Evaluation of Sperm DNA Fragmentation Using Two Different Methods: TUNEL via Fluorescence Microscopy, and Flow Cytometry

<i>Background and Objectives</i>: Sperm DNA fragmentation refers to any break in one or both of the strands of DNA in the head of a sperm. The most widely used methodologies for assessing sperm DNA fragmentation are the sperm chromatin structure assay (SCSA), the sperm chromatin dispersi...

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Main Authors: Katerina Chatzimeletiou, Alexandra Fleva, Theodoros-Thomas Nikolopoulos, Maria Markopoulou, Glykeria Zervakakou, Kyriakos Papanikolaou, George Anifandis, Anastasia Gianakou, Grigoris Grimbizis
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Medicina
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Online Access:https://www.mdpi.com/1648-9144/59/7/1313
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author Katerina Chatzimeletiou
Alexandra Fleva
Theodoros-Thomas Nikolopoulos
Maria Markopoulou
Glykeria Zervakakou
Kyriakos Papanikolaou
George Anifandis
Anastasia Gianakou
Grigoris Grimbizis
author_facet Katerina Chatzimeletiou
Alexandra Fleva
Theodoros-Thomas Nikolopoulos
Maria Markopoulou
Glykeria Zervakakou
Kyriakos Papanikolaou
George Anifandis
Anastasia Gianakou
Grigoris Grimbizis
author_sort Katerina Chatzimeletiou
collection DOAJ
description <i>Background and Objectives</i>: Sperm DNA fragmentation refers to any break in one or both of the strands of DNA in the head of a sperm. The most widely used methodologies for assessing sperm DNA fragmentation are the sperm chromatin structure assay (SCSA), the sperm chromatin dispersion assay (SCD), the single-cell gel electrophoresis assay (SCGE–comet), and the terminal-deoxynucleotidyl-transferase (TdT)-mediated dUTP nick end labelling (TUNEL) assay. The aim of this study was to compare the efficiency and sensitivity of the analysis of sperm DNA fragmentation using TUNEL via fluorescence microscopy, and flow cytometry. <i>Materials and Methods</i>: Semen samples were collected and analyzed for standard characteristics using light microscopy, and for sperm DNA fragmentation using both TUNEL via fluorescence microscopy, and flow cytometry. <i>Results:</i> There were no significant differences in the values of the sperm DNA fragmentation index (DFI) obtained when the analysis was performed using TUNEL or flow cytometry (<i>p</i> = 0.543). Spearman’s correlation analysis revealed a significant negative correlation between sperm motility (%) and sperm DNA fragmentation (<i>p</i> < 0.01), as well as between sperm concentration and sperm DNA fragmentation (<i>p</i> < 0.05). The Mann–Whitney U test showed no significant difference in the DFI among couples with repeated implantation failure (RIF) and miscarriages (<i>p</i> = 0.352). <i>Conclusions:</i> Both methods (TUNEL via fluorescence microscopy, and flow cytometry) have a high efficiency and sensitivity in accurately detecting sperm DNA fragmentation, and can be effectively used to assess male fertility.
