期刊论文详细信息
Reproductive Biology and Endocrinology
The effects of male age on sperm analysis by motile sperm organelle morphology examination (MSOME)
Research
Ricardo LR Baruffi1  Fabiana C Massaro1  Ana L Mauri1  Mario Cavagna2  Joao Batista A Oliveira3  Claudia G Petersen3  Liliane FI Silva3  José G Franco3 
[1] Center for Human Reproduction Prof Franco Jr, Ribeirao Preto,, Brazil;Paulista Centre for Diagnosis, Research and Training, Ribeirao Preto, Brazil;Center for Human Reproduction Prof Franco Jr, Ribeirao Preto,, Brazil;Paulista Centre for Diagnosis, Research and Training, Ribeirao Preto, Brazil;Women's Health Reference Center, Perola Byington Hospital, Sao Paulo, Brazil;Department of Gynaecology and Obstetrics, Botucatu Medical School, São Paulo State University - UNESP, Botucatu, Brazil;Center for Human Reproduction Prof Franco Jr, Ribeirao Preto,, Brazil;Paulista Centre for Diagnosis, Research and Training, Ribeirao Preto, Brazil;
关键词: Male age;    MSOME;    IMSI;    Sperm morphology;    DNA damage;   
DOI  :  10.1186/1477-7827-10-19
 received in 2012-01-11, accepted in 2012-03-19,  发布年份 2012
来源: Springer
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【 摘 要 】

BackgroundThis study aimed to investigate the influence of age on sperm quality, as analysed by motile sperm organelle morphology examination (MSOME).MethodsSemen samples were collected from 975 men undergoing evaluation or treatment for infertility. Sperm cells were evaluated at 8400× magnification using an inverted microscope equipped with Nomarski (differential interference contrast) optics. Two forms of spermatozoa were considered: normal spermatozoa and spermatozoa with large nuclear vacuoles (LNV, defined as vacuoles occupying > 50% of the sperm nuclear area). At least 200 spermatozoa per sample were evaluated, and the percentages of normal and LNV spermatozoa were determined. The subjects were divided into three groups according to age: Group I, less than or equal to 35 years; Group II, 36-40 years; and Group III, greater than or equal to 41 years.ResultsThere was no difference in the percentages of normal sperm between the two younger (I and II) groups (P > 0.05). The percentage of normal sperm in the older group (III) was significantly lower than that in the younger (I and II) groups (P < 0.05). There was no difference in the percentage of LNV spermatozoa between the younger (I and II) groups (P > 0.05). The percentage of LNV spermatozoa was significantly higher in the older group (III) than in the younger (I and II) groups (P < 0.05). Regression analysis demonstrated a significant decrease in the incidence of normal sperm with increasing age (P < 0.05; r = -0.10). However, there was a significant positive correlation between the percentage of spermatozoa with LNV and male age (P < 0.05, r = 0.10).ConclusionThe results demonstrated a consistent decline in semen quality, as reflected by morphological evaluation by MSOME, with increased age. Considering the relationship between nuclear vacuoles and DNA damage, these age-related changes predict that increased paternal age should be associated with unsuccessful or abnormal pregnancy as a consequence of fertilisation with damaged spermatozoa. Given that sperm nuclear vacuoles can be evaluated more precisely at high magnification, these results support the routine use of MSOME for ICSI as a criterion for semen analysis.

【 授权许可】

Unknown   
© Silva et al; licensee BioMed Central Ltd. 2012. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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