it has the ability to cause a variety of infections in numerous ecological niches within the host .
it colonizes the nares , axillae , vagina , pharynx , or damaged skin surfaces and causes a variety of suppurative ( pus - forming ) infections and toxinoses in humans . besides this ,
s. aureus is arguably the dominant organism implicated in primary infertility , among males and females alike .
s. aureus has been observed as causative organism accounting for 68.2% of seminal fluid infections .
this is consistent with that reported by okon et al . , where s. aureus was isolated from 62.5% of the seminal fluids
. s. aureus has also been reported to be commonly isolated microorganism from cervical samples .
studied the influence of different uropathogenic microorganisms on human sperm motility parameters by means of casa and reported that s. aureus retards the sperm motility .
similar studies were done by liu et al . on the effect of certain uropathogenic microorganisms on human sperm motility parameters and found significant decrease in sperm motility when spermatozoa were coincubated with s. aureus .
some authors have suggested that direct interaction between bacteria and spermatozoa facilitates immobilization of spermatozoa [ 79 ] , while others have reported evidence for soluble spermicidal factor produced and secreted by bacteria in the extracellular medium .   in an earlier work done in our laboratory ,
we have also been able to isolate a strain of s. aureus from cervix of an infertile woman , causing 100% immobilization of spermatozoa without agglutination .
motility of spermatozoa requires energy in the form of atp   that is provided by sperm mitochondria to power the flagellar motion that propels the sperm to the site of fertilization .
it thus seems possible that the inhibition of sperm motility after treatment with sif may be due to decrease in the atpase activity or imbalance in the molecules of biological significance .
further , the analysis of acrosome reaction in human sperm is recommended to estimate the fertilization ability of human sperm in the clinical field .
further characterization of both sif and sif binding receptor will help in better understanding of sif and receptor interactions which can be aimed as a potential candidate for treatment of unexplained infertility .
semen samples were obtained from males attending infertility clinic at government multispeciality hospital , sector 16 , chandigarh , by masturbation into sterile wide mouth container . only ejaculates showing normal semen parameters according to who criteria   were used .
a preparation of washed sperm samples was done , in which the sperm cell pellet was retained after centrifugation at 500  rpm for 10  min and thereafter it was washed twice with sterile phosphate buffer saline ( pbs ) ( 50  mm , ph 7.2 ) .
cervical swabs were taken from 16 women below the age of 35 years , suffering from unexplained infertility attending the department of obstetrics and gynaecology at government multispeciality hospital , sector 16 , chandigarh .
samples were streaked on blood agar plates and the plates were incubated aerobically at 37c for 2448  h. isolates were identified according to the bergey 's manual of determinative bacteriology .
microorganisms were identified up to genus level only . in total , 27 isolates were obtained . amongst the various isolates , staphylococcus ( 51.85% ) was the predominant organism present . when the effect of 24 and 48  h old cell culture and cell free supernatant of cervical isolates on human sperm motility was studied in vitro
, the results showed that 17 out of 27 isolates ( 63% ) significantly decreased sperm motility .
one of the isolate causing 100% immobilization of spermatozoa was selected for further studies . only this strain was further identified by biochemical tests and was found to be coagulase positive staphylococcus aureus .
sif was extracted and purified from 72  h old cell culture of s. aureus by the method previously standardized in the laboratory .
briefly , the cell culture of s. aureus grown in brain heart infusion ( bhi ) broth , under shake conditions ( 220  rpm ) at 37c for 72  h , was centrifuged at 5,000  rpm for 15  min at 4c .
sif was purified from the supernatant by ammonium sulphate precipitation , gel permeation chromatography , and ion exchange chromatography . to check the purification status , polyacrylamide gel electrophoresis ( page )
following page , protein band was excised and gel piece was washed once with 100  l hplc grade water for 10  min and then destained in 100  l of destaining solution 1 ( 50% 100  mm ammonium bicarbonate in 50% acetonitrile ) by incubating at 37c for 30  min . destaining solution was discarded and gel piece was dehydrated in 100  l of acetonitrile ( acn ) at 37c for 5  min and then air dried for 5  min at 37c .
