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Article Open Access

Echinacoside alleviates asthenozoospermia by upregulating Sox5‑mediated transcriptional activation of the CatSper gene

  • Authors:
    • Zi-Run Jin
    • Yong-Wei Huo
    • Bo-Heng Liu
    • Hong Tian
    • Shuo Yuan
    • Yue Tian
    • Ke Xi
    • Jie Cai
    • Hui Jiang
    • Yong Jiang
    • Guo-Gang Xing
  • View Affiliations / Copyright

    Affiliations: Department of Neurobiology, School of Basic Medical Sciences, Peking University Health Science Center and Neuroscience Research Institute, Peking University, Beijing 100191, P.R. China, Department of Human Anatomy, Histology and Embryology, School of Basic Medical Sciences, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi 710061, P.R. China, State Key Laboratory of Natural and Biomimetic Drugs, School of Pharmaceutical Sciences, Peking University, Beijing 100191, P.R. China; 6Department of Urology, Peking University Third Hospital, Beijing 100191, P.R. China, Department of Urology, Peking University First Hospital, Beijing 100034, P.R. China, State Key Laboratory of Natural and Biomimetic Drugs, School of Pharmaceutical Sciences, Peking University, Beijing 100191, P.R. China
    Copyright: © Jin et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 84
    |
    Published online on: January 12, 2026
       https://doi.org/10.3892/mmr.2026.13794
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Abstract

Asthenozoospermia (AZS) is one of the most common causes of male infertility, and the decreased expression and function of cation channel of sperm (CatSper) in the sperm contributes to the pathology of AZS. Phenylethanoid glycosides, such as echinacoside (ECH), a compound derived from Cistanche tubulosa, exhibit therapeutic potential for AZS. However, the underlying mechanisms of ECH treatment on AZS remain to be fully elucidated. The ornidazole‑induced AZS model rats (AZS rats) were treated with ECH in vivo and human sperm were exposed to ECH in vitro. Computer‑assisted semen analysis was used to assess sperm motility. The functional characteristics of epididymal sperm were evaluated by analyzing hyperactivation and acrosome reaction. Reverse transcription‑quantitative polymerase chain reaction (RT‑qPCR), western blotting and calcium imaging analyses were used to analyze the expression and function of CatSper channels. In addition, RT‑qPCR, western blotting and chromatin immunoprecipitation‑qPCR were used to investigate the Sex‑determining region Y‑related high‑mobility‑group box family, member 5 (Sox5)‑mediated transcriptional activation of the CatSper gene. It was found that ECH treatment enhanced sperm motility, hyperactivation and acrosome reaction in AZS rats. In addition, ECH upregulated the expression and function of the four α subunits of CatSper channel, CatSper1 to CatSper4, in model rats. Furthermore, ECH treatment increased the protein expression of Sox5 and its binding to the CatSper1 gene promoter region in the testes of AZS rats. In vitro results further suggested that ECH treatment improved sperm motility and CatSper function in the sperm samples from both healthy subjects and patients with idiopathic AZS (iAZS). The present findings suggest that ECH treatment exerts certain therapeutic effects on iAZS through the functional upregulation of CatSper channels in the sperm. These findings position ECH as a promising complementary and alternative medicine therapeutic for enhancing sperm function and managing iAZS in clinical practice.

View Figures

Figure 1

Identification of ECH structure. (A)
Chemical structure of ECH. (B) High-performance liquid
chromatography analysis of ECH purity. (C) 1H NMR and
(D) 13C NMR spectra of ECH. ECH, echinacoside; AU,
arbitrary Units; NMR, nuclear magnetic resonance.

Figure 2

ECH treatment improves sperm motility
in AZS rats. (A) Experimental protocol for ECH administration in
AZS rats. Sperm motility parameters, including percentage of (B)
grade A and (C) grade A + B sperm, as well as (D) straight-line
velocity, (E) VCL, (F) average path velocity, (G) amplitude of
lateral head displacement, (H) linearity, (I) straightness and (J)
sperm viability. Vehicle group: 0.2% carboxymethylcellulose sodium;
NS group: Ornidazole + normal saline; L-ECH group: Ornidazole +
low-dose ECH; M-ECH group: Ornidazole + medium-dose ECH; H-ECH
group: Ornidazole + high-dose ECH. Data are presented as mean ±
standard error of the mean. *P<0.05, **P<0.01 and
***P<0.001. One-way ANOVA with Sidak's post hoc test; n=4–5 rats
per group. ECH, echinacoside; AZS, asthenozoospermia; VSL,
straight-line velocity; VCL, curve-line velocity; VAP, average path
velocity; ALH, amplitude of lateral head displacement; LIN,
linearity; STR, straightness; ORN, ornidazole; ig.,
intragastric.

