Understanding molecular mechanisms of male fertility and the link to motile cilia

Lead Research Organisation: University College London
Department Name: Institute of Child Health

Abstract

Reproductive success is crucial for the preservation of species and sustainable agriculture and food, in addition to being essential to human health. In human populations, poor sperm quality is a noteworthy vulnerability that explains around half of infertility cases but remains very little understood. In this study we propose to study the fundamental basis of male factor fertility in order to shed fresh light in this research area. We propose that there is a major but overlooked role of male-specific motile cilia in the production of healthy, fertile sperm. This proposal is focussed on characterizing new genetic factors in male fertility and exploring the balance of sperm and cilia requirements to develop and release healthy male reproductive cells (gametes).

Cilia are hair-like organelles extending outside a cell and motile cilia are required in certain specialised areas of the body, for example in our airways beating of cilia lining the lung and upper airways are responsible for mucus flow and pathogen removal. The role of motile cilia in efferent ducts that are unique to male humans, is poorly understood. The efferent ducts are tubules that allow sperm made in the testis to be released into the ejaculatory duct via a structure called the epididymis. Sperm develop in the testis and are transported through the efferent ducts and epididymis, where they undergo maturation as they proceed, with growth of the sperm tail (flagella) giving them motility. Only after this transport do the sperm reach their full fertilizing capacity. In the testis (seminiferous tubules), male germ cells undergo several steps to become highly specialized spermatozoa. This process requires precisely timed gene expression and correct protein function in order to produce fertile sperm and ensure reproductive success. Malfunction of proteins at any time point during this process results in compromised sperm development. Therefore, we aim to characterize the function of genes identified in genetic screens of infertile male patients, using fly as a model organism because spermatogenesis is a conserved process with similar genes coding for proteins in fly and man. Our experiments will help us to define the link between genetics and male fertility in evolutionary conserved processes.

The last phase of spermatogenesis involves formation of the sperm tail. The core structure of the motile cilia and sperm tail is almost identical, but with recently identified protein differences. These differences will be elucidated and the effect of specific genetic mutations on male fertility through sperm tail and/or efferent duct cilia functions characterized. To do this, we will examine the sperm quality and structure in patients a disease caused by mutations of the motile cilia in airways, as they have high male fertility that is not well characterised yet. The motility pattern of different cilia types (airway, efferent duct) and sperm are different and therefore we hypothesize that their motility producing complexes also differ. We will investigate motility-producing dynein composition and assembly, in sperm from humans with cilia mutations and in efferent duct cilia from mice with cilia mutations. We speculate that efferent duct cilia may interact with sperm through molecules they release in special packets (vesicles) and we aim to investigate the presence and role of this crosstalk in mouse mutants where the cilia specific protein transport is inhibited. Furthermore, we will develop a cell culture model to study the importance of cilia motility and other characteristics to better explore their role in production of fertile sperm. Overall, these experiments aim to clarify the molecular mechanisms underlying cilia related fertility and identify the influences of cilia versus sperm related mechanisms in successful sperm development in mammals.

Technical Summary

Our main focus is on cilia related reproductive pathways due to our experience in cilia biology, ciliate organisms and cell culture, in addition to our preliminary results and sample collections. We aim to identify cilio- and sperm flagellogenesis- specific molecular mechanisms underlying male fertility, by examining sperm defects and protein complexes in individuals with cilia related mutations and by investigating the role of male specific motile cilia in mouse mutants. Our preliminary results show that cilia-specific mutations cause extremely low sperm counts, suggesting the correct function of efferent duct (ED) cilia may be crucial for male fertility. We will establish the special characteristics of ED cilia (single cell RNA-Seq, miRNA-Seq) and the possible vesicular crosstalk between cilia and sperm, using Ift80 mutant mice with inhibited intraflagellar protein transport (IFT) that have dose-dependent decreases in male fertility. Effects on ED cilia vesicle content and secretion are studied by transcriptomics and structural microscopy (electron microscopy, immunofluorescence and super resolution). The effects of cilia immotility and malformed sperm tails on cilia/sperm interactions are studied using Dnah11 (cilia-specific dynein) and Tctex1d2 (IFT protein) mutant mice which have defective sperm tail formation, respectively. Dynein complexes will be investigated by protein pull downs and mass spectrometry of mutant human sperm and mouse ED cilia. To elucidate the molecular mechanisms involved in sperm development, we will examine the role of candidate genes identified in whole exome sequencing of azoospermic patients, using Drosophila gene silencing and functional characterization of spermatogenesis, focussing on cilia related genes for further study. The project results will inform us about the specificities (relative contribution, interactions) of male reproductive cilia and flagella and the biological mechanisms required for male germ cell development.

