PMID- 32319429 OWN - NLM STAT- MEDLINE DCOM- 20210205 LR - 20210205 IS - 1643-3750 (Electronic) IS - 1234-1010 (Print) IS - 1234-1010 (Linking) VI - 26 DP - 2020 Apr 22 TI - Progress in Research on Sperm DNA Fragmentation. PG - e918746 LID - 10.12659/MSM.918746 [doi] AB - With the increasing incidence of male infertility, routine detection of semen is insufficient to accurately assess male fertility. Infertile men, who have lower odds of conceiving naturally, exhibit high levels of sperm DNA fragmentation (SDF). The mechanisms driving SDF include abnormal spermatogenesis, oxidative stress damage, and abnormal sperm apoptosis. As these factors can induce SDF and subsequent radical changes leading to male infertility, detection of the extent of SDF has become an efficient routine method for semen analysis. Although it is still debated, SDF detection has become a research hotspot in the field of reproductive medicine as a more accurate indicator for assessing sperm quality and male fertility. SDF may be involved in male infertility, reproductive assisted outcomes, and growth and development of offspring. The effective detection methods of SDF are sperm chromatin structure analysis (SCSA), terminal transferase-mediated dUTP end labeling (TUNEL) assay, single-cell gel electrophoresis (SCGE) assay, and sperm chromatin dispersion (SCD) test, and all of these methods are valuable for assisted reproductive techniques. Currently, the preferred method for detecting sperm DNA integrity is SCSA. However, the regulation network of SDF is very complex because the sperm DNA differs from the somatic cell DNA with its unique structure. A multitude of molecular factors, including coding genes, non-coding genes, or methylated DNA, participate in the complex physiological regulation activities associated with SDF. Studying SDF occurrence and the underlying mechanisms may effectively improve its clinical treatments. This review aimed to outline the research status of SDF mechanism and detection technology-related issues, as well as the effect of increased SDF rate, aiming to provide a basis for clinical male infertility diagnosis and treatment. FAU - Qiu, Ying AU - Qiu Y AD - The Reproductive Medical Center, Nanning Second People's Hospital, Nanning, Guangxi, China (mainland). FAU - Yang, Hua AU - Yang H AD - The Reproductive Medical Center, Nanning Second People's Hospital, Nanning, Guangxi, China (mainland). FAU - Li, Chunyuan AU - Li C AD - The Reproductive Medical Center, Nanning Second People's Hospital, Nanning, Guangxi, China (mainland). FAU - Xu, Changlong AU - Xu C AD - The Reproductive Medical Center, Nanning Second People's Hospital, Nanning, Guangxi, China (mainland). LA - eng PT - Journal Article PT - Review DEP - 20200422 PL - United States TA - Med Sci Monit JT - Medical science monitor : international medical journal of experimental and clinical research JID - 9609063 RN - 9007-49-2 (DNA) SB - IM MH - DNA/genetics MH - DNA Fragmentation MH - Humans MH - Infertility, Male/*genetics/metabolism MH - Male MH - Reproductive Techniques, Assisted MH - Semen/cytology/metabolism MH - Semen Analysis/*methods MH - Spermatozoa/*cytology PMC - PMC7191954 EDAT- 2020/04/23 06:00 MHDA- 2021/02/07 06:00 PMCR- 2020/04/22 CRDT- 2020/04/23 06:00 PHST- 2020/04/23 06:00 [entrez] PHST- 2020/04/23 06:00 [pubmed] PHST- 2021/02/07 06:00 [medline] PHST- 2020/04/22 00:00 [pmc-release] AID - 918746 [pii] AID - 10.12659/MSM.918746 [doi] PST - epublish SO - Med Sci Monit. 2020 Apr 22;26:e918746. doi: 10.12659/MSM.918746.