Figure 3

ECH treatment ameliorates sperm
function in rats with asthenozoospermia. Assessment of sperm
quality: (A) Sperm concentration, (B) grade A and (C) grade A + B
sperm motility and (D) sperm viability; n=8–9 rats per group. (E)
Representative images of pTyr in epididymal sperm. (F)
Hyperactivation analysis of epididymal sperm. (G) Representative
images and (H) quantification of the acrosome reaction in sperm
(n=3–4 rats per group). Asterisks indicate sperm undergoing
acrosome reaction (loss of acrosome staining). Scale bar, 75 µm. NS
group: Ornidazole + normal saline; ECH group: Ornidazole +
high-dose ECH. Data are presented as mean ± standard error of the
mean. *P<0.05, **P<0.01 and ***P<0.001. ECH, echinacoside;
pTyr, phosphorylated protein tyrosine; PNA, peanut agglutinin.

Figure 4

ECH treatment enhances CatSper
channel expression in testis tissues of rats with
asthenozoospermia. Levels of oxidative stress markers in testis
tissues: (A) GSH-PX, (B) SOD and (C) MDA; n=7–8 rats per group.
Plasma levels of (D) E2 and (E) testosterone; n=5–7 rats per group.
mRNA expression of (F) CatSper1, (G) CatSper2, (H) CatSper3, (I)
CatSper4. Protein expression levels of (J) CatSper1, (K) CatSper2,
(L) CatSper3, (M) CatSper4 in testis tissues; n=6–8 rats per group.
NS group: Ornidazole + normal saline; ECH group: Ornidazole +
high-dose ECH. Data are presented as mean ± standard error of the
mean. *P<0.05, **P<0.01 and ***P<0.001. NS, normal saline;
ECH, echinacoside; GSH-PX, glutathione peroxidase; SOD, superoxide
dismutase; MDA, malondialdehyde; E2, estradiol; CatSper, cation
channel of sperm.

Figure 5

ECH treatment upregulates functional
expression of CatSper channels in spermatozoa from rats with
asthenozoospermia. (A) CatSper1, (B) CatSper2, (C) CatSper3 and (D)
CatSper4 protein abundance in sperm; n=5–6 rats per group.
Representative fura-2-acetoxymethyl ester fluorescence images of
sperm before and after 30 mM NH4Cl stimulation in (E)
NS, (F) ECH, (G) NS + NNC and (H) ECH + NNC group. Arrows indicate
[Ca2+]i fluorescent signals in response to
NH4Cl. Scale bar, 10 µm. (I) Representative single-sperm
fluorescence traces. (J) Normalized [Ca2+]i
responses in all tested sperm. (K) Summary plot of normalized
[Ca2+]i signals after NH4Cl
treatment (n=27–33 sperm per group from 5–6 rats). NS group:
Ornidazole + normal saline; ECH group: Ornidazole + ECH. Data are
presented as mean ± standard error of the mean. *P<0.05,
**P<0.01 and ***P<0.001; Unpaired t-test. ECH, echinacoside;
NS, normal saline; NNC, NNC 55-0396; CatSper, cation channel of
sperm; [Ca2+]i, intracellular calcium levels;
F340, fluorescence at 340 nm; F380, fluorescence at 380 nm.

Figure 6

ECH treatment enhances Sox5-mediated
transcriptional activation of CatSper1 in testis tissues of AZS
rats. (A) Representative immunofluorescence images showing
co-localization of Sox5 (red) and CatSper1 (green) in testis
tissues of naïve rats (n=3 rats per group). Merged signals are
indicated by triangles. Scale bar, 20 µm. (B) Sox5 mRNA and (C)
S-Sox5 protein expression in testis tissues of ECH-treated AZS
rats. (D and E) In silico analysis of Sox5 binding sites in
the CatSper1 promoter: Sox5-A (−1911 to −1917 bp), Sox5-B (−475 to
−481 bp) and Sox5-C (−56 to −62 bp) relative to the transcriptional
start site. (F) ChIP-qPCR analysis of Sox5 binding at the Sox5-A
site in the CatSper1 promoter. (G) CatSper1 mRNA expression; n=5–8
rats per group. NS group: Ornidazole + normal saline; ECH group:
Ornidazole + high-dose ECH. Data are presented as mean ± standard
error of the mean. *P<0.05 and **P<0.01. Unpaired t-test.
ECH, echinacoside; AZS, asthenozoospermia; ChIP, chromatin
immunoprecipitation; qPCR, quantitative PCR; Sox5, sex-determining
region Y-related high-mobility-group box family, member 5; CatSper,
cation channel of sperm; TSS, transcriptional start site; L-Sox5,
long isoform-Sox5; S-Sox5, short isoform Sox5.

