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

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

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Sperm selection: why?<br />

There is an <strong>in</strong>creas<strong>in</strong>g need for non-<strong>in</strong>vasive biochemical<br />

markers to select normal <strong>and</strong> functional sperm <strong>in</strong> ART,<br />

especially for <strong>ICSI</strong><br />

Sperm selection for ART: how?<br />

“Positive” selection (mature<br />

sperm are selected from damaged<br />

sperm; e.g. b<strong>in</strong>d<strong>in</strong>g to HA-matrix):<br />

mature sperm is selected for ART,<br />

unbound/unselected sperm is<br />

discarded<br />

“Negative” selection<br />

(damaged sperm b<strong>in</strong>d to<br />

membrane receptors; e.g.<br />

Annex<strong>in</strong>e-V, FAS-lig<strong>and</strong>s, TNFreceptors):<br />

unbound sperm can<br />

be collected <strong>and</strong> used for ART<br />

Sperm membranes are highly polyunsaturated; they have<br />

a specific constitution <strong>and</strong> function: changes are necessary<br />

for acrosom reaction, ZP recognition <strong>and</strong> oocyte for fusion<br />

Phosphatidyl<br />

ser<strong>in</strong>e<br />

Page 47 of 127

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