Abstract
The methylation pattern of non-imprinting genes was little studied, although it is widely known that the abnormal methylation levels of imprinting genes are associated with different forms of male infertility. The purpose of this research was to assess the CREM gene's methylation status and seminal characteristics in infertile individuals who were potential intracytoplasmic sperm injection (ICSI) candidates. A total of 45 semen samples (15 normospermia, 15 asthenospermia, and 15 oligoasthenoteratospermia) were examined. Using aniline blue (AB) staining, we carried out conventional semen analysis, chromatin quality, and sperm maturity testing. DNA was taken from semen samples, and all isolated DNA was assessed using Nanodrop and gel electrophoresis. A quantitative methylation-specific polymerase chain reaction (Q-MSP) approach was used to quantify the methylation at the DMRs of the CREM gene. According to our findings, sperm count (P=0.012), concentration (P= 0.019), motility (P=0.006), progression (P=0.006), and normal morphology (P=0.004) were all inversely correlated with abnormal sperm chromatin condensation. Additionally, we noted that the methylation level of the CREM gene was considerably more significant in the oligoasthenoteratospermia group compared to the asthenospermia and normospermia groups (P<0.05). Additionally, sperm count (P=0.043), progression (P=0.026), and normal morphology (P=0.024) were all inversely linked with CREM methylation. Overall, the abnormal CREM methylation patterns have a negative impact on sperm parameters. Additionally, the CREM gene's DNA methylation status may serve as an epigenetic indicator of male infertility.
Similar content being viewed by others
Data Availability
Not applicable.
References
Tang Q, Pan F, Yang J, Fu Z, Lu Y, Wu X, et al. Idiopathic male infertility is strongly associated with aberrant DNA methylation of imprinted loci in sperm: a case-control study. Clin Epigenetics. 2018;10(1):134.
Jenkins TG, Carrell DT. The paternal epigenome and embryogenesis: poising mechanisms for development. Asian journal of andrology. 2011;13(1):76–80.
Dietz S, Lifshitz A, Kazdal D, Harms A, Endris V, Winter H, et al. Global DNA methylation reflects spatial heterogeneity and molecular evolution of lung adenocarcinomas. Int J Cancer. 2019;144(5):1061–72.
Aston KI, Punj V, Liu L, Carrell DT. Genome-wide sperm deoxyribonucleic acid methylation is altered in some men with abnormal chromatin packaging or poor in vitro fertilization embryogenesis. Fertil Steril. 2012;97(2):285–92.
Carrell DT, Hammoud SS. The human sperm epigenome and its potential role in embryonic development. Mol Hum Reprod. 2010;16(1):37–47.
Laqqan M, Ahmed I, Yasin M, Hammadeh ME, Yassin M. Influence of variation in global sperm DNA methylation level on the expression level of protamine genes and human semen parameters. Andrologia. 2020;52(1):e13484.
Krausz C, Chianese C. Genetic testing and counselling for male infertility. Current opinion in endocrinology, diabetes, and obesity. 2014;21(3):244–50.
Montjean D, Zini A, Ravel C, Belloc S, Dalleac A, Copin H, et al. Sperm global DNA methylation level: association with semen parameters and genome integrity. Andrology. 2015;3(2):235–40.
Khambata K, Raut S, Deshpande S, Mohan S, Sonawane S, Gaonkar R, et al. DNA methylation defects in spermatozoa of male partners from couples experiencing recurrent pregnancy loss. Human reproduction (Oxford, England). 2021;36(1):48–60.
James E, Jenkins TG. Epigenetics, infertility, and cancer: future directions. Fertil Steril. 2018;109(1):27–32.
Kindsfather AJ, Czekalski MA, Pressimone CA, Erisman MP, Mann MRW. Perturbations in imprinted methylation from assisted reproductive technologies but not advanced maternal age in mouse preimplantation embryos. Clin Epigenetics. 2019;11(1):162.
Lazaraviciute G, Kauser M, Bhattacharya S, Haggarty P, Bhattacharya S. A systematic review and meta-analysis of DNA methylation levels and imprinting disorders in children conceived by IVF/ICSI compared with children conceived spontaneously. Hum Reprod Update. 2014;20(6):840–52.
