精子DNA碎片化会影响胚胎的早期发育,但不能预测怀孕的结果: 870次ICSI周期的见解
Tomasz Machałowski1, Julita Machałowska2, Kamil Gill3
1Department of Perinatology, Obstetrics and Gynecology, Pomeranian Medical University in Szczecin, 70-204 Szczecin, Poland.
International journal of molecular sciences
|August 28, 2025
概括
高精子DNA碎片化 (SDF) 在细胞内精子注射 (ICSI) 周期中对受精和胚胎细胞发育产生负面影响. 高SDF可以作为辅助生殖技术咨询的预后工具.
科学领域:
- 生殖医学
- 胚胎学
- 雄性学
背景情况:
- 精子DNA碎片化 (SDF) 是男性不孕症的一个潜在指标.
- 它在预测细胞内注射精子 (ICSI) 成功中的作用受到争议.
研究的目的:
- 调查SDF水平与ICSI结果之间的关联.
- 评估SDF作为辅助生殖技术 (ART) 的预后生物标志物.
主要方法:
- 870个新鲜单胞胎ICSI周期的回顾性分析.
- 用于测量SDF的精子染色素分散测试.
- 患者分为低 (≤20%) 和高 (> 20%) 的SDF组.
主要成果:
- 较高的SDF与较差的精液质量,较低的受精率和较低的胚胎质量相关.
- 每增加1%的SDF都会使>80%受精率降低1.6%,而前5天胚胎的可能性则降低2.5%.
- 观察到的第3天胚胎质量趋势;与临床怀孕没有显著的联系.
结论:
- 增加的SDF会对早期ICSI胚胎发育产生不利影响.
- 在ART咨询和患者管理中,SDF可能是一个有价值的预后标志物.
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