ABSTRACT
Objective@#Since sperm abnormalities are known to be a major reason for recurrent pregnancy loss (RPL), any defects in DNA structure and chromatin condensation can place embryos at risk in the early stage of development and implantation. As antioxidants such as vitamin C may play a protective role against the destruction of protamine genes in sperm chromatin, this study was conducted to evaluate the effects of vitamin C on chromatin and the expression of protamine genes in the male partners of couples with RPL. @*Methods@#Twenty male partners of couples with RPL were selected as the intervention group and received vitamin C supplementation (250 mg daily for 3 months). Healthy fertile men (n=20) were included as controls. Sperm chromatin, DNA integrity, and the expression levels of protamine genes were evaluated before and after treatment. @*Results@#Significant differences were found in sperm morphology, protamine deficiency, and apoptosis between the two groups and before and after vitamin C administration. A significant change was found in mRNA levels of PRM1, PRM2, and the PRM1/PRM2 ratio after treatment. @*Conclusion@#Daily oral administration of vitamin C may improve human sperm parameters and DNA integrity by increasing protamine gene expression levels in the male partners of couples with RPL. The beneficial effects of vitamin C supplementation as an antioxidant for the male partners of couples with RPL could lead to improved pregnancy outcomes in these cases.
ABSTRACT
Background: Signaling molecules such as cytokines regulate spermatogenesis during the maturation of germ cells and sperm apoptosis. Tumor necrosis factor alpha [TNF alpha] is one of the most-documented cytokines that is involved in spermatogenesis. We investigated the association of the TNF alpha -308 G/A single nucleotide polymorphism with sperm abnormalities in Iranian males
Materials and Methods: This case-control study included 180 infertile men who referred to Yazd Research and Clinical Center for Infertility and 100 healthy normospermic controls. Infertile men were classified into four groups of azoospermia [n=91], oligospermia [n=26], teratospermia [n=30] and asthenoteratospermia [n=33]. After sperm analysis, DNA was extracted from blood and polymerase chain reaction-restriction fragment length polymorphism [PCR-RFLP] was carried out for the genotyping of TNF alpha-308 G/A
Results: The A allele was significantly associated with sperm abnormality in our population [[P<0.001, odds ratios [OR] 95% confidence interval [CI]=2.31]. In addition, the A allele was also associated with azoospermia [P<0.001, OR [95% CI]=2.484], oligospermia [P=0.005, OR [95% CI]=2.51] and teratospemia [P<0.001, OR [95% CI]=3.385] but not with asthenoteratospermia [P=0.623]
Conclusion: Our data suggest that this single nucleotide polymorphism [SNP] maybe associated with the risk of sperm abnormality in infertile men of Iranian origin