Skip to main content
Aging Cell logoLink to Aging Cell
. 2021 Jan 21;20(2):e13308. doi: 10.1111/acel.13308

Incomplete proline catabolism drives premature sperm aging

Chia‐An Yen 1,2, Sean P Curran 1,2,
PMCID: PMC7884046  PMID: 33480139

Abstract

Infertility is an increasingly common health issue, with rising prevalence in advanced parental age. Environmental stress has established negative effects on reproductive health, however, the impact of altering cellular metabolism and its endogenous reactive oxygen species (ROS) on fertility remains unclear. Here, we demonstrate the loss of proline dehydrogenase, the first committed step in proline catabolism, is relatively benign. In contrast, disruption of alh6, which facilitates the second step of proline catabolism by converting 1‐pyrroline‐5‐carboxylate (P5C) to glutamate, results in premature reproductive senescence, specifically in males. The premature reproductive senescence in alh6 mutant males is caused by aberrant ROS homeostasis, which can be countered by genetically limiting the first committed step of proline catabolism that functions upstream of ALH‐6 or by pharmacological treatment with antioxidants. Taken together, our work uncovers proline metabolism as a critical component of normal sperm function that can alter the rate of aging in the male reproductive system.

Keywords: aging, alh‐6/ALDH4A1, antioxidants, C. elegans, germ cells, male‐specific, mitochondria, N‐acetylcysteine, P5C dehydrogenase, proline catabolism, reactive oxygen species, reproduction, senescence, spermatogenesis, vitamin C


The loss of alh‐6, a nuclear encoded mitochondrial enzyme that catalyzes the second step of proline catabolism by converting 1‐pyrroline‐5‐carboxylate (P5C) to glutamate, disrupts endogenous redox imbalance and causes premature reproductive aging in C. elegans males. Mutation in prdh‐1, the upstream enzyme in the proline catabolic pathway which breaks down proline to P5C, suppresses the sperm defects in alh‐6 mutant males by preventing the accumulation of the toxic intermediate P5C. Similarly, dietary antioxidant treatment rescues the premature aging defects in alh‐6 mutant sperm, implicating the role of proline catabolism in maintaining endogenous ROS homeostasis and male reproductive senescence.

graphic file with name ACEL-20-e13308-g007.jpg

1. INTRODUCTION

Infertility is defined as the inability for a couple to conceive within a year of unprotected sex. There is an estimated number of 12–13% of couples in the United States that struggle with infertility (Chandra et al., 2014). While emphasis on female factors in fertility is important and their roles have been extensively studied, male factors play an equally important role in determining the outcome of a successful fertilization. Male fertility is often measured as a function of sperm quality and quantity, since these factors are correlated with time to pregnancy and pregnancy success (Buck Louis et al., 2014). As an increasing number of couples wait to have children, age becomes a risk factor for infertility problems; the increase in paternal age, much like maternal age, is also associated with adverse gamete health, negative pregnancy outcome, and increased risk of birth defects (Sharma et al., 2015).

In sexually reproducing species, sperm competition plays an important role in reproductive fitness. In species where females mate with multiple males, a male can improve his reproductive success if his sperm outcompetes sperm from other males in fertilizing the oocyte of a female. This competitive edge can be achieved by males through producing large quantities of sperm or generating higher‐quality sperm (Ramm et al., 2014). In Caenorhabditis elegans, adolescent hermaphrodites produce sperm before switching to oogenesis in adulthood. When mated with males, hermaphrodite‐derived sperm are disadvantaged and outcompeted by male sperm which are greater in size and speed (LaMunyon & Ward, 1998). In addition to hermaphrodite‐male sperm competition, male‐male sperm competition can also occur when a hermaphrodite is mated with multiple partners. As such, sperm quality is a competitive parameter of overall fitness in sexually reproducing species.

Mitochondria are essential for their role in fueling cellular functions. Notably, multiple studies in humans and mice have implicated different aspects of mitochondrial function in sperm quality including mitochondria ultrastructure, mitochondrial genome and copy number (LaMunyon & Ward, 1998), mitochondrial protein levels, as well as enzyme activity of the electron transport chain (ETC) complexes (Amaral et al., 2013). While all these studies imply that mitochondrial integrity and activity are critical for proper sperm function, the mechanisms behind this relationship remain unclear.

While cells need mitochondria to generate energy, this process generates ROS as a natural byproduct (Murphy, 2009). Low levels of ROS are essential and play an important role in cell signaling, hypoxia adaptation, aging, autophagy, immunity, and cell differentiation (Sena & Chandel, 2012), while high levels of ROS can be detrimental to cellular function and can lead to cell death. In mammals, multiple aspects of sperm function and successful fertilization including capacitation, hyperactivation, acrosome reaction, and sperm‐oocyte fusion require low levels of ROS (Agarwal et al., 2014). Interestingly, many studies have found elevated ROS in sperm to be associated with increased lipid peroxidation, increased DNA damage, and reduced sperm motility and viability; although the source of ROS and the mechanism behind ROS‐induced sperm defects are unknown (Agarwal et al., 2014). Recent studies show that mitochondria‐generated ROS through inhibition of the ETC results in spermatozoa with reduced motility and increased lipid peroxidation in vitro (Aitken et al., 2012; Koppers et al., 2008). Since the level of ROS in semen also increases with age (Cocuzza et al., 2008), understanding ROS‐mediated sperm defects may provide insight into male reproductive senescence.

Proline plays a critical role in cellular metabolism and functions as a central amino acid in cellular bioenergetics and redox control (Phang, 1985), but has recently become recognized as a mediator of aging and age‐related conditions (Donald et al., 2001; Pang & Curran, 2014; Pang et al., 2014; Rivera & Maxwell, 2005; Yen et al., 2020). Catabolism of proline to glutamate is a two‐step metabolic process where proline is first converted to 1‐pyrroline‐5‐carboxylate (P5C) by proline dehydrogenase (PRDH‐1) and subsequently to glutamate by P5C dehydrogenase (ALH‐6). Mutation in alh6 results in the accumulation of P5C, which generates ROS and leads to loss of cellular integrity (Nomura & Takagi, 2004; Pang & Curran, 2014; Pang et al., 2014). Our previous findings demonstrated that alh6 mutation leads to the depletion of flavin adenine dinucleotide (FAD) reserves and drives changes in mitochondrial dynamics, leading to sperm dysfunction (Yen et al., 2020). Here, we investigate the role of the enzyme upstream in the proline catabolism pathway, PRDH‐1, in regulating sperm health as a function of age.

2. RESULTS

2.1. Mutation in proline dehydrogenase suppresses alh6 mutant phenotypes

Our earlier studies revealed that mutation in alh6 activates the SKN‐1 activity reporter gst4p::gfp and demonstrated that the ALH‐6 pathway regulates lifespan and healthspan in C. elegans, in part, through its ability to catabolize P5C to maintain cellular redox homeostasis (Pang & Curran, 2014). Recently, we showed that the alh6 mutation also leads to changes in FAD abundance and mitochondrial homeostasis resulting in impaired male reproductive fitness in C. elegans (Yen et al., 2020). To further understand how disruption of proline catabolism can influence these health outcomes, we sought to identify genetic regulators of the stress response stemming from the mutation in alh6.

We performed an ethyl methanesulfonate (EMS) mutagenesis screen to identify suppressors of the age‐dependent induction of the gst4p::gfp reporter that defines alh6 mutant animals (Figure 1a) (Pang & Curran, 2014; Yen et al., 2020). One complementation group, defined by the suppressor allele lax228, was mapped to the right arm of chromosome IV between the DraI cut sites defined by the single nucleotide polymorphisms (SNP) E03H12 and Y105C5B (Figure 1b). We performed whole‐genome sequencing to identify non‐synonymous mutations in the exons of protein‐coding genes in this region and compiled a list of candidate genes (Figure S1a) (Blankenberg et al., 2010). We used RNA interference (RNAi) to knockdown each of these genes in the alh6(lax105);gst4p::gfp strain to identify the gene that phenocopies the effects of the lax228 suppressor allele. RNAi of B0513.5, hereafter referred to as prdh1 as it encodes a putative proline dehydrogenase enzyme homologous to mammalian Prodh, was the only RNAi target in this region that phenocopied the lax228 mutant (Figure 1c,d, Figure S1b). Furthermore, transgenic restoration of wild‐type (WT) prdh1 reverts the suppression of SKN‐1 activation observed in alh6(lax105);prdh1(lax228);gst4p::gfp to levels comparable to alh6(lax105) single mutants (Figure 1e,f). Proline dehydrogenase (prdh1) catalyzes the first enzymatic step of proline catabolism (Figure 1g), converting proline to P5C (Adams & Frank, 1980). Thus, mutation of prdh1 prevents the accumulation of the toxic intermediate P5C, which leads to activation of SKN‐1 in alh6 mutants (Figure S1b). Since alh6 mutation causes sperm defects, we checked the activity of SKN‐1 in males harboring the gst4p::gfp reporter. Interestingly, SKN‐1 is activated in alh6(lax105);gst4p::gfp males as early as day 1 of adulthood, which is when sperm defects are manifested (Figures S1c). prdh1 mutation suppresses the activation of SKN‐1 by alh6 mutation in both hermaphrodites and males by day 3 of adulthood (Figures S1b,d). Next, we followed the suppression of activated SKN‐1 while backcrossing the alh6(lax105);prdh1(lax228);gst4p::gfp strain to alh6(lax105) mutants six times. We then sequence verified lax228 allele to be a G to A transition mutation in exon 3 of prdh1 that results in a valine to methionine (V124M) substitution (Figure 1b). Finally, we performed two additional backcrosses to remove the gst4p::gfp reporter to generate the alh6(lax105);prdh1(lax228) strain SPC494; referred hereafter as alh6;prdh1.

