Once a sperm meets an egg, several events must occur in order for fert
ilization to proceed. Sperm must bind to the zona pellucida, undergo t
he acrosome reaction, penetrate the zona pellucida and then bind to an
d fuse with the egg plasma membrane. Shortly thereafter, the egg must
be activated for zygotic development. This review focuses on mammalian
sperm-egg plasma membrane binding and fusion, and in particular on th
e roles of two families of cell-adhesion molecules, ADAMs and integrin
s, in this important union.