F. Espana et al., Inhibition of human sperm-zona-free hamster oocyte binding and penetrationby protein C inhibitor, ANDROLOGIA, 31(4), 1999, pp. 217-223
Protein C inhibitor is a heparin-dependent serine protease inhibitor presen
t in plasma at about 0.08 mu mol l(-1). Protein C inhibitor inhibits activa
ted protein C and other coagulation factors. Previously, we described the p
resence of high protein C inhibitor levels in human semen (3.1 mu mol l(-1)
) and showed potential roles of the inhibitor in human reproduction. Here,
we show that protein C inhibitor is present in an active form in follicular
fluid at about 0.1 mu mol l(-1) and that purified, functionally active hum
an plasma-derived and inactive, semen-derived protein C inhibitor and a syn
thetic peptide derived from its sequence inhibited both binding and penetra
tion of zona-free hamster oocytes by human sperm. The binding inhibition by
protein C inhibitor was dose dependent, with 50% inhibition at 0.037 mu mo
l l(-1) inhibitor (45+/-17 sperm per egg versus 90+/-23 in control experime
nts). The inhibitor also blocked in a dose-dependent manner the penetration
of zona-free hamster eggs by human sperm (20+/-7% fertilized eggs at 0.1 m
u mol l(-1) protein C inhibitor versus 55+/-10% in control experiments). Po
lyclonal antiprotein C inhibitor or antipeptide antibodies partially abolis
hed the effect of protein C inhibitor and peptide on the inhibition of the
binding and penetration of zona-free hamster oocytes by human sperm. The ef
fect of the protein C inhibitor was not dependent on its antiprotease activ
ity since purified semen-derived protein C inhibitor which did not have ant
iprotease activity gave comparable results. We conclude that protein C inhi
bitor may be involved in human reproduction at several steps, including the
fertilization process.