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Schulz M, Zambrano F, Schuppe HC, Wagenlehner F, Taubert A, Gaertner U, Sánchez R, Hermosilla C. Monocyte-derived extracellular trap (MET) formation induces aggregation and affects motility of human spermatozoa in vitro. Syst Biol Reprod Med 2019; 65:357-366. [PMID: 31208212 DOI: 10.1080/19396368.2019.1624873] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
The presence of bacteria and/or leukocytes can alter semen quality resulting in low sperm quality and infertility. Inflammation or infection increases the numbers of PMN or macrophages/monocytes in male genital tract. Release of extracellular traps (ETs) by leukocytes has been recognized as a novel mechanism of early host innate immunity, in response to invasive pathogens. This is the first work that evaluated the mechanism of triggered ETs in monocytes co-incubated with spermatozoa or bacteria and the effect on sperm function. Selected spermatozoa and human monocytes isolated from peripheral blood were obtained by healthy donors. Two experimental models were developed, one aseptic (non-infectious) incubating spermatozoa and monocytes, and septic models (infectious) incubating spermatozoa with monocytes and uropathogenic Escherichia coli (E. coli). ETs of monocytes (METs) (DNA, global histone and citrullinated histones) were visualized by scanning electron microscopy (SEM) and immunofluorescence analyses. Progressive motility was performed at 0, 10, 30, 60, and 180 min after co-incubation with CASA system. SEM- and immunofluorescence-analyses revealed human spermatozoa alone or in the presence of E. coli as strong inducers METs. In aseptic model, the motility decreased to 65.2 ± 3.5% at 10 min of incubation and 29.3 ± 3.3% at 30 min (p < 0.001). In septic model, motility decreased to 44.5 ± 5.9% (10 min) and 12.7 ± 2.2% (30 min) (p < 0.001). MET-derived small spermatozoa aggregations were observed in both models. METs might physically block spermatozoa and decrease motility after a brief contact. This may impair male fertility, especially in patients with genital tract infections or chronic inflammation. Abbreviations: PMN: polymorphonuclear; ETs: extracellular traps; E. coli: Escherichia coli; METs: ETs of monocytes; SEM: scanning electron microscopy; NE: neutrophil elastase; MPO: myeloperoxidase; MAGI: male accessory gland infection; PBMC: peripheral blood mononuclear cells; RT: room temperature; CFU: colony forming units; CASA: computer-aided sperm analysis; H4Cit3: histone H4 citrullinated 3.
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Affiliation(s)
- Mabel Schulz
- Laboratory of Reproductive Medicine and Molecular Endocrinology, Center for Translational Medicine (CEMT-BIOREN), Faculty of Medicine, Universidad de La Frontera , Temuco , Chile.,Doctoral Program in Morphological Sciences, Faculty of Medicine, Universidad de La Frontera , Temuco , Chile.,Institute of Parasitology, Biomedical Research Center Seltersberg (BFS), Justus Liebig University Giessen , Giessen , Germany
| | - Fabiola Zambrano
- Laboratory of Reproductive Medicine and Molecular Endocrinology, Center for Translational Medicine (CEMT-BIOREN), Faculty of Medicine, Universidad de La Frontera , Temuco , Chile.,Department of Preclinical Science, Faculty of Medicine, Universidad de La Frontera , Temuco , Chile
| | - Hans-Christian Schuppe
- Department of Urology, Pediatric Urology and Andrology, Justus Liebig University Giessen , Giessen , Germany
| | - Florian Wagenlehner
- Department of Urology, Pediatric Urology and Andrology, Justus Liebig University Giessen , Giessen , Germany
| | - Anja Taubert
- Institute of Parasitology, Biomedical Research Center Seltersberg (BFS), Justus Liebig University Giessen , Giessen , Germany
| | - Ulrich Gaertner
- Institute of Anatomy and Cell Biology, Justus Liebig University Giessen , Giessen , Germany
| | - Rául Sánchez
- Laboratory of Reproductive Medicine and Molecular Endocrinology, Center for Translational Medicine (CEMT-BIOREN), Faculty of Medicine, Universidad de La Frontera , Temuco , Chile.,Department of Preclinical Science, Faculty of Medicine, Universidad de La Frontera , Temuco , Chile
| | - Carlos Hermosilla
- Institute of Parasitology, Biomedical Research Center Seltersberg (BFS), Justus Liebig University Giessen , Giessen , Germany
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Homa ST, Vassiliou AM, Stone J, Killeen AP, Dawkins A, Xie J, Gould F, Ramsay JWA. A Comparison Between Two Assays for Measuring Seminal Oxidative Stress and their Relationship with Sperm DNA Fragmentation and Semen Parameters. Genes (Basel) 2019; 10:E236. [PMID: 30893955 PMCID: PMC6471935 DOI: 10.3390/genes10030236] [Citation(s) in RCA: 68] [Impact Index Per Article: 13.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2019] [Revised: 03/08/2019] [Accepted: 03/11/2019] [Indexed: 01/07/2023] Open
Abstract
Oxidative stress (OS) is a significant cause of DNA fragmentation and is associated with poor embryo development and recurrent miscarriage. The aim of this study was to compare two different methods for assessing seminal OS and their ability to predict sperm DNA fragmentation and abnormal semen parameters. Semen samples were collected from 520 men attending for routine diagnostic testing following informed consent. Oxidative stress was assessed using either a chemiluminescence assay to measure reactive oxygen species (ROS) or an electrochemical assay to measure oxidation reduction potential (sORP). Sperm DNA fragmentation (DFI) and sperm with immature chromatin (HDS) were assessed using sperm chromatin structure assay (SCSA). Semen analysis was performed according to WHO 2010 guidelines. Reactive oxygen species sORP and DFI are negatively correlated with sperm motility (p = 0.0012, 0.0002, <0.0001 respectively) and vitality (p < 0.0001, 0.019, <0.0001 respectively). The correlation was stronger for sORP than ROS. Reactive oxygen species (p < 0.0001), sORP (p < 0.0001), DFI (p < 0.0089) and HDS (p < 0.0001) were significantly elevated in samples with abnormal semen parameters, compared to those with normal parameters. Samples with polymorphonuclear leukocytes (PMN) have excessive ROS levels compared to those without (p < 0.0001), but sORP and DFI in this group are not significantly increased. DNA fragmentation was significantly elevated in samples with OS measured by ROS (p = 0.0052) or sORP (p = 0.004). The results demonstrate the multi-dimensional nature of oxidative stress and that neither assay can be used alone in the diagnosis of OS, especially in cases of leukocytospermia.
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Affiliation(s)
- Sheryl T Homa
- Department of Biosciences, University of Kent, Canterbury CT2 7NJ, UK.
- Department of Andrology, The Doctors Laboratory, London W1G 9RT, UK.
| | - Anna M Vassiliou
- Department of Biosciences, University of Kent, Canterbury CT2 7NJ, UK.
- Department of Andrology, The Doctors Laboratory, London W1G 9RT, UK.
| | - Jesse Stone
- Department of Biosciences, University of Kent, Canterbury CT2 7NJ, UK.
| | - Aideen P Killeen
- Department of Andrology, The Doctors Laboratory, London W1G 9RT, UK.
| | - Andrew Dawkins
- Department of Andrology, The Doctors Laboratory, London W1G 9RT, UK.
| | - Jingyi Xie
- Department of Andrology, The Doctors Laboratory, London W1G 9RT, UK.
| | - Farley Gould
- Department of Andrology, The Doctors Laboratory, London W1G 9RT, UK.
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53
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Abstract
Current evidence links oxidative stress (OS) to male infertility, reduced sperm motility, sperm DNA damage and increased risk of recurrent abortions and genetic diseases. A review of PubMed, Medline, Google Scholar, and Cochrane review databases of published articles from years 2000–2018 was performed focusing on physiological and pathological consequences of reactive oxygen species (ROS), sperm DNA damage, OS tests, and the association between OS and male infertility, pregnancy and assisted reproductive techniques outcomes. Generation of ROS is essential for reproductive function, but OS is detrimental to fertility, pregnancy, and genetic status of the newborns. Further, there is a lack of consensus on selecting OS test, type, and duration of antioxidants treatment as well as on the target patients group. Developing advanced diagnostic and therapeutic options for OS is essential to improve fertility potential and limit genetic diseases transmitted to offspring.
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Affiliation(s)
- Ahmed T Alahmar
- Department of Pathological Analysis, College of Science, University of Sumer, Thi-Qar, Iraq
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54
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Brunner RJ, Demeter JH, Sindhwani P. Review of Guidelines for the Evaluation and Treatment of Leukocytospermia in Male Infertility. World J Mens Health 2018; 37:128-137. [PMID: 30644236 PMCID: PMC6479086 DOI: 10.5534/wjmh.180078] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2018] [Revised: 11/20/2018] [Accepted: 12/05/2018] [Indexed: 11/15/2022] Open
Abstract
Leukocytospermia is an ill-defined and poorly understood condition affecting up to 30% of male factor infertility. Current guidelines on leukocytospermia vary significantly, although it has been linked to increased rates of infertility, uncertainty about its clinical significance, diagnosis, and treatment remains. The guidelines are conflicting with sparse data scattered across different specialties and continents. This study aims to compare and contrast available international guidelines and recommendations. In addition to these guidelines, we sought to consolidate the findings of trials over the last several decades. English language articles on human observational studies, retrospective, prospective, clinical trials and randomized control trials were searched for using the following terms: "leukocytospermia, pyospermia, and male infertility." Articles about treatment and management of leukocytospermia that were published between January 2010 and April 2018 were included, as well as four articles referenced in best practice and guideline statements from urological and andrological associations. Disagreements on this topic are highlighted as some guidelines describe no correlation between leukocytospermia and infertility while others show that treatment leads to improvement of sperm quality by many measures including improved pregnancy rate. Various treatments have been suggested including antibiotics, anti-inflammatory medications, and frequent ejaculation. There is a need for definitive characterization of Leukocytospermia as an infectious or inflammatory marker and a re-evaluation of the leukocyte concentration threshold. Additional studies investigating rates of conception as a measure of outcome are needed, to provide greater level of evidence and generalizability of leukocytopsermia management.
