Document Type : Review Article
Authors
1 Reproduction Group, Department of Microbiology and Parasitology, Medical School, University of Antioquia, Antioquia, Colombia
2 Division of Medical Physiology, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, South Africa
Abstract
Keywords
Few cells have attracted the world’s attention and intrigued
scientists throughout history as much as the male
gamete or spermatozoon. It is one of the most fascinating
and important cells. A crucial part is involved in the
fecundation process due to its role in the delivery of male
genetic material and proteins to the oocyte at the time of
fertilization. Despite the vital dependence of human life
on the interaction between gametes, research on human
and male reproduction is less than infectious diseases.
This is perhaps due to the emergent and expansive nature
of infections. Only 0.4% of all scientific papers published
over the last 50 years have pertained to spermatozoa despite
their discovery in 1677 by van Leeuwenhoek (
In 2016, the 100,000th paper related to spermatozoa was published. To celebrate this significant milestone, we aim to highlight and discuss the most important events related to the history of this cell that travels from one individual to another in order to initiate and preserve life. We conducted an extensive evaluation of PubMed [National Center for Biotechnology Information (NCBI)] literature using the term “sperm” without any limitation on the date of publication. In addition, we determined the numbers of publications on another topic of major interest to the scientific community-viral infection caused by the human immunodeficiency virus (HIV). Furthermore, we evaluated the relationship between HIV and sperm articles in the last 30 years, and conducted a review of the literature about the most important findings. We selected and discussed milestones that pertained to spermatozoa.
In the database used for this analysis (PubMed), the
number of results retrieved with the term “sperm” was
much greater than when we used the term “spermatozoa”.
The 100,000th article on HIV was published in the year
2000 (3,102,842 articles had been published when last accessed
on January 8th, 2017,
During June 1843, according to PubMed, there were
three manuscripts published. Two papers, one original
and one editorial (
It is important to note that since 1990 the relationship between articles published about HIV and sperm were similar (median 4.2-fold more for HIV, range: 3.4 to 4.8). In addition, there were significantly more (P<0.0001) numbers of papers published during the last three decades (1990-2016) in PubMed about HIV (median 10.4, range: 5.8 to 15.7) compared to spermatozoa (median 2.6, range: 1.7 to 3.6,
Number of articles published in relation to time on human immunodeficiency virus and spermatozoa.
Quantity does not necessarily imply quality. However, good quality manuscripts have been published about sperm and HIV. We intend to discuss a few of these publications to highlight some of the events that have marked the history of research on human reproduction (
Important events related to spermatozoa include the advent of assisted reproduction, male contraception, and the effects of the interaction of sperm with microorganisms (viruses, bacteria, and fungi), among others. However, the story of the discovery of sperm has originated more than three centuries ago, in 1677. Without any scientific purpose and purely driven by human curiosity, van Leeuwenhoek and his assistant described animalculae (
It is impossible to discuss sperm without referring to the environment in which it develops. Cooper (
The development of spermatogenesis is connected to the testicular anatomy and the action of mainly two cell types: Leydig cells, first described by the German histologist Leydig in 1850 (
The spermatozoon’s physiology, as well as any alterations to it that could lead to infertility, prompted the development of techniques used to evaluate some important characteristics of sperm during the reproductive process. In 1866, Sims devoted a chapter of his book “Clinical Notes on Uterine Surgery” to describe the nature and properties of semen, artificial fertilization, and the conception period. Sims wrote: “If we take a drop of semen from the vagina immediately after sexual intercourse and place it under the microscope, we shall see the hurried movements of seemingly thousands of spermatozoa”; thus was born the post-coital test to “measure” the capability of sperm to penetrate a woman’s cervical mucus. Huhner has described the details of this technique where it is known as the Sims-Huhner test (
Oocyte-sperm interaction and the interaction of sperm with the environment have been studied extensively from two perspectives: agglutination and chemotaxis. These phenomena were particularly studied in marine species such as sea urchins. Simple experiments combined with detailed observation allowed Lillie (
Spermatozoa are highly specialized cells with specific energy requirements. Adenosine triphosphate (ATP), which constitutes the basis for supporting the key functions of the spermatozoa, is formed through the glycolysis and oxidative phosphorylation pathways. To date, a discrepancy has been reported as to which method of ATP production is primarily utilized by the spermatozoa for successful fertilization (
