Human Sperm Bank, West China Second University Hospital, Sichuan University, Chengdu, China.
Key Laboratory of Birth Defects and Related Disease of Women and Children (Sichuan University), Ministry of Education, Chengdu, China.
Andrologia. 2022 Mar;54(2):e14318. doi: 10.1111/and.14318. Epub 2021 Nov 17.
Cryopreservation of small quantities of human spermatozoa whilst maintaining adequate post-thawing motility has been found an essential challenge for male fertility preservation. Therefore, the study used an effective, and convenient rapid-freezing method to freeze small amounts of human spermatozoa by adding self-prepared cryoprotectant (SPC) without animal component. In the feasibility experiment, no significant differences in progressive motility, normal sperm morphology, vitality or DNA fragmentation index between the conventional slow freezing and rapid freezing were realised. The present study prospectively analysed the effects of sperm freezing and resuscitation in 175 patients with severe oligozoospermia (sperm concentration <1 × 10 /ml). We observed the 120 severe oligozoospermia specimens had a mean recovery rate of 60.19% ± 10.43% and a mean cryosurvival rate of 68.0% ± 9.17%. In addition, 55 cryptozoospermia specimens were analysed. The small-volume cryopreservation showed advantages. The total sperm recovery, motility recovery and sperm loss rates were 98.48%, 50.17% and 1.52% respectively. In short, the SPC is safe and effective, and can be used to rapidly freeze severe oligozoospermia specimens. That is useful for successful sperm freezing whilst avoiding the risk of azoospermia in the later stages and promoting comprehensive fertility preservation.
在保持足够解冻后活力的情况下,对少量人类精子进行冷冻保存,已被发现是男性生育力保存的一个重要挑战。因此,该研究使用了一种有效的、方便的快速冷冻方法,通过添加自制的无动物成分的冷冻保护剂(SPC)来冷冻少量的人类精子。在可行性实验中,发现传统的慢速冷冻和快速冷冻在精子的前向运动、正常精子形态、活力或 DNA 碎片指数方面没有显著差异。本研究前瞻性地分析了冷冻和解冻对 175 例严重少精子症(精子浓度<1×10 /ml)患者的精子的影响。我们观察到 120 例严重少精子症标本的平均回收率为 60.19%±10.43%,平均冷冻存活率为 68.0%±9.17%。此外,还分析了 55 例隐匿性精子症标本。小体积冷冻保存显示出优势。总精子回收率、活力回收率和精子丢失率分别为 98.48%、50.17%和 1.52%。总之,SPC 是安全有效的,可以用于快速冷冻严重少精子症标本。这有助于成功冷冻精子,同时避免后期无精子症的风险,并促进全面的生育力保存。