Hypoosmotic swelling test of sperm

Establishment of methods to analyze the structural and functional integrity of the quail (Coturnix coturnix japonica) sperm plasma membrane

1. The objectives of this study were to establish the use of the fluorophores Hoechst 33342 and propidium iodide for the evaluation of sperm plasma membrane integrity and to identify an adequate hypoosmotic solution for the evaluation of sperm membrane functionality in quails.2. Sperm samples were collected from the vas deferens of nine quails. After initial evaluation, the samples were subjected to a flash-frozen assay. Three treatments with the following proportions of fresh sperm and sperm subjected to flash freezing were prepared as follows: 100:0 (T100), 50:50 (T50), and 0:100 (T0). The hypoosmotic swelling test used distilled water (0 mOsm/l) and fructose solutions (50, 100, and 200 mOsm/l).3. Immediately after recovery, the samples showed 75.6 ± 5.0% motility with vigour of 3.7 ± 0.3 and 96.1 ± 0.5% of the sperm appeared normal. The membrane integrity test showed 62.2 ± 5.2% intact sperm at T100, 29.0 ± 4.1% at T50 and 0.1 ± 0.1% at T0. Moreover, a greater number of reactive sperm (74.7 ± 6.7%) were observed when incubated in distilled water (0 mOsm/l) in comparison to other solutions (P < 0.05).4. The association of fluorescent probes composed of Hoechst 33342 and propidium iodide provided an efficient assessment of the integrity of the plasmatic membrane of quail spermatozoa. However, the study identified that the hypoosmotic swelling test has little predictive value regarding sperm membrane functionality in this species.

Analyzing the Differential Impact of Semen Preparation Methods on the Outcomes of Assisted Reproductive Techniques

Sperm separation plays a critical role in assisted reproductive technology. Based on migration, density gradient centrifugation and filtration, a properly selected sperm could help in increasing assisted reproductive outcomes in teratozoospermia (TZs). The current study aimed to assess the prognostic value of four sperm selection techniques: density gradient centrifugation (DGC), swim-up (SU), DGC-SU and DGC followed by magnetic-activated cell sorting (DGC-MACS). These were evaluated using spermatozoa functional parameters. A total of 385 infertile couples underwent the procedure of intracytoplasmic sperm injection (ICSI), with an isolated teratozoospermia in the male partner. Semen samples were prepared by using one of the mentioned sperm preparation techniques. The improvements in the percentage of normal mature spermatozoa, rate of fertilization, cleavage, pregnancy and the number of live births were assessed. The normal morphology, spermatozoa DNA fragmentation (SDF) and chromatin maturity checked by using chromomycin A3 (CMA3) with DGC-MACS preparation were better compared to the other three methods. Embryo cleavage, clinical pregnancy and implantation were better improved in the DGC-MACS than in the other tested techniques. The DGC-MACS technique helped in the selection of an increased percentage of normal viable and mature sperm with intact chromatin integrity in patients with teratozoospermia.

Hypo-Osmotic Swelling Test (HOST) for Feline Spermatozoa: The Simplified Procedure and the Aspect of Sperm Morphology

Hypo-osmotic swelling test (HOST) is used to assess the functional integrity of sperm plasma membranes in many species. The primary aim of this study was to test a simplified HOST procedure for the evaluation of feline semen. The second objective was to check if sperm abnormalities can influence the results of this test. Urethral semen was collected from 19 male, domestic cats. In Exp. 1, HOST was performed in different media (50 mOsm/kg fructose or distilled water), temperature (37 °C or room temperature) and time (5 and 30 min). In Exp. 2, the potential effect of sperm abnormalities on HOST results was assessed by observing individual normal and abnormal spermatozoa microinjected into droplets of distilled water. The results showed no differences between the HOST results performed in different media, temperature and time. Viable abnormal spermatozoa were able to swell under hypo-osmotic conditions in the same manner as normal ones, except spermatozoa with distal droplets, which showed a higher frequency of ‘despiralization’. In conclusion, HOST can be reliably performed at 0 mOsm/kg for 5 min at room temperature, which may contribute to a wider use of this test under clinical environments. Viable abnormal spermatozoa are able to swell under hypo-osmotic conditions; therefore, their presence in the ejaculate would not bias the results of HOST when total coiling is calculated.

