Abstract:
:Most of the non-obstructive azoospermia (NOA)-patients have only focal spermatogenesis which results in insufficient numbers of spermatozoa to reach the ejaculate. In ≈50% of these NOA-patients testicular sperm extraction (TESE) is successful and intracytoplasmic sperm injection (ICSI) is pursued. We studied whether (i) spermatogenesis can be evaluated by defining the ratios between Sertoli cells, pachytene spermatocytes and spermatozoa in a testicular cell suspension, and (ii) these ratios are associated with the outcome of fertility treatment. A retrospective cohort study was conducted between June 2007 and August 2012. In this period, 441 consecutive ICSI-TESE cycles were performed in 212 couples. For each TESE biopsy, the ratios between Sertoli cells, pachytene spermatocytes and spermatozoa were calculated. A control population of 32 vasectomized men was used to define cut-off values for complete spermatogenesis. Based on the pachytene to sperm ratio (P/Sp) and number of spermatozoa per 100 Sertoli cells (#Sp/100SC) groups were defined as complete spermatogenesis, hypospermatogenesis and partial maturation arrest (MA). Validation of the cytological diagnoses was performed by comparing the results of cytology to the histological evaluation of spermatogenesis in 40 cases. In 92.5%, a perfect match was observed and in the three remaining cases cytology corresponded well with the results of TESE. Couples with complete spermatogenesis have a higher ongoing pregnancy rate after the first treatment cycle compared to couples with hypospermatogenesis (34 vs. 16%; p = 0.02) and partial MA (34 vs. 19%; p = 0.11). In conclusion, pachytene spermatocytes, spermatozoa and Sertoli cells can be easily identified and counted in a cell suspension and their ratios can be successfully used to diagnose the level of spermatogenic impairment. This pilot study indicates that once successful spermatozoa retrieval is achieved, treatment outcome declines when spermatogenesis is impaired in NOA. The predictive value of cytological evaluation of spermatogenesis has to be established in a future prospective trial.
journal_name
Andrologyjournal_title
Andrologyauthors
Hessel M,de Vries M,D'Hauwers KW,Fleischer K,Hulsbergen-van de Kaa CA,Braat DD,Ramos Ldoi
10.1111/andr.12023subject
Has Abstractpub_date
2015-05-01 00:00:00pages
481-90issue
3eissn
2047-2919issn
2047-2927journal_volume
3pub_type
杂志文章相关文献
Andrology文献大全abstract::Semen analysis is commonly used as a tool to assess the fertility potential of a male, despite its relatively low predictive power. In this study, we have assessed associations between semen analysis findings (low count, low motility, low viability, poor sperm penetration assay results, poor morphology, and increased ...
journal_title:Andrology
pub_type: 杂志文章
doi:10.1111/andr.12231
更新日期:2016-09-01 00:00:00
abstract::The aetiology of severe asthenozoospermia in men with spinal cord injury includes an adverse impact of seminal plasma (SP) on sperm motility. In this study we investigated the effect exerted by SP from men with SCI on donor sperm mitochondrial activity and its reflection on motility. Donor spermatozoa were exposed (1 ...
journal_title:Andrology
pub_type: 杂志文章
doi:10.1111/j.2047-2927.2013.00077.x
更新日期:2013-05-01 00:00:00
abstract:BACKGROUND:We aimed to examine the effects of pre-operative blood values on varicocelectomy success. MATERIALS AND METHODS:A total of 130 patients who underwent varicocelectomy in our clinic were retrospectively analyzed. Operation success was defined as the return of all semen parameters (concentration, progressive m...
journal_title:Andrology
pub_type: 杂志文章
doi:10.1111/andr.12976
更新日期:2021-01-21 00:00:00
abstract::Germ cell and Sertoli cell proliferation and maturation in human testes occur in three main waves, during the late fetal and early neonatal period and at early puberty. They are triggered by periods of increased activity of the hypothalamic-pituitary-gonadal (HPG) axis. In hypogonadotropic hypogonadism (HH), these pro...
journal_title:Andrology
pub_type: 杂志文章
doi:10.1111/andr.12128
更新日期:2016-01-01 00:00:00
abstract::Existing literature suggests evidence that protamine deficiency is related to DNA damage and male fertility. In this meta-analysis, we analyzed the relationship between the ratio of protamine-1 and protamine-2 with male fertility and the association of protamine deficiency with sperm DNA damage. Quality of available c...
journal_title:Andrology
pub_type: 杂志文章,meta分析,评审
doi:10.1111/andr.12216
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND:Germ cell tumours are uniquely associated with the gametogenic tissues of males and females. A feature of these cancers is that they can express genes that are normally tightly restricted to meiotic cells. This aberrant gene expression has been used as an indicator that these cancer cells are attempting a pr...
journal_title:Andrology
pub_type: 杂志文章,评审
doi:10.1111/andr.12628
更新日期:2019-07-01 00:00:00
abstract::Spermatogenesis involves the aggregated action of up to 2300 genes, any of which, could, potentially, provide targets for diagnostic tests of male factor infertility. Contrary to the previously proposed common variant hypothesis for common diseases such as male infertility, genome-wide association studies and targeted...
