“…Importantly, we show here that the percentage of spermatozoa expressing CatSper1 (but none of the parameters evaluated by routine semen analysis) predicts with high accuracy, sensitivity and good specificity, the ability of the sample to reach a level of HA of 10% which distinguishes between donors (young men with no known fertility problems) and subfertile subjects (Alasmari et al, 2013a), reinforcing involvement of the CatSper channel in establishment of HA in human spermatozoa. HA is related to natural fertility (Peedicayil et al, 1997;Mazzilli et al, 2001) and predicts results of IVF (Wang et al, 1993;Sukcharoen et al, 1995;Hirano et al, 2001). Conversely, routine semen analysis is poorly predictive of both natural and in vitro fertilization (Liu and Baker, 2002;Leushuis et al, 2014).…”