Publications

10 25 50
 
Description The most significant achievements from the award:

1. We have produced single cell sequencing data to generate a single cell atlas of the mouse efferent duct for the first time. Based on this data, we have been able to identify the specific cell types in the efferent duct and the potential roles of these cell types. Furthermore, we have sequenced several cilia related mutant mouse lines; Cep164 knock down (scRNAseq), IFT80 A701P (missense point mutant, bulk RNAseq, miRNAseq) and IFT140 compound heterozygous (missense point mutant, bulk RNAseq, miRNAseq) - note that IFT80 and IFT140 null mutants are lethal and these point mutants mimic human disease mutations. The IFT mutant lines resemble previously identified human patient mutations and thus inform us about potential effects on male infertility in mild cilia disorders.

2. We have developed a successful primary cell culture method for propagation and differentiation of ciliated efferent duct epithelial cells. This method has presented significant technical challenges due to small amount of tissue and low stem cell numbers (as revealed by scRNASeq). This now enables detailed studies of efferent duct development and roles in sperm transport and maturation (coculture experiments with sperm). There are still issues with long term growth of the cultures that we are currently addressing.

3. We have characterized both efferent duct ciliary structure and motility, which shows uniquely long cilia of unique motility pattern, that have a single microtubular tip and differential distribution of axonemal proteins compared to airway cilia and sperm flagella structures. The effect of mutations in several cilia related genes (Ift80, Ift140, Dnah11, Tctex1d2, Cep164) have been investigated during spermatogenesis and in efferent duct cilia. Full knock out of intra flagellar transport genes results in defects in spermatogenesis, mainly development of the sperm tail, but missense variants appear to cause milder fertility phenotypes.

4. We have identified causative genetic variants in eight non-obstructive azoospermia (NOA) patients and three potential candidate variants. These results support the previously identified reports of genetic causes in NOA and provide novel insights in genes associated with the defect.

5. We have spent Year 2 of the grant working on function of NOA candidate genes using Drosophila as a model organism, where we aimed to investigate the role of candidate genes for non-obstructive azoospermia in the context of spermatogenesis. A list of human candidate genes was sourced from our own whole exome studies in NOA patients as well as genes obtained from the literature. >20 Drosophila orthologues were analysed, several of which had several homologues. UAS RNAi fly strains were ordered from Bloomington Drosophila Stock Center and to knock down the genes during spermatogenesis, the GAL4-UAS system was utilised. 30 RNAi lines were subsequently crossed to two distinct GAL4 lines (Bam-GAL4 and nos-GAL4), each exhibiting expression at slightly different stages during early spermatogenesis. All stages of spermatogenesis are easily observable in the fly testis, to study cellular phenotype and development (the germ cell niche, spermatogonia, spermatocytes, onion stage spermatids, elongated stages, matures bundles with tightly clustered nuclei, scattering of sperm, coiling of mature sperm leading to the seminal vesicles and the presence sperm in the seminal vesicle. For five RNAi lines, the fertility of male progeny resulting from the GAL4-UAS cross was assessed by subsequent mating with wildtype female virgins and counting the offspring, using Bam-GAL4 and nos-GAL4 driver. Mutant phenotypes were detected however, additional validation will be required and extensive subsequent investigation necessary. We are currently writing the work up to show the potential of this modelling, but our investigation has been constrained by several limitations; notably several potential new candidate NOA genes that we identified in our human exome sequencing lacked a tractable single orthologue or suggestive expression pattern, thus potentially questioning the suitability of Drosophila as a model for studying our human candidate genes.
Exploitation Route We hope that our findings will support the research community and eventually provide tools for diagnostics (PCD and male infertility) and therapeutics. Understanding the role of the efferent duct in male fertility is crucial in order to diagnose and treat patients. The identified huge variability in men with motile cilia specific defects underlines the importance to unveil the function of the efferent duct and potential to treat these patients. The efferent duct cell culture system is indispensable for studies of sperm maturation. It will reduce the use of animals in research and provides a method to study cilia related gene defects in a controlled environment by researchers in the field of male fertility, in particular to understand the effect of pre-sperm/ post addition of sperm stages, which can be tightly controlled in a culture system. The data produced in this project will be publicly available and therefore can be utilized in future research project.
Sectors Education