FIGURE 1.

FIGURE 1

prdh1 mutation suppresses activation of SKN‐1 and proline metabolism deregulation in older alh6 animals. (a) Cartoon depiction of EMS screen for suppressors of SKN‐1 reporter activation in alh6 mutants. (b) SNP mapping identifies linked loci of prdh1(lax228) marked by dashed lines. Mutation locus of prdh1(lax228) in the gene is marked by arrow. (c, d) RNAi knockdown of prdh1 suppresses the activation of SKN‐1 in alh6;gst4p::gfp animals. (c) Day 3 adult alh6;gst4p::gfp fed L4440 (control RNAi). (d) Day 3 adult alh6;gst4p::gfp fed prdh1 RNAi. (e, f) prdh1 rescue reverts suppression of SKN‐1 activation in alh6(lax105);prdh1(lax228);gst4p::gfp animals. (e) Day 3 alh6(lax105); prdh1(lax228);gst4p::gfp adults. (f) Day 3 alh6(lax105);prdh1(lax228);gst4p::gfp adults with prdh1 rescue construct. (g) Schematic of biosynthetic and catabolic pathways of proline in C. elegans. (h,i) RT‐PCR analysis of gene expression changes in the proline metabolism pathway in L4 and Day 3 adult hermaphrodites. (h) alh6 single and alh6;prdh1 double mutant animals show similar increased expression in proline biosynthesis genes at L4 stage. (i) Day 3 alh6 mutant animal upregulate genes such as alh6, pycr1, and pycr4 in concerted effort to detoxify P5C. Notably, older alh6;prdh1 double mutants show WT level of expression in proline metabolism genes. Statistical comparisons of RT‐PCR results in worms were done using ANOVA between all groups. *, p < 0.05; **, p < 0.01; ***, p < 0.001; ****, p < 0.0001. All studies performed in minimum of biological three triplicates; refer to Table S1 for n for each comparison

2.2. Temporal regulation of gene expression in the mitochondrial proline catabolism pathway

Proline level is regulated transcriptionally through concerted activities of biosynthetic and catabolic enzymes in the pathway (Rizzi et al., 2015). In addition, stress from environment or changes in metabolism can alter levels of proline through transcriptional activation or repression of these enzymes. (Mizoi & Yamaguchi‐Shinozaki, 2013; Verbruggen & Hermans, 2008). We examined the expression of the proline catabolism pathway genes via RT‐PCR (Figure 1h) and saw a significant change in the expression of enzymes that favor proline biosynthesis in alh6 mutant larval stage 4 (L4) hermaphrodites, confirming our previous RNA‐Seq analysis (Yen et al., 2020). The lax105 allele, containing a G to A missense mutation in exon 7 of alh6 resulting in a glycine to glutamic acid (G521E) substitution, is likely hypomorphic based on previously observed phenotypes, including RNAi (Pang & Curran, 2014; Yen et al., 2020). Intriguingly, at the L4 stage, when spermatogenesis occurs, alh6 mutant animals display a decrease in alh6 expression, which would further contribute to P5C accumulation (Figure 1h). However, the expression of pyrroline‐5‐carboxylate reductase (pycr1/PYCR), which converts P5C back to proline, was increased, which could serve to counteract the accumulation of P5C. Surprisingly, the expression of pyrroline‐5‐carboxylate synthase (alh13/P5CS) was also increased in alh6; however, P5CS has two enzymatic functions: glutamate kinase (GK) and γ‐glutamyl phosphate reductase (GPR) activities, which impact additional nodes of cellular metabolism (Seddon et al., 1989; Wellner et al., 1974). We also found that the expression of proline biosynthesis genes pycr1 and alh13 are downregulated in prdh1 mutants compared to WT animals, which may be a response to an increase in cellular proline level. Intriguingly, alh6;prdh1 mutants at the L4 stage show upregulation of pycr1 and alh13 genes, which highlights a similar early transcriptional response as alh6 single mutants. The transcriptional changes in proline metabolism genes in prdh1 single mutants at the L4 stage are in the opposite direction from those of alh6;prdh1 double mutants; proline biosynthesis genes pycr1 and alh13 are downregulated in prdh1 single mutant, both of which are upregulated in alh6;prdh1 double mutant. These findings suggest that mutation in alh6 and the reduced ability to break down P5C, direct the early transcriptional response to increase cellular proline level by upregulating genes responsible for proline biosynthesis.

Next, we measured proline metabolism genes at day 3 of adulthood, when activation of the SKN‐1 reporter is observed in alh6 animals, but suppressed in the alh6;prdh1 double mutants (Figure 1i). Unlike in developing animals, where transcriptional changes were favored toward proline biosynthesis, day 3 adult alh6 mutants show transcriptional changes in proline metabolism pathway that are in converted effort to remove toxic P5C. Noticeably, the expression of P5C dehydrogenase alh6 and both P5C reductase genes, pycr1/M153.1 and pycr4/F55G1.9, are all upregulated in alh6 mutants. Notably, alh6;prdh1 double mutant shows no transcriptional differences from WT. In prdh1 single mutants, expression of proline biosynthetic genes pycr1 and alh13 remain low, while the expression of alh6 is increased, probably due to the increased proline level in the animal and reduced ability for prdh1 to break down proline. When comparing L4 animals to Day 3 adults for each genotype, the expression of all proline metabolism genes are downregulated with age (Figure 1h,i, Figure S1e–j). Based on these transcriptional responses observed at the L4 and day 3 adulthood stages in alh6 and alh6;prdh1 mutants, we next sought to understand the physiological consequence of having mutations in both alh6 and prdh1.

2.3. Mutation of the first enzymatic step of proline catabolism is benign

Because of the impact that alh‐6 mutation has on the expression of other proline catabolism pathway genes during development, we examined how mutation of prdh1, the first committed step of proline catabolism, would impact spermatid development and function. Our previous studies identified a role for alh6 in sperm quality, and as such, we examined the alh6;prdh1 double mutant animals in a panel of reproduction and sperm quality assays (Yen et al., 2020). The reduction in spermatid size (Figure 2a) and impairment of spermatid activation (Figure 2b) in alh6 mutant males are both restored to WT levels when combined with a mutation in prdh1. Additionally, in the context of alh6 single mutant hermaphrodite, loss of prdh1 results in a trend toward increased fertility (Figure 2c), suppresses the number of unfertilized oocytes (Figure 2d), and increases sperm count (Figure 2e). Finally, the reduced ability of alh6 male sperm to compete against wild‐type hermaphrodite sperm was abrogated in the alh6;prdh1 double mutant (Figure 2f), but neither mutation results in an observable difference in the structure of the male copulatory organ (Figure S1k). Taken together, these results reveal that disruption of the first committed step of mitochondrial proline catabolism pathway is benign for animal reproductive fitness, but suggests instead that P5C accumulation is instrumental in driving sperm dysfunction in alh6 animals.

FIGURE 2.

