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Molecular and Cellular Biology, September 2002, p. 6298-6305, Vol. 22, No. 17
0270-7306/02/$04.00+0 DOI: 10.1128/MCB.22.17.6298-6305.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
Male Infertility, Impaired Sperm Motility, and Hydrocephalus in Mice Deficient in Sperm-Associated Antigen 6
Rossana Sapiro,1 Igor Kostetskii,1 Patricia Olds-Clarke,2 George L. Gerton,1 Glenn L. Radice,1 and Jerome F. Strauss III1*
Center for Research on Reproduction and Women's Health, University of Pennsylvania Medical Center,1
Department of Anatomy and Cell Biology, Temple University School of Medicine, Philadelphia, Pennsylvania 191042
Received 25 February 2002/
Returned for modification 16 April 2002/
Accepted 3 June 2002

ABSTRACT
Gene targeting was used to create mice lacking sperm-associated
antigen 6 (Spag6), the murine orthologue of
Chlamydomonas PF16,
an axonemal protein containing eight armadillo repeats predicted
to be important for flagellar motility and stability of the
axoneme central apparatus. Within 8 weeks of birth, approximately
50% of Spag6-deficient animals died with hydrocephalus. Spag6-deficient
males surviving to maturity were infertile. Their sperm had
marked motility defects and was morphologically abnormal with
frequent loss of the sperm head and disorganization of flagellar
structures, including loss of the central pair of microtubules
and disorganization of the outer dense fibers and fibrous sheath.
We conclude that Spag6 is essential for sperm flagellar motility
and that it is important for the maintenance of the structural
integrity of mature sperm. The occurrence of hydrocephalus in
the mutant mice also implicates Spag6 in the motility of ependymal
cilia.

INTRODUCTION
Fertilization is the process whereby sperm and eggs interact
reciprocally to begin development. To initiate fertilization,
mammalian sperm cells rely on the propulsive forces generated
by their flagella to reach the site of fertilization in the
oviduct and to penetrate the investments of the egg (
8). All
flagella contain an axoneme composed of structural elements
and motor proteins that work in a coordinated and regulated
fashion to produce wave forms that produce progressive movement
(
3,
4,
6,
8,
15,
21). The axoneme consists of a central pair
of microtubules (central apparatus) surrounded by nine doublets
of microtubules with the associated force-generating dynein
arms. The basic axonemal structure among cilia and flagella
is conserved across species, and much of our understanding of
the structure and function of the axoneme has been derived from
the study of model organisms. Genetic studies on the green alga,
Chlamydomonas, have revealed the importance of several genes
for flagellar assembly, stability of specific axonemal structures,
and motility (
2-
6,
15,
21). Inactivation of
PF16, one of these
Chlamydomonas genes, results in flagellar paralysis (
2,
20,
21). Moreover, when the flagella from the
pf16 mutant are demembranated
to produce axonemes, the C1 microtubule is destabilized and
C1-associated polypeptides are lost. We cloned the human and
murine orthologues of PF16, named sperm-associated antigen 6
(Spag6), and found that the amino acid sequences of the mammalian
and algal proteins were highly conserved, including the eight
armadillo repeats required for the assembly of PF16 onto the
C1 microtubule and for flagellar function (
11,
16,
20,
21).
To determine if Spag6 plays a critical role in the function
of the mammalian axoneme, we inactivated mouse
Spag6. Males
lacking Spag6 were infertile because their sperm had striking
motility defects and were frequently decapitated and had disorganized
flagellar structures. Approximately 50% of nullizygous males
and females have enlarged heads and smaller bodies and die prematurely
with hydrocephalus, presumably reflecting abnormalities in the
function of cilia of ependymal cells that facilitate circulation
of cerebral spinal fluid. Our findings indicate that Spag6 is
essential for sperm flagellar motility and that it may serve
as a scaffold protein that maintains the structural integrity
of the sperm flagella. The occurrence of hydrocephalus strongly
suggests a role for Spag6 in ependymal ciliary motility.

