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1.
Reproduction ; 168(2)2024 08 01.
Artículo en Inglés | MEDLINE | ID: mdl-38912971

RESUMEN

Valosin-containing protein (VCP; aka p97), a member of the AAA (ATPases Associated with various cellular Activities) family, has been associated with a wide range of cellular functions. While previous evidence has shown its presence in mammalian sperm, our study unveils its function in mouse sperm. Notably, we found that mouse VCP does not undergo tyrosine phosphorylation during capacitation and exhibits distinct localization patterns. In the sperm head, it resides within the equatorial segment and, following acrosomal exocytosis, it is released and cleaved. In the flagellum, VCP is observed in the principal and midpiece. Furthermore, our research highlights a unique role for VCP in the cAMP/PKA pathway during capacitation. Pharmacological inhibition of sperm VCP led to reduced intracellular cAMP levels that resulted in decreased phosphorylation in PKA substrates and tyrosine residues and diminished fertilization competence. Our results show that in mouse sperm, VCP plays a pivotal role in regulating cAMP production, probably by the modulation of soluble adenylyl cyclase activity.


Asunto(s)
AMP Cíclico , Capacitación Espermática , Espermatozoides , Proteína que Contiene Valosina , Animales , Masculino , Capacitación Espermática/efectos de los fármacos , Proteína que Contiene Valosina/metabolismo , Proteína que Contiene Valosina/genética , Espermatozoides/metabolismo , Ratones , AMP Cíclico/metabolismo , Fosforilación , Proteínas Quinasas Dependientes de AMP Cíclico/metabolismo , Adenosina Trifosfatasas/metabolismo , Proteínas de Ciclo Celular/metabolismo , Proteínas de Ciclo Celular/genética
2.
JBRA Assist Reprod ; 27(2): 292-313, 2023 Jun 22.
Artículo en Inglés | MEDLINE | ID: mdl-37348007

RESUMEN

In December 2014, the International Committee for Monitoring Assisted Reproductive Technology under the umbrella of the World Health Organization convened an expert meeting to re-examine, update and expand the infertility glossary previously published in 2009. Thus, the International Glossary of Infertility and Fertility Care was developed and published in 2017 simultaneously in Fertility and Sterility and Human Reproduction. In this article, we present the glossary translated into Spanish, obtained after evaluation by Argentinian experts in the field of assisted reproductive technologies, reviewed by Dr. Zegers-Hochschild and approved by the board of the Argentinian Society of Reproductive Medicine (SAMeR). The translation of the glossary to Spanish will facilitate communication between professionals responsible for the practice of ART in Spanish-speaking communities. Moreover, it will lend support to promote better understanding as well as safer and better care for Spanish-speaking minorities and those experiencing cross-border reproductive care.


Asunto(s)
Preservación de la Fertilidad , Infertilidad , Turismo Médico , Humanos , Infertilidad/terapia , Técnicas Reproductivas Asistidas , Fertilidad
3.
Front Cell Dev Biol ; 9: 777086, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34869380

RESUMEN

To acquire fertilization competence, mammalian sperm must undergo several biochemical and physiological modifications known as capacitation. Despite its relevance, the metabolic pathways that regulate the capacitation-related events, including the development of hyperactivated motility, are still poorly described. Previous studies from our group have shown that temporary energy restriction in mouse sperm enhanced hyperactivation, in vitro fertilization, early embryo development and pregnancy rates after embryo transfer, and it improved intracytoplasmic sperm injection results in the bovine model. However, the effects of starvation and energy recovery protocols on human sperm function have not yet been established. In the present work, human sperm were incubated for different periods of time in medium containing glucose, pyruvate and lactate (NUTR) or devoid of nutrients for the starving condition (STRV). Sperm maintained in STRV displayed reduced percentages of motility and kinematic parameters compared to cells incubated in NUTR medium. Moreover, they did not undergo hyperactivation and showed reduced levels of ATP, cAMP and protein tyrosine phosphorylation. Similar to our results with mouse sperm, starvation induced increased intracellular Ca2+ concentrations. Starved human sperm were capable to continue moving for more than 27 h, but the incubation with a mitochondrial uncoupler or inhibitors of oxidative phosphorylation led to a complete motility loss. When exogenous nutrients were added back (sperm energy recovery (SER) treatment), hyperactivated motility was rescued and there was a rise in sperm ATP and cAMP levels in 1 min, with a decrease in intracellular Ca2+ concentration and no changes in sperm protein tyrosine phosphorylation. The finding that human sperm can remain motile for several hours under starvation due to mitochondrial use of endogenous metabolites implies that other metabolic pathways may play a role in sperm energy production. In addition, full recovery of motility and other capacitation parameters of human sperm after SER suggests that this treatment might be used to modulate human sperm fertilizing ability in vitro.