Healthcare

Pharmaceuticals and Medical Biotechnology

 
Description This research project concentrates on basic understanding of the role of cilia related genes in male infertility and the unknown function of the efferent duct. Direct impact on patient care can be expected from studies of genetic causes of NOA. The identified genetic variants in NOA patients enable development of diagnostic gene panels and improved patient care by informing us about causes of azoospermia and potential treatment options (success of ICSI). Based on the results we can educate the public about causes and treatment options in male infertility and once underlined the potential environmental impact on efferent duct function based on future studies using the cell culture system we can advice on lifestyle choices to improve sperm quality. The economic burden and emotional toll of infertility are high and therefore it is important to understand and advise on causes and consequences of infertility caused by defects in sperm development and maturation. The challenge is to increase the studied patient numbers and provide extensive evidence to make informed decisions on patient care and translate results from mouse model studies to human patients. This study contributes to the wider research and clinical community to understand the mechanisms behind male infertility and improve health care.
First Year Of Impact 2023
Sector Education,Healthcare
Impact Types Societal

Economic

Policy & public services

 
Title Primary cell culture for mouse efferent duct epithelium 
Description We have developed primary cell culture method to culture efferent duct epithelial cells.Cells are collected from 3 weeks old mice and after proliferation differentiated into epithelial cells. 
Type Of Material Cell line 
Year Produced 2024 
Provided To Others? No  
Impact The cell culture method enables studies of the role of efferent duct epithelial cells and interaction between sperm and efferent duct ciliated cells. 
 
Description Finnish PCD genetics 
Organisation Tampere University Hospital
Country Finland 
Sector Hospitals 
PI Contribution Identification of PCD mutations in Finnish PCD patients. Cilia and sperm structural analysis of Finnish PCD patients.
Collaborator Contribution Clinical phenotyping of Finnish PCD patients and collection of samples.
Impact Identification of disease causing mutation. Structural defects caused by the mutation.
Start Year 2021
 
Description Identification of causes of male infertility 
Organisation Natural Resources Institute Finland
Country Finland 
Sector Public 
PI Contribution Data for understanding mechanisms behind male infertility.
Collaborator Contribution Analysis tools (SVS Helix variant identification, Sequencer) for data interpretation.
Impact Genetic variants for NOA.
Start Year 2021
 
Description PCD male fertility assessment 
Organisation Royal Brompton Hospital
Department Department of Paediatric Respiratory Medicine
Country United Kingdom 
Sector Hospitals 
PI Contribution Sperm quality analysis, defects in sperm motility and structure in PCD patients.
Collaborator Contribution Recruitment of PCD patients to fertility analysis. Electron microscopy of patient samples.
Impact Identification of adult male PCD patients for sperm collection. Electron microscopy of cilia/sperm of PCD patients.
Start Year 2022
 