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Affiliation(s)
- Robert J Brunner
- College of Medicine and Life Sciences, University of Toledo, Toledo, OH, USA
| | - Jonathan H Demeter
- Department of Urology, College of Medicine and Life Sciences, University of Toledo, Toledo, OH, USA.
| | - Puneet Sindhwani
- Department of Urology, College of Medicine and Life Sciences, University of Toledo, Toledo, OH, USA
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55
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Haidl G, Haidl F, Allam JP, Schuppe HC. Therapeutic options in male genital tract inflammation. Andrologia 2018; 51:e13207. [DOI: 10.1111/and.13207] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2018] [Revised: 09/25/2018] [Accepted: 10/15/2018] [Indexed: 12/21/2022] Open
Affiliation(s)
- Gerhard Haidl
- Andrology Unit, Department of Dermatology and Allergy; University Hospital Bonn; Bonn Germany
| | - Friederike Haidl
- Department of Urology; University Hospital Cologne; Cologne Germany
| | - Jean-Pierre Allam
- Andrology Unit, Department of Dermatology and Allergy; University Hospital Bonn; Bonn Germany
| | - Hans-Christian Schuppe
- Department of Urology, Pediatric Urology and Andrology; Justus Liebig University; Giessen Germany
- Hessian Centre of Reproductive Medicine; Justus Liebig University; Giessen Germany
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56
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Li Q, Shaoyong W, Li Y, Chen M, Hu Y, Liu B, Yang G, Hu J. Effects of oligomeric proanthocyanidins on quality of boar semen during liquid preservation at 17 °C. Anim Reprod Sci 2018; 198:47-56. [PMID: 30219380 DOI: 10.1016/j.anireprosci.2018.08.047] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2018] [Revised: 08/15/2018] [Accepted: 08/30/2018] [Indexed: 12/14/2022]
Abstract
The use of antioxidants is an important aspect in the preservation of boar semen. Oligomeric proanthocyanidins (OPC) are an effective natural antioxidants that scavenges free radicals and reactive oxygen species (ROS). This study was designed to investigate the antioxidative effect of OPC on boar semen quality during liquid preservation at 17 °C. The effects of different concentrations of OPC on sperm quality variables, antioxidant effects and fertility were analyzed in this experiment. Semen collected from six Guanzhong-Black boars and was diluted with Beltsville thawing solution (BTS). During the process of liquid preservation at 17 °C, the variables assessed were measured and analyzed every 24 h. The addition of OPC improved boar sperm motility, acrosome integrity, membrane integrity, and mitochondrial membrane potential as compared with that of the control group (P < 0.05). Meanwhile, malondialdehyde content (MDA) and ROS content was less after adding OPC, thereby improving the total antioxidant capacity (T-AOC) (P < 0.05). Different concentrations of OPC have different degrees of protective effects on boar semen quality. The results indicate that 50 μg/mL of OPC was the optimum concentration, and that the conception rate, litter size, and survival rate increased at this concentration as compared with that of the control group (P < 0.05). In summary, the addition of OPC to BTS diluents can improve the quality of boar semen at 17 °C during liquid preservation. Further research is needed to understand the mechanism by which OPC provides protection to boar semen during preservation in vitro.
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Affiliation(s)
- Qian Li
- Collage of Animal Science and Technology, Northwest A&F University, 712100, Yangling, Shaanxi, PR China
| | - Weike Shaoyong
- Collage of Animal Science and Technology, Northwest A&F University, 712100, Yangling, Shaanxi, PR China
| | - Yu Li
- Collage of Animal Science and Technology, Northwest A&F University, 712100, Yangling, Shaanxi, PR China
| | - Meijie Chen
- Collage of Animal Science and Technology, Northwest A&F University, 712100, Yangling, Shaanxi, PR China
| | - YaMei Hu
- Collage of Animal Science and Technology, Northwest A&F University, 712100, Yangling, Shaanxi, PR China
| | - Bin Liu
- Collage of Animal Science and Technology, Northwest A&F University, 712100, Yangling, Shaanxi, PR China.
| | - GongShe Yang
- Collage of Animal Science and Technology, Northwest A&F University, 712100, Yangling, Shaanxi, PR China
| | - JianHong Hu
- Collage of Animal Science and Technology, Northwest A&F University, 712100, Yangling, Shaanxi, PR China.
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57
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Grande G, Milardi D, Baroni S, Luca G, Pontecorvi A. Identification of seminal markers of male accessory gland inflammation: From molecules to proteome. Am J Reprod Immunol 2018; 80:e12992. [DOI: 10.1111/aji.12992] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2018] [Accepted: 05/16/2018] [Indexed: 12/11/2022] Open
Affiliation(s)
- Giuseppe Grande
- International Scientific Institute “Paul VI”; Rome Italy
- Division of Endocrinology and Metabolic Diseases; Fondazione Policlinico Universitario “A. Gemelli”; Rome Italy
| | - Domenico Milardi
- International Scientific Institute “Paul VI”; Rome Italy
- Division of Endocrinology and Metabolic Diseases; Fondazione Policlinico Universitario “A. Gemelli”; Rome Italy
| | - Silvia Baroni
- Institute of Biochemistry and Clinical Biochemistry; Catholic University; Rome Italy
| | - Giovanni Luca
- Department of Experimental Medicine; University of Perugia; Perugia Italy
| | - Alfredo Pontecorvi
- Division of Endocrinology and Metabolic Diseases; Fondazione Policlinico Universitario “A. Gemelli”; Rome Italy
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58
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de Villiers C. A comparison between the semen and sperm parameters from the captive-bred Vervet monkey (Chlorocebus aethiops) and Rhesus monkey (Macaca mulatta). J Med Primatol 2018; 47:211-216. [PMID: 29693257 DOI: 10.1111/jmp.12349] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/22/2018] [Indexed: 11/29/2022]
Abstract
BACKGROUND It is generally accepted that non-human primates (NHP) represent the model of choice for integrative studies of testicular function and endocrine control. However, there are many species-specific differences that necessitate identification prior to the selection of an appropriate model for these studies. In an NHP breeding facility, this opportunity of selection is usually presented during breeding periods when it is crucial to determine which individuals should be maintained as breeders. With reference to adult males and their use in breeding programs and reproductive studies, it is therefore imperative to document the normal semen and sperm values, expected seasonal changes and the variabilities found within samples and among individuals. The comparison of closely related species that differ by breeding seasonality will, therefore, highlight their value in reproductive research. METHODS Semen samples were obtained by rectal probe electroejaculation (RPE). The seminal and sperm characteristics of captive-bred Vervet monkeys (Chlorocebus aethiops) (n = 10) and Rhesus monkeys (Macaca mulatta) (n = 10) were evaluated and compared. Parameters such as semen volume, pH, sperm concentration, and sperm motility were analyzed by means of a computer-aided sperm analysis (CASA) system. RESULTS Large variations in semen and sperm parameter values indicated differences between species and samples. Monthly variations were observed for the Vervet regardless of breeding and conceptions that occurred throughout the year. In contrast, Rhesus seminal characteristics indicated a clear seasonal trend. CONCLUSION Non-human primates have long provided as research models for studying complexities of human reproductive biology. The baseline values reported from this study can be applied as guidelines during the selection of male individuals for reproductive studies. Of further interest is the comparative data on semen and sperm parameters between two congeneric species that differ by seasonal versus aseasonal breeding.
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Affiliation(s)
- Charon de Villiers
- PUDAC-Delft Animal Facility, South African Medical Research Council, Cape Town, South Africa
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59
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Cho CL, Agarwal A. Role of sperm DNA fragmentation in male factor infertility: A systematic review. Arab J Urol 2018; 16:21-34. [PMID: 29713533 PMCID: PMC5922225 DOI: 10.1016/j.aju.2017.11.002] [Citation(s) in RCA: 72] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2017] [Accepted: 11/07/2017] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE To summarise the latest evidence on the role of sperm DNA fragmentation (SDF) in male factor infertility, as SDF has been emerging as a valuable tool for male infertility evaluation. METHODS A search of PubMed was conducted using the keywords 'sperm DNA fragmentation' and 'male infertility'. Studies in languages other than English were excluded. All identified studies were screened and clinical studies in humans were included. RESULTS In all, 150 articles were included for analysis. Current evidence supports the association between high SDF and poor reproductive outcomes for natural conception and intrauterine insemination. Although the relationship between high SDF and in vitro fertilisation and intracytoplasmic sperm injection is less clear, the negative implication of high SDF on pregnancy loss is evident. Various treatment strategies have been attempted with varying success. The predictive value of SDF testing on outcomes of natural pregnancy and assisted reproduction illustrates its value in clinical practice. CONCLUSION The significant role of SDF in male factor infertility is supported by current evidence. The beneficial role of SDF testing in selection of varicocelectomy candidates, evaluation of patients with unexplained infertility and recurrent pregnancy loss, selection of the most appropriate assisted reproductive technique with highest success rate for infertile couples, and assessment of infertile men with modifiable lifestyle factors or gonadotoxin exposure has been recently proposed.
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Key Words
- ART, assisted reproductive technology
- ASRM, American Society for Reproductive Medicine
- Assisted reproductive technology (ART)
- Comet, single cell gel electrophoresis assay
- EAU, European Association of Urology
- ICSI, intracytoplasmic sperm injection
- IMSI, intracytoplasmic morphologically selected sperm injection
- IUI, intrauterine insemination
- IVF, in vitro fertilisation
- MACS, magnetic cell sorting
- Male infertility
- OR, odds ratio
- PICSI, physiological ICSI with hyaluronic acid binding assay
- ROS, reactive oxygen species
- RR, relative risk
- SCD, sperm chromatin dispersion
- SCSA, sperm chromatin structure assay
- SDF, sperm DNA fragmentation
- Sperm DNA fragmentation (SDF)
- TUNEL, terminal deoxynucleotidyl transferase dUTP nick end labelling
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Affiliation(s)
- Chak-Lam Cho
- Division of Urology, Department of Surgery, Kwong Wah Hospital, Yaumatei, Hong Kong
| | - Ashok Agarwal
- American Center for Reproductive Medicine, Cleveland Clinic, Cleveland, OH, USA
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60
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Spermatozoal Fractalkine Signaling Pathway Is Upregulated in Subclinical Varicocele Patients with Normal Seminogram and Low-Level Leucospermia. Adv Urol 2017. [PMID: 29527225 PMCID: PMC5816887 DOI: 10.1155/2017/5674237] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
Background Fractalkine is produced in seminal plasma in small amounts and correlates with sperm motility. Purpose To investigate the possible effect of low-level leucospermia on spermatozoa oxidative stress and sDNA fragmentation in patients with subclinical varicocele and apparently normal seminogram, and also to study the role of spermatozoal fractalkine and its receptor (CX3CR1) gene expression as a marker of spermatozoa inflammatory response. Methods This study included 80 patients with subclinical varicocele (45 fertile and 35 infertile) and 45 age-matched fertile volunteers. In semen samples, fractalkine and CX3CR1 gene expression were investigated by qRT-PCR. Moreover, seminal plasma malondialdehyde (MDA) and total antioxidant capacity (TAC) were measured. Results There are significant decrease in semen quality and significant increase in seminal leucocytes count in subclinical varicocele. Our results show a significant increase in MDA and TAC levels, DNA fragmentation, and expression levels of fractalkine and its receptor (CX3CR1) in subclinical varicocele groups. Conclusion Subclinical varicocele induces seminal and spermatozoal subclinical inflammatory response in the form of low-level leucospermia and increased mRNA expression of the fractalkine signaling pathway, leading to increased spermatozoal ROS production, oxidative stress, and DNA fragmentation. These could cooperate in the pathogenesis of delayed fertility in males with subclinical varicocele.
