Skip to main content
Top
Published in: Journal of Assisted Reproduction and Genetics 5/2016

01-05-2016 | Assisted Reproduction Technologies

Outcomes of intracytoplasmic sperm injection using the zona pellucida-bound sperm or manually selected sperm

Authors: Rui Jin, Junhua Bao, Dawei Tang, Fang Liu, Guoping Wang, Yaqiong Zhao, Gang Bai, Yongjie Liu, Ying Wang, Lili Liu, Jing Zhao

Published in: Journal of Assisted Reproduction and Genetics | Issue 5/2016

Login to get access

Abstract

Purpose

Zona pellucida (ZP)-bound sperm used for intracytoplasmic sperm injection (ICSI) enhances embryo quality, implantation, and clinical pregnancy rates. This study aimed to assess the pregnancy outcomes and clinical significance of ICSI with ZP-bound sperm.

Method

A total of 84 infertile couples who underwent cycles of ICSI following failed in vitro fertilization between June 2012 and February 2014 were enrolled and randomized (1:1): in the treatment group, ICSI was performed using ZP-bound sperm; in the control group, ICSI was performed in a standard manner. Rates of fertilization, cleavage, high-quality embryos, and clinical pregnancy were compared between the two groups.

Results

There were no significant differences in age, infertile period, gonadotrophin dose, number of metaphase II oocytes, and number of embryo transfers between the two groups (P > 0.05). The clinical pregnancy rate was higher in the treatment group than in the control group, but without statistical significance (60.5 vs. 47.6 %, P > 0.05). No significant differences in the rates of fertilization and cleavage were observed (83.0 vs. 81.6 %, and 96.3 vs. 96.5 %, both P > 0.05), but higher rates of high-quality embryos and useable embryos were observed with ZP-bound sperm compared with controls (66.1 vs. 50.8 % and 76.0 vs. 66.3 %, both P < 0.05).

