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The mechanisms of the progesterone (P4)-activated Ca2+ influx and the relationship between the intracellular free Ca2+ concentration ([Ca2+]i) and the acrosome reaction (AR) were investigated in this study. We compared the [Ca2+]i of uncapacitated and capacitated human sperm populations in response to P4 stimulation; characterized the effects of the pharmacological agents pimozide and mibefradil, inhibitors of T-type voltage-operated calcium channels (VOCCT), on the P4-activated Ca2+ influx; and determined the effects of these drugs on the P4-initiated AR. Since pimozide can also inhibit calmodulin-dependent enzymes, we examined the effects of the calmodulin antagonist, calmidazolium, on the above-mentioned events. The basal [Ca2+]i and the amplitude of the P4-activated Ca2+ influx were significantly (p &lt; 0.05) higher in capacitated sperm populations. Also, in capacitated sperm populations, all three pharmacological agents significantly (p &lt; 0.05) inhibited the P4-activated Ca2+ influx (IC50): calmidazolium (0.7 microM) &gt; pimozide (8 microM) &gt; mibefradil (11 microM). By contrast, the effects of these drugs on the P4-initiated AR were varied: pimozide (10 and 20 microM) significantly (p &lt; 0.05) increased the percentage of AR spermatozoa, calmidazolium was without effect, and mibefradil (20 microM) significantly (p &lt; 0.05) inhibited the AR. These disparate results do not allow us to reach any definitive conclusion concerning the role of a sperm VOCCT in the mechanism of the P4-initiated AR. However, the differences between the [Ca2+]i and AR effects, in particular the inverse relationship in the case of pimozide, suggest a dissociation between the amplitude of the P4-stimulated Ca2+ signal and the downstream biological effect of that signal, the AR.

Progesterone-Mediated Calcium Influx and Acrosome Reaction of Human Spermatozoa: Pharmacological Investigation of T-Type Calcium Channels1