PH-20, a testis-specific protein first expressed in haploid germ cells
, is present on the posterior head plasma membrane and inner acrosomal
membrane of mature guinea pig sperm. PH-20 is bifunctional, having a
hyaluronidase activity that allows sperm to penetrate the cumulus laye
r and a separate activity required for binding of acrosome-reacted spe
rm to the zona pellucida. The immunization of male guinea pigs with PH
-20 reproducibly results in infertility with a duration of 6-12 mo or
longer. In this study, we analyzed the immunopathology in the reproduc
tive tract of PH-20-immunized males to probe the mechanism(s) responsi
ble for the induced infertility and found two separate effects. Remark
ably, in almost all infertile, PH-20-immunized males, the caudae epidi
dymides were empty (contained no sperm) or contained only abnormal spe
rm. The complete loss of normal sperm in the epididymis apparently res
ults in infertility. A second effect was the induction of experimental
autoimmune orchitis (EAO), representing the first report of EAO induc
ed by a purified testis/sperm molecule of known functions. PH-20-induc
ed EAO differed from EAO induced by crude testis antigens in two respe
cts: 1) an absence of epididymitis with abscess and granuloma and 2) t
he presence of antibody on germ cells within seminiferous tubules and
inside the cauda epididymidis. The former suggests that crude testis a
ntigens other than PH-20 are responsible for epididymitis, and the lat
ter suggests a possible role of antibody in EAO pathogenesis and infer
tility induction. Return to fertility, after 6-12 mo, was accompanied
by regression of EAO and reappearance of spermatozoa in the caudae epi
didymides.