MedPath

Sperm Phenotype and Differentially Methylated Regions

Completed
Conditions
Infertility, Male
Interventions
Diagnostic Test: obtention of up to three semen samples
Registration Number
NCT05461079
Lead Sponsor
University of Basel
Brief Summary

Testicular dysgenesis syndrome (TDS) is known to cause epigenetic abnormalities in spermatozoa. Anogenital distance (AGD) is considered to be a suitable clinical marker of TDS, but the direct link between AGD and epigenetic abnormalities is still missing.

Infertile men (n=10) presenting with shortened AGD and a control group of normal semen donors (n=10) with normal AGD will then be asked to provide one semen sample each. Using a flow cytometer and sorter (FACS) their spermatozoa will be sorted into populations of spermatozoa with/without DNA fragmentation or with/without chromatin decondensation. These sorted populations of spermatozoa will then be examined for differences in epigenetic imprinting differences using whole genome expression analysis. Whereas the sorting of spermatozoa will be carried out in Basel, the epigenetic analysis will be carried at the University of Geneva.

Detailed Description

A subset of 10 men with shortened AGD (together with a control group of 10 fertile donors with normal AGD) will be asked to provide up to three semen samples, each of which then will be sorted with FACS into subpopulations with/without DNA fragmentation and into subpopulations with/without chromatin decondensation.

Spermatozoa with fragmented DNA will be separated through FACS-sorting of spermatozoa with intact DNA using the YoPro 1-dye, which has been shown to correlate significantly with the degree of DNA fragmentation in the nuclei of sperm.

In addition, spermatozoa with abnormal chromatin remodelling will be separated through sorting from spermatozoa with condensed chromatin using the fluorochrome chromomycin A3 (CMA3), which competes for protamin for binding to the minor groove of DNA thereby correlating with the persistence of histones in the sperm nuclei. Pilot experiments have demonstrated the highly significant and close correlation of CMA3 with anilin blue staining. Anilin blue staining is not suitable for the sorting experiment, because it requires fixation of the spermatozoa. Sorting based on CMA3 can be carried out with living spermatozoa.

The sorted and anonymized samples will then be sent frozen in dry ice to a laboratory at the University of Geneva for the assessment of differences in the epigenetic imprinting of the DNA using whole genome expression studies.

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
60
Inclusion Criteria
  • infertile men with known anogenital distance
Exclusion Criteria
  • sperm concentration must be more than 15 million/ml to allow appropriate sorting with flow cytometry...

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
subfertile menobtention of up to three semen samples10 infertile men with shortened AGD (\< 40 mm)
fertile semen donorsobtention of up to three semen samples10 fertile semen donors with normal AGD (\>40 mm)
Primary Outcome Measures
NameTimeMethod
anogenital distance and epigenetics6 months

number of differentially methylated transposable regulatory sequences in the genome of sorted spermatozoa.

Secondary Outcome Measures
NameTimeMethod
sperm phenotype 26 months

based on conventional semen analysis: progressive motility (in %).

sperm phenotype 36 months

based on conventional semen analysis: normal morphology (in %), staining).

sperm phenotype 46 months

chromatin decondensation (as given by % of CMA3 staining).

sperm phenotype 56 months

DNA fragmentation (% of YoPro 1-staining).

sperm phenotype 16 months

based on conventional semen analysis: concentration of spermatozoa (in mill/ml).

Trial Locations

Locations (1)

Christian De Geyter

🇨🇭

Basel, Switzerland

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