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61
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Husna AU, Azam A, Qadeer S, Awan MA, Nasreen S, Shahzad Q, Fouladi-Nashta A, Khalid M, Akhter S. Sperm preparation through Sephadex ™ filtration improves in vitro fertilization rate of buffalo oocytes. Reprod Domest Anim 2017; 53:377-384. [PMID: 29239046 DOI: 10.1111/rda.13117] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2017] [Accepted: 10/02/2017] [Indexed: 12/01/2022]
Abstract
Routinely, swim-up method is used to separate high-quality sperm; however, long processing time and close cell-to-cell contact during the centrifugation step are inevitable elements of oxidative stress to sperm. The objective was to evaluate Sephadex™ and glass wool filtration to separate motile, intact and viable sperm for in vitro fertilization in buffalo. The cumulus-oocyte complexes (COCs) were collected from ovaries of slaughtered buffaloes by aspiration and matured for 24 hr in CO2 incubator at 38.5°C and 5% CO2 . Matured COCs were rinsed twice in fertilization TALP and placed in the pre-warmed fertilization medium without sperm. Cryopreserved buffalo semen was thawed at 37°C for 30 s and processed through Sephadex™ , glass wool filtration and swim-up (control). Total and motile sperm recovery rates were assessed, resuspended in fertilization TALP and incubated for 15-20 min in CO2 incubator. Samples prepared by each method were divided into two aliquots: one aliquot was studied for sperm quality (progressive motility, membrane integrity, viability, liveability), while the other was subjected to co-incubation with sets of 10-15 in vitro matured oocytes. Data on sperm quality were analysed by ANOVA, while in vitro fertilizing rates were compared by chi-squared test using SPSS-20. Least significant difference (LSD) test was used to compare treatment means. Glass wool filtration yielded higher total and motile sperm recovery rate, while Sephadex™ filtration improved (p < .05) sperm quality (progressive motility, membrane integrity, viability, liveability). Sperm preparation through Sephadex filtration yielded higher in vitro fertilization rate in terms of cleavage rate compared to glass wool filtration and swim-up (control). In conclusion, cryopreserved Nili-Ravi buffalo sperm selected through Sephadex filtration showed improved quality and yielded better fertilization rates (cleavage rate) of in vitro matured/fertilized oocytes. Sephadex filtration could be a promising technique for use in in vitro fertilization in buffalo.
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Affiliation(s)
- A U Husna
- Department of Zoology, Pir Mehr Ali Shah Arid Agriculture University Rawalpindi, Rawalpindi, Pakistan
| | - A Azam
- Department of Zoology, Pir Mehr Ali Shah Arid Agriculture University Rawalpindi, Rawalpindi, Pakistan
| | - S Qadeer
- Department of Biological Sciences, University of Sargodha-Mianwali Campus-Mianwali, Mianwali, Pakistan
| | - M A Awan
- Department of Zoology, Pir Mehr Ali Shah Arid Agriculture University Rawalpindi, Rawalpindi, Pakistan
| | - S Nasreen
- Department of Zoology, Pir Mehr Ali Shah Arid Agriculture University Rawalpindi, Rawalpindi, Pakistan
| | - Q Shahzad
- Buffalo Research Institute, Pattoki, District Kasur, Pakistan
| | - A Fouladi-Nashta
- The Royal Veterinary College, North Mymms Hatfield, Hertfordshire, UK
| | - M Khalid
- The Royal Veterinary College, North Mymms Hatfield, Hertfordshire, UK
| | - S Akhter
- Department of Zoology, Pir Mehr Ali Shah Arid Agriculture University Rawalpindi, Rawalpindi, Pakistan
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62
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Agarwal A, Henkel R, Sharma R, Tadros NN, Sabanegh E. Determination of seminal oxidation-reduction potential (ORP) as an easy and cost-effective clinical marker of male infertility. Andrologia 2017; 50. [DOI: 10.1111/and.12914] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/21/2017] [Indexed: 01/12/2023] Open
Affiliation(s)
- A. Agarwal
- American Centre for Reproductive Medicine; Cleveland Clinic; Cleveland OH USA
| | - R. Henkel
- Department of Medical Bioscience; University of the Western Cape; Bellville South Africa
| | - R. Sharma
- American Centre for Reproductive Medicine; Cleveland Clinic; Cleveland OH USA
| | - N. N. Tadros
- Division of Urology; Southern Illinois University; Springfield IL
| | - E. Sabanegh
- Department of Urology; Cleveland Clinic; Cleveland OH USA
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63
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Agarwal A, Cho CL, Esteves SC, Majzoub A. The price and value of sperm DNA fragmentation tests. Transl Androl Urol 2017; 6:S597-S599. [PMID: 29082956 PMCID: PMC5643646 DOI: 10.21037/tau.2017.06.08] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Affiliation(s)
- Ashok Agarwal
- American Center for Reproductive Medicine, Cleveland Clinic, Cleveland, OH, USA
| | - Chak-Lam Cho
- Division of Urology, Department of Surgery, Kwong Wah Hospital, Hong Kong, China
| | - Sandro C Esteves
- ANDROFERT, Andrology and Human Reproduction Clinic, Referral Center for Male Reproduction, Campinas, SP, Brazil
| | - Ahmad Majzoub
- Department of Urology, Hamad Medical Corporation, Doha, Qatar
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64
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Agarwal A, Cho CL, Esteves SC, Majzoub A. Reactive oxygen species and sperm DNA fragmentation. Transl Androl Urol 2017; 6:S695-S696. [PMID: 29082952 PMCID: PMC5643645 DOI: 10.21037/tau.2017.05.40] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Affiliation(s)
- Ashok Agarwal
- American Center for Reproductive Medicine, Cleveland Clinic, Cleveland, OH, USA
| | - Chak-Lam Cho
- Division of Urology, Department of Surgery, Kwong Wah Hospital, Hong Kong, China
| | - Sandro C Esteves
- ANDROFERT, Andrology and Human Reproduction Clinic, Referral Center for Male Reproduction, Campinas, Brazil
| | - Ahmad Majzoub
- Department of Urology, Hamad Medical Corporation, Doha, Qatar
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Esteves SC, Agarwal A, Cho CL, Majzoub A. A Strengths-Weaknesses-Opportunities-Threats (SWOT) analysis on the clinical utility of sperm DNA fragmentation testing in specific male infertility scenarios. Transl Androl Urol 2017; 6:S734-S760. [PMID: 29082207 PMCID: PMC5643602 DOI: 10.21037/tau.2017.08.20] [Citation(s) in RCA: 30] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
Abstract
Background Sperm DNA fragmentation (SDF) is recognized as a leading cause of male infertility because it can impair the paternal genome through distinct pathophysiological mechanisms. Current evidence supports SDF as a major factor in the pathophysiology of several conditions, including varicocele, unexplained infertility, assisted reproductive technology failure, and environmental lifestyle factors, although the mechanisms involved have not been fully described yet. Measurement of the levels of DNA fragmentation in semen provides valuable information on the integrity of paternal chromatin and may guide therapeutic strategies. A recently published clinical practice guideline (CPG) highlighted how to use the information provided by SDF testing in daily practice, which triggered a series of commentaries by leading infertility experts. These commentaries contained an abundance of information and conflicting views about the clinical utility of SDF testing, which underline the complex nature of SDF. Methods A search of papers published in response to the CPG entitled “Clinical utility of sperm DNA fragmentation testing: practice recommendations based on clinical scenarios” was performed within the Translational Andrology and Urology (TAU) website (http://tau.amegroups.com/). The start and end dates for the search were May 2017 and August 2017, respectively. Each commentary meeting our inclusion criteria was rated as “supportive without reservation”, “supportive with reservation”, “not supportive” or “neutral”. We recorded whether articles discussed either SDF characteristics as a laboratory test method or clinical scenarios, or both. Subsequently, we extracted the particulars from each commentary and utilized the ‘Strengths-Weaknesses-Opportunities-Threats’ (SWOT) analysis to understand the perceived advantages and drawbacks of SDF as a specialized sperm function method in clinical practice. Results Fifty-eight fertility experts from six continents and twenty-two countries contributed commentaries. Overall, participants (87.9%; n=51) were supportive of the recommendations provided by the CPG on the utility of SDF testing based on clinical scenarios. The majority of participants made explicit remarks about both the clinical scenarios and SDF assays’ characteristics. Among ‘not supportive’ and ‘supportive with reservation’ participants, 75% (n=30/40) and 77.5% (n=31/40) expressed concerns related to technical limitations of SDF testing methods and clinical utility of the test in one or more clinical scenarios discussed in the CPG, respectively. The SWOT analysis revealed that the CPG provides a reasonable evidence-based proposal for integration of SDF testing in the routine daily practice. It also uncovered gaps of knowledge and threats limiting the widespread application of SDF in everyday practice, thus allowing the identification of opportunities to further refine SDF testing and its clinical utility. Conclusions The understanding of the role of SDF in male infertility requires an in-depth analysis of the multifactorial pathophysiological processes and the theories involved. The SWOT analysis allowed an objective evaluation of CPG on the clinical utility of SDF testing based on clinical scenarios and its accompanying commentaries written by global experts in all possible angles. Implementation of SDF testing in the clinic may not only increase the outcome of ART but more importantly improve the health of both fathers to be and resulting offspring.
