Effect of Environmental Exposures on the Egg Fertilizing Ability of Human Sperm
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|ClinicalTrials.gov Identifier: NCT00012480|
Recruitment Status : Completed
First Posted : March 12, 2001
Last Update Posted : April 15, 2015
|Condition or disease|
|Male Infertility Testicular Diseases Urologic and Male Genital Diseases Lead Poisoning|
Our goal is to understand how environmental and occupational exposures to heavy and transition metal ions injure the human male reproductive tract.
The American Urological Association and the American Society for Reproductive Medicine report that ~15% of couples (i.e., more than 6.1 million people in the U.S.) experience infertility at some time. The male is responsible for infertility of 20% of these couples and contributes to the infertility of another 30-40%. However, the cause(s) of male infertility in many cases is unknown. Our data suggest that lead exposures (in the air, in food and in drinking water) underlie a significant fraction of "unexplained" male infertility. We found that blood and seminal plasma lead levels were elevated in 22% of normospermic males from couples seeking infertility treatment, in 29% of semen donors participating in an artificial insemination program and in 23% of unselected semen donors answering an advertisement for research participation. These elevated lead levels were associated with decreased sperm fertility potential in IVF, in artificial insemination and in pregnancy by coitus. The negative effects of lead on sperm function was correlated with expression of specific forms of sperm ion channels (metal binding proteins that allow lead to enter cells), suggesting that such proteins serve as markers for susceptibility or resistance to the reproductive toxic effects of lead. Further, in cases in which human male lead levels changed markedly over time, there were corresponding changes in sperm ion channel, sperm function and sperm fertility potential. These changes were linked to changes in calcium modulated processes in human testis biopsies obtained from infertility patients and could be mimicked in testes of rats experimentally fed lead.
In the current study, we plan to identify changes in gene expression important to the production of the infertile state by comparing the genes expressed in the testis of control and lead exposed rats which are resistant or susceptible to lead. These findings will help to explain how lead exposure kill cells within the testis. We will then determine whether the same changes occur in human testis biopsies and ejaculated sperm from infertile males with high body burdens of lead. The expected outcome of this study is the identification of a possible mechanism explaining male infertility associated with low sperm counts or idiopathic male infertility, tools for diagnosis of male infertility and the hope for rationale treatment.
|Study Type :||Observational|
|Estimated Enrollment :||400 participants|
|Official Title:||Human Sperm Zona Acceptor: Environmental Effects|
|Study Start Date :||August 2002|
|Actual Primary Completion Date :||July 2007|
|Actual Study Completion Date :||July 2007|
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00012480
|United States, California|
|University of Southern California Women's and Children's Hospital|
|Los Angeles, California, United States, 90033|
|United States, New York|
|North Shore University Hospital|
|Manhasset, New York, United States, 11030|
|United States, Pennsylvania|
|Copper Hospital and Fertility Testing Laboratory and Sperm Bank|
|Philadelphia, Pennsylvania, United States, 19107|
|Principal Investigator:||Susan H Benoff, PhD||North Shore University Hospital|