Santi D, De Vincentis S, Magnani E, Spaggiari G. Impairment of sperm DNA methylation in male infertility: a meta-analytic study. Andrology. 2017;5(4):695–703.
Nanassy L, Carrell DT. Abnormal methylation of the promoter of CREM is broadly associated with male factor infertility and poor sperm quality but is improved in sperm selected by density gradient centrifugation. Fertil Steril. 2011;95(7):2310–4.
Peri A, Serio M. The CREM system in human spermatogenesis. J Endocrinol Investig. 2000;23(9):578–83.
Sánchez-Jasso DE, López-Guzmán SF, Bermúdez-Cruz RM, Oviedo N. Novel aspects of cAMP-response element modulator (CREM) role in spermatogenesis and male fertility. Int J Mol Sci. 2023;24(16)
Rotondo JC, Lanzillotti C, Mazziotta C, Tognon M, Martini F. Epigenetics of Male Infertility: The Role of DNA Methylation. Frontiers in cell and developmental biology. 2021;9:689624.
Björndahl L, Kirkman BJ. The sixth edition of the WHO Laboratory Manual for the Examination and Processing of Human Semen: ensuring quality and standardization in basic examination of human ejaculates. Fertil Steril. 2022;117(2):246–51.
Abdulla M, Ahmed M, Barakat A. Comparison of swim down and density gradient sperm preparation methods in terms of motility, morphology and DNA fragmentation. American Journal of Life Science Researches. 2015;3(2)
Franken DR, Franken CJ, de la Guerre H, de Villiers A. Normal sperm morphology and chromatin packaging: comparison between aniline blue and chromomycin A3 staining. Andrologia. 1999;31(6):361–6.
Yari K, Payandeh M, Rahimi Z. Association of the hypermethylation status of PTEN tumor suppressor gene with the risk of breast cancer among Kurdish population from Western Iran. Tumour biology : the journal of the International Society for Oncodevelopmental Biology and Medicine. 2016;37(6):8145–52.
Yari K, Rahimi Z. Promoter Methylation Status of the Retinoic Acid Receptor-Beta 2 Gene in Breast Cancer Patients: A Case Control Study and Systematic Review. Breast care (Basel, Switzerland). 2019;14(2):117–23.
Hammoud SS, Nix DA, Zhang H, Purwar J, Carrell DT, Cairns BR. Distinctive chromatin in human sperm packages genes for embryo development. Nature. 2009;460(7254):473–8.
Amjadian T, Yaghmaei P, Nasim HR, Yari K. Impact of DNA methylation of the human mesoderm-specific transcript (MEST) on male infertility. Heliyon. 2023;9(10):e21099.
Ibrahim Y, Hotaling J. Sperm Epigenetics and Its Impact on Male Fertility, Pregnancy Loss, and Somatic Health of Future Offsprings. Semin Reprod Med. 2018;36(3-04):233–9.
Pourmasumi S, Khoradmehr A, Rahiminia T, Sabeti P, Talebi AR, Ghasemzadeh J. Evaluation of Sperm Chromatin Integrity Using Aniline Blue and Toluidine Blue Staining in Infertile and Normozoospermic Men. Journal of reproduction & infertility. 2019;20(2):95–101.
Nanassy L, Carrell DT. Analysis of the methylation pattern of six gene promoters in sperm of men with abnormal protamination. Asian journal of andrology. 2011;13(2):342–6.
Al-Sultani YK, Ali AKM, Al-Fahham AA. Using sperm chromatin staining techniques as a predictive diagnostic tool for male infertility. kufa Journal for Nursing sciences. 2014;4(2):29–39.
Kim HS, Kang MJ, Kim SA, Oh SK, Kim H, Ku SY, et al. The utility of sperm DNA damage assay using toluidine blue and aniline blue staining in routine semen analysis. Clinical and experimental reproductive medicine. 2013;40(1):23–8.
Sellami A, Chakroun N, Ben Zarrouk S, Sellami H, Kebaili S, Rebai T, Keskes L. Assessment of chromatin maturity in human spermatozoa: useful aniline blue assay for routine diagnosis of male infertility. Advances in urology. 2013;2013:578631.
