (6SD; w70 sperm for each time point). 1.0 Seconds F Rotation rate (Hz) C 8 6 fertilization site faster than uncapacitated sperm in high-viscosity solution. Increased Rotation in Turning As noted above, sperm often swim close 4 to surfaces due to the hydrodynamic wall effect [10]. We observed that sperm eventually leave the surface, are Vertical 2 exposed to faster flow and pushed downstream, but then they return to Incubation (min) the surface and again orient against fluid flow (Figure 5A; Movie S9). We 0 50 100 150 200 noticed rapid sperm rotation (3.8 6 0.2 Hz; 6SEM) when the sperm turns in plotted sperm head reflection intensity as a function of time response to fluid flow at a position perpendicular to the direcand call it ‘‘rotation frequency,’’ because it reflects the spin- tion of fluid flow (11 out of 14 analyzed sperm; Figure 5B), ning of the sperm head and tail around a longitudinal axis. followed by a return to normal rotation frequency (3.0 6 Rotation frequency was 1.7 6 0.1 (6SD)-fold higher in capaci- 0.2 Hz; 6SEM). Time-course analysis of turning sperm retated (Figures 4E and 4F) than uncapacitated (Figures 4D vealed a peak rotation rate of 7.1 Hz during turning, compared and 4F) sperm. During capacitation, the linear progress of to 4.5 Hz prior to turning (Figure 5C, red). In contrast, the rotathe movement is increased by rotation (Figure 4B; Movie tion frequency of sperm in steady-state positive rheotaxic S7B). In flowing high viscosity media, uncapacitated sperm movement was constant during steady flow and indistinswim in a corkscrew path, and the head does not rotate guishable from sperm in ‘‘no-flow’’ conditions (Figures 5C when closest to the wall (Movie S8A). This motion may be and 5D). To further examine the propensity of sperm to turn boundary-driven (thigmotaxic) rather than rheotaxic. Sperm into a stream we examined sperm at the confluence of two rotation after capacitation may enhance detachment from flow streams 45 apart (Figure 5E). In these situations, sperm surfaces. Once in the stream, linear progress is enhanced; rotation frequency significantly increased and resulted in the head rotates and the sperm progression pattern oscillates sperm being directed into the stronger stream. Since inertia around a motion-oriented parallel to the flow (Movie S8B). is negligible in the microscopic range [12] but governed by Linear velocity (migration speed toward the capillary end) of overdamped, zero Reynolds number dynamics, the system uncapacitated and capacitated sperm was 36 6 6 and 54 6 will be governed not by momentum, but rather by relative 8 mm/s (mean 6 SD, n = 11), respectively, under comparable forces. Our conclusion is that sperm increase their rotation flow conditions in viscous media (Movie S8). In summary, rate when they encounter tangential (side) forces. sperm rotation after capacitation enables sperm to swim into the main fluid stream (Figure 3C; Movie S8B). At the Mechanisms: Tail Rotation Is Required for Rheotactic boundary (chamber floor), the fluid velocity approaches zero, Movement but as the sperm head moves up into the fluid, sperm experi- Orientation in a flowing stream has been described for ence a difference in flow velocity that rotates the cell. This mammalian sperm [11, 35] and bacteria [37]. Some mechapreviously unappreciated capacitation-induced movement is nistic models of this orientation assume stronger hydrodyan important aspect of motion, in addition to the increased namic drag on the head (sperm) or cell body (bacteria) than motility of sperm in viscous medium reported by Suarez the flagellum that orients the front of the cell toward the et al. [19]. Thus, the gain in forward progression in the surface, resulting in the tail being dragged downstream with oviductal lumen enables capacitated sperm to reach the the head and cell body pointed upstream [11, 37]. To separate Flat Current Biology Vol 23 No 6 448 Figure 5. Increased Sperm Rotation Rate in Fluid Flow A Perpendicular 1s 1s 0.5 s Rotation rate (Hz) B Rotation rate (Hz) C turning sperm } (A) Representative uncapacitated spermatozoan turns in response to fluid flow. Images were recorded at 0.5 s intervals; black arrows mark a turning sperm. Flow direction, in all panels, is indicated by the green arrow. See Movie S9. (B and C) Rotation rate of individual turning sperm; average of two 1 s periods plotted at 0.5 s intervals (some points overlap and are shown as single dots) (B) or sequentially over time (C). Red line in (C) indicates a turning sperm; other lines indicate sperm swimming in a straight line against fluid flow. (D and E) Conditions that change sperm rotation rate. Uncapacitated sperm were incubated at 37 C, and the rate of rotation measured