ObjectiveTo identify and report some factors involved in fertilization failures after ICSI.DesignDescriptive.Materials and MethodsAt the present study, 2300 human oocytes with fertilization failure after ICSI were considered. Nine hundred corresponded to sub-optimal fertilization (<50%). For oocyte assessment, fixation and subsequent processing was performed. Acetylated alpha tubulin, beta tubulin and MPF (CyclinB-Cdc2) immuno-staining was performed using monoclonal antibodies. DNA detection was carried out with Hoechst-33342 and TUNEL (DNA damage). When oocyte activation failure and sperm nuclear decondensation failure were observed, Western-Blot and immunocytochemistry detection were performed over semen samples for PLCzeta (oocyte activation protein) and nuclear sperm in-vitro decondensation test was also assessed.ResultsTable 1Fertilization failures eventsICSIFert<50%TOTAL# oocytes14009002300Sperm absence8%3%6%Premature chromosome condensation (oocyte cytoplasmic immaturity)28%50%36.6%Sperm nuclear decondensation failure19%30%23.3%Pronuclear formation defects18%6%13.3%1st mitotic division arrest15%6%11.5Others12%5%9.3% Open table in a new tab Specifically, when oocyte activation failures occurred concomitantly with sperm nuclear decondensation failure (155 oocytes), 13.2% depicted a significant decrease in PLCzeta levels, 21.2% presented sperm DNA fragmentation, 39.4% showed several levels of sperm nuclear decondensation and 10.5% of the oocytes had an inability to perform an adequate chromatin remodeling, probably due to lower levels of glutation.ConclusionIn general, fertilization failure occurs in 28% of cases for an incomplete oocyte cytoplasmic maturation. This value is increased to 50% when fertilization failures take place in ≥ 50% of the oocyte cohort. The second most recurrent event was sperm DNA decondensation failure, 39.4% depicted variable decondensation levels. Oocyte features has more implications over fertilization failures after ICSI. ObjectiveTo identify and report some factors involved in fertilization failures after ICSI. To identify and report some factors involved in fertilization failures after ICSI. DesignDescriptive. Descriptive. Materials and MethodsAt the present study, 2300 human oocytes with fertilization failure after ICSI were considered. Nine hundred corresponded to sub-optimal fertilization (<50%). For oocyte assessment, fixation and subsequent processing was performed. Acetylated alpha tubulin, beta tubulin and MPF (CyclinB-Cdc2) immuno-staining was performed using monoclonal antibodies. DNA detection was carried out with Hoechst-33342 and TUNEL (DNA damage). When oocyte activation failure and sperm nuclear decondensation failure were observed, Western-Blot and immunocytochemistry detection were performed over semen samples for PLCzeta (oocyte activation protein) and nuclear sperm in-vitro decondensation test was also assessed. At the present study, 2300 human oocytes with fertilization failure after ICSI were considered. Nine hundred corresponded to sub-optimal fertilization (<50%). For oocyte assessment, fixation and subsequent processing was performed. Acetylated alpha tubulin, beta tubulin and MPF (CyclinB-Cdc2) immuno-staining was performed using monoclonal antibodies. DNA detection was carried out with Hoechst-33342 and TUNEL (DNA damage). When oocyte activation failure and sperm nuclear decondensation failure were observed, Western-Blot and immunocytochemistry detection were performed over semen samples for PLCzeta (oocyte activation protein) and nuclear sperm in-vitro decondensation test was also assessed. ResultsTable 1Fertilization failures eventsICSIFert<50%TOTAL# oocytes14009002300Sperm absence8%3%6%Premature chromosome condensation (oocyte cytoplasmic immaturity)28%50%36.6%Sperm nuclear decondensation failure19%30%23.3%Pronuclear formation defects18%6%13.3%1st mitotic division arrest15%6%11.5Others12%5%9.3% Open table in a new tab Specifically, when oocyte activation failures occurred concomitantly with sperm nuclear decondensation failure (155 oocytes), 13.2% depicted a significant decrease in PLCzeta levels, 21.2% presented sperm DNA fragmentation, 39.4% showed several levels of sperm nuclear decondensation and 10.5% of the oocytes had an inability to perform an adequate chromatin remodeling, probably due to lower levels of glutation. Specifically, when oocyte activation failures occurred concomitantly with sperm nuclear decondensation failure (155 oocytes), 13.2% depicted a significant decrease in PLCzeta levels, 21.2% presented sperm DNA fragmentation, 39.4% showed several levels of sperm nuclear decondensation and 10.5% of the oocytes had an inability to perform an adequate chromatin remodeling, probably due to lower levels of glutation. ConclusionIn general, fertilization failure occurs in 28% of cases for an incomplete oocyte cytoplasmic maturation. This value is increased to 50% when fertilization failures take place in ≥ 50% of the oocyte cohort. The second most recurrent event was sperm DNA decondensation failure, 39.4% depicted variable decondensation levels. Oocyte features has more implications over fertilization failures after ICSI. In general, fertilization failure occurs in 28% of cases for an incomplete oocyte cytoplasmic maturation. This value is increased to 50% when fertilization failures take place in ≥ 50% of the oocyte cohort. The second most recurrent event was sperm DNA decondensation failure, 39.4% depicted variable decondensation levels. Oocyte features has more implications over fertilization failures after ICSI.
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