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对接受辅助生殖技术程序的患者的精子DNA进行评估。

Assessment of sperm DNA in patients submitted the assisted reproduction technology procedures.

作者信息

Tsuribe Patrícia Miyuki, Lima Neto João Ferreira, Golim Marjorie de Assis, Dell'Aqua Camila de Paula Freitas, Issa João Paulo, Gobbo Carlos Alberto Monte

机构信息

Clínica Endogin, Bauru/SP.

Blood Center, School of Medicine of the São Paulo State University at Botucatu/SP.

出版信息

JBRA Assist Reprod. 2016 Mar 1;20(1):17-22. doi: 10.5935/1518-0557.20160005.

Abstract

OBJECTIVE

This study aimed to produce data on sperm quality while maintaining the integrity of sperm DNA samples taken from patients submitted to in vitro fertilization (IVF) procedures at our center, and determine whether increased levels of histones were associated with sperm DNA damage and decreased fertilization, cleavage, and pregnancy rates. Such findings might shed light on the physiology and outcomes of pregnancy.

METHODS

Semen samples from 27 patients divided into two groups were analyzed. The case group included individuals offered IVF; the control group had subjects with normal spermograms. Sperm DNA structure was assessed through phosphorylated histone H2AX analysis by flow cytometry.

RESULTS

The patients with altered sperm parameters had more histones in sperm chromatin than the individuals with normal sperm parameters.

CONCLUSION

Results indicated that increased levels of histone in sperm chromatin do not affect embryo production, but affect the cleavage rate, embryo quality, and might thus reduce pregnancy rates. The integrity of the paternal genome is of paramount importance in the initiation and maintenance of a viable pregnancy in patients treated with assisted reproduction technology procedures. Further studies on sperm diagnostic tests at a nuclear level might improve the treatment offered to infertile couples.

摘要

目的

本研究旨在获取精子质量数据,同时保持从在我们中心接受体外受精(IVF)程序的患者采集的精子DNA样本的完整性,并确定组蛋白水平升高是否与精子DNA损伤以及受精、卵裂和妊娠率降低相关。这些发现可能会揭示妊娠的生理学和结局。

方法

对27例患者的精液样本进行分组分析。病例组包括接受IVF的个体;对照组为精液分析正常的受试者。通过流式细胞术分析磷酸化组蛋白H2AX来评估精子DNA结构。

结果

精子参数改变的患者精子染色质中的组蛋白比精子参数正常的个体更多。

结论

结果表明,精子染色质中组蛋白水平升高不影响胚胎产生,但会影响卵裂率和胚胎质量,从而可能降低妊娠率。在接受辅助生殖技术程序治疗的患者中,父本基因组的完整性对于启动和维持可行妊娠至关重要。在核水平上对精子诊断测试进行进一步研究可能会改善为不育夫妇提供的治疗。

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