FIGURE 2

prdh1 activity is required for sperm‐specific fertility defects in alh6 mutants. (a–f) prdh1 mutation rescues reduced male sperm size (a), impaired male sperm activation (b), reduced brood size in hermaphrodite (c), increased number of unfertilized oocytes in hermaphrodite (d), reduced sperm number in hermaphrodite (e), and male sperm competition (f) in alh6 animals. Statistical comparisons of sperm size, progeny, unfertilized oocytes, and sperm number were done by ANOVA. Comparisons of sperm activation and competition assays were done using Fisher's exact test with adjusted p‐value cutoffs. *, p < 0.05; **, p < 0.01; ***, p < 0.001; ****, p < 0.0001. All studies performed in minimum of three biological triplicates; refer to Table S1 for n for each comparison

2.4. Endogenous ROS drives alh6 sperm defects

Several studies have examined the impact of exogenous exposure to ROS‐inducing electrophiles on sperm function (de Lamirande & Gagnon, 1992; Oliveira et al., 2009), but the impact of endogenous ROS on sperm function remains poorly defined. Proline catabolism has been linked to mitochondrial ROS homeostasis in somatic tissues (Pang & Curran, 2014; Pang et al., 2014; Zarse et al., 2012), but not in the context of spermatogenesis. Without ALH‐6 activity to catabolize P5C, the continuous generation of P5C by PRDH‐1 should lead to redox imbalance and impairment of normal function of germ cells as it does for somatic tissues (Deuschle et al., 2004; Miller et al., 2009; Nomura & Takagi, 2004; Pang & Curran, 2014; Yoon et al., 2004). We hypothesized that if the sperm defects in the alh6 mutants are a result of loss of ROS homeostasis, then antioxidant supplementation could alleviate these phenotypes. We supplemented the diet of alh6 mutant males with the antioxidant N‐acetylcysteine (NAC), from birth through reproductive maturity, and measured their reproductive parameters. NAC supplementation restored spermatid size (Figure 3a) and activation (Figure 3b) of alh6 animals to WT levels, while NAC supplementation in wild‐type (Figure 3c,d) or alh6;prdh1 double mutants (Figure 3e,f) had no effect. Similar results were obtained using Vitamin C as an antioxidant (Figures S2a–d). To confirm the role of aberrant ROS homeostasis in driving sperm defects, we exposed male worms to superoxide‐generating compound paraquat and saw that paraquat‐treated worms show an increase in SKN‐1 activity (Figure S2e–f). WT males exposed to paraquat generate spermatids that are smaller (Figure 3g) and display defects in spermatid activation (Figure 3h). In addition, using RNAi on genes involved in endogenous antioxidant defenses in WT males similarly impairs spermatid growth and activation (Figure 3i,j). Interestingly, while multiple antioxidant genes are involved in the reduction in sperm size caused by alh6 mutation, only sod2 RNAi further exacerbated activation in alh6 mutant males (Figure S2 g,h). Altogether, these data reveal that disruption in ALH‐6 activity drives redox imbalance, which leads to defects in sperm health and function.

FIGURE 3.

FIGURE 3

Endogenous ROS drives sperm defects in alh6 mutant males. (a, b) Antioxidant NAC supplement restores sperm size (a) and sperm activation (b) in alh6 mutants. (c, d) NAC supplementation does not affect sperm size (c) or sperm activation (d) in WT males. (e, f) NAC supplementation does not affect sperm size (e) or sperm activation (f) in alh6;prdh1 males. (g, h) Paraquat treatment reduces size (g) and impairs activation (h) in WT males. (i‐j) RNAi of antioxidant enzymes in affecting sperm size (i) and activation (j) of WT males. Statistical comparisons of sperm size between WT and alh6 were done using unpaired t‐test. Statistical comparisons of sperm size between a strain on diet supplemented with NAC versus vehicle control‐treated diet were also done with unpaired t‐test. Comparisons of sperm activation between WT and alh6 or a strain on control diet versus supplemented diet were done using Fisher's exact test. Sperm size assays of WT on RNAi conditions were compared using ANOVA. Sperm activation assays of WT on RNAi conditions were compares using Fisher's exact test with adjusted p‐value cutoffs. *, p < 0.05; **, p < 0.01; ***, p < 0.001; ****, p < 0.0001. All studies performed in minimum of three biological replicates; refer to Table S1 for n for each comparison

To further examine the role of endogenous ROS on gamete dysfunction, we pharmacologically altered mitochondrial ETC activity. While ETC is essential for cellular respiration, it can also be a major source of metabolism‐generated ROS (Balaban et al., 2005). Increased availability of ETC substrates can alter the rates of oxidative phosphorylation and electron flow through the ETC (Zorov et al., 2014). Specifically, dietary supplementation of malate and fumarate has been demonstrated to decrease electron flow through complex III by activation of NADH‐fumarate reductase (malate dismutation) and passing electrons to rhodoquinone instead of coenzyme Q; which could increase ROS production in vivo when ETC complex inhibitors are absent (Brand, 2010; Edwards et al., 2013). We verified the effects of malate/fumarate supplement on inducing ROS through two methods. Using the gst4p::gfp reporter strain, which indicates SKN‐1 activity, we noted an increase in GFP signal in worms that are treated versus those that are not (Figure S2e,f). This increase in SKN‐1 activity in those that are treated versus those that are not is more evident in WT males (Figure S2e), although still visible in the head and tail region of alh6 mutant males (Figure S2f). Furthermore, malate/fumarate treatment increased mitochondrial superoxide dismutase sod2 and decreased glutathione peroxidase gpx5 expression in WT animals compared to those that are not treated (Figure S2i). Interestingly, alh6 animals treated with malate/fumarate show an increase in the expression of cytoplasmic and peroxisomal catalases, ctl1 and ctl2 (Figure S2j). Altogether these data support the observation that malate/fumarate alters metabolism in ways that affect ROS homeostasis. Knowing that malate/fumarate alters expressions of antioxidant enzymes and increases SKN‐1 activity, we next asked if malate/fumarate could affect sperm function. Supplementation of malate/fumarate reduced WT spermatid size, and further decreased alh6 mutant sperm size (Figure 4a,b). The addition of this supplement also impairs activation in WT spermatids, while not affecting the already reduced activation rate in alh6 male spermatids (Figure 4c,d). Consequently, malate/fumarate supplementation also decreased the ability of both WT and alh6 mutant male sperm to compete with hermaphrodite sperm, as shown by the increased usage of self‐sperm in hermaphrodites mated with supplemented males (Figure 4e,f.) Collectively, these data show that supplementation of ETC metabolites can alter antioxidant gene expressions and lead to premature sperm dysfunction; similar to that observed in alh6 animals.

FIGURE 4.

FIGURE 4

Increasing ETC activity through malate/fumarate supplementation alter sperm function. (a, b) Malate/fumarate supplementation reduces sperm size in WT males (b) and further decreases sperm size of alh6 males. (c, d) Malate/fumarate supplement impairs activation in WT male sperm (c), but does not change alh6 male sperm (d). (e, f) Malate/fumarate supplement reduces ability for WT spermatids to compete (e), while exacerbating alh6 spermatids in competitive ability (f). Comparisons of sperm size were analyzed using unpaired t‐tests. Comparisons of sperm activation and competition between unsupplemented diet and diet supplemented with malate/fumarate were done using Fisher's exact test. *, p < 0.05; **, p < 0.01; ***, p < 0.001; ****, p < 0.0001. All studies performed in minimum of three biological replicates; refer to Table S1 for n for each comparison

Recently, we reported that alh6 mutant spermatids have increased mitochondrial fusion (Yen et al., 2020). Mutation in prdh1, which restores sperm function (Figure 2), returned spermatid mitochondria to a more punctate and less connected structure that resembles mitochondria in WT spermatids (Figure 5a‐g). Similarly, treatment with the antioxidant NAC returned alh6 mutant mitochondrial fusion level in spermatids to WT levels (Figure 5h). Furthermore, NAC treatment does not change the mitochondrial fusion level in WT male spermatids (Figure 5i). Taken together, these data reveal that antioxidant supplementation can act as a treatment to overcome reproductive deficiencies stemming from impaired cellular metabolism.

FIGURE 5.

