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Zhang H, Zhou XP. The Effect of Neutral Alpha-Glucosidase on Semen Parameters. Urol Int 2024:1-8. [PMID: 38735284 DOI: 10.1159/000539218] [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: 02/18/2024] [Accepted: 05/02/2024] [Indexed: 05/14/2024]
Abstract
INTRODUCTION The objective of this study was to investigate the relationship between the activity of neutral α-glucosidase in seminal plasma and semen quality and to explore the effect of secretory capability of the epididymis on male fertility. METHODS A retrospective analysis of 542 men treated in the Center for Reproductive Medicine and Infertility from February to December 2022, the semen parameters and neutral α-glucosidase were tested and compared among different groups. These 542 men included normozoospermia, oligospermia, asthenospermia, and teratozoospermia. RESULTS There was statistical difference in neutral alpha-glucosidase (NAG) level among different groups with different sperm concentration, motility, and morphology (p < 0.001). The NAG activity in seminal plasma was positively correlated with ejaculate volume and sperm concentration; meanwhile, a very weak positive correlation was found between NAG level and sperm motility, sperm morphology, respectively. CONCLUSIONS Our results indicated that the secretion of NAG affected the volume, concentration, motility, and morphology of sperm to a certain extent. Given that NAG is a specific and marker enzyme in epididymis, where is the site of sperm maturation, we can conclude that there is a close relationship between NAG and sperm quality. Therefore, seminal plasma NAG has a definite clinical value in helping diagnosis of male infertility.
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Affiliation(s)
- Han Zhang
- Center for Reproductive Medicine, the Fourth Hospital of Shijiazhuang, Shijiazhuang, China
| | - Xiao-Pu Zhou
- Center for Reproductive Medicine, the Fourth Hospital of Shijiazhuang, Shijiazhuang, China
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Goss D, Ayad B, van der Horst G, Skosana B, du Plessis SS. Improved sperm motility after 4 h of ejaculatory abstinence: role of accessory sex gland secretions. Reprod Fertil Dev 2019; 31:1009-1016. [DOI: 10.1071/rd18135] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2018] [Accepted: 01/03/2019] [Indexed: 11/23/2022] Open
Abstract
Various studies have sought to determine the typical v. optimal abstinence period after which semen samples should be collected, with many contradictory results reported. Several factors influence the semen microenvironment, and thus sperm parameters. In this study we focused on the secretions of the prostate, seminal vesicles and the epididymis. Semen samples were obtained from healthy normozoospermic males (n=16) after 4-day and 4-h periods of ejaculatory abstinence, and standard semen analysis was performed using computer-aided sperm analysis, whereas seminal plasma citric acid, neutral α-glucosidase and fructose concentrations were measured using assay kits. There were significant decreases in total sperm count (P<0.001), sperm concentration (P<0.05) and semen volume (P<0.05) after 4h compared with 4 days ejaculatory abstinence. Furthermore, increases were observed in total sperm motility (P<0.05) and sperm progressive motility (P<0.01) after a 4-h abstinence period, accompanied by significant reductions in citric acid (P<0.05), α-glucosidase (P<0.01) and fructose (P<0.01) concentrations. In addition, due to the decreased number of spermatozoa, these concentrations translated to a significant decrease in fructose (P<0.05) per spermatozoon, indicating an intrinsic mechanism capitalising on alternative sources of energy for increased metabolic function and subsequent sperm motility.
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Zhang MH, Zhai LP, Fang ZY, Li AN, Qiu Y, Liu YX. Impact of a mild scrotal heating on sperm chromosomal abnormality, acrosin activity and seminal alpha-glucosidase in human fertile males. Andrologia 2018; 50:e12985. [PMID: 29468755 DOI: 10.1111/and.12985] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/08/2018] [Indexed: 12/22/2022] Open
Abstract
The aim of this study was to observe sperm aneuploidy, DNA integrity, seminal alpha-glucosidase (NAG) and acrosin activity (AA) under testicular heat stress (SH). Spermatozoa were obtained from 30 healthy adult volunteers subjected to scrotal warming at 43°C for 30-40 min on two successive days per week for 3 months between February 2012 and September 2016. Aniline blue (AB), acridine orange (AO) staining, TUNEL assay and FISH analysis to evaluate sperm function, sperm DNA integrity and chromosomal abnormalities were carried on before, during and after SH. Sperm AA and NAG was measured by microplate reader. The mean parameters of sperm parameters, AA and NAG were significantly decreased. In contrast, the mean percentage of sperm DNA fragmentation and the proportion of aneuploidy of chromosomes 13, 18, 21, X and Y were significantly increased for spermatozoa collected during SH versus before SH (p < .01-.001). After stopping scrotal heating for 3 months, most parameters were completely restored to pre-SH levels. Sperm parameters, sperm DNA integrity, chromosomes, AA and NAG are affected by scrotal exposure to constant SH temperatures several degrees over normal physiological temperature, and after treatment, these parameters were reversibly restored to the level before SH in adult men.
