Volume 13, Issue 8 (9-2015)                   IJRM 2015, 13(8): 495-502 | Back to browse issues page

XML Persian Abstract Print


1- International Campus, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
2- Research and Clinical Center for Infertility, Shahid Sadoughi University of Medical Sciences, Yazd, Iran , prof_talebi@ssu.ac.ir
3- Research and Clinical Center for Infertility, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Abstract:   (2862 Views)
Background: Globozoospermia is a severe form of teratozoospermia (incidence < 0.1%) in infertile men that is characterized by round headed sperm and acrosomeless in semen.
Objective: To compare the semen parameters, protamine deficiency, and apoptosis in ejaculated spermatozoa between globozoospermic and normozoospermic men.
Materials and Methods: Thirty six semen samples were divided into two groups including 15 infertile men with total globozoospermic (> 90% round-headed sperm) and 21 healthy donors with normal spermograms as controls. Semen analysis was performed according to World Health Organization criteria (2010). Sperm protamine deficiency was assessed using Chromomycin A3 (CMA3) staining and the rate of apoptotic spermatozoa was evaluated with TUNEL assay.
Results: Sperm concentration, motility, and normal morphology in globozoospermic men were significantly decreased compared with controls (p<0.05). The rate of CMA3-reacted spermatozoa (CMA3+) in globozoospermic men was higher than controls (65.93 ± 11.77 vs. 21.24 ± 7.37, respectively, p<0.0001). The rate of apoptotic spermatozoa (TUNEL positive) were significantly increased in globozoospermic cases with respect to the controls (17.60 ± 10.72 and 5.95 ± 3.02, respectively, p<0.0001). There was no significant correlation between sperm protamine deficiency and apoptosis in globozoospermic men.
Conclusion: Globozoospermic samples contain a higher proportion of spermatozoa with abnormal chromatin packaging and DNA fragmentation than normozoospermic samples. Therefore, in addition to absence of acrosome in the spermatozoa of globozoospermic patients, the high percentage of spermatozoa with immature chromatin and apoptotic marker may be considered as the other etiologies of infertility in these patients.
Full-Text [PDF 172 kb]   (579 Downloads) |   |   Full-Text (HTML)  (373 Views)  
Type of Study: Original Article |

