PMID- 12168732 OWN - NLM STAT- MEDLINE DCOM- 20030206 LR - 20220408 IS - 1058-0468 (Print) IS - 1573-7330 (Electronic) IS - 1058-0468 (Linking) VI - 19 IP - 7 DP - 2002 Jul TI - Sperm single-stranded DNA, detected by acridine orange staining, reduces fertilization and quality of ICSI-derived embryos. PG - 319-28 AB - PURPOSE: The aim of this study was to evaluate the effect of sperm single-stranded DNA, detected by acridine orange (AO), and classical sperm parameters on embryonic quality after ICSI. METHODS: Before ICSI, the spermatozoa of 183 infertile patients with oligo-, astheno-, teratozoospermia (n = 147), or more than one previous unsuccessful conventional IVF attempt (n = 36) were stained by AO to assess the presence of single-stranded DNA. Two days after ICSI, the embryos of 135 patients were scored for morphology, fragmentation included. Embryos of 48 couples were cultured for 4 days to develop to the morula or blastocyst stage. At most 2 embryos were transferred on Day 2 or 4. RESULTS: When the level of spermatozoa with single-stranded DNA was increased, there was a significantly lower fertilization rate after ICSI. Besides, increased sperm single-stranded DNA resulted in a higher proportion of heavily fragmented embryos on Day 2 (P < 0.05). In patients with an increased level of spermatozoa with single-stranded DNA, a significantly higher number of embryos were arrested in spite of prolonged culturing (P < 0.05). Classical sperm parameters did not affect the quality and developmental potential of ICSI-derived embryos. No correlation was found between the level of spermatozoa with single-stranded DNA, pregnancy rate, and live-birth rate achieved by ICSI, except in patients with 0% of spermatozoa with single-stranded DNA, in whom the pregnancy rate was significantly higher. CONCLUSIONS: Sperm single-stranded DNA provides additional data on sperm functional capacity in terms of fertilization and embryonic quality after ICSI. FAU - Virant-Klun, Irma AU - Virant-Klun I AD - Department of Obstetrics and Gynecology, Medical Centre Ljubljana, Slovenia. irma.virant@kclj.si FAU - Tomazevic, Tomaz AU - Tomazevic T FAU - Meden-Vrtovec, Helena AU - Meden-Vrtovec H LA - eng PT - Journal Article PL - Netherlands TA - J Assist Reprod Genet JT - Journal of assisted reproduction and genetics JID - 9206495 RN - 0 (DNA, Single-Stranded) RN - 0 (Fluorescent Dyes) RN - F30N4O6XVV (Acridine Orange) SB - IM MH - Acridine Orange MH - Adult MH - DNA, Single-Stranded/*physiology MH - Embryo Transfer MH - Female MH - Fluorescent Dyes MH - Humans MH - Male MH - Pregnancy MH - Pregnancy Outcome MH - Sperm Capacitation/*genetics MH - *Sperm Injections, Intracytoplasmic MH - Spermatozoa/metabolism/*physiology PMC - PMC3455751 EDAT- 2002/08/10 10:00 MHDA- 2003/02/07 04:00 PMCR- 2003/07/01 CRDT- 2002/08/10 10:00 PHST- 2002/08/10 10:00 [pubmed] PHST- 2003/02/07 04:00 [medline] PHST- 2002/08/10 10:00 [entrez] PHST- 2003/07/01 00:00 [pmc-release] AID - 373893 [pii] AID - 10.1023/a:1016006509036 [doi] PST - ppublish SO - J Assist Reprod Genet. 2002 Jul;19(7):319-28. doi: 10.1023/a:1016006509036.