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Affiliation(s)
- M-H Zhang
- Key Laboratory of Birth Regulation and Control Technology of National Health and Family Planning Commission of China, Key Laboratory for Improving Birth Outcome Technique, Shandong Provincial Family Planning Institute of Science and Technology, Maternal and Child Health Care Hospital of Shandong Province, Jinan, China
| | - L-P Zhai
- Shandong Provincial Institute of Control of Endemic Disease, Jinan, China
| | - Z-Y Fang
- Key Laboratory of Birth Regulation and Control Technology of National Health and Family Planning Commission of China, Key Laboratory for Improving Birth Outcome Technique, Shandong Provincial Family Planning Institute of Science and Technology, Maternal and Child Health Care Hospital of Shandong Province, Jinan, China
| | - A-N Li
- Key Laboratory of Birth Regulation and Control Technology of National Health and Family Planning Commission of China, Key Laboratory for Improving Birth Outcome Technique, Shandong Provincial Family Planning Institute of Science and Technology, Maternal and Child Health Care Hospital of Shandong Province, Jinan, China
| | - Y Qiu
- Key Laboratory of Birth Regulation and Control Technology of National Health and Family Planning Commission of China, Key Laboratory for Improving Birth Outcome Technique, Shandong Provincial Family Planning Institute of Science and Technology, Maternal and Child Health Care Hospital of Shandong Province, Jinan, China
| | - Y-X Liu
- Institute of Zoology, Chinese Academy of Sciences, Beijing, China
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Lei B, Xing R, Zhou X, Lv D, Wan B, Shu F, Zhong L, Wu H, Mao X. Neutral alpha-1,4-glucosidase and fructose levels contribute to discriminating obstructive and nonobstructive azoospermia in Chinese men with azoospermia. Andrologia 2015; 48:670-5. [PMID: 26610429 DOI: 10.1111/and.12498] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/16/2015] [Indexed: 12/27/2022] Open
Affiliation(s)
- B. Lei
- Department of Urology; Nanfang Hospital; Southern Medical University; Guangzhou Guangdong Province China
- Department of Urology; Peking University Shenzhen Hospital; Shenzhen Guangdong Province China
| | - R. Xing
- Department of Urology; Weihai Hospital; Qingdao University; Qingdao Shandong Province China
| | - X. Zhou
- Department of Urology; Nanfang Hospital; Southern Medical University; Guangzhou Guangdong Province China
| | - D. Lv
- Department of Urology; Nanfang Hospital; Southern Medical University; Guangzhou Guangdong Province China
| | - B. Wan
- Department of Urology; Nanfang Hospital; Southern Medical University; Guangzhou Guangdong Province China
| | - F. Shu
- Department of Urology; Nanfang Hospital; Southern Medical University; Guangzhou Guangdong Province China
| | - L. Zhong
- Department of Urology; Nanfang Hospital; Southern Medical University; Guangzhou Guangdong Province China
| | - H. Wu
- Department of Urology; Nanfang Hospital; Southern Medical University; Guangzhou Guangdong Province China
| | - X. Mao
- Department of Urology; Nanfang Hospital; Southern Medical University; Guangzhou Guangdong Province China
- Department of Urology; Peking University Shenzhen Hospital; Shenzhen Guangdong Province China
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5
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Rao M, Zhao XL, Yang J, Hu SF, Lei H, Xia W, Zhu CH. Effect of transient scrotal hyperthermia on sperm parameters, seminal plasma biochemical markers, and oxidative stress in men. Asian J Androl 2015; 17:668-75. [PMID: 25652627 PMCID: PMC4492061 DOI: 10.4103/1008-682x.146967] [Citation(s) in RCA: 84] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2014] [Revised: 09/04/2014] [Accepted: 09/29/2014] [Indexed: 11/30/2022] Open
Abstract