FIGURE 5

Endogenous ROS drives changes in mitochondria dynamics leading to sperm defects. (a–f) Representative images of JC‐1 dye‐stained mitochondria of WT (a, b), alh6 mutant (c, d), alh6;prdh1 mutant (e, f) spermatids from dissected males. White dashed lines marked the outside of spermatids. Yellow outlines the individual mitochondria in the spermatids. (g) Quantification of fused mitochondria in images (a–f) shows that alh6 mutant male spermatids have increased number of fused mitochondria, which is restored to WT levels in alh6;prdh1 mutants. (h) Antioxidant treatment with NAC restores mitochondrial dynamics to wild‐type levels in alh6 mutant spermatids. (i) Treatment with NAC does not change mitochondria dynamics of WT spermatids. Comparisons of % fused mitochondria between strains were analyzed using ANOVA, while comparisons for alh6 mutant fed control diet to those that are fed on NAC supplemented diet were done using unpaired t test *, p < 0.05; **, p < 0.01; ***, p < 0.001; ****, p < 0.0001. All studies performed in minimum of three biological replicates; refer to Table S1 for n for each comparison

2.5. alh6 mutation accelerates male reproductive aging

Like most tissues, the reproductive system functionally declines with increasing age. Clinically, age‐related decline in male fertility is diagnosed by a reduction in sperm quality and quantity (Harris et al., 2011). Sperm from older men are reduced in number and motility, and display increased abnormalities, which collectively diminish success in both in vivo and in vitro fertilization (IVF) (Kidd et al., 2001; Mazur & Lipshultz, 2018). In C. elegans, the decline in male fertility has been shown in aged males where sperm number is reduced and activation in vitro via Monensin is reduced (Chou et al., 2019). In our hands, the ability for sperm to activate with Pronase treatment (Nelson & Ward, 1980; Yen et al., 2020) also declines with age in wild‐type males (Figure 6a). alh6 mutant sperm from day 1 adult males are functionally more similar to WT sperm from day 6 adults, as such, alh6 males experience premature reproductive senescence in the form of impaired sperm activation capacity. Importantly, the mutation in prdh1 restores the age‐related changes in spermatid activation to wild‐type levels in alh6 mutant male sperm, supporting our hypothesis that the accumulation of P5C, in animals with impaired P5C dehydrogenase activity, is causal for age‐related sperm dysfunction.

FIGURE 6.

FIGURE 6

alh6 mutation accelerates male reproductive senescence. (a) The ability for sperm to activate upon Pronase treatment declines with age. alh6 mutant sperm shows premature decline compared with WT and alh6;prdh1. Statistical comparisons between strains at each age show a significant decrease in ability to activate of alh6 mutant spermatid compared with WT, which is restored in alh6;prdh1. (b) The ability for male sperm to compete against hermaphrodite self‐sperm also declines with age, with alh‐6 mutants showing premature decline compared to WT and alh‐6;prdh‐1 mutant males. (c, d) RT‐PCR shows unchanged expression of Prodh between young and old mice testes (c), while Aldh4a1 expression is decreased in old mice testes compared with young mice (d). (e) PRODH protein expression is consistent between young and old mice testes, but ALDH4A1 protein expression is reduced in testes of aged mice. Statistical comparisons of sperm activation and competition assay done using Fisher's exact test with p‐value adjusted for multiple comparisons between the groups. *, p < 0.05; **, p < 0.01; ***, p < 0.001; ****, p < 0.0001. All studies performed in minimum of three biological replicates; refer to Table S1 for n for each comparison

In order to determine if the accelerated loss of activation was causal for the fertilization defects observed in alh6 mutant animals, we performed sperm competition assays as before, but with aged males mated to young hermaphrodites. As expected, WT hermaphrodites mated with day 3 adult WT males resulted in the generation of a small fraction of non‐GFP progeny (indicating usage of hermaphrodite sperm) (Figure 6b) that are not present in day 1 adults (Figure 2f). In contrast, sperm from alhday 3 adults was significantly impaired for competition against hermaphrodite self‐sperm resulting in higher incidence of non‐GFP progeny. This deficit in competitive advantage is restored by mutation in prdh1 (Figure 6b).

Since alh6 mutant worms exhibit age‐related decline in sperm quality, we sought to determine if Aldh4a1, the mammalian ortholog of alh6, was regulated by age in the male reproductive system in mice. It is established that oxidative stress increases with age in male testes due to the reduction in both expression and production of antioxidant enzymes in mice (Cao et al., 2004; Luo et al., 2006). We examined the expression of proline catabolism pathway genes Prodh and Aldh4a1 in young (3‐month‐old) and middle aged (12‐month‐old) mice testes. The expression of Prodh, was similar (Figure 6c) between 12‐month‐old and 3‐month‐old mice testes, but the expression of Aldh4a1 was significantly reduced in the older mice testes (Figure 6d). Furthermore, expression of both Prodh and Aldh4a1 remains similar in the livers of 3‐month‐old and 12‐month‐old mice, showing that the differential expression of Aldh4a1, but not Prodh, in older mice testes is tissue‐specific (Figure S3a,b). In support of this finding, the steady‐state protein level of PRODH is similar in both testes and livers of 3‐month‐old and 12‐month‐old mice, while total ALDH4A1 enzyme levels are reduced in older testes, but unchanged in young and older livers (Figure 6e, Figure S3c). Reduction of ALDH4A1 without a corresponding decrease in PRODH could lead to the accumulation of P5C, a scenario that could lead to sperm dysfunction as we found in worms (Yen et al., 2020).

Lastly, alh6 mutation in worms drives premature health decline in the soma that ultimately leads to a shortened lifespan, although these effects are not observed until the end of the reproductive period (~day 5 of adulthood) (Pang & Curran, 2014). Since mutation in alh6 results in premature aging, we wondered if prdh1 mutation could mitigate the shortened lifespan phenotype of alh6 hermaphrodites (Figure S4a). Although prdh1 mutation suppressed the activation of the SKN‐1 reporter and the sperm defects of alh6 mutants, we found that alh6;prdh1 double mutants do not live significantly longer than alh6 mutants (Figure S4b). Our attempts to measure the impact of mutations in alh6 and prdh1 on male lifespan was confounded by the hyper‐exploratory behavior of males (Barrios et al., 2008; Kleemann et al., 2008), which drives high censor rates (Figure S4c). However, we did note a significant reduction in exploration‐dependent censoring of alh6 males that was reversed in the alh6;prdh1 double mutant (Figure S4c). Notably, WT and alh6;prdh1 males continue to crawl up the sides of the wells up to day 20 of adulthood, while alh6 males do not engage in as much exploratory behavior (Figure S4d). These data reveal a physiological outcome tied to the established loss of muscle homeostasis previously reported for alh6 mutants (Pang & Curran, 2014). Nevertheless, these results suggest that prdh1 may play roles in somatic functions that contribute to the health of the animal that are distinct from the role prdh1 and alh6 play in spermatogenesis described in this study.

Although further examination is required to understand the long‐term physiological effects of prdh1 mutation, taken together, these data reveal a novel role for alh6 in the regulation of male reproductive senescence that is dependent on the first committed step of proline catabolism through prdh1. Mutation in alh6 results in metabolic changes aimed to restore homeostasis, the result of which leads to redox imbalance and accelerated aging in the germline. Importantly, these sperm defects can be modulated by altering the expression of the proline catabolism pathway genes or by treatment with dietary antioxidants. Finally, the loss of competitive advantage in germ cells of male with incomplete proline catabolism has implications for overall fitness of the organism.

3. DISCUSSION

Although nearly half of idiopathic infertility cases are thought to have a genetic basis with lifestyle as contributing factors (Zorrilla & Yatsenko, 2013), their underlying mechanistic basis is largely unknown. While the importance of maternal age in female reproductive capacity has been highlighted in many studies (Klein & Sauer, 2001), the role of paternal age in fertility has received less attention. Our previous study identified FAD homeostasis and changes in mitochondrial metabolism and dynamics as mechanisms that regulate male fertility in C. elegans (Yen et al., 2020). This study expands our understanding of how altering endogenous metabolic processes can affect sperm aging.

It is perhaps surprising that the complete reduction in mitochondrial proline catabolism (mutation in both prdh1 and alh6) is relatively benign. We discovered that a mutation in the upstream proline dehydrogenase pathway gene, prdh1, is able to suppress the sperm defects observed in alh6 mutants (Figure 2), revealing that the overall reduction in proline catabolism is not causal for the observed reproductive phenotypes, but rather, the reduced ability to convert P5C, which would accumulate in alh6 mutants, to other more stable intermediates. Interestingly, our analysis of gene expression changes in proline metabolism genes revealed a downregulation of alh6 (loss of P5C dehydrogenase), but an upregulation of pycr1 and alh13 (increase in proline biosynthesis) in alh6 mutants at L4 stage (Figure 1h). In other species, metabolic adaptation to environmental stresses has been shown to occur through transcriptional regulation of proline biosynthetic and catabolic genes (Liang et al., 2013). In fact, proline has been shown to accumulate in response to oxidative stress through upregulation of its biosynthetic pathway, and cells deficient in P5C reductase are more sensitive to ROS (Phang, 2019). Moreover, since proline itself has important roles in cellular protection, the increased expression of its biosynthetic genes may be an important stress response, but with pleiotropic consequences as it would deplete glutamate and increase an already accumulating pool of P5C.