in no flow, steady flow (14 mm/s), or convergent flow (shown in E; 6SEM, n = 35). non-turning sperm fluid flow; their trajectories were similar to those of mouse sperm lacking CatS2 Seconds per channels or uncapacitated sperm in D p = 0.0003 E high-viscosity medium (Figure 6B; Movie S12A). Regardless of fluid flow, convergent p = 0.0004 these sea urchin sperm swam in circular flow planes (Movie S12B), consistent with the behavior of sperm from marine invertebrates that are not guided by marine currents but swim in concentric p = 0.0001 circles until encountering chemoattractants that turn and widen their arcs of pipette circular motion [39]. Prior studies show the sperm Turn Linear flagellum oscillates in a single plane convection when tethered at its head on a glass coverslip [35]. In order to better understand the motion of sperm in three dimensions during free swimming, we recorded a sperm flagellum every 50 ms and aligned these waveforms by horizontal translocation of the the differential influence of drag on head and tail, we examined swimming direction axis (Figure 7A). During free swimming, swimming headless sperm, which represent a minute fraction flagella crossed the x axis at w20% of their entire length as (<0.1%) of sperm from normal mice. Of these, 82% (14 out of measured from the head (Figure 7A, right). This point is the 17) swim against fluid flow (Movie S10), indicating that the minimum of flagellar excursion (Figure 7, arrowhead) and head does not act as an aft rudder and is not required for moves along the x axis with minimal y deviation or yaw into normal orientation—in other words, the rotating tail alone the plane (z axis). If sperm do not rotate, flagellar trajectories trace a triangular plane, resulting in minimal rheotaxis. can exhibit positive rheotaxis. Sperm lacking any one of five CatSper subunits (CatSpers1–4, Sperm rotation produces trajectories that trace a symmetric CatSperd) exhibit identical phenotypes [38], fail to develop cone-like path (Figure 7B), consistent with previous observafunctional CatSper Ca2+ currents, and lack hyperactivated tions of human spermatozoa that trace out a cone-shaped motility. Uncapacitated sperm lacking ICatSper usually helical pattern and have an extended elliptical cross section swam in a counterclockwise circular plane on the bottom when their heads are immobilized by attachment to a micropisurface, as observed from the top (Figure 6A; Movie S11A). pette, but allow the tail to exhibit flexible three-dimensional This swimming behavior did not change regardless of fluid movement [40]. Tangential forces on the tail anterior to the flow (Figure 6A; Movies S11B and S11C), indicating that the minimum of flagellar excursion will produce a clockwise force CatSper channel was required for effective rheotactic (as seen from above), whereas those on the posterior tail responses to fluid flow. Presumably, calcium influx through produce a counterclockwise force. The posterior tail receives CatSper channels enhances sperm rotation, which changes stronger tangential force due to its higher proportion of the circular planar movement to rotational swimming. Thus, rota- flagellar length (w80%, presenting a greater cross section to tion is an essential sperm motion for proper rheotaxis, and the force of fluid flow), pointing the sperm upstream (FigCatSper channels contribute to this response. Interestingly, ure 7B). If the sperm were fixed at the point of minimal S. droebachiensis sea urchin sperm did not swim against excursion, this would be analogous to a weather vane that is Rotation rate (Hz) 1 Sperm Rheotaxis 449 A No flow A CatSper KO B B No flow Sea Urchin flow Figure 6. Without Rotation, Mouse and Sea Urchin Sperm Swim in Circles Trajectories of uncapacitated sperm from CatSper1 knockout mouse (A: 3 s) or sea urchin sperm (B: 2 s). Fluid flow was generated by convection or via pipette, and sperm trajectories were analyzed by CASA. Scale bar in (A) represents 200 mm; scale bar in (B) represents 50 mm. Green arrows show the direction of fluid flow. See Movies S11 and S12. divided by an axis of rotation into a small anterior and a larger posterior surface that receives stronger tangential force and thus guides the weather vane into the wind. A freely motile sperm in a homogeneous flow is not constrained to be stationary at any point and therefore is not subject to torque, but it is subjected to differences in flow velocity along its length. Discussion We propose that rheotaxis, assisted by factors inducing hyperactivated motility (alkaline pH and, in humans, progesterone), is a major mechanism guiding sperm in mammalian female reproductive tracts. This rheotaxis is not related to sensory mechanisms and guidance