1
|
Kameni SL, Semon B, Chen LD, Dlamini NH, Ariunbold GO, Vance-Kouba CK, Feugang JM. Predicting Boar Sperm Survival during Liquid Storage Using Vibrational Spectroscopic Techniques. BIOLOGY 2024; 13:763. [PMID: 39452072 PMCID: PMC11504417 DOI: 10.3390/biology13100763] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/06/2024] [Revised: 09/03/2024] [Accepted: 09/20/2024] [Indexed: 10/26/2024]
Abstract
Artificial insemination (AI) plays a critical role in livestock reproduction, with semen quality being essential. In swine, AI primarily uses cool-stored semen adhering to industry standards assessed through routine analysis, yet fertility inconsistencies highlight the need for enhanced semen evaluation. Over 10-day storage at 17 °C, boar semen samples were analyzed for motility, morphology, sperm membrane integrity, apoptosis, and oxidative stress indicators. Additionally, machine learning tools were employed to explore the potential of Raman and near-infrared (NIR) spectroscopy in enhancing semen sample evaluation. Sperm motility and morphology gradually decreased during storage, with distinct groups categorized as "Good" or "Poor" survival semen according to motility on Day 7 of storage. Initially similar on Day 0 of semen collection, "Poor" samples revealed significantly lower total motility (21.69 ± 4.64% vs. 80.19 ± 1.42%), progressive motility (4.74 ± 1.71% vs. 39.73 ± 2.57%), and normal morphology (66.43 ± 2.60% vs. 87.91 ± 1.92%) than their "Good" counterparts by Day 7, using a computer-assisted sperm analyzer. Furthermore, "Poor" samples had higher levels of apoptotic cells, membrane damage, and intracellular reactive oxygen species on Day 0. Conversely, "Good" samples maintained higher total antioxidant capacity. Raman spectroscopy outperformed NIR, providing distinctive spectral profiles aligned with semen biochemical changes and enabling the prediction of semen survival during storage. Overall, the spectral profiles coupled with machine learning tools might assist in enhancing semen evaluation and prognosis.
Collapse
Affiliation(s)
- Serge L. Kameni
- Department of Animal and Dairy Sciences, Mississippi State University, Starkville, MS 39759, USA
| | - Bryan Semon
- Department of Physics and Astronomy, Mississippi State University, Starkville, MS 39759, USA
| | - Li-Dunn Chen
- Department of Biochemistry, Molecular Biology, Plant Pathology, and Entomology, Mississippi State University, Starkville, MS 39759, USA
| | - Notsile H. Dlamini
- Department of Animal and Dairy Sciences, Mississippi State University, Starkville, MS 39759, USA
| | - Gombojav O. Ariunbold
- Department of Physics and Astronomy, Mississippi State University, Starkville, MS 39759, USA
| | - Carrie K. Vance-Kouba
- Department of Biochemistry, Molecular Biology, Plant Pathology, and Entomology, Mississippi State University, Starkville, MS 39759, USA
| | - Jean M. Feugang
- Department of Animal and Dairy Sciences, Mississippi State University, Starkville, MS 39759, USA
| |
Collapse
|
2
|
Kameni SL, Dlamini NH, Feugang JM. Exploring the full potential of sperm function with nanotechnology tools. Anim Reprod 2024; 21:e20240033. [PMID: 39176004 PMCID: PMC11340799 DOI: 10.1590/1984-3143-ar2024-0033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2024] [Accepted: 06/20/2024] [Indexed: 08/24/2024] Open
Abstract
Sperm quality is essential to guarantee the success of assisted reproduction. However, selecting high-quality sperm and maintaining it during (cryo)preservation for high efficiency remains challenging in livestock reproduction. A comprehensive understanding of sperm biology allows for better assessment of sperm quality, which could replace conventional sperm analyses used today to predict fertility with low accuracy. Omics approaches have revealed numerous biomarkers associated with various sperm phenotypic traits such as quality, survival during storage, freezability, and fertility. At the same time, nanotechnology is emerging as a new biotechnology with high potential for use in preparing sperm intended to improve reproduction in livestock. The unique physicochemical properties of nanoparticles make them exciting tools for targeting (e.g., sperm damage and sexing) and non-targeting bioapplications. Recent advances in sperm biology have led to the discovery of numerous biomarkers, making it possible to target specific subpopulations of spermatozoa within the ejaculate. In this review, we explore potential biomarkers associated with sperm phenotypes and highlight the benefits of combining these biomarkers with nanoparticles to further improve sperm preparation and technology.
Collapse
Affiliation(s)
- Serge Leugoué Kameni
- Mississippi State University, Department of Animal and Dairy Sciences, Mississippi State, MS, USA
| | - Notsile Hleliwe Dlamini
- Mississippi State University, Department of Animal and Dairy Sciences, Mississippi State, MS, USA
| | - Jean Magloire Feugang
- Mississippi State University, Department of Animal and Dairy Sciences, Mississippi State, MS, USA
| |
Collapse
|
3
|
Escudé-Logares L, Serrano-Novillo C, Uroz L, Galindo A, Márquez C. Advanced Paternal Age: A New Indicator for the Use of Microfluidic Devices for Sperm DNA Fragmentation Selection. J Clin Med 2024; 13:457. [PMID: 38256591 PMCID: PMC10816896 DOI: 10.3390/jcm13020457] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2023] [Revised: 01/08/2024] [Accepted: 01/11/2024] [Indexed: 01/24/2024] Open
Abstract
New social conditions and progress in ART have both contributed to the delay in parenthood in developed countries. While the effects of maternal age have been widely studied, paternal age is poorly understood, and there are no specific guides on ART techniques to treat its deleterious effects. It is known that there is an increase in sperm DNA fragmentation (SDF) in elderly men, and new sperm selection devices using microfluids have been developed. This study analyses 189 ICSI cycles with donor oocytes performed between January 2018 and February 2022. Spermatozoa were selected using an MSS device or density gradients, followed by ICSI fertilization and fresh/thawed embryo transfer. We assessed the association between the selection technique, paternal age (< or ≥45) and reproductive outcomes. Fertilization (FR), blastulation (BR), implantation (IR), live-birth (LBR) and miscarriage (MR) rates were calculated. The results showed significantly higher IR (57.7% vs. 42.5%) and LBR (42.9% vs. 30.3%) when applying MSS selection, and particularly higher BR, IR and LBR when the paternal age was equal to or over 45 years (BR: 64.4 ± 23% vs. 50.1 ± 25%, IR: 51.5% vs. 31.6% and LBR: 42.4% vs. 23.7%). We also found a negative correlation between BR and paternal age (r2 = 0.084). The findings show that MSS enhances success in assisted reproduction cycles with ICSI, especially in couples with advanced paternal age. We propose advanced paternal age as a new indicator for the application of sperm selection techniques that reduce fragmentation.
Collapse
|
4
|
Endo T, Kobayashi K, Matsumura T, Emori C, Ozawa M, Kawamoto S, Okuzaki D, Shimada K, Miyata H, Shimada K, Kodani M, Ishikawa-Yamauchi Y, Motooka D, Hara E, Ikawa M. Multiple ageing effects on testicular/epididymal germ cells lead to decreased male fertility in mice. Commun Biol 2024; 7:16. [PMID: 38177279 PMCID: PMC10766604 DOI: 10.1038/s42003-023-05685-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2023] [Accepted: 12/07/2023] [Indexed: 01/06/2024] Open
Abstract
In mammals, females undergo reproductive cessation with age, whereas male fertility gradually declines but persists almost throughout life. However, the detailed effects of ageing on germ cells during and after spermatogenesis, in the testis and epididymis, respectively, remain unclear. Here we comprehensively examined the in vivo male fertility and the overall organization of the testis and epididymis with age, focusing on spermatogenesis, and sperm function and fertility, in mice. We first found that in vivo male fertility decreased with age, which is independent of mating behaviors and testosterone levels. Second, overall sperm production in aged testes was decreased; about 20% of seminiferous tubules showed abnormalities such as germ cell depletion, sperm release failure, and perturbed germ cell associations, and the remaining 80% of tubules contained lower number of germ cells because of decreased proliferation of spermatogonia. Further, the spermatozoa in aged epididymides exhibited decreased total cell numbers, abnormal morphology/structure, decreased motility, and DNA damage, resulting in low fertilizing and developmental rates. We conclude that these multiple ageing effects on germ cells lead to decreased in vivo male fertility. Our present findings are useful to better understand the basic mechanism behind the ageing effect on male fertility in mammals including humans.
Collapse
Affiliation(s)
- Tsutomu Endo
- Immunology Frontier Research Center, Osaka University, Osaka, Japan.
- Research Institute for Microbial Diseases, Osaka University, Osaka, Japan.
- Department of Experimental Animal Model for Human Disease, Center for Experimental Animals, Tokyo Medical and Dental University, Tokyo, Japan.
- Graduate School of Agricultural and Life Sciences, The University of Tokyo, Tokyo, Japan.
| | - Kiyonori Kobayashi
- Research Institute for Microbial Diseases, Osaka University, Osaka, Japan
- Graduate School of Frontier Biosciences, Osaka University, Osaka, Japan
| | - Takafumi Matsumura
- Research Institute for Microbial Diseases, Osaka University, Osaka, Japan
- Graduate School of Pharmaceutical Sciences, Osaka University, Osaka, Japan
| | - Chihiro Emori
- Research Institute for Microbial Diseases, Osaka University, Osaka, Japan
| | - Manabu Ozawa
- The Institute of Medical Science, The University of Tokyo, Tokyo, Japan
| | - Shimpei Kawamoto
- Research Institute for Microbial Diseases, Osaka University, Osaka, Japan
| | - Daisuke Okuzaki
- Research Institute for Microbial Diseases, Osaka University, Osaka, Japan
| | - Keisuke Shimada
- Research Institute for Microbial Diseases, Osaka University, Osaka, Japan
| | - Haruhiko Miyata
- Research Institute for Microbial Diseases, Osaka University, Osaka, Japan
| | - Kentaro Shimada
- Research Institute for Microbial Diseases, Osaka University, Osaka, Japan
- Graduate School of Pharmaceutical Sciences, Osaka University, Osaka, Japan
| | - Mayo Kodani
- Research Institute for Microbial Diseases, Osaka University, Osaka, Japan
- Graduate School of Pharmaceutical Sciences, Osaka University, Osaka, Japan
| | - Yu Ishikawa-Yamauchi
- The Institute of Medical Science, The University of Tokyo, Tokyo, Japan
- Department of Regenerative Medicine, Yokohama City University Graduate School of Medicine, Kanagawa, Japan
| | - Daisuke Motooka
- Research Institute for Microbial Diseases, Osaka University, Osaka, Japan
| | - Eiji Hara
- Immunology Frontier Research Center, Osaka University, Osaka, Japan
- Research Institute for Microbial Diseases, Osaka University, Osaka, Japan
- Graduate School of Frontier Biosciences, Osaka University, Osaka, Japan
- Graduate School of Medicine, Osaka University, Osaka, Japan
| | - Masahito Ikawa
- Immunology Frontier Research Center, Osaka University, Osaka, Japan.
- Research Institute for Microbial Diseases, Osaka University, Osaka, Japan.
- Graduate School of Pharmaceutical Sciences, Osaka University, Osaka, Japan.
- The Institute of Medical Science, The University of Tokyo, Tokyo, Japan.
- Graduate School of Medicine, Osaka University, Osaka, Japan.
| |
Collapse
|
5
|
Mascarenhas M, Jeve Y, Polanski L, Sharpe A, Yasmin E, Bhandari HM. Management of recurrent implantation failure: British Fertility Society policy and practice guideline. HUM FERTIL 2022; 25:813-837. [PMID: 33820476 DOI: 10.1080/14647273.2021.1905886] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
Recurrent implantation failure (RIF) is defined as the absence of a positive pregnancy test after three consecutive transfers of good quality embryos. There remains significant variation in clinical practice in the management of RIF. This British Fertility Society (BFS) Policy and Practice guideline analyses the evidence for investigations and therapies that are employed in RIF and provides recommendations for clinical practice and for further research. Evidence for investigations of sperm and egg quality, uterine and adnexal factors, immunological factors and thrombophilia, endocrine conditions and genetic factors and for associated therapies have been evaluated. This guideline has been devised to assist reproductive medicine specialists and patients in making shared decisions concerning management of RIF. Finally, suggestions for research towards improving understanding and management of RIF have also been provided.
