Skip to main content
Log in

Detailed cell-level analysis of sperm nuclear quality among the different hypo-osmotic swelling test (HOST) classes

  • Gamete Biology
  • Published:
Journal of Assisted Reproduction and Genetics Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

Availability of data and material

Data and material are available.

References

  1. 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.

    Article  CAS  Google Scholar 

  2. World Health Organization, editor. WHO laboratory manual for the examination and processing of human semen. 5th ed. Geneva: World Health Organization; 2010.

    Google Scholar 

  3. 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.

  4. 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.

    PubMed  PubMed Central  Google Scholar 

  5. 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.

    Article  Google Scholar 

  6. 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.

    Article  Google Scholar 

  7. 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.

    Article  Google Scholar 

  8. 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.

    Article  CAS  Google Scholar 

  9. 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.

    Article  Google Scholar 

  10. Ramu S, Jeyendran RS. The hypo-osmotic swelling test for evaluation of sperm membrane integrity. Methods Mol Biol. 2013;927:21–5.

    Article  CAS  Google Scholar 

  11. 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.

    Article  Google Scholar 

  12. 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.

    Article  CAS  Google Scholar 

  13. 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.

    Article  CAS  Google Scholar 

  14. 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.

    Article  CAS  Google Scholar 

  15. 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.

    Article  CAS  Google Scholar 

  16. Simon L, Emery B, Carrell DT. Sperm DNA Fragmentation: consequences for reproduction. Adv Exp Med Biol. 2019;1166:87–105.

    Article  CAS  Google Scholar 

  17. Aitken RJ, Jones KT, Robertson SA. Reactive oxygen species and sperm function--in sickness and in health. J Androl. 2012;33:1096–106.

    Article  CAS  Google Scholar 

  18. 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.

    Article  Google Scholar 

  19. 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.

    Article  CAS  Google Scholar 

  20. 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.

    Article  CAS  Google Scholar 

  21. 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.

    Article  Google Scholar 

  22. 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.

    Article  Google Scholar 

  23. 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.

    Article  Google Scholar 

  24. 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.

    Article  CAS  Google Scholar 

  25. 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.

    Article  CAS  Google Scholar 

  26. 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.

    PubMed  PubMed Central  CAS  Google Scholar 

  27. 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.

    Article  CAS  Google Scholar 

  28. 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.

    Article  CAS  Google Scholar 

  29. 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.

    Article  CAS  Google Scholar 

  30. Schmid M, Krone W. The relationship of a specific chromosomal region to the development of the acrosome. Chromosoma. 1976;56:327–47.

    Article  CAS  Google Scholar 

  31. 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.

    Article  CAS  Google Scholar 

  32. Zalenskaya IA, Zalensky AO. Non-random positioning of chromosomes in human sperm nuclei. Chromosom Res. 2004;12:163–73.

    Article  CAS  Google Scholar 

  33. 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.

    Article  Google Scholar 

  34. 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.

    Article  Google Scholar 

Download references

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

Authors

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

Correspondence to Alexandre Rouen.

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

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

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

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10815-021-02232-y

Keywords

Navigation