This study investigated the mechanisms of the stimulatory effect of hyaluro
nic acid on motility in human sperm in vitro. A method, involving the measu
rement of forward progression through an agarose gel, was used to measure s
perm motility quantitatively. Changes in intracellular Ca2+ concentrations
in sperm were detected using the fluorescent dye Fluo-3. The effects of hya
luronic acid (6.5, 65, 650 ng/mL) and nifedipine (32 nM) on sperm motility
were investigated. The effects of hyaluronic acid, nifedipine (32 nM), A231
87 (32 muM), and a monoclonal antibody to human CD44 (1 mug/mL) on changes
in intracellular CA(2+) concentrations were investigated. Hyaluronic acid s
ignificantly (p < .008) stimulated sperm motility and this was partially in
hibited by nifedipine. A23187 significantly (p < .005) increased intracellu
lar CA(2+) concentrations. Hyaluronic acid significantly (p < .04) increase
d intracellular Ca2+ concentrations and this was inhibited by nifedipine an
d a monoclonal antibody to human CD44. Hyaluronic acid stimulated human spe
rm motility by increasing intracellular Ca2+ concentration, partially via a
n influx of extracellular Ca2+.