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Affiliation(s)
- Sandro C Esteves
- ANDROFERT, Andrology and Human Reproduction Clinic, Referral Center for Male Reproduction, Campinas, SP, Brazil.,Division of Urology, Department of Surgery, Universtity of Campinas (UNICAMP), SP, Brazil.,Faculty of Health, Department of Clinical Medicine, Aarhus University, Aarhus, Denmark
| | - Ashok Agarwal
- American Center for Reproductive Medicine, Cleveland Clinic, Cleveland, OH, USA
| | - Chak-Lam Cho
- Division of Urology, Department of Surgery, Kwong Wah Hospital, Hong Kong, China
| | - Ahmad Majzoub
- Department of Urology, Hamad Medical Corporation, Doha, Qatar
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Kolesnikova LI, Kurashova NA, Bairova TA, Dolgikh MI, Ershova OA, Natyaganova LV, Dashiev BG, Gutnik IN, Koroleva NV. Features of Lipoperoxidation, Antioxidant Defense, and Thiol/Disulfide System in the Pathogenesis of Infertility in Males, Carriers of Nonfunctional Variants of GSTT1 and GSTM1 Gene Polymorphisms. Bull Exp Biol Med 2017; 163:378-380. [DOI: 10.1007/s10517-017-3808-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2016] [Indexed: 10/19/2022]
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Costa F, Barbisan F, Assmann CE, Seehaber AD, Duarte MHMT, Duarte MMMF, Cruz IBMD. Influence of Val16Ala-SOD2 polymorphism on sperm quality parameters. HUM FERTIL 2017; 21:212-219. [PMID: 28658993 DOI: 10.1080/14647273.2017.1339916] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
The purpose of this study was to investigate the association between the Val16Ala superoxide dismutase manganese-dependent (SOD2) single nucleotide polymorphism (SNP) and sperm reproductive parameters in a sample of Brazilian men. A potential association between this polymorphism and some oxidative biochemical parameters as well as sperm plasma cell-free DNA (cfDNA) levels were also evaluated. The study was performed using semen samples obtained from male patients that had undergone semen analysis according to the 2010 World Health Organisation (WHO) recommendations and the Val16Ala-SOD2 SNP was genotyped by polymerase chain reaction (PCR). Oxidative parameters as well as cfDNA levels were spectrophotometrically and fluorimetrically determined. Statistical analysis included chi-square test, analysis of variance followed by Bonferroni post hoc test, as well as logistic regression multivariate analysis. Semen samples from 169 men (35.89 ± 7.33 years) were genotyped. The allelic frequencies were V= 0.485 (n = 97), A = 0.515 (n = 103), with statistically similar allelic frequencies to those of samples obtained from a general population: V = 0.509; A= 0.591. In general, AV samples presented lower numbers of sperm-altered parameters than homozygous sperm. Lipoperoxidation was higher in homozygous than heterozygous sperm samples. The results suggest that genetically caused S-HP imbalance could contribute to poor sperm quality and affect male fertility.
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Affiliation(s)
- Felipe Costa
- a Pharmacology Graduate Program , Federal University of Santa Maria (UFSM) , Santa Maria , RS , Brazil
| | - Fernanda Barbisan
- a Pharmacology Graduate Program , Federal University of Santa Maria (UFSM) , Santa Maria , RS , Brazil
| | - Charles Elias Assmann
- b Toxicological Biochemistry Graduate Program , Federal University of Santa Maria (UFSM) , Santa Maria , RS , Brazil
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Agarwal A, Majzoub A. Laboratory tests for oxidative stress. Indian J Urol 2017; 33:199-206. [PMID: 28717269 PMCID: PMC5508430 DOI: 10.4103/iju.iju_9_17] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2017] [Accepted: 04/29/2017] [Indexed: 12/31/2022] Open
Abstract
INTRODUCTION Oxidative stress (OS) is considered a significant contributor to male infertility. A number of laboratory techniques have been developed to evaluate oxidative stress in the semen. We review these tests and their current use. METHODS A literature review was performed utilizing the PubMed search engine for articles studying OS etiology and impact on male fertility, and the laboratory tests used in its assessment. RESULTS The state of OS results from exaggerated production of oxygen-derived free radicals, also known as reactive oxygen species, to an extent overwhelming the body's antioxidant defense mechanisms. Several laboratory tests have been utilized in OS measurement during male fertility evaluation. These tests are classified into direct assays which measure the degree of oxidation within a sperm cell and indirect assays which estimate the detrimental effects of OS. The chemiluminescence assay, flow cytometry, nitroblue tetrazolium assay, and cytochrome c reduction are examples of direct assays while the myeloperoxidase test and measurements of lipid peroxidation, oxidation-reduction potential, and total antioxidant capacity are examples of the indirect assays. CONCLUSION OS measurement is an important tool that may help in understanding the pathophysiology of male infertility and provide valuable information that would guide treatment decisions and patient follow-up.
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Affiliation(s)
- Ashok Agarwal
- Center for Reproductive Medicine, Cleveland Clinic, Cleveland, USA
| | - Ahmad Majzoub
- Department of Urology, Hamad Medical Corporation, Doha, Qatar
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69
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Dietrich MA, Irnazarow I, Ciereszko A. Proteomic identification of seminal plasma proteins related to the freezability of carp semen. J Proteomics 2017; 162:52-61. [DOI: 10.1016/j.jprot.2017.04.015] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2016] [Revised: 04/04/2017] [Accepted: 04/14/2017] [Indexed: 11/27/2022]
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Clinical Relevance of Oxidation-Reduction Potential in the Evaluation of Male Infertility. Urology 2017; 104:84-89. [DOI: 10.1016/j.urology.2017.02.016] [Citation(s) in RCA: 38] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2016] [Revised: 12/29/2016] [Accepted: 02/09/2017] [Indexed: 12/25/2022]
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Human sperm Toll-like receptor 4 (TLR4) mediates acrosome reaction, oxidative stress markers, and sperm parameters in response to bacterial lipopolysaccharide in infertile men. J Assist Reprod Genet 2017; 34:1067-1077. [PMID: 28550386 DOI: 10.1007/s10815-017-0957-8] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2016] [Accepted: 05/16/2017] [Indexed: 10/19/2022] Open
Abstract
PURPOSE To study the role of Toll-like receptor 4 (TLR4) in human spermatozoa and to assess sperm parameters, oxidative stress markers, and acrosome reaction in response to the stimulation of TLR4 by its ligand, the lipopolysaccharide (LPS), as a major endotoxin of Gram-negative bacteria. METHODS Our study was carried out in 73 sperm samples from patients undergoing semen analysis for couple infertility investigations. The studied patients were divided into three groups: normozoospermic fertile patients (n = 13), patients with abnormal and leukospermic semen (n = 13), and patients with abnormal and non-leukospermic semen (n = 47). TLR4 expression in human spermatozoa was initially analyzed by western blot. Sperm samples were incubated in the presence of LPS (200 ng/ml) for 18 h. Then, sperm motility and vitality were evaluated by microscopic observation and oxidative stress markers as malondialdehyde (MDA) and carbonyl groups (CG) were spectrophotometrically assessed in neat and selected sperm. A triple-stain technique was also performed to evaluate acrosome reaction in 15 sperm samples from infertile patients. RESULTS TLR4 expression was confirmed in human spermatozoa with a molecular weight of 69 kDa. In the normozoospermic group, no significant differences in sperm parameters and oxidative stress markers were shown after incubation with LPS in neat and selected sperms. Regarding samples from the non-leukospermic group, LPS reduced spermatozoa motility and vitality rates in selected sperm (P = 0.003; P = 0.004, respectively). A significant increase of MDA and CG levels was also detected (P = 0.01; P = 0.02, respectively). However, only the MDA levels were significantly increased (P = 0.01) in neat LPS-stimulated sperm. The same results were shown within the leukospermic group. The comparison between the two groups, leukospermic and non-leukospermic, in selected sperms showed a more important LPS effect in the leukospermic group significantly on motility and MDA rates (P = 0.006; P = 0.009, respectively). Furthermore, a significant decrease in reacted spermatozoa rate was detected in response to LPS in selected sperm samples from infertile men (P = 0.03). CONCLUSIONS These findings indicate that human spermatozoa express TLR4 and respond to LPS stimulation with alterations in viability, motility, and the acrosome reaction implicating reactive oxygen species (ROS) production in sperm samples from infertile patients.
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Schuppe HC, Pilatz A, Hossain H, Diemer T, Wagenlehner F, Weidner W. Urogenital Infection as a Risk Factor for Male Infertility. DEUTSCHES ARZTEBLATT INTERNATIONAL 2017; 114:339-346. [PMID: 28597829 PMCID: PMC5470348 DOI: 10.3238/arztebl.2017.0339] [Citation(s) in RCA: 65] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/13/2015] [Revised: 07/13/2015] [Accepted: 03/13/2017] [Indexed: 12/22/2022]
Abstract
BACKGROUND Infections of the genital tract are considered common causes of male fertility disorders, with a prevalence of 6-10%. Most of the affected men are asymptomatic. The diagnostic evaluation is based mainly on laboratory testing. Inconsistent diagnostic criteria have been applied to date, and this may explain the controversial debate about the role of infection and inflammation in the genital tract as a cause of infertility. The risk of an irreversible fertility disorder should not be underestimated. METHODS This review is based on pertinent publications retrieved by a selective literature search in PubMed, including guidelines from Germany and abroad and systematic review articles. RESULTS The main causes of inflammatory disease of the male genital tract are ascending sexually transmitted infections (STIs) and uropathogens. Chronic prostatitis has no more than a limited influence on ejaculate variables. By contrast, approximately 10% of men who have had acute epididymitis develop persistent azoospermia thereafter, and 30% have oligozoospermia. Obstruction of the excurrent ducts can ensue, as can post-infectious disturbances of spermatogenesis. The differential diagnostic evaluation includes the determination of testicular volumes, hormone concentrations, and ejaculate variables. Epidemiological data are lacking with regard to infertility after primary orchitis of infectious origin; however, up to 25% of testicular biopsies obtained from infertile men reveal focal inflammatory reactions. Multiple studies have suggested a deleterious effect of leukocytes and inflammatory mediators on sperm para - meters. On the other hand, the clinical significance of bacteriospermia remains unclear. CONCLUSION Any suspicion of an infectious or inflammatory disease in the male genital tract should prompt a systematic diagnostic evaluation and appropriate treatment. For patients with obstructive azoospermia, the etiology and site of the obstruction determine the surgical approach to be taken. In the near future, the elucidation of underlying pathophysiological mechanisms and the identification of suitable biomarkers may enable new strategies for conservative treatment.
