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<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink">
<?release-delay 0|0?>
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">ETM</journal-id>
<journal-title-group>
<journal-title>Experimental and Therapeutic Medicine</journal-title>
</journal-title-group>
<issn pub-type="ppub">1792-0981</issn>
<issn pub-type="epub">1792-1015</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/etm.2016.3959</article-id>
<article-id pub-id-type="publisher-id">ETM-0-0-3959</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Correlative study on the JAK-STAT/PSM&#x03B2;3 signal transduction pathway in asthenozoospermia</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Li</surname><given-names>Junguo</given-names></name>
<xref rid="af1-etm-0-0-3959" ref-type="aff">1</xref>
<xref rid="c1-etm-0-0-3959" ref-type="corresp"/></contrib>
<contrib contrib-type="author"><name><surname>Zhang</surname><given-names>Li</given-names></name>
<xref rid="af2-etm-0-0-3959" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Li</surname><given-names>Bing</given-names></name>
<xref rid="af3-etm-0-0-3959" ref-type="aff">3</xref></contrib>
</contrib-group>
<aff id="af1-etm-0-0-3959"><label>1</label>Reproductive Medicine Center, General Hospital of Beijing Military Region, Beijing 100700, P.R. China</aff>
<aff id="af2-etm-0-0-3959"><label>2</label>Department of Information, General Hospital of Beijing Military Region, Beijing 100700, P.R. China</aff>
<aff id="af3-etm-0-0-3959"><label>3</label>Department of Obstetrics and Gynecology, General Hospital of Beijing Military Region, Beijing 100700, P.R. China</aff>
<author-notes>
<corresp id="c1-etm-0-0-3959"><italic>Correspondence to</italic>: Dr Junguo Li, Reproductive Medicine Center, General Hospital of Beijing Military Region, 5 Nanmencang Road, Beijing 100700, P.R. China, E-mail: <email>nsde63941@163.com</email></corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>01</month>
<year>2017</year></pub-date>
<pub-date pub-type="epub">
<day>06</day>
<month>12</month>
<year>2016</year></pub-date>
<volume>13</volume>
<issue>1</issue>
<fpage>127</fpage>
<lpage>130</lpage>
<history>
<date date-type="received"><day>28</day><month>04</month><year>2016</year></date>
<date date-type="accepted"><day>17</day><month>11</month><year>2016</year></date>
</history>
<permissions>
<copyright-statement>Copyright: &#x00A9; Li et al.</copyright-statement>
<copyright-year>2016</copyright-year>
<license license-type="open-access">
<license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-NonCommercial-NoDerivs License</ext-link>, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.</license-p></license>
</permissions>
<abstract>
<p>The aim of the present study was to investigate the possible mechanism of Janus kinase (JAK)-signal transduction and activator of transcription (STAT)/PSM&#x03B2;3 signaling in the occurrence of asthenozoospermia. We examined seminal fluid samples from 30 cases of asthenozoospermia and 30 healthy controls. Sperm was collected using the Percoll density gradient centrifugation method. The expression of JAK, STAT and PSM&#x03B2;3 mRNA was assessed by reverse-transcription quantitative PCR and the protein levels of p-JAK, p-STAT and PSM&#x03B2;3 were measured by western blot analysis. The PSM&#x03B2;3 mRNA and protein expression levels were also measured after application of a JAK inhibitor, AG-490, to the control group, with a FITC-labeled monoclonal rabbit anti-human PSM&#x03B2;3 primary antibody. The cells were observed under a laser confocal microscope. The mRNA levels of JAK, STAT and PSM&#x03B2;3 in asthenozoospermia were decreased significantly (P&#x003C;0.05). The protein levels of p-JAK, p-STAT and PSM&#x03B2;3 in asthenozoospermia were also reduced and the differences were statistically significant (P&#x003C;0.05). The PSM&#x03B2;3 mRNA and protein expression levels were decreased in the control group after treatment with the JAK inhibitor, and levels were approximately equal to those of the asthenozoospermia group. PSM&#x03B2;3 was mainly expressed in round-headed sperm, and less in asthenozoospermia. In conclusion, the JAK-STAT/PSM&#x03B2;3 signaling transduction pathway may be involved in the pathogenic mechanism of asthenozoospermia.</p>