Collapse
Affiliation(s)
- Mariano Mascarenhas
- Leeds Fertility, Leeds Teaching Hospitals NHS Trust, Leeds, UK.,Glasgow Centre for Reproductive Medicine, The Fertility Partnership, Glasgow, UK
| | - Yadava Jeve
- Birmingham Women's Fertility Centre, Birmingham Women's Hospital, Birmingham, UK
| | - Lukasz Polanski
- Assisted Conception Unit, Guy's and St Thomas' NHS Foundation Trust, London, UK
| | - Abigail Sharpe
- Leeds Fertility, Leeds Teaching Hospitals NHS Trust, Leeds, UK
| | - Ephia Yasmin
- Department of Women's Health, University College London Hospitals, London, UK
| | | | | |
Collapse
|
6
|
Doostabadi MR, Mangoli E, Marvast LD, Dehghanpour F, Maleki B, Torkashvand H, Talebi AR. Microfluidic devices employing chemo- and thermotaxis for sperm selection can improve sperm parameters and function in patients with high DNA fragmentation. Andrologia 2022; 54:e14623. [PMID: 36379719 DOI: 10.1111/and.14623] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Revised: 09/12/2022] [Accepted: 09/28/2022] [Indexed: 11/17/2022] Open
Abstract
Conventional sperm processing uses centrifugation has a negative effect on sperm parameters and DNA integrity. We designed and fabricated a novel microfluid device based on chemotaxis and thermotaxis, and compared it with the swim-up method. Twenty normal samples with high DNA fragmentation were included. Each sample was divided into four groups: Group 1, control, Group 2: sperm selection by thermotaxis, Group 3: sperm selection by chemotaxis, and Group 4: sperm selection with thermotaxis and chemotaxis. We used cumulus cells in a microfluid device to create chemotaxis, and, two warm stages to form a temperature gradient for thermotaxis. The spermatozoa were assessed based on the concentration, motility, and fine morphology using Motile Sperm Organelle Morphology Examination, mitochondrial membrane potential (MMP), acrosome reaction (AR), and sperm DNA fragmentation. Concentration (22.40 ± 5.39 vs. 66.50 ± 19.21; p < 0.001) and DNA fragmentation (12.30 ± 3.96% vs. 17.95 ± 2.89%; p < 0.001) after selection in the chemotaxis and thermotaxis microfluid device were significantly lower than control group. The progressive motility (93.75 ± 4.39% vs. 75.55 ± 5.86%, p < 0.001), normal morphology (15.45 ± 2.50% vs. 10.35 ± 3.36, p < 0.001), MMP (97.65 ± 1.81% vs. 94 ± 3.89%, p = 0.02), and AR status (79.20 ± 5.28% vs. 31.20 ± 5.24%, p < 0.001) in the chemotaxis and thermotaxis microfluid device were significantly increased compared to control group. According to these findings, spermatozoa that have penetrated the cumulus oophorus have better morphology and motility, as well as acrosome reactivity and DNA integrity.
Collapse
Affiliation(s)
- Mohammad Reza Doostabadi
- International Campus, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
- Department of Anatomy, School of Medicine, Birjand University of Medical Sciences, Birjand, Iran
- Royesh Infertility Center, Birjand University of Medical Science, Birjand, Iran
| | - Esmat Mangoli
- Research and Clinical Center for Infertility, Yazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
- Andrology Research Center, Yazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - Laleh Dehghan Marvast
- Research and Clinical Center for Infertility, Yazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
- Andrology Research Center, Yazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - Fatemeh Dehghanpour
- Research and Clinical Center for Infertility, Yazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
- Department of Reproductive Biology, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - Behnam Maleki
- Infertility Center, Department of Obstetrics and Gynecology, Mazandaran University of Medical Sciences, Sari, Iran
| | - Hossein Torkashvand
- Department of Anatomical Science, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Ali Reza Talebi
- International Campus, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
- Andrology Research Center, Yazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| |
Collapse
|
7
|
Shabani S, Mehri M, Shirmohammad F, Sharafi M. Enhancement of sperm quality and fertility-related parameters in Hubbard grandparent rooster fed diets supplemented with soybean lecithin and vitamin E. Poult Sci 2022; 101:101635. [PMID: 35007931 PMCID: PMC8749332 DOI: 10.1016/j.psj.2021.101635] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2021] [Revised: 10/08/2021] [Accepted: 11/25/2021] [Indexed: 12/14/2022] Open
Abstract
The purpose of this study was to investigate the effect of dietary supplementation of different levels of soybean lecithin and vitamin E on semen quality parameters and some reproductive hormones in Hubbard grandparent roosters. The experiment was conducted in a 3 × 2 factorial arrangement with 3 levels of soybean lecithin (0, 1, and 2%) and 2 levels of vitamin E (0 and 300 mg/kg). Semen samples were collected on d 0, 20, 40 and 60 of the experiment and analyzed. Adding 1% soybean lecithin and vitamin E into the diet increased semen volume and sperm concentration, membrane integrity and viability (P < 0.05). Supplementing diets with 1 or 2% lecithin in addition to vitamin E significantly improved total motility and progressive motility (P < 0.05). Vitamin E significantly increased the amplitude of lateral head displacement (ALH) of sperm (P < 0.05). Although there was no effect on LH and FSH when diets were supplemented with vitamin E and 1 or 2% lecithin, testosterone concentration was increased (P < 0.05). Malondialdehyde (MDA) concentration was significantly lower in all 3 treatments containing vitamin E (P < 0.05). It can be concluded that supplementation of rooster diets with vitamin E and 1% lecithin can improve fertility related parameters in Hubbard grandparent roosters.
Collapse
Affiliation(s)
- Shahram Shabani
- Department of Animal Science, Shahr-e-Qods Branch, Islamic Azad University, Tehran, Iran
| | - Morteza Mehri
- Department of Animal Science, Shahr-e-Qods Branch, Islamic Azad University, Tehran, Iran.
| | - Fatemeh Shirmohammad
- Department of Animal Science, Shahr-e-Qods Branch, Islamic Azad University, Tehran, Iran
| | - Mohsen Sharafi
- Department of Animal Science, Faculty of Agriculture, Tarbiat Modares University, Tehran, Iran
| |
Collapse
|
8
|
Hassanzadeh-Taheri M, Khalili MA, Hosseininejad Mohebati A, Zardast M, Hosseini M, Palmerini MG, Doostabadi MR. The detrimental effect of cell phone radiation on sperm biological characteristics in normozoospermic. Andrologia 2021; 54:e14257. [PMID: 34628682 DOI: 10.1111/and.14257] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2021] [Revised: 08/25/2021] [Accepted: 09/08/2021] [Indexed: 02/06/2023] Open
Abstract
Radiofrequency electromagnetic radiation emitted from cell phone has harmful effects on some organs of the body, such as the brain, heart, and testes. This study aimed to assess the effects of cell phones on sperm parameters, DNA fragmentation, and apoptosis in normozoospermic. Normal sperm samples were divided into two groups of control and case. The samples from the case were placed for 60 min at a distance of approximately 2.5 cm from the cell phone set in the active antenna position. Control samples were exposed to cell phones without active antennas. All specimens were analysed by World Health Organization criteria. Sperm viability, sperm with chromatin abnormality and maturity, DNA fragmentation, and apoptosis were examined. Viability and motility in the case were significantly lower than the control (p < .001, p = .004 respectively). The percentage of apoptotic sperms and DNA fragmentation were significantly higher in the case when compared with the control (p = .031, p < .001 respectively). The other parameters studied such as morphology, chromatin abnormality, and maturity showed no significant difference between the case and control groups. Cell phone waves had a detrimental effect on human sperm's biological features. Therefore, it is recommended to keep the cell phone away from the pelvis as much as possible.
Collapse
Affiliation(s)
- Mohammadmehdi Hassanzadeh-Taheri
- Department of Anatomy, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran.,Cellular and Molecular Research Center, Birjand University of Medical Sciences, Birjand, Iran
| | - Mohammad Ali Khalili
- Research, and Clinical Center for Infertility, Yazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | | | - Mahmood Zardast
- Department of Pathology, Birjand University of Medical Sciences, Birjand, Iran
| | - Mehran Hosseini
- Department of Anatomy, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran.,Cellular and Molecular Research Center, Birjand University of Medical Sciences, Birjand, Iran
| | - Maria Grazia Palmerini
- Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| | - Mohammad Reza Doostabadi
- Department of Anatomy, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran.,Research, and Clinical Center for Infertility, Yazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.,Royesh Infertility Center, Birjand University of Medical Science, Birjand, Iran
| |
Collapse
|
9
|
Zhang Z, Yu J, Xie J, Liu D, Fan Y, Ma H, Wang C, Hong Z. Improvement roles of zinc supplementation in low dose lead induced testicular damage and glycolytic inhibition in mice. Toxicology 2021; 462:152933. [PMID: 34508822 DOI: 10.1016/j.tox.2021.152933] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2021] [Revised: 08/30/2021] [Accepted: 09/06/2021] [Indexed: 10/20/2022]
Abstract
Lead (Pb) is a toxic metal that affects the male reproductive system. This study aimed to investigate the effects of zinc (Zn) intake between recommended dietary allowances (RDAs) and tolerable upper intake levels (ULs) in preventing male testis damage induced by low-dose Pb. Forty-five mice were randomly divided into control, Pb, and Pb + Zn groups. They were given distilled water ad libitum with 0, 200 mg/L Pb2+, or 15 mg/L Zn2+ mixed with 200 mg/L Pb2+ for 90 consecutive days. The Zn levels in the blood and testis of the Pb group were significantly lower than those of the control group. The Pb levels in the blood and testis of the Pb + Zn group were significantly lower than those of the Pb group. Additionally, a significant decrease in sperm density and viability, with a significant increase in sperm abnormality rate and DNA fragmentation index, was observed in the Pb group. Zn supplementation significantly improved the above sperm parameters. Moreover, Zn supplementation decreased low-dose Pb-induced lipid peroxidation and increased glutathione, total superoxide dismutase (SOD), and copper/Zn-SOD levels. Furthermore, Zn treatment improved glycolysis products and lactate transporters in Pb-treated mouse testes. Our findings suggest that Zn intake between RDAs and UL can act as a therapeutic agent in protecting against the reproductive impairments associated with Pb exposure.
Collapse
Affiliation(s)
- Zhaoyu Zhang
- Department of Preventive Medicine, School of Health Sciences, Wuhan University, Wuhan, 430071, PR China
| | - Jun Yu
- Department of Preventive Medicine, School of Basic Medical Sciences, Hubei University of Science and Technology, Xianning, 437100, PR China
| | - Jie Xie
- Department of Preventive Medicine, School of Health Sciences, Wuhan University, Wuhan, 430071, PR China
| | - Duanya Liu
- Department of Preventive Medicine, School of Health Sciences, Wuhan University, Wuhan, 430071, PR China
| | - Yongsheng Fan
- Department of Preventive Medicine, School of Health Sciences, Wuhan University, Wuhan, 430071, PR China
| | - Haitao Ma
- Department of Preventive Medicine, School of Health Sciences, Wuhan University, Wuhan, 430071, PR China
| | - Chunhong Wang
- Department of Preventive Medicine, School of Health Sciences, Wuhan University, Wuhan, 430071, PR China.
| | - Zhidan Hong
- Reproductive Medicine Center, Zhongnan Hospital of Wuhan University, Wuhan, 430071, PR China.
| |
Collapse
|
10
|
Campos LGA, Requejo LC, Miñano CAR, Orrego JD, Loyaga EC, Cornejo LG. Correlation between sperm DNA fragmentation index and semen parameters in 418 men seen at a fertility center. JBRA Assist Reprod 2021; 25:349-357. [PMID: 33624489 PMCID: PMC8312297 DOI: 10.5935/1518-0557.20200079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Objective: Methods: Results: Conclusions:
Collapse
Affiliation(s)
- Láyonal Germán Acosta Campos
- IN VITRO GESTAR Assisted Reproduction Center Chiclayo Perú IN VITRO GESTAR, Assisted Reproduction Center. Chiclayo, Perú
| | - Lissett Chiscul Requejo
- IN VITRO GESTAR Assisted Reproduction Center Chiclayo Perú IN VITRO GESTAR, Assisted Reproduction Center. Chiclayo, Perú
| | - Carlos Antonio Rivas Miñano
- IN VITRO GESTAR Assisted Reproduction Center Chiclayo Perú IN VITRO GESTAR, Assisted Reproduction Center. Chiclayo, Perú
| | - Jheny Díaz Orrego
- IN VITRO GESTAR Assisted Reproduction Center Chiclayo Perú IN VITRO GESTAR, Assisted Reproduction Center. Chiclayo, Perú
| | - Elmer Chávez Loyaga
- IN VITRO GESTAR Assisted Reproduction Center Chiclayo Perú IN VITRO GESTAR, Assisted Reproduction Center. Chiclayo, Perú
| | - Luis Gonzales Cornejo
- IN VITRO GESTAR Assisted Reproduction Center Chiclayo Perú IN VITRO GESTAR, Assisted Reproduction Center. Chiclayo, Perú
| |
Collapse
|
11
|
ÖZDEMİR Ü, ATAYURT Z, ŞIK BA, ÖZDAMAR Ö, ABA YA, OZOLCAY O. CAN HYPO-OSMOTIC SWELLING TEST (HOST) IMPROVE PREGNANCY OUTCOMES IN UNEXPLAINED INFERTILITY PATIENTS WITH NORMAL SEMEN PARAMETERS UNDERGOING ICSI –FROZEN EMBRYO TRANSFER CYCLES? CLINICAL AND EXPERIMENTAL HEALTH SCIENCES 2021. [DOI: 10.33808/clinexphealthsci.852252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
|
12
|
Sabet S, Najafi MH, Tavalaee M, Sadeghi N, Nasr-Esfahani MH. Single-blind clinical trial: Sperm selection based on capacity to pass through cumulus oophorous column improves ICSI outcomes. Andrology 2021; 9:1560-1570. [PMID: 34019729 DOI: 10.1111/andr.13043] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2020] [Revised: 04/22/2021] [Accepted: 05/18/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND Sperm selection procedures for future strategies that aim to select normal spermatozoa with intact DNA to improve intracytoplasmic sperm injection (ICSI) outcomes are in early developing stage. OBJECTIVES The objective is to find out whether the sperm selection procedure based on the ability of spermatozoa to traverse the cumulus cells could improve clinical outcomes of ICSI technique in infertile couples with male factor etiology. MATERIALS AND METHODS For this single-blind clinical trial, mature metaphase II oocytes were retrieved from 150 couples with male factor infertility, male age lower than 45 years and female age under 38 years. These couples were divided into two groups. In control group (n = 75), spermatozoa processed by density gradient centrifugation (DGC) were used to inject the oocytes. In the study group (n = 75), the oocytes were divided into sibling groups. In one sibling group (DGC), the oocytes were inseminated with DGC-processed spermatozoa while in the other group (DGC-CC), they were inseminated with DGC-processed spermatozoa that passed cumulus oophorous column. RESULTS Mean fertilization and embryo quality were significantly higher in DGC-CC group compared to DGC and control group. In addition, mean of chemical pregnancy (52.27% vs. 34.14%; p = 0.05), clinical pregnancy based on sac (52.27% vs. 32.92%; p = 0.03), clinical pregnancy with heart beat (52.27% vs. 25.60%; p = 0.003) and ongoing pregnancy (43.18% vs. 21.95%; p = 0.02) rates were significantly higher in DGC-CC group compared to control group. CONCLUSION Sperm selection based on integrated systems such as DGC and ability to pass through cumulus oophorous column could improve clinical outcomes of ICSI in couples with male factor infertility.