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Affiliation(s)
- Hans-Christian Schuppe
- Department of Urology, Pediatric Urology and Andrology, Universitätsklinikum Gießen und Marburg GmbH – Site Gießen, Justus-Liebig University, Gießen, Germany
| | - Adrian Pilatz
- Department of Urology, Pediatric Urology and Andrology, Universitätsklinikum Gießen und Marburg GmbH – Site Gießen, Justus-Liebig University, Gießen, Germany
| | - Hamid Hossain
- Institute of Medical Microbiology, Universitätsklinikum Gießen und Marburg GmbH – Site Gießen, Justus-Liebig University, Gießen, Germany
| | - Thorsten Diemer
- Department of Urology, Pediatric Urology and Andrology, Universitätsklinikum Gießen und Marburg GmbH – Site Gießen, Justus-Liebig University, Gießen, Germany
| | - Florian Wagenlehner
- Department of Urology, Pediatric Urology and Andrology, Universitätsklinikum Gießen und Marburg GmbH – Site Gießen, Justus-Liebig University, Gießen, Germany
| | - Wolfgang Weidner
- Department of Urology, Pediatric Urology and Andrology, Universitätsklinikum Gießen und Marburg GmbH – Site Gießen, Justus-Liebig University, Gießen, Germany
- Institute of Medical Microbiology, Universitätsklinikum Gießen und Marburg GmbH – Site Gießen, Justus-Liebig University, Gießen, Germany
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Multi-centre assessment of nitroblue tetrazolium reactivity in human semen as a potential marker of oxidative stress. Reprod Biomed Online 2017; 34:513-521. [DOI: 10.1016/j.rbmo.2017.01.014] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2016] [Revised: 01/26/2017] [Accepted: 01/27/2017] [Indexed: 01/09/2023]
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Agarwal A, Majzoub A. Role of Antioxidants in Assisted Reproductive Techniques. World J Mens Health 2017; 35:77-93. [PMID: 28497913 PMCID: PMC5583374 DOI: 10.5534/wjmh.2017.35.2.77] [Citation(s) in RCA: 54] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2017] [Revised: 03/29/2017] [Accepted: 04/10/2017] [Indexed: 11/24/2022] Open
Abstract
Oxidative stress (OS) has been recognized as a significant cause of suboptimal assisted reproductive outcome. Many of the sperm preparation and manipulation procedures that are necessary in the in vitro environment can result in excessive production of reactive oxygen species (ROS) thereby exposing the gametes and growing embryos to significant oxidative damage. Antioxidants have long been utilized in the management of male subfertility as they can counterbalance the elevated levels of ROS inducing a high state of OS. Few studies have looked into the clinical effectiveness of antioxidants in patients undergoing assisted reproduction. While an overall favorable outcome has been perceived, the specific clinical indication and optimal antioxidant regimen remain unknown. The goal of our review is to explore the sources of ROS in the in vitro environment and provide a clinical scenario-based approach to identify the circumstances where antioxidant supplementation is most beneficial to enhance the outcome of assisted reproduction.
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Affiliation(s)
- Ashok Agarwal
- American Center for Reproductive Medicine and the Department of Urology, Cleveland Clinic, Cleveland, OH, USA.
| | - Ahmad Majzoub
- Department of Urology, Hamad Medical Hospital, Doha, Qatar
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75
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Kuželová L, Vašíček J, Rafay J, Chrenek P. Detection of macrophages in rabbit semen and their relationship with semen quality. Theriogenology 2017; 97:148-153. [PMID: 28583598 DOI: 10.1016/j.theriogenology.2017.04.032] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2016] [Revised: 04/19/2017] [Accepted: 04/22/2017] [Indexed: 11/27/2022]
Abstract
We aimed at the evaluating the occurrence of macrophages in rabbit semen and finding possible relationship between macrophage concentration and spermatozoa quality. The concentration of macrophages in semen samples from broiler rabbit males of lines M91 and P91 (n = 30) without overt evidence of genital tract infections was determined using monocyte/macrophage lineage antigen CD14 and flow cytometry. Then the rabbits were assigned into three groups according to the macrophage concentration in semen (MΦ1 group with less than 1 × 106 macrophages/mL, MΦ2 group with 1.5-3.5 × 106 macrophages/mL and MΦ3 group with more than 8 × 106 macrophages/mL). Spermatozoa viability parameters such as occurrence of apoptotic (Yo-Pro-1) and dead/necrotic (propidium iodide) spermatozoa and plasma membrane integrity (PNA-Fluos) were evaluated using flow cytometry. Sperm motility parameters were determined by CASA (Computer Assisted Semen Analysis). Ultrastructural detection of macrophages was performed using transmission electron microscopy. Spermatozoa fertility potential was examined after intravaginal artificial insemination of rabbit doses. Significantly higher proportions of the apoptotic and necrotic spermatozoa and spermatozoa with lower plasma membrane integrity were revealed in the MΦ3 group compared to MΦ1 and MΦ2 groups. The percentage value of total motility and progressive movement was significantly highest in the MΦ1 group, whilst lowest in the MΦ3 group. The conception rate and the kindling rate were significantly decreased in the group with the highest macrophage concentration (MΦ3). Based on our results we can conclude that the abundance of seminal macrophages in the rabbit semen may be closely associated with poor spermatozoa quality.
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Affiliation(s)
- Lenka Kuželová
- AgroBioTech Research Centre, Slovak University of Agriculture, Tr. A. Hlinku 2, 949 76, Nitra, Slovak Republic.
| | - Jaromír Vašíček
- AgroBioTech Research Centre, Slovak University of Agriculture, Tr. A. Hlinku 2, 949 76, Nitra, Slovak Republic; Institute of Farm Animal Genetics and Reproduction, Research Institute for Animal Production in Nitra, National Agricultural and Food Centre, Lužianky, Slovak Republic.
| | - Ján Rafay
- University of Ss. Cyril and Methodius, Nám. J. Herdu 2, 917 01, Trnava, Slovak Republic.
| | - Peter Chrenek
- Institute of Farm Animal Genetics and Reproduction, Research Institute for Animal Production in Nitra, National Agricultural and Food Centre, Lužianky, Slovak Republic; Department of Biochemistry and Biotechnology, Faculty of Biotechnology and Food Science, Slovak University of Agriculture, Tr. A. Hlinku 2, 949 01, Nitra, Slovak Republic.
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Pullar JM, Carr AC, Bozonet SM, Rosengrave P, Kettle AJ, Vissers MCM. Elevated seminal plasma myeloperoxidase is associated with a decreased sperm concentration in young men. Andrology 2017; 5:431-438. [DOI: 10.1111/andr.12327] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2016] [Revised: 11/20/2016] [Accepted: 12/20/2016] [Indexed: 12/11/2022]
Affiliation(s)
- J. M. Pullar
- Centre for Free Radical Research; Department of Pathology; University of Otago, Christchurch; Christchurch New Zealand
| | - A. C. Carr
- Centre for Free Radical Research; Department of Pathology; University of Otago, Christchurch; Christchurch New Zealand
| | - S. M. Bozonet
- Centre for Free Radical Research; Department of Pathology; University of Otago, Christchurch; Christchurch New Zealand
| | - P. Rosengrave
- Allan Wilson Centre for Molecular Ecology and Evolution; Department of Anatomy; University of Otago; Dunedin New Zealand
| | - A. J. Kettle
- Centre for Free Radical Research; Department of Pathology; University of Otago, Christchurch; Christchurch New Zealand
| | - M. C. M. Vissers
- Centre for Free Radical Research; Department of Pathology; University of Otago, Christchurch; Christchurch New Zealand
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Supplementation of sperm media with zinc, D-aspartate and co-enzyme Q10 protects bull sperm against exogenous oxidative stress and improves their ability to support embryo development. ZYGOTE 2017; 25:168-175. [DOI: 10.1017/s0967199416000459] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
SummaryHigh levels of reactive oxygen species in the semen of infertile patients or spontaneously generated during in vitro sperm handling may impair sperm quality, fertilization and embryo developmental competence. We recently reported that zinc, d-aspartate and co-enzyme Q10, contained in the dietary supplement Genadis® (Merck Serono), have protective effects on human and bull sperm motility, lipid peroxidation and DNA fragmentation in vitro; furthermore, in bovine, treated spermatozoa had an improved ability to support embryo development. However, only a few studies have investigated the protective role of antioxidants during in vitro sperm handling in the presence of an exogenous oxidative stress. Herein, to simulate such conditions in an animal model, we induced exogenous oxidative stress on spermatozoa through the xanthine–xanthine oxidase system and investigated its effects on sperm function and subsequent embryo developmental competence in the presence of zinc, d-Asp and CoQ10 protection. The main results showed that exogenous oxidative stress decreased sperm motility, increased sperm DNA fragmentation, and reduced fertilization and blastocyst rates and quality. Pre-treatment with zinc, d-aspartate and co-enzyme Q10 before exogenous oxidative stress was able to prevent these effects. Supplementation of sperm culture media with zinc, d-aspartate and co-enzyme Q10 could protect sperm from oxidative stress damage during in vitro handling in assisted reproductive technologies.
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Abstract
The genetic bases and molecular mechanisms involved in the assembly and function of the flagellum components as well as in the regulation of the flagellar movement are not fully understood, especially in humans. There are several causes for sperm immotility, of which some can be avoided and corrected, whereas other are related to genetic defects and deserve full investigation to give a diagnosis to patients. This review was performed after an extensive literature search on the online databases PubMed, ScienceDirect, and Web of Science. Here, we review the involvement of regulatory pathways responsible for sperm motility, indicating possible causes for sperm immotility. These included the calcium pathway, the cAMP-dependent protein kinase pathway, the importance of kinases and phosphatases, the function of reactive oxygen species, and how the regulation of cell volume and osmolarity are also fundamental components. We then discuss main gene defects associated with specific morphological abnormalities. Finally, we slightly discuss some preventive and treatments approaches to avoid development of conditions that are associated with unspecified sperm immotility. We believe that in the near future, with the development of more powerful techniques, the genetic causes of sperm immotility and the regulatory mechanisms of sperm motility will be better understand, thus enabling to perform a full diagnosis and uncover new therapies.
