一项使用氧化还原电位评估氧化应激的多中心研究,这是一种可靠且可重复的方法。
A multicenter study to evaluate oxidative stress by oxidation-reduction potential, a reliable and reproducible method.
机构信息
American Center for Reproductive Medicine, Department of Urology, Cleveland Clinic, Cleveland, OH, USA.
Department of Andrology, Cairo University, Cairo, Egypt.
出版信息
Andrology. 2017 Sep;5(5):939-945. doi: 10.1111/andr.12395. Epub 2017 Jul 20.
Seminal oxidative stress (OS) is well-known to affect male fertility status. The discrepancy in OS measurement has hindered its clinical use as a quality indicator for semen. Some tests measured single markers of oxidants or reductants, leading to lack of standardization of results. Oxidation-reduction potential (ORP) is a better representative for OS as it provides an overall measure of the activity of both oxidants and reductants. ORP assessment by MiOXSYS has been introduced as a measure of OS with high specificity in differentiating fertile from infertile semen samples. This is a retrospective study comparing data from semen analysis and ORP measurements between two andrology laboratories in the USA and Qatar over a period of 12 months. The same protocol was followed by both laboratories. The USA dataset contained 194 patients and 51 fertile donors, while the Qatar dataset contained 400 patients and 50 fertile donors. In both datasets and in the combined dataset, the infertile group had significantly lower sperm concentration, total and progressive motility, and normal morphology as well as higher ORP levels compared to fertile men (p < 0.05). When comparing data from both centers, the infertile group showed significant difference between both datasets regarding progressive motility and morphology (p < 0.001). Also, the percentage of patients with abnormal semen volume, sperm count, total and progressive motility were significantly different between both datasets (p < 0.05). ORP levels showed no significant difference between both datasets (p < 0.08). ROC analysis indicated that ORP cutoff value of 1.42 mV/10 /mL in the USA group, Qatar group, and combined dataset can accurately differentiate fertile from infertile semen groups. Although other semen parameters showed significant differences between the two centers, ORP remained consistent in both datasets individually or in combined data. This proves its reproducibility and reliability.
已知精液氧化应激(OS)会影响男性生育能力。由于 OS 测量结果存在差异,因此其无法作为精液质量指标在临床上得到广泛应用。一些测试仅测量氧化剂或还原剂的单一标志物,导致结果缺乏标准化。氧化还原电位(ORP)是 OS 的更好代表,因为它提供了氧化剂和还原剂活性的综合衡量标准。MiOXSYS 评估的 ORP 作为 OS 的一种测量方法,具有区分不育和可育精液样本的高特异性。这是一项在美国和卡塔尔的两个男科实验室进行的为期 12 个月的回顾性研究,比较了精液分析和 ORP 测量数据。两个实验室都遵循相同的方案。美国数据集包含 194 名患者和 51 名正常生育力的供精者,而卡塔尔数据集包含 400 名患者和 50 名正常生育力的供精者。在两个数据集和合并数据集的所有患者中,与正常生育力男性相比,不育组的精子浓度、总活力、前向运动活力和正常形态显著降低,ORP 水平显著升高(p<0.05)。在比较两个中心的数据时,不育组在两个数据集之间的前向运动活力和形态学方面存在显著差异(p<0.001)。此外,两个数据集之间精液量、精子计数、总活力和前向运动活力异常的患者百分比也存在显著差异(p<0.05)。两个数据集之间的 ORP 水平没有显著差异(p<0.08)。ROC 分析表明,美国组、卡塔尔组和合并数据集的 ORP 截断值为 1.42 mV/10 /mL,可准确区分不育和可育精液组。尽管两个中心的其他精液参数存在显著差异,但 ORP 在两个数据集或合并数据中均保持一致。这证明了它的可重复性和可靠性。