Showing papers in "Archives of Andrology in 1998"
TL;DR: It is shown that it is possible to obtain a remarkable percentage of viable sperm after the death of the deer, and this finding might also be useful to obtain embryos of threatened species of wild ungulates.
Abstract: This study examined the effect of male age, time lapse between death of individual and collection of its sperm, breeding season (1993, 1995, or 1996), and testicle sampled (left or right) on the cell quality of spermatozoa obtained postmortem from the epididymis of red deer stags (Cervus elaphus hispanicus). A total of 142 sperm samples obtained from 71 free-ranging individuals shot during the breeding season were used to investigate these effects. The spermatozoa were obtained from the cauda epididymis of stags. Immediately after collection, an assessment was made of the proportion of motile spermatozoa (PM), normal morphology (PN), intact acrosomes (PIA), and the osmotic resistance degree of the plasmatic spermatozoa membrane as determined by the cell endosmosis test (E+). Gamete quality was influenced by both the age of the individuals and the lapse between death and collection of sperm (p 40%, PN > 40%, E+ > 40%, and PIA > 60%. Within this group, samples with a PM > 60% were classified as excellent. The percentage of samples classified as viable (strictly acceptable plus excellent) achieved 59.8% (85 out of 142). These results indicate that it is possible to obtain a remarkable percentage of viable sperm after the death of the deer. This finding might also be useful to obtain embryos of threatened species of wild ungulates.
72 citations
TL;DR: The detection of strong immunostaining in apoptotic germ cells supports a role of eNOS in germ cell degeneration after testicular ischemia-reperfusion and suggests that NO is associated with germ cell apoptosis.
Abstract: There is evidence to suggest that reactive oxygen species (ROS) are involved in ischemia-reperfusion injury to the testis. Nitric oxide (NO), a ubiquitous free radical produced by the nitric oxide synthases (NOS), has been implicated in physiologic and pathologic interactions with ROS. We examined the effect of testicular ischemia on germ cell apoptosis and endothelial NOS (eNOS) expression. Adult rats were subjected to unilateral 720 degrees testicular torsion for 1 or 3 hours and 24 hours later, testes were harvested for immunohistochemical studies. Apoptosis was detected by in situ 3' end-labeling of DNA with digoxigenin-ddUTP and eNOS protein was detected using an eNOS monoclonal antibody. Tests subjected to 3 hours of torsion had a threefold increase in apoptotic germ cells per cross-sectional area compared to sham testes (P < .05). In addition to its known expression in Leydig, Sertoli, and vascular endothelial cells, eNOS was detected in the cytoplasm of degenerating germ cells. Consecutive testis sections stained for eNOS and cellular DNA fragmentation demonstrated co-localization of eNOS protein and germ cell apoptosis. The detection of strong immunostaining in apoptotic germ cells supports a role of eNOS in germ cell degeneration after testicular ischemia-reperfusion and suggests that NO is associated with germ cell apoptosis.
69 citations
TL;DR: The results suggest that EGF produced by Leydig cells and germ cells may modulate spermatogenesis as an autocrine and/or paracrine factor.
Abstract: Epidermal growth factor (EGF) is a cytokine that promotes cell proliferation, regulates tissue differentiation, and modulates organogenesis. Although a rich source of EGF is the submaxillary gland, many tissues produce this cytokine, including the testis. Leydig cells are the principal source of EGF in the testis. On attainment of sexual maturation the germ cells, primarily spermatocytes and round spermatids, form EGF with the onset of spermatogenesis. EGF appears to be involved in the development of the testis and in spermatogenesis. The expression of the EGF gene in rat testis was determined by the application of the RT-PCR method and testis RNA as substrate. The results suggest that EGF produced by Leydig cells and germ cells may modulate spermatogenesis as an autocrine and/or paracrine factor.
52 citations
TL;DR: The present study corroborates reports of detrimental effects of cigarette smoking on sperm characteristics and further studies are needed to explain the mechanism by which smoking affects spermatogenesis.
Abstract: A study of semen quality was conducted in 197 smoking and 161 non-smoking men undergoing initial infertility investigation. The men were allocated into groups according the number of cigarettes smoked per day: 20 cigarettes (n = 25). Smokers had significantly poorer sperm density (P <. 005), a lower percentage of viability (P <. 007), a lower percentage of normal sperm morphology (P <. 005), and the percentage of motile sperm was lower (P <. 005). These parameters were worse in the heavy smoking groups. Thus the present study corroborates reports of detrimental effects of cigarette smoking on sperm characteristics. Further studies are needed to explain the mechanism by which smoking affects spermatogenesis.