journal_title:Andrology
pub_type: 杂志文章,评审
doi:10.1111/j.2047-2927.2014.00200.x
更新日期:2014-05-01 00:00:00
abstract::Increasing evidence disclosed the existence of a novel multi-organ endocrine pathway, involving bone, pancreas and testis, of high penetrance in energy metabolism and male fertility. The main mediator of this axis is undercarboxylated osteocalcin (ucOC), a bone-derived protein-exerting systemic effects on tissues expr...
journal_title:Andrology
pub_type: 杂志文章,评审
doi:10.1111/andr.12359
更新日期:2017-07-01 00:00:00
abstract:BACKGROUND:Penile cancer represents a rare pathology whose natural history of treatment is poorly understood. OBJECTIVE:To illustrate the dynamic survival profiles in surgically treated patients with squamous cell carcinoma of the penis (SCCP) using the conditional survival (CS) estimates. MATERIALS AND METHODS:Patie...
journal_title:Andrology
pub_type: 杂志文章
doi:10.1111/andr.12856
更新日期:2020-11-01 00:00:00
abstract::Tamoxifen is an off-label option to treat men for breast cancer, infertility, and idiopathic gynecomastia. Lately, tamoxifen has been proposed as a treatment to prevent gynecomastia in prostate cancer patients receiving antiandrogen therapy. We reviewed the adverse events (AEs) reported in studies of men prescribed ta...
journal_title:Andrology
pub_type: 杂志文章,评审
doi:10.1111/andr.12197
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND:Knowledge about Klinefelter syndrome (KS) has increased substantially since its first description almost 80 years ago. A variety of treatment options concerning the spectrum of symptoms associated with KS exists, also regarding aspects beyond testicular dysfunction. Nevertheless, the diagnostic rate is still...
journal_title:Andrology
pub_type: 杂志文章,评审
doi:10.1111/andr.12909
更新日期:2021-01-01 00:00:00
abstract:BACKGROUND:Previous studies suggested that sperm head shape may serve as an effective indicator of semen quality. However, there lacks research with large sample and quantitative measurement. OBJECTIVES:The objective of this retrospective study was to explore the association between sperm head elongation (Width/Length...
journal_title:Andrology
pub_type: 杂志文章
doi:10.1111/andr.12619
更新日期:2019-11-01 00:00:00
abstract::The morphology, ultrastructure, and functions of mature avian spermatozoa have been of immense commercial and scientific interest for several reasons. This is mainly important in case of birds in poultry production, conservation, and in the use of sperm morphometry as phylogenetic evidence. Avian spermatozoa share com...
journal_title:Andrology
pub_type: 杂志文章
doi:10.1111/andr.12130
更新日期:2016-03-01 00:00:00
abstract:BACKGROUND:Maximum urinary flow rate (Qmax) is usually increased after holmium laser enucleation of the prostate (HoLEP). However, improvements vary between patients and results regarding potential predictors of Qmax after HoLEP are inconsistent. Thus, we investigated pre-operative variables including second to fourth ...
journal_title:Andrology
pub_type: 杂志文章
doi:10.1111/andr.12564
更新日期:2019-03-01 00:00:00
abstract::In cryptorchid boys, failures in germ cell development have been clearly established. Some studies reported some abnormalities in Sertoli cells morphology but the results regarding their endocrine secretion remain controversial. To compare testicular hormone levels in young boys with and without cryptorchidism, we per...
journal_title:Andrology
pub_type: 杂志文章
doi:10.1111/andr.12373
更新日期:2017-07-01 00:00:00
abstract::Brain dysfunction in erectile dysfunction (ED) has been identified by multiple neuroimaging studies. A recent MRI study indicated grey matter alterations in ED patients. This study aims to investigate the microstructural changes of cerebral white matter (WM) in psychological ED patients and their possible correlations...
journal_title:Andrology
pub_type: 杂志文章
doi:10.1111/j.2047-2927.2014.00191.x
更新日期:2014-05-01 00:00:00
abstract::Sickle cell disease (SCD)-associated priapism is characterized by decreased nitric oxide (NO) signaling and downregulated phosphodiesterase (PDE)5 protein expression and activity in the penis. Priapism is also associated with testosterone deficiency, but molecular mechanisms underlying testosterone effects in the peni...
journal_title:Andrology
pub_type: 杂志文章
doi:10.1111/andr.12442
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Gene expression patterns along the epididymis are established by specific transcription factor networks that coordinate region-specific functions. In rodents, the epididymis can be divided in up to 19 segments. Based on gross anatomy, the human epididymis is divided into caput, corpus, and cauda segments tog...
journal_title:Andrology
pub_type: 杂志文章
doi:10.1111/andr.12745
更新日期:2020-05-01 00:00:00
abstract::The molecular basis of spermatogenic failure (SpF) is still largely unknown. Accumulating evidence suggests that a series of specific events such as meiosis, are determined at the early stage of spermatogenesis. This study aims to assess the expression profile of pre-meiotic genes of infertile testicular biopsies that...
