[Morphological studies on abnormal human spermatids and spermatozoa (author's transl)]

Phenotypic varieties of sperm pathology: Genetic abnormalities or environmental influences can result in different patterns of abnormal spermatozoa

The present paper reviews in detail ultrastructural and molecular studies addressed to characterize different phenotypes of sperm pathology in sterile men. In each case ultrastructural, immunocytochemical, molecular and genetic information is provided to differentiate two main kinds of sperm pathologies: systematic phenotypes with known or suspected genetic origin and non-systematic ones, usually secondary to different pathologies of the male reproductive system. Special attention is paid to detailed ultrastructural features profusely illustrated with electron micrographs. Diagnostic and fertility prognostic values of these phenotypes are also discussed and, when possible, comparison with similar pathologies in mammals and birds are discussed.

Tales of the tail and sperm head aches: changing concepts on the prognostic significance of sperm pathologies affecting the head, neck and tail

This article presents an update on the variable prognostic significance of different sperm pathologies in patients with severe male factor infertility due to morphology and motility disorders. Severe asthenozoospermia is one of the leading causes of male infertility as spermatozoa cannot reach the oocyte and/or penetrate normally. Identifying structural causes of sperm immotility was of great concern before the advent of intracytoplasmic sperm injection (ICSI), because immotility was the limiting factor in the treatment of these patients. In these cases, in vitro methods are used to identify live spermatozoa or stimulate sperm motility to avoid selection of non-viable cells. With these advances, fertilization and pregnancy results have improved dramatically. The identification of genetic phenotypes in asthenozoospermia is important to adequately inform patients of treatment outcomes and risks. The one sperm characteristic that seriously affects fertility prognosis is teratozoospermia, primarily sperm head and neck anomalies. Defects of chromatin condensation and acrosomal hypoplasia are the two most common abnormalities in severe teratozoospermia. The introduction of microscopic methods to select spermatozoa and the development of new ones to evaluate sperm quality before ICSI will assure that ultrastructural identification of sperm pathologies will not only be of academic interest, but will also be an essential tool to inform treatment choice. Herein, we review the differential roles played by sperm components in normal fertilization and early embryo development and explore how assisted reproductive technologies have modified our concepts on the prognostic significance of sperm pathologies affecting the head, neck, mid-piece and tail.

Value of quantitative ultramorphological sperm analysis in infertile men

A specific cause of infertility cannot be identified in at least 25% of men referred to a specialized clinic. Diagnosis of infertile men is based mainly on standard semen analysis and the observation of sperm under light microscope. The aim of our study was to find the subcellular sperm characteristics that could explain infertility in a group of teratozoospermic infertile men. Morphological characteristics of sperm from non-teratozoospermic (control donors) and teratozoospermic infertile men were analyzed by transmission electron microscopy (TEM) and quantified. Our analysis showed that sperm cells from control donors presented a higher number of normal heads and tails than infertile men. Regarding subcellular characteristics of nucleus and tails, only the percentage of vacuolated nucleus, the absence of at least one pair of microtubules of the axoneme and the total distortion of the tail were statistically higher in infertile men than in control donors. There were no differences in the number of normal acrosomes between the groups. Although the ultrastructural sperm defects overlapped between control donors and infertile men, TEM permits the identification and differentiation of a larger amount of defects than light microscopy. Vacuolated nucleus and gross alterations of the tail are the major sperm defects that seem to have prognostic value in teratozoospermic men.

Morphological appraisal of gametogenesis. Spermatogenetic process in mammals with particular reference to man

The process of spermatogenesis in man can be subdivided into prenatal, postnatal and adult phases. Special attention is devoted to the cytomorphology of the germ cells in these phases, with a more detailed description of the proliferation, maturation and differentiation of the germ cells in the adult. Thus, spermatogonial renewal, meiotic division and the morphological transformations of the spermatids into mature spermatozoa are described. An outline of the structures characteristic of the latter is also given. The histological organization of the seminiferous epithelium is considered, whereby the concepts of the cycle, stage of the cycle and wave of the seminiferous epithelium are discussed. The duration of both the cycle and that of spermatogenesis of the adult are considered. The present review on mammalian, and chiefly human spermatogenic processes aims at: surveying of current concepts, and compiling of the more important facts and problems of spermatogenesis. The nomenclature and definitions advanced here arise from the concept of continuity of the processes of spermatogenesis from embryo to adult.

Structure of mammalian spermatozoa in respect to viability, fertility and cryopreservation

Morphological assessment of spermatozoa has a long history and it is generally accepted that specific morphologic structural deviations correlate with male sub- and infertility. Although many different and also new methods are used in semen analysis, light microscopy is still used for routine morphological evaluation. This paper gives an overview about the detailed structure of physiological mammalian spermatozoa as well as the most common morphological deviations in correlation to fertility. This should be the basis for explanation of problems resulting from semen cryopreservation. General aspects of semen cryopreservation should be regarded before to facilitate the understanding of methods and mechanisms.