the gel piece was reduced in 150  l of 10  mm of dithiothreitol ( dtt)/100  mm of ammonium bicarbonate by incubating at 56c for 30  min .
it was then alkylated in 100  l of 50  mm iodoacetamide/100  mm ammonium bicarbonate in dark for 30  min and alkylation buffer was discarded .
gel piece was washed with 100  l destaining solution , removed , and again dehydrated with 100  l acn for 5  min and then air dried at 37c for 5  min .
gel piece was rehydrated in ~5  l trypsin solution ( 20  ng  l ) for 10  min at 37c .
gel piece was incubated at 37c for 16  h.   to extract the peptides after the overnight incubation , ~20  l peptide extraction solution ( 1% trifluoroacetic acid , tfa ) was added and sonicated in a water bath sonicator for 5 min .
a 6  l solution was injected for analysis with lc - ms / ms ( agilent , palo alto , ca , usa ) .
data was analyzed using agilent ion trap analysis software version 5.2 and proteins were identified by database search against the mascot database .
mg atpase activity of spermatozoa was studied according to kielley   and chappel   with slight modifications .
tris - hcl ( 0.2 m , ph 7.6 ) washed spermatozoa ( 1  10/ml ) were sonicated at 50  hz for 10  min ( 10 cycles of 30s with 1  min interval ) at 4c . the reaction mixture for atpase consisted of 0.2  ml tris - hclbuffer ( 0.2 m , ph 7.6 ) , 0.2  ml of mgcl2 ( 5  mm ) , 0.2  ml of atp ( 6  mg  ml ) , and 0.2  ml of sonicated sperm suspension .
different concentrations of sif ( 12.5  g , 25  g , 50  g , and 100  g ) were added to the reaction mixture .
the mixture was incubated at 37c for 1  h. after this period of incubation , the reaction was stopped by adding 1  ml of cold 10% trichloroacetic acid ( tca ) and then incubated at 4c overnight for protein precipitation .
the control tubes contained all the components of the reaction mixture but tca was added in the beginning to stop the atpase activity .
inorganic phosphorus ( pi ) released was determined according to the method of boyce et al . .
one unit of atpase is expressed as g of the pi released after 1  h of incubation .
the experiment was repeated thrice . the semen sample after liquefaction was washed twice ( 500  rpm , 5  min ) with human tubal fluid medium ( htfm ) containing 1% human serum albumin ( hsa ) .
sperm concentration was adjusted to 40  10  ml and sperm suspension was divided into two aliquots ( test and control ) .
the test sample was incubated for 3  h at 37c with equal volumes of sif , whereas the control was prepared by adding equal volume of pbs ( 50  mm , ph 7.2 ) under same conditions .
after 3  h , spermatozoa from both test and control were treated with either 0.1% dmso ( spontaneous acrosome reaction ) or 10  m calcium ionophore a23187 ( induced acrosome reaction ) for 1  h at 37c .
subsequently , spermatozoa were washed in htfm without hsa ( 500  rpm , 10  min ) .
the pellet was resuspended in 3% glutaraldehyde and incubated for 20  min at 37c .
after further washing the pellet was resuspended in 1050  l htfm and smeared onto a slide . after drying
, spermatozoa were stained in bismark brown ( 0.8% in deionized water , ph 1.8 ) for 5  min , washed three times with water , and stained with rose bengal ( 0.8% in 0.1 m tris buffer , ph 5.6 ) for 25  min .
after second washing procedure , spermatozoa were dehydrated in 50% , 70% , and 96% ethanol rinsed with water , and examined at 1000x magnification under light microscope .
purified ligand was conjugated to fitc using fitc labeling kit ( genei fitc labelling kit bangalore genei ( india ) pvt . ltd . ) .