[Prospective comparison of different techniques for cryopreservation of small numbers of human spermatozoa]

OBJECTIVES

This study aimed to determine if vitrification is more efficient than the slow freezing method when cryopreservation of small numbers of human spermatozoa is needed and, if so, which device is the most suitable.

METHODS

This is a prospective experimental study conducted in a university-affiliated assisted reproductive center. Ejaculates were obtained from the same fertile man after written consent. Selected sperm were cryopreserved by slow freezing method or vitrified in two different devices: Cell Sleeper and Stripper tip.

RESULTS

Vitrification in Cell Sleeper provided significantly higher recovery, motility and survival rates than slow freezing. Only recovery rate was higher in Cell Sleeper than when using Stripper tip. Moreover, recovery time per spermatozoon was faster in Cell Sleeper than in the two other groups. Furthermore, statistical significance was achieved when comparing the four above parameters between Stripper tip and slow freezing, concluding to the superiority of vitrification in Stripper tip as well. Finally, the theorical time needed per injected oocyte was significantly shorter after vitrification in the two devices than when using slow freezing, and shorter in Cell Sleeper in comparison with Stripper tip.

CONCLUSIONS

Vitrification, in particular using Cell Sleeper, appears as the most suitable method to cryopreserve small numbers of spermatozoa.

Males With Subnormal Hypo-Osmotic Swelling Test Scores Have Lower Pregnancy Rates Than Those With Normal Scores When Ovulation Induction and Timed Intercourse Is Used as a Treatment for Mild Problems With Sperm Count, Motility, or Morphology

This study was designed to evaluate the effectiveness and clinical usefulness of the hypo-osmotic swelling (HOS) test in predicting successful conception in couples in which men with mild male-factor infertility criteria were undergoing a timed vaginal inter-course protocol. One hundred couples, in which mild male infertility was the only abnormality, were included in the study. Semen was analyzed according to standard World Health Organization (WHO) criteria and subjected to the HOS test. Patients were divided into 2 groups: group 1 (n=39) with normal HOS test and group 2 (n=61) with abnormal HOS test. All women underwent three consecutive cycles of follicular growth ultrasound monitoring and timed intercourse. Ten couples were exclude from the study. Ten clinical pregnancies were achieved in group 1 with a pregnancy rate per patient and per cycle of 28.5% and 9.5%, respectively. In group 2, 6 pregnancies were achieved, with a pregnancy rate per patient and per cycle of 10.9% and 3.6%, respectively. Both pregnancy rates per patients and per cycle was significantly higher (P <.05) in group 1 than in group 2. The HOS test may be considered an easy and reliable test in identifying among subfertile men those who have a greater possibility of causing pregnancy.

EVALUATION OF CELL MEMBRANE INTEGRITY OF SPERMATOZOA BY HYPOOSMOTIC SWELLING TEST – “WATER TEST” IN MICE AFTER INTRAPERITONEAL DAIDZEIN ADMINISTRATION

The functional integrity of the cell membrane of the mice sperm after daidzein administration intraperitoneal was assessed by studying the swelling reaction of the sperm when suspended in distilled water. The results obtained in water test indicate that daidzein, one of the phytoestrogens, decreases the number of normal and live sperm (swollen) in the samples obtaining from vas deferens. This effect was statistically significant in the mice after 7 and 14 days of daidzein administration. In mice treated with daidzein the number of dead (unswollen) sperm was increased, especially in animals after 14 days of experiment.

Development of a rapid, sensitive, and reproducible laboratory test kit for the assessment of plasma membrane integrity of human sperm

OBJECTIVE

To develop a rapid, sensitive, and reproducible hypoosmotic swelling test kit for the assessment of plasma membrane integrity of human sperm in vitro.

DESIGN

Prospective comparison of results with the World Health Organization (WHO) method, performed simultaneously.

