Cementing the relationship between conventional and advanced semen parameters

Abstract Background Affordable conventional semen analysis remains a fundamental procedure to be performed routinely during the diagnosis of male infertility. Advanced semen analyses provide valuable clinical insights in treatment-related decision-making, but these are highly expensive and lack univ...

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Main Authors: Bashir M. Ayad, Ibukun P. Oyeyipo, Gerhard Van der Horst, Stefan S. Du Plessis
Format: Article
Language:English
Published: SpringerOpen 2021-10-01
Series:Middle East Fertility Society Journal
Subjects:
Online Access:https://doi.org/10.1186/s43043-021-00086-z
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author Bashir M. Ayad
Ibukun P. Oyeyipo
Gerhard Van der Horst
Stefan S. Du Plessis
author_facet Bashir M. Ayad
Ibukun P. Oyeyipo
Gerhard Van der Horst
Stefan S. Du Plessis
author_sort Bashir M. Ayad
collection DOAJ
description Abstract Background Affordable conventional semen analysis remains a fundamental procedure to be performed routinely during the diagnosis of male infertility. Advanced semen analyses provide valuable clinical insights in treatment-related decision-making, but these are highly expensive and lack universal standardization. This study aimed at determining the relationship between conventional semen parameters, measured with assistance of computer-aided sperm analysis (CASA), and a set of advanced semen tests. Basic semen analysis (n = 124) was performed according to the World Health Organization (WHO) guidelines. Sperm DNA fragmentation and intracellular superoxide (O2 −•) levels were assessed by flow cytometry. Seminal plasma thiobarbituric acid reactive substances (TBARS) levels as well as superoxide dismutase (SOD) and catalase (CAT) activity were measured by spectrophotometry. Spearman’s rank correlation coefficient was used, with significance set at p < 0.05. Results Semen pH correlated negatively with TBARS (p < 0.01). The proportions of total and progressively motile as well as rapid spermatozoa correlated positively with CAT activity (p < 0.05). Sperm viability correlated negatively with both O2 −• (p < 0.05) and DNA fragmentation (p = 0.01), while normal morphology correlated negatively with O2 −• levels (p < 0.05) and positively with CAT activity (p < 0.05). Straight-line velocity (VCL) and average-path velocity (VAP) correlated negatively with both O2 −• (p < 0.01) and TBARS (p < 0.01). Amplitude of lateral head displacement (ALH) correlated negatively with O2 −• (p < 0.01) and DNA fragmentation (p < 0.01), while its correlation with SOD activity was positive (p < 0.05). Conclusion The results obtained from this study support the validity of some CASA parameters as sensitive indicators of changes in sperm oxidative status and DNA integrity. Predicting advanced from conventional parameters through the building of linear regression models should be considered for future studies.
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spelling doaj.art-5b616795e4b344d59afdbd4d95a194522022-12-21T19:58:45ZengSpringerOpenMiddle East Fertility Society Journal2090-32512021-10-0126111010.1186/s43043-021-00086-zCementing the relationship between conventional and advanced semen parametersBashir M. Ayad0Ibukun P. Oyeyipo1Gerhard Van der Horst2Stefan S. Du Plessis3Department of Physiology, Faculty of Medicine, Misurata UniversityDivision of Medical Physiology, Faculty of Medicine and Health Sciences, Stellenbosch UniversityDivision of Medical Physiology, Faculty of Medicine and Health Sciences, Stellenbosch UniversityDivision of Medical Physiology, Faculty of Medicine and Health Sciences, Stellenbosch UniversityAbstract Background Affordable conventional semen analysis remains a fundamental procedure to be performed routinely during the diagnosis of male infertility. Advanced semen analyses provide valuable clinical insights in treatment-related decision-making, but these are highly expensive and lack universal standardization. This study aimed at determining the relationship between conventional semen parameters, measured with assistance of computer-aided sperm analysis (CASA), and a set of advanced semen tests. Basic semen analysis (n = 124) was performed according to the World Health Organization (WHO) guidelines. Sperm DNA fragmentation and intracellular superoxide (O2 −•) levels were assessed by flow cytometry. Seminal plasma thiobarbituric acid reactive substances (TBARS) levels as well as superoxide dismutase (SOD) and catalase (CAT) activity were measured by spectrophotometry. Spearman’s rank correlation coefficient was used, with significance set at p < 0.05. Results Semen pH correlated negatively with TBARS (p < 0.01). The proportions of total and progressively motile as well as rapid spermatozoa correlated positively with CAT activity (p < 0.05). Sperm viability correlated negatively with both O2 −• (p < 0.05) and DNA fragmentation (p = 0.01), while normal morphology correlated negatively with O2 −• levels (p < 0.05) and positively with CAT activity (p < 0.05). Straight-line velocity (VCL) and average-path velocity (VAP) correlated negatively with both O2 −• (p < 0.01) and TBARS (p < 0.01). Amplitude of lateral head displacement (ALH) correlated negatively with O2 −• (p < 0.01) and DNA fragmentation (p < 0.01), while its correlation with SOD activity was positive (p < 0.05). Conclusion The results obtained from this study support the validity of some CASA parameters as sensitive indicators of changes in sperm oxidative status and DNA integrity. Predicting advanced from conventional parameters through the building of linear regression models should be considered for future studies.https://doi.org/10.1186/s43043-021-00086-zCASADNA fragmentationSemen analysisSperm motilityOxidative stress
spellingShingle Bashir M. Ayad
Ibukun P. Oyeyipo
Gerhard Van der Horst
Stefan S. Du Plessis
Cementing the relationship between conventional and advanced semen parameters
Middle East Fertility Society Journal
CASA
DNA fragmentation
Semen analysis
Sperm motility
Oxidative stress
title Cementing the relationship between conventional and advanced semen parameters
title_full Cementing the relationship between conventional and advanced semen parameters
title_fullStr Cementing the relationship between conventional and advanced semen parameters
title_full_unstemmed Cementing the relationship between conventional and advanced semen parameters
title_short Cementing the relationship between conventional and advanced semen parameters
title_sort cementing the relationship between conventional and advanced semen parameters
topic CASA
DNA fragmentation
Semen analysis
Sperm motility
Oxidative stress
url https://doi.org/10.1186/s43043-021-00086-z
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AT stefansduplessis cementingtherelationshipbetweenconventionalandadvancedsemenparameters