52 citations
TL;DR: The data suggest that urogenital infections may lead to elevated levels of IL-6 in the seminal plasma, and this measurement of IL -6 in semen may provide clinically useful information for the diagnosis of male accessory gland infection.
Abstract: Cytokines released by various cell subsets in the male urogenital tract are capable of markedly influencing sperm function and fertility. Interleukin-6 (IL-6) levels were determined by “sandwich” enzyme immunoassay in the seminal plasma of 77 men divided as follows: (1) into 7 groups according to the etiological diagnosis of fertility, and (2) into 2 groups on the basis of normal or abnormal spermiogram. There was a statistically significant association between IL-6 and the patients' status (P < 0.0014). These results are due to statistically significant differences between the groups with infection of the accessory genital glands and normal controls, as well as between the groups with infection of the accessory genital glands and that with varicocele, indicated by the Honestly Significant Differences (HSD) test for multiple comparisons. There was no significant difference of IL-6 levels between men with normal and those with abnormal spermiograms. Furthermore, there was no correlation between IL-6 levels...
43 citations
TL;DR: Intraclass correlations between repeats showed that sperm morphology can be assessed with acceptable within observer reproducibility, and the importance of external quality control systems to improve the value of sperm morphology assessments in the investigation of the male partner in a subfertile couple.
Abstract: Sperm morphology has always been considered an important tool in evaluating a man's fertilizing potential. The objective of this multicentric study was to evaluate intra- and interindividual variability and between-laboratory variation using the same or different criteria of sperm morphology assessment. Semen samples were obtained from 20 males and 32 smears were made of all samples. Eighty coded smears (4 per patient) were sent to 8 laboratories for morphology assessment. The centers applied different classification systems (strict criteria, WHO 1987, Dusseldorf criteria) and participants were asked to analyze the 80 smears twice, with an interval of 1 week between each participant's two analyses. Intraclass correlations between repeats showed that sperm morphology can be assessed with acceptable within observer reproducibility. Expected increases in imprecision were observed up to coefficients of variation of >30% with decreasing morphology scores, regardless of the classification system used. Agreement in correct classification of samples as normal/abnormal was obtained in 80% of cases. Differences in reproducibility between slides may reflect an important source of heterogeneity due to smear preparation. These results emphasize the importance of external quality control systems to improve the value of sperm morphology assessments in the investigation of the male partner in a subfertile couple.
42 citations
TL;DR: Methionine got incorporated into 3-9 de novo synthesized proteins present in the head and midpiece regions of the swim-up population of human sperm.
Abstract: The effects of actinomycin D and cycloheximide on human spermatozoal function were examined to investigate the potential transcriptional and translational activities of human sperm cell during capacitation/acrosome reaction. Treatment with actinomycin D significantly increased and treatment with cycloheximide decreased the acrosome reaction, and the penetration rates in the human sperm penetration of zona-free hamster oocytes assay (SPA). [35(S)]Methionine got incorporated into 3–9 de novo synthesized proteins present in the head and midpiece regions of the swim-up population of human sperm. Treatment with actinomycin D completely blocked and treatment with cycloheximide slightly reduced the synthesis of proteins. There seem to be some transcriptional and translational activities in the head and midpiece regions of human sperm during capacitation/acrosome reaction.
40 citations
TL;DR: Ongoing studies are showing the benefits of testosterone replacement therapy in aging men, but there is concern about side effects on cardiovascular system and prostate.
Abstract: The benefits conferred by testosterone replacement therapy are substantial, both in the short term for the eradication of symptoms of androgen deficiency, and in the long term for the prevention of osteoporosis. As with any long-term treatment there are risks that must be considered, but overall the benefits achieved far outweigh potential risk. Ideally, androgen replacement therapy should provide physiological serum testosterone levels, as well as DHT and estradiol levels, and correct the clinical symptoms of androgen deficiency in hypogonadal men. This goal is difficult to achieve because the dose dependency of androgen-dependent physiological processes is not known. Androgen preparations that are currently available do not fulfill all criteria for an ideal androgen replacement therapy. Parenteral testosterone esters are effective, safe, practical, and inexpensive. The transdermal testosterone systems provide an alternative to testosterone esters in selected patients but these preparations are expensive. Ongoing studies are showing the benefits of testosterone replacement therapy in aging men, but there is concern about side effects on cardiovascular system and prostate. Thus, clinical decision regarding testosterone therapy in older men should be better defined.
33 citations
TL;DR: Recent data cannot recommend the use of hormone replacement therapy with androgens because of potential severe side effects and lack of data on long-term effects.