SETTING

Infertility center in a major city in India.

PATIENT(S)

Couples who presented for infertility evaluation.

INTERVENTION(S)

The sperm tail-coiling pattern representing sperm plasma membrane integrity was analyzed by using different concentrations of NaCl and also with plain double distilled water (ddH(2)O). Hypoosmotic swelling solution with 2% NaCl in ddH(2)O equivalent to 68 Osm/L was selected for further analysis because it provided the highest and the qualitatively best type (g) of tail coiling among the various other options tried in comparison.

MAIN OUTCOME MEASURE(S)

A rapid laboratory test kit for the assessment of plasma membrane integrity of sperm was developed that is equally sensitive and reproducible as that described in the WHO protocol. The test was validated by using different normal and subnormal semen samples and in comparison with the standard WHO protocol.

RESULT(S)

After the screening with different hypoosmotic solutions by using semen samples from fertile volunteers, NaCl (2%) provided the highest and the best types of typical tail coiling, characteristic of sperm with good plasma membrane integrity. The study was then extended to 60 normozoospermic semen samples, which demonstrated a hypoosmotic swelling response of 69.5% +/- 5.23% and 71.5% +/- 4.89%, as per WHO or the present modified method, respectively (coefficient of correlation, r = 0.741). In 13 oligospermic and 18 teratozoospermic subjects, the hypoosmotic swelling response of sperm as per the new method were 36.4% +/- 5.75% and 34.2% +/- 7.78%, respectively, which were comparable to those obtained through the WHO method. There was a 15% drop in viability of sperm after the hypoosmotic challenge (5 min), irrespective of the hypoosmotic solution used. No other morphological alterations in sperm were observed after the hypoosmotic challenge.

CONCLUSION(S)

The new test kit can be used routinely in laboratories for assessment of plasma membrane integrity of sperm in vitro.

Semen analysis in laboratory practice: an overview of routine tests

Semen analysis is a basic step in the investigation of several disturbances affecting the male genital tract. Analysis of seminal parameters provides important clinical information on the spermatogenesis and functional competence of spermatozoa, as well as on the secretory pattern of the accessory genital glands. Semen analysis is particularly useful in the evaluation of couples requiring fertility investigation (to detect genital infections and pathologies) and in verifying the influence of environmental factors, drugs, lifestyle, chemical products, and professional activities on several diseases affecting male reproductive health. Measure of semen quality is of substantial interest for diagnoses in clinical urology, andrology, and gynecology. Currently, basic requirements for semen analysis are standardized by World Health Organization (WHO) guidelines that describe several procedures for an objective evaluation of the semen quality with diagnostic purposes. These guidelines include: parameters for the physical and biochemical evaluation of semen; parameters for the analysis of sperm characteristics; and other seminal parameters that can be easily adopted in any laboratory. This report summarizes current concepts on semen analysis and the significance of the seminal parameters for reaching a diagnosis based on the procedures recommended by WHO guidelines.

Four subpopulations of boar spermatozoa defined according to their response to the short hypoosmotic swelling test and acrosome status during incubation at 37 °C

This study was designed to confirm the previously observed relationship between response to the short hypoosmotic swelling test (sHOST) and acrosome resistance in boar spermatozoa. Ejaculates from 22 boars were incubated in a water bath at 37 degrees C for 2h. During the incubation period, samples were taken at 5, 20, 40, 60, 90 and 120 min and subjected to the sHOST. sHOST responses (positive HP-negative HN) and acrosomal status (normal or intact NA-damaged DA) were evaluated in 100 spermatozoa corresponding to each ejaculate and incubation time, and the results used to establish four subpopulations: HPNA, HPDA, HNNA and HNDA. Over the entire incubation period, the sHOST positive subpopulation with damaged acrosomes, HPDA, was significantly smaller than the sHOST negative, damaged acrosome subpopulation, HNDA (P<0.001). Further, proportions of HPDA spermatozoa remained stable throughout this period while the HNDA subpopulation showed a significant increase (P<0.001) from the start to the end of incubation. These results confirm the high resistance of the plasma membrane of HP spermatozoa allowing the persistence of a higher number of intact acrosomes over time, compared to HN spermatozoa. Characterising this HPNA subpopulation may help the evaluation of ejaculate quality.

