In fertile men, the majority of epididymal spermatozoa acquire the pot
ential to fertilize (assessed with sperm function assays) on passage i
nto the corpus and cauda regions of the epididymis. Although secretion
s of the epididymal epithelium are clearly important for sperm maturat
ion and survival, their role in this process has yet to be fully deter
mined. Alterations in epididymal sperm membranes may result from the i
ncorporation of protein, sugar and lipid determinants. Most probably,
factors of epididymal origin act in concert with constitutional change
s to spermatozoa, which together permit full sperm function. Epididyma
l spermatozoa incubated with epididymal epithelial cell cultures can u
ndergo some maturation in vitro, which can lead to the development of
sperm fertilizing capacity. Go-incubations of human sperm with epididy
mal epithelial cultures, at 37 degrees C with medium replenished every
other day, led to 50% of spermatozoa retain-ng motility after 8 days.
In one case, a few spermatozoa survived for 17 days, the inherent max
imal survival time of human spermatozoa in situ. An important aspect o
f coculture experiments is that close interactions between spermatozoa
and epithelial cells can be examined in detail. This coculture techni
que may yield important information related to epididymal sperm matura
tion and storage.