Estudio de los daños estructurales tras la inmovilización espermática previa a la microinyección intracitoplasmática de espermatozoides en sujetos teratozoospérmicos

Abstract

ObjectiveTo describe and compare the ultrastructural alterations, DNA fragmentation and acrosome status that could cause sperm immobilisation prior to intracytoplasmic sperm injection, in samples from normozoospermic and teratozoospermic males. Material and methodsFor this study we used 15 sperm samples from consenting normozoospermic donors and 20 samples from teratozoospermic males, submitted for assisted reproduction at Instituto Bernabeu of Alicante. To assess the ultrastructural alterations induced by immobilisation, human oocytes were used as containers for spermatozoa and then observed by transmission electron microscopy. DNA fragmentation was assessed using TUNEL and acrosome status using fluorescein isothiocyanate-conjugated Pisum sativum agglutinin. The control group consisted of sperm without manipulation. Statistical analysis between groups was performed by ANOVA. ResultsThe results showed that immobilised spermatozoa presented the same damage in plasma and acrosomal membranes in the samples from both normozoospermic and teratozoospermic subjects. After assessing DNA fragmentation in the cells from normozoospermic and teratozoospermic patients by the TUNEL technique, we observed that the percentage of spermatozoa with DNA fragmentation did not increase in the immobilised group compared with the control group. However, the percentage of acrosome-reacted sperm was significantly greater in immobilised spermatozoa than in the control group in both normozoospermic and teratozoospermic males. ConclusionThe results of this study show that the structural damage caused by immobilisation in spermatozoa from teratozoospermic and normozoospermic males is independent of sperm morphology. In addition, the immobilisation does not cause DNA fragmentation. However, the percentage of acrosome-reacted sperm was greater in the immobilised group than in the control group, in both normozoospermic and teratozoospermic subjects.