BACKGROUND: The number of spermatozoa with forward motility after capacitat
ion procedures represents the limiting factor for application of IVF versus
intracytoplasmatic sperm injection (ICSI) procedure in cases of oligoasthe
nozoospermia. The possibility of increasing this number may thus be of help
to the patient. A complex array of signalling pathways is involved in the
regulation of sperm motility and recent data pointed out an important role
for kinase/phosphatase-regulated phosphorylation of proteins. Here, we inve
stigated the role of phosphatidylinositol 3-kinase (PI3K), a lipid and prot
ein kinase involved in the regulation of several biological aspects of soma
tic cells, on human sperm motility by using the specific PI3K inhibitor LY2
94002. METHODS AND RESULTS: We demonstrated that in-vitro incubation of swi
m-up selected or unselected human spermatozoa with LY294002 determined an i
ncrease of percentage forward motility in all the treated samples. The effe
ct was dose-dependent with an EC50 of 1.09 +/-0.54 mu mol/l. LY294002 also
increased sperm movement characteristics and hyperactivation as evaluated b
y computer-assisted motion analyser. The compound was also able to overcome
the detrimental effect of hydrogen peroxide and lithium chloride on sperm
motility. CONCLUSIONS: Our results suggest a negative role for PI3K in the
development and maintenance of sperm motility and suggest a possible use of
PI3K inhibitors to enhance motility in cases of asthenozoospermia.