Abstract: For many years andropause has been compared to female climaterium. Data show that symptoms are more an identification process with the climateric partner. Sexual function decreases with age but hormonal changes are not the major determining factor in this decline. There is histological evidence of an aging testicle, with reduced number of Leydig and Sertoli cells. Testosterone also declines, about a third, as do dehydroepiandrosterone, dehydroepiandrosterone sulfate, prolactin, growth hormone, and insulin growth factor-1. There is no change in dehydrotestosterone and estrogens and there is an increase in follicle stimulating and luteinizing hormones levels. Recent data cannot recommend the use of hormone replacement therapy with androgens because of potential severe side effects and lack of data on long-term effects.
32 citations
TL;DR: The data demonstrate that a left varicocele is associated with loss of left testicular volume and the degree ofleft testicular hypotrophy is proportional to the clinical grade of thevaricocele.
Abstract: It is reported that a clinical left varicocele is associated with loss of ipsilateral testicular volume. We have examined the loss of left testicular volume in infertile men with clinical left varicocele using ultrasound-derived measurements of testicular volume. We have reviewed the testicular volumes, maximum internal spermatic vein diameters, and the clinical reports of 404 men presenting for infertility evaluation at our institution between 1992 and 1996. Men with bilateral or subclinical varicoceles were excluded from the study. Subclinical varicoceles were diagnosed by the ultrasonographic demonstration of one or more veins having a maximal diameter of more than 3 mm. In men with clinical left varicocele, mean left testicular volume was less than right testicular volume (12.7 vs. 13.8 mL, P .05). In men with left varicocele, the difference between right and left testicular volume (right minus left) increased with increasing varicocele grade. Our data demonstrate that a left varicocele is associated with loss of left testicular volume. The results also show that the degree of left testicular hypotrophy is proportional to the clinical grade of the varicocele.
30 citations
TL;DR: It would appear that AAB stain can be used as a membrane integrity index to confirm the destabilization effect of heparin on the sperm membrane.
Abstract: Acidic aniline blue stain (AAB) was studied in relation to sperm membrane destabilization and nuclei decondensation by heparin. Untreated spermatozoa smears stained with AAB or vital stain shows 28.4% of stained and 71.6% of unstained nuclei. This behavior was also observed when incubation was done in the presence of 5 mM glutathione (GSH) used alone. In the presence of 21.6 μM heparin, staining of sperm cells commenced 10 min after heparin addition and was dependent on the incubation time. During the experiment 12.3% of the total cholesterol content and 20 μg protein/108sperm cells were released. In the presence of 21.6 μM heparin-5 mM/GSH, swelling of sperm nuclei reach 95% after 150 min incubation. When this experiment was run along with AAB, the same average (45%) was seen in the first 30 min, which gives plenty of time to trigger the nuclei's decondensation mechanism. The percentage of stained cells was of 71%, indicating that the histone is not completely replaced, and insuring a positive reaction w...
TL;DR: The decline in PCNA expression is parallel with advancement of age and progress of DM, however, DM has a more suppressing effect than aging on that expression, which could explain the decrease in male fertility potential that may be associated with both conditions.
Abstract: This study evaluated the expression of proliferating cell nuclear antigen (PCNA), which is one of the important markers of cell proliferation, in testicular tissue with aging and progress of diabetes mellitus (DM). OLETF rats were used as animal models for non-insulin-dependent DM. They were 12, 30, 50, and 70 weeks old. The controls were age-matched nondiabetic LEIO rats. Testes were taken from all the rats and paraffin-embedded sections were cut and stained with PC 10 monoclonal AB (x50). Labeled cells were assessed in randomly selected fields. Labeling index (LI) for each stage of spermatogenesis was estimated and total LI for each specimen was calculated. In control rats, the 12-week-old animals showed the highest PCNA-LI. The indexes started to decrease in other older animals, with an increase in the number of suppressed stages as the animals aged, leading to significant differences among groups except between the 12- and 30-week-old groups. The same features were also seen in DM animals as the disease progressed. The total LI of controls were significantly higher and the number of suppressed stages was lower than those of DM animals, except among the 12-week-old group. Both aging and DM have depressing effects on the expression of PCNA in testicular tissue. The decline in PCNA expression is parallel with advancement of age and progress of DM. However, DM has a more suppressing effect than aging on that expression. This suppression could explain the decrease in male fertility potential that may be associated with both conditions.
TL;DR: The data show that leukocytes appear to be a major source for the CL in whole semen, as well as investigating the relative contribution of these cells to the overall CL signal.