Our studies reveal that the transcription of proline catabolism pathway genes is under temporal regulation, such as pycr1 and alh13, which are expressed almost exclusively during development (Figures S1e–j). C. elegans express a second isoform of PYCR, pycr4, which is expressed in distinct tissues, is more uniformly expressed at both L4 stage and day 3 of adulthood, and is less responsive to impaired alh6 and prdh1 (Wormbase, 2006). Intriguingly, the expression of PRDH‐1 and ALH‐6 are reduced, in concert, with age while loss of alh6 function results in a reduction of only alh6 and no change in prdh1 expression; a scenario that would drive accumulation of P5C. These findings suggest that the mitochondrial proline catabolism pathway genes are under transcriptional regulation, but further studies to identify their transcriptional mediators are needed. Moreover, future studies to measure enzymatic activities of proline metabolism pathway enzymes during normal aging and in the context of mutant backgrounds will be useful.

In humans, hyperprolinemia (HP) types I (PRODH) and II (ALDH4A1) are both diagnosed by elevated level of proline in plasma, with addition of high level of P5C in HPII patients. This increase in proline level in HPII may be caused by transcriptional changes in the proline metabolism pathway similar to what we see in our alh6 mutant worms (Figure 1h,i).The symptoms of HPI varies in severity depending on the degree of reduction in PRODH activity, and are characterized by neurological, auditory, and renal defects, while symptoms of HPII are variable and characterized by neurological defects (Geraghty et al., 1998). Due to the limited number of clinically diagnosed HPI and HPII patients, there are relatively few studies on the molecular basis of hyperprolinemia. Furthermore, there is a lack of understanding in the long‐term effects of this syndrome, as well as any current effective treatment for patients (Mitsubuchi et al., 2014). Interestingly, in a recent study of HPII patients, mitochondrial dysfunction in fibroblasts from muscle biopsy was suggested, although limited by small sample size (one out of five patients) (van de Ven et al., 2014). This muscle mitochondrial phenotype in humans is reminiscent of the fragmented muscle mitochondria we previously characterized in alhday 5 adult worms (Pang & Curran, 2014).

Although proline catabolism has not been shown to have a direct role in fertility, studies in primate and other species have shown that the addition of proline in cryopreservation medium improves sperm mobility and preservation of membrane integrity upon thawing (Li et al., 2003). Notably, the brood size between WT and alh6;prdh1 double mutant is not significantly different, although alh6;prdh1 double mutant animals routinely yield fewer progeny (Figure 2c). Furthermore, the brood size between alh6;prdh1 and alh6 mutant is also not statistically different, although there is a trend toward an increase in number of progeny in the double mutant. Recent studies in mice have shown that the addition of proline increases the viability of vitrified oocytes by acting as a cryoprotectant (Zhang et al., 2016). As such, proline metabolism may also affect oocyte health in C. elegans hermaphrodites in addition to the effects on sperm reported here.

About 30–40% of all male infertility cases are associated with increased levels of ROS (Jose‐Miller et al., 2007). Additionally, ROS generation increases as sperm quality decreases with age (Cocuzza et al., 2008; Kidd et al., 2001). Our study demonstrates that the impaired sperm function stemming from perturbation of mitochondrial proline catabolism, specifically mutation in alh6/ALDH4A1, leads to increased ROS and can be alleviated pharmacologically by antioxidant treatments (NAC and Vitamin C). Using RNAi to limit the expression of antioxidant genes, we demonstrate that loss of ROS homeostasis can also affect sperm quality. Our study reveals that both sod1 and sod2 affect the rate of activation in WT sperm, while only sod2 RNAi further exacerbates the defective activation in alh6 mutant sperm. Interestingly, sodhas been recently shown to be required to produce H2O2 to induce sperm activation via Pronase (Sakamoto & Imai, 2017), which demonstrates the need to tightly regulate ROS homeostasis for germ cell development. Future investigation to directly measure how antioxidant treatments impact age‐related loss of reproductive capacity in mammals will be of great interest.

Lastly, we found that expression of Aldh4a1 in mice testes also declines with age, while Prodh remains unchanged (Figure 6c,d). Using western blot analysis, we found that a slower migrating species of ALDH4A1 is decreased in older mice testes, while PRODH level remains unchanged between young and older mice testes (Figure 6e).These expression changes in proline metabolism pathway proteins in old mice testes mirrors the genetic perturbation of alh6 in our worm model. Although there is no prior evidence of Aldh4a1 in regulating male fertility in mice, Aldh4a1 has been shown to be significantly downregulated in oocytes isolated from post‐reproductive mice compared with young female mice (Esteves et al., 2011). It may be interesting to investigate whether proline metabolism plays a direct role in mammalian sperm health and whether mechanisms identified in our studies are conserved. If conserved, Aldh4a1 may act as a potential genetic biomarker in the diagnosis and treatment of male infertility. Antioxidant supplements could be studied as part of comprehensive treatment plans in cases identified by genetics, which are currently not common practice but may gain traction as sequencing costs decrease and the genetic basis of male infertility is better defined. Taken together, our studies define an important and conserved role for mitochondrial proline catabolism in male reproductive fitness, which establishes a new target and approach for combating male infertility.

4. EXPERIMENTAL PROCEDURES

4.1. Caenorhabditis elegans strains and maintenance

Caenorhabditis elegans were cultured using standard techniques at 20°C. The following strains were used: wild‐type (WT) N2 Bristol, CB4856 (HW), SPC402[alh6(lax105);gst4p::gfp;HW], SPC494[alh6(lax105);prdh1(lax228)], SPC321[alh6(lax105)], CL2166[gst4p::gfp], SPC223[alh6(lax105);gst4p::gfp], SPC490[alh6(lax105);prdh1(lax228);gst4p::gfp], and SPC493[alh6(lax105);prdh1(lax228);gst4p::gfp laxEx7(prdh1p::prdh1;;myo2p::rfp;rab3p::rfp)]. Double and triple mutants were generated by standard genetic techniques. E. coli strains used were as follows: B Strain OP50 (Brenner, 1974) and HT115(DE3) [FmcrA mcrB IN(rrnD‐rrnE)1 lambda rnc14::Tn10 γ(DE3)] (Timmons et al., 2001). For dietary supplement assays, the following was added to the NGM plate mix to final concentration: 5 mM NAC,10 mM Vitamin C, 5 mM malate, 5 mM fumarate, and 75 uM paraquat.

4.2. EMS mutagenesis

Ethyl methanesulfonate mutagenesis was performed as previously described (Paek et al., 2012). Briefly, SPC223[alh6(lax105);gst4p::gfp] was mutagenized with EMS and F2 worms with reduced GFP expression (indicating suppression of SKN‐1 activation) were selected. prdh1(lax228) was isolated and mapped to chromosome IV. Whole‐genome sequencing and injection rescue confirmed mutant sequence identity.

4.3. Whole‐genome sequencing

Worms were treated with alkaline hypochlorite and eggs were allowed to hatch overnight. The next day 3000–4000 synchronized L1s were dropped on NGM plates seeded with 25X concentrated OP50. After 48 h, L4 animals were washed three times with M9, homogenized, and genomic DNA was extracted using Zymo Quick‐DNA Miniprep Kit. DNA samples were library prepped and sequenced by USC Epigenome Center Data Production Facility. Sequencing data were analyzed using Galaxy.

4.4. Lifespan analysis

Lifespan assays were performed as previously described (Pang & Curran, 2014). Worms were treated with alkaline hypochlorite and eggs were allowed to hatch overnight. The next day, synchronized L1 larvae were dropped on NGM plates seeded with OP50. 48 h later, 50 L4 hermaphrodites were moved individually onto new plates in replicates of three for each genotype. Worms were transferred every day during the reproductive period. Worms that died of vulva burst, bagging, or crawling off the plates were censored. For male lifespan analyses, males were singled as L4s onto each well of 12‐well plates (total of four plates for each replicate) and moved every 3 days to fresh plates. Plates were scored every day for dead animals. Worms that crawled off the plates or could not be found for two consecutive days were censored.

4.5. Fertility assay

Worms were treated with alkaline hypochlorite, and eggs were allowed to hatch overnight. The next day, synchronized L1 larvae were dropped on NGM plates seeded with OP50. 48 h later, at least 10 L4 hermaphrodites for each genotype were singled onto individual plates and moved every 12 h until egg laying ceased. Unfertilized oocytes were counted 24 h after the singled hermaphrodite was moved and progeny were scored 48 h after the singled hermaphrodite was moved to a different plate. Plates were counted twice for accuracy.