Collapse
Affiliation(s)
- Sara Sabet
- ACECR Institute of Higher Education (Isfahan Branch), Isfahan, Iran.,Department of Animal Biotechnology, Reproductive Biomedicine Research Center, Royan Institute for Biotechnology, ACECR, Isfahan, Iran
| | | | - Marziyeh Tavalaee
- Department of Animal Biotechnology, Reproductive Biomedicine Research Center, Royan Institute for Biotechnology, ACECR, Isfahan, Iran
| | - Niloofar Sadeghi
- Department of Animal Biotechnology, Reproductive Biomedicine Research Center, Royan Institute for Biotechnology, ACECR, Isfahan, Iran
| | - Mohammad H Nasr-Esfahani
- Department of Animal Biotechnology, Reproductive Biomedicine Research Center, Royan Institute for Biotechnology, ACECR, Isfahan, Iran.,Isfahan Fertility and Infertility Center, Isfahan, Iran
| |
Collapse
|
13
|
Sperm selection during ICSI treatments reduces single- but not double-strand DNA break values compared to the semen sample. J Assist Reprod Genet 2021; 38:1187-1196. [PMID: 33660206 DOI: 10.1007/s10815-021-02129-w] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Accepted: 02/23/2021] [Indexed: 12/12/2022] Open
Abstract
PURPOSE To detect a possible bias in sperm DNA fragmentation (SDF) testing when performed on semen samples or on those few spermatozoa selected for Intracytoplasmic Sperm Injection (ICSI) treatments. METHODS A multimethodological analysis of Single- and Double-Strand DNA Breaks (SSB and DSB, respectively) was performed through the Neutral Comet, the Alkaline Comet, the Sperm Chromatin Dispersion (SCD) and the Terminal deoxynucleotidyl transferase dUTP Nick End Labelling (TUNEL) assays. SDF was evaluated in (i) semen samples from 23 infertile patients (not achieving pregnancy or suffering recurrent miscarriage); (ii) samples after a Swim-up and (iii) spermatozoa microselected for ICSI (ICSI-S). RESULTS The analysis of 3217 ICSI-S revealed a significant reduction of SSB values compared to the Ejaculate and the Swim-up samples. On the contrary, DSB values were not reduced after any sperm selection method. The No-pregnancy group presented poorer semen parameters and higher SSB values. The Recurrent miscarriage group presented better semen parameters but also higher DSB values. CONCLUSION The analysis of SDF on semen samples may not be fully representative of those few spermatozoa selected for ICSI. Since oxidative stress impairs sperm motility and causes SSB, selecting a motile sperm may intrinsically imply choosing a sperm not affected by this damage. DSB have an enzymatic origin which does not affect motility, making it difficult to select a sperm without this damage. Therefore, ICSI treatments could be effective in patients presenting high SSB values. Patients presenting high DSB values should expect bad ICSI results if this damage is not reduced through other specific methods.
Collapse
|
14
|
Ardıç CM, Ilgın S, Baysal M, Karaduman AB, Kılıç V, Aydoğan-Kılıç G, Uçarcan Ş, Atlı-Eklioğlu Ö. Olanzapine induced reproductive toxicity in male rats. Sci Rep 2021; 11:4739. [PMID: 33637793 PMCID: PMC7910427 DOI: 10.1038/s41598-021-84235-4] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2020] [Accepted: 02/08/2021] [Indexed: 11/17/2022] Open
Abstract
Although it is reported that olanzapine (OLZ), which is an atypical antipsychotic drug, causes sexual dysfunction in men, it is noteworthy that there is not any study evaluating the toxic effects of OLZ on the male reproductive system. In the scope of this research, it was aimed to assess the reproductive toxic effects of OLZ by oral administration of 2.5, 5, or 10 mg/kg of it to male rats for 28 days. For this purpose, sperm concentration, motility and morphology, and DNA damage were determined, and histopathological examination of testis tissue was carried out in rats. Also, the levels of serum follicle-stimulating hormone (FSH), luteinizing hormone (LH), and testosterone, which play roles in the regulation of reproductive functions, and the levels of glutathione (GSH), catalase (CAT), superoxide dismutase (SOD) and malondialdehyde (MDA) which play roles in reproductive pathologies as oxidative stress biomarkers, were determined. According to the results, normal sperm morphology was decreased in 5 ve 10 mg/kg OLZ-administered groups, and pathological findings were evident in the testicular structure of the OLZ-administered group when compared with the control group. It was determined that serum LH, FSH, and testosterone levels were decreased in the OLZ-administered group. Also, decreases of GSH levels in testis tissue were determined and evaluated as the markers of the oxidative stress induced by OLZ in the testis. In conclusion, it was determined that reproductive toxic effects were induced in rats by OLZ administration. This pathology was accompanied by alterations of the hormone levels and testicular oxidative stress.
Collapse
Affiliation(s)
- Cankız Mina Ardıç
- Department of Pharmaceutical Toxicology, Faculty of Pharmacy, Anadolu University, 26470, Eskişehir, Turkey
| | - Sinem Ilgın
- Department of Pharmaceutical Toxicology, Faculty of Pharmacy, Anadolu University, 26470, Eskişehir, Turkey
| | - Merve Baysal
- Department of Pharmaceutical Toxicology, Faculty of Pharmacy, Anadolu University, 26470, Eskişehir, Turkey
| | - A Burak Karaduman
- Department of Pharmaceutical Toxicology, Faculty of Pharmacy, Anadolu University, 26470, Eskişehir, Turkey
| | - Volkan Kılıç
- Department of Biology, Faculty of Science, Eskişehir Technical University, Eskisehir, Turkey
| | - Gözde Aydoğan-Kılıç
- Department of Biology, Faculty of Science, Eskişehir Technical University, Eskisehir, Turkey
| | - Şeyda Uçarcan
- Department of Biology, Faculty of Science, Eskişehir Technical University, Eskisehir, Turkey
| | - Özlem Atlı-Eklioğlu
- Department of Pharmaceutical Toxicology, Faculty of Pharmacy, Anadolu University, 26470, Eskişehir, Turkey.
| |
Collapse
|
15
|
|
16
|
Xie J, Yu J, Fan Y, Zhao X, Su J, Meng Y, Wu Y, Uddin MB, Wang C, Wang Z. Low dose lead exposure at the onset of puberty disrupts spermatogenesis-related gene expression and causes abnormal spermatogenesis in mouse. Toxicol Appl Pharmacol 2020; 393:114942. [PMID: 32142724 DOI: 10.1016/j.taap.2020.114942] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2019] [Revised: 02/25/2020] [Accepted: 03/02/2020] [Indexed: 12/12/2022]
Abstract
Implications of lead (Pb) exposure in dysregulated spermatogenesis in sexually active individuals during adulthood is well established; however, the effect of Pb exposure on spermatogenesis in the early stages of puberty is not clear yet. Moreover, the mechanism of Pb mediated dysregulation of spermatogenesis in adults is also poorly understood. Exposure to environmental toxicants during puberty may cause serious consequences in adulthood causing developmental retardations, especially in the reproductive system. Here we investigated the effects of lead exposure on spermatogenesis at the onset of puberty and the underlying mechanisms of these effects. Male ICR mice were exposed to low (50 mg/L) and high (200 mg/L) doses of Pb through the drinking water for 90 days. At the end of this period, the blood Pb level of the low-dose and high-dose exposure groups were found 6.14 ± 0.34 μg/dL and 11.92 ± 2.92 μg/dL respectively which were in agreement with the US CDC-recommended (5 μg/dL) and Chinese CDC-recommended (10 μg/dL) reference blood Pb level for the children. Although no visible toxicity was observed in either group, Pb exposure caused considerable histopathological changes in testis and epididymis; increased sperm DNA fragmentation indices as well as disrupted sperm heads and head-neck conjunctions. Moreover, both low and high-dose Pb exposures caused aberrant expressions of several important spermatogenesis-related genes in epididymis and testis. These results suggest that although the blood Pb levels are close to the recommended-reference values, low dose Pb exposure at the onset of puberty can disrupt spermatogenesis-related gene expression and cause abnormal mouse spermatogenesis.
Collapse
Affiliation(s)
- Jie Xie
- Department of Preventive Medicine, School of Health Sciences, Wuhan University, Wuhan 430071, PR China
| | - Jun Yu
- Department of Preventive Medicine, School of Health Sciences, Wuhan University, Wuhan 430071, PR China
| | - Yongsheng Fan
- Department of Preventive Medicine, School of Health Sciences, Wuhan University, Wuhan 430071, PR China
| | - Xue Zhao
- Department of Preventive Medicine, School of Health Sciences, Wuhan University, Wuhan 430071, PR China
| | - Jianmei Su
- Department of Preventive Medicine, School of Health Sciences, Wuhan University, Wuhan 430071, PR China
| | - Yu Meng
- Department of Preventive Medicine, School of Health Sciences, Wuhan University, Wuhan 430071, PR China
| | - Yu Wu
- Department of Preventive Medicine, School of Health Sciences, Wuhan University, Wuhan 430071, PR China
| | - Mohammad Burhan Uddin
- Department of Toxicology and Cancer Biology, College of Medicine, University of Kentucky, Lexington, KY 40536, USA
| | - Chunhong Wang
- Department of Preventive Medicine, School of Health Sciences, Wuhan University, Wuhan 430071, PR China.
| | - Zhishan Wang
- Department of Toxicology and Cancer Biology, College of Medicine, University of Kentucky, Lexington, KY 40536, USA.
| |
Collapse
|
17
|
Ghorbani-Sini R, Izadi T, Tavalaee M, Azadi L, Hajian M, Rahimi Zamani M, Nasr-Esfahani MH. Comparison of Sperm Telomere Length between Two Sperm Selection Procedures: Density Gradient Centrifugation and Zeta Potential. INTERNATIONAL JOURNAL OF FERTILITY & STERILITY 2020; 14:51-56. [PMID: 32112636 PMCID: PMC7139234 DOI: 10.22074/ijfs.2020.5981] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/18/2019] [Accepted: 07/01/2019] [Indexed: 11/04/2022]
Abstract
Background Telomeres are particular sequences of DNA located at the end of the eukaryotic chromosomes that are essential for genome integrity. Telomere length in spermatozoa differs among males, as well as spermatozoa. Also, decreased telomere length in spermatozoa of infertile men is associated with the reduction of fertility potential and embryo quality. Density gradient centrifugation (DGC) and swim-up are useful techniques for separation of spermatozoa with longer telomeres. Also, the selection of sperm based on surface negative electric charge or "Zeta potential", can separate high percentage of spermatozoa with intact chromatin compared to DGC alone, and also the combination of DGC-Zeta can improve clinical outcomes of infertile men candidate for intracytoplasmic sperm injection (ICSI). Therefore, we compared sperm telomere length and DNA fragmentation between two sperm preparation procedures, namely DGC and zeta potential. Materials and Methods In this experimental study, we assessed sperm telomere length and DNA fragmentation by quantitative real-time polymerase chain reaction (PCR) and TUNEL assay methods, respectively. The spermatozoa were obtained from infertile men with normozoospermia between September 2017 and December 2017 and prepared either by DGC or zeta potential methods. Sperm telomere length was expressed as relative and absolute units. Results Compared with washed semen samples or control, no significant (P>0.05) difference was observed in the mean relative or absolute sperm telomere length when the two methods DGC or zeta potential were compared. However, the mean percentage of DNA fragmentation was significantly (P<0.05) lower in spermatozoa prepared by DGC or zeta potential methods than spermatozoa obtained from control samples. Conclusion This is the first study that compared the effect of DGC and zeta potential as the sperm preparation methods on sperm telomere length. It seems that both methods can select sperm population with high DNA integrity and the same sperm telomeres length.
