PMID- 21839433 OWN - NLM STAT- MEDLINE DCOM- 20111129 LR - 20191210 IS - 1556-5653 (Electronic) IS - 0015-0282 (Linking) VI - 96 IP - 4 DP - 2011 Oct TI - Oxidative deoxyribonucleic acid damage in sperm has a negative impact on clinical pregnancy rate in intrauterine insemination but not intracytoplasmic sperm injection cycles. PG - 843-7 LID - 10.1016/j.fertnstert.2011.07.356 [doi] AB - OBJECTIVE: To determine the level of DNA damage, both fragmentation and oxidative, in the sperm population used for intrauterine insemination (IUI) and intracytoplasmic sperm injection (ICSI) and its impact on fertilization and clinical pregnancy rates. DESIGN: A prospective clinical study. SETTING: A tertiary care fertility clinic. PATIENT(S): Couples undergoing ICSI (n = 48) and couples undergoing IUI cycles (n = 53). INTERVENTION(S): Assessment of both sperm DNA fragmentation using the TUNEL assay and oxidative DNA damage using the biomarker 8-hydroxy-2'-deoxyguanosine (8-OHdG) in the samples prepared and used for insemination. MAIN OUTCOME MEASURE(S): Achievement of a clinical pregnancy. RESULT(S): Sperm DNA fragmentation and 8-OHdG were highly correlated (r = 0.55) and 8-OHdG was significantly lower in those who achieved a clinical pregnancy after IUI (8.9% vs. 20.2%). A threshold value of 11.5% 8-OHdG was identified as a useful predictor of IUI success. No differences were found in sperm DNA fragmentation or 8-OHdG between pregnant and nonpregnant couples in ICSI cycles. CONCLUSION(S): 8-Hydroxy-2'-deoxyguanosine, a biomarker of oxidative DNA damage highly correlated with sperm DNA fragmentation, in human sperm DNA has significant value in predicting the chance of a clinical pregnancy after IUI but not ICSI in assisted reproductive technology. CI - Copyright (c) 2011 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved. FAU - Thomson, Laura Kelly AU - Thomson LK AD - Fertility First, Hurstville, New South Wales, Australia. l.surmon@uws.edu.au FAU - Zieschang, Julie-Anne AU - Zieschang JA FAU - Clark, Anne Melton AU - Clark AM LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110811 PL - United States TA - Fertil Steril JT - Fertility and sterility JID - 0372772 RN - 88847-89-6 (8-Hydroxy-2'-Deoxyguanosine) RN - 9007-49-2 (DNA) RN - G9481N71RO (Deoxyguanosine) SB - IM CIN - J Urol. 2012 Aug;188(2):555-6. PMID: 22784757 MH - 8-Hydroxy-2'-Deoxyguanosine MH - Adult MH - DNA/chemistry/genetics/*metabolism MH - DNA Damage/*physiology MH - DNA Fragmentation MH - Deoxyguanosine/analogs & derivatives/analysis MH - Female MH - Humans MH - Insemination, Artificial, Homologous/*trends MH - Male MH - Oxidative Stress/*physiology MH - Pregnancy MH - Pregnancy Rate/*trends MH - Prospective Studies MH - Sperm Injections, Intracytoplasmic/*trends MH - Spermatozoa/*metabolism EDAT- 2011/08/16 06:00 MHDA- 2011/12/13 00:00 CRDT- 2011/08/16 06:00 PHST- 2011/03/09 00:00 [received] PHST- 2011/06/10 00:00 [revised] PHST- 2011/07/07 00:00 [accepted] PHST- 2011/08/16 06:00 [entrez] PHST- 2011/08/16 06:00 [pubmed] PHST- 2011/12/13 00:00 [medline] AID - S0015-0282(11)01453-1 [pii] AID - 10.1016/j.fertnstert.2011.07.356 [doi] PST - ppublish SO - Fertil Steril. 2011 Oct;96(4):843-7. doi: 10.1016/j.fertnstert.2011.07.356. Epub 2011 Aug 11.