In 1929, Macomber and Sanders (
In 1932, Baskin (
Another important milestone was reached in 1942, when Lasley et al. (
The first suggestion that oxidative stress might play a role in the etiology of defective sperm function came from MacLeod, one of the pioneers of modern andrology. As early as 1943, MacLeod demonstrated that human spermatozoa rapidly lost their motility in oxygenated medium via mechanisms that could be recovered by the concomitant presence of catalase, a specific scavenger of hydrogen peroxide (reactive oxygen species) (
Oxidative stress is one of the major causes of defective sperm function and male infertility because it causes lipid peroxidation and disrupts the integrity of sperm DNA. This, in turn, can affect sperm motility and limit fertilizing potential as a result of collateral damage to proteins and lipids in the sperm plasma membrane. In addition, reactive oxygen species increase as a consequence of leukocyte infiltration. A variety of primary factors can initiate oxidative stress such as infection, age, obesity, and exposure to a variety of adverse environmental influences. Despite the resultant oxidative damage to the sperm’s chromatin, once fertilization occurs, the oocyte can repair most of the damaged sperm DNA (
In 1947, Dan (
After the initial discovery of sperm and identifying the relationship of sperm with fertility, investigations started to focus more intensively on the process of sperm transfer to the oocyte. During the first in vivo fertilization trials in rabbits, it was observed that the sperm must remain in the fallopian tubes for six hours prior to ovulation, thereby pointing to a possible physiological change that the spermatozoa have to undergo in the female tract (
Spermatogenesis occurs in the testis, after which the sperm move to the epididymis for final maturation. Once ejaculated, sperm can undergo two phenomena, capacitation and the acrosome reaction, which thereby renders them able to fertilize oocytes (
In the middle of the 20th century, researchers analyzed sperm structure to deduce phylogenetic relationships between taxa. Variations in the size, shape, and physiology of spermatozoa in the animal kingdom and their relation to the method of reproduction captivated the biologists of the time. Between 1940 and 1950, with the development of the electron microscope, ultra-thin dissection, and new staining techniques, researchers could observe the structure of spermatozoa from various species. One of the most interesting findings was made by Franzén (
Soon after, it was suggested that sperm morphology related to pregnancy. Macleod and Gold (
Spermatozoa undergo selection during their travel along the female reproductive tract. Different selection techniques have been developed
Amann and Katz (
Yanagimachi et al. (
In 1979, a letter to the editor was published in The Lancet that informed the world about the birth of Louise Brown on July 25th, 1978. Her mother had a 9-year history of infertility. This pregnancy was achieved after laparoscopic recovery of an oocyte, IVF, and reimplantation of an embryo which was incubated for 2.5 days under laboratory conditions. This important achievement by Steptoe and Edwards (
In 1980, Rothman (
Bleil and Wassarman (
In 1980, Evenson et al. (
During the previous century, it became generally accepted that assessment of the basic seminal parameters was the cornerstone for evaluation of male fertility. For this reason, the World Health Organization (WHO) published its first manual on the examination of human semen (WHO, 1980). Since then, the manual has been regularly updated with new versions published in 1987, 1992, and 1999; each edition has contained new proposals, the latest changes, and revised cut-off values for the semen variables. After rigorous scrutiny, the latest edition was published in 2010. This edition is believed to be one of the most comprehensive manuals to date because the authors have based updated semen variables on real life data which included men of proven fertility and secondly presented results as lower reference limits (5th percentile) (
In 1981, Yanagimachi (
The hypo-osmotic swelling test (HOS) was developed in 1984 to evaluate the functional integrity of the human sperm membrane. The principle of this technique is based on the fact that human spermatozoa “swell” under hypo-osmotic conditions due to the influx of water and subsequent membrane expansion. This technique is extremely important because membrane integrity is vital for sperm metabolism and the correct change in membrane properties required for a successful union with the female gamete. HOS can thus be used in the diagnosis of male infertility. Investigators have stated that any compounds that change osmolality and significantly enhance sperm swelling should be removed from IVF media (
Later, Kruger et al. (
In 1988, Hodgen et al. (
The ability of sperm to act as vectors for foreign DNA was first published in 1971 by Brackett et al. (
In 1992, the landscape of the assisted reproduction technique (ART) was transformed with the first reports of intracytoplasmic sperm injection (ICSI). This technique allows the direct injection of a single spermatozoon into the ooplasm of metaphase-II oocytes, after which the embryos are placed in utero.