Collapse
Affiliation(s)
- Razieh Ghorbani-Sini
- ACECR Institute of Higher Education (Isfahan Branch), Isfahan, Iran.,Department of Reproductive Biotechnology, Reproductive Biomedicine Research Center, Royan Institute for Biotechnology, ACECR, Isfahan, Iran
| | - Tayebeh Izadi
- Department of Cellular Biotechnology, Cell Science Research Center, Royan Institute for Biotechnology, ACECR, Isfahan, Iran
| | - Marziyeh Tavalaee
- Department of Reproductive Biotechnology, Reproductive Biomedicine Research Center, Royan Institute for Biotechnology, ACECR, Isfahan, Iran
| | - Leila Azadi
- Department of Reproductive Biotechnology, Reproductive Biomedicine Research Center, Royan Institute for Biotechnology, ACECR, Isfahan, Iran
| | - Mehdi Hajian
- Department of Reproduction and Development, Royan Institute for Biotechnology, ACECR, Isfahan, Iran
| | - Mahshid Rahimi Zamani
- Department of Reproductive Biotechnology, Reproductive Biomedicine Research Center, Royan Institute for Biotechnology, ACECR, Isfahan, Iran
| | - Mohammad Hossein Nasr-Esfahani
- Department of Reproductive Biotechnology, Reproductive Biomedicine Research Center, Royan Institute for Biotechnology, ACECR, Isfahan, Iran. Electronic Address: .,Isfahan Fertility and Infertility Center, Isfahan, Iran
| |
Collapse
|
18
|
Daneshmandpour Y, Pashazadeh F, Ansari F, Hosseinifard H, Nouri M, Yousefi M, Sakhinia E. The comparative effect of magnetic activated cell sorting, density gradient centrifugation and swim up on assisted reproduction outcomes, sperm DNA fragmentation, and aneuploidy: A systematic review and meta-analysis. Meta Gene 2019. [DOI: 10.1016/j.mgene.2019.100607] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
|
19
|
De Martin H, Miranda EP, Cocuzza MS, Monteleone PAA. Density gradient centrifugation and swim-up for ICSI: useful, unsafe, or just unsuitable? J Assist Reprod Genet 2019; 36:2421-2423. [PMID: 31664659 DOI: 10.1007/s10815-019-01602-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2019] [Accepted: 10/09/2019] [Indexed: 01/16/2023] Open
Affiliation(s)
- Hamilton De Martin
- Human Reproduction Center, Sao Paulo, Brazil.,Discipline of Gynecology, Hospital das Clinicas, University of Sao Paulo Medical School, Sao Paulo, Brazil.,Monteleone Clinic, Sao Paulo, Brazil
| | - Eduardo P Miranda
- Division of Urology, Universidade Federal do Ceara, Fortaleza, Brazil.
| | - Marcello S Cocuzza
- Human Reproduction Center, Sao Paulo, Brazil.,Division of Urology, Hospital das Clinicas, University of Sao Paulo Medical School, Sao Paulo, Brazil
| | - Pedro A A Monteleone
- Human Reproduction Center, Sao Paulo, Brazil.,Discipline of Gynecology, Hospital das Clinicas, University of Sao Paulo Medical School, Sao Paulo, Brazil.,Monteleone Clinic, Sao Paulo, Brazil
| |
Collapse
|
20
|
Le MT, Nguyen TAT, Nguyen HTT, Nguyen TTT, Nguyen VT, Le DD, Nguyen VQH, Cao NT. Does sperm DNA fragmentation correlate with semen parameters? Reprod Med Biol 2019; 18:390-396. [PMID: 31607800 PMCID: PMC6780033 DOI: 10.1002/rmb2.12297] [Citation(s) in RCA: 42] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2019] [Revised: 08/07/2019] [Accepted: 08/15/2019] [Indexed: 12/13/2022] Open
Abstract
PURPOSE This study aimed to investigate the association between sperm quality assessed by routine semen analysis and sperm DNA integrity assay. METHODS In our cross-sectional study, a total of 318 men from the infertile couples were enrolled from December 2017 to March 2019 at the Hue Center for Reproductive Endocrinology and Infertility, Vietnam. General characteristics and semen parameters were detected. The sperm DNA fragmentation index (DFI) was estimated by the sperm chromatin dispersion (SCD) assay. A threshold of DFI 30% was applied to classify normal (DFI < 30%) or abnormal (DFI ≥ 30%) groups. The correlations between DFI and semen parameters were analyzed by Spearman's rank correlation coefficient. RESULTS In the correlation analysis, DFI was significantly correlated with abnormal head and progressive motility, with a positive correlation with abnormal head (ρ = .202, P = .0003) and a weak negative correlation with progressive motility (ρ = -.168, P = .0027), respectively. In the bivariate analysis, DFI was associated with male age, smoking, and alcohol consumption with P < .05. CONCLUSIONS The sperm DFI was not strongly correlated with conventional semen parameters. Therefore, a sperm DNA fragmentation assay should be performed as an additional step in the investigation of male fertility.
Collapse
Affiliation(s)
- Minh Tam Le
- Department of OBGYNHue University of Medicine and PharmacyHue UniversityHueVietnam
- Center for Reproductive Endocrinology and InfertilityHue University of Medicine and PharmacyHue UniversityHueVietnam
| | - Tam An Thi Nguyen
- Center for Reproductive Endocrinology and InfertilityHue University of Medicine and PharmacyHue UniversityHueVietnam
| | - Hiep Tuyet Thi Nguyen
- Department of Histology and EmbryologyThai Nguyen University of Medicine and PharmacyThai NguyenVietnam
| | - Thai Thanh Thi Nguyen
- Center for Reproductive Endocrinology and InfertilityHue University of Medicine and PharmacyHue UniversityHueVietnam
| | - Van Trung Nguyen
- Center for Reproductive Endocrinology and InfertilityHue University of Medicine and PharmacyHue UniversityHueVietnam
| | - Dinh Duong Le
- Department of Public HealthHue University of Medicine and PharmacyHue UniversityHueVietnam
| | - Vu Quoc Huy Nguyen
- Department of OBGYNHue University of Medicine and PharmacyHue UniversityHueVietnam
| | - Ngoc Thanh Cao
- Department of OBGYNHue University of Medicine and PharmacyHue UniversityHueVietnam
- Center for Reproductive Endocrinology and InfertilityHue University of Medicine and PharmacyHue UniversityHueVietnam
| |
Collapse
|
21
|
Bichara C, Berby B, Rives A, Jumeau F, Letailleur M, Setif V, Sibert L, Rondanino C, Rives N. Sperm chromatin condensation defects, but neither DNA fragmentation nor aneuploidy, are an independent predictor of clinical pregnancy after intracytoplasmic sperm injection. J Assist Reprod Genet 2019; 36:1387-1399. [PMID: 31289980 DOI: 10.1007/s10815-019-01471-4] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2018] [Accepted: 05/01/2019] [Indexed: 02/07/2023] Open
Abstract
PURPOSE The impact of sperm DNA damage on intracytoplasmic sperm injection (ICSI) outcomes remains controversial. The purpose of the study was to evaluate the prognostic value of several types of sperm nuclear damage on ICSI clinical pregnancy. METHODS Our retrospective study included a total of 132 couples who consulted for male or mixed-factor infertility that benefited from ICSI cycles from January 2006 to December 2015. All infertile males presented at least one conventional semen parameter alteration. Sperm nuclear damage was assessed using the Motile Sperm Organelle Morphological Examination for sperm head relative vacuolar area (RVA), aniline blue staining for chromatin condensation, terminal deoxynucleotidyl transferase dUTP nick-end labeling for DNA fragmentation, and fluorescence in situ hybridization for aneuploidy. RESULTS Infertile males who achieved pregnancy after ICSI had fewer chromatin condensation defects than did males who did not achieve any pregnancy (15.8 ± 12.0% vs. 11.4 ± 7.9%, respectively, P = 0.0242), which remained significant in multivariate regression analysis (RR = 0.40 [0.18 to 0.86], P = 0.02). RVA, DNA fragmentation, and aneuploidy were not predictive factors of ICSI outcomes. The pregnancy rate was significantly decreased by number of progressive motile spermatozoa with normal morphology after migration (P = 0.04). In female partners, 17β estradiol of less than 2000 pg/mL on the day of ovulation induction significantly reduced the occurrence of clinical pregnancy (P = 0.04). CONCLUSION Sperm chromatin condensation defects were more frequently observed in couples with ICSI failure and should be considered a negative predictive factor for the occurrence of clinical pregnancy.
Collapse
Affiliation(s)
- C Bichara
- Biology of Reproduction, CECOS Laboratory, Normandie Univ., UNIROUEN, EA 4308 "Gametogenesis and Gamete Quality", Rouen University Hospital, F 76000, Rouen, France
| | - B Berby
- Biology of Reproduction, CECOS Laboratory, Normandie Univ., UNIROUEN, EA 4308 "Gametogenesis and Gamete Quality", Rouen University Hospital, F 76000, Rouen, France
| | - A Rives
- Biology of Reproduction, CECOS Laboratory, Normandie Univ., UNIROUEN, EA 4308 "Gametogenesis and Gamete Quality", Rouen University Hospital, F 76000, Rouen, France
| | - F Jumeau
- Biology of Reproduction, CECOS Laboratory, Normandie Univ., UNIROUEN, EA 4308 "Gametogenesis and Gamete Quality", Rouen University Hospital, F 76000, Rouen, France
| | - M Letailleur
- ART Center, Normandie Univ., UNIROUEN, Rouen University Hospital, F 76000, Rouen, France
| | - V Setif
- Biology of Reproduction, CECOS Laboratory, Normandie Univ., UNIROUEN, EA 4308 "Gametogenesis and Gamete Quality", Rouen University Hospital, F 76000, Rouen, France
| | - L Sibert
- Department of Urology-Andrology, Normandie Univ., UNIROUEN, EA 4308 "Gametogenesis and Gamete Quality", Rouen University Hospital, F 76000, Rouen, France
| | - C Rondanino
- Biology of Reproduction, CECOS Laboratory, Normandie Univ., UNIROUEN, EA 4308 "Gametogenesis and Gamete Quality", Rouen University Hospital, F 76000, Rouen, France
| | - Nathalie Rives
- Biology of Reproduction, CECOS Laboratory, Normandie Univ., UNIROUEN, EA 4308 "Gametogenesis and Gamete Quality", Rouen University Hospital, F 76000, Rouen, France.
| |
Collapse
|
22
|
Oehninger S, Ombelet W. Limits of current male fertility testing. Fertil Steril 2019; 111:835-841. [DOI: 10.1016/j.fertnstert.2019.03.005] [Citation(s) in RCA: 35] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2019] [Revised: 03/01/2019] [Accepted: 03/04/2019] [Indexed: 12/23/2022]
|
23
|
Gonzalez-Castro RA, Carnevale EM. Use of microfluidics to sort stallion sperm for intracytoplasmic sperm injection. Anim Reprod Sci 2019; 202:1-9. [DOI: 10.1016/j.anireprosci.2018.12.012] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2018] [Revised: 12/11/2018] [Accepted: 12/31/2018] [Indexed: 10/27/2022]
|
24
|
Tarozzi N, Nadalini M, Borini A. Effect on Sperm DNA Quality Following Sperm Selection for ART: New Insights. ADVANCES IN EXPERIMENTAL MEDICINE AND BIOLOGY 2019; 1166:169-187. [DOI: 10.1007/978-3-030-21664-1_10] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
|
25
|
Association of equine sperm population parameters with outcome of intracytoplasmic sperm injections. Theriogenology 2018; 119:114-120. [DOI: 10.1016/j.theriogenology.2018.06.027] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2017] [Revised: 06/28/2018] [Accepted: 06/28/2018] [Indexed: 11/20/2022]
|
26
|
Sperm DNA fragmentation index as a promising predictive tool for male infertility diagnosis and treatment management – meta-analyses. Reprod Biomed Online 2018; 37:315-326. [DOI: 10.1016/j.rbmo.2018.06.023] [Citation(s) in RCA: 92] [Impact Index Per Article: 15.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2017] [Revised: 06/21/2018] [Accepted: 06/22/2018] [Indexed: 11/17/2022]
|
27
|
O'Neill CL, Parrella A, Keating D, Cheung S, Rosenwaks Z, Palermo GD. A treatment algorithm for couples with unexplained infertility based on sperm chromatin assessment. J Assist Reprod Genet 2018; 35:1911-1917. [PMID: 30056595 PMCID: PMC6150896 DOI: 10.1007/s10815-018-1270-x] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2018] [Accepted: 07/17/2018] [Indexed: 01/23/2023] Open
Abstract
OBJECTIVE To design a reproductive treatment algorithm based on the sperm DNA fragmentation (SDF) for couples with unexplained infertility following a poor intrauterine insemination (IUI) outcome. DESIGN Couples that failed IUI with no apparent reproductive issue in both partners were allocated to diverse reproductive treatments on the basis of SDF. SETTING Reproductive medical center in an academic setting. PATIENT(S) Over 4 years, couples with an unexpected poor IUI outcome and no apparent female or male partner reproductive issues were recruited. INTERVENTION(S) IUI, IVF, and ICSI were performed in the standard fashion following sperm SDF assays. MAIN OUTCOMES MEASURE(S) Fertilization rate, implantation rate, pregnancy characteristics, and delivery rates. RESULT(S) A total of 354 couples with unexplained infertility and normal semen parameters underwent 1133 IUI cycles. Clinical pregnancy rate (CPR) with IUI at our center in an age-matched cohort is 23.9% while the study cohort had 1.8%. Following SDF assessment, couples with failed IUI attempts but normal SDF (SCSA 9.8 ± 4.6%; TUNEL 11.8 ± 6.2%) underwent IVF with a CPR of 12.7%; those with abnormal SDF underwent ICSI with ejaculated spermatozoa, resulting in a CPR of 18.7%. This group included couples with normal SDF that had failed IVF. Couples with abnormal SDF that failed ICSI with ejaculated spermatozoa achieved a CPR of 31.0% with surgically retrieved spermatozoa. CONCLUSION(S) Couples with unexplained infertility that present with unexpectedly poor IUI outcomes can be funneled into a treatment algorithm guided by the integrity of the sperm genome for higher chances of pregnancy using an alternate method of insemination.