Stage-specific expression of mouse germ cell-less-1 (mGCL-1), and multiple deformations during mgcl-1 deficient spermatogenesis leading to reduced fertility

A mouse homologue of Drosophila germ cell-less, mouse germ cell-less-1 (mgcl-1), is highly expressed in the testis. Previous report revealed that the fertility of the mgcl-1(-/-) male mice is reduced significantly as a result of various morphological abnormalities in the sperm (Kimura et al., 2003). To elucidate the function of mgcl-1 in spermatogenesis, the expression of mGCL-1 in the wild-type testis was examined. Immunohistochemical studies demonstrated that mGCL-1 first appeared in the nuclei of the pachytene spermatocytes at stage VI of the seminiferous epithelium, and existed in those of spermatids until step 8 during spermatogenesis. mGCL-1 was not detectable after step 9 spermatids. The testicular cells and epididymal sperm were further analyzed morphologically using mgcl-1(-/-) mice. In the testis, deformed nuclei first occurred in the pachytene spermatocytes at stage VI, which is consistent with the time of the first appearance of the mGCL-1 protein in the wild-type testis. Abnormal nuclei and acrosomes were found in spermatids after step 5, and nuclei of the spermatids and epididymal sperm were frequently invaginated. In addition, variously deformed sperm such as bent-neck, multi-headed or multi-nucleated sperm were observed in the mgcl-1(-/-) cauda epididymidis. However, several key structures such as the acroplaxome marginal ring (Kierszenbaum et al., 2003), postacrosomal sheath, and posterior ring apparently formed. In addition, MN7 and MN13, essential substances for fertilization that are located in sperm heads, were detectable in the mgcl-1 null sperm. These observations provide important insights into the mechanisms regulating the nuclear architecture and causes of human infertility.

Decapitated and decaudated spermatozoa in man, and pathogenesis based on the ultrastructure

The ultrastructure of decapitated tails and decaudated heads of ejaculated spermatozoa from an infertile man were investigated. The decaudated heads had the nucleus and acrosome, but neither the implantation fossa nor the basal plate were observed at the caudal pole of the nucleus. The nuclear membrane at this portion showed numerous nuclear pores. The decapitated tails contained the proximal centriole at the proximal end. In addition, most decapitated tails had segmented columns, outer coarse fibres, axoneme, mitochondrial sheath and fibrous sheath in the normal position. The ultrastructure reflects the high motility of the decapitated tails of the spermatozoa. Drastic abnormalities were found in the developing spermatids in the biopsied testes. In spermatids later than the Golgi phase, the pair of centrioles were floating in the cytoplasm of the spermatid, but the distal centriole elongated the flagellum. Neither the implantation fossa nor the basal plate were observed at the caudal pole of the nucleus. It is concluded that the tail might be separated from the head before or after completion of tail formation in spermatids. The explanation for why the proximal centriole failed to connect to the nucleus is unknown.

A case of an infertile man with short-tailed spermatozoa

Ejaculated spermatozoa from an infertile patient were examined by scanning and transmission electron microscopy. All spermatozoa had abnormalities in the tail region. The abnormalities were divided into three types: (a) spermatozoa with a spherical tail. The tail was larger than the head in volume. This type of abnormality accounted for about 60% of the population; (b) spermatozoa with a blunt tail. The tails were about 2 microns in diameter and about 7 microns in length. This type of abnormality accounted for about 30% of the population of an ejaculate; (c) spermatozoa without a tail. Some of these had only a rudimentary tail. About 10% of the population belonged to this type. In types A and B, all components of the tail, except for dynein arms, were observed, but they were severely disarranged. Biopsy specimens of the testes and of the nasal mucosa of this patient were also investigated. The testicular biopsy showed defects in manchette formation. Normal development of the manchette could not be observed. The nasal epithelium showed absence of the inner dynein arms in the cilia.

A case of decapitated spermatozoa in an infertile man

A case of headless or decapitated spermatozoa of an infertile man is reported. The 33-year-old patient showed almost normal spermiogram except for a high percentage (more than 90%) of headless spermatozoa. Both hypoosmotic swelling and zona-free hamster egg tests showed that most headless spermatozoa appeared to be normal in their function as tails. The ultrastructure of the ejaculated spermatozoa was observed using a surface replica method and by conventional ultrathin sectioning. The headless spermatozoa were almost normal in structure except for the absence of the head. Tailless heads were rarely observed. Varieties of ultrastructural abnormalities were observed in spermatozoa heads. Among them, abnormalities in the nuclear membrane covering the posterior pole of the nucleus were prominent. The implantation fossa and the basal plate were not formed. Instead, the nuclear membrane with numerous nuclear pores was found in this region. The decapitation seemed to take place between the region of the basal plate and the proximal centriole.