References
1. Dam AHDM, Feenstra I, WestphalJR, RamosL, Van GoldeRJT, and KremerJAM. Globozoospermia revisited. Hum Reprod Update 2007; 13: 63-75. [DOI:10.1093/humupd/dml047]
2. Demir B, Bozdağ G,Günalp S. Two Siblings with Complete Globozoospermia. J Turk Gynecol Assoc 2008; 9: 164-167.
3. Khalili MA, Kalantar SM, Vahidi S, Ghafour-Zadeh M. Failure of fertilization following intracytoplasmic injection of round-headed sperm. Annals of Saudi medicine 1998; 18: 408-411. [DOI:10.5144/0256-4947.1998.408]
4. Sahu B, Ozturk O, Serhal P. Successful pregnancy in globozoospermia with severe oligoasthenospermia after ICSI. J Inst Obstet Gynaecol 2010; 30: 869-870. [DOI:10.3109/01443615.2010.515321]
5. Blanchard Y, Lescoat D, Le Lannou D. Anomalous distribution of nuclear basic proteins in round-headed human spermatozoa. Andrologia 1990; 22: 549-555. [DOI:10.1111/j.1439-0272.1990.tb02052.x]
6. Vozdova M, Rybar R, Kloudova S, Prinosilova P, Texl P, Rubes J. Total globozoospermia associated with increased frequency of immature spermatozoa with chromatin defects and aneuploidy: a case report. Andrologia 2014; 46:831-836. [DOI:10.1111/and.12156]
7. Vicari E, Perdichizzi A, De Palma A, Burrello N, D'Agata R, Calogero AE. Globozoospermia is associated with chromatin structure abnormalities: case report. Hum Reprod 2002; 17: 2128-2133. [DOI:10.1093/humrep/17.8.2128]
8. Carrell DT, Emery BR, Liu L. Characterization of aneuploidy rates, protamine levels, ultrastructure, and functional ability of round-headed sperm from two siblings and implications for intracytoplasmic sperm injection. Fertil Steril 1999; 71: 511-516. [DOI:10.1016/S0015-0282(98)00498-1]
9. Larson KL, Brannian JD, Singh NP, Burbach JA, Jost LK, Hansen KP, et al. Chromatin structure in globozoospermia: a case report. J Androl 2001; 22: 424-431.
10. Sutovsky P, Terada Y, Schatten G. Ubiquitin-based sperm assay for the diagnosis of male factor infertility. Hum Reprod 2001; 16: 250-258. [DOI:10.1093/humrep/16.2.250]
11. Deemeh MR. Evaluation of protamine deficiency and DNA fragmentation in two globozoospermia patients undergoing ICSI. Iran J Fertil Steril 2007; 1: 85-88.
12. Perrin A, Louanjli N, Ziane Y, Louanjli T, Le Roy C, Gueganic N, et al. Study of aneuploidy and DNA fragmentation in gametes of patients with severe teratozoospermia. Reprod Biomed Online 2011; 22: 148-154. [DOI:10.1016/j.rbmo.2010.10.006]
13. Aitken RJ, Koppers AJ. Apoptosis and DNA damage in human spermatozoa. Asian J Androl 2011; 13: 36-42. [DOI:10.1038/aja.2010.68]
14. Potts RJ, Newbury CJ, Smith G, Notarianni LJ, Jefferies TM. Sperm chromatin damage associated with male smoking. Mutat Res 1999; 423: 103-111. [DOI:10.1016/S0027-5107(98)00242-5]
15. Perrin A, Coat C, Nguyen MH, Talagas M, Morel F, Amice J, et al. Molecular cytogenetic and genetic aspects of globozoospermia: a review. Andrologia 2013; 45: 1-9. [DOI:10.1111/j.1439-0272.2012.01308.x]
16. World Health Organization, Department of Reproductive Health and Research, WHO laboratory manual for the Examination and processing of human semen. 5th Ed. Cambridge University Press; 2010.
17. Khalili MA, Mojibian M, Sultan AM. Role of oocyte morphology on fertilization and embryo formation in assisted reproductive techniques. Mid East Fertil Soc J 2005; 10: 72-77.
18. Talebi AR, Khalili MA, Vahidi S, Ghasemzadeh J, Tabibnejad N.Spermchromatin condensation, DNA integrity, and apoptosis in men with spinal cord injury. J Spinal Cord Med 2013; 36: 140-146. [DOI:10.1179/2045772312Y.0000000055]
19. Talebi AR, Moein MR, Tabibnejad N, Ghasemzadeh J. Effect of varicocele on chromatin condensation and DNA integrity of ejaculated spermatozoa using cytochemical tests. Andrologia 2008; 4:245–251. [DOI:10.1111/j.1439-0272.2008.00852.x]
20. HosseinifarH, Yazdanikhah S, Modarresi T, Totonchi M, SadighiGilani MA, and Sabbaghian M. Correlation between sperm DNA fragmentation index and CMA3positive spermatozoa inglobozoospermic patients. Andrology 2015; 3:526-531. [DOI:10.1111/andr.12030]
21. Dam AH, Ramos L, Dijkman HB, Woestenenk R, Robben H, van den Hoven L, et al. Morphology of partial globozoospermia. J Androl 2011; 32:199-206. [DOI:10.2164/jandrol.109.009530]
22. Agarwal A, Allamaneni SS. Sperm DNA damage assessment: a test whose time has come. Fertil Steril 2005; 84:850–853. [DOI:10.1016/j.fertnstert.2005.03.080]
23. Schulte RT, Ohl DA, Sigman M, Smith GD. Sperm DNAdamage in male infertility: etiologies, assays, and outcomes. J Assist Reprod Genet 2010; 27: 3-12. [DOI:10.1007/s10815-009-9359-x]
24. Nardo LG, Sinatra F, Bartoloni G, Zafarana S, Nardo F. Ultrastructural features and ICSI treatment of severe teratozoospermia: report of two human cases of globozoospermia. EJOG 2002; 104: 40-42. [DOI:10.1016/S0301-2115(01)00602-9]
25. Taylor SL, Yoon SY, Morshedi MS, Lacey DR, Jellerette T, Fissore RA, et al. Complete globozoospermia associated with PLCzeta deficiency treated with calcium ionophore and ICSI results in pregnancy. Reprod Biomed Online 2010; 20:559-564. [DOI:10.1016/j.rbmo.2009.12.024]
26. Collins JA, Barnhart KT, Schlegel PN. Do sperm DNA integrity tests predict pregnancy with in vitro fertilization? Fertil Steril 2008; 89: 823-831. [DOI:10.1016/j.fertnstert.2007.04.055]
27. Agarwal A, Said TM. Role of sperm chromatin abnormalities and DNA damage in male infertility. Hum Reprod Update 2003; 9: 331–345. [DOI:10.1093/humupd/dmg027]
28. Perrin A, Louanjli N, Ziane Y, Louanjli T, Le Roy C, Gueganic N, et al. Study of aneuploidy and DNA fragmentation in gametes of patients with severe teratozoospermia. Reprod Biomed Online 2011; 22: 148-154. [DOI:10.1016/j.rbmo.2010.10.006]
29. Sermondade N, Hafhouf E, Dupont C, Bechoua S, Palacios C, Eustache F, et al. Successful childbirth after intracytoplasmic morphologically selected sperm injection without assisted oocyte activation in a patient with globozoospermia. Hum Reprod 2011; 26: 2944-2949. [DOI:10.1093/humrep/der258]
30. Virro MR, Larson-Cook KL, Evenson DP. Sperm chromatin structure assay (SCSA) parameters are related to fertilization, blastocyst development, and ongoing pregnancy in in vitro fertilization and intracytoplasmic sperm injection cycles. Fertil Steril 2004; 81:1289–1295. [DOI:10.1016/j.fertnstert.2003.09.063]
31. Sakkas D, Seli E, Bizzaro D, Tarozzi N, Manicardi GC. Abnormal spermatozoa in the ejaculate: abortive apoptosis and faulty nuclear remodeling during spermatogenesis. Reprod Biomed Online 2003; 7:428–432. [DOI:10.1016/S1472-6483(10)61886-X]

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.