Protein phosphorylation is involved in sperm capacitation, so the effect of
protein phosphatase inhibitors on the capacitation of spermatozoa of males
with unexplained infertility was investigated. D-mannose ligand specific r
eceptor expression in fresh, living spermatozoa, capacitated or treated wit
h calyculin A (an inhibitor of protein phosphatases 1 and 2A), was studied
in three groups of men: pre-vasectomy (fertile) males, males in couples wit
h male infertility, and males in couples with infertility of unknown actiol
ogy. Flow cytometry showed significant differences between infertile couple
s with a male factor and fertile couples (P <0.05), both after capacitation
and after treatment with calyculin A. In the group of couples with inferti
lity of unknown actiology (n = 15), D-mannose receptor expression was dimin
ished in six cases after classical capacitation. However, when the spermato
zoa of these six men were treated with calyculin A, five showed an increase
d specific D-mannose receptor expression. From these results it is suggeste
d that in vitro treatment of spermatozoa with inhibitors of protein phospha
tases may be of great value in some cases of unexplained infertility.