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传统冷冻会影响精子DNA片段化吗?

Does conventional freezing affect sperm DNA fragmentation?

作者信息

Le Minh Tam, Nguyen Thai Thanh Thi, Nguyen Tung Thanh, Nguyen Trung Van, Nguyen Tam An Thi, Nguyen Quoc Huy Vu, Cao Thanh Ngoc

机构信息

Department of Obstetrics and Gynecology, Hue University of Medicine and Pharmacy, Hue University, Hue, Vietnam.

Center for Reproductive Endocrinology and Infertility, Hue University of Medicine and Pharmacy, Hue University, Hue, Vietnam.

出版信息

Clin Exp Reprod Med. 2019 Jun;46(2):67-75. doi: 10.5653/cerm.2019.46.2.67. Epub 2019 Jun 1.

Abstract

OBJECTIVE

Sperm cryopreservation has been widely used in assisted reproductive technology, as it offers great potential for the treatment of some types of male infertility. However, cryopreservation may result in changes in membrane lipid composition and acrosome status, as well as reductions in sperm motility and viability. This study aimed to evaluate sperm DNA fragmentation damage caused by conventional freezing using the sperm chromatin dispersion test.

METHODS

In total, 120 fresh human semen samples were frozen by conventional methods, using SpermFreeze Solution as a cryoprotectant. Routine semen analysis and a Halosperm test (using the Halosperm kit) were performed on each sample before freezing and after thawing. Semen parameters and sperm DNA fragmentation were compared between these groups.

RESULTS

There was a significant decrease in sperm progressive motility, viability, and normal morphology after conventional freezing (32.78%, 79.58%, and 3.87% vs. 16%, 55.99%, and 2.55%, respectively). The sperm head, midpiece, and tail defect rate increased slightly after freezing. Furthermore, the DNA fragmentation index (DFI) was significantly higher after thawing than before freezing (19.21% prior to freezing vs. 22.23% after thawing). Significant increases in the DFI after cryopreservation were observed in samples with both normal and abnormal motility and morphology, as well as in those with normal viability.

CONCLUSION

Conventional freezing seems to damage some sperm parameters, in particular causing a reduction in sperm DNA integrity.

摘要

目的

精子冷冻保存已在辅助生殖技术中广泛应用,因为它在治疗某些类型的男性不育症方面具有巨大潜力。然而,冷冻保存可能导致膜脂质组成和顶体状态发生变化,以及精子活力和存活率降低。本研究旨在使用精子染色质扩散试验评估传统冷冻对精子DNA片段化的损伤。

方法

总共120份新鲜人类精液样本采用传统方法冷冻,使用SpermFreeze溶液作为冷冻保护剂。在冷冻前和解冻后对每个样本进行常规精液分析和Halosperm试验(使用Halosperm试剂盒)。比较这些组之间的精液参数和精子DNA片段化情况。

结果

传统冷冻后精子的前向运动能力、存活率和正常形态显著下降(分别为32.78%、79.58%和3.87%,而解冻后分别为16%、55.99%和2.55%)。冷冻后精子头部、中段和尾部缺陷率略有增加。此外,解冻后的DNA片段化指数(DFI)显著高于冷冻前(冷冻前为19.21%,解冻后为22.23%)。在运动能力和形态正常以及活力正常的样本中,冷冻保存后DFI均显著增加。

结论

传统冷冻似乎会损害一些精子参数,尤其是导致精子DNA完整性降低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1ef/6572667/60f325eb8582/cerm-2019-46-2-67f1.jpg

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