Journal of Reproduction & Infertility

Journal of Reproduction & Infertility

Yeast and Fertility: Effects of In Vitro Activity of Candida spp. on Sperm Quality

Authors
Grupo Reproducción, Departamento de Microbiología y Parasitología, Facultad de Medicina, Universidad de Antioquia, Medellín, Antioquia, Colombia
Abstract
Background: Candida spp. causes semen candidiasis, the most important sexually transmitted fungal infection; this microorganism affects male fertility potential and could alter oocyte fertilization. The in vitro effects of the yeasts Candida albicans and Candida glabrata and their soluble factors of fungal metabolism on semen quality were studied. Methods: Candida strains (2, 0.5 and 0.05 McF) and their soluble factors were incubated for 3 hr with selected spermatozoa. Conventional (Viability and motility) and functional parameters (Mitochondrial membrane potential, membrane integrity, detection of reactive oxygen species and DNA fragmentation) were quantified in 35 semen samples. In addition, human spermatozoa were incubated under capacitating conditions with Candida spp. and soluble factors. Finally, spermatozoa were incubated with mannose before incubation with either yeast to block sperm and yeast interaction. Data was analyzed using Friedman test, and p<0.05 was considered significant. Results: The conventional sperm parameters were statistically affected by the two yeast strains after 3 hr and their effect was maintained until the 24 hr incubation. However, the functional parameters were altered, this change was not statistically significant. Pretreatment of spermatozoa with mannose decreased the effect of Candida spp. Conclusion: The presence of C. albicans or C. glabrata affects seminal parameters. The effect is related to incubation time and yeast concentration, it can be supposed that the yeast sperm interaction is mediated through the mannose sperm receptor.
Keywords