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Affiliation(s)
- Rute Pereira
- Department of Microscopy, Laboratory of Cell Biology, Institute of Biomedical Sciences Abel Salazar, University of Porto (ICBAS-UP), Rua Jorge Viterbo Ferreira, 228, 4050-313 Porto, Portugal and Multidisciplinary Unit for Biomedical Research-UMIB, ICBAS-UP, Portugal
| | - Rosália Sá
- Department of Microscopy, Laboratory of Cell Biology, Institute of Biomedical Sciences Abel Salazar, University of Porto (ICBAS-UP), Rua Jorge Viterbo Ferreira, 228, 4050-313 Porto, Portugal and Multidisciplinary Unit for Biomedical Research-UMIB, ICBAS-UP, Portugal
| | - Alberto Barros
- Centre for Reproductive Genetics Alberto Barros, Av. do Bessa, 240, 1° Dto. Frente, 4100-012 Porto, Portugal.,Department of Genetics, Faculty of Medicine, University of Porto. Alameda Prof. Hernâni Monteiro, 4200-319 Porto, Portugal and Institute of Health Research an Innovation (I3S), University of Porto, Portugal
| | - Mário Sousa
- Department of Microscopy, Laboratory of Cell Biology, Institute of Biomedical Sciences Abel Salazar, University of Porto (ICBAS-UP), Rua Jorge Viterbo Ferreira, 228, 4050-313 Porto, Portugal and Multidisciplinary Unit for Biomedical Research-UMIB, ICBAS-UP, Portugal
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Milardi D, Luca G, Grande G, Ghezzi M, Caretta N, Brusco G, De Filpo G, Marana R, Pontecorvi A, Calafiore R, Foresta C, Garolla A. Prednisone treatment in infertile patients with oligozoospermia and accessory gland inflammatory alterations. Andrology 2017; 5:268-273. [DOI: 10.1111/andr.12300] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2016] [Revised: 09/02/2016] [Accepted: 09/26/2016] [Indexed: 02/02/2023]
Affiliation(s)
- D. Milardi
- International Scientific Institute ‘Paul VI’; Catholic University; Rome Italy
| | - G. Luca
- Department of Experimental Medicine; University of Perugia; Perugia Italy
| | - G. Grande
- International Scientific Institute ‘Paul VI’; Catholic University; Rome Italy
| | - M. Ghezzi
- Department of Medicine, Andrology and Reproductive Unit; University of Padova; Padova Italy
| | - N. Caretta
- Department of Medicine, Andrology and Reproductive Unit; University of Padova; Padova Italy
| | - G. Brusco
- Unit of Diagnosis and Treatment of Human Reproduction University of Perugia; Perugia Italy
| | - G. De Filpo
- Department of Experimental Medicine; University of Perugia; Perugia Italy
| | - R. Marana
- International Scientific Institute ‘Paul VI’; Catholic University; Rome Italy
| | - A. Pontecorvi
- Division of Endocrinology; Catholic University; Rome Italy
| | - R. Calafiore
- Department of Medicine; University of Perugia; Perugia Italy
| | - C. Foresta
- Department of Medicine, Andrology and Reproductive Unit; University of Padova; Padova Italy
| | - A. Garolla
- Department of Medicine, Andrology and Reproductive Unit; University of Padova; Padova Italy
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Marchlewska K, Filipiak E, Walczak-Jedrzejowska R, Oszukowska E, Sobkiewicz S, Wojt M, Chmiel J, Kula K, Slowikowska-Hilczer J. Sperm DNA Fragmentation Index and Hyaluronan Binding Ability in Men from Infertile Couples and Men with Testicular Germ Cell Tumor. BIOMED RESEARCH INTERNATIONAL 2016; 2016:7893961. [PMID: 27999814 PMCID: PMC5143696 DOI: 10.1155/2016/7893961] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/05/2016] [Accepted: 10/26/2016] [Indexed: 12/23/2022]
Abstract
Objective. To investigate sperm DNA fragmentation and sperm functional maturity in men from infertile couples (IC) and men with testicular germ cell tumor (TGCT). Materials and Methods. Semen samples were collected from 312 IC men and 23 men with TGCT before unilateral orchiectomy and oncological treatment. The sperm chromatin dispersion test was performed to determine DNA fragmentation index (DFI) and the ability of sperm to bind with hyaluronan (HA) was assessed. Results. In comparison with the IC men, the men with TGCT had a higher percentage of sperm with fragmented DNA (median 28% versus 21%; p < 0.01) and a lower percentage of HA-bound sperm (24% versus 66%; p < 0.001). Normal results of both analyses were observed in 24% of IC men and 4% of men with TGCT. Negative Spearman's correlations were found between DFI and the percentage of HA-bound sperm in the whole group and in IC subjects and those with TGCT analyzed separately. Conclusions. Approximately 76% of IC men and 96% with TGCT awaiting orchiectomy demonstrated DNA fragmentation and/or sperm immaturity. We therefore recommend sperm banking after unilateral orchiectomy, but before irradiation and chemotherapy; the use of such a deposit appears to be a better strategy to obtain functionally efficient sperms.
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Affiliation(s)
- Katarzyna Marchlewska
- Department of Andrology and Reproductive Endocrinology, Medical University of Lodz, Lodz, Poland
| | - Eliza Filipiak
- Department of Andrology and Reproductive Endocrinology, Medical University of Lodz, Lodz, Poland
| | | | | | | | | | | | - Krzysztof Kula
- Department of Andrology and Reproductive Endocrinology, Medical University of Lodz, Lodz, Poland
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81
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Parida R, Samanta L. In silico analysis of candidate proteins sharing homology with Streptococcus agalactiae proteins and their role in male infertility. Syst Biol Reprod Med 2016; 63:15-28. [DOI: 10.1080/19396368.2016.1243741] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
| | - Luna Samanta
- Department of Zoology, Ravenshaw University, Odisha, India
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82
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Bonanno O, Romeo G, Asero P, Pezzino FM, Castiglione R, Burrello N, Sidoti G, Frajese GV, Vicari E, D'Agata R. Sperm of patients with severe asthenozoospermia show biochemical, molecular and genomic alterations. Reproduction 2016; 152:695-704. [PMID: 27651518 DOI: 10.1530/rep-16-0342] [Citation(s) in RCA: 43] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2016] [Accepted: 09/19/2016] [Indexed: 12/19/2022]
Abstract
The multifactorial pathological condition, that is, severe low sperm motility is a frequent cause of infertility. However, mechanisms underlying the development of this condition are not completely understood. Single abnormalities have been reported in sperm of patients with asthenozoospermia. In this study, we characterized, in 22 normozoospermic men and in 37 patients with asthenozoospermia, biochemical, molecular and genomic abnormalities that frequently occur in sperm of patients with asthenozoospermia. We evaluated a panel of sperm biomarkers that may affect the motility and fertilizing ability of sperm of patients with severe asthenozoospermia. Since reactive oxygen species (ROS) production is involved in the pathogenesis of such sperm abnormalities, we determined the association between ROS production and sperm abnormalities. High percentage of patients with severe asthenozoospermia showed increased basal and stimulated ROS production. Moreover, these patients showed increased mitochondrial DNA (mtDNA) copy number but decreased mtDNA integrity and they were associated with elevated ROS levels. Furthermore, mitochondrial membrane potential was also significantly decreased and again associated with high ROS production in these patients. However, the rate of nuclear DNA fragmentation was increased only in less than one-fifth of these patients. An important cohort of these patients showed multiple identical biochemical, molecular and genomic abnormalities, which are typical manifestations of oxidative stress. The most frequent association was found in patients with high ROS levels, increased mtDNA copy number and decreased integrity, and low MMP. A smaller cohort of the aforementioned patients also showed nDNA fragmentation. Therefore, patients with asthezoospermia likely present reduced fertilizing potential because of such composed abnormalities.
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Affiliation(s)
- Oriana Bonanno
- Section of EndocrinologyAndrology and Internal Medicine, Department of Medical and Pediatric Sciences
| | - Giulietta Romeo
- Section of Clinic Pathology and Molecular OncologyDepartment of Biomedical Sciences, University of Catania, Catania, Italy
| | - Paola Asero
- Section of EndocrinologyAndrology and Internal Medicine, Department of Medical and Pediatric Sciences
| | - Franca Maria Pezzino
- Section of Clinic Pathology and Molecular OncologyDepartment of Biomedical Sciences, University of Catania, Catania, Italy
| | - Roberto Castiglione
- Section of EndocrinologyAndrology and Internal Medicine, Department of Medical and Pediatric Sciences
| | - Nunziatina Burrello
- Section of EndocrinologyAndrology and Internal Medicine, Department of Medical and Pediatric Sciences
| | - Giuseppe Sidoti
- Division of Internal MedicineGaribaldi Hospital Catania, Catania, Italy
| | | | - Enzo Vicari
- Section of EndocrinologyAndrology and Internal Medicine, Department of Medical and Pediatric Sciences
| | - Rosario D'Agata
- Section of EndocrinologyAndrology and Internal Medicine, Department of Medical and Pediatric Sciences
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83
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Alterations in the proliferative/apoptotic equilibrium in semen of adolescents with varicocele. J Assist Reprod Genet 2016; 33:1657-1664. [PMID: 27629121 DOI: 10.1007/s10815-016-0808-z] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2016] [Accepted: 08/30/2016] [Indexed: 10/21/2022] Open
Abstract
PURPOSE To verify if the presence of varicocele (grades II and III) with and without seminal alterations, using the 5th centile cutoff values in table A1.1 of the World Health Organization (WHO, 2010) manual, alters the seminal plasma levels of proteins DNASE1 (deoxyribonuclease-1) and IGFBP7 (Insulin-like growth factor-binding protein 7), which are related to apoptosis regulation and cell proliferation, respectively, demonstrating that these proteins are important for correct spermatogenesis. METHODS This cross sectional study was performed at the Sao Paulo Federal University Paulo between May 2014 and April 2016. A total of 61 male adolescents were included in this study, of which 20 controls without varicocele (C), 22 with varicocele and normal semen analysis (VNS) and 19 with varicocele and altered semen analysis (VAS). Seminal plasma from each patient was used for Western blotting analysis of individual protein levels. Values of each protein were normalized to a testicular housekeeping protein (PARK7-protein deglycase DJ-1). RESULTS Levels of IGFBP7 protein are increased in varicocele. Levels of DNASE1 are progressively decreased in varicocele (lower in varicocele and normal semen analysis, lowest in varicocele and altered semen analysis) when compared to adolescents without varicocele. DNASE1 levels are positively correlated with sperm concentration and morphology (correlation values of 0.400 and 0.404, respectively; p values of 0.001 and 0.001, respectively). CONCLUSION In conclusion, in adolescents, seminal plasma levels of IGFBP7, responsible for proliferative activity, are increased in varicocele grades II and III, and DNASE1, responsible for apoptosis regulation, are lower in varicocele, lowest in varicocele and low semen quality. These proteins demonstrate molecular alterations brought upon by varicocele. Moreover, DNASE1 is capable of discriminating a varicocele that causes alterations to semen quality from one that does not. We propose that the initial response of varicocele is to increase proliferative activity which, if followed by regulation of apoptosis, may lead to the ejaculation of a population of sperm that are in accordance with WHO cutoff values but, in the presence of dysregulated apoptosis, leads to lower sperm concentration and morphology.
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84
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Kamali Sangani A, Masoudi AA, Vaez Torshizi R. Association of mitochondrial function and sperm progressivity in slow- and fast-growing roosters. Poult Sci 2016; 96:211-219. [PMID: 27591282 DOI: 10.3382/ps/pew273] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Revised: 05/01/2016] [Accepted: 07/05/2016] [Indexed: 02/04/2023] Open
Abstract
The objectives of the current study were to investigate the activity of the electron transport chain (ETC) complexes, adenosine triphosphate (ATP), and reactive oxygen species (ROS) in the sperm mitochondria of 2 Iranian slow- and fast-growing chickens, namely native and Aryan strains. In this study, semen of 133 roosters was analyzed by computer-assisted sperm analysis (CASA). The roosters were categorized by sperm progressivity, as a low or high sperm motility phenotype. Mitochondrial complex I (NADH ubiquinone oxidoreductase), II (succinate dehydrogenase), III (ubiquinol cytochrome C reductase), IV (cytochrome C oxidase) activity, ATP, and ROS production in sperm were assayed. As a result, Aryan roosters with high progressive motility levels (HPL) had the greatest progressivity. Progressive motility was significant in in both strains (Aryan and native; P = 0.020) and motility levels (high and low; P = 0.007). The highest activity of complexes I was observed in Aryan with HPL roosters (P = 0.004). Native roosters with HPLs demonstrated higher complex activities I compared with Aryan and native roosters with low progressive motility levels (LPL) (P = 0.004). Significant differences were observed not only in the mitochondrial amounts of ATP of the strains (P = 0.000) but also between HPL and LPL (P = 0.003). The highest mitochondrial amounts of ATP was found in Aryan roosters with HPL (P = 0.021). Native roosters with LPL had the highest concentration of mitochondrial ROS (P = 0.033). The Aryan roosters with HPL, on the other hand, indicated less concentration of the mitochondrial ROS compared with Aryan having LPL and native roosters with HPL and LPL (P = 0.033). A significant difference was observed in the mitochondrial ROS between the strains (P = 0.004) and between HPL and LPL (P = 0.000). There was positive relationship between progressivity and each of mitochondrial complexes and ATP (r = 0.71, 0.62, 0.90 and 0.65 respectively). Based on our results, the sperm progressivity largely depends on the whole energy production originating in the mitochondrial compartment. Therefore, the deficiency in the function of mitochondria in the sperm and energy production could be responsible for low progressive motility.
