The present study demonstrates the potential applicability and safety of CF-C60 as a semen component that can be used to preserve the quality and performance of sperm in a porcine model. We also delved into its potential mechanisms and found that it exerts antioxidant, antiapoptotic, and antibacterial effects that are attributable to its ability to reduce ROS levels, as shown in the schematic illustration in Fig. 9.
Sperm motility and structural integrity are important indices for assessment of male fertility [45]. Our first set of experiments on motility and sperm structure demonstrated that CF-C60 was able to preserve sperm motility, plasma membrane and acrosome integrity. Previous in vivo and in vitro studies have revealed that CF-C60 has important protective roles. For instance, CF-C60 can shield cells and BALB/c mice from irradiation-induced damage by enhancing the level of endogenous antioxidants [46], suggestive of its utility as a safe and effective anti-radiation agent. CF-C60 has also been reported to protect muscle cells against oxidative-induced stress, thereby preserving cell viability [47]. Consistently, our results demonstrate that CF-C60 preserves sperm quality and male fertility via maintenance of sperm structural and functional integrity. Additionally, our results suggest that CF-C60 mainly attaches to the sperm cell membrane. It has been reported that fullerene C60 can cause changes in membrane-binding enzyme activity without damaging membrane integrity [48]. This could mean that its position was related to its ability to maintain membrane function and integrity, which warrants further exploration.
ROS accumulation is considered as the principal cause of sperm motility decline during semen preservation [49]. In this regard, CF-C60 has been shown to act as a powerful antioxidant that exerts important protective effects in cells [50–52]. For example, it has been reported that CF-C60 protected the gut from the toxic effects of deoxyniurenol by reducing ROS levels and that it significantly improved growth performance and immune function in mice [53]. In addition, CF-C60 was found to alleviate oxidative stress and acute liver injury after severe hemorrhagic shock in rats [54]. Similarly, in our study, CF-C60 enhanced sperm antioxidant capacity and preserved sperm quality by reducing ROS levels. A promising finding emerged was that CF-C60 could alleviate sperm oxidative stress even in the presence of H2O2. This protective effect might be attributed to the powerful ability of CF-C60 to eliminate free radicals. Since carbon-based nanomaterials, which are morphologically distinct, have differential physiological roles in cells, we presume that this antioxidant capacity of CF-C60 might be largely related to its unique cage structure [55, 56]. Indeed, distinct from other nanocarbon materials such as single layer graphene sheets, carbon nanotubes and graphene quantum dots [57], the globular CF-C60 holds a peculiar cage structure, which endows it with the extremely stable physical and chemical properties as well as a mighty response to free radicals, being responsible for its strong antioxidant capability [58, 59] .As a result, CF-C60 can continuously and steadily react with free radicals and eliminate them completely [60]. Besides, ROS are mainly produced by sperm mitochondria, which may also explain why CF-C60 was found to be primarily localized in the middle piece of the sperm tail, as this position would help it maximize the absorption of excess ROS to ensure the integrity of sperm function. Further, as CF-C60 was found to mainly attach to the sperm cell membrane, this might imply that the effect of CF-C60 on the oxidation-antioxidant balance system of sperm is mediated by its adsorption of excessive ROS overflowing from the cell.
ROS-induced sperm apoptosis is also a key pathogenic factor leading to male infertility [61]. Sperm apoptosis is an intricate physiological process, which is orchestrated by a host of factors and considered to be an important physiological mechanism in the regulation of the number of sperm [62]. Studies have shown that ROS induce Cyt C, Cleaved caspase 3, and Cleaved caspase 9 to mediate cell apoptosis, resulting in a high incidence of broken single-or double-stranded DNA and, ultimately, male infertility [63] .Cyt C, a soluble protein located in the mitochondria, is reported to be one of the essential regulators of programmed apoptosis [64]. Once released into the cytoplasm by mitochondria, it can activate apoptosis-related pathways and cause the degradation of cell contents and cell apoptosis. Additionally, it has been reported that Cleaved caspase 3 is a key promoter of apoptosis receptors, and its activation is related to the concentration of Cyt C in cytoplasm [65]. Similarly, our study found that CF-C60 reduced the release of Cyt C in sperm mitochondria and decreased the content of the apoptotic protein Cleaved caspase 3 by reducing ROS levels. Some other consequences of excessive ROS are mitochondrial respiratory chain metabolism disorder and mitochondrial vacuolation, both of which contribute to mitochondrial dysfunction [66, 67]. Mitochondria are the chief source of ROS, and damage to mitochondria not only results in failure of energy supply to the sperm, but also the release of a large number of pro-apoptotic factors to stimulate the apoptotic pathway, eventually triggering sperm cleavage and death [68, 69]. Thus, it is plausible that mitochondrial oxidative damage and apoptosis are intertwined pathogenic molecular mechanisms. Accordingly, our results further demonstrate that supplementation of CF-C60 during semen preservation protected the normal structure and the function of mitochondria and inhibited the release of mitochondrial Cyt C into the cytoplasm through the ROS/Cyt C/Caspase 3 signaling pathway, eventually inhibiting apoptosis.
It is generally accepted that the semen of healthy individuals does not contain bacteria [70], and that bacteria principally come from the external environment, semen collection conditions, the dilution operation, and other factors [71]. Previous studies have shown the effects of detrimental bacteria, such as Xanthomonadales, Burkholderiaceae, and Ralstonia, which are commonly associated with low motility, a high number of agglutination events, low sperm concentrations, and even poor reproductive performance [72–74]. Because sperm are stored at 17°C, a temperature that is generally conducive to bacterial growth [75], impaired sperm quality might occur as a result of competition between bacteria and sperm for energy substrates. Our study revealed that CF-C60 protected sperm from the deleterious effects of pathogenic microorganisms when they were stored at 17°C. Studies have shown that CF-C60 can inhibit E. coli-induced meningitis, and its antibacterial activity was attributable to its ability to enhance the antibacterial activity of neutrophils [76]. In fact, it is known that granulocytes (of which neutrophils are a subset) are the most important white blood cells that play a role in defense against bacterial and viral pathogens to kill Gram-negative and Gram-positive bacteria [77]. Based on our findings, we have also deduced that there is a clear correlation between bacterial abundance and ROS levels, but further studies are needed to delve deeper into how these bacteria interact with sperm. Yet, results from previous and the present study suggest that CF-C60 might achieve antibacterial effects by directly destroying bacterial structure or indirectly disrupting bacterial function [78, 79], which points to its potential as a new antibacterial agent.
The safety of CF-C60 is an important issue that cannot be ignored. Early studies have indicated that intravenous administration of nanocarbon PEGylated graphene (20 mg/kg body weight) to mice for 3 months did not induce cytotoxicity [80]. However, it has also been reported that endotracheal infusion of fullerene C60 (1.0 mg/kg body weight) induced lung inflammation and morphological damage [81]. The underlying reasons for this discrepancy might be differences in morphology of nanocarbon materials and in methods of fullerene derivation. At present, chemical modification of the amino, carboxyl, and hydroxyl groups is often applied to the globular fullerene molecule to boost its solubility, stability and biosafety [82, 83]. In this study, we found that CF-C60 mainly attached to the plasma membrane of the sperm and could not enter the interior of the sperm. This is suggestive of its safety in sperm preservation. Finally, we performed AI experiments and demonstrated that the use of CF-C60 as a semen diluent supplement significantly improved the reproductive performance of sows without apparent side effects on the growth of piglets, thus demonstrating its safety as a sperm protector and shedding light on its prospective clinical application in the future.