In the same year of ICSI development, Carlsen et al. (
Sperm-specific ion channels or CatSper has been described in 2001 by Ren et al. (
The identification of proteins in sperm was based principally on the use of anti-sperm antibodies, isolation and identification of individual protein spots from 2D gels and on infertility models in the mouse which involve mutations that affect sperm capacitation and motility. For example, to identify critical sperm-oocyte fusion antigens such as the IZUMO protein, Inoue et al. (
As already demonstrated, sperm physiology has been studied in humans as well as in various animal models that have contributed substantially to this scientific field. For example, the first systematic molecular study of sperm composition that utilized Drosophila melanogaster sperm samples was performed by Dorus et al. (
Additionally, in 2006, a novel gamete receptor known as beta 1,4-galactosyltransferase 1 (GalT) that mediates sperm adhesion to the zona pellucida, was described (
One of the most rewarding moments in the history of sperm and sperm research occurred when Edwards was awarded the 2010 Nobel Prize in Physiology or Medicine for the development of IVF. In his biography, Edwards was described as competitive “all determined to win or, if not to win, to go down fighting”. During his childhood, he developed an enduring curiosity about agricultural and natural history, in particular the reproductive patterns of some animals. This curiosity, through multiple experiments such as sperm labeling led to evaluation of the kinetics of spermatogenesis
Spermatogenesis is one of the most complex and longest processes of sequential cell proliferation and differentiation known to man. Therefore, the
Milestones in the history of spermatozoa
Year | Author | Milestone | Reference |
---|---|---|---|
1677 | Howards | Sperm cell discovery | (6) |
1776 | Mann and Lutwak-Mann | Spermatozoa temporarily immobilized by cooling | (7) |
1830 | Cooper | Observations on the structure and diseases of the testis | (8) |
1850 | Leydig | Leydig cells | (9) |
1866 | Huhner | Post-coital test | (11) |
1888 | Ebner | Sertoli cells | (56) |
1878 | Dudley et al. | Spermine | (57) |
1912 | Lillie and Kaupp et al. | The production of sperm iso-agglutinine by ova | (12, 13) |
1929 | Macomber and Sanders | The spermatozoa count | (16) |
1932 | Baskin | Temporary sterilization by injection of human spermatozoa | (18) |
1940 | Charny | First testicular biopsy | (58) |
1942 | Lasley et al. | Staining method for sperm viability | (19) |
1943 | MacLeod | The first suggestion that oxidative stress might play a role in the etiology of defective sperm function | (20) |
1948 | Pegg | Cryopreservation | (59) |
1950 | Dan | Acrosome reaction | (22) |
1951 | MacLeod and Gold | First seminal parameters proposed-fertility standard | (28) |
1951 | Chang and Austin | Capacitation | (23, 25) |
1951 | Tulloch | Varicocele as a cause of infertility | (60) |
1953 | Bunge and Sherman | Living child after insemination with semen from a sperm bank | (61) |
1953 | Kleegman | Donor insemination | (62) |
1958 | Bhattacharya | Density gradient | (29) |
1969 | Baccetti and Afzelius | The First International Symposium on Spermatology | (63) |
1971 | Drevius | Swim-up | (30) |
1978 | Amann and Katz | Computer aided sperm analysis (CASA) | (32) |
1976 | Greep and Chang | Distinguished andrologist award | (64) |
1976 | Yanagimachi et al. | Sperm penetration assay (SPA) | (34) |
1978 | Steptoe and Edwards | Development of | (35) |