Collapse
Affiliation(s)
- C L O'Neill
- The Ronald O. Perelman and Claudia Cohen Center for Reproductive Medicine, Weill Cornell Medicine, 1305 York Avenue, Suite Y-720, New York, NY, 10021, USA
| | - A Parrella
- The Ronald O. Perelman and Claudia Cohen Center for Reproductive Medicine, Weill Cornell Medicine, 1305 York Avenue, Suite Y-720, New York, NY, 10021, USA
| | - D Keating
- The Ronald O. Perelman and Claudia Cohen Center for Reproductive Medicine, Weill Cornell Medicine, 1305 York Avenue, Suite Y-720, New York, NY, 10021, USA
| | - S Cheung
- The Ronald O. Perelman and Claudia Cohen Center for Reproductive Medicine, Weill Cornell Medicine, 1305 York Avenue, Suite Y-720, New York, NY, 10021, USA
| | - Z Rosenwaks
- The Ronald O. Perelman and Claudia Cohen Center for Reproductive Medicine, Weill Cornell Medicine, 1305 York Avenue, Suite Y-720, New York, NY, 10021, USA
| | - G D Palermo
- The Ronald O. Perelman and Claudia Cohen Center for Reproductive Medicine, Weill Cornell Medicine, 1305 York Avenue, Suite Y-720, New York, NY, 10021, USA.
| |
Collapse
|
28
|
Sefidgar Tehrani M, Amirian M, Jalali M, Attaranzadeh A, Fazel A, Ebrahimzadeh-Bideskan A. Role of the Zeta Method in Intracytoplasmic Sperm Injection Outcomes in High Sperm DNA Fragmentation in Oligoasthenozoospermic Men. Galen Med J 2018; 7:e1107. [PMID: 34466435 PMCID: PMC8343982 DOI: 10.22086/gmj.v0i0.1107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2018] [Revised: 04/16/2018] [Accepted: 04/19/2018] [Indexed: 11/30/2022] Open
Abstract
Background: New methods are needed to optimize intracytoplasmic sperm injection (ICSI) outcomes in oligoasthenozoospermic (OAS) men. We evaluated the level of DNA fragment index (DFI) in OAS men and its impact on ICSI outcomes. In addition, we used the zeta potential method for sperm selection to investigate the efficacy of this technique in improving ICSI outcomes. Materials and Methods: This cross-sectional study was performed on 95 couples. Sperm parameters and sperm DNA fragmentation (SDF) were measured. The couples were divided into the following 3 groups: group I (n=30) where SDF was between 15% and 30%, and routine sperm was selected on the basis of motility and morphology; group II (n=34) where SDF was more than 30%, and the routine sperm selection method was applied on the basis of motility and morphology; and group III (n=31) where SDF was more than 30%, and the sperm selection was performed on the basis of the zeta method. The fertilization rate, embryo development, embryo quality, and implantation rate were evaluated in these 3 groups. Results: The fertilization rate was significantly higher in group I compared with group II (P<0.05). The embryo development rate in group I was significantly higher than that in group II (P<0.001) and group III (P<0.05), and it was significantly lower in group II compared with group III (P<0.05). The embryo quality was higher in group III compared with group II (P<0.01). The implantation rate in group I was significantly higher than that in group II (P<0.05) and group III (P<0.05). Conclusions: The present study indicated that a higher level of SDF has an adverse effect on the ICSI outcome. Furthermore, the zeta potential technique can be a useful method for sperm selection in OAS men.
Collapse
Affiliation(s)
- Maryam Sefidgar Tehrani
- Department of Anatomy and Cell Biology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Malihe Amirian
- Department of Reproductive Medicine and Gynecology, Milad Infertility Center, Mashhad, Iran
| | - Mohsen Jalali
- Department of Reproductive Medicine and Gynecology, Armaghan Infertility Center, Mashhad, Iran
| | - Armin Attaranzadeh
- Department of Reproductive Medicine and Gynecology, Milad Infertility Center, Mashhad, Iran
| | - Alireza Fazel
- Microanatomy Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Alireza Ebrahimzadeh-Bideskan
- Department of Anatomy and Cell Biology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.,Microanatomy Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| |
Collapse
|
29
|
Lamotte A, Martinez G, Devillard F, Hograindleur JP, Satre V, Coutton C, Harbuz R, Amblard F, Lespinasse J, Benchaib M, Bessonnat J, Brouillet S, Hennebicq S. Is sperm FISH analysis still useful for Robertsonian translocations? Meiotic analysis for 23 patients and review of the literature. Basic Clin Androl 2018; 28:5. [PMID: 29760927 PMCID: PMC5937048 DOI: 10.1186/s12610-018-0069-z] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2017] [Accepted: 03/08/2018] [Indexed: 01/09/2023] Open
Abstract
Background Robertsonian translocations (RobT) are common structural chromosome rearrangements where carriers display a majority of chromosomally balanced spermatozoa from alternate segregation mode. According to some monotony observed in the rates of balanced segregation, is sperm FISH analysis obsolete for RobT carriers? Methods Retrospective cohort research study on 23 patients analyzed in our center from 2003 to 2017 and compared to the data of 187 patients in literature from 1983 to 2017. Robertsonian translocation carriers were divided in six groups according to the chromosomes involved in the translocation: 9 patients from our center and 107 from literature carrying 45,XY,der(13;14) karyotype, 3 and 35 patients respectively with 45,XY,der(14;21), 5 and 11 patients respectively with 45,XY,der(13;15), 4 and 7 patients respectively with 45,XY,der(14;15), 1 and 4 patients respectively with 45,XY,der(13;22),and 1 and 10 patients respectively with 45,XY,der(14;22). Results Alternate segregation mode is predominant in our group of Robertsonian translocation carriers with 73.45% ±8.05 of balanced spermatozoa (min 50.92%; max 89.99%). These results are compliant with the data from literature for all translocations types (p > 0.05) and are consistent among the different types of Robertsonian translocations (p > 0.05) except for der(13;15) that exhibit lower balanced spermatozoa rates (p < 0.05 versus der(13;14), der(14;21), (13;21) and der(15;22)). Normozoospermic patients also display a significantly (p < 0.01) higher rate of balanced sperm cells than patients with abnormal seminograms whatever the defect implied. Conclusions According to the discrepancies observed between der(13;15) and all the other Rob T carriers, the differences observed among patients presenting normal and abnormal sperm parameters and the input in genetical counselling, sperm FISH does not seem obsolete for these patients. Moreover, it seems important to collect more data for rare RobT.
Collapse
Affiliation(s)
- Anna Lamotte
- CHU de Grenoble, UF de Biologie de la procréation, F-38000 Grenoble, France.,3Université Grenoble Alpes, F-38000 Grenoble, France
| | - Guillaume Martinez
- CHU de Grenoble, UF de Génétique Chromosomique, F-38000 Grenoble, France.,3Université Grenoble Alpes, F-38000 Grenoble, France.,Team 'Genetics Epigenetics and Therapies of Infertility', Institute for Advanced Biosciences INSERM U1209, CNRS UMR5309, F-38000 Grenoble, France
| | | | - Jean-Pascal Hograindleur
- 3Université Grenoble Alpes, F-38000 Grenoble, France.,Team 'Genetics Epigenetics and Therapies of Infertility', Institute for Advanced Biosciences INSERM U1209, CNRS UMR5309, F-38000 Grenoble, France
| | - Véronique Satre
- CHU de Grenoble, UF de Génétique Chromosomique, F-38000 Grenoble, France.,3Université Grenoble Alpes, F-38000 Grenoble, France.,Team 'Genetics Epigenetics and Therapies of Infertility', Institute for Advanced Biosciences INSERM U1209, CNRS UMR5309, F-38000 Grenoble, France
| | - Charles Coutton
- CHU de Grenoble, UF de Génétique Chromosomique, F-38000 Grenoble, France.,3Université Grenoble Alpes, F-38000 Grenoble, France.,Team 'Genetics Epigenetics and Therapies of Infertility', Institute for Advanced Biosciences INSERM U1209, CNRS UMR5309, F-38000 Grenoble, France
| | - Radu Harbuz
- CHU de Grenoble, UF de Génétique Chromosomique, F-38000 Grenoble, France
| | - Florence Amblard
- CHU de Grenoble, UF de Génétique Chromosomique, F-38000 Grenoble, France
| | | | | | - Julien Bessonnat
- CHU de Grenoble, UF de Biologie de la procréation, F-38000 Grenoble, France
| | - Sophie Brouillet
- CHU de Grenoble, UF de Biologie de la procréation, F-38000 Grenoble, France.,3Université Grenoble Alpes, F-38000 Grenoble, France
| | - Sylviane Hennebicq
- CHU de Grenoble, UF de Biologie de la procréation, F-38000 Grenoble, France.,3Université Grenoble Alpes, F-38000 Grenoble, France.,Team 'Genetics Epigenetics and Therapies of Infertility', Institute for Advanced Biosciences INSERM U1209, CNRS UMR5309, F-38000 Grenoble, France
| |
Collapse
|
30
|
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.
Collapse
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
Collapse
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
| |
Collapse
|
31
|
Gat I, Li N, Yasovich N, Antes R, Kuznyetsov V, Zohni K, Weizman NF, Librach C. Sperm DNA fragmentation index does not correlate with blastocyst euploidy rate in egg donor cycles. Gynecol Endocrinol 2018; 34:212-216. [PMID: 28972428 DOI: 10.1080/09513590.2017.1379500] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Abstract
Sperm DNA fragmentation is a known etiology for male infertility. We evaluated the impact of sperm DNA fragmentation index (DFI) on blastocyst euploidy in IVF cycles with egg donors. This observational retrospective study, which was conducted in a university affiliated fertility clinic, included IVF-ICSI-pre-implantation Genetic Screening (PGS) egg donor cycles in which DFI was tested prior to IVF, between January 1st, 2014 and July 31st, 2016. Twenty-seven cycles with DFI > 15% were included in the study group and compared with 18 cycles of DFI < 15% within control group. Research group participants had significantly lower sperm count and motility (55.4*106/ml and 37.4%, respectively) compared with controls (92.5*106/ml and 55.7%, respectively, p < .05). The groups were similar in terms of donors' demography (age, BMI), ovarian reserve (AMH, AFC) and response to hormonal stimulation (E2 level on triggering day and number of retrieved eggs). Embryo development (from 2PN through day 3 embryos to blastocysts) was similar as well. The number of biopsied blastocysts from study and control groups was 171 and 87, respectively. PGS with array comprehensive genomic hybridization revealed comparable euploidy rates of 69.3% and 67.3%, respectively (p > .05). DFI did not have an impact on the blastocyst euploidy rate in IVF cycles with egg donors.
Collapse
Affiliation(s)
- Itai Gat
- a CReATe Fertility Centre , Toronto , Canada
- b Pinchas Borenstein Talpiot Medical Leadership Program, Sheba Medical Centre , Tel Hashomer, Israel, affiliated to Sackler Medical School, Tel Aviv University , Tel Aviv , Israel
| | - Nancy Li
- a CReATe Fertility Centre , Toronto , Canada
| | | | - Ran Antes
- a CReATe Fertility Centre , Toronto , Canada
| | | | | | | | - Clifford Librach
- a CReATe Fertility Centre , Toronto , Canada
- c Department of Obstetrics and Gynecology , University of Toronto , Toronto , Canada
- d Department of Physiology , University of Toronto , Toronto , Canada
- e Department of Gynecology , Women's College Hospital , Toronto , Canada
| |
Collapse
|
32
|
Ziarati N, Tavalaee M, Bahadorani M, Nasr Esfahani MH. Clinical outcomes of magnetic activated sperm sorting in infertile men candidate for ICSI. HUM FERTIL 2018; 22:118-125. [DOI: 10.1080/14647273.2018.1424354] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Niloofar Ziarati
- Department of Reproductive Biotechnology, Reproductive Biomedicine Research Center, Royan Institute for Biotechnology, ACECR, Isfahan, Iran
- Department of Biology, Falavarjan Branch, Islamic Azad University, Isfahan, Iran
| | - Marziyeh Tavalaee
- Department of Reproductive Biotechnology, Reproductive Biomedicine Research Center, Royan Institute for Biotechnology, ACECR, Isfahan, Iran
| | - Mehrnoosh Bahadorani
- Department of Biology, Falavarjan Branch, Islamic Azad University, Isfahan, Iran
| | - Mohammad Hossein Nasr Esfahani
- Department of Reproductive Biotechnology, Reproductive Biomedicine Research Center, Royan Institute for Biotechnology, ACECR, Isfahan, Iran
- Isfahan Fertility and Infertility Center, Isfahan, Iran
| |
Collapse
|
33
|
Alvarez Sedó C, Bilinski M, Lorenzi D, Uriondo H, Noblía F, Longobucco V, Lagar EV, Nodar F. Effect of sperm DNA fragmentation on embryo development: clinical and biological aspects. JBRA Assist Reprod 2017; 21:343-350. [PMID: 29116706 PMCID: PMC5714603 DOI: 10.5935/1518-0557.20170061] [Citation(s) in RCA: 39] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
Objective The aim of this study was to investigate the effect of sperm DNA
fragmentation on fertilization rate, embryo development (blastulation rate),
and pregnancy outcomes for ICSI cycles performed in a cohort of couples
using donor eggs and to assess the remaining embryos that were not
transferred or frozen for apoptotic markers. Methods Eighty-two women (egg recipients) were included in the study (2016) were
included in the study. The recipients' mean age was 41.8±5.1 y/o
(36-49), while the egg donors' mean age was 30.8±2.1 y/o (27-33).
