Firestone Ross S, Esfandiari Navid, Moskovtsev Sergey I, Burstein Eliezer, Videna German T, Librach Clifford, Bentov Yaakov, Casper Robert F
Toronto Centre for Advanced Reproductive Technology, Toronto, Ontario, Canada.
J Androl. 2012 May-Jun;33(3):469-73. doi: 10.2164/jandrol.111.013458. Epub 2011 Jul 14.
The objective of this study was to determine the effects of low-level laser light exposure on the motility of spermatozoa and on DNA damage. Thirty-three semen samples were collected for routine analysis and were classified as normospermic, oligospermic, or asthenospermic. After routine semen analysis was performed, residual semen was divided into treated and control aliquots. Treated samples were exposed to a 30-second infrared laser pulse of 50 mW/cm(2) at 905 nm, a wavelength thought to increase light-sensitive cytochrome c oxidase in the mitochondrial electron transport chain. Samples were then incubated at 37°C, and aliquots were analyzed at 30 minutes and 2 hours using computerassisted semen analysis. After incubation, 250 μL of each sample was frozen at 280°C until DNA fragmentation analysis by flow cytometry. A significant increase in motility, most prominent in oligospermic and asthenospermic samples (85% increase), was observed 30 minutes after the treatment (P < .0001). No significant increase in DNA damage compared with control samples was observed. Significant changes in sperm motion kinetics were observed. Low-level laser light exposure appears to have a positive short-term effect on the motility of treated spermatozoa and did not cause any increase in DNA damage measured at 2 hours. We conclude that some cases of asthenospermia may be related to mitochondrial dysfunction. The implications of this study in terms of future clinical applications needs further investigation.
本研究的目的是确定低强度激光照射对精子活力和DNA损伤的影响。收集了33份精液样本进行常规分析,并将其分为正常精子症、少精子症或弱精子症。在进行常规精液分析后,将剩余精液分为处理组和对照组等分试样。处理组样本暴露于波长为905nm、功率密度为50mW/cm²的30秒红外激光脉冲下,该波长被认为可增加线粒体电子传递链中对光敏感的细胞色素c氧化酶。然后将样本在37°C下孵育,并在30分钟和2小时时使用计算机辅助精液分析进行等分试样分析。孵育后,将每个样本的250μL在-80°C下冷冻,直至通过流式细胞术进行DNA片段化分析。处理后30分钟观察到活力显著增加,在少精子症和弱精子症样本中最为明显(增加85%)(P <.0001)。与对照样本相比,未观察到DNA损伤有显著增加。观察到精子运动动力学有显著变化。低强度激光照射似乎对处理后的精子活力有短期积极影响,并且在2小时时未导致测量的DNA损伤增加。我们得出结论,某些弱精子症病例可能与线粒体功能障碍有关。本研究在未来临床应用方面的意义需要进一步研究。