Ashok Agarwal, Ph. D. , HCLD, Ramadan A. Saleh, M. D. , Mohamed A

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Presentation transcript:

Role of reactive oxygen species in the pathophysiology of human reproduction Ashok Agarwal, Ph.D., HCLD, Ramadan A. Saleh, M.D., Mohamed A. Bedaiwy, M.D. Fertility and Sterility Volume 79, Issue 4, Pages 829-843 (April 2003) DOI: 10.1016/S0015-0282(02)04948-8

FIGURE 1 Correlation of seminal leukocyte concentrations with the following: levels of basal ROS (A); pure sperm ROS (B); and PMA-induced ROS in donors (•), non-leukocytospermic patients (▾), and leukocytospermic patients (▴; C). Basal ROS = levels of ROS in washed sperm suspensions after simple wash and resuspension in phosphate-buffered saline (containing sperm and leukocytes); pure sperm ROS = levels of ROS in leukocyte-free sperm suspensions after complete removal of leukocytes using anti-CD45–coated paramagnetic beads. PMA-induced ROS = levels of ROS in leukocyte-free sperm suspensions after stimulation of phorbol 12-myristate 13-acetate. Seminal leukocyte concentrations (×106/mL) and levels of ROS (×106 counted photons per minute per 20×106 sperm/mL) were log transformed. Agarwal. ROS and human reproduction.Fertil Steril 2003. Fertility and Sterility 2003 79, 829-843DOI: (10.1016/S0015-0282(02)04948-8)

FIGURE 2 Events of apoptosis in human cells. Agarwal. ROS and human reproduction.Fertil Steril 2003. Fertility and Sterility 2003 79, 829-843DOI: (10.1016/S0015-0282(02)04948-8)

FIGURE 3 Comparison of ROS values between unprocessed (A) and processed (B) peritoneal fluid from patients with endometriosis, patients with idiopathic infertility, and patients after tubal ligation. Each box plot covers the middle 50% of the data between the lower and upper quartiles. Central horizontal line represents the median, and the vertical line indicates the range of data. Agarwal. ROS and human reproduction.Fertil Steril 2003. Fertility and Sterility 2003 79, 829-843DOI: (10.1016/S0015-0282(02)04948-8)

FIGURE 4 Relationship of day 1 ROS and percentage of embryos with high (>7 cells) number of cells in ICSI cycles. Day 1 ROS levels were negatively correlated with percentage of embryos with high cell number at day 3 (P=.01). Agarwal. ROS and human reproduction. Fertil Steril 2003. Fertility and Sterility 2003 79, 829-843DOI: (10.1016/S0015-0282(02)04948-8)

FIGURE 5 Relationship of day 1 ROS and percentage of embryos with low (<10%) fragmentation in ICSI cycles. Day 1 ROS levels were significantly related with increased embryonic fragmentation at day 3 (P=.03). Agarwal. ROS and human reproduction. Fertil Steril 2003. Fertility and Sterility 2003 79, 829-843DOI: (10.1016/S0015-0282(02)04948-8)