Relationships between sperm DNA fragmentation, age of donors and patients and children with psychic disorders

Abstract

OBJECTIVE: Some authors describe similar and high fertilization and pregnancy rates in non-obstructive azoospermia (NOA) patients whereas others report lower outcomes in NOA than in obstructive azoospermia (OA) patients. Sperm DNA damage is associated with reduced fertilization rates, embryo quality and pregnancy rates and higher rates of spontaneous miscarriage and childhood disease. Meanwhile, mouse zygotes respond to spermDNA damage through a non-apoptoticmechanism that acts by slowing paternal DNA replication and embryonic development. In this study, we compared the early development of embryos fertilized with NOA and OA spermatozoa by using time-lapse monitoring system. DESIGN: This is a retrospective study. MATERIALS AND METHODS: Six oocytes with ICSI using testicular spermatozoa from NOA and 35 oocytes with OA from 2013 to 2014 were used. The exact times for each embryo division and developmental parameters were calculated in hours after ICSI. Time-lapse images of each embryo were retrospectively analyzed by PrimoVision software. The developmental events observed in each embryo were at the time of the visibility of two pronuclei (2PN), syngamy, two cells and four cells. These parameters were compared between the NOA group and the OA group. RESULTS: The time of the visibility of 2PN in the NOA group (9.5 1.4 hours) was significantly earlier than that in the OA group (12.1 2.3 hours). However, the time from the visibility of 2PN to the syngamy in the NOA group (13.2 3.4 hours) was significantly longer than that in the OA group (10.6 2.7 hours). The time between the syngamy and the two cells in the NOA group (12.2 1.3 hours) was comparable with that in the OA group (16.6 10.2 hours). The time from the two cells to the four cells in the NOA group (13.5 3.5 hours) was also comparable with that in the OA group (10.0 4.2 hours). CONCLUSION: The time from the visibility of 2PN to the pronuclear fading (syngamy) after ICSI with testicular spermatozoa from NOAwas prolonged compared to that after ICSI with testicular spermatozoa from OA.