Figure 7

Functional activation of CatSper
channels in human sperm by ECH treatment. Sperm motility parameters
in healthy subjects: (A) Grade A, (B) grade A + B and (C) grade A +
B + C sperm. Sperm motility parameters in patients with AZS: (D)
Grade A, (E) grade A + B and (F) grade A + B + C sperm. n=6–7
subjects per group. (G-J) Representative fura-2-acetoxymethyl ester
fluorescence images of human sperm before and after 30 mM
NH4Cl stimulation. Arrows indicate
[Ca2+]i responses. Scale bar, 10 µm. (K)
Representative single-sperm fluorescence traces. (L) Normalized
[Ca2+]i responses in all tested sperm. (M)
Summary plot of normalized [Ca2+]i signals
after NH4Cl treatment (n=33–36 sperm per group from 5–6
subjects). Data are presented as mean ± standard error of the mean.
*P<0.05, **P<0.01 and ***P<0.001. Paired t-test for (A-F),
unpaired t-test for (M). ECH, echinacoside; AZS, asthenozoospermia;
[Ca2+]i, intracellular calcium levels; NS,
normal saline; HS, healthy subjects; F340, fluorescence at 340 nm;
F380, fluorescence at 380 nm.
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Copy and paste a formatted citation
Spandidos Publications style
Jin Z, Huo Y, Liu B, Tian H, Yuan S, Tian Y, Xi K, Cai J, Jiang H, Jiang Y, Jiang Y, et al: <p>Echinacoside alleviates asthenozoospermia by upregulating Sox5‑mediated transcriptional activation of the CatSper gene</p>. Mol Med Rep 33: 84, 2026.
APA
Jin, Z., Huo, Y., Liu, B., Tian, H., Yuan, S., Tian, Y. ... Xing, G. (2026). <p>Echinacoside alleviates asthenozoospermia by upregulating Sox5‑mediated transcriptional activation of the CatSper gene</p>. Molecular Medicine Reports, 33, 84. https://doi.org/10.3892/mmr.2026.13794
MLA
Jin, Z., Huo, Y., Liu, B., Tian, H., Yuan, S., Tian, Y., Xi, K., Cai, J., Jiang, H., Jiang, Y., Xing, G."<p>Echinacoside alleviates asthenozoospermia by upregulating Sox5‑mediated transcriptional activation of the CatSper gene</p>". Molecular Medicine Reports 33.3 (2026): 84.
Chicago
Jin, Z., Huo, Y., Liu, B., Tian, H., Yuan, S., Tian, Y., Xi, K., Cai, J., Jiang, H., Jiang, Y., Xing, G."<p>Echinacoside alleviates asthenozoospermia by upregulating Sox5‑mediated transcriptional activation of the CatSper gene</p>". Molecular Medicine Reports 33, no. 3 (2026): 84. https://doi.org/10.3892/mmr.2026.13794
Copy and paste a formatted citation
x
Spandidos Publications style
Jin Z, Huo Y, Liu B, Tian H, Yuan S, Tian Y, Xi K, Cai J, Jiang H, Jiang Y, Jiang Y, et al: <p>Echinacoside alleviates asthenozoospermia by upregulating Sox5‑mediated transcriptional activation of the CatSper gene</p>. Mol Med Rep 33: 84, 2026.
APA
Jin, Z., Huo, Y., Liu, B., Tian, H., Yuan, S., Tian, Y. ... Xing, G. (2026). <p>Echinacoside alleviates asthenozoospermia by upregulating Sox5‑mediated transcriptional activation of the CatSper gene</p>. Molecular Medicine Reports, 33, 84. https://doi.org/10.3892/mmr.2026.13794
MLA
Jin, Z., Huo, Y., Liu, B., Tian, H., Yuan, S., Tian, Y., Xi, K., Cai, J., Jiang, H., Jiang, Y., Xing, G."<p>Echinacoside alleviates asthenozoospermia by upregulating Sox5‑mediated transcriptional activation of the CatSper gene</p>". Molecular Medicine Reports 33.3 (2026): 84.
Chicago
Jin, Z., Huo, Y., Liu, B., Tian, H., Yuan, S., Tian, Y., Xi, K., Cai, J., Jiang, H., Jiang, Y., Xing, G."<p>Echinacoside alleviates asthenozoospermia by upregulating Sox5‑mediated transcriptional activation of the CatSper gene</p>". Molecular Medicine Reports 33, no. 3 (2026): 84. https://doi.org/10.3892/mmr.2026.13794
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