Human Sperm Markers of Cryodamage Resistance

Study Overview
=================
Brief Summary
-----------------
Sperm freezing has been employed for decades for male fertility preservation in cases of foreseeable or unexpected loss of fertility to guarantee future paternity, and also as a complement of assisted reproduction techniques. Sperm quality after thawing is highly variable, even among consecutive samples from the same individual, with mean survival rates around 40%. To date, the molecular basis of the adequate resistance or intolerance to freezing/thawing protocols is unknown, and its knowledge can lead to improvement in the selection of the samples to be frozen and also in the adequate supplement of cryopreservation media. Microarray analysis provides a powerful tool to address the molecular explanation beyond this behaviour, yielding results about comparative messenger ribonucleic acid (mRNA)expression under the two different biological conditions: optimal and suboptimal survival. Then, the aim of the investigators' study is to determine the genomic profile of sperm samples depending on their survival resistance to cryopreservation, to determine genes involved in cryodamage sensitivity.

Detailed Description
-----------------
Nested cases and controls design, with donor sperm samples frozen under conventional protocols, categorized depending on their good (GSR, n=20) (less than 20% motility decrease) or bad (BSR, n=20) (more than 20% motility decrease) survival rates. Sperm mRNA was extracted using Trizol protocol, suspended in diethylpyrocarbonate (DEPC)-treated water and frozen at -80 degrees until the microarray experiments were performed. RNAs were analyzed on Agilent Bioanalyzer 2100. Samples were pooled in 4 (5 samples/pool and 4 pools/group). Finally, 8 Agilent One colour Whole genome microarray (44K) were performed with pooled samples, 4 microarrays per group. The results will be evaluate to detect those genes differentially expressed.

Official Title
-----------------
Molecular Diagnostic of Sperm Cryoresistance of Semen Donors and Clinical Outcomes After Artificial Insemination. Optimization of Sperm Bank

Conditions
-----------------
Fertility

Intervention / Treatment
-----------------
* Other: Sperm cryopreservation


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: The criteria used for the inclusion of donors in the sperm bank will be considered: males from 18 to 35 years. good physical and psychological conditions and no hereditary diseases seminal parameters: concentration > 40 million sperm / ml; percentage of progressive motility> 50% percentage of normal forms> 4%. For pregnancy rates after artificial insemination, only women< 40 years without tubal pathologies and artificial insemination indications will be included. Exclusion Criteria: All the population not included in the list of inclusion will be excluded.

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 35 Years

Sexes Eligible for Study
-----------------
Male

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| High cryoresistance<br>High resistance to sperm cryopreservation (decreased sperm motility <20%) | Other: Sperm cryopreservation<br>* Sperm from the different groups are cryopreserved to evaluate their resistance to preservation.<br>|
| Low cryoresistance<br>Low resistance to sperm cryopreservation (decreased sperm motility >20%) | Other: Sperm cryopreservation<br>* Sperm from the different groups are cryopreserved to evaluate their resistance to preservation.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Genomic profile of sperm samples depending on their survival resistance to cryopreservation | The genomic profile of sperm samples depending on their survival resistance to cryopreservation will be analysed and expressed as: Common or differentially expressed genes: in case of genes expressed in both groups Exclusive Genes, in case of genes expressed just in one group | A year and a half | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pregnancy rates after artificial insemination with donor semen in the different groups. | Once obtained the genomic profile of samples from donors included the different groups, we will analyze its relationship with the reproductive outcomes, in particular pregnancy rates after conventional artificial insemination (percentage of positive pregnancy test) | two years | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Cryodamage, microarrays, Insemination, sperm