Cell Stress Chaperones. 2024 Sep 03. pii: S1355-8145(24)00115-9. [Epub ahead of print]
Azoospermia is a condition in which sperm cells are completely absent in a male's ejaculate. Typically, sperm production occurs in the testes and is regulated by a complex series of cellular and molecular interactions. Endoplasmic reticulum (ER) stress arises when there is deviation from or damage to the normal functions of the ER within cells. In response to this stress, a cascade of response mechanisms is activated to regulate ER stress within cells. This study aims to investigate the role of endoplasmic reticulum (ER) stress-regulated chaperones as potential biomarkers in male infertility. ER stress associated with azoospermia can manifest in cells such as spermatogonia in the testes and can impact sperm production. As a result of ER stress, the expression and activity of a variety of proteins within cells can be altered. Among these proteins are chaperone proteins that regulate the ER stress response. The sample size was calculated to be a minimum of 36 patients each groups. In this preliminary study, we measured and compared serum levels of protein disulfide-isomerase A1 (PDI1), protein disulfide-isomerase A3 (PDIA3), mesencephalic astrocyte-derived neurotrophic factor (MANF), glucose regulatory protein 78 (GRP78), clusterin (CLU), calreticulin (CRT), and calnexin (CNX) between male subjects with idiopathic non-obstructive azoospermia and a control group of non-infertile males. Serum PDIA1 (p=0.0004), MANF (p=0.018), PDIA3 (p<0.0001), GRP78 (p=0.0027), CRT (p=0.0009) levels were higher in the infertile group compared to the control. In summary, this study presents novel findings in a cohort of male infertile patients, emphasizing the significance of incorporating diverse biomarkers. It underscores the promising role of ER stress-regulated proteins as potential serum indicators for male infertility. By elucidating the impact of ER stress on spermatogenic cells, the research illuminates the maintenance or disruption of cellular health. A deeper understanding of these results could open the door to novel treatment approaches for reproductive conditions including azoospermia.
Keywords: Endoplasmic reticulum chaperones; Endoplasmic reticulum stress; Idiopathic non abstructive azoospermia; Male infertility