1980-2010 | World Health Organization (WHO) | Range of arbitrary threshold values for normal human semen | (40) |
1980 | Bleil and Wassarman | Structure and function of the zona pellucida | (37) |
1980 | Evenson et al. | Sperm chromatin structure assay (SCSA) | (38, 39) |
1980 | Rothman | Postmortem sperm retrieval | (36) |
1981 | Yanagimachi | Hyperactivation | (41, 42) |
1984 | Jeyendran et al. | Hyposmotic swelling test (HOS) | (43) |
1984 | Tea et al. | Migration-gravity sedimentation method | (31) |
1988 | Kruger et al. | Sperm morphologic features | (44) |
1988 | Hodgen et al. | Hemizona assay (HZA) | (45) |
1989 | Lavitrano et al. | Methods for sperm-mediated gene transfer | (65) |
1990 | Bleil and Wassarman | ZP3-binding protein | (37) |
1992 | Palermo et al. | First intracytoplasmic sperm injection (ICSI) | (66) |
1992 | Carlsen et al. | Evidence for decreasing quality of semen during past 50 years. | (48) |
1994 | Ogura et al. | Birth of normal young after electrofusion of mouse oocytes with round spermatids | (67) |
1995 | Wilcox et al. | Probability of conception | (68) |
1996 | Stief et al. | Sildenafil | (69) |
2001 | Ren et al. | Sperm-specific ion channel - CatSper | (50) |
2006 | Shur | Identification of novel gamete receptors - beta1,4-galactosyltransferase-I | (70) |
2010 | Johnson | Nobel Prize for development of IVF | (54) |
2011 | Sato et al. | (55) | |
In this journey through the history of sperm, we have observed how human curiosity prompted the description of natural phenomena and the attempts made to try to explain these phenomena. Strictly speaking, it is impossible to discover facts of nature that have been in existence for thousands of years. We therefore clarify and define the use of the word ‘discover’ as "looking with new eyes", which encompasses acute observation, critical thinking, relating ideas, and questioning those events that we encounter on a daily basis as part of the miracle of life. Advances in modern technology allow us to find answers to rephrased Pleaquestions and analyse them from a new perspective in our attempt to explore and understand complex functional and molecular processes.
Physiological knowledge of each human organ system and cell allows us to understand not only how the human body works, but also where and how alterations, specifically in the male reproductive tract, may affect the continuation of life. Understanding sperm biology allows for a significant impact on infertility. For example, by increasing the chance of fertilizing the oocyte with enhancing the male gamete’s presence at the site of fertilization. New technologies allow us to investigate unexplained male infertility and possibly lead to the discovery of new and novel treatment solutions, thereby reducing the prevalence of cases of idiopathic infertility.
Finally, this review reminds us that the greatest advantage of recollecting history is that it can solve old problems with new methodologies that understand their nature. We can conclude that despite numerous advances and new insights published in these 100,000 articles, more research on human reproduction, especially on spermatozoon, are needed to help reduce the overall numbers of patients who suffer from infertility.
As authors of this review and seeing the historical development of this magnificent cell, we thank the researchers who are part of this journey in knowledge for their incredible contributions and invite new researchers to remember that curiosity is the best human attribute. We apologize to authors whose important contributions we could not cite due to limitations in reference number.