PMID- 35415912 OWN - NLM STAT- MEDLINE DCOM- 20220714 LR - 20220714 IS - 1439-0272 (Electronic) IS - 0303-4569 (Linking) VI - 54 IP - 7 DP - 2022 Aug TI - High DNA stainability (HDS) should not be recommended as a marker for the detection of sperm DNA damage. PG - e14442 LID - 10.1111/and.14442 [doi] AB - There was a marker of high DNA stainability (HDS) in the detection of sperm DNA damage, which was defined as the sperm with high green stainability (HIGRN). The sperm with normal double-stranded DNA was stained green by acridine orange (AO). However, the sperm with high green fluorescence or HDS were thought of as immature sperm or the sperm with poor chromatin condensation. Some previous literature reported that the proportion of sperm with HDS increased with age, and had a certain correlation with the poor outcome of assisted reproductive technology. Recently, several articles reported that the marker of HDS decreased linearly with age, which was obviously inconsistent with that reported by the previous literature. In this case, what kind of marker is HDS? Is it worth studying? After extensively reading the literature related to HDS and flow cytometry related books and performing a series of studies related to the detection of sperm DNA damage, we believe that the establishment of HDS in the detection of sperm DNA damage has no theoretical basis and also no support of evidence-based medicine and that using HDS as a marker in the detection of sperm DNA integrity is inappropriate. CI - (c) 2022 Wiley-VCH GmbH. FAU - Lu, Jin-Chun AU - Lu JC AD - Center for Reproductive Medicine, Zhongda Hospital, Southeast University, Nanjing, China. LA - eng PT - Journal Article DEP - 20220412 PL - Germany TA - Andrologia JT - Andrologia JID - 0423506 RN - 0 (Biomarkers) RN - 0 (Chromatin) RN - 9007-49-2 (DNA) SB - IM MH - Biomarkers MH - Chromatin MH - DNA MH - DNA Damage MH - DNA Fragmentation MH - Humans MH - *Infertility, Male/diagnosis/genetics MH - Male MH - *Semen MH - Spermatozoa OTO - NOTNLM OT - flow cytometry OT - high DNA stainability OT - sperm DNA damage OT - sperm chromatin structure analysis EDAT- 2022/04/14 06:00 MHDA- 2022/07/15 06:00 CRDT- 2022/04/13 05:39 PHST- 2022/02/06 00:00 [revised] PHST- 2021/12/26 00:00 [received] PHST- 2022/03/30 00:00 [accepted] PHST- 2022/04/14 06:00 [pubmed] PHST- 2022/07/15 06:00 [medline] PHST- 2022/04/13 05:39 [entrez] AID - 10.1111/and.14442 [doi] PST - ppublish SO - Andrologia. 2022 Aug;54(7):e14442. doi: 10.1111/and.14442. Epub 2022 Apr 12.