responses as it is in large animals such as fish but a consequence of rotational motion potentiated by calcium entry via CatSper channels. Three arguments support sperm rheotaxis as a major guidance and selection mechanism. First, coitus triggers substantial fluid secretion into the oviduct, thus increasing lumenal flow directed by cilia and muscle contractions from ampulla to uterus. Second, positive rheotaxis of mature spermatozoa from mice and humans is observed in situ and in vitro. Finally, capacitating conditions and physiological fluid flow overcome the wall effect and sperm adhesion—these factors accelerate sperm rotation that in high viscosity fluid evokes a change from planar circular swimming to directional swimming. In contrast, the most popular hypothesis for taxis, chemotaxis, lacks both bona fide chemoattractant candidates and cognate receptors in mammals. We cannot, however, exclude a role for chemotaxis—if it occurs, it is most likely relevant over short distances. Similarly, we conclude that our results cannot be explained by thermotaxis. In the study of Bahat et al. [41], only w5% of cells respond to temperature gradients, 8-fold less than the percentage of sperm responding to rheotaxis in our experimental system (w40% of the population; Figure 2). Most importantly, we observed that sperm swam upstream even though there was a descending temperature gradient. Figure 7. Model for Sperm Rheotaxis (A) The flagellum of an unattached sperm swimming against fluid flow was traced every 50 ms and aligned by horizontal movement in the swimming direction (dotted line). Arrowhead indicates point of minimal excursion of flagellum (mef). (B) Fluid flow (red arrows) reorients sperm (yellow arrows) into the flow to reduce shear as the sperm rotate (orange arrow) and propel themselves upstream. Rotation maps out a three-dimensional cone shape in space, which orients sperm consistently into the flow (positive rheotaxis). Again, this does not mean that true thermotaxis or thermal effects on sperm motility are absent. Fluid secretion in response to coitus has been relatively unstudied. We found that there was little fluid secretion into the oviduct and uterus at ovulation in mice. In contrast, coitus induced a dramatic secretion of fluid that accumulated in the uterus (pH w8.3), consistent with active extrusion of bicarbonate ion and water from the oviductal epithelium [42]. Interestingly, simulated coitus improves the success rate of artificial insemination in mice [43]. In humans, sexual stimulation of females increases serum prolactin [24], and our initial findings in mice suggest that this is mediated by bromocriptine-sensitive dopaminergic pathway control of the anterior pituitary gland. Prolactin regulates water and electrolyte balance in many organs (e.g., kidneys, fish gills [26]), perhaps via activation or regulation of the cystic fibrosis transmembrane conductance regulator (CFTR) [23, 42] or aquaporins [44]. With increased oviductal flow, globular cells from the oviduct were also discharged into the uterus within 4 hr after coitus. Apparently, ciliary motion and muscle contraction in the isthmus pushes oviductal fluid to the uterus, in turn washing away mucus and globular cells to clear the way for sperm traffic. Sperm harbored in the lower isthmus then orient and swim against this flow to reach the ampulla. Unlike the isthmus, countercurrents in the center of the ampullar lumen circulate fluid while ciliary currents push the fluid downstream into the oviduct [9]. Due to the hydrodynamic wall effect [10], sperm moving locally along ciliated epithelium may also swim against this ciliary current to reach the cumulus oophorus complex. Current Biology Vol 23 No 6 450 Sperm of marine invertebrates swim in a relatively unrestricted three-dimensional space, where the encounter of an egg may be fortuitous. Chemotaxis substantially improves the odds of reproduction of these species. In contrast, the reproductive tract of mammals is restricted to a quasi-onedimensional tube with increasing pH (and progesterone in humans) initiating hyperactivated motility to free sperm from adherent surfaces and rheotaxis to guide the sperm toward the oviduct. With up to 5 million mouse sperm deposited in the females after ejaculation, only w20 sperm cells reach the ampulla within several hours, similar to the success rate of other mammals [40]. Oviductal flow has two advantages—it guides sperm to the egg but also selects for strong, capacitated sperm. Mammalian sperm must penetrate mucus, the viscoelastic matrix of the cumulus oophorus, and the tough zona pellucida, requiring vigorous sperm for successful fertilization. Also, directional flow sweeps the egg down the