In this experimental prospective study, we aimed to analyze the effect of transient scrotal hyperthermia on the male reproductive organs, from the perspective of sperm parameters, semen plasma biochemical markers, and oxidative stress, to evaluate whether different frequencies of heat exposure cause different degrees of damage to spermatogenesis. Two groups of volunteers (10 per group) received testicular warming in a 43°C water bath 10 times, for 30 min each time: group 1: 10 consecutive days; group 2: once every 3 days. Sperm parameters, epididymis and accessory sex gland function, semen plasma oxidative stress and serum sex hormones were tested before treatment and in the 16-week recovery period after treatment. At last, we found an obvious reversible decrease in sperm concentration (P = 0.005 for Group 1 and P= 0.008 for Group 2 when the minimums were compared with baseline levels, the same below), motility (P = 0.009 and 0.021, respectively), the hypoosmotic swelling test score (P = 0.007 and 0.008, respectively), total acrosin activity (P = 0.018 and 0.009, respectively), and an increase in the seminal plasma malondialdehyde concentration (P = 0.005 and 0.017, respectively). The decrease of sperm concentration was greater for Group 2 than for Group 1 (P = 0.031). We concluded that transient scrotal hyperthermia seriously, but reversibly, negatively affected the spermatogenesis, oxidative stress may be involved in this process. In addition, intermittent heat exposure more seriously suppresses the spermatogenesis compared to consecutive heat exposure. This may be indicative for clinical infertility etiology analysis and the design of contraceptive methods based on heat stress.
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Affiliation(s)
- Meng Rao
- Family Planning Research Institute, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Xiao-Ling Zhao
- Family Planning Research Institute, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Jing Yang
- Family Planning Research Institute, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Shi-Fu Hu
- Family Planning Research Institute, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Hui Lei
- Family Planning Research Institute, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Wei Xia
- Family Planning Research Institute, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
- Reproductive Medicine Center, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Chang-Hong Zhu
- Family Planning Research Institute, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
- Reproductive Medicine Center, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
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Said L, Saad A, Carreau S. Differential expression of mRNA aromatase in ejaculated spermatozoa from infertile men in relation to either asthenozoospermia or teratozoospermia. Andrologia 2012; 46:136-46. [DOI: 10.1111/and.12058] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/24/2012] [Indexed: 02/04/2023] Open
Affiliation(s)
- L. Said
- Department of Biochemistry; University of Caen; Caen France
- Laboratory of Cytogenetics and Reproductive Biology; Hospital Farhat Hached; University of Sousse; Sousse Tunisia
| | - A. Saad
- Laboratory of Cytogenetics and Reproductive Biology; Hospital Farhat Hached; University of Sousse; Sousse Tunisia
| | - S. Carreau
- Department of Biochemistry; University of Caen; Caen France
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7
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Prokupek AM, Eyun SI, Ko L, Moriyama EN, Harshman LG. Molecular evolutionary analysis of seminal receptacle sperm storage organ genes of Drosophila melanogaster. J Evol Biol 2010; 23:1386-98. [PMID: 20500366 DOI: 10.1111/j.1420-9101.2010.01998.x] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
Sperm storage organs are common and broadly distributed among animal taxa. However, little is known about how these organs function at the molecular level. Additionally, there is a paucity of knowledge about the evolution of genes expressed in these organs. This investigation is an evolutionary expressed sequence tag (EST) study of genes expressed in the seminal receptacle, one of the sperm storage organs in Drosophila. The incidence of positive selection is higher for the seminal receptacle genes than Drosophila reproductive genes as a whole, but lower than genes associated with the spermatheca, a second type of Drosophila sperm storage organ. By identifying overrepresented classes of proteins and classes for which sperm storage function is suggested by the nature of the proteins, candidate genes were discovered. These candidates belong to protein classes such as muscle contraction, odorant binding and odorant receptor, protease inhibitor and immunity.
