State Key Laboratory of Reproductive Biology, Institute of Zoology, the Chinese Academy of Science, Beijing, China.
PLoS One. 2011;6(7):e22172. doi: 10.1371/journal.pone.0022172. Epub 2011 Jul 20.
The invention of intracytoplasmic sperm injection (ICSI) has possibly been the most important development in reproductive medicine, one that has given hope to thousands of infertile couples worldwide. However, concerns remain regarding the safety of this method since it is a more invasive procedure than in vitro fertilization (IVF), since a spermatozoon is injected into the oocyte cytoplasm. Using mice derived from IVF technology as a control, we assessed the influence of invasive microinjection in the process of transferring sperm into oocyte cytoplasm in ICSI procedure on the development and physiologic function of resultant offspring. Our results demonstrated that mice produced from ICSI and IVF had no significant difference in phenotypic indices including body weight, forelimb physiology, and learning and memory ability. However, increased spermatocyte apoptosis was observed in the testis of adult ICSI mice, when compared with IVF mice. And, decreased testis weight and marked damage of spermatogenic epithelia were found in aged ICSI mice. Furthermore, proteomic analysis verified that most of the differentiated proteins in testes between adult ICSI and IVF mice were those involved in regulation of apoptosis pathways. Our results demonstrated that the microinjection manipulation used in the ICSI procedure might pose potential risks to the fertility of male offspring. The changed expression of a series of proteins relating to apoptosis or proliferation might contribute to it. Further studies are necessary to better understand all the risks of ICSI.
胞浆内单精子注射(ICSI)的发明可能是生殖医学中最重要的进展之一,为数以千计的不孕夫妇带来了希望。然而,由于它比体外受精(IVF)更具侵入性,因为精子被注射到卵母细胞细胞质中,因此人们仍然对这种方法的安全性表示关注。我们使用源自 IVF 技术的小鼠作为对照,评估了在 ICSI 过程中将精子转移到卵母细胞细胞质中的侵入性微注射对后代发育和生理功能的影响。我们的结果表明,来自 ICSI 和 IVF 的小鼠在表型指数方面没有显著差异,包括体重、前肢生理学和学习记忆能力。然而,与 IVF 小鼠相比,成年 ICSI 小鼠的睾丸中观察到精母细胞凋亡增加。并且,在老年 ICSI 小鼠中发现睾丸重量减轻和生精上皮明显受损。此外,蛋白质组学分析证实,成年 ICSI 和 IVF 小鼠睾丸之间的大多数分化蛋白是参与凋亡途径调节的蛋白。我们的结果表明,ICSI 程序中使用的微注射操作可能对雄性后代的生育能力构成潜在风险。与凋亡或增殖相关的一系列蛋白的表达变化可能与之相关。需要进一步研究以更好地了解 ICSI 的所有风险。