4.6. Mated reproductive assay

Males were synchronized by egg laying, picked as L4 larvae for use as young adults for mating experiments. Singled L4 stage hermaphrodites were each put on a plate with 30 µl of OP50 seeded in the center together with three virgin adult males. 24 h post‐mating, males were removed, and each hermaphrodite was moved to a new plate every 24 h until egg laying ceased. Progeny were counted 48 h after the hermaphrodite was moved from the plate. For sperm competition assay, progeny with GFP fluorescence were counted and removed from plates before non‐GFP progeny were counted. For aged male GFP mated reproductive assay, age‐synchronized day 3 adult virgin males were used to mate to L4 WT hermaphrodites and the protocol above was followed post‐mating. All plates were counted twice for accuracy.

4.7. Sperm number assay

Worms were treated with alkaline hypochlorite and eggs were allowed to hatch overnight. The next day, synchronized L1s were dropped on NGM plates seeded with OP50. 72 h post‐drop, day 1 adult hermaphrodite animals were washed 3x with 1xPBST, fixed with 40% 2‐propanol, and stained with DAPI for 2 h. Samples were washed for 30 min with PBST, mounted with Vectashield mounting medium, and covered with coverslip to image. Spermatids in spermathecae of both gonad arms were counted through all planes in z‐stack.

4.8. Sperm size assay

Males were isolated at L4 stage 24 h before assay. For each strain, five day 1 adult males were dissected in 35 µl pH 7.8 SM buffer (50 mM HEPES, 50 mM NaCl, 25 mM KCl, 5 mM CaCl2, 1 mM MgSO4, 10 mM dextrose) to release spermatids, which were immediately imaged.

4.9. Sperm activation with pronase

Males were isolated at L4 stage 24 h before assay. For each strain, five day 1 adult males were dissected in 35 µl pH 7.8 SM buffer (50 mM HEPES, 50 mM NaCl, 25 mM KCl, 5 mM CaCl2, 1 mM MgSO4, 1 mg/ml BSA) supplemented with 200 µg/ml Pronase® (Millipore Sigma) to release spermatids. Another 25 µl of the same solution was added and the spermatids were incubated at RT for 8 min for activation to occur before imaging. Sperm medium was made fresh for each experiment and optimal incubation time determined empirically by observing the time required for WT spermatids to reach 80–90% activation. For aged male sperm activation assays, individual L4 virgin males were singled onto plates for each strain and moved every 3 days onto fresh plates. Due to high censor rate while aging males, a higher number of males are required to start with when singling at L4 stage.

4.10. Sperm mitochondria staining

Males were isolated at L4 stage 24 h before assay. For each strain, five day 1 adult males were dissected in 35 µl pH 7.8 SM buffer (50 mM HEPES, 50 mM NaCl, 25 mM KCl, 5 mM CaCl2, 1 mM MgSO4, 1 mg/ml BSA) with JC‐1(Thermo Fisher Scientific T3168) added to 15 µM final concentration. Another 25 µl of the same solution was added and the spermatids were incubated at RT for 10 min. The slide was washed three times with 100 µl SM buffer before imaging.

4.11. RT‐PCR

Worms were treated with alkaline hypochlorite and eggs were allowed to hatch overnight in M9. The next day, 3000–4000 synchronized L1s were dropped on NGM plates seeded with 25X concentrated OP50. After 48 and 120 h, L4 animals and day 3 adult animals, respectively, were washed three times with M9 and frozen in TRI Reagent at −80°C. Male C57BL/6 mice were dissected at 3‐month‐ and 12‐month‐old (5 each) and their testes and liver tissues that are frozen in TRI Reagent. Worms or mice tissues were homogenized and RNA extraction was performed following the protocol in Zymo Direct‐zol RNA Isolation Kit. RNA samples were used to make cDNA using qScript cDNA Supermix (Quantabio). cDNA is mixed with PerfeCTa SYBR Green FastMix (Quantabio) and primers of target genes to analyze their expression on Biorad CFX96 Touch Real‐Time PCR Detection System. Target gene expressions were normalized to snb1 in analysis. Statistical comparisons of two groups were analyzed using unpaired t‐test, while ANOVA was used for comparing groups of three or more.

4.12. Western blot

Three‐month‐old and 12‐month‐old mice tissues were flash frozen in liquid nitrogen and stored at −80°C before use. Tissues were briefly homogenized in T‐PER (Thermo Fisher) and centrifuged at 10,000 × g for 5 min to remove insoluble material. Protein concentration was determined by Bradford assay. Protein extracts were denatured at 95°C for 5 min and separated by gel electrophoresis (Thermo Fisher) and transferred to nitrocellulose membranes. Membranes were blocked in 5% milk in 1X PBST for 1 hour at room temperature. Membranes were incubated overnight at 4°C with primary antibodies specific to PRODH (Abcam ab203875), ALDH4A1 (Abcam ab181256), Histone H3 (Sigma H0164), Actin (Sigma A3853), washed and incubated with goat anti‐rabbit secondary antibody (Abcam) at room temperature for 1 h, and protein visualized with SuperSignal (Thermo Fisher) chemiluminescent substrate.

4.13. Microscopy

Zeiss Axio Imager and ZEN software were used to acquire all images used in this study. For GFP reporter strains, worms were mounted in M9 with 10 mM levamisole and imaged with DIC and GFP filters. For sperm number, assay samples were imaged with DIC and DAPI filters in z‐stacks. For sperm size and activation assays, dissected sperm samples were imaged at 100x with DIC filter on two different focal planes for each field to ensure accuracy. For sperm mitochondria assays, dissected sperm samples were imaged at 100x with DIC, GFP, and RFP filters in z‐stacks to assess overall mitochondria content within each spermatid.

4.14. Statistical analysis

Data are presented as mean ± SEM. Comparisons and significance were analyzed in GraphPad Prism 8. Comparisons between two groups were done using unpaired t‐test. Comparisons between more than two groups were done using ANOVA. For sperm activation assays and mated reproductive assay with GFP reporter males, Fisher's Exact Test was used and p‐values were adjusted for multiple comparisons for groups of 3. p‐value of less than 0.05 is considered significant (*p < 0.05 **p < 0.01 *** p < 0.001 ****p < 0.0001).

CONFLICT OF INTERESTS

The authors declare that they have no conflicts of interest with the contents of this article.

AUTHOR CONTRIBUTIONS

S.P.C. designed the study. C‐A.Y. performed the experiments. C‐A.Y. and S.P.C. analyzed data. C‐A.Y. and S.P.C. wrote and revised the manuscript.

Supporting information

Figure S1

Figure S2

Figure S3

Figure S4

Table S1

Table S2

ACKNOWLEDGEMENTS

We thank J. Gonzalez for technical assistance; C. Turner for generation of the prdh1 transgenic rescue strain; N. Mih for bioinformatics assistance; N. Stuhr, A. Hammerquist, and C. Duangjan for critical reading of the manuscript and members of the Curran laboratory for helpful comments. Some strains were provided by the CGC, which is funded by the NIH Office of Research Infrastructure Programs (P40OD010440) and mouse tissues were derived from animals received from the NIA Aged Rodent Colony. This work was funded by the NIH R01AG058610 and RF1AG063947 to S.P.C. and the American Federation for Aging Research (AFAR) to C‐A.Y. and S.P.C.

DATA AVAILABILITY STATEMENT

All data are contained within the manuscript.