Description Role of Cep164 in male fertility 
Organisation Newcastle University
Country United Kingdom 
Sector Academic/University 
PI Contribution Characterization of sperm phenotype in Cep164 knock down mice and scRNAseq of Cep164 knock down efferent duct.
Collaborator Contribution Production of mouse model and partial characterization of fertility phenotype.
Impact Identification of the role of CEP164 in sperm development, manuscript in preparation. ScRNAseq data for efferent duct.
Start Year 2022
 
Description Role of the late chromatoid body in regulation of translation during spermiogenesis 
Organisation University of Turku
Country Finland 
Sector Academic/University 
PI Contribution Project planning, data analysis and interpretation, preparation of publication.
Collaborator Contribution Production of bulk RNAseq and proteomics data.
Impact Identification of the role of late chromatoid body in translation and sperm tail formation, publication.
Start Year 2023
 
Description scRNAseq of mouse efferent duct 
Organisation CSC – IT Centre for Science
Country Finland 
Sector Public 
PI Contribution scRNAseq data production of efferent duct.
Collaborator Contribution Access to super computing and Chipster analysis tools for data analysis.
Impact Training on Chipster analysis platform for single cell data analysis.
Start Year 2022
 
Description scRNAseq on mouse efferent duct at UCLG 
Organisation University College London
Country United Kingdom 
Sector Academic/University 
PI Contribution Development of single cell digestion protocol of mouse efferent duct and production of samples for scRNAseq.
Collaborator Contribution Single cell RNA sequencing of mouse efferent duct with 10x Genomics.
Impact Luna cell counting and evaluation of single cell suspensions at UCLG. Protocol for mouse efferent duct single cell suspension.
Start Year 2022
 
Description BBSRC UCL Executive visit and Showcase 
Form Of Engagement Activity Participation in an open day or visit at my research institution
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Other audiences
Results and Impact Oral presentation by Hannah Mitchison at the BBSRC Executive visit and showcase at UCL "Diverse cell motilities that govern male fertility: the sperm-cilia balance", presented to researchers and funders.
Year(s) Of Engagement Activity 2022
 
Description BBSRC strategic partnership visit 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Professional Practitioners
Results and Impact BBSRC strategic partnership visit to UCL where the project was shortly presented to other researches.
Year(s) Of Engagement Activity 2022
 
Description Male infertility in PCD 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Patients, carers and/or patient groups
Results and Impact Talk about male infertility in PCD patients for PCD Support UK online on PCD Live and increasing knowledge about PCD related male infertility and opportunities to participate in fertility assessment within our study.
Year(s) Of Engagement Activity 2021
 
Description Oral presentation at 2nd Crick Rare Disease conference by Hannah Mitchison 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Other audiences
Results and Impact Oral presentation by Hannah Mitchison including the principles of the BBSRC funded project into role of cilia in normal male fertility development.
Year(s) Of Engagement Activity 2023
 
Description Oral presentation at BEAT-PCD conference by Hannah Mitchison 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Oral presentation by Hannah Mitchison including the principles of the BBSRC funded project into role of cilia in normal male fertility development.
Year(s) Of Engagement Activity 2022
 
Description Oral presentation to PCD Support Medical Board "Update on PCD clinical genetic research" by Hannah Mitchison 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Patients, carers and/or patient groups
Results and Impact Oral presentation to PCD Support Medical Board "Update on PCD clinical genetic research" that introduced the patient advocacy group to our project on male causes of infertility, by Hannah Mitchison
Year(s) Of Engagement Activity 2022
 
Description Poster presentation in CiIia conference 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact Presentation of importance of intra flagellar transport during spermiogenesis. New collaborations established and knowledge of cilia related male infertility showcased for the conference audience.
Year(s) Of Engagement Activity 2022
 
Description Presentation in European testis workshop 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact Results on cilia related male infertility presented for European researchers. New collaborations established and knowledge exchanged.
Year(s) Of Engagement Activity 2023
 
Description Presentation in UK Cilia Network Fall meeting 2023 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Other audiences
Results and Impact Presenting data on the potential role of the efferent duct cilia in male fertility. Audience was UK researchers.
Year(s) Of Engagement Activity 2023