PMID- 9548167 OWN - NLM STAT- MEDLINE DCOM- 19980501 LR - 20190707 IS - 0015-0282 (Print) IS - 0015-0282 (Linking) VI - 69 IP - 4 DP - 1998 Apr TI - Simultaneous assessment of sperm chromatin condensation and morphology before and after separation procedures: effect on the clinical outcome after in vitro fertilization. PG - 740-7 AB - OBJECTIVE: To look for correlations between acridine orange (AO) staining and semen parameters before and after sperm separation procedures and to assess whether the AO test predicts fertilization or pregnancy outcomes after standard IVF and intracytoplasmic sperm injection. DESIGN: Prospective study that simultaneously assesses sperm morphology and nuclear protein maturity on a cell-by-cell basis before and after preparative procedures. SETTING: University teaching hospital. PATIENT(S): Men (n = 140) undergoing diagnostic semen analysis. MAIN OUTCOME MEASURE(S): Acridine orange fluorescence of sperm nuclei, semen parameters, IVF outcome. RESULT(S): In unprocessed samples, 90% of sperm with normal heads displayed green fluorescence (mature nuclear protein); significantly lower percentages of green fluorescence were observed in sperm with abnormal heads. The percentage of mature normal sperm in the specimen correlated with motility. Sperm maturity after swim-up or Percoll gradient was significantly improved for sperm with normal or abnormal heads. The percentage of mature normal sperm correlated with motility after either Percoll or swim-up. Neither the percentages of mature nuclei nor mature normal nuclei correlated with fertilization or pregnancy outcome. CONCLUSION(S): Nuclear protein maturation correlates with sperm motility and morphology. Because morphologically normal and motile sperm are more mature, separation procedures should generate a population of sperm with the highest fertilization capacity. Acridine orange staining, however, did not predict fertilization efficiency or pregnancy outcome in IVF cycles. FAU - Angelopoulos, T AU - Angelopoulos T AD - Department of Obstetrics and Gynecology, New York University Medical Center, New York 10016, USA. FAU - Moshel, Y A AU - Moshel YA FAU - Lu, L AU - Lu L FAU - Macanas, E AU - Macanas E FAU - Grifo, J A AU - Grifo JA FAU - Krey, L C AU - Krey LC LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - Fertil Steril JT - Fertility and sterility JID - 0372772 RN - 0 (Chromatin) RN - 0 (Colloids) RN - 0 (Fluorescent Dyes) RN - 65455-52-9 (Percoll) RN - 7631-86-9 (Silicon Dioxide) RN - F30N4O6XVV (Acridine Orange) RN - FZ989GH94E (Povidone) SB - IM MH - Acridine Orange/chemistry MH - Adult MH - Centrifugation, Density Gradient MH - Chromatin/chemistry/*ultrastructure MH - Cohort Studies MH - Colloids MH - *Fertilization in Vitro MH - Fluorescent Dyes/chemistry MH - Humans MH - Male MH - Middle Aged MH - Povidone/chemistry MH - Prospective Studies MH - Silicon Dioxide/chemistry MH - Sperm Motility/physiology MH - Spermatozoa/chemistry/*physiology/*ultrastructure EDAT- 1998/04/21 00:00 MHDA- 1998/04/21 00:01 CRDT- 1998/04/21 00:00 PHST- 1998/04/21 00:00 [pubmed] PHST- 1998/04/21 00:01 [medline] PHST- 1998/04/21 00:00 [entrez] AID - S0015-0282(98)00016-8 [pii] AID - 10.1016/s0015-0282(98)00016-8 [doi] PST - ppublish SO - Fertil Steril. 1998 Apr;69(4):740-7. doi: 10.1016/s0015-0282(98)00016-8.