4.
Mol Reprod Dev ; 87(12): 1188-1198, 2020 12.
Artículo en Inglés | MEDLINE | ID: mdl-33118273

RESUMEN

Acrosomal exocytosis (AR) is a critical process that sperm need to undergo to fertilize an egg. The evaluation of the presence or absence of the acrosome is usually performed by using lectins or dyes in fixed cells. With this approach, it is neither possible to monitor the dynamic process of exocytosis and related molecular events while discriminating between live and dead cells, nor to evaluate the acrosomal status while sperm reside in the female reproductive tract. However, over the last two decades, several new methodologies have been used to assess the occurrence of AR in living cells allowing different groups to obtain information that was not possible in the past. These techniques have revolutionized the whole study of this process. This review summarizes current methods available to analyze AR in living cells as well as the important information that emerged from studies using these approaches.


Asunto(s)
Reacción Acrosómica/fisiología , Acrosoma/metabolismo , Exocitosis/fisiología , Fertilización In Vitro/métodos , Capacitación Espermática/fisiología , Citoesqueleto de Actina/metabolismo , Animales , Calcio/metabolismo , Femenino , Proteínas Fluorescentes Verdes/genética , Proteínas Fluorescentes Verdes/metabolismo , Humanos , Masculino , Ratones , Ratones Transgénicos , Zona Pelúcida/metabolismo
5.
Reproduction ; 159(4): 423-436, 2020 04.
Artículo en Inglés | MEDLINE | ID: mdl-31967971

RESUMEN

Sperm chemotaxis may facilitate the finding of the oocyte. Only capacitated spermatozoa can orient their movement by chemotaxis, which as well as capacitation, is regulated in part by the cAMP-PKA pathway. Reactive oxygen species (ROS) are produced during sperm capacitation which is closely related to chemotaxis. Then, the ROS participation in the chemotactic signaling can be expected. Here we studied the role of ROS in the chemotaxis signaling of equine spermatozoa which produce high quantities of ROS because of their energy metabolism. The level of capacitated and chemotactic spermatozoa was increased with 0.1 and 0.2 mM hydrogen peroxide (H2O2), which was involved in the chemotactic signaling. By combining a concentration gradient of H2O2 with inhibitors/chelators of some of the signaling pathway elements, we showed that the activation of NOX (membrane NADPH oxidase) increases the intracellular ROS which activate the chemotaxis AMPc-PKA pathway. Our results provide evidence about the participation of ROS in the chemotactic signaling mediated by progesterone (P).


Asunto(s)
Quimiotaxis , Caballos/metabolismo , Especies Reactivas de Oxígeno , Capacitación Espermática , Espermatozoides/metabolismo , Animales , Masculino
6.
Front Cell Dev Biol ; 6: 72, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30105226

RESUMEN

In the early 1950s, Austin and Chang independently described the changes that are required for the sperm to fertilize oocytes in vivo. These changes were originally grouped under name of "capacitation" and were the first step in the development of in vitro fertilization (IVF) in humans. Following these initial and fundamental findings, a remarkable number of observations led to characterization of the molecular steps behind this process. The discovery of certain sperm-specific molecules and the possibility to record ion currents through patch-clamp approaches helped to integrate the initial biochemical observation with the activity of ion channels. This is of particular importance in the male gamete due to the fact that sperm are transcriptionally inactive. Therefore, sperm must control all these changes that occur during their transit through the male and female reproductive tracts by complex signaling cascades that include post-translational modifications. This review is focused on the principal molecular mechanisms that govern human sperm capacitation with particular emphasis on comparing all the reported pieces of evidence with the mouse model.

