Skip to main content
Top
Published in: Journal of Assisted Reproduction and Genetics 5/2015

01-05-2015 | Assisted Reproduction Technologies

Systemic oxidative stress could predict assisted reproductive technique outcome

Authors: A. Ahelik, R. Mändar, P. Korrovits, P. Karits, E. Talving, K. Rosenstein, M. Jaagura, A. Salumets, T. Kullisaar

Published in: Journal of Assisted Reproduction and Genetics | Issue 5/2015

Login to get access

Abstract

Purpose

Previous studies have indicated that OxS (oxidative stress) may appear as a possible reason for poor ART outcome. Our aim was to study OxS levels in both partners of couples seeking Assisted reproduction Technology (ART).

Methods

Altogether 79 couples were recruited. Oxidative DNA damage (8-OHdG) and lipid peroxidation (8-EPI) were measured, and clinical background and ART outcomes were recorded.

Results

Both OxS markers accurately reflected clincal conditions with prominent negative effects attributable to genital tract infections, endometriosis, uterine myoma and smoking. Furthermore, the level of OxS was also affected by partner’s state of health. The highest 8-EPI levels were detected in both partners when biochemically detectable pregnancies did not develop into clinically detectable pregnancies (in women, 97,8 ± 16,7 vs 72.9 ± 22,9, p = 0.007; in men, 89.6 ± 20,4 vs 72,1 ± 22,6, p = 0.049).