Even though donor egg cycles with frozen sperm samples are performed
regularly in our center, 35 cycles were done using fresh sperm samples. The
mean age of the males involved in the procedure was 40.1±5.2 y/o.
Fertilization, blastulation, and pregnancy rates were assessed. The patients
were divided into two groups, TUNEL <15% and ≥15%. In arrested
embryos, ICC was performed to detect cleaved caspase-3, survivin, TUNEL, and
DNA. The Student's t-test was used in between-group
comparisons. The Mann-Whitney U-test was used to assess
homogeneity. Pearson's correlation coefficient was also calculated.
p<0.05 was considered statistically significant. Results This study showed that there is a negative correlation (R=-0.5) between DNA
fragmentation and blastulation rate. High levels of DNA fragmentation were
associated with low blastulation and pregnancy rates (per transfer);
however, fertilization rate was not affected. Samples with higher levels of
DNA fragmentation were associated with higher levels of DNA fragmentation in
blastomeres without activating the apoptotic pathway (9.1% vs. 15.9%)
(p<0.05). Blastomeres from samples with high DNA
fragmentation activated the apoptotic pathway in higher levels than samples
with TUNEL <15% (16.4% vs. 21.9%) (p<0.05). Conclusion Sperm DNA fragmentation was negatively correlated with blastulation and
pregnancy rates even in good quality oocytes. High levels of DNA damage
promote embryo arrest and induce the activation of the apoptotic
pathway.
Collapse
Affiliation(s)
| | - Melina Bilinski
- Centro de Estudios en Genética y Reproducción (CEGYR), Buenos Aires, Argentina
| | - Daniela Lorenzi
- Centro de Estudios en Genética y Reproducción (CEGYR), Buenos Aires, Argentina
| | - Heydy Uriondo
- Centro de Estudios en Genética y Reproducción (CEGYR), Buenos Aires, Argentina
| | - Felicitas Noblía
- Centro de Estudios en Genética y Reproducción (CEGYR), Buenos Aires, Argentina
| | - Valeria Longobucco
- Centro de Estudios en Genética y Reproducción (CEGYR), Buenos Aires, Argentina
| | | | - Florencia Nodar
- Centro de Estudios en Genética y Reproducción (CEGYR), Buenos Aires, Argentina
| |
Collapse
|
34
|
De Martin H, Cocuzza MS, Tiseo BC, Wood GJA, Miranda EP, Monteleone PAA, Soares JM, Serafini PC, Srougi M, Baracat EC. Positive rheotaxis extended drop: a one-step procedure to select and recover sperm with mature chromatin for intracytoplasmic sperm injection. J Assist Reprod Genet 2017; 34:1699-1708. [PMID: 28929253 PMCID: PMC5714818 DOI: 10.1007/s10815-017-1024-1] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2017] [Accepted: 08/11/2017] [Indexed: 01/25/2023] Open
Abstract
PURPOSE The purpose of this study was to develop a novel one-step ICSI approach to select sperm with better chromatin maturity than the conventional method. METHODS This was a pilot diagnostic study, which prospectively recruited men during a 6-month period in a University-affiliated infertility centre. Forty consecutive semen samples were provided for analysis. The positive rheotaxis extended drop (PRED) was set up creating a pressure and viscosity gradient. Each semen sample was divided into four aliquots: one aliquot for density gradient centrifugation (DGC), two aliquots for PRED (fresh semen (PRED-FS) and processed semen (PRED-DGC)), and one aliquot as the control (FS). In PRED, a mean of 200 spermatozoa were collected consecutively without selection from the outlet reservoir. The aniline blue assay was used to assess chromatin immaturity. RESULTS The mean channel length, measured from inlet to outlet, was 32.55 ± 0.86 mm, with a mean width of 1.04 ± 0.21 mm. In 82.5% of cases (33/40), at least 50 spermatozoa were captured between 15 and 30 min. Improved chromatin maturity after the DGC preparation and the PRED approach was observed in all samples. This was reflected by a mean reduction from 28.65 ± 8.97% uncondensed chromatin in the native ejaculates to 17.29 ± 7.72% in DGC and 0.89 ± 1.31% in the PRED approach (P < 0.01). CONCLUSIONS The PRED method may improve the current ICSI technique by providing it with its own sperm selection process. ICSI would probably become an even more complete technique comprising selection, capture and injection of the male gamete.
Collapse
Affiliation(s)
- Hamilton De Martin
- Human Reproduction Center, University of Sao Paulo Medical School, Av. Dr. Eneas de Carvalho Aguiar 255, Sao Paulo, 05403-000, Brazil
- Division of Urology, University of Sao Paulo Medical School, Sao Paulo, Brazil
| | - Marcello S Cocuzza
- Human Reproduction Center, University of Sao Paulo Medical School, Av. Dr. Eneas de Carvalho Aguiar 255, Sao Paulo, 05403-000, Brazil.
- Division of Urology, University of Sao Paulo Medical School, Sao Paulo, Brazil.
| | - Bruno C Tiseo
- Human Reproduction Center, University of Sao Paulo Medical School, Av. Dr. Eneas de Carvalho Aguiar 255, Sao Paulo, 05403-000, Brazil
- Division of Urology, University of Sao Paulo Medical School, Sao Paulo, Brazil
| | - Guilherme J A Wood
- Human Reproduction Center, University of Sao Paulo Medical School, Av. Dr. Eneas de Carvalho Aguiar 255, Sao Paulo, 05403-000, Brazil
- Division of Urology, University of Sao Paulo Medical School, Sao Paulo, Brazil
| | - Eduardo P Miranda
- Human Reproduction Center, University of Sao Paulo Medical School, Av. Dr. Eneas de Carvalho Aguiar 255, Sao Paulo, 05403-000, Brazil
- Division of Urology, University of Sao Paulo Medical School, Sao Paulo, Brazil
| | - Pedro A A Monteleone
- Human Reproduction Center, University of Sao Paulo Medical School, Av. Dr. Eneas de Carvalho Aguiar 255, Sao Paulo, 05403-000, Brazil
- Discipline of Gynecology, University of Sao Paulo Medical School, Sao Paulo, Brazil
| | - José Maria Soares
- Human Reproduction Center, University of Sao Paulo Medical School, Av. Dr. Eneas de Carvalho Aguiar 255, Sao Paulo, 05403-000, Brazil
- Discipline of Gynecology, University of Sao Paulo Medical School, Sao Paulo, Brazil
| | - Paulo C Serafini
- Human Reproduction Center, University of Sao Paulo Medical School, Av. Dr. Eneas de Carvalho Aguiar 255, Sao Paulo, 05403-000, Brazil
- Discipline of Gynecology, University of Sao Paulo Medical School, Sao Paulo, Brazil
| | - Miguel Srougi
- Human Reproduction Center, University of Sao Paulo Medical School, Av. Dr. Eneas de Carvalho Aguiar 255, Sao Paulo, 05403-000, Brazil
- Division of Urology, University of Sao Paulo Medical School, Sao Paulo, Brazil
| | - Edmund C Baracat
- Human Reproduction Center, University of Sao Paulo Medical School, Av. Dr. Eneas de Carvalho Aguiar 255, Sao Paulo, 05403-000, Brazil
- Discipline of Gynecology, University of Sao Paulo Medical School, Sao Paulo, Brazil
| |
Collapse
|
35
|
Chi HJ, Kim SG, Kim YY, Park JY, Yoo CS, Park IH, Sun HG, Kim JW, Lee KH, Park HD. ICSI significantly improved the pregnancy rate of patients with a high sperm DNA fragmentation index. Clin Exp Reprod Med 2017; 44:132-140. [PMID: 29026719 PMCID: PMC5636925 DOI: 10.5653/cerm.2017.44.3.132] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2016] [Revised: 06/16/2017] [Accepted: 06/05/2017] [Indexed: 12/19/2022] Open
Abstract
Objective Correlations between semen parameters and sperm DNA fragmentation index (DFI) were investigated to identify characteristics of sperm without DNA damage that could be used in selecting sperm for intracytoplasmic sperm injection (ICSI). Pregnancy outcomes were compared to determine whether in vitro fertilization (IVF) or ICSI is a better choice for patients who have sperm with a high-DFI. Methods Semen analysis was carried out in 388 patients who visited our IVF center for the first time to investigate correlations between sperm DFI and semen parameters. In addition, 1,102 IVF cycles in 867 patients were carried out in the present study; 921 cycles in the low-DFI group (DFI <30%) and 181 cycles in the high-DFI group (DFI ≥30%). Both the low- and high-DFI groups were subdivided into IVF and ICSI cycle groups. Results Sperm DFI showed significant inverse correlations with sperm motility (r=−0.435, p<0.001) and morphology (r=−0.153, p<0.05). Sperm DFI also showed significant correlations with rapid motility (r=−0.436, p<0.001), and the kinetic parameters of average-path velocity (r=−0.403) and linearity (r=−0.412). Although there was no significant difference in the pregnancy rates between IVF (48.6%) and ICSI (44.8%) in the low-DFI group, the pregnancy rate of ICSI cycles (44.8%, p<0.05) was significantly higher than IVF cycles (25.0%) in the high-DFI group. No significant difference was observed in the abortion rates between the low-DFI (52 of 921, 5.6%) and high-DFI groups (7 of 181, 3.8%). Conclusion ICSI is a better choice than IVF for improving the pregnancy outcomes of patients who have sperm with a high DFI.
Collapse
Affiliation(s)
- Hee-Jun Chi
- IVF Center, Mamapapa and Baby Clinic, Ulsan, Korea
| | - Seok-Gi Kim
- IVF Center, Mamapapa and Baby Clinic, Ulsan, Korea.,Department of Biotechnology, Daegu University, Daegu, Korea
| | | | | | | | - Il-Hae Park
- IVF Center, Mamapapa and Baby Clinic, Ulsan, Korea
| | - Hong-Gil Sun
- IVF Center, Mamapapa and Baby Clinic, Ulsan, Korea
| | - Jae-Won Kim
- IVF Center, Mamapapa and Baby Clinic, Ulsan, Korea
| | | | - Hum-Dai Park
- Department of Biotechnology, Daegu University, Daegu, Korea
| |
Collapse
|
36
|
Affiliation(s)
- Sergio Oehninger
- The Jones Institute for Reproductive Medicine, Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia 23507, USA
| |
Collapse
|
37
|
Gat I, Tang K, Quach K, Kuznyetsov V, Antes R, Filice M, Zohni K, Librach C. Sperm DNA fragmentation index does not correlate with blastocyst aneuploidy or morphological grading. PLoS One 2017; 12:e0179002. [PMID: 28591199 PMCID: PMC5462460 DOI: 10.1371/journal.pone.0179002] [Citation(s) in RCA: 39] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2017] [Accepted: 05/22/2017] [Indexed: 01/09/2023] Open
Abstract
High DNA fragmentation index (DFI) may be associated with poor outcome after IVF. Our aim was to determine whether DFI impacts blastocyst quality or clinical outcome. This retrospective study included 134 couples who underwent 177 IVF-ICSI and pre-implantation genetic screening (PGS) cycles during January 1st, 2014-March 31st, 2016 and had documented previous DFI. Group 1 (DFI>30%) encompassed 25 couples who underwent 36 cycles; Group 2 (DFI 15-30%) included 45 couples and 57 cycles; group 3 (DFI<15%) included 64 couples and 83 cycles. Male partners within group 1 were older (45.1 compared to 40.6 and 38.3 years, respectively, p<0.05), had higher BMI (32.4 compared to 26.6 and 25.8 respectively, p<0.05) and lower sperm count and motility (46*106/ml and 35.5%, respectively) compared to groups 2 (61.8*106/ml and 46.6%, respectively) and 3 (75.8*106/ml and 55.1%, respectively, p<0.05). Female parameters including ovarian reserve and response and embryo development were similar. Total numbers of biopsied blastocysts were 116, 175 and 259 in groups 1, 2 and 3, respectively. PGS for 24 chromosomes revealed comparable euploidy rate of 46-50.4%, with a similar morphological classification. No significant differences were found regarding pregnancy rates or pregnancy loss. It seems that DFI doesn't correlate with blastocyst aneuploidy or morphological grading.
Collapse
Affiliation(s)
- Itai Gat
- CReATe Fertility Centre, Toronto, Canada
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- Pinchas Borenstein Talpiot Medical Leadership Program, Sheba Medical Center, Tel HaShomer, Ramat Gan, Israel
| | | | | | | | - Ran Antes
- CReATe Fertility Centre, Toronto, Canada
| | | | | | - Clifford Librach
- CReATe Fertility Centre, Toronto, Canada
- Department of Obstetrics & Gynecology, University of Toronto, Toronto, Canada
- Department of Physiology, University of Toronto, Toronto, Canada
- Department of Gynecology, Women’s College Hospital, Toronto, Canada
| |
Collapse
|
38
|
Magnetic cell sorting of semen containing spermatozoa with high DNA fragmentation in ICSI cycles decreases miscarriage rate. Reprod Biomed Online 2017; 34:506-512. [PMID: 28283446 DOI: 10.1016/j.rbmo.2017.01.015] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2016] [Revised: 01/25/2017] [Accepted: 01/26/2017] [Indexed: 01/05/2023]
Abstract
This retrospective cohort study investigated whether reproductive outcome could be improved in couples presenting with a high level of sperm DNA fragmentation (SDF) by treating the ejaculate with the magnetic cell sorting (MACS) sperm selection procedure in combination with prior density gradient centrifugation (DGC). Only men presenting with ≥30% sperm DNA in the ejaculate were included because these patients can be potentially treated with MACS to reduce the proportion of sperm presenting DNA damage. In total, 305 couples were included in this study, and from these, 216 women underwent autologous ICSI (AUTO-ICSI), whereas the remaining 89 participated in oocyte donor ICSI (DONOR-ICSI). Ejaculates were collected and DGC treated with and without MACS. Live birth and miscarriage rates resulting from ICSI observed after clinical pregnancy were determined. Sperm selection using DGC or a combination of DGC and MACS did not show any statistical difference with respect to live birth rate of couples undergoing either AUTO-ICSI or DONOR-ICSI, irrespective of whether the couples had a moderate (≥30 to <50%) or high (≥50%) level of SDF. Remarkably, there was no evidence of miscarriage in either cohort of patients (AUTO-ICSI or DONOR-ICSI) following the MACS procedure.
