effect of vitamin e and selenium on sperm chromatin quality in couples with recurrent miscarriage

Background and Aims: Due to the paucity of studies, association between the morphology and function of sperm and recurrent miscarriage [RM] is not yet completely known. Increased reactive oxygen species and decreased antioxidant levels in men have been shown to be associated with RM. Recently it has been accepted that antioxidant therapy can approve sperm parameters. The goal of this study was to evaluate the effect of paternal factor and antioxidant therapy on sperm parameters in the couples with RM

Materials and Methods: Sixty ejaculate samples with RM patients were analyzed before and after 3 months of vitamin E and selenium therapy. Sperm chromatin assay was assessed by cytochemical tests including aniline blue, chromomycin A3, and toluidine blue. To measure DNA fragmentation index, terminal deoxynucleotidyl transferase dUTP nick end labeling [TUNEL] test was used. Data were analyzed by SPSS software

Results: Patients had significantly higher percentage of sperm parameters [p<0.001] compared to the time before treatment. TUNEL positive spermatozoa were decreased in post treatment compared to pre-treatment phase [p<0.0001]

Conclusions: Our study demonstrates that antioxidants can improve sperm parameters and chromatin condensation in recurrent miscarriage male partner

Evaluation of intracellular anion superoxide level, heat shock protein A2 and protamine positive spermatozoa percentages in teratoasthenozoospermia

Background: Teratoasthenozoospermia [TA] is a severe form of male infertility with no clear etiology

Objective: To compare the level of intracellular anion superoxide [O[2]-], heat shock protein A2 [HSPA2] and protamine deficiencies in ejaculated spermatozoa between teratoasthenozoospermic and normozoospermic men

Materials and Methods: In this case- control study, semen samples of 20 infertile men, with TA [with normal morphology lower than 4%_ and total motility lower than 40% ] as the case group and 20 normozoospermic fertile men as the control group were evaluated for intracellular O[2] - and HSPA2 by flow cytometry and protamine deficiency by Chromomycin A3 [CMA3] test

Results: The rate of CMA3+ spermatozoa in the case group was higher than controls [p=0.001]. The percentages of HSPA2[+] spermatozoa in the cases were significantly lower than controls [p=0.001]. Also, intracellular O[2] - levels in the case group were significantly higher than controls [p=0.001] and had positive correlations with sperm apoptosis [r=0.79, p=0.01] and CMA3 positive sperm [r=0.76, p=0.01], but negative correlations with normal morphology [r=-0.81, p=0.01] and motility [r=-0.81, p=0.01]. There was no significant correlation between intracellular O[2] - and HSPA2 in the case group [r=0.041, p=0.79]

Conclusion: We suggest that the increase in intracellular O[2] -, decrease in spermatozoa HSPA2[+], and high percentages of spermatozoa with immature chromatin might be considered as etiologies of infertility in TA patients

etiologies of sperm DNA abnormalities in male infertility: an assessment and review

The sperm DNA damage may occur in testis, genital ducts, and also after ejaculation. Mechanisms altering chromatin remodeling are abortive apoptosis and oxidative stress resulting from reactive oxygen species. Three classifications of intratesticular, post-testicular, and external factors have been correlated with increased levels of sperm DNA damage which can affect the potential of fertility. Alcohol consumption may not increase the rate of sperm residual histones and protamine deficiency; however, it causes an increase in the percentage of spermatozoa with DNA fragmentation and apoptosis. In a medical problem as spinal cord injury, poor semen parameters and sperm DNA damage were reported. Infection induces reactive oxygen species production, decreases the total antioxidant capacity and sperm DNA fragmentation or antigen production that lead to sperm dysfunctions and DNA fragmentation. While reactive oxygen species generation increases with age, oxidative stress may be responsible for the age-dependent sperm DNA damage. The exposing of reproductive organs in older men to oxidative stress for a long time may produce more DNA-damaged spermatozoa than youngers. Examining the sperm chromatin quality in testicular cancer and Hodgkin's lymphoma patients prior to chemotherapy demonstrated the high incidence of DNA damage and low compaction in spermatozoa at the time of diagnosis. In chemotherapy cycles with genotoxic agents in cancer patients, an increase in sperm DNA damage was shown after treatment. In overall, those factors occurring during the prenatal or the adult life alter the distribution of proteins associated with sperm chromatin induce changes in germ cells which can be detected in infertile patients

Etiologies of sperm oxidative stress

Sperm is particularly susceptible to reactive oxygen species [ROS] during critical phases of spermiogenesis. However, the level of seminal ROS is restricted by seminal antioxidants which have beneficial effects on sperm parameters and developmental potentials. Mitochondria and sperm plasma membrane are two major sites of ROS generation in sperm cells. Besides, leukocytes including polymer phonuclear [PMN] leukocytes and macrophages produce broad category of molecules including oxygen free radicals, non-radical species and reactive nitrogen species. Physiological role of ROS increase the intracellular cAMP which then activate protein kinase in male reproductive system. This indicates that spermatozoa need small amounts of ROS to acquire the ability of nuclear maturation regulation and condensation to fertilize the oocyte. There is a long list of intrinsic and extrinsic factors which can induce oxidative stress to interact with lipids, proteins and DNA molecules. As a result, we have lipid peroxidation, DNA fragmentation, axonemal damage, denaturation of the enzymes, over generation of superoxide in the mitochondria, lower antioxidant activity and finally abnormal spermatogenesis. If oxidative stress is considered as one of the main cause of DNA damage in the germ cells, then there should be good reason for antioxidant therapy in these conditions

Mycobacterium tuberculosis infection in women with unexplained infertility

Background: Genital tuberculosis [GTB] is an important cause of female infertility, especially in developing countries. The positive results of polymerase chain reaction [PCR] in endometrial GTB in the absence of tubal damage raise the possibility of the detection of sub-clinical or latent disease, with doubtful benefits of treatment

Objective: To evaluate the mycobacterium tuberculosis infection in endometrial biopsy samples collected from unexplained infertile women attending Yazd Research and Clinical Center for Infertility by using PCR techniques

Materials and Methods: In this cross sectional study, 144 infertile women with unexplained infertility aged 20-35 years old and normal 1-listro-saplango graphy findinus were enrolled. Endometrial biopsy samples from each participant were tested fbr mycobacterium tuberculosis detecting by PCR. In 93 patients, peritoneal fluid was also taken for culture and PCR

Results: The PCR results of endometrial specimens were negative in all cases, demonstrating that there was no GTB infection among our patients

Conclusion: Our results showed that GTB could not he considered as a major problem in women with unexplained infertility. Although, studies have indicated that PCR is a useful method in diagnosing early GTB disease in infertile women with no demonstrable evidence of tubal or endometrial involvement