Conclusions

To conclude, high grade systemix OxS in both partners may negatively affect the maintenance and outcome of pregnancy. Applying the detection of OxS in ART patients may select patients with higher success rate and/or those who require antioxidant therapy. This would lead to improvement of ART outcome as well as natural fertility.
Appendix
Available only for authorised users
Literature
1.
go back to reference Zegers-Hochschild F, Adamson GD, de Mouzon J, Ishihara O, Mansour R, Nygren K, et al. International Committee for Monitoring Assisted Reproductive Technology (ICMART) and the World Health Organization (WHO) revised glossary of ART terminology. Fertil Steril. 2009;92:1520–4. Zegers-Hochschild F, Adamson GD, de Mouzon J, Ishihara O, Mansour R, Nygren K, et al. International Committee for Monitoring Assisted Reproductive Technology (ICMART) and the World Health Organization (WHO) revised glossary of ART terminology. Fertil Steril. 2009;92:1520–4.
3.
go back to reference Ferraretti AP, Goossens V, de Mouzon J, Bhattacharya S, Castilla JA, Korsak V, et al. Assisted reproductive technology in Europe, 2008: results generated from European registers by ESHRE. Hum Reprod. 2012;27:2571–84.CrossRefPubMed Ferraretti AP, Goossens V, de Mouzon J, Bhattacharya S, Castilla JA, Korsak V, et al. Assisted reproductive technology in Europe, 2008: results generated from European registers by ESHRE. Hum Reprod. 2012;27:2571–84.CrossRefPubMed
4.
go back to reference Loft S, Kold-Jensen T, Hjollund NH, Giwercman A, Gyllemborg J, Ernst E, et al. Oxidative DNA damage in human sperm influences time to pregnancy. Hum Reprod. 2003;18:1265–72.CrossRefPubMed Loft S, Kold-Jensen T, Hjollund NH, Giwercman A, Gyllemborg J, Ernst E, et al. Oxidative DNA damage in human sperm influences time to pregnancy. Hum Reprod. 2003;18:1265–72.CrossRefPubMed
5.
6.
go back to reference Simon L, Proutski I, Stevenson M, Jennings D, McManus J, Lutton D, et al. Sperm DNA damage has a negative association with live-birth rates after IVF. Reprod BioMed Online. 2013;26:68–78.CrossRefPubMed Simon L, Proutski I, Stevenson M, Jennings D, McManus J, Lutton D, et al. Sperm DNA damage has a negative association with live-birth rates after IVF. Reprod BioMed Online. 2013;26:68–78.CrossRefPubMed
7.
go back to reference Knox CL, Allan JA, Allan JM, Edirisinghe WR, Stenzel D, Lawrence FA, et al. Ureaplasma parvum and Ureaplasma urealyticum are detected in semen after washing before assisted reproductive technology procedures. Fertil Steril. 2003;80:921–9.CrossRefPubMed Knox CL, Allan JA, Allan JM, Edirisinghe WR, Stenzel D, Lawrence FA, et al. Ureaplasma parvum and Ureaplasma urealyticum are detected in semen after washing before assisted reproductive technology procedures. Fertil Steril. 2003;80:921–9.CrossRefPubMed
8.
go back to reference Li MQ, Jin LP. Ovarian stimulation for in vitro fertilization alters the protein profile expression in endometrial secretion. Int J Clin Exp Pathol. 2013;6:1964–7.PubMedCentralPubMed Li MQ, Jin LP. Ovarian stimulation for in vitro fertilization alters the protein profile expression in endometrial secretion. Int J Clin Exp Pathol. 2013;6:1964–7.PubMedCentralPubMed
9.
go back to reference Margalioth EJ, Ben-Chetrit A, Gal M, Eldar-Geva T. Investigation and treatment of repeated implantation failure following IVF–ET. Hum Reprod. 2006;2:3036–43.CrossRef Margalioth EJ, Ben-Chetrit A, Gal M, Eldar-Geva T. Investigation and treatment of repeated implantation failure following IVF–ET. Hum Reprod. 2006;2:3036–43.CrossRef
10.
go back to reference Fiedler K, Ezcurra D. Predicting and preventing ovarian hyperstimulation syndrome (OHSS): the need for individualized not standardized treatment. Reprod Biol Endocrinol. 2012;10:32.CrossRefPubMedCentralPubMed Fiedler K, Ezcurra D. Predicting and preventing ovarian hyperstimulation syndrome (OHSS): the need for individualized not standardized treatment. Reprod Biol Endocrinol. 2012;10:32.CrossRefPubMedCentralPubMed
11.
