PMID- 7498720 OWN - NLM STAT- MEDLINE DCOM- 19960118 LR - 20061115 IS - 0016-5751 (Print) IS - 0016-5751 (Linking) VI - 55 IP - 9 DP - 1995 Sep TI - [Cytogenetic abnormalities in sperm: a risk factor for application of medical reproduction techniques?]. PG - 518-25 AB - Microinsemination techniques are increasingly applied to achieve fertilisation of the oocyte in cases of male fertility disorders. Thus, spermatozoa can directly interact with the oolemma or the ooplasm, thereby obviating the need for penetration through cumulus oophorus and zona pellucida. However, problems associated with this particular feature arise in view of the following considerations: 1. The gametes from subfertile males are suspected to carry more cytogenetic anomalies in addition to an impaired sperm quality when compared to fertile men. 2. Cumulus and zona play an important role in the selection of morphologically abnormal and dysfunctional spermatozoa. 3. Consequently, bypassing natural sperm selection processes would lead to more abnormal embryos, abortions, and births of diseased or handicapped children. Spermatozoa can be analysed cytogenetically after fusion with zona-free hamster eggs or by fluorescence in situ hybridization (FISH). Both techniques did not confirm increased aberrations in gametes from subfertile men with a normal somatic karyotype. However, a definite conclusion cannot be drawn because of the limited data and restrictions concerning their interpretation. This also holds true for the evaluation of correlations indicating no significant relationship between the chromosomal constitution and sperm motility or morphology, respectively. Currently, the risk of malformation after microinsemination does not appear to be increased when compared to conventional IVF but the results do not yet allow a reliable statistical evaluation. In contrast, decreased morphological quality, impaired implantation, and early abortions have been reported for embryos produced by assisted fertilisation. This suggests that an effective natural selection of abnormal embryos will prevent a significant increase in malformations in the following generation.(ABSTRACT TRUNCATED AT 250 WORDS) FAU - Rosenbusch, B AU - Rosenbusch B AD - Abt. Frauenheilkunde und Geburtshilfe der Universitat Ulm. FAU - Strehler, E AU - Strehler E FAU - Sterzik, K AU - Sterzik K FAU - Kreienberg, R AU - Kreienberg R LA - ger PT - English Abstract PT - Journal Article PT - Review TT - Zytogenetische Anomalien in Spermien: Ein Risikofaktor bei Anwendung reproduktionsmedizinischer Techniken? PL - Germany TA - Geburtshilfe Frauenheilkd JT - Geburtshilfe und Frauenheilkunde JID - 0370732 SB - IM MH - *Chromosome Aberrations MH - Female MH - Fertilization in Vitro/methods MH - Humans MH - In Situ Hybridization, Fluorescence MH - Infertility, Male/*genetics MH - Male MH - Microinjections MH - *Reproductive Techniques MH - Risk Factors MH - Sperm-Ovum Interactions MH - Spermatozoa/*abnormalities RF - 40 EDAT- 1995/09/01 00:00 MHDA- 1995/09/01 00:01 CRDT- 1995/09/01 00:00 PHST- 1995/09/01 00:00 [pubmed] PHST- 1995/09/01 00:01 [medline] PHST- 1995/09/01 00:00 [entrez] AID - 10.1055/s-2007-1022831 [doi] PST - ppublish SO - Geburtshilfe Frauenheilkd. 1995 Sep;55(9):518-25. doi: 10.1055/s-2007-1022831.