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Affiliation(s)
- A Kamali Sangani
- Department of Animal Science, Faculty of Agriculture, Tarbiat Modares University, P.O. Box 14115-336, Tehran, Iran
| | - A A Masoudi
- Department of Animal Science, Faculty of Agriculture, Tarbiat Modares University, P.O. Box 14115-336, Tehran, Iran
| | - R Vaez Torshizi
- Department of Animal Science, Faculty of Agriculture, Tarbiat Modares University, P.O. Box 14115-336, Tehran, Iran
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85
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Wang P, Duan YG. The role of dendritic cells in male reproductive tract. Am J Reprod Immunol 2016; 76:186-92. [PMID: 27353336 DOI: 10.1111/aji.12536] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2016] [Accepted: 06/10/2016] [Indexed: 12/29/2022] Open
Affiliation(s)
- Peng Wang
- Department of Urology; Daping Hospital; Institute of Surgery Research; The Third Military Medical University; Chongqing China
| | - Yong-Gang Duan
- Centre of Reproductive Medicine and Andrology; The First Affiliated Hospital of Shenzhen University; Shenzhen Second People's Hospital; Shenzhen China
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86
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Simon L, Aston KI, Emery BR, Hotaling J, Carrell DT. Sperm DNA damage output parameters measured by the alkaline Comet assay and their importance. Andrologia 2016; 49. [DOI: 10.1111/and.12608] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/15/2016] [Indexed: 01/10/2023] Open
Affiliation(s)
- L. Simon
- Andrology and IVF Laboratory; Department of Surgery (Urology); University of Utah; Salt Lake City UT USA
| | - K. I. Aston
- Andrology and IVF Laboratory; Department of Surgery (Urology); University of Utah; Salt Lake City UT USA
| | - B. R. Emery
- Andrology and IVF Laboratory; Department of Surgery (Urology); University of Utah; Salt Lake City UT USA
| | - J. Hotaling
- Andrology and IVF Laboratory; Department of Surgery (Urology); University of Utah; Salt Lake City UT USA
| | - D. T. Carrell
- Andrology and IVF Laboratory; Department of Surgery (Urology); University of Utah; Salt Lake City UT USA
- Department of Obstetrics and Gynecology; University of Utah; Salt Lake City UT USA
- Department of Human Genetics; University of Utah; Salt Lake City UT USA
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87
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Micillo A, Vassallo MRC, Cordeschi G, D'Andrea S, Necozione S, Francavilla F, Francavilla S, Barbonetti A. Semen leukocytes and oxidative-dependent DNA damage of spermatozoa in male partners of subfertile couples with no symptoms of genital tract infection. Andrology 2016; 4:808-15. [DOI: 10.1111/andr.12188] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2015] [Revised: 02/15/2016] [Accepted: 02/23/2016] [Indexed: 12/20/2022]
Affiliation(s)
- A. Micillo
- Andrology; Department of Life, Health and Environment Sciences; University of L'Aquila; L'Aquila Italy
| | - M. R. C. Vassallo
- Andrology; Department of Life, Health and Environment Sciences; University of L'Aquila; L'Aquila Italy
| | - G. Cordeschi
- Andrology; Department of Life, Health and Environment Sciences; University of L'Aquila; L'Aquila Italy
| | - S. D'Andrea
- Andrology; Department of Life, Health and Environment Sciences; University of L'Aquila; L'Aquila Italy
| | - S. Necozione
- Epidemiology; Department of Life, Health and Environment Sciences; University of L'Aquila; L'Aquila Italy
| | - F. Francavilla
- Andrology; Department of Life, Health and Environment Sciences; University of L'Aquila; L'Aquila Italy
| | - S. Francavilla
- Andrology; Department of Life, Health and Environment Sciences; University of L'Aquila; L'Aquila Italy
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88
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Cho CL, Esteves SC, Agarwal A. Novel insights into the pathophysiology of varicocele and its association with reactive oxygen species and sperm DNA fragmentation. Asian J Androl 2016; 18:186-93. [PMID: 26732105 PMCID: PMC4770484 DOI: 10.4103/1008-682x.170441] [Citation(s) in RCA: 141] [Impact Index Per Article: 17.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
Varicocele has been associated with reduced male reproductive potential. With the advances in biomolecular techniques, it has been possible to better understand the mechanisms involved in testicular damage provoked by varicocele. Current evidence suggests the central role of reactive oxygen species (ROS) and the resultant oxidative stress (OS) in the pathogenesis of varicocele-associated male subfertility although the mechanisms have not yet been fully described and it is likely to be multifactorial. Excessive ROS is associated with sperm DNA fragmentation, which may mediate the clinical manifestation of poor sperm function and fertilization outcome related to varicocele. Testing of ROS/OS and DNA fragmentation has the potential to provide additional diagnostic and prognostic information compared to conventional semen analysis and may guide therapeutic management strategies in individual patient.
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Affiliation(s)
- Chak-Lam Cho
- Division of Urology, Department of Surgery, Kwong Wah Hospital, 25 Waterloo Road, Yau Ma Tei, Hong Kong
| | - Sandro C Esteves
- ANDROFERT, Center for Male Reproduction, Av. Dr. Heitor Penteado 1464, Campinas, SP 13075-460, Brazil
| | - Ashok Agarwal
- American Center for Reproductive Medicine, 10681 Carnegie Avenue, X-11, Cleveland, OH 44195, USA
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89
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An Update on Oxidative Damage to Spermatozoa and Oocytes. BIOMED RESEARCH INTERNATIONAL 2016; 2016:9540142. [PMID: 26942204 PMCID: PMC4749785 DOI: 10.1155/2016/9540142] [Citation(s) in RCA: 66] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/04/2015] [Revised: 12/28/2015] [Accepted: 01/11/2016] [Indexed: 01/23/2023]
Abstract
On the one hand, reactive oxygen species (ROS) are mandatory mediators for essential cellular functions including the function of germ cells (oocytes and spermatozoa) and thereby the fertilization process. However, the exposure of these cells to excessive levels of oxidative stress by too high levels of ROS or too low levels of antioxidative protection will render these cells dysfunctional thereby failing the fertilization process and causing couples to be infertile. Numerous causes are responsible for the delicate bodily redox system being out of balance and causing disease and infertility. Many of these causes are modifiable such as lifestyle factors like obesity, poor nutrition, heat stress, smoking, or alcohol abuse. Possible correctable measures include foremost lifestyle changes, but also supplementation with antioxidants to scavenge excessive ROS. However, this should only be done after careful examination of the patient and establishment of the individual bodily antioxidant needs. In addition, other corrective measures include sperm separation for assisted reproductive techniques. However, these techniques have to be carried out very carefully as they, if applied wrongly, bear risks of generating ROS damaging the germ cells and preventing fertilization.
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90
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Elevated levels of S100A12 in the seminal plasma of infertile men with varicocele. Int Urol Nephrol 2016; 48:343-7. [DOI: 10.1007/s11255-015-1188-5] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2015] [Accepted: 12/10/2015] [Indexed: 12/28/2022]
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91
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Timur H, Kokanali MK, Inal HA, Tuzluoglu D, Yilmaz N. A study on the association between serum amyloid A and sperm concentration. Andrologia 2015; 48:626-30. [PMID: 26437740 DOI: 10.1111/and.12491] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/26/2015] [Indexed: 01/29/2023] Open
Abstract
Our aim was to compare peripheral blood and seminal fluid serum amyloid A (SAA) protein levels in men classified on the basis of sperm concentration and investigate whether SAA protein is an important marker of male infertility. A total of 74 first-attempt IVF male partners of infertile couples classified as azoospermic (n = 25), oligozoospermic (n = 25) and normozoospermic group (n = 24) were recruited for this cross-sectional study. There was no difference with respect to age, BMI, infertility period and smoking ratio. No difference in haematologic parameters including white blood cell count, neutrophil ratio, lymphocyte ratio, neutrophil-to-lymphocyte ratio and blood SAA level was found between the groups. Seminal fluid SAA level was 17.85 ± 2.21 ng ml(-1) in azoospermics, 16.13 ± 3.58 ng ml(-1) in oligozoospermics and 15.67 ± 4.77 ng ml(-1) in normozoospermics, showing no significant difference. Seminal SAA level was found to be not correlated with blood SAA levels. Therefore, we could not find any associations between these parameters at all. However, further studies with more participants are needed to address the exact action of SAA on spermatogenesis.
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Affiliation(s)
- H Timur
- Department of Reproductive Endocrinology, Dr. Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara, Turkey
| | - M K Kokanali
- Department of Reproductive Endocrinology, Dr. Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara, Turkey
| | - H A Inal
- Department of Gynecology and Obstetrics, Konya Education and Research Hospital, Konya, Turkey
| | - D Tuzluoglu
- Department of Urology, Dr. Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara, Turkey
| | - N Yilmaz
- Department of Reproductive Endocrinology, Dr. Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara, Turkey
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92
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Agarwal A, Ahmad G, Sharma R. Reference values of reactive oxygen species in seminal ejaculates using chemiluminescence assay. J Assist Reprod Genet 2015; 32:1721-9. [PMID: 26431955 DOI: 10.1007/s10815-015-0584-1] [Citation(s) in RCA: 55] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2015] [Accepted: 09/23/2015] [Indexed: 11/27/2022] Open
Abstract
PURPOSE A physiological balance exists between seminal reactive oxygen species (ROS) and antioxidant capacity. An overproduction of ROS which exceeds the seminal plasma antioxidant capacity results in oxidative stress (OS). The aim of the present study was to describe a detailed protocol to measure ROS in a diagnostic laboratory and revise our previous cutoff value of ROS in seminal ejaculates in a larger cohort of infertile men and controls with proven and unproven fertility. METHODS A total of 258 infertile men and 92 controls were enrolled in the study. Following initial semen analysis, ROS measurement in whole ejaculates was carried out using luminol-based chemiluminescence assay. Chemiluminescence was measured for 15 min with a Berthold luminometer. Results were expressed as relative light units (RLU/s/10(6) sperm). The test's specificity, sensitivity, and cutoff values were calculated using the receiver operating characteristic (ROC) curve. RESULTS Significantly higher ROS levels were seen in infertile men compared to controls (p < 0.001). The optimal cutoff value to differentiate between controls and infertile men was 102.2 RLU/s/10(6) sperm. At this cutoff value, the test was 76.4% sensitive and 53.3% specific. The positive and negative predictive values of the test were 82.1% and 44.5%, respectively. A total of 76.4% infertile population was above this cutoff value compared to 46.7% of controls. CONCLUSIONS The luminol-based chemiluminescence assay can be used in routine diagnostic screening to test for male infertility diagnosis in a clinical setting. The current ROS cutoff value substantially distinguishes infertile from normal controls. Patients with elevated ROS must be evaluated for the underlying cause of ROS production.