Collapse
|
39
|
Haghpanah T, Eslami-Arshaghi T, Afarinesh MR, Salehi M. DECREASED FERTILIZATION: HUMAN SPERM DNA FRAGMENTATION AND IN VITRO MATURATION OF OOCYTE IN STIMULATED ICSI CYCLES. ACTA ENDOCRINOLOGICA-BUCHAREST 2017; 13:23-31. [PMID: 31149144 DOI: 10.4183/aeb.2017.23] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Objective The aim of this study was to evaluate the impact of sperm DNA fragmentation (SDF) on fertilization rate, and sperm nuclear decondensation after intracytoplasmic injection of sperm (ICSI) into cumulus-free germinal vesicle (GV) oocytes from stimulated cycles. Methods and study design After the retrieval of oocytes, the GV oocytes were cultured for 24 h. Oocytes that liberated polar bodies were injected with processed semen, and were used to evaluate SDF level. Based on SDF, the data were categorized into two groups. Group I in which SDF≤ 30% and group II in which SDF > 30%. Fertilization (presence of two pronuclei) was checked 16-19 h after ICSI. Unfertilized oocytes were stained by Hoechst 33258 and examined to evaluate the undecondensed sperm head in oocyte. The rates of maturation, fertilization in fertilized IVM oocytes and the percentage of undecondensed sperm in the unfertilized oocytes were assessed according to SDF. Results Out of 146 GV oocytes that were subjected to IVM, 101 (69 %) developed to metaphase II. The fertilization rate of IVM oocytes in group II was significantly lower than that in group I (P < 0.05). Moreover, group I, had 25 % of their unfertilized oocytes containing condensed sperm, while group II had a significantly higher number (53 %) of unfertilized oocytes containing condensed sperm (P < 0.05). Conclusion SDF had a negative effect on the rate of fertilization in matured in vitro GV oocytes and could lead to an increase in the percentage of undecondensed sperm in IVM oocytes from stimulated cycles.
Collapse
Affiliation(s)
- T Haghpanah
- Kerman University of Medical Sciences, Faculty of Medicine, Dept. of Anatomy, Afzalipour, Kerman, Iran
| | - T Eslami-Arshaghi
- Shahid Beheshti University of Medical Sciences, Stem Cell Technology Research Center, Dept. of Transgenic Animal Science, Tehran, Iran
| | - M R Afarinesh
- Kerman University of Medical Sciences, Institute of Neuropharmacology, Neuroscience Research Center, Kerman, Shahid Beheshti University of Medical Sciences, Iran
| | - M Salehi
- Cellular and Molecular Biology Research Center, Tehran, Iran.,School of Advanced Technologies in Medicine, Dept. of Biotechnology, Tehran, Iran
| |
Collapse
|
40
|
Bach PV, Schlegel PN. Sperm DNA damage and its role in IVF and ICSI. Basic Clin Androl 2016; 26:15. [PMID: 27980786 PMCID: PMC5137216 DOI: 10.1186/s12610-016-0043-6] [Citation(s) in RCA: 41] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2016] [Accepted: 10/12/2016] [Indexed: 11/10/2022] Open
Abstract
While the semen analysis has traditionally been relied upon to differentiate fertile and infertile men, its utility has been questioned in the current era of assisted reproductive technologies. The desire for more sophisticated diagnostic and predictive tools has led to increased use of sperm DNA damage in the management of male infertility. Despite the availability of numerous assays to measure sperm DNA damage, our understanding of the etiology, measurement, and clinical implications of sperm DNA damage remains incomplete. While the current evidence is fraught with heterogeneity that complicates attempts at comparison and meta-analysis, there does appear to be a role for sperm DNA damage in the development and maintenance of pregnancy in the era of in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI). However, as noted by the American Society for Reproductive Medicine, the routine and widespread use of sperm DNA damage testing is not yet supported. Further studies are needed to standardize the measurement of sperm DNA damage and to clarify the exact role of sperm DNA damage within the myriad of other male and female factors contributing to reproductive outcomes in IVF and ICSI.
Collapse
Affiliation(s)
- Phil Vu Bach
- Department of Urology, Weill Cornell Medicine, 525 East 68th Street, Starr 900, New York, NY 10065 USA
| | - Peter N Schlegel
- Department of Urology, Weill Cornell Medicine, 525 East 68th Street, Starr 900, New York, NY 10065 USA
| |
Collapse
|
41
|
High level of DNA fragmentation in sperm of Lebanese infertile men using Sperm Chromatin Dispersion test. MIDDLE EAST FERTILITY SOCIETY JOURNAL 2016. [DOI: 10.1016/j.mefs.2016.06.005] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023] Open
|
42
|
Nasr Esfahani MH, Deemeh MR, Tavalaee M, Sekhavati MH, Gourabi H. Zeta Sperm Selection Improves Pregnancy Rate and Alters Sex Ratio in Male Factor Infertility Patients: A Double-Blind, Randomized Clinical Trial. INTERNATIONAL JOURNAL OF FERTILITY & STERILITY 2016; 10:253-60. [PMID: 27441060 PMCID: PMC4948079 DOI: 10.22074/ijfs.2016.4917] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/25/2015] [Accepted: 01/24/2016] [Indexed: 11/21/2022]
Abstract
Background Selection of sperm for intra-cytoplasmic sperm injection (ICSI) is usually
considered as the ultimate technique to alleviate male-factor infertility. In routine ICSI,
selection is based on morphology and viability which does not necessarily preclude the
chance injection of DNA-damaged or apoptotic sperm into the oocyte. Sperm with high
negative surface electrical charge, named “Zeta potential”, are mature and more likely to
have intact chromatin. In addition, X-bearing spermatozoa carry more negative charge.
Therefore, we aimed to compare the clinical outcomes of Zeta procedure with routine
sperm selection in infertile men candidate for ICSI. Materials and Methods From a total of 203 ICSI cycles studied, 101 cycles were
allocated to density gradient centrifugation (DGC)/Zeta group and the remaining 102
were included in the DGC group in this prospective study. Clinical outcomes were com-
pared between the two groups. The ratios of Xand Y bearing sperm were assessed
by fluorescence in situ hybridization (FISH) and quantitative polymerase chain reaction
(qPCR) methods in 17 independent semen samples. Results In the present double-blind randomized clinical trial, a significant increase in
top quality embryos and pregnancy rate were observed in DGC/Zeta group compared
to DGC group. Moreover, sex ratio (XY/XX) at birth significantly was lower in the
DGC/Zeta group compared to DGC group despite similar ratio of X/Y bearings sper-
matozoa following Zeta selection. Conclusion Zeta method not only improves the percentage of top embryo quality and
pregnancy outcome but also alters the sex ratio compared to the conventional DGC
method, despite no significant change in the ratio of Xand Ybearing sperm population
(Registration number: IRCT201108047223N1).
Collapse
Affiliation(s)
- Mohammad Hossein Nasr Esfahani
- Department of Reproductive Biotechnology, Reproductive Biomedicine Research Center, Royan Institute for Biotechnology, ACECR, Isfahan, Iran; Isfahan Fertility and Infertility Center, Isfahan, Iran
| | | | - Marziyeh Tavalaee
- Department of Reproductive Biotechnology, Reproductive Biomedicine Research Center, Royan Institute for Biotechnology, ACECR, Isfahan, Iran
| | - Mohammad Hadi Sekhavati
- Department of Animal Science, Ferdowsi University of Mashhad, Mashhad, Iran; Embryonic and Stem Cell Biotechnology Research Group, Institute of Biotechnology, Ferdowsi University of Mashhad, Mashhad, Iran
| | - Hamid Gourabi
- Department of Genetics, Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran
| |
Collapse
|
43
|
Pabuccu EG, Caglar GS, Tangal S, Haliloglu AH, Pabuccu R. Testicular versus ejaculated spermatozoa in ICSI cycles of normozoospermic men with high sperm DNA fragmentation and previous ART failures. Andrologia 2016; 49. [PMID: 27108915 DOI: 10.1111/and.12609] [Citation(s) in RCA: 48] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/19/2016] [Indexed: 12/31/2022] Open
Abstract
As a part of male assessment, conventional sperm parameters including morphologic features have been dedicated as major factors influencing fertilisation and pregnancy rates in assisted reproductive technology (ART). Genomic integrity of spermatozoa has also been found to influence fertility prognosis, and hence, sperm DNA fragmentation index (DFI) has been adopted by many centres to document this entity. Despite several suggested approaches, there is lack of universal consensus on optimising fertility outcomes in males with high sperm DFI. In this context, the results from cycles using testicular spermatozoa (TESA) obtained by aspiration were compared with those of ejaculated spermatozoa (EJ) in normozoospermic subjects with high sperm DFI and previous ART failures. Clinical (41.9% versus 20%) and ongoing pregnancy rates (38.7% versus 15%) were significantly better and miscarriages were lower in TESA group when compared to EJ group. Sperm DFI should be a part of male partner's evaluation following unsuccessful ART attempts. When high DFI is detected (>30%), ICSI using testicular spermatozoa obtained by TESA seems an effective option particularly for those with repeated ART failures in terms of clinical, ongoing pregnancies and miscarriages even though conventional sperm parameters are within normal range.
Collapse
Affiliation(s)
- E G Pabuccu
- Ufuk University School of Medicine, Department of Obstetrics and Gynecology, Ankara, Turkey
| | - G S Caglar
- Ufuk University School of Medicine, Department of Obstetrics and Gynecology, Ankara, Turkey
| | - S Tangal
- Ufuk University School of Medicine, Department of Urology, Ankara, Turkey
| | - A H Haliloglu
- Ufuk University School of Medicine, Department of Urology, Ankara, Turkey
| | - R Pabuccu
- Ufuk University School of Medicine, Department of Obstetrics and Gynecology, Ankara, Turkey.,Centrum Clinic Women's Health and ART Center, Ankara, Turkey
| |
Collapse
|
44
|
Bounartzi T, Dafopoulos K, Anifandis G, Messini CI, Koutsonikou C, Kouris S, Satra M, Sotiriou S, Vamvakopoulos N, Messinis IE. Pregnancy prediction by free sperm DNA and sperm DNA fragmentation in semen specimens of IVF/ICSI-ET patients. HUM FERTIL 2016; 19:56-62. [DOI: 10.3109/14647273.2016.1157629] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
|
45
|
Jin R, Bao J, Tang D, Liu F, Wang G, Zhao Y, Bai G, Liu Y, Wang Y, Liu L, Zhao J. Outcomes of intracytoplasmic sperm injection using the zona pellucida-bound sperm or manually selected sperm. J Assist Reprod Genet 2016; 33:597-601. [PMID: 26941098 DOI: 10.1007/s10815-016-0676-6] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2015] [Accepted: 02/08/2016] [Indexed: 11/30/2022] Open
Abstract
PURPOSE Zona pellucida (ZP)-bound sperm used for intracytoplasmic sperm injection (ICSI) enhances embryo quality, implantation, and clinical pregnancy rates. This study aimed to assess the pregnancy outcomes and clinical significance of ICSI with ZP-bound sperm. METHOD A total of 84 infertile couples who underwent cycles of ICSI following failed in vitro fertilization between June 2012 and February 2014 were enrolled and randomized (1:1): in the treatment group, ICSI was performed using ZP-bound sperm; in the control group, ICSI was performed in a standard manner. Rates of fertilization, cleavage, high-quality embryos, and clinical pregnancy were compared between the two groups. RESULTS There were no significant differences in age, infertile period, gonadotrophin dose, number of metaphase II oocytes, and number of embryo transfers between the two groups (P > 0.05). The clinical pregnancy rate was higher in the treatment group than in the control group, but without statistical significance (60.5 vs. 47.6 %, P > 0.05). No significant differences in the rates of fertilization and cleavage were observed (83.0 vs. 81.6 %, and 96.3 vs. 96.5 %, both P > 0.05), but higher rates of high-quality embryos and useable embryos were observed with ZP-bound sperm compared with controls (66.1 vs. 50.8 % and 76.0 vs. 66.3 %, both P < 0.05). CONCLUSIONS ICSI using ZP-bound sperm might increase the embryo quality and number of useable embryos, possibly improving the clinical pregnancy outcome of ICSI.
