Abstract
Purpose
We studied the quality differences between the different hypo-osmotic swelling test (HOST) classes, as measured by criteria of DNA fragmentation, DNA decondensation, and nuclear architecture. The aim was to find particular HOST classes associated with good-quality metrics, which may be potentially used in ICSI (intra-cytoplasmic sperm injection).
Methods
Ten patients from the Department of Reproductive Medicine at Tenon Hospital (Paris, France) were included. Their semen samples were collected and divided into two fractions: one was incubated in a hypo-osmotic solution as per HOST protocol and sorted by sperm morphology, and a second was incubated without undergoing the HOST protocol to serve as an unsorted baseline. Three parameters were assessed: DNA fragmentation (TUNEL assay), DNA decondensation (chromomycin A3 assay), and nuclear architecture (FISH, with telomeric and whole chromosome painting probes). The different HOST classes were evaluated for these three parameters, and statistical analysis was performed for each class versus the unsorted non-HOST-treated sperm. Results with p<0.05 were considered statistically significant.
Results
For each of the parameters evaluated, we found significant differences between HOST-selected spermatozoa and non-selected spermatozoa. Overall, spermatozoa of HOST classes B and B+ exhibited the highest quality based on four metrics (low DNA fragmentation, low DNA decondensation, short inter-telomeric distance, and small chromosome 1 territory area), while spermatozoa of HOST classes A and G exhibited the poorest quality by these metrics.
Conclusion
In addition to their pathophysiological interest, our results open possibilities of sperm selection prior to ICSI, which may allow for optimization of reproductive outcomes in heretofore unstudied patient populations.
Similar content being viewed by others
Availability of data and material
Data and material are available.
References
Jeyendran RS, Van der Ven HH, Perez-Pelaez M, Crabo BG, Zaneveld LJ. Development of an assay to assess the functional integrity of the human sperm membrane and its relationship to other semen characteristics. J Reprod Fertil. 1984;70:219–28.
World Health Organization, editor. WHO laboratory manual for the examination and processing of human semen. 5th ed. Geneva: World Health Organization; 2010.
Rouen A, Carlier L, Heide S, Egloff M, Marzin P, Ader F, et al. Potential selection of genetically balanced spermatozoa based on the hypo-osmotic swelling test in chromosomal rearrangement carriers. Reprod Biomed Online; 2017.
Bassiri F, Tavalaee M, Nasr Esfahani MH. Correlation between different patterns of hypo-osmotic swelling and sperm functional tests. Int J Fertil Steril. 2013;7:193–8.
Stanger JD, Vo L, Yovich JL, Almahbobi G. Hypo-osmotic swelling test identifies individual spermatozoa with minimal DNA fragmentation. Reprod BioMed Online. 2010;21:474–84.
Pang M-G, You Y-A, Park Y-J, Oh S-A, Kim D-S, Kim Y-J. Numerical chromosome abnormalities are associated with sperm tail swelling patterns. Fertil Steril. 2010;94:1012–20.
Mebrek ML, Clède S, de Chalus A, Heide S, Ruoso L, Rogers E, et al. Simple FISH-based evaluation of spermatic nuclear architecture shows an abnormal chromosomal organization in balanced chromosomal rearrangement carriers. J Assist Reprod Genet. 2020;37:803–9.
Schindelin J, Arganda-Carreras I, Frise E, Kaynig V, Longair M, Pietzsch T, et al. Fiji: an open-source platform for biological-image analysis. Nat Methods. 2012;9:676–82.
Wagner T, Lipinski H-G. IJBlob: An ImageJ library for connected component analysis and shape analysis. J Open Res Softw. Ubiquity Press. 2013;1:e6.
Ramu S, Jeyendran RS. The hypo-osmotic swelling test for evaluation of sperm membrane integrity. Methods Mol Biol. 2013;927:21–5.
Van der Ven HH, Jeyendran RS, Al-Hasani S, Perez-Pelaez M, Diedrich K, Zaneveld LJ. Correlation between human sperm swelling in hypoosmotic medium (hypoosmotic swelling test) and in vitro fertilization. J Androl. 1986;7:190–6.
Check JH, Epstein R, Nowroozi K, Shanis BS, Wu CH, Bollendorf A. The hypoosmotic swelling test as a useful adjunct to the semen analysis to predict fertility potential. Fertil Steril. 1989;52:159–61.
Jedrzejczak P, Pawelczyk L, Taszarek-Hauke G, Kotwicka M, Warchoł W, Kurpisz M. Predictive value of selected sperm parameters for classical in vitro fertilization procedure of oocyte fertilization. Andrologia. 2005;37:72–82.
Hossain AM, Rizk B, Barik S, Huff C, Thorneycroft IH. Time course of hypo-osmotic swellings of human spermatozoa: evidence of ordered transition between swelling subtypes. Hum Reprod. 1998;13:1578–83.
Bassiri F, Tavalaee M, Shiravi AH, Mansouri S, Nasr-Esfahani MH. Is there an association between HOST grades and sperm quality? Hum Reprod. 2012;27:2277–84.
Simon L, Emery B, Carrell DT. Sperm DNA Fragmentation: consequences for reproduction. Adv Exp Med Biol. 2019;1166:87–105.
Aitken RJ, Jones KT, Robertson SA. Reactive oxygen species and sperm function--in sickness and in health. J Androl. 2012;33:1096–106.