oviduct, and sperm that swim against the flow preferentially fertilize the egg while still in the oviduct. This provides time for the egg to develop for implantation. From this viewpoint, rheotaxis is a logical guidance and selection mechanism. Our results suggest that positive rheotaxis is due to the spiral rotation of the sperm tail that orients sperm upstream, and as such, it is decidedly an active process. Calcium entry is required to trigger the increased amplitude of the distal tail excursion that increases tangential force. At the same time, increasing angular speed stabilizes the sperm’s swimming orientation due to increased motive force against the surroundings. Because the hyperactivated flagellar waveform is both asymmetric and of larger amplitude [18], the flagellum receives larger tangential forces, especially in high-viscosity solution [6], which points the sperm into flowing solution. Of course, the underlying basis of motile force and rotational motion is the basic adenosine triphosphate (ATP)/dynein motor; calcium modulates this motor and other components of the flagellar axoneme in ways that are not yet understood. In summary, we find that coitus induces oviductal flow that clears the oviduct of cellular debris and provides rheotactic guidance for sperm. CatSper-mediated calcium entry associated with capacitation and subsequent hyperactivated motility potentiates and regulates the sperm rotation that is crucial to guidance in the graded, complex fluid flow in the oviduct. Experimental Procedures Mating and Collection of Uterine Fluid All animal experiments were performed according to procedures approved by the Institutional Animal Care and Use Committee of Boston Children’s Hospital. Mice were housed in a 12 hr light (7 a.m.–7 p.m.)/dark cycle. Follicular growth and ovulation were stimulated in CD-1 female mice (Charles River) at 8 to 9 weeks of age by intraperitoneal (i.p.) injection of pregnant mare serum gonadotropin (5 IU, PMSG; Calbiochem) at 6:30 p.m., followed 48 hr later by i.p. injection of human chorionic gonadotropin (5 IU, hCG; Calbiochem). In some experiments, BrCr (10 mg/kg, B2134; Sigma) was subcutaneously injected 11 hr before mating. The mating period for B6D2F1 males was set between 6:20 and 7:00 a.m. the morning after hCG injection; the end of the mating period was t = 0. In some experiments, atosiban (4 mg/kg) or tolvaptan (4 mg/kg) was injected i.p. just after mating. The uterine horn was tied and dissected out with the oviduct and ovary, and uterine fluid was collected by gently squeezing the cut end of the uterus with forceps. The uterine fluid was the weight difference before and after fluid collection. VR2 receptor antagonists for oxytocin (atosiban) or vasopressin (tolvaptan) yielded 143 (659, SEM, n = 4) and 85 (616, SEM, n = 6) mg, respectively, of uterine fluid 8 hr after mating. Observation of Oviductal Fluid Flow Oviducts were removed 3–4 hr after mating and placed in a 37 C chamber containing M2 medium (2 ml; Specialty Media, Millipore). A cover glass was placed over the oviduct, and fluid flow was recorded through the oviductal wall (20 3 objective; CCD at 60 frames/s; 22 C). Ex Vivo Sperm Migration DsRed2-EGFP transgenic males [28] (B6D2F1-Tg; CAG/su9-DsRed2, Acr3EGFP RBGS002Osb) enabled clear sperm visualization. Sixty to ninety minutes after the end of the mating period, oviducts were removed and ligated just after the UTJ (ovarian side). Oviducts were gently washed in HTF medium (Specialty Media, Millipore) to remove sperm attached to the outside wall and then incubated (5% CO2) for 2–3 hr. A portion of the ampulla was first cut with a fine scissors to prevent sperm from leaving the isthmus, then the oviduct was stretched by trimming the mesosalpinx and placed on a glass slide (14 each of ligated or unligated oviducts), and sperm inside were counted under fluorescence microscopy. Samples in which there were obvious sperm aggregates on either side of the ampulla were removed from statistical analysis (two cases each; ligated and unligated oviducts). Sperm Preparation Mouse sperm were collected from the B6D2F1 male (Jackson Laboratories) cauda epididymis and incubated for 5 min to allow sperm to swim out. Centrifugation at 900 g (5 s) removed debris and large sperm aggregates. Sperm were then incubated at a density of 2 3 106/ml in M2 media for 30 min or HTF medium for 2–3 hr (5% CO2), yielding uncapacitated or capacitated sperm, respectively. Cryopreserved human sperm were purchased from Fairfax Cryobank. Actively motile human sperm were collected by the swim-down procedure. Frozen sperm (w3 3 107) in egg yolks were thawed and washed by suspension in 5 ml HTF, followed by centrifugation at 500 g 3 5 min to obtain