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Wednesday, October 10, 2012

Hope for thousands of infertile men from British discovery


Researchers have discovered that adding a missing protein to infertile human sperm can 'kick-start' its ability to fertilise an egg and dramatically increase the chances of a successful pregnancy.

The team, from Cardiff University's School of Medicine, first found that sperm transfers a vital protein, known as PLC-zeta (PLCz), to the egg upon fertilisation.

This sperm protein initiates a process called "egg activation" which sets off all the biological processes necessary for development of an embryo.

Now, the team has found that eggs that do not fertilise because of a defective PLCz, as in some forms of male infertility, can be treated with the active protein to produce egg activation.

The added PLCz kick-starts the fertilisation process and significantly improves the chance of a successful pregnancy.

It is estimated that at least 2,000 men a year seeking fertility treatment may suffer from a lack of or damage to the PLC-zeta protein.

Professor Tony Lai, who led the research with Professor Karl Swann, said: "We know that some men are infertile because their sperm fail to activate eggs.

"Even though their sperm fuses with the egg, nothing happens. These sperm may lack a proper functioning version of PLCz, which is essential to trigger the next stage in becoming pregnant.

"What's important from our research is that we have used human sperm PLCz to obtain the positive results that we had previously observed only in experiments with mice.

"In the lab we have been able to prepare human PLCz protein that is active. If this protein is inactive or missing from sperm, it fails to trigger the process necessary for egg activation – the next crucial stage of embryo development.

"However, when an unfertilised egg is injected with human PLCz, it responds exactly as it should do at fertilisation, resulting in successful embryo development to the blastocyst stage, vital to pregnancy success."

Professor Lai added: "We've established that this one sperm protein, PLCz, is absolutely critical at the point where life begins.

"Whilst this was a lab experiment and our method could not be used in a fertility clinic in exactly the same way – there is potential to translate this advance into humans.

"In the future, we could produce the human PLCz protein and use it to stimulate egg activation in a completely natural way. For those couples going through IVF treatment, it could ultimately improve their chances of having a baby and treat male infertility."

The research was published online by the journal Fertility and Sterility and was funded by the Wellcome Trust.

Dr Allan Pacey, a senior lecturer in andrology (male reproduction) at the University of Sheffield, said: "I think this is very interesting research. It is exciting that they have got to this stage."

He estimated that about 2,000 of the 50,000 couples undergoing fertility treatment a year could benefit from the discovery.