Phosphatidylserine on live sperm is important for in vitro fertilization. a Depiction of the mouse testis and epididymis. b Sperm from different regions of the epididymis were allowed to swim/disperse in TYH + BSA medium, stained with Annexin V and Hoechst, and evaluated by microscopy. c, d Annexin V staining of sperm. Asterisks denote sperm heads, and arrows midpiece. Scale bar, 20 μm. e Percentage of Annexin V + sperm from the caput (n = 9 mice), corpus (n = 8 mice), and cauda (n = 15 mice) epididymis, with each dot representing one mouse (six independent experiments). *p < 0.05, ***p < 0.001 (one-way non parametric ANOVA was followed by Kruskal–Wallis test for multiple comparisons). f, g, Sperm from cauda epididymis were incubated with 50 μg/ml GST only f or GST-BAI1-TSR g, washed, fixed and visualized by GST immunofluorescence. Scale bar, 20 μm. h Snap shots of a movie depicting motility of live Annexin V + (green) sperm (t: time in min). The trajectory of a single sperm is traced by a white dotted line. Scale bar, 30 μm. i Schematic of the in vitro fertilization assay: cumulus oocyte complexes isolated from wt super-ovulated females were incubated with caudal sperm previously capacitated, in the presence or absence of 10 μg/ml Annexin V, 50 μg/ml GST, or 50 μg/ml GST-BAI1-TSR. The percentage of fertilized eggs (two-cell embryos) was evaluated after 24 h. j Multiple two-cell embryos fertilization with control sperm (left panel, arrows), whereas fewer fertilized eggs were observed with Annexin V (right panel, arrows). Scale bar, 100 μm. k, l Annexin V masking of PtdSer on sperm (k, n = 4 experiments) or GST-BAI1-TSR (l, n = 4 experiments) reduces fertilization. The total number of eggs analyzed is shown in parentheses. Each line represents one experiment and the matching experiments are shown (shape and color). Error bars are s.e.m. *p < 0.05, **p < 0.01 (Two-tailed unpaired Student’s t test). m, n Greater unfertilized oocytes (asterisks) seen after competition with O-Phospho-l-Serine compared with O-Phospho-d-Serine (top). Scale bar, 100 μm. Each line represents one experiment and matching experiments are shown with the same shape and color (n = 4 experiments). Error bars are s.e.m. **p < 0.01 (Two-tailed unpaired Student’s t test). Source Data are provided in the Source Data File