Progesterone Receptor as an Indicator of Sperm Function

Expression of progesterone receptor (PR) localization on spermatozoa was determined in men with normal and abnormal spermiograms. Studies were also carried out to evaluate the potential of PR as a marker of sperm function. Progesterone receptor expression on spermatozoa from men with normozoospermia (n = 8), oligozoospermia (n = 7), asthenozoospermia (n = 8), oligoasthenozoospermia (n = 7), and teratozoospermia (n = 11) was analyzed using an immunocytochemical method with monoclonal antibodies against PR, and flow cytometry using a cell-impermeable fluorescein-tagged progesterone coupled to BSA complex (P-FITC-BSA). Both methods revealed significantly fewer (P < 0.05) PR-positive spermatozoa in men with oligozoospermia, asthenozoospermia, oligoasthenozoospermia, and teratozoospermia compared with men with normozoospermia, thereby suggesting that down-regulation of PR expression in spermatozoa may be one of the causes of male infertility. Spermatozoa from men with normozoospermia (n = 12), oligozoospermia (n = 12), asthenozoospermia (n = 12), oligoasthenozoospermia (n = 9), and teratozoospermia (n = 10) were exposed to low osmotic conditions in the hypoosmotic swelling (HOS) test and then analyzed for PR expression using P-FITC-BSA complex. A significantly higher percentage (P < 0.05) of spermatozoa with physiologically active plasma membrane (HOS+) lacked PR expression (HOS+PR-) in all categories of men with infertility, thereby suggesting that compared to the HOS test, PR expression is a better indicator of sperm function. Furthermore, PR expression in spermatozoa showed a strong (P < 0.05) positive correlation with their ability to undergo an in vitro acrosome reaction. This was observed in all study groups (i.e., normozoospermia, r = 0.8545; oligozoospermia, r = 0.8711; asthenozoospermia, r = 0.7645; oligoasthenozoospermia, r = 0.9003; and teratozoospermia, r = 0.8676). This suggests a potential role for PR in the events leading to the acrosome reaction in sperm.

Plasma membrane and acrosomal integrity in bovine spermatozoa with the knobbed acrosome defect

Previous studies have shown that bovine spermatozoa with the knobbed acrosome defect have a reduced ability to bind to and penetrate the bovine zona pellucida. Cryopreserved spermatozoa from a normal control bull (N) and two bulls with the knobbed acrosome defect (K1 and K2) were subjected to a hypoosmotic swelling test (HOST) to evaluate the functional integrity of the plasma membrane. A capacitation assay and a calcium ionophore challenge test was used to determine the ability of spermatozoa to undergo capacitation and acrosome reaction (AR), respectively. The mean percentage of spermatozoa responding to the HOST was significantly higher for Bull N (68.8 +/- 2.4) than for Bulls K1 (36.1 +/- 4.6) and K2 (40.2 +/- 4.7). The mean percentage of capacitated spermatozoa (54.0 +/- 1.8) was significantly higher for the treatment group (incubation in capacitating medium) for Bull N than that of the negative control group (29.5 +/- 1.8). However, there was no difference between the treatment and the negative control groups of the bulls with the knobbed spermatozoa (36.5 +/- 1.4 and 27.1 +/- 3.0 for Bull K1 and 47.5 +/- 3.8 and 35.2 +/- 6.6 for Bull K2, respectively). Although the mean percentage of acrosome-reacted spermatozoa (60.7 +/- 1.3) was higher for the treatment group (receiving calcium ionophore) for Bull N than that of the negative control (29.5 +/- 1.3), there was no difference between the treatment and the negative control groups for the bulls with the knobbed spermatozoa (47.8 +/- 3.3 and 49.3 +/- 5.0 for Bull K1 and 58.8 +/- 10 and 59.5 +/- 9.7 for Bull K2, respectively). A positive correlation existed between the proportion of spermatozoa that did not respond to the HOST and that undergoing a spontaneous AR. Results suggest that spermatozoa with the knobbed acrosome defect have impaired plasma membrane function which predisposes them to premature capacitation and spontaneous AR on incubation after thawing.