7.
Am J Reprod Immunol ; 72(2): 206-18, 2014 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-24863647

RESUMEN

The identification of sperm proteins involved in fertilization has been the subject of numerous investigations. Much interest has been dedicated to naturally occurring antisperm antibodies (ASA) and their impact in fertility. Their presence in men and women has been associated with 2-50% of infertility cases. ASA may impair pre- and post-fertilization steps. Experimental models have been developed using sperm proteins as immunogens to evaluate their involvement in sperm function. Our team has pursued investigations to assess ASA presence in biological fluids from patients consulting for infertility and their effect on fertilization. We found ASA in follicular fluids with ability of inducing the acrosome reaction and blocking sperm-zona pellucida interaction and used them to identify sperm entities involved in these events. We generated and utilized antibodies against proacrosin/acrosin to characterize the sperm protease system. We implemented an ELISA to detect proacrosin/acrosin antibodies in human sera and evaluated their impact upon fertility by developing in vitro assays and a gene immunization model. This review presents a summary of ASA history, etiology, current approaches for detection and effects upon fertility. ASA (naturally occurring, generated by animal immunization and/or of commercial origin) are invaluable tools to understand the molecular basis of fertilization, better diagnose/treat immunoinfertility and develop immunocontraceptive methods.


Asunto(s)
Anticuerpos/análisis , Infertilidad Femenina/inmunología , Infertilidad Masculina/inmunología , Espermatozoides/inmunología , Zona Pelúcida/inmunología , Acrosina/genética , Acrosina/inmunología , Reacción Acrosómica , Animales , Antígenos/inmunología , Precursores Enzimáticos/genética , Precursores Enzimáticos/inmunología , Femenino , Fertilización/inmunología , Expresión Génica , Humanos , Masculino , Espermatozoides/metabolismo , Zona Pelúcida/metabolismo
8.
Fertil Steril ; 93(5): 1574-84, 2010 Mar 15.
Artículo en Inglés | MEDLINE | ID: mdl-19296942

RESUMEN

OBJECTIVE: To determine the secretion of Grp78 by human oviduct epithelial cells, its association to spermatozoa, and its involvement in gamete interaction. DESIGN: Prospective study. SETTING: Basic research laboratory. SUBJECT(S): Semen samples obtained from normozoospermic volunteers. Tubal tissue provided by patients undergoing hysterectomies. Oocytes collected from women undergoing IVF-ET. INTERVENTION(S): Analysis of Grp78 expression and secretion by oviductal tissue. Gamete incubation with recombinant Grp78 (rec-Grp78). MAIN OUTCOME MEASURE(S): Assessment of protein expression and secretion by immunohistochemistry and Western immunoblotting, respectively. Evaluation of rec-Grp78 binding to human spermatozoa by immunocytochemistry, and analysis of its effect upon gamete interaction using the hemizona assay. RESULT(S): Grp78 was found in the surface of oviduct epithelial cells. Soluble Grp78 was detected in oviductal fluids from women in the periovulatory period and in oviductal tissue conditioned medium. Rec-Grp78 was able to bind to the sperm acrosomal cap, and its presence during gamete interaction led to a decrease in the number of spermatozoa bound to the zona pellucida (ZP). When calcium ions from the incubation medium were replaced by strontium, rec-Grp78 enhanced sperm-ZP interaction. CONCLUSION(S): Grp78 is expressed and secreted by oviduct epithelial cells. The protein would bind to the gametes and may modulate their interaction in a calcium-dependent manner.


Asunto(s)
Células Epiteliales/metabolismo , Trompas Uterinas/metabolismo , Proteínas de Choque Térmico/metabolismo , Interacciones Espermatozoide-Óvulo , Espermatozoides/metabolismo , Zona Pelúcida/metabolismo , Adulto , Western Blotting , Calcio/metabolismo , Línea Celular Tumoral , Células Cultivadas , Chaperón BiP del Retículo Endoplásmico , Femenino , Humanos , Inmunohistoquímica , Masculino , Ciclo Menstrual , Persona de Mediana Edad , Unión Proteica , Proteínas Recombinantes/metabolismo , Técnicas de Cultivo de Tejidos
9.
Fertil Steril ; 90(3): 879-82, 2008 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-17936279

RESUMEN

Recombinant human zona pellucida protein C expressed in Chinese hamster ovary cells associates to the acrosomal region of human spermatozoa and inhibits sperm-zona pellucida interaction in the hemizona assay. Recombinant human zona pellucida protein C may be a useful tool toward the development of diagnostic methods for male factor infertility and the elucidation of the molecular basis of fertilization.


