PMID- 16612973 OWN - NLM STAT- MEDLINE DCOM- 20060522 LR - 20060414 IS - 1122-9497 (Print) IS - 1122-9497 (Linking) VI - 37 IP - 3-4 DP - 2005 Nov TI - 'Round head' sperm defect. Ultrastructural and meiotic segregation study. PG - 297-303 AB - The sperm 'round head' defect, also known as globozoospermia, is an uncommon alteration of sperm morphology generally characterised by 100% round headed sperm totally lacking an acrosome. This alteration is a genetic sperm defect as demonstrated by analysing the incidence of these alterations in a population of infertile men showing a history of consanguinity and cases belonging to the same family. Ultrastructural characteristics and meiotic segregation in spermatozoa from two patients affected by 'round head' sperm defect were investigated. The sperm quality was examined by light and transmission electron microscopy (TEM) and fluorescence in situ hybridization (FISH) analysis was performed in order to investigate the meiotic behavior of chromosomes namely gonosomes and chromosome 18. TEM analysis, mathematically elaborated, clearly diagnosed the 'round head' genetic sperm defect and highlighted at the same time the presence of other phenotypic alterations belonging to pathologies such as immaturity, apoptosis and necrosis. It is possible to hypothesize that round headed sperm could be a 'weak phenotype' allowing the sperm pathologies to overlap with a sperm defect of genetic origin, further compromising fertilizing potential. FISH analysis revealed a positive correlation between globozoospermia and higher disomies of sex chromosomes and diploidies suggesting a higher risk of creating an aneuploid embryo after intracytoplasmic sperm injection. FAU - Moretti, E AU - Moretti E AD - Department of Pediatrics, Obstetrics and Reproductive Medicine, Biology Section, University of Siena, Regional Referral Center for Male Infertility, Siena University General Hospital, Italy. FAU - Collodel, G AU - Collodel G FAU - Scapigliati, G AU - Scapigliati G FAU - Cosci, I AU - Cosci I FAU - Sartini, B AU - Sartini B FAU - Baccetti, B AU - Baccetti B LA - eng PT - Case Reports PT - Journal Article PL - Italy TA - J Submicrosc Cytol Pathol JT - Journal of submicroscopic cytology and pathology JID - 8804312 SB - IM MH - Adult MH - Aneuploidy MH - Chromosomes, Human, Pair 18/*genetics MH - Chromosomes, Human, Y/*genetics MH - Humans MH - In Situ Hybridization, Fluorescence MH - Infertility, Male/*etiology MH - Male MH - Meiosis/*genetics MH - Microscopy, Electron, Transmission MH - *Sex Chromosome Aberrations MH - Sperm Head/ultrastructure MH - Spermatozoa/*ultrastructure EDAT- 2006/04/15 09:00 MHDA- 2006/05/23 09:00 CRDT- 2006/04/15 09:00 PHST- 2006/04/15 09:00 [pubmed] PHST- 2006/05/23 09:00 [medline] PHST- 2006/04/15 09:00 [entrez] PST - ppublish SO - J Submicrosc Cytol Pathol. 2005 Nov;37(3-4):297-303.