Prognosis for sperm fertilizability: analysis of different variables in men

An overview of various sperm tests is presented. The standard semen analysis obtained by most clinicians evaluating infertility usually consists of sperm concentration, percent motility, quality of motility, and sperm morphology. Unfortunately, unless the motile density is extremely low, the count and motility are not good prognosticators of fertility potential. Values above the norm for normal fertile couples unfortunately cannot reliably predict normal fertility potential. It is important to find sperm tests that are easy to perform, are relatively inexpensive, and provide an accurate prognosis. Strict morphology was hoped to be such a tool with initial optimism that it was far superior to standard morphology. Unfortunately, this test also failed to be the ideal inexpensive prognostic test after further evaluation. One test that is inexpensive and highly correlates with fertilizability is the presence of antisperm antibodies since their presence frequently does not alter count, motility, or morphology. This test should be performed as part of the routine semen analysis. Other tests highly correlate with the achievement of pregnancy and are simple and inexpensive to perform, but, interestingly, do not correlate with fertilizability. These include the hypoosmotic swelling test (HOST) and the sperm stress test. Abnormalities in these tests imply a different abnormality of sperm that leads to conception failure and that is the transfer of a toxic factor from the sperm to oocyte to embryo that prevents the embryo from implanting. Certainly, the simple, inexpensive HOST should be performed routinely. Other tests of sperm function, e.g., sperm penetration assay, sperm zona pellucida binding assay, and acrosome reaction, have their definite place in the evaluation of the infertile male. However, because they are expensive and difficulty to perform they lend themselves to certain specific circumstances but not to routine testing.

Sperm-cell volumetric measurements as parameters in bull semen function evaluation: correlation with nonreturn rate

Sperm-cell volume, measured electronically by cell counter, is a parameter providing information about the state and integrity of the plasma membrane by determining cell osmotic reactivity (swelling level). Electronic volume measurement is a modification of the hypo-osmotic swelling test, based on the increase in sperm volume in response to hypo-osmotic stress. In this study the volumetric method was applied to bull ejaculates, and the relationships of volumetric parameters, osmolality of seminal plasma, and concentration of sodium and potassium ions in seminal plasma, with the nonreturn rate (NRR) were examined. Significant correlations were found between volumetric parameters, conventional spermatological parameters, and NRR. The relative volume shift of the mean volume correlated significantly with motility before and after thawing (P < 0.05). NRR correlated significantly with iso-osmotic cell volume (- 0.49; P < 0.05) and with the relative volume shift (0.51, P < 0.05). The prediction level of regression models was improved when volumetric parameters (iso-osmotic cell volume) were included in the multiple regression model. Therefore, using electronic volume measurement as a component for fast, correct and valid (up to 50,000 cells), recording sperm-cell population may help to evaluate ejaculate quality more precisely.

Differential effect of common laboratory treatments on hypoosmotic swelling responses of human spermatozoa

PURPOSE

The impact of some of the common laboratory interventions on the hypoosmotic swelling (HOS) responses of human-spermatozoa was investigated.

METHODS

The semen samples underwent different laboratory treatments prior to the standard HOS test, which involved incubation of sperm in the hypoosmotic solution. Fresh semen served as a control for all treatment groups and underwent the same HOS procedure. The HOS-reactive spermatozoa and the type of HOS reactions (swelling types) in each group were identified under a phase-contrast microscope for comparison.

RESULTS

All the seven types of HOS responses documented in fresh semen sperm also occurred in the laboratory-processed sperm. The total HOS responses of sperm that underwent cryopreservation, heat shock, and Percoll wash were significantly different from those of the corresponding control. Percoll washing of semen influenced HOS subtypes a and g; cryopreservation affected subtypes a, b, c, and d; and heat shock altered subtypes a, f, and g. In contrast, prolonged postejaculation and cold shock did not affect any of the HOS responses. None of the treatments influenced the d and e responses.