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Affiliation(s)
- A M Prokupek
- School of Biological Sciences, University of Nebraska-Lincoln, Lincoln, NE 68588, USA
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8
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Levrant S, Watanabe M, Land S, Sauer R, Jeyendran RS. The Relevance of Neutral α-Glucosidase Activity in Andrology. Syst Biol Reprod Med 2009; 55:116-9. [DOI: 10.1080/19396360902801935] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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9
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Said L, Galeraud-Denis I, Carreau S, Saâd A. Relationship between semen quality and seminal plasma components: alpha-glucosidase, fructose and citrate in infertile men compared with a normospermic population of Tunisian men. Andrologia 2009; 41:150-6. [DOI: 10.1111/j.1439-0272.2008.00906.x] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023] Open
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10
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Krause W, Bohring C. Why do we determine α-glucosidase activity in human semen during infertility work-up? Andrologia 2009. [DOI: 10.1111/j.1439-0272.1999.tb01426.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
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11
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Elzanaty S. Association between age and epididymal and accessory sex gland function and their relation to sperm motility. ARCHIVES OF ANDROLOGY 2007; 53:149-56. [PMID: 17612873 DOI: 10.1080/01485010701225667] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Increased male age has been associated with significant reduction in pregnancy rates. This study investigated the association between age, the function of epididymal and accessory sex glands, and their relation to sperm motility. Ejaculates from 498 men assessed for infertility were analysed according to WHO [1999] guidelines. Seminal markers of epididymal (neutral alpha-glucosidase (NAG)), prostatic (prostate-specific antigen (PSA) and zinc), and seminal vesicle function (fructose) were measured. Four groups according to age were defined: G(21-30) (21-30 years), G(31-40) (31-40 years), G(41-50) (41-50 years), and G(>50) (51-66 years). Percentage progressive motility was significantly lower in G(>50) compared with G(21-30). NAG, PSA, zinc, and fructose were significantly lower in G(>50) compared with G(21-30). In a multiple regression analysis model, NAG and PSA showed positive significant association with percentage progressive motility. The opposite trend was found regarding zinc. No association between fructose and percentage progressive motility was shown. In this cross-sectional study, declined sperm motility observed in men over 50 years of age might be due to age-dependent changes in epididymal and accessory sex gland function.
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Affiliation(s)
- Saad Elzanaty
- Scanian Andrology Centre, Fertility Centre, Malmö University Hospital, Lund University, Malmö, Sweden.
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12
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Roaiah MMF, Mostafa T, Salem D, El-Nashar AR, Kamel II, El-Kashlan MS. alpha-1,4-Glucosidase activity in infertile oligoasthenozoospermic men with and without varicocele. Andrologia 2007; 39:28-32. [PMID: 17212807 DOI: 10.1111/j.1439-0272.2006.00756.x] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
This work aimed to assess seminal alpha-1,4-glucosidase activity in infertile oligoasthenozoospermic men associated with and without scrotal varicocele. Eighty men were investigated. They were divided into three groups: group 1 (n = 20), fertile normozoospermic men; group 2 (n = 30), oligoasthenozoospermia with varicocele; and group 3 (n = 30), oligoasthenozoospermia without varicocele. The patients underwent medical history, clinical examination, conventional semen analysis and estimation of seminal plasma alpha-1,4-glucosidase activity by double-beam spectrophotometer method and serum testosterone by radioimmunoassay method. There was a significant decrease in the mean seminal alpha-1,4-glucosidase activity levels in infertile men versus controls (mean +/- SD; 7.66 +/- 0.433, 2.088 +/- 0.565, 5.384 +/- 0.85 mU ml(-1) respectively). Mean serum testosterone levels demonstrated nonsignificant differences between studied groups. Seminal alpha-1,4-glucosidase activity levels demonstrated significant correlation with sperm count, sperm motility percentage and serum testosterone in oligoasthenozoospermia with varicocele group and demonstrated nonsignificant correlation in other groups. It is concluded that varicocele-induced hypoxia is the adverse effect that causes both oligoasthenozoospermia and decreased seminal alpha-1,4-glucosidase levels.