REFERENCES

  1. Adams, E. , & Frank, L. (1980). Metabolism of proline and the hydroxyprolines. Annual Review of Biochemistry, 49, 1005–1061. [DOI] [PubMed] [Google Scholar]
  2. Agarwal, A. , Virk, G. , Ong, C. , & du Plessis, S. S. (2014). Effect of oxidative stress on male reproduction. World Journal of Men's Health, 32(1), 1–17. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Aitken, R. J. , Gibb, Z. , Mitchell, L. A. , Lambourne, S. R. , Connaughton, H. S. , & De Iuliis, G. N. (2012). Sperm motility is lost in vitro as a consequence of mitochondrial free radical production and the generation of electrophilic aldehydes but can be significantly rescued by the presence of nucleophilic thiols. Biology of Reproduction, 87(5), 110. [DOI] [PubMed] [Google Scholar]
  4. Amaral, A. , Lourenco, B. , Marques, M. , & Ramalho‐Santos, J. (2013). Mitochondria functionality and sperm quality. Reproduction, 146(5), R163–R174. [DOI] [PubMed] [Google Scholar]
  5. Balaban, R. S. , Nemoto, S. , & Finkel, T. (2005). Mitochondria, oxidants, and aging. Cell, 120(4), 483–495. [DOI] [PubMed] [Google Scholar]
  6. Barrios, A. , Nurrish, S. , & Emmons, S. W. (2008). Sensory regulation of C. elegans male mate‐searching behavior. Current Biology, 18(23), 1865–1871. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Blankenberg, D. , Von Kuster, G. , Coraor, N. , Ananda, G. , Lazarus, R. , Mangan, M. , Nekrutenko, A. , & Taylor, J. (2010). Galaxy: A web‐based genome analysis tool for experimentalists. Current Protocols in Molecular Biology, 89(1), 19–10. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Brand, M. D. (2010). The sites and topology of mitochondrial superoxide production. Experimental Gerontology, 45(7–8), 466–472. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Brenner, S. (1974). The genetics of Caenorhabditis elegans . Genetics, 77(1), 71–94. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Buck Louis, G. M. , Sundaram, R. , Schisterman, E. F. , Sweeney, A. , Lynch, C. D. , Kim, S. , Maisog, J. M. , Gore‐Langton, R. , Eisenberg, M. L. , & Chen, Z. (2014). Semen quality and time to pregnancy: the Longitudinal Investigation of Fertility and the Environment Study. Fertility and Sterility, 101(2), 453–462. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Cao, L. , Leers‐Sucheta, S. , & Azhar, S. (2004). Aging alters the functional expression of enzymatic and non‐enzymatic anti‐oxidant defense systems in testicular rat Leydig cells. Journal of Steroid Biochemistry and Molecular Biology, 88(1), 61–67. [DOI] [PubMed] [Google Scholar]
  12. Chandra, A. , Copen, C. E. , & Stephen, E. H. (2014). Infertility service use in the United States: Data from the National Survey of Family Growth, 1982‐2010. National Health Statistics Reports (73), 1–21. [PubMed] [Google Scholar]
  13. Chou, W. Y. , Lin, Y. C. , & Lee, Y. H. (2019). Short‐term starvation stress at young adult stages enhances meiotic activity of germ cells to maintain spermatogenesis in aged male Caenorhabditis elegans . Aging Cell, 18(3), e12930. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Cocuzza, M. , Athayde, K. S. , Agarwal, A. , Sharma, R. , Pagani, R. , Lucon, A. M. , Srougi, M. , & Hallak, J. (2008). Age‐related increase of reactive oxygen species in neat semen in healthy fertile men. Urology, 71(3), 490–494. [DOI] [PubMed] [Google Scholar]
  15. de Lamirande, E. , & Gagnon, C. (1992). Reactive oxygen species and human spermatozoa. I. Effects on the motility of intact spermatozoa and on sperm axonemes. Journal of Andrology, 13(5), 368–378. [PubMed] [Google Scholar]
  16. Deuschle, K. , Funck, D. , Forlani, G. , Stransky, H. , Biehl, A. , Leister, D. , van der Graaff, E. , Kunze, R. , & Frommer, W. B. (2004). The role of [Delta]1‐pyrroline‐5‐carboxylate dehydrogenase in proline degradation. The Plant Cell, 16(12), 3413–3425. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Donald, S. P. , Sun, X. Y. , Hu, C. A. , Yu, J. , Mei, J. M. , Valle, D. , & Phang, J. M. (2001). Proline oxidase, encoded by p53‐induced gene‐6, catalyzes the generation of proline‐dependent reactive oxygen species. Cancer Research, 61(5), 1810–1815. [PubMed] [Google Scholar]
  18. Edwards, C. B. , Copes, N. , Brito, A. G. , Canfield, J. , & Bradshaw, P. C. (2013). Malate and fumarate extend lifespan in Caenorhabditis elegans . PLoS One, 8(3), e58345. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Esteves, T. C. , Balbach, S. T. , Pfeiffer, M. J. , Arauzo‐Bravo, M. J. , Klein, D. C. , Sinn, M. , & Boiani, M. (2011). Somatic cell nuclear reprogramming of mouse oocytes endures beyond reproductive decline. Aging Cell, 10(1), 80–95. [DOI] [PubMed] [Google Scholar]
  20. Geraghty, M. T. , Vaughn, D. , Nicholson, A. J. , Lin, W. W. , Jimenez‐Sanchez, G. , Obie, C. , Flynn, M. P. , Valle, D. , & Hu, C. A. (1998). Mutations in the Delta1‐pyrroline 5‐carboxylate dehydrogenase gene cause type II hyperprolinemia. Human Molecular Genetics, 7(9), 1411–1415. [DOI] [PubMed] [Google Scholar]
  21. Harris, I. D. , Fronczak, C. , Roth, L. , & Meacham, R. B. (2011). Fertility and the aging male. Reviews in Urology, 13(4), e184–e190. [PMC free article] [PubMed] [Google Scholar]
  22. Jose‐Miller, A. B. , Boyden, J. W. , & Frey, K. A. (2007). Infertility. American Family Physician, 75(6), 849–856. [PubMed] [Google Scholar]
  23. Kidd, S. A. , Eskenazi, B. , & Wyrobek, A. J. (2001). Effects of male age on semen quality and fertility: A review of the literature. Fertility and Sterility, 75(2), 237–248. [DOI] [PubMed] [Google Scholar]
  24. Kleemann, G. , Jia, L. , & Emmons, S. W. (2008). Regulation of Caenorhabditis elegans male mate searching behavior by the nuclear receptor DAF‐12. Genetics, 180(4), 2111–2122. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. Klein, J. , & Sauer, M. V. (2001). Assessing fertility in women of advanced reproductive age. American Journal of Obstetrics and Gynecology, 185(3), 758–770. [DOI] [PubMed] [Google Scholar]
  26. Koppers, A. J. , De Iuliis, G. N. , Finnie, J. M. , McLaughlin, E. A. , & Aitken, R. J. (2008). Significance of mitochondrial reactive oxygen species in the generation of oxidative stress in spermatozoa. Journal of Clinical Endocrinology and Metabolism, 93(8), 3199–3207. [DOI] [PubMed] [Google Scholar]
  27. LaMunyon, C. W. , & Ward, S. (1998). Larger sperm outcompete smaller sperm in the nematode Caenorhabditis elegans . Proceedings of the Royal Society of London. Series B: Biological Sciences, 265(1409), 1997–2002. [DOI] [PMC free article] [PubMed] [Google Scholar]
  28. Li, Y. , Si, W. , Zhang, X. , Dinnyes, A. , & Ji, W. (2003). Effect of amino acids on cryopreservation of cynomolgus monkey (Macaca fascicularis) sperm. American Journal of Primatology, 59(4), 159–165. [DOI] [PubMed] [Google Scholar]
  29. Liang, X. , Zhang, L. , Natarajan, S. K. , & Becker, D. F. (2013). Proline mechanisms of stress survival. Antioxidants & Redox Signaling, 19(9), 998–1011. [DOI] [PMC free article] [PubMed] [Google Scholar]
  30. Luo, L. , Chen, H. , Trush, M. A. , Show, M. D. , Anway, M. D. , & Zirkin, B. R. (2006). Aging and the brown Norway rat leydig cell antioxidant defense system. Journal of Andrology, 27(2), 240–247. [DOI] [PubMed] [Google Scholar]
  31. Mazur, D. J. , & Lipshultz, L. I. (2018). Infertility in the aging male. Current Urology Reports, 19(7), 54. [DOI] [PubMed] [Google Scholar]
