Kwon W-S, Rahman M S, Lee J-S, You Y-A, Pang M-G
Department of Animal Science and Technology, Chung-Ang University, Anseong, Gyeonggi-Do, Korea.
Andrology. 2015 May;3(3):552-7. doi: 10.1111/andr.12020. Epub 2015 Mar 12.
Conventional semen analysis offers basic information on infertility; however, its clinical value in predicting fertility status is unclear. To establish an accurate diagnosis of male fertility, semen analysis under capacitation condition is necessary because only capacitated spermatozoa are capable of fertilizing oocytes. The objective of this study was to verify male fertility based on conventional semen analysis before and after capacitation, including the assessment of motility (%), motion kinematics, and capacitation status of spermatozoa. A computer-assisted sperm analysis system and chlortetracycline staining were applied to evaluate the motility parameters and capacitation status, respectively. To enable efficacy of the two methods for predicting fertility, correlation analysis was performed with the historic litter size. Our results showed that sperm motility (%), motion kinematics, and their variations before and after capacitation represented a statistical non-significant correlation with litter size. Litter size showed significant correlation with acrosome reaction (AR) after capacitation (r = 0.375), as well as differences (Δ) in AR (r = 0.333) and capacitated (B) pattern (r = -0.447) before and after capacitation. The overall accuracy of the assay for predicting litter sizes using the AR and differences (Δ) in the AR and B pattern was 70%. On the basis of these results, we propose that capacitation status of spermatozoa is a more reliable indicator for evaluating male fertility status compared to motility parameters. Therefore, we suggest that analysis of capacitation status in company with conventional semen analysis may accept to evaluate more accurate diagnosis or prognosis of male fertility.
传统精液分析可提供有关不育症的基本信息;然而,其在预测生育状况方面的临床价值尚不清楚。为了准确诊断男性生育能力,有必要进行获能条件下的精液分析,因为只有获能精子才能使卵母细胞受精。本研究的目的是基于传统精液分析在精子获能前后验证男性生育能力,包括评估精子活力(%)、运动动力学和获能状态。分别应用计算机辅助精子分析系统和金霉素染色来评估运动参数和获能状态。为了使这两种预测生育能力的方法有效,对历史产仔数进行了相关性分析。我们的结果表明,精子活力(%)、运动动力学及其在获能前后的变化与产仔数之间无统计学显著相关性。产仔数与获能后顶体反应(AR)显著相关(r = 0.375),以及与获能前后AR的差异(Δ)(r = 0.333)和获能(B)模式的差异(r = -0.447)显著相关。使用AR以及AR和B模式差异(Δ)预测产仔数的检测方法的总体准确率为70%。基于这些结果,我们提出,与活力参数相比,精子获能状态是评估男性生育状况更可靠的指标。因此,我们建议结合传统精液分析对获能状态进行分析,可能有助于对男性生育能力进行更准确的诊断或预后评估。