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

Combining CT Images and Clinical Features of Four Periods to Predict Whether Patients Have Rectal Cancer

In this paper, we mainly use random forest and broad learning system (BLS) to predict rectal cancer. A total of 246 participants with computed tomography (CT) image records were enrolled. The total model in the training set (combined with imaging and clinical indicators) has the best prediction result, with the area under the curve (AUC) of 0.999 (95% confidence internal (CI): 0.996-1.000) and the accuracy of 0.990 (95%CI: 0.976-1.000). Model 3, the general model in the test set, has the best prediction result, with the AUC of 0.962 (95%CI: 0.915-1.000) and the accuracy of 0.920 (95%CI: 0.845-0.995). The results of the model using random forest prediction are compared with those using BLS prediction. It can be found that there is no statistical difference between the two results. Our prediction model combined with image features has a good prediction result, and this image feature is the most important among all features. Consequently, we can successfully predict rectal cancer through a combination of the clinical indicators and the comprehensive indicators of CT image characteristics in four different periods (plain scan, vein, artery, and excretion).

The expression of human testis-specific actin capping protein predicts in vitro fertilization outcomes: A novel biomarker of sperm function for assisted reproductive technology

PURPOSE

Sperm function tests do not adequately assess fertilization potential, and new indices are required. We have previously reported that human testis-specific actin capping proteins may be involved in both sperm morphology and function. This study aimed to determine whether testis-specific actin capping proteins can be a predictive marker of IVF success.

METHODS

Ninety-seven infertile couples who underwent IVF at an infertility clinic were included. Sperm were immunohistochemically stained to evaluate capping protein expression, and the percentage of sperms with normal staining was calculated. The relationship between actin capping protein expression and IVF outcomes was examined.

RESULTS

The couples were divided into four groups according to the percentage of normally expressing actin capping protein as follows: ≥90% Group Ⅰ, 80%-90% Group Ⅱ, 70%-80% Group Ⅲ, and <70% Group Ⅳ. Multiple regression analysis showed a significant trend in fertilization rates across the 4 groups (p for trend =0.008).There was no significant trend in pregnancy rates (p for trend =0.276).

CONCLUSION

The human testis-specific actin capping protein may be a marker of male contributing factors that predict IVF outcomes.

Changes in Male Reproductive Function after High Altitude Mountaineering

The male reproductive functions of the members of the Masherbrum (7821 m) Expedition in 1999 were examined via semen analyses and endocrine tests. Specimens were collected from three subjects who had stayed above 5100 m for 21 to 24 days and above 6700 m for 4 to 5 days before departure and 1 month, 3 months, and 2 yr after returning from the expedition. Semen analyses showed no change in the semen volume. Sperm counts decreased after 1 month and had not recovered after 3 months, but they had recovered after 2 yr in all subjects. An increase in abnormally shaped sperm was also observed after 1 month, but had nearly recovered to the preexpedition state after 3 months. Endocrine tests revealed slightly decreased testosterone in the blood after 1 month, which had decreased still further after 3 months. The tests were completely normal after 2 yr. We suggest that a high altitude sojourn may induce reversible spermatogenic and Leydig cell dysfunction.

Some semen abnormalities may cause infertility by impairing implantation rather than fertilization

The hypo-osmotic swelling (HOS) test measures the functional integrity of the sperm membrane. Although, the sperm membrane is essential for the fertilization of oocytes, several clinical studies suggest that abnormally low HOS test scores do not predict poor or failed fertilization in human in-vitro fertilization trials. However, in-vivo and in-vitro studies clearly demonstrate that a low HOS score is associated with poor pregnancy rates suggesting this sperm defect causes implantation problems rather than fertilization problems. The problem of implantation could be caused by the supernumerary sperm attached to the zona pellucida. Supporting evidence for this theory was demonstrated by finding high pregnancy and implantation rates despite low HOS scores following intracytoplasmic sperm injection which avoids the presence of supernumerary sperm on the zona pellucida. These data thus support theories that some sperm abnormalities may reduce fertility potential by causing implantation disorders rather than problems with fertilization.

