Characterization of Sperm Population Following Different Selection Procedures
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- DNA Fragmentation Index
研究概览
简要总结
The present study aims to determine which of the sperm selection techniques used in IVF (In Vitro Fertilization) laboratory leads to selection of the best/healthiest sperm population based on their morpho-functional parameters. Different procedures are currently used in our laboratory to select the sperm population that will be used to inseminate the oocytes: Density Gradient Centrifugation (DGC), DGC in combination with Magnetic Activated Sperm Sorting (MACS), and Microfluidic Sperm Sorting (MSS). The sperm cells selected by these techniques will be evaluated for specific morpho-functional features such as, motility, morphological abnormalities, and apoptotic status [phosphatidylserine translocation (early stages of apoptosis)] and DNA (Deoxyribonucleic Acid) fragmentation as an indicator of stages of apoptosis.
详细描述
Different procedures are currently available to select the sperm population that will be used to inseminate the oocytes during Medical Assisted Reproduction (MAR). The selected population should contain fully functional spermatozoa that possess the ability to reach the fertilization site and allow optimal fertilization and embryo development. These abilities are strictly dependent on specific sperm morpho-functional features such as, but not limited to, motility, morphological abnormalities, apoptotic status [phosphatidylserine translocation (early stages of apoptosis)] and DNA fragmentation (later stages of apoptosis), The present study aims to determine which of the sperm selection techniques used in our IVF laboratory lead to selection of the best/healthy sperm population based on their morpho-functional parameters. For this purpose, unused raw semen after routine diagnostic analysis will be split in 3 fractions and will be processed immediately by different sperm preparation methods: 1) DGC, 2) DGC and MACS, and 3) MSS.
The sperm cells selected by each method will be analyzed for morphological and functional parameters.
Initial sperm concentration (×106/ml) will be assessed using a counting chamber.
Sperm motility will be evaluated on 200 spermatozoa under 40× magnifications and the results will be expressed as percentages.
After each selection procedure, concentration and motility will be determined with the use of a Neubauer counting chamber.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
入排标准
- 性别
- Male
- 接受健康志愿者
- 否
入选标准
- •semen volume ≥1.5ml
- •sperm concentration >20 x 106 spermatozoa/ml
- •≥30% progressive motility
排除标准
- •semen samples processed for immediate or later use in Assisted Reproductive Medicine
结局指标
主要结局
DNA Fragmentation Index
时间窗: 1 year
percentage of sperm cells with DNA fragmentation out of selected sperm cells
Progressive Motility Index
时间窗: 1 year
percentage of sperm cells with progressive motility out of selected sperm cells
Early Apoptosis Index
时间窗: 1 year
percentage of early apoptotic sperm cells out of selected sperm cells
Concentration
时间窗: 1 year
number of sperm cells per ml of ejaculated semen sample
Normal Morphology Index
时间窗: 1 year
percentage of morphological normal sperm cells out of selected sperm cells
次要结局
未报告次要终点
研究者
Ileana Mateizel
Principal Investigator
Universitair Ziekenhuis Brussel