1  mg of purified ligand was mixed with fitc according to f / p ratio as per the instructions given in the kit .
liquefied semen sample was washed twice with pbs and the pellet was finally suspended in 500  l of pbs . to 100  l of sperm suspension , 200  l of conjugated ligand was added and incubated at 37c for 1  h. then 150  l of 3% formaldehyde was added and the reaction mixture was incubated at 37c for 1  h. after incubation , the reaction mixture was washed thrice with pbs .
the pellet was finally dissolved in 50  l of pbs ( 50  mm , ph 7.2 ) . a wet mount was prepared and observed under fluorescent microscope 1000x magnification .
sif receptor was extracted from human spermatozoa by the method previously standardized in the laboratory .
briefly , the receptor was extracted by treating washed spermatozoa with 3 m nacl for 4  h at 37c under shaking conditions .
3 m nacl - treated sperm sample was centrifuged at 1500  rpm for 15  min and then dialyzed extensively against pbs ( 50  mm , ph 7.2 ) under cold conditions .
the purification of the receptor was further done using gel filtration chromatography and the purity of this preparation was checked by native page .  
processing of protein bands , tryptic digestion , and peptide extraction was done in the same way as described earlier for lc - ms of sif .
1  l peptide solution ( peptide extracts after tryptic digestion ) and 1  l of a suitable matrix , for example , alpha - cyano hydroxycinnamic acid ( hcca ) in 1  :  2 v / v of acetonitrile ( acn ) : 0.1% tfa , were mixed nicely
. 1  l of this mixture was spotted on a maldi target plate and allowed to air dry at room temperature .
maldi target plate was loaded into ultraflex maldi - tof for subsequent peptide spectra acquisition and analysis .
a laser power of 337  nm wavelength was used for ionization of the samples spotted on the target plate .
peptide peaks were calibrated with peaks obtained from the peptide calibration standard . after peptide spectra were obtained , ms analysis was carried out using flex analysis software ( v 2.2 , bruker ) .
subsequent ms data analysis was carried out using biotools software ( v 2.2 , bruker ) and mascot search engine ( matrix science ) against the ncbi database .
the enthalpy of binding of ligand with the receptor was determined in pbs using a microreaction calorimeter .
an amount of 1.5  ml of receptor ( 200  g  ml ) in buffer was placed in each of the calorimetric vials and 250  l syringe ( speed 3  l  sec ) was loaded with the ligand ( 500  g  ml ) .
the binding constant , k , and enthalpy of binding , h were computed by using iterative nonlinear least square regression method .

 s. aureus isolated from the cervix of a woman with unexplained infertility inhibited sperm motility by secreting the factor extracellularly .
purified sif was a protein of about 20  kda with remarkable sperm immobilization activity . according to lc - ms measurements of the 20  kda band , the protein showed the peptide sequence similarity with hsp-70 protein when matched with proteins in the ncbinr database , using the mascot search program .
the search yielded a top score of 143 for hsp-70 like protein as shown by the histogram of the score distribution for the 20 best matching proteins .
protein scores greater than 57 ( p < 0.05 ) were considered to be significant .
the effect of purified sif from s. aureus on the mg adenosine triphosphatase activity of pooled and sonicated spermatozoa from human was studied . from the results ( table 1 )
, it could be observed that the sif inhibited mg atpase activity of spermatozoa in dose - dependent manner . at a concentration of 100  g  ml of sif
, there was no detectable mg atpase activity , whereas at lower concentration of 50  g  ml of sif , atpase activity decreased from 931.7  1.3 units ( control ) to 195.23  2.3 units .   when the effect of sif on human sperm acrosome reaction was studied two patterns of staining
red or pink staining of the acrosomal region indicated intact acrosomes , whereas white , brown , or yellowish acrosomes were interpreted as acrosome - reacted .