Conclusions

ICSI using ZP-bound sperm might increase the embryo quality and number of useable embryos, possibly improving the clinical pregnancy outcome of ICSI.
Literature
1.
go back to reference Palermo G, Joris H, Devroey P, Van Steirteghem AC. Pregnancies after intracytoplasmic injection of single spermatozoon into an oocyte. Lancet. 1992;340(8810):17–8.CrossRefPubMed Palermo G, Joris H, Devroey P, Van Steirteghem AC. Pregnancies after intracytoplasmic injection of single spermatozoon into an oocyte. Lancet. 1992;340(8810):17–8.CrossRefPubMed
2.
go back to reference Lanzendorf SE, Maloney MK, Veeck LL, Slusser J, Hodgen GD, Rosenwaks Z. A preclinical evaluation of pronuclear formation by microinjection of human spermatozoa into human oocytes. Fertil Steril. 1988;49(5):835–42.CrossRefPubMed Lanzendorf SE, Maloney MK, Veeck LL, Slusser J, Hodgen GD, Rosenwaks Z. A preclinical evaluation of pronuclear formation by microinjection of human spermatozoa into human oocytes. Fertil Steril. 1988;49(5):835–42.CrossRefPubMed
4.
go back to reference Wen-hao Tang Y-JC. The efficacy and safety of ICS treatment for male infertility. Int J Med Sci - Fam Plann. 2004;23(1):4. Wen-hao Tang Y-JC. The efficacy and safety of ICS treatment for male infertility. Int J Med Sci - Fam Plann. 2004;23(1):4.
7.
8.
go back to reference Casciani V, Minasi MG, Fabozzi G, Scarselli F, Colasante A, Lobascio AM, et al. Traditional intracytoplasmic sperm injection provides equivalent outcomes compared with human zona pellucida-bound selected sperm injection. Zygote. 2014;22(4):565–70. doi:10.1017/S0967199413000191.CrossRefPubMed Casciani V, Minasi MG, Fabozzi G, Scarselli F, Colasante A, Lobascio AM, et al. Traditional intracytoplasmic sperm injection provides equivalent outcomes compared with human zona pellucida-bound selected sperm injection. Zygote. 2014;22(4):565–70. doi:10.​1017/​S096719941300019​1.CrossRefPubMed
9.
10.
go back to reference Liu DY, Baker HW. Frequency of defective sperm-zona pellucida interaction in severely teratozoospermic infertile men. Hum Reprod. 2003;18(4):802–7.CrossRefPubMed Liu DY, Baker HW. Frequency of defective sperm-zona pellucida interaction in severely teratozoospermic infertile men. Hum Reprod. 2003;18(4):802–7.CrossRefPubMed
12.
go back to reference Hammond ER, Stewart B, Peek JC, Shelling AN, Cree LM. Assessing embryo quality by combining non-invasive markers: early time-lapse parameters reflect gene expression in associated cumulus cells. Hum Reprod. 2015. doi:10.1093/humrep/dev121. Hammond ER, Stewart B, Peek JC, Shelling AN, Cree LM. Assessing embryo quality by combining non-invasive markers: early time-lapse parameters reflect gene expression in associated cumulus cells. Hum Reprod. 2015. doi:10.​1093/​humrep/​dev121.
14.
go back to reference Ciotti PM, Notarangelo L, Morselli-Labate AM, Felletti V, Porcu E, Venturoli S. First polar body morphology before ICSI is not related to embryo quality or pregnancy rate. Hum Reprod. 2004;19(10):2334–9. doi:10.1093/humrep/deh433.CrossRefPubMed Ciotti PM, Notarangelo L, Morselli-Labate AM, Felletti V, Porcu E, Venturoli S. First polar body morphology before ICSI is not related to embryo quality or pregnancy rate. Hum Reprod. 2004;19(10):2334–9. doi:10.​1093/​humrep/​deh433.CrossRefPubMed
15.
go back to reference Ola B, Afnan M, Sharif K, Papaioannou S, Hammadieh N, Barratt CL. Should ICSI be the treatment of choice for all cases of in-vitro conception? Considerations of fertilization and embryo development, cost effectiveness and safety. Hum Reprod. 2001;16(12):2485–90.CrossRefPubMed Ola B, Afnan M, Sharif K, Papaioannou S, Hammadieh N, Barratt CL. Should ICSI be the treatment of choice for all cases of in-vitro conception? Considerations of fertilization and embryo development, cost effectiveness and safety. Hum Reprod. 2001;16(12):2485–90.CrossRefPubMed
16.
go back to reference Kattera S, Chen C. Short coincubation of gametes in in vitro fertilization improves implantation and pregnancy rates: a prospective, randomized, controlled study. Fertil Steril. 2003;80(4):1017–21.CrossRefPubMed Kattera S, Chen C. Short coincubation of gametes in in vitro fertilization improves implantation and pregnancy rates: a prospective, randomized, controlled study. Fertil Steril. 2003;80(4):1017–21.CrossRefPubMed