go back to reference Zorn B, Vidmar G, Meden-Vrtovec H. Seminal reactive oxygen species as predictors of fertilization, embryo quality and pregnancy rates after conventional in vitro fertilization and intracytoplasmic sperm injection. Int J Androl. 2003;26:279–85.CrossRefPubMed Zorn B, Vidmar G, Meden-Vrtovec H. Seminal reactive oxygen species as predictors of fertilization, embryo quality and pregnancy rates after conventional in vitro fertilization and intracytoplasmic sperm injection. Int J Androl. 2003;26:279–85.CrossRefPubMed
12.
go back to reference Meseguer M, Martínez-Conejero JA, O’Connor JE, Pellicer A, Remohí J, Garrido N. The significance of sperm DNA oxidation in embryo development and reproductive outcome in an oocyte donation program: a new model to study a male infertility prognostic factor. Fertil Steril. 2008;89:1191–9.CrossRefPubMed Meseguer M, Martínez-Conejero JA, O’Connor JE, Pellicer A, Remohí J, Garrido N. The significance of sperm DNA oxidation in embryo development and reproductive outcome in an oocyte donation program: a new model to study a male infertility prognostic factor. Fertil Steril. 2008;89:1191–9.CrossRefPubMed
13.
go back to reference Agarwal A, Aponte-Mellado A, Premkumar BJ, Shaman A, Gupta S. The effects of oxidative stress on female reproduction: a review. Reprod Biol Endocrinol. 2012;10:49.CrossRefPubMedCentralPubMed Agarwal A, Aponte-Mellado A, Premkumar BJ, Shaman A, Gupta S. The effects of oxidative stress on female reproduction: a review. Reprod Biol Endocrinol. 2012;10:49.CrossRefPubMedCentralPubMed
14.
go back to reference Montuschi P, Barnes P, Roberts LJ. Insights into oxidative stress: the isoprostanes. Curr Med Chem. 2007;14:703–17.CrossRefPubMed Montuschi P, Barnes P, Roberts LJ. Insights into oxidative stress: the isoprostanes. Curr Med Chem. 2007;14:703–17.CrossRefPubMed
15.
go back to reference Cambi M, Tamburrino L, Marchiani S, Olivito B, Azzari C, Forti G, et al. Development of a specific method to evaluate 8-hydroxy, 2-deoxyguanosine in sperm nuclei: relationship with semen quality in a cohort of 94 subjects. Reproduction. 2013;145:227–35.CrossRefPubMed Cambi M, Tamburrino L, Marchiani S, Olivito B, Azzari C, Forti G, et al. Development of a specific method to evaluate 8-hydroxy, 2-deoxyguanosine in sperm nuclei: relationship with semen quality in a cohort of 94 subjects. Reproduction. 2013;145:227–35.CrossRefPubMed
16.
go back to reference Nugent RP, Krohn MA, Hillier SL. Reliability of diagnosing bacterial vaginosis is improved by a standardized method of gram stain interpretation. J Clin Microbiol. 1991;29:297–301.PubMedCentralPubMed Nugent RP, Krohn MA, Hillier SL. Reliability of diagnosing bacterial vaginosis is improved by a standardized method of gram stain interpretation. J Clin Microbiol. 1991;29:297–301.PubMedCentralPubMed
17.
go back to reference WHO. WHO laboratory manual for the examination and processing of human semen. 5th ed. Geneva: World Health Organization; 2010. WHO. WHO laboratory manual for the examination and processing of human semen. 5th ed. Geneva: World Health Organization; 2010.
18.
go back to reference WHO, editor. Laboratory manual for examination of human semen and sperm–cervical mucus interaction. 4th ed. New York: Cambridge University Press; 1999. WHO, editor. Laboratory manual for examination of human semen and sperm–cervical mucus interaction. 4th ed. New York: Cambridge University Press; 1999.
19.
go back to reference Punab M, Lõivukene K, Kermes K, Mändar R. The limit of leucocytospermia from the microbiological viewpoint. Andrologia. 2003;35:271–8.CrossRefPubMed Punab M, Lõivukene K, Kermes K, Mändar R. The limit of leucocytospermia from the microbiological viewpoint. Andrologia. 2003;35:271–8.CrossRefPubMed
20.
go back to reference Kullisaar T, Songisepp E, Mikelsaar M, Zilmer K, Vihalemm T, Zilmer M. Antioxidative probiotic fermented goats’ milk decreases oxidative stress-mediated atherogenecity in human subjects. Br J Nutr. 2003;90:449–56.CrossRefPubMed Kullisaar T, Songisepp E, Mikelsaar M, Zilmer K, Vihalemm T, Zilmer M. Antioxidative probiotic fermented goats’ milk decreases oxidative stress-mediated atherogenecity in human subjects. Br J Nutr. 2003;90:449–56.CrossRefPubMed
21.
go back to reference Halliwell B, Gutteridge JMC. Free radicals in biology and medicine. New York: Oxford University Press; 1999. Halliwell B, Gutteridge JMC. Free radicals in biology and medicine. New York: Oxford University Press; 1999.
22.