Anomalies of centriolar derivatives manifest in spermatic flagella and respiratory cilia of the stallion

Anomalies of centriolar derivatives were identified in ejaculates and testicular and tracheal biopsies of a sterile stallion, using light, scanning, and transmission electron microscopy. LM revealed that over half the sperm population had only a vestigial or no tail, while the rest had tails of variable length and shape. The vestigial tail was represented by its anlage, which was implanted on the nucleus and differentiated up to capitulum and collum stage. The stunted tail had an axoneme and its derivatives, but was short in all tail segments. Regardless of the tail length or shape, virtually all axonemes were devoid of the central tubular complex ("9 + 0" defect). Abnormal tail segmentation was associated with missing or defective flagellar sheaths and a profusion of extraneous dense fibers, which contributed to the knobby, bulbous, or lobuliform tail configurations. The gradient of flagellar anomalies seems associated with the inability of the distal centriole to implant on the plasmalemma, to produce the axoneme, or maintain its growth, and to induce the normal differentiation of periaxonemal structures. In contrast to sperm, the tracheal epithelium displayed moderate changes, which are manifest in circumscribed rarefaction of cilia, increased incidence of compound cilia, and disturbed orientation of cilia regarding the plane of central tubular complex. The tracheal cilia were free of "9 + 0" defect.

Quantitative light and scanning electron microscopy of ferret sperm

Sperm were obtained via electroejaculation from Domestic ferret, (Mustela putorius furo), Siberian ferret (M. eversmanni), Black-footed ferret (M. nigripes), and a hybrid between Siberian and Domestic, called the Fitch ferret (M. sp.). Comparisons of sperm were made by four different microscopy techniques to determine whether differences exist among species. First, Nomarski differential interference microscopy could be used to distinguish domestic ferret sperm from the others on the basis of the structure of the posterior part of the acrosome. Second, both silver staining, which demonstrates argentophilic protein distribution, and scanning electron microscopy (SEM), revealed differences among the morphology of sperm for each species; variation in the unique appearance of the acrosome in ferret sperm was detected especially well by SEM. To quantify differences in morphology, five sperm head parameters were measured using image analysis; light microscopy produced significantly larger values than did SEM (all parameters and all species but Fitch), and there were significant differences owing to species for all parameters but one. Generally, our data demonstrate the value of complementary techniques to distinguish among sperm of closely related species and more specifically may help establish evolutionary relationships among the ferret species studied. In addition, they provide baseline data important for the captive breeding of the endangered Black-footed ferret.

Physiology and pathophysiology of the human spermatozoon: the role of electron microscopy

In this article, the major contributions of electron microscopy to the present understanding of the physiology and pathophysiology of the human spermatozoon are reviewed. The ultrastructural organization of sperm organelles playing a significant role for cell function and, therefore, for the reproductive process is described. Also, the major abnormalities and defects of the various organellar systems and how they impair the reproductive function and/or the viability of the cell are reviewed.

Effects of elevated temperature on the epididymis and testis: experimental studies

The effects of temperature on the male tract have been examined in the rat, rabbit and hamster, as well as other species that include a naturally cryptorchid rodent, the degu, and an insectivore, the musk shrew. In principle, a small increase in the temperature of the testis does not destroy the germinal epithelium; however, it reduces testis weight and sperm production and brings a greater incidence of morphologically abnormal spermatids and spermatozoa. This demonstrates that the testis can be partially suppressed yet remain functional in the face of moderate elevation in its ambient temperature. Selective imposition of abdominal temperature on the epididymis alone does not suppress sperm maturation there, and bilaterally cryptepididymal males remain fertile for long periods. However, deep body temperature changes at least the ionic and protein composition of cauda fluid by virtue of effects on the cauda epithelium, and it eliminates the special ability of the cauda to store and prolong the life of spermatozoa. Additionally, deep body temperature also immediately curtails the storage capacity of the cauda epididymidis, an effect that is reflected in a reduced diameter and apparently length of that segment of the cauda as well as vas deferens, which contracts during orgasm to provide the bulk of the ejaculate. One consequence of this, notwithstanding a normal sperm production by the testis, is a much smaller number of spermatozoa in the first ejaculate, and an atypically steep decline in the number in subsequent ejaculates produced by cryptepididymal males. Further effects of deep body temperature on the epididymis are seen in significantly faster (rabbit) sperm transport through it, and a reduction in the time required for capacitation of (hamster) spermatozoa, in vitro and in vivo. Man's scrotal surface temperature is chronically elevated by several degrees in the clothed state. Although observations are lacking for human "control" populations, certain of the temperature-related phenomena described in animals are nevertheless suggested variably in different measurable functions of the human male reproductive tract. These include a relatively low number produced/gm of testis and a poorer quality of spermatozoa released from it, a rapid epididymal transport and minimally developed sperm storage system in the cauda epididymidis. Finally, the character of the ejaculated spermatozoa in several respects may imply an imminent state of capacitation. In all, this circumstantial evidence makes it seem possible that the human epididymis as well as the testis often exists in a state of temperature-induced partial suppression.