MATERIALS AND METHODS
Targeted mutation of Spag6.
We screened a 129/Sv mouse genomic mouse library and obtained
clones covering approximately 10 kb of the

80-kb
Spag6 gene
containing putative exons 3 and 4. We constructed a targeting
vector by substitution of the exon encoding amino acid residues
40 to 96 (GenBank accession number
AF486266) with an internal
ribosome entry site (IRES)-
lacZ-Neo
r fusion gene (
9). If the
preceding coding sequences were to be expressed, a 39-amino-acid
peptide would be produced that lacks the eight contiguous armadillo
repeats believed to be essential for Spag6 function (
16,
22).
For the purpose of screening, we inserted a
BamHI site at the
end of the short arm. Embryonic stem cells derived from 129/Sv
mice were transfected with the linearized ßgeo targeting
vector, selected in medium supplemented with G-418, and analyzed
by Southern blotting to identify correctly targeted clones.
For Southern blotting, genomic DNA was digested with
BamHI and
the blots were probed with a 1.5-kb cDNA containing genomic
sequence upstream from the targeted genomic sequence. A correctly
targeted embryonic stem cell clone was used to generate chimeric
mice, which were crossed with C57BL/6J females to obtain heterozygous
mutants. Mice used in these studies were the offspring of crosses
between the F
1 and/or F
2 generations (129/SvJ/C57BL/6J genetic
background). Mice were genotyped by PCR. Two sets of primers
were used in the PCRs. One set of primers corresponded to the
Neo gene: 5'-CGTGTTCCGGCTGTCAGCGCA-3' and 5'-CAACGCTATGTCCTGATAGCGGTC-3'.
The other set of primers corresponded to the deleted region
of the
Spag6 gene: 5'-GACTTAGCAGAAGCAGTCGTG-3' and 5'-CGGAGA
GAAGCTGCTACCAAG-3'.
Assessment of fertility and fecundity.
To assess fertility and fecundity, littermate males (>6 weeks old) were placed in cages with two mature wild-type females for 2 months or more. Littermate females were caged with a wild-type fertile male for a similar period. The number of mice achieving a pregnancy and the number of offspring from each mating set or pregnancy were recorded.
Northern blot analysis.
Northern blots containing total testicular RNA (30 µg/lane) were probed with a full-length Spag6 cDNA and a cDNA comprising 700 bp of sequence downstream of the targeted exon (16). Similar results were obtained with both probes. Blots were stripped and reprobed for mouse Akap82 (1) and 28S rRNA.
Western blot analysis.
Equal amounts of testicular protein (40 µg/lane) were subjected to Western analysis using antibodies against Spag6 (11, 16) and Akap82 (1).
Motility assays.
Sperm isolation and motility analyses were carried out as previously described (18). For each observation, four fields from each of two dilutions of the original sperm suspension were pooled. The IVOS Sperm Analyzer (Hamilton-Thorne Research, Beverly, Mass.) was used for all motility analyses. Only cells with
16 points in their track and a mean curvilinear velocity (VCL) of
50 µm/s were analyzed. Sperm populations were analyzed as soon as possible after release from the epididymis.
Histology and immunoelectron microscopy and transmission electron microscopy.
Cauda epididymal sperm, testes, reproductive tracts, tracheal tissue, and ependymal tissue were prepared for light and electron microscopy using standard methods. For immunoelectron microscopy, anti-Spag6 antibody was labeled with 10-nm gold particles as previously described (19).