go back to reference Sies H. Oxidative stress: oxidants and antioxidants. London: Academic; 1991. Sies H. Oxidative stress: oxidants and antioxidants. London: Academic; 1991.
24.
go back to reference Laurent A, Nicco C, Chereau C, Goulvestre C, Alexandre J, Alves A, et al. Controlling tumor growth by modulating endogenous production of reactive oxygen species. Cancer Res. 2005;65:948–56.PubMed Laurent A, Nicco C, Chereau C, Goulvestre C, Alexandre J, Alves A, et al. Controlling tumor growth by modulating endogenous production of reactive oxygen species. Cancer Res. 2005;65:948–56.PubMed
25.
go back to reference Al-Gubory KH, Fowler PA, Garrel C. The roles of cellular reactive oxygen species, oxidative stress and antioxidants in pregnancy outcomes. Int J Biochem Cell Biol. 2010;42:1634–50.CrossRefPubMed Al-Gubory KH, Fowler PA, Garrel C. The roles of cellular reactive oxygen species, oxidative stress and antioxidants in pregnancy outcomes. Int J Biochem Cell Biol. 2010;42:1634–50.CrossRefPubMed
26.
27.
go back to reference Rizzo A, Roscino MT, Binetti F, Sciorsci RL. Roles of reactive oxygen species in female reproduction. Reprod Domest Anim. 2011;47:344–52.CrossRefPubMed Rizzo A, Roscino MT, Binetti F, Sciorsci RL. Roles of reactive oxygen species in female reproduction. Reprod Domest Anim. 2011;47:344–52.CrossRefPubMed
29.
go back to reference Sharma I, Dhaliwal L, Saha S, Sangwan S, Dhawan V. Role of 8-iso-prostaglandin F2alpha and 25-hydroxycholesterol in the pathophysiology of endometriosis. Fertil Steril. 2010;94:63–70.CrossRefPubMed Sharma I, Dhaliwal L, Saha S, Sangwan S, Dhawan V. Role of 8-iso-prostaglandin F2alpha and 25-hydroxycholesterol in the pathophysiology of endometriosis. Fertil Steril. 2010;94:63–70.CrossRefPubMed
30.
go back to reference Bogavac M, Lakic N, Simin N, Nikolic A, Sudji J, Bozin B. Bacterial vaginosis and biomarkers of oxidative stress in amniotic fluid. J Matern Fetal Neonatal Med. 2012;25:1050–4.CrossRefPubMed Bogavac M, Lakic N, Simin N, Nikolic A, Sudji J, Bozin B. Bacterial vaginosis and biomarkers of oxidative stress in amniotic fluid. J Matern Fetal Neonatal Med. 2012;25:1050–4.CrossRefPubMed
31.
go back to reference Kothari S, Thompson A, Agarwal A, du Plessis SS. Free radicals: their beneficial and detrimental effects on sperm function. Indian J Exp Biol. 2010;48:425–35.PubMed Kothari S, Thompson A, Agarwal A, du Plessis SS. Free radicals: their beneficial and detrimental effects on sperm function. Indian J Exp Biol. 2010;48:425–35.PubMed
32.
go back to reference de Lamirande E, Leclerc P, Gagnon C. Capacitation as a regulatory event that primes spermatozoa for the acrosome reaction and fertilization. Mol Hum Reprod. 1997;3:175–94.CrossRefPubMed de Lamirande E, Leclerc P, Gagnon C. Capacitation as a regulatory event that primes spermatozoa for the acrosome reaction and fertilization. Mol Hum Reprod. 1997;3:175–94.CrossRefPubMed
33.
go back to reference Benedetti S, Tagliamonte MC, Catalani S, Primiterra M, Canestrari F, De Stefani S, et al. Differences in blood and semen oxidative status in fertile and infertile men, and their relationship with sperm quality. Reprod BioMed Online. 2012;25:300–6.CrossRefPubMed Benedetti S, Tagliamonte MC, Catalani S, Primiterra M, Canestrari F, De Stefani S, et al. Differences in blood and semen oxidative status in fertile and infertile men, and their relationship with sperm quality. Reprod BioMed Online. 2012;25:300–6.CrossRefPubMed
34.
go back to reference Aitken RJ, Jones KT, Robertson SA. Reactive oxygen species and sperm function — in sickness and in health. J Androl. 2012;33:1096–106.CrossRefPubMed Aitken RJ, Jones KT, Robertson SA. Reactive oxygen species and sperm function — in sickness and in health. J Androl. 2012;33:1096–106.CrossRefPubMed
35.
go back to reference Aitken RJ, De Iuliis GN, Finnie JM, Hedges A, McLachlan RI. Analysis of the relationships between oxidative stress, DNA damage and sperm vitality in a patient population: development of diagnostic criteria. Hum Reprod. 2010;25:2415–26.CrossRefPubMed Aitken RJ, De Iuliis GN, Finnie JM, Hedges A, McLachlan RI. Analysis of the relationships between oxidative stress, DNA damage and sperm vitality in a patient population: development of diagnostic criteria. Hum Reprod. 2010;25:2415–26.CrossRefPubMed
