Understanding infertility and sterility requires knowledge of the molecular
mechanisms underlying sexual reproduction. We have found that male mice de
ficient for the gene encoding the protease inhibitor protease nexin-1 (PN-1
) show a marked impairment in fertility from the onset of sexual maturity.
Absence of PN-1 results in altered semen protein composition, which leads t
o inadequate semen coagulation and deficient vaginal plug formation upon co
pulation. Progressive morphological changes of the seminal vesicles also ar
e observed. Consistent with these findings, abnormal PN-1 expression was fo
und in the semen of men displaying seminal dysfunction. The data demonstrat
e that the level of extracellular proteolytic activity is a critical elemen
t in controlling male fertility.