</abstract>
<kwd-group>
<kwd>JAK-STAT/PSM&#x03B2;3</kwd>
<kwd>asthenozoospermia</kwd>
<kwd>real-time quantitative polymerase chain reaction</kwd>
<kwd>western blot analysis</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Statistically, male sterility accounts for 40&#x2013;50&#x0025; of total infertility. Low sperm motility and asthenozoospermia, account for up to 30&#x2013;50&#x0025; of male sterility (<xref rid="b1-etm-0-0-3959" ref-type="bibr">1</xref>). Analysis of differential proteins by sperm dimensional electrophoresis found that GP130 and Proteasome&#x03B2;3 (PSM&#x03B2;3) were expressed abnormally (<xref rid="b2-etm-0-0-3959" ref-type="bibr">2</xref>). PSM&#x03B2;3, also known as plasma membrane calcium (Ca<sup>2&#x002B;</sup>) ATPase (PMCA3), is an important enzyme for Ca<sup>2&#x002B;</sup> transport in and out of cells (<xref rid="b3-etm-0-0-3959" ref-type="bibr">3</xref>). Ca<sup>2&#x002B;</sup> plays an important role in a series of processes, including sperm maturation, capacitation and sperm-egg binding (<xref rid="b4-etm-0-0-3959" ref-type="bibr">4</xref>). The <italic>PMCA3</italic> gene, located on the X chromosome, is thought to be associated with sperm motility (<xref rid="b5-etm-0-0-3959" ref-type="bibr">5</xref>). Research on GP130 found that the Janus kinase (JAK)-signal transduction and activator of transcription (STAT) and RAS-MAPK signaling pathways play vital roles in the pathogenic mechanism of asthenozoospermia (<xref rid="b6-etm-0-0-3959" ref-type="bibr">6</xref>). The present study examined the possible mechanism of JAK-STAT/PSM&#x03B2;3 signal transduction pathways in asthenozoospermia, providing new theoretical bases and therapeutic targets for clinical study.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Patients</title>
<p>Thirty cases of male sterility, diagnosed with asthenozoospermia at the General Hospital of Beijing Military Region (Beijing, China) from June 2015 to January 2016, were selected. After 3&#x2013;5 days of abstinence, 3 ml semen samples obtained by masturbation were analyzed by a sperm quality analyzer, BD-8000G (Xuzhou City Beidou Technology &#x0026; Trading Co., Ltd., Xuzhou, China). With reference to World Health Organization (WHO) standards on the diagnostic criteria of asthenozoospermia, the percentage of forward moving sperm (grade A &#x002B; B) was &#x003C;50&#x0025; or grade A sperm movement was &#x003C;25&#x0025;. The age range of patients was 21&#x2013;33 years, with an average age of 26.4&#x00B1;5.5 years. At the same time, 30 healthy controls with normal semen samples, according to physical exam were chosen, aged 20&#x2013;34 years, with an average age of 26.2&#x00B1;5.3 years. The age difference between the two groups was not statistically significant (P&#x003E;0.05).</p>
<p>The present study was approved by the Ethics Committee of the General Hospital of Beijing Military Region and we received informed consent from all participating patients.</p>
</sec>
<sec>
<title>Percoll density gradient centrifugation for sperm collection</title>
<p>One and a half milliliters of 90&#x0025; and 1.5 ml of 45&#x0025; Percoll solutions were added to 15 ml centrifuge tubes (90&#x0025; below, 45&#x0025; above). Subsequently, 3 ml of semen was added. After centrifugation (200 &#x00D7; g for 20 min), the supernatant was removed and sperm sediment at the bottom was washed with IVF-20 culture medium twice. The sperm precipitate was collected for later use.</p>
</sec>
<sec>
<title>Detection of JAK, STAT and PSM&#x03B2;3 mRNA by reverse transcriptase quantitative polymerase chain reaction (RT-qPCR)</title>