36.
go back to reference Gharagozloo P, Aitken RJ. The role of sperm oxidative stress in male infertility and the significance of oral antioxidant therapy. Hum Reprod. 2011;26:1628–40.CrossRefPubMed Gharagozloo P, Aitken RJ. The role of sperm oxidative stress in male infertility and the significance of oral antioxidant therapy. Hum Reprod. 2011;26:1628–40.CrossRefPubMed
37.
go back to reference Ménézo Y, Entezami F, Lichtblau I, Belloc S, Cohen M, Dale B. Oxidative stress and fertility: incorrect assumptions and ineffective solutions? Zygote. 2014;22(1):80–90.CrossRefPubMed Ménézo Y, Entezami F, Lichtblau I, Belloc S, Cohen M, Dale B. Oxidative stress and fertility: incorrect assumptions and ineffective solutions? Zygote. 2014;22(1):80–90.CrossRefPubMed
38.
go back to reference Frohner IE, Bourgeois C, Yatsyk K, Majer O, Kuchler K. Candida albicans cell surface superoxide dismutases degrade host-derived reactive oxygen species to escape innate immune surveillance. Mol Microbiol. 2009;71:240–52.CrossRefPubMedCentralPubMed Frohner IE, Bourgeois C, Yatsyk K, Majer O, Kuchler K. Candida albicans cell surface superoxide dismutases degrade host-derived reactive oxygen species to escape innate immune surveillance. Mol Microbiol. 2009;71:240–52.CrossRefPubMedCentralPubMed
39.
go back to reference Kullisaar T, Türk S, Punab M, Mändar R. Oxidative stress – cause or consequence of male genital tract disorders? Prostate. 2012;72:977–83.CrossRefPubMed Kullisaar T, Türk S, Punab M, Mändar R. Oxidative stress – cause or consequence of male genital tract disorders? Prostate. 2012;72:977–83.CrossRefPubMed
40.
go back to reference Kullisaar T, Türk S, Punab M, Korrovits P, Kisand K, Rehema A, et al. Oxidative stress in leucocytospermic prostatitis patients: preliminary results. Andrologia. 2008;40:161–72.CrossRefPubMed Kullisaar T, Türk S, Punab M, Korrovits P, Kisand K, Rehema A, et al. Oxidative stress in leucocytospermic prostatitis patients: preliminary results. Andrologia. 2008;40:161–72.CrossRefPubMed
41.
go back to reference Taha EA, Ez-Aldin AM, Sayed SK, Ghandour NM, Mostafa T. Effect of smoking on sperm vitality, DNA integrity, seminal oxidative stress, zinc in fertile men. Urology. 2012;80:822–5.CrossRefPubMed Taha EA, Ez-Aldin AM, Sayed SK, Ghandour NM, Mostafa T. Effect of smoking on sperm vitality, DNA integrity, seminal oxidative stress, zinc in fertile men. Urology. 2012;80:822–5.CrossRefPubMed
42.
go back to reference Mändar R, Kullisaar T, Borovkova N, Punab M. Sexual intercourse with leucocytospermic men may be a possible booster of oxidative stress in female partners of infertile couples. Andrology. 2013;1:464–8.CrossRefPubMed Mändar R, Kullisaar T, Borovkova N, Punab M. Sexual intercourse with leucocytospermic men may be a possible booster of oxidative stress in female partners of infertile couples. Andrology. 2013;1:464–8.CrossRefPubMed
43.
go back to reference Borovkova N, Korrovits P, Ausmees K, Türk S, Jõers K, Punab M, et al. Influence of sexual intercourse on genital tract microbiota in infertile couples. Anaerobe. 2011;17:414–8.CrossRefPubMed Borovkova N, Korrovits P, Ausmees K, Türk S, Jõers K, Punab M, et al. Influence of sexual intercourse on genital tract microbiota in infertile couples. Anaerobe. 2011;17:414–8.CrossRefPubMed
44.
go back to reference Velthut A, Zilmer M, Zilmer K, Kaart T, Karro H, Salumets A. Elevated blood plasma antioxidant status is favourable for achieving IVF/ICSI pregnancy. Reprod BioMed Online. 2013;26:345–52.CrossRefPubMed Velthut A, Zilmer M, Zilmer K, Kaart T, Karro H, Salumets A. Elevated blood plasma antioxidant status is favourable for achieving IVF/ICSI pregnancy. Reprod BioMed Online. 2013;26:345–52.CrossRefPubMed
Metadata
Title
Systemic oxidative stress could predict assisted reproductive technique outcome
Authors
A. Ahelik
R. Mändar
P. Korrovits
P. Karits
E. Talving
K. Rosenstein
M. Jaagura
A. Salumets
T. Kullisaar
Publication date
01-05-2015
Publisher
Springer US
Published in
Journal of Assisted Reproduction and Genetics / Issue 5/2015
Print ISSN: 1058-0468
Electronic ISSN: 1573-7330
DOI
https://doi.org/10.1007/s10815-015-0466-6

Other articles of this Issue 5/2015

Journal of Assisted Reproduction and Genetics 5/2015 Go to the issue