Semen characteristics and sperm DNA fragmentation in infertile men with low and high levels of seminal reactive oxygen species.

Abstract:

OBJECTIVE:To examine sperm motility, total antioxidant level (TAC), DNA fragmentation, and medical history in infertile men with high seminal high reactive oxygen species (ROS). DESIGN:Prospective study. SETTING(S):Tertiary care hospital. PATIENT(S):Infertile men (n=101). INTERVENTION(S):Group I (n=57) included men with seminal ROS (<250 relative light units/sec/×10(6) sperm) while group II (n=44) included men with seminal ROS levels (≥250 relative light units/sec/×10(6) sperm). MAIN OUTCOME MEASURE(S):Seminal ROS, TAC, sperm DNA fragmentation, ROS/TAC score were measured. RESULT(S):Group II had a high incidence of sperm DNA fragmentation than group I. The odds ratio of 1.25 for elevated ROS levels corresponded to >10% greater DNA fragmentation in our patients (95% confidence interval 1.01-1.53). Group II showed poor motility, a higher incidence of leukocytospermia, and higher ROS-TAC scores compared with group I. ROS was negatively correlated with sperm curvilinear velocity (r=-.24), linearity (r=-.24), and sperm motility (r=-.31). Sperm motility was correlated with %TUNEL(+ve) sperm (r=-.39). CONCLUSION(S):An increase in seminal ROS levels by 25% was associated with a 10% increase in sperm DNA fragmentation. Sperm motility was affected by seminal ROS and sperm DNA fragmentation.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Mahfouz R,Sharma R,Thiyagarajan A,Kale V,Gupta S,Sabanegh E,Agarwal A

doi

10.1016/j.fertnstert.2009.12.030

subject

Has Abstract

pub_date

2010-11-01 00:00:00

pages

2141-6

issue

6

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(09)04216-2

journal_volume

94

pub_type

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