a sperm pellet. After two rinses, the pellets were resuspended in 0.5 ml HTF. Half of the sperm suspension was overlaid with a 0.5 ml Percoll cushion (80% HTF, 20% Percoll, 0.1 M NaCl). Sperm were incubated for 45 min in a 37 C/CO2 incubator and sperm swimming-down into a Percoll cushion were recovered by centrifugation at 1,800 g 3 1 min. Sperm in the pellet were resuspended in 0.5 ml HTF and incubated for 30–60 min. Green sea urchin (Strongylocentrotus droebachiensis; ISF Trading, Marine Biology Laboratory, Woods Hole, MA, USA) sperm were obtained by intracoelomic injection of 0.5 M KCl. Eluted sperm were suspended in artificial seawater (ASW) containing 486 mM NaCl, 30 mM MgSO4, 10 mM MgCl2, 10 mM KCl, 10 mM CaCl2, 2.5 mM NaHCO3, and 10 mM HEPES (pH 8.0). In Vitro Sperm Rheotaxis Sperm rheotactic movement was analyzed in convective and capillary flow. For convective flow, 2 ml of culture medium and 1–2 3 105 mouse sperm or 2–4 3 105 human sperm were added to the 37 C chamber (Delta T culture dish controller; Bioptechs). M2 or HEPES-HTF medium (92 mM NaCl, 2 mM CaCl2, 4.7 mM KCl, 0.2 mM MgCl2, 0.37 mM KH2PO4, 25 mM NaHCO3, 18.3 mM Na lactate, 2.78 mM glucose, 0.33 mM Na pyruvate, 0.4% [w/v] bovine serum albumin [BSA], and 10 mM HEPES [pH 7.4]) was used for mouse or human sperm, respectively. In some experiments, the medium was supplemented with 0.3% (w/v) methylcellulose (MC) (M0512, 4,000 cP in 2% solution; Sigma). Sperm swimming 3–5 mm from the rim were recorded by CCD camera (4 or 10 3 objective, mouse or human sperm, respectively; KP-F31SCL; Hitachi) after a 10 min preincubation period that allowed spontaneous dissociation of sperm clumps and stabilized convective flow. For control (no flow) and capillary flow experiments, 1 ml of medium was overlaid by 1 ml of mineral oil and covered by a heated glass lid (Bioptechs) to inhibit convection. A glass pipette of 1.2 mm (OD) rectangular glass capillary (w50 mm [h] 3 w1 mm [w]) was placed on the bottom of the chamber, and the media was gravity fed at 1.5 ml/hr. Mouse sperm (1–2 3 105) were transferred to the heating chamber and analyzed for sperm rheotaxis at a constant 37 C. For sea urchin sperm, 2 ml of ASW and 1–2 3 106 sperm were added to a 35 mm culture dish precoated with 0.1% gelatin to prevent sperm surface adhesion. ASW containing 1 mm microbeads (Micromer; Micromod) was perfused at 3 ml/hr (22 C). Measurement of Sperm Rheotaxis Sperm motion in 3 s intervals was recorded by CCD at 60 frames/s, processed using digital image processing software (XCAP; EPIX), and analyzed using ImageJ. Swimming trajectories were via Computer Assisted Sperm Analysis (CASA; http://rsbweb.nih.gov/ij/plugins/casa.html). Sperm Sperm Rheotaxis 451 movement within 622.5 from the vector 2180 from the direction of fluid flow was defined as rheotactic movement (Figure 2G). Sperm undergoing rheotaxis were divided by the number of motile sperm; sluggish sperm, swept out by convective flow, were excluded from the count. Uncapacitated and Capacitated Sperm Movement in the Capillary Tube Mouse sperm incubated in the HTF medium for 2–3 hr or M2 medium for 30 min at 2 3 106/ml yielded capacitated or uncapacitated sperm, respectively. Sperm were centrifuged at 900 g 3 1 min, resuspended in HEPES-HTF or M2 medium with or without 0.3% (w/v) MC at 4 3 106/ml, and loaded into the capillary by suction via an air-pressure microinjector (IM-5B; Narishige; 22 C). Sperm in the capillary were transferred to the 37 C chamber containing 2 ml of HEPES-HTF or M2 medium with or without 0.3% MC at 37 C (w150 sperm for each experiment). In some experiments, microbeads (1 mm) served as a flow indicator; a flow rate of w3 ml/mm2/min provided w50 mm/sec flow in the cross-section imaged. Viscosity Measurements The viscosity of lumenal fluid and media was measured using the rolling-ball method at 22 C. Variable glycerol concentrations were used as calibration standards. Statistical Analysis Data analyses were performed using Microsoft Excel and GraphPad Prism. Paired (Figure 5B) or two-tailed (all other figures) Student’s t test was used to calculate statistical significance. Supplemental Information Supplemental Information includes one figure, one table, and 12 movies and can be found with this article online at http://dx.doi.org/10.1016/ j.cub.2013.02.007. Acknowledgments We thank J.-J. Chung for help with CatSper12/2 mice, M. Delling and S. Febvay for imaging assistance, Y. Miki for sample preparation, and the Clapham laboratory for discussion. DsRed2-EGFP transgenic mice (B6D2F1-Tg: CAG/su9-DsRed2, Acr3-EGFP: RBGS002Osb) were generously provided by M. Okabe, Osaka University, RIKEN BioResource Center. 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