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Affiliation(s)
- M M F Roaiah
- Department of Andrology, Faculty of Medicine, Cairo University, Cairo, Egypt
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Henkel R, MAAß G, Bödeker RH, Scheibelhut C, Stalf T, Mehnert C, Schuppe HC, Jung A, Schill WB. Sperm function and assisted reproduction technology. Reprod Med Biol 2005; 4:7-30. [PMID: 29699207 DOI: 10.1111/j.1447-0578.2005.00087.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
The evaluation of different functional sperm parameters has become a tool in andrological diagnosis. These assays determine the sperm's capability to fertilize an oocyte. It also appears that sperm functions and semen parameters are interrelated and interdependent. Therefore, the question arose whether a given laboratory test or a battery of tests can predict the outcome in in vitro fertilization (IVF). One-hundred and sixty-one patients who underwent an IVF treatment were selected from a database of 4178 patients who had been examined for male infertility 3 months before or after IVF. Sperm concentration, motility, acrosin activity, acrosome reaction, sperm morphology, maternal age, number of transferred embryos, embryo score, fertilization rate and pregnancy rate were determined. In addition, logistic regression models to describe fertilization rate and pregnancy were developed. All the parameters in the models were dichotomized and intra- and interindividual variability of the parameters were assessed. Although the sperm parameters showed good correlations with IVF when correlated separately, the only essential parameter in the multivariate model was morphology. The enormous intra- and interindividual variability of the values was striking. In conclusion, our data indicate that the andrological status at the end of the respective treatment does not necessarily represent the status at the time of IVF. Despite a relatively low correlation coefficient in the logistic regression model, it appears that among the parameters tested, the most reliable parameter to predict fertilization is normal sperm morphology. (Reprod Med Biol 2005; 4: 7-30).
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Affiliation(s)
- Ralf Henkel
- Department of Urology, Friedrich Schiller University, Jena.,Center for Dermatology and Andrology
| | - Gesa MAAß
- Center for Dermatology and Andrology
| | - Rolf-Hasso Bödeker
- Institute for Medical Informatics, Working Group for Medical Statistics, and
| | | | - Thomas Stalf
- Institute for Reproductive Medicine, Justus Liebig University, Giessen, Germany
| | - Claas Mehnert
- Institute for Reproductive Medicine, Justus Liebig University, Giessen, Germany
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Henkel R, Maa\ G, Bödeker RH, Scheibelhut C, Stalf T, Mehnert C, Schuppe HC, Jung A, Schill WB. Sperm function and assisted reproduction technology. Reprod Med Biol 2005. [DOI: 10.1007/bf03016134] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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Elzanaty S, Malm J, Giwercman A. Duration of sexual abstinence: epididymal and accessory sex gland secretions and their relationship to sperm motility. Hum Reprod 2005; 20:221-5. [PMID: 15550495 DOI: 10.1093/humrep/deh586] [Citation(s) in RCA: 44] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND The data on the association between the abstinence period and sperm motility are conflicting. METHODS Ejaculates from 422 men assessed for infertility were analysed according to the World Health Organization (WHO) guidelines. Seminal plasma neutral alpha-glucosidase (NAG), prostate-specific antigen (PSA), zinc and fructose were measured. Three groups were defined according to the length of sexual abstinence: G2-3 (2-3 days), G4-5 (4-5 days) and G6-7 (6-7 days). RESULTS The total percentage of progressively motile spermatozoa was significantly higher in G4-5 compared with G2-3 and G6-7 (medians 55 versus 47 and 42%; P=0.039 and P <0.001, respectively). The percentage of spermatozoa with tail defects was significantly higher in G6-7 compared with G2-3 and G4-5 (medians 14 versus 10 and 10%; P=0.011 and P=0.002, respectively). NAG was significantly lower in G2-3 compared with G4-5 and G6-7 (medians 23 versus 34 and 34 mU/ejaculate; P <0.001 and P=0.001, respectively). The same trend was found regarding zinc (medians 6 versus 8 and 8 mumol/ejaculate; P=0.001 and P=0.005, respectively). CONCLUSIONS Within the time interval recommended by the WHO (2-7 days), the length of the abstinence period is associated with sperm characteristics and should be taken into consideration when interpreting results of semen analysis.
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Affiliation(s)
- Saad Elzanaty
- Fertility Center and Department of Clinical Chemistry, Scanian Andrology Center, Lund University, Malmö University Hospital, SE 205 02 Malmö, Sweden.
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Martini AC, Molina RI, Tissera AD, Ruiz RD, Fiol de Cuneo M. Analysis of semen from patients chronically treated with low or moderate doses of aspirin-like drugs. Fertil Steril 2003; 80:221-2. [PMID: 12849830 DOI: 10.1016/s0015-0282(03)00550-8] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Affiliation(s)
- Ana C Martini
- Instituto de Fisiología, Facultad de Ciencias Médicas, Universidad Nacional de Córdoba, Córdoba, Argentina.