Asunto(s)
Fertilización/fisiología , Proteína C/metabolismo , Zona Pelúcida/metabolismo , Animales , Células CHO , Cricetinae , Cricetulus , Humanos , Unión Proteica , Proteínas Recombinantes/metabolismo
10.
J Cell Sci ; 118(Pt 9): 2013-22, 2005 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-15840651

RESUMEN

The mechanisms involved in the regulation of mammalian sperm motility are not well understood. Calcium ions (Ca(2+)) have been suggested to play a key role in the maintenance of motility; nevertheless, how Ca(2+) modulates this process has not yet been completely characterized. Ca(2+) can bind to calmodulin and this complex regulates the activity of multiple enzymes, including Ca(2+)/calmodulin-dependent protein kinases (CaM kinases). Results from this study confirmed that the presence of Ca(2+) in the incubation medium is essential for maintaining human sperm motility. The involvement of CaM kinases in Ca(2+) regulation of human sperm motility was evaluated using specific inhibitors (KN62 and KN93) or their inactive analogues (KN04 and KN92 respectively). Sperm incubation in the presence of KN62 or KN93 led to a progressive decrease in the percentage of motile cells; in particular, incubation with KN62 also reduced sperm motility parameters. These inhibitors did not alter sperm viability, protein tyrosine phosphorylation or the follicular fluid-induced acrosome reaction; however, KN62 decreased the total amount of ATP in human sperm. Immunological studies showed that Ca(2+)/calmodulin-dependent protein kinase IV (CaMKIV) is present and localizes to the human sperm flagellum. Moreover, CaMKIV activity increases during capacitation and is inhibited in the presence of KN62. This report is the first to demonstrate the presence of CaMKIV in mammalian sperm and suggests the involvement of this kinase in the regulation of human sperm motility.


Asunto(s)
Proteínas Quinasas Dependientes de Calcio-Calmodulina/química , Motilidad Espermática , Espermatozoides/metabolismo , Espermatozoides/fisiología , Reacción Acrosómica , Adenosina Trifosfato/química , Adenosina Trifosfato/metabolismo , Western Blotting , Calcio/metabolismo , Proteína Quinasa Tipo 4 Dependiente de Calcio Calmodulina , Medios de Cultivo , Relación Dosis-Respuesta a Droga , Electroforesis , Inhibidores Enzimáticos/farmacología , Humanos , Iones , Masculino , Microscopía Fluorescente , Capacitación Espermática , Espermatozoides/patología , Factores de Tiempo
11.
Biol Reprod ; 70(5): 1325-32, 2004 May.
Artículo en Inglés | MEDLINE | ID: mdl-14711787

RESUMEN

Numerous studies have demonstrated that sperm capacitation is a bicarbonate-dependent process. In the rat, capacitation has not been studied as much as in other species, mainly because of the difficulties in carrying out functional assays with this animal model. In the present study, we have examined the influence of bicarbonate in the overall rat sperm capacitation process by analyzing involvement of the anion in 1) protein tyrosine phosphorylation, 2) migration of epididymal protein DE (also known as CRISP-1) from the dorsal region to the equatorial segment of the sperm head that occurs during capacitation, and 3) ability of sperm to fuse with the egg. Incubation of sperm under capacitating conditions produced a time-dependent increase in protein tyrosine phosphorylation. This phosphorylation did not occur in the absence of HCO3- and rapidly increased by either exposure of sperm to HCO3- or replacement of the anion by a cAMP analog (dibutyryl-cAMP) and a phosphodiesterase inhibitor (pentoxifylline). The absence of HCO3- also produced a significant decrease in the percentage of cells showing migration of DE to the equatorial segment. This parameter was completely restored by addition of the anion, but dibutyryl-cAMP and pentoxifylline were not sufficient to overcome the decrease in DE migration. Sperm capacitated in the absence of HCO3- were unable to penetrate zona-free eggs independent of the presence of the anion during gamete coincubation. Exposure of these sperm to bicarbonate, or replacement of the anion by dibutyryl-cAMP and pentoxifylline, only partially restored the sperm fusion ability. Altogether, these results indicate that, in addition to its influence on protein tyrosine phosphorylation, bicarbonate is required to support other rat sperm capacitation- associated events, such as migration of DE to the equatorial segment, and expression of the ability of sperm to fuse with the egg.


