Shamsi M B, Kumar R, Dada R
Department of Anatomy, All India Institute of Medical Sciences, New Delhi, India.
Indian J Med Res. 2008 Feb;127(2):115-23.
Diagnosis of sperm DNA integrity of semen sample is important for consistently high reproductive efficiency. The conventional parameters of semen analysis take into account morphology, motility, and concentration of spermatozoa in the sample, which are insufficient for evaluation of reproductive potential. Current studies have implicated abnormal organization of genomic material in sperms as a probable cause in 20 per cent cases of male infertility. This is especially important in the era of assisted reproduction technique (ART) when a majority of infertile couples opt for assisted reproduction and in where cases DNA integrity is a better diagnostic and prognostic marker as compared to routine semen analysis. This article reviews and discusses some of the current techniques employed for evaluating chromatin structure or DNA damage in spermatozoa. These different techniques include single cell gel electrophoresis (COMET assay), Terminal tranferase dUTP Nick End Labelling (TUNEL), sperm chromatin structure assay (SCSA), In situ nick translation (ISNT) and acridine orange test. These techniques are independent measure of sperm quality and assist in semen quality assessment by detecting defects in DNA integrity or chromatin structure. The discussed techniques vary in their level of accuracy, cost input, sophistication of analysis and their application depends upon the sensitivity required for analysis. The article also briefly outlines the DNA packaging and the causes of DNA damage in spermatozoa. During chromatin packing 85 per cent of the histones are replaced by protamine while the residual histones act as marker of genes which are expressed in early embryonic development. Among the different aetiological factors observed to be responsible for DNA damage in human spermatozoa increased reactive oxygen species (ROS), oxidative stress is highly correlated with greater DNA fragmentation index (DFI). Oxidative stress leads to single and double strand breaks in sperm DNA. Apoptosis and abnormal chromatin packing also contribute to DNA damage. The significance of chromatin structure studies is more stressed owing to the greater awareness to transmission of genetic diseases because of higher incidence of gene imprinting defects, increased cancer frequency and other congenital and non-congenital defects in children conceived through assisted reproduction techniques.
精液样本精子DNA完整性的诊断对于持续保持高繁殖效率至关重要。精液分析的传统参数考虑了样本中精子的形态、活力和浓度,但这些参数不足以评估生殖潜力。目前的研究表明,精子中基因组物质的异常组织可能是20%男性不育病例的原因。在辅助生殖技术(ART)时代,这一点尤为重要,因为大多数不孕夫妇选择辅助生殖,而且在这些情况下,与常规精液分析相比,DNA完整性是更好的诊断和预后标志物。本文回顾并讨论了目前用于评估精子染色质结构或DNA损伤的一些技术。这些不同的技术包括单细胞凝胶电泳(彗星试验)、末端转移酶dUTP缺口末端标记(TUNEL)、精子染色质结构分析(SCSA)、原位缺口翻译(ISNT)和吖啶橙试验。这些技术是精子质量的独立测量方法,通过检测DNA完整性或染色质结构的缺陷来辅助精液质量评估。所讨论的技术在准确性水平、成本投入、分析复杂性方面各不相同,其应用取决于分析所需的灵敏度。本文还简要概述了DNA包装以及精子中DNA损伤的原因。在染色质包装过程中,85%的组蛋白被鱼精蛋白取代,而残留的组蛋白作为在早期胚胎发育中表达的基因的标志物。在观察到的导致人类精子DNA损伤的不同病因中,活性氧(ROS)增加、氧化应激与更高的DNA碎片化指数(DFI)高度相关。氧化应激导致精子DNA单链和双链断裂。细胞凋亡和异常染色质包装也会导致DNA损伤。由于通过辅助生殖技术受孕的儿童中基因印记缺陷发生率更高、癌症发病率增加以及其他先天性和非先天性缺陷,人们对遗传疾病传播的认识提高,因此更强调染色质结构研究的意义。
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