<p>Total RNA was extracted using RNA Pure, a high purity, total RNA, rapid extraction TRIzol reagent (Sigma-Aldrich, St. Louis, MO, USA), and cDNA was synthesized after assessing the purity and concentration of RNA. The primer concentrations were 10 pmol/&#x00B5;l. Primers were designed using Primer Premier 5.0 and were produced by Sangon Biotech Co. Ltd. (Shanghai, China). Primer sequences used were: JAK forward, 5&#x2032;-TGCTGTCCAGACAAGAATGC-3&#x2032; and reverse, 5&#x2032;-TTCTGCAACCGTCTCTTCCT-3&#x2032;; STAT forward, 5&#x2032;-TAACGAGGAGCTGGTGGAGT-3&#x2032; and reverse, 5&#x2032;-GCTTGCGTGTCAGAAAAGTT-3&#x2032;; PSM&#x03B2;3 forward, 5&#x2032;-GAAATCGCAGCCATAGTATC-3&#x2032; and reverse, 5&#x2032;-CTGATGACGGTGAACTTCTG-3&#x2032;; and &#x03B2;-actin forward, 5&#x2032;-ATGTTTGAGACCTTCAACAC-3&#x2032; and reverse, 5&#x2032;-GGCCATCTCTTGCTCGAAGTC-3&#x2032;. According to the Applied Biosystems StepOne system, the reaction mixture contained 10 &#x00B5;l of 2X Smart Green PCR mix, 0.2 &#x00B5;l of each 10 pmol/&#x00B5;l primer, 1 &#x00B5;l of cDNA template, and 8.6 &#x00B5;l of ddH<sub>2</sub>O for a total volume of 20 &#x00B5;l. The thermal profile was 40 cycles of pre-denaturation at 95&#x00B0;C for 10 min, denaturation at 94&#x00B0;C for 15 sec, 60&#x00B0;C for 1 min and extension at 72&#x00B0;C for 30 sec. The 2<sup>&#x2212;&#x2206;&#x2206;Cq</sup> relative quantitative method was used to show the relative expression levels of each target gene.</p>
</sec>
<sec>
<title>Measurement of p-JAK, p-STAT and PSM&#x03B2;3 by western blot analysis</title>
<p>Each well of the plate was treated by 200 &#x00B5;l lysis buffer and maintained in an ice bath for 1 h. Sample solutions were then centrifuged for 15 min at 4&#x00B0;C. Protein concentration of the centrifuged supernatant was determined by Coomassie Brilliant Blue staining, and preserved at &#x2212;80&#x00B0;C. Total protein (50 &#x00B5;g) from each sample was separated by electrophoresis. The samples were then transferred to PVDF membranes (90 V, 1.5 h at low temperature). Rabbit anti-human p-JAK (dilution: 1:500; cat. no.: ab138005), rabbit monoclonal p-STAT (dilution: 1:500; cat no.: ab32143) and mouse monoclonal PSM&#x03B2;3 (dilution: 1:500; cat no.: ab128094), purchased from Abcam (Cambridge, MA, USA), were added after blocking and incubated at 4&#x00B0;C overnight, following four washes with phosphate-buffered saline (PBS). Horseradish peroxidase-conjugated goat anti-rabbit IgG (dilution: 1/2000; Abcam; cat no.: ab6721) was added to membranes and incubated at 4&#x00B0;C overnight. After three washes with PBS, the ECL enhanced chemiluminescence reagent kit was used for signal development. After thorough scanning of negative film, a semi-quantitative analysis was carried out on the bands by Shanghai Tianneng gel imaging processing system software. Data were normalized to levels of &#x03B2;-actin.</p>
</sec>
<sec>
<title>JAK inhibitor intervention</title>
<p>Cases without asthenozoospermia were randomly divided into the non-treated control group (n=15) and JAK inhibitor-treated group (n=15). The levels of PSM&#x03B2;3 mRNA and protein were measured after application of the JAK inhibitor, AG-490. Immunofluorescent staining of PSM&#x03B2;3 was observed by a laser confocal microscope. The cells were stained as follows: 25-min incubation with 0.25&#x0025; H<sub>2</sub>O<sub>2</sub>, 15 min with 0.3&#x0025; Triton X-100, three washes with PBS for 5 min, and 30-min incubation with 10&#x0025; normal goat serum. Rabbit anti-human PSM&#x03B2;3 monoclonal antibody (1:200) was then added and allowed to incubate at 4&#x00B0;C overnight. The samples were washed three times for 5 min, and biotin-labeled goat anti-rabbit IgG (1:100) was added and left to incubate at room temperature for 30 min. Three 5 min washes with PBS were performed again, and streptavidin-biotin complex-fluorescein isothiocyanate (SABC-FITC)-labeled secondary antibody (1:100) was added, and incubated at room temperature for 30 min. Next, we performed three washes with PBS for 5 min. The samples were stained with DAPI for 5 min, washed in PBS, and mounted using antifade mounting solution. Staining was observed under a confocal microscope (Nikon, Tokyo, Japan). For the blank control group, PBS was used instead of PSM&#x03B2;3 antibody as described above.</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>Data were analyzed using SPSS 19.0 statistical software (Chicago, IL, USA), and quantitative data are presented as mean &#x00B1; standard deviation. Comparisons between groups were analyzed by one-way ANOVA, and pairwise comparisons were analyzed using LSD or Bonferroni test. Differences were considered to indicate a statistically significant difference when P&#x003C;0.05.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>Comparison of mRNA expression levels</title>
