Article ; Online: The incidence and etiology of sperm DNA fragmentation in the ejaculates of males with spinal cord injuries.
2020 Volume 58, Issue 7, Page(s) 803–810
Abstract: Study design: Retrospective descriptive study.: Objectives: To determine the incidence and probable etiology of sperm DNA fragmentation (SDF) in a sample of males with spinal cord injury (SCI).: Setting: Hospital in Toledo, Spain; University-based ...
Abstract | Study design: Retrospective descriptive study. Objectives: To determine the incidence and probable etiology of sperm DNA fragmentation (SDF) in a sample of males with spinal cord injury (SCI). Setting: Hospital in Toledo, Spain; University-based Genetics laboratory in Madrid, Spain. Methods: Semen collected by vibro-stimulation from 27 males with various levels of spinal cord injury. Classical semen parameters, SDF, leukocytospermia and pro-oxidant capacity were assessed and compared with a cohort of normozoospermic fertile donors (n = 10). Results: Males with SCI presented with lower semen quality compared with normozoospermic donors with respect to progressive motility (p = 0.0002), SDF (p < 0.00005), pro-oxidant capacity (p = 0.0191) and leukocytospermia (p < 0.00005). Although there was no significant correlation between semen quality and time since the lesion occurred, the period of abstinence appeared to be positively correlated with SDF (r = 0.486; p = 0.041). When the semen parameters of males with SCI were categorized based on those with cervical and thoracic lesions, sperm concentration was higher for those with cervical damage (p = 0.0257). Males with complete lesions (AIS A) had ejaculates that were lower in progressive motility (p = 0.0040) than those with incomplete injuries (AIS B-D). Conclusions: Ejaculates of males with SCI have excessively elevated SDF when compared with normozoospermic donors, which is likely to be associated with coincident high levels of leucocytospermia and pro-oxidant capacity. We propose that these phenomena are caused by the accumulation and degeneration of spermatozoa in the cauda epididymidis. |
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MeSH term(s) | Adult ; Cervical Cord/injuries ; DNA Fragmentation ; Humans ; Incidence ; Infertility, Male/epidemiology ; Infertility, Male/etiology ; Male ; Retrospective Studies ; Semen/cytology ; Semen/metabolism ; Semen Analysis ; Sperm Motility/physiology ; Spinal Cord Injuries/complications ; Spinal Cord Injuries/pathology ; Thoracic Vertebrae/injuries |
Language | English |
Publishing date | 2020-01-30 |
Publishing country | England |
Document type | Journal Article |
ZDB-ID | 1316161-1 |
ISSN | 1476-5624 ; 1362-4393 |
ISSN (online) | 1476-5624 |
ISSN | 1362-4393 |
DOI | 10.1038/s41393-020-0426-6 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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