journal_title:Andrology
pub_type: 杂志文章
doi:10.1111/j.2047-2927.2014.00217.x
更新日期:2014-07-01 00:00:00
abstract:BACKGROUND:Recent evidence suggests that routine semen analysis has limited power to predict male fertility. Several efforts have been made to best discriminate between fertile and subfertile men using several sperm features. So, there is a need to more reliable assays for providing molecular data to evaluate sperm qua...
journal_title:Andrology
pub_type: 杂志文章
doi:10.1111/andr.12801
更新日期:2020-09-01 00:00:00
abstract::Cell-free seminal RNA (cfs-RNA) is mixed transcripts derived from male reproductive organs, and is potential biomarker for the research and diagnosis of male reproductive-related diseases. However, some clinical factors, including age, asymptomatic Ureaplasma urealyticum (UU) infection, scrotal heat stress, abstinence...
journal_title:Andrology
pub_type: 杂志文章
doi:10.1111/andr.12238
更新日期:2016-11-01 00:00:00
abstract::Sperm DNA fragmentation varies between individuals and is more pronounced with increased patient age and time after sperm donation. The intensification of DNA fragmentation depends on the balance of the oxidoreductive system, which is regulated mainly by two enzymes - superoxide dismutase (SOD) and catalase. The objec...
journal_title:Andrology
pub_type: 杂志文章
doi:10.1111/andr.12061
更新日期:2015-07-01 00:00:00
abstract:STUDY QUESTION:Are de novo mutations in the human genome associated with male infertility? SUMMARY ANSWER:We identified de novo mutations in five candidate genes: SEMA5A, NEURL4, BRD2, CD1D, and CD63. WHAT IS KNOWN ALREADY:Epidemiological and genetic studies have consistently indicated contribution of genetic factors...
journal_title:Andrology
pub_type: 杂志文章
doi:10.1111/andr.12897
更新日期:2021-01-01 00:00:00
abstract:BACKGROUND:The transcription factor DMRTB1 plays a pivotal role in coordinating the transition between mitosis and meiosis in murine germ cells. No reliable data are available for human testis. OBJECTIVES:The present study aims to examine the testicular expression pattern of DMRTB1 in men showing normal and impaired s...
journal_title:Andrology
pub_type: 杂志文章
doi:10.1111/andr.12617
更新日期:2019-07-01 00:00:00
abstract::The double sex and mab-3-related transcription factor 1 (DMRT1) gene has long been linked to sex-determining pathways across vertebrates and is known to play an essential role in gonadal development and maintenance of spermatogenesis in mice. In humans, the genomic region harboring the DMRT gene cluster has been impli...
journal_title:Andrology
pub_type: 杂志文章
doi:10.1111/andr.12063
更新日期:2015-09-01 00:00:00
abstract::Male factor etiology may be a contributing factor in up to 60% of infertility cases. Dietary intake of phytoestrogens has been related to abnormal semen quality and hormone levels. However, its effect on couple fecundity is still unclear. Intake of soy products was assessed in 184 men from couples undergoing infertili...
journal_title:Andrology
pub_type: 杂志文章
doi:10.1111/andr.12046
更新日期:2015-07-01 00:00:00
abstract::Low testosterone levels in aging men are associated with insulin resistance. Mitochondrial dysfunction, changes in glycogen metabolism, and lipid accumulation are linked to insulin resistance in skeletal muscle. In this randomized, double-blinded, placebo-controlled study, we investigated the effects of six-month test...
journal_title:Andrology
pub_type: 杂志文章,随机对照试验
doi:10.1111/andr.12492
更新日期:2018-07-01 00:00:00
abstract::Scrotal skin is thin and has high steroid permeability, but the pharmacokinetics of testosterone via the scrotal skin route has not been studied in detail. The aim of this study was to define the pharmacokinetics of testosterone delivered via the scrotal skin route. The study was a single-center, three-phase cross-ove...
journal_title:Andrology
pub_type: 杂志文章,随机对照试验
doi:10.1111/andr.12357
更新日期:2017-07-01 00:00:00
abstract::Approximately 40% of middle-aged men exhibit symptoms of late-onset hypogonadism (LOH). However, the mechanism of androgen deficiency is still currently unclear. As shown in our previous studies, the SET protein is expressed in testicular Leydig cells and ovarian granule cells. This study was designed to investigate t...
journal_title:Andrology
pub_type: 杂志文章
doi:10.1111/andr.12476
更新日期:2018-05-01 00:00:00
abstract:OBJECTIVE:To investigate the possible role of serum norepinephrine (NE), leptin, and 5-hydroxytryptamine (5-HT) and their correlations with sympathetic skin response located in the penis (PSSR) in primary premature ejaculation (PPE). METHODS:We compared the serum level of NE, leptin, and 5-HT, intravaginal ejaculatory...
journal_title:Andrology
pub_type: 杂志文章
doi:10.1111/andr.12773
更新日期:2020-09-01 00:00:00