the percentages of spontaneously acrosome reacted spermatozoa in sif - treated samples were comparable to control ( dmso ) . on treatment with calcium ionophore , majority ( approx .
however , spermatozoa incubated with sif in htfm ( with 1% hsa ) failed to undergo acrosome reaction in response to calcium ionophore challenge ( figure 1 ) . when sperm samples treated with fitc labelled sif were observed under fluorescent microscope , bright green fluorescence was seen over the spermatozoa which depicts the binding of sif with spermatozoa .
this indicates that some receptors might be present on the surface of spermatozoa to which sif binds ( figure 2 ) .   according to maldi - tof analysis of the purified 62  kda band ,
the protein showed the peptide sequence similarity with mhc class ii antigen when the resulting spectrum was used to search for matching proteins in the ncbinr database , using the mascot search program .
the search yielded a top score of 68 for mhc class ii antigen ( protein scores greater than 66 are significant ; p < 0.05 ) .  
the binding constant , k ( 1350/m ) , and enthalpy of binding , h , ( 11.9  kj  mole ) were computed from the experimentally calculated enthalpy of interaction between ligand and receptor , using iterative nonlinear least square regression method ( table 2 ) .
the values of free energy and entropy were found to be 18.57  kj  mole and 21.53  j  molek , respectively , calculated from the following equations : 
 ( 1)g=  rtlnk,s=(hg)t .

 s. aureus is an aggressive , opportunistic gram - positive pathogen that colonizes the skin , anterior nares , axillae , pharynx , and urogenital tract of 20% of healthy humans .
jiang and lu reported s. aureus as the predominant flora in infertile men with a significant decrease in sperm motility .   in an earlier work done in our laboratory ,
s. aureus causing immobilization of human spermatozoa was isolated from the cervix of a woman with unexplained infertility , and a sperm immobilization factor ( sif ) was purified .
reported that heat shock proteins ( hsp ) are immunodominant antigens of numerous microbial pathogens , for example , chlamydia trachomatis , which have been recognized as the main cause of infertility .   to further elucidate the contribution of sif to reproductive failure ,
the effect of purified sif from s. aureus on the mg atpase activity of spermatozoa was studied and the results showed that sif decreased the atpase activity .
there was no detectable mg atpase activity when spermatozoa were incubated with sif at concentration of 100  g  ml .
any agent affecting atpase activity of sperms affects the motility of spermatozoa making it incapable of fertilization .
for example , in case of sea urchin spermatozoa , it was observed that motile sperm had an atpase activity of 0.16  m pi ( min  mg protein ) , while sperm that had been rendered nonmotile by homogenizing had an activity of 0.045  m pi ( min  mg protein ) , suggesting inhibition of mg - dependent atpase could be one of the possible mechanisms of sperm immobilization .
although the rate of spontaneous acrosomal reaction of spermatozoa does not correlate with the success rate of in vitro fertilization ( ivf ) , the index of inducibility , measured by the difference between induced ( after incubation with calcium ionophore or exposure to low temperature ) and spontaneous acrosomal reaction , is of prognostic value for sperm fertilization capacity .
when the effect of sif on human spermatozoa was studied , it was found that the percentages of acrosome - reacted spermatozoa obtained in tests treated with sif were consistently lower than those obtained in calcium ionophore - treated samples ( positive control ) .
bacteria including ureaplasma urealyticum and mycoplasma hominis have been demonstrated to have a negative effect on ionophore - induced acrosomal reaction of human spermatozoa in vitro [ 26 , 27 ] .
el - mulla et al . also studied the effect of e. coli on acrosomal reaction of spermatozoa .
it was shown that the inducibility of the acrosome reaction was significantly lower in semen samples pretreated with e. coli than in the control samples .
the results demonstrated that e. coli affect the inducibility of the acrosome reaction in vitro and may impair the fertilizing capacity of human spermatozoa .