Abstract: Reactive oxygen species (ROS) in human semen, measured as luminol or lucigenin chemiluminescence (CL), originate from spermatozoa or leukocytes. To investigate the relative contribution of these cells to the overall CL signal, the leukocytes were separated by means of a magnetic separation system. Spermatograms according to WHO criteria were performed. The leukocytes were stained (o-toluidine) and counted in a counting chamber. A Berthold luminometer LB 953 was used to determine the luminol and lucigenin chemiluminescence at constant sperm concentrations of 107/mL spermatozoa (MBSS as diluting agent).Then the leukocytes were separated by means of a magnetic cell separation system using different antibodies (MACS CD 14, 15, 16 or CD 45 RO microbeads). After these procedures, the mixture was filtered through a MACS column and the staining with o-toluidine was repeated. In the counting chamber no leukocytes could be found, indicating the complete separation of leukocytes. The CL counts in the spermatozoa fra...
TL;DR: The methylene green and resazurin reduction tests can provide valuable information on the fertility potential of an equine semen sample.
Abstract: The objective of this study was to determine if spermatozoal reduction of the dyes methylene green to colorless and resazurin to pink or colorless was associated with the fertility potential of an equine semen sample. Fifty samples from 38 stallions were evaluated for the number of spermatozoa per milliliter and number of motile sperm per milliliter. Methylene green (20 μg/mL of semen) or resazurin (85 μg/mL of semen) was added to 3-mL aliquots of semen. Semen samples were identified as having low fertility potential (<200 × 106total cells/mL and <140 × 106motile cells/mL) or high fertility potential (≥200 × 106total cells/mL and ≥140 × 106motile cells/mL). The sensitivities were 80% for the methylene green, 68% for the resazurin to pink, and 60% for the resazurin to colorless tests. The specificities were 80% for the methylene green, 79% for the resazurin to pink, and 92% for the resazurin to colorless tests. The overall accuracies were 80% for the methylene green test, 74% for the resazurin to pink test...
TL;DR: The results suggest that the level of interferon alpha in the seminal plasma may be related to sperm production.
Abstract: The functions of the interferons in the testis are unclear. We investigated the role of interferon alpha and gamma in the seminal plasma on spermatogenesis. The levels of interferon alpha and gamma were determined in the seminal plasma of 101 males including normozoospermic (n = 31), oligozoospermic (n = 57) and azoospermic men (n = 13). The correlation between such levels and clinical parameter (seminogram and serum hormone levels) was evaluated. The seminal plasma level of interferon alpha (92.0 + 110.3 ng/mL) in the normozoospermic men was significantly lower than that of oligozoospermic men (162.4 +/- 130.3 ng/mL) (p < .05). The three groups (normozoospermic, oligozoospermic, and azoospermic group) did not differ as to the level of interferon gamma. No significant correlations were observed between the levels of interferon alpha or gamma in seminal plasma and the serum levels of follicle stimulating hormone (FSH), luteinizing hormone (LH), testosterone, prolactin, or estradiol. Theses results suggest that the level of interferon alpha in the seminal plasma may be related to sperm production.
TL;DR: The results suggest that the ejaculatory mechanism consists of two reflexes: the glans-vasal and urethromuscular; the former seems to bring the semen to the posterior urethra and the urethrumuscular reflex ejects it to the exterior.
Abstract: To assist in the understanding of the pathogenesis of the various ejaculatory disorders, 9 healthy male volunteers (mean age 30.4 +/- 4.8 years) were studied. The EMG response of the bulbocavernosus (BCM) and ischiocavernosus (ICM) muscles and the external urethral sphincter (EUS) to ejaculation induced by glans penis (GP) vibration was recorded. The test was repeated with individual anesthetization of the GP, BCM, ICM, and EUS. During ejaculation, the BCM, ICM, and EUS showed a significant increase in the motor unit action potentials. The contractions were rhythmic with a mean duration of the contractile episode of 0.8 s and the noncontractile episode of 0.72 s, and with a total muscle activity of 4.2 s. GP vibration after anesthetization of the GP produced no ejaculation or increased EMG activity of the BCM, ICM, and EUS, GP vibration after individual anesthetization of the BCM or the EUS produced semen emission but no ejection, and GP vibration after ICM anesthetization produced ejaculation (emission and ejection). The results suggest that the ejaculatory mechanism consists of two reflexes: the glans-vasal and urethromuscular. The former seems to bring the semen to the posterior urethra (the emission stage of ejaculation) and the urethromuscular reflex ejects it to the exterior (ejection stage of ejaculation). A dysfunction of these two reflexes would seem to induce ejaculatory disorders, a point that needs further study.
