Designed Chemical Intervention with Thiols for Prophylactic Contraception

PLoS One. 2013 Jun 27;8(6):e67365. doi: 10.1371/journal.pone.0067365. Print 2013.

Abstract

Unlike somatic cells, sperm have several-fold more available-thiols that are susceptible to redox-active agents. The present study explains the mechanism behind the instant sperm-immobilizing and trichomonacidal activities of pyrrolidinium pyrrolidine-1-carbodithioate (PPC), a novel thiol agent rationally created for prophylactic contraception by minor chemical modifications of some known thiol drugs. PPC, and its three derivatives (with potential active-site blocked by alkylation), were synthesized and evaluated against live human sperm and metronidazole-susceptible and resistant Trichomonas vaginalis, in vitro. Sperm hexokinase activity was evaluated by coupled enzyme assay. PPC irreversibly immobilized 100% human sperm in ∼30 seconds and totally eliminated Trichomonas vaginalis more efficiently than nonoxynol-9 and metronidazole. It significantly inhibited (P<0.001) thiol-sensitive sperm hexokinase. However, the molecule completely lost all its biological activities once its thiol group was blocked by alkylation. PPC was subsequently formulated into a mucoadhesive vaginal film using GRaS excipients and evaluated for spermicidal and microbicidal activities (in vitro), and contraceptive efficacy in rabbits. PPC remained fully active in quick-dissolving, mucoadhesive vaginal-film formulation, and these PPC-films significantly reduced pregnancy and fertility rates in rabbits. The films released ∼90% of PPC in simulated vaginal fluid (pH 4.2) at 37°C in 5 minutes, in vitro. We have thus discovered a common target (reactive thiols) on chiefly-anaerobic, redox-sensitive cells like sperm and Trichomonas, which is susceptible to designed chemical interference for prophylactic contraception. The active thiol in PPC inactivates sperm and Trichomonas via interference with crucial sulfhydryl-disulfide based reactions, e.g. hexokinase activation in human sperm. In comparison to non-specific surfactant action of OTC spermicide nonoxynol-9, the action of thiol-active PPC is apparently much more specific, potent and safe. PPC presents a proof-of-concept for prophylactic contraception via manipulation of thiols in vagina for selective targeting of sperm and Trichomonas, and qualifies as a promising lead for the development of dually protective vaginal-contraceptive.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Contraception / methods
  • Contraceptive Agents / pharmacology*
  • Drug Design*
  • Female
  • Humans
  • Male
  • Pregnancy
  • Rabbits
  • Spermatocidal Agents / pharmacology*
  • Spermatozoa / drug effects*
  • Sulfhydryl Compounds / pharmacology*
  • Trichomonas Infections / drug therapy
  • Trichomonas Infections / microbiology
  • Trichomonas vaginalis / drug effects*
  • Vagina / drug effects*
  • Vagina / microbiology

Substances

  • Contraceptive Agents
  • Spermatocidal Agents
  • Sulfhydryl Compounds

Grants and funding

Authors acknowledge the grant of research fellowships by the University Grants Commission, New Delhi (LK, VS, NL), the Indian Council of Medical Research, New Delhi (VV, AJ) and the Council of Scientific and Industrial Research, New Delhi (LK), India. VV is enrolled with the Integral University, Lucknow, India, for PhD. This study was supported by grants from the CSIR Network Project (PROGRAM) and Ministry of Health and Family Welfare, Government of India. The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.