In this study, we aimed to determine the effects of hepatitis B virus （HBV） infection on sperm quality and the outcome of assisted reproductive technology （ART）. A total of 916 men （457 HBV-positive and 459 HBV-n...In this study, we aimed to determine the effects of hepatitis B virus （HBV） infection on sperm quality and the outcome of assisted reproductive technology （ART）. A total of 916 men （457 HBV-positive and 459 HBV-negative） seeking fertility assistance from January 2008 to December 2009 at the Women＇s Hospital in the School of Medicine at Zhejiang University were analysed for semen parameters. Couples in which the men were hepatitis B surface antigen （HBsAg）-seropositive were categorized as HBV-positive and included 587 in vitrofertilisation （IVF） and 325 intracytoplasmic sperm injection （ICSI） cycles from January 2004 to December 2009; negative controls were matched for female age, date of ova retrieval, ART approach used （IVF or ICSI） and randomized in a ratio of 1：1 according to the ART treatment cycles （587 for IVF and 325 for ICSI）. HBV-infected men exhibited lower semen volume, lower total sperm count as well as poor sperm motility and morphology （P〈O.05） when compared to control individuals. Rates of two-pronuclear （2PN） fertilisation, high-grade embryo acquisition, implantation and clinical pregnancy were also lower among HBV-positive patients compared to those of HBV-negative patients after ICSI and embryo transfer （P〈0.05）; IVF outcomes were similar between the two groups （P〉0.05）. Logistic regression analysis showed that HBV infection independently contributed to increased rates of asthenozoospermia and oligozoospermia/azoospermia （P〈0.05） as well as decreased rates of implantation and clinical pregnancy in ICSI cycles （P〈0.05）. Our results suggest that HBV infection in men is associated with poor sperm quality and worse ICSI and embryo transfer outcomes but does not affect the outcome of IVF and embryo transfer.展开更多
基金This work was supported by a grant from the Natural Science Foundation of Zhejiang Province, China （Y206148）. The authors gratefully acknowledge the members of the Department of Reproductive Endocrinology in the Women＇s Hospital at Zhejiang University for their continued assistance.
文摘In this study, we aimed to determine the effects of hepatitis B virus （HBV） infection on sperm quality and the outcome of assisted reproductive technology （ART）. A total of 916 men （457 HBV-positive and 459 HBV-negative） seeking fertility assistance from January 2008 to December 2009 at the Women＇s Hospital in the School of Medicine at Zhejiang University were analysed for semen parameters. Couples in which the men were hepatitis B surface antigen （HBsAg）-seropositive were categorized as HBV-positive and included 587 in vitrofertilisation （IVF） and 325 intracytoplasmic sperm injection （ICSI） cycles from January 2004 to December 2009; negative controls were matched for female age, date of ova retrieval, ART approach used （IVF or ICSI） and randomized in a ratio of 1：1 according to the ART treatment cycles （587 for IVF and 325 for ICSI）. HBV-infected men exhibited lower semen volume, lower total sperm count as well as poor sperm motility and morphology （P〈O.05） when compared to control individuals. Rates of two-pronuclear （2PN） fertilisation, high-grade embryo acquisition, implantation and clinical pregnancy were also lower among HBV-positive patients compared to those of HBV-negative patients after ICSI and embryo transfer （P〈0.05）; IVF outcomes were similar between the two groups （P〉0.05）. Logistic regression analysis showed that HBV infection independently contributed to increased rates of asthenozoospermia and oligozoospermia/azoospermia （P〈0.05） as well as decreased rates of implantation and clinical pregnancy in ICSI cycles （P〈0.05）. Our results suggest that HBV infection in men is associated with poor sperm quality and worse ICSI and embryo transfer outcomes but does not affect the outcome of IVF and embryo transfer.
文摘本文研究在不同浓度Na+、K+、Ca2+、Mg2+、Cu2+及葡萄糖、果糖溶液中,中华鲟(Acipenser sinensisGray)精子活动情况。结果表明:Na+浓度为2‰时,中华鲟精子寿命时间(Life time,LT)最长,为347s,而Na+浓度为1‰时,中华鲟精子剧烈运动时间(Acute movement time,AT)最长,为98.67s,精子激活率在Na+浓度小于等于2‰时,为100%,随着Na+浓度的增加中华鲟精子激活率明显下降;与Na+溶液不同,在K+浓度为0.005‰时中华鲟精子活力最佳,其AT和LT最长,分别为80s和174s。而精子激活率随K+浓度增加而增强,在浓度为0.005‰时激活率最强为60%,然后快速下降;在Ca2+、Mg2+、Cu2+三种溶液中,随着三种溶液浓度的增加,中华鲟精子剧烈运动时间和寿命逐渐缩短,精子激活率逐步下降;与Ca2+、Mg2+、Cu2+三种溶液完全不同的是,随着葡萄糖和果糖两种单糖浓度的增加,中华鲟精子AT及精子LT逐渐延长。结果说明适量浓度的Na+、K+可以延长中华鲟精子AT及其LT,激活精子活力;而Ca2+、Mg2+、Cu2+三种溶液即使在较低浓度下都表现出对中华鲟精子AT、精子LT及其激活率明显的抑制作用;而葡萄糖和果糖则能有效地延长中华鲟精子AT和LT。