TL;DR: The neurosecretory peptide oxytocin is present in human seminal plasma of normal as well as of vasectomized subjects; OT is not only derived from the testis; OT levels in poor semen samples are not different from controls.
Abstract: The neuropeptide oxytocin (OT) has been detected in testis and epididymis of several mammals. The peptide affects steroidogenesis and sperm transport in vivo. Effects of OT on sperm motility in vitro seems to be contradictory. As no data are available on the presence of OT in human semen and on the relationship of OT with sperm characteristics, we assessed OT level in semen samples in 3 groups of patients: (I) normozoospermic, (II) astheno-/oligo-/teratozoospermic, and (III) azoospermic subjects. Furthermore, we studied the relationship between the concentration of OT in semen and the sperm characteristics. OT was measured in seminal plasma by radioimmunoassay after extraction. OT semen levels did not differ in control patients (I: 1.72 +/- 0.78 pg/mL; n = 10), patients with poor semen quality (II: 1.66 +/- 0.91 pg/mL; n = 11), or in vasectomized patients (III: 1.28 +/- 0.65 pg/mL; n = 11). No statistically significant relationships between the OT levels and sperm characteristics (density: 0.0693; total sperm count: 0.0845; percentage of motility: 0.1341; morphology: 0.3478) have been found. The neurosecretory peptide oxytocin is present in human seminal plasma of normal as well as of vasectomized subjects. OT is not only derived from the testis; OT levels in poor semen samples are not different from controls. No relationship was found between OT seminal plasma levels and sperm characteristics.
TL;DR: The positivity in only semen samples raises the possibility that the organisms are harbored in the epididymis, seminal vesicles, or the prostate, as testing for the presence of chlamydia was incomplete if semen samples were not included.
Abstract: Urethral swabs, first-catch urine or urine collected at least 2 h after the previous micturition, and semen swabs were collected from 131 asymptomatic men during the routine workup for infertility at the andrology clinic at Ga-Rankuwa Hospital, Medunsa. The urethral and seminal swabs were used for enzyme immunoassay (EIA) (IDEIA III), tissue culture, and direct immunofluorescent antibody (DFA) test (IMAGEN) to detect Chlamydia trachomatis, and similarly the urine was tested by EIA. In 82/131 (62.6%) cases all tests for chlamydiae were negative and in 49/131 (37.4%) cases at least one test was positive. Tissue culture detected 24/131 (18.3%) as positive for C. trachomatis. Urethral swab EIA detected 33/131 (25.2%) and DFA 34/131 (26%) positive patients. Urine EIA was positive in 33/131 cases (25.2%). Semen EIA was positive in 35/131 (26.7%) of cases of whom 7/131 (5.3%) were positive in semen EIA only (all samples were conformed by PCR). It would seem, therefore, that testing for the presence of chlamydia was incomplete if semen samples were not included. The positivity in only semen samples raises the possibility that the organisms are harbored in the epididymis, seminal vesicles, or the prostate.
TL;DR: The results indicate that the human spermatozoa contain the enzymes necessary for the transformation of pregnenolone to testosterone via the delta 4-3-keto route.
Abstract: The ability of human spermatozoa to metabolize pregnenolone to progesterone and progesterone to testosterone was assessed. Sonicated specimens of freshly ejaculated sperm from two groups of husbands (n = 6, age 32-38 years; n = 6, age 30-51 years) of infertile couples in the range of sperm concentration between 237.5 and 568.5, 100.1 and 248.8 millions per ejaculate, were separately incubated with [7n-3H]pregnenolone and [1,2,6,7,16,17-3H]progesterone. Using the classical reverse-isotope dilution technique the desired products [3H]progesterone and [3H]testosterone formed from the respective substrates were isolated and characterized, yielding 1.4 to 12.2% and 3.1 x 10(-2) to 2.0 x 10(-1)%. Such metabolites were not evident in the controls. The results indicate that the human spermatozoa contain the enzymes necessary for the transformation of pregnenolone to testosterone via the delta 4-3-keto route.
TL;DR: Results indicate that IGFs may be involved in initiation and maintenance of bovine sperm motility and increase the percentage of rapidly moving cells, straight-line velocity, curvilinear velocity, average path velocity, amplitude of lateral head displacement, and beat cross frequency.
