Department of Histology and Embryology, Istanbul Medipol University, International School of Medicine, Beykoz, Istanbul, Türkiye.
Health Science and Technologies Research Institute (SABİTA), Beykoz, Istanbul, Türkiye.
Reprod Sci. 2024 Sep;31(9):2794-2807. doi: 10.1007/s43032-024-01620-w. Epub 2024 Jun 14.
ICSI is one of the most commonly used techniques to treat infertility. The sperm selection for the procedure is done 'randomly' by the embryologist according to the motility and morphology parameters which is known not to reflect the potential of a sperm for fertilization, pregnancy and a healthy childbearing. Since the apoptosis rate is higher in sperm cells of infertile patients, it is more likely to choose an apoptotic sperm by the 'random selection method'. We recently introduced a novel sperm selection technique namely 'Annexin-V coated polystrene bead technique'(APB-Tech), for the selection of non-apoptotic sperm cells. The principal of the technique is based on the binding affinity of an apoptotic sperm to 'Annexin-V covered beads' enabling to distinguish a viable and a healthy sperm by light microscopy. The aim of the present study was to observe the effects of this technique on ICSI outcomes in mice. Sibling-oocyte trial was conducted and the outcome measures were compared with the results of traditional sperm selection method. Embryo and blastocyst qualities and blastocyst development rates were significantly increased in APB-Tech group, while the other parameters were not affected. Promising results obtained from the technique reflect its promising potential as a new and powerful tool for sperm selection and thus infertility techniques.
ICSI 是治疗不孕不育最常用的技术之一。胚胎学家根据精子的运动能力和形态参数进行随机选择,而这些参数并不能反映精子的受精、妊娠和生育健康子女的潜力。由于不孕患者的精子凋亡率较高,因此更有可能通过“随机选择方法”选择凋亡精子。我们最近引入了一种新的精子选择技术,即“膜联蛋白 V 包被聚苯乙烯珠技术”(APB-Tech),用于选择非凋亡精子细胞。该技术的原理基于凋亡精子与“膜联蛋白 V 覆盖珠”的结合亲和力,通过光学显微镜可以区分存活和健康的精子。本研究的目的是观察该技术对小鼠 ICSI 结果的影响。进行了同胞卵试验,并将结果与传统精子选择方法的结果进行了比较。APB-Tech 组的胚胎和囊胚质量以及囊胚发育率显著提高,而其他参数不受影响。该技术获得的有希望的结果反映了其作为一种新的、强大的精子选择工具的潜在应用前景,从而为不孕不育技术带来了新的希望。