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spelling doaj.art-9866e4a3142f4beb8382a3f218f69df22023-11-18T20:24:59ZengMDPI AGMedicina1010-660X1648-91442023-07-01597131310.3390/medicina59071313Evaluation of Sperm DNA Fragmentation Using Two Different Methods: TUNEL via Fluorescence Microscopy, and Flow CytometryKaterina Chatzimeletiou0Alexandra Fleva1Theodoros-Thomas Nikolopoulos2Maria Markopoulou3Glykeria Zervakakou4Kyriakos Papanikolaou5George Anifandis6Anastasia Gianakou7Grigoris Grimbizis8Unit for Human Reproduction, 1st Department of Obstetrics & Gynaecology, ‘Papageorgiou’ General Hospital, Aristotle University Medical School, 56403 Thessaloniki, GreeceDepartment of Immunology and Histocompatibility, ‘Papageorgiou’ General Hospital, 56403 Thessaloniki, GreeceUnit for Human Reproduction, 1st Department of Obstetrics & Gynaecology, ‘Papageorgiou’ General Hospital, Aristotle University Medical School, 56403 Thessaloniki, GreeceDepartment of Immunology and Histocompatibility, ‘Papageorgiou’ General Hospital, 56403 Thessaloniki, GreeceFertilia by Genesis, IVF Unit, 54301 Thessaloniki, GreeceFertilia by Genesis, IVF Unit, 54301 Thessaloniki, GreeceDepartment of Obstetrics and Gynecology, School of Health Sciences, Faculty of Medicine, University of Thessaly, 41200 Larisa, GreeceDepartment of Immunology and Histocompatibility, ‘Papageorgiou’ General Hospital, 56403 Thessaloniki, GreeceUnit for Human Reproduction, 1st Department of Obstetrics & Gynaecology, ‘Papageorgiou’ General Hospital, Aristotle University Medical School, 56403 Thessaloniki, Greece<i>Background and Objectives</i>: Sperm DNA fragmentation refers to any break in one or both of the strands of DNA in the head of a sperm. The most widely used methodologies for assessing sperm DNA fragmentation are the sperm chromatin structure assay (SCSA), the sperm chromatin dispersion assay (SCD), the single-cell gel electrophoresis assay (SCGE–comet), and the terminal-deoxynucleotidyl-transferase (TdT)-mediated dUTP nick end labelling (TUNEL) assay. The aim of this study was to compare the efficiency and sensitivity of the analysis of sperm DNA fragmentation using TUNEL via fluorescence microscopy, and flow cytometry. <i>Materials and Methods</i>: Semen samples were collected and analyzed for standard characteristics using light microscopy, and for sperm DNA fragmentation using both TUNEL via fluorescence microscopy, and flow cytometry. <i>Results:</i> There were no significant differences in the values of the sperm DNA fragmentation index (DFI) obtained when the analysis was performed using TUNEL or flow cytometry (<i>p</i> = 0.543). Spearman’s correlation analysis revealed a significant negative correlation between sperm motility (%) and sperm DNA fragmentation (<i>p</i> < 0.01), as well as between sperm concentration and sperm DNA fragmentation (<i>p</i> < 0.05). The Mann–Whitney U test showed no significant difference in the DFI among couples with repeated implantation failure (RIF) and miscarriages (<i>p</i> = 0.352). <i>Conclusions:</i> Both methods (TUNEL via fluorescence microscopy, and flow cytometry) have a high efficiency and sensitivity in accurately detecting sperm DNA fragmentation, and can be effectively used to assess male fertility.https://www.mdpi.com/1648-9144/59/7/1313spermDNA fragmentationtunel assayflow cytometryinfertility
spellingShingle Katerina Chatzimeletiou
Alexandra Fleva
Theodoros-Thomas Nikolopoulos
Maria Markopoulou
Glykeria Zervakakou
Kyriakos Papanikolaou
George Anifandis
Anastasia Gianakou
Grigoris Grimbizis
Evaluation of Sperm DNA Fragmentation Using Two Different Methods: TUNEL via Fluorescence Microscopy, and Flow Cytometry
Medicina
sperm
DNA fragmentation
tunel assay
flow cytometry
infertility
title Evaluation of Sperm DNA Fragmentation Using Two Different Methods: TUNEL via Fluorescence Microscopy, and Flow Cytometry
title_full Evaluation of Sperm DNA Fragmentation Using Two Different Methods: TUNEL via Fluorescence Microscopy, and Flow Cytometry
title_fullStr Evaluation of Sperm DNA Fragmentation Using Two Different Methods: TUNEL via Fluorescence Microscopy, and Flow Cytometry
title_full_unstemmed Evaluation of Sperm DNA Fragmentation Using Two Different Methods: TUNEL via Fluorescence Microscopy, and Flow Cytometry
title_short Evaluation of Sperm DNA Fragmentation Using Two Different Methods: TUNEL via Fluorescence Microscopy, and Flow Cytometry
title_sort evaluation of sperm dna fragmentation using two different methods tunel via fluorescence microscopy and flow cytometry
topic sperm
DNA fragmentation
tunel assay
flow cytometry
infertility
url https://www.mdpi.com/1648-9144/59/7/1313
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