Abstract: The effects of insulin-like growth factors (IGFs) I and II on motility of bovine sperm were examined using a computer-assisted sperm motion analyzer (CASA). The following kinematic parameters were examined: percentage of rapidly moving cells, straight-line velocity, curvilinear velocity, average path velocity, amplitude of lateral head displacement, and beat cross frequency. Sperm were treated with IGF-I (100 ng/mL) or IGF-II (250 ng/mL) and compared to sperm in modified Tyrodes' medium only (control) at 90, 180, and 360 min using CASA. Insulin-like growth factor I and II increased the percentage of rapidly moving cells, straight-line velocity, curvilinear velocity, average path velocity, amplitude of lateral head displacement, and beat cross frequency compared to the control treatment. These results indicate that IGFs may be involved in initiation and maintenance of bovine sperm motility.
TL;DR: Results indicated no impairment of epididymal, vesicular, and prostatic function in patients with hyperviscous semina, while their normal electrophoretic seminal protein profile suggested unaltered genital fluid interactions during the semen coagulation-liquefaction process.
Abstract: SDS-PAGE (12.5%) analysis and neutral a-glucosidase, fructose, and zinc level assessment were carried out in seminal plasma of 20 patients with highly viscous ejaculates and of 20 control subjects, with the aim to investigate the relations between high consistency of semen and epididymal, vesicular, and prostatic secretions. Very low sperm motility was observed in all the patients' ejaculates, both normo- and oligozoospermics. Protein patterns obtained in control and highly viscous semina showed similar protein bands, in the range of 10–100 kD. Furthermore, unaltered seminal neutral a-glucosidase, zinc, and fructose levels were measured in the same specimens. These results indicated no impairment of epididymal, vesicular, and prostatic function in patients with hyperviscous semina, while their normal electrophoretic seminal protein profile suggested unaltered genital fluid interactions during the semen coagulation-liquefaction process.
TL;DR: IL-11 is demonstrated to be in seminal plasma, and elevated IL-11 levels are detected in infertile patients with urogenital infections.
Abstract: This study was conducted to confirm the presence of IL-11 in human seminal plasma, to show eventual differences between IL-11 concentration in fertile and infertile subjects, and to show if urogenital infection is a factor determining its elevation. Seminal plasma from 93 men obtained by masturbation was examined for the presence of IL-11 using an IL-11-specific sandwich ELISA. Semen samples were obtained from 93 men divided (1) into seven groups according to the etiological diagnosis of fertility and, (2) into two groups on the basis of normal or abnormal spermiogram. The correlation of amount of IL-11 in seminal plasma with some spermiogram parameters was statistically evaluated. There was a statistically significant difference between the groups (p = 0.0007) due to group infection of accessory genital glands, which presents the highest mean rank value as compared to all other groups. The group normal spermiogram had a mean value for IL-11 of 51.83, while the abnormal spermiogram was 66.30. This difference is not statistically significant (p > 0.05). There was no correlation between IL-11 levels and the variables of the spermiogram. These findings demonstrate IL-11 to be in seminal plasma, and elevated IL-11 levels are detected in infertile patients with urogenital infections.
TL;DR: ICSI should be used in immunologically infertile men diagnosed by specific method to demonstrate the in vivo exposure of sperms to antisperm autoantibodies that block fertilization.
Abstract: Evaluation of the fertilizing potential of sperm is an important procedure in in vitro fertilization and embryo transfer (IVF-ET) clinic, in order to avoid performing invalid conventional IVF-ET or unnecessary intracytoplasmic sperm injection (ICSI). However, none of the standard semen parameters are reliable indices in predicting IVF outcome. The test examining sperm-zona interaction is the best present method, though the short supply of the human zona component should be solved. IVF-ET treatment is useful for pregnancy in women having sperm immobilizing antibodies because it avoids exposing sperms to antibodies that block fertilization. ICSI should be used in immunologically infertile men diagnosed by specific method to demonstrate the in vivo exposure of sperms to antisperm autoantibodies that block fertilization.
TL;DR: During the last decade there were extensive investigations in clinical and molecular andrology with emphasis on assisted reproduction, micromanipulation techniques of gametes, sperm/egg interaction, male contraception, diabetes mellitus, varicocele, andropause versus menopause, sexual dysfunction, associated hypertension/stress, prostatic carcinoma and molecular parameters of male reproduction.
