The effect of peritoneal fluid (PF) on the human sperm acrosome reaction (A
R) was tested. Sperm was pre-incubated with PF and the AR was induced by ca
lcium ionophore A23187 and a neoglycoprotein bearing N-acetylglycosamine re
sidues (NCP). The AR induced by calcium ionophore was inhibited 40% by PF f
rom controls (PFc) and 50% by PF from the endometriosis (PFe) group, but no
t by PF from infertile patients without endometriosis (PFi). No significant
differences were found in the spontaneous AR. When the AR was induced by N
GP, pre-incubation with PFc reduced (60%) the percentage of AR, while PFe a
nd PFi caused no significant differences. The average rates of acrosome rea
ctions obtained in control, NGP- and ionophore-treated sperm showed that NG
P-induced exocytosis differed significantly between the PFc (11%) and PFe/P
Fi groups (17%), and the ionophore-induced AR was higher for PFi (33%) than
PFc/PFe (25%). The incidence of the NGP-induced AR was reduced in the firs
t hour of pre-incubation with PFc and remained nearly constant throughout 4
h of incubation. The present data indicate that PF possesses a protective
factor which prevents premature AR.