17.
18.
go back to reference Liu DY, Baker HW. A simple method for assessment of the human acrosome reaction of spermatozoa bound to the zona pellucida: lack of relationship with ionophore A23187-induced acrosome reaction. Hum Reprod. 1996;11(3):551–7.CrossRefPubMed Liu DY, Baker HW. A simple method for assessment of the human acrosome reaction of spermatozoa bound to the zona pellucida: lack of relationship with ionophore A23187-induced acrosome reaction. Hum Reprod. 1996;11(3):551–7.CrossRefPubMed
19.
go back to reference Liu DY, Baker HW. Relationship between the zona pellucida (ZP) and ionophore A23187-induced acrosome reaction and the ability of sperm to penetrate the ZP in men with normal sperm-ZP binding. Fertil Steril. 1996;66(2):312–5.CrossRefPubMed Liu DY, Baker HW. Relationship between the zona pellucida (ZP) and ionophore A23187-induced acrosome reaction and the ability of sperm to penetrate the ZP in men with normal sperm-ZP binding. Fertil Steril. 1996;66(2):312–5.CrossRefPubMed
20.
go back to reference Martic M, Moses EK, Adams TE, Liu DY, Gook DA, Garrett C, et al. Recombinant human zona pellucida proteins ZP1, ZP2 and ZP3 co-expressed in a human cell line. Asian J Androl. 2004;6(1):3–13.PubMed Martic M, Moses EK, Adams TE, Liu DY, Gook DA, Garrett C, et al. Recombinant human zona pellucida proteins ZP1, ZP2 and ZP3 co-expressed in a human cell line. Asian J Androl. 2004;6(1):3–13.PubMed
21.
go back to reference Lin WQ, Lin JJ, Ye BL, Chen YQ, Zhao JZ, Zhou Y, et al. Analysis of pregnancy outcomes after in vitro fertilization-embryo transfer and intracytoplasmic sperm injection. Zhonghua Fu Chan Ke Za Zhi. 2004;39(2):108–11.PubMed Lin WQ, Lin JJ, Ye BL, Chen YQ, Zhao JZ, Zhou Y, et al. Analysis of pregnancy outcomes after in vitro fertilization-embryo transfer and intracytoplasmic sperm injection. Zhonghua Fu Chan Ke Za Zhi. 2004;39(2):108–11.PubMed
22.
go back to reference Papaligoura Z, Panopoulou-Maratou O, Solman M, Arvaniti K, Sarafidou J. Cognitive development of 12 month old Greek infants conceived after ICSI and the effects of the method on their parents. Hum Reprod. 2004;19(6):1488–93. doi:10.1093/humrep/deh270.CrossRefPubMed Papaligoura Z, Panopoulou-Maratou O, Solman M, Arvaniti K, Sarafidou J. Cognitive development of 12 month old Greek infants conceived after ICSI and the effects of the method on their parents. Hum Reprod. 2004;19(6):1488–93. doi:10.​1093/​humrep/​deh270.CrossRefPubMed
25.
go back to reference de Paes Almeida Ferreira Braga D, Laconelli Jr A, de Cassia Savio Figueira R, Madaschi C, Semiao-Francisco L, Borges Jr E. Outcome of ICSI using zona pellucida-bound spermatozoa and conventionally selected spermatozoa. Reprod Biomed Online. 2009;19(6):802–7.CrossRef de Paes Almeida Ferreira Braga D, Laconelli Jr A, de Cassia Savio Figueira R, Madaschi C, Semiao-Francisco L, Borges Jr E. Outcome of ICSI using zona pellucida-bound spermatozoa and conventionally selected spermatozoa. Reprod Biomed Online. 2009;19(6):802–7.CrossRef
26.
go back to reference Parmegiani L, Cognigni GE, Bernardi S, Troilo E, Taraborrelli S, Arnone A, et al. Comparison of two ready-to-use systems designed for sperm-hyaluronic acid binding selection before intracytoplasmic sperm injection: PICSI vs. sperm slow: a prospective, randomized trial. Fertil Steril. 2012;98(3):632–7. doi:10.1016/j.fertnstert.2012.05.043.CrossRefPubMed Parmegiani L, Cognigni GE, Bernardi S, Troilo E, Taraborrelli S, Arnone A, et al. Comparison of two ready-to-use systems designed for sperm-hyaluronic acid binding selection before intracytoplasmic sperm injection: PICSI vs. sperm slow: a prospective, randomized trial. Fertil Steril. 2012;98(3):632–7. doi:10.​1016/​j.​fertnstert.​2012.​05.​043.CrossRefPubMed
Metadata
Title
Outcomes of intracytoplasmic sperm injection using the zona pellucida-bound sperm or manually selected sperm
Authors
Rui Jin
Junhua Bao
Dawei Tang
Fang Liu
Guoping Wang
Yaqiong Zhao
Gang Bai
Yongjie Liu
Ying Wang
Lili Liu
Jing Zhao
Publication date
01-05-2016
Publisher
Springer US
Published in
Journal of Assisted Reproduction and Genetics / Issue 5/2016
Print ISSN: 1058-0468
Electronic ISSN: 1573-7330
DOI
https://doi.org/10.1007/s10815-016-0676-6

Other articles of this Issue 5/2016

Journal of Assisted Reproduction and Genetics 5/2016 Go to the issue