Abstract: During the last decade there were extensive investigations in clinical and molecular andrology with emphasis on assisted reproduction, micromanipulation techniques of gametes, sperm/egg interaction, male contraception, diabetes mellitus, varicocele, andropause versus menopause, sexual dysfunction, associated hypertension/stress, prostatic carcinoma and molecular parameters of male reproduction. Sperm hyperactivation is a required step in capacitation sequence. Sperm motility is measured by videotape to evaluate the Straight Line Velocity (microm/s) (VSLI). Fertilization/embryonic development results from single sperm transfer (S-MIST) and multiple sperm transfer. Fertilization/embryo development is achieved by injection of immotile sperm into the perivitelline space. To assess sperm viability, a supravital stain suitable for use in combination with immunofluorescent assay, Hoeschst 33258, is used. The dye fluoresces with an intense blue when bound to DNA. To assess sperm plasma membrane integrity, a hypo-osmotic swelling test (HOST) is performed, using fluoresceinated D-mannose enriched albumin (FITC-DMA). The ability of sperm to swell under hypo-osmotic conditions indicates an intact membrane. A human protein, C-peptide, thought to be a useless byproduct of insulin may protect against devastating heart and nerve damage that diabetes causes. Human diabetics may benefit from the substance. Over 15 million Americans have diabetes, in which blood sugar levels rise out of control. There are two types of diabetics: Type I diabetics produce no insulin, the hormone that regulates blood sugar. Type II diabetics are unable to use their insulin properly. Diabetics are at great risk of heart disease and nerve damage, as arteries throughout the body leak and nerve-cell impulses fail. C-peptide is a byproduct of insulin production; it can be produced by the body or synthetically. Production of this protein is not induced by insulin, so diabetics who take insulin do not get C-peptide with it. Varicocele occurs unilaterally on the left side in 78% to 93% of men. Typically the presence of a varicocele is associated with an abnormal semen analysis (sperm density and morphology) and a decreased testicular volume on the affected side. Impaired sperm motility occurs in 89.5% of all varicocele patients. Varicocele ligation improves semen parameters in two thirds of patients. A few studies on andropause included sexual dysfunction, hormonal changes, medical/psychological correlates of impotence, ostenopenia/osteoporosis and bone loss; indices of bone remodeling, testosterone supplementation, androgen, negative feedback and hypothalamo-pituitary-testicular axis. Prostatic cancer is the second leading cause of cancer death for men between the ages of 60 and 80. Early detection involves a simple blood test for prostate specific antigen (PSA). Regular screening and early detection are essential. This is an important test because a high antigen count can be the only symptom. Since no screening is 100% accurate, physicians recommend both a PSA blood test and a physical examination. Although heredity plays a major role in whether a man will develop prostate cancer, men who lead healthy lives can dramatically reduce their chances of cancer: low-fat diet, eating plenty of fruits and vegetables and not smoking. Recent advances in molecular andrology include peptide hormone binding proteins; gonadotropin-releasing hormone (GnRH) agonists/antagonists analog; gonadotropins/their receptors; growth factors/reproduction; peptides as intratesticular regulators; molecular cloning of reproductive proteins/peptides. Gene cloning is applied for characterization/expression of genes coding. The interaction of gp120 with CD4 receptor plays a role in syncytium formation, apoptosis and CD4 cell deletion in human immunodeficiency virus (HIV) infection. The recombinant V3 peptide of fragment 307-330 of HIV-1 can induce sperm head agglutination. The generation process of react
TL;DR: The kinetics of nuclear decondensation and DNA unpacking induced by the action of a physiological concentration of heparin and glutathione of guinea pig spermatozoa was studied to show the characteristic organization into "hub-like" nuclear bodies that measured 10-100 nm diameter joined by a network of chromatin fibers.
Abstract: The kinetics of nuclear decondensation and DNA unpacking induced by the action of a physiological concentration of heparin and glutathione of guinea pig spermatozoa was studied. Sperm (acrosomeless) suspensions were incubated at several different temperatures (37, 40, 43, and 46 degrees C), with a constant concentration of either heparin (50 microM) or reduced glutathione (12.5 mM) and increasing concentrations of the other reagent. Nuclei spermatozoa remained highly condensed when incubated in the medium alone or in either GSH or heparin alone for up to 72 h. Swelling of nuclei spermatozoa was initially observed during the first 20 min of incubation. The sperm nuclei initiate decompaction at the central part of the nuclear structure while at the periphery there remain numerous residues of densely packed chromatin. The swollen chromatin pattern presents the characteristic organization into "hub-like" nuclear bodies that measured 10-100 nm diameter joined by a network of chromatin fibers. At full nuclei decondensation chromatin end fibers are loose, probably meaning that DNA is not organized into loop domains. DNA presence was verified by the use of ethidium bromide and acridine orange.
TL;DR: By immunohistochemical analysis, MIF was found to be localized mainly in the epithelial cells of normal and cancerous prostates, suggesting that it may have important functions in both human reproduction and prostatic physiology.
