Probing studies are underway that may lead to novel contraceptive methods
for men.
Adjudin
Studies have continued on a potential male contraceptive derived from the
anti-cancer drug lonidamine. The compound, called Adjudin
[1-(2,4-dichlorobenzyl)-1H-indazole-3-carbohydrazide, formerly known as
AF-2364] has been identified as having potent antispermatogenic effects
in vivo, since it was shown to induce adherens junction
disruption in the testis. A recently completed subchronic
toxicity study using Adjudin illustrated a narrow margin between the
compound's safety and efficacy. In order to circumvent this subchronic
toxicity issue, Council researchers designed a novel approach to deliver the
compound specifically to the testis to induce germ cell depletion from the
seminiferous epithelium. If Adjudin can bypass its unnecessary stay in other
organs (e.g., the liver and kidneys), its subchronic toxicity should be
greatly reduced.
In brief, the compound was chemically conjugated to a
follicle-stimulating hormone (FSH) mutant produced in insect cells. Because
FSH receptors are restricted to Sertoli cells in the testis in mammals
(including men), the FSH mutant thus serves as a specific carrier for
Adjudin. Indeed, recent studies have shown that this FSH mutant retains its
ability to bind onto the FSH receptors in Sertoli cells while its intrinsic
hormonal activity has been stripped owing to several mutations in the mutant
protein using genetic engineering techniques. Preliminary findings have
shown that this Adjudin–FSH mutant conjugate has a significant improvement
in its efficacy to deplete germ cells from the testis versus the
unconjugated Adjudin; the margin between safety and efficacy has been
greatly widened using this approach. Work is now in progress to develop an
alternative administration route and formulations for delivering this
conjugate to the testis (e.g., nasal spray or skin patch) instead of the
parenteral route.
Blood–testis barrier dynamics
Other ongoing studies include using different biochemical and molecular
biology approaches to investigate the biology and regulation of the
restructuring events that occur at the Sertoli–Sertoli and Sertoli–germ cell
interface during spermatogenesis. For instance, it is known that
spermatogenesis will be halted if preleptotene spermatocytes fail to
traverse the blood–testis barrier during spermatogenesis. Recent studies
from this laboratory have shown that the timely opening of the blood–testis
barrier that facilitate preleptotene spermatocyte migration is regulated by
intriguing interactions between cytokines (e.g., tumor necrosis factor-alpha
and transforming growth factor-beta 3), proteases, and protease inhibitors
in the testis. It is likely that cytokines produced by Sertoli and/or germ
cells into the blood–testis barrier microenvironment during spermatogenesis
activate a cascade of events utilizing proteases to "open" up the barrier to
facilitate cell movement. These findings are exciting, as they illustrate
there may be multiple targets in the testis that can be tackled to disrupt
this event of cell movement, thereby disrupting spermatogenesis. Recent
studies have identified several genes and their products that are crucial
for regulating blood–testis barrier dynamics. Work is in progress to use
these findings to manipulate blood–testis barrier function as the means to
disrupt spermatogenesis.
Cadmium signaling pathways
A third ongoing project is investigating the mechanism by which
environmental toxicants, such as cadmium, disrupt spermatogenesis, as it has
been known for decades that environmental toxicants lower sperm count,
causing male infertility. Recent research from this laboratory has
identified the signaling pathways by which cadmium disrupts the blood–testis
barrier via its effects on several complexes at the Sertoli–Sertoli
interface. More important, Council researchers have developed means to
"reverse" the cadmium-induced damage to the blood–testis barrier utilizing
specific inhibitors. Work is now in progress to develop novel approaches to
deliver these inhibitors to the testis specifically via systemic
administration to protect the testis from environmental toxicants.
Chuen-yan Cheng
The CONRAD Program
The Lita Annenberg Hazen Foundation
The George J. Hecht Fund
The William and Flora Hewlett Foundation
The Noopolis Foundation
US National Institutes of Health