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Beyond IUI, IVF and ICSI - New developments in - eshre 2013

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m x 106 Chemilum<strong>in</strong>escence (cp )<br />

Electrophoretic isolation of spermatozoa<br />

100<br />

75<br />

50<br />

25<br />

Zymosan<br />

Leukocyte removal<br />

Media control<br />

0<br />

0 5 10 15 20<br />

Time (m<strong>in</strong>)<br />

Log chemilum<strong>in</strong>escence (cpm)<br />

Percoll<br />

8<br />

7<br />

6<br />

5<br />

4<br />

Residual sperm<br />

3<br />

2.5 3 3.5 4 4.5 5 5.5 6 6.5<br />

Log leukocyte concentration/ml<br />

E-Separated sperm<br />

Aitken <strong>and</strong> Curry, 2011<br />

Susceptibility of spermatozoa to oxidative stress<br />

Cumulative pregnnancy<br />

rate<br />

ROS<br />

High PUFA<br />

content<br />

R<br />

Hydrogen<br />

RH<br />

.<br />

R<br />

R Lipid Abstraction Lipid R<br />

radical<br />

Propagation<br />

Fe 2+<br />

Antioxidant<br />

Mechanisms<br />

Loss of membrane fluidity <strong>and</strong> function<br />

Lipid peroxidation<br />

O2 .<br />

ROO<br />

Limited<br />

Antioxidant<br />

CCapacity it<br />

ROOH<br />

ROS <strong>and</strong> Spontaneous Pregnancy<br />

Spontaneous pregnancy <strong>in</strong> 139 couples characterized by normal female partner<br />

0.6<br />

0.4<br />

0.2<br />

0.0<br />

0 10 20 30 40<br />

Months<br />

Redox activity<br />

(cpm x 10 4 )<br />

0-100<br />

101-1000<br />

1001-10000<br />

10001-<br />

50<br />

R<br />

Low ROS<br />

High fertility<br />

Intermediate ROS<br />

Intermediate fertility<br />

High ROS<br />

Low fertility<br />

Aitken <strong>and</strong> Curry, 2011<br />

Aitken <strong>and</strong> Curry, 2011<br />

Page 24 of 127

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