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17
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Elzanaty S, Richthoff J, Malm J, Giwercman A. The impact of epididymal and accessory sex gland function on sperm motility. Hum Reprod 2002; 17:2904-11. [PMID: 12407047 DOI: 10.1093/humrep/17.11.2904] [Citation(s) in RCA: 95] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Little is known about the regulation of sperm motility, which is an important predictor of male fertility. However, both testicular and post-testicular factors may be involved, although the impact of the latter has been relatively poorly investigated. METHODS In semen samples from 301 young men from the general Swedish population (mean +/- SD age 18.2 +/- 0.4 years), we assessed sperm motility by use of a manual method as well as computer-assisted sperm analysis (CASA) and correlated these values to seminal levels of neutral alpha-glucosidase (NAG), prostate-specific antigen (PSA), zinc and fructose. RESULTS There were significant positive correlations between seminal levels of NAG, and PSA and CASA percentage motile sperm (r = 0.158, P = 0.009; r = 0.155, P = 0.01 respectively), and significant negative correlations with CASA percentage immotile sperm (r = -0.206, P = 0.001; r = -0.157, P = 0.009 respectively). In a multiple regression analysis it was found that, apart from sperm concentration, the level of PSA was the most significant and independent parameter in predicting percentage motile sperm (beta = 0.220, P = 0.037). CONCLUSION Our study demonstrated the regulatory effect of post-testicular glands on the motility of sperm. This is to our knowledge the first study showing a direct correlation between the seminal PSA levels and sperm motility in a group of men representing the general population. In future investigations and searches for specific treatment modalities in male infertility, more attention should be paid to the epididymis and accessory sex gland function.
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Affiliation(s)
- S Elzanaty
- Scanian Andrology Centre, Fertility Centre, Malmö University Hospital, SE 205 02 Malmö, Sweden.
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18
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Gonzales GF. Basal serum testosterone as an indicator of response to clomiphene treatment in human epididymis, seminal vesicles and prostate. Andrologia 2002. [DOI: 10.1111/j.1439-0272.2002.tb02946.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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19
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Gonzales GF. Basal serum testosterone as an indicator of response to clomiphene treatment in human epididymis, seminal vesicles and prostate. Andrologia 2002. [DOI: 10.1046/j.1439-0272.2002.00507.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
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Spiessens C, D'Hooghe T, Wouters E, Meuleman C, Vanderschueren D. Alpha-glycosidase activity in seminal plasma: predictive value for outcome in intrauterine insemination and in vitro fertilization. Fertil Steril 1998; 69:735-9. [PMID: 9548166 DOI: 10.1016/s0015-0282(97)00569-4] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
OBJECTIVE To test the hypothesis that alpha-glycosidase activity in seminal plasma can predict the outcome of both IUI and IVF. DESIGN A retrospective cohort study. SETTING Tertiary fertility center in a university hospital. PATIENT(S) Eighty-three subfertile couples who underwent IUI and 125 subfertile couples who underwent IVF. INTERVENTION None. MAIN OUTCOME MEASURE(S) Determination of the alpha-glycosidase activity in seminal plasma before an IUI or IVF attempt, correlation of alpha-glycosidase activity and other semen parameters, and prediction of pregnancy using alpha-glycosidase activity in seminal plasma. RESULT(S) Alpha-glycosidase activity correlated with sperm count. In the IUI group, alpha-glycosidase activity of >23.9 mU/mL predicted pregnancy with a sensitivity of 100% and a specificity of 55.2%. In the IVF group, the outcome could not be predicted with use of any of the semen parameters. CONCLUSION(S) Alpha-glycosidase activity measured in mU/mL probably can be used as a predictor for IVF and pregnancy in an IUI program but has no predictive value with regard to pregnancy rate in an IVF program.
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Affiliation(s)
- C Spiessens
- Leuven University Fertility Centre, University Hospital Leuven, Belgium.
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21
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Sandoval L, Diaz M, Rivas F. Alpha-1,4-glucosidase activity and the presence of germinal epithelium cells in the semen for differential diagnosis of obstructive and nonobstructive azoospermia. ARCHIVES OF ANDROLOGY 1995; 35:155-8. [PMID: 8579477 DOI: 10.3109/01485019508987867] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
Among azoospermics, the activity of seminal alpha-glucosidase (alpha G) is low in obstruction (OBS) cases, but there is no agreement regarding its value in others. With the hypothesis that a more marked decrease in alpha G activity occurs in OBS than in spermatogenesis arrest (SA), the enzyme was measured in the following groups: (1) vasectomized males (n = 15), (2) azoospermics with OBS (n = 7), (3) azoospermics with SA (n = 11), and (4) fertile males (n = 15). Patients within groups 2 and 3 had a testicular volume > or = 15 mL, no clinical evidence of abnormal epididymis, normal serum gonadotropins, and histological diagnosis. alpha G activities (mU/g protein, means +/- SD) by group were (1) 131 +/- 60, (2) 312 +/- 186, (3) 728 +/- 303, and (4) 1176 +/- 374. All between-group differences were significant (t test, p < .01), except for groups 1 vs. 2 comparison (.05 > p > .01). These results support the notion that SA is associated with a decrease in alpha G that is less marked that seen in OBS. The search for germinal epithelium cells in semen also allows discrimination between these two azoospermic groups.