several studies have found that sperm responsiveness to acrosome reaction inducers is reduced in infertile patients .
therefore , sif inhibiting the induction of acrosome reaction may be impairing the fertilizing capacity of human spermatozoa . from the results it appears that the effect of sif on inhibition of mg atpase may be separate from ionophore
mediated acrosome reaction as disrupted spermatozoa were used for the estimation of mg atpase activity while intact spermatozoa were evaluated for acrosome reaction .
further , when the fluorescent microscopy of spermatozoa incubated with fitc labelled sif was done , bright green fluorescence was seen over the spermatozoa surface .
this binding between sif and spermatozoa gives direct evidence that some kind of receptors might be present on the surface of spermatozoa to which labelled sif binds .
therefore , in the present study , an attempt was made to extract , purify , and characterize the receptor from spermatozoa that is responsible for its interaction with sif produced by s. aureus .
maldi - tof studies of receptor indicated that receptor shows sequence similarity with mhc class ii antigen when matched with ncbinr database .
these results are in agreement with those of earlier studies by morimoto et al . who clearly demonstrated the expression of the major histocompatibility complex ( mhc ) class ii molecules on murine sperm cells by means of radioimmunoassay as well as by enzyme immunoassay .
the study revealed that the site of sperm for binding foreign dna was mediated by the complex structure of the mhc class ii molecules localized at the posterior region of sperm head .
ligand association with the receptor typically involves changes in the intramolecular and intermolecular interactions and dynamics of the system components .
the changes in bonding interactions that occur upon ligand binding are reflected in the reaction enthalpy and entropy , which in turn determine the free energy of receptor - ligand association .
microcalorimetric instruments and methods are essential tools for the general understanding of binding thermodynamics of biological macromolecules and specific biological systems . in the present study , when microreaction calorimeter was used to determine the free energy ( g ) , enthalpy ( h ) , and entropy ( s ) of binding of sif with purified receptor it was observed that reaction was exothermic as heat was produced which indicated specific interaction between receptor and purified sif . from the above preliminary observations , it can be concluded that sif isolated from s. aureus could bind to spermatozoa and sperm surface protein might act as receptor for binding to sif .
the study also indicates that receptor - ligand interaction might be responsible for immobilization of spermatozoa by sif .
thus , the future studies of detailed molecular mechanisms of sperm immobilization by these receptor - ligand interactions could possibly lead to useful insights for improvements in the treatment of infertility , and in attempts to create safe as well as effective sperm immobilizing contraceptives .
 sperm immobilization factor ( sif ) causing 100% immobilization of spermatozoa isolated from staphylococcus aureus when characterized using lc - ms ( liquid chromatography - mass spectrometry ) showed that this 20  kda protein had peptide sequence similarity with hsp-70 protein . 
 it was found to completely ( 100% ) inhibit mg++ atpase activity of spermatozoa at concentration of 100  g  ml1 . 
 sperm samples treated with sif also showed reduction in calcium ionophore - induced acrosome reaction as compared to control samples ( treated with calcium ionophore alone ) . 
 binding studies of fitc labelled sif with spermatozoa using fluorescent microscopy showed binding of sif to the surface of spermatozoa indicating the presence of sif binding receptor . 
 the receptor was extracted by 3 m nacl and purified by gel permeation chromatography . 
 characterization of the receptor by maldi - tof ( matrix - assisted laser desorption ionization - time of flight ) indicated that the receptor shared sequence similarity with mhc class ii antigen . 
 a calorimetric study showed that the receptor moiety on spermatozoa was specific for the purified ligand as binding of the receptor to ligand was enthalpically ( 11.9  kj  mole1 ) as well as entropically ( 21.53  j  mole1  k1 ) favored resulting in the gibb 's free energy of 18.57  kj  mole1 . 
1. Introduction
2. Materials and Methods
3. Results
4. Discussion