RESULTS
Targeted disruption of Spag6.
We disrupted the
Spag6 gene in murine embryonic stem cells by
replacing the third exon with the fusion gene ß
geo (Fig.
1A). This manipulation prevents expression of protein
containing the eight contiguous armadillo repeats that, by analogy
to PF16, are predicted to be essential for Spag6 function (
22).
To generate chimeras, embryonic stem cells carrying a mutant
copy of the
Spag6 gene (Fig.
1B) were injected into blastocysts
and implanted into pseudopregnant mice. Mutant mice were produced
from the chimeric offspring. Disruption of the
Spag6 gene was
confirmed by PCR analysis (Fig.
1C) and Southern blotting (data
not shown). The proportion of wild-type (55 of 189, 29%), heterozygous
(89 of 189, 51%), and nullizygous (36 of 189, 19%) offspring
from mating of heterozygous males and females was not significantly
different from the expected Mendelian pattern of inheritance
(chi-square test result = 4.08;
P = 0.131). Approximately 50%
of the
Spag6-/- mice were smaller than their heterozygous and
wild-type littermates, and these animals died before 2 months
of age with enlarged heads and hydrocephalus, reflected in dilated
lateral and third ventricles observed in sagittal sections of
the brains (Fig.
2). Hydrocephalus resulting from impaired circulation
of cerebral spinal fluid is associated with immotile cilia of
ependymal cells (7,
10). The mutant mice displayed no gross
abnormalities in organ structure (e.g., polycystic kidneys)
or laterality (situs inversus), an abnormality associated with
defects in ciliogenesis and immotile cilia syndrome (
14, 17).
Northern (Fig.
1D) and Western blot analysis (Fig.
1E) confirmed
the absence of Spag6 mRNA and 55,000-
Mr protein in testes of
Spag6-/- mice that survived to sexual maturity. The polyclonal
antibody used to perform the Western blot shown in Fig.
1E,
generated against full-length recombinant protein, did not detect
lower-molecular-weight immunoreactive bands that could have
represented truncated Spag6 resulting from translation of mRNA
containing coding sequence upstream from the targeted exon.
The testes of
Spag6-/- mice did contain pro- and mature protein
for Akap82, also known as Akap4, the major component of the
sperm flagellum fibrous sheath, and Akap82 mRNA (Fig.
1D and E).
Spag6 is required for male but not female fertility.
Spag6-/- males mated with wild-type females produced no pregnancies after more than 2 months of continuous cohabitation even though vaginal plugs were observed in the females (Table 1). The Spag6+/- littermates were all fertile, producing as many offspring per pregnancy as wild-type littermates. Eight of the 10 Spag6-/- females achieved a pregnancy during the observation period, but the time to establishing a pregnancy was several weeks longer than for wild-type and heterozygous littermates.
Spag6-deficient sperm have motility and structural defects.
The testes of
Spag6-/- males surviving to sexual maturity were
of a weight similar to that of wild-type littermates (
Spag6-/-:
0.37 ± 0.05 g/100 g of body weight,
n = 5;
Spag6+/+:
0.38 ± 0.04,
n = 5, mean ± standard deviation).
Likewise, the seminal vesicles were similar in weight (
Spag6-/-:
0.82 ± 0.01 g/100 g,
n = 5;
Spag6+/+: 0.77 ± 0.10,
n = 5, mean ± standard deviation). The reproductive organs
were grossly normal, and light microscopy analysis of histological
sections of the testes and reproductive tract revealed normal
architecture of the seminiferous tubules and interstitium (Fig.
3A and B). Sperm were present in the testes and efferent ducts.
The three genotypes were not statistically different in terms
of the concentration of sperm that could be recovered from the
caudae epididymides (Table
2), although the concentration recovered
tended to be lower from
Spag6-/- mice, because the recovery
process is aided by sperm motility.
There were striking differences between the mutant and wild-type
sperm morphology and motility. Light microscopy examination
revealed that 42% of the epididymal sperm from
Spag6-/- was
abnormal, as reflected in fragmentation of the midpiece, truncated
flagella, or decapitation, whereas 7% of heterozygous and wild-type
sperm had an abnormal morphology (Fig.
4). As expected, Spag6
protein was not detectable in the tails of permeabilized sperm
from
Spag6-/- mice (Fig.
4).
Sperm from wild-type littermates displayed vigorous flagellar
activity and progressive forward movement (Table
2 and movie
that can be viewed at
http://www.med.upenn.edu/crrwh/movies/sapiro.mov).
In contrast, only a small percentage of the mutant sperm showed
progressive forward motion; flagellar activity was generally
limited to a quaking or twitching motion (Table
2 and movie
on website). Computer-assisted sperm analysis confirmed that
motility parameters were severely impaired in the
Spag6-/- mutant
(Table
2). The percentage of motile sperm recovered from the
epididymis and the VCL of sperm that were motile, an estimate
of instantaneous sperm swimming speed, were significantly less
in
Spag6-/- mice. A mean of 8% of recovered
Spag6-/- sperm was
motile compared to >50% motile in heterozygous and wild-type
mice. Interestingly, sperm from
Spag6+/- mice had an intermediate
value for VCL, suggesting that, although these animals were
fertile, the inactivation of one
Spag6 allele impairs flagellar
activity due to a reduction in Spag6 protein. There were no
differences in linearity of motile sperm, an estimate of the
straightness of the sperm track, between wild-type sperm and
mutant sperm.
The structural integrity of sperm of Spag6-deficient mice.
The frequent loss of the sperm head in Spag6-/- mice indicated that the absence of Spag6 affected sperm structural integrity. Immunoelectron microscopy localized Spag6 to the central apparatus of wild-type sperm (Fig. 5). However, we could not determine whether Spag6 was confined to one of the central apparatus microtubules, as is the case in Chlamydomonas. Transmission electron microscopy analysis of epididymal sperm revealed that numerous Spag6-/- sperm samples lacked the central pair of microtubules of the axoneme and that the external microtubule doublets and outer dense fibers were disorganized (Fig. 5). Analysis of 179 transverse sections of Spag6-/- epididymal sperm revealed an abnormal morphology in approximately 60% of the flagella (Table 3). The midpiece was most prominently affected with the central pair of microtubules missing and/or alterations in the fibrous sheaths or outer dense fibers. Only
2% of 264 transverse sections of sperm flagella from wild-type animals had an abnormal ultrastructure. The flagella of testicular Spag6-/- sperm had fewer morphological abnormalities and did not display loss of the central pair of microtubules (Table 3 and Fig. 5), but sacs of sperm debris were observed in the seminiferous tubules, apparently the result of phagocytosis by Sertoli cells (Fig. 3). This was not seen in wild-type testes.

