The reduced response of gonadotrophins to GnRH in diabetic men may indicate a decreased acute releasable pool of pituitary gonadotrophins. The results of TEM examination showed that sperm from men with diabetes presented severe structural defects in comparison with sperm from controls. It is possible that the reproductive impairment recognized in men with diabetes could be the result of interference by the disease on the hypothalamo-pituitary-testicular axis at multiple levels, as indicated by the reduced gonadotrophin response to appropriate stimuli and by the abnormal ultrastructure of ejaculated sperm. The defective spermatogenesis may be the consequence of a direct testicular effect of the disease.

The spermatozoa of seven fishes belonging to Cyprinid family are examined. They have no acrosome, like all Teleost fishes, a spheroidal or slightly elliptic nucleus, always eccentrically placed on the tail, two variously oriented centrioles, and a postnuclear cytoplasmic region of various size that contains some mitochondria (2 to 10) and surrounds a periaxonemal postnuclear canal. The tail is of modcrate length (from 36 to 60 pm) and contains a "9 + 2" axoneme: both dynein arms are present. Comparative examination of the spermatozoa in the seven species shows that significant differences occur among them, even when they belong to the same genus. These concern the tail length; the position of the centrioles, the proximal with respect to the central one and with respect to the nucleus; the number of mitochondria, which is in relationship to the depth of the postnuclear canal. In the uniform general pattern of the ultrastructure of the Cyprinid spermatozoa, each species is characterized by a particular organization of the sperm organelles; in this respect, the two species examined by us, Leuciscus cephalus and souffia, are more closely related, even if easily recognizable one from the other. From a phylogenetic point of view, the comparative spermatology of the Cyprinid fishes suggests that the mitochondria1 number is a good character, which enables us to order them in a phylogenetic arrangement.

The sperm flagella of the eel, Anguilla anguilla, are capable of vigorous motion in spite of having an axoneme with reduced structure that lacks the outer dynein arms, radial spokes and spoke heads, the two central tubules and the central tubule projections that are all part of the standard "9+2" axoneme. These sperm progress forward rapidly as a result of the propagation of helicoidal waves distally along the flagellum. Their flagellar beat frequencies are high, 93 Hz at 21 degrees C, and they roll at a frequency of about 19 Hz. Eel sperm could be demembranated with Nonidet P-40 and reactivated with MgATP2- in 0.22 M K acetate at pH 8.1. The reactivated motility closely resembles that of the live sperm, with a beat frequency of 69 Hz, but the demembranated flagella are unusually fragile, and commonly disintegrate by a combination of splitting, coiling, and sliding within a few minutes. Little reactivation is obtained if acetate is replaced by Cl- in the reactivating medium. The Michaelis constant for beat frequency (0.2 mM) is similar to that obtained for several "9+2" flagella. These sperm, however, appear to lack the mechanism by which Ca2+ regulates waveform. Our results indicate that eel sperm flagella, which at rest are straight, are induced to bend helicoidally by ATP, as the result of sliding between tubules that is blocked at both the base and tip of the organelle. The flagellar waveform consists of a series of planar bends separated by short regions of right-handed twist, which give it an overall left-handed helicoidal form.

In this infertile patient, our results suggest a possible relationship between dysplasia of the fibrous sheath, partial deletions in the Akap3 and Akap4 genes and absence of AKAP4 protein in the fibrous sheath. These findings, however, were not detected in another four patients with dysplasia of the fibrous sheath. Our results require future confirmatory molecular analyses.

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