Collapse
Affiliation(s)
- Rui Jin
- Centre of Assisted Reproduction, Maternal and Children Health Care Hospital of Yinchuan, Yinchuan, 750000, Ningxia, China.
| | - Junhua Bao
- Centre of Assisted Reproduction, Maternal and Children Health Care Hospital of Yinchuan, Yinchuan, 750000, Ningxia, China.
| | - Dawei Tang
- Centre of Assisted Reproduction, Maternal and Children Health Care Hospital of Yinchuan, Yinchuan, 750000, Ningxia, China
| | - Fang Liu
- Centre of Assisted Reproduction, Maternal and Children Health Care Hospital of Yinchuan, Yinchuan, 750000, Ningxia, China
| | - Guoping Wang
- Centre of Assisted Reproduction, Maternal and Children Health Care Hospital of Yinchuan, Yinchuan, 750000, Ningxia, China
| | - Yaqiong Zhao
- Centre of Assisted Reproduction, Maternal and Children Health Care Hospital of Yinchuan, Yinchuan, 750000, Ningxia, China
| | - Gang Bai
- Centre of Assisted Reproduction, Maternal and Children Health Care Hospital of Yinchuan, Yinchuan, 750000, Ningxia, China
| | - Yongjie Liu
- Centre of Assisted Reproduction, Maternal and Children Health Care Hospital of Yinchuan, Yinchuan, 750000, Ningxia, China
| | - Ying Wang
- Centre of Assisted Reproduction, Maternal and Children Health Care Hospital of Yinchuan, Yinchuan, 750000, Ningxia, China
| | - Lili Liu
- Centre of Assisted Reproduction, Maternal and Children Health Care Hospital of Yinchuan, Yinchuan, 750000, Ningxia, China
| | - Jing Zhao
- Centre of Assisted Reproduction, Maternal and Children Health Care Hospital of Yinchuan, Yinchuan, 750000, Ningxia, China
| |
Collapse
|
46
|
Kishi K, Ogata H, Ogata S, Mizusawa Y, Okamoto E, Matsumoto Y, Kokeguchi S, Shiotani M. Frequency of Sperm DNA Fragmentation According to Selection Method: Comparison and Relevance of a Microfluidic Device and a Swim-up Procedure. J Clin Diagn Res 2015; 9:QC14-6. [PMID: 26674361 DOI: 10.7860/jcdr/2015/10332.6811] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2015] [Accepted: 09/13/2015] [Indexed: 12/28/2022]
Abstract
INTRODUCTION Multiple rounds of centrifugation or washing spermatozoa can cause sperm DNA fragmentation (SDF); however, a microfluidic approach to select spermatozoa does not require centrifugation. Reports have suggested that sperm sorting using a microfluidic device is an effective method to select good quality spermatozoa, however, it is not known whether it reduces sperm DNA damage. We investigated whether the frequency of SDF was affected by selection method during sperm processing. MATERIALS AND METHODS Semen samples from ten men with normal, oligozoospermia and asthenozoospermia were split into two groups and sorted using a microfluidic device or by a swim-up method. Subsequently, semen parameters and SDF were measured and analyzed using paired or non-paired Student's t-tests. RESULTS For samples sorted by the microfluidic device (Sperm Sorter Qualis(®); Menicon, Kasugai, Japan) or the swim-up method, both showed a decrease in SDF. However, the decrease was more significant when the microfluidic device was used. CONCLUSION Sorting using the microfluidic device resulted in less SDF than did the swim-up method.
Collapse
Affiliation(s)
- Kanako Kishi
- Embryologist, Hanabusa Women's Clinic , Sannomiya, Kobe, Japan
| | - Hiromi Ogata
- Director of Embryologist, Hanabusa Women's Clinic , Sannomiya, Kobe, Japan
| | - Seiji Ogata
- PhD, Hanabusa Women's Clinic , Sannomiya, Kobe, Japan
| | - Yuri Mizusawa
- PhD, Hanabusa Women's Clinic , Sannomiya, Kobe, Japan
| | - Eri Okamoto
- Hanabusa Women's Clinic , Sannomiya, Kobe, Japan
| | | | | | - Masahide Shiotani
- PhD, CEO and Chief of Medical Clinic, Hanabusa Women's Clinic , Sannomiya, Kobe, Japan
| |
Collapse
|
47
|
Sakkas D, Ramalingam M, Garrido N, Barratt CLR. Sperm selection in natural conception: what can we learn from Mother Nature to improve assisted reproduction outcomes? Hum Reprod Update 2015; 21:711-26. [PMID: 26386468 PMCID: PMC4594619 DOI: 10.1093/humupd/dmv042] [Citation(s) in RCA: 142] [Impact Index Per Article: 15.8] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2014] [Accepted: 08/12/2015] [Indexed: 12/19/2022] Open
Abstract
BACKGROUND In natural conception only a few sperm cells reach the ampulla or the site of fertilization. This population is a selected group of cells since only motile cells can pass through cervical mucus and gain initial entry into the female reproductive tract. In animals, some studies indicate that the sperm selected by the reproductive tract and recovered from the uterus and the oviducts have higher fertilization rates but this is not a universal finding. Some species show less discrimination in sperm selection and abnormal sperm do arrive at the oviduct. In contrast, assisted reproductive technologies (ART) utilize a more random sperm population. In this review we contrast the journey of the spermatozoon in vivo and in vitro and discuss this in the context of developing new sperm preparation and selection techniques for ART. METHODS A review of the literature examining characteristics of the spermatozoa selected in vivo is compared with recent developments in in vitro selection and preparation methods. Contrasts and similarities are presented. RESULTS AND CONCLUSIONS New technologies are being developed to aid in the diagnosis, preparation and selection of spermatozoa in ART. To date progress has been frustrating and these methods have provided variable benefits in improving outcomes after ART. It is more likely that examining the mechanisms enforced by nature will provide valuable information in regard to sperm selection and preparation techniques in vitro. Identifying the properties of those spermatozoa which do reach the oviduct will also be important for the development of more effective tests of semen quality. In this review we examine the value of sperm selection to see how much guidance for ART can be gleaned from the natural selection processes in vivo.
Collapse
Affiliation(s)
- Denny Sakkas
- Boston IVF, 130 Second Ave, Waltham, MA 02451, USA
| | - Mythili Ramalingam
- Reproductive and Developmental Biology, Medical School, Ninewells Hospital, University of Dundee, Dundee DD19SY, UK
| | | | - Christopher L R Barratt
- Reproductive and Developmental Biology, Medical School, Ninewells Hospital, University of Dundee, Dundee DD19SY, UK
| |
Collapse
|
48
|
Kaarouch I, Bouamoud N, Louanjli N, Madkour A, Copin H, Benkhalifa M, Sefrioui O. Impact of sperm genome decay on Day-3 embryo chromosomal abnormalities from advanced-maternal-age patients. Mol Reprod Dev 2015; 82:809-19. [PMID: 26191648 DOI: 10.1002/mrd.22526] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2015] [Accepted: 07/17/2015] [Indexed: 01/06/2023]
Abstract
Infertile male patients often exhibit unconventional semen parameters, including DNA fragmentation, chromatin dispersion, and aneuploidy-collectively referred to as sperm genome decay (SGD). We investigated the correlation of SGD to embryo chromosomal abnormalities and its effect on clinical pregnancy rates in patients with advanced maternal age (AMA) (>40 years) who were undergoing intracytoplasmic sperm injection-preimplantation genetic screening (ICSI-PGS). Three groups were assessed: patients with AMA and male partners with normal sperm (AMA-N); AMA patients and male partners presenting with SGD (AMA-SGD); and young fertile female patients and male partners with SGD (Y-SGD). We found a significant increase in embryonic chromosomal abnormalities-polyploidy, nullisomy, mosaicism, and chaotic anomaly rates-when semen parameters are altered (76% vs. 67% and 66% in AMA-SGD vs. AMA-N and Y-SGD groups, respectively). Statistical analysis showed a correlation between SGD and aneuploidies of embryonic chromosomes 13, 16, 21, X, and Y, as well as negative clinical outcomes. Incorporation of molecular sperm analyses should therefore significantly minimize the risk of transmission of chromosomal anomalies from spermatozoa to embryos, and may provide better predictors of pregnancy than conventional sperm analyses. We also demonstrated that an ICSI-PGS program should be implemented for SGD patients in order to limit transmission of chromosomal paternal anomalies and to improve clinical outcome.
Collapse
Affiliation(s)
- Ismail Kaarouch
- Biochemistry and Immunology Laboratory, Mohammed V University, Faculty of Sciences, BP 1014, Avenue Ibn Batouta Agdal, Rabat, Morocco
| | - Nouzha Bouamoud
- Biochemistry and Immunology Laboratory, Mohammed V University, Faculty of Sciences, BP 1014, Avenue Ibn Batouta Agdal, Rabat, Morocco
| | - Noureddine Louanjli
- Labomac IVF Centers and Clinical Laboratory Medicine, Anfa Fertility Center, Privante Clinic of Human Reproduction and Endoscopic Surgery, Casablanca, Morocco
| | - Aicha Madkour
- Biochemistry and Immunology Laboratory, Mohammed V University, Faculty of Sciences, BP 1014, Avenue Ibn Batouta Agdal, Rabat, Morocco
| | - Henri Copin
- Reproductive Biology and Medical Cytogenetics Laboratory, Regional University Hospital & School of Medicine. Picardie University Jules Verne, Amiens, France
| | - Moncef Benkhalifa
- Reproductive Biology and Medical Cytogenetics Laboratory, Regional University Hospital & School of Medicine. Picardie University Jules Verne, Amiens, France
| | - Omar Sefrioui
- Anfa Fertility Center, Privante Clinic of Human Reproduction and Endoscopic Surgery, Casablanca, Morocco
| |
Collapse
|
49
|
Leach M, Aitken RJ, Sacks G. Sperm DNA fragmentation abnormalities in men from couples with a history of recurrent miscarriage. Aust N Z J Obstet Gynaecol 2015. [PMID: 26201831 DOI: 10.1111/ajo.12373] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
BACKGROUND Previous studies have described an association between sperm with DNA damage and a history of recurrent miscarriage (RM), although it is not clear whether there is benefit in screening for sperm DNA fragmentation and to what extent DNA fragmentation impacts upon RM. AIMS To identify what proportion of couples experiencing RM are affected by DNA fragmentation abnormalities. MATERIALS AND METHODS In this retrospective study, between 2008 and 2013, couples with a history of recurrent miscarriage (≥3 first trimester miscarriages) were investigated comprehensively for known causes (karyotype, uterine, antiphospholipid syndrome, thrombophilia) and also by semen analysis, including DNA fragmentation [sperm chromatin structure analysis (SCSA)]. Statistical analysis was performed on SPSS software with significance taken as P < 0.05. RESULTS There were 108 couples with a median sperm DNA fragmentation index (DFI) of 9.50%. Normal levels were found in 70.5% of men (DFI < 15%), 23% had high levels (DFI 15-30%), and 6.5% had very high levels (DFI > 30%). Couples with otherwise unexplained recurrent miscarriage had significantly higher DFI than those with other causes identified on routine screening (P = 0.012). CONCLUSIONS In couples experiencing RM, 30% (32/108) of men had sperm with high levels of DNA fragmentation (DFI > 15%). This may be a contributing factor to the clinical syndrome of RM, and future clinical trials of therapies for these couples are warranted.
Collapse
Affiliation(s)
- Mikaela Leach
- University of New South Wales, Sydney, NSW, Australia
| | - Robert J Aitken
- Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW, Australia
| | - Gavin Sacks
- University of New South Wales, Sydney, NSW, Australia.,St George Hospital, Kogarah, Sydney, NSW, Australia.,Royal Hospital for Women, Randwick, NSW, Australia.,IVFAustralia, Sydney, NSW, Australia
| |
Collapse
|
50
|
Osman A, Alsomait H, Seshadri S, El-Toukhy T, Khalaf Y. The effect of sperm DNA fragmentation on live birth rate after IVF or ICSI: a systematic review and meta-analysis. Reprod Biomed Online 2014; 30:120-7. [PMID: 25530036 DOI: 10.1016/j.rbmo.2014.10.018] [Citation(s) in RCA: 201] [Impact Index Per Article: 20.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2014] [Revised: 10/14/2014] [Accepted: 10/29/2014] [Indexed: 01/17/2023]
Abstract
A systematic review and meta-analysis was conducted to evaluate the relationship between the extent of sperm DNA damage and live birth rate (LBR) per couple and the influence of the method of fertilization on treatment outcome. Searches were conducted on MEDLINE, EMBASE and Cochrane Library. Six studies were eligible for inclusion in the meta-analysis. Overall, LBR increased signficantly in couples with low sperm DNA fragmentation compared with those with high sperm DNA fragmentation (RR 1.17, 95% CI 1.07 to 1.28; P = 0.0005). After IVF and intracytoplasmic sperm injection (ICSI), men with low sperm DNA fragmentation had significantly higher LBR (RR 1.27, 95% CI 1.05 to 1.52; P = 0.01) and (RR 1.11, 95% CI 1.00 to 1.23, P = 0.04), respectively. A sensitivity analysis showed no statistically significant difference in LBR between low and high sperm DNA fragmentation when ICSI treatment was used (RR 1.08, 95% CI 0.39 to 2.96; P = 0.88). High sperm DNA fragmentation in couples undergoing assisted reproduction techniques is associated with lower LBR. Well-designed randomized studies are required to assess the role of ICSI over IVF in the treatment of men with high sperm DNA fragmentation.
Collapse
Affiliation(s)
- A Osman
- Assisted Conception Unit, Guys Hospital, Great Maze Pond, SE1 9RT, UK.
| | - H Alsomait
- Assisted Conception Unit, Guys Hospital, Great Maze Pond, SE1 9RT, UK
| | - S Seshadri
- Assisted Conception Unit, Guys Hospital, Great Maze Pond, SE1 9RT, UK
| | - T El-Toukhy
- Assisted Conception Unit, Guys Hospital, Great Maze Pond, SE1 9RT, UK
| | - Y Khalaf
- Assisted Conception Unit, Guys Hospital, Great Maze Pond, SE1 9RT, UK
| |
Collapse
|