Asunto(s)
Bicarbonatos/metabolismo , Glicoproteínas de Membrana/metabolismo , Capacitación Espermática/fisiología , Interacciones Espermatozoide-Óvulo/fisiología , Espermatozoides/metabolismo , Animales , Transporte Biológico/fisiología , Femenino , Masculino , Fosforilación , Ratas , Ratas Sprague-Dawley , Tirosina/metabolismo
12.
Am J Reprod Immunol ; 50(3): 209-19, 2003 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-14629025

RESUMEN

PROBLEM: To determine the ability of IgGs isolated from follicular fluids (hFFIgGs) to induce the acrosome reaction (AR) in human spermatozoa and to inhibit sperm-zona pellucida (ZP) interaction. METHOD OF STUDY: Incubation of capacitated spermatozoa with hFFIgGs (n = 40) and assessment of their effect on the AR or hemizona (HZ) assay in a condition that allows sperm-ZP interaction, avoiding acrosomal exocytosis. RESULTS: hFFIgGs from different women varied in their ability of inducing the AR. Those hFFIgGs with the highest AR-inducing capacity evoked the exocytotic response in most of the different sperm donors tested [high Induction Frequency (IF)]. Some of these antibodies were also able of inhibiting sperm binding to ZP [low HZ Index (HZI)]. A significant correlation was found between the IF and the HZI for each hFFIgG. CONCLUSIONS: Human follicular fluid contains antibodies capable of inducing the AR and inhibiting sperm-ZP binding, suggesting that they could be directed towards ZP receptors. hFFIgGs would constitute a tool for the identification of sperm entities involved in fertilization.


Asunto(s)
Reacción Acrosómica , Líquido Folicular/inmunología , Inmunoglobulina G/farmacología , Espermatozoides/efectos de los fármacos , Zona Pelúcida/efectos de los fármacos , Adulto , Femenino , Líquido Folicular/metabolismo , Humanos , Masculino , Espermatozoides/inmunología , Espermatozoides/metabolismo , Zona Pelúcida/inmunología , Zona Pelúcida/metabolismo
13.
Fertil Steril ; 80(4): 939-46, 2003 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-14556816

RESUMEN

OBJECTIVE: To examine the effect of peritoneal fluid on various parameters of sperm function in vitro. DESIGN: Prospective study. SETTING: Basic research laboratory. PATIENT(S): Semen samples were obtained from normozoospermic volunteers (n = 43). Peritoneal fluids were aspirated laparoscopically from women with unexplained infertility (n = 14). Follicular fluid and oocytes were collected from patients undergoing IVF-ET. INTERVENTION(S): Sperm incubated under capacitating conditions were exposed to peritoneal fluid, and functional variables were evaluated in vitro. MAIN OUTCOME MEASURE(S): Sperm viability and motility, follicular fluid and calcium ionophore-induced acrosome reactions, protein tyrosine phosphorylation, expression of D-mannose binding sites, and ability of sperm to interact with zona pellucida. RESULT(S): Exposure of sperm to peritoneal fluid for up to 6 hours did not affect sperm viability or motility. Unlike follicular fluid, peritoneal fluid did not induce the acrosome reaction. Moreover, incubation of sperm with > or =20% v/v peritoneal fluid for 1 hour prevented the follicular fluid and the ionophore-induced acrosome reaction. Although treatment with peritoneal fluid allowed protein tyrosine phosphorylation during capacitation, it resulted in a significant decrease in the expression of D-mannose binding sites and sperm-zona pellucida binding. CONCLUSION(S): Peritoneal fluid maintains sperm survival and decreases sperm ability to respond to inducers of the acrosome reaction and bind to the zona pellucida in vitro, indicating that this fluid might modulate sperm function in vivo.


