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Updated: Jun 11, 2025

Fluorimetric Techniques for the Assessment of Sperm Membranes
Published on: November 28, 2018
Trifluoperazine effect on human sperm: The accumulation of reactive oxygen species and the decrease in the
Houpeng Wang1, Cheng Cheng2, Jing Ding2
1Jiangxi Provincial Key Laboratory of Disease Prevention and Public Health, Jiangxi Medical College, Nanchang University, Nanchang 330006, China; School of Public Health, Jiangxi Medical College, Nanchang University, China.
Abstract:
A strong link between antipsychotic drug use and reduced human sperm quality has been reported. Trifluoperazine (TFP), a commonly used antipsychotic, is now being explored for anticancer applications. Although there are hints that TFP might affect the male reproductive system, its impact on human sperm quality remains uncertain. Using a human sperm and TFP in vitro coculture system, we examined the effect of TFP (12.5, 25, 50 and 100 μM) on human sperm function and physiological parameters. The results showed that 50 μM and 100 μM TFP induced the accumulation of reactive oxygen species (ROS) and a decrease in the mitochondrial membrane potential (MMP) of human sperm, leading to decreased sperm viability, while 25 μM TFP inhibited only the penetration ability, total sperm motility, and progressive motility. Although 12.5 μM and 25 μM TFP increased [Ca2+]i in human sperm, they did not affect capacitation or the acrosome reaction. These results may be explained by the observation that 12.5 μM and 25 μM TFP did not increase tyrosine phosphorylation in human sperm, although TFP increased [Ca2+]i in a time-course traces similar to that of progesterone. Our results indicated that TFP could cause male reproductive toxicity by inducing the accumulation of ROS and a decrease in the MMP in human sperm.
Insights
Trifluoperazine (TFP), an antipsychotic, may harm male fertility. High TFP concentrations reduced sperm viability by increasing reactive oxygen species (ROS) and decreasing mitochondrial membrane potential (MMP).
Area of Science:
- Reproductive Toxicology
- Pharmacology
Background:
- Antipsychotic drug use is linked to reduced human sperm quality.
- Trifluoperazine (TFP), a common antipsychotic, is being investigated for anticancer properties.
- The impact of TFP on human sperm quality is not well understood.
Purpose of the Study:
- To investigate the effects of TFP on human sperm function and physiological parameters in vitro.
- To determine the concentration-dependent toxicity of TFP on sperm.
Main Methods:
- Human sperm were co-cultured with various concentrations of TFP (12.5, 25, 50, and 100 μM).
- Sperm function and physiological parameters, including reactive oxygen species (ROS) production, mitochondrial membrane potential (MMP), viability, motility, penetration ability, capacitation, and acrosome reaction, were assessed.
Main Results:
- TFP concentrations of 50 μM and 100 μM increased ROS and decreased MMP, leading to reduced sperm viability.
- 25 μM TFP inhibited sperm penetration ability, total motility, and progressive motility.
- Lower TFP concentrations (12.5 and 25 μM) increased intracellular calcium ([Ca2+]i) but did not affect capacitation or acrosome reaction, possibly due to lack of increased tyrosine phosphorylation.
Conclusions:
- TFP can induce male reproductive toxicity.
- Mechanisms of toxicity include ROS accumulation and decreased MMP in human sperm.
- These findings highlight potential risks of TFP use on male fertility.
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