  32. Miller, G. , Honig, A. , Stein, H. , Suzuki, N. , Mittler, R. , & Zilberstein, A. (2009). Unraveling delta1‐pyrroline‐5‐carboxylate‐proline cycle in plants by uncoupled expression of proline oxidation enzymes. Journal of Biological Chemistry, 284(39), 26482–26492. [DOI] [PMC free article] [PubMed] [Google Scholar]
  33. Mitsubuchi, H. , Nakamura, K. , Matsumoto, S. , & Endo, F. (2014). Biochemical and clinical features of hereditary hyperprolinemia. Pediatrics International, 56(4), 492–496. [DOI] [PMC free article] [PubMed] [Google Scholar]
  34. Mizoi, J. , & Yamaguchi‐Shinozaki, K. (2013). Molecular approaches to improve rice abiotic stress tolerance. Methods in Molecular Biology, 956, 269–283. [DOI] [PubMed] [Google Scholar]
  35. Murphy, M. P. (2009). How mitochondria produce reactive oxygen species. The Biochemical Journal, 417(1), 1–13. [DOI] [PMC free article] [PubMed] [Google Scholar]
  36. Nelson, G. A. , & Ward, S. (1980). Vesicle fusion, pseudopod extension and amoeboid motility are induced in nematode spermatids by the ionophore monensin. Cell, 19(2), 457–464. [DOI] [PubMed] [Google Scholar]
  37. Nomura, M. , & Takagi, H. (2004). Role of the yeast acetyltransferase Mpr1 in oxidative stress: regulation of oxygen reactive species caused by a toxic proline catabolism intermediate. Proceedings of the National Academy of Sciences of the United States of America, 101(34), 12616–12621. [DOI] [PMC free article] [PubMed] [Google Scholar]
  38. Oliveira, H. , Spano, M. , Santos, C. , & Pereira Mde, L. (2009). Adverse effects of cadmium exposure on mouse sperm. Reproductive Toxicology, 28(4), 550–555. [DOI] [PubMed] [Google Scholar]
  39. Paek, J. , Lo, J. Y. , Narasimhan, S. D. , Nguyen, T. N. , Glover‐Cutter, K. , Robida‐Stubbs, S. , Suzuki, T. , Yamamoto, M. , Blackwell, T. K. , & Curran, S. P. (2012). Mitochondrial SKN‐1/Nrf mediates a conserved starvation response. Cell Metabolism, 16(4), 526–537. [DOI] [PMC free article] [PubMed] [Google Scholar]
  40. Pang, S. , & Curran, S. P. (2014). Adaptive capacity to bacterial diet modulates aging in C. elegans . Cell Metabolism, 19(2), 221–231. [DOI] [PMC free article] [PubMed] [Google Scholar]
  41. Pang, S. , Lynn, D. A. , Lo, J. Y. , Paek, J. , & Curran, S. P. (2014). SKN‐1 and Nrf2 couples proline catabolism with lipid metabolism during nutrient deprivation. Nature Communications, 5, 5048. [DOI] [PMC free article] [PubMed] [Google Scholar]
  42. Phang, J. M. (1985). The regulatory functions of proline and pyrroline‐5‐carboxylic acid. Current Topics in Cellular Regulation, 25, 91–132. [DOI] [PubMed] [Google Scholar]
  43. Phang, J. M. (2019). Proline metabolism in cell regulation and cancer biology: Recent advances and hypotheses. Antioxidants & Redox Signaling, 30(4), 635–649. [DOI] [PMC free article] [PubMed] [Google Scholar]
  44. Ramm, S. A. , Scharer, L. , Ehmcke, J. , & Wistuba, J. (2014). Sperm competition and the evolution of spermatogenesis. Molecular Human Reproduction, 20(12), 1169–1179. [DOI] [PubMed] [Google Scholar]
  45. Rivera, A. , & Maxwell, S. A. (2005). The p53‐induced gene‐6 (proline oxidase) mediates apoptosis through a calcineurin‐dependent pathway. Journal of Biological Chemistry, 280(32), 29346–29354. [DOI] [PubMed] [Google Scholar]
  46. Rizzi, Y. S. , Monteoliva, M. I. , Fabro, G. , Grosso, C. L. , Larovere, L. E. , & Alvarez, M. E. (2015). P5CDH affects the pathways contributing to Pro synthesis after ProDH activation by biotic and abiotic stress conditions. Frontiers in Plant Science, 6, 572. [DOI] [PMC free article] [PubMed] [Google Scholar]
  47. Sakamoto, T. , & Imai, H. (2017). Hydrogen peroxide produced by superoxide dismutase SOD‐2 activates sperm in Caenorhabditis elegans . Journal of Biological Chemistry, 292(36), 14804–14813. [DOI] [PMC free article] [PubMed] [Google Scholar]
  48. Seddon, A. P. , Zhao, K. Y. , & Meister, A. (1989). Activation of glutamate by gamma‐glutamate kinase: Formation of gamma‐cis‐cycloglutamyl phosphate, an analog of gamma‐glutamyl phosphate. Journal of Biological Chemistry, 264(19), 11326–11335. [PubMed] [Google Scholar]
  49. Sena, L. A. , & Chandel, N. S. (2012). Physiological roles of mitochondrial reactive oxygen species. Molecular Cell, 48(2), 158–167. [DOI] [PMC free article] [PubMed] [Google Scholar]
  50. Sharma, R. , Agarwal, A. , Rohra, V. K. , Assidi, M. , Abu‐Elmagd, M. , & Turki, R. F. (2015). Effects of increased paternal age on sperm quality, reproductive outcome and associated epigenetic risks to offspring. Reproductive Biology and Endocrinology, 13, 35. [DOI] [PMC free article] [PubMed] [Google Scholar]
  51. Timmons, L. , Court, D. L. , & Fire, A. (2001). Ingestion of bacterially expressed dsRNAs can produce specific and potent genetic interference in Caenorhabditis elegans . Gene, 263(1–2), 103–112. [DOI] [PubMed] [Google Scholar]
  52. van de Ven, S. , Gardeitchik, T. , Kouwenberg, D. , Kluijtmans, L. , Wevers, R. , & Morava, E. (2014). Long‐term clinical outcome, therapy and mild mitochondrial dysfunction in hyperprolinemia. Journal of Inherited Metabolic Disease, 37(3), 383–390. [DOI] [PubMed] [Google Scholar]
  53. Verbruggen, N. , & Hermans, C. (2008). Proline accumulation in plants: A review. Amino Acids, 35(4), 753–759. [DOI] [PubMed] [Google Scholar]
  54. Wellner, V. P. , Sekura, R. , Meister, A. , & Larsson, A. (1974). Glutathione synthetase deficiency, an inborn error of metabolism involving the gamma‐glutamyl cycle in patients with 5‐oxoprolinuria (pyroglutamic aciduria). Proceedings of the National Academy of Sciences of the United States of America, 71(6), 2505–2509. [DOI] [PMC free article] [PubMed] [Google Scholar]
  55. Wormbase . (2006). http://www.wormbase.org WS164.
  56. Yen, C. A. , Ruter, D. L. , Turner, C. D. , Pang, S. , & Curran, S. P. (2020). Loss of flavin adenine dinucleotide (FAD) impairs sperm function and male reproductive advantage in C. elegans . Elife, 9, e52899. [DOI] [PMC free article] [PubMed] [Google Scholar]
  57. Yoon, K. A. , Nakamura, Y. , & Arakawa, H. (2004). Identification of ALDH4 as a p53‐inducible gene and its protective role in cellular stresses. Journal of Human Genetics, 49(3), 134–140. [DOI] [PubMed] [Google Scholar]
  58. Zarse, K. , Schmeisser, S. , Groth, M. , Priebe, S. , Beuster, G. , Kuhlow, D. , Guthke, R. , Platzer, M. , Kahn, C. R. , & Ristow, M. (2012). Impaired insulin/IGF1 signaling extends life span by promoting mitochondrial L‐proline catabolism to induce a transient ROS signal. Cell Metabolism, 15(4), 451–465. [DOI] [PMC free article] [PubMed] [Google Scholar]
  59. Zhang, L. , Xue, X. , Yan, J. , Yan, L. Y. , Jin, X. H. , Zhu, X. H. , He, Z. Z. , Liu, J. , Li, R. , & Qiao, J. (2016). L‐proline: a highly effective cryoprotectant for mouse oocyte vitrification. Scientific Reports, 6, 26326. [DOI] [PMC free article] [PubMed] [Google Scholar]
  60. Zorov, D. B. , Juhaszova, M. , & Sollott, S. J. (2014). Mitochondrial reactive oxygen species (ROS) and ROS‐induced ROS release. Physiological Reviews, 94(3), 909–950. [DOI] [PMC free article] [PubMed] [Google Scholar]
  61. Zorrilla, M. , & Yatsenko, A. N. (2013). The genetics of infertility: Current status of the field. Current Genetic Medicine Reports, 1(4), 247–260. [DOI] [PMC free article] [PubMed] [Google Scholar]

Associated Data

This section collects any data citations, data availability statements, or supplementary materials included in this article.

Supplementary Materials

Figure S1

Figure S2

Figure S3

Figure S4

Table S1

Table S2

Data Availability Statement

All data are contained within the manuscript.


Articles from Aging Cell are provided here courtesy of Wiley

RESOURCES