DISCUSSION
Spag6, the murine orthologue of
Chlamydomonas PF16, is detectable
in the flagella of permeabilized sperm (
11,
16). Immunoelectron
microscopy localized the protein to the central apparatus, a
finding consistent with the known residence of PF16 (
2,
11).
A key feature of the domain structure of Spag6 and PF16 is eight
contiguous armadillo repeats, motifs that are involved in protein-protein
interaction (
15,
20,
21). Smith and Lefebvre suggested that
the unstable C1 microtubule in the
pf16
Chlamydomonas mutant
resulted from impairment of critical protein interactions in
the central apparatus (
20,
21). Our observations on sperm of
Spag6-deficient mice substantiate a role for this protein in
the maintenance of structural integrity of the flagella. However,
in mice lacking Spag6, the disorganization of sperm structure
extends beyond instability of the central apparatus microtubules
and includes the fragile attachment of the sperm head as well
as disarray of the outer microtubule doublets and outer dense
fibers. This may imply that Spag6 has a broader role in maintaining
the architecture of the sperm flagellum or that stability of
the mouse sperm central apparatus is essential for the integrity
of other flagellar structures. However, we cannot formally exclude
the possibility that a putative truncated amino-terminal fragment
of Spag6 was generated in our mutant mice and that this truncated
protein may have led to structural abnormalities in the sperm.
The motility defects in sperm lacking Spag6 probably result from dysfunction of the central apparatus rather than from the structural abnormalities in the flagella. The fact that only 8% of recovered epididymal sperm was motile while
60% of transverse sections showed ultrastructural abnormalities in the flagella suggests that the absence of Spag6 does impair motility even when the flagella have a normal architecture. Moreover, the intermediate VCL value for sperm from Spag6+/- mice, which did not have ultrastructural flagellar abnormalities, also indicates an important role for Spag6 in sperm motility. However, because our ultrastructural analyses did not encompass serial sectioning through the full length of the flagella, we cannot exclude the possibility that a higher percentage of mutant sperm had regional structural defects that were not detected.
The fact that the ultrastructure of >75% of testicular sperm of Spag6-/- mice appeared to be generally normal, whereas 60% of the epididymal sperm was abnormal, suggests that Spag6 is not absolutely essential for flagellar assembly or intraflagellar transport. However, the presence of abnormalities in the organization of the outer dense fibers and fibrous sheath and debris, reflecting phagocytosis of presumably abnormal sperm in the testes of Spag6-/- mice, indicates that there is impairment in spermatogenesis or the maintenance of structural integrity of testicular sperm flagella. Thus, Spag6 appears to be important for maintaining the architecture of the central apparatus of sperm after their release from the testis. This observation is consonant with the fact that the central apparatus is structurally normal in the Chlamydomonas pf16 mutant and that instability of the C1 microtubule is found when the axonemes of the mutant flagella are isolated (2, 20, 21).
A role for Spag6 as a scaffold protein mediating protein-protein interactions and structural stability is consistent with our observations that Spag6 and fusion Spag6-green fluorescent protein associate with high affinity to microtubules in transfected COS-1 and Chinese hamster ovary cells and that microtubules decorated with Spag6-green fluorescent protein are bundled and stabilized (i.e., resistant to nocodazole or cooling to 4°C) [16; R. Sapiro, J. M. Murray, M. Zhang, E. J. Blanchette-Mackie, and J. F. Strauss III, 34th Annu. Meet. Soc. Study Reprod., 28 July to 1 August 2001, Ottawa, Canada; Biol. Reprod. 64(Suppl. 1):106, 2001]. The identities of the proteins other than polymerized tubulin that could be directly or indirectly associated with Spag6, remain to be determined. Interestingly, three polypeptides are missing from pf16 flagella (2), and these molecules, if orthologues exist in mice, are candidates for interacting proteins.