Asunto(s)
Líquido Ascítico/metabolismo , Infertilidad/fisiopatología , Espermatozoides/fisiología , Reacción Acrosómica , Adulto , Sitios de Unión , Supervivencia Celular , Femenino , Líquido Folicular/metabolismo , Humanos , Masculino , Manosa/metabolismo , Fosforilación , Estudios Prospectivos , Capacitación Espermática , Motilidad Espermática , Interacciones Espermatozoide-Óvulo , Espermatozoides/metabolismo , Tirosina/metabolismo
14.
Fertil Steril ; 79(6): 1396-403, 2003 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-12798888

RESUMEN

OBJECTIVE: To determine extracellular calcium (Ca(2+)) requirements for the maintenance of human sperm function in vitro. DESIGN: Prospective study. SETTING: Basic research laboratory. PATIENT(S): Normozoospermic volunteers provided fresh semen samples; follicular fluid (human FF) and oocytes were collected from women undergoing IVF-ET. INTERVENTION(S): Spermatozoa were incubated for /=0.1 mM of Ca(2+) were able to undergo the AR when exposed to human FF in the presence of 2.5 mM of Ca(2+). Calcium concentrations of >/=0.22 mM were sufficient to reach protein tyrosine phosphorylation levels and hyperactivated motility values similar to those of controls. Higher Ca(2+) concentrations (>/=0.58 mM) were required to produce maximum human FF-induced AR in previously capacitated cells and to obtain an adequate sperm-ZP binding. CONCLUSION(S): Different steps of the fertilization process have distinctive Ca(2+) requirements. Whereas 0.22 mM of Ca(2+) is sufficient for the development of some capacitation-related events, human FF-induced AR and sperm-ZP interaction require 0.58 mM of this cation.


Asunto(s)
Calcio/farmacología , Espermatozoides/fisiología , Acrosoma/fisiología , Humanos , Técnicas In Vitro , Masculino , Estudios Prospectivos , Capacitación Espermática/fisiología , Interacciones Espermatozoide-Óvulo , Zona Pelúcida/fisiología
15.
Fertil Steril ; 77(2): 252-9, 2002 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-11821080

RESUMEN

OBJECTIVE: To determine the effect of human sperm incubation at room temperature (20 degrees C) upon capacitation-related events. DESIGN: Prospective study. SETTING: Basic research laboratory. PATIENT(S): Semen samples were obtained from normozoospermic volunteers. Human follicular fluid (hFF) was collected from women undergoing assisted reproductive treatment. INTERVENTION(S): Spermatozoa were incubated for up to 18 hours at 20 degrees C and/or 37 degrees C. MAIN OUTCOME MEASURE(S): Protein tyrosine phosphorylation patterns, development of hyperactivated motility, and induction of acrosome reaction (AR) in response to hFF. RESULT(S): Spermatozoa incubated for 18 hours at 20 degrees C showed an array of tyrosine phosphorylated proteins similar to noncapacitated cells. After incubation at 20 degrees C, the percentage of spermatozoa displaying hyperactivated motility and undergoing acrosomal loss in response to hFF was significantly lower when compared with cells kept the same time at 37 degrees C. Conversely, spermatozoa incubated overnight at 37 degrees C could respond to hFF, either at 37 degrees C or 20 degrees C. When preincubation at 20 degrees C was followed by sperm exposure to 37 degrees C, capacitation-related events could be activated. In capacitated cells (16 hours at 37 degrees C), 2-hour incubation at 20 degrees C led to a significant decrease in acrosome reaction inducibility, suggesting sperm decapacitation. CONCLUSION(S): Human sperm incubation at room temperature does not allow capacitation, although it does not affect hFF-induced acrosome reaction in capacitated cells. The blocking effect is overcome when spermatozoa are exposed to 37 degrees C.


Asunto(s)
Capacitación Espermática/fisiología , Espermatozoides/fisiología , Reacción Acrosómica/fisiología , Fenómenos Biomecánicos , Western Blotting , Medios de Cultivo , Electroforesis en Gel de Poliacrilamida , Femenino , Líquido Folicular/fisiología , Humanos , Masculino , Fosforilación , Estudios Prospectivos , Proteínas/metabolismo , Motilidad Espermática/fisiología , Espermatozoides/citología , Espermatozoides/metabolismo , Tirosina/metabolismo
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