Kazerooni T, Asadi N, Jadid L, Kazerooni M, Ghanadi A, Ghaffarpasand F, et al. Evaluation of sperm's chromatin quality with acridine orange test, chromomycin A3 and aniline blue staining in couples with unexplained recurrent abortion. J Assist Reprod Genet. 2009;26(11-12):591–6.
Hammadeh ME, Zeginiadov T, Rosenbaum P, Georg T, Schmidt W, Strehler E. Predictive value of sperm chromatin condensation (aniline blue staining) in the assessment of male fertility. Arch Androl. 2001;46(2):99–104.
Irez T, Sahmay S, Ocal P, Goymen A, Senol H, Erol N, et al. Investigation of the association between the outcomes of sperm chromatin condensation and decondensation tests, and assisted reproduction techniques. Andrologia. 2015;47(4):438–47.
Simon L, Liu L, Murphy K, Ge S, Hotaling J, Aston KI, et al. Comparative analysis of three sperm DNA damage assays and sperm nuclear protein content in couples undergoing assisted reproduction treatment. Human reproduction (Oxford, England). 2014;29(5):904–17.
Houshdaran S, Cortessis VK, Siegmund K, Yang A, Laird PW, Sokol RZ. Widespread epigenetic abnormalities suggest a broad DNA methylation erasure defect in abnormal human sperm. PLoS One. 2007;2(12):e1289.
Ciapa B, Arnoult C. Could modifications of signalling pathways activated after ICSI induce a potential risk of epigenetic defects? The International journal of developmental biology. 2011;55(2):143–52.
Esfahani VR, Saremi MA. MTHFR Gene Expression and Promoter Methylation in Oligozoospermia Infertile Men. Personalized Medicine Journal. 2019;4(14):8–10.
Khazamipour N, Noruzinia M, Fatehmanesh P, Keyhanee M, Pujol P. MTHFR promoter hypermethylation in testicular biopsies of patients with non-obstructive azoospermia: the role of epigenetics in male infertility. Human reproduction (Oxford, England). 2009;24(9):2361–4.
Wu W, Shen O, Qin Y, Niu X, Lu C, Xia Y, et al. Idiopathic male infertility is strongly associated with aberrant promoter methylation of methylenetetrahydrofolate reductase (MTHFR). PLoS One. 2010;5(11):e13884.
Nantel F, Monaco L, Foulkes NS, Masquilier D, LeMeur M, Henriksén K, et al. Spermiogenesis deficiency and germ-cell apoptosis in CREM-mutant mice. Nature. 1996;380(6570):159–62.
Carrell DT, Emery BR, Hammoud S. Altered protamine expression and diminished spermatogenesis: what is the link? Hum Reprod Update. 2007;13(3):313–27.
Acknowledgment
The authors greatly thank Mr. Amin Jalilvand, Dr. Amir Hossein Norooznezhad, and Dr. Fatemeh Yarmohammadi for their assistance in editing the final version of this manuscript.
Code Availability
Not applicable.
Funding
Not applicable.
Author information
Authors and Affiliations
Contributions
F.K. contributed to sample collection and performed the experiments, K.Y., P.Y., and N. H.R. contributed to the study design, interpretation of the data, and wrote the manuscript. All authors performed the review, editing, preparation and approval of the manuscript.
Corresponding author
Ethics declarations
The Research Ethics Committee at the Deputy of Research of Islamic Azad University approved the study protocol (IR.IAU.SRB.REC.1401.183).
Consent to Participate
All subjects gave written informed consent in accordance with the Declaration of Helsinki. All methods were carried out in accordance with relevant guidelines and regulations in the declaration of Helsinki.
Consent for Publication
All the authors agree and consent to the publication of this study.
Conflict of Interest
The authors declare that they have no known competing financial interests or personal relationships.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Karami Hezarcheshmeh, F., Yaghmaei, P., Hayati Roodbari, N. et al. Methylation Status of cAMP-responsive Element Modulator (CREM) Gene in Infertile Men and Its Association with Sperm Parameters. Reprod. Sci. (2024). https://doi.org/10.1007/s43032-024-01510-1
Received:
Accepted:
Published:
DOI: https://doi.org/10.1007/s43032-024-01510-1