Molecular Human Reproduction, Vol 4, 757-762, Copyright © 1998 by Oxford University Press
J Tesarik, E Greco, P Cohen-Bacrie and C Mendoza
Germ cell apoptosis was evaluated in 11 men suffering from nonobstructive
azoospermia and enrolled in a spermatid conception programme. In six of
these patients, round spermatids (Sa stage) were the most advanced
spermatogenic cells recovered from testicular biopsy samples. This
condition is referred to as complete spermiogenesis failure. In the
remaining five men, a few late elongated spermatids (Sd stage) were
unexpectedly found in the testicular biopsy samples on the day of
treatment. This condition is referred to as incomplete spermiogenesis
failure. Germ cell apoptosis in both groups of patients was examined by
analysing cell smears prepared from mechanically disintegrated testicular
tissues using terminal deoxyribonucleotidyl transferase-mediated dUTP
nick-end labelling (TUNEL), which detects apoptosis-specific DNA
fragmentation, and annexin-V binding, detecting apoptosis-related
translocation of plasma membrane phosphatidylserine to the membrane's outer
surface. Both methods were combined, in double- fluorescence labelling
preparations, with immunocytochemical detection of proacrosin, a specific
germline marker. Patients with complete spermiogenesis failure had
significantly higher frequencies of primary spermatocytes and round
spermatids carrying the apoptosis-specific DNA damage in comparison with
patients with incomplete spermiogenesis failure. Surprisingly,
apoptosis-related phosphatidylserine externalization occurs rarely until
the advanced stages of spermiogenesis. Since externalized
phosphatidylserine is expected to be involved in the recognition of
apoptotic cells by phagocytes, apoptotic spermatocytes and round spermatids
may not be removed easily by phagocytosis. The high frequency of DNA damage
in round spermatids from patients with complete spermiogenesis failure
explains the low success rates of spermatid conception in these cases. The
evaluation of apoptosis can help predict success rates of spermatid
conception.
JOURNAL ARTICLE
Germ cell apoptosis in men with complete and incomplete spermiogenesis failure
Laboratoire d'Eylau, Paris, France.
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