  1. World Health Organization. World Health Organiza-tion laboratory manual for the examination and processing of human semen. 5th ed. Geneva, Swit-zerland: World Health Organization. 2010. p. 286.
  2. Alsterholm M, Flytström I, Leifsdottir R, Faerge-mann J, Bergbrant IM. Frequency of bacteria, Candida and malassezia species in balanoposthitis. Acta Derm Venereol. 2008;88(4):331-6.
  3. Puerta Suárez J, Villegas Castaño A, Serna Quintana GJ, Martínez A, Romero Palacio J, Giraldo M, et al. [Spermoculture: Bacterial growth in ejaculation and its relationship with the seminal parameters]. Rev Chil Obstet Ginecol. 2015;80(1):33-40. Spanish.
  4. Cardona Maya WD, Du Plessis SS, Velilla PA. Semen as virus reservoir? J Assist Reprod Genet. 2016;33(9):1255-6.
  5. Puerta Suárez J, Cardona Maya WD. [Prevalence of Chlamydia trachomatis, Neisseria gonorrhoeae and Ureaplasma urealyticum in semen samples: effects on sperm quality]. Urología Colomb. 2016;25(3):219-24. Spanish.
  6. Ahmad G, du Plessis SS, Agarwal A. Sexually Transmitted Infections and Impact on Male Fertility. In: Gunasekaran K, Pandiyan N, editors. Male Infertility: A Clinical Approach. New Delhi: Springer India; 2017. p. 167-83.
  7. Brown GD, Denning DW, Gow NA, Levitz SM, Netea MG, White TC. Hidden killers: human fungal infections. Sci Transl Med. 2012;4(165):165rv13.
  8. Burrello N, Salmeri M, Perdichizzi A, Bellanca S, Pettinato G, D'Agata R, et al. Candida albicans experimental infection: effects on human sperm motility, mitochondrial membrane potential and apoptosis. Reprod Biomed Online. 2009;18(4):496-501.
  9. Wise GJ, Talluri GS, Marella VK. Fungal infections of the genitourinary system: manifestations, diagnosis, and treatment. Urol Clin North Am. 1999;26(4):701-18, vii.
  10. Aridogan IA, Izol V, Ilkit M. Superficial fungal infections of the male genitalia: a review. Crit Rev Microbiol. 2011;37(3):237-44.
  11. Achkar JM, Fries BC. Candida infections of the genitourinary tract. Clin Microbiol Rev. 2010;23 (2):253-73.
  12. Tuttle JP Jr, Bannister ER, Derrick FC. Interference of human spermatozoal motility and sperm-atozoal agglutina-tion by Candida albicans. J Urol. 1977;118(5):797-9.
  13. Tian YH, Xiong JW, Hu L, Huang DH, Xiong CL. Candida albicans and filtrates interfere with human spermatozo-al motility and alter the ultrastructure of spermatozoa: an in vitro study. Int J Androl. 2007;30(5):421-9.
  14. Burrello N, Calogero AE, Perdichizzi A, Salmeri M, D'Agata R, Vicari E. Inhibition of oocyte fertilization by as-sisted reproductive techniques and increased sperm DNA fragmentation in the presence of Candida albicans: a case report. Reprod Biomed Online. 2004;8(5):569-73.
  15. Aitken RJ. Sperm function tests and fertility. Int J Androl. 2006;29(1):69-75.
  16. Gil-Villa AM, Cardona-Maya W, Agarwal A, Shar-ma R, Cadavid A. Role of male factor in early recurrent embryo loss: do antioxidants have any effect? Fertil Steril. 2009;92(2):565-71.
  17. Gil-Villa AM, Cardona-Maya W, Agarwal A, Shar-ma R, Cadavid A. Assessment of sperm factors possibly in-volved in early recurrent pregnancy loss. Fertil Steril. 2010;94(4):1465-72.
  18. Rodríguez E, Gil-Villa AM, Aguirre-Acevedo DC, Cardona-Maya W, Cadavid AP. [Evaluation of atypical semen parameters in individuals whose couples had a history of early recurrent embryo death: in search for a reference value]. Biomedica. 2011;31(1):100-7. Spanish.
  19. Mayorga-Torres BJ, Cardona-Maya W, Cadavid Á, Camargo M. [Evaluation of sperm functional parameters in normozoospermic infertile individuals]. Actas Urol Esp. 2013;37(4):221-7. Spanish.
  20. Mayorga-Torres BJ, Camargo M, Agarwal A, du Plessis SS, Cadavid ÁP, Cardona Maya WD. Influence of ejacula-tion frequency on seminal parameters. Reprod Biol Endocrinol. 2015;13:47.
  21. Lalinde-Acevedo PC, Mayorga-Torres BJM, Agar-wal A, du Plessis SS, Ahmad G, Cadavid ÁP, et al. Physically Active Men Show Better Semen Parameters than Their Sedentary Counterparts. Int J Fertil Steril. 2017;11(3):156-65.
  22. Mayorga-Torres BJM, Camargo M, Cadavid ÁP, du Plessis SS, Cardona Maya WD. Are oxidative stress markers associated with unexplained male infertility? Andrologia. 2017;49(5).
  23. Glander HJ, Schaller J. Binding of annexin V to plasma membranes of human spermatozoa: a rapid assay for detection of membrane changes after cryo-storage. Mol Hum Reprod. 1999;5(2):109-15.
  24. Rennemeier C, Frambach T, Hennicke F, Dietl J, Staib P. Microbial quorum-sensing molecules induce acrosome loss and cell death in human spermatozoa. Infect Immun. 2009;77(11):4990-7.
  25. Berktas M, Aydin S, Yilmaz Y, Cecen K, Bozkurt H. Sperm motility changes after coincubation with various uropathogenic microorganisms: an in vitro experimental study. Int Urol Nephrol. 2008;40(2):383-9.
  26. Matsuura R, Takeuchi T, Yoshida A. Preparation and incubation conditions affect the DNA integrity of ejaculated human spermatozoa. Asian J Androl. 2010;12(5):753-9.
  27. Nabi A, Khalili MA, Halvaei I, Roodbari F. Prolonged incubation of processed human spermatozoa will increase DNA fragmentation. Andrologia. 2014;46(4):374-9.
  28. del Valle GM. Candida glabrata: un patógeno emergente. Biociencias. 2016;10(1):89-102.
  29. Cardona-Maya WD, Cadavid AP. [Evaluation of the role of the monosaccharides, mannose and N-acetylglucosamine in the induction of the acrosome reaction in human spermatozoa]. Actas Urol Esp. 2005;29(7):676-84. Spanish.
  30. Cardona-Maya W, Velilla P, Montoya CJ, Cadavid A, Rugeles MT. Presence of HIV-1 DNA in spermatozoa from HIV-positive patients: changes in the semen parameters. Curr HIV Res. 2009;7(4): 418-24.
  31. Cardona-Maya W, Velilla PA, Montoya CJ, Cada-vid Á, Rugeles MT. In vitro human immunodeficiency virus and sperm cell interaction mediated by the mannose receptor. J Reprod Immunol. 2011;92 (1-2):1-7.
  32. Cardona-Maya W, López-Herrera A, Velilla-Her-nández P, Rugeles MT, Cadavid AP. The role of mannose receptor on HIV-1 entry into human spermatozoa. Am J Reprod Immunol. 2006;55(4):241-5.