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{{#invoke:Infobox|infobox}} {{#invoke:Infobox|infobox}} {{#invoke:Infobox|infobox}} Protamines are small, arginine-rich, nuclear proteins that replace histones late in the haploid phase of spermatogenesis and are believed essential for sperm head condensation and DNA stabilization. They may allow for denser packaging of DNA in the spermatozoon than histones, but they must be decompressed before the genetic data can be used for protein synthesis. However, in humans and maybe other primates, 10-15% of the sperm's genome is packaged by histones thought to bind genes that are essential for early embryonic development.<ref name="Balhorn_2007">{{#invoke:Citation/CS1|citation |CitationClass=journal }}</ref>


During the formation of sperm, protamine binds to the phosphate backbone of DNA using the arginine-rich domain as an anchor. DNA is then folded into a toroid, an O-shaped structure, although the mechanism is not known. A sperm cell can contain up to 50,000 toroid-shaped structures in its nucleus with each toroid containing about 50 kilobases.<ref>{{#invoke:Citation/CS1|citation |CitationClass=journal }}</ref> Before the toroid is formed, histones are removed from the DNA by transition nuclear proteins, so that protamine can condense it. The effects of this change are 1) an increase in sperm hydrodynamics for better flow through liquids by reducing the head size 2) decrease in the occurrence of DNA damage 3) removal of the epigenetic markers that occur with histone modifications.<ref>{{#invoke:Citation/CS1|citation |CitationClass=journal }}</ref>

The structure of the sperm head is also related to protamine levels. The ratio of protamine 2 to protamine 1 and transition nuclear proteins has been found to change the sperm head shape in various species of mice, by altering the expression of protamine 2 via mutations in its promoter region. A decrease in the ratio has been found to increase the competitive ability of sperm in Mus species. However, further testing is required to determine how this ratio influences the shape of the head and whether monogamy influences this selection. In humans, studies show that men who have unbalanced Prm1/Prm2 are subfertile or infertile.<ref>{{#invoke:Citation/CS1|citation |CitationClass=journal }}</ref>

Medical uses

When mixed with insulin, protamines slow down the onset and increase the duration of insulin action (see NPH insulin).<ref name="pmid21668337">{{#invoke:Citation/CS1|citation |CitationClass=journal }}</ref>

Protamine is used in cardiac surgery, vascular surgery, and interventional radiology procedures to neutralize the anti-clotting effects of heparin. Adverse effects include increased pulmonary artery pressure and decrease peripheral blood pressure, myocardial oxygen consumption, cardiac output, and heart rate.<ref name="pmid10596998">{{#invoke:Citation/CS1|citation |CitationClass=journal }}</ref>

Protamine sulfate is an antidote for heparin overdose.<ref name="pmid2857186">{{#invoke:Citation/CS1|citation |CitationClass=journal }}</ref> A chain shortened version of protamine also acts as a potent heparin antagonist, but with markedly reduced antigenicity.<ref name="pmid10926141">{{#invoke:Citation/CS1|citation |CitationClass=journal }}</ref>

In gene therapy, protamine sulfate's ability to condense plasmid DNA along with its approval by the U.S. Food and Drug Administration (FDA) have made it an appealing candidate to increase transduction rates by both viral<ref name="Cornetta 1989">{{#invoke:Citation/CS1|citation |CitationClass=journal }}</ref> and nonviral (e.g. utilizing cationic liposomes)<ref name="Sorgi 1997">{{#invoke:Citation/CS1|citation |CitationClass=journal }}</ref> mediated delivery mechanisms.

Protamine may be used as a drug to prevent obesity. Protamine has been shown to deter increases in body weight and low-density lipoprotein in high-fat diet rats. This effect occurs through the inhibition of lipase activity, an enzyme responsible for triacylglycerol digestion and absorption, resulting in a decrease in the absorption of dietary fat. No liver damage was found when the rats were treated with protamine. However, emulsification of long-chain fatty acids for digestion and absorption in the small intestine is less constant in humans than rats, which will vary the effectiveness of protamine as a drug. Furthermore, human peptidases may degrade protamine at different rates, thus further tests are required to determine protamine’s ability to prevent obesity in humans.<ref>{{#invoke:Citation/CS1|citation |CitationClass=journal }}</ref>


Mice, humans<ref name="Balhorn_2007"/> and certain fish have two or more different protamines, whereas the sperm of bull and boar,<ref name="pmid2320417">{{#invoke:Citation/CS1|citation |CitationClass=journal }}</ref> have one form of protamine due to a mutation in the PRM2 gene. In the rat, although the gene for PRM2 is present, expression of this protein is extremely small because of limited transcription due to an inefficient promoter in addition to altered processing of the mRNA transcript.<ref>{{#invoke:Citation/CS1|citation |CitationClass=journal }}</ref>


The 2 human protamines are denoted PRM1 and PRM2.


Examples of protamines from fish are:

Protamine structure

The primary structure of protamine P1, the protamine used for packaging DNA in sperm cells, in placental mammals is usually 49 or 50 amino acids long. This sequence is divided into three separate domains: an arginine-rich domain for DNA binding flanked by shorter peptide sequences containing mostly cysteine residues. The arginine-rich domain consists of 3-11 arginine residues and is conserved between fish protamine and mammalian protamine 1 sequences at about 60-80% sequence identity.<ref name="Balhorn_2007"/> After translation, the protamine P1 structure is immediately phosphorylated at all three of the above-mentioned domains. Another round of phosphorylation occurs when the sperm enters the egg, but the function of these phosphorylations is uncertain. When protamine P1 binds to DNA, cysteine from the amino terminal of one protamine P1 forms disulfide bonds with the cysteine from the carboxy-terminal of another protamine P1. The disulfide bonds function to prevent the dissociation of protamine P1 from DNA until the bonds are reduced when the sperm enters the egg.<ref name="Balhorn_2007"/>

The secondary and tertiary structure of protamine is not known with certainty, but several proposals have been published.<ref name="pmid15452126">{{#invoke:Citation/CS1|citation |CitationClass=journal }}</ref><ref name="pmid14990583">{{#invoke:Citation/CS1|citation |CitationClass=journal }}</ref><ref name="pmid16442565">{{#invoke:Citation/CS1|citation |CitationClass=journal }}</ref>


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