Résumé
Sperm DNA damage is an important factor in the etiology of male infertility. The aim of the study was to evaluate the association of oxidative stress induced sperm DNA damage with the pathogenesis of male infertility. The study comprised a total of 66 subjects, including fertile men [n=25] and infertile men [n=41] matched by age. Seminal malondialdehyde [MDA], phospholipid hydroperoxide [PHP], superoxide dismutase [SOD], total antioxidant status [TAS] and 8-hydroxy-2'-deoxy guanosine [8-OHdG] were estimated by spectrophotometric and ELISA based methods and the association with the sperm parameters was assessed. The percentages of motile and morphologically normal cells were significantly lower [p < 0.001, p <0.001, respectivly] in infertile men. Seminal levels of MDA, PHP and 8-OHdG were significantly higher [p < 0.001, p < 0.001, and p=0. 02, respectively] while the SOD and TAS were significantly lower [p=0. 0003, p< 0.001, respectively] in infertile men. Sperm parameters were negatively correlated with MDA, PHP and 8-OHdG while positively correlated with SOD and TAS. A positive correlation of 8-OHdG with MDA and PHP and a negative correlation with TAS and SOD were also found. These results suggested that oxidative stress induced sperm DNA damage might have a critical effect on the etiology of infertility. Therefore, evaluation of oxidative status, antioxidant defense systems and DNA damage, together with sperm parameters might be a useful tool for diagnosis and treatment of male infertility