Jee Byung Chul, Suh Chang Suk, Shin Mi Sun, Lee Hee Jun, Lee Jae Ho, Kim Seok Hyun
Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.
Clin Exp Reprod Med. 2011 Jun;38(2):82-6. doi: 10.5653/cerm.2011.38.2.82. Epub 2011 Jun 30.
To evaluate sperm nuclear DNA fragmentation and chromatin structure after 18 hours'incubation at room temperature.
Twenty-eight male partners who participating IVF treatment were prospectively included in this study. Ejaculated sperm count and motility were assessed. The sperm was then immediately processed by the conventional swim-up method. After utilization of some of the sample for routine clinical use, the remainder of each of the samples was divided into two aliquots. One aliquot was immediately assessed for sperm nuclear DNA fragmentation (TUNEL assay) and chromatin structure (toluidine blue [TB] staining). The other aliquot was incubated at room temperature for 18 hours and then assessed by two methods. Only dark-TB sperms were considered as having abnormal chromatin structure. Data before and after extended incubation were compared using a paired Student's t-test.
Before and after extended culture, nuclear DNA fragmentation assessed by TUNEL was 4.9±4.7% and 7.0±6.4%, respectively (p=0.008). The proportion of abnormal chromatin structure (dark-TB sperm) was 8.2±5.6% and 10.3±6.5% (p<0.001), before and after incubation, respectively.
After 18 hours' incubation at room temperature, sperm nuclear DNA and chromatin structure were significantly affected. The IVF practitioner should bear this information in mind when performing delayed insemination, especially for in vitro maturation cycles.
评估室温下孵育18小时后精子核DNA片段化及染色质结构。
前瞻性纳入28名参与体外受精治疗的男性伴侣。评估射出精子的数量和活力。然后立即用传统的上浮法处理精子。在将部分样本用于常规临床用途后,将每个样本的剩余部分分成两份。一份立即评估精子核DNA片段化(TUNEL检测)和染色质结构(甲苯胺蓝[TB]染色)。另一份在室温下孵育18小时,然后用两种方法进行评估。仅将深蓝色TB精子视为染色质结构异常。使用配对t检验比较延长孵育前后的数据。
延长培养前后,通过TUNEL评估的核DNA片段化分别为4.9±4.7%和7.0±6.4%(p = 0.008)。孵育前后,染色质结构异常(深蓝色TB精子)的比例分别为8.2±5.6%和10.3±6.5%(p<0.001)。
在室温下孵育18小时后,精子核DNA和染色质结构受到显著影响。体外受精从业者在进行延迟授精时应牢记这一信息,尤其是对于体外成熟周期。