CONCLUSIONS

These results indicate that the total HOS response value and specific response subtypes are significantly affected by some of the laboratory treatments but not others.

Hypoosmotic swelling of boar spermatozoa compared to other methods for analysing the sperm membrane

The aims of this work were to adapt the hypoosmotic swelling test (HOST) to boar spermatozoa and to compare this method with other tests which evaluate the integrity of the sperm membrane. The spermatozoa were incubated in 50, 100, 150 or 200 mOsm/L solutions for 5, 30, 60 or 120 min. An easily identifiable swelling and coiling of the tails occurred when the boar spermatozoa were incubated at 37 degrees C for 30 to 120 min in a mixture of fructose and Na-citrate (100-150 mOsm/L). Transmission electron microscopy showed that the hypoosmotic swelling reaction of the spermatozoa was caused by coiling of the flagellum inside the plasma membrane. When used as described, HOST was found to be highly reliable when known populations of live spermatozoa were tested. We also compared the results obtained with HOST with those obtained using eosin Y and carboxyfluorescein diacetate. The percentage of spermatozoa unstained with eosin Y and the percentage of spermatozoa which fluoresced with carboxyfluorescein diacetate were similar. However, the hypoosmotic swelling values were significantly below those of the other tests. This may be because either HOST evaluates different aspects of sperm membrane than other sperm membrane tests or the membranes of some spermatozoa are inactivated by contact with the hypoosmotic solution. In short, our findings suggest that HOST is a sensitive and reproducible test to assess the functional integrity of boar sperm membranes after incubation under hypoosmotic stress conditions and may be a useful tool for detecting subpopulations of subviable spermatozoa when used in conjunction with another type of membrane integrity test.

Hypoosmotic swelling test in patients with varicocele

The hypoosmotic swelling test is a simple test for measuring the functional competence of human sperm membrane. Thirty-five patients with varicocele were assessed by hypoosmotic swelling test and the results were compared with those in patients with idiopathic infertility. Percentage of swollen sperm in varicocele tended to be lower than that in idiopathic infertility, especially in sperm concentration between 30 x 10(6)/mL and 40 x 10(6)/mL. Varicocele with sperm motility of 40% or more revealed lower percentage of swollen sperm than idiopathic infertility did. The results indicate that varicocele may particularly injure sperm membrane function because hypoosmotic swelling test is a test for measuring functional ability of human sperm membrane. The percentage of swollen sperm recovered after the operation earlier than did the other sperm parameters such as sperm concentration or motility, which indicates that impaired sperm membrane injury by varicocele is reversible.

Relationship between hypoosmotic swelling test, semen analysis, and zona-free hamster ovum test

The hypoosmotic swelling test is a simple test for measuring the functional competence of the human sperm membrane. Fifty-four patients with idiopathic infertility were assessed by hypoosmotic swelling test and the results were compared with those of routine semen analysis and zona-free hamster ovum human sperm penetration test (ZSPT). Semen samples with abnormal semen parameters had lower percentage of swollen sperm in comparison with those with normal semen parameters. A positive correlation was observed between sperm concentration and sperm swelling (r = .50, p less than .05). A strong positive correlation was observed between the percentage of sperm motility and the percentage of swollen sperm (r = 0.60, p less than .01), and between motile sperm concentration and sperm swelling (r = .62, p less than .01). On the other hand, sperm swelling correlated only weakly with the percentage of sperm penetration. The results indicate that the hypoosmotic swelling test appears to evaluate different functional qualities of sperm than ZSPT.

Hypo-osmotic sperm swelling test does not assess fertilizing capacity of human spermatozoa

The hypo-osmotic sperm swelling (HOSS) test was performed on semen samples of five normospermic men from couples with prolonged infertility. Previously, the men had negative results of the zona-free hamster oocyte (ZFHO) test on two different ejaculates and the wives subsequently had become pregnant by donor insemination. A high swelling percentage (at least 60%) was found in all five men. It would appear that the HOSS test does not assess fertilizing capacity.