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一种新的精子冷冻保存系统:对精子存活率、活力、DNA 氧化和线粒体活性的评估。

A new system of sperm cryopreservation: evaluation of survival, motility, DNA oxidation, and mitochondrial activity.

机构信息

IVI VALENCIA, Valencia, Spain.

出版信息

Andrology. 2019 May;7(3):293-301. doi: 10.1111/andr.12607. Epub 2019 Mar 27.

Abstract

BACKGROUND

Sperm vitrification (V) is a method for cryopreservation, without the use of conventional cryoprotectants, by plunging the sperm suspension directly into liquid nitrogen (LN25).

OBJECTIVE

This study aimed to compare the new system of V with conventional freezing (CF) protocol using fresh spermatozoa as reference (C).

MATERIAL AND METHODS

Prospective cohort study. A total of 47 sperm samples from men attending the infertility clinic at Instituto Valenciano de Infertilidad Valencia. The sperm V solution was 0.3 M trehalose-sucrose and plunged directly in liquid nitrogen in microdroplets of 5-10 lL, using a new system collector of V. Sperm viability indicators such as sperm motility, vitality rates, mitochondrial function, and sperm DNA oxidation were assessed before and after cryopreservation. Sperm motility and vitality analysis were performed according to published guidelines of the World Health Organization (WHO, 2010). Mitochondrial function was evaluated using JC-1 (fluorescent cationic dye, 5,50,6,60-tetrachloro-1-10,3,30-tetraethyl-benzamidazolocarbocyanin iodide). Sperm DNA oxidation was determined using a fluorescent assay (Oxy-DNA test) for the detection of 8-oxoguanine. The evaluation was carried out before and after cryopreservation using flow cytometry. Statistical analysis was performed using ANOVA and chi-square test, and p < 0.05 was considered statistically significant.

RESULT(S): Sperm parameters, including progressive motility, total motility, and viability, observed after cryopreservation were as follows: C = 74.9% [1] 12.3, CF = 27.2% [1] 8.4, V = 42.3% [1] 9.3, p < 0.001; C = 90.1 [1] 6.8, CF = 42.0 [1] 12.9, V = 61.4 [1] 11.8, p < 0.001; C = 90.0% [1] 7.4, CF = 42.5% [1] 14.6, V = 70.9% [1] 6.5, p < 0.001, respectively. Regarding Oxy-DNA and mitochondrial activity, they were significantly affected in both groups (V and CF) when compared to the control group.

DISCUSSION

The sperm V and CF have negative impact on sperm parameters as well as DNA integrity and mitochondrial activity. However, sperm V presented improved sperm motility recovery, similar levels of DNA oxidation, and, moreover, a slightly increase in mitochondrial activity when compared to the conventional method.

CONCLUSION(S): V as an optimal protocol for sperm cryopreservation.

摘要

背景

精子玻璃化(V)是一种不使用传统冷冻保护剂的冷冻保存方法,通过将精子悬液直接浸入液氮(LN25)中实现。

目的

本研究旨在比较新的 V 系统与使用新鲜精子作为参考的传统冷冻(CF)方案(C)。

材料和方法

前瞻性队列研究。共收集了 47 名来自瓦伦西亚不孕研究所的男性的精子样本。V 溶液中的精子是 0.3M海藻糖-蔗糖,并直接在微滴中在液氮中骤冷,微滴大小为 5-10µL,使用新的 V 收集器。在冷冻保存前后评估精子活力指标,如精子活力、活力率、线粒体功能和精子 DNA 氧化。精子活力和活力分析按照世界卫生组织(WHO,2010 年)的公布的指南进行。线粒体功能使用 JC-1(荧光阳离子染料,5,50,6,60-四氯-1,10,3,30-四乙基苯并咪唑羰花青碘化物)进行评估。精子 DNA 氧化通过荧光测定法(Oxy-DNA 试验)用于检测 8-氧鸟嘌呤来确定。使用流式细胞术在冷冻保存前后进行评估。使用方差分析和卡方检验进行统计分析,p<0.05 被认为具有统计学意义。

结果

冷冻保存后观察到的精子参数,包括前向运动精子、总运动精子和活力,如下所示:C=74.9%[1]12.3,CF=27.2%[1]8.4,V=42.3%[1]9.3,p<0.001;C=90.1%[1]6.8,CF=42.0%[1]12.9,V=61.4%[1]11.8,p<0.001;C=90.0%[1]7.4,CF=42.5%[1]14.6,V=70.9%[1]6.5,p<0.001。关于 Oxy-DNA 和线粒体活性,与对照组相比,这两个组(V 和 CF)都受到了显著影响。

讨论

精子 V 和 CF 对精子参数以及 DNA 完整性和线粒体活性都有负面影响。然而,与传统方法相比,精子 V 可显著提高精子活力恢复、相似的 DNA 氧化水平,并且线粒体活性略有提高。

结论

V 作为精子冷冻保存的最佳方案。

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