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L4 key slides ferlin
Sperm function and sperm aneuploidies evaluated on
single cells selected with high magnification technique from
patients with severe testicular damage
Single sperm cells
Group A (n 100)
(nuclear vacuole)
Group B (n 100)
(normal sperm)
Mitochondria (%) 52.2+14.7* 13.3+4.9
Acridine Orange (%) 71.9+11.1* 5.3+3.0
TUNEL (%) 40.1+11.6* 9.3+4.8
Aneuploidies (%) 5.1+3.1 0.0
Garolla et al. High-power microscopy for selecting spermatozoa for ICSI by
physiological status. RBM Online, 2008
L4 key slides ferlin
Aitken et al. Int J Androl 2009
L4 key slides ferlin
L4 key slides ferlin
 Problems with DNA fragmentation:
 What is to be measured and why?
 Different methods
 Standardization problems of the tests
 Intra-individual variability
 Normal values for fertility or normozoospermia?
 Type of sample analysed
 Small numbers
 Subgrouping of infertile men and IVF/ICSI cycles
 Identification of high-risk groups
 Effect of abstinence time
Influence of sperm DNA damage
on IVF and ICSI
Fertilization rate
 Negative effect
 Larson, 2000
 Tomlinson, 2001
 Tomsu, 2002
 Benchaib, 2003 (ICSI)
 Larson, 2003
 Henkel, 2004
 Virro, 2004
 Guerin, 2005
 Borini, 2006 (ICSI)
 Boe-Hansen, 2006 (IVF)
 Avendano, 2009
 Tarozzi, 2009 (ICSI)
 No effect
 Seli, 2004
 Bungum, 2004
 Gandini, 2004
 Huang, 2005
 Zini, 2005
 Borini, 2006 (IVF)
 Boe-Hansen, 2006 (ICSI)
 Bungum, 2007
 Lin, 2008
 Nucopoullos, 2008
 Velez de la Calle, 2008
 Tarozzi, 2009 (IVF)
 Positive effect
 Payne, 2005
Pregnancy rate
 Negative effect
 Lopes, 1998
 Host, 2000 (IVF)
 Morris, 2002
 Benchaib, 2003
 Payne, 2005
 Huang, 2005
 Velez de la Calle, 2008
 No effect
 Tomlinson, 2001
 Tomsu, 2002
 Larson, 2003
 Gandini, 2004 (ICSI)
 Henkel, 2004
 Virro, 2004
 Guerin, 2005
 Zini, 2005
 Lin, 2008
 Avendano, 2009
HA-ICSI significantly
improves embryo
quality and
development…but
not implantation rate
and pregnancy
New development
Array CGH on single sperm

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L4 key slides ferlin

  • 2. Sperm function and sperm aneuploidies evaluated on single cells selected with high magnification technique from patients with severe testicular damage Single sperm cells Group A (n 100) (nuclear vacuole) Group B (n 100) (normal sperm) Mitochondria (%) 52.2+14.7* 13.3+4.9 Acridine Orange (%) 71.9+11.1* 5.3+3.0 TUNEL (%) 40.1+11.6* 9.3+4.8 Aneuploidies (%) 5.1+3.1 0.0 Garolla et al. High-power microscopy for selecting spermatozoa for ICSI by physiological status. RBM Online, 2008
  • 4. Aitken et al. Int J Androl 2009
  • 7.  Problems with DNA fragmentation:  What is to be measured and why?  Different methods  Standardization problems of the tests  Intra-individual variability  Normal values for fertility or normozoospermia?  Type of sample analysed  Small numbers  Subgrouping of infertile men and IVF/ICSI cycles  Identification of high-risk groups  Effect of abstinence time
  • 8. Influence of sperm DNA damage on IVF and ICSI Fertilization rate  Negative effect  Larson, 2000  Tomlinson, 2001  Tomsu, 2002  Benchaib, 2003 (ICSI)  Larson, 2003  Henkel, 2004  Virro, 2004  Guerin, 2005  Borini, 2006 (ICSI)  Boe-Hansen, 2006 (IVF)  Avendano, 2009  Tarozzi, 2009 (ICSI)  No effect  Seli, 2004  Bungum, 2004  Gandini, 2004  Huang, 2005  Zini, 2005  Borini, 2006 (IVF)  Boe-Hansen, 2006 (ICSI)  Bungum, 2007  Lin, 2008  Nucopoullos, 2008  Velez de la Calle, 2008  Tarozzi, 2009 (IVF)  Positive effect  Payne, 2005 Pregnancy rate  Negative effect  Lopes, 1998  Host, 2000 (IVF)  Morris, 2002  Benchaib, 2003  Payne, 2005  Huang, 2005  Velez de la Calle, 2008  No effect  Tomlinson, 2001  Tomsu, 2002  Larson, 2003  Gandini, 2004 (ICSI)  Henkel, 2004  Virro, 2004  Guerin, 2005  Zini, 2005  Lin, 2008  Avendano, 2009
  • 9. HA-ICSI significantly improves embryo quality and development…but not implantation rate and pregnancy
  • 10. New development Array CGH on single sperm