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 test for quality control of sperm prepared for assisted reproduction

This study evaluates the clinical usefulness of one additional parameter for assessment of human sperm cell function in vitro--the hypoosmotic swelling test. The hypoosmotic swelling test evaluated the functional integrity of the sperm plasma membrane. The investigation included a comparison of the hypoosmotic swelling test in samples containing motile and immotile spermatozoa and their correlation with the intrauterine insemination outcome. Motile spermatozoa expressed better membrane characteristics, without any importance of the hypoosmotic conditions. Positive correlation exists between HOS results and the outcome of IUI. This test can be a useful addition to the standard battery of semen analyzing tests.

Correlation of seminal plasma transferrin concentration and hypoosmotic swelling of the sperm

To investigate whether there is a relationship between seminal plasma transferrin concentration and hypoosmotic swelling of the sperm, semen samples from 46 infertile patients were examined. Seminal plasma transferrin concentration in oligozoospermic subjects (sperm concentration < 20 x 10(6)/mL) was significantly lower than that in normozoospermic subjects (sperm concentration > or = 20 x 10(6)/mL) (p < .05). Patients with > or = 50% swollen sperm showed significantly higher transferrin concentration in seminal plasma than those with < 50% swollen sperm (p < .05), while in oligozoospermic patients no difference was observed between seminal plasma transferrin concentration and hypoosmotic swelling. No relationship between seminal plasma transferrin concentration and serum gonadotropin levels was demonstrated. The results indicate that transferrin synthesis is important to sperm membrane integrity and functional competence. However, subsequent fertility must be examined to determine whether seminal plasma transferrin levels are predictive of fertilizing capacity.

Hypoosmotic swelling test with a medium of distilled water

The functional competence of the human sperm membrane is assessed by studying the swelling reaction of sperm when suspended in a medium of distilled water (water test). Eighty-seven patients with idiopathic infertility were investigated by the water test and the results were compared with various semen parameters. High correlations with the percentage of b-g type swollen sperm in the water test were observed for sperm concentration (r = .53, p < .05) and percent motility (r = .62, p < .01). The sperm swelling values obtained by the water test correlated well with those obtained by the hypoosmotic swelling test (HOST). Correlation coefficients in b-g and g swelling pattern were 0.89 and 0.71, respectively. The percentage of g-type swelling obtained by the water test was significantly larger than that obtained by the HOST (p < .05), although the two hypoosmotic procedures gave similar percentages of b-g swelling pattern. The percentage of g swelling pattern obtained by the water test correlated well with percent motility (r = .70, p < .001). These findings suggest that the water test is more useful for assessing the integrity of the sperm membrane than the HOST. The relationship between this test and subsequent fertility, as well as to other sperm function tests, needs further investigation.

Effect of leucocytes on the hypoosmotic swelling test of human sperm

The hypoosmotic swelling test was used to evaluate the size of physiologically competent sperm after their exposure to the influence of leucocyte-derived superoxide anions. In sperm suspensions, preincubated in the presence of 50 x 10(4)mL-1 leucocytes capable of producing 0.93 +/- 0.63 nmol of O2- (range 0.21-2.03 nmol) over 30 min at 37 degrees C, a significant decrease in the percentage of swollen sperm compared to that in the control sperm suspensions without added leucocytes was found (p < .001, n = 46). Addition of phorbol myristate acetate, an activator of the release of O2-, further diminished the ability of hypoosmotic sperm tail swelling (p < .001), while superoxide dismutase inhibited this effect. This study suggests that even very low amounts of superoxide anions may influence the functional integrity of sperm. Therefore, any source of superoxide anion production should be eliminated and/or inhibited in sperm suspensions used in assisted reproduction techniques.