We deduce that Spag6 is important for the motility of cilia, as reflected in the occurrence of hydrocephalus in Spag6-deficient mice, an indication of a motility defect in ependymal cell cilia (7, 10). Low levels of Spag6 mRNA are present in the lung (11), and the mRNA is expressed in the medulla as documented in expressed-sequence-tag data for UniGene Cluster Hs.158213 (Spag6). Hydrocephalus, retarded postnatal growth, and early death have been previously described in mice with mutations affecting axonemal structure and function (7). While the ultrastructural appearance of tracheal and ependymal cell cilia of Spag6-/- mice was normal, we did not directly examine the motility of ependymal cell cilia and can only infer from the occurrence of hydrocephalus that ciliary motility is affected. Mice with defects in Tg737, the homologue of the Chlamydomonas IFT88 intraflagellar transport protein, die shortly after birth from polycystic kidney disease, resulting from shorter than normal primary cilia in the kidneys of these mice (14). This renal lesion was not observed in Spag6-deficient mice.
Some epithelial cells of the female reproductive tract are ciliated, and normal beating of these organelles could be important for gamete and embryo transport. The fact that females lacking Spag6 were fertile suggests that either ciliary function is not impaired in Spag6-deficient females or that normal ciliary function is not essential for female reproduction. However, the finding that only 80% of the nullizygous females conceived in our study and that the time to pregnancy was delayed suggest that there may be subtle deficits in reproductive function in Spag6-/- females. Moreover, the nullizygous mice that died early with severe hydrocephalus may have had more profound defects in ciliary function and could have demonstrated impaired fertility had they survived to maturity.
Human infertility associated with absence of the central pair of microtubules, "9 + 0" immotile sperm, has been reported by several authors (12, 13, 23). Other ultrastructural defects have been described in the flagella of these cases. The underlying causes of these abnormalities remain largely unknown. Our findings suggest that mutations in the SPAG6 gene could be one cause.
In summary, we have shown that a conserved orthologue of a Chlamydomonas central apparatus protein plays a key role in regulating the function of ependymal cilia and in maintaining the motility and organization of the mouse sperm flagellum and, consequently, male fertility.

ACKNOWLEDGMENTS
This research was supported by NIH grants HD37416 (J.F.S.),
HD06274 (J.F.S. and G.L.G.), and HD15045 (P.O.-C.). R.S. was
a visiting scholar from the Department of Histology and Embryology,
Faculty of Medicine, University of the Republic, Montevideo,
Uruguay, and supported by the Fogarty International Center (D43-TW/HD00671).
We thank Stuart Moss and Vargheese Chennathukuzhi and Melanie Lieberman for their technical advice and comments on this work. The Biomedical Imaging Core Laboratory of the University of Pennsylvania Diabetes Center supported by DK19525 is also recognized for assistance with the ultrastructural analysis. We acknowledge the advice and helpful comments of Pete Lefebvre (University of Minnesota) during the course of this work.

FOOTNOTES
* Center for Research on Reproduction & Women's Health, 1354 BRB II/III, 421 Curie Blvd., Philadelphia, PA 19104. Phone (215) 898-0147. Fax: (215) 573-5408. E-mail:
jfs3{at}mail.med.upenn.edu.


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Molecular and Cellular Biology, September 2002, p. 6298-6305, Vol. 22, No. 17
0270-7306/02/$04.00+0 DOI: 10.1128/MCB.22.17.6298-6305.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
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