همبستگی پارامترهای اسپرمی با شاخص شکست DNA اسپرم در مردان نابارور منتخب لقاح با روش تزریق داخل سیتوپلاسمی اسپرم (ICSI)

نوع مقاله : مقاله پژوهشی

نویسندگان
1 گروه زیست شناسی، واحد جهرم، دانشگاه آزاد اسلامی، جهرم، ایران
2 گروه فناوری های نوین پزشکی، دانشکده پزشکی، دانشگاه علوم پزشکی جهرم، جهرم، ایران
چکیده
مقدمه:  عملکرد طبیعی اسپرم در مردان که روی باروری تاثیرگذار است، بستگی به حفظ یکپارچگی DNA اسپرم دارد. مطالعه حاضر با هدف بررسی نقش شاخص شکست DNA اسپرم (DFI)در ارزیابی توانایی باروری مردان شرکت کننده در لقاح به روش تزریق داخل سیتوپلاسمی اسپرم (ICSI)انجام شد. 
روش کار: مطالعه مقطعی حاضر روی 60 بیمار مرد نابارور شرکت کننده در تلقیح مصنوعی (ICSI) در بیمارستان سیدالشهداء جهرم انجام شد. پس از جمع‌آوری سمن و آماده سازی اسپرم به روش دانسیته گرادیان، پارامترهای اسپرمی بررسی و DFI اسپرم به روش سنجش پراکندگی کروماتین تعیین شد. بیماران در سه گروه با DFI کمتر از 15%، بین 15 تا 30% و بیشتر از 30% دسته بندی شدند. پس از تحلیل سمن و انجام لقاح، میزان لقاح و تعداد جنین مشخص شد. داده‌های حاصل با آزمون‌های توصیفی و همبستگی DFI با پارامترهای اسپرمی و پیامدهای لقاح به کمک آزمون پیرسون ارزیابی شد. 
یافته‌ها: نتایج بیانگر کاهش معنی‌دار (0.05>p) در تعداد و حرکت روبه‌جلوی اسپرم و همچنین افزایش معنادار بی‌تحرکی آن در نتیجه افزایش DFI بود. براساس مقدار ضریب همبستگی، DFI با پارامترهای اسپرمی تعداد ( 0.48-=r)، حرکت روبه‌ جلو (0.52-=r)، میزان لقاح (0.83-=r) و تعداد جنین حاصل (0.35-=r) رابطه معکوس و با پارامتر بی‌تحرکی (0.47=r) رابطه مستقیم داشت.

نتیجه‌گیری: نتایج حاصل ضمن تأکید بر اهمیت DFI در ارزیابی قدرت باروری مردان، به عنوان عامل پیش بینی کننده پیامدهای بارداری هم باید مورد توجه قرار گیرد. لذا اندازه گیری آن در لقاح میکرواینجکشن توصیه می شود.
کلیدواژه‌ها

عنوان مقاله English

Correlation of sperm parameters with sperm DNA fragmentation index in infertile men candidate for fertilization by intracytoplasmic sperm injection (ICSI)

نویسندگان English

Reza Paknejad 1
Farangis Ghassemi 1
Samaneh Zolghasri Jahromi 1
Masumeh Golestan Jahromi 2
1 Department of Biology, Jahrom Branch, Islamic Azad University, Jahrom, Iran;
2 Department of Advanced Medical Science & Technologies, School of Medicine, Jahrom University of Medical Science, Jahrom, Iran
چکیده English

Introduction: The normal function of sperm depends on maintaining sperm DNA integrity that effects
on male fertility. Considering the conflicting information about this issue, this study was conducted
with the aim of evaluating the role of DNA fragmentation index (DFI) on male fertility in fertilization
by intracytoplasmic sperm injection (ICSI)
Meaterials & Methods: This cross-sectional study was conducted on 60 infertile male patients participating in artificial insemination (ICSI) in Seyyed al-Shohada hospital in Jahrom. After semen collection and sperm preparation by the density gradient method, sperm parameters were checked, and sperm DFI was measured by sperm chromatin dispersion assay. The patients were divided into three groups with DFI less than 15%, 15 to 30%, and more than 30%. After semen analysis, and fertilization, the fertilization rate and the embryo number were determined. The data were analyzed using descriptive tests, and the correlation of DFI with the sperm parameters and fertilization outcomes was evaluated
with Pearson correlation.
Results: The findings were showed a significant decrease (p<0.05) in sperm number and its moving forward, and increase in immobility as a result of increasing DFI. According to the results of the correlation coefficient, DFI has an inverse correlation with sperm parameters including the number (r=-0.48), forward progression (r=-0.52), and fertilization rate (r=-0.83), embryos number (r=-0.35), and it has direct correlation with sperm immobility (r=0.47).
Conclusion: The results, in addition to emphasizing adverse effects of high sperm DFI on men's fertility, it is used in predicting pregnancy outcomes. Therefore, measuring sperm DFI is recommended in ICSI.

کلیدواژه‌ها English

DNA Fragmentation Index
Seminal Fluid
Sperm Morphology
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