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Affiliation(s)
- L Sandoval
- División de Genética, Centro de Investigación Biomédica de Occidente, Guadalajara, Jalisco, México
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García Díez LC, Esteban Ruiz PF, Villar E, Corrales Hernandez JJ, Burgo R, Delgado M, Miralles JM. Enzyme and hormonal markers in the differential diagnosis of human azoospermia. ARCHIVES OF ANDROLOGY 1992; 28:181-94. [PMID: 1530367 DOI: 10.3109/01485019208987697] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
The serum concentrations of FSH, LH, prolactin, testosterone, and estradiol and the enzymatic activities of hyaluronidase, glucosidases (alpha-glucosidase, beta-glucosidase, alpha-mannosidase, N-acetyl-beta-D-glucosaminidase, beta-glucuronidase, and beta-galactosidase), lactate dehydrogenase and its isoenzymes (LDH1, LDH2, LDH3, LDH-X, LDH4), and total proteins were measured in the semen of 69 subjects (8 normozoospermic controls, 7 secretory, and 54 excretory azoospermic subjects). FSH levels rose with the deterioration in spermatogenesis and served to differentiate the secretory from the excretory azoospermias. The only source of hyaluronidase and LDH-X in the ejaculate is the spermatozoa. alpha-Glucosidase activity essentially originates in the epididymis. The seminal determination of alpha-glucosidase and, to a lesser extent, alpha-mannosidase and N-acetyl-beta-D-glucosaminidase helps rapidly, sensitivity, reliably, and noninvasively to differentiate secretory azoospermias (with higher enzymatic activity) from the excretory type (less enzymatic activity) and may be of use in identifying with a certain degree of reliability the site of obstruction in the male genital tract.
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Affiliation(s)
- L C García Díez
- Servicio de Endocrinología, Hospital Clínico Universitario, Salamanca, Spain
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23
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Fourie MH, du Toit D, Bornman MS, van der Merwe MP, du Plessis DJ. alpha-Glucosidase, sperm ATP concentrations, and epididymal function. ARCHIVES OF ANDROLOGY 1991; 26:139-41. [PMID: 1872646 DOI: 10.3109/01485019108987636] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
It has been suggested that alpha-glucosidase may be a marker of epididymal patency and function. Spermatozoal ATP concentrations decrease during passage through the epididymis, indicating efficient maturation. We correlated sperm motility with seminal plasma alpha-glucosidase activity and spermatozoal ATP. The sperm motility correlation with alpha-glucosidase activity was significantly positive, and the sperm motility correlation with spermatozoal ATP was significantly negative. It appears that high-alpha-glucosidase activity and low-spermatozoal ATP were present in semen with good sperm motility and could possibly indicate efficient epididymal function.
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Affiliation(s)
- M H Fourie
- Department of Urology, University of Pretoria, South Africa
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du Toit D, Bornman MS, Fourie MH, du Plessis DJ, van der Merwe MP. Impaired epididymal function in patients with detached ciliary tufts in semen: a preliminary report. Andrologia 1991; 23:157-8. [PMID: 1952121 DOI: 10.1111/j.1439-0272.1991.tb02521.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022] Open
Abstract
Low spermatozoal ATP concentration in the presence of high alpha-glucosidase activity may indicate efficient epididymal function. It was suggested that detached ciliary tufts (DCTs) originated from the epididymis. We compared the spermatozoal ATP concentration and alpha-glucosidase activity in semen of patients with DCTs to that of a control group. Higher ATP concentration and lower alpha-glucosidase activity were found in patients with DCTs in their semen compared to the control group. These results might probably point out impaired epididymal function and further support the proposed epididymal origin of these tufts.
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Affiliation(s)
- D du Toit
- Department of Urology, University of Pretoria, South Africa
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