ORIGINAL RESEARCHTotal reactive antioxidant potential and DNA fragmentation index as fertility sperm parameters
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INTRODUCTION
Many reports proved the standard sperm analysis including sperm morphology, concentration and motility is not a sufficient fertility diagnostics. Besides psychological, environmental and genetic factors influencing fertility, the overproduction of reactive oxygen species (ROS) and the failure of the antioxidant system seem to draw great attention from the scientific world. In comparison with fertile patients, the patients with idiopathic infertility generally present a significantly higher
Patients and standard semen analysis
Semen specimens were collected after three or four days of sexual abstinence from 75 patients aged 24-35 years (±28.5) attending an IVF/ICSI program at the Novomedica Center in Mysłowice, Poland. The semen samples (n=75) were assessed according to standard criteria recommended by WHO [24] and classified as follows: the cut-of value for normal sperm (normozoospermia: N) concentration at ≥20×10−6/ml, normal sperm morphology at ≥30%, and sperm motility at ≥50% spermatozoa with rapid (category A) +
RESULTS
The human subjects from group 1 (DFI ≤15%) had a significantly (p<0.001) lower DFI than those from group 2 (DFI ≥15%; tab. 1). The mean total antioxidant capacity and sperm concentration were higher (p<0.05) in group 1 compared to group 2. The sperm progressive motility (p<0.01) as well as the percentage of normal spermatozoa (p<0.001) were also higher in group 1 than in group 2. Finally, men from group 1 exhibited higher (p<0.01) HOS test scores in comparison to those from group 2 (tab. 1).
DISCUSSION
Several studies implied that sperm parameters such as motility, concentration, cellular membrane integrity are unreliable predictors of a successful outcome in assisted reproduction treatment (IVF/ICSI) and embryo transfer [4, 15]. These parameters do not identify subtle defects which may be associated with DNA fragmentation [4, 5, 7]. In contrast, the formation of reactive oxygen species and the ROS level correlate with sperm motility [8]. Aziz et al. [3] showed that the ROS production was
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2018, TheriogenologyCitation Excerpt :No other statistically significant correlations among sperm population parameters were observed in this study. However, in fresh semen samples from men, low HOS + values are associated with increased DNA damage, and the HOS value is highly predictive of an abnormal DNA fragmentation index [18,40]. Similarly in cooled equine semen, a negative relationship was reported between normal sperm morphology and the DNA fragmentation index; more specifically, pear-shaped sperm heads and the presence of nuclear vacuoles were positively correlated with sperm DNA fragmentation [44].
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