Saleh RA, Agarwal A, Nelson DR, Nada EA, El-Tonsy MH, Alvarez JG, et al. Increased sperm nuclear DNA damage in normozoospermic infertile men: a prospective study. Fertil Steril. 2002;78:313–8.
Castillo J, Simon L, de Mateo S, Lewis S, Oliva R. Protamine/DNA ratios and DNA damage in native and density gradient centrifuged sperm from infertile patients. J Androl. 2011;32:324–32.
Simon L, Castillo J, Oliva R, Lewis SEM. Relationships between human sperm protamines, DNA damage and assisted reproduction outcomes. Reprod BioMed Online. 2011;23:724–34.
Saleh RA, Agarwal A, Nada EA, El-Tonsy MH, Sharma RK, Meyer A, et al. Negative effects of increased sperm DNA damage in relation to seminal oxidative stress in men with idiopathic and male factor infertility. Fertil Steril. 2003;79 Suppl 3:1597–605.
Simon L, Emery BR, Carrell DT. Review: Diagnosis and impact of sperm DNA alterations in assisted reproduction. Best Pract Res Clin Obstet Gynaecol. 2017;44:38–56.
Kim SW, Nho EJ, Lee JY, Jee BC. Specific tail swelling pattern in hypo-osmotic solution as a predictor of DNA fragmentation status in human spermatozoa. Clin Exp Reprod Med. 2019;46:147–51.
Bollendorf A, Check JH, Kramer D. The majority of males with subnormal hypoosmotic test scores have normal vitality. Clin Exp Obstet Gynecol. 2012;39:25–6.
Nasr-Esfahani MH, Razavi S, Mardani M. Relation between different human sperm nuclear maturity tests and in vitro fertilization. J Assist Reprod Genet. 2001;18:219–25.
Sabeti P, Amidi F, Kalantar SM, Sedighi Gilani MA, Pourmasumi S, Najafi A, et al. Evaluation of intracellular anion superoxide level, heat shock protein A2 and protamine positive spermatozoa percentages in teratoasthenozoospermia. Int J Reprod Biomed. 2017;15:279–86.
Lolis D, Georgiou I, Syrrou M, Zikopoulos K, Konstantelli M, Messinis I. Chromomycin A3-staining as an indicator of protamine deficiency and fertilization. Int J Androl. 1996;19:23–7.
Iranpour FG, Nasr-Esfahani MH, Valojerdi MR. al-Taraihi TM. Chromomycin A3 staining as a useful tool for evaluation of male fertility. J Assist Reprod Genet. 2000;17:60–6.
Meyer-Ficca M, Müller-Navia J, Scherthan H. Clustering of pericentromeres initiates in step 9 of spermiogenesis of the rat (Rattus norvegicus) and contributes to a well defined genome architecture in the sperm nucleus. J Cell Sci. 1998;111(Pt 10):1363–70.
Schmid M, Krone W. The relationship of a specific chromosomal region to the development of the acrosome. Chromosoma. 1976;56:327–47.
Zalensky AO, Allen MJ, Kobayashi A, Zalenskaya IA, Balhórn R, Bradbury EM. Well-defined genome architecture in the human sperm nucleus. Chromosoma. 1995;103:577–90.
Zalenskaya IA, Zalensky AO. Non-random positioning of chromosomes in human sperm nuclei. Chromosom Res. 2004;12:163–73.
Jeyendran RS, Caroppo E, Rouen A, Anderson A, Puscheck E. Selecting the most competent sperm for assisted reproductive technologies. Fertil Steril. 2019;111:851–63.
Sallam HN, Farrag A, Agameya A-F, El-Garem Y, Ezzeldin F. The use of the modified hypo-osmotic swelling test for the selection of immotile testicular spermatozoa in patients treated with ICSI: a randomized controlled study. Hum Reprod. 2005;20:3435–40.
Funding
No specific funding was sought for this study, and departmental funds were used to support the authors (Sorbonne Université, INSERM, Maladies génétiques d’expression pédiatrique, APHP, Hôpital d’Enfants Armand Trousseau, Département de Génétique Médicale, F-75012 Paris, France).
Author information
Authors and Affiliations
Contributions
Adrien Bloch, Eli Rogers, and Cynthia Nicolas performed microscope analysis, and participated in recruiting subjects and in writing the manuscript.
Tanguy Martin-Denavit performed the chromomycin A3 technique.
Miguel Monteiro and Daniel Thomas provided expertise on the figures and on sperm selection possibilities.
Hélène Morel participated in microscope analysis.
Rachel Levy and Jean-Pierre Siffroi participated in conceiving the study.
Charlotte Dupont participated in recruiting the subjects and performed the initial routine sperm analysis.
Alexandre Rouen conceived and coordinated the study.
Corresponding author
Ethics declarations
Ethics approval
The ethics commission CECOS (Centre d’Etude et de Conservation des Oeufs et du Sperm humains) considered this project to be exempted from IRB approval since it did not involve any additional medical intervention and solely used remnants from sperm samples obtained as part of the routine clinical care
Consent to participate
Informed consent was obtained from each subject.
Consent for publication
All authors haven consented for publication of this manuscript.
Conflict of interest
The authors declare no competing interests.
Additional information
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Bloch, A., Rogers, E.J., Nicolas, C. et al. Detailed cell-level analysis of sperm nuclear quality among the different hypo-osmotic swelling test (HOST) classes. J Assist Reprod Genet 38, 2491–2499 (2021). https://doi.org/10.1007/s10815-021-02232-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10815-021-02232-y