Spermatogenesis in two patients with the fragile X syndrome. I. Histology: light and electron microscopy

Light and electron microscopic studies on testicular biopsies were carried out in two men, 40 and 44 year old, with the fra(X) form of mental retardation and macroorchidism. Distinct interstitial edema, an increased amount of lysosomal inclusions in Sertoli cells, and disturbance of spermatid differentiation were found in both probands. Additionally, some extent of tubular atrophy was demonstrated in one patient. The impairment of spermatogenesis is discussed with respect to pressure effects on the germinal epithelium due to the edema.

Multiple malformation of bovine spermatozoa with special reference to their lightmicroscopic fluorescing pattern and electron-microscopic structure

The light microscopic examinations of sperm samples from a sterile Fleckvieh-bull stained by the AT specific fluorochrome Hoechst 33258 showed beneath the constantly occurring paraxial tail numerous other malformations, which appeared under the electron microscope as multiple defects of essential cell organelles: defects of the acrosome as irregular thickening or forming of overturned folds "knobbed acrosome", sometimes with vesicles and inclusions inside, partial separation of the acrosome lamina from the nucleus. The defects of the nucleus were present as double-headed sperms, macro- and microcephalic forms besides bizarre shaped heads with gigantic cavities, often filled with membranes, cytoplasm and canaliculi even as heads with ridges which extended from the base to the apex. The main tail defect was a paraxial inserted tail, sometimes coiled, folded or bent down and combined with duplication or even multiplication of the tail with one or two implantation fossae. This multiplication was followed by extensive disturbances of the tail elements as lack or excessive numbers up to the isolation of tubules, fibers and mitochondria. Often there was no contact between tail and implantation fossa. Another defect was the existence of voluminous cytoplasmic droplets covering not only great parts of the tail but also the total head which included "arch like double membranes" and up to 15 tail segments. The persisting cytoplasmic droplet even as the generally occurring paraxial inserted tail are discussed in connexion with the existing hormonal imbalance as probably genetic damage leading to extensive defects during spermiogenesis.

An acrosomal abnormality in spermatids from infertile men

A specific developmental abnormality of the acrosomes is described in the spermatids of two infertile men. The first change is the irregular folding of the acrosome membrane in the early round nucleated spermatids. Vesicles appear later in the subacrosomal space, in the nucleus and in the cytoplasm. All spermatids in the later steps of spermiogenesis were affected.

Ultrastructure of spermiogenesis in men with congenital absence of the vasa deferentia

Spermiogenesis has been investigated in four cases of agenesia of vasa deferentia. During acrosome formation various anomalies gave rise to late spermatids with deformed heads. Chromatin condensation proceeded normally, but completion of this process appeared to be delayed. Redundant nuclear membranes frequently persisted at the basal region of the nuclei in mature spermatozoa, which occupied niches within Sertoli cells, as the tubules had no lumen. Flagellar structure was normal. These findings support the view that the altered local milieu and variations in acrosome formation may induce the observed anomalies.

Multi-tailed spermatozoa in a case with asthenospermia and teratospermia

A case is presented of an infertile male whose spermatozoa showed low mobility, a high percentage of irregular large heads and a variable number of tails (between 0 and 4). In the spermatozoa with several tails each axoneme, surrounded by its own outer fibres and mitochondrial sheath, arose from its own basal plate. Throughout the middle piece of every spermatozoon all the axonemes were arranged in parallel and were enclosed by the same plasma membrane. Usually, at the beginning of the principal piece, the axonemes became separated. At this level each of them constituted a different tail. In most spermatozoa the fine structure of the tail or tails was normal. The alterations of the inner structure of the tail or tails was normal. The alterations of the inner structure of the flagellum observed in some spermatozoa (enlargement of the fibrous sheath, duplication of the outer fibres and of some peripheral doublets) were independent of the number of tails present. In some cases, an intracytoplasmic coiling of the tail or tails could be observed.

A possible haploid effect in acrosome malformations of human spermatozoa

Acrosome malformations of spermatids and spermatozoa in the testes of two infertile patients were investigated with the light and electron microscope. The first visible abnormalities appear at early spermatid stages. The detailed morphological analysis of the malformed spermatids shows that in most cases only the differentiation of the acrosome granule is interfered with. This may be the origin of the malformations of the mature spermatozoa. The fact that almost half the early spermatids lack the acrosome granule suggests that the original cause is genetic and that the genes are expressed in the haploid phase.