<p>The mRNA levels of JAK, STAT and PSM&#x03B2;3 in asthenozoospermia were significantly lower than in the control group (P&#x003C;0.05), and the levels of PSM&#x03B2;3 mRNA in the JAK inhibitor group were significantly downregulated when compared with the control non-treated group (P&#x003C;0.05), which were approximately equal to the asthenozoospermia group (P&#x003E;0.05) (<xref rid="f1-etm-0-0-3959" ref-type="fig">Fig. 1</xref>).</p>
</sec>
<sec>
<title>Comparison of protein expression levels</title>
<p>The protein levels of JAK, STAT and PSM&#x03B2;3 in asthenozoospermia were significantly lower than the control group (P&#x003C;0.05), and the levels of PSM&#x03B2;3 protein in the JAK inhibitor intervention group were significantly lower when compared with the control non-treated-group (P&#x003C;0.05), which were approximately equal to the asthenozoospermia group (P&#x003E; 0.05) (<xref rid="f2-etm-0-0-3959" ref-type="fig">Fig. 2</xref>).</p>
</sec>
<sec>
<title>Immunofluorescent staining of PSM&#x03B2;3</title>
<p>PSM&#x03B2;3 was mainly expressed in round-headed sperm, and less expressed in asthenozoospermia (<xref rid="f3-etm-0-0-3959" ref-type="fig">Fig. 3</xref>).</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>JAKs are a family of protein tyrosine kinases that are involved in cell signaling downstream of cytokine receptors, which can activate signal transduction and activator of transcription (STAT) proteins. A previous study reported that the JAK-STAT pathway was one of the most common signaling pathways <italic>in vivo</italic> (<xref rid="b7-etm-0-0-3959" ref-type="bibr">7</xref>). JAK-STAT signaling is involved in cell proliferation, differentiation, survival, apoptosis, mediating immune disorders and tumor formation. Wawersik <italic>et al</italic> found that the JAK-STAT pathway participates in the process of male germ cell proliferation and differentiation (<xref rid="b8-etm-0-0-3959" ref-type="bibr">8</xref>). Issigonis <italic>et al</italic> reported that the JAK-STAT pathway functions in maintaining the microenvironment necessary for germ cells to survive (<xref rid="b9-etm-0-0-3959" ref-type="bibr">9</xref>).</p>
<p>Previous studies have confirmed that the membrane voltage-dependent Ca<sup>2&#x002B;</sup> channels are involved in the capacitation of sperm and the acrosome reaction (<xref rid="b10-etm-0-0-3959" ref-type="bibr">10</xref>). In addition, the Ca<sup>2&#x002B;</sup>-dependent regulation of sperm motility is mainly mediated by related Ca<sup>2&#x002B;</sup> channels on the sperm cell membrane. Ca<sup>2&#x002B;</sup> channels are transmembrane protein complexes, generally composed of four subunits: &#x03B1;1, &#x03B1;2/&#x03B4;, &#x03B2; and &#x03B3;. The most important subunit is &#x03B1;1, which is the infiltration pathway component of all voltage-gated Ca<sup>2&#x002B;</sup> channels and is also the binding site of voltage-sensitive, channel-specific drugs and toxins (<xref rid="b11-etm-0-0-3959" ref-type="bibr">11</xref>). Mutations in the &#x03B1;1 subunit can lead to reduced sperm motility, causing asthenozoospermia and resulting in male infertility (<xref rid="b12-etm-0-0-3959" ref-type="bibr">12</xref>). Other studies found that sperm cation channel (CatSper) family proteins were specifically expressed on sperm cell membranes, and played an important role in the regulation of sperm hyperactivation (<xref rid="b13-etm-0-0-3959" ref-type="bibr">13</xref>). CatSper channels are known Ca<sup>2&#x002B;</sup> channels that are expressed in spermatogenic cells and mature sperm. CatSper1 and CatSper2 are considered to be necessary for mouse sperm motility and fertility, and their absence can result in infertility (<xref rid="b14-etm-0-0-3959" ref-type="bibr">14</xref>). There are two main modes for