Abstract: During purification procedures to isolate kallikrein hK2 from human seminal plasma, kallikrein hK2 was found to be associated with another protein after several chromatographic steps. This study was conducted to identify the hK2 companion protein and characterize its properties and distribution. The protein was identified as macrophage migration inhibitory factor (MIF) by its NH2-terminal amino acid sequence. It had an enzymatic activity identical to that of recombinant MIF. Its concentration varied between 1 and 10 micrograms/mL in various seminal plasma. By immunohistochemical analysis, MIF was found to be localized mainly in the epithelial cells of normal and cancerous prostates. Since MIF is a well-known proinflammatory mediator, these results suggest that it may have important functions in both human reproduction and prostatic physiology.
TL;DR: The positive correlation with sperm concentration suggests that IL-12 may have a direct or indirect role in male fertility/infertility and that its levels are not modulated by the presence of leukocytes in the semen.
Abstract: The interleukin (IL)-12 levels and the superoxide dismutase (SOD) activity were determined in the seminal plasma of fertile and infertile men with or without leukocytospermia by ELISA. The IL-12 levels differed significantly among the fertile and infertile groups, with the infertile groups showing lower levels that were not modulated by leukocytospermia. The SOD activity did not differ significantly among the fertile and infertile groups and was not correlated with the IL-12 levels. The positive correlation with sperm concentration suggests that IL-12 may have a direct or indirect role in male fertility/infertility and that its levels are not modulated by the presence of leukocytes in the semen.
TL;DR: It remains speculative whether 100% pure preparation of X or Y sperm can be obtained unless a major improvement in methodology is achieved, but it can be expected that the clinical and commercial application of the technology of preconceptional sex selection by X and Y sperm separation will be a reality in near future.
Abstract: Predetermination of sex in human and in farm animals is reviewed. Preconceptional sex selection has generated great interest and controversy over the years. Medical and commercial benefits outweigh the ethical issues. Technology has not yet provided a routine method for separating the X- and Y-chromosome-bearing sperm. Flow cytometry is the only technique that produces a clinically significant enrichment of X- or Y-bearing spermatozoa However, concern has been raised about the methodological implications of the flow technique because of the use of DNA stains and UV light. Some other techniques, such as gradient columns, appear to produce a slight enrichment of one type of sperm over the other, but this level of enrichment appears unlikely to affect the sex ratio at birth. It thus remains speculative whether 100% pure preparation of X or Y sperm can be obtained unless a major improvement in methodology is achieved. Fluorescence in situ hybridization (FISH) and polymerase chain reaction (PCR) are currently the methods of choice for evaluating the validity of the sex selection procedure. In view of the extraordinary pace of the technological and scientific progress, it can be expected that the clinical and commercial application of the technology of preconceptional sex selection by X and Y sperm separation will be a reality in near future.
TL;DR: The case of a man who, after a gun-shot wound, has become paraplegic, developed infertility due to incomplete erection and anejaculation and was forced to use intracytoplasmic sperm injection instead of conventional in vitro fertilization for the treatment cycle.
Abstract: We describe the case of a man who, after a gun-shot wound, has become paraplegic. As a consequence of his spinal cord injury he developed infertility due to incomplete erection and anejaculation. After several unsuccessful penile vibratory stimulation attempts, it was possible to achieve ejaculation by means of transrectal electrostimulation. However, the total sperm motility count, the percentage of normal sperm morphology, and the vitality and hypo-osmotic swelling test scores were rather low, and in particular viability was strikingly decreased during sperm preparation. These parameters further decreased following electroejaculate, forcing us to use intracytoplasmic sperm injection instead of conventional in vitro fertilization for the treatment cycle. A normal pregnancy was achieved which resulted in birth of a healthy girl on 1st January 1997.
TL;DR: The results, along with previously reported data of colocalization of CRP1 with stress fibers and adhesion plaques, suggest that the main function ofCRP1 may be structural.
Abstract: The cysteine-rich protein-1 (CRP1) is one of the major proteins of the human prostate. Because of the suspected importance of that protein in cell proliferation and differentiation, its expression was investigated in the prostate, prostatic cancer cells, and other organs of the body. At the mRNA level, the highest concentrations of CRP1 were found in the prostate and the colon followed by the brain and the testis. It was virtually absent from the spleen, liver, heart, and kidney. Prostatic cancer cells PC-3, DU-145, and LNCaP also expressed CRP1 mRNA but virtually no protein. CRP1 protein localization in tissues was determined by immunohistochemical analysis using polyclonal antibodies developed against recombinant CRP1 protein. Strong positive cytoplasmic immunoreactions were observed only in the stromal compartment of the prostate and of other smooth muscle-rich tissues without significant staining in any secretory epithelium. These results, along with previously reported data of colocalization of CRP1 ...