PMID- 31318411 OWN - NLM STAT- MEDLINE DCOM- 20200902 LR - 20200902 IS - 1529-7268 (Electronic) IS - 0006-3363 (Linking) VI - 101 IP - 6 DP - 2019 Dec 24 TI - Sperm chromosomal abnormalities and their contribution to human embryo aneuploidy. PG - 1091-1101 LID - 10.1093/biolre/ioz125 [doi] AB - In this work we reviewed 18 years of experience using fluorescence in situ hybridization (FISH) for sperm aneuploidy testing. We evaluated parameters associated with increased numerical sperm chromosome abnormalities and determined the male contribution to embryo aneploidies in terms of reproductive outcome by increased sperm aneuploidy. This retrospective study analyzed data from 2008 sperm samples of infertile males undergoing FISH analysis because of clinical history of repetitive implantation failure, recurrent miscarriage, impaired sperm parameters, or mixed causes. Sperm concentration was the only sperm parameter associated with FISH results-we observed a gradual increase of abnormal sperm FISH results in males with decreasing sperm concentration. However, a great proportion of normozoospermic males also showed increased sperm aneuploidies, suggesting that sperm parameters alone do not enable identification of a substantial proportion of infertile males at risk of sperm aneuploidies. Regarding reproductive outcomes, couples with normal sperm FISH results for the male had similar outcomes regardless of conventional in vitro fertilization (IVF), intracytoplasmic sperm injection (ICSI), or preimplantation genetic testing for aneuploidies (PGT-A). However, couples with abnormal sperm FISH results for the male showed better clinical outcomes after PGT-A, suggesting a potential contribution of sperm to embryo aneuploidy. Moreover, PGT-A cycles showed better clinical outcomes when 24 chromosomes were analyzed by array comparative genome hybridization (aCGH) or next-generation sequencing (NGS) instead of only nine chromosomes analyzed by FISH. In conclusion, sperm FISH analysis offers clinical prognostic value to evaluate reproductive possibilities in infertile couples. Therefore, couples with abnormal sperm FISH results should be offered genetic counseling and presented with clinical options such as PGT-A. CI - (c) The Author(s) 2019. Published by Oxford University Press on behalf of Society for the Study of Reproduction. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Rodrigo, Lorena AU - Rodrigo L AD - Igenomix, Valencia, Spain. FAU - Meseguer, Marcos AU - Meseguer M AD - IVIRMA Valencia, Valencia, Spain. FAU - Mateu, Emilia AU - Mateu E AD - Igenomix, Valencia, Spain. FAU - Mercader, Amparo AU - Mercader A AD - IVIRMA Valencia, Valencia, Spain. FAU - Peinado, Vanessa AU - Peinado V AD - Igenomix, Valencia, Spain. FAU - Bori, Lorena AU - Bori L AD - IVIRMA Valencia, Valencia, Spain. FAU - Campos-Galindo, Inmaculada AU - Campos-Galindo I AD - Igenomix, Valencia, Spain. FAU - Milan, Miguel AU - Milan M AD - Igenomix, Valencia, Spain. FAU - Garcia-Herrero, Sandra AU - Garcia-Herrero S AD - Igenomix, Valencia, Spain. FAU - Simon, Carlos AU - Simon C AD - Igenomix Foundation/Instituto de Investigacion Sanitaria Hospital Clinico, Valencia, Spain. AD - Department of Pediatrics, Obstetrics and Gynecology, University of Valencia, Valencia, Spain. FAU - Rubio, Carmen AU - Rubio C AD - Igenomix, Valencia, Spain. LA - eng PT - Journal Article PT - Review PL - United States TA - Biol Reprod JT - Biology of reproduction JID - 0207224 SB - IM MH - *Aneuploidy MH - Chromosome Aberrations/*embryology MH - Comparative Genomic Hybridization MH - Female MH - Fertilization in Vitro MH - High-Throughput Nucleotide Sequencing MH - Humans MH - In Situ Hybridization, Fluorescence MH - Infertility, Male/genetics/therapy MH - Male MH - Oligospermia/genetics MH - Precision Medicine MH - Pregnancy MH - *Preimplantation Diagnosis MH - Retrospective Studies MH - Sperm Count MH - Sperm Injections, Intracytoplasmic MH - Sperm Motility MH - Spermatozoa/*abnormalities/ultrastructure OTO - NOTNLM OT - aneuploidy OT - blastocyst OT - implantation OT - in vitro fertilization (IVF) OT - intracytoplasmic sperm injection (ICSI) OT - male infertility OT - pregnancy OT - preimplantation embryo OT - sperm EDAT- 2019/07/19 06:00 MHDA- 2020/09/04 06:00 CRDT- 2019/07/19 06:00 PHST- 2018/09/20 00:00 [received] PHST- 2019/01/30 00:00 [revised] PHST- 2019/07/16 00:00 [accepted] PHST- 2019/07/19 06:00 [pubmed] PHST- 2020/09/04 06:00 [medline] PHST- 2019/07/19 06:00 [entrez] AID - 5535530 [pii] AID - 10.1093/biolre/ioz125 [doi] PST - ppublish SO - Biol Reprod. 2019 Dec 24;101(6):1091-1101. doi: 10.1093/biolre/ioz125.