The prospect of an immunological approach to contraception that would disru
pt the process of fertilisation itself has resulted in a considerable inter
est into research in this area. It has been known for some time that antibo
dies raised against the zona pellucida (ZP) can suppress fertility very eff
ectively. However, the initial optimism of this approach has been marred by
the appearance of an ovarian pathology characterised by disruption of foll
iculogenesis and depletion of the primordial follicle pool. Adverse auto-im
mune reactions have been observed in the ovaries of mice after the inductio
n of immunity with mouse ZP3 epitopes, However, this was associated with ly
mphocytic infiltration of the ovarian stroma, which could be circumvented b
y careful selection of B-cell epitopes to induce reversible infertility. In
order to identify similar epitopes on primate ZP3, epitope-mapping studies
were performed and incorporated into chimeric vaccines that included a pro
miscuous T-helper cell epitope. Both single and triple peptide vaccines hav
e been evaluated in vivo and no detrimental effects on ovarian function wer
e observed. The resulting high titre antibodies bound exclusively to the ZP
of marmoset and human ovarian sections and could suppress in vitro human s
perm-egg binding by approximately 60%, but did nor prevent pregnancy in act
ively immunised female marmosets. Thus, considerable research is still requ
ired to identify a combination of ZP3 epitopes that will induce infertility
free of any unwanted side effects.
Copyright (C) 2000 S. Karger AG, Basel.