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Affiliation(s)
- Ashok Agarwal
- American Center for Reproductive Medicine, Cleveland Clinic, Cleveland, OH, 44195, USA.
| | - Gulfam Ahmad
- American Center for Reproductive Medicine, Cleveland Clinic, Cleveland, OH, 44195, USA.,Department of Physiology and Cell Biology, University of Health Sciences, Lahore, Pakistan
| | - Rakesh Sharma
- American Center for Reproductive Medicine, Cleveland Clinic, Cleveland, OH, 44195, USA
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93
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Autilio C, Morelli R, Milardi D, Grande G, Marana R, Pontecorvi A, Zuppi C, Baroni S. Soluble urokinase-type plasminogen activator receptor as a putative marker of male accessory gland inflammation. Andrology 2015; 3:1054-61. [DOI: 10.1111/andr.12084] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2014] [Revised: 05/06/2015] [Accepted: 06/23/2015] [Indexed: 01/12/2023]
Affiliation(s)
- C. Autilio
- Department of Diagnostic and Laboratory Medicine; School of Medicine; “A. Gemelli” Hospital; Catholic University; Rome Italy
| | - R. Morelli
- Department of Diagnostic and Laboratory Medicine; School of Medicine; “A. Gemelli” Hospital; Catholic University; Rome Italy
| | - D. Milardi
- International Scientific Institute “Paul VI” of Research on Human Fertility and Infertility; School of Medicine; “A. Gemelli” Hospital; Catholic University; Rome Italy
| | - G. Grande
- International Scientific Institute “Paul VI” of Research on Human Fertility and Infertility; School of Medicine; “A. Gemelli” Hospital; Catholic University; Rome Italy
| | - R. Marana
- International Scientific Institute “Paul VI” of Research on Human Fertility and Infertility; School of Medicine; “A. Gemelli” Hospital; Catholic University; Rome Italy
| | - A. Pontecorvi
- Department of Endocrinology; School of Medicine; “A. Gemelli” Hospital; Catholic University; Rome Italy
| | - C. Zuppi
- Department of Diagnostic and Laboratory Medicine; School of Medicine; “A. Gemelli” Hospital; Catholic University; Rome Italy
| | - S. Baroni
- Department of Diagnostic and Laboratory Medicine; School of Medicine; “A. Gemelli” Hospital; Catholic University; Rome Italy
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94
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Intasqui P, Antoniassi MP, Camargo M, Nichi M, Carvalho VM, Cardozo KHM, Zylbersztejn DS, Bertolla RP. Differences in the seminal plasma proteome are associated with oxidative stress levels in men with normal semen parameters. Fertil Steril 2015; 104:292-301. [DOI: 10.1016/j.fertnstert.2015.04.037] [Citation(s) in RCA: 52] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2015] [Revised: 04/29/2015] [Accepted: 04/29/2015] [Indexed: 10/23/2022]
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95
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Talwar P, Hayatnagarkar S. Sperm function test. J Hum Reprod Sci 2015; 8:61-9. [PMID: 26157295 PMCID: PMC4477451 DOI: 10.4103/0974-1208.158588] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2015] [Revised: 06/04/2015] [Accepted: 06/04/2015] [Indexed: 11/22/2022] Open
Abstract
With absolute normal semen analysis parameters it may not be necessary to shift to specialized tests early but in cases with borderline parameters or with history of fertilization failure in past it becomes necessary to do a battery of tests to evaluate different parameters of spermatozoa. Various sperm function tests are proposed and endorsed by different researchers in addition to the routine evaluation of fertility. These tests detect function of a certain part of spermatozoon and give insight on the events in fertilization of the oocyte. The sperms need to get nutrition from the seminal plasma in the form of fructose and citrate (this can be assessed by fructose qualitative and quantitative estimation, citrate estimation). They should be protected from the bad effects of pus cells and reactive oxygen species (ROS) (leukocyte detection test, ROS estimation). Their number should be in sufficient in terms of (count), structure normal to be able to fertilize eggs (semen morphology). Sperms should have intact and functioning membrane to survive harsh environment of vagina and uterine fluids (vitality and hypo-osmotic swelling test), should have good mitochondrial function to be able to provide energy (mitochondrial activity index test). They should also have satisfactory acrosome function to be able to burrow a hole in zona pellucida (acrosome intactness test, zona penetration test). Finally, they should have properly packed DNA in the nucleus to be able to transfer the male genes (nuclear chromatic decondensation test) to the oocyte during fertilization.
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Affiliation(s)
- Pankaj Talwar
- HOD, ART Centre Army Hospital (Research and Referral), Daulha kuan, New Delhi, India
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96
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Evaluation of Leukocyte Threshold Values in Semen to Detect Inflammation Involving Seminal Interleukin-6 and Interleukin-8. Urology 2015; 86:52-6. [DOI: 10.1016/j.urology.2015.04.012] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2014] [Revised: 03/06/2015] [Accepted: 04/06/2015] [Indexed: 11/21/2022]
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97
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Ricci G, Granzotto M, Luppi S, Giolo E, Martinelli M, Zito G, Borelli M. Effect of seminal leukocytes on in vitro fertilization and intracytoplasmic sperm injection outcomes. Fertil Steril 2015; 104:87-93. [DOI: 10.1016/j.fertnstert.2015.04.007] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2015] [Revised: 03/29/2015] [Accepted: 04/08/2015] [Indexed: 12/01/2022]
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Mihalik J, Mašlanková J, Solár P, Horváthová F, Hubková B, Almášiová V, Šoltés J, Švaňa M, Rybárová S, Hodorová I. The effect of R-(-)-deprenyl administration on reproductive parameters of rat males. Eur J Pharmacol 2015; 754:148-52. [DOI: 10.1016/j.ejphar.2015.02.030] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2014] [Revised: 02/16/2015] [Accepted: 02/17/2015] [Indexed: 11/24/2022]
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Du Plessis SS, Agarwal A, Halabi J, Tvrda E. Contemporary evidence on the physiological role of reactive oxygen species in human sperm function. J Assist Reprod Genet 2015; 32:509-20. [PMID: 25646893 PMCID: PMC4380893 DOI: 10.1007/s10815-014-0425-7] [Citation(s) in RCA: 155] [Impact Index Per Article: 17.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2014] [Accepted: 12/29/2014] [Indexed: 01/01/2023] Open
Abstract
Reactive oxygen species (ROS) play an important role in male fertility. Overproduction of reactive oxygen species (ROS) has been associated with a variety of male fertility complications, including leukocytospermia, varicocele and idiopathic infertility. The subsequent oxidative insult to spermatozoa can manifest as insufficient energy metabolism, lipid peroxidation and DNA damage, leading to loss of motility and viability. However, various studies have demonstrated that physiological amounts of ROS play important roles in the processes of spermatozoa maturation, capacitation, hyperactivation and acrosome reaction. It is therefore crucial to define and understand the delicate oxidative balance in male reproductive cells and tissues for a better understanding of both positive as well as negative impact of ROS production on the fertilizing ability. This review will discuss the specific physiological roles, mechanisms of action and effects that ROS have on the acquisition of structural integrity and physiological activity of spermatozoa.
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Affiliation(s)
- Stefan S. Du Plessis
- />Center for Reproductive Medicine, Cleveland Clinic, 10681 Carnegie Avenue, Mail Code X-11, Cleveland, OH 44195 USA
- />Division of Medical Physiology, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, South Africa
| | - Ashok Agarwal
- />Center for Reproductive Medicine, Cleveland Clinic, 10681 Carnegie Avenue, Mail Code X-11, Cleveland, OH 44195 USA
| | - Jacques Halabi
- />Center for Reproductive Medicine, Cleveland Clinic, 10681 Carnegie Avenue, Mail Code X-11, Cleveland, OH 44195 USA
| | - Eva Tvrda
- />Center for Reproductive Medicine, Cleveland Clinic, 10681 Carnegie Avenue, Mail Code X-11, Cleveland, OH 44195 USA
- />Department of Animal Physiology, Slovak University of Agriculture, Nitra, Slovakia
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Reactive Oxygen Species (ROS) in human semen: determination of a reference range. J Assist Reprod Genet 2015; 32:757-64. [PMID: 25749739 DOI: 10.1007/s10815-015-0454-x] [Citation(s) in RCA: 53] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2014] [Accepted: 02/22/2015] [Indexed: 12/27/2022] Open
Abstract
PURPOSE High levels of reactive oxygen species (ROS) are a leading cause of male factor infertility. Measurement of ROS has been hampered by a lack of standardisation and confounding variables including choice of controls and sample selection. This study aimed to determine a reference range for ROS in human semen. METHODS Semen samples were obtained from men attending for routine semen analysis who gave informed consent for the study. Samples were assigned groups: Group 1 (N = 94) normal semen parameters, no leucocytospermia; Group 2 (N = 100) abnormal semen parameters, no leucocytospermia; Group 3 (N = 41) any semen parameters with leucocytospermia. ROS levels were assayed in fresh neat semen using a chemiluminescence assay measured in a single tube luminometer. Data are reported in relative light units (RLU)/sec/10(6) sperm RESULTS ROS levels were significantly different between Groups 1, 2 and 3 (19.75 ± 8.12, 95.03 ± 33.63, 890.17 ± 310.23 RLU/sec/10(6) sperm respectively; p < 0.001). Group 3 gave the highest value confirming this group as the optimum choice for positive controls. The reference range < 24.1 RLU/sec/10(6) sperm was determined by ROC analysis that differentiates a reference population (Group 1) from a positive control group (Group 3), optimising the sensitivity and specificity (80.5 and 87.2% respectively) of the test. CONCLUSIONS We have determined a reference range for ROS in human semen and identified a patient population that falls outside the normal range. This simple, cost effective assay can be incorporated into routine diagnostic testing to aid in the diagnosis of male infertility, especially with regard to unexplained infertility.
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