Ca<sup>2&#x002B;</sup> transport out of cells: Sodium-Ca<sup>2&#x002B;</sup> exchangers (NCX) and PMCAs. PMCAs have a high affinity for Ca<sup>2&#x002B;</sup>, but small capacity. PMCAs are mainly responsible for the fine control of Ca<sup>2&#x002B;</sup> transport and play an important role in cell signal transduction (<xref rid="b15-etm-0-0-3959" ref-type="bibr">15</xref>). PMCAs belongs to the p-type ATPase family and can form a high-energy phosphorylated intermediate in the reaction cycle. Phosphorylated PMCAs exist in two conformational states, E1 and E2, each being alternative for the other (<xref rid="b16-etm-0-0-3959" ref-type="bibr">16</xref>). PMCAs in mammals are encoded by four genes that encode PMCA1-4, and are located on human chromosomes 12, 3, 1 and X. The most important method of regulating PMCA activity is interaction with calmodulin (<xref rid="b17-etm-0-0-3959" ref-type="bibr">17</xref>). The combination of calmodulin and PMCA depends on Ca<sup>2&#x002B;</sup>. When Ca<sup>2&#x002B;</sup> is lower than the Km value needed for the combination of PMCA and calmodulin, PMCA remains inactivated by calmodulin. Only when Ca<sup>2&#x002B;</sup> is higher than the Km value, can the two bind with each other in a Ca<sup>2&#x002B;</sup>-dependent manner. PMCAs play an important role in regulating the spatial and temporal dynamic distribution of intracellular Ca<sup>2&#x002B;</sup>. Furthermore, they participate in multiple signaling pathways related to intracellular Ca<sup>2&#x002B;</sup>. The interaction between PMCAs and other PDZ domain-containing proteins is one of the ways by which PMCAs participate in signal transduction (<xref rid="b18-etm-0-0-3959" ref-type="bibr">18</xref>).</p>
<p>Research subjects in most related studies are animals such as mice; thus, it remains to be further analyzed whether sperm vitality, Ca<sup>2&#x002B;</sup> distribution, Ca<sup>2&#x002B;</sup> channel status and Ca<sup>2&#x002B;</sup>-dependent regulation of PMCAs apply to humans (<xref rid="b19-etm-0-0-3959" ref-type="bibr">19</xref>). The present study demonstrates that the levels of JAK, STAT and PSM&#x03B2;3 mRNA in asthenozoospermia were decreased significantly, and the levels of p-JAK, p-STAT and PSM&#x03B2;3 protein in asthenozoospermia were also reduced. The differences were statistically significant. The mRNA and protein levels of PSM&#x03B2;3 were decreased after the application of a JAK inhibitor in the control group, and were approximately equal to the asthenozoospermia group. PSM&#x03B2;3 was mainly expressed in round-headed sperm, and less expressed in asthenozoospermia. This finding suggests that the JAK-STAT/PSM&#x03B2;3 signal transduction pathway may be involved in the pathogenic mechanism of asthenozoospermia. Specifically how the JAK-STAT pathway regulates the expression of PSM&#x03B2;3 requires further exploration.</p>
</sec>
</body>
<back>
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<floats-group>
<fig id="f1-etm-0-0-3959" position="float">
<label>Figure 1.</label>
<caption><p>Expression of JAK, STAT, and PSM&#x03B2;3 mRNA in the different groups. (A) PCR was performed to detect JAK, STAT and PSM&#x03B2;3 mRNA. (B) Quantification of PCR data in A. JAK, Janus kinase; STAT, signal transduction and activator of transcription; PCR, polymerase chain reaction.</p></caption>
<graphic xlink:href="etm-13-01-0127-g00.tif"/>
</fig>
<fig id="f2-etm-0-0-3959" position="float">
<label>Figure 2.</label>
<caption><p>Expression of JAK, STAT and PSM&#x03B2;3 protein in the different groups. (A) Western blot analysis was performed to detect the protein levels of JAK, STAT and PSM&#x03B2;3. (B) Quantification of western blot analysis data in A. JAK, Janus kinase; STAT, signal transduction and activator of transcription.</p></caption>
<graphic xlink:href="etm-13-01-0127-g01.tif"/>
</fig>
<fig id="f3-etm-0-0-3959" position="float">
<label>Figure 3.</label>
<caption><p>Immunofluorescent staining of PSM&#x03B2;3. (A) Asthenozoospermia group (PSM&#x03B2;3 is shown in red). (B) Control group.</p></